Furunculosis. Causes and Treatment, photo adolescents, children, adults on the face, back, head, nose, anus. That is, the emergence of the disease. Drugs, antibiotics, diet, folk remedies at home

Abrasions - it's not just a cosmetic problem, in the absence of treatment, he faces a number of serious complications. The cause of inflammation of the hair root, which (as seen in the pictures) and affect adjacent tissues may be particularly skin or systemic diseases.

What is furunculosis

A single boil - an acute purulent inflammation of the hair root, which is the causative agent is Staphylococcus aureus. Aside from the hair bags, it spreads to adjacent areas of connective tissue, sebaceous and sweat glands.

The emergence of many such foci is called furunculosis. It is characterized by recurrent nature when some scarring boils accompanied by the appearance of new ones. It refers to the group furunculosis pyoderma - pustular skin diseases.

types of boils

Furunculosis may be disseminated (boils when placed randomly throughout the body) or limited (foci are concentrated in certain areas of the skin).

Depending on the characteristics of the skin on different parts of the body, are the following varieties:

• single boil - can occur on any area of ​​the skin, but most often localized on the face, due to the abundance of sebaceous glands. Small but painful follicles appear on the nose, around the top of the ear, or ruin;
• carbuncle - the general focus of inflammation covers a group of nearby hair follicles, there are several prominent individual pustules. It is generally located at the back (where skin contact with the collar), lower back or thighs;
• cystic acne - an inflammation occurs in the deep layers of the skin. Pus does not come out of his flock form subcutaneous bumps. Most often found on the face, shoulders, back and chest;
• furunkuleznye manifestations pilonidal sinus - the focus of inflammation is localized in mezhyagodichnoy crease. It develops on the background characteristics of the anatomical structure and provoking factors often recurs;
• boils in the armpit - hair bags contain glands that produce sweat. Therefore, there is often accompanied by furunculosis hidradenitis - inflammation of the sweat glands;
• purulent lesions in the groin area and leg - similar to the previous ones, can be accompanied by inflammation of the nearby lymph nodes or lymphatic vessels;
  
• abrasions genitals - in this case, often inflamed Bartholin gland (women).

Causes and factors of

Furunculosis, Causes and Treatment (photo confirm it) which are interdependent, can occur sporadically or recur frequently. Normally, the human immune system prevents the penetration into the skin of Staphylococcus aureus.

The situation changes when the immune protection is weakening against the backdrop:

• severe infectious diseases - chronic tonsillitis, bronchitis, sinusitis, otitis;
• disturbances in the gastrointestinal tract, including dysbiosis;
• of HIV infection;
• long-term use of drugs that suppress the immune system;
• neoplastic therapy using cytostatic drugs or radiation techniques;
• overcooling or overheating;
• unbalanced diet, lack of vitamins.

In these cases, the pathogenic species of Staphylococcus are beginning to proliferate on the skin.

Their penetration into the hair bag contribute to:

• increased perspiration - the composition of secretions glands changes and reduces the skin's natural defenses;
• damage to the skin in the presence of itchiness of different natures - allergic associated with diseases of the nervous system or internal organs;
• minor injuriesIncluding scratches and abrasions;
  
• regular contact with the skin secretions - chronic infectious inflammations of mucous nasal and ear passages;
• hygiene neglect - the accumulation of dirt and sweat together with the mechanical stimulation - an ideal environment for Staphylococcus aureus. Example - neck area;
• disruptions in the skin's natural defense mechanisms amid aggressions - contact with harmful dust (coal particles, lime cement, metals), vapors and liquids in the production;
• wearing tight from fabrics that do not allow "breathing" skin.

In a separate group of factors that provoke the development of boils, secrete hormonal disorders:

• excess corticosteroid hormones - may occur at elevated adrenal function either ingestion or topical steroids. Hormones suppress the immune system, in particular the protection of the skin, and also stimulate the sebaceous glands. Accumulation of secretions become breeding ground for Staphylococcus;
• diabetes - violation of the blood supply to the skin leads to a deterioration of its power, and protection;
• High levels of testosterone - provokes an accelerated accumulation of sebum.

The extent and stage boils

Degrees chronic form of the disease, based on the amount and severity of relapses, can be represented in table form:

Power	Number of boils	The number of relapses per year	Disturbances in the general state of the organism
light	isolated pockets	Not more than 2 times	Moderate, may become inflamed lymph nodes neighbors
medium	Single or multiple with severe pain	Not more than 3 times	Moderate may inflame proximal lymph nodes, increase of body temperature
severe	Multiple, small, without the pain and inflammation	many times	Extreme weakness, fever, headache, increased sweating

Separate suppurative focus, there are about 10 days.

