Podiatry infection is not a trivial matter. What should I do if I suffer from paronychia or ingrown nail?
December 13, 2013 Author: Wu Jie Mei family doctor online I want to comment (0) comments
In daily life, people don't care about their toe damage, and always think that it will heal automatically in a few days. However, after a few days, the surrounding skin began to swell and become painful before I wanted to go to the hospital for treatment. In this case, most patients will be diagnosed with paronychia or ingrown onychomycosis. If not treated properly, simple toenail infections can quickly lead to more complications. When the sharp edges of the toenails grow into the skin folds next to them, it will cause pain and discomfort, especially when the wound is infected. Let's get to know what paronychia and ingrown onyx are all about together.
What are the symptoms of paronychia?
The common symptoms of paronychia are: mild pain, redness, swelling, pain, and tenderness on one side of the toenail at the beginning, and the mild one can subside on its own. If the infection is severe or the body's resistance is poor, it will become purulent within 2 to 3 days; Then the suppuration is aggravated, and the pus spreads to the other side or under the nail, forming a subungual abscess, and yellow-white pus appears under the nail, which separates the deep nail from the nail bed. There is often chronic hyperplasia of fleshy tooth tissue on one side of the ingrown toe, which makes the wound unhealed for a long time.
What is ingrown nail disease?
Ingrown toenail is a common disease. Most of the toenails sneak into the nail sulcus and repeated infections cause persistent pain in the nail sulcus, which seriously disturbs patients' work and life. Most of the ingrown toes occur in the hallux, especially the outside of the hallux, which is about 3 times the inside; some patients also suffer from bilateral ingrown or double hallux. Bilateral ingrown nails. Early ingrown nails are only painful. Ingrown nails are easily complicated by nail groove tissue infection, which is clinically called paronychia. At this time, there is obvious redness, swelling, and heat in the area, accompanied by severe pain. After suppuration, there is local Purulent secretions flow out.
What should I do if my toenail paronychia is pulled out and then recurs? Radical surgery is here to help
Figure 1: Symptoms of ingrown nails: The skin around the toenails is damaged, causing bleeding.
Figure 2. Patients with ingrown onychomycosis relapse soon after nail removal, and the situation is not optimistic.
"Deck nail bed partial resection of paronychioplasty" is performed under toe nerve block anesthesia, which can relieve the patient's pain during the operation. In addition, the toenail has no deformity after the operation, the surface is smooth, the scar is not obvious after the operation, and the nail groove is normal without any symptoms of deepening.
Detailed explanation of nail groove plasty with partial resection of nail bed
Step1: Anesthesia: toe (toe) nerve block anesthesia, rubber band circling the toe (toe) root.
Step2: Separate the edge of the nail bed along the surface of the toe (toe) bone, lift the edge of the nail bed, make a subcutaneous pedicle flap on the nail bed, and then suture the skin wound.
Step3: Postoperative treatment: Postoperative iodine disinfection, wound dressing, and tourniquet, and let the patient lie supine for 15 to 30 minutes to prevent bleeding from the wound. Take analgesics on the night after the operation and antibiotics within 1 week after the operation. The wound is usually changed every 3 days. If there is exudation, the dressing needs to be changed every day. The sutures are removed for 12 days after the sutures are removed. It is basic epidermal growth factor) to promote wound healing and prevent scar hyperplasia.
Experts remind that after the nail removal surgery, you must remember to keep the affected area dry. Do not let the removed toenail get water; in addition, pay attention to the diet. Don't eat spicy foods that are too stimulating; eat more vitamin-rich foods to promote the growth of toenails. Third, patients who have undergone paronychia surgery should pay attention to it. Although shoes can be worn after a week, they must wear loose shoes to avoid squeezing the affected area. You must wear loose, soft slippers when going out. The patient still needs more rest to avoid bleeding again.
Stay away from the misunderstandings of treating ingrown tomyopathy
Misunderstanding 1: Pedicure for ingrown nails
Most people who suffer from ingrown nails do it by themselves at home. If the conditions are good, go to some pedicure places to do it. The above two methods are to endure the pain and pull out the part of the nail that is stuck in the flesh. Stick into the meat. Due to repeated pruning, chronic proliferation and hypertrophy of the nail groove tissue are stimulated, and the nails are more likely to grow into the flesh. In addition, those places where pedicure is not a medical place, there is no strict disinfection measures, it is easy to spread other diseases, such as gray toenails.
Misunderstanding 2: Repeated nail removal treatment
Some patients, especially when combined with paronychia, will go to the hospital for treatment. The routine practice of most hospitals is to perform nail removal to treat ingrown nails, without any treatment on the germinal layer of the nail root, so that new toenails will grow. Later, it still grows in the original direction, and it will eventually grow into the flesh. Moreover, this method is painful and takes a long time to heal. The most important thing is that it cannot cure ingrown nails.
Ma Yinglong hemorrhoid ointment can be used to treat ingrown onychomycosis and paronychia
Specific treatment methods for paronychia with Mayinglong hemorrhoid cream:
In the treatment, the patient’s toe (toe) nails are first trimmed and disinfected to eliminate locally latent bacteria, and then Mayinglong hemorrhoid ointment is applied externally to the lesion, focusing on the nail groove, hyponera, and near the nail epithelium, and Mayinglong hemorrhoid ointment is used. Apply the red and swollen nail groove, about 2mm thick, and then wrap it with sterile gauze, fix it with an elastic net cover, and change it once a day. This method uses the inhibitory effect of Mayinglong hemorrhoid ointment on the skin and deep-layer bacteria in the nail groove to promote local wound healing, and by isolating the infected site from the outside world, it finally achieves the effects of anti-inflammatory and swelling, promoting blood circulation, and improving local circulation. In addition, Mayinglong hemorrhoids ointment contains traditional Chinese medicine such as borneol musk, which can improve local blood circulation, reduce swelling and pain, and promote healing.
Prevention is better than cure, to stay away from podiatry diseases should start from the details of life
In daily life, many people often cut their toenails very short in order to save trouble and avoid cutting socks. In fact, this approach is incorrect. Experts say that the toenails are cut too short. The soft tissue next to it will grow upward because it is not covered by the nail. As a result, after the toenail grows out, it pierces the soft tissue, which is extremely easy to cause the nail groove. The correct way to cut toenails should be to leave a toenail that is one millimeter longer than the skin under the nail to protect the skin around the toe, so as to reduce the chance of toe injury. In addition, pay attention to wearing shoes, don't wear too tight shoes, so that your feet can relax.
Teach you to cut your toenails: the big toenail is 1 mm longer than the skin under the nail!
Prevention is better than cure for any disease, so in daily life, we must pay great attention to some details of life. In daily life, we must take good care of our "fragile" hands and feet to keep them healthy and beautiful.
(Editor in charge: Wu Jiemei)