Мастит у женщин: новый взгляд на старую проблему

Грудное молоко содержит представители микробиоты, влияющие не только на здоровье ребенка, но и на состояние молочных желез кормящей женщины как в краткосрочной, так и в долгосрочной перспективе. По сути, дисбиоз микробиоты грудного молока, вызванный нарушенным состоянием здоровья материнского организма, а также воздействием микробиологических и медицинских факторов, часто способствует развитию острого, подострого или субклинического мастита – патологии, которая нередко приводит к прекращению грудного вскармливания. Устойчивость к антибиотикам, способность к формированию биопленок, связыванию железа, а также влияние на иммунный ответ хозяина являются общими чертами современных бактериальных возбудителей (в основном стафилококков, стрептококков и коринебактерий), вызывающих в т. ч. и мастит. Это объясняет, почему человек становится невосприимчивым к антибактериальной терапии и почему разработка новых направлений лечения мастита на основе пробиотиков становится очень привлекательной. Некоторые штаммы лактобактерий, выделенных из молока, уже показали высокую эффективность для профилактики и лечения мастита у кормящих женщин.

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