During this time he passes these stages:

• infiltrative - maturation of the boil;
• flyuktuativnaya - extinction and softening fabrics in the boil;
• purulent - yield necrotic masses outwardly;
• regenerative - healing wounds.

Sometimes the second and third step are combined into one - of pyo-necrotic.

The chronic course of boils on the skin can be simultaneously observed inflammatory lesions at different stages.

symptoms

Each stage of development characterized by boils its clinical manifestations.

Overall and characteristic symptoms of various locations is as follows:

• infiltrate at step - there is painful to the touch focus around the hair on the skin 1-3 cm in diameter. He dense, with marked swelling and redness. Pain increases with movement of facial muscles (facial) or move your hand from the shoulder (boil under his arm). Inflammation of the face often accompanied by fever, pain in the head, the general deterioration. This stage lasts for no more than 3 days;
• during fluctuations - inside the sealing of the dead cells and pus formed necrotic core surrounded softened fabrics. In the center of the boil there is a white abscess, covered with a thin layer of skin;
• upon the occurrence of purulent step - the skin over the web breaks, allowing dead skin cells and pus come out. Soreness, swelling and redness gradually come to "no";
• during regeneration - wound through which pus came out heals. After a small abscess scars remains, traces of large boils may remain for a long time.

When the unit boils small malaise and fever are usually absent.

Symptoms of inflammation require complicated treatment to the doctor:

• reduction of the area of ​​skin sensitivity around inflammation "blueness" of the skin;
• constant throbbing pain;
• noticeable deterioration raising the temperature to 40 degrees;
• loss of appetite, nausea.

The more dangerous the disease

Even the treatment of a small unit boils should be treated carefully.

If not properly treated, the infection is easily spread, causing the appearance of new inflammatory lesions, and this threatens:

• the process becomes chronic, worse treatment outcomes;
• increase the risk of complications;
• subcutaneous abscess development and the need for surgical intervention;
• cosmetic defects (scars);
• weakening general immunity, which had to contend with a constant focus of infection.

The development of the disease during pregnancy can lead to miscarriage and premature birth.

Can I get this disease?

Furunculosis, causes and treatments, which are discussed in photo network called opportunistic microorganism. This means that inflammation occurs only when the "favorable" conditions (low immunity, along with damage to the skin). Normally, Staphylococcus aureus present on the skin of each person - so abrasions can not be considered infectious.

How to distinguish a boil acne

Small furuncle may resemble acne, but starting from feeling and appearance, it is possible to identify a number of differences.

They are conveniently presented in a table:

boils	acne
localization depth inflammation	The skin is thicker close to the adipose tissue	On the surface, in place threadline exit
Appearance	Seal in the form of the hill with blurred boundaries. Redness covers a vast area of ​​the skin	Inflammation of the small flat with clear boundaries, pinkish-red color. The skin around is not changed.
ripening period	10 -14 days	3-4 days
Pain syndrome	Present until pus output dostraivaniya with or without	usually absent
The presence of scarring from inflammation cured	Wounds from large boils can leave noticeable scars permanently	Traces of acne does not remain

Pimple rarely poses a risk to health, and carbuncles, boils in the nasolabial triangle, armpits or groin - a reason for treatment to the doctor to prevent complications.

Diagnostics

Often the diagnosis is sufficient examination of an experienced dermatologist.

In some cases it is necessary:

• Study of pus from the boil on a tank crop - to determine the exact causative agent and selection of antibiotics;
  
• CBC - to assess the extent of a general or local inflammation;
• blood serum test for immune status.

If the reason for the decline of immunity is not obvious or suspected hormonal nature boils, appoint more:

• blood analysis on hormones;
• Ultrasound study of the digestive system;
• X-rays and nasal sinuses.

Decoding results of the survey carried out narrow specialists - endocrinology, gastroenterology, and otolaryngologists. They can identify hormonal disruptions, gastrointestinal diseases or upper respiratory tract.

Abrasions in children

In children, the disease develops more frequently than in adults against the background of such features:

• thin upper layer of the skin, allowing microbes to penetrate rapidly into deep layers, blood and lymph;
• frequent contact with sources of contamination (walking) with inadequate hygiene;
• immature immune and endocrine systems;
• increased secretion of sebum and sweat under the age of 7 years.

