Mastitis |
Nonpuerperperale
Mastiden
In inflammation of the
mammary gland, also called mastitis, usually red and swollen breasts. Putting
may issue a purulent discharge; in addition, an abscess may form. For malignant
cancer (breast cancer) are typically excluded mammography (X-ray).
Inflammation can have
various causes, often with pathogen contamination is present, which is usually
above the entrance to the nipple on the milk ducts:
Puerperal mastitis
The puerperal mastitis
is an inflammation of the breast, which usually occurs as a result of
breastfeeding at 1 to 9% of mothers during childbirth. It is a bacterial
infection with staphylococci (Staphylococcus aureus 90%), or Streptococcus,
which can be entered through the nipple at first in the milk ducts, and finally
in the mammary gland. The main mode of transmission of these bacteria come from
the nasopharynx of the mother on the child until the mother's nipple.
Signs of puerperal
mastitis, which mostly occur in the first and second week after birth, are
fever, chest pain, and redness of the breast. Treatment should be initiated as
soon as possible and take place depending on the stage of inflammation. In the
early stages of milk production decreases with any medication; mothers should
continue breastfeeding while so that the chest is well drained. This can be
followed by treatment with antibiotics.
For the prevention of
mastitis is still good technique is recommended.
Proper breastfeeding
technique involves,
that the nipple and
surrounding area cleaned before each application thoroughly with water,
that there have mother
and child comfortable while breastfeeding,
that babies around the
areola recognized by mouth and sucks vigorously, taking care of the child to
freedom of nasal breathing,
that the child during
the first 3 days after delivery sucks no more than 5 minutes on each breast
(then click the application can be extended to 10 to 15 minutes) and
that children do not
fall asleep while breastfeeding and nipple in the mouth, because it can cause
minor skin lesions to support infection by pathogens.
To avoid the smallest
cracks in the skin, called the gap, the mother must leave the nipples dry air
during the postpartum period.
Nonpuerperale Mastiden
When mastitis
Nonpuerperal is local inflammation of the breast tissue outside of lactation.
You can - such as puerperal mastitis - as a result of bacterial infection
(staphylococci or streptococci), which has penetrated into the mammary gland
duct, can occur. Often these facilities bacteria find fertile ground in the
secretion, which is delivered by the lobules and has accumulated in the milk
ducts. This bacterial infection is treated with antibiotics. In rare cases, the
nonpuerperal mastitis turn into a chronic stage.
Symptoms are similar to
breast cancer (inflammatory breast cancer), and inflammation can cause tumors.
Karzinognen presence of tumor must be removed in any case. The diagnosis can be
made from tissue samples often simply by removing (biopsy) and examination,
giving physicians also indicate whether breast inflammation may be a symptom of
other underlying disease present. The Nonpuerperal mastitis can occur as other
comorbidities, physical illness is usually chronic. Such as in tuberculosis,
syphilis (syphilis), sarcoidosis, fungal infections, actinomycosis or as a
result of infection by parasites. The treatment is then carried out in
accordance with this underlying disease.
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