Breastfeeding is certainly an important process for both the baby and the mother. At the same time, lactation is not always smooth. Often, problems arise in women who first became mothers - due to lack of experience, complications arise: stagnation of milk in the ducts of the mammary glands (also known as lactostasis) or inflammation of the mammary gland (mastitis). At the moment there are ways to solve these problems with the help of such types of physiotherapy as ultrasound, darsonval and others.
Ultrasound for lactostasis
The use of ultrasound - one of the most common methods of treatment of milk stagnation. This procedure is performed by a specialist - physiotherapist with a special device. Breast, in which there was a stagnation, smeared with any means (most often with vaseline oil) and massaged with the device for about 10 minutes. In this case, the movement should be smooth, circular, in any case not pressing. Only the breast area around the nipple and halos is massaged.
After applying ultrasound, the stagnant breast must be completely decanted, and feeding the baby with this milk is prohibited.
The number of procedures depends on the degree of stagnation, but it is prohibited to conduct more than seven sessions, and less than three are not effective. The optimal number of physiotherapy is five sessions. Most often, ultrasound treatment is carried out in a hospital on referral from a antenatal clinic, and only residents of megalopolises can undergo a complex of procedures in private clinics. The price varies from 950 to three and a half thousand rubles.
This technique is very popular, effective and painless. However, there are a number of contraindications. In addition, you can not use this procedure for mastopathy, fibroadenomatosis, malignant neoplasms, as well as various lesions of the nervous system. Ultrasound is not used in advanced forms of lactostasis, which has grown into mastitis. To exclude the likelihood of mastitis, you should consult with your doctor before starting ultrasound sessions.
The author of these lines encountered lactostasis three times during the establishment of lactation. And each time she was treated with ultrasound. This is a really good tool to help eliminate milk stagnation. Relapse happened either because there was an insufficient number of procedures, or the author forgot to decant and again got stagnant.
For the treatment of lactostasis, micromassage is successfully used with the help of the “Vitafon” medical device, invented in the early 1990s by Russian biophysicist Vyacheslav Fedorov. This procedure can be applied independently at home in the presence of the device. The price of these devices varies from four and a half to fifteen thousand. Vitafon devices are used to improve immunity, enhance the body's regenerative processes, enhance capillary blood and lymph flow, as well as restore metabolism
Vitafon is installed on the kidney area and chest, 4 cm above the nipple. It is necessary to use the device 5 minutes, 4 times a day. The number of procedures is not strictly limited. You must continue to use the device until the signs of stagnation disappear and two days after. The directional effect of microvibrations improves the conductivity of the ducts and channels of the mammary glands, thereby facilitating the task of decanting the congestion in the chest.
Contraindications are: malignant neoplasms, marked atherosclerosis, thrombophlebitis, acute infectious diseases and high body temperature. In addition, you can not use the device during pregnancy, i.e. with prenatal mastitis. Mastitis is successfully treated with a vitaphone if purulent inflammation is absent, i.e. with serous form. In this case, the exposure time is increased according to the instructions.
If anyone has milk stagnation, the Vitafon helps very well. Could not dissolve after lactostasis, and the child could not dissolve, the milk was very tight. I remembered about the vitafon - an ultrasonic device for home use. He held it for 5 minutes just 1 time on a sore chest and began to decant - the milk poured.
Lactostasis also uses the method of magnetic therapy - the direction of physiotherapy based on the treatment with a magnetic field. These procedures are performed both in the physiotherapy room and at home using special devices such as Almag, AMNP-01, Magniter AMT-02, Mag-30. The price of these devices starts from two and a half thousand rubles. The use of Almag during stagnation of milk causes a whole range of positive changes that prevent the development of mastitis and restore the normal flow of breast milk.
The number of procedures and time of exposure to the chest depends on the device. For example, Almag is used from 7–8 to 20 minutes, gradually increasing the time, once per 5–6 days. The course can be repeated after a three-day break.
One of the advantages of using magnetic therapy is that exposure to a magnetic field does not change the characteristics of milk. Therefore, after using the device, you can safely feed the baby with the breast on which the impact was directed.
The use of magnetic therapy is a fairly effective solution to the problem of lactostasis, since a pulsed magnetic field activates regenerative and anti-inflammatory processes.
Contraindications for this therapy are hypotension, blood clotting disorders, acute infectious diseases. As in the case of the vitafon, mastitis can be treated with magnetic therapy only if it has not turned into an acute form - there are no suppurations.
When lactostasis used folk remedies and Almag applied. He helped most
Phonophoresis is the method of the combined method of physiotherapeutic treatment, which combines ultrasound and drug exposure. It lies in the fact that when using ultrasound, a therapeutic substance is applied instead of the gel. The most commonly used hydrocortisone, lioton-gel. Thus, the number of procedures, their time and contraindications remain the same as with the normal procedures with ultrasound described above.
The effectiveness of this method remains controversial. Thus, a study conducted in 1996, showed the ineffectiveness of ultrasound to deliver hydrocortisone deep into tissues.
Another useful medical device that helps eliminate milk stagnation is darsonval. It operates on the basis of a pulsed alternating current of low power, but high frequency and power. The use of darsonval helps to break the seals in the breast and thereby release the flow of breast milk.
Darsonval is used for lactostasis by contact, using a mushroom cap. You must first put 2 layers of gauze on the nipple and areola for protection. The contact time of the electrode is 10 minutes at minimum or average power. The course of therapy is from ten to fifteen procedures.
Physical therapy with darsonval is a great way to combat lactostasis. Resorption of congestive foci in the chest occurs due to the influence of several factors: mechanical, thermal and physical. The price of darsonval starts from two and a half thousand rubles.
As in the case of other types of physiotherapy, darsonval cannot be used for the acute, purulent form of mastitis, breast fibroadenoma, mastopathy, malignant breast tumors, diseases of the central nervous system.
I have a darsonval apparatus at home. Permanent lactostasis - I just save them. Well helps dissolve stagnation
Lactostasis and mastitis - is there a difference?