In the development of boils in children can distinguish characteristic features:

• Poisoning is expressed more clearly - the temperature to 39 degrees, headache and loss of appetite, weakness;
• process faster and sharper flows, at least becomes chronic;
• boil is often located near the nostrils, chin, cheeks and forehead;
• localization of lesions and a large flow velocity provokes rapid development of sepsis;
• the disease tends to recur when the exacerbation alternate with the apparent lack of symptoms.

Abrasions in pregnant women

During gestation the immune system does not work in "full force" that creates fertile ground for the emergence of boils and increases the risk of complications. In addition, the possible infection of the fetus. In the 1st trimester, it is dangerous to developmental defects, which can lead to miscarriage.

In the 2nd trimester abrasions threatens:

• the development of the newborn inflammation of vital organs - lungs, heart and brain;
• oxygen starvation of the fetus, violates development, increasing the risk of premature birth.

In women, after childbirth, abrasions leads to chronic mastitis.

From local products resolved during pregnancy, should be noted:

• antiseptic solutions - Betadine (only one trimester) and Chlorhexidine;
• ointment - Levomekol, ihtiolovaya.

Oral antibiotics always, including when pregnancy is possible only in the presence of strict indications. Immunostimulants should not be used during pregnancy. Fight with foci of chronic staphylococcal infection involves the processing of the pharynx and nasopharynx.

To do this, you can use:

• The solution hlorofillipta (Alcohol, oil or spray) - should be used 3-4 times a day for 7-10 days;
• staphylococcal bacteriophage - it should be instilled into the nose or moisten them cotton swabs to be inserted into the nostrils. Means should be used in between meals for 7-10 days.

To protect the future child practiced staphylococcal toxoid injection during the third trimester of pregnancy.

boils treatment

Abrasions - Causes and Treatment (photo recovery stages can be found on the network) suggest a complex of such measures:

• local and general symptomatic treatment - autopsy boils treatment antibiotics inward and outward;
• removal of the underlying disease (if any);
• correction of immunity and diet.

Speed ​​recovery and reduce the risk of recurrence of such household help recommendations:

• regular change of the lower and bedding - it should be clean and the pressed;
• Regular hand washing with soap;
  
• skin inflammation bactericidal wiping solution;
• Disinfection of fresh cuts - in their place may develop boils;
• limit access of moisture to the damaged area - it can be wet, but the bath is not desirable.

When the boil should not be:

• heat the focus of inflammation using a compressand - this can only be done by dry heat, and only on the stage of maturation;
• squeeze the boil - it increases the risk of infection in the surrounding tissue.

Consult your doctor immediately stands at:

• large boils;
• revealed the foci that produce a lot of pus;
• visible signs of complications;
• deterioration of general condition.

normalization diet

One diet for the treatment is not enough, but should not be neglected.

Create optimal menu will help the recommendations from the table:

Authorized products	Products that are necessary to limit or exclude
Lean meat, poultry, nuts	Fat poultry and meat, meat products, sausages, smoked
Fish and seafood	Caviar, salted fish delicacies
vegetable broth	Meat and fish broth
Grains breads, nesdobnoe pastries, cereals (except semolina), beans.	White bread, cakes, pastries, chocolate
Vegetable fats -nerafinirovannye oil seeds	Animal fats (butter, sour cream)
Low-fat dairy products	Confectionery fats, margarine, milk
Turmeric, paprika, mustard	Other spices
Savory vegetables, fresh and dried fruit, sweeteners - stevia, xylitol, sorbitol,	Sweet fruit and sugar
Non-carbonated water, green tea and herbal	Coffee, alcoholic beverages

The general principle is clear - to fill a diet light in protein, fiber and vegetable fat, removing from it fast carbs and unhealthy fats.

Processing antiseptics

To prevent the propagation of bacteria in the affected area of ​​skin on the infiltration step is appropriate to apply the following means:

• furatsilina solution;
• sodium salicylate;
• rubbing alcohol;
• chlorhexidine;
• alcohol-iodine solution (5%);
• hydrogen peroxide.

When furunculosis effectively use ichthyol ointment having pulling and antiseptic effect, reduces pain and inflammation. It is necessary to impose on the ulcer, covered with a layer of cotton wool and fix the patch. Change bandage should be every 8 hours. In uncomplicated inflammation of improvement can be seen in a day.

Application of ointments Vishnevsky is recommended only after the release of pus.

Physiotherapy

Physiotherapy contribute to the removal of local symptoms and stimulate the immune system as a whole.

