April 16, 2024

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Knowledge about acute mastitis you should understand!

Knowledge about acute mastitis you should understand!


Knowledge about acute mastitis you should understand!  Why do acute mastitis occur?

Knowledge about acute mastitis you should understand!


Many women who breastfeed after childbirth have acute mastitis, which is very hard.

It is more common in primiparous women and often occurs 3-4 weeks after delivery. Why does acute mastitis occur? To put it bluntly, it is the purulent infection caused by bacteria invading the breast through the breach. Due to the rich blood vessels in the breast, it may cause sepsis in the early stage, such as chills, high fever, and rapid heart rate.

Many people, why do acute mastitis occur?


There are two key reasons

1. Milk stasis

Milk is very nutritious. Infants and young children like it as much as bacteria. Milk is very conducive to the reproduction of bacteria.

2. Bacterial invasion

Infants and young children may break their mother’s nipples when they suck milk, or break or crack the nipples for other reasons, and bacteria will invade along the lymphatic and milk ducts. Most of the pathogenic bacteria are Staphylococcus aureus.


What are the clinical manifestations of acute mastitis?

The patient will feel breast tenderness, local redness, and fever. As the inflammation progresses, it may enter the blood, causing chills, high fever, rapid heart rate, and ipsilateral lymph node enlargement, etc. The blood test will find a significant increase in the white blood cell count.

If the care is not performed properly, an abscess may form after a few days, the abscess may also rupture outwards or progress to the depths, forming a post-breast abscess, and severe infection may develop sepsis. At this time, if you do a color Doppler ultrasound, you may be able to see the formation of abscesses. If pus can be drawn from the puncture under ultrasound positioning, it is even more certain.



How to treat?

The principle is to eliminate the infection and empty the milk.

When early mastitis presents cellulitis without forming an abscess, antibiotics are effective. After the abscess is formed, the main treatment is to cut the abscess in time and drain it. The operation should have good anesthesia to reduce pain.

Generally, breastfeeding should not be stopped, because this will cause milk stagnation, which is not conducive to treatment, and after stopping breastfeeding, infants and young children will be hungry and croak, which affects the growth of infants and young children. However, the affected breast should stop breastfeeding and can no longer be sucked by the child for fear of aggravating the injury. At this time, the breast pump should be used to exhaust the milk to promote the emptying of the milk.


How to prevent the occurrence of mastitis?

The key is to avoid milk stasis, prevent nipple damage, and keep clean. Moreover, health education during pregnancy should be strengthened, and mothers should be instructed to wash both nipples with warm water and soapy water frequently. It is necessary to develop a good habit of feeding babies regularly and sleeping without nipples. Every time you breastfeed, you should empty the milk. If there is siltation, massage or use a breast pump to empty the milk.

It is also very important to pay attention to the oral hygiene of infants and young children.




(source:internet, reference only)

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