In general, it can be said that the same procedures are used for the treatment of mastitis as with lactostasis, but only if it is lactational, uninfected and has not become acute. At the advanced stage of lactational mastitis, physiotherapy is risky; it is urgently necessary to consult a doctor.
Physiotherapy for lactostasis and serous mastitis is very effective when treatment is started in a timely manner. Medical methods of this kind provide quick and painless elimination of chest congestion, moreover, they are completely harmless to a nursing mother and baby. Physiotherapy has analgesic, anti-edema, anti-inflammatory and antispasmodic effects. During their conduct, the woman feels comfortable and does not feel pain at all.
Why does lactostasis, the mechanisms of its development
There are a number of reasons why this condition occurs.
First of all, it is the wrong attachment of the child to the breast. Normally, the baby is facing the mammary gland of the mother, his head and torso are located in the same plane, his mouth covers most of the areola, the lower lip is twisted. Mom during the correct application does not feel pain (except for the first stages of feeding) and notices how the baby rhythmically swallows the milk. With the wrong attachment, the chest is not completely emptied, but only partially - some shares are better, and some are worse or not at all empty. The milk in the ducts of these lobes stagnates - lactostasis is formed.
The second reason for milk stagnation is feeding the baby by the hour, rather than on demand, long breaks between feedings, especially at the stage of lactation. Again, the milk arrives, and the baby does not suck it, the breast is not emptied, and the new milk arrives - lactostasis.
Other causes of this condition are:
- hyperlactation (increased amount of milk) due to frequent irrational pumping,
- a chest injury (the tissue in the area of the injury site swells, the duct contracts, the milk does not come out, and the new one arrives),
- infectious diseases of the respiratory tract of the mother (just as in the previous case, the breast tissue swells, well, and then in order ...),
- anatomical features of the mammary gland (narrow, excessively convoluted ducts),
- wearing the wrong clothes (squeezing the breast bra or bone stitches, swelling of its tissues, spasm of the duct with all the consequences),
- sagging breasts
- sleep on the abdomen or on the side with chest compression,
- psycho-emotional stress
- physical strain.
Milk that stagnates in the duct causes an increase in pressure in it and in the whole lobe, the breast tissue swells, resulting in a thickening and soreness. Without an outflow route, milk is partially absorbed into the bloodstream, which entails an increase in the body temperature of the woman. Due to prolonged hypertension (pressure increase) in the lobules, milk production by them decreases until the complete cessation of lactation (with total lactostasis).
What are the symptoms of lactostasis
Learn this condition is easy. In one "wonderful" moment, a woman pays attention to pain in a certain part of the breast, a feeling of spreading, heaviness in it. When probing the affected area, a very painful seal is found. Some women have an increase in body temperature to subfebrile (37-38 ° C) and febrile (38-39 ° C) values, accompanied by chills or without it. Sometimes a young mother first notices weakness, fatigue, then finds a fever in herself, and only then, trying to find its cause, examines herself and still palpates in the depths of the mammary gland that same painful induration.
It is worth noting that not every mother finds this seal herself - sometimes a doctor finds him, who was called home to a nursing mother who complained of high fever.
In some women, by the way, the body temperature in this state does not increase.
Lactostasis feeding is often accompanied by intense pain. Compaction over time becomes more, the skin above it may turn red. If a woman fails to help at this stage, infection gets into the stagnant milk and mastitis develops, which, if left untreated, will lead to accumulation of pus in the mammary gland, necrosis of the affected tissues and sepsis.
How to treat lactostasis
First of all, it should be said that in most cases of stagnant milk, especially at the early stage of the process, a woman can easily cope with it on her own, or rather, with the help of a child. The main method in the treatment of milk stagnation - frequent (at the slightest opportunity, at least every 10 minutes) attachment of the child to the affected breast. The attachments must be correct, and they will be more effective if the crumbs are positioned so as to direct his chin in the direction of compaction (then during sucking, an additional compaction massage will be performed with the baby's chin). If stagnation has happened in one of the upper segments, the child should be put upside down (the child lies, and the mother hangs over it) - that is, the mother with the baby will have to turn around well, but the result will not take long to wait.
Before feeding, the mother needs to take a warm (but not hot!) Shower, directing the jets of the shower head to the sealing area and to the interscapular area. Warm jets carry out a massage, as a result of which spastic muscles and ducts relax. Instead of the shower, you can use a warm compress, which is superimposed on the affected area for 15-20 minutes before feeding.
Some experts recommend the use of compresses with camphor spirit. Mom should know that this drug helps to reduce lactation in its field of application, which can later be difficult to recover. This method is justified and should be applied only in the case when lactostasis has arisen due to hyperlactation - camphor will reduce the amount of milk secreted by the gland, the process of its release is normalized.
Also, before feeding, and after it (and sometimes in the process), mother should be given a soft breast massage. I want to focus on the word "softly" ... Previously, it was believed that when lactostasis stagnant milk should be "broken." They did it rather rudely, causing excruciating pain to my mother and leaving many bruises after such a “massage”. So in no case be impossible! Rough mechanical effects, even if they help restore the current of milk today, tomorrow will cause swelling of the delicate glandular tissue, which will provoke a whole series of new lactostasis. Yes, massage is necessary and very important in the fight against stagnation, but the movements of the massage should be soft, not traumatic breast tissue, and they should be carried out from the periphery to the center. It is worth noting that the right massage will be done by everyone and a specially trained midwife will teach him a young mother.
Along with the massage, milk should be decanted. But it is important not to decant it “to the last drop”, but to stimulate the lobe with stagnation as much as possible in order to release it. The technique of decanting mom should learn even while staying at the maternity hospital, and if this did not happen, you can also turn to a midwife or use an effective breast pump.
It happens that after feeding, standing in a bath under a warm shower, massaging the area of compaction and decanting, the woman practically does not observe milk, but suddenly the jet increases sharply, and the milk has a rich white-yellowish color, it is relatively thick and warm enough. This is precisely what means that mother's actions were crowned with success and lactostasis was defeated.
