Pak Yos Aku wkt menyusuin juga sempet tuhhh payudara bengkak krn air susutersumbat..basa Jawanya mbangkaki Trus aku kompres pake air anget..n apake daun kol puji Tuhan pelan2 ilang bengkak n sakitnya
But klo ga bisa kempesjuga bisa jadi mastitis or penyumbatan payudara Parahnya sih bs operasi or dg pengobatan.. Ttg mastitis ini aku punya bebrapa artikel dr milis sehat Smoga istrinya ceoet sembuh ya Pak Uci mamaKavin+ Bunda Zalwa on milis sehat *Mastitis* Mastitis non-infektif terjadi jika ASI tertinggal di dalam payudara karena penyumbatan (proses stasis ASI) dan tak juga bisa dikeluarkan, sehingga menyebabkan inflasi pada jaringan payudara. Jika payudara terinfeksi pula oleh bakteri, terjadilah mastitis infektif. Gejalanya, payudara bengkak dan terlihat warna kemerahan pada payudara yang melebar. Yang tak tertahankan, mastitis disertai nyeri yang amat sangat, serta demam tinggi. Kalau sudah begini, banyak ibu yang 'menyerah' menyusui. Selain karena nyeri tak tertahankan, bayi pun kadang menolak menyusu karena ASI (dirasa) 'berubah'. Padahal, justru dalam situasi seperti ini ASI harus tetap dikeluarkan, supaya tidak terjadi abses payudara. *Abses* Duh, kalau bisa, ibu jangan sampai mengalami yang seperti ini. Karena, selain nyeri yang teramat sangat, abses membutuhkan penanganan khusus oleh ahli bedah, karena abses biasanya perlu dikeluarkan dengan operasi kecil. Repot, kan Bu.... Lengkapnya di link brikut; http://cyberwoman.cbn.net.id/detil.asp?kategori=Mother&newsno=333 ---------------------------- Pencegahan Radang Payudara saat Menyusui *Cara mencegah radang payudara:* 1. Keluarkan kelebihan ASI dengan segera. ASI yang tidak dikeluarkan akan menumpuk dan menimbulkan penyumbatan di dalam payudara yang dapat berujung peradangan. 2. Susui bayi sesering mungkin dan jangan memperpanjang jarak antar tiap waktu menyusui. 3. Jika payudara sudah terasa penuh ASI, bujuklah bayi untuk menyusui. Anda tidak perlu menunggu sampai si kecil merasa lapar. *Cara mengatasi radang payudara:* 1. Istirahat. Istirahat akan menghilangkan stres dan meningkatkan kekebalan tubuh Anda kembali. 2. Kompres payudara. Secara bergantian, kompres payudara Anda dengan kompres hangat dan dingin. Kompres dingin menghilangkan rasa nyeri, sedangkan kompres panas membantu memerangi peradangan. 3. Pijat daerah yang sakit. Pemijatan akan meningkatkan sirkulasi, mengurangi penyumbatan payudara serta membantu meningkatkan faktor imunitas di payudara. Pijatlah payudara Anda sambil mandi air hangat atau berendam air hangat. 4. Jangan berhenti menyusui meskipun payudara meradang. Penghentian ini dapat menyebabkan terjadinya infeksi kuman penyakit pada payudara yang dapat berlanjut menjadi abses payudara (payudara bernanah). 5. Susuilah lebih sering di payudara yang meradang . 6. - Susuilah payudara yang meradang sampai kosong, karena apabila ada yang tersisa akan lebih mudah terinfeksi lagi. - Sebaiknya langsung susui bayi (jangan dipompa), kecuali jika terpaksa karena bayi menolak menyusu, keluarkan ASI dengan tangan atau dipompa. - Mulailah menyusui dengan payudara yang sehat, setelah itu baru ganti ke payudara yang sakit. Cara ini akan mengurangi nyeri saat menyusu. 7. Apabila bayi Anda menolak untuk menyusu pada payudara yang meradang, ini dapat disebabkan karena peradangan kelenjar susu meningkatkan kadar sodium (garam) pada ASI sehingga rasanya jadi asin. Kebanyakan bayi tidak menyadari rasa asin ini, tetapi ada bayi yang menolak untuk meminumnya. Apabila bayi Anda menolak, mulailah menyusui dari payudara yang sehat, baru selanjutnya tukar ke payudara yang meradang. 8. Apabila peradangan terus berlanjut, segeralah periksa ke dokter. Sumber: Buklet Prenagen "Perawatan Payudara dalam Masa Kehamilan dan Menyusui" " http://www.info-sehat.com/content.php?s_sid=561 Dear Mbak Wulan Spendek penget ahuan aku bengkak pdpayudara saat menyusui itu krn masistis..hal ini tjd krn penyumabatan ASI dan Asi tak juga bisa dikeluarkan, sehingga menyebabkan inflasi pada jaringan payudara,,,klo diterus-teruskan bs bengkak Mbak payudaranya.. Utk awalan payudarabengkak bisa coba dikompres pake air anget or daun kol..aku pernah kok Mbak..dulu..n berangsur-angsur bs membaik n bisa diperah lagi . But klo bengkaknya udah mengarah ke infeksi bsjd perlu pengobatan serius n bahwan perlu operasi gitu masukkan dr Klinik Laktasi di RS Elisabeth SMG.. Lebih lengkapttg Masitis aku adaartikelnya dari Mbak Luluk.. Smoga bisa membantu dikit ya Mbak Uci mamaKavin ========================================== www.who.int Dari artikel : "Infant feeding in emergencies : A guide for mothers" page 28-30 You mentioned