Paronychia, a Common Common With Causes Different
Paronychia utachiona hwehutanda hweganda rakapoteredza misodzi (inonzi perionychium). Iyo ndiyo inowanzobatana nehutachiona muUnited States uye inowanzoonekwa muvana semusana wekunyunyuta kwembambo uye kunyanya kunwa.
Mamiriro aya anogona kuenzanisirwa seanonyanya kuoma (kukurumidza kufambira mberi kwenguva pfupi) kana kusingaperi (ichienderera mberi uye ichiripo), zvichienderana nekuwanda kwenguva iyo utachiona hwavapo.
Zvinokonzera Paronychia
Zvose zviri zviviri uye zvisingagumi paronychia dzinotanga nekupinda kwekunze kweganda rinonzi epidermis.
Acute paronychia inowanzoguma nemugumisiro wakananga kune ganda, rakadai secheka, hangnail, kana ingrown nail . Bhakitiriya ndiyo inowanzokonzera chirwere ichi, kunyanya Staphylococcus aureus asiwo mamwe matambudziko eStreptococcus uye Pseudomonas mabhakitiriya.
Kusiyana neizvi, chirwere chisingaperi chinyorwa chiya chinowanzokonzerwa nekudzokororazve kune mvura ine mazhenje, alkali, kana zvimwe zvinogumbura. Izvi zvinogona kutungamirira kukuderera uye kuwedzera kuderera kwepidermal layer. Kusiyana neyakaoma paronychia, dzakawanda zvisingaperi zvirwere zvinokonzerwa nefungus Candida albicans nedzimwe fungal agents.
Zvakaita Paronychia Zvinotaridzika
Acute paronychia inotanga seguruva, inodziya, inorwadza yeganda rakakomberedza misodzi. Izvi zvinogona kufambira mberi pakuumbwa kwepus inoparadzanisa ganda kubva pachipikiri.
Kupfigira lymph nodes kunogonawo kukura muhombodo uye kukwira mumatambudziko akaoma; nail discoloration inogonawo kuitika.
Mune paronychia asingagumi, kubwinya uye unyoro hazviwanzoonekwi. Ganda rakakomberedza chipikiri richaita sekutarisa bhegi, kazhinji nekuparadzaniswa kwekateti kubva pamubhedha wemisodzi .
Iyo misumari pachayo inowanzova yakasvibiswa uye yakasvibiswa neyakataurika yakagadziriswa pamharapi kumusoro. Ikoko kunogona kunge kuine ruvara rwemavara mumagariro ePseudomonas .
Zvakaita sei Paronychia Anozivikanwa
Acute paronychia inowanzoongororwa inobva pakuongorora kwechipatara zviratidzo. Kana pane pus discharge, chiremba wako anogona kuita bhakitiriya tsika yekutarisa kuongorora. (Muzvikamu zvose asi mamiriro akaoma kwazvo, izvi hazvingafananidzi zvakakosha sezvo mabhakitiriya anowanzove ari Staphylococcus kana Streptococcus , izvo zviri zviviri zvinobatwa zvakafanana.)
Chronic paronychia inowanzova yakaoma kuongorora. Kuongorora kwe potassium hydroxide (KOH), umo smear inobviswa kubva muchipiro chembambo, dzimwe nguva inogona kusimbisa hutachiona hwehutachiona. Kana pus inobatanidzwa, tsika ndiyo inowanzova nzira yakanakisisa yekusimbisa kuvapo kwefungus kana zvimwe, zvisiri zvishoma zvinokonzerwa nehutachiona.
Nzira Yakanakisisa Yokubata Paronychia
Mukana wekutachiona kwakaoma, kuisa misodzi mumvura inodziya katatu kana kanana pazuva kunogona kukurudzira mvura uye kununura mamwe marwadzo. Vamwe vanachiremba vanototaura kuti acetic acid inowedzera, vachishandisa imwe chikamu mvura inodziya uye chikamu chimwe chevhiniga. Kana paine pus kana sekivha, chirwere chinogona kudikanwa kuti chizive uye chidimbu.
Mune zvimwe zviitiko, chikamu chepikiri chingada kubviswa.
Mabhakitiriya- akabatanidzwa paronychia anonyanya kurapwa nemishonga inorwisa mabhakitiriya yakadai sa cephalexin kana dicloxacillin. Nyaya dzinorwisa mishonga inorwisa mabhakitiriya kana mafuta anouraya mabhakitiriya haafaniri kuonekwa sekurapa kwakanaka.
Chinyorwa paronychia, nenzira yakasiyana, inowanzobatwa nemishonga inopikisa inopungal yakafanana nekotoconazole cream. A mildly sophisticated steroid inogonawo kushandiswa pakuwedzera kune antifungal kubatsira kubatsira kuderedza kuputika. (Steroids, zvisinei, haifaniri kushandiswa pachavo pachavo sezvo isingakwanisi kubata chirwere chinokonzera fungal.)
Vanhu vane mitemo inotevera vanowanzove nehutachiona hwakawanda huripo uye vangada kurapwa nedzimwe nguva refu yemishonga inorwisa mabhakitiriya:
- Chirongwa chekudzivirira chitunha chemuviri, zvakadai sevanhu vanogara neHIV
- Yenguva refu yekushandisa corticosteroid
- Chirwere cheshuga
- Zvirwere zvinoshandura muviri, kusanganisira psoriasis uye lupus
- Kuparadzirwa kwakaipa mumaoko kana pamakumbo
Nzira Dzokudzivirira Paronychia
Pane huwandu hwezvidziviriro zvingatora kuti kuderedze njodzi kana kuoma kwehutachiona hwechirwere:
- Usaruma misumari kana kuitema zvakare.
- Usamborega kana kucheka michero.
- Iva nechokwadi chokuti manicurist yako nguva dzose anoshandisa zvigadzirwa zvisina kuchena.
- Edza kusamwisa zvigunwe.
- Kupfeka magorofu asina mvura kana uchizadza maoko ako mumasiteni, kuchenesa mvura, kana makemikari akasimba.
- Dzivisa kuisa maoko ako mumvura kwenguva yakareba (kana, zvakare, shandisa magirofu asina mvura).
- Shamba maoko ako neanopisa antibacterial kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge wapora.
- Dza tsoka dzako zvachose kana dzichinge dzichinyorwa kwenguva yakareba mumvura isina kuchena kana mvura ine mudzivha kana makemikari.
- Shandura masokisi ako nguva dzose uye shandisa pedo-the-foot foot powder kana tsoka dzako dzichida kufema kana kunyanyisa.
> Source
> Shafritz, A. uye Coppage, J. "Acute uye Chronicle Paronychia yeHoko." Zvinyorwa zveAmerican Academy of Orthopedic Surgeons . March 2014; 22 (3): 165-178.