How and how to treat panaritium. Treatment of periungual panaritium

Despite the fact that many of our home processes are mechanized, many still continue to injure their hands. The smallest microcracks, injections or cuts cause the development purulent complications on the fingers - panaritium. Today we’ll talk about why panaritium occurs, is it possible to cure it at home, and what methods of treatment are effective.

Purulent inflammation of the area of ​​​​the finger of the nail phalanx adjacent to the nail is called panaritium.

Hands are the working tool of man. And no matter how we take care of our hands, we still injure them, for example, when working on a garden plot, or pricking ourselves with a fish fin when cleaning it, when a splinter enters, with poor-quality manicure, etc.
Provoking factors in the development of purulent fusion of periungual tissues can be

• Diabetes mellitus - with this disease, there is a violation of blood circulation in the peripheral vessels, as a result, the smallest nerve endings die, which is why pain is not felt when an injury occurs and damage occurs more easily;
• Poor microcirculation of blood in the extremities can be caused by spasm of peripheral vessels, this is often found in smokers;
• Humid environment, which is a breeding ground for pathogenic microorganisms;
• Poorly performed manicure or pedicure;
• An ingrown toenail that occurs when the nails are cut incorrectly.

Depending on the development of the process on the finger, there are superficial felon- dermal, subcutaneous, periungual (otherwise periungual - called paronychia) or deep - tendon, bone, articular, osteoarticular. Panaritium is more common on the fingers, but it also occurs on the toes, but much less frequently. It occurs more often in children than in adults, this is understandable, children are more inquisitive, their skin is more delicate, and therefore more often injured.

The mechanism of occurrence of panaritium

For development, it is not necessary to have a large wound on the finger. It is with minor injuries - injections, abrasions, small paresis, ingress of foreign bodies (scale or splinters) that panaritium occurs. A small wound is just the entrance gate for the penetration of pathogenic microflora, more often it is Staphylococcus aureus, streptococcus, Pseudomonas aeruginosa, Proteus, fungi, less often a putrefactive infection.

Small wounds after an injury quickly stick together (tighten), and the infection remains in the wound and begins to multiply. In response to a foreign agent, the body begins to produce phagocytes - an accumulation of leukocytes. Of course, a small splinter or cut does not cause such a response in everyone. Here, the state of immunity, metabolism, the presence of endocrine diseases, and the lack of vitamins in the body play an important role.

Symptoms and signs

Multiplying microbes cause inflammation, redness, swelling, and swelling appear on the surface of the skin. Gradually, pain joins the first signs. As the abscess develops, the pain intensifies, becomes sharp, shooting, jerking, pulsating, exhausting.

With panaritiums of large sizes, a violation is also possible general condition: malaise, weakness, fever. Strong pain does not give rest during the day, but at night.

If the inflammation is caused by putrefactive microbes, clinical picture rapidly developing and rapidly progressing.

Why is panaritium dangerous?

Treatment of an abscess started in time is unlikely to cause any problems. And in advanced cases, suppuration along the tendon canals can advance further and cause the development of osteomyelitis, phlegmon of the hand, forearm, up to sepsis.

In advanced cases, it is possible to develop pandactylitis - purulent inflammation of the finger, in which the purulent process spreads to all tissues of the finger - skin, subcutaneous tissue, tendons, joints and bone. There is no way to do without surgical intervention, in which it will be necessary to amputate the finger, and maybe the hand.

What to do, how to treat?

The peculiarity of panaritium is that the pathological purulent process quickly spreads through the tendon canals, therefore, as soon as the first signs appear, it is necessary to start treatment immediately. And it is better not to delay, contact the surgeon. The essence of the treatment is to open the abscess (usually after that, the arching pain in the finger subsides) and the appointment of antibiotic therapy.

1. At the initial stage, it is recommended to apply bandages with Levomikol, with Vishnevsky ointment or Ichthyol ointment to the affected area. They are effective not only at the initial stage, but also after opening the abscess. They contribute to the fastest cleansing of the wound and its healing, having a detrimental effect on bacteria.
2. With panaritium big size broad-spectrum antibiotics are recommended. Penicillin antibiotics or cephalosporins are usually used.
3. If the abscess was caused by a gram-negative microflora, the use of metrinidazole is effective.
4. Dressings with Dimexide help relieve inflammation and enhance the effect of antibiotics. Compresses are made with saline or furacellin. This dimexide must be diluted in a ratio of 1:4.
5. Hot baths with hypertonic solution, potassium permanganate or soda help well.
6. To relieve pain, any painkillers in tablets are used - analgin, ketorol, non-steroidal anti-inflammatory drugs.

