Panarias - when a regular burr can bring to the surgeon. Panariums of the finger: symptoms and various ways of treatment how to open panaria on the finger

Ocolone-heater Panarium is an unpleasant disease that manifests itself with the inflammatory finger tissue process around the nail. It appears when skin and nail injuries and infection in the wounds. In the initial stages, the disease can be drawn independently, but it is better to consult a doctor to avoid the development of complications and the emergence of relapses.

What is Otolonogery Panarium

Panarium is acute inflammatory processwhich is accompanied by the formation of a glandy at the place of inflammation. Owlogtea Panarium is developed if the skin of the finger around the nail hands or legs is damaged - it can be abrasions, burrs, the enhancing infection during the execution of manicure.

In addition to the nearby existence similar types of Panaritia:

Podnogteva The inflammatory process is formed under the nail plate, pus accumulates in this place.
Paronichia - inflammation covers nail roller. This species differs from the otolo-tailed parainization by the fact that it develops on the rollers, and not around the nail.

Causes and symptoms Panaritia

Owlogtee Panarium occurs as a result of injury to the skin of the finger, given that hit After injury infection. This happens when the manicure is inaccurated with non-supersonentized instruments, as a result of infection in places, scratches, zeros. Increase the likelihood of inflammatory process diabetes, weak immune protection of the body, as well as non-compliance with hygienic rules.

Symptoms Panaria

Intensive pain syndrome. The pain sharp and strong, determined by the "shooting" character, may also be new.
Eveniness of affected areas Skin and nail.
Redness of skin cover.
Headaches.
Chills.
General weakness.
Temperature increase.
Inflammation of lymph nodes.

When the first injections are discovered and the accompanying symptoms should consult a doctor. Without timely treatment, the symptoms are aggravated, they can get the development of lymphadenitis, phlegmon, blood infection.

Panarium treatment and possible complications

Treatment

at the initial stages Diseases can be produced at home, but after Mandatory consultation attending physician. In most cases, the treatment with the inflammatory process is coping with a conservative way using various medicines.

What drugs are prescribed for medical care purposes:

Antibacterial agents - destroy pathogenic bacteria, which gave the origin of infection and inflammation, remove pain syndrome and improve overall well-being.
Ichthyolic ointment 10% - It deeply penetrates the fabric, having an effective anti-inflammatory effect, and also destroys microorganisms. Applied in the form of applications, change every 8-10 hours.
Non-steroidal anti-inflammatory means - Push inflammation, reduce pain, remove swelling.
Saline - In the salt solution makes the baths, dissolving 1 tablespoon of salts in 200 ml of boiling water. The procedure is carried out for half an hour two - three times a day. The remedy softens the inflammatory process, kills microbes, improves overall well-being.

For the treatment of near-gas and other species, Panaria cannot be used by the ointment of Vishnevsky. It disrupts the Fauce of Poe from Rankov, which is fraught with subsequent complications and recurrences of the disease.

Complications of near-bone panaritia

Pandactylitis - Inflammatory process that captures all the fabrics of the finger.
Phlegmon bone - acute purulent inflammation, goes to the bone with a protracted panary, especially the subnogue.
Sepsis - blood poisoning.
Lymphadenit - inflammatory process of lymph nodes.
Thrombophlebit - Inflammatory veins process and the formation of blood clots.

Running Stages pathology when pus is formed in the rays, you can cure only by surgical intervention.

Do not attempt to independently perform an autopsy of the Narya! Make it can only a surgeon in the hospital.

Skin cover and nail open directly above the venue of the purulent exudate, the nail bed scrapes, pump completely removed. After the work of the operation, the affected place is lubricated with antibacterial ointment or an antiseptic agent, for this apply Betadine Ointment, Gentamicin ointment, as well as Levomecol.

How this operation passes, look at the video:

Features of treatment Panarium in children

Children treatment Panaria conduct ambulatory, under the condition of light flow Diseases. The main appointments of the doctor are thermal physiotherapy, magnetotherapy. Pain syndrome eliminate anti-inflammatory medicines ( Ibuprofen, paracetamol), with the help of antiseptic means handle the skin and nail ( Iodinol, diamond greens). Antibiotics are prescribed if necessary.

If the condition of the child is worsening, he hospitalization is shown. In this case, the glance is opened, remove the exudate, the wreck is treated with an antiseptic. Antibacterial agents are discharged.

Treatment with folk remedies

Treatment of near-bone Panarium with folk remedies can be used only in the early stages of the disease, but even in this case, preliminary consultation with the doctor is obligatory.

Compresses

Aloe Leaf Compresses. Aloe leaves are purified from the peel, and the pulp is applied to the affected area on the finger. Compress is fixed with gauze, dosage time - 5-6 hours. Compress reduces inflammation.
Compresses with bow. Purified vegetable bake in the oven. When it becomes soft, it is cut on the halves and applied to the place of inflammation. Impose a bandage for 4-5 hours. Onions accelerates the ripening of an ulcer, provokes exudate output to the outside.
Paraffin musture for a couple, then dip your finger. When the film from the paraffin on the finger will cool, it is removed. Next, the affected area of \u200b\u200bleather and nail is treated with iodine. Such compress you can not do if there is a pus.

Homemade ointment

With tar and honey. In equal parts, it takes to tar and honey, as many butter, pine and aloe meat. Ingredients are drowned in a water bath and mix up to uniformity. Ointment cool, and then apply to gauze, make a dressing for several hours.
With calendula on cream oil. Dry flowers of plants are crushed, mixed with creamy oil in proportion 1 to 5. The mixture is applied to gauze and applied in the form of a bandage for the whole night.

Tips for the treatment of Panarium at home are presented in this video:

Prevention measures

In order to avoid occurrence, Panaritia needs prevent the occurrence of the wound and cracksfor this you need perform everything Garden, repair works in gloves.

