Musadume makola anu.
Dzanja ndi chida chodabwitsa chomwe mawonekedwe ndi ntchito zimagwirizana. Ndi mankhwala oterewa, pali zipinda zambiri, mipata, ndi zolembera zomwe mabakiteriya angabisire ndi kubzala.
Ngakhale kuti simukudziwa bwino mawuwa, mwinamwake munakhalapo ndi paronychia m'mbuyomo. Paronychia ndi matenda a msomali omwe amakhudza chingwe cha msomali ndi perionychium.
Mwa kuyankhula kwina, paronychia ndi matenda a minofu yofewa pamphepete mwa msomaliyo ndipo nthawi zambiri imakhudza mbali zina za msomali kapena gawo losanjikiza la msomali.
Mukhoza kupeza kachilombo koyambitsa matendawa ngati kukumanga misomali yanu, kukoka phokoso, kulumphira, kapena kukankhira mankhwala mkati mwa manicure-mtundu uliwonse wa zoopsa zomwe zimayambitsa mabakiteriya mu gawo la minofu.
Zingadabwe kuti mabala oyipa kwambiri amachokera m'kamwa mwa munthu; motero, mabakiteriya otalikirana ndi paronychia amakhala ndi mabakiteriya onse, aerobic ndi anaerobic. Mmodzi mwa tizirombozi ndi mitundu ya staph ndi strep ( Staphylococcus Aureus ndi Streptococcus species).
Otsuka zitsulo kapena oyang'anira nyumba amatha kukhala ndi kachilombo kosatha, kapena kaŵirikaŵiri kawiri kawiri kuti awonongeko ndi chinyezi. Kawirikawiri, paronychia yoteroyo imachokera ku bowa lotchedwa Candida albicans .
Kuzindikira kwa paronychia kumachokera ku kuunika kwa thupi ndi zikhalidwe sizikufunikira nthawi zambiri. Nthawi zina x-ray ingakhale yothandiza kufufuza thupi lachilendo kapena umboni wa matenda a mafupa (mwachitsanzo, osteomyelitis).
Paronychia ndi zopweteka kwambiri ndipo zimachitika nthawi zambiri mwa anthu ambiri wathanzi. Komabe, anthu ena omwe sagonjetsedwa (amaganiza kuti anthu omwe ali ndi Edzi) amakhala ndi paronychia osatha.
Kuwonjezera apo, anthu omwe ali ndi matenda a shuga kapena matenda a msomali amatha kupeza paronychia chifukwa cha bowa (omwe amachiritsidwa ndi mankhwala osokoneza bongo).
Ambiri a paronychi amayamba ndi masiku ochepa a ululu, chikondi, ndi kutupa kwa chala chotsatiridwa ndi pus kusonkhanitsa pamwamba pa matenda. Izi zimakhala zosinthasintha ndipo zimafika pamutu. Mutu uwu ndi gawo lachilengedwe la madzi.
Mpaka mchitidwe wa mutu, kapena pus akudziwikiratu pamlingo wa zoopsa, dokotala (kapena wina wothandizira zaumoyo) sangathe kuwonetsa paronychia ndi kukhetsa pus. Mmalo mwake, mankhwala opha tizilombo, kukwera kwa dzanja, ndi makina otentha amauzidwa. Mankhwala opha tizilombo amafunikiradi ngati matenda a khungu ali ochulukirapo (ie, maselo ochuluka a cellulitis) kapena zotengera za mitsempha zimatengedwa (njira yotchedwa lymphangitis).
Ma antibayotiki omwe amagwiritsidwa ntchito kwambiri pochitira paronychia ndi TMP / SMX (Bactrim) ndi cephalosporin yotchedwa cephalexin (Keflex). Ngati matenda ali ndi anaerobic mabakiteriya akukayikira, clindamycin (Evoclin) kapena amoxicillin-clavulanate (Augmentin) amaperekedwa ndi Bactrim. Zindikirani, Bactrim ndi yothandiza polimbana ndi mabakiteriya osagwira mankhwala.
Pofuna kumasula paronychia, dokotala amatha kukweza khungu la khungu nthawi yomweyo kumalire msomali (eponychium) pogwiritsa ntchito tsamba kuti atsegule njira yothirira madzi.
Mwinanso, dokotala amatha kulumikiza mwachindunji gawo lamasinthasintha la matenda; Ndondomekoyi si yosiyana ndi kuchotsa mtundu uliwonse wa abscess kapena wiritsani.
Chifukwa chakuti paronychia ndi okongola kwambiri, mitsempha ya digito (anesthesia) siikuthandizira kuthetsa matenda ambiri a pus. Ndipotu, kudetsa nkhawa malowa kungabweretse ululu mopanda phindu. Onetsetsani kuti ululu weniweni wa kukhetsa paronychia pales poyerekeza ndi ululu wa chikhalidwe kapena chithandizo pambuyo pa pus.
Nthawi zina paronychia imatha kuwonjezera pa msomali. Pazochitikazi, mbali kapena msomali yonse iyenera kuchotsedwa.
A paronychia omwe sanatsatidwe akhoza nthawi zina kuzungulira msomali wonse wa msomali ndipo amachititsa "msomali" wokhomerera.
Pambuyo pa paronychia pakadulidwa mafinya, kawirikawiri palibe kusowa kwa maantibayotiki. Komabe, ngati paronychia ikuphatikizidwa ndi cellulitis kapena matenda a khungu, ndiye mankhwala opha tizilombo amafunika kuthandizira matenda a khungu.
Potsirizira pake, paronychia iyenera kuyamwa pusanafike musanapumule. Zingatenge paronychia masiku angapo kuti athetseretu-njirayi siyomwe ikuchitika. Ngati muwona dokotala asanayambe "kuphuka" ndipo pusayo ikuwoneka pamwamba pa kachilomboka, deralo silingathe kuthira, ndipo mutuluka mu ofesiyi ndi mankhwala oletsa antibiotics ndi malangizo kuti mulowe m'deralo mpaka Matendawa ndi okonzeka kutaya madzi.
Zotsatira:
> Ewen B, Hart RG. Mutu 29. Kutupa Kwambiri. Mu: Stone C, Humphries RL. eds. Kufufuza Koyamba ndi Kuchiza Odwala Emergency Medicine, 7e New York, NY: McGraw-Hill; 2011.
Zina Zima Chaputala 280. Kusokonezeka Kwambiri kwa Dzanja. Mu: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Mankhwala Odzidzimutsa a Tintinalli: Buku Lophunzira Loyamba, 7e . New York, NY: Hill ya McGraw; 2011.
Tubbs RJ, Savitt DL, Suner S. Mutu 12. Zovuta Kwambiri. Mu: Knoop KJ, Stack LB, Storrow AB, Thurman R. eds. The Atlas of Emergency Medicine, 3e . New York, NY: Hill ya McGraw; 2010.