Mastitis

April 12, 2012

Related Articles:

• Treatment of rheumatoid arthritis folk remedies
• Bartholinitis
• Reviews of plaster Olfen
• Pasta Phytolysinum

Tweet

Mastitis called inflammation that develops in the breast. Most often this inflammation appears a woman who recently gave birth to a child. Basically, the infection penetrates into the mammary gland through cracks which have appeared as a result on the nipples breast-feeding . However, the symptoms of mastitis sometimes appear in women in the period before birth.

Causes of mastitis

Mastitis, whose symptoms sometimes occur in diseased women are very fast, is an acute illness. It belongs to the non-specific pathology.

In postpartum mastitis is mainly manifested initially lactostasis . In this state, the patient already has all the signs of inflammation, increased body temperature. But in this case the attack of micro-organisms has not yet occurred. In most cases, symptoms occur in lactostasis verhnenaruzhnogo part of the breast closest to the underarm area. At the site you can define lactostasis painful slice, with the skin on it is often red.

Since the risk of falling into the ducts of infection is highest just after childbirth, mastitis is manifested in women in the process of establishing breastfeeding. As agents of the disease are the most common streptococci . staphylococci . enterobacteria . In more rare cases, the disease provokes gonokokki . pneumococci , A number of Anaerobic bacteria . Microorganisms enter the lobules and ducts of the breast, and as a result of their exposure to develop mastitis. Symptoms most often appear under the influence of staph. The disease is dangerous due to the high probability of suppuration of the breast, which ultimately fraught with necessity of surgery.

Often a prerequisite to the development of mastitis are also drafts, hypothermia, the adoption of too cold shower.

Thus, as causes of mastitis infection to be determined through a crack in the nipples, development lactostasis (a condition in which there is a high milk production in the female body, problems with its normal flow and, as a consequence, its delay). Also provoking factor is the overall decline immunity .

Types of mastitis

Acute mastitis are usually subdivided into a number of different forms. With serous mastitis   a woman much worse overall health, increases body temperature in the breast milk there is a delay.

With infiltrative mastitis   in the breast of the sick woman appears infiltrate the skin over which noticeably red. This education can later turn into an abscess. To purulent mastitis   characterized by a purulent inflammation. The body temperature thus rises to particularly high marks - up to forty degrees and more. If a woman develops mammary abscess Then appears in the chest abscess It is limited purulent focus. With gathered breast   purulent inflammation spreads the breast tissue, and when gangrenous mastitis   chest arise necrosis .

Symptoms of mastitis

Mastitis can occur in both acute and chronic forms. The woman, who was ill with mastitis, symptoms similar to those originally observed signs lactostasis. The breast is compressed significantly, the skin around her blushes. Woman suffering from severe pain, it greatly increases the temperature, there is a fever.

In the course of progression of mastitis breast becomes larger in size, the skin on the breast painful to touch, it becomes hot to the touch. Directly in the thickness of the breast during mastitis may develop an abscess. Women with mastitis, it is very difficult to breastfeed often in her milk can be found pus and blood.

On examination the doctor finds other signs of mastitis breast. Thus, the thickness of the skin the patient chest is considerably greater than the thickness of the same portion on the other breast. This is a clear differentiation of the elements of the breast disappears. In the mammary gland enlargement of lymph vessels found. Constant nagging pain and discomfort in the chest noticeable considerably worsen the overall condition of the woman.

In the transition to mastitis abscessed phase   It takes the appearance of an abscess delimited. In the formation of an abscess redness, tightens the skin, in some cases, there is a strong tension of the skin.

With granulomatous mastitis   (another name - idiopathic plasmocytic mastitis ) Clinical manifestations of the disease may be different. Thus, a woman may occur and slight compaction chest having a local character bright and edema at which the infiltration of cancer in general. The disease occurs mostly in women over thirty years. It is directly related to childbirth and nursing in the past. In some cases, this form of mastitis observed retraction nipple may further increase of regional lymph nodes in the areas.

Diagnosis mastitis

To establish the diagnosis "mastitis" can mammolog as a specialist and a surgeon. Diagnosis is simple enough: it provides the physician survey, and detailed examination of the patient. To exclude the presence of purulent mastitis, possibly an ultrasound.

Complications of mastitis

There are several potential complications mastitis in women. Women who have mastitis bolevshie earlier, may eventually get sick recurrent mastitis . The risk of recurrence of the disease have increased both during the current lactation, and in the following pregnancies .

Breast abscess is also a common complication of the disease - it manifests itself in about ten percent of women who had been ill with mastitis. In this case, no surgery to cure illness fail.

Also, after previously suffering mastitis woman's body becomes more susceptible to the manifestation mastitis In particular it nodular .

Treatment of mastitis

First of all, women must be aware that if they have manifested mastitis, the treatment of this disease should start immediately. After all, the sooner resort to adequate therapy, the more successful the treatment will be.

Lactostasis in lactating women occurs mainly due to poor drainage of milk in the breast. A similar phenomenon may occur as a result of certain features of the ducts (sometimes they are particularly winding and narrow), and because of the method of feeding. For example, when feeding the baby can better express precisely those segments, which are arranged around the lower jaw. Because in the first days and weeks after the birth of a baby young mothers are strongly advised to carefully decant the breast after feeding is finished. Women with a lactostasis pumping is the primary measure to reduce the risk of mastitis.