After opening the abscess, it is effective to use hydrogen peroxide to cleanse the wound, and make dressings with chlorhexidine or streptocide.

Folk methods of treatment

It happens that it was not possible to see a doctor in time, and the abscess makes itself felt with throbbing pain. In such cases, folk remedies can be used at home, they are time-tested and no less effective than drugs. Many of the recipes are taken from the magazine ZOZH.

• Aloe. Cut off a piece of aloe leaf, rinse it. Cut one of the sides of the leaf so that it is with pulp, with this side attach the aloe leaf to the abscess, fix it with a bandage or plaster. Change the aloe until the abscess opens up.
• Plantain. Attach a clean and washed plantain leaf to the panaritium, fix it. Change the bandage until the abscess opens up.
• Baked onion. Bake one small onion, it is necessary that it be soft, cool a little so as not to burn yourself, and attach to the abscess, fix, leave overnight. The pain will pass quickly, the panaritium will open quickly.
• Ointment, consisting of equal parts of laundry soap, rosin, raw onion, beeswax and butter. Grind all ingredients and cook until smooth. Apply the resulting warm ointment on a piece of bandage and apply to the sore spot, bandage and leave overnight. The duration of the procedure is 30 minutes. It will take 2-3 procedures.
• G hypertonic solution. Dissolve a tablespoon of ordinary table salt in half a glass of hot water, stir. You can make a finger bath by dipping the pale into the solution until it cools.
• Soda. Dissolve a tablespoon of baking soda in a glass of hot water. Make a hot bath for a sore finger in the same way as in the previous recipe. The duration of the procedure is 30 minutes.

• Hot soapy water. Make a hot solution with laundry soap. Dip your finger into the solution for 2-3 seconds, as it cools down, you can keep your finger in the solution longer. But they believe that the hotter the solution, the better.
• Raw potatoes. Grate the peeled raw potato, put the resulting slurry on a piece of bandage and attach it to the sore finger. Fix with a bactericidal plaster.
• Cabbage leaf. Tear off a small piece cabbage leaf, scald it with boiling water, cool a little, tie it to the panaritium, fix it. If necessary, you can repeat 2 times a day.
• Chicken protein with soap. Beat the protein of 1 chicken egg into a steep foam, add finely grated laundry soap until the mass becomes viscous, resembling the consistency of an ointment. Apply the gruel to the sore spot, let it dry and only then bandage it. Do not remove the bandage for 1-2 days. Ate the abscess did not break through. Repeat that procedure.
• Solidol. This method is more often used by men and villagers, and surprisingly, it helps. Spread an inflamed finger with technical grease, bandage it. As they say, after 2-3 hours the pain subsides, the abscess erupts. The procedure can be repeated if necessary.
• Chicken protein with alcohol. Add 96% alcohol (about 40 ml) little by little to a glass of chicken protein, while stirring, until the protein curdles. After that, strain the mixture through a strainer, and transfer the remaining flakes to a piece of bandage and attach to a sore spot, wrap it with cling film on top and bandage it. Leave the compress for 7 hours, then repeat the procedure.

How to prevent the appearance of panaritium?

As a prophylaxis of panaritiums, the following measures must be observed:

1. Wear rubber gloves for everything, whether you're gardening or cleaning fish.
2. Get manicures from trusted nail technicians who disinfect and sterilize their instruments.
3. For any contamination, wash your hands thoroughly with soap or treat with alcohol-based solutions or gels. applied attention to washing the periungual ridges and interdigital areas.
4. Patients with diabetes monitor their wounds.

Dear readers, it is very important to observe prevention, since the appearance of panaritium is a rather painful and unpleasant situation. And if you are still unlucky, then use these useful tips And folk remedies. Perhaps some of you have already used your treatment methods in a similar situation, so share them with us, maybe they will be useful to someone. Be healthy!

