Treatment of paronychia, treatment of paronychia

The three best methods:

1. Drugs**.

Medication is given after paronychia**. Patients can choose between oral and topical medications**. Generally, mild paronychia can be treated with drugs.

Drugs taken by mouth are mainly antibiotic drugs, such as penicillin or erythromycin. The topical drugs are selected for mupirocin ointment, fusidic acid cream and other ointments.

2. Traditional Chinese Medicine**.

Paronychia is a microbial infection, so antibiotic drugs may be used**. Because Western medicine** will be prone to drug resistance to a certain extent, the efficacy will be limited. Therefore, in this case, traditional Chinese medicine can be used**, which can significantly improve the symptoms of the patient.

For example, traditional Chinese medicines such as fish fat cream ointment and golden yellow powder are very suitable for early topical use, and they have the effect of disinfection and astringency.

3. Surgery**.

If paronychia is severe, surgical excision** is required. This method should be clinically applied to patients with chronic paronychia, but the surgical needs to pay attention to the position of the surgical incision and not to remove the nail microdermis of the human body.

Paronychia has caused a lot of trouble in everyone's life, and daily prevention is also essential. In life, you should trim the nails correctly, do not suck your fingers often and choose loose shoes and socks to keep the inside of the shoes clean and dry to reduce the chance of paronychia. In terms of exercise, patients need to do appropriate physical exercise, but should not do strenuous exercise that affects the normal development of toes.

Many people don't know what paronychia is, in fact, it is a disease of inflammation of the nail plate and nail bed, and it will involve the surrounding tissues**cracking, and in severe cases, it will suppurate, accompanied by tingling, and it is also easy to be infected, so it is necessary to take medication in time**, what is the best way to ponchia?

1.System**: 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, incision and drainage can be performed when the infection is superficial and localized.

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.

Patients with paronychia, mainly because of the phenomenon caused by infection in the nail area, this lesion is related to the severity of the disease, if it is the early stage of inflammation, you can use external drugs, ** in about 100 yuan. If there is suppuration, **** is about five hundred yuan. In addition, the operation **** costs about 1,000 yuan.

The bacterial infection of the nail sulcus is most often due to trauma to the nail and its surroundings, and these wounds are only small and subtle wounds. Therefore, we should pay attention to protecting ourselves, do not get injured, do not be careless once there is a small wound, and use iodine wine for sterilization and disinfection in time.

For toenails, usually pay attention to give them a certain amount of space, when buying shoes should not be too picky, the style should also pay attention to some, such as fish mouth shoes such as narrow shoes will line the feet very small, but will let the toenails slowly grow into the flesh. So it's better to buy a looser style so that your toes won't be too crowded.

1. In the early stage, you can soak the affected finger (toe) in hot water for 15 minutes each time three times a day to promote the resolution of inflammation.

2. Acute **infectious paronychia** can be used with hot compress or soaking, and usually requires systemic antibiotics**, the accumulation of debris at the lesion is very painful, and the purulent cyst cavity should be cut and drained with the tip of a scalpel. When the infection spreads along the tendon, immediate incision and drainage are required.

3 For chronic paronychia, the nail must be trimmed to the part below it. In combination with pus cultures, if several cultures are free of Candida albicans, topical iodine tincture is used to help keep the subungual and paronychia areas dry to avoid infectionIf Candida albicans is growing, topical antifungal lotions should be used in paronychia and subungual areas, as well as oral antifungal drugs.

4. Paronychia surrounding tissues and suppuration, floating sensation when touched by hand, puncture can suck out purulent material, or those who have ulcerated pus need surgery**. **In this method, the surgeon makes a longitudinal incision next to the nail groove to make incision and drainage, and if there are abscesses on both sides, bilateral drainage. However, if there is pus under the nail sulcus, the nail needs to be removed.

5. If paronychia has ulcerated pus and throbbing pain, it can be concentrated with the fire needle of the traditional Chinese medicine wheel burial. This method does not require anesthesia, is not painful, does not need to be drained, and the sting heals slowly, which is conducive to the discharge of pus. However, this method requires high operation skills, requires professional and skilled doctors to operate, and also needs to do a good job of local infection prevention treatment after surgery.

The specific method is to take a three-edged needle, burn it red with an alcohol lamp and pierce it from the side of the nail, and wrap the tong ruler with ointment after draining the pus.

61. 30 grams of Tianxian seeds, after grinding, add warm boiling water to make a paste, stick it on the affected area, wrap it externally with gauze, and change the dressing twice a day.

2. 1 fresh pig gallbladder, cut it, put the bile in a small cup, and then put the affected finger into the bile and soak it for 15 minutes, 3 times a day.

3. 10 grams of raw rhubarb, grind into fine powder, add an appropriate amount of rice vinegar, adjust it into a paste, apply it to the affected area, wrap it with gauze, and change the dressing once a day.

4. 30 grams of dandelion, 30 grams of wild chrysanthemum, 30 grams of large green leaves, 15 grams of purple lily, 15 grams of flea, 15 grams of pollen, 9 grams of red peony. Decoction with water 1 dose per day can clear heat and detoxify, suitable for paronychia. Collapsed ants.