Ungalume ama-hangnails akho.
Isandla siyithuluzi elimangalisayo lapho ifomu nomsebenzi zihlotshaniswa khona. Ngomuntu onjalo onemininingwane eningiliziwe, kunezindawo eziningi, izindawo, kanye namafolda lapho amabhaktheriya angakwazi ukufihla futhi afake.
Nakuba ungase ungajwayele leli gama, kungenzeka ukuthi uke wabhekana ne-paronychia esikhathini esidlule. I-Paronychia yi-infection ye-nail ethinta i-nail foldal kanye ne-perionychium.
Ngamanye amazwi, i-paronychia iyisifo sofuba esithambile esingaphansi kwe-nail ngokwayo futhi ngokuvamile sithinta izingxenye eziqondile ze-nail noma ingxenye engezansi ye-nail.
Ungathola i-paronychia yesibili ngokulimala okuncane njengokubamba izipikili zakho, ukudonsa i-hangnail, ukulimaza i-hangnail, noma ukuxosha amakhemikhali emuva ngesikhathi u-manicure-noma yiluphi uhlobo losizi olwethula amabhaktheriya engxenyeni enomunwe wakho.
Kungase kufika ngokumangalisa ukuthi ukukhala okungcolile kuvela emlonyeni womuntu; Ngakho-ke, amabhaktheriya ahlukaniswe neparonychia ngokuvamile afaka zonke izinhlobo zamagciwane, kokubili aerobic kanye anaerobic. Oyinhloko kulezi zimbungulu kukhona izinhlobo ze-staph and strep (izinhlobo ze- Staphylococcus Aureus nezinhlobo ze- Streptococcus ).
Ama-dishwasher noma abanikazi bezindlu bangahlakulela okungapheli, noma okuphindaphindiwe, i-paronychia yesibili ukuya ekuchazeni izixazululo nokuhlanzwa. Ngokuvamile, i-paronychia enjalo ingenxa yefungus okuthiwa i- Candida albicans .
Ukuxilongwa kwe-paronychia kusekelwe ekuhloleni ngokomzimba kanye namasiko akudingeki njalo. Ngezinye izikhathi i-x-ray ingaba usizo ukubuka umzimba wangaphandle noma ubufakazi bokutheleleka kwethambo (okungukuthi, i-osteomyelitis).
I-Paronychia ibuhlungu obukhulu futhi ivela njalo kubantu abaningi abanempilo. Kodwa-ke, abanye abantu abangenakuzivikela (bacabange abantu abane-AIDS) bahlangabezana ne-paronychia engapheli.
Ngaphezu kwalokho, abantu abanesifo sikashukela noma izifo ze-nail fungal bangathola i-paronychia ebangelwa i-fungus (ephathwa ngemithi ye-antifungal).
Iningi le-paronychia liqala ngezinsuku ezimbalwa zobuhlungu, ububele, nokuvuvukala komunwe okulandelwa yi-pus ukuqoqa ebusweni bokutheleleka. Le pus iba eguquguqukayo futhi ifika ekhanda. Leli khanda liyinhloko yemvelo.
Kuze kube yilapho ikhanda lifomayo, noma i-pus ibonakala ingenakulinganiswa ezingeni lokuhlukumezeka, udokotela (noma omunye umhlinzeki wezempilo) ngeke akwazi ukugqugquzela i-paronychia nokukhipha i-pus. Kunalokho, ama-antibiotics, ukuphakama kwesandla, nokucindezeleka okufudumele kunqunywe. Ama-antibiotic ayadingeka ngempela uma ukutheleleka kwesikhumba kubanzi (ie, cellulitis ejulile) noma izitsha ze-lymph zithole igciwane (inqubo ebizwa ngokuthi i-lymphangitis).
Ama-antibiotic ngokuvamile asetshenziselwa ukuphatha i-paronychia yi-TMP / SMX (i-Bactrim) ne-cephalosporin okuthiwa i-cephalexin (i-Keflex). Uma kwenzeka kutholakala ukuthi ukutheleleka ngamabhaktheriya anaerobic, i-clindamycin (i-Evoclin) noma i-amoxicillin-clavulanate (i-Augmentin) inikezwa nge-Bactrim. Okuphawulayo, i-Bactrim iphumelela ngokumelene namabhaktheriya anomelana nemithi.
Ukuze ukhulule i-paronychia, udokotela angakwazi ukuphakamisa isikhumba senkimbinkimbi esicindezelekile ngokushesha emngceleni we-nail ngokwayo (eponychium) besebenzisa i-blade ukuze uvule umzila wamanzi we-pus.
Ngaphandle kwalokho, udokotela angangena ngokuqondile engxenyeni eguqukayo yesifo; le nqubo ayifani nokukhipha noma yiluphi olunye uhlobo lwe-abscess noma ubilise.
Ngenxa yokuthi i-paronychia ihle kakhulu, i-digital nerve block (i-anesthesia) ayidingekile ukukhipha izifo eziningi ze-pus. Eqinisweni, ukuxoshwa kwendawo kungabangela ubuhlungu obengeziwe ngaphandle kokuzuza. Qinisekisa ukuthi ubuhlungu obunjalo bokukhipha i-paronychia pales uma kuqhathaniswa nobunzima besimo noma ukukhululeka okuzwakala ngemuva kokuba i-pus ikhiqizwe.
Ngezinye izikhathi i-paronychia ingaqhubeka ngaphansi kwengxenye yesipikili. Kulezi zimo, noma ingxenye noma zonke izipikili kufanele zisuswe.
I-paronychia eshiywe ingalashwa ingase ijikeleze wonke umgoqo wezinyosi futhi ibangele "isikhumba" esivundayo.
Ngemuva kokuthi i-paronychia igcwale i-pus, ngokuvamile ayikho isidingo sama-antibiotics. Kodwa-ke, uma i-paronychia ihambisana ne-cellulitis yendawo noma ukutheleleka kwesikhumba, ama-antibiotic ayadingeka ukuze aphathe isifo socansi.
Ekugcineni, i-paronychia kumele igcwale i-pus ngaphambi kokuthola usizo. Kungathatha i-paronychia izinsuku eziningana ukuthi ikwazi ukugonywa kwe-pus-inqubo ayikho ngokushesha. Uma ubona udokotela ngaphambi kokuba i-paronychia "ivuthwe" futhi i-pus iyabonakala ebusweni bokutheleleka, indawo ayikwazi ukucinywa, futhi uzoshiya ehhovisi nge-prescription yama-antibiotic kanye nemiyalo ukuze unciphise indawo kuze kube ukutheleleka kuvuthiwe ukugeleza kwamanzi.
Imithombo:
> Ewen B, i-Hart RG. Isahluko 29. Isisindo somuntu. Ku: Stone C, Humphries RL. ama-eds. Ukuqapha Kokuqapha Nokunakekelwa Kwezokwelapha Eziphuthumayo, 7e eNew York, NY: McGraw-Hill; 2011.
I-Germann CA, i-Fourre MW. Isahluko 280. Ukuphazamiseka Okungaxhunyiwe Kwezandla. Ku: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Umuthi Ophuthumayo We-Tintinalli: Umhlahlandlela Wokufunda Ophelele, 7e . ENew York, NY: McGraw-Hill; 2011.
I-Tubbs RJ, i-Savitt DL, i-Suner S. Isahluko 12. Izimo ezimbi. Ku: Knoop KJ, Stack LB, Storrow AB, Thurman R. eds. I-Atlas of Emergency Medicine, 3e . ENew York, NY: McGraw-Hill; 2010.