The acute mastitis sees much in the breast-feeding period at the beginning of parturient woman, is one kind of mammary gland’s acute suppurative infection.
Cause of disease:
The acute mastitis’s formation must have three conditions:
Pathogenic bacteria: Is mainly the golden yellow staphylococcus, its invasion way has the following two kinds:
a through nipple skin’s breakage place invasion. Initially the parturient woman when the baby sucks in the nipple, the common varying degree chaps, the erosion or the tiny ulcer. Gate of for the bacterium invasion manufacture convenience. The bacterium may pass through this entrance along the lymph vessel delivery space mammary gland essence, forms the infection infection.
b through mammary gland drive pipe aperture, as upward as mammary gland small leaf, is proliferating to the breast is mesenchymal.
The milk is pent-up: Because evils of the age important attribute. Nipple’s in falls, acute, drive pipe’s congenitalness is not unobstructed, the parturient woman gives the breast to be insufficiently experienced, often cannot enable the milk to evacuate fully, so that the milk is pent-up, creates the condition for bacterium’s reproduction.
Organism immunity drops: The post-natal organism whole body and the partial immunity dropped have also created the condition for the infection, the young forehead with temperature elevation, the change created bacterium’s infection moistly, the immunity satisfactory person, the pathological change may pause in the mild inflammation or cellulitis time, might absorb voluntarily. Immunity bad, easy to send the infection proliferation, forms abscess, even pyemia.
Performance
Suffers from the acute mastitis most for the nursing opening parturient woman. The initial period performance chaps, the ache for the nipple, when nursing the ache intensifies, so that the parturient woman fears or refuses to nurse, but presents the milk to be pent-up, the breast painfully swollen ill or has the product breast’s block thing. May appear partially red, swells, the ache, the tenderness or the painful tumour. Infects serious, the inflammatory tumour increases, may have the wave person or household who refuses to move and bargains for unreasonably high compensation when the land is requisitioned for a construction project, and may present the armpit lymph node to be tumescent, ache and tenderness. The whole body performance has the shiver, the high fever, the white blood cell to increase higher. Different spot’s abscess displays is also unable to restrain same. Shallow table’s abscess may wear out voluntarily, body’s department abscess Chang Wubo the person or household who refuses to move and bargains for unreasonably high compensation when the land is requisitioned for a construction project, abscess may penetrate after the breast the loose knot contracts in the organization, after forming the breast, abscess. Has not given the drainage the abscess to be possible to enter between the different gland leaf, wears out Ye Jianjie to contract the organization gap, forms the dumb bells shape abscess or the multiple abscess. Mammary gland big drive pipe exhausting oneself, may present the purulent milk or the lacteal fistula.
Diagnosis and differential diagnosis
The post-natal nursing female like presents the breast painfully swollen as well as partial red, swells, is hot, is painful, and may hold and the painful tumour, is accompanied by the varying degree the whole body inflammatory toxicity performance, is not difficult to make the diagnosis.
Breast inner product young abscess: May display for the local pain and the tumour, but often not partial red, swells with the putsation ache, also not gives off heat and so on whole body performance, but capital distinction.
Breast skin erysipelas: Quite rare, has the skin red, to swell, to be hot, is painful, and has the explicit boundary. The local pain is light, but the whole body poisonous blood performance is especially obvious. In the breast essence was still soft, not inflammatory tumour holds and, from this may distinguish.
the ultrasound inspection the diagnosis which forms to the breast inflammatory tumour and abscess has the value very much, and has the positioning action.
Has the fluctuation inflammatory tumour, obtains the purulent liquid with the acupuncture, is clear diagnoses.
Treatment:
The non-surgery treats:
The nipple chaps, the breakage to suspend giving the breast, the generation by the breast pump, causes the milk evacuation as far as possible. The partial use pain-relieving medicinal ointment, like the liquor is figured and plain, the cod liver oil bismith medicinal preparation, promotes the crack cicatrization.
Appears when accumulates the galactoma, may after the hot compress the application technique massage, all around makes the gentle massage from the breast to the nipple direction, makes the mammary gland tube unobstructed to promote the milk to discharge.
The inflammation induration, may in its periphery add the penicillin 100,000 - 200,000 u seals with 0.25% Procaine 60ml. Early seasonal cropping cold compress, latter seasonal cropping hot compress.
Early whole body use antibiotic.
Surgery treatment:
Once abscess forms should the prompt surgery, incision drainage. Shallow table’s small abscess may carry on under the local anesthesia, big and the deep abscess should carry on under the intravenous anesthesia. In abscess central committee, the fluctuation are most obvious place make the margin, but after breast depth portion or breast, abscess possibly not obvious wave person or household who refuses to move and bargains for unreasonably high compensation when the land is requisitioned for a construction project. The margin must be big enough, assumes the emission direction take the nipple as the center, or the skin folds along the breast under place makes the arc incision. After entering the pus cavity, with the finger investigation, makes a connection with in all abscess’s gap, guaranteed that the drainage is unobstructed. If after being the breast abscess, after should the finger thorough mammary gland the gap, shoves open gently, causes the sanies to flow out unobstructedly. Dumb bells shape abscess, when necessity may make the suitable drainage. After all abscesses cut open, should lay aside drains, trades the medicine every day. The sanies should the convention make the raise and the medicine experiments sensitively.
Returns to the breast treatment (to stop secreting breast)
Refers to drafts
Every has the nipple abnormal and has the mammary abscess repeatedly;
After abscess drainage, presents the lacteal fistula;
Drainage wound prolonged not;
Refuses to give the breast to be possible to consider the breast.
Returns to the young method to include:
Fries malt 60g to fry the clothing, a medicinal preparation, takes at different times every day.
The right amount mirabilite, wraps after the gauze externally applies in the breast, if after the deliquescence, turns the hard lump to replace promptly, daily 2-3 times
Returns to the young medicine, like ethylene female phenol 5mg, oral administration, daily 3 times, altogether 3-5 days; Or benzoic acid estradiol 2mg, intermuscular injection, daily 1 time, until secretes the breast to stop.
