Puerperal mastitis is an inflammation of the breast after birth. Main cause of the disease is staph. It is essential personal hygiene breast postpartum period. Numerous factors predisposing to the development of mastitis: a decline in immunity maternal illness during pregnancy and birth, complications after birth. Predisposing factors and stagnant milk (in low drain), poor feeding and unprepared grains before birth.
Bacteria fall on the teat of the woman from her own arms in violation of the hygiene conditions of the baby’s mouth during feeding or from staff in the health facility. Gateway for infection Cracking chest. Pathogenic agents reach glandular breast tissue in several ways: lymph (import infection in Cracking) in the milk ducts (infection develops in them due to the favorable conditions created by stagnant milk) and hematogene time (for severe infection in puerperal period).
Postpartum mastitis is carried out in several successive stages, each of which is characterized by specific symptoms. The initial acute stage begins with chills, temperature rises above 39 degrees, sore breast. The general condition is impaired – the woman complains of headaches, insomnia and lack of appetite. Breastfeeding is embarrassed because occurring stagnant milk favoring inflammation. After a short period of time in breast palpation reveals poorly limited, painful infiltrative (compact) section. The skin over and around it is red. Lymph nodes in the bicep well have increased and painful. The movements of the hand from the side of the affected breast are limited and cause pain. Wrong at this stage of the disease is the breast massaged. If the inflammation is controllable at this stage was rapid recovery of the mother. Only the seal will be maintained for a longer time. Infiltrative stage is the next stage of postpartum mastitis. Breast seal has clear boundaries, but uneven contours. Axillary lymph nodes is still swollen and painful. There are low-grade fever and increase in pain in the breast during lactation. If the treatment of the infection starts in infiltrative stage seal nagnoyava and all the symptoms of mastitis are activated. Woman feels strong cast. Breast cancer is highly enlarged and reddened skin is bluish hue with haemorrhagic. In the seal is opened sections of softening, evidence of suppuration.
The evolution of the infection in the absence of treatment reaches gangrenous form of mastitis – severe general condition of the mother, breast with gray-red color, texture and test decay unpleasant smell.
Diagnosis is based on the complaints of the mother and the clinical examination. For accurate diagnosis is to help the ultrasound. Through it may be determined the localization of the inflammatory infiltrate and dynamics in the development of mastitis. By laboratory tests noticeable increase levels of leukocytes and ESR. By microbiological examination of breast milk isolate bacterial cause.
Treatment for postpartum mastitis has a complex character. The behavior must be consistent with the stage of infketsiozniya process. At the initial stage and infiltrative necessary:
• antibiotic treatment consistent with bacterial flora;
• supporting the separation of milk – can be medication or extra virgin breast after breast-feeding;
• intake of inhibitors of the hormone prolactin, seeking suspension of Lactogenesis and laktozastazata (stagnation of milk) favoring inflammation;
• Baby breastfeeding and healthy and ailing mother’s breast.
In purulent mastitis treatment is necessary – incision and drainage.