How can women not know the symptoms and treatment of mastitis!

Mastitis is a common breast disease among women, and often occurs in breastfeeding women. If a breastfeeding woman suffers from mastitis, it will not only endanger her own health, but may also affect the baby, so it must be treated in time. Treatment of mastitis can be based on the severity of the patient's condition, and attention should also be paid to care in daily life.

Symptoms of mastitis:

1. Acute suppurative mastitis

The symptoms of acute suppurative mastitis are mainly local skin redness, swelling, heat and pain. The symptoms of this type of mastitis during lactation include obvious nodules and increased tenderness. At the same time, the patient may experience systemic symptoms such as chills, high fever, headache, weakness and rapid pulse. At this time, swollen lymph nodes may appear in the armpits, which are tender and the white blood cell count in blood tests may be elevated. If the symptoms of this lactation mastitis are severe, it may be accompanied by sepsis.

2. Acute simple mastitis

The main symptoms of acute simple lactation mastitis are breast pain, local high skin temperature, tenderness, and the appearance of nodules with unclear boundaries and tenderness.

3. Abscess formation stage

Due to ineffective treatment measures or further aggravation of the disease, symptoms of mastitis during lactation may include local tissue necrosis and liquefaction, and infection foci of varying sizes fusing together to form abscesses.

Non-surgical treatment:

(1) Infants can continue to breastfeed in the early stages of acute mastitis, but the nipple, the baby's mouth and the area around the nipple should be cleaned before and after feeding. This can help clear the milk ducts and prevent milk congestion. If the nipple is cracked or damaged, breastfeeding can be temporarily stopped, and a breast pump should be used to drain the milk. After cleaning the wound, apply anti-inflammatory ointment to promote healing.

(2) Local cold or hot compresses: In the early stages of inflammation, 25% magnesium sulfate can be used for cold compresses to reduce edema. If there is an inflammatory mass in the breast, use hot compresses instead, 20 to 30 minutes each time, 3 to 4 times a day. In addition, Chinese medicine can be applied externally to promote the absorption of inflammation, and physical therapy can be performed if conditions permit.

(3) Antibiotic treatment: Penicillin is the first choice. The dosage can be determined according to the symptoms. 800,000 U is injected intramuscularly 2 to 3 times a day. 8 million U can also be given by intravenous drip. Traditional Chinese medicine also has a good effect in treating mastitis.

(4) Local occlusive treatment with 20 ml of isotonic saline containing 1 million U of penicillin.

Surgical treatment: After an abscess is formed, no good antibiotic can replace incision and drainage. There are many methods of drainage, but the purpose is to drain the pus and dissipate the inflammation as soon as possible. Its surgical treatment includes laser drilling and abscess incision and drainage.

Massage Therapy:

1. Oscillation method:

Patients with mastitis can use the hypothenar eminence of the right hand to apply force, and push from the breast lump along the base of the breast toward the nipple with high-speed oscillation, repeating 3 to 5 times. The effect is better when a slight warm sensation appears locally.

2. Kneading method:

Experts point out that patients with mastitis can use the hypothenar or thenar eminence of the palm to apply pressure to the affected area, gently kneading the red, swollen and painful areas, and repeatedly kneading and pressing the lumps several times until the lumps become soft.

3. Kneading, pinching and holding methods:

Patients with mastitis can use the five fingers of their right hand to grab the affected breast and apply kneading techniques, grabbing and releasing, and repeat the procedure 10 to 15 times. Use your left hand to gently pull the nipple several times to expand the milk ducts in the nipple.

4. Push and caress method:

The patient sits or lies on his side to fully expose the chest. First, sprinkle some talcum powder or apply a little paraffin oil on the affected breast, and then use the palms of both hands to gently push and stroke along the breast along the milk duct toward the nipple 50 to 100 times.