Why stagnation is dangerous. Causes and provoking factors of stagnation of bile, methods of therapy. Folk remedies for the treatment of ailment

The value and usefulness of breast milk mothers - is considered an indisputable fact in all countries and all peoples.

This is due to the fact that it contains the richest complex of vitamins and nutrients necessary for the health and development of the baby.

Every mother strives to provide her baby with nature-prescribed breastfeeding.

Women try to follow the diet, have proper rest, regularly be in the fresh air and do everything to ensure and keep breastfeeding for at least 1 year.

Milk stagnation is the appearance of a hardened lump in the breast that causes pain.

In this case, the skin above the site of localization of the hardness acquires a reddish tint and becomes hypersensitive.

V medical practice stagnation of milk is called lactostasis.

How lactostasis can affect the health of a child

Doctors say that stagnation of milk in the breast does not have any negative effect on the health and condition of the child.

At the same time, due to the gland, milk may move more slowly through the milk ducts, as they are squeezed by the resulting seal.

In the behavior of the baby, this can affect the following:

Anxiety in
Capriciousness and unwillingness to make great efforts to suck milk
The baby may cry after feeding because he has sucked less milk and is not full

How milk stagnation affects the health of a nursing mother

Stagnation of milk in the milk ducts can negatively affect the condition of a nursing mother.

Negative influence	Description of the action on the body
1. When stagnant, milk can enter the bloodstream.	It is characterized by a rise in high temperature; chills, the appearance of a venous network on the skin of the gland. The condition resembles a flu-like condition and may be accompanied by a runny nose and cough.
2. Stagnation can develop into.	Symptoms are the same as those listed above, but in a more severe form. A high temperature that lasts for several days requires immediate treatment so as not to develop into.
3. When the ducts are blocked by clots, the baby has to suck with great effort.	This causes the nipple to crack, like at the beginning of a feed. In addition, a nursing mother may experience significant pain.

What can cause stagnation

The main reason that causes milk stagnation in the breast is the fact that a clot forms in the duct and thus blocks the passage of milk.

The following factors influence the formation of milk clots:

Improper attachment of the child, as a result of which not all ducts are active.
Increased milk production when the baby simply does not have time to suck all the milk.
During feeding, it is imperative to completely empty one gland, and then just start sucking on the other. The next time it is necessary to give the child the first that gland on which the previous feeding was completed. This will avoid stagnation in the ducts.
Irregular latching of the baby to the breast with long breaks.
A posture while sleeping on the stomach in a nursing mother can cause compression of the gland, as a result of which stagnation appears.
Underwear that strongly tightens the chest can also lead to congestion in the chest.
Hypothermia, bruises and trauma also affect the appearance of hardened seals.

How to influence the resulting stagnation

The most important measure that allows you to eliminate lactostasis and related problems is the continuation of breastfeeding.

Active sucking of the baby will restore normal milk flow.

Vary the positions in which your baby suckles.
Avoid long breaks between feedings.
Be sure to include night feedings in the schedule, even if the baby does not wake up at night, he needs to be woken up.

In case of incomplete emptying of the gland, be sure to use a breast pump.
To relieve pain, warm compresses on the chest help.
Taking a warm bath or shower before feeding will make it easier for your baby to suck.
You can massage the glands on both sides to break up the hardenings. It is done very carefully and gently, mainly by stroking and rubbing movements.
For severe pain, the gynecologist may prescribe ibuprofen medications to relieve pain and reduce inflammation.
At high temperatures, antibiotics are prescribed.
Monitor the amount of fluid you consume, as the body perceives too much drinking - as insufficient milk production, and begins to produce it with a greater frequency, while worsening the state of lactostasis.

Experienced doctors say that the appearance of stagnation must be treated very carefully and carefully.

If a nursing mother does not manage to solve the problem with hardness in the breast within 24 hours, by frequently attaching the baby to the breast, it is imperative to contact a specialist for help.

If the symptoms of lactostasis worsen, namely severe pain and high temperature, the help of a qualified specialist is also needed.

Remember, self-medication can lead to inflammation of infectious mastitis, in which breastfeeding may have to be avoided altogether.

Monitor your own well-being to ensure that your baby is breastfeeding well.

