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2022, Número Esp

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Sal Jal 2022; 9 (Esp)


Mastitis subclínica y subaguda: patologías frecuentemente subdiagnosticadas y de serias consecuencias

Contreras-Garduño KA, Colmenares-Castaño M, Cortina-Cortés M, Esquivel-Salinas IA, Gallegos-Velasco LS

Idioma: Español
Referencias bibliográficas: 62
Paginas: 52-60
Archivo PDF: 324.75 Kb.


RESUMEN

La mayor parte de la información que se tiene acerca de las mastitis subclínicas y subagudas en la literatura es la que se observa principalmente en el ganado vacuno. Es probable que se deba a la importancia en la industria ganadera y a las pérdidas económicas que estas enfermedades provocan. Aún cuando hasta el momento no existen criterios diagnósticos precisos acerca de estos cuadros clínicos en las mujeres, queda claro que la presentación clínica y evolución no es semejante a la que se observa en las mastitis agudas o purulentas. Se ha propuesto que el dolor crónico al amamantar, las grietas en los pezones y la baja producción de leche podrían estar relacionadas a estos cuadros. La leche materna no es un líquido estéril, contiene microorganismos benéficos para la madre y para el bebé. Se ha propuesto que la disbiosis podría estar condicionando la predisposición a cuadros inflamatorios de la glándula mamaria. Puede ocurrir disbiosis debido a factores externos como la dieta materna, grasa corporal de la madre, estado de salud, medicamentos, tipo de nacimiento, genética y el lugar de nacimiento. El objetivo de este trabajo es analizar los criterios diagnósticos para mastitis subaguda y mastitis subclínica en mujeres lactantes reportados en la literatura médica. Se requieren estudios que permitan definir criterios diagnósticos e intervenciones terapéuticas para estas condiciones, ya que son causa frecuente de destete precoz en las mujeres lactantes.


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