It is equally important to make a manicure correctly, all tools must be treated with alcohol, also disinfector lubricate the cuticle. Compliance with the rules of hygiene Also avoid the appearance of the inflammatory process.

The inflammatory process on the tissues near the nails should be immediately subject to adequate treatment. Panariums are easy to cure if the disease was not running.

Panariums, one of the most common diseases that strikes the fabrics of the fingers and legs. An purulent process that causes temporary disability, with improper and late treatment leads to a violation of the function of limb and disability.

What is Panariums? Causes of its occurrence?

Panarium is an acute purulent pathological process resulting from damage to the tissues of the fingertips of the hands and, less often the toes or the actions of the pathogenic microorganism.

Children are more often susceptible to the disease. The child touches his hands with still delicate skin to a variety of items, often injured, nibbles nails. Non-compliance with hygiene rules, and physical activity contribute to damage to the hands and their infection.

The skin of the fingers is associated with a tendral palm plate with elastic fibers in the form of cells. They are filled with adipose tissue, and the inflammatory process spreads not in the plane, but inland, affecting tendons, joints, bones.

Causes leading to Panaria:

All sorts of damage to the skin - abrasions, injections, scratches, wounds, off-bements, inactively cut burgers - serve as an entrance gate to penetrate the infection.

Reasons can serve:

diseases: ingrown nail, diabetes mellitus, feet fungus;
impact of chemicals;
supercooling or burn;
pollution of skin.

As a result of these reasons, blood circulation is broken in certain areas, the nutrition of tissues is worse, local immunity decreases.

In the injured palm-surface finger tissues, stafilo or streptococci, intestinal wand or other microorganisms are penetrated (in rare cases of microflora is mixed), causing purulent inflammation.

Views of Panaria

Cutaneous. Forms intradermal suppuration. Easy stage.
Okolonogeva (paronich). Occolone-tailed inflammation.
Podnogteva. Inflammation strikes the area under the nail.
Subcutaneous. The focus of inflammation is located in the subcutaneous palm tissue of the fingers.
Bone. The inflammatory process affects bone tissue.
Articular. The process is involved with metropolitan and interphalating joints.
Kostoy-articular. As a complication of the articular, the process goes to the bone and joints phalange.
Tendinous. Inflammation amazes tendon.
Herpetic. The cause of infection is herpes virus. It may not manifest a long time, then a bubble, pain and stripe vesicles appear.

Panariums finger on hand or leg: symptoms and signs

The manifestations of the disease may differ, depending on the species. Common are:

pain;
hyperemia;
swelling;
swelling of the whole finger, phalanx;
local temperature increase;
feeling of cutting and ripple;
reduction of motor function;
in the area of \u200b\u200binflammation, a bubble with purulent content is organized, sometimes with blood admissions;
in severe cases, general symptoms of intoxication are joined: headache, malaise, increasing body temperature, nausea, dizziness.

Features of the disease

Disease on the legs can develop as a result of carrying close uncomfortable shoes when constant friction occurs, and microtraums are formed.

Panariums of the toes differ little from the inflammatory process on the fingers of the hands. Signs and symptoms of the disease are the same. Differences are associated with a weaker sensitivity of the feet due to the smaller number of nerve endings.

This leads to the inflammatory area, due attention is not paid. Skin lesions are not in timely processed by antiseptic solution, which causes complications.

Treatment Panarium at home

When the process is not launched, the treatment will be rapid and efficient. It is allowed to use compresses, baths and appliqués.

In no case can you warm the inflamed area. Heat creates a medium in which pathogenic microorganisms quickly multiply, and inflammation will spread to the surrounding tissues.

Subcutaneous panarium

Treatment of the house, people can only be carried out at an early stage, when there is no or there is a slight edema of tissues and the pain symptom is not expressed. If there are related diseases, such as diabetes, violations from the immunosystem, it is not worth risking. In order to avoid complications at the first signs of the disease, it is necessary to consult a doctor.

Subcast Panarium

Treatment in the home furnishings by people: baths, ointments, rims, antibiotics is not carried out, because it does not give effect. If you do not resort to the help of a surgeon in time, there is a risk of complications - the bone of the phalanx is affected.

Tendon Panarium

Therapy is impossible to carry out people with people's ways, numerous complications are possible.

OcoloneNogte Panarium

Exceptionally, under surface form, the treatment of the house is allowed.

Articular Panarium

Therapy in the home environment is not conducted, does not give effect.

Bone Panarium

Treatment only surgical. Folk remedies and even conservative therapy are ineffective, can lead to many complications.

Panariums of fingers

Treatment is the same, as in the fingers of the hands, depends on the type of panarium.

Exclusively subcutaneous, near-ground surface and skin panariums can be treated in a home environment using folk remedies and then only at the first stages of the disease. If you begin to begin in a timely manner, operational intervention can be avoided. But when progressing the process, it is necessary to urgently contact the surgeon.

Ointment:

Vishnevsky ointment is one of the most effective means. A good antiseptic that contributes to the rapid blocking of inflammation and the opening of an ulcer. The ointment is applied to the gauze napkin, applied to the affected place, is fixed with a bandage. Change enough 2 times a day.
Ichthyolic ointment. Application is applied to the patient area and is fixed with a bandage. You can change up to 3 times a day. It has an anti-inflammatory effect and contributes to the exit of the purulent substance.
Ointment Levomecol. Before applying ointments, the sore finger is lowered in a bath with moderately hot water to improve the blood supply to the affected area. After that, the compress with the leaflet. The ointment contributes to the destruction of pathogenic flora, purification of tissues from the purulent substance and their regeneration. Change compress 2 times a day. Ointment can be applied and after opening Panaria to complete recovery.
Dimekside. The solution is carefully used to avoid chemical burn. It is divorced by boiled water in proportion 1: 4, a gauze tampon is wedged in the solution and an applique of an affected area is made. The march is covered with a polyethylene film, top with a cotton swab and fixed. Compress is superimposed by no more than 40 minutes.