blocked ducts, mastitis and abscess. Are they common and how can we treat them? They do not need to be common conditions as they result from engorgement, infrequent feeding or poor attachment. They become rare if The Ten Steps are implemented. They all need rapid help. A blocked duct shows as a tender red lump. This can happen if one part of the breast is not well-drained. * Try to improve the baby's attachment, perhaps by changing the position when you feed. * Check that your bra or other clothing is not tight. Bras with flap openings can put pressure on one area of the breast and obstruct the milk flow. If you cannot get another bra, cut the cloth where it presses. If you feel comfortable without the bra, stop wearing it. * Do not use the 'scissor hold' as that can obstruct the flow. * If it feels more comfortable support your breast from underneath with your hand. * Gently massage the affected area while the baby is suckling. * If possible apply warmth to the breast between feeds. Mastitis is when the breast is red, swollen and painful. Unlike engorgement it may be in one breast only or just a part of the breast. You may feel ill and have a fever. Mastitis is caused by poor drainage of milk from sections of the breast. Sometimes germs will multiply because of the poor drainage and cause infective mastitis. It is difficult to tell, but if fever and flu-like illness persist it may be infective mastitis. If you can, ask a health professional to give you the following antibiotics and finish the course. See box below. They will not harm the baby. The commonly used antibiotic ampicillin is not usually effective. If you can get paracetamol tablets for the pain, use them. They are safe to use while breastfeeding. Whether you can get antibiotics or not, it is very important that you keep the milk flowing. The best way to remove the milk is to let your baby suckle. The germs from infective mastitis will not harm your baby and are destroyed by his digestive enzymes. It is a risk for both you and your baby to stop feeding. It may be hard to attach a baby to a swollen hard breast, so gently express a little milk first. Some women do not want to breastfeed when they have mastitis. They need help to keep the milk flowing through gentle hand expression several times a day. The baby can be cup-fed with the milk which is still the best food for the baby. Resume breastfeeding as soon as possible. An abscess is a hard, painful swelling filled with pus that can result from neglected mastitis. Use the same treatment as for mastitis. You may need a health professional to excise and drain the abscess, but you can still carry on feeding. If it is too painful, continue feeding from the unaffected breast and gently express milk from the affected breast for 2-3 days. Then resume feeding. =================== Blocked Ducts and Mastitis http://www.kellymom.com/newman/22blocked_ducts_mastitis.html Handout #22 Blocked Ducts and Mastitis. Revised January 2005 Written by Jack Newman, MD, FRCPC. © 2005 Mastitis is a bacterial infection of the breast that usually occurs in breastfeeding mothers. However, it can occur in women who are not breastfeeding or pregnant, and can occur even in small babies of either sex. Nobody knows exactly why some women get mastitis and others do not. Bacteria may gain access to the breast through a crack or sore in the nipple, but women without sore nipples also get mastitis, and most women with cracks in the nipple do not. Mastitis needs to be differentiated from a plugged or blocked duct, because a plugged or blocked duct does not need treatment with antibiotics, whereas mastitis often, but not always, requires treatment with antibiotics. A blocked duct presents as a painful, swollen, firm mass in the breast. The skin overlying the blocked duct is often quite red, similar to what happens during mastitis, but less intense. Mastitis is usually also associated with fever and more intense pain as well. However, it is not always easy to distinguish between a mild mastitis and a severe blocked duct. Both are associated with a painful lump in the breast. Without a lump in the breast, one cannot make a diagnosis of mastitis or a blocked duct. A blocked duct can, apparently, go on to become mastitis. In France, physicians also recognize something they call lymphangite that is fever associated with skin which is hot and red, but there is no underlying painful mass. They do not believe this requires treatment with antibiotics. I have seen a few cases that fit this description in my practice, and indeed, the problem resolves without antibiotics. But