Rega kuruma makoko ako.
Ruoko isimbi inonakidza umo maitiro uye basa zvakanyatsobatanidzwa. Nekunzwisisa kwakadaro kwakakwana, kune nzvimbo zhinji, nzvimbo, uye mapepa apo mabhakitiriya anokwanisa kuvanza nekupera.
Kunyangwe iwe ungasave usina kuziva izwi racho, unogona kunge wakawana paronychia munguva yakapfuura. Paronychia chirwere chepachipi chinokanganisa lateral nail fold uye perionychium.
Mune mamwe mazwi, paronychia chirwere chemafupa akanyorova kumativi echipiro pachako uye kazhinji chinokanganisa zvimwe zvikamu zvemupikiri kana chikamu chakakosha chepikiri.
Iwe unogona kuwana paronychia yechipiri kune kukuvadzwa kwechidiki sekurova zvipikiri zvako, kuvhomora hangnail, kuridza hangnail, kana kusundira zvikamu zvakare munguva ye manicure-chero rudzi rwekurwadziwa runotanga mabhakitiriya muchikamu chemuviri wemunwe wako.
Zvinogona kuuya sechishamisika kuti kuchema kunonyanya kunobva mumuromo wemunhu; saka, mabhakitiriya akaparadzana kubva paronychia anowanzobatanidza marudzi ose eibhakitiriya, zvose aerobic uye anaerobic. Mukuru pakati pezvipembenene izvi ndezvipenyu zve staph uye strep ( Staphylococcus Aureus uye Streptococcus species).
Vashambadziri kana vanochengetedza mapurisa vanogona kukura kusingaperi, kana kuti kunowedzera, paronychia yechipiri kusvika kune zvinoshandiswa pakuchenesa mhinduro uye unyoro. Kazhinji, paronychia yakadaro inokonzerwa nefungus inonzi Candida albicans .
Kuongororwa kweparonychia kunobva mukuongorora kwemuviri uye tsika hazviwanzodiwa. Dzimwe nguva x-ray ingave yakakosha kutsvaga mutumbi wekunze kana uchapupu hwehutachiona hwehutachiona (kureva, osteomyelitis).
Paronychia anonyanya kurwadza uye anoitika asingagoneki kuvanhu vakawanda vane utano. Zvisinei, vamwe vanhu vasingazivikanwi (vanofunga vanhu vane AIDS) vanorwara neponychia isingaperi.
Uyezve, vanhu vane chirwere cheshuga kana chirwere chinokonzerwa nefungal zvinogona kuwana paronychia inokonzerwa nefungus (iyo inobatwa nemishonga inopungal).
Kazhinji paronychia inotanga nemazuva mashomanana ekurwadziwa, unyoro, uye kuzvimba kwemunwe uchiteverwa nehutu hunounganidza pamusoro pehutachiona. Iyi pus inochinja uye inouya kune musoro. Iyi musoro inzvimbo yemvura yekudonha.
Kusvikira mhando yepamusoro, kana pus inowanzove yakanzwisisika pamwero wekutambudzika, chiremba (kana mumwe mupi wehutano) haangakwanisi kuisa paronychia uye kubvisa pus. Pane kudaro, mishonga inorwisa mabhakitiriya, kukwirira kwechikafu, uye kushevedza kwakasunungurwa kunorayirwa. Mishonga inorwisa mabhakitiriya inonyatsodikanwa kana chirwere cheganda chiri chakazara (kureva, yakawanda cellulitis) kana midziyo yemakirini inotapukirwa (chirongwa chinonzi lymphangitis).
Mishonga inorwisa mabhakitiriya inowanzoshandiswa kurapa paronychia inonzi TMP / SMX (Bactrim) uye cephalosporin inonzi cephalexin (Keflex). Mukana kana utachiona hwevanaerobic mabhakitiriya unofungidzirwa, clindamycin (Evoclin) kana amoxicillin-clavulanate (Augmentin) inopiwa neBactrim. Nenzira, Bactrim inoshanda kuburikidza nemakemikari asingagadzirwi nemishonga.
Kuti asunungure paronychia, chiremba anogona kukwidza ganda rakaoma reganda pakarepo riri kumativi echipiro pacharo (eponychium) achishandisa blade kuitira kuti atange nzira yekudonhorera pus.
Zvichida, chiremba anogona kunyatsopindira muchikamu chinoputika chechirwere; iyi nzira haisi yakasiyana nekudhonza chero mhando ipi neipi yekubvisa kana kuira.
Nemhaka yokuti paronychia akanaka kwazvo, chidimbu chinonzi digital nerve (anesthesia) hachidikanwi kubvisa zvirwere zvakawanda zvepus. Kutaura zvazviri, kufungidzira nzvimbo yacho kunogona kuita kuti uwedzere kurwadziwa kusingabatsiri. Iva nechivimbo chokuti marwadzo chaiwo ekudhonza paronychia pales pakuenzanisa kana kurwadziwa kwechimiro kana kubatsirwa kwakanzwa mushure mokunge pus iswa.
Dzimwe nguva paronychia inogona kuwedzera pasi pechipikiri. Muzviitiko izvi, zvimwe chikamu kana kuti misodzi yose inofanira kubviswa.
A paronychia inosara isina kutenderwa dzimwe nguva inogona kupoteredza marara ose echipiro uye inoguma ne "kusvetuka" misungo.
Mushure mekunge paronychia yakasvibiswa pus, kazhinji haigone kudikanwa kwemishonga inorwisa mabhakitiriya. Zvisinei, kana paronychia inopindirana ne-loculated cellulitis kana kuti hutachiona hwemukoko, zvino ma antibiotic anodiwa kurapa chirwere cheganda.
Pakupedzisira, paronychia inofanira kuderedzwa pus musati mawana zororo. Zvinogona kutora paronychia mazuva anoverengeka kuti agone kuderedzwa-purogiramu haisi pakarepo. Kana iwe ukaona chiremba usati paronychia "yaibva" uye pus inowanikwa pamusoro pehutachiona, nzvimbo yacho haigoni kuvharwa, uye iwe uchasiya hofisi ine mishonga yemishonga inorwisa mabhakitiriya uye mirayiridzo yekudzikisa nzvimbo yacho kusvikira utachiona hwaibva mukudonha kwepus.
Sources:
> Ewen B, Hart RG. Chitsauko 29. Kutambura Kwemaoko. Mu: Stone C, Humphries RL. eds. CURRENT Diagnosis & Treatment Emergency Medicine, 7e New York, NY: McGraw-Hill; 2011.
Germann CA, Fourre MW. Chitsauko 280. Zvinetso zveNontraumatic the Hand. Muna: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e . New York, NY: McGraw-Hill; 2011.
Tubbs RJ, Savitt DL, Suner S. Chitsauko 12. Zvakaoma Zviitiko. Mu: Knoop KJ, Stack LB, Storrow AB, Thurman R. eds. The Atlas of Emergency Medicine, 3e . New York, NY: McGraw-Hill; 2010.