chapped nipples
Introduction
Introduction to nipple splitting Crackednipple is a superficial ulcer that occurs during lactation, often occurring during the first week of breastfeeding, with more primipara than maternal. basic knowledge Sickness ratio: 0.0001% Susceptible people: more common in middle-aged women Mode of infection: non-infectious Complications: acute mastitis
Cause
Causes of nipple splitting
Nipple retraction (30%):
The nipple is invaginated or too small, which makes it difficult for the baby to suck, and the nipple damage occurs when the breast is sucked too much. The nipple cannot protrude but is inwardly recessed, called the nipple invagination. The degree of nipple retraction varies from person to person. The lighter only shows different degrees of nipple low or retraction. After stimulation, the nipple can be protruded or can be squeezed out. In severe cases, the nipple is completely trapped in the areola and cannot be pulled out. It is crater-like and often accompanied by secretions or odors.
Other reasons (30%):
The feeding was incorrect and the nipple and most of the areola were not delivered to the baby's mouth. Excessive use of irritants such as soap or ethanol desiccant on the nipple. Excessive secretion of milk, spillage erodes the nipple and surrounding skin, causing erosion or eczema. Infant oral dysfunction or inflammation of the mouth, nipples can also cause nipple splitting during lactation.
Prevention
Nipple split prevention
1. Start the cleaning of the nipple during pregnancy. Wash the nipple and areola daily with soapy water and water to wash away the sebaceous gland secretions and enhance the skin's abrasion resistance.
2. Change the underwear frequently to prevent scratching the nipple and areola, and also enhance the nipple resistance by massaging the nipple.
3. For flat, too small nipples can be corrected for pregnant women after 8 months of pregnancy.
4. After giving birth, let the baby suck as hard as possible. If the sucking position is correct, most of the nipples will improve their stretchability after the baby sucks.
5. Before breastfeeding, apply hot and wet breasts and nipples for 3 to 5 minutes, so that the areola becomes soft and easy to be licked by the baby. Breastfeeding should be comfortable, correct feeding posture, and the position of the baby can be alternately changed during breastfeeding, so that the sucking force is dispersed. Nipple and areola around.
6. Pay attention to oral hygiene of the baby. If stomatitis and thrush occur in the mouth and lips, it should be treated promptly. During this period, to prevent secondary infection of the breast, breastfeeding can be suspended for 24 hours.
7. After the end of breastfeeding, if the baby still has a nipple, gently press the baby's lower jaw with the index finger, gently interrupt the sucking, so that the nipple is naturally delivered. The milk is rich in human protein and antibodies, which has the effect of inhibiting bacteria and promoting epidermal repair. After breastfeeding, squeeze a little on the nipple and areola and let it dry.
Complication
Papillary fissure complications Complications acute mastitis
Because of breastfeeding pain, lactators often reduce the number of breastfeeding, causing milk deposits or bacterial infections, which can cause acute mastitis or breast abscess.
Symptom
Symptoms of nipple cleft palate Common symptoms Acute pain, nipples, nipples, nipples, nipples...
In the early stage of the disease, when the baby contains sputum, there is a knife-like pain in the nipple, and then the nipple appears oozing, or there is a thin yellow liquid oozing out. After the effusion is dry, scars are formed on the surface of the nipple. If the baby continues to suck, the nipple A small crack or ulcer appears on the surface. At this time, the nipple is red and swollen, and there is severe pain during breastfeeding. The scar can also be soaked, rubbed off and peeled off, and the crack becomes larger.
The cleavage of the nipple appears in a circular or vertical direction. The cleft palate is often located at the base of the nipple and the areola. For example, when the laceration is deep, the nipple can be partially broken. When the vertical splitting is severe, the nipple can be divided into two halves, and the nipple is broken. Can cause the disease of the baby, chapped bleeding, the baby will inhale the blood into the stomach, forming a baby pseudo black stool.
Examine
Nipple cleft palate
Pre-mirror examination: Carefully observe whether the nipple shows signs of tissue cracking and whether it is accompanied by pain.
Diagnosis
Diagnosis and differentiation of nipple cleft palate
diagnosis
A small gap and ulcer on the surface of the nipple of a lactating woman can be diagnosed with severe pain during breastfeeding.
Differential diagnosis
1, when the baby contains sputum, the nipple knife cuts the pain and oozes: the nipple cleft palate early, when the baby contains sputum, the nipple has a knife-like pain.
2, nipple broken: named because of its nipple cracking, also known as nipple wind.
3, milk hair inflammation is common in the acute inflammation of the breast. Most of them have nipple pain, rupture or breast lumps, pain, and then, cold, chills, and fever.
4, nipple aggressive adenoma is an adenoma of the nipple catheter. The disease is rare, mainly found in middle-aged women, but also in men.
