most common cause of this pathological condition is Staphylococcus aureus (about 80% of the cases detected this particular organism).Let's talk about the development of the disease mastitis in women!
Distinguish nelaktatsionny and lactation mastitis.If the development of the pathological process occurs on a background of lactation, then we are talking about lactation mastitis, the incidence of which is 85%, with about 95% of women with this pathology - nulliparous.By the nature of the flow are acute and chronic protsess.Ogromnaya role in the development of lactation mastitis is given such predisposing factors such as complications of pregnancy and childbirth, severe postpartum period, abnormal development of structures of the breast, breast, pathological conditions that reduce the body's defenses.Quite often, before the development of lactation mastitis lactostasis notes.The pathogenesis of this disease state is a huge role for local immunity and reduce the overall resistance of the body, resulting in
Acute mastitis - a disease stage process, each stage of which has its own characteristics and requires specific therapeutic interventions.In the first stage of acute mastitis marked swelling and engorgement, breach of the general condition of the woman with a sharp increase in body temperature, feeling of weakness, weakness and sweating.The main complaint - a sharp pain in a particular area of the breast.The very breast hydropic, enlarged, hot to the touch, pain on palpation.Already at the stage of serous mastitis in the affected breast is determined pathological education - infiltrate, with no clear contours.
second stage of the disease acute mastitis in the body is accompanied by increased general and local symptoms, further deterioration of general condition, severe redness of the skin of the affected breast.With the transition of the pathological process in the third stage and the formation of infiltrative-suppurative mastitis occurs pathological softening of infiltration, fever gets hectic nature, local and general symptoms reach a critical intensity.Later in the affected breast can form an abscess or cellulitis, in the absence of pathogenic treatment and low immunity comes purulent fusion of body tissue - the so-called gangrenous mastitis.
Improper treatment of acute mastitis can lead to the formation of chronic suppurative mastitis, which is characterized by multiple abscesses of the breast against the backdrop of slightly disturbed or undisturbed general condition.It is also possible the formation of purulent chronic mastitis with a painful infiltrate.Chronic mastitis both purulent and purulent character may be accompanied by retraction of the nipple and the appearance of serous discharge.Timely started competent treatment can eliminate the inflammation in the early stages of the disease process and prevent the development of complications and impaired lactation.Serous and infiltrative mastitis suggest conservative treatments, including defining the role for antibiotic therapy and a fortifying agent (vitamin), desensitizing agents.An important therapeutic interventions for acute mastitis in the background is lactostasis decongesting.If during the two days of positive changes were observed, there is a need for surgical treatment.
volume of surgery depends on the size and nature of the pathological education.Infiltrative-purulent mastitis involves excision of infiltration within the intact tissue.Abscesses certainly opened their cavity is drained, as is mandatory removal of necrotic tissue, followed by drainage of the cavity.After surgery, antibiotic therapy is a rational, restorative treatment, detoxification action, the introduction of vitamins and immunomodulators, local physiotherapy.
preventive measures aimed at the prevention of lactation mastitis, begin to take place even during pregnancy.This increase immunity expectant mother, her studying the basics of good nutrition during feeding, mastering the rules of hygienic care of the breasts and the right training techniques of breastfeeding.With early detection of women who have a predisposition to the development of lactation mastitis, preventive measures can avoid the development of this pathology.Under the conditions of the hospital the most important preventive measures aimed at preventing the development of mastitis in lactating women are the observance of anti-epidemic and sanitary-hygienic regime, as well as a warning lactostasis and cracked nipples.