Evolution of the symptoms of acute mastitis

The occurrence of acute mastitis: acute mastitis is an acute purulent breast disease, more common in the early breast-feeding mothers.
Etiology is:
First, the occurrence of mastitis milk is the basis of deposition. To improper feeding, poor feeding, breast duct blockage milk most likely to occur under silt and become a hotbed of bacteria;
Second, retrograde bacterial infection, rupture of the nipple, or nipple deformity nipple trauma cases, the bacteria can be retrograde from the nipple into the breast and spread to the mammary gland substance.
Early: patients with acute mastitis in the beginning of breast fullness, pain, breastfeeding and even more poor milk secretion, breast lump with or without the skin reddish or red, or with general malaise, poor appetite, chest tightness irritability and so on.
Suppuration of: local breast hardening, the mass increases, this time may be associated with high fever, chills, general weakness, dry stools, pulse accelerated, ipsilateral lymph nodes, increased white blood cells, often abscess formation in 4-5 days, can be appear breast rebound tenderness, swelling and local skin translucent, soft mass in the central, according to the a sense of volatility, if the breast deep abscess, there may be swelling of the whole breast, pain, high fever, but local skin irritation and volatility is not obvious, and sometimes a breast There can be several simultaneously or successively abscess.
Late collapse: superficial abscess can often pierced the skin, formation of mouth ulcers or overflow of milk to form own milk leakage. Ministry of deep abscesses, can be worn between the breast and pectoralis major fatty, the formation of posterior breast abscesses, severe sepsis can occur.

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5 points of diagnosis of acute mastitis

Acute mastitis diagnosed? With acute mastitis occurred within 1 month postpartum lactating women, or who the baby's mother after weaning, and thus early diagnosis of acute mastitis point is very necessary, which will help Diagnosis of acute mastitis how we have a simple awareness of the clinical diagnosis of acute mastitis often 5 points, now for those who do not understand how the diagnosis of acute mastitis mothers detail.

Acute mastitis is a common maternal diseases, common diseases, therefore, the diagnosis of acute mastitis understanding of the elements is of practical significance, how the diagnosis of acute mastitis diagnosis often involves the following five points.

(1) occurred in the early breast-feeding mothers, breast swelling, pain, lumps, skin is not red or reddish, poor milk secretion. No significant systemic symptoms or fever or chills associated with micro.

(2) white blood cell and neutrophil counts increased mitotic count left.

(3) ultrasound with fluid level segment, the puncture pus out.

(4) increase breast tumor, local redness, swelling, heat, pain, showed a continuous, pulsating pain, refused to press the affected area, often accompanied by fever chills. ⋯ general incidence of about 3 to 5 days to form a breast abscess may be, the mass fluctuations in the central sense of a soft, squeeze the nipple may have a thick yellow pus overflow. Ipsilateral axillary lymph nodes, tenderness.

(5) Exclusion criteria: exclusion of chronic mastitis, plasma cell mastitis, breast fat necrosis, inflammatory breast cancer.

The diagnosis of acute mastitis in these points, if the patients fulfilled the first and the fourth point, plus exclusion criteria can be diagnosed as acute mastitis, should the patient both the second or third point of acute mastitis diagnostic points, then can be diagnosed with acute mastitis

Diagnosis of acute mastitis 5 points to this point, the diagnosis of acute mastitis by elements of understanding, allowing more people to know how to diagnose acute mastitis, acute mastitis because many new mothers often troubled by the mothers, so , the understanding of this knowledge is very meaningful.

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What is prevention of acute mastitis

How women in the prevention of acute mastitis has become a focus of attention, especially for the first time a mother's female friend is a high risk of acute mastitis. Breast pain, nipple, breast skin redness, swelling, and pain are symptoms of acute mastitis in the antenatal and postnatal women should take precautions, then, how to prevent acute mastitis it?

Acute mastitis prevention 

How the prevention of acute mastitis
Acute mastitis is a breast and invasive pathogen growth and reproduction in which the breast caused by acute suppurative infection. This disease for the first time a mother is more common in women, tend to occur 3-4 weeks after birth. The initial presentation of nipple pain, breast-feeding when the pain intensified, resulting in fear or refuse to breast-feeding mothers, the emergence of milk stasis, breast tenderness, breast discomfort or a product block material. Local can be red, swollen, pain, tenderness, or painful mass. Serious infection, inflammatory mass increases, may have a sense of volatility, and may appear axillary lymph nodes, pain and tenderness. Systemic manifestations of chills, fever, elevated white blood cell and so on. The main cause of acute mastitis is Staphylococcus aureus, one of its pathways through the invasion of the nipple on broken skin; second mouth with the nipple the baby or babies to sleep with stomatitis breast pump, the bacteria can be directly through the ductal opening uplink to lobular, and then spread to the breast stroma.

Milk stasis is an important factor leading to acute mastitis. Nipple retraction, acute, congenital catheter patency, less experienced nursing mothers, and often can not make the milk can be fully emptied, resulting in milk stasis, to create conditions for the breeding of bacteria.

Early aggressive treatment of acute mastitis, prevent the spread of inflammation. First of all take cold early acute mastitis, the local temperature can drop, peripheral nerve impulse conduction blocked, while analgesic effect; can also change the vascular permeability, and thus to prevent edema, exudation, and decreased cell metabolism. With the local ice pack to avoid skin frostbite, place 3-4 hours to remove until after rewarming cold skin, until the body temperature normal and tumor breast tenderness basically disappeared. Finally, it is found that deposition should try emptying the milk product milk, breast pump or hand massage can be breast, but do not squeeze or rotary press hard. And along the direction of duct, the deposition of the milk gradually introduced. The development of local inflammation to systemic reactions should be given under the guidance of doctors antimicrobial drug treatment. Should be light and nutritious diet, eat cold, spicy, greasy goods Hunxing. And should maintain the ease of mind, avoid stress, and actively cooperate with the treatment.

So, how to prevent acute mastitis? In order to reduce the incidence of acute mastitis, pre-and post-natal breast-feeding and to the reasonable protection of the right nipple.


How the prevention of acute mastitis
1 prevention of acute mastitis, breast health during pregnancy: the last two months of pregnancy, often with soap and water or water scrubbing the nipple; or with 70% alcohol (or shochu) cotton balls rubbed the nipple and areola: to strengthen the resistance of the nipple.

2 prevention of acute mastitis, nipple deformity correction: nipples are congenital malformation, such as nipple retraction, will try to correct in mid-pregnancy. Small glass nipple shield can be deducted, external belt fixed. Or use the breast pump to attract 1-2 times a day, or breast massage; or often by hand pulling.

Prevention of acute mastitis 3, to maintain smooth discharge of milk: milk stasis is an important factor in the pathogenesis of, to actively prevent. Time breast-feeding, breast milk each lactation to exhaustion. Such as smoking endless breast pump or hand massage can be squeezed out, so try to drain the milk. In order to prevent the milk too thick, place the curd duct obstruction, multi-Yin Tang water diet.

Prevention of acute mastitis 4 nipple treatment: nipple can cause pain, impact of breast-feeding, available Treats, Angelica evenly divided into powder, sesame oil or honey and mix thoroughly and then coated surface of the skin, or coated with carbonate button liniment seq (sub- 4 grams into powder carbonate button, add vegetable oil 6 ml (two tablespoons), benzoin tincture can also be coated. while breast-feeding should be suspended, with the breast pump sterile suction feeding babies breast milk.

Prevention of acute mastitis 5, infant oral health: pay attention to the baby's mouth clean and not let the baby milk and sleep.

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