The disease progresses rapidly and begins to cause a lot of trouble. Moreover, if earlier only the elderly and, as a rule, obese people suffered from cholelithiasis, now it affects everyone without exception - both young people and even children.

Our expert is the head of the therapeutic polyclinic department of the GKB im. V.V. Veresaeva, doctor of the highest category Radmila Chyornaya.

Digestion conductor

First, let's figure out why we need a gallbladder. The main function of this pear-shaped organ, located in the middle of the right intercostal arch, is the accumulation, concentration and secretion of bile, which is formed as a result of food intake. Then, through the bile duct, performing a series of difficult manipulations, bile enters duodenum where it creates the necessary conditions for enzyme activity, dissolves fats, facilitating their further absorption.

It helps the assimilation of a number of vital vitamins, stimulates the secretion of pancreatic juice - in a word, plays an extremely important role in digestion. We can say that without bile we would not be able to live fully.

Don't waste your time

Sometimes, however, stones begin to form in the gallbladder. They are very dangerous because they can block the bile duct, and then the person develops intolerable pain syndrome in the right hypochondrium - hepatic colic. Jokes with her are bad: such a patient is immediately taken to the nearest surgical department and the gallbladder is removed along with the stones. In most hospitals, this is done in a low-traumatic manner - laparoscopically. But, if you do not resort to this manipulation in time, a person may die.

The attack often begins at night, for no reason, but can be triggered by the ingestion of fatty, spicy food or alcohol. Nausea and vomiting often accompany the pain. Severe pain occurs because stones, moving around the bladder, can get into its neck, which leads to severe spasm. In this case, the gallbladder itself is greatly reduced, trying to push out the bile, which is interfered with by the stuck stone.

When the first signs of hepatic colic appear, you need to call an ambulance, and before she arrives, stop taking any food and drinks, go to bed and try to calm down. Antispasmodics can be taken. It is prohibited to take analgesics.

"Stalactites" and "stalagmites"

Why are stones (or rather, crystals) formed in the gallbladder? The fact is that some of the substances present in bile turn out to be insoluble or, conversely, dissolve too quickly. When the bile oversaturated with these substances is concentrated in the gallbladder, they are deposited in the form of microscopic crystals. The crystals are trapped in the gallbladder. The motility of the gallbladder is impaired, the normal outflow of bile is hampered, and the crystals have no choice but to grow, merge and, like in a mountain cave, form countless "stalactites" and "stalagmites". Alas, there is nothing good in this.

Stones are different. Most often, cholesterol and calcium bilirubinate are involved in their formation. For our country, the most common type is cholesterol gallstones associated with high blood cholesterol (hypercholesterolemia). That is why, for a long time, overweight elderly people suffered from cholelithiasis.

Less fat, more fiber

Now the situation has changed - and more and more often young people come to doctors, sometimes not at all inclined to be overweight. The reason is the wrong way of life, the adherence of the inhabitants of megalopolises to fast food, a quick snack with a lot of "fast" carbohydrate food - buns, cookies, sandwiches, washed down with sweet carbonated drinks on the go.

Therefore, both for the treatment and for the prevention of gallstone disease, it is extremely important proper nutrition... It is necessary to take into account not only its composition, but also the frequency - it is necessary to eat often and little by little. Fasting and plentiful food intake occasionally, once or twice a day, are contraindicated.

And of course, you need to move a lot in the fresh air. And then you will not be afraid of any stones.

Modern medicine contains a huge list of diseases. Many of them have such similar symptoms that it is difficult for a layperson to figure out what is true reason his ailment. And this is correct: everyone should know well only what he was taught. But there are several factors pushing a person to independently search for the cause of their health problems. Firstly, most people today are well educated and know how to work with information, and secondly, many have doubts that the diagnosis was correctly made by a doctor.

In the frantic rhythm of modern life, man, with the development of the benefits of civilization, began to move in space faster, but to move much less. Physical inactivity is the provoking factor against which obesity, problems with the musculoskeletal system, heart and blood vessels, respiratory and digestive disorders develop. An inactive lifestyle is the main cause of such an ailment as venous stasis. Let us consider in detail its symptoms and forms of manifestation.

What is venous congestion?

