Lactation mastitis - inflammation of the mammary gland in the postpartum period, popularly referred to as mastitis.
Risk factors
- Lactation: violation of the outflow of milk on the milk ducts, cracked nipples and peripapillary fields, improper care of the nipples, violation of personal hygiene
- Purulent breast skin disease
- Sugar diabetes
- Rheumatoid arthritis
- Silicone / paraffin Breast Implants
- Removal of breast tumor, followed by radiotherapy
- Long experience of smoking.
Symptoms of mastitis lactation
- sudden onset;
- fever (up to 39-40 ° C);
- severe pain in the breast;
- iron enlarged, tense, the skin over the fire red, with feeling - painful seal with indistinct borders.
survey
- General blood analysis
- Necessary bacteriological examination of the definition of the sensitivity of microorganisms to antibiotics, bacterioscopy for suspected fungal infections, tuberculosis
- ultrasound
- Mammography (If it is impossible to completely eliminate mammary cancer in patients with nelaktatsionnym mastitis)
- Biopsy breast
Treatment of lactation mastitis
The bandage or a bra which supports the breast.
Dry heat on the affected breast.
Expressing milk from the affected breast to reduce its engorgement.
Cessation of breastfeeding in the development of suppurative lactation mastitis.
If pumping is not possible and there is a need for inhibition of lactation, cabergoline use preparations of 0.25 mg 2 p. / Day. for two days, bromocriptine 0,005 g of 2 p. / day. for 4-8 days.
Antimicrobial therapy with continued breastfeeding - semisynthetic penicillins, cephalosporins: cephalexin 5 00 mg of 2 p. / day., Cefaclor 250 mg of 3 p. / day., amoxicillin + clavulanic acid, 250 mg of 3 p. / day. (In the case of any antibiotics you can use the non-feeding).
Upon termination of feeding - a solution of dimethyl sulfoxide diluted 1: 5 topically to the affected gland as a compress.
Surgical Treatment of lactation mastitis: Fine-needle aspiration of contents. With the ineffectiveness - opening and drainage abscess with careful separation of all the jumpers. With the progression of the process - the removal of the prostate.
Course and prognosis during lactation mastitis favorable. Full recovery occurs within 8-10 days with adequate treatment.
prevention
- Careful maintenance of breasts
- Hygiene Feeding
- The use of emollient cream
- Expressing milk.
