Acute mastitis is an acute purulent disease that occurs in the breasts, mostly in lactating women, and is characterized by rapid onset, rapid changes, and easy purulence. And
The traditional custom in China is that women cannot go out during the menstrual period and are afraid of the wind. Therefore, many women with painful lumps in their breasts have to endure, and do not go to the hospital, failing to timely treatment, delaying the aggravation of the disease, the formation of purulent mastitis, so that women suffer great pain. Some family members blindly ask the so-called “breast doctor” “masseur” to do breast massage to the mother, these people are rarely professional doctors, mixed, brute force squeeze the breast, so that the breast pain intensifies, but also easy to cause the spread of inflammation, the formation of multiple breast The abscess, aggravating the condition. There are also acupuncture, cupping, infusion treatment, while the development of the disease is not clear, the natural effect is not good. I have seen many patients who have been referred to multiple hospitals and have not been treated for a long time. In response to this situation, as a doctor, I have a responsibility to urge everyone to seek medical attention for breastfeeding problems in a timely manner. The use of internal Chinese medicine, professional massage with external homemade ointment, the early stage can be unblocked milk, pus in time to drain the pus, patients can continue to breastfeeding at the same time in the treatment. Treatment 1. At the early stage, the patient shows painful swelling of the breast, lump or no lump, slightly red skin, poor milk secretion, accompanied by chills and fever, lack of desire to eat, and dry stools. For localized breast lumps, milk blockage and obvious stagnant milk, breast massage is the first step to unblock the stagnant milk. The method is to apply a little lubricant or talcum powder to the affected breast and massage gently with the five fingers of the hand from around the breast to the nipple, but not squeeze or rotate the pressure, but gradually push out the stagnant milk along the direction of the milk duct. While massaging, gently pull the nipple several times and squeeze the areola to expand the milk ducts in the nipple. Massage until the milk is discharged smoothly. Then apply topical Chinese ointment to clear the heat and detoxify, invigorate the blood and reduce swelling. The treatment is carried out once a day and the milk is sucked out regularly. And can be combined with internal tonics to dredge the liver and clear heat, lactation. 2, breast swelling and pain for more than a week, with high fever does not subside, fatigue, poor, yellow tongue coating, pulse strings, breast redness and swelling area is large, the lump around the hard middle soft press the fluctuation, or puncture with pus must be timely local anesthesia incision and drainage, selected the most obvious fluctuations for a centimeter-long small incision, incision and drainage of the wound filled with our autonomous vitality elephant skin cream gauze to remove corruption and muscle, daily drug changes and breast Massage to remove the stagnant milk and apply ointment to the surrounding tissue. After the pus is drained, if the sore leaks milk, use a gauze pad to put pressure on the top and press the broken end of the milk duct. The sore can be cured after 7-10 days of treatment. Prevention and care 1. Acute mastitis caused by stagnant milk during lactation should be treated actively in the early stages. A good breast massage plays an important role in unblocking the milk ducts, discharging putrefied milk, and reducing swelling and dissipating knots. Timely treatment of infected nipple rupture. 2, lumps more than 7-10 days, breast skin bright red, strong heat does not subside, pain aggravated, the central hard lumps become soft, pressed with a sense of fluctuation, then the pus has been suppurated. It should be drained in time so as not to spread the abscess and cause the change of transmitting sac. 3, women at the end of pregnancy should rub the nipples with 75% alcohol or wash with warm water to enhance the flexibility and resistance of the breast skin. Squeeze out the fat plugs in the milk ducts. If the nipple is invaginated, you need to squeeze out the nipple by hand and massage and pull to correct it. 4, the habit of regular breastfeeding, pay attention to nipple cleaning. If the mother has too much milk and it has not been drained after breastfeeding, use a breast pump or massage with your hand to make the milk drain and prevent stagnation. 5.If there is nipple rupture, cracking or septic infection in other parts of the body, it should be treated promptly. 6, the secretion of milk after childbirth, and the human nervous system has a lot to do with some stimulation conducive to lactation. For example, after the birth of the mother, there should be skin contact with the baby, such as paste the face, or when the mother can sit up, hug the baby, to enhance the feelings of mother and child, these are a stimulus to the mother. In addition, the natural birth of the mother, half an hour after the baby can suckle the nipple. In the case of a cesarean delivery, the baby should also be allowed to suckle on the nipple every time the baby is hungry after she is awake from anesthesia. The stimulation of baby’s sucking can speed up the secretion of milk. In addition, nutrition and mood also have a great influence on breast milk secretion. Some mothers are depressed after giving birth, which can affect the secretion of milk. Eating less and partial food is also not good for milk production. Therefore, it is necessary to strengthen nutrition after delivery, such as drinking more pork ribs soup, pork hand and soybean soup, rooster soup, black chicken soup, fish soup and other soups, which can speed up the secretion of milk.