Puerperal mastitis

Overview puerperal mastitis often occurred in the first after childbirth, according to lesion development process comprises the following two types : deposit mastitis and suppurative mastitis. Clinical manifestations (1) deposit mastitis : Puerperal occurred in the early (often in a week postpartum). Due to the lack of early maternal feeding infants experience, prone to cause milk grievances caused by the delay in emptying. Double breasts flu patients ranging degree of pain, and moderate temperature increased (38.5 ℃). Caution breast examination, the surface inunctum (hyperemia), tenderness, but the aspiration of milk, the symptoms will disappear. it is not generally considered a genuine mastitis. But, if not handled in a timely manner, or nipple smaller newborns was forced suck break, Khan stranded milk juice for pyogenic bacteria contamination. Therefore, the excess milk Khan should be vented, and the attention nipple clean. (2) suppurative mastitis : As more by streptococcus or staphylococcus rupture caused by infection of the nipple. As previously stated, post-partum milk stasis, if not promptly vented, prone to cause infection. Invasive breast bacteria, the Department continues to substance abuse, may form various types of suppurative mastitis. 1. Inflammation spread to the superficial lymphatic vessels, leading to erysipelas kind lymphatic Yan. Patients with sudden high fever, often accompanied by chills, breast tenderness, local skin red spots or red line, this type features. 2. Inflammation of connective tissue confined to the breast, areola under abscess formation. 3. Infection along lymphatic spread to interstitial breast, from the surface to the basement, running through breast tissue. As the formation of connective tissue and suppurative stromal abscess. Such abscess can be confined to a single lobular breast, or spread to most of the breast. 4. The rapid spread of infection, deep in breast base between the pectoralis major and the breasts of loose connective tissue, Breast abscess formation. Inflammation or abscess location, showed swelling and tenderness. Abscess by the Ministry to have a sense of volatility, if necessary, feasible puncture test, Pott sent out for bacteriological examination. and for drug-sensitive test for the selection of antibiotics reference. For the treatment of inflammatory subject to the circumstances. In general there chapped nipple, should stop feeding and partial use 3% boric acid cleaning fluid, Tu bismuth in cod liver oil or acid compound benzoin tincture; If no chapped nipple, in the early mastitis still breastfeeding. For milk deposit, can be partially or gentle massage with Combs on the back edge of nipple gently to the direction of 10 links, local cold compress. Inflammation obvious that should stop breastfeeding, sucked milk, bandages bound breasts, hot compress. and with 0.25% procaine penicillin 40m added 400,000 U, for breast tissue after injection closed, once daily, while intramuscular injection or oral antibiotics. Has developed abscess, breast anatomy because of the unique structure, damage breast tissue compared with the extent of the examination results of the surface is much more serious. Serious condition, preferably in the operating room under general anesthesia and surgery. Incision should consider the beauty and cut wounds to prevent breast. Breasts or breast abscess side of the deep abscess, on the bottom line for breast incision curved fingers depth vomica, Many small cavity undermine the divide, so that they link together, Pott for bacterial culture, adding a rubber hose or drain, or compact aseptic filling Vaseline, Minute sterile dressings, compression bandage to reduce bleeding wound, February 3 days after removal of the drainage change dressings, antibiotic therapy and will continue to 7 ~ 10 days.