Periungual felon - unpleasant disease, manifested by the inflammatory process of the tissues of the fingers around the nail. It appears when the skin and nails are injured and the infection enters the wounds. On the initial stages the disease can be removed independently, but it is better to consult a doctor in order to avoid the development of complications and the occurrence of relapses.

What is periungual panaritium

Panaritium is acute inflammatory process, which is accompanied by the formation of an abscess at the site of inflammation. Periungual panaritium develops if the skin of the finger around the nails of the hands or feet is damaged - these can be abrasions, burrs, infection when performing a manicure.

In addition to the periungual, there are similar types of panaritium:

• subungual- the inflammatory process is formed under the nail plate, pus accumulates in this place.
• Paronychia- inflammation covers the nail. This species differs from the periungual panaritium in that it develops on the rollers, and not around the nail.

Causes and symptoms of panaritium

Periungual panaritium occurs as a result of injury to the skin of the finger, on condition hits after injury infections. This happens when the manicure is done carelessly with undisinfected instruments, as a result of infection in places of scratches, splinters, and burrs. Increase the likelihood of an inflammatory process diabetes, weak immune defense of the body, as well as non-compliance with hygiene rules.

Symptoms of panaritium

• Intensive pain syndrome. The pain is sharp and strong, determined by the "shooting" character, it can also be aching.
• Swelling of the affected areas skin and nails.
• Redness of the skin.
• Headaches.
• Chills.
• General weakness.
• Temperature rise.
• Inflammation of the lymph nodes.

If you find the first abscesses and associated symptoms, you should consult a doctor. Without timely treatment, the symptoms worsen, lymphadenitis, phlegmon, and blood poisoning may develop.

Treatment of panaritium and possible complications

Treatment

What drugs are prescribed for drug therapy:

• Antibacterial agents - destroy pathogenic bacteria that gave rise to infection and inflammation, relieve pain and improve overall well-being.
• Ichthyol ointment 10%- it penetrates deeply into tissues, providing an effective anti-inflammatory effect, and also destroys microorganisms. Apply in the form of applications, change every 8-10 hours.
• Non-steroidal anti-inflammatory drugs- suppress inflammation pain, relieve swelling.
• saline solution- baths are made in a saline solution by dissolving 1 tablespoon of salt in 200 ml of boiling water. The procedure is carried out for half an hour two to three times a day. The tool softens the inflammatory process, kills microbes, improves overall well-being.

For the treatment of periungual and other types of panaritium, in no case should Vishnevsky's ointment be used. It disrupts the outflow of pus from the wound, which is fraught with subsequent complications and relapses of the disease.

Complications of periungual panaritium

• pandactylitis- an inflammatory process that captures all the tissues of the finger.
• Phlegmon bones- acute purulent inflammation, goes to the bone with prolonged panaritium, especially the subungual.
• Sepsis- blood poisoning.
• Lymphadenitis- inflammation of the lymph nodes.
• Thrombophlebitis- inflammation of the veins and the formation of blood clots in them.

Launched stages pathologies, when pus forms in the wounds, can be cured only through surgery.

Do not try to open an abscess yourself! This can only be done by a surgeon in a hospital setting.

The skin and nail are opened directly above the place of accumulation of purulent exudate, the nail bed is scraped, pus is completely removed. After the operation, the affected area is smeared with antibacterial ointment or antiseptic, for this use Betadine ointment, Gentamycin ointment, as well as Levomekol.

How this operation takes place, see the video:

Features of the treatment of panaritium in children

In children, the treatment of panaritium carried out on an outpatient basis, with light flow diseases. The main appointments of the doctor are thermal physiotherapy, magnetotherapy. Pain syndrome is eliminated by anti-inflammatory drugs ( Ibuprofen, Paracetamol), using antiseptic agents, treat the skin and nail ( Iodinol, Brilliant Green). Antibiotics are prescribed if necessary.

If the child's condition worsens, he hospitalization indicated. In this case, the abscess is opened, the exudate is removed, the wound is treated with an antiseptic. Antibacterial agents are prescribed without fail.

Treatment with folk remedies

Treatment of periungual panaritium with folk remedies can only be used on early stages diseases, but even in this case, a preliminary consultation with a doctor is required.

