*presentation :-
- ممكن يتجمع لبن في صدر الأم غير مرغوب فيه بعد فطام الطفل او بعد الإجهاض.. فالام بتيجي تقول لنا انا عايزة انشف صدري أو بتشتكي من الم في صدرها بسبب أن اللبن مش بينزل وعامل احتقان
*treatment... العلاج...
1-instructions
-حمالة الصدر مقاسها مريح مش ضيق عشان ما تمنعش نزول اللبن وتزود الاحتقان
-دش ماء دافئ او كمادات دافئة 3مرات يوميا تساعد على تقليل اللبن
-هتفضي كمية بسيطة من اللبن المتجمع في صدرها يوميا "كافية لتقليل الاحتقان"
2-anti prolactins drugs
أدوية تقلل إفراز هرمون البرولاكتين المسؤل عن إفراز اللبن
*dostinex tab contains "cabergolin"
نص قرص بعد الأكل كل 12 ساعة لمدة يومين
أو
*lactodel tab contains "bromocriptine"
-لتقليل إفراز اللبن.. هتاخد قرص واحد ولا يكرر
-لإيقاف ادرار اللبن.. هتاخد نص قرص بعد الأكل كل 12ساعة لمدة يومين ثم قرص كل 12 ساعة لمدة يومين
3-in case of breast engoragement and pain
في حالة احتقان الصدر والألم يرجى استخدام كمادات ساقعة + مسكن زي كتافلام "ديكلوفيناك بوتاسيوم"
4-if signs of inflammation are present suggesting mastitis
في حالة أعراض التهابات الغدد اللبنية.. هتاخد مضاد حيوي كل12 ساعة لمدة أسبوع
Hibiotic 1gm
Contains "amoxicillin +clavulanic acid"
*the medical background for this case :-
Lactation suppression
- refers to the act of suppressing lactation in postpartum women by chemical or other means.
-After birth, some women may desire to stop the production of breast milk, for example when the mother decides to bottle feed from birth, or in the case when the infant dies or issurrendered at birth.
-There is very little information available on the subject of lactation suppression for women who are not breastfeeding their babies.
-in a 100-year review of all available information concluded that there was nothing new or helpful to assist with the mammary involution or milk suppression process or to treat the pain or discomfort of severely engorged breasts.
-The abrupt weaning process may lead to severe engorgement, extremely painful breasts, and possibly to other severe medical conditions.
-Up to one third of women who do not breast-feed and who use a brassiere or binder, ice packs, or analgesics may experience severe breast pain. Specific studies of nonpharmacologic methods of lactation suppression were limited and inconclusive.
-Available data suggest that many women using currently recommended strategies for treatment of symptoms may nevertheless experience engorgement or pain for most of the first postpartum week.
-In the past, hormonal therapies, such asdiethylstilbestrol and bromocriptine were used, but these are no longer recommended due to side effects (e.g. DES is a known carcinogen).
- In some countries, cabergoline(Dostinex™) is used for this purpose.
-Estrogen containing birth control pills may have the same side effect.
There is no currently recommended medications to suppress lactation.
There are no FDA approved medications for this purpose.
Drugs that have been used in the past have shown severe potential side effects such asthromboembolism, cerebral accident, and myocardial infarction have been reported with their use and are not recommended for lactation suppression.
posted from Bloggeroid
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