- Mastitis symptoms
- Mastitis reasons
- Treatment of Mastitis
Mastitis is the acute inflammatory disease of a mammary gland relating to nonspecific pathology.
Classification of mastitis:
1. On the course of a disease:
. Serous form;
. Acute infiltrative and destructive - the abscessing form;
. Phlegmonous form;
. Gangrenous form;
B. Chronic mastitis:
. Purulent form;
. Not a purulent form;
2. On the infectious agent of a disease:
A. Nonspecific mastitis (is caused safilokokky, a streptococcus);
B. Spetsifichesky (tubercular, syphilitic);
3. On the area of defeat:
B. Unilateral (right-hand, levostornny):
. Galaktoforit (an inflammation of lacteal channels);
. Areolit (an inflammation of glands of a peripapillary circle);
. Superficial mastitis (an inflammation of a peripapillary zone or over gland stroma directly under skin, it is separated by the capsule);
. Retromammary mastitis (is located under a deep leaf of the capsule of a mammary gland);
4. By quantity of the centers:
A. One-focal mastitis;
B. Multifocal mastitis;
5. By the form the struck fabric:
A. Parenchymatous mastitis (defeat of segments goes on the course of milk ways);
B. Intersticial mastitis (develops as a result of an infection drift on lymphatic ways);
Symptoms of mastitis are consolidation (nagrubany) glands, erubescence, arching pain, temperature increase. When progressing an inflammation of iron increases, skin becomes intense, hot to the touch. Formation of abscess under skin, in the thickness of gland or behind it, is characterized by a softening of consolidation (infiltrate), fervescence, feeding becomes sharply painful, to milk pus is sometimes added. Restriction or the termination of feeding aggravates an inflammation. At the lowered resilience or at untimely and irrational treatment process can gain phlegmonous and even gangrenous character.
Mastitis of newborns is shown by increase in the sizes of a mammary gland, its consolidation, increase in local temperature, a dermahemia and morbidity. Soon there is a fluctuation in certain sites of infiltrirovanny gland. At the same time also the general state can suffer: the child is uneasy, badly sucks, temperature increases. In case of late diagnosis mastitis can pass into phlegmon of a chest wall. Purulent mastitis is especially dangerous to girls. At severe forms of mastitis a part perishes
glands, are obliterated output channels. The differential diagnosis is carried out first of all with a physiological nagrubaniye of glands at which there are no all signs of an inflammation.
The main reasons — stagnation of milk, bad emptying of gland when feeding, nipple cracks. Getting to such conditions, microbes getting on lymphatic ways and the milk courses to gland cause its inflammation. The activator — staphylococcus, a streptococcus and some other — gets into gland from the child's mouth, through the polluted linen, at non-compliance with hygienic rules of care of a mammary gland during pregnancy and feeding. The most frequent origin of nipple cracks — the wrong applying of the child to a breast.
Treatment of Mastitis:
Treatment in an infiltrative phase of a disease conservative: semi-spirit
compresses, salve dressings, physical therapy. When abscessing - surgical treatment (cuts in the radial direction, отступя on 3-4 mm from a peripapillary circle over the site of a softening). It is desirable for Rahn not to drain. Apply a bandage with hypertonic salt solution (0,02% solution of a hlorgeksidina-biglyukonat) on 2-3 h, replacing it then ointment. Carrying out a course an antibiotic - and physical therapy is necessary.
At gland fabric fusion deformation and asymmetry of its growth, an obliteration of output channels, disturbance of a lactation at adult women can develop further. At development of purulent fusion of a parenchyma an operative measure is shown; it is reasonable to carry out operation under the general anesthesia. The operation purpose - a section and evacuation of pus, a necretomy,
ensuring reliable drainage. Operational cuts: at a subareolar small abscess - a section on the region of the peripapillary field, intramammarny abscess it is better to open with a radiarny section, retromammary - a section on a submammarny fold. At the small sizes of an abscess its excision with adjacent is possible
vospalitelno the changed fabrics as a sectoral resection with active drainage of a wound dvukhprosvetny drenazhy and sewing up tightly.
The forecast in the majority favorable. However after operations there are hems which are often disfiguring and deforming a mammary gland.