Compresses

• Aloe leaf compresses. Aloe leaves are peeled, and the pulp is applied to the affected area on the finger. The compress is fixed with gauze, the duration of action medicinal product – 5-6 hours. The compress reduces inflammation.
• Compresses with onions. Purified vegetable baked in the oven. When it becomes soft, it is cut into halves and applied to the site of inflammation. Apply a bandage for 4-5 hours. Onion accelerates the maturation of the abscess, provokes the release of exudate to the outside.
• Paraffin melt into a couple, then dip your finger into it. When the paraffin film on the finger cools down, it is removed. Next, the affected area of ​​\u200b\u200bthe skin and nail is treated with iodine. Such a compress can not be done if there is pus in the wound.

Homemade ointments

• With tar and honey. Tar and honey are taken in equal parts, the same amount of butter, pine resin and aloe pulp. The ingredients are heated in a water bath and mixed until smooth. The ointment is cooled, and then applied to gauze, make a bandage for several hours.
• With calendula in butter. Dry flowers of the plant are crushed, mixed with butter in a ratio of 1 to 5. The mixture is applied to gauze and applied as a bandage all night.

Tips for treating panaritium at home are presented in this video:

Prevention measures

In order to avoid the occurrence of panaritium, it is necessary prevent the occurrence of wounds and cracks, for this you need do everything garden, repair work with gloves.

It is equally important to do a manicure correctly, all tools must be treated with alcohol, and the cuticle is also lubricated with a disinfectant. Compliance with hygiene rules It will also prevent the occurrence of an inflammatory process.

The inflammatory process on the tissues near the nails should immediately be subject to adequate treatment. Panaritium is easy to cure if the disease has not been started.

AND well-groomed women. He strives to cut off at least a finger from his victims, and eliminates witnesses with poison. It all starts with a trifle: it is enough to prick your finger with a needle, get a splinter or break a burr. And microbes get under the skin. They destroy the soft tissues of the finger, and then they can move further, depriving the patient of the hand.

So far, nothing has been invented to protect against panaritium better than soap and iodine.

It all starts with a splinter

A person with panaritium becomes dangerous to others. So, one chef with a sore thumb can be the culprit. food poisoning for all restaurant visitors who ventured to try the dish of the day. The cause of poisoning will be staphylococcal toxins that have entered the products during cooking. Women most often encounter panaritium after bad manicure. In men, the disease develops on hammered or cut fingers. At risk are those who, even over the years, could not get rid of the childhood habit of biting their nails.

Felon. Symptoms

Panaritium symptoms develop within 1-3 days and in a week can lead to disability. Fortunately, in most cases panaritium is successfully treated. Sometimes you can even manage panaritium treatment at home.

Indeed, we note that treat panaritium at home possible only at the very beginning of the disease.

The first symptom of panaritium is a pain that makes you pay attention to the reddened and swollen finger. The pain is diffuse, aching in nature, gradually intensifies. The affected finger assumes a bent position, an attempt to move it causes the most thrilling sensations.

At this point, the finger can be helped by "dripping" it in rubbing alcohol for about 30 minutes. It is advisable to repeat the procedure 2-3 times a day. To save a valuable product, baths can be replaced with wraps - a gauze napkin folded several times is moistened abundantly in 72-98% ethyl alcohol and bandaged to a sore spot. After drying, the bandage is removed, and the procedure is repeated every 2-3 hours.

How to treat panaritium?

Instead of alcohol, you can use vodka. But given the lower concentration of alcohol, the bandage must be hermetically covered with a film. Such a compress is left on the finger for several hours or all night. After removing the bandage, the skin of the finger should look steamed, pale, and may peel off. All these changes pass on their own after a few days. Alcoholic procedures can completely stop the inflammatory process, preventing suppuration.

There are also recommendations to "soak" the panaritium finger in a hot concentrated salt or baking soda solution, and sometimes this helps. However, the high temperature of the solution can contribute to the spread of infection deep into the tissues, as well as increase the intoxication of the body. Therefore, resorting to this method is risky.

On attempts self-treatment panaritium is given no more than 24 hours since the onset of pain. If after a day the condition does not improve, you should not tempt fate, it's time to give up to surgeons!

