Purulent o ntawm cov ntaub so ntswg ntawm tus ntiv tes hauv tshuaj hu ua panaritium. Tus neeg sawv cev ntawm tus kab mob no feem ntau yog staphylococcus aureus, qee zaum streptococcus. Kev kis kab mob tshwm sim los ntawm kev kis kab mob los ntawm kev puas tsuaj me me rau kev ncaj ncees ntawm daim tawv nqaij (kev txhaj tshuaj, splinters, tawg, qhov txhab).
Muaj ntau hom panaritium:
1 - daim tawv nqaij - suppuration nyob nruab nrab ntawm daim tawv nqaij thiab daim tawv nqaij daim tawv nqaij. Nrog rau daim ntawv no ntawm tus kab mob, qhov kub thiab txias ntawm tus neeg mob yog qhov qub. Qhov mob muaj qhov tsis muaj zog, yog nyob rau hauv ib qho chaw, uas muaj liab thiab o. Kev rov qab tshwm sim nrog kev tawg ntawm cov kua paug. Yog tias ntsuas tsis tau raws sijhawm, subcutaneous panaritium tsim. Kev kho mob yog tshem tawm cov tawv nqaij nrog txiab ntse kom tso cov kua paug. Ib qho tshuaj tua kab mob me me yog siv rau ntawm qhov txhab.
2 - subcutaneous. Feem ntau hom panaritium. Kev mob yog tsim nyob rau hauv cov ntaub so ntswg subcutaneous, nrog rau nws cov necrosis. Qhov kub ntawm tus neeg mob nce los ntawm 37.5 ° C thiab siab dua, muaj qhov mob throbbing ntawm qhov chaw ntawm qhov mob. Cov ntaub so ntswg nro thiab o yog pom nyob rau hauv qhov khoovntiv tes txoj hauj lwm. Nrog rau kev sib kis ntawm tus txheej txheem, pandactylitis, articular, pob txha lossis tendon felon tuaj yeem tsim. Kev kho mob pib nrog kev qhia txog cov tshuaj novocaine thiab penicillin intra-arterially. Tsis pub dhau 3-4 hnub, qhov mob yuav txo qis, rov qab tshwm sim, qee zaum yuav tsum qhib cov ntaub so ntswg los ntawm cov kua paug.
3 - pob txha panaritium. Nws yog tsim tom qab kev puas tsuaj rau cov pob txha, periosteum nrog cov kab mob kis los yog tshwm sim los ntawm cov teeb meem ntawm subcutaneous felon. Hauv cov theem pib, cov tsos mob zoo ib yam li nrog subcutaneous panaritium. Tab sis tshaj tawm. Qhov kub nce mus txog 40 °. Mob yog pom thoob plaws hauv lub phalanx, uas muaj ib tug flask-shaped thickening. Cov kev hloov pauv puas tau pom ntawm x-ray tom qab 2-3 lub lis piam txij li qhov pib ntawm tus kab mob. Yuav tsum tau phais.
4 - articular felon - o ntawm metacarpophalangeal thiab interphalangeal pob qij txha. Mob yog tam sim no txawm nyob rau hauv so, qhov sib koom ua ib tug spindle zoo. Maj mam, cov ligaments sab nraud raug rhuav tshem, ib qho kev sib tsoo tshwm sim thaum lub sijhawm txav mus los thiab sab nraud. Cov duab hluav taws xob qhia pom jagged, pitted contours ntawm qhov kawg ntawm cov pob qij txha phalanx. Kev kho mob ntawm panaritium no tsuas yog ua tiav sai.
5 - tendovaginitis (tendon panaritium) - mob ntawm cov leeg pob txha. Qhov ua rau ntawm qhov tshwm sim yog kev puas tsuaj rau cov leeg pob txha nrog cov khoom ntse, cov tawv nqaij tawv nqaij mob los yog subcutaneous panaritium. Kev kho mob yog ua haujlwm.
6 - paronychia lossis periungual felon - suppurationperiungual ridges. Yog tias koj nias rau ntawm tus ntsia thawv, cov kua paug tawm los ntawm nws. Nws raug kho los ntawm kev tshem cov ntsia hlau hauv paus, tsis ua rau lub txaj.
7 - subungual felon - ib qho mob uas tshwm sim hauv qab tus ntsia thawv. Lub ingress ntawm lub cev txawv teb chaws nyob rau hauv tus ntsia thawv los yog suppuration ntawm lub hematoma ua rau subungual panaritium. Kev kho mob muaj trepanation ntawm tus ntsia thawv kom paub tseeb tias cov kua paug tawm.
8 - pandactylitis - suppuration ntawm tag nrho cov ntaub so ntswg ntawm tus ntiv tes. Feem ntau tshwm sim vim kev kho tsis raug ntawm articular, pob txha panaritium lossis tendovaginitis. Purulent fusion ntawm cov ntaub so ntswg, pob qij txha, pob txha thiab tendons tshwm sim. Leukocytosis muaj nyob rau hauv tus neeg mob cov ntshav. Tus ntiv tes yog qhov loj me me, tsis txav. Txoj kev kho mob yog kom amputate tus ntiv tes.
Yog li, txhawm rau tiv thaiv qhov tshwm sim loj, koj yuav tsum tau saib xyuas koj txoj kev noj qab haus huv kom zoo.