This disease has several more names: venous stasis, venous hyperemia, passive hyperemia. They all define one pathology: obstruction of the venous outflow of blood, while its flow through the arterial vessels is normal... Stagnation begins if the elasticity of the walls of the venous vessels is lost. Loss of their tone and leads to obstruction of blood flow. This pathology is localized in places of a large accumulation of venous vessels and can have several forms:

Venous congestion in the lungs;
Venous congestion in the legs;
Venous congestion in the pelvic area;

Return of blood due to valve failure in

Why does venous return of blood occur?

The work of the arterial vessels is greatly facilitated by the contractions of the heart, which give an impulse for the movement of blood. And the only stimulants of venous blood flow that ensure normal pressure in the veins are contractions of the abdominal and calf muscles, as well as the effect on the sole of the foot, its arch.

There is another factor that has little effect on the activity of venous blood flow: respiration. The device of venous vessels has one feature: on their inner walls there are valves that direct the movement of blood in the right direction - to the heart. During inhalation, their work is activated, but this is not enough for the proper functioning of the venous system. Of course, the heart is also involved in ensuring return blood flow, but contractions of skeletal muscles, the so-called. "Muscle pump", the function of which is to "squeeze" blood from the veins and stimulate the venous valves, which prevent its return flow.

How is venous blood flow stimulated?

The sole of the feet is equipped with an extensive venous network. During walking, running, massage, a mechanical effect is exerted on the soles of the feet, which leads to an acceleration of blood flow.
During the contraction of the abdominal and calf muscles, they increase in size and affect the deeper veins located nearby. Thus, pressure is provided in these vessels, which promotes the movement of blood towards the heart.

Venous congestion in the legs as a common form of pathology

Venous hyperemia in most cases develops slowly, but there are forms of this disease that are distinguished by the rapid rate of development of pathology. Stagnant blood is not able to fully ensure the enrichment of hemoglobin with oxygen. For this reason, there is an insufficient supply of tissue nutrition and their oxygen starvation occurs.

Venous congestion in the legs in an acute form is characterized by a significant increase in pressure in the vessels, which leads to their deformation: the walls of the vessels are stretched, their diameter increases, and, as a result, the blood flow rate decreases; the diagnosis is made.

Symptoms of foot problems

The appearance of cyanosis of the skin.
Feeling of tension and heaviness in the calf muscles, which manifests itself in the late afternoon:
Plasmorrhage. Due to the increased permeability of blood vessels, their walls and surrounding tissues are impregnated with plasma;
Decreased body temperature;
Small-point hemorrhages in places of accumulation of small vessels.

Treatment of the disease

Treatment is aimed at eliminating the cause of its occurrence (reducing vascular tone) and normalizing blood circulation;
Medicines and folk remedies are used. To date, there are no effective drugs that cure this disease. The action of medications is aimed at preventing complications (, etc.).
In extreme cases, it is used.

Foot shower (alternately cold and hot);
Healing walking;
Ointments and gels with heparin (Hepatrombin, Heparoid Lechiva, Heparin-Sodium Brown, etc.);
Lay your legs more often so that they acquire an elevated position;
Application for edema;
Use of compression hosiery or elastic bandages;
Use as a rubbing of horse chestnut tincture: Eskuzan, Eskuvit;
Medicines: Venitan, Venoruton, Detralex and others and angioprotectors.

Feeling of heaviness and fullness in the legs is a common problem in people with obesity of any stage and in those who have been on them for a long time. These sensations can appear not only with venous stasis, but also with diseases of the joints and edema of cardiac and renal origin. Therefore, for a correct diagnosis, you should consult a doctor.

Video: physical inactivity is the main cause of venous stasis

Stagnation of blood in the small pelvis

One of the most common forms of passive hyperemia. It is especially dangerous for women, since venous stagnation of blood in the uterus is often the cause of miscarriage, the birth of premature babies or infertility. Early diagnosis of the disease allows you to start treatment on time, which is the key to recovery. People who lead a sedentary lifestyle most often suffer from this ailment. The following factors can provoke venous congestion in the small pelvis:

Hereditary predisposition to vascular atonicity;
The use of contraceptive hormonal drugs;
Systematic excessive physical and psychological stress;
The state of pregnancy;
Postpartum complications.