If you failed to cure panaritium at home in one day - run to the surgeon!

On the 2-3rd day, a cavity filled with pus begins to form in the lesion. At this stage, self-treatment of panaritium is unacceptable. The only way to save the finger is to open the abscess. How to determine that the purulent stage has begun?

With skin, periungual or subungual panaritium, a purulent focus is visible to the naked eye under the skin or under the nail in the form of a yellow-gray bubble. Touching it causes a sharp increase in pain.

Open superficial panaritium presents no particular difficulty, however in no case should you do it yourself or at home. Considering the peculiarities of the structure of the fingers, it must be borne in mind that the focus visible to the eye may turn out to be only part of the purulent cavity, "rooted" deep into the brush. To cope with such a process is possible only in a hospital setting. If paranitium is located deeper under the skin, you can guess about the transition to the purulent stage by its characteristic color: against the background of redness, a rounded focus appears, where the skin is slightly paler.

A universal symptom of the transition of panaritium to the second stage is a change in the nature of the pain. If in the first stage of panaritium it was diffuse and did not have a clear localization, now its epicenter exactly corresponds to the location of the purulent cavity. The pain becomes twitching, throbbing, haunting and sleep depriving.

The appearance of general malaise, nausea, fever are unfavorable signs and indicate the spread of infection to the lymphatic vessels of the hand. You need to see a doctor urgently. They usually operate under local anesthesia: an anesthetic solution is injected into the soft tissues of the finger along the nerves, which blocks pain. The skin over the purulent focus is dissected, pus and dead tissues are removed. Drainages are introduced into the wound - for washing the wound and introducing medicines. Removed after a few days. If the treatment of panaritium was taken on time, appearance and the function of the finger is fully restored.

If you know a folk remedy for the treatment of panaritium at home, please leave a review about this remedy in the comments below.

Grigorieva Alexandra

Panaritium is a purulent inflammation of the tissue of the finger. The inflammatory process can begin anywhere, spreading in the direction of the bone. Panaritium usually affects the fingers, but in rare cases it can also appear on the legs.

The cause of the disease can be a wound, cut, abrasion or other injury that has become the site of penetration of the microbe.

In the initial stages, for the treatment of panaritium, you can use any folk way, but when pus appears, the patient should consult a doctor for surgical treatment of an abscess.

As noted above, when a splinter, abrasion, microtrauma, scratch, cut or hangnail appears in the nail area, panaritium may develop. Treatment at home on the hand is possible only with the use of the right tools and the timely provision of medical care to a person.

Enterococci, fungi, staphylococci, streptococci, Escherichia coli and Pseudomonas aeruginosa can act as microbes that cause an abscess on an arm or leg.

• Infectious suppuration, which can even affect the skin of children, is distinguished by the speed of occurrence and development.
• Human fingers contain fatty tissue, which is an excellent soil for the development of suppuration. Therefore, the fingers are the main localization of panaritium.
• Inflammation in every second case is accompanied by acute pain, redness, fever and other unpleasant symptoms. In addition, the outer side of the nail plate can change its natural color.

Therefore, it is very important to respond correctly and quickly to the occurrence of various injuries in the nail area or elsewhere on the body.

If a person has already begun to develop panaritium, home treatment on the arm or leg should be carried out using effective folk remedies: baked soft or fresh onions, honey, potassium permanganate solution and other methods. This is the only way to maintain an attractive manicure and skin health. Otherwise, surgery may result.

How to treat and cure panaritium at home

There are many effective ways to treat an abscess on the finger at home, but it should be remembered that such treatment can only be effective if therapy is started in a timely manner.

An abscess should be treated when redness appears on the skin of the arm or leg.

The main thing is to know how to treat panaritium at home and what folk remedies are the most effective.

There are traditional and non-traditional ways to treat finger suppuration. How to cure panaritium at home should be decided by the patient himself.

