I heard that your nipples don't protrude, but they grow back and forth? After that, your child may have no milk to eat!

Most people have swollen nipples. But some people have sunken nipples. It's called nipple inversion. Nipple invagination is a boy's disease. Nipples are useless anyway. It doesn't matter whether it is convex or concave. But for girls, after all, breastfeeding is still necessary. So nipple invagination can be a serious problem.

1. What does nipple invagination look like?

The so-called nipple invagination is nipple subsidence. Even below the areola level, it looks like a crater. It is said that the incidence of this problem among women is 2%-20%. If the incidence rate in Europe and America is low, we yellow people have a higher incidence rate. This has something to do with race.

The normal nipple height is about 1.5-2 cm. The areola is about 3.5-5 cm in diameter. Of course, it does not mean that exceeding this range or being less than this range is a disease. It depends on whether there are other symptoms.

Second, why are nipples sunken?

Scientists believe that nipple dysplasia is a problem of mesodermal dysplasia. The mesoderm is poorly developed, resulting in no tissue supporting the nipple below the nipple, and the nipple cannot be pushed out. The mammary duct and surrounding muscle fiber tissue are poorly developed and shrink back, leading to nipple depression. Touch your nipples. If it is normal, it is hard under the nipple. If it is concave, it is empty under the nipple. You can clearly feel that it is a hole.

Most nipple depressions are hereditary. However, if girls use too tight corsets and bras, nipples will be pressed for a long time, blood circulation will be restricted, breast dysplasia will occur, and nipples may also be pressed in.

3. What are the types of nipple depression?

There are many ways to classify. Some are true, some are false. Some can be distinguished, some can't. There is a better combination of classification and treatment. Divided into three categories, the first category is nipple and cylinder, but it sinks and comes out only by squeezing itself.

The second is that there is no cylindrical nipple, only a small protrusion is left, which can be squeezed out by force. But it's easy to get stuck.

How is the third category squeezed out? We can only operate.

Most patients with inverted nipples have both inverted nipples, but the degree may be different. There are also a few people who only fall in once.

4. What are the serious consequences of nipple invagination?

The first is that it affects breastfeeding. Especially the second and third categories mentioned above. No nipples. Babies can't hold their nipples. The milk won't suck out. Then milk will accumulate in the breast, causing mastitis.

Depressed nipples can hide evil and shelter evil, and those exfoliated cells and secretions will stay in the nipples, which will easily cause inflammation in the long run. And it is said that breast cancer and nipple inversion are often related. But it is not clear whether nipple invagination will lead to breast cancer.

5. How to treat nipple invagination?

1, manual therapy. This method is only applicable to the first patient mentioned above.

Let's see if your nipple invagination is left-right invagination or up-and-down invagination. If the bald head is sunken, there will be lines. If it is a horizontal line, put your fingers on the upper and lower sides. If it's a vertical line, put your fingers on the left and right.

Grasp the breast tissue with the index finger and middle finger of both hands, and pull the skin and subcutaneous tissue to both sides together. When the nipple protrudes, hold the nipple with your thumb and forefinger and pull it out. Pull to both sides for 3 minutes first. Pull the nipple for another 2 minutes. You can do it many times a day, and in a few days, the nipple will stand out by itself.

2. Negative pressure traction. This method is suitable for the second patient mentioned above.

These patients have no obvious nipples. So I can't pull my nipples. You can't squeeze out nipples with your hands alone. So you need to suck the nipple out with negative pressure. There are several kinds of negative pressure aspirators. There are also many breast pumps available. Of course, the most convenient thing is to find a boyfriend/girlfriend to help you smoke. It can tease and cure diseases, how nice ~ suck it up quickly ~

3. Plastic surgery. This method is suitable for those nipples that cannot be squeezed out or sucked out.

There are many surgical methods. Before 1970s, there were two methods. They are called areola multi-flap method and areola rhomboidectomy respectively. You don't have to understand what this is. You know it's all about areola. Just make the areola into a nipple. But the nipple made in this way is conical, which is easy to relapse and sink again. It will also cause the areola to become smaller.

