Licensed books on medicine
<< Ahead || Next >> |
Prejudices about mastitis.
Lilia Kazakova, pediatrician, breastfeeding consultant. 1. Very often, nursing mothers call mastitis lactostasis. What does lactostasis look like? Painful tuberosity and often - redness of the skin over the hill. The occurrence of such tuberosity or compaction is associated with blockage of one of the ducts, presumably a fat droplet and a violation of the outflow of milk from the gland lobe. Sometimes lactostasis is accompanied by fever, chills. The main cause of lactostasis is poor drainage of the entire breast or part of it. Poor drainage is most often due to the fact that the baby is feeding in the same position. For example, in the standard sitting position, the axillary lobe is the largest and with tortuous ducts emptied the worst (the areas closest to the child’s lower jaw are best emptied - in this case the lower center, and the upper side - the worst). The simplest action for the prevention of milk stagnation in the axillary lobes is to sometimes put the child “under the arm” —mother, for example, sits (you can lie down), the child lies on the pillow with the head at the chest, and the ass and legs are behind the mother’s back , the baby is lying on the side, at hand. Very often, in the event of stagnation under the arm, it is enough to attach the child several times in a row in this position and he is perfectly absorbed. The location of lactostasis from above “in the center” is typical for those cases when the mother holds the breast with “scissors” during nursing - the nipple between the index and middle finger, the index finger is pressed into the breast. (Thus, the breast cannot be either maintained or given, but in most maternity hospitals this is the way to give the breast. At one of the preparation courses for childbirth, literally the following is advised: “Hold the breast like a cigarette.”). The chest must be supported with the whole hand - the thumb from above, the rest under the breast. In the overwhelming majority of cases, the breast does not need to support all the feeding. Very often there are recommendations to constantly wear a bra so that it supports the chest higher and then it would be filled evenly from the top and bottom, even offer to sleep in a bra. All this is called lactostasis prevention. But by nature, the female breast is designed so that it accumulates more milk in the lower lobes, and from any position the lower lobes of the gland are best emptied. So why do we need to achieve a uniform accumulation of milk in all parts of the gland? It is likely that there, at the top, it would be more convenient for lactostasis to form ... If a bra is worn, it should be free, it is convenient when the breast is “full of holes”, milk is leaking and you need to use pads ... Lactostasis practically does not occur when properly organized portions of milk to feed, and the mother knows how to feed the baby from various positions. Lactostasis is a mysterious thing, sometimes it occurs from scratch and, with the active sucking of the child of the affected breast, it takes 1-2 days without special measures. (And my mother begins to say that this cabbage leaf helped her. If a mother comes across who does not understand what is happening to her, and when she begins to develop lactostasis, she stops putting the baby on her sore chest and stops touching her at all no cabbage leaf helps. Then a catastrophe usually happens.) If lactostasis starts to ripen in the chest, you should put a child on it as often as possible. Sometimes it is necessary to express the breast BEFORE feeding and attach the child who wants to suck actively to the system in which lactostasis is left alone ... Sometimes it is necessary to massage the segment with lactostasis and express it (contact your local specialists ...) The severity of the situation depends not on the degree of pain breasts, and from the ability of women to decant with a similar pain. That pain does not allow the mother to carry out effective pumping. Therefore, it is better to resort to the help of a specialist who can cope with this complication in 30 minutes. Most moms are afraid to decant and massage this area because it seems to them that something might burst there. Something may burst if the massage and pumping is carried out as follows: put a sisy on a stone and hit it on top with a hammer. 2. Women often call mastitis a physiological phenomenon - the arrival of milk.
