Ingrown toenails yog ib qho teeb meem rau ntau tus neeg thiab feem ntau tshwm sim ntawm ko taw. Hauv tshuaj, tus kab mob no hu ua onychocryptosis. Ib tug neeg nrog nws ntsib kev tsis xis nyob heev. Peb yuav tham txog cov laj thawj thiab kev kho mob ntawm cov toenails tom qab hauv kab lus.
Vim li cas thiaj tshwm?
Qhov tseem ceeb ntawm qhov tshwm sim ntawm tus kab mob yog kev hloov pauv hloov pauv. Hauv cov tshuaj, ntau qhov xwm txheej tau sau tseg thaum tus kab mob tshwm sim hauv cov neeg sawv cev ntawm ib tsev neeg thiab kis mus rau lwm tiam neeg. Qee cov kws tshaj lij ntaus nqi rau cov hauv qab no rau qhov ua rau cov ntiv taw ingrown:
- Hnav khau nruj. Vim lub compression ntawm cov ntiv tes, tus ntsia thawv phaj txiav mus rau hauv cov ntaub so ntswg mos, uas ua rau cov tsos ntawm ib tug rwj ntawm daim tawv nqaij. Yog li ntawd, granulations loj hlob.
- kab mob fungal. Mycotic lesions ntawm tus ntsia thawv ua rau nws thickening thiab deformation, thiab yog li ntawd lub phaj nkag mus tob rau hauv cov ntaub so ntswg.
- Kev raug mob. Kev puas tsuaj tshwm sim los ntawm cov khoom hnyav poob, taug kev ntawm koj lub ntsis ntiv tes.
- Cov yam ntxwv ntawm cov qauv. Cov pob txha pob txha loj heev, tiaj tus taw yog qhov ua rau muaj qhov ua raucov toenails ingrown. Kev ua tsis raug. Trimming cov ces kaum ntawm cov rau tes tsim cov npoo ntse uas ua rau onychocryptosis.
Cov no yog yam tseem ceeb ua rau muaj mob. Tab sis tsuas yog ib tus kws kho mob tuaj yeem txiav txim siab nws qhov muaj nyob, thiab txawm tias qhov ua rau ntawm pathology, kev kho kom raug thiab raws sijhawm yog qhov tsim nyog.
Symptoms
Tus kab mob tuaj yeem cuam tshuam cov ntiv tes sib txawv. Tab sis feem ntau nws tshwm sim ntawm tus ntiv taw loj. Feem ntau, sab nrauv ntawm tus ntsia thawv phaj tob rau hauv cov ntaub so ntswg. Thiab txij li thaum muaj ntau cov hlab ntsha xaus nyob rau hauv cov ntaub so ntswg ntawm lub ntsis ntiv tes, lawv yog rhiab heev, uas yog vim li cas ib tug ingrown toenails ua rau mob ntse, uas yuav ua rau kom thaum hnav khau nruj.
Nyob ntawm qhov hnyav ntawm cov kab mob, cov tsos mob hauv qab no kuj tseem tuaj yeem pom:
- Nyob rau hauv thawj theem ntawm qhov hnyav, muaj mob me ntsis, o, hyperemia ntawm tus ntsia thawv quav.
- theem thib ob yog qhov tshwm sim los ntawm ulceration, txheej txheem purulent-inflammatory.
- A ntshav-purulent granuloma tshwm nyob rau qib peb.
Yog tias cov tsos mob tshwm sim, koj yuav tsum sab laj nrog kws kho mob. Qhov no yog qhov tseem ceeb tshwj xeeb yog tias cov ntiv taw ingrown mob heev. Tus kws kho mob tshwj xeeb yuav xaiv txoj kev kho mob zoo, ua tsaug uas nws yuav muaj peev xwm tshem tau qhov teeb meem sai sai.
Yuav tshwm sim ntawm tus ntiv taw ingrown
Nrog rau qhov mob ntev heev vim granuloma thiab hyperplasticlateral roller, tus ntsia thawv phaj undergoes deformation, ua thickened thiab npub. Kev kis tus kab mob mus rau cov ntaub so ntswg ntawm cov menyuam tom qab tuaj yeem ua rau paronychia, panaritium ntawm tus ntiv tes, phlegmon, fungal lossis papillomavirus kab mob thiab lwm yam teeb meem vim tias tus neeg yuav poob nws lub peev xwm ua haujlwm. Yog li, cov teeb meem loj muaj xws li:
- lymphangitis;
- erysipelas;
- osteomyelitis ntawm tus ntiv tes phalanx;
- hyperkeratosis;
- txheej txheem phem.
