Mastitis — an inflammation of the mammary gland tissues caused by bacterial infection. In 95% of patients with mastitis caused by S. aureus. Gateway for infection in 50% of cases are cracked nipple, abrasions, eczema, minor wounds.
Distinguish acute and chronic mastitis. Also, depending on the condition of the breast, mastitis is divided intolactational (Postpartum) andnelaktatsionny. Mastitis can also develop on the background lactostasis — stagnation of milk in the breast.
However, in most cases, the disease occurs in women after childbirth (up to 90% of cases), particularly common in nulliparous women. The remaining cases of mastitis are separated by 5% during pregnancy, and 5% in non-pregnant.
How to allocate a separate disease mastitis newborns, developing children in the first 2-3 weeks of life against the backdrop of a physiological swelling of the mammary glands during this period, both boys and girls alike.
Contributing factors are:
- reduced resistance to infections;
- stagnation of milk in the mammary gland (lactostasis);
- damage breast giving access infection.
Reasons for lowering the body's resistance:
- abnormally leaky pregnancy, especially in the presence of concomitant diseases (rheumatism, malformations);
- various pathologies of pregnant women;
- severe course delivery;
Ways of infection:
- moves through the milk;
- lymph through the path (of wounds, fractures, etc.);
- through the bloodstream (sepsis).
What's going on?
The initial stage is called mastitis serous.It must be distinguished from lactostasis because remedial measures and recommendations in these diseases are different.
Signs of serous mastitis:
- deterioration of the general state of health;
- part of the breast becomes red, painful, hot to the touch
- inflamed area does not have clear boundaries;
- breast is not strained due to the stagnation of milk.
With the progression of the process may be festering with the formation of abscesses (Cavities filled with pus) cellulitis (Pus impregnation breast tissue), and even in severe cases, sphacelism. The general state of health with the development of more severe forms of mastitis progressively worsens, fever, inflamed area of the breast is sealed. These conditions require surgical intervention.
With the first signs of mastitis should immediately consult a doctor and do not try to treat yourself. Only a doctor can help control the disease and prevent complications.
If lactostasis racking and latch the baby to the breast immediately bring relief and are the main therapeutic measures, the acute mastitis requires medical monitoring and treatment with antibiotics.
Feeding of mastitis is contraindicated because of the risk of infecting the baby, the possibility of re (back) infecting the mother, exposure to the child antibiotics and other drugs, defective milk in composition.
Conservative therapy begins with a thorough express milk. Before decanting the doctor may prescribe novocaine blockade affected area of the breast with local administration of antibiotics, antispasmodics, antihistamines. These procedures may be up to three times a day. Antibiotics are prescribed as inside.
To increase the effectiveness of treatment in severe cases, prescribe medication, inhibiting milk production by reducing the production of pituitary hormones — Parlodel.
If, within two days the temperature and blood tests do not come back to normal, and the inflamed area is not reduced in size and is very painful, showing its rapid autopsy.
For urgent advice of a doctor of mastitis, there are special services paid by nursing mothers. Consultations are on the phone (free of charge) as well as on-site home visit (24 hours). In addition, the district offers free prenatal home visits.