How to massage mastitis during lactation?
Traditional Chinese medicine believes that the breast is located in the chest, where the meridians meet, and it is the "land of menstruation". Among them, the stomach meridian of foot Yangming runs through the breast; The liver meridian of Foot Jueyin passes through diaphragm and is distributed around breast and nipple. The kidney meridian of foot shaoyin penetrates the liver diaphragm from the kidney, enters the lung, and its branches enter the chest; Foot Taiyin spleen meridian, upper diaphragm, through the lateral breast; Ren meridian runs between two breasts; The pulse goes up with the umbilicus, up to the chest and scattered. Therefore, in addition to local breast massage, the massage operation should also combine the different accompanying symptoms of patients and add and subtract other related acupoints based on syndrome differentiation.
Mastitis during lactation can be massaged in the following ways. 1, oscillation method: use the right thenar to exert force, first make a high-speed oscillation push from the swollen breast along the breast root to the nipple, and repeat it for 3 ~ 5 times until there is a slight heat sensation, so as to achieve the effect of dredging and relieving pain.
2. Kneading method: Rub the thenar or thenar of the palm with both hands, then gently press the swelling and pain of the breast to the position where there is a lump in the breast, and knead the part several times until the lump becomes soft.
3. Pinch, pinch and grip method: you can pinch with the fingertips of the five fingers of your right hand, grasp the affected breast, use the pinch method, grab one and loosen it, and repeat the operation 10 ~ 15 times. In addition, the left hand gently rubs the nipple several times to dilate the mammary duct at the nipple.
4. Pushing and stroking method: After the breast is fully exposed in sitting or lateral position, it is necessary to sprinkle some talcum powder or apply a little paraffin oil to the affected breast for lubrication, and then gently push and caress the breast from the periphery of the breast along the mammary duct with both hands and palms for about 50 ~ 100 times.
How about breast milk mastitis surgery?
Once drugs are difficult to cure mastitis, surgical treatment must be considered. Once the 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 cultured routinely and tested for drug sensitivity.