Often, after the milk flow has recovered, the woman immediately notes an improvement in her condition, even if it happens in the process of feeding the baby, even during breast massage. The feeling of pressure decreases, the pain in the affected area decreases, the pain becomes less intense, and the body temperature normalizes very quickly for many. Residual effects of lactostasis may disturb the young mother for a few more days - until the swelling passes.
To reduce puffiness, you can treat the skin over the area of consolidation with Traumeel ointment or use such folk remedies as, for example, cabbage leaf. He must first be scalded with boiling water, then beat a little with a kitchen mallet (to make juice stand out) and attach to the chest, covered with a cloth or polyethylene. To keep it until you get bored, because as you probably guessed, there are no side effects from this remedy.
You have probably heard about this method of treatment for lactostasis, when, instead of the child, the mother puts her dad to her breast so that it dissolves stagnation. This is unreasonable, ineffective, and sometimes harmful for both mother and baby. First, the child sucks the breast according to his unique method - he does not suck out, but rather squeezes out the milk from the lacunas located under the areola. An adult is not able to physiologically so.
Secondly, in the mouth of the Pope contains a lot of microorganisms, even if conditionally pathogenic. If at least there are microcracks on the nipple of the mother, the infection can easily penetrate from the mouth of the father through them into the area of the ducts, infecting the milk. This can lead to mastitis in the mother and infectious diseases of the baby.
At high temperatures, a nursing woman may take a paracetamol tablet or, if the child is more than 6 months old, ibuprofen.
Even if the mother turns to the doctor on the very first day of the illness, but he evaluates her condition as not serious, she may be recommended to fight lactostasis on her own for 2-3 days. If during this time the woman’s condition does not return to normal, the doctor will prescribe her an antibiotic (there is a high risk of accession at this stage of the infection) that is compatible with breastfeeding (there are actually quite a lot of them, so you shouldn’t worry that you’ll have to temporarily stop breastfeeding ), decoupling and physiotherapy treatment methods. Sometimes, based on the condition of the woman, the antibiotic, decoupling and physiotherapy can be prescribed earlier - this is decided by the doctor (usually the gynecologist) in each case.
What is dangerous disease?
Mastitis causes concern due to acute illness and quick change of its phases. Thus, serous uninfected mastitis, characterized by mild symptoms of intoxication, in the absence of proper treatment, in 2-3 days passes into the next stage - infiltrative. It is characterized by strong chills and an increase in the size of painful seals, which gradually merge with each other.
Literally in 3-4 days, the formation of an abscess begins: the patient loses sleep and appetite, chest pains intensify, due to the admixture of pus, the milk is decanted with difficulty. Ultimately, an abscess is formed, represented by extensive purulent cavities (abscess form), which is replaced by breast necrosis with the capture of the subcutaneous tissue and skin.
Important! There is a real threat to the life of a woman as a result of blood poisoning and septic shock.
In addition, the consequence of mastitis can be:
- Disorders of the heart muscle.
- DIC syndrome (worsening of blood clotting and blood clots).
Only timely visit to the specialist is the key to successful and most gentle treatment infection process in the chest.
Call for help is necessary if:
- Body temperature does not fall within 24 hours.
- Redness of the skin on the chest increases.
- Consolidation and swelling do not decrease after decanting.
Confirmation of the diagnosis is not difficult and is based on the following studies:
- Measurement of body temperature.
- Urine and blood sampling for a general clinical analysis - the number of leukocytes during mastitis increases significantly, the indicators of blood SEA change.
- Bacteriological culture of breast milk or discharge infiltrate in order to identify pathogens of inflammation and their sensitivity to antibiotics.
- Ultrasound of the mammary glands.
- Mammography (for differentiation of mastitis with neoplasms).
- Echography of the chest to determine the total mass of infiltrates.
What not to do if you suspect inflammation?
When manifestations of signs of inflammation are particularly dangerous to resort to such manipulations:
- Apply to the chest hot compresses. This will only increase the active growth in the number of bacteria.
- To press on the seals in the mammary gland. The boundaries of the abscess will be violated, which can lead to complications.
- Independently take antibiotics and drugs to suppress lactation.
- Continue to breastfeed. Unlike lactostasis, in which attachment to the breast is one of the best ways to get rid of stagnation, mastitis is dangerous because the harmful cocci with milk will get to the baby.
Note! Treatment of mastitis is complex.
Medical staff appointed by:
After discontinuation of antibiotics in the absence of pathogenic bacteria in the analysis, the woman can try to re-establish breastfeeding.
There are several common ways to get rid of mastitis:
- Putting to the chest a cold cabbage leaf.
- Lotions of leafy plants of burdock and coltsfoot.
- Compresses of bran.
- Honey flour tortillas.
- Rubbing camphor oil.
Some of them can bring relief to the patient, however, folk therapy for this disease is permissible only as an adjunct to medical drugs under the supervision of the attending physician.
Important! To refuse surgical methods and antibiotics, completely replacing them with unconventional recipes, you can not - pathogens with mastitis multiply rapidly, which is fraught with death.
With the serous form of mastitis massage can significantly improve the situation. , allowing in some cases to avoid the use of antibiotics. Having received the recommendations of the doctor about the correct performance of the massage, the woman will be able to repeat it independently at home. This procedure consists of the following manipulations:
Massage during the transition of the disease in the infiltrative and purulent stage with the formation of skin cracks and ulcers is impossible.
Local treatment of mastitis
Directly on the sore chest, you can do applications Dimexidum. This tool helps to cope with inflammation, has an antimicrobial effect. Dilute with water in a ratio of 1: 3 and leave for 30–40 minutes.
A half-alcohol or a vodka compress can help reduce swelling and inflammation. Can recommend and Vishnevsky ointment.
In the serous stage of mastitis, sometimes retromammary blockade is performed using Lidocaine or Novocain in combination with Dekasan. This drug has a powerful antimicrobial effect. After the procedure, the expansion of the ducts of the mammary gland occurs, the discharge of milk from stagnant areas improves.
