Mastitis is an acute suppurative infection of the breast caused by bacteria (Golden aureus, etc.) invading the breast tissue through the nipple cleft palate or the milk duct. The disease is more common in primipara, and it occurs in the first 3-4 weeks after delivery. They are often accompanied by nipple splits, nipples, nipples, breast compression, and sweat accumulation.
Early prevention or timely treatment can prevent or alleviate the symptoms.
Rub the peanut oil on the nipple and areola every month before delivery. Wash the nipple and areola daily with alcohol or warm water after 8 months of pregnancy, so that the nipple skin becomes tough and wearable, preventing the baby from sucking and chapping in the postpartum.
Mastitis begins with pain, swelling of the mass, redness and swelling of the surface; if it continues to develop, the symptoms will worsen and the breasts will be pulsating. In severe cases, the patient will have high fever, chills, local skin redness, induration, tenderness, swollen lymph nodes in the affected side. The inflammation softens within a few days, forming a swollen breast with a sense of undulation, and the skin with deep abscess is red and fluctuating.
The main causes of this disease are mammary duct obstruction, milk deposition, or damage to the nipple caused by the baby sucking. The clinical features of this disease are acute onset, which may be accompanied by fever, chills, redness and swelling of the diseased side of the breast, lumps, and finally the formation of abscesses.
Three stages of acute mastitis
There are three stages of acute mastitis, each corresponds with different stages of performance, and different treatment methods. Therefore, it is necessary to understand the various stages of its onset.
1. The first stage: There are often nipple splits at the beginning, and the nipples feel tingling when breastfeeding, accompanied by poor milk stagnation or agglomeration, sometimes one or two breast tubes can not be blocked. Then the breast is swollen and painful, with or without agglomeration, accompanied by tenderness, skin color is not red or reddish, and the skin is not hot or slightly hot. Systemic symptoms can be accompanied by chest tightness, headache, irritability, loss of appetite.
2, The second stage: the breast mass does not disappear or gradually increase, local pain is aggravated, or there is pulsating pain, very persistent severe pain, accompanied by obvious tenderness, skin color redness, skin burning, and there is strong heat retreat, thirst, drink, nausea and anorexia, ipsilateral axillary lymph nodes swelling and tenderness. To the 10th day of breast redness and heat pain, the center of the breast lumps gradually soften, according to the sense of fluctuation, local swelling and fever, tenderness, puncture suction pus, sometimes pus can flow out of the chyle, The systemic symptoms are exacerbated.
3,The third stage: When the acute abscess is mature, you can rupture the pus, or surgically open the pus. If the pus is unobstructed, the local swelling and pain reduction, fever, fear of cold symptoms will disappear, the sore mouth gradually healed. If the pus is not smooth after the collapse, the swelling is still there, the pain is not reduced, the body heat does not retreat, may form a bag of pus. There may also be a collapse of the milk from the sore mouth.
How to deal with mastitis?
Mastitis is an acute suppurative infection of the breast. It is a common disease in the puerperium and one of the causes of postpartum fever. It is most common in breastfeeding women, especially primipara.
Experts states that the method of treating mastitis needs to be selected according to the patient's condition. Whether mastitis must be treated with surgery is uncertain. If the disease progresses to a serious condition, minimally invasive surgery is required to perform pus discharge.
Once the treatment of mastitis with drugs is difficult to cure, surgery should be considered. If an abscess is formed, surgery should be performed in time to cut the drainage. Superficial small abscesses can be performed under local anesthesia, and large and deep abscesses should be performed under intravenous anesthesia. An incision is made in the center of the abscess, the most obvious fluctuation, but there may be no obvious fluctuations in the deep breast or post-abdominal abscess.
Acute mastitis is known as RuYong in Chinese medicine, which is a common breast disease in primiparous women. The treatment of mastitis with traditional Chinese medicine, combined with acupuncture, is very effective. The patient will fell relax and it does not affect the baby's breastfeeding.
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