As with the legs, pelvic congestion is often accompanied by a corresponding “feminine” one.

Venous hyperemia of the brain

Most often, this disease is of a secondary nature and is a consequence of any intracranial and extracranial pathological process. The disease is diagnosed by measuring the pressure in the ulnar vein, phlebography, and X-ray of the skull. In the chronic form of hyperemia, metabolic changes and oxygen starvation of the brain occur, its edema develops, and an increased one is observed. The early forms of the disease are manifested in the form of a decrease in the tone of the venous vessels, which is diagnosed by rheography or plethysmography.

The disease can be triggered by the following factors:

Problems with heart;
Struma,;
Diseases of the bronchi and lungs;
Swelling in the neck;
Head trauma;
Dropsy of the brain;
Difficulty in blood flow due to the presence of venous thrombosis.

Symptoms of venous stasis in the brain

One of the pronounced symptoms is the manifestation of strengthening during her tilts and turns in different directions;
Dilated veins in the fundus;
The pressure in the veins is within 50-80 mm. water Art .;
Sudden attacks of dizziness;
Hum or noise in the head;
Cyanosis in the face. In the morning, swelling of the lower eyelids;
Morning headaches are common;
Fainting;
Symptoms of venous stasis in the head are expressed in the presence of a decrease in the sensitivity of the limbs (they arise), in mental disorders;
During exacerbations of the disease, it is difficult for a person to lie down or lower his head;
Increasing headaches against the background of emotional distress or alcohol intake.

Treatment

To reduce venous pressure, aminophylline is usually prescribed (intravenously 2.4% solution 5.0-10.0 ml i.v. on glucose, i.m. or in tablets);
Reduce congestion with glivenol, escusan, troxevasin and oral detralex;
Furosemide, mannitol and diacarb are used to reduce the severity of edema;
Treatment of venous congestion of the brain is carried out with the help of self-massage of the collar zone in order to relieve spasm of the neck muscles;
Laser-LED therapy is prescribed;
Electrostimulation;
Various types of reflexology;
Treatment of venous stasis in the head is carried out with the help of herbal medicine.

If you feel a feeling of heaviness in your head, you can use garden parsley. Its crushed roots and leaves are steamed, infused for 30 minutes. and take 3-5 times a day for 1-2 tsp, washed down with boiled water.

Congestion of blood in the lungs

It is expressed in the obstruction of blood flow through the veins of the lungs, which leads to an increase in the amount of blood in them. For this reason, there is a compaction of the lung tissue, which becomes brown in color. Its appearance is associated with the accumulation of hemosiderin and this process is called brown compaction of the lungs. It leads to two types of change:

Increased vascular permeability, congestion in the pulmonary circulation;
To the proliferation of connective tissue in the vessels, that is, to the onset of sclerosis.

Symptoms

Treatment

Heart failure therapy;
Surgical intervention: valvotomy or valve replacement;
Persistent congestion of the lungs is a reason for determining the degree of disability.

To begin with, lactostasis is a kind of stagnation, or retention of breast milk directly in the excretory (milk) ducts of the breast of a nursing woman.

Moreover, the consequences of lactostasis can be varied. In some women, the problem disappears quickly and practically without a trace, and sometimes it can remain, representing a painful lump in the chest.

There are women who, after undergoing lactostasis, cannot fully restore lactation, and there are those who, after primary stagnation, face excessive formation of breast milk (this condition is called hypergalactia), and with frequent relapses of the problem (frequent lactostasis).

Of course, the options when after the treated stagnation “there is too little breast milk” frighten women most of all. After all, lactostasis, most often, overtakes women at the very beginning of breastfeeding, when a young mother is just establishing lactation.

And this means that her baby (if after stopping the problem, there will be little milk, if it still does not work to restore full lactation) will have to switch to mixed, or even worse, artificial feeding.

The fears of women, although not unfounded, are too much exaggerated. In fact, stagnation can be relieved quite easily, especially if you understand the essence of the problem and behave correctly.

