Musa ukuluma ama-hangnail.
Isandla sixhobo esilungileyo apho ifom kunye nomsebenzi zihambelana ngokuchanekileyo. Ngolu hlobo oluneenkcukacha ezinzulu, kukho iindawo ezininzi, iindawo, kunye neendawo apho iibhaktheriya zifihla kwaye zifake.
Nangona ungaziqhelanga nekota, usenokuba no-paronychia ngaphambili. I-Paronychia yintsholongwane ye-nail echaphazela i-nail fold and perionychium.
Ngamanye amagama, i-paronychia yintsholongwane yezihlunu ezithambileyo emdeni wesikhonkwane ngokwazo kwaye ngokuqhelekileyo zichaphazela iindawo ezingezantsi zesikhonkwane okanye isahlulo esingqongqo sekhopi.
Unokufumana i-paronychia yesibini ukuya kwintlungu efana nokubetha izipikili zakho, ukudonsa i-hangnail, ukubetha i-hangnail, okanye ukugxotha i-cuticles emva kwexesha lomntu-naluphi na uhlobo loxinzelelo olufaka ibhaktheriya kwinxalenye yomnwe wakho.
Kunokuza kumangaliswa ukuba ukubetha okungcolileyo kuvela emlonyeni womntu; Ngako oko, iibhaktheriya ezahlukileyo kwi-paronychia zihlala ziquka zonke iintlobo zeebhaktheriya, zombini i-aerobic kunye ne-anaerobic. Oyintloko phakathi kwezi zigubu ziintlobo ze-staph kunye ne-strep (i- Staphylococcus Aureus kunye ne- Streptococcus ).
Abahlaziyi-dishwasher okanye abagcini bezindlu bangahlakulela ukungapheliyo, okanye ukuphindaphinda, i-paronychia eyesiqulatho ukuya kwiindawo zokucoca nokucoca. Ngokuqhelekileyo, i-paronychia enjalo ingenxa yefungus ebizwa ngokuthi i- Candida albicans .
Ukuxilongwa kwe-paronychia kusekelwe ekuhloleni ngokomzimba kunye neenkcubeko aziqhelekanga. Ngamanye amaxesha i-x-ray ingaba luncedo ukukhangela umzimba wangaphandle okanye ubungqina bentsholongwane yamathambo (oko kukuthi, i-osteomyelitis).
I-Paronychia ibuhlungu kakhulu kwaye ivela ngokungapheliyo kubantu abaninzi abasempilweni. Nangona kunjalo, abantu abathile abane-immunocompromised (bacinge abantu abane-AIDS) bafumana i-paronychia engapheliyo.
Ukongeza koko, abantu abaneesifo seswekile okanye izifo zentambo ye-fungal bangakwazi ukufumana i-paronychia ebangelwa yi-fungus (ephathwa ngamachiza antifungal).
Uninzi lwe-paronychia luqala ngeentsuku ezimbalwa zentlungu, ububele, nokuvuvukala komnwe olandelwa yi-pus ukuqokelela ebusweni bentsholongwane. Le pus iyahluka kwaye ifika entloko. Le ntloko yindawo yendalo yamanzi.
Kuze kubekho iifom zekhanda, okanye i-pus ibe yinto ebonakalayo kwinqanaba lexinzelelo, ugqirha (okanye omnye umboneleli wezempilo) akayi kukwazi ukunyanzelisa i-paronychia kunye nokucima i-pus. Kunoko, ama-antibiotics, ukuphakama kwesandla, kunye nokunciphisa okufudumeleyo kumiselwe. I-antibiotics iyadingeka ngokuqinisekileyo ukuba ukusuleleka kwesikhumba kukubanzi (oko kukuthi, i-cellulitis enkulu) okanye izitya zelfini zitsholongwane (inkqubo ebizwa ngokuthi i-lymphangitis).