For postpartum mastitis, you must follow simple rules:
- peace and elevation of the breast,
- stop feeding the baby, as pathogens with milk enter the child’s body,
- express the milk as gently and gently as possible so as not to increase the swelling,
- reduce the amount of liquid consumed to reduce the formation of milk,
- Nutritional supplementation containing sufficient amounts of vitamins and trace elements.
What is the reason?
Lactostasis occurs as a result of:
- pathological changes in the mammary glands, such as mastopathy, scarring, nipple cracks,
- chest injuries
- developmental abnormalities (nipples retracted),
- anatomical features ─ when the mammary glands have excessively tortuous ducts,
- reduced immunity
- personal hygiene violations
- sleep on your side or abdomen when your chest is squeezed,
- wearing the wrong lingerie or lingerie is not the size, rigid parts of the bra or stitches interfere with the blood circulation in some parts of the breast, can lead to swelling and pain,
- improper feeding technique, with the wrong attachment of the baby to the breast, it is not fully released, which leads to stagnation of milk in some lobes of the breast,
- too long intervals between feedings, when a young mother feeds the baby by the hour, rather than on demand, this cause is especially high in the development of lactostasis in the first days after birth, when lactation is only established.
Lactostasis is manifested by a feeling of heaviness and distention in the chest, pain, compaction of the mammary glands. Breast skin temperature rises, redness appears, body temperature may rise. The process usually affects both mammary glands. Straining becomes difficult and sharply painful.
It is impossible to treat such clinical manifestations lightly, because if a woman does not get help in time, then an infection easily joins, a more serious condition develops ─ mastitis, which requires a more comprehensive approach to treatment.
How to fight?
If lactostasis is detected at its earliest stage, then it is quite possible to cope with it at home, on its own, without going to a doctor. At the first sign of milk stagnation, you must:
- Increase the number of attachments of the child to the chest, follow the technique of implementation. If it is impossible to feed the baby more often for some reason, it is often necessary but carefully to express a small amount of milk from the affected breast.
- Before feeding, apply a warm compress to the affected area of the mammary gland (for about 15 minutes), it will help to relax the muscles and ducts, which are most likely to be in a spastic condition.
- Before applying the baby to the breast, gently massage the affected breast, it helps to improve local blood circulation and speed up the resorption of the seals.
Within 2-3 days after such actions, the symptoms diminish or disappear altogether, but if it doesn’t get better ─ you don’t need to delay the treatment to the doctor.
Sometimes you have to use drugs that have anti-inflammatory, anti-edematous, analgesic effect. But the use of all medications occurs only with the permission of the attending doctor, because this disease occurs at the most ambiguous time for treatment ─ during lactation. Since the use of drugs is limited, physiotherapy is often prescribed for lactostasis.
Physiotherapy methods for lactostasis
From the set of physiotherapeutic procedures, the physiotherapist individually selects the one that is needed in each particular case.
Most commonly appointed:
- Ultrasound therapy for lactostasis. Ultrasound, gently affecting the breast tissue, improves local blood circulation, facilitates the flow of lymph, relieves pain, relieves edema, has antispasmodic and anti-inflammatory effects.
- Centimeter and decimeter wave therapy. It has effects similar to ultrasound, but they are achieved with the help of ultra-high-frequency electromagnetic oscillations of a certain range, with a specific wavelength. It has a warming effect on the scope.
- Magnetotherapy. The clinical effect is achieved through the use of pulsed and variable magnetic fields. It has a pronounced anti-inflammatory, hypocoagulating, vasodilating, strengthening local immunity action.
To obtain a good clinical effect, it is necessary to do about 8-10 procedures (relief occurs after about 2-3 sessions).
If desired, they can be carried out at home. To do this, you need to purchase the necessary apparatus and learn how to conduct a session with a doctor or nurse at the physiotherapy department.
Contraindications to physical treatments
Physiotherapy for lactostasis is not carried out in the case of the following contraindications:
- acute stage of mastitis,
- malignant neoplasm
- fibroadenomatosis of mammary glands.
Lactostasis is not only the discomfort and pain in a young mother, but also, in neglected cases, a threat to health. This is a condition that all future mothers should know about, because it is easier to prevent than to cure. But even if lactostasis occurs, timely and correct actions of a woman will help to quickly deal with the problem.
This is an inflammation of the mammary gland due to infection of its excretory ducts. Mastitis is caused by staphylococci, streptococci and other pyogenic microbes, and nipple cracks often serve as entry gates for infections, less often milk ducts.
Symptoms of mastitis in nursing mothers
The disease usually begins with a sudden increase in body temperature up to 39 degrees and higher, sometimes with chills. Symptoms of mastitis also include:
The mammary gland increases.
If these symptoms appear, you should consult a doctor.
Diagnosis of breast inflammation in a nursing mother
The onset of the disease is acute. A lactating woman has pain in the mammary gland, body temperature rises to 38 ° C and higher, multiple chills appear. The affected mammary gland is enlarged, the skin over the infiltrate area is hyperemic, there is an expansion of the saphenous veins, there are cracks on the nipples, the axillary lymph nodes are enlarged and sensitive to palpation.
With the initial symptoms of mastitis, infiltration in the mammary gland has no clear boundaries, later it begins to be determined more clearly, then it softens (suppuration). Suppuration is accompanied by deterioration of the patient's condition, fever becomes remitting, intoxication increases, leukocytosis and ESR increase. The appearance of fluctuation indicates the formation of pus (to clarify the diagnosis of purulent mastitis is necessary puncture).
The main syndromes of mastitis: serous inflammation, purulent inflammation and immune dysfunction. By the nature of the pathological process, serous, infiltrative and purulent mastitis are distinguished.
Suareolar mastitis, with an inflammation center located around the areola,
retromammary - inflammation is localized in the retromammary space,
Intramammary mastitis in a nursing mother — the inflammation site is located directly in the breast tissue.
The treatment of a disease depends on its form.
