Acute mastitis

Overview occur in the post-partum period, the majority of early maternal. Staphylococcus infections more. By duct obstruction, milk sediment, bacteria directly caused by invasive, or bacteria from the nipple or areola of the lesion Department invasive ductal and lymphatic drainage catheter along lobular breast infection. Cause pathogenesis addition to postpartum systemic anti-infection reduced capacity, the following two reasons : 1. milk milk sediment deposition is conducive to bacterial invasion into the growth and reproduction. Deposition of factors : ① nipple dysplasia (too small or inversion) obstructing breastfeeding; ② baby milk over breast pump or less, milk which can not completely emptying; ③ Duct not affect lactation. 2. Papilla cells damaged so that the invasion of bacteria along lymphatic invasion of the main routes of infection. I baby - nipple Yan Mountain sleep or babies suffering from stomatitis is also conducive to bacterial invasive ductal directly. Pathogens to Staphylococcus aureus mainly. Clinical manifestations often onset of high fever, chills and other systemic poisoning symptoms, ipsilateral breast volume increases, local stiffen, skin redness, pulsate with tenderness and pain. If short-term changes within the local software and has reached abscess formation of diabetes mellitus. The ipsilateral axillary lymph node swelling often, the white blood cell count increased. Abscess clinical manifestation of the depth of their location, location shallow, early local swelling and uplift. and the deep abscess early when local performance is not obvious to local pain and systemic symptoms. Abscess can be single or multiple; Or could have formed. Sometimes self - rupture or nipple discharge. can be invasive breast space of osteoporosis, breast abscess formation. (Figure 1). Figure 1 breast abscess diagnosis of a position. A nipple or nipple traumatic history of dysplasia and started chills, then fever, chills, headache, breast pain or pulsating pain. 2. Early breast swelling, local sclerosis, and then red, swelling, heat, tenderness; Abscess formation are fluctuations flu, infected persons may superficial lesions; ipsilateral axillary lymph node swelling, tenderness. 3. Systemic reaction to loss of appetite, elevated body temperature, shivering, with septicemia. 4. Auxiliary leukocytes and neutrophils was significantly increased. Treatment 1. Early injection rest, suspended ipsilateral breast breastfeeding, clean nipple and areola. promoting milk excretion (with breast pump or suck), requiring incision and drainage should terminate breastfeeding. 2. Local use humid 25% magnesium sulfate deposition, physical therapy. 3. Early use of penicillin 800,000 U ~ 1 million plus 1% ~ 2% procaine ml isotonic saline an insoluble 0 ~ 20ml, in the surrounding mass vaccination closed. 4. Systemic antibiotics. To the fight against serious infections and sepsis, according to bacterial culture and sensitivity use antibiotics when necessary infusion of antibiotics. 5. Chinese Qingrejiedu agent. 6. Abscess formation was timely surgical incision with general nipple and areola of the radiation center was in shape areola abscess under shallow areola can be done along the curved incision abscess in the breasts, in the lower breast skin folds in a 2-cm incision curved done. Prevention of Mastitis prevention treatment is important. During pregnancy and lactation to maintain both sides of the nipple clean, if a nipple within shrinking, should be gently squeezed out after the nipple clean. Can be used in lactation around 3% boric acid wash water nipple. Cultivate the habit of regular breast-feeding, nursing each will be a net milk suction. Net absorption can be useful when massage extrusion or breast pump aspirated. If the nipple has been damaged or when the lesion, should be breastfeeding, use breast pump sucked milk until later wound healing breastfeeding.