Mastitis

Mastitis - Breast nonspecific inflammation. Most often it occurs during lactation. Is important stagnation of milk, gateway infections are cracked nipples and peripapillary fields. The causative agent is usually Staphylococcus aureus is often combined with other kokokkovoy flora and Escherichia coli, Proteus.

Symptoms within. Lactation mastitis usually occurs in the first pregnancy one month. Against the background of reducing isolation milk appear severe pain in the gland, fever, chills. Breast nagrubaet, becomes painful, in some cases there is flushing of the skin. Acute mastitis should be differentiated from the so-called milk fever, typically develops 3-5 days after birth and due to the stagnation of milk, which is undergoing the process of reuptake, gets pyrogenic properties. If this is not usually the prostate tissue infiltration. If after 2-3 days the infiltration in the mammary gland does not resolve, it happens abstsedirovanie. Different localization of abscess causes features of clinical mastitis.

Antemammarny abscess usually small size, fluctuation clinically detected early diagnosis is simple. Intramammary abscess accompanied by pronounced symptoms of intoxication, a strong pain. The mammary gland is enlarged, painful, determined painful infiltrate considerable size. The fluctuation - a late symptom. Intramammary mastitis is often accompanied by the development of a number of purulent cavities in the breast tissue, surgical treatment while significantly hampered. Paramastitis: expressed intoxication, fever, chills, pain in the gland, aggravated by movements of the hand. Local iron as it is raised, there is tenderness to palpation glands, especially when it is displaced. flushing of the skin and there is no fluctuation. Early detection of the disease is difficult.

Treatment of mastitis should be particularly vigorous in the early stages to prevent purulent fusion of tissue cancer: a complete rest, elevated position gland, broad-spectrum antibiotics (cephalosporins, tetracycline), pumping milk. Feeding the baby with breast can continue only if the localization of small peripheral infiltrate cancer in the absence of a common antibiotic. With the development of purulent fusion parenchyma shown surgical intervention; The operation is performed under general anesthesia. The goal of surgery - the incision and evacuation of pus, necrectomy, ensuring reliable drainage.

Operating sections: the subareolyarnom small abscess - incision at the edge of peripapillary fields intramammary abscess better open radiarnym sectional retromammary - cut along the submammary fold.

When small amounts of possible abscess excision with its surrounding inflammatory tissue changes according to the type of sectoral resection with active wound drainage Winternitz drainage and suturing tightly.

Prediction most favorable. However, after surgery leaves scars, often disfiguring and distorting the breast.

The most severe form of mastitis - putrid or gangrenous mastitis.