Do you have paronychia on your fingers? What are the specific symptoms? How is it treated? 40

Paronychia is an inflammatory response involving the periungual folds, manifested by acute or chronic purulent, tender, and painful swelling of the periungual tissues, caused by an abscess of the nail folds. When the infection becomes chronic, a transverse crest appears at the base of the methyl group, and a new crest appears with **. Finger involvement is more common than toes.

The main susceptibility factor is the separation of the nail epithelium from the nail plate due to injury, and pyococci or yeast may secondary to the moist nail groove and nail folds. Common causative bacteria are Staphylococcus aureus, Streptococcus pyogenes, Pseudomonas, Proteus, or anaerobe; The most common causative yeast is Candida albicans.

**：1.Acute paronychia should be taken as soon as possible to prevent nail bed injury.

Broad-spectrum antimicrobials with an antimicrobial spectrum that covers both aerobic and anaerobic bacteria**, such as amoxicillin and clavulanic acid, should be surgically used if symptoms do not improve within 48 hours**. Chronic paronychia is given antifungals (preferably azoles) or antimicrobials** as needed, often for more than 3 months, until inflammation resolves and the onychoderm rebuilds and adheres to the nail plate. For patients with recurrent exacerbations, intralesional or systemic glucocorticoids plus systemic antimicrobials** can be used for 1 week.

Chronic paronychia caused by cetuximab can be treated with oral doxycycline 100 mg twice daily. 2.Surgery**:

In acute paronychia, when the infection is superficial and localized, incision and drainage may be performed. If the infection is deep, under local anesthesia, lift the proximal deck1 3 and place a drain under the proximal nail fold to drain the secretion. Chronic paronychia secondary to ingrown nails requires only the removal of the deck.

3.Topical**: topical azole antifungal drugs or topical clarithromycin solutions with anti-inflammatory**, such as topical intermediate- or potent glucocorticoid creams.

For those who fail conventionally**, surgery** or low-dose superficial radiation** may be used. Drug-induced pseudopyuratic granulomatous paronychia can be treated topically daily with mupirocin 2% clobetasol propionate ointment.

The hands are generally fungal paronychia.

The fingers should be about the same as the toes, and it's really painful!! I have 10 toes on my feet, the most bullish once, all six toes have paronychia, terrible, nails are pulled out** Every time I have to go to the hospital for surgery to cut my nails, the symptoms are similar to everyone At first, I vaguely pressed it and felt a little painful Don't pay attention After that, the flesh near the nail next to it began to turn a little red After it became serious, it would be purple Then it became inflamed and suppurated, and it became more and more painful It is recommended that you do not overcut your head when you cut your nails Don't pull out the flesh thorns I am really painful == Give it a little points!

1. Warm compress. Topical application of hot towel, the application of heat principle and pharmacochemical reaction, promote blood circulation, enhance the phagocytosis of local leukocytes and tissue viability, can limit the hematoma, and help resist infection. Sometimes incision and drainage are required, but drainage is sufficient, antibiotics may not be necessary**, or oral antibiotics may be given if the infection has spread.

21. The appearance of paronychia will cause the nail to loosen, deform, and fall off, resulting in the destruction of the nail bed. If left untreated, it may cause osteomyelitis and onychoenosynovitis of the distal nail joints, or it can become chronic paronychia, protracted paronychia, or subungual abscess.

2. Paronychia, Bichai incarcerated nails generally do not heal on their own, always limp walking, and paronychia will cause severe pain, paronychia seriously affects people's normal life, paronychia on the feet affects wearing shoes and walking, and paronychia on hands affects work, washing face, eating, etc., and affects the overall image.

3. Paronychia patients can cause symptoms such as nail fungus and onychomycosis, which often occur under the skin of one side of the paronychia, which is manifested as redness, swelling and pain on the affected side, and generally has no symptoms of systemic infection. If the lesion develops, pus forms in the lesion, and there is a fluctuating sensation in the red and swollen area, and white spots appear, but it is not easy to break the pus.

4. Paronychia will not get better on its own, it will only get more and more serious, and the harm of paronychia is serious, and it can suppurate and not grow nails. Long-term paronychia may lead to a decrease in the immunity of the nail site, the nail (toe) will lose the role of the protective barrier, and it is susceptible to fungal diseases (such as nail fungus, etc.), at this time, paronychia is one of the more serious hazards.

31. Wear shoes, choose shoes with appropriate size, fat and thinness, suitable and lightweight, which is the prevention of paronychia.

