milk blister di ramadhan...

Baru berhajat nak puasa penuh tahun ni seperti tahun lepas...

Tapi demi Fariz mama akan terpaksa cuti puasa selama 5 hari sbb milk blister mama dah infected gara2 terlampau confident nak jadi doktor sendiri...

Hari ni mama cuba cucikan setiap 4 jam dan sekiranya masih tiada perubahan maka terpaksalah berkorban...

Sampai 2 doktor pakar o&g lagi mama tanya nak replace antibiotik yg 2X makan (supaya tak ganggu puasa)..

Tp nampak gayanya cloxacillin lah yg terbaik tuk rawat milk blister ni yg memerlukan 4X makan......

Tapi moral of the story untuk ibu2 sekalian jgn biarkan milk blister ni parah...

DR pakar kata sepatutnya masa tersumbat dulu mama dah patut cuci ngan air suam/rendam jap ngan epsom salt ,then cuci2 ngan cotton bud, insyaAllah susu keju tu akan keluar...

Ni dah berminggu2 terbiar+dh kena infection lak..so, ubatnya mmglah antibiotik...

Untuk ibu2 yg tegar menyusukan anak biasanya pasti harungi saat2 milk blister ni...

Tp dgn ilmu yg masih x cukup didada...mama dah tersalah handle milk blister ni...

Untuk ibu2 baru amik pengajarannya yer..n for ur info milk blister ni rupanya camni...

Fig: taken from kellymom

From my experience ia terjadi bermula dengan saluran susu tersumbat, mula2 saluran tersumbat tu warna putih, then lama kelamaan ia akan bertukar warna kuning...klu dh kna infection bingkai2 dia tu dh mcm bernanah..

Kita akan rasa kwsn tunas putih tu agak keras sikit kerana susu sudah bertukar menjadi keju :)

memang susah nak kuarkan dia,nak2 susu tu berada di bawah satu lapisan...

Merujuk kepada pakar penyusuan kita kellymom...

A milk blister, or blocked nipple pore, is also called a bleb or nipple blister, or simply "milk under the skin." It occurs when a tiny bit of skin overgrows a milk duct opening and milk backs up behind it. A milk blister usually shows up as a painful white, clear or yellow dot on the nipple or areola (see photo), and the pain tends to be focused at that spot and just behind it. If you compress the breast so that milk is forced down the ducts, the blister will typically bulge outward. Milk blisters can be persistent and very painful during feeding, and may remain for several days or weeks and then spontaneously heal when the skin peels away from the affected area

Apa puncanya? banyak sebabnya, dr my experience rsnya mlm tu xperah..n lumrah alam lak susu mmg banyak pd waktu malam.. pastu masa tu fariz br tumbuh gigi..antara 2 sebab ni mungkin penyumbang kepada my milk blister...

Tp according to kellymoms antara penyebabnya ialah;

Milk blisters are thought to be caused by milk within a milk duct that has been sealed over by the epidermis and has triggered an inflammatory response. The underlying cause of a milk blister may be oversupply, pressure on that area of the breast, or the other usual causes of plugged ducts. Latch, suck, and or tongue problems may contribute to blisters because of friction on the tip of the nipple

Cara treatment yang sepatutnya...

Recommended treatment for a milk blister usually consists of four steps: apply moist heat prior to nursing, clear the skin from the milk duct, nurse or pump with a hospital-grade pump, than follow up with medication to aid healing. You may need to repeat this for several days (or longer) until the plugged duct opening stays clear. Following are more detailed suggestions.

1. Apply moist heat to soften the blister prior to nursing. Several times per day, add a saline soak prior to applying the moist heat.

• An epsom-salt soak before breastfeeding helps to open the milk duct opening and also aids in healing. Use a solution of epsom salt -- 2 teaspoons to 1 cup water. The epsom salt is first dissolved in a small amount of very hot water, then further water is added to cool it down enough to soak in. Try to add this epsom-salt soak to your routine at least 4 times per day.
• Prior to nursing (and directly after the epsom-salt soak) place an extremely hot wet compress on the milk blister immediately before nursing or pumping. Be careful not to burn yourself. A cotton ball soaked with olive oil can be used to soften the skin instead of the wet compress.

2. Clear the skin from the milk duct.
This may not be necessary, as the combination of the heat and nursing/pumping should cause the skin to expand and the blister to open. However, it can be helpful to do one of the following at least once per day until skin no longer grows over the duct.

• Rub the blister area with a moist washcloth.
• If a plug is protruding from the nipple, you can gently pull on it with clean fingers.
• Loosen an edge of the blister by gently scraping with your fingernail.
• If the above methods do not work, a sterile needle may also be used to open the blister. To minimize the risk for infection, ask your health care provider to do this (do not do this on your own). There is a much greater risk of infection if you do it yourself. First, wash the area well with soap and water; pat dry. Use a sterile needle to lift the skin at the edge of the blister. If a sterile needle is not available, sterilize needle with an autoclave or commercial sterilizing solution, by holding in a match flame until red hot (cool before using), or by soaking 10-15 minutes in rubbing alcohol. Use a lifting action, at the edge of the bleb, rather than a piercing action. Don't push into the blister as it can push bacteria deeper into the nipple. If there is any loose blister-like skin, your health care provider may need to remove that also, using sterile tweezers and small sharp scissors to entirely remove the excess skin. Follow up with a soap and water wash (and be sure to use an antibiotic ointment after nursing). 

3. Nurse or pump with a hospital-grade pump. 
Nurse first on the breast with the milk blister, directly after applying heat. Before you nurse, it can be helpful to use breast compression and attempt to hand express back behind and down toward the nipple to release any thickened milk that has backed up in the duct. Sometimes clumps or strings of hardened milk (often of a toothpaste consistency) can be expressed from this duct.


4. Treat the milk blister after nursing to aid healing.

* Harap2 menjadilah treatment mama ni so that x pyh on antibiotik...sygnya puasa...