Should mastitis be operated?
If an abscess is formed, it should be operated in time, cut and drained. Superficial small abscess can be performed under local anesthesia, while large and deep abscess should be performed under intravenous anesthesia. Incision is made in the center of abscess and the most obvious fluctuation, but there is no obvious fluctuation in the deep breast or the abscess behind breast.
The incision for surgical treatment of mastitis should be large enough, with the nipple as the center in the radial direction, or an arc incision should be made along the skin folds under the breast. After entering the abscess cavity, probe with your fingers, open the gap of all abscesses, and ensure smooth drainage. If it is a retromammary abscess, put your finger deep into the retromammary space and gently push it away to make the pus flow out smoothly. Dumbbell abscess, if necessary, mouth-to-mouth drainage can be used. Drainage tube should be placed after all abscesses are cut, and the dressing should be changed daily. The pus should be examined by routine pathology.
It is most important to choose the best operation time for mastitis surgery. Intermittent attack, that is, wound healing period, is the best time for surgery, but some people think that what surgery should be done after recovery? Wait until it is red, swollen and broken, so it will take a long time. If the wound can't heal, we should operate when the acute inflammation subsides and the wound is superficial, and then there is the possibility of infection after the operation. Too late surgery will cause more gland tissue to be destroyed.
The key to the success of mastitis surgery is to turn over the areola, completely remove the focus and clean all the wounds. The technical key of operation is to keep the appearance perfect, and nipple invagination must be done.
Precautions after surgical treatment of mastitis: It is best to wean, and don't breast-feed your child. After the operation, you can choose to wean or temporarily stop breastfeeding on the affected side, but you need to pay attention to emptying the milk frequently, otherwise it will be difficult to cure.
Once drugs are difficult to cure mastitis, surgical treatment must be considered. Knowing the relevant knowledge of surgical treatment of mastitis, such as the best treatment time and surgical treatment methods, can make the treatment of mastitis patients more efficient.
Should mastitis be hospitalized?
There are many treatments for mastitis. If you take medicine, you don't need to be hospitalized. If it is serious, it needs hospitalization.
For example: ① promoting milk emptying, ② local physical therapy and hot compress, ③ application of antibiotics, ④ traditional Chinese medicine treatment and so on. At present, it is suggested that you drink Kangcha plus grass for conditioning, diminishing inflammation and relieving pain, and removing blood stasis and relieving pain.
Mastitis treatment sharing
Presumably, most breast-feeding mothers will encounter mastitis, especially those with sufficient milk. And once you get it, you will probably get it again soon.
When Tian was about three months old, I unfortunately got mastitis. I have plenty of milk. I hope I didn't eat much milk then. Generally, when she can't finish sucking during the day, I use a breast pump to suck it out, and occasionally I am lazy at night and don't get the rest of the milk out by luck. This is my career. The blocked milk caused a high fever of nearly 39 degrees, and one side of the chest was too painful to touch. I actually started to have a fever at noon that day, but I didn't know I had a fever at that time. It was 38 degrees by 5 pm. I didn't think it was too serious at the time. I hope it will be relieved after sticking the antipyretic patch. After eight o'clock, I went to 39 degrees. My brother keeps urging me to go to the hospital. I thought about it and didn't go. Mainly for two reasons: 1, my sweet happiness is neglected. It is difficult for me to take care of others alone. 2. At that time, I had guessed that I was almost 90% mastitis. Going to the hospital in the middle of the night is nothing more than hanging up the emergency department, and there is a doctor on duty in the breast department. Then he must have given me an infusion bottle. I don't want to delay the baby's breastfeeding. So I rushed to the hospital this morning. In fact, it was already 37.5 degrees in the morning. The fever is basically gone. But the breasts still hurt. I went to the hospital to see the breast department. The doctor diagnosed it as mastitis, but fortunately it was not as serious as the blockage. I prescribed two kinds of medicine and let me go home.
focus
These two drugs are very useful and do not affect breastfeeding.
1, oral dandelion granules, anti-inflammatory with traditional Chinese medicine.
2. See Figure 2 for the external drawing of Ruyi Gold Powder. The doctor suggested tea and paste.
In addition, insist on breastfeeding. It will make your silt dissipate faster.
Ruyi gold powder is really easy to use. Every time I feel a little blocked, I will apply it with plastic wrap. Twice is almost enough, and then knead the milk properly. Once I ate dandelion granules and then used gold powder alone.
How to prevent mastitis
1, mothers should breast-feed in a scientific posture, but also pay attention to the fact that in order to avoid nipple injury or infection with bacteria, the baby should be allowed to hold the nipple deeper.
2, until the baby will eat one breast, and then change the other breast, the two breasts should not alternate breastfeeding, otherwise it will easily cause milk deposition. If there is too much milk, it is enough for the baby to eat one breast, and then empty the milk from the other swollen breast to prevent congestion. Also be careful not to let the baby hold the nipple for a long time.
3. Choose to sleep on your back or side instead of sleeping on your stomach. Sleeping on your stomach will oppress your breasts and milk will accumulate.
4, the new mother's milk is sufficient, it may flow out from time to time, and the breasts are prone to sagging. It is recommended not to choose a steel bracket bra that will squeeze the mammary duct, but to try a special nursing bra.
5. Pay attention to personal hygiene. Wash the breast with warm water before and after feeding, and wipe the nipple with a clean towel to keep it clean.
6, do not breastfeed immediately after delivery, too little or too much milk is not good. If there is not much milk, you might as well drink some broth, fish soup or chicken soup. If there is enough milk, there is no need to breastfeed. Just after giving birth to a baby, some women's mammary ducts are still not smooth, and the baby's sucking power is not strong. A large amount of milk secretion is easy to cause breast swelling and agglomeration. Emulsification should be gradual.
7. If it is not only inflamed but also purulent, it is best to eat some fruits and vegetables, such as tomatoes, cucumbers, lotus roots and green leafy vegetables. Kelp is also a good choice, and it can also ensure a good mood. This period is not suitable for lactation.
8. The diet is nutritious and reasonable. Eat more foods rich in inorganic salts and vitamins, such as fresh vegetables and fruits, tomatoes, loofah, oranges, etc., which are all good foods, but don't eat spicy and greasy things.