The arrival of transitional milk most often occurs 3-4 days after birth and may be accompanied by swelling of the mammary gland, soreness and fever. (In this case, the so-called chest temperature rises: when measuring temperature at three points (for example, under the arm, mouth and groin), the highest temperature will be under the arm, the difference with other points may be a degree or more.) The arrival of mature milk usually happens 10-18 days after birth and may also be accompanied by swelling of the breast, pain, fever. In this situation, it is necessary to continue to feed the child on demand, as well as to attach on request of the mother. If the mother has pain, “stone chest” - then she can move the breast to a sense of relief about a day after the arrival of milk has begun. It is necessary to wait about a day due to the fact that a substance that collapses excessive lactation appears in a filled chest in about a day. If the breast is drained before this time, the same amount of milk will come, and hyperlactation may start with all the troubles that accompany it, the main one being the need for regular pumping. It should be noted that with the joint stay of mother and child, feeding on demand and proper attachment of large problems with the arrival of milk is not observed. In the case of a separate stay of mother and child, engorgement is quite common with marked edema, reddening of the entire breast, difficulty in milk outflow. If there are abrasions or cracks in the nipples, such engorgement can result in mastitis. To cope with engorgement, it is necessary to establish pumping for 2-3 days, as well as frequent and prolonged sucking of the breast by the child. This is the case when it is extremely important to feed at the request of the mother. But sometimes a baby cannot grab a breast well and suck milk because the areola becomes hard. In this case, before feeding, it is necessary to decant the breast so that the baby can successfully capture it and begin sucking. 3. Real mastitis is an infected inflammation of the breast tissue. Most often develops on the background of engorgement or lactostasis. If during lactostasis milk is not removed in a timely manner, inflammatory changes in breast tissue begin, occurring on the background of puffiness and changes in blood circulation in the lobe of the gland with lactostasis. This condition is often referred to as uninfected or serous mastitis. If a woman has abrasions or nipple cracks, a rapid infection of the inflammatory focus occurs. It should be noted that the infection can get there not only from cracks, but also from any other source of chronic infection in the woman’s body (for example: a carious tooth, chronic tonsillitis, pyelonephritis, etc.) With mastitis, the state of health worsens, the overall body temperature rises, part of the chest becomes red and hot, painful when touched. Treatment of mastitis is carried out according to the same principles as the treatment of lactostasis. It is necessary to free the milk from decanting, massaging and putting on the baby. When mastitis, feeding the baby is not prohibited, but necessary, because no one better than the baby can empty the lobes of the breast. When mastitis is necessary, the appointment of antibiotic therapy. There are a large number of modern antibiotics that are compatible with breastfeeding. If a doctor prescribes antibiotics, you need to tell him about it, because Very often, doctors do not consider it necessary to continue breastfeeding on the background of antibiotic therapy and do not bother to choose a treatment that is compatible with breastfeeding. 4. Breast abscess - a condition that develops on the background of mastitis in the absence of treatment. With an abscess, at the place of a former lactostasis, a cavity is formed, filled with purulent contents. An abscess, as a rule, is opened in the milky duct and its treatment consists in regular expression of the diseased breast and in the course of antibacterial therapy. With an abscess, while pus is released from the milky duct, it is recommended to continue feeding the child only from a healthy breast. In preparing the material used the book “Counseling on breastfeeding”, the author Zh.V. Tsaregradskaya.
| << Ahead || Next >> |
| = Go to tutorial content = |
Prejudices about mastitis.
- Prejudices about psychologists
1. Psychology is a science, knowing everything about a person and his soul, and a psychologist who has mastered this science is a person who “sees people through”. 2. A psychologist is a person who by nature is endowed with special abilities to communicate with others and to understand others. 3. A psychologist is a person who is able to control the behavior, feelings, thoughts of others, specially trained in this and owning the appropriate techniques.
Unealing in time can lead to an inflammation of the breast tissue called mastitis. Mastitis does not necessarily mean infection. The suffix - um, as in the word arthritis, means inflammation with swelling, soreness, redness and pain. Often it is difficult for the mother (and the doctor) to say what the inflammation is caused by: engorgement or blockage of the milk ducts (none of them require antibiotics), or
Mastitis (mastitis) is an inflammation of the breast that develops as a result of mechanical, thermal, chemical and biological factors. The causes of mastitis. Mastitis is a polietiologic disease. The causes of inflammation of the mammary gland are diverse and usually have a complex effect. The content of cows in large dairy complexes is unthinkable.
