Comprehensive understanding of acute mastitis

Acute mastitis is a breast acute purulent infection, the vast majority occurred in the post-natal breast-feeding women, especially in primiparae more common, the incidence usually 3 to 4 weeks after giving birth.

Cause

The cause of acute mastitis, in addition to post-natal decline in systemic resistance, there are two major incentives.

(A) the milk of sedimentation: This is an important reason for morbidity. Milk siltation of reasons: nipples dysplasia (too small or retraction) hinder breast-feeding; baby Breast milk too much or less, caused by the milk can not be completely emptied; duct unreasonable impact row milk.

(B) Bacterial invasion: the nipple broken skin erosion around the areola, which is the main way of infection. Infant oral infection, breast pump, or sleep with the nipple, resulting in bacterial infection directly into the duct is also one of the ways.

Symptoms

In patients with early stage breast swelling and pain; lesion appeared tenderness of debris and the surface of the skin red-hot; while fever and other systemic symptoms. Inflammation continue to develop, then the above-mentioned symptoms get worse, this time, the pain was pulsatile, the patient may have chills, high fever, pulse speeding up. Ipsilateral axillary lymph nodes often swollen, and tenderness. White blood cell count was significantly higher and the shift to the left. Inflammatory mass often in a few days to soften the formation of abscess, superficial abscess may reach fluctuations, deep puncture the abscess must be determined. Breast abscess can be a single room in nature, but also for failing to timely drainage and extended to multi-room character; or from outside the perforation of the skin, ulceration, or abscess formation of the nipple duct into the septic overflow; the same breast may also be at the same time there are several lesion formed by multiple abscesses. In addition to the slow outward deep abscess Rupture, but also can wear deep to the breast and the pectoral muscles loose between the organization, after the formation of breast abscess. Severe Acute mastitis can lead to large pieces of breast tissue necrosis, or sepsis.

Check

Blood routine examination a general increase in white blood cells. B-no significant change in the early and late may have abscess formation.

Treatment

1, acute mastitis without abscess formation period of treatment:

(A) ipsilateral breast suspended breast-feeding, so as not to affect the health of babies; while taking steps to promote the milk unobstructed discharge (such as aspiration of the milk with the breast pump, etc.), removal of silt factor in milk.

(B) local physical therapy, hot pack is conducive to the early inflammation dissipated; edema evident by 25% of magnesium sulfate can be hot and humid deposited.

(C) partial closure: You can promote early inflammation dissipated.

(D) systemic anti-infection: application of antibiotics (cephalosporin class, ofloxacin, metronidazole).

(E) traditional Chinese medicine: The Shugan heat, chemical hysteresis Tongru dominated.

2, acute mastitis abscess formation period:

Treatment is timely and incision and drainage should be, discharged empyema. The key is to control the milk siltation, while avoiding the nipple damage and to keep local cleanliness. Late pregnancy (especially early maternal) should always be washed with warm soapy water on both sides of the nipple; such as nipple retraction, generally through the regular Jinie, pulling corrected (individual needs surgical correction). To develop a regular breast-feeding, the infant does not contain such a good sleep nipple and breast-feeding habits. Every time the milk of breast-feeding should suck air, where siltation, may, by breast pump or a massage to help emptying the milk. Breast-feeding should be cleaned after the nipple. Found to have broken or cracked nipples to timely treatment. Note that the baby’s oral health and timely treatment of their oral inflammation.