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寶寶媽哺乳期乳腺發(fā)燒是怎么回事？

出處：網(wǎng)絡(luò)收集 日期：2024-06-27 19:05:09 編輯：秩名

哺乳期乳腺炎是什么

很多新媽可能對(duì)于哺乳期乳腺炎是什么都不是很了解吧？其實(shí)，這些都是與產(chǎn)媽息息相關(guān)的哦！哺乳期乳腺炎常發(fā)生于第一次分娩后，根據(jù)病變發(fā)展過程分以下兩種類型：淤積性乳腺炎和化膿性乳腺炎。哺乳期乳腺炎即急性乳腺炎時(shí)乳房的化膿性感染，幾乎所有病人均為初產(chǎn)婦，發(fā)病多在產(chǎn)后3-4周，臨床主要表現(xiàn)為乳房的紅、腫、熱、痛，局部腫塊、膿腫形成，體溫升高，白細(xì)胞計(jì)數(shù)增高。在膿腫形成前以抗感染促進(jìn)乳汁排出為主，膿腫形成后以切開引流為主。
 
而且，哺乳期乳腺炎多數(shù)是因乳管阻塞、乳汁淤積，細(xì)菌直接侵入所致，或細(xì)菌自乳頭或乳暈的皸裂處侵入乳管并沿淋巴引流導(dǎo)管乳腺小葉感染。所以，要想預(yù)防哺乳期乳腺炎護(hù)理也是很重要的哦！為了健康著想，產(chǎn)媽多加注意啦！
 

哺乳期乳腺炎的癥狀

之所以哺乳期乳腺炎沒有引起很多人的注意，是因?yàn)椴磺逦鼤?huì)有什么的癥狀，有些時(shí)候產(chǎn)媽認(rèn)為偶爾乳房脹痛，是因?yàn)榉置渫曛蟮囊恍┬栴}，沒有引起充分的重視。那么，一起來了解一下哺乳期乳腺炎的癥狀都有哪些吧？
 
其實(shí)，哺乳期乳腺炎在剛剛起病的時(shí)候，常有高熱、寒顫等全身中毒癥狀，患側(cè)乳房體積增大，局部變硬，皮膚發(fā)紅，有壓痛及搏動(dòng)性疼痛。如果短期內(nèi)局部變軟，說明已有膿腫形成，需要切開引流?；紓?cè)的腋淋巴結(jié)常有腫大，白細(xì)胞計(jì)數(shù)增高。
 
乳房疼痛，局部出現(xiàn)硬塊、脹痛是最初的癥狀；如果病情沒有及時(shí)治療，還可能出現(xiàn)怕冷、寒顫或體溫一下子升高，有時(shí)可至39度以上。急性乳腺炎的癥狀每個(gè)人不一定都相同，也有不同的表現(xiàn)。如果出現(xiàn)局部發(fā)炎正在服用抗菌藥物的媽媽，可能就沒有癥狀。如果不及時(shí)處理、治療的話，患病的乳房很可能會(huì)化膿，甚至?xí)茐膬?nèi)部組織，嚴(yán)重的還會(huì)發(fā)生乳痿。
 
如果有以上情況的話，就要留心了，必要時(shí)就要到醫(yī)院去進(jìn)行檢查，要時(shí)刻關(guān)注自己的身體變化，這樣才能保證自己的健康哦！
 

哺乳期乳腺炎怎么辦

相信有些人是第一次當(dāng)媽，所以對(duì)于分娩之后會(huì)有的一些情況并不了解，也正是這樣的人群恰恰是容易發(fā)生急性乳腺炎的，急性乳腺炎的高發(fā)期是在產(chǎn)后的1個(gè)月內(nèi)。如果，發(fā)現(xiàn)患上了哺乳期乳腺炎該怎么辦？
 
