I-Paronychia, Isimo Esivamile Esinezizathu Ezihlukahlukene
I-Paronychia isifo socansi lesikhumba esungeze isipikili (esibizwa nge-perionychium). Kuyinto ejwayelekile kakhulu ukutheleleka kwesandla e-United States futhi ibonakala njalo ezinganeni ngenxa yokubamba izinzipho kanye nokunwa komunwe.
Lesi simo singahle sibekwe njengento elula (ngokuqhubekayo ngokuqhubekayo ngesikhathi esifushane) noma esingapheli (okuqhubekayo nokuphikisanayo), kuye ngokuthi inani lentsholongwane likhona.
Izimbangela ZeParonychia
Kokubili i-paronychia enamandla futhi engapheli iqala ngokufaka ungqimba lwangaphandle lwesikhumba okuthiwa i-epidermis.
I-paronychia enamandla ngokuvamile ibangelwa ukuhlukumezeka okuqondile esikhumbeni, njenge-cut, i-hangnail, noma i-nails ingrown. Ama-bacteria yizona ezibangela kakhulu ukutheleleka, ikakhulukazi iStaplocloccus aureus kodwa futhi nezinkinga ezithile ze- Streptococcus kanye ne- Pseudomonas .
Ngokuphambene, i-paronychia engapheli ivame ukubangelwa ngokuphindaphindiwe kwamanzi aqukethe ama-detergents, ama-alkali, noma amanye ama-irritants. Lokhu kungabangela ukuwohloka nokuvuvukala kancane kancane kwesendlalelo se-epidermal. Ngokungafani ne-paronychia enamandla, izifo eziningi ezingapheli zibangelwa i- Candida albicans nezinye izinhlayiya ze-fungal.
I-Paronychia Ibukeka Kanjani
I-paronychia enhle iqala njengokuvuvukala okubomvu, okufudumayo, okubuhlungu kwesikhumba esiseduze nesispi. Lokhu kungase kuqhubekele ekubunjweni kwe-pus ehlukanisa isikhumba esikhwameni.
Ama- lymph nodes angavuvukala angaphinde ahlakulele emgqeni futhi agxumele ezimweni ezimbi kakhulu; I-nail discoloration nayo ingenzeka.
Ku-paronychia engapheli, ukubomvu nokuthethelela ngokuvamile kuvamile ukubonakala. Isikhumba esizungezile sizovame ukubheka i-baggy, ngokuvamile ngokuhlukaniswa kwe-cuticle kusuka embhedeni wesipikili.
Isipikili ngokwazo sivame ukuqina futhi sihlukaniswe nemifula ekhonjiwe ekhoneni. Kungase kube khona ukuhlukunyezwa okuluhlaza okweluhlaza okweluhlaza okweluhlaza okweluhlaza.
Indlela i-Paronychia ehlotshaniswa ngayo
I-paronychia enamandla ngokuvamile ihlolwe ngokususelwa ekubuyekezweni kwempawu zomtholampilo. Uma kukhona i-pus discharge, udokotela wakho angenza isiko lesibhaktheriya ukuze ahlolwe ngokucacile. (Kuzo zonke izimo ezinzima kunazo zonke, lokhu kungase kungabhekwa njengadingekile ngoba amabhaktheriya ngokuvamile ayoba iStaphylococcus noma iStreptococcus , okubili okuphathwa ngayo ngokufanayo.)
I-paronychia engapheli ivame ukuba nzima kakhulu ukuyihlolisisa. Isivivinyo se-potassium hydroxide (KOH), lapho i-smear ikhishwa khona emhlathini wezinyosi, ngezinye izikhathi ingaqinisekisa ukutheleleka kwesifungo. Uma i-pus ihilelekile, isiko ngokuvamile liyindlela engcono kakhulu yokuqinisekisa ukuba khona kwe-fungus noma ezinye, ama-agent aphethwe yi-infect.
Indlela engcono kakhulu yokuphatha i-Paronychia
Uma kwenzeka ukutheleleka okunzima, ukufaka isikhali emanzini afudumele izikhathi ezintathu kuya ezine ngosuku kungakhuthaza ukugeleza nokukhulula ezinye izinhlungu. Abanye odokotela bayoze basikisele ukuthi i-acetic acid igwebe, isebenzisa ingxenye eyodwa yamanzi afudumele kanye neyodwa iviniga. Uma kukhona i-pus noma i-abscess, ukutheleleka kungadingeka ukuthi kuhlungwe futhi kukhishwe.
Kwezinye izimo, ingxenye ye-nail ingadinga ukususwa.
Ama-bacterium- ahlanganiswe ne-paronychia ngokuvamile avame ukuphathwa ngama-antibiotic njenge-cephalexin noma i-dicloxacillin. Ama-antibiotic e-topical noma ama-anti-bacterial ointments awabhekwa njengokwelashwa okuphumelelayo.
I-paronychia engapheli, ngokuphambene nayo, izophathwa ngokujwayelekile ngemithi yokwelapha i-antifungal efana ne-ketoconazole ukhilimu. I- steroid ephansi ye-topical ingasetshenziswa futhi ngaphezu kwe-antifungal ukusiza ukunciphisa ukuvuvukala. (I-Steroids, noma kunjalo, akufanele isetshenziswe yedwa njengoba ihluleka ukuphatha ukutheleleka okufakwe ngaphakathi kwefungal.)
Abantu abanezimo ezilandelayo bathambekele ekutheni babe nezifo ezingaphezulu ze-paronychial futhi kungadingeka baphathwe ngenkambo ende yama-antibiotics:
- Isivikelo somzimba sokuzivikela, esinjengabantu abaphila negciwane lesandulela ngculaza
- Ukusetshenziswa kwe-corticosteroid yesikhathi eside
- Isifo sikashukela
- Yenza ngokuzenzakalelayo isifo, kuhlanganise i-psoriasis ne-lupus
- Ukusabalalisa okubi emandleni noma emilenzeni
Izindlela Zokuvimbela I-Paronychia
Kunezinyathelo eziningi zokuqapha okungathatha ukuze kuncishiswe ubungozi noma ubunzima bokutheleleka kwe-paronychial:
- Ungalumezi izipikili noma uzihlanganise nazo eduze.
- Ungalokothi ume noma uthathe amakhekhe.
- Qinisekisa ukuthi i-manicurist yakho isebenzisa njalo izinsimbi eziyinyumba.
- Zama ukungamunwe iminwe.
- Gqoka amagilavu angenawo amanzi lapho ufaka izandla zakho ezithombeni, ukuhlanza amanzi, noma amakhemikhali aqinile.
- Gwema ukufaka izandla zakho emanzini isikhathi eside (noma, futhi, sebenzisa amagilavu angenawo amanzi).
- Geza izandla zakho nge-cleanser antibacterial uma uthola ukusikeka noma ukukhwabanisa, nokubopha, uma kunesidingo.
- Sula izinyawo zakho ngokugcwele uma zibhapathizwa isikhathi eside emanzini angcolile noma emanzini aqukethe i-detergent noma amakhemikhali.
- Shintsha amasokisi akho njalo futhi usebenzise i-foot-counter-counter-counter-powder uma izinyawo zakho zijwayele ukuthuthumela noma umswakama owedlulele.
> Umthombo
> Shafritz, A. kanye ne-Coppage, J. "I-Paronychia Enhle Neyengunaphakade Yezandla." Journal of the American Academy of Orthopedic Surgeons . Mashi 2014; 22 (3): 165-178.