Whitlow finger on a hand treatment

Classification

Skin option: felon finger on the hand looks like an abscess, which is placed below the level of the epidermis of the skin. Diseases affecting the nail and has three forms:

• nail;
• subungual (pus accumulates directly under the nail);
• paronychia (inflammation affects okolonogtevoy roller).

Subcutaneous disease It is characterized by a purulent inflammationActing on the tissue under the skin of the finger phalanges. In addition, subcutaneous localized version of love on the tips of the palms on the inside.

The tendon variant of the disease there is the most severe form of purulent inflammation. Provocateur occurrence of articular and bone felon is a deep wound, which comes to the bone. In some cases, the cause of the disease becomes a wound to the joint cavity. It is also possible to pass from the surrounding inflammation of the affected tissues (effect caused by the subcutaneous form of the disease).

Pandaktilitom called a disease in which a purulent inflammation encompasses the entire thickness of a finger.

Causes

The lists of factors causing felon finger, appear different types of injuries that can be visible or invisible (microtraumas).

By provoking factors include:

• scratches;
• injections;
• presence of a foreign body (glass fragments, splinters, glass particles, swarf);
• wounds inflicted manicure tools;
• abrasions.

Skin lesions are loophole to enter the human body different pathogens.

To the bacteria, which can cause felon include:

• aureus (Staphylococcus);
• enterococci;
• Escherichia, Pseudomonas aeruginosa and Proteus (in rare cases);
• streptococci.

There are factors that are likely to develop felon. Most often it affects people suffering from diabetes, vitamin deficiency, poor circulation in the hands, immunodeficiency. All these factors accelerate the progression of the disease, worsening its course and complicating the process of treatment.

symptoms

Manifestations of the disease is directly dependent on its shape. The easiest option is intradermal felon. On the face of it reminiscent of the bubble, which is filled with pus inside. Main place of localization - palmar surface of the finger end of the phalanx. Tearing, which is observed in the accommodation area of ​​the bladder, accompanied by a slight pain.

Paronychia, as a result of damage caused by a manicure tool is accompanied by an inflammatory process that affects the cuticles. In this zone there is swelling, pain and redness. In the future, the roller skin can get up, to get a whitish hue (such a change occurs as a result of radiographic accumulated pus through the skin).

There are a number of pain:

• It's a dull pain;
• constant pain;
• throbbing pain (provoked abscess formation process).

Pus thus may extend under the nail plate, forming there subungual embodiment disease. Symptomatology in this case is accompanied by a partial or complete detachment of the nail plate.

The subcutaneous form of the disease appears as a thickening of the finger phalanges that impressed. There is redness of the skin that shines. Pain acquire the character of pulsations are amplified when the patient puts his hand, because of which lost the possibility of making movements.

tendon felon provokes redness, thickening of the fingers on the arm or leg. If any movement appears a sharp pain. Finger takes the form of sausages, is in the half-bent position. Pain bright, pulsating. Swelling can move on back of the hand as well as on the surface of the palm. The process of formation of pus accelerated, it moves in the direction of propagation and swelling can move on the hand or forearm.

Articular and bony form of the disease affecting joints and bones that belong toe phalanx. Symptomatology in this case is similar to the subcutaneous one felon, but in this case is more pronounced. Swelling covers the entire finger. Pain strong enough intensive, have no local placement. Finger is flexed, the pain and swelling prevents movement. In some cases there is a break through the skin, causing the purulent fistula formed.

Articular disease is characterized by an initial redness, swelling and pain in the affected joint area. However, if you do not start treatment, these symptoms will spread further.

Diagnostics

Diagnosing felon initially performs the patient himself. Upon detection of these symptoms should seek the assistance of a surgeon. For the diagnosis of cutaneous and subcutaneous felon variant of the disease is only applicable clinical picture of symptoms, without instrumental intervention. Of the total blood analysis and research on glucose would be sufficient. This will help to identify the extent of the disease, to diagnose diabetes, and when it is detected to determine its severity.

Bone, tendinous, articular form of the disease are diagnosed on the basis of X-ray images. In this case, the result in images is a rupture in time, keeping up with the clinical picture for about a week or two. Therefore, the recommendations of experts are to re-execute the procedure after a certain period.

Treatment felon finger on the hand

The primary stage of the disease development requires:

• antibiotic therapy;
• physiotherapy;
• trays filled with hypertonic saline.

Most often sick person misses this stage of treatment, ignoring the trip to the doctor.

The development purulent process is carried out within three days after the finger has been infected. Standing pain sensation with ripple that interferes with sleep, and high temperature (over 37 ° C) indicates the need for surgical treatment.

To treat felon on a finger or toe, can be assigned:

• excision and processing of peroxide;
• opening and lifting of the skin with subsequent removal of roller delaminated portions;
• incision through the installation of drainage.

prevention

Preventive action when panaritiums consist in a timely and proper handling of the injuries.

Microtrauma are processed as follows:

• thorough hand washing with soap;
• removal of foreign bodies from the wound, if any;
• squeezing a drop of blood;
• treatment with peroxide (3% solution);
• processing via edges or zelenki iodine;
• closing wounds sterile dressing or patch via bactericide.

Performing manicure procedures should be as neat. Before the start of the cuticle with the adjacent tissues alcoholize, Tools immersed for 10 minutes in an alcohol or disinfection is performed by professional methods.

Upon receipt of injury during cutting meat or work with the earth wound immediately processed and closed.

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