Mastitis is a common gynecological disease in women. There are many causes of mastitis. Especially during breastfeeding, mothers are easily threatened by mastitis. It often causes breast swelling and pain, which seriously affects women's health. Mastitis should be treated in time, and attention should be paid to management in daily life. You can take oral Rupixiao for treatment and observation under the guidance of a doctor. In addition, you should eat more foods rich in vitamins. You can also take hot compresses and other methods to strengthen management. For more serious mastitis, it can also be treated surgically. Treatment of female mastitis: 1. Pay attention to cleanliness: Pay attention to rest in the early stage, stop breastfeeding, clean the nipples and areola, promote milk discharge (using a breast pump or sucking), and stop breastfeeding if incision and drainage are required. This is the first prerequisite for treating mastitis. 2. Hot compress: Apply local hot compress, or wash 60 grams each of fresh dandelion and honeysuckle leaves, add a little vinegar or wine, and mash them for external application. Support your breasts with wide bands or a bra. 3. Antibiotics: Systemic antibiotics. To prevent and treat severe infection and sepsis, antibiotics are selected based on bacterial culture and drug sensitivity, and intravenous antibiotics are given when necessary. 4. Non-surgical treatment: Patients with cracked or damaged nipples should stop breastfeeding and use a breast pump instead to drain the milk as much as possible. Apply local analgesic ointments, such as hopsin and cod liver oil bismuth, to promote wound healing. When milk cysts occur, you can apply manual massage after hot compress, gently massaging from around the breast towards the nipple to keep the milk ducts unobstructed and promote milk discharge. Inflammatory nodules can be blocked around them with 60 ml of 0.25% procaine plus 100,000-200,000 units of penicillin. Apply cold compress in the early stage and hot compress in the later stage. Use systemic antibiotics early. Use milk-reducing medicine: Stop breastfeeding on the affected side and use a breast pump to express milk. Appropriate use of milk-reducing drugs can be used. 5. Blockage: 60-80 ml of 0.25% procaine for breast blockade can reduce inflammation. Choose broad-spectrum antibiotics orally or intravenously. One million units of penicillin can be dissolved in 20 ml of normal saline and injected around the inflammatory mass. 6. Drainage: If an abscess has formed, it should be incised and drained. The incision should be radial to the nipple, avoiding the areola. For retromammary abscess or deep abscess under the breast, an arc-shaped incision can be made at the sternotomy fold under the breast. 7. Surgical treatment: Once an abscess is formed, surgery should be performed promptly with incision and drainage. Small superficial abscesses can be treated under local anesthesia, while large and deep abscesses should be treated under intravenous anesthesia. The incision is made in the center of the abscess, where the fluctuation is most obvious, but abscesses deep in the breast or behind the breast may not have obvious fluctuation. |
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