Paronychia (toe) A soft tissue purulent infection, the bacteria away as subcutaneous and growth and reproduction caused by broken through the A next to the skin minimally invasive. The finger, caused by stab wounds, tear strip burns or nails too deep and other damage. In the toe, usually caused by ingrown toenails or shoes too tight cause, mostly in the thumb. Paronychia the nail in the beginning of the side of the mild pain and swelling, increase the suppuration, the pus spread to the other side or A, the formation of a subungual abscess, yellowish-white pus can be seen in A, so that the depths of the nails separation of the nail bed. One side of the toe ingrown toenails are often chronic meat, teeth, tissue wound healing of long-term.
Nail growth, known as methyl quality or a root, to be covered by skin on both sides of the nail and skin folds phase, the formation of a ditch. Paronychia refers to the deck on both sides of the skin folds, combined with the Ministry of purulent infection is a common clinical infectious diseases (toe) of. Pathogens to the surface of the skin Staphylococcus aureus. Can occur in a variety of minor injuries. Early local anti-inflammatory treatment, the infection can be controlled. Abscess formation, you must cut treatment.
Paronychia - signs and symptomsParonychia paronychia often occurs first in the side of a ditch subcutaneous swelling, pain. Usually no systemic symptoms. If treated early, the inflammation may be better dissipated. Otherwise lesions into pus, swelling the region fluctuations, white point, but difficult to rupture the pus. The inflammation can also occur in the A root or extended to the other side of a ditch, and infection increase the pain got worse and the fever and other symptoms often. As the nails impede the purulent discharge, infection to the deep spread and form finger inflammation.Paronychia there were several stab wounds, tear strip burns damage scissors manicure, purulent bacteria, M. tuberculosis spores wire bacteria or Candida Cheng Xu infections caused by. Paronychia clinical manifestations are pain, swelling of the proximal paronychia, and gradually spread to the nail roots subcutaneous contralateral to form around the nail inflammation and suppuration, showing yellowish-white pus points, concentrated liquid that can invade the A and A on or subcutaneous or exudate scab, consciously itching, pain. Prolonged healing of chronic A hook inflammation or abscess invade subcutaneous tissue, the formation of purulent refers to stomach inflammation. A ditch because there is no gap, the virus easy to sojourn and reproduction, especially the foot, it is a paradise for bacteria growth. Long-term healing of the paronychia most of because toenail to the meat inside, "caused a few people may be infected with the fungus caused.
Paronychia - complications of the diseaseAcute paronychia infection caused mostly by Staphylococcus aureus, the bacterium is present in the human skin, under normal circumstances, only the pollution, not infection.
This is because the human body has a defense function of the local and systemic, only when the host defense function is reduced, A skin integrity has been compromised or pathogens in the number of virulence is too large will cause infection to chronic paronychia.Pseudomonas aeruginosa, fungi (Candida and Aspergillus) and Proteus vulgaris, and other infections caused more often by wet impregnation. Deal with in a timely manner, the formation of a subungual abscess may also develop into chronic paronychia and chronic phalangeal osteomyelitis. The granulation tissue of chronic sinus sinus protruding.
