Mastitis (breast inflammation)
Mastitis (breast infection) is the most common breastfeeding (postpartum) before, then known as puerperal mastitis and rarely outside of pregnancy and lactation, mastitis nonpuerperal then called. The main cause of mastitis at birth is an infection with pyogenic organisms on the nipple and milk ducts. Outside of the chest is usually very little secretion of the pellet is formed, so that women do not notice this “secretion” in the rule, saying it visible liquid from the nipple. In the development of mastitis nonpuerperal secretion plays a central role in this area, but: It collects more pathologically enlarged ducts, it is a kind of jam, even if no real obstacle is present. The walls of the passages that are “tight” can generally transparent, it can invade surrounding tissues mammary secretion. The formation of secretion is under hormonal influence, mainly excreted under the influence of prolactin, a hormone from the pituitary gland (hypophysis). The increase Prolaktinwirkung either by increasing the rate of prolactin (hyperprolactinemia) due to increased synthesis of the pituitary or reason, a greater sensitivity of hormone receptors in the breast of his injury only suspected. Based on this idea, the observed therapeutic effect of the reduction of (normal), prolactin levels in this disease. If it is then filled with infected secretion comes with channels leading, mastitis can occur nonpuerperal. The secretion of nipples (galactorrhea) is rather an expression of the disease to its cause mastitis nonpuerperal prone to frequent relapses after successful treatment because the underlying changes in the milk ducts are not treatable. Prolonged prophylactic reduction of prolactin levels by administration of prolactin inhibitor proven.
Another situation is called before Schlupfwarze. If a nipple is and even has a dimple is formed and the nipple stimulation no longer stands, pits collected easily in certain secretions. then with the ubiquitous bacteria on the skin, it is an “ideal” reservoir for the spread of germs and a source of infection of the chest. inverted nipples, which promotes “the development of mastitis nonpuerperal.
Other causes of mastitis are nonpuerperal manipulation of the nipple or the introduction of contrast agents in the milk ducts in the representation of the ducts (galactography). It is with a blunt needle probed one channel, the contrast agent is injected, then mammographiert chest. This intervention may lead to inflammation “chemical of the chest when she comes through the tears in the milk ducts to a passage of the contrast agent in the chest. If this commitment, poor hygiene, pyogenic organisms may enter the milk ducts of primary education to bacteria nonpuerperal cause mastitis, pathologically enlarged without the milk ducts are.