How to treat mastitis with traditional methods in a nursing mother?
For treatment, antibiotics are prescribed (Oxacillin, Methicillin, Lincomycin, Fuzidin) in combination with warming compresses on the mammary gland (with an alcohol solution or Vishnevsky ointments, Konkov). The child is fed with donor milk.
The development of mastitis is the initial stage of the process and can be reversible even with conservative treatment. Subsequently, leukocytes begin to migrate to the nidus, an increase in vascular permeability leads to the release of a liquid portion of blood into the tissue - exudate. These changes indicate consistently emerging infiltrative and suppurative stages of purulent inflammation of the breast. At these stages, as a rule, surgical treatment of mastitis is performed.
Physiotherapy for mastitis
Physical treatment methods are prescribed to reduce microbial intoxication (bactericidal methods), relieve various stages of inflammation (anti-exudative and reparative-regenerative methods of treatment of mastitis), correct the immune system and increase the overall resistance of the body (immunostimulating methods of treating mastitis). In case of serous mastitis, the procedure is carried out after the gland is emptied (milk suction), and in case of purulent - after the abscess drainage. The following physiotherapy methods are used to treat the disease:
Bactericidal methods: KUF-irradiation of the nipples of the mammary gland, local aeroionotherapy, local aerosol therapy, interstitial drug electrophoresis of antibacterial drugs.
Anti-exudative method of treatment of mastitis in nursing mothers: low-intensity UHF-therapy.
Reparative regenerative methods: ultrasound therapy, infrared laser therapy, infrared radiation, high-frequency magnetic therapy, UHF therapy, infrared laser therapy.
Immunostimulating methods: general suf-irradiation in suberythemal doses, heliotherapy, LOC.
Bactericidal methods of treatment of mastitis
Carried out on the open wound in the acute purulent stage of inflammation, with the exception of interstitial medicinal electrophoresis, which is carried out in the acute serous stage of inflammation.
CFC exposure nipples of the mammary gland causes the destruction and death of microorganisms due to lethal mutations. The procedure for the treatment of mastitis in nursing mothers is carried out using a localization tube with a straight cut. Begin with 2 bio-doses, adding 1 biodoze every other day until reaching 5 biodoses, a course of 5 procedures.
Local aeroionotherapy in the physiotherapeutic treatment of mastitis. Oxygen and carbon dioxide ions act on the plasmolem of microorganisms, causing their damage and death. They conduct aeroionotherapy on the wound area, the voltage on the electrode is 20-30 kW, 10-15 minutes each, daily, a course of 10 procedures.
Local Aerosol Therapy . Irrigation of the wound with fine aerosols of antibacterial agents (antibiotics, sulfonamides, antiseptics, phytoncides) directly affects the microorganisms of the wound surface. The dispersed phase enhances the bactericidal effect of antibacterial agents. Spraying of the aerosol is carried out from a distance of 10 cm from the wound for 5 to 10 minutes, daily, a course of treatment of mastitis 10 procedures. To enhance the antibacterial effect, aerosol therapy is combined with aeroionotherapy.
Drug electrophoresis . Apply antibiotics and sulfonamides. Under the action of a constant electric field, a conduction current arises and in the interpolar zone of the mammary gland the concentration of antibiotics and sulfonamides increases by a factor of 1, 5. Due to the ionization of antibiotic solutions in an electric field, their penetrating ability increases. Galvanization is performed in combination with antibacterial therapy (orally or parenterally), 30-90 minutes after administration (depending on their pharmacodynamics and the highest concentration in the bloodstream), at a current density of 0.05 mA / cm2, for 20 minutes, daily , a course of treatment of mastitis in nursing mothers 10 procedures.
Reparative regenerative treatment of breast inflammation in nursing mothers
UHF-therapy of the breast area. When energy is absorbed by dipolar molecules of bound water by side groups of proteins and glycoproteins by plasmolemmas, conformational rearrangements of the cytoskeleton and membranes of organoids occur, and membrane enzymatic complexes, cellular respiration, enzymes are activated, the synthesis of fatty acids and proteins in cells increases, the intensity of phosphorylation processes in mitochondria increases, and the intensity of phosphorylation processes in mitochondria increases. mitotic cell activity and regenerative processes.
Procedures for the treatment of mastitis with this method are carried out on the area of the mammary gland by the contact method, a cylindrical emitter, a dose of low heat (up to 10 W), 10 minutes each, daily, a course of 10 procedures.
Anti-exudative methods of physiotherapy treatment of mastitis
UHF-therapy breast area. Under the action of the electromagnetic field of ultra-high frequency, the regional microcirculation of the blood and lymph increases, the permeability of the vascular bed increases, which leads to dehydration and resorption of the inflammatory focus. Capacitor plates with a diameter of 11 cm are placed tangentially on both sides of the gland with a gap of 1 cm. The power of the current is 20-30 W, the duration of exposure is 10 min. Procedures are carried out daily or every other day, the course of treatment of mastitis 8 - 1 0 procedures.
Contraindications to physiotherapy are mastopathy and mastalgia.
Causes and prevention of mastitis
For the occurrence of this disease requires certain conditions that most often occur when milk stagnates in nursing mothers. The penetration of the infectious agent occurs through nipple cracks (most often) or the milk ducts. The hematogenous route of infection is extremely rare.
Mastitis in most cases is acute and only occasionally becomes chronic. Breach of pumping, most common in primiparous women, leads to stagnant milk. Being introduced, microorganisms receive the favorable environment for growth and reproduction. This causes serous inflammation in breast mastitis in a nursing woman.
Prevention of the disease is reduced to the hygienic content of the mammary glands and the prevention of cracks in the nipples. The main rules for the prevention of mastitis in a nursing mother are:
Daily washing with cool water and rubbing it with a rough towel (during pregnancy).
Proper feeding of the child for the prevention of mastitis: it is necessary to ensure that the child takes the nipple along with the isola circle.
Before feeding, you need to wash your hands up to the elbow with soap and water, then your chest and wipe with a special napkin designed only for the chest.