Among the common techniques:

• dry heat - in step effectively furuncle maturation;
• electrophoresis - prevents complications;
• ultrahigh (UHF) and ultraviolet therapy (UVR) - stimulates the immune defenses, reduces inflammation;
• laser therapy - promotes better nutrition and skin regeneration;
  
• magnetotherapy - reduces swelling and inflammation;
• ultraviolet irradiation of blood (UBI) - improves immunity;
• ultrasound - improves blood flow and regeneration processes;
• ozone therapy - it has a bracing effect on the organism.

treatment with antibiotics

Antibacterial ointment applied at different stages, they can act in the same direction or complex:

• tetracycline - antibiotic ointment broad spectrum, active against staphylococci. It needs to be applied to the inflammation of 2-3 times a day or 2 times a day to make the dressing;
• levomekol - antibacterial and regenerating (due methyluracil) effect. Ointment is used in large outbreaks after the pus for rapid purification and healing of wounds. Dressings should be changed 1 time per day;
• sintomitsina - antibiotic ointment promotes early ripening and opening the boil, reduce itching and swelling. The application of the ointment and bandaging produce 1 raze a day;
  
• Oflokain - Combined ointment has antibacterial, anti-inflammatory and analgesic effect. It is not recommended to use after opening the boil. The frequency of dressing changes - 1-2 times a day.

Ingestion of antibiotics prescribed by a doctor when:

• multiple, recurrent boils;
• there are complications;
• localization of inflammatory lesions on the face, neck or above the hairline;
• systemic diseases - diabetes, HIV infection.

In this case, using drugs of the following groups:

• penicillins (Amoxicillin, Flemoksin) - are relatively safe (can be applied to children and pregnant women) are active against staphylococci;
• tsefaloporiny (Ceftriaxone, Ceftaroline) - rarely allow for the development of bacterial resistance (compared with penicillins), available at the price allowed during pregnancy. Product form - powder for injection;
• gentamicin - a more powerful antibiotic with a large number of side effects. The drug is contraindicated in children and pregnant women.

Vitamins for abrasions

Course multivitamin shown to virtually all - in order to compensate for an unbalanced diet.

When it boils important to ensure delivery into the body:

• Vitamins A and E - accelerate the healing of wounds and fractures are involved in the blood (Vitamin E), reducing anemic symptoms (often accompany furunculosis);
• Vitamin C - Increases the body's ability to fight infections;
• B vitamins - help to normalize the digestive tract work, necessary for the functioning of the endocrine and nervous systems.

Optimally, take vitamins separately (Aevit, Ascorutin, Milgamma) courses can alternate them with vitamin-mineral complexes (Vitrum, Centrum, Complivit).

Surgery

Operative intervention is indicated in significant amounts boils and / or infection of subcutaneous tissue, carbuncles, inflammation related glands. It is done using a local anesthetic (subcutaneous injection).

The operation includes the following stages:

1. skin incision.
2. Removal of pus and dead hair follicles.
3. wound antiseptic processing.
4. Sutures and drainage installation to display the residual pus (after 2-5 days the drainage is removed).

If the rod is just started to form, it may be removed by using salicylic acid, followed by application and drainage bandage. Anesthesia is not required, but doing it at home is prohibited.

Treatment of folk remedies

Use "home" means for multiple and recurrent ulcers does not make sense.

In the treatment of single small boils on the stage of maturation may be useful these recipes:

• water with turmeric. For internal application is necessary in 200 ml of warm water add 5 grams of turmeric. This mixture should be cooked and drink three times a day. Means requires caution with cholecystitis and constipation. Thicker slurry can be applied to ulcers;
• nettle juice. Fresh juice should drink 15 ml during meals 3 times a day. Tool will help purify the blood and prevent the emergence of new boils;
• compresses based on garlic. Clove of garlic must be cut into thin wafers. They need to be applied to boils, fixing plaster. Grated garlic can be used under the plaster. If your skin is sensitive, mush better mix with the mashed potatoes. A small abscess may reveal during the day;
• plantain. Fresh leaves scalded and incised with a knife in several places. One compress (sheet under a bandage or patch) is enough for 1.5-2 hours, they can apply up to 4 times a day. Instead of leaves, you can use the juice of plantain from the pharmacy, they moistened gauze bandage;
• medical dough. You need to mix one egg yolk, 20 g honey and liquid butter and a teaspoon of baking soda. Then it is necessary to introduce a flour to obtain a thick dough. Cake out of it should be applied to boils, securing the bandage. Replace the bandage need 3 times a day, keeping the rest of the dough in the refrigerator;
• raw potatoes. For this purpose finely rub tuber, weight is applied to the inflammation under the bandage. Replace the bandage need 3 times a day;
• aloe. Fleshy leaf should be washed and cut lengthwise. Then slice to attach to the inflammatory focus, cover with gauze and seal the plaster. Replace 2-4 times a day;
  
