A minor injury or splinter may develop into an abscess that penetrates to the bone. Such an inflammatory process is called a panaritic finger on the arm - the photo will help to better understand the symptoms. Why does the inflammatory process develop? How quickly and safely can you get rid of the panic?
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Causes of the disease
Any abrasions, scratches, burrs and splinters can provoke the development of a panic. Through the damaged skin, pathogenic microorganisms penetrate the body - staphylococci, streptococci, various sticks and fungi.
Purulent inflammation develops in the absence of normal disinfection of the injured finger. There are certain categories of individuals who have a high probability of developing panaritium.
Provoking factors:
- diabetes mellitus;
- diseases that are accompanied by primary or secondary immunodeficiency;
- presence of pathological changes in the blood supply of the limbs;
- vitamin deficiency;
- fungal nail diseases;
- ingrown toenail.
Purulent processes in the fatty tissues of the finger develop rapidly, spreading to nearby tissues. The special structure of the cellulose allows the inflammation to penetrate deep into the interior.
Panaritium in the classification of ICD-10 - L00-L08( infection of the skin and subcutaneous tissue), L03.0( phlegmon fingers and feet).
Main symptoms and photos
Panaritium has various forms, which depend on the degree of penetration of the purulent process in the tissue, the site of the site of inflammation. What do the varieties look like?
Common signs of panarisation:
- pain in the injured finger of a bursting and shooting character;
- severe swelling at the site of injury;
- inflammatory process is characterized by a strong reddening of the skin;
- finger loses mobility.
Important! To treat purulent inflammation it is necessary as soon as possible - at the initial stage it can be cured by conservative methods. But with neglected forms without surgical intervention is indispensable.
With skin felon swelling and redness accompanied by 1-3 bubbles, which accumulate the contents of white and yellow. In this place, the most severe pain is felt.
Subcutaneous felon exudation looks like a small bright spot, redness and swelling have a blurred shape, affecting a large area of the finger. With paronychia signs of the inflammatory process are formed below or from either side of the nail.
When pus penetrates into the lower layers of the nail bed, subungual panaritium develops. The upper phalanx loses mobility due to a strong puffiness, when it touches the nail, there is severe pain, under the nail plate, one can consider the accumulation of pus.
Bone pelaris at the initial stage has signs of subcutaneous form. But gradually the puffiness becomes more and more, the finger considerably increases in sizes, completely loses mobility. This form is accompanied by an increase in temperature, there are signs of severe intoxication. Bone abscess can open itself - a person's condition will improve for a while, but soon the symptoms return. Similar signs are typical for the tendonous panaricium.
In articular form, the focus of inflammation is localized around the joint. The disease is characterized by a strong permanent pain, which is intensified with each finger movement. The abscess can also open itself, but this does not indicate a recovery.
Pandactitis is the most severe form of panaritium, the inflammation spreads to all tissues of the finger, it acquires a cyanotic-purple color, becomes shiny, greatly increases in volume. The pus comes out through the fistulas, which occur in large numbers on the surface of the injured organ. When palpation, a characteristic crunch of subcutaneous tissue is heard.
Panaritium can be accompanied by various complications - sepsis, osteomyelitis. With the accumulation of a large amount of pus, it begins to melt the skin and subcutaneous fat, most often in the region of the first phalanx of the finger - phlegmon develops, which is difficult to cure.
Panaritium in children
Purulent inflammation on the fingers often occurs in children - they often gnaw their nails, injure their fingers during games, contact with domestic or street animals. Weakened or not fully formed immunity in the child promotes the rapid proliferation of pathogenic microorganisms that penetrated the wound.
In a child, panaritium is rarely diagnosed, because the risk of finger injuries is minimal.
Causes of development of panaritium in infants:
- birth injuries;
- wrong nail trimming;
- ingrown nail;
- pinching;
- scratches of pets.
Important! Infants most often develop skin or okolonogtevoj of panaritium. To prevent the penetration of infection into the deeper layers, the inflamed area needs to be treated with an antiseptic, call a doctor.
In addition to signs of inflammation on the injured finger, in infants, panaritium can cause a decrease in appetite, frequent regurgitation, deterioration in sleep quality. Children often fever, there is a general deterioration in well-being.
For treatment:
- If there is no purulent inflammation, then the treatment of children can be carried out at home. Cold compresses and saline baths are good.
- In addition, you should treat the inflamed areas with antibacterial and antiseptic ointments - Ichthyol ointment, Levomikol.
It is better not to delay home treatment, see a doctor. In most cases, you need to take antibiotics for a speedy recovery. If panaritium is caused by fungal diseases - treatment with antifungal agents is required. Correctly to select strong medicines the doctor can only.
Methods of conservative treatment
At the initial stage for treatment panaritium use trays with a solution of potassium permanganate, anti-inflammatory and antibacterial ointments.
Effective medications:
- Dimexid - diluted in a ratio of 1: 4 with water, make compresses;
- Furacilin - used for hot baths, soar inflamed finger should be at least half an hour;
- Lincomycin is the best antibacterial agent for the treatment of panaria in the form of ointment, solution for injections or capsules for oral administration;
- Levomikol - applied to the steamed skin, the agent destroys the bacteria, accelerates the process of tightening the wound;
- Ointment Vishnevsky - proven for years, a drug with a specific odor, a good antiseptic;
- Tetracycline ointment - effectively helps only in the initial stages of panation, can be mixed in equal proportions with zinc paste.
If such therapy does not work, the patient has a fever, an abscess has appeared - an operation is necessary. It is carried out under local anesthesia, the doctor makes a small incision, removes dead tissue, sometimes completely nail. With subcutaneous and deeper localization, drainage is inserted into the incision, antibiotic treatment is mandatory - Ceftriaxone, Ceftazidime, Augementhin.
The total duration of treatment is no more than 7 days.
How to treat Panaritium at home
If a panic occurs, you need to see a doctor, but if this is not possible, the disease is at an early stage - you can carry out preliminary treatment at home.
First aid with panaritium:
- Prepare a saline solution from 15 g of salt and 220 ml of warm water - immerse the finger in it for a quarter of an hour three times a day.
- Make a solution from Dimexide - dissolve 10 grams of medicinal product in 40 ml of boiled water.
- Soak a small piece of gauze in the solution, wrap the inflamed finger.
- Top with gauze sprinkled with chopped penicillin.
- Secure the compress with polyethylene and a bandage, do not remove until the next salt bath.
Important! Folk remedies can be used only at the initial stages of the disease, while the process of purulent tissue melting has not begun.
As a compress, you can use a mixture of 7 ml of fir essential oil and 3 g of Vishnevsky ointment. Mass it on the bandage, fix it on the affected finger, after 6-8 hours, change the bandage.
Aloe is an effective remedy for the treatment of various inflammatory processes. It is necessary to cut the lower fleshy leaf of the plant, remove the sharp end and one side. Carefully cut the leaf into 2 pieces not completely, put a finger in the incision. Change the compress every 4 hours.
Panaritium is an inflammatory, purulent process in the tissues of the fingers or toes. If you do not start treatment on time, severe limb pathologies can develop, and several phalanges may need to be amputated. To prevent the development of the disease, all wounds and scratches must be immediately treated with greenery, alcohol, peroxide, and fix the bactericidal plaster.