Süt İncisi
Özet
Süt incisi; süt kabarcığı, tıkalı meme ucu gözeneği, meme ucu kabarcığı veya deri altındaki süt olarak farklı şekillerde adlandırılmaktadır. Genellikle küçük bir deri parçasının süt kanalı açıklığını kapatması ve altında süt birikmesi ile meydana gelir. Süt incisi olan anneler, emzirme sırasında yoğun bir ağrı hissedebilir ve formül mama ile beslenmeye başlamanın veya emzirmeyi bırakmanın en yaygın nedenlerinden biridir. Emme, emme ve/veya dil sorunları, emzirme tekniğindeki yetersizlik, steril olmayan müdahaleler, meme ucu travmaları ve annenin doymuş yağ asitlerinden zengin beslenmesi süt incisinin oluşumuna zemin hazırlayabilir. Bu olgu çalışması, emzirme sırasında süt incisinin nedenlerini, risk faktörlerini ve yönetim stratejilerini incelemeyi amaçlamaktadır. Ayrıca etkili önleme ve tedavi yöntemleri hakkında fikir vermektedir.
Milk bleb is variously called milk blisters, plugged nipple pores, nipple blisters or subcutaneous milk. They usually occur when a small piece of skin blocks the milk duct opening and milk accumulates underneath. Mothers with milk bleb may experience intense pain during breastfeeding and are one of the most common reasons for starting formula feeding or stopping breastfeeding. Sucking, sucking and/or tongue problems, inadequate breastfeeding technique, non-sterile interventions, nipple traumas and a mother's diet rich in saturated fatty acids may pave the way for the formation of milk bleb. This case study aims to examine the causes, risk factors and management strategies of milk bleb during breastfeeding. It also provides insight into effective prevention and treatment methods.
Referanslar
Mitchell KB, Johnson HM. Breast pathology that contributes to dysfunction of human lactation: a spotlight on nipple blebs. Journal of Mammary Gland Biology and Neoplasia. 2020;25:79-83. doi:10.1007/s10911-020-09450-7
Obermeyer S, Shiehzadegan S. Case report of the management of milk blebs. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2022;51(1):83-88. doi:10.1016/j.jogn.2021.10.003
Kent JC, Ashton E, Hardwick CM, et al. Nipple pain in breastfeeding mothers: incidence, causes and treatments. International Journal of Environmental Research and Public Health. 2015;12(10):12247-12263. doi:10.3390/ijerph121012247
Katrina BÖ, Helen MJ. Breast pathology that contributes to dysfunction of human lactation: a spotlight on nipple blebs. Journal of Mammary Gland Biology and Neoplasia. 2020;(25):79-83. doi:10.1007/s10911-020-09450-7.
Mitchell K, Eglash A, Bamberger E. Mammary dysbiosis and nipple blebs treated with intravenous daptomycin and dalbavancin. J Hum Lact. 2020;36(2):365-368. doi:10.1177/08903344 198622
Yazıcı S, Kaya L, Kaya Z. Breast problems in mothers with their babies in neonatal intensive care units. J Health Pro Res. 2020;2(3):121-127.
Karaçam Z, Sağlık M. Breastfeeding problems and interventions performed on problems: Systematic review based on studies made in Turkey. Turk Pediatri Ars. 2018;53(3):134-148. doi:10.1177/0890334419862214
Douglas P. Re-thinking lactation-related nipple pain and damage. Women's Health. 2022;18:17455057221087865.
Bakır E, Dağlı E. Postpartum dönem sorunlarına vakalar ve hikayeleştirme tekniği ile yaklaşım. Meme Apsesi. Nobel Kitap Evi. 2023. p.207-215.
Boran P. Emzirme sorunları, Sosyal Pediatri. 2020;35-40 doi:10.205 15/otd.681551
Dias JS, Vieira TDO, Vierira GO. Factors associated to nipple trauma in lactation period: a systematic review. Rev Bras Saude Materno Infant. 2017;17(1):27-42. doi:10.1590/1806-9304201 7000100003
Douglas P. Overdiagnosis and overtreatment of nipple and breast candidiasis: A review of the relationship between diagnoses of mammary candidiasis and Candida albicans in breastfeeding women. Womens Health (Lond Engl). 2021;17:17455065211031480. doi:10.1177/1745506521103 1480.
Gianni ML, Bettinelli ME, Manfra P, et al. Breastfeeding difficulties and risk for early breastfeeding cessation. Nutrients. 2019;11. doi: 10.3390/nu11102266
Jiménez E, Arroyo R, Cárdenas N, et al. Mammary candidiasis: A medical condition without scientific evidence? PLoS ONE. 2017;12(7). doi:10.1371/journal.pone.0181071
Koberling A, Kopcik K, Koper J, et al. Nipple trauma in lactation-literature review. Journal of Pre-Clinical & Clinical Research. 2023;17(3):171-175. doi:10.26444/jpccr/170191
Mitchell KB, Johnson HM. Management of common complications of lactation: the breast surgeon’s role in examining the science and debunking old myths. Surg Clin North Am. 2022;102: 973-987. doi:10.1016/j.suc.2022.06.002
O’Hara M. Bleb histology reveals inflammatory infiltrate that regresses with topic steroids: a case series. Breastfeed Med. 2012;7(Suppl. 1):2.
Odom E, Li R, Scanlon KS, et al. Reasons for earlier than desired cessation of breastfeeding. Pediatric. 2013;131(3):e726-e732. doi:10.1542/peds.2012-1295
Kimberlin DW, Brady MT, Jackson MA, et al. Transmission of infectious agents via human milk. In Red book: 2018 report of the Committee on Infectious Diseases, Itasca, IL: American Academy of Pediatrics. 2018;115-116.
Türkyılmaz C. Emzirme danışmanlığı ve emzirmede karşılaşılan sorunlar. Klinik Tıp Pediatri Dergisi. 2019;11(1):1-15.
Plachouri KM, Mulita F, Oikonomou C, et al. Nipple candidiasis and painful lactation: an updated overview. Postep Dermatol Alergol. 2022;39:651-655. doi:10.5114/ada.2022.116837
Tandoğan Ö, Mecdi KM, Apaydın Ş. Lohusaların emzirme deneyimleri: nitel bir çalışma. Kadın Sağlığı Hemşireliği Dergisi. 2022;8(3):157-168.