Amachiza omzimba amaninzi asetyenziswa ukuphatha i-paronychia yi-TMP / SMX (iBactrim) kunye ne-cephalosporin egama lingu-cephalexin (Keflex). Xa ukusuleleka kwi-bacterial anaerobic kukhankanywa, i-clindamycin (i-Evoclin) okanye i-amoxicillin-clavulanate (i-Augmentin) inikwe iBactrim. Ingqalelo, i-Bactrim iyasebenza ngokubhekiselele kwiibhaktheriya ezinganyangekiyo.
Ukuze ukhulule i-paronychia, ugqirha unokuphakamisa inqabana yesikhumba ngokukhawuleza imida ikhonkwane ngokwayo (eponychium) usebenzisa i-blade ukuze ivule indlela yokuhambisa amanzi.
Ngenye indlela, ugqirha unako ukukhahlela ngokuthe ngqo kwisahluko esicatshulwayo sosulelo; le nkqubo ayifani nokuhlukana naluphi na uhlobo lwentsimbi okanye ibilise.
Ngenxa yokuba i-paronychia yinto engathandekiyo, i-digital nererve block (i-anesthhesia) ayidingekile ukukhupha izifo ezininzi. Enyanisweni, ukuhlaziya iindawo eziza kubakho kungabangela intlungu eyongezelelweyo ngenzuzo encinci. Qinisekisa ukuba intlungu yangempela yokukrazula i-paronychia pales xa kuthelekiswa nokuba intlungu yimeko okanye ukuxhamla emva kokuba i-pus igalelwe.
Ngamanye amaxesha i-paronychia iyakwandisa ngaphantsi kwengxenye yesikhonkwane. Kule meko, nokuba yinxalenye okanye yonke ikhonkwane kufuneka isuswe.
I-paronychia eshiywe ingakhange ilandelwe ingathi ijikeleze umgama wonke weekhonkco kwaye ibangele "isikhophelo" esicacisayo.
Emva kokuba i-paronychia igxothwe ngamanzi, ngokuqhelekileyo akukho mfuneko ye-antibiotic. Nangona kunjalo, ukuba i-paronychia ihamba kunye ne-cellulitis yangasese okanye usulelo lwe-skin, kufuneka i-antibiotics ukunyanga ukusuleleka kwesikhumba.
Ekugqibeleni, i-paronychia imele igxothwe ngaphambi kokuba ufumane uncedo. Kungathatha i-paronychia iintsuku eziliqela ziyakwazi ukucinywa kwe-pus-le nkqubo ayikho ngokukhawuleza. Ukuba ubona ugqirha ngaphambi kokuba i-paronychia "ivuthwe" kwaye ibhokhwe ibonakala phezu kobutshwala, ummandla awukwazi ukucinywa, kwaye uya kushiya i-ofisi kunye nomyalelo wemiyalelo yokulwa ne-antibiotiki kunye nemiyalelo ukucwina kwindawo leyo usulelo luvuthiwe lokuhambisa amanzi.
Imithombo:
> Ewen B, iHart RG. Isahluko 29. Isigulana somntu. Ku: I-Stone C, i-Humphries RL. eds. UKUPHATHWA KWEZINDAWO ZOKUPHATHWA KWEZINDAWO ZONYAKA NOKUPHATHWA KWEZINDAWO ZONYAKA, 7e eNew York, NY: iMcGraw-Hill; 2011.
I-CA yaseJamani, iMine yeMine. Isahluko 280. Iingxaki zeNontraumatic zesandla. Ku: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. I-Tintinalli Yonyango Elijongene Nezimo Eziphuthumayo: Isikhokelo Sokufunda Esipheleleyo, 7e . New York, NY: McGraw-Hill; 2011.
Tubbs RJ, Savitt DL, Suner S. Isahluko 12. Iimeko ezinzima. Ku: Knoop KJ, Stack LB, Storrow AB, Thurman R. eds. I-Atlas ye-Medicine eNgxamisekileyo, 3e . New York, NY: McGraw-Hill; 2010.