I-Paronychia, Isimo Esiqhelekileyo Ngezizathu Ezihlukahlukeneyo
I-Paronychia yintsholongwane yesikhumba esungeze isikhonkwane (esaziwa njenge-perionychium). Kuyinto exhaphakileyo yesifo kwi-United States kwaye ibonakala rhoqo kubantwana ngenxa yokubamba isilonda kunye nomunwe osondayo.
Le meko inokuthi ihlelwe njengento enzima (iqhubela phambili ngokukhawuleza ngexesha elifutshane) okanye elingapheliyo (eliqhubekayo kunye eliqhubekayo), kuxhomekeke kwisixa sithuba sosulelo olukhoyo.
Izizathu zeParonychia
Zombili zi-paronychia ezilukhuni kunye ezingapheliyo ziqala ngokungena kwendawo engaphandle yesikhumba ebizwa ngokuba yi-epidermis.
I-paronychia ekhangelekileyo isisiphumo soxinzelelo olucacileyo kwesikhumba, njengento yokusika, i-hangnail, okanye ikhonkwane elibi . Iibhaktheriya zizona zizathu eziqhelekileyo zentsholongwane, ikakhulukazi iStaprolococcus aureus kodwa kunye neengxaki ezithile ze- Streptococcus kunye ne- Pseudomonas .
Ngokwahlukileyo, i-paronychia engapheliyo ibangelwa ukuhlaselwa ngokuphindaphindiweyo kumanzi aqukethe izitya, i-alkali, okanye ezinye izinto ezinomsindo. Oku kunokukhokelela ekutheni ukukhukhumeza nokugqithisa ngokukhawuleza kwendawo yokugcina i-epidermal. Ngokungafani ne-paronychia ephawulekayo, izifo ezininzi ezingapheliyo zibangelwa yi- Candida albicans nezinye i-fungal agents.
I-Paronychia ibonakala ngathi
I-paronychia eqaqambileyo iqala ngokuvuvukala obomvu, okufudumele, okubuhlungu kwesikhumba esijikeleze isikhonkwane. Oku kuya kuqhubela phambili ekudalweni kwepus ehlukanisa ulusu kwisilonda.
I- lymph nodes ezikhukhulayo nazo ziyakhula kwi-elbow kwaye zixhomekeke kwiimeko ezinzima kakhulu; ukukhonkwane kwesikhonkwane kungenzeka.
Kwi-paronychia engapheliyo, ubomvu kunye nobubele buvame ukubonakala. Ulusu olujikeleze isikhonkwane luya kubonakala lubukeka, luhlala lukwahlukana kwe-cuticle ukusuka kwibheyili .
Isipiko ngokwaso siza kuhlanjululwa kwaye sichazwe ngeendawo eziqingqiweyo ezinqamlekileyo kwi-nail surface. Kukho nokuba kukho ukuhlaziywa okuluhlaza kwiimeko zePseudomonas .
Indlela iParonychia Ifunyaniswa ngayo
I-paronychia ehambelana nayo ihlolwe ngokusekelwe ekuhlaziyweni kwempawu zeklinikhi. Ukuba kukho i-pus discharge, ugqirha wakho angenza inkcubeko yebhaktheriya ukuze ahlolwe ngokucacileyo. (Kuzo zonke iimeko ezinzima kakhulu, oku akunakucingelwa ukuba kuyimfuneko kuba ibhaktheriya iya kuba yintlobo yeStaplocloccus okanye iStraptococcus , ezo zombini ziphathwa ngokufanayo.)
I-paronychia engapheliyo iyanzima kunzima ukuyixilonga. Uvavanyo lwe potassium hydroxide (KOH), apho i-smear ikhutshwe kwintambo yepiki, ngamanye amaxesha inokuqinisekisa ukusuleleka kwintsholongwane. Ukuba i-pus ibandakanyekile, inkcubeko yindlela efanelekileyo yokuqinisekisa ubungqina befungus okanye ezinye, ii-agent ezichaphazelekayo ezincinci.
Eyona ndlela efanelekileyo yokuphatha iProonychia
Xa kwenzeka ukusuleleka kwintsholongwane, ukuphosa isikhonkwane emanzini afudumele kathathu ukuya kwimihla emini kungakhuthaza amanzi kunye nokunciphisa intlungu. Abanye oogqirha baya kuphakamisa ukuba i-acetic acid igwebe, isebenzise enye inxalenye yamanzi afudumele kunye neyayiviniga inxenye. Ukuba kukho i-pus okanye i-abscess, intsholongwane ingadinga ukuba ifakwe kwaye ifakwe.
Kwezinye iimeko, inxalenye yesikhonkwane isenokufuneka isuswe.
I-bacterium- ehlanganiswa ne-paronychia ixhaphaka ngokuqhelekileyo ngamayeza anjenge-cephalexin okanye i-dicloxacillin. Iingqungquthela ze-antibiotics okanye i-anti-bacterial ointments ayithathwa njengonyango olululo.
I-paronychia engapheliyo, ngokuchaseneyo, iya kuphathwa ngokunyanga ngamayeza antifungal efana ne-ketoconazole ukhilimu. I- static steroid enobubele ingasetyenziselwa ukongeza kwi-antifungal ukunceda ukunciphisa ukuvuvukala. (I-Steroids, nangona kunjalo, ayifanele isetyenziswe ngokwazo njengoko ingakwazi ukunyanga ukusuleleka kwe-fungal infection.)
Abantu abaneemeko ezilandelayo banamathuba amaninzi okusuleleka kwizifo ezibangelwa yi-paronychial kwaye kufuneka bafumane unyango ngexesha elide le-antibiotics:
- Isistim e-immune system, esinjengabantu abaphila ne-HIV
- Ukusetyenziswa kwexesha elide le-corticosteroid
- Sikashukela
- Izifo ezizenzekelayo, kuquka i-psoriasis kunye ne-lupus
- Ukusabalalisa kakubi kwiingalo okanye emilenzeni
Iindlela zokuKhusela iParonychia
Kukho iininzi zokulinda umntu angathatha ukunciphisa umngcipheko okanye ubunzima besifo sengculaza:
- Musa ukubetha izipikili okanye ukuzinqanda.
- Ungalokothi ulume okanye uthinte i-cuticles.
- Qinisekisa ukuba i-manicurist yakho isoloko isebenzisa izixhobo ezinobumba.
- Zama ukunganamisi iminwe.
- Gqoka iiglavu ezingenawo amanzi xa ugxininisa izandla zakho kwiitshisi, ukucoca amanzi, okanye iikhemikhali ezinamandla.
- Gweba izandla zakho emanzini ukuze uhlale ixesha elide (okanye, kwakhona, sebenzisa iiglavu ezingenawo amanzi).
- Geza izandla zakho kunye ne-antibacterial cleanser xa ufumana izicucu okanye izibonda, kunye ne-bandage, ukuba kuyimfuneko.
- Yinyani iinyawo zakho ngokucokisekileyo ukuba zibhaptizwa ixesha elide emanzini angcolileyo okanye ngamanzi anokuquba okanye iikhemikhali.
- Sitshintsha iisoksi zakho rhoqo kwaye usebenzise i-powder foot-counter-foot counter if your feet are prone to sweatiness or moisture.
> Umthombo
> Shafritz, A. kunye neCoppage, J. "I-Paronychia eqhelekileyo neyigcinayo yesandla." Umbhalo we-American Academy of Orthopedic Surgeons . Matshi 2014; 22 (3): 165-178.