- INFECTIOUS MASTITIS
Infectious mastitis is an acutely occurring, contagious disease of females of animals of various species, mainly cattle and small ruminants, manifested by various forms of udder inflammation, as well as a violation of the general condition and intoxication of the body (see color inset). Historical background, distribution, economic damage. Mastitis cows are known for a long time and widespread
- PEDIENT MASTITIS
In recent years, the frequency of postpartum mastitis has decreased slightly. However, the course of the disease is characterized by a large number of purulent forms, resistance to treatment, extensive lesions of the mammary glands, a tendency to generalization. When mastitis in puerperas, newborns are often infected. In the etiology of mastitis, pathogenic staphylococcus takes the leading place. Clinical picture and
Mastitis (inflammation of the mammary gland) develops more often in latently infected cats suffering from the excessive formation of colostrum, which, accumulating in the mammary glands, undergoes bacterial decomposition. Mastitis can also be caused simply by a bacterial infection after mechanical damage to the breast (sometimes, for example, it happens that kittens damage their nipples during sucking
- Problem 50. Lactational mastitis
Maternity F., 22 years old, delivered through natural birth canal by a live, full-term male child weighing 3500 g. On the 4th day of the postpartum period, there are complaints of headache, weakness, pain in the right breast, a sharp rise in body temperature to 39 ° С, chills . Status praesens. Satisfactory condition. The skin is pale, dry. There is a marked engorgement of dairy
- POSTBIRT MASTITIS
This disease is a relatively rare form of postpartum infection. There are epidemic, arising from puerperal women in the postpartum ward of a maternity hospital, and endemic forms of mastitis that occur in nursing mothers in outpatient settings. Endemic mastitis most often develops no earlier than 2-3 weeks after delivery. Predisposing factors are
- Sheep Infectious Mastitis
Sheep infectious mastitis (mastitis infectiosa ovium) is an acutely occurring contagious disease; manifested by gangrenous lesions of the breast and severe intoxication of the body. Etiology. The main causative agents of the disease are pathogenic Staphylococcus aureus - Staphylococcus sureus ovinus and Pasteurells haemelytica of biotypes A and T. Other microorganisms can also cause sheep to cause mastitis.
- Mastitis in animals: causes, pathogenesis, signs, classification, treatment and prevention
Distribution and economic damage from mastitis Mastitis (from Greek mastos - “nipple”) is an inflammation of the mammary gland, which develops as a result of the impact on the female's body and her mammary gland of various stress factors: mechanical, chemical, thermal, climatic, biological, etc. Mastitis of cows is very widespread. In Russia, mastitis is found in
- Purulent mastitis of newborns
DEFINITION Acute inflammation of the mammary gland, a complication of the physiological engorgement of the mammary glands. EPIDEMIOLOGY Not studied. PREVENTION Compliance with the rules of asepsis and antisepsis. ETIOLOGY The causative agent of purulent mastitis in newborns is staphylococcus. PATHOGENESIS The path of penetration of a purulent infection is through damaged skin and the excretory ducts of the skin glands or by hematogenous. Usually,
- Streptostaphylococcosis (mastitis)
- The use of probiotic drug Zimun 1.23 for the treatment of cow mastitis
Dmitrieva T.A. Supervisor - Cand. wet Sciences, Assoc. O.L. Savchenko Novosibirsk State Agrarian University, Novosibirsk Mastitis of cows is widespread and causes enormous damage to producers by reducing milk production and milk quality, premature culling of cows, the incidence of newborn calves and the cost of treatment. Fundamental
- GENERALIZED POSTBIRD INFECTIOUS DISEASES LACTATION MASTITIS
SEPTIC SHOCK IN OBSTETRUM One of the most severe complications of purulent-septic processes of any localization is septic or bacterial toxic shock. Septic shock is a special reaction of the body, expressed in the development of severe systemic disorders associated with the violation of adequate tissue perfusion, which occurs in response to the introduction of microorganisms or their