After feeding - mandatory milk decantation.
With the appearance of cracks - timely treatment. Baby during this period to feed through the pad.
Physioprophylaxis of mastitis is carried out with the aim of preventing the recurrence of the disease and its further progression by increasing the protective forces and functional reserves of the body, its resistance to adverse environmental factors and infection (immunostimulating methods)
Physical therapy for lactostasis is used quite widely, as it is considered an effective procedure in the treatment of this disease and allows you to quickly get rid of seals, preventing the occurrence of an infectious process and, as a consequence, mastitis. Another advantage of physiotherapy is the absence of pain and complete safety. Most often, women are recommended to undergo ultrasound sessions to eliminate stagnation, in addition, electrophoresis using medicinal herbs can also be prescribed. Along with inflammation phenomena, cracks in the nipple area can also pass. With outpatient treatment, one procedure per day is enough; with intensive care, the number of sessions is increased to three procedures per day.
Features of the ultrasound procedure
Ultrasound therapy (UST) is carried out in specialized medical offices using special equipment.
The ultrasound source allows to provide radiation with a frequency in the range of 850-3000 kHz.
Using higher frequencies may cause negative effects.
Modern devices allow you to accurately adjust the duration, intensity and mode of radiation. Wave generation can be carried out in continuous or pulsed mode.
The immediate procedure is carried out by a specialist by treating the entire surface of the breast with the exception of the nipples. The electrode moves slowly and smoothly by circular movements around the nipples. A special medium is created between the skin surface and the vibrator, excluding the air gap. For this purpose, a special compound is applied to the skin, similar to a lubricant during an ultrasound scan.
The course of UST is prescribed by the doctor, taking into account the real state of the woman and the individual characteristics of the organism. In total, from 3 to 8 procedures can be administered daily. The duration of one procedure is 12-16 minutes. Immediately after the completion of the ultrasound exposure, manual milk expression is performed. During this period, it is sufficiently liquefied, which facilitates the process. Slight pains may be felt, but they cannot be compared with pain syndrome, which manifests itself without ultrasound.
It is impossible to feed the baby with milk expressed immediately after ultrasound treatment.
The session of UST is absolutely painless. A woman feels lightly warm and signs of vibrating breast massage. Already after 1-2 procedures, a significant relief, the disappearance of frightening lumps and bumps is found. However, to avoid recurrence, you must complete the entire prescribed course. At the same time, manual expression of milk is mandatory only after the first session.
Prevention of lactostasis
Lactostasis is usually caused by causes that depend on the behavior of a nursing woman.
In order to prevent this phenomenon, you should adhere to:
- A nursing woman should sleep on her back or side.
- It is necessary to choose the right bra. He does not have to chest. It is best to use underwear specifically designed for nursing mothers.
- When feeding the baby should not press on the chest with your fingers, because in this case the ducts are clamped.
- The child should be placed in an optimal position so that he can maximally release the mammary gland. Active artificial feeding with sufficient production of its own milk is not recommended.
- Feeding the baby should be done regularly.
- Do not allow hypothermia and injury to the chest. It is very dangerous to be with an open chest in a draft.
What will help eliminate the risk of disease?
If the first signs of lactostasis appear, then you should consult a doctor and begin ultrasound treatment. At the same time, you should take your own measures to eliminate the disease:
- Carefully monitor the feeding process and how much milk the baby is able to suck. The remaining milk must be immediately expressed.
- It is not recommended additional feeding the baby from the bottle. This produces an incorrect grip on the nipple of the breast during feeding.
- The breast is often applied to the affected breast, but one should not run a healthy chest, so as not to cause a similar phenomenon in it.
- Taking a warm shower before feeding facilitates the flow of milk.
- Do not allow dehydration of the woman. It is necessary to drink at the first sensation of thirst, without artificial restraint.
Lactostasis in a nursing woman can cause serious consequences. It must be identified and treated early. Ultrasound therapy is one of the effective forms of dealing with this phenomenon. Such a procedure is considered absolutely safe, and a positive effect is achieved after 3-4 sessions.
Entry will be short, and anyone interested can be read in the recall: Breast feeding. Hyperlactation. When milk is MUCH. When a breast pump is needed. Link:
When my daughter was only 10 days old, I invited a consultant. It cost me 3 thousand rubles. Invited thought would help, she showed how to apply, it turned out to be a whole science. Probably psychologically I needed to talk with someone, maybe there wasn’t really anyone with whom. And so, she learned that I podtsezhivayus and strictly forbade it to do so. In general, her advice was not much different from all the advice on the Internet. In the end, after a couple of days I had a terrible lactostasis in all its manifestations.
With fever, pain and stone chest. The consultant herself repeated only the attitudes in the attachment, they did not help me with what side, or with that. Stagnation was in one share, but milk came from others, and this was quite enough to feed the baby. Therefore, sucking a little daughter gorge, and I was left alone with my problem.
It should be noted that the daughter did not put much effort in sucking. I think she should have started, as the milk itself poured into her mouth, she just opened her mouth and swallowed. What kind of help is this? Then she never hung on the chest, feeding was always short, just eat.
Therefore, the milk pump was my great assistant. To them, I was unwound during the stagnation of milk, and he also strained his chest to relief, no more.
BUT and the breast pump did not help dissolve so that everything was adjusted again. I even called the state seeding service. They did not help me at all! They said that I have the flu))
On the Internet, I read about ULTRASOUND. It was after this procedure that the milk went, and it was further expanded by the breast pump. I had AVENT automatic.
LACTOSTASIS that helped me:
- Traumel C Cream
- Cabbage leaves repulsed (never loved grandma's recipes, but it seems helped here
- Squeezing with a breast pump (I had an automatic AVENT, in my case only the automatic was suitable, I can’t imagine how to handle stagnation manually)
- You can still to massage chest in soul , having preliminarily smeared it with Vaseline, well, this is as an addition, not the main thing.