then, often a full blow mastitis also resolves without antibiotics. As with almost all breastfeeding problems, a poor latch, and thus, poor draining of the breast sets up the situation where mastitis is more likely to occur. Blocked Ducts Blocked ducts will almost always resolve spontaneously within 24 to 48 hours after onset, even without any treatment at all. During the time the block is present, the baby may be fussy when nursing on that side, as milk flow may be slower than usual, probably due to pressure causing collapse of other ducts. Blocked ducts can be made to resolve more quickly by: 1. Continuing breastfeeding on the affected side. 2. Draining the affected area better. One way of doing this is to position the baby so his chin "points" to the area of hardness. Thus if the blocked duct is in the outside, lower area of your breast (about 4 o'clock), the football hold would be best. Another way of achieving better draining of the breast is using breast compression while the baby is feeding, getting your hand around the blocked duct and using steady pressure as the baby sucks (See handout #15, Breast Compression). 3. Applying heat to the affected area (with a heating pad or hot water bottle, but be careful not to injure your skin by using too much heat for too long a period of time). 4. Trying to rest. (Not always easy, but take the baby to bed with you.) If the blocked duct is associated with a small blister on the end of the nipple, you can open it with a sterile needle. Flame a sewing needle or a pin, let it cool off, and puncture the blister. No need to dig around. Just pop the top or side of the blister. Sometimes you can squeeze out a little toothpaste like material from the duct and the duct will immediately unblock. Or, put the baby to the breast and he may unblock it for you. Opening the blister has the added benefit of decreasing nipple pain, even if the blocked duct does not immediately resolve. Come to the clinic if you cannot do it yourself. If a blocked duct has not settled within 48 hours (unusual), therapeutic ultrasound often works. This can be arranged at a neighbourhood physiotherapy office or sports medicine clinic. Many ultrasound therapists are not aware of this use for ultrasound. The dose is: 2 watts/cm2, continous, for five minutes to the affected area, once daily for up to two doses. If two treatments on two consecutive days have not worked, there is no point in continuing with ultrasound. Get the blocked duct re-evaluated at the clinic or by your own physician. Usually, however, if ultrasound is going to work, one treatment is all that is needed. Ultrasound also seems to prevent recurrent blocked ducts that always occur in the same part of the breast. Lecithin, one capsule (1200 mg) 3 or 4 times a day also seems to prevent recurrent blocked ducts, at least in some mothers. Mastitis Here is my approach to dealing with mastitis. * If the mother has symptoms consistent with mastitis for more than 24 hours, she should start antibiotics. If the mother has consistent symptoms for less than 24 hours, I will prescribe an antibiotic, but suggest the mother wait before starting to take it. If, over the next 8-12 hours, her symptoms are worsening (more pain, more spreading of the redness, enlargement of the hardened area), then the mother should start the antibiotics. If, over the next 24 hours, the mother has not worsened, but not improved, she should start the antibiotics. However, if symptoms are starting to decrease, there is no need to start the antibiotics. The symptoms usually will continue to resolve and will have disappeared over the next 2 to 5 days. Fever will usually be gone within 24 hours, the pain within 24 to 48 hours, and the breast hardness within the next few days. The redness may remain for a week or longer. Once improvement begins, with or without antibiotics, it should continue. If the course of your mastitis does not follow this pattern, contact the clinic. * Note: Amoxicillin, plain penicillin, and some other antibiotics often prescribed for mastitis are usually useless for mastitis. If you need an antibiotic, it must be effective against Staphylococcus aureus. Effective for this bacterium are: cephalexin, cloxacillin, flucloxacillin, amoxicillin-clavulinic acid, clindamycin and ciprofloxacin. The last two are effective for mothers allergic to penicillin. You can and should continue breastfeeding while taking these medications. Remember: * Continue breastfeeding, unless it is just too painful to do so. If you cannot, at least express your milk as best you can in the meantime. Restart