早期的乳腺炎治療以通乳為重點(diǎn)，抓住早期有利的治療時(shí)機(jī)，控制病情的發(fā)展。選擇中藥的治療一般以疏肝清熱、通乳消腫為主。按摩通乳的方法，雙手自乳房基底按摩,緩慢向乳頭方向擠壓推進(jìn)，按摩的用力程度以病人能夠耐受為尺度，在按摩同時(shí)可以輕揪乳頭數(shù)次，以擴(kuò)張乳頭部的乳絡(luò)。這種方法可以促進(jìn)乳汁通暢排出。哺乳期乳腺炎治療對(duì)于病程在6-10天以上的慢性乳腺炎，可加用靜滴青霉素類藥物全身抗炎治療，多在1-2周內(nèi)治愈。
 
中期腫塊治療重點(diǎn)消散腫塊、避免化膿傳染，很多病人失去早期治愈的有利治愈時(shí)機(jī)，形成了炎性腫塊，多與早期大劑量抗菌素使用有關(guān)。中藥以疏肝清熱、活血消腫散結(jié)為主?？勺鰺岱筮M(jìn)行輔助治療，局部熱敷能起到消炎鎮(zhèn)痛效果。若局腫脹明顯者可用25%的硫酸鎂濕熱敷。同時(shí)患者在每3至4小時(shí)一次沿乳根至乳頭方向按摩8至10分鐘，并盡量擠凈乳汁或輔以吸乳器吸出。
 
后期的的病情較為嚴(yán)重，重點(diǎn)為排膿引流、促進(jìn)愈合。哺乳期乳腺炎形成膿腫者行手術(shù)切開排膿，引流后均在2周內(nèi)治愈。排膿應(yīng)到醫(yī)院進(jìn)行手術(shù)切開引流，切口要根據(jù)膿腫的位置以及考慮美容效果，選擇切開方式和位置。小膿腫要使用穿刺抽吸沖洗，術(shù)后要繼續(xù)使用藥物，加強(qiáng)抗感染，促進(jìn)傷口的快速愈合。
 
另外，哺乳期乳腺炎的預(yù)防較治療為重要。避免乳汁淤積，防止乳頭損傷，并保持乳頭清潔是預(yù)防哺乳期急性乳腺炎的關(guān)鍵。
 

哺乳期乳腺炎要注意什么

當(dāng)有可能或者是被確認(rèn)為哺乳期乳腺炎的時(shí)候，就要在護(hù)理上多花點(diǎn)心思了，在生活上要注意的事情也就多了。
 
1、不要過早催乳，寶寶在1周以前的食量非常小，媽媽現(xiàn)有的奶水已足夠他食用。
 
2、哺乳時(shí)讓寶寶把乳頭及整個(gè)乳暈都含住，要吸空一側(cè)乳房，再換另一側(cè)；不讓寶寶含著乳頭睡覺，以免過度的用力吮吸，使乳頭皸裂、細(xì)菌入侵。
 
3、寶寶如果吸不完媽媽的乳汁時(shí)，在哺乳后，可以用吸奶器把殘留的奶水吸干，避免淤積。
 
4、當(dāng)晚上寶寶較長時(shí)間不吃奶時(shí)，媽媽要定時(shí)起來擠奶，消除乳脹（很多新手媽媽，都是一夜之間患上乳腺炎的）。
 
5、保持乳房清潔、舒適，在首次哺乳前，用清水仔細(xì)清潔乳房，尤其是乳頭及乳暈部位。然后用毛巾對(duì)乳房熱敷，這樣可以幫助乳腺管暢通。
 
6、內(nèi)衣要經(jīng)常更換，以免不潔內(nèi)衣污染乳頭，進(jìn)而感染乳腺，同時(shí)不要佩戴有鋼托的乳罩，以免鋼托擠壓乳房，造成局部乳腺乳汁淤積。
 
7、乳頭有感染趨勢時(shí)，要及時(shí)使用抗菌素。一旦發(fā)生乳腺炎，要及時(shí)靜脈注射抗菌素，以免形成化膿性乳腺炎。若已發(fā)展成化膿性乳腺炎，就要及時(shí)切開引流。
 

