The non-breastfeeding period is when the breasts are most sensitive, so many cases of acute suppurative mastitis often occur during the breastfeeding period. Many mothers will find that some yellow watery sticky substances can always be squeezed out of their breasts after feeding their babies. This is a characteristic of suppurative infection. It is necessary to temporarily stop breastfeeding and choose reasonable medication to regulate the breasts as soon as possible. Can the yellow water pus be squeezed out of the breast? Acute suppurative mastitis often occurs during the lactation period, especially within 1 to 2 months after delivery in primiparas, so it is also called acute lactation or puerperal suppurative mastitis, and is called "mast abscess" in traditional Chinese medicine. The incidence of acute mastitis in primiparas is as high as 2% to 4%, which is 1 times higher than that of multiparas. The disease is caused by milk stasis and bacterial infection, and presents as acute inflammation with redness, redness, heat, pain, chills and high fever. In the early stage, manual milk drainage and Chinese medicine treatment can be used. After suppuration, incision and drainage are required. After the onset of the disease, not only will the mother herself suffer extreme pain, but she will also be unable to continue breastfeeding, which will affect the health of the baby. Therefore, prevention should be started from the late pregnancy and postpartum care should be done well. Acute mastitis can be prevented. Acute mastitis should be treated as early as possible. Early mastitis is mainly characterized by milk stasis inflammation, which has not yet formed into pus. Ultrashort wave therapy can be used, and the effect is better when combined with traditional Chinese medicine treatment. Milk discharge usually disappears within 1 week by using traditional Chinese medicine combined with techniques to clear away heat and detoxify, soothe the liver and promote lactation. Commonly used herbs include Cucurbitacin, Taraxacum mongolicum, Alpinia oxyphylla, Panicum ovata, Fritillaria thunbergii, and Deer antler powder. For low fever, use bupleurum, for high fever, add gypsum, for constipation, add burdock, and for excessive milk, add 120g of raw malt to reduce milk secretion. Due to physical weakness after childbirth, it is taboo to use too much bitter and cold foods, such as Plantago, Forsythia, Rhubarb, etc. You can continue breastfeeding or feed only with the healthy side during medication. If the fever is high, you can combine it with intravenous drip, penicillin, and cephalosporin antibiotics. Be careful not to use large amounts of antibiotics too early. Excessive or prolonged use of antibiotics will have the same result as excessively bitter and cold Chinese medicine, which is that the tumor is difficult to eliminate and can easily become chronic. It is recommended not to breastfeed while taking antibiotics. When acute mastitis reaches the stage of abscess formation, timely incision and drainage are required. The size and position of the incision should be based on the principle of ensuring smooth drainage of pus. Because breast abscesses are often multi-chambered, it is necessary to use fingers to separate the connective tissue partitions of multiple abscess cavities so that drainage can be unobstructed. Abscesses deep in the breast are mainly manifested by high fever and chills, with local redness and swelling, unclear shape, and no fluctuation. A puncture and pus extraction test can be performed first, and then the incision can be performed after confirming the presence of pus. It is best not to wait for breast abscess to rupture on its own, because the abscess cavities are often multiple or occur one after another, and the spontaneous rupture cannot be drained completely. Generally speaking, as long as the pus is drained and the fever subsides, suppurative mastitis will enter the wound healing period. The dressing should be changed every other day and the wound will usually heal within 1 month. |
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