breastfeeding as soon as you are up to it, the sooner the better. Continuing breastfeeding helps mastitis to resolve more quickly. There is no danger for the baby. * Heat (hot water bottle or heating pad), applied to the affected area helps healing. * Rest helps fight off infection. * Fever helps fight off infection. Treat fever if it makes you feel bad, not just because it is there. * Medication (acetaminophen, ibuprofen) for pain can be very good. You will feel better and the amount that gets to the baby is insignificant. Acetaminophen is probably less useful as it does not have an anti-inflammatory effect. Abscess: An abscess occasionally complicates mastitis. You do not have to stop breastfeeding, not even on the affected side. In the past, an abscess was almost always drained surgically. Now, more and more, repeated needle aspiration or drainage under radiographic control is done, and interferes less with breastfeeding. If you need surgery, the incision should be kept as far away as possible from the areola. Contact the clinic. A lump which isn't going away: If you have a lump that is not going away or getting smaller over more than a couple of weeks, you should be seen by a breastfeeding friendly physician or surgeon. You don't have to stop breastfeeding to get a breast lump investigated (Ultrasound, mammogram, and even biopsy do not require you to stop breastfeeding even on the affected side). A breastfeeding friendly surgeon will not tell you that you must stop breastfeeding before s/he can do tests for a breast lump. Questions? see my book Dr. Jack Newman's Guide to Breastfeeding (called The Ultimate Breastfeeding Book of Answers in the USA) See the website www.thebirthden.com/Newman.html which contains videos showing how to latch a baby on, how to know a baby is getting milk, how to use compression, etc. Handout #22 Blocked Ducts and Mastitis. Revised January 2005 Written by Jack Newman, MD, FRCPC. © 2005 ============== What can I do about my repeated cases of mastitis? Keep breastfeeding your baby! You are taking steps in the right direction to determine the cause of these repeated breast infections. Breastfeeding is not supposed to be frustrating and painful. With a little bit of detective work, it is possible to determine solutions to resolve this situation. Here are some of the factors that may result in recurrent breast infections: * Failure to fully recover from the initial case of mastitis can be a contributing factor to recurrence. See our FAQ on Mastitis (Sore Breasts) to review properly treating breast infections. When an antibiotic is used as part of the treatment, it is important to finish the entire prescription. If a previous antibiotic treatment was ineffective, having the baby's throat as well as the mother's milk cultured may determine the appropriate medication. * Fatigue and stress, whether from daily life or out-of-the-ordinary events such as trips, holidays, parties, and moves may result in sore breasts. * Anemia could be a contributing factor. A physical from your health care provider could determine if supplemental vitamins or iron is needed. * Cigarette smoking can contribute to lowered resistance to infection. In addition, it can inhibit let-down or the milk-ejection reflex. This may result in repeated breast infections as milk "pools" in the breast. * An overabundant milk supply can prevent baby from completely emptying the breast. Allow baby to finish the first breast before offering the second breast. If your breasts feel uncomfortably full, you may pump or express enough milk to relieve the fullness. * If either nipple is sore, cracked or bleeding, this can be a point of entry for infection. If sore nipples are a recurrent problem, be vigilant about positioning and latch on. Contact your local Leader, a lactation consultant or your health care provider about other possible causes of sore nipples. * If you notice dried milk secretions covering one of the nipple openings, you might apply moist, warm compresses and express some milk until the opening is clear. Some mothers report that a thick yellowish plug emerges with gentle expression. (It will not harm the baby if the baby removes the plug through breastfeeding.) * Nipple shields can slow the milk flow and encourage infection. Use of pacifiers and artificial nipples can affect how baby sucks and contribute to nipple soreness and development of mastitis. * Some babies are reluctant to breastfeed or refuse the breast periodically, perhaps due to sensitivity or other factors. Irregular breastfeeding patterns may contribute to repeated breast infections. Your