Saturday, February 16, 2008

The etiology of acute mastitis and staging

1, the occurrence of acute mastitis: Breast acute mastitis is the acute suppurative disease was particularly prevalent in the early period of breastfeeding mothers. Cause: First, the milk is silting in the basis of mastitis. Misuse of breastfeeding, breastfeeding impeded, such as mammary duct blockage in the most vulnerable circumstances milk siltation, bacterial reproduction become a hotbed for the second, the retrograde bacterial infection, rupture in the nipple, the nipple or nipple traumatic deformity of the circumstances, the bacteria can be Retrograde breast nipple into the breast and spread to the substance. 2, early: at the beginning of acute mastitis in patients with breast Chanman, pain, even when breastfeeding, milk secretion impeded, or breast lumps or not, red or reddish skin, or with general malaise, loss of appetite owed Jia, irritability and other symptoms. Septic period: partial breast hardening mass is gradually increasing, this may be associated with high fever, chills, general weakness, dry stool, pulse accelerated, ipsilateral lymph nodes, increased leukocyte, and often can be 4-5, abscess formation, there will be breast Tiaotong, local skin irritation translucent, the soft mass, according to the fluctuations of the flu, if breast deep abscess, the entire breast, there may be swelling, pain, fever, but local skin irritation and volatile connection; Sometimes a breast at the same time or in succession, there may be a few Vomica. Blown late: the superficial skin abscesses often perforation, ulceration or formation of the milk created at the site of a spill and milk leakage. Department of deep abscess can wear to the pectoralis major and breast fat, a bit after breast abscess, septic serious poisoning can occur sepsis. Acute mastitis (breast carbuncle) should pay attention to the treatment phases: (1) early mastitis treatment, mainly for early stage breast milk deposition and thermal drugs to be filled, for detoxification treatment principle Qingre, breast-swelling, the medication: decoction: Available Thichosanthes Lappa Decoction: Thichosanthes, Arctiin, trichosanthin, baicalin, orange peels, gardenia, honeysuckle, Bupleurum, Forsythia, pangolins, Wang will not leave, Loulu, Qiyu and orange leaves, Sichuan son; fever significantly increase Shengdangao, reuse Baicalin , swelling, pain and frankincense and myrrh, Chek spoon. Medicines: I Sanjie Dan scientific research system on the 1st of input has been effective in taking Methods: 100 each, three times daily. Drug for: golden ointment, cream and topical Yulu casual Kurashiki or Glauber's salt solution, or choose Paste cure breast (second Chinese medicine hospital system in Zhengzhou City), paste, simple, effective, early stage to keep the milk from the patent. (2) suppurative period: the treatment of septic into two principles: First, to milk: the full Bainong. Treatment: Qingrejiedu, detoxification septic permeability, the election Sanjie Dan on the 1st or scattered through septic Modified: Angelica, Huang, pangolins, Sichuan, Cassia nomame thorns, wild chrysanthemum, dandelion, and the small, baicalin, gold and silver flowers, bellflower, the Health and licorice, Hawthorn coke, coke malt. Surgery: Chengfangshezhuang incision, and not to harm the milk is favorable, areola and nipple; breast abscess small and light, can be used needles puncture pus, and topical ointment cure breast (with) or golden powder; fire needle drainage can also be used with a coarse metal needle (4 mm) or Sanlengzhen by flame hot, fast penetrate the abscess. Then quickly pulled out. Blown late: The treatment period for the drug to Bainong mentioned, selected four decoction Miao Decoction: Sunburn baicalin, Angelica, honeysuckle, dandelion, wild chrysanthemum and zhigancao. Partial Bainong Dan or after September 1 to August 2 Dandi septic detoxification, treatment and drainage lines, if the abscess has been a net can be used Shengji casual Necking and red gauze topical ointment if bags septic phenomenon, the availability of cotton pad treatment, the wound pus from retention if sinus formation of the breast, insert available May 5 Danlue sinus twist to corrosion wall, to be wound pus gone, scattered to promote sinus healing Shengji .

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