Kev kho raws sijhawm thiab tsim nyog yuav tiv thaiv cov txiaj ntsig no. Qhov tseem ceeb tshaj plaws yog xaiv txoj kev zoo.
Kev kho mob
Vim kev kawm tsis txaus ntawm etiology thiab pathogenesis, lub npe hu ua mob nyuaj rau kho. Nws qhov tshwm sim thib ob tshwm sim hauv kwv yees li 30% ntawm cov neeg mob. Kev kho mob ntawm cov toenails ingrown yuav tsum ua kom tiav. Kev kho mob tuaj yeem ua tau raws li hauv qab no:
- ncig;
- phais;
- orthopedic.
Txhua tus ntawm lawv muaj nws tus yam ntxwv, uas peb yuav tham tom qab. Tab sis tsis txhob kho tus kheej, nws yog qhov zoo dua mus ntsib kws kho mob.
Txoj kev sib raug zoo
Yog tias tus ntiv taw ingrown tau mob, ces kev kho mob yog thawj zaug uas tsis tau phais. Kev kho mob yog tsom rau kev sib ntaus cov txheej txheem purulent-inflammatory, txo qhov mob ntawm qhov mob hauv cheeb tsam cuam tshuam, tiv thaiv kev raug mob rau lub phaj thiab muab cov kev mob rau nws txoj kev loj hlob.
Txoj kev ruaj ntsegKev kho mob ntawm cov ntiv taw ingrown suav nrog kev siv cov tshuaj pleev ib ce nrog cov tshuaj tua kab mob, nrog rau da dej kub hauv poov tshuaj permanganate lossis infusions ntawm cov tshuaj ntsuab nrog cov tshuaj tiv thaiv. Nws kuj tseem tsim nyog siv Levomekol, cov tshuaj tua kab mob, piv txwv li, Baneocin, uas suav nrog neomycin. Cov tshuaj no nkag mus rau ntawm tus ntsia thawv phaj, cuam tshuam tsis zoo rau cov kab mob, tab sis tsis cuam tshuam rau qhov txhab zoo.
Cov txheej txheem saum toj no yuav tsum tau ntxiv nrog kev hloov pauv cov ntaub so ntswg. Gauze strips, rollers soaked nyob rau hauv ib tug tov los yog ointment nrog antiseptic tshuaj yog coj nyob rau hauv lub ntse ntug ntawm tus ntsia thawv. Thaum kho, koj yuav tsum tau txiav koj cov rau tes kom zoo, saib xyuas cov tshuaj tua kab mob, thiab tseem hnav cov khau xoob xwb.
Txoj Kev Orthopedic
Yog cov ntiv taw pib loj tuaj, cov hauv qab no kuj yuav siv tau. Lawv yog raws li nyob rau hauv gradual extension thiab nce nyob rau hauv lub vojvoog ntawm curvature ntawm tus ntsia thawv los ntawm kev hloov cov kev taw qhia ntawm nro. Vim li no, cov npoo ntawm lub phaj nce, txav deb ntawm cov ntaub so ntswg ntawm cov menyuam. Ib tug softening neeg sawv cev yog siv rau cov tawv nqaij ua ntej. Kev kho mob orthopedic siv cov kev cai tsim cov braces (Fraser braces) lossis springs. Kev kho yog ua nrog daim hlau.
Cov qauv tsim no yoog raws qhov nkhaus ntawm tus ntsia thawv thiab txuas rau nws nrog kua nplaum. Lub sijhawm kho yog 3-4 lub hlis.