Causes, mechanisms of development of the problem, and how stagnation is dangerous for a woman

Quite often, lactostasis is associated with:

With partial or complete blockage (spasm) of the excretory milk duct.
With the so-called "hyper" or excessive lactation.
With certain difficulties in breastfeeding, improper attachment of the baby, etc.
With overly abrupt refusal to feed.
Wearing too tight, uncomfortable, tight underwear.

The reasons for the development of lactostasis can be considered a pathological (associated with concomitant diseases) decrease in the patency of the milk of the excretory ducts, which occurs simultaneously with the excessive production of milk by the gland itself.

Often, lactostasis can develop due to a combination of factors - for example, with increased production of breast milk, simultaneously with the anatomical features of the gland in a particular woman. When a woman has a flat nipple, anatomically too narrow ducts, etc.

Lactostasis is always accompanied by a sharp soreness of the affected gland; a very definite painful compaction can be felt in the chest. Moreover, such a seal can be not only single, but also multiple.

There is a clear delay in the withdrawal of breast milk from a certain part of the breast. Often lactostasis is accompanied by an increase in body temperature up to 38-39 degrees and symptoms of intoxication.

How long the stagnation of breast milk can last is difficult to answer. Everything is strictly individual.

For some, the problem lasts for several days, and with the right behavior, it recedes quite quickly. In some women, breast milk stagnation completely resolves after only a week. And someone, unfortunately, is destined to find out what mastitis is.

The mechanism for the development of stagnation, in which a woman observes a certain compaction and swelling of the breast, is not difficult to understand.

It consists in the fact that immediately after childbirth, when lactation is only established, there is an excessive production of milk. Active milk begins to remain in five or seven days after delivery.

At the same time, a newborn baby by this age, as a rule, remains rather weak, and is not able to suck every last drop from the mother's breast.

As a result, there is no absolutely complete (sufficient) release of the female mammary glands during the feeding period. Breast milk constantly remaining in the gland can cause some increase in pressure (in the lobules and ducts themselves), while the gland tissue swells and infiltrates somewhat, which in fact provokes compaction and soreness.

Unfortunately, failure to take timely measures to stop the problem can lead to a sharp deterioration in both general health and the development of initially uninfected, and then, infected acute mastitis. And this disease may well require urgent surgical intervention.

The most common complications of congestion in the mammary gland

First of all, stagnation of breast milk can be dangerous with a huge probability of the rapid development of mastitis (different in the nature of inflammation of the glandular tissue of the breast).

As a rule, if the primary stagnation in its form does not go away after five to seven days, doctors talk about the development of uninfected mastitis.

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The development of this complication can be clinically manifested by a significant increase in breast tenderness, severe fever, as well as the appearance of sensations of heat in the affected part of the chest.

Directly on the skin of the mammary gland, later red spots or stripes may appear, then, in breast milk, impurities of pus or blood may begin to be noted.

How long it will take for the primary stagnation to degenerate into mastitis is impossible to answer for sure. Sometimes, the transformation of lactostasis into mastitis can occur very soon, literally after three to four days of inactivity. In some cases, acute inflammation is provoked by:

Hypothermia (when a woman prefers feeding in a draft).
Severe overheating (unreasonable use of compresses on the chest, hot baths, etc.).
Untimely or frankly incorrect treatment of primary lactostasis.

It should be understood that in some cases, prolonged stagnation that does not resolve, after a certain time of incorrect behavior, can lead a woman to the development of the most dangerous complications, say, an abscess, cellulitis, breast necrosis, etc.

We will hasten to reassure the most impressionable women, having noticed that such formidable complications, of course, are quite rare and only when patients start the disease without going to doctors. Nevertheless, stagnation can often lead to less global, but also extremely unpleasant consequences. Namely:

To residual lumps in the chest, which, although less painful, are just as unpleasant.
Difficulties in restoring lactation.
Excessive production of breast milk, etc.

So how to behave correctly in order to recover as soon as possible from the initial stagnation?

How is breast milk stagnation treated?

First of all, with lactostasis, it is very important to provide the woman with the maximum possible release (emptying) of the affected breast. Doctors say that moderate warming of the gland, therapeutic (by no means power) breast massage and physiotherapy procedures can contribute to some expansion of the milk ducts.