The following means can be used under the skin, otologte, subcutaneous and subcurrent types of Panaria.

Fucylin. You can use a finished solution or soluble furaticiline tablet in 100 grams of hot water. To keep the finger in the solution slightly above room temperature 30-40 minutes.
Tetracyclined ointment. Lubricate the affected area 3-4 times a day, alternating with zinc paste.

These drugs are effective only at the initial stages of the disease, when there is insignificant inflammation without the suppuration of the skin and subcutaneous species.

If the therapy is not a positive effect and illness progresses, it is necessary to consult a doctor for helping that the process does not switch to deep tissues.

Baths:

one glass of water with a pinch of copper sulfate (the duration of the procedure is 15 minutes);
with soda (1 hour spoon), manganese (at the tip of a knife) and a sea or food salt (1 tbsp. spoon) for one glass of water (duration of 15-20 minutes);
with medicinal herbs (alcohol tinnures calendula, eucalyptus, propolis, walnut) 2 h. spoons per 1000 ml of water, duration 10-15 minutes;
with soda (1 hour spoon) and economic soap (1 hour spoon) on a glass of water (duration 30-40 minutes);
with a purity (1 tbsp. Spoon) by 0.5 liters of boiling water. Boil and cool to comfortable temperature. In the resulting brave, keep an inflamed finger of 20-30 minutes;
with eucalyptus grass (2 h. spoons) by 0.5 liters of water. Boil for 10 minutes, cool to room temperature. Bath take 2-3 times a day for 15-20 minutes;
grind garlic head and pour 1 glass hot (about 80 ° C) water, let it brew for 5 minutes, then immerse the finger into the resulting solution for a few seconds, when the solution cools can continue the procedure until the water is cooled;

Procedures are carried out at a water temperature of 65 ° C, not more, for 15-40 minutes, 2-3 times a day.

Compresses and letters

Hot compresses from young walnut leaves. One piece of leaves brew in two parts boiling water. Decoction to insist and use during the day in the form of hot compresses.
Spring family. The grass is in the fresh form to be confused to the state of the casher, attach to the inflamed area of \u200b\u200b20-25 minutes before the grass drying.
A paste made from chicory leaves can be used as a compress for 12 hours.
Castor oil warm on a water bath, moisten a gauze napkin and attach to the inflamed area, cover with cellophane and insulate. Hold up to 2 hours.
Squeeze the calangean juice, and wipe the patient's finger every day. For all night, applied to the patient the cradled sheet.
aloe leaf is free from the barns, cut in half to longitudinally and attach to the inflamed site overnight. In the afternoon, make a finger with aloe juice.
Make a decoction of chamomile, oak bark and use the resulting solution as a compress.
Bolotnaya AIR cleaned and grind. Roots Aira and Water 1: 3 - prepare a decoction and use as a bummer and compresses.
Throw on grater beets and squeeze juice. Use as a bummer, compresses.
Mix the cassea of \u200b\u200bgrazed onions and garlic, use in the form of a compress.
Take in equal proportions: the cabbage sheet, honey and chips of the economic soap. Attach to the affected place at night, cover with polyethylene on top and inspire.
The pulp of rye bread moistened with water to the consistency of the cakes, apply to the affected place.

Panariums in the child

Most injuries children get on the street, where the aggressive pathogenic flora prevails. The child's skin is gentle and thin, easily injured, and the immune system does not always cope with pathogenic microorganisms.

If the child appeared suppuration, it is necessary to urgently consult with a children's doctor. In the early stages, when the first symptoms may be limited to conservative treatment. But in view of the fact that the disease progresses very quickly, self-medication can turn into serious complications and missed time. If Panarium reaches bone tissue, threatens the finger amputation.

It is possible that the children's surgeon will allow the use of folk remedies as an addition to the main method of treatment and under constant supervision.

Prevention Panaritia

The prevention of the disease lies in the timely processing of the obtained traumatic damage to the skin.

First of all, it is necessary:

thoroughly wash your hands with soap;
remove foreign bodies from the wound, if any;
if possible, squeeze blood from the wound;
process a wound surface with a 3% hydrogen peroxide solution or a 0.05% solution of chlorhexidine water;
treat wound with 1% diamond greenery solution or 5% iodine solution;
to impose a aseptic dressing or stick a bactericidal plaster.

During the manicure procedure, it is necessary to avoid skin damage. Before starting the manipulation, it is better to process the surfaces of the cuticle and adjacent to the skin layers alcohol. Manicure tools should also be immersed for 10 minutes in alcohol. If the skin was nevertheless damaged, it must be processed after manicure with ethyl alcohol and avoid entering pollution wounds.

Panarium is an purulent inflammation of the tissue of the finger of the brush, less often the foot. In most cases, I, II, III fingers are affected. According to Panarian statistics, people are more often sick at the age of twenty-fifty years, which is associated primarily with active labor activity. Thus, approximately 75% of cases of the disease are caused by industrial injury and only 10% - household, by 15% there are other reasons. It is worth noting that Panariums often occur in early childhood. And not surprisingly, the children are very inquisitive, active and often get microtraums of the skin.

Table of contents:

Causes of Panaria

Purulent inflammation in the tissues is caused by pathogenic and conditionally pathogenic bacteria: staphylococcal, streptococcus, enterococcus, protemat or a cinema stick. Microorganisms fall deep into the tissues of the finger with all sorts of cuts, bite wounds, zanozha, bite, burns, cracks. Related factors affect the development of purulent inflammation:

Violation of peripheral blood circulation;
Immunodeficiency states.

