Mastitis - a very serious disease that can harm the health of both mother and child. Consequently, when the first signs of mastitis is an urgent need to seek medical advice. Each day of delay of treatment only increases the risk of serious complications for your health. Mastitis refers to infectious diseases. It develops as a result of contact with the ducts and lobules of the breast microorganisms. The main causative agent is Staphylococcus, although there are other agents, and mixed variants of infection, for which there are several different agents of disease. The risk of infection of the breast is covered in great risk of abscesses, which often requires surgical treatment.
Mastitis has an insidious feature: the greater the elapsed time from the onset, the more difficult to treat him. In other words, the success of the treatment of mastitis depends on the time of the beginning of his treatment.
Postpartum Mastitis usually starts with lactostasis. Its manifestations are similar to the initial stage of mastitis, but this is not the same thing. When lactostasis has all the hallmarks of inflammation, and even the rise in body temperature, but there is no microbial attack. Determined by the slice, and often painful - redness of the skin over the hill. The most commonly occurs in lactostasis upper outer part of the breast, ie, closer to the armpit. The main cause is poor drainage lactostasis milk. This may be due to the features of the duct lobules (ducts in that part of a more narrow and winding), and the fact that the child is expressing better than those segments that are closer to the lower jaw. That is why in the first weeks after birth requires the most thorough pumping after a feeding. It's an event when lactostasis guarantees a minimum risk of mastitis.
In the first stage of the development of mastitis, which is known as serous mastitis, patients appear not only an increase in temperature, but also the deterioration of general condition, caused by microbial toxicity. The primary means of treatment at this early stage of the disease is pumping. The reason is simple - the microorganisms begin to multiply in the lobules, from which violated the outflow of milk. Consequently, with the resumption of flight and leave the perpetrators of inflammation. This outflow of the contents of segments with micro-organisms reduces the risk of developing the next stage of mastitis.
The development of infiltrative mastitis is associated with increased signs of inflammation and intoxication, which leads to further deterioration in general health and the rise of temperature above 38 degrees. In breast lobules observed leukocyte permeation, the appearance of severe swelling and redness of the skin over the affected slice. During this period there is a significant increase in the number of microorganisms in the lobe. Pus soaking yet, but an independent resolution of the situation without active treatment, usually does not occur. Requires not only an active attempt to "rastsedit" hardened slice, but the use of antibacterial agents. With a significant rise in temperature (over 38.5 degrees), it is necessary to reduce as negative effects of excessive temperature rise begins to dominate the positive effects. Of the antibiotics try to choose ones that have a minimal impact on the woman's body and the maximum impact on the perpetrator of the infection.
In case of Staphylococcus aureus (the most frequent culprit mastitis) used drugs such as amoxiclav (amoxicillin-protected form), cephalexin, flucloxacillin, clindamycin, ciprofloxacin, and others.
With the development of purulent forms of mastitis treatment is mostly surgical. If untreated, an abscess is usually revealed in the milk ducts. However, the form of purulent mastitis characterized by severe general condition, and greater risk of various infectious and noninfectious complications, so often purulent mastitis requires surgical opening of the abscess. Immediately thereafter, patients feel much better.
Other treatments are applied:
antibiotics,
anti-inflammatory drugs,
Cooling of the breast,
physiotherapy.
Quite often, doctors in the treatment of mastitis suggest suppress lactation. This is done in the following cases:
Prolonged lack of improvement during the treatment of serous and infiltrative mastitis. We know that given the right treatment and feeling better signs of recovery should be available no later than 3 days of therapy. If, however, for 4-5 days no improvement - it is recommended the suppression of lactation and changes in treatment regimens.
Purulent mastitis, especially re. Suppurative mastitis is a serious threat to health for both mother and child. Repeat the same mastitis indicate that the breast during lactation is vulnerable to microbial attack. Stopping lactation leads to the relief of the state and reduce the risk of impact on the child.
Mastitis in the bottom of the breast. In this area, the risk of mastitis and lactostasis minimal. Therefore, the appearance of the nipple below the level of mastitis indicating increased postnatal sensitivity of breast cancer to infection and the need to suppress lactation.
Severe general condition of women, including the background of other serious diseases. Termination of lactation leads to the relief of the state and, consequently, reduce the severity of the condition.