• Traditional methods include the use of special ointments and medicines. So, you can use compresses with "Dimexide", diluted with water in proportions of 1: 4. Compresses are best used after salt baths. To prepare such a bath, you need to dissolve 18 g of salt in 250 ml of water, and keep your sore finger in this solution for 20-30 minutes. To make Dimexide work better, gauze moistened with this drug can be sprinkled on top with ampicillin or penicillin, provided that there is no allergy to these drugs.
• If suppuration is accompanied by acute pain, high temperature, and these symptoms keep a person awake all night, it is better to see a surgeon to remove the pus through surgery. You can also treat panaritium on the hand with folk remedies based on medicinal herbs and safe products (honey, onions, and others).

How to treat panaritium periungual on the hands?

Periungual panaritium, also called paronychia, is an inflammatory process that occurs in the periungual skin ridge. This type of abscess can occur due to burrs, providing tears of the upper layers of the skin and stab wounds.

With periungual panaritium, a person experiences acute pain in the affected area. The place of the abscess becomes very red and tense, there may also be a noticeable strip of pus.

Also, there are almost all the symptoms that accompany any panaritium. Home treatment includes warm baths with a solution of potassium permanganate, compresses with various creams and other means to help draw out pus, as well as antibiotic therapy.

How is the treatment at home of the subungual panaritium?

Subungual panaritium is very difficult to treat, so the most correct decision is to see a doctor. He will be able to establish the exact type of panaritium and conduct research on the microorganism that caused suppuration.

It's important to know

At home, subungual felon can be cured only at the first stage of its development. The person must take antibiotics as well as antibacterial ointments.

What is the treatment with folk remedies for panaritium?

Recipe number 1. An excellent tool in the treatment of panaritium is onion. Fresh onions need to be chopped into gruel in a blender or rubbed on a grater. The resulting mass should be applied to the site of inflammation.

If panaritium is observed in a child or newborn, it is better to use another method. It is necessary to boil or bake an onion in milk, cut it in half and apply it to the affected area. You need to keep the bulb for 5 hours, and then change it to a new one (you can use the soulmate).

Recipe number 2. To quickly remove pus, you can also use aloe vera juice. The fleshy leaf of the plant should be washed well, crushed to a state of gruel and applied to the sore spot. To prevent the mixture from falling off, you can bandage the sore finger. You need to change such a bandage every day until complete recovery.

Recipe number 3. When pus has just begun to form, you can soar the sore finger in saline. In 250 ml of water, add 35-40 g of salt. While the water is very hot, you just need to dip your finger for a few seconds, repeating these steps until the water temperature returns to normal. After that, you should hold your finger in this solution, without pulling it, for 20 minutes.

The frequency of repetition of such steaming of the abscess should be at least 3 times a day. An abscess usually goes away very quickly.

Recipe number 4. Calendula tincture helps to speed up the release of pus with periungual and even subungual panaritium. You need to take an alcohol tincture and add a small amount of this product to a bath of warm water. Keep your finger in the bath for at least 7 minutes. After the procedure, you need to apply gauze soaked in an antiseptic to the abscess and rewind your finger with a bandage.

In the treatment of panaritium can also be used homeopathic remedies. It is impossible to look for these remedies on any forum, studying the reviews of its participants, because homeopathic remedies with inflammatory diseases must be prescribed by a doctor. With self-medication in this case, you can not only accelerate the development of the disease, but also harm other body systems.

Treatment of panaritium with folk remedies at home on the leg

Panaritium rarely develops on a person’s legs; home treatment on the leg of various abscesses can also be carried out only in the initial stages.

When the disease begins to progress and a lot of pus accumulates, it is better not to take risks and immediately consult a specialist.

The cause of the development of suppuration on the toe can be a fungus of the nail or foot, ingrown nails, as well as diabetes mellitus, leading to impaired blood circulation in the legs. However, more often an abscess causes infection in the wound or other injuries on the toes.

It's important to know

When the first signs of suppuration on the legs appear, treatment should be started urgently, but it is better to consult a specialist to establish the type of infection that caused inflammation and pus formation.

It is difficult to single out a special sign of panaritium of the leg, because all the symptoms practically do not differ from the manifestations of this disease on the hands. Treatment also includes antibiotic and antimicrobial therapy.

Usually, the patient is prescribed therapeutic baths, an effective antiseptic, as well as dressings using alcohol and medicinal ointments. With the transition of the disease to a more severe form, antibiotics are necessarily prescribed that can fight the microbe that caused the inflammation.