For workers, such aggravating factors are the effect of vibration, supercooling, as well as the impact of irritant chemicals.

The skin of the palm surface of the brush is faded with aponeurosis, their compounds provide fibrous jumpers. The jumpers form closed cells filled with fat cells. Due to this, the infection is incubated deep into, and not styling the brush. These anatomical features explain why purulent processes are primarily localized on the palm surface.

Symptoms Panaria

Depending on the location of the purulent process, as well as its propagation, the following types of Panaritsiyev are distinguished:

Cutaneous;
Subcutaneous;
Subnogric;
Ocolonogeva (paronichius);
Tendinous;
Articular;
Bone;

The first four forms refer to surface Panariumfollowing four to deep. With surface forms of the disease in the clinical picture, local symptoms prevail, and common symptoms are weakly expressed. And the deep forms of Panarium are capable of a lot to affect the overall health of the patient.

Clinical manifestations depend primarily from the type of panarium.

With this form of the disease, the purulent process is located within the skin. Often, the suppuration occurs in the epidermis, while the pussy lifts the horny layer. As a result, a purulent bubble is formed on the skin. Blisy is surrounded by a narrow hyperemia. Through the wall of the bubble shines yellow pus. Pain with this form is a weakly rejected.

With this form of illness, purulent inflammation focuses in subcutaneous fatty tissue. The danger of subcutaneous panarium is that the pus from subcutaneous fluid is capable of spreading to the tendon vagina, joints, bones.

In most cases, the purulent process focuses in the area of \u200b\u200bdistal phalange of the finger on the palm surface. After a couple of days, and sometimes a few hours after receiving the microtrauma, pain appears in this area, which is then transformed into pulsating pain, especially intensifying at night, which is disturbed by sleep.

Often, the patient develops regional lymphadenitis, weakness, an increase in body temperature.

The borders of the purulent inflammation are determined by the prevalence of pain, installed when pumped to the affected portion of the finger in the tip of the tweezers.

In the area of \u200b\u200bpain, the seal and redness of the skin is determined. There may be insignificant swelling in the back surface of the brush.

The infection of the separation roller is carried out due to the existing sovereigns, when applying microtransmissions during manicure. The purulent process is seeping under the nail, thereby peeling it from the nail bed. The separation roller and its surrounding skin becomes swelling, swelling. There is soreness. When pressing the affected area on the surface of the skin, the pus. With careful consideration, you can also see the pus under the nail plate.

The process can be transformed into a chronic shape and delay on weeks.

This form of the disease develops due to the ingress of the off-in-hectorate or infection of the hematoma formed as a result of the injury area of \u200b\u200bthe nail. Under the nail plate is visualized, the yellowish accumulation of pus is visualized, local pain is noted. In addition, redness and swelling are determined in the region of the olock roller. A person is concerned with a pronounced pulsating pain, noticeably aggravated when lowering hands.

Bacteria penetrate into the tendon vagina of the finger flexor during its damage to all sorts of wounded objects or as a result of the propagation of purulent infection from subcutaneous fiber. The appearance of purulent exudate in the tendon vagina provokes an increase in pressure in it. Clinically, this is manifested by the appearance of severe pain. The danger is that the increase in pressure and effusion sill blood vessels, and this can entail necrosis of the tendon. As a result, the functions of the finger are irreversibly disturbed.

The purulent process from the tendon vagina І and ІІ fingers is able to throw on the deep melting space of the forearm. And the isolated suppuration of the tendon vagina and the finger is capable of spreading to the tendon vagina V of the finger, this phenomenon received the name U-shaped.

Tender parania flows with a strong pulsating pain. Pain occurs during palpation along the tendon vagina. The affected finger is red, increased in size, semi-bent, and when trying to extend, aging pain occurs.

This form of the disease occurs as a result of the enhancing of microorganisms directly into the bone itself when the injection, but more often as a result of the spread of the purulent process to the periosteum at subcutaneous panaria.

Bone Panariums often affects the nail phalanx. The finger bent a little, the slightest movements lead to an increase in pain. Purulent effusion leads to the compression of vessels, as well as trampling of the periosteum. As a result, the bone micro-tissue occurs. Even after the drainage of the purulent focus (operational or spontaneous), the inflammatory process can gain chronic character thanks to the infected dead bone tissue. With a long-term course of the illness, the nail phalanx increases in volume and pinchoid thickens.

Bone Panarium proceeds with intoxication symptoms in the form of weakness, increase in temperature, lymphadenitis.

This form of the disease develops due to the infection of the joint cavity when the wound is applied in this area or in the transition of the purulent process with soft tissues or adjacent phalanx. It is noteworthy that the appearance of purulent flow leads to rapid destruction of the elements of the articular apparatus. Therefore, a complete restoration of the joint function, even after cure, it often does not occur.

In the joint area, swelling and soreness appear, which soon apply to the entire finger. Due to the destruction of the articular elements, pathological mobility of the joint arise, as well as attitudes when driving. The general well-being of a person worsens: weakness, an increase in body temperature, lymphadenitis appear.

This is the most severe form of the disease that flows with lesions of the skin, subcutaneous fiber, tendons, joints and bones. It develops as a complication of skin, articular, bone panarium, which is possible if the patient did not appeal to a doctor in a timely manner or in the presence of common diseases exacerbating the course of panaritis.

The affected finger is greatly increased and even deformed. The skin of the finger is stretched, cyanotic-bug, which indicates a pronounced circulatory disorder. Finger takes half-bent position. Often, fistulas are formed on its surface through which the pus is released.

The patient feels severe weakness, an increase in temperature, lymphadenitis is noted.