Paronychia - clinical manifestationsInitially, the subcutaneous tissue of the nail side of the red, swollen, painful, and some may subside on their own, but some quickly fester. Pus spread from the side of a ditch to the roots of A subcutaneous and contralateral A ditch to form a semi-annular abscess. Paronychia multi-systemic symptoms, such as not incision and drainage, the abscess can spread to the subungual abscess under a nail, yellowish-white pus under the nail can be seen, the Ministry of nail and nail bed separation. Subungual abscess change due to foreign body stabbed traumatic hematoma under the nail or nail infection. If not promptly treated, may become chronic paronychia or chronic phalangeal osteomyelitis. Chronic A paronychia, a ditch next to a small pus sinus, granulation tissue protruding. C
hronic paronychia can sometimes be secondary to fungaParonychia - clinical classificationParonychia, according to the etiology and clinical manifestations can be divided into acute paronychia and chronic paronychia, suppurative paronychia, simple paronychia, ingrown toenails and paronychia inflammation.An acute paronychia: Acute paronychia mostly by Staphylococcus aureus and Candida infections caused by. The bacteria present in the human skin, under normal circumstances the body can not easily be infected, usually by the barb, the epidermal defects caused by the A profile of injury or chronic irritation (such as water and detergent) to enter the cause paronychia. Acute paronychia rapid expansion of the inflammation can spread to the entire A ditch, and even the formation of a subungual abscess. Severe local pain was pulsating, exacerbated when the arm drooping, so patients often carrying young in the chest. Inflammation of the finger is throbbing with the heartbeat, that is, fingers with hearts, with obvious tenderness.Chronic paronychia: more acute paronychia not treated early or be reinfected occurred, nails become uneven and grooved. The nails may show signs of infection of green, yellow or black. More than caused by a fungal infection, patients with diabetes and those hands often dip in water, such as housewives, fishermen, cleaners, bartenders, cooks and so prone to chronic paronychia.Suppurative paronychia: suppurative paronychia, acute paronychia treatment does not lead to timely suppurative inflammation. A ditch mild swelling, pain, a small skin exfoliation, a small amount of pus from a ditch outflow A edges and a groove at the black, and has the effect of inflammatory granulation tissue nodular or mushroom-like protuberances, from time to time secretion out the pus, easy bruising bleeding, damage to the part A, A deformation of narrow, longitudinal ridge or transverse groove in the A, A pus sneak. In severe cases, A can be completely loose, fall off.4 simple paronychia: simple paronychia most of a corner or two corners at the foot the first toe, toenail, front-end piercing the depths of a ditch, not grow, every 2 weeks in January, enough to The toe will have a sense of pain, careless encounter will have a terrible pain, the pain will disappear after the cut using a knife, but will emerge over time. Long walk or do not cut their nails and toes may be swelling redness, exudate and granulation tissue even in a ditch.5 embedded A paronychia: ingrown toenails Paronychia Paronychia nails long to flesh. A toe ditch inflammation after more than three weeks, we must consider is due to ingrown toenails. More common in the thumb, and the deck to the side of the growth long into the nail fold in the wall, causing pain and inflammation, serious suppuration symptoms.
Paronychia - disease etiologyA ditch inflammation of bacteria is mainly deposited in the skin surface of Staphylococcus aureus. The infection can occur in the hand by a variety of minor injuries such as stab wounds, abrasions, cuts, nails too deep against the peeling new skin barb.A nail cut too short. Toenail cut too short, the soft tissue next to no nails to cover up the long nails grow out, went on to stab to soft tissue.2, wearing inappropriate shoes. Not suitable for shoes, pointed shoes, too narrow in front, will toe the soft tissue crowded together, over time, will be the formation of ingrown toenails.3, toe who has suffered trauma. Football, collision, injured toe to produce damage, affect the nail bed or a mother cell, nail deformity can also occur.In addition, fungal infection, and obese is also a predisposing factor.Paronychia - pathophysiologyA ditch soft tissue ingrown toenail with infection keratosis hyperplasia there was a slight pain when walking. When the infection, local swelling pain symptoms, often secretions and chronic infection A hook is often accompanied by formation of granulation tissue, severe cases can cause lymphangitis.Some scholars believe that the pathological changes of ingrown toenails, there are three cases:A normal nail, but a margin of barbed or ditch grow into the surrounding soft tissue;2, the edge of the toenail on one side or both sides of the inverted growth, oppression A trench organization;3, the nail is normal, but a lip hypertrophy, blocking a ditch.Local compression may be the main reason for ingrown toenails pathological inflammation only the results of injury to accelerate the pathological process of change. Discharge of the effective volume of the oppression of a hook, in order to fundamentally prevent its recurrence.Diagnosis1, since the beginning of the organization of the nail side of the red, swelling, pain.2, into the - the further development of suppuration, the pus from the side of a ditch by a root subcutaneous spread to the contralateral side of a ditch to form a semi-annular abscess3, treatment is not timely is the formation of subungual abscess can also develop into chronic paronychia and chronic phalangeal osteomyelitis, chronic sinus, granulation tissue protruding from the sinus.Paronychia hazardsParonychia, ingrown toenails without treatment does not heal itself, there will be a long time to fester for a long time without treatment (toe) A severely deformed, resulting in the destruction of the nail bed, finally refers to the (toe) A defect, severe even lead to long (toe) A. If (finger) nail recurrent infections easily lead to subungual abscess, severe may cause osteomyelitis. Some paronychia in patients with long treatment, resulting in reduced immunity of the fingernails, loss of the nail's natural protective barrier, leading to infection with the fungal disease onychomycosis (nail fungus). Onychomycosis is a highly infectious fungal disease if not treated may lead to a series of tinea capitis, ringworm and other disease. So paronychia must be timely use of grams of clear, good treatment, to avoid aggravating the condition, to delay the best timing of treatment.
Paronychia - treatment optionsParonychia early unpaired pus, local selection ointment of ichthyol, golden bulk paste applicator or FM, infrared, and other physical therapy, cotrimoxazole and other antimicrobial agents. Has become pus, surgical treatment with an antibacterial drug. Unilateral subcutaneous abscess, incision and drainage next to a ditch; bilateral subcutaneous abscess is required bilateral drainage. A root abscess, simple to set off the skin subungual pus is often difficult to adequate drainage, the need to separate the removal of part or even the entire film nails (but not too much damage to its base organization, so as not to lose the future nail regeneration ability). Anesthesia should be proximal refers to lidocaine block nerve. Not in the lesion vicinity of line infiltration anesthesia.
Paronychia - treatmentEarly can be used hot packs, physical therapy, and topical ichthyol ointment or three yellow powder, etc., application of iodine amine drugs or antibiotics.Has been pus, in a ditch at a longitudinal incision and drainage. Infection has involved the nails around the base of the subcutaneous in a ditch on both sides to make the vertical incision, A root epithelium piece to reveal the removal of nail roots, set a small piece of petrolatum gauze or latex sheet drainage. Empyema, such as a bed should be pulling nails, or abscess on the nail clippers go. Stubbs A, should be taken to avoid injury to the nail bed, in order to avoid new nail malformations.Paronychia is generally conservative therapy:(A) antibioticsThe more categories, intramuscular, intravenous drug use, external use, and other types.Advantages: the bacteria have a strong inhibitory effect, and some anti-inflammatory and analgesic effect.Disadvantages: For physical nail piercing due to ingrown toenails, it seems no effect.(2) anti-inflammatory analgesicSuch as salicylic acid preparations, oral, ointments, injections and other types.Advantages: to reduce pain and swelling, suitable for use when in pain.Disadvantages: the treatment of ingrown toenails is invalid, if the long-term use, the stimulation of the gastrointestinal tract of people suffering from gastrointestinal disease with caution.(3) urea ointmentAdvantages: You can soften the skin, can also soften the nail, and help to correct.Disadvantages: soften nails the time required for a long time, very troublesome, individually ineffective, that is, even though the softening of the nail, without the use of corrective means difficult to cure toenail deformation.(4) silver nitrateAdvantages: less pain, less treatment, usually without anesthesia allows granulation tissue level overlying the pus and exudate inhibition.Disadvantages: the corrosive and can cause skin and nail color is black, seriously affect the appearance. Only granulation tissue toenail correction of little help.(5) cotton plug pad method "and" hose plug mats FranceAdvantages: easy, free to deal with.Disadvantages: easy to fall off, filling enough, less effective, easy to relapse.An intravenous drip hose instead of cotton, filling in a ditch, and with a special glue adhesion.(6) Chinese medicine therapyTCM herbs, soak or pedicure.Advantages: usually no side effects, for the elimination of the inflammatory effect is better.Disadvantages: radical effect according to the physician's personal experience to be no uniform standard
Paronychia - treatmentTraditional medicine to treat the disease, a unique effect, and without any side effects. Of traditional Chinese medicine applicator points, pedicure therapy2, non-drug treatment(1), taking the match two small boxes, scraped off the gunpowder, a mash of fresh chives, mixed with gunpowder and then pound topical lesion, gauze bandage. Dressing 1.Effect: external treatment 3-5 times the effective rate was 91.3%, the cure rate of 82%(2), big toe swelling, you can buy a box of cool oil, use a toothpick to scrape a little spread in the affected area, and then bandaged with gauze, then wash once a day, a few days will get better. Emmanuel, and money. The earthworks applies to all populations.3, treated and therapyChinese medicine applicator is a kind of conservative treatment, the effect is swelling and pain, detoxification, suitable for patients with early paronychia.Recipe: henbane 30 gramsAnd France: medicine pestle, heated water into a paste, patching the affected area, gauze bandage. Dressing two times.Effect: dressing three days Jiyu.4, the traditional Chinese medicine prescription of external treatment.