I. What is mastitis?
Mastitis is an acute purulent infection of the mammary glands and is a common disease during the postpartum period of breastfeeding, commonly seen in first-time mothers.
What are the manifestations
1, the main manifestations are breast swelling and pain, high local skin temperature, pressure pain, the appearance of hard nodes with unclear boundaries, with tenderness.
2, may appear chills, high fever, headache, weakness, rapid pulse and other general symptoms. At this time, swollen lymph nodes may appear in the axilla, with tenderness, and the blood leukocyte count may increase, and sepsis may be combined in severe cases.
3. Abscess formation: superficial abscesses are easily detected, and some are drained by the broken skin, while deeper abscesses are not easily detected, and the diagnosis of abscess is clarified by puncture of the painful area, pending the extraction of pus or the finding of white blood cells in the smear.
Third, how to treat
1. Pay attention to cleanliness, empty the milk, and hold up the breast with a wide cloth belt or bra.
In the early stage, pay attention to rest, suspend breast-feeding of the patient, clean the nipple and areola, and promote the discharge of milk (by using a breast pump or sucking).
2.Antibiotics
Apply antibiotics to the whole body. To prevent serious infection and sepsis, select antibiotics according to bacterial culture and drug sensitivity, and if necessary, inject antibiotics intravenously.
3.Chinese medicine treatment
Heat-clearing and detoxifying agents. In the treatment of early mastitis, the main manifestation of the initial stage is milk stagnation and internal heat toxicity, the principle of treatment is to detoxify and clear heat, pass milk and reduce swelling.
4.Heat compress
Local hot compress, or use fresh dandelion, silver flower leaves 60 grams each washed with a little vinegar or wine, pounded and applied externally.
5.Physiotherapy
When the inflammatory mass is not large and does not fluctuate, timely physiotherapy can generally promote the absorption of inflammation .
6, has formed abscess, surgical incision and drainage.
7.Back to breastfeeding.
There are different opinions about stopping breastfeeding, and it is not appropriate to make this a routine, but it is only considered when the infection is serious or when the abscess is drained and a milk fistula develops, and breastfeeding on the affected side is stopped by using lactation retrieval drugs and sucking out the milk with a breast pump.
Lactation-returning drugs may be used appropriately by.
(1) Bromocriptine: refer to the instructions or doctor’s recommendation for the method.
(2) Fried malt 60g, decoction in water, divided into several doses, 1 dose/day for 2-3 days.
Health education
Prevention of this disease is most important. Keep the nipples clean, wash them frequently with warm water and soapy water, and do not use ethanol to scrub them. Squeeze the nipple frequently and repeatedly during pregnancy and lift to make the inwardly contracted nipple bulge. Breastfeed regularly and suck up all the milk each time. If you cannot suck up all the milk, massage it out by hand or use a breast pump to suck it out. In addition, the baby should not be allowed to sleep with the nipple in his mouth. If you have a cracked nipple, stop breastfeeding, suck it up with a breast pump, apply antibiotic ointment in time, and wait for the wound to heal before breastfeeding.
1, to keep the smooth discharge of milk, to avoid the accumulation of milk
Pushing and stroking method: The patient takes a sitting or side lying position, fully exposing the breast. Apply a little olive oil on the affected breast first, then gently push and caress along the breast ducts from all around the breast to the nipple 50-100 times with both palms.
Kneading and pressure method: Apply pressure to the affected area with the small or large fissure on the palm of the hand, and apply light kneading techniques to the red, swollen and painful area, and repeatedly knead the hard lump several times until it is soft.
Kneading, pinching and holding method: With the five fingers of the right hand, grasp the affected breast and apply kneading and pinching techniques, grasping and releasing one after another, repeatedly for 10-15 times. The left hand gently pulls the nipple several times to expand the milk ducts in the nipple.