With surface forms, panarium in the initial stages is possible conservative treatment with the help of antibacterial agents and NSAIDs, physiotherapy, baths with hypertensive salt. Unfortunately, patients often do not turn to the doctor during this period, hoping that the disease itself will pass. But after a couple of days, the purulent process is gaining momentum. Surgeons are guided by the rule of the first sleepless night, which sounds like this: if the patient did not sleep the night because of pain in the finger, it means to operate.

The operation should be carried out as early as possible, since the spread of the purulent process is deep into the tissue necrosis.

Under the skin panarium, the surgeon removes the spinned layer of the epidermis with scissors, and then applies a bandage with an antiseptic.

With subcutaneous panary, the surgeon causes parallel cuts according to a purulent hearth, and on the nail phalanges - key-shaped cuts. After opening the gland, the doctor excised necrotic fiber and dishes fibrous jumpers to open the cellulle cells. The cavity is drained after two cuts. Then the bandage is superimposed, the finger is immobilized in the desired position.

For the treatment of near-bone panary, the purulent cavity is opened, the necrotic soft tissue of the incomplete roller is removed, then apply a bandage with an antiseptic. If under the base of the nail, the pus was accumulated, the nail plate removes. After surgery, you need to apply bandages with ointment. The same is done at the subnumber panaritis.

Tempore Panariums can sometimes be cured by conservative puncture of a tendon vagina with the aspiration of purulent contents and the introduction of an antibiotic. But in most cases still have to resort to surgical intervention. The surgeon causes parallel cuts on the proximal and medium phalanges, then reveals the tendon vagina. Wound was washed and drained through. After the operation, washing the vagina with antiseptics regularly. When moving, the tendon is deleted.

With bone Panarium, the surgeon produces longitudinal parallel cuts, removes uncrolized soft tissues, as well as the destroyed bone. At the same time, the base of the phalanx should be maintained, since it is due to it in the future it is possible to regenerate bone tissue. And in the articulated Panarium, the surgeon removes the struck joint with the prospect of creating arthrodesis in the future.

In case of pandactite to preserve the finger, the surgeon produces the removal of bones and cartilage fragments, as well as opening the pockets, the chapels with their drainage. But, unfortunately, in many cases you have to carry out a finger amputation.

G. Valeria, Medical Observer

Panarium is a sharp inflammatory process of finger tissues in hand or legs. Most often appears on the first phalanges. Many people whose work is associated with a metal chips, wooden chips, as well as with various harmful substances, probably more than once faced with this disease.

Panariums: Causes

Surgeons face quite often with a disease such as Panarias: the reasons are the most diverse. But most often the infection penetrates the tissue through the cuts, various small brine wounds, injections, as well as scratches. If the wound was not processed in time, or you have numerous minor wounds, for example, on the basis of the title, that is, the likelihood of the development of this sufficiently unpleasant disease.

Therefore, if as a result of your work you often get injuries to your fingers, it is advisable to wear gloves to protect your hands. A microbes can be penetrated through the wounds, which become the cause of such a disease as Panariums. Basically, staphylococci, streptococci, enterococci, as well as the so-called pathogenic flora, lead to the infection of the tissue and the inflammatory process. Inflammation can also turn back not only on the skin, but also directly on the subcutaneous tissue, the tendons of the fingers themselves, bones, as well as joints. Panarium is the so-called serous, that is, edema, as well as purulent. The last option is more dangerous. Most often, patients with diabetes are suffering, problems with blood clotting, poor blood circulation in small vessels.

Panariums: Symptoms

This disease almost never occurs without microtrav. After some time, a strong redness appears, and also at first a little swelling. At the same time, a person can feel unpleasant and pulsating pain in the rank area. It is also possible to increase the temperature, chills, especially if inflammation is serious. It needs to be treated in urgent order, and not wait until the ring finally touches. When panaria, the symptoms are very noticeable, it is impossible to pay attention to them.

Views of Panaria

Different types of Panaria are quite a lot. Doctors are mainly separated by superficial, as well as deep species of the disease. With superficial, the first layers of the dermis are mainly affected, and at deep - directly bone tissue, tendons, and joints.

Subcast Panarium

Live tissue can be inflated under the nail plate itself. It basically it occurs when the zanoza falls under the nail, or to nail puncture with inaccurate work.

Bone Panarium

With this scenario, the coal finger tissue is affected. Often this species appears due to infection in the tissue, for example, during fractures. It is also possible to distribute infection with alive tissues directly to the bone. Such Panariums requires immediate treatment, as it is very dangerous. Sometimes inflammation eats on the brush, as well as forearm.

Subcutaneous panarium

This version of the disease is mainly affecting the tissue under the pillows of the fingers. The fact is that there are quite dense skin on the pads. When an inflammatory process appears, I am very hard to break out to the outside, while the Panarium begins to spread to the deep layers of the skin. Pain, as a rule, wears a pulsating character, is intensified when pressed on the finger. If you begin treatment in a timely manner, you can avoid inflammation of the joints, as well as bones.

Articular Panarium

Articular Panarium is very dangerous. It may arise if the infection in some way turns to the articular cavity. This often occurs with a deep finger injection or after a long suppuration of soft tissues. The joint is inflated and expanded, the mobility of the finger is reduced, it hurts it to prescribe. Pain occurs and when trying to move the finger.

Tendon Panarium

Perhaps this variant of the disease can be called the most severe and quite complicated. The patient can suffer from violation in the mobility of the brush for a long time. Finger often swells. If you try to break your finger, you can only get a strong pain.

Skin Panarium

Skin Panariums, as a rule, appears on the back of the finger. Pump begins to accumulate under the skin, a bubble is formed, which is filled with muddy content, that is, in gear. The skin can blush and also inflamed. There is a strong burning, as well as pain. If the disease is not treated, the bubble may increase in size, the pussy turns into adjacent tissues. It is also very dangerous.