- Further, if this does not help you, boldly go to a gynecologist and ask for a referral to ultrasound . I had 2-3 sessions. They say milk starts to go straight in the office, I have not had this happen, I tried to quickly get to the house and shove the breast of my daughter, then I pumped out with a breast pump.
I also read a lot about Magnesia and Aloe , I even bought ingredients, only good reviews, but after 2 lactostasis I wasn’t useful and I didn’t have time to try it.
In both cases, it was ULTRASVUCK that became the decisive factor in helping with the stagnation of milk.
The procedure should bring:
You can breast pads, if the milk goes on the way home
Dear mommies, do not torture yourself with painful hand-bleeding. Do not waste on aunts who for 5000 rubles will torment your chest to help disengage.
The ultrasound procedure is free, safe and painless. . Talk to your gynecologist or mamolog. It is these doctors who give directions for ultrasound.
- Comics on setting up programs "Tricolor TV"
The satellite operator Tricolor TV is deservedly popular with the viewers of our region. Tens of thousands of subscribers are watching.
(1 way - the patient is allowed to turn in bed) No. Algorithm of action Initial point Obtained point Equipment.
Surgical intervention is indicated for the ineffectiveness of conservative treatment of mastitis for 2-3 days, when there is a progressive deterioration. This is the optimal time when you can get by with minimal intervention and shorten the recovery period. Otherwise, the probability of further spread of infection and the development of complications is high.
As a rule, the operation is performed under general anesthesia. This is either intravenous administration of short-acting anesthetics or inhalation anesthesia. Local anesthesia is used only for small abscesses located shallow.
During the operation, a radial incision is made over the affected area, pus is removed and the existing partitions are destroyed so that a single cavity is formed, which is easier to treat with antiseptic solutions. If necessary, make a counter-section (contraception) for better drainage of the cavity. After treatment, the wounds are stitched for quicker healing.If there are doubts about the viability of the remaining tissues, I apply sutures some time after the operation.
In the postoperative period, ointment (Levomekol) is applied to the wound and physiotherapy is carried out in combination with antibacterial therapy.
If the abscess is located in the region of the areola of the nipple, then the incision is made, retreating 2-3 cm from the edge of the areola, parallel to it.
With the localization of the inflammatory process in the tissue located behind the breast (retromammar abscess), an incision is made along the transition fold between the chest wall and the gland. Due to this, the consequences of the operation are almost invisible and there is less chance of injury to the milky ducts.
The disadvantages of such methods of treatment are: high invasiveness, a long period of treatment, cosmetic defects, violation or complete cessation of lactation.
Minimally invasive treatments
Such methods of treatment of mastitis are devoid of the shortcomings that are inherent in traditional surgical intervention. Under the control of ultrasound is punctured, and catheters are installed through which the drainage of the suppurative focus is performed. The catheter may be one. Sometimes install 2 drainage tubes.
Manipulations are performed on an outpatient basis. The duration of treatment is not more than a week. The advantages of the method are in its low morbidity, quick recovery and preservation of lactation. With this method of treatment there is no need to take antibacterial drugs orally.
Methods of traditional medicine
Such methods of treatment can be used only at the initial stage of the disease or in addition to the main therapy.
The simplest and most affordable tool is the cabbage leaf, which should be discarded. At the same time, juice with a healing effect is released. Such a compress can be left overnight. For this purpose, suitable and sheet burdock.
Another popular way is honey cakes. Honey mix with flour to get a homogeneous mass, which is applied to the sore spot. Top can be covered with cellophane and wrap.
Mix in equal proportions of honey and beet juice. The resulting composition moisten cotton fabric and attach to the chest. Make a compress.
May be useful and baked onions. His first need to knead and mix with honey. Impose on the sore spot.
Mastitis is a disease that must be properly treated in its early stages. The sooner the therapy is started, the more chances to avoid surgery and serious complications. Running forms can be fatal due to the development of sepsis and infectious toxic shock.
Treatment should be a specialist: mammologist or surgeon. Only a doctor can choose the method of treatment that will bring the greatest benefit and the least harm. Self-medication is unacceptable.
Nursing mothers who have started lactostasis or mastitis can call a counselor both early in the morning on a day off and late in the evening, when all household members have long gone to bed. The fact is that the symptoms caused by the stagnation of milk in the breast can be very intense and unpleasant, even frightening for a woman, often taking her by surprise just after the night.
First of all, this is quite a strong pain in a certain part of the breast, sometimes giving way to the nipple, tuberosity and reddening of the breast and, which is the most unpleasant, “milk fever” in the form of temperature and chills. Therefore, a nursing mother in such a condition is in need of support and competent advice, above all in the assurance that you need to continue to breastfeed.
What does everyone think about first? Oh, I have mastitis! More advanced moms: “Oh, lactostasis” :)
What is the difference between lactostasis and mastitis?
For some reason, mastitis and lactostasis are constantly confused. Therefore, first, let's see how they differ.
Lactostasis - This is not an infectious lesion of the mammary gland, which is a blockage of the milky duct. Milk accumulates due to poor breast emptying and there is a seal, irritation of glandular tissue. If the body's own protein (from which, in particular, breast milk consists) is unnaturally long in the body, a rejection reaction begins, similar to that which occurs, for example, during lymphostasis, which in turn causes an increase in body temperature.
To determine if fever is related to breast problems, it is necessary to measure the temperature in several places - under both armpits, in the elbow and in the groin.
If the armpit temperature is the highest, then we consider it a symptom of lactostasis. Or uninfected mastitis , which may occur as a result of neglected lactostasis for 3-4 days, when the swollen tissue is saturated with milk and becomes inflamed.
After about 3 days, bacteria begin to multiply in this environment and mastitis turns into infected form and then in abscess .
Mastitis on its own can occur as a result of the ingress of microbes from the outside (for example, from a damaged nipple or skin due to improper attachment, massage, decanting) or from the inside as a complication of angina and other inflammatory processes in the body.
Infected mastitis is a very serious diagnosis, so treatment should be carried out immediately.
But! Even so, it is not necessary to wean the child (if there is no abscess)!