2. Usually take care of the nails around the nails, so that they are not damaged in any way, and the prevention of paronychia is that the nails should not be cut too short, and the "barbs" can not be pulled out by hand.

3. Prevention is better than prevention. Wooden thorns, bamboo thorns, sewing needles, fish bone spurs, etc. are the most common foreign objects that are most likely to puncture the nail groove in daily life, so you should be extra careful when participating in labor or busy with housework.

4. To do a good job in the prevention of paronychia, we should pay attention to the maintenance of our fingers, and wipe some petroleum jelly or skin care cream after washing hands and before going to bed, which can enhance the disease resistance around the nail groove.

5. Cut the toenails frequently, cut them into an arc, do not leave the tips of the toenails on both sides of the nail groove, do not cut the nail groove casually, and find that the toes are squeezed against each other and should be separated by an appropriate amount of disinfectant cotton and soft objects in the toe gaps, so that the toes can develop normally and prevent the compression of the toenails from piercing the nail groove.

6. If it has been suppurated, it should be cut in time in the hospital to drain the pus. Prevents the spread of infection and causes osteomyelitis of the phalanges.

7. If there is pus under the nails, the nails should be pulled out to facilitate full drainage and complete treatment of the omen. This is also one of the ways to prevent paronychia.

Finger paronychia can be treated with general measures, medications, physics, surgery, etc. 1.General Measures:

Those with mild symptoms need to soak their hands in warm water 3 or 4 times a day, and soak them for about 20 minutes each time, which can help reduce pain, swelling and other discomforts to a certain extent. At the same time, patients need to take good care of their hands and keep them clean and dry. 2.

Drugs**: For patients with acute paronychia, chlorhexidine solution, aluminum acetate solution, ichthyl ointment and other antiseptic drugs can be used externally according to the doctor's instructions. For patients with chronic paronychia, it is necessary to follow the doctor's instructions to apply antibiotic ointments such as mupirocin ointment and fusidic acid ointment.

If topical drugs are not effective, you need to take antibiotics such as amoxicillin and azithromycin as prescribed. If the hand pain is severe, you need to follow your doctor's instructions to take non-steroidal anti-inflammatory drugs such as acetaminophen and ibuprofen. 3.

Physical**: Patients can also cooperate with physical measures such as ultra-short wave, infrared, and local irradiation of HeNe laser** while taking drugs**, which can also reduce hand discomfort. 4.

Surgery**: For patients with clear abscess formation in paronychia and patients who do not respond to conservative**, surgery such as abscess drainage and nail extraction should be considered**. In general, patients with fingernail paronychia who have undergone standardized ** in time have a good prognosis, and patients need to strengthen daily life management and return to the clinic on time.

Paronychia is caused by tissue breakage or the growth of a fingernail into the tissue. Recommendation: If the condition is mild, you can use a topical wipe of iodine tincture or take anti-inflammatory drugs to relieve symptoms.

If the condition is more severe and there is suppuration, you need to go to the hospital for surgery**.

If you have paronychia on your finger, you can come to **specialist examination** as soon as possible to avoid delaying the condition.

Paronychia is easy to cause local redness, swelling and pain, pus, etc., mainly caused by local infection and inflammation, bacterial infection is more, serious may cause abscess, first of all, you can use anti-inflammatory ointment for external use**, while taking antibiotics, anti-inflammatory drugs and heat clearing and detoxification and other drugs to regulate, the drug ** effect is not good, the condition is serious, you can go to the hospital for surgery** incision and drainage or nail extraction**, etc.

Paronychia is a common disease, and you can go to the hospital in time to check.

First of all, you have to cut off the nail that has sunk in, and you must endure the pain when you cut it, because it really hurts when you have had such an experience. If there is pus, cut and drain the pus, and then wipe and disinfect it with iodophor every day, and apply nail inlay cream, the effect of this **paronychia can be good.

There are 2 causes of fingernail paronychia:1ingrown paronychia caused by improper self-pruning; 2.Onychia ingrown caused by trauma, such as slams, sports injuries, etc.;

For onychonychia, it is not possible to rely only on anti-inflammatory, it must be corrected to be fundamental.

For paronychia, Lala can relieve pain and help eliminate redness and swelling within 1-5 days after applying the nail patch. After 1-2 months of use, you can see noticeable changes in your toenails. In the past, it needed to be trimmed regularly, and it hurt if it was not repaired, but even if it was not pruned for a month, it would not hurt again.

And if you insist on using it, your toenails will never grow into the flesh again.