Nail Panarium

This form often occurs when an near-gas roller is inflamed. They suffer mostly girls or women after the wrong manicure. Numerous burstles, as well as cuts and small cracks, can lead to such a parania.

How to treat panaria at home?

Some people are asked: "How to treat Panarits at home?" If the finger is very sweeter as a result of infection, an infections began to form, who cannot break out, pain appeared, and the wound does not want to heal independently, then the first thing you need to treat some antiseptic and go to the doctor, preferably Surgeon.

You can go to the trauma, there can also assist in a given disease. And it is necessary to treat this disease by relying on the recommendation of your doctor. And then you can apply folk remedies when the wound will begin to look for. But individually, folk remedies are not able to cope with this unpleasant disease, especially if it has already acquired serious forms.

Antibiotics at Panaria

Antibiotics should only be prescribed a specialist who will define a competent dosage and select the drug based on the degree of illness.

Panaritia ointment

Some believe that various ointments are effective at Panarium. But most ointions, especially under a dense bandage, can cause even greater inflammation. Therefore, it is advisable to refuse them.

Vishnevsky ointment under panary

As we have already spoken, ointments with this disease have low-efficiency. But if nothing at hand is no longer, you can use Vishnevsky ointment. However, ointment may if the bandage is to wear for a long time, lead to the purulent phase Panaritia. Therefore, be especially neat.

Ichthyolic ointment under panary

The ichthyolic ointment is also not much of great efficiency and can even harm. Consult with your specialist, which dressings are better to do under panaria.

Levomecol under Panaria

Levomecol has greater efficiency, but for a long time to keep it on the finger. It can pull the infection and prevent new ones, as often happens when panicing.

Domexide under Panaria

Dimexide dressings are very effective at a given disease. Only before it needs to be divorced by water in a ratio of 1: 4. Soak gauze or bandage by this tool and impose on the finger.

Panarium baths

Best helps the baths with cook or sea salt, which is easy to purchase. It is enough to add 2 teaspoons of salt on 2 glasses and stir. You need to keep a damaged finger for a short time, then you should handle iodine wound and impose a clean and dry bandage.

Compress for Panaria

As we have already written, compresses with diluted with dimexide are well helped. Only do such a compress should not be too long.

Panariums: Treatment with folk remedies

Treatment by folk remedies Panaria is possible, but it is advisable only after you visit the doctor who will treat the wound and give the necessary recommendations. If you can only apply folk remedies, then you can bring the disease to the purulent stage.

Conspiracy from Panaritia

No conspiracies will help you get rid of this disease. Even if you believe in their power, the miracle does not happen. It is better to turn to the surgeon in time, which will handle the wreck.

Aloe from Panaria

Cut the juicy sheet of aloe and rinse it thoroughly with water, then cut the barbs and cut the leaf. To the inflamed place must be attached to the sheet and carefully bandage. It is enough to keep a dressing three or four hours to have the effect. But remember, the sheet must be clean! Otherwise, you can apply an additional infection.

Economic Soap and Bow from Panaritia

You can make a compress from the economic soap and joke juice. To do this, soda is a small amount of household soap and add a couple of drops of onions into the mixture.

Iodine at Panaria

Iodine is an excellent tool, but it dries the skin and burns the wound. Therefore, it is necessary to apply it with extreme caution. It is better to use iodine for processing wounds.

Soda from Panaria

From soda and salts you can make baths with a given disease. But remember that if Panaria has already acquired a purulent form, then it is better to treat it by following the recommendations of your doctor. It should also be done if the finger began to pulsate.

Bow against Panaritia

Onions - a magnificent means when the finger just started to inflame. It fights perfectly with microbes penetrated into a wound. You just need to cook the bulb in milk, and then you need to attach a piece of bulbs to the patient place and keep a couple of minutes.

Panarium complications

Panarium complications There is a huge amount. Mouth is very hard to break through the thick skin of the fingers, so the infection begins to spread inside. If a person suffers from diabetes mellitus, then the rapid spread of infection on other fabrics is possible. The most dangerous when it comes to amputation. But in most cases, antibiotic treatment helps and constantly changing the dressings. Sometimes make a special operation.

Panariums: Prevention

But it is best to make prevention Panaritism so that this disease will bypass you. To do this, always process the wounds with iodine or another antiseptic, as well as work strictly in gloves and always follow the instructions. It is also important to process each time the tools and cut-cutter to the manicure and torture, and not bite them. Watch always for the cleanliness of your hands, and it is necessary to do it not only before meals. Wash your hands more often, especially if they have wounds. When inflammation on the finger, contact your doctor.

Content

Zanose or finger injury can easily be understood. In medicine, such an inflammatory process is called Panaritis. Pathology arises, because through damaged covers penetrate the body of pathogenic microorganisms. In the absence of proper disinfection, purulent inflammation is developing, which can turn into tendons, bones, muscles, joints and even lead to necrotic processes.

What is Panariums on the finger

A purulent acute inflammatory process that is localized on the fingers of the upper extremities, less often - on the lower, called Panaritis. Inflammation on the back side of the palm of this disease does not apply. More often by Panaritis, men and women are sick from 20 to 50 years. This is explained by the fact that at this age, people often get skin microtraums in their hands. The disease associated with injuries at work is 75% developed, in everyday life - 10%, and all other cases account for only 15%.

There are many important anatomical formations on the palm surface: the joints of the joints, vessels, nerves, tendon vagina and tendons. The subcutaneous tissue on this site also has a special structure - multiple durable and elastic fibers come to the palm aponeurosis from the skin. In the thicker it is located longitudinal bundles of connective tissue.