In this case, the woman should contact the surgeon, although the help of a lactation specialist will also not be superfluous. Well, if they will work together. The doctor makes recommendations regarding drug treatment, and the consultant organizes the feeding and decanting regimen so as to preserve lactation. The doctor will prescribe a course of antibiotics, but you should definitely warn him that you want to continue breastfeeding. In this case, the doctor will prescribe those antibiotics that can be taken by a nursing woman, without giving up breastfeeding. If the doctor does not know which antibiotics are compatible with breastfeeding, then a lactation consultant will naturally help.
After the start of antibiotics, the woman becomes much better. Surgical intervention is now rarely resorted to, and your physician should be aware that lactational mastitis is amenable to treatment in a conservative manner.
How to avoid lactostasis?
Before embarking on the treatment of this disease, we must understand why it appeared so that this problem did not visit us again.
Until now, there is a perception that lactostasis begins after a woman blows in rainy weather or she soaks her feet. You can often hear from our grandmothers: “Keep your chest warm. Look - chill! "In fact, it is impossible to chill the chest separately from the whole body, - well, unless you expose it naked through the window in the cold :)
Yes, there is congenital narrowness of the ducts or large saggy breasts, as well as primary hyper lactation, which can provoke permanent lactostasis, but, fortunately, such anomalies are not common in women. But lactostasis due to errors in the organization of GW - as much as you want!
Here are 10 “NOTs” to help you avoid lactostasis:
- Do not always feed in the same position, monitor the correctness of attachment of the baby to the breast.
- DO NOT support the breast with “scissors” during feeding or do not hold the breast from above so that the baby “does not suffocate”.
- DO NOT limit the frequency and duration of attachments.
- DO NOT make abrupt large breaks between feedings (long absence of mother from home, long sleep of a baby, etc.).
- DO NOT wear a tight, uncomfortable bra, take it off for the night and choose a pose that is comfortable for your chest to sleep.
- DO NOT allow your baby to use your chest as a punching bag.
- Do NOT decant to bruise or do not stop dramatically decanting if you have done this regularly.
- Do NOT use pacifiers and linings, or bottle feeding.
- Do NOT carry the stroller on your hands on the 5th floor, i.e. Do not expose yourself to great physical exertion.
- DO NOT panic when the kid throws your brand-new mobile phone on the asphalt with all its might, i.e. Do not expose yourself to great psychological stress :)
Usually, several factors together lead to lactostasis. As they say, one over the other.
Here is a fresh example. Mother Natasha, an already grown-up 6-month-old baby, finally decided to go to a party, as a result she was not 4:00, she had a good time and drank a glass of wine for joy, and when she returned home, she noticed a big and beautiful Moon. In the morning I woke up with chest pain. Why did it happen? Yes, very simple. Changing the feeding regime (the baby missed at least 2 full-fledged applications), alcohol and the growing moon did their “dirty work”.
How to breastfeed with lactostasis?
Notice that application frequency breast lactostasis increases due to my mother's desire. You simply offer the breast when you need, and do not expect that the crumb will begin to ask the breast more often itself. There is a free moment - they took the baby and put it to the chest. Moreover, it is better to do this in such a posture that the most effective degeneration occurs in the problem lobule, where you feel pain and induration, i.e. from under the bottom sponge baby.
For example, if the seal is from the inside, we apply it in the classic “crib”, if outside the arm, we use the position from the armpit, if the upper lobes of the chest are stagnated, sit with your baby with a jack (see photo).
Pose "Valet" is useful if you have formed lactostasis in the upper lobes of the breast. The baby's chin will be directed exactly to that zone, which means that the milk from there will be easier to remove. The baby is lying on its side; to fix the position, place a cushion under the back of the baby.
Do I need to express in case of milk stagnation (lactostasis)?
There is a popular belief that during lactostasis or mastitis it is important to massage the chest in order to break the “stones” (“nodules”, “lumps”) - painful condensation.
Usually for some reason we are talking about rough pumping, when the breast is subjected to strong massage and literally twisted into a tube. But a strong squeezing of the breast tissue, which occurs with such a massage, can greatly harm a woman, because squeezing her breasts can transmit the milk ducts and blockage can occur in several places. In addition, if lactostasis has become infected with mastitis, massage promotes the spread of infection to other parts of the breast!
Although in severe cases in addition to frequent attachments, it is true that additional expressions are prescribed. However, depending on the complexity of the problem, they should be no more than 1-2 times per day.
How are they made?
Before decanting, warm your chest with a warm towel or shower, make a light massage from the base to the nipple, then gently beat the chest for 5-7 minutes. After that, once again attach the baby to his chest. This will help push through the milk plug. You do not need to decant after each feeding, because in this way you give the wrong information to the body about how much milk the crumbs need. In this case, the milk begins to arrive every time more, the breast again becomes full, and the baby simply cannot eat that amount of milk.
Can I take a warm shower with lactostasis? Warm drink?
Warm shower can be before feeding, warm drink is better to limit.
Attention ! If there is a suspicion that you have mastitis, warming up procedures and any massage or manual pumping is immediately canceled so as not to provoke an abscess. Perhaps only careful decanting molokotsosom if the child does not suck the breast.
What physiotherapy is shown for lactostasis and mastitis?
Most often in maternity hospitals offer ultrasound. He's good at breaking lumps. But ultrasound does not always help. It is better to limit to 1-2 procedures.
Dr. Newman, for example, that “if the duct is blocked, ultrasound often helps. If 2 procedures for 2 consecutive days did not work, it makes no sense to continue the sessions. Usually, however, one session of ultrasound is enough to solve the problem. “.
There are also other physiotherapeutic devices that help with this problem and do not have a pronounced effect on the amount of milk. For example, magnetic therapy (devices Almag, Magniter, etc.), electroneurostimulating therapy (devices Diadens, Amplipuls, etc.), light therapy (device Bioptron), laser therapy (devices Orion and the like).
And finally: less lactostasis to you, do not get sick! ,)