If a woman's body temperature rises rapidly, exceeding the mark of 38, 5 degrees, and it is suspected that the patient is developing mastitis, treatment of this disease primarily involves actions aimed at an immediate drop in body temperature. After the sudden and severe temperature increases, the negative effect of this phenomenon is considerably greater than its positive effects.

In the treatment of mastitis important point is the selection of antibiotics . It is necessary to choose a drug that will minimally affect the body of a young mother in general, and in this case will the maximum effect in the fight against infectious agents.

If the pathogen Staphylococcus aureus mastitis is what happens most frequently, for the treatment of diseases commonly prescribed drugs cephalexin . amoksiklav . flucloxacillin . Ciprofloxacin . clindamycin   and others.

The course of antibiotic treatment lasts from ten to fourteen days. The doctors strongly advised not to interrupt the course of treatment even if the patient's condition improved significantly. In parallel with the antibiotic treatment of women appointed immunomodulators Contributing to the elimination of the inflammatory process and also strengthens the immune system.

Antibiotic therapy is also externally in the lesion rubbing ointment anti-inflammatory action. In the treatment of mastitis topically applied as hot compresses, stimulating increased blood flow in the area of ​​inflammation that helps fight infection. Women who developed mastitis, it is strongly recommended to drink plenty of fluids.

If the patient develops a form of purulent mastitis treatment in this case involves a surgical procedure. If adequate therapy in the development of mastitis is absent, the opening of an abscess occurs in the milk ducts. When purulent mastitis general condition of the woman is very difficult, there is a high probability of many complications both infectious non-infectious nature. In addition, after suppurative mastitis chest scars and scarring, because of which the breast is deformed and loses its initial appeal.

Therefore, in most cases surgery is performed immediately. After surgery, patient's general condition is improving rapidly.

Furthermore, when mastitis often prescribed, and other therapies. This may be the administration of drugs with anti-inflammatory action, physiotherapy techniques, cooling the breast.

Often the development of mastitis woman doctor may advise her to take steps to complete suppression of lactation. This approach is advisable during prolonged absence of improvement in the process of adequate treatment of mastitis. If all the funds for the treatment of this disease properly chosen, the patient should be feeling better in no more than three days. In the absence of signs of recovery in the fourth or fifth day after the start of treatment the doctor may advise suppress lactation, and to resort to other schemes treatment of mastitis.

It is also a prerequisite to the complete abandonment of lactation in women is the development of purulent mastitis, especially in that if there is a second case of the disease.

The development of suppurative mastitis - a very strong threat for mother and baby. Re-expression of mastitis during lactation suggests insecurity chest before the attack microbes during breastfeeding. If in this case, stop the lactation, the woman's condition quickly improved, and thus there is no risk of negative effects on the baby.

Stop breast-feeding are strongly advised doctors and in cases of mastitis in the lower part of the breast. At this point lactostasis and mastitis is rare and indicates a very high sensitivity to the effects of breast infection after childbirth.

Suppression of lactation as a method of treatment of mastitis used in heavy woman standing, which can occur on the background of other diseases. The severity of the condition is reduced when you stop breastfeeding.

When mastitis can also try to alleviate the condition of the patient with the help of some folk remedies. It can be applied to the affected breast mastitis cabbage leaf, which helps to relieve pain and remove redness of the skin. Pre-need a little cabbage leaf crumple to the juice was made from it. Cabbage leaf must be applied to the chest washed up for the day and squeeze it a bra.

In order to achieve a warming effect to the chest can make honey cake, which, moreover, helps to relieve inflammation. For its preparation you need to mix two parts flour to one part honey from buckwheat or limes. Well peremesiv dough, you need to shake it into a thin cake, and attach to the chest at night, wrapping her a warm scarf. On the morning of the chest to wash and dry.

To relieve inflammation can be cooked broth, which also has a soothing effect on the body. The herbal infusion herb St. John's wort is included, nettle leaves and plantain, valerian root. Gathering herbs need to pour boiling water, and drink two tablespoons after meals.

Most importantly, a woman with any manifestations of mastitis immediately turned to the doctor, keeping in mind the seriousness of the disease and the likelihood that it can be harmful, as the health of mother and the child's condition, provoking a very serious complications.

Prevention of mastitis

In order to avoid the occurrence of mastitis, a woman necessarily must prepare her nipples for feeding the child. If a young mother sees the appearance of cracks on the nipples, then they need to be treated immediately. Equally important to carry out prevention methods aimed at, in order to prevent stagnation of milk in the mammary glands. To do this, practiced continuous pumping milk residues after feeding was completed.

It is also important preventive measures in this case is compliance with all rules of hygiene while feeding the baby: mother should wash hands and nipples, be sure to watch out for in order to put the baby to the breast correctly. In this case, it is essential that the baby during feeding fully grasped the nipple and the area around the nipple.

Women who breastfeed, experts advise to wear a special bra for nursing mothers, which optimally supports the breast.