Yog tias qhov ua rau ingrownness yog deformation ntawm cov pob txha ntawm ko taw, ces orthoses yuav tsum tau - cov cuab yeej kho mob uas hloov cov qauv thiab kev ua haujlwm ntawm cov hlab ntsha thiab lub cev pob txha. Cov nocov cuab yeej tshem tawm pob kws uas ua rau cov ntsia hlau ingrown. Orthoses kuj tseem pab tiv thaiv cov phalanges ntawm cov ntiv tes los ntawm kev sib txhuam thiab muaj zog.
xaiv kev phais
Kev kho mob no yuav tsum tau yog tias kev kho mob tsis zoo. Yuav ua li cas tshem tawm cov ntiv taw ingrown phais? Txoj kev no yog ua los ntawm marginal wedge resection ntawm thaj chaw pathological. Hauv cov xwm txheej nyuaj, kev txiav tawm tsis yog tsuas yog ntawm thaj chaw teeb meem xwb, tab sis kuj ntawm thaj chaw noj qab haus huv uas nyob ib sab nrog matrix electrocoagulation.
Yog tus ntsia thawv tau loj hlob mus rau hauv cov ntiv taw, festering, ces siv cov kev phais hauv qab no:
1. Classical. Kev ua haujlwm yog ua nrog scalpel, yog li nws raug mob thiab koom nrog kev kho mob ntev. Cov txheej txheem yog ua nyob rau hauv lub zos tshuaj loog. Nyob rau hauv cov ntaub ntawv ntawm o ntawm lub sab ridges, ua ntej lub lag luam, lub ingrown cheeb tsam yog tamponade los ntawm muab ib tug tshwj xeeb cov ntaub ntawv nyob rau hauv lub ces kaum ntawm lub phaj, uas yog impregnated nrog ib tug antiseptic tshuaj. Kev tshem tawm ntawm qhov chaw cuam tshuam tuaj yeem ua tau los ntawm cov txheej txheem hauv qab no:
- Kev txiav txim siab. Txoj kev tso cai rau koj tshem tawm qhov cuam tshuam ntawm thaj tsam ntawm lub kaum sab xis ntawm 45 °. Txhawm rau kom tsis txhob rov qab ua dua, kev kho ob sab ntawm tus ntsia thawv phaj yog ua tiav, cov matrix tau kho nrog phenol.
- Kev xaiv tsa. Thaum lub sijhawm ua haujlwm, thaj chaw ingrown thiab thaj chaw loj hlob raug tshem tawm. Piv nrog rau lwm txoj kev phais, qhov no muab rov ua dua hauv 2% ntawm cov neeg mob.
- Kev rov ua kom tiav. Nrog rau txoj kev no, tus ntsia thawv phaj raug tshem tawm.
- Phenolization. Nrog qhov nothaj chaw loj hlob kuj raug tshem tawm hauv txoj kev no, tom qab ntawd lub phaj tsis loj hlob rov qab.
2. Xov tooj cua. Kev ua haujlwm yog nqa tawm nrog kev teeb tsa ntawm "Surgitron". Vim muaj qhov raug siab ntawm rab koob xov tooj cua, nws yuav muaj peev xwm tiv thaiv thermal puas rau cov ntsia thawv noj qab haus huv. Qhov kev tshwm sim no yuav tsum muaj tshuaj loog hauv zos. Lub xov tooj cua, sab nraud zoo ib yam li ib lub pas nrog lub voj, txiav cov tawv nqaij yam tsis tau kov nws, thiab tshem tawm qhov chaw puas. Tom qab ntawd tus kws kho mob kho qhov chaw loj hlob, tom qab ntawd cov stitches yuav tsis siv. Qhov chaw kho mob yuav kho tau ob peb hnub.
3. txoj kev laser. Nyob rau hauv txoj kev no, evaporation thiab dissection ntawm pathological inflammatory txheej txheem yog ua. Cov txheej txheem muaj 3 theem. Ua ntej, qhov kho qhov chaw yog kho nrog analgesic. Tom qab ntawd qhov chaw puas raug tshem tawm kom cov ntsia hlau yas nce ib qhov dav dav. Thaum kawg, kev huv huv ntawm sab phab ntsa ntawm tus ntiv tes yog nqa tawm. Photocoagulant action tiv thaiv los ntshav. Txoj kev tso cai rau koj ua tib zoo tshem tawm cov granulation, thiaj li tsis ua mob hnyav rau cov ntaub so ntswg ze. Lub laser tsim cov nyhuv antimicrobial muaj zog, yog li kev kis kab mob thib ob tsis suav nrog. Lub sijhawm rov qab los yog