The fiber as a result is separated by small jumpers resembling beesh cells. Such a structure not only helps to prevent the spread of inflammation, but also creates favorable conditions for the penetration of the infants of the purulent process. For this reason, in the process of developing the disease, rapid involvement in the pathological process of bones, tendons, joints and other tissues of the brush can occur.

Panariums on the finger develops as a result of distribution in the tissues of glot microorganisms (more often - golden staphylococcus). During the development of the disease, redness of the place of lesion, swelling, soreness is noted. In severe form, there is an increase in temperature, chills. At the early stage of the inflammatory process, conservative treatment is appointed, in late - surgical intervention is carried out.

The reasons

In addition to staphylococcus, Panariums can cause streptococci, protetes, a blue chopstick and other pathological microorganisms. The infection penetrates inside the skin through fine cracks and abrasions on the palm surface of the finger. A person gets wounds during a manicure, puncture of the skin due to fish bones, wood chips, metal chips and other sharp items. The infection penetrates through a finger burn, which occurs with the careless use of fire or hot items.

Some wounds sometimes remain unnoticed or look slightly. The patient does not pay attention to them until the first symptoms of Panaritia appear. The internal reasons for the occurrence of disease include hypovitaminosis, endocrine pathologies, nutritional disorders, reduced general immunity. Panariums on the fingers can develop and due to external factors. These include:

systematic supercooling;
finger innervation violation, brushes;
mazeration of the epidermis (swelling and / or breaking);
skin pollution;
impact of irritants;
violation of the blood supply to the brush, which is carried out by radiation and elbow arteries;
excessive moisturizing of the skin.

Classification

Taking into account the nature and location of the affected tissues, the following types of disease are distinguished:

Skin Panarium. The easiest form of pathology, when an uglicine is formed in the epidermis.
Panarium subcutaneous. Purulent content occurs in subcutaneous tissue located on a dense palm surface of the fingers.
OcoloneNogte Panarium (paronichia). The inflammatory process develops in the area of \u200b\u200bthe olock roller.
Panarium. Binding occurs under the nail plate.
Articular Panarium. The pathological process develops in bulk-phalange or interphalating joints.
Bone Panarium. Bones are involved in the purulent-inflammatory process.
Tempile Panarium. The disease is localized in the area of \u200b\u200bthe tendon.
Pandactylitis. The most severe form of the disease in which the purulent necrotic process of all finger tissues is developing.

Symptoms

Depending on the level of damage and location of injury, the symptoms of Panarium has several varieties:

View of Panaria	Symptoms of the disease
	Skin coverings are affected. At the place of damage, minor soreness appears, tingling. As pathology progresses, pain is enhanced, then becomes constant.
Subcutaneous	It is found in 35% of cases. The pathological process develops in the subcutaneous fat layer. Symptoms of the disease are manifested by 5-10 days, which complicates the diagnosis. First, there is a feeling of burning and driving. Then there appears a small pulling and pulsating pain, which is enhanced by lowering the arms down. As the disease progressing, local edema is noted, soft tissue voltage, an increase in body temperature. Rarely observed redness of the skin.
Ocolonogeva	The inflammation of the incomplete roller arises because of the brushing wounds or a dick of sowing. The process develops, both on the surface of the skin and in the deep layers of the epidermis. For 4-6 days after injury, a surface form arises. The patient has pronounced pain, the skin bluses, through it is shoneled by a pus. With a deep form of illness, purulent exudate rushes inside, hitting the nail.
Podnogteva	Develops due to the fall under the nail, or because of the habit of nail plates. In place of the defeat, a pronounced pulsating pain, burning sensation. Through the nail can be shuting as a pus. There is a redness of the near-heam roller, the swelling of the tip of the finger. Two days later, peeling the nail plate at a significant area.
Articular	Purulent inflammation of the joint, which connects the bones of the wrist and phalange of the finger, arises due to the deep injury or in the penetration of infection. At the same time, phalanges are involved in the pathological process, so pathology often flows with bone Panaritis. In place of the lesion, there is pain, increasing when the finger moves. Redness increases, swelling of the joint, which applies to neighboring fabrics. When driving a finger, crisp sound is heard - ligaments are involved in the process. Symptoms of general intoxication are growing: nausea, rapid heartbeat, headache, high body temperature.
	There is due to the complication of the subcutaneous type of pathology. The main feature is a pronounced pain in the place of defeat. The finger swells greatly, the phalanx looks like a sausage. The temperature increases, patients complain about headaches, general malaise.
Tendinous	Develops due to the subcutaneous type of pathology or after injuries. Already after 2 hours, the pulsating pain, amplifying when driving. Edema is growing quickly, spreading to the palm and the back surface of the finger, which takes half-bent. The skin blushes, there are pains along the tendon vagina. As the disease progresses, the symptoms of the body intoxication appear: headache, temperature increase.
Pandactylitis	The disease occurs hard, accompanied by increased temperature, axillary or regional lymphadenitis. The pain is enhanced gradually, acquires a painful, driving character. Element finger becomes blue-bugs. The inflammatory process develops by type of dry and wet necrosis (death). An attempt to any movement entails the gain of pain.

Complications

It is undesirable to make independent measures to treat purulent inflammation of the finger. To avoid serious consequences of Panaritia, you must need a doctor's advice. If the purulent-inflammatory process is run, it can lead to complications. Treatment should be started at the first signs of the inflammatory process, otherwise such pathologies may occur as thrombophlebitis, osteomyelitis, lymphadenitis, phlegmon brush, contracture of the joint. A deep purulent-inflammatory defeat often leads to blood infection, sepsis.

Extreme caution when performing a manicure must be followed by a pregnant woman, because infection when infected can go to the child. It is better to completely abandon the services of the salons during the expectation of the baby. When infection, panarium infection can lead to the phlegmon bone, which is treated only by surgical path. The disease in the launched stage often becomes the cause of the development of osteomyelitis of chronic form with a recurrent flow. As a result of such pathology, one can partially or completely lose the mobility of the finger.