• flour with honey. Mix the components and dazzle of them cake, securing it with a bandage (preferably overnight). In the morning, you need a cake and you need to redo the bandaging;
• coltsfoot. Freshly washed leaf similarly applied to swelling plantain. You can insist 20 g of crushed dry leaves with 200 ml of water. After 30 minutes, filter and applied topically, moistened gauze bandage or drink 2 tbsp. tablespoons to 6 times a day. Keep infusion of no more than 2 days;
• Brewer's yeast. Means should be used orally 2 times a day for 1 st. spoon for 30 minutes before a meal.
• laundry soap. Suitable only soap without additives - it must grate. Then add water and cook until soap is melted, add the onion juice (2 tbsp. spoons). The cooled mass must be imposed on the boil, pressing the gauze and secure with tape. Change the bandage every day need, as the rest of the soap stored in the refrigerator;
• baked onions. Purified onion to be cut into 2-4 parts and 10 minutes, the oven in a pan without oil and fat, then remove the burnt crust. Under the bandage can be placed warmer or half a small onion chopped blender mass, replacing it 2 times a day;
• camphor oil. They lubricate the focus of inflammation 2-3 times a day. For small boils result is visible on the following day.

Among the well-established concoctions used inside:

• decoction of burdock root. 1 tbsp. spoon crushed root to pour 200 ml of boiling water and boil for 5 minutes. Then the broth to cool for 0.5 hours and drink broth for 1 day, divided into three portions. The course of treatment - 4 weeks;
• chamomile broth. 1 tbsp. flowers spoon pour 200 ml of water and heated to boiling. Strain, taking 200 ml, 3 times a day 30 minutes before meal.

Skin care after opening the boil

Boil, uncovered in a hospital, the doctor treats.

If the abscess burst on their own, the following algorithm:

1. Processing sores and skin around the antiseptic (hydrogen peroxide).
2. Filling the cavity ointment Levomekol.
3. Bandaging.

These actions must be repeated 3 times a day, until healing is complete. Levomekol not recommended to apply more than 7 days, then the treatment continues (if necessary) Wisniewski ointment or similar.

complications

Sporadic, small inflammation provided a stable immunity rarely require treatment and do not lead to complications. However, large boils, their damage (including attempts to squeeze the abscess) in the absence of therapy can provoke different diseases.

For example:

• thrombophlebitis - inflammation of the vein wall and vein occlusion. A particularly dangerous at this point the boil on the face;
• abscess of the upper lip - penetration of infection into the subcutaneous tissue;
• meningitis and meningoencephalitis - inflammation of the brain. Often is a prerequisite phlebitis facial veins;
• lymphadenitis and lymphangitis - infection of the lymph nodes and lymph vessels near the boil;
  
• sepsis - penetration infections and toxins into the bloodstream, causing the overall response of the organism;
• arthritis - the spread foci of inflammation in the joint tissues;
• glomerulonephritis - kidney damage in chronic staphylococcal infection.

Effects

Abrasions, causes and treatment (photo diseases and complications eloquently about this), which have their own peculiarities, it is not recommended to open at home.

Puncturing or cutting the tops of the abscess can lead to:

• spread of bacteria and the appearance of new foci of inflammation adjacent to the first;
• penetration of staph in the deep layers of the skin, blood and lymph, which threatens range of complications.
• slow healing of wounds and scars.

prevention

Treatment boils launched a long, complicated by relapses and leaving scars on the skin (which confirms the photo).

Based on the causes of the disease, we can formulate the following preventive recommendations:

• hygiene rules - including purity of body, clothes, clothing, hand washing;
  
• stabilization immunity - timely treatment of chronic diseases, maintaining the level of physical activity, good nutrition, intake of vitamin complexes, minimizing stress;
• sugar control in the blood and hormonal background;
• minimizing the risk of injuries of the skin, the timely processing of damage and inflammation (including episodic boils).

Abrasions provoked a number of reasons, among them - the inadequate treatment of inflammation of the unit. Photos complications of the disease indicate that pierce and squeeze an abscess in the home should not be.

Registration of the article: Lozinski Oleg

Video of abrasions

Treatment for boils at home: