Ukukhipha Igazi Kusuka Ngaphansi Kwesipi
Iminwe yakho nezinzwane zikhonza njengokuqala kokuxhumana nezwe. Ngakho-ke, iminwe yakho nezikhonkwane ziyakwazi ukulimala noma ngabe ukulimala komuthi noma ukulimala kwamandla.
Ngezinye izikhathi ukulimala okunjalo kubangela ukuphuma kwegazi ngaphansi kwesipikili, isimo esibizwa nge- subungual hematoma . Lokhu kuphuma kungabangela ukudilika okubumnyama (okungukuthi, i-nail emnyama), ingcindezi nobuhlungu.
Ngaphandle kokubuhlungu, ukuhlukunyezwa kwe-nail kungabuye kungabonakali, okunye isizathu esenza abantu abaningi bafune usizo lwezokwelapha kule nkinga.
Uma uthola lolu hlobo lokuphulukiswa, kuwumqondo omuhle ukwenza i-aphoyintimenti nodokotela wakho wokwelapha.
Ngokuqondile, ukuphikisana kwama-nail, inqubo lapho imbobo eyenziwa khona esikhwameni ukwenza lula amanzi, kungasiza.
IHematoma ye-Subungual ichazwe
Nge-hematoma ye-subungual, ukulimala kwesikhumba kuholela ekusenikeni (hematoma) ezingeni lebheyili le-nail (ngaphansi kwepulangwe lezinzipho) noma i-matrix yama-nail.
Okuphawulayo, i-matrix yama-nail iyinhlaya ehlukanisa ngokushesha yamangqamuzana engxenyeni yesipikili esibhekene ne-cuticle. Ukuhlukanisa amaseli okusheshayo we-matrix e-nail agcwalise nge-keratin ngakho-ke ube yizipikili ezinzima.
Umonakalo omkhulu ngokwengeziwe we-nail akukona nje ukuphaphaza ngaphansi kwesipikili (okungukuthi, i-subungual hematoma elula) kodwa futhi nomonakalo omkhulu kakhulu kumfowuni we-nail noma idijithi ngokwayo.
Uma ishiywe ingalashwa, i-heunguoma elula ejwayelekile ikhula ngokukhuphula i-nail plate futhi ixazulula yedwa. Ukuphawula, ngezinye izikhathi ama-hemomomas angama-subungual angabangela ukuthi isilonda sakho siwile (ie, onycholysis).
Kuze kube yilapho isihlwama sikhula, noma kunjalo, ungalindela amasonto ezinyangeni ze-blue-black discoloration.
Ngokuthakazelisayo, izinhlamvu zeminwe zikhula ngokushesha kunama-toenails ngakho kuthatha isikhathi eside ukuze izinsipho zakho zikhule.
Ngaphezu kokungcoliswa kwegazi, igazi ngaphansi kwezipikili kungabangela ukucindezeleka nobuhlungu, okungakhululwa udokotela oyinhloko noma udokotela wezifo (ie, "udokotela onyawo"). Ukwelashwa okwesikhashana kungabangela ukubola kwe-nail noma ukutheleleka.
Okokugcina, ngobuhlungu nokulimala kanzima kuya kwe-subungual hematoma, kufanele futhi ubone umhlinzeki wezempilo ngoba kungase kube nokunye ukuhlukumeza komunwe noma ukwephulwa komunwe.
Yini Okungeke Yenzeke?
Ngokusekelwe emlandweni nokuhlolwa komzimba, amacala amaningi we-subungual hematoma angatholakala kalula (futhi aphathwe) ngumhlinzeki wakho wezempilo. Uma kwenzeka ukuphuka, i-x-ray iyadingeka.
Ngokuvamile, okubonakala sengathi i-subungual hematoma kungaba enye into efana nalokhu:
- Umbhede we-Nail nevus (i-molecule noma i-birthmark ekhula kancane noma cha nhlobo)
- I-splinter hemorrhage (ekhombisa i-psoriasis noma i- endocarditis )
- I-longitudinal melanonychia (ama-pigmented bands)
- I-Melanoma
Zonke lezi zimo ezibalwe zibuhlungu, futhi, ngokungafani ne-hematomas e-subungual, lezi zilonda aziguquki noma zishintshe kancane.
Ngenxa yokuthi ezinye zalezi zifo zokuxilonga ngokwehlukana zinzulu, njenge-endocarditis (ie, ukutheleleka kwenhliziyo) noma i-melanoma (okungukuthi, umdlavuza wesikhumba), kuwumqondo omuhle ukuba izipikili zakho zihlolwe udokotela wakho uma ubona okuthile okusolisayo.
Ukwelapha
Kuthatha cishe amahora angu-48 ukuze igazi libheke embhedeni wesipikili. Phakathi nalesi sikhathi, leli gazi linganconywa udokotela, inqubo ebizwa ngokuthi ukuphikisana kwama-nail. Uma ulinde ukuba igazi likhishwe, ukuhlukunyezwa kwe-nail kungenzeka ukuthi ngeke kwenziwe.
Ngesikhathi sokuphikisana kwezinyosi, udokotela uzosebenzisa ucingo olushisayo, idivaysi ye-electrocautery, noma i-spinning, iningi elikhulu elinalitidi ukubhoboza embhedeni wesipikili.
Umgodi owenziwe ngokubhoboza kumele ube mkhulu ngokwanele ukuvumela igazi lokudonsa elithatha cishe usuku noma amabili. Phakathi nalesi sikhathi, umgodi lapho igazi eligwinya kufanele limbozwe nge-gauze oyinyumba.
Ngemuva kokuzamazama kwezinyosi, ngeke udinga ama-antibiotiki nakuba ubuhlungu obukhulu njengokubukeka kwe-ibuprofen kungasiza ngobuhlungu obusele. Udokotela wakho uzokululeka ekusizeni okuphumelelayo kobuhlungu.
Ngemuva kokuthungathwa, qiniseka ukuthi ulandela yonke imiyalelo yesidakamizwa yakho (kufaka phakathi imiyalelo yokugcoba indawo ethintekile bese usebenza ukugqoka okuhlanzekile) futhi ulandele udokotela wakho njengoba kunqunywe. Uma kubonakala sengathi indawo ethintekile ibuyisela igazi noma ifakwe igciwane, masinyane xhumana nodokotela wakho.
Naphezu kokuhlukunyezwa kwe-nail kuba buhlungu, ngenhlanhla, umbhede we-nail awunakho ukulungiswa ngakho ukuphikisana kwama-nail akulimazi.
Lapho i-hematoma ihlanganisa ngaphezu kwengxenye yepikili, udokotela wakho angakhetha ukukhipha isilwane ngokuphelele. Ngaphezu kwalokho, uma ukulimala kwezipikili kujulile, isipikili singase sisuswe, Ngaphambi kokukhipha isikhali, udokotela wakho uzokwenza i-digital block ukuze anesthetize endaweni.
Okokugcina, khumbula ukuthi kungathatha izinyanga eziningana ukuze i-nail ikhule emuva.
Imithombo
> Bonisteel PS. I-hematomas ehlukumeza i-trephining. I-Canadian Family Physician. 2008 Meyi; 54 (5): 693.
Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr. Isahluko 196. Isibalo se-Subungual Hematoma. Ku: Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr .. eds. Umbala we-Atlas of Family Medicine, u-2e . ENew York, NY: McGraw-Hill; 2013.