In addition, to reduce the likelihood of developing reflex stasis, doctors recommend women to have the highest quality rest, completely eliminate stressful situations, and limit the wearing of tight underwear that squeezes the mammary gland.

In this case, feeding should be carried out as often as possible and feed the affected breast as much as possible.

However, it is important not to overdo it with feedings in order to avoid further excessive milk production and, as a result, relapses of lactostasis. It is advisable to feed the newborn no more often than every 1.5 - 2 hours.

It should not be forgotten that a healthy breast without fail, requires no less careful emptying.

If the baby does not breastfeed too often and not intensively enough, women need to additionally pump all excess. Recall that moderate (very gentle) massage of the breast with soft stroking movements that should be directed towards the nipple can contribute to an increase in outflow.

Heat compresses are great for congestion, especially if done before expressing. It will be much easier to restore full-fledged feedings after primary stagnation, if they are not stopped, during a period of exacerbation of the problem.

Moreover, the baby himself is an excellent helper, "the best remedy" in emptying the mother's mammary gland.

Do you still think that it is completely impossible to cure your body?

How can you identify them?

nervousness, disturbed sleep and appetite;
allergies (watery eyes, rashes, runny nose);
frequent headaches, constipation, or diarrhea;
frequent colds, sore throat, nasal congestion;
joint and muscle pain;
chronic fatigue (you get tired quickly, no matter what you do);
dark circles, bags under the eyes.

If you tapped yourself on the right side of the rib and felt discomfort, this may indicate that you have liver or gallbladder problems. Cholangitis is one of the most common diseases in which the body itself begins to attack. As a result, they narrow, bile stagnation begins to develop, which then eats away at the liver tissue.

Let's take a look at the structure of how bile works. So, all liver cells are equipped with bile ducts, which are connected into ducts through which the substance of interest enters the bladder. When a person eats food, an active contraction of this organ occurs. Bile enters the duodenum in order to break down fats: divide them into small particles, which will then be absorbed into the intestines. If its secretion does not occur, fats are not broken down or absorbed.

When bile becomes stagnant, it begins to eat away at the ducts and liver tissue. In general, a person himself can detect signs of this disease in himself. The symptoms of bile stagnation are as follows:

A person begins to "feel" the liver, there is discomfort in this area.
Weakness.
Yellowness of the skin.
Darkening of the urine.
The stool loses its color, becomes paler.
Itching and burning, which appear due to a reduction in bile secretion.

This is observed because stagnation occurs, and the pigments of the bile itself, for example, bilirubin, enter the blood. Therefore, a person's skin turns yellow. The urine takes on a beer-like color because bilirubin, after filtration in the kidneys, ends up in the bladder. And since bile does not enter the intestines, the feces do not stain and become colorless. Since fat-soluble vitamins are not absorbed as a result of stagnation, this can cause osteoporosis - fragility of bones.

Violation of the formation of bile and a violation of its outflow are the main factors causing stagnation of bile. The reasons for the development of the first disease are as follows:

Liver damage of viral origin.
Alcohol.
The influence of drugs.
Intake of toxic substances into the liver.
Cirrhosis of the liver.
Bacterial infection.

Violation of the outflow of bile can be triggered by tuberculosis, biliary artesia or cirrhosis, sarcoidosis and other diseases.

In order to diagnose this stagnation, a blood test and an ultrasound scan are prescribed. If cholestasis (a violation of the flow of bile into the duodenum) has an advanced stage, the diagnosis establishes that nodes can form on the surface. If the stagnation of bile has begun relatively recently, the organs have not yet increased in size.

If you are diagnosed with this disease, you must adhere to a specific diet. First of all, you need to limit the consumption of animal fats and enrich your diet. Further medical treatment that is required should be prescribed by your doctor according to the specifics of your disease.

Sometimes, when bile stasis leads to the development of multiple liver diseases, surgery may be required. In this case, an endoscopic technique is used - seamless expansion of the ducts. However, this method is an extreme measure, which is resorted to in the event of a complete lack of effect from conservative treatment. If a person listens to his body, he will understand in time what worries him and turn to a specialist (gastroenterologist or surgeon). Then the operation can be avoided.

Therefore, your main task is not to let everything take its course and monitor your own health, because everyone has one.