Panarium treatment

Therapeutic methods are accepted, depending on the type of Panaritis:

	Methods of treatment
	Removal of necrotic epidermis without anesthesia, rinsing wound with antiseptic overlap of aseptic gauze bandage.
Subcutaneous	Operational treatment conducted under local anesthesia. A side incision is made, the pus is removed, necrotic subcutaneous fatty tissue is excised.
Ocolonogeva	In most paronichs, the pus itself breaks on independently, which causes the patient to abandon operational treatment. Radical methods are consisting in adequate nail disclosure with drainage and partial resection.
Podnogteva	Depending on the area of \u200b\u200bbundle of the nail plate during operational treatment, either partial or its complete resection is produced.
Articular	Treatment is carried out exclusively in the hospital. In the initial stage, conservative therapy (antibiotics) is applied. With its inefficiency, arthritomy is carried out - the operation at which foreign bodies from the joint are removed.
	Surgical intervention is carried out under local anesthesia. Feature operation - removal of hyperelations and mandatory sequencectomy. After the wound drains, the finger is fixed with a gypsum bandage.
Tendinous	With the ineffectiveness of conservative treatment, an operation is carried out under intravenous anesthesia. After draining and washing the wound, PVC tubes with multiple holes is closed. Next is the gypsum immobilization of the finger and is assigned to general and / or local treatment.
Pandactylitis	Conservative therapy is ineffective. Surgical intervention is carried out to stop the progression of necrotic inflammation. In severe cases, the operation is completed by the examination (amputation at the joint level) of the finger.

Treatment at home

It is necessary to treat this pathology independently, based on the recommendation of the doctor. First, surgical and / or drug therapy is shown, and when the wound will begin to look for, folk remedies can be applied. Effective ointment of Vishnevsky during panary. To get rid of an ulotnik, it is necessary to apply a layer of the line to the affected area of \u200b\u200bthe skin, and on top to impose compress. It is necessary to use the medicine for the night, and in the morning the wound is disinfected. Repeat the procedure is necessary until the pus is completely removed.

A good effect gives dimexide under panary. The solution has healing, antimicrobial, analgesic, anti-inflammatory effect. Dimexide also needs to be applied to the night in the form of a compression. If there is a penaritization of the finger on the hand in the child, then the baths with salt or soda will be effective (2 hours l. On 2 glasses of water) and the ointment of Levomecol, which should be applied to the bandage overnight.

Medicia treatment

Panarium antibiotics are prescribed if the disease is provoked by staphylococcal or any other infection. Antibacterial drugs from the penicillin group (amoxiclav), fluoroquinolones (levofloxacin) or macrolides (Josamycin) are used. As a rule, intramuscular administration of antibiotics is used, but with bone or articular pathology, treatment is carried out using intraosseous infusions.

For the removal of pus and healing of the Russian Academy of Sciences, there is pleelide, levomecol, dimexide, ointment of Vishnevsky or omphyol. They have antimicrobial, anti-inflammatory, regenerating effect. To remove the purulent fluid, these drugs should be applied to a sterile bandage, and apply inflammation to 3 times / day.

In the postoperative period, the wound is treated with antiseptic solutions (chlorhexidine, chlorophilipte). For the suppression of further inflammation is prescribed inside non-steroidal anti-inflammatory drugs (diclofenac, nimesil) and UHF therapy. Physiotherapy is effective after decreasing inflammation. It helps to improve local blood circulation, remove swelling and soreness. The average number of procedures is 3-7. Duration - from 5 to 20 minutes.

Folk ways of treatment

With the permission of the attending physician, folk recipes can be used in the treatment of purulent inflammation on the finger. The most efficient:

Aloe. Cut the plant from two sides, leave only the flesh. Attach it to the patient, rewind the bandage. Do not remove the compress for 5 hours. Repeat the procedure every 4 hours before the condition improves.
Calendula. Soak gauze with alcohol tincture of plant flowers, wrap the patient, close the polyethylene. Keep the compress for 3 hours, then replace the new one. Procedure spend several times / day.
Manganese. At the beginning of the purulent process will help warm baths. Divide 1 granule manganese in a glass of hot (tolerant) water. Hold the patient a finger in a solution of 15 minutes. Repeat the procedure several times / day before decreasing inflammation.

Opening Panaritia

Surgical intervention is the most effective method of treating Panaritia. The operation is appointed by a doctor after studying blood and other laboratory tests. Basically, local anesthesias in Lukashevich-Obraist is used: the harness is superimposed on the base of the finger, on the side phalanx, a puncture of a needle to bone is made and 2 ml of lidocaine solution is introduced (2%). The same manipulation is carried out on the opposite side of the phalanx. If palm bones or joints are involved in the process, the operation is carried out under general anesthesia.

Opening is carried out in different ways, depending on the type of pathological process:

Subcutaneous. Longitudinal cuts are made, which are made with great care, so as not to damage the nervous bundle.
Tendinous. The cuts are performed on the front surface of the finger.
Podnogteva. The edge of the nail is excised a wedge-shaped or nail plate is treated at the place of the accumulation of pus. If complete fitting and detachment is observed, then it is completely removed.
Articular. Two side cuts are made on the back of the brush, after which the cavity is washed with an antibiotic or antiseptic.
Bone. The nail phalanx is cut in the form of an arc and is washed. If it is necessary to remove it, then the dijali saw was used.

Prevention

The main preventive measure is the purity of the hands, but it is not necessary to forget that the skin, pumped by detergents, is quickly covered by microcracks, which easily penetrate pathogenic bacteria. To avoid infection, you should always remember the prevention:

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