local Leader may be able to help you troubleshoot and determine possible causes for this. * Make sure your clothing isn't too tight-fitting, paying special attention to your bra. Some bras and bathing suits, especially underwire types, may put too much pressure on the breast. Even a heavy shoulder strap purse or frequent use of a baby carrier can cause problems. Frequently changing sides with purses or baby carriers may help. * The shoulder strap of a vehicle's seat belt can also cause a sore breast. A too tight strap could apply pressure to the breast. Also, the shoulder strap's pressure from a sudden stop may cause a sore breast. Other types of injuries that can result in sore breasts could be a kick or hit from a rambunctious toddler. These may result in blocked milk flow and so should be treated with rest, heat and frequent nursings. * Any history of breast surgery, breast lumps or injury to the breast can increase risk of infection. * One researcher suggests that eliminating saturated fats from the diet and taking one tablespoon of lecithin per day can lead to improvement for women with a history of plugged ducts and/or mastitis. * Excessive sodium intake may cause fluid retention, which can lower resistance to infection. On the other hand, a chronic salt deficiency can contribute to recurring mastitis. * Food intolerances and exposure to allergens can also be a contributing factor to recurrent breast infections. * Excessive repetitive movements of the upper arms are considered a risk factor in recurrent mastitis. Examples of this include vacuuming, cleaning shower stalls, washing windows and gardening. * Another area to check when researching recurrent breast infections is your sleeping position. It may help if you vary your position. If a breast is under pressure for too long, the ducts in that area may not be able to allow the milk to flow freely. Some mothers have been successfully treated for recurrent mastitis with preventative long-term antibiotic treatment. It might be helpful to ask family members and friends for help with household chores and meals so that you can devote time to taking care of yourself and the baby. LLLI's comprehensive guidebook, THE WOMANLY ART OF BREASTFEEDING is offered for sale by most Groups and through our Web site at http://www.lalecheleague.org/catalog.html. It has lots of helpful ideas for breastfeeding and ways to overcome repeated breast infections. Other helpful references from our catalogue are LLLI's "Care Plan for Mastitis," and the pamphlet, "Sore Breasts." Contacting an LLL Leader in your area or attending a meeting may help you uncover the causes of your repeated infections. To find a Group near you, call 1-800-LALECHE, look at our LLL Web Page Index http://www.lalecheleague.org/WebIndex.html or follow the hints in our page on finding a local LLL Leader http://www.lalecheleague.org/leaderinfo.html. If you are unable to find a local Group, you may consider attending one of our online LLL meetings http://www.lalecheleague.org/Chat/chat.html. Last updated Monday, June 21, 2004 1:26 PM by sak. http://www.lalecheleague.org/FAQ/repeatmastitis.html From: Yosquin [mailto:[EMAIL PROTECTED] Sent: Thursday, May 11, 2006 8:46 AM To: balita-anda@balita-anda.com Subject: [balita-anda] [SHARING] Benjoloan di payudara Dear Ibunda, Sudah 2 hari istri saya mengeluh sakit pada payudara sebelah kirinya, setelah di raba sepeti ada benjolan sebesar kelereng di sisi bawah payudara, akhirnya kemarin saya mengantar istri berobat kerumah sakit. Setelah di periksa ternyata ada gumpalan air susu yang mengeras sehingga melukai dingding dalam disekitar payudara. Dokter memberikan 2 alternatif, pertama operasi kecil untuk mengangkat gumpalan susu yang mengeras atau terapi obat. Ternyata gumpalan air susu tersebut dikarenakan waktu menyusui, payudara sebelah kiri jarang di berikan pada bayi. Hanya masalah tersebut menyebabkan sakit yang amat sangat dan biaya obat yang lumayan mahal. Mungkin ada di antara bunda yang pernah mengalaminya dan mohon sharingnya supaya benjolan tersebut cepat hilang. Terima kasih Salam, Yosquin Uci mamaKavin http://oetjipop.multiply.com Get your Free E-mail at http://balita.zzn.com ___________________________________________________________ Get your own Web-based E-mail Service at http://www.zzn.com -------------------------------------------------------------------------- Kirim bunga, http://www.indokado.com Info balita: http://www.balita-anda.com unsubscribe dari milis, e-mail ke: [EMAIL PROTECTED] Peraturan milis, email ke: [EMAIL PROTECTED] FAQ milis, email ke: [EMAIL PROTECTED]
