The acute mastitis is the pathogenic bacteria invasion mammary gland and grows the mammary gland acute suppurative infection which reproduces causes. This kind of illness in first time is mother in the female to see more much, often occurs in the post-natal 3~4 weeks. 4:f3, hundred mu medicines Acute mastitis most for 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 siltation, the breast painfully swollen to be ill. May appear partially red, swells, the ache 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 tumescent, the local pain and has the 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 different, shallow table’s abscess may wear out voluntarily, depth portion abscess Chang Wubo 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 the different mammary gland interlobular, 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. 4:f3, hundred mu medicines
Causes the acute mastitis’s bacterium is mainly the golden yellow staphylococcus, its invasion way one is through the nipple skin’s breakage place invasion, initially the parturient woman when the baby sucks in the nipple, often causes the varying degree to chap, the erosion or the small ulcer, gate of for the bacterium invasion manufacture convenience, the bacterium may pass through this and proliferate along the lymph vessel to the mammary gland essence, forms the infection infection; Second, the baby mouth sleeps including the nipple when or the baby contracts stomatitis, the bacterium may directly through the mammary gland drive pipe aperture, as upward as the mammary gland small leaf, proliferates again to the breast is mesenchymal. 4:f3, hundred mu medicines
The milk siltation is the important morbidity factor which should get sick. In the nipple falls, abnormally, drive pipe congenitalness is not unobstructed, the parturient woman gives the breast to be insufficiently experienced, cannot enable the milk to evacuate fully, so that the milk siltation, has created the condition for bacterium’s reproduction. In addition the post-natal immunity dropped has also created the condition for the infection. The young forehead with temperature elevation, the change creates bacterium’s infection moistly. Immunity bad, easy to send the infection proliferation, forms abscess, even pyemia, but the immunity satisfactory person, the pathological change may pause in the mild inflammation or cellulitis time, may absorb voluntarily. 4:f3, hundred mu medicines
The acute mastitis early time carries on the active treatment, may prevent the inflammation spread. The inflammation early time first adopts the cold compress, may cause the local temperature to drop, the peripheral nerve conduction impulsion is blocked, but has the analgesia function; May also change the blood vessel permeability, thus has prevents dropsy, to seep out and to reduce the cellular metabolism the function. When with ice bag cold compress, is avoids the skin frostbite, should lay aside 3~4 hours later suspends, after treating the skin duplicate warm, again cold compress, is normal until the body temperature and up to breast tumour tenderness basic vanishing. Is once more discovers when the milk siltation should try to evacuate accumulates the breast, available breast pump or with hand massage breast, but do not make an effort the extrusion or revolving holds back. Should be suitable the galactophore direction, promotes gradually the siltation milk. When massage, the available hand raised gently moves the nipple several times. Before the massage, makes the partial hot compress first, the effect is better. 4:f3, hundred mu medicines
The partial inflammation development and the systemic reaction, should under the instruction give the antibiotics treatment in doctor. The diet should light be rich in the nutrition, multi-food cool, like tomato, green vegetables, snake gourd, cucumber, chrysanthemum coronarium, fresh lotus root, water chestnut, kelp, red bean soup, mung bean soup and so on, but may also the edible orange, the candied cumquats and so on. Avoids certain foods the pungent stimulation, the meat greasy. And should maintain has ease of mind, avoids the mental strain. 4:f3, hundred mu medicines
In order to reduce the acute mastitis’s occurrence, pre-natal and post-natal must nurse and pay attention to the protection nipple reasonably correctly. 4:f3, hundred mu medicines
(1) gestational breast health: The pregnancy final two months, use the soapy water or the clear water frequently scour the nipple; Either (or white liquor) the lint ball spreads with 70% ethyl alcohols scratches the nipple, the areola, strengthens nipple’s resistivity. 4:f3, hundred mu medicines
(2) nipple abnormal correction: The nipple has the congenital abnormality, if the nipple retraction, must try in the pregnancy intermediate stage to correct. Available breast pump attraction, daily 1~2 times; Or good breast massage; Or uses the hand to pull frequently pulls. 4:f3, hundred mu medicines
(3) maintains the milk discharges unobstructedly: The milk siltation is the morbidity important attribute, must prevent positively. Fixed time nursing, each time nurses when the milk must attract. If attracts endlessly, the available breast pump or the hand massage squeezes out, causes the milk to evacuate as far as possible. In order to prevent the milk to be excessively thick, has the milk curd blocking galactophore, the wet-nurse should drink soup the hot brewed tea food. 4:f3, hundred mu medicines
(4) nipple chaps processing: The nipple chaps, may cause the ache, affects nursing, the available cork, white zhi is half and half grinds end, uses the sesame oil or the honey mix well, Tu Huanchu after again, or Tu Yici the carbonic acid Niu liniment (inferior carbonic acid Niu 4g grinds end, adds vegetable oil 6ml or two soup ladle), may also spread the friar’s balsam. Simultaneously should suspend nursing, feeds with the breast pump aspiration milk nurtures the baby. 4:f3, hundred mu medicines
(5) baby oral hygiene: Pays attention to baby’s oral cavity to be clean, cannot let the baby rest including the breast.
