乳房常見的問題 - chis.mohw.gov.tw · 乳房常見的問題 胡怡芬...

43
乳房常見的問題 胡怡芬 國際認證泌乳顧問IBCLC 209-59022 國健局母乳種子講師暨導師 母嬰親善醫院評鑑委員 台南市立醫院衛教師

Upload: tranthien

Post on 27-Jul-2018

273 views

Category:

Documents


0 download

TRANSCRIPT

  • IBCLC 209-59022

  • 2

  • 3

  • 4

    1. ?

    2. ?

    3.?

    4..?

  • 5

    UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital 20 hour Course 2006

  • 6

    ?

    0.5

  • 7

    1.

    2.

    3.

    4.

    5.

    6.

  • 8

  • ()

    ,

    24

  • (engorgement)

  • 3-5

    -

  • .

    2

  • engorgement

    1.

    2.

  • 1.

    2.

    . ,,. .

  • 19

    ()

  • 20

  • 21

    1.

    2.

    3.,

    4.

    5.

    6.

    7.

  • :MARMET

    http://www.breastpump.com/Manual_Expression_of_Breast_Milk.pdf

  • 14

    43

    64

    652007 1001

    242-253

    2005

    109-110

  • Figure 3.15 Using a comb for breast massage. Lang S: Breastfeeding Special care babies, 2002, p.98

    2008..,

    551,105-110

  • 2010-

    ChiuGau(2005)146

  • 0.1

    20-30

    2007 .1001.

    2005 ..

  • Breastfeeding Counselling: a training course, WHO/CHD/93.4, UNICEF/NUT/93.2

  • 32

    1.--:

  • 33

    2.,

    Cloxacillin, cephalexin,clindamycin,ciprofloxacin. cephalexin

    250-500q6h

    7-10

  • 48

    2 Watts/cm2

    51-2

    Lecithin1200mg3-4

    95P.119

  • 1.

    2.

    3.

  • 38

    (Pigtail Cath.) 3

    ;6 Fr, 8 Fr pigtail cath.

    ()

    ()3CC

    6.4(1-25)

  • 40

    (The Academy Of Breastfeeding Medicine)

    4 --

    ABM Clinical Protocol #4: Mastitis Revision, May 2008

    (Handout #22 Blocked Ducts and Mastitis. Revised January 2005

    Written by Jack Newman, MD, FRCPC.)

    Breast abscess in lactating women: US-guided treatment. Ulitzsch

    D,

    Nyman MK, Carlson RA.

    1: Radiology. 2004 Sep;232(3):904-9. Epub

    2004

    Jul 29

    Treatment of Breast Abscesses with Sonographically

    Guided

    Aspiration,Irrigation, and Instillation of Antibiotics.

    AJR

    2003;

    181:1089-1091

    An Update on the Recognition and Management of Lactational

    Breast

    Inflammation. J Midwifery Womens

    Health. 2007;52(6):595-605

    http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term="Ulitzsch D"[Author]&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_RVAbstractPlushttp://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term="Nyman MK"[Author]&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_RVAbstractPlushttp://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term="Carlson RA"[Author]&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_RVAbstractPlus

  • 41

    ()

    // //

    ()

  • 42

    -1

    1.

    , :

    2.

    3.

  • 43

    -2

    4. .

    5.

    6.

    ? 9()(engorgement) 18:MARMET 2010- 2848 35 39-1 -2