(L), green tea, black sesame, fine salt of the l, g, add a little saline mixed and smashed drunk. After routine disinfection of the skin, will be on the drug spreads paronychia at the dressing 1 day, 2-4 times of continuous medication. Treated during the affected area is not wet.(2), berberine, of equal parts of rhubarb, picking up the net, drying into powder and spare. When you use vinegar and mix thoroughly (such as children, will dilute the vinegar used), and topical to the affected area, a day after washing to replace.(3), 50 g of fresh cactus, except gill pound to a paste by adding 2 g of salt, safflower oil is 6 to 8 drops, mix well to prosper in the spare container, the same day, the date of preparation. Treatment to take the above ointment right amount topical to the affected area, and the gauze bandage, the daily morning and evening dressing 1 on the 4th for a course.(4), the amount of fresh verbena wash, a little salt mixed smashed spreads in the affected area and dressing, the dressing 1 day, 3 days to alleviate the symptoms of the general l on the 5th will receive more. The verbena able detoxification, swelling and the stasis pus, and a variety of bacterial inhibition, and the drug source.(5), whichever is ebony, wrapped in wet towels, wet, take the meat to the core, topical lesion of ebony meat inside surface and fixed, early and late each dressing 1. Most recovered in the l-3 days. Such as has become the pus can use the anti-inflammatory drugs, and pus and then spend France.(6), take paronychia bulk amount and mix with honey, coated to the surface of the skin, and wrapped with gauze, once a day.
5, Chinese medicine within the ruleCan be selected Qingrejiedu flavors disinfect drinking, Huanglianjiedu decoction for treatment. If the poison Sheng swollen worse plus Folium, soap thorn; fever thirst can add gypsum; dry stool increase Huang, Xuan Ming powder; such as pain unbearable Garcia Huang Wan.6, western medicineGenerally do not need anti-infective therapy. If found to have purulent Qian conditions, can be treated with antibiotics. Cotrimoxazole 1.0g, 1 times a day orally; this drug allergies can be used Vanguard ADM IV capsule or spiramycin.
7, external governanceLocal swelling did not collapse, the choice of sticking Yulu cream 2 times a day; if it has become the rule of pus at the ulcer to eight two Dan 1991 Dan put on top of sores, and then the golden cream or Yulu Plaster, such as pus out unhappy, plus medication line drainage; late available Shengjisan the cap affixed to the Tai-cream or red ointment. It is worth noting: the treatment should not be early cut or pricking, should not be forced to squeeze the pus to prevent or servant bruise the affected area to avoid the toxin had become separated.
Surgical ---- pull AIn fact, pull the A and no cure for paronychia, in particular, is caused because of ingrown toenails and paronychia A piece of toenail on both sides of curl, to grow meat, walking, cutting a piece of the edge of the soft tissue to form ingrown toenails , and finally lead to paronychia. Nail pull only a removal of a film, there is no role for a ditch and the nail bed, the new growth out will still continue to move the meat long, still ingrown toenails, pain, paronychia, there have been patients a year pull A four or five records.
9, painless treatmentTopical Jia Qing g treatment, pure Chinese medicine, do not need to pull the A can be completely cured of paronychia.