哺乳期乳腺炎要怎么預(yù)防

乳腺炎的預(yù)防較治療為重要，所以，要學(xué)會(huì)保護(hù)自己的乳房最重要的也是要學(xué)會(huì)怎么預(yù)防。在妊娠期及哺乳期要保持兩側(cè)乳頭的清潔，如果有乳頭內(nèi)縮者，應(yīng)將乳頭輕輕擠出后清洗干凈。在哺乳前后可用3%硼酸水洗凈乳頭。養(yǎng)成定時(shí)哺乳的習(xí)慣，每次哺乳時(shí)應(yīng)將乳汁吸凈，不能吸凈時(shí)可有用按摩擠出或用吸乳器吸出。如果乳頭已有破損或皸裂時(shí)，應(yīng)暫時(shí)哺乳，用吸乳器吸出乳汁，待傷口愈合后再行哺乳。
 
另外，在飲食上也要做出預(yù)防措施，比如少吃有刺激性的食物，如蔥、姜、蒜等。中醫(yī)認(rèn)為，急性乳腺炎是由于內(nèi)有蘊(yùn)熱、熱毒壅結(jié)而成。因此在飲食上要少吃熱性食物，以免助火生瘡。另外，乳腺炎的成膿期，應(yīng)少吃有“發(fā)奶”作用的勞腥湯水，以免加重病情。宜多吃具有清熱作用的蔬菜水果，如番茄、青菜、絲瓜、黃瓜、綠豆、鮮藕、金橘餅等。海帶具有軟堅(jiān)散結(jié)的作用，可多吃些。同時(shí)保持情緒舒暢。
 
最重要的還是防細(xì)菌感染。保持乳房清潔，防止細(xì)菌感染。產(chǎn)前清洗乳房，去除乳頭部粘垢；哺乳前要清洗乳頭，尤其是乳頭已有破裂者；避免對(duì)乳房的擠壓，穿衣服要寬松。還要記住常作自我按摩。產(chǎn)婦要養(yǎng)成自我按摩乳房的習(xí)慣。方法是，一手用熱毛巾托住乳房，另一手放在乳房的上側(cè)，以順時(shí)針方向轉(zhuǎn)向按摩。如果乳房感到脹痛，或者乳房上有腫塊時(shí)，手法可以重一些。在自我按摩的同時(shí)，可稍用力擠壓乳房，把乳汁擠出，反復(fù)幾次后乳腺管就通暢了。
 
有了以上這些預(yù)防的注意事項(xiàng)，預(yù)防的護(hù)理方法，相信哺乳期乳腺炎會(huì)遠(yuǎn)離你哦！
 

哺乳期乳腺炎還能喂奶嗎

其實(shí)，媽媽的身體變化也會(huì)對(duì)寶寶產(chǎn)生一定的影響，如果發(fā)現(xiàn)產(chǎn)媽有乳腺炎的時(shí)候，很多媽媽就會(huì)開始擔(dān)憂了，這樣還可以給寶寶喂奶嗎？如果檢查給寶寶喂奶的話，會(huì)不會(huì)有一些不良的后果？
 
其實(shí)，根據(jù)專家指出，得了急性乳腺炎后，即使是發(fā)炎也要堅(jiān)持哺育，不要停止母乳喂養(yǎng)。因?yàn)橥Ｖ共溉椴粌H影響嬰兒喂養(yǎng)，會(huì)還增加了乳汁淤積的機(jī)會(huì)。所以，在感到乳房疼痛、腫脹甚至局部皮膚發(fā)紅時(shí)，還要勤給孩子喂奶，讓孩子盡量把乳房里的乳汁吸干凈。
 
而且，一般發(fā)生乳腺炎都是一側(cè)的乳房問題，另外一側(cè)的乳房還是健康的，可以用沒有發(fā)炎，沒有問題的一側(cè)進(jìn)行喂養(yǎng)。也就是當(dāng)乳腺局部化膿時(shí)，患側(cè)乳房應(yīng)停止哺乳，并以常用擠奶的手法或吸奶器將乳汁排盡，促使乳汁通暢排出。與此同時(shí)，仍可讓孩子吃另一側(cè)健康乳房的母乳。只有在感染嚴(yán)重或膿腫切開引流后，或發(fā)生乳痿時(shí)才完全停止哺乳，并按照醫(yī)囑積極采取回奶措施。所以，哺乳期乳腺炎是還能給寶寶喂奶的哦！

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