The main purpose of the operation now is to fill the space under the nipple. As I said before, nipple invagination is because there is no support under the nipple. Then hold your nipples and you'll be fine, right?

However, if you just find something to fill in, the function of breastfeeding will be greatly reduced. Whether it is filled with dermis, cartilage or breast tissue, it will damage the mammary duct.

So ... if you're going to have plastic surgery, you've already had a baby and been breastfed. Otherwise, surgery will almost always affect breastfeeding. If you are a girl who hasn't given birth to a baby, it's best to adopt conservative therapy, that is, manual therapy and negative pressure traction mentioned above.

6. If the nipple invaginates, can you still be a mother?

The answer is. Of course. No one can stop you from being a mother. However, it also needs a little method, right?

First of all, don't be afraid. Nipple invagination can also be breastfed. After all, there is nothing wrong with the internal organizational structure. Even if you fail several times at first, don't give up easily. I believe it will work. Give the child a drink as long as he wants it.

Other precautions are the same as ordinary pregnant women. For example, reasonable nutrition, eating more foods rich in protein, vitamins and trace elements, drinking more soup and water, exercising properly, feeling comfortable, and ensuring regular work and rest. Are all things that all women should do. Because only in this way can we ensure the sufficiency of breast milk.

1, the first patient mentioned above, that is, a girl with a cylindrical nipple, should compress her breast with a hot towel for 5 minutes before breastfeeding. Pull out the nipple and twist it left and right, causing breast-standing reflex. What does standing breast reflex mean? When you play with your wife's nipples. Oh, my God, it's so hard! Oh, oh, it's standing up! This is a breast reflex. After the nipple protrudes, give it to the child.

If the degree of nipple invagination on both sides is different, let the baby suck the nipple with serious invagination at the early stage of breastfeeding. Massage the breast during breastfeeding to stimulate the milk discharge reflex. Because the baby is hungry, smoke hard.

2. If it is the second patient, then there is no cylindrical nipple. First, pull the skin and tissues on both sides of the areola by hand, so that the nipple protrudes slightly from the skin. Dora a few times, make sure it sticks out all the time, and then you can nurse the baby.

3, if it is the kind of nipple that can't be squeezed, it needs to be matched. You can go to Taobao to buy a breast pump. Of course, you can do it yourself.

Homemade is also very simple, make a 20 ml syringe, unplug the needle and insert it into the side of the head. Cut off the head of the syringe at the mark of 1 ml. This becomes a plastic pipe. Pull out the piston and insert it from the newly cut head, aiming at the areola, including the nipple. Why use the tail? This is to prevent you from cutting not smooth enough to damage your skin.

Just aim at the nipple and start pulling the piston gently, not too hard, it will tear the skin. Don't pull if you can. Then it lasts for five minutes. Do it three times a day. When preparing for breastfeeding, retract the piston to the end of 1 cm, and pull down the syringe to breastfeed. This is to prevent nipple from retracting again.

If the breast pump doesn't work, you can only use an auxiliary nipple. This is also a lot in Taobao. Also known as false nipples. Put this thing close to the areola skin, let the baby be all inclusive, and you can breastfeed. Wash it after each use and scald it with boiling water. Can't be used interchangeably with others.

Basically, through the above methods, most pregnant women can breastfeed. So don't be afraid. It's just nipple inversion. Drink milk anyway!

References:

Wang Xiaoping 1. Nursing intervention of breast-feeding for pregnant women with nipple invagination [J]. China Practical Medicine, 2009 19: 227-227.

2. Jing Li. Nursing progress of nipple invagination [J]. Journal of Nursing Research, No.6, 2009: 1507- 1508.

Zhang Chunli, Li Qinghuai. Present situation of plastic surgery for nipple invagination [J]. China cosmetic medicine, 2013,03: 413-416.

4. Zhou Jin, Xing Xin. Progress in surgical treatment of inverted nipple [J]. Journal of Practical Aesthetic Plastic Surgery, June 2004: 326-327.

5. Zhou, Li Li. Research progress of nipple invagination [J]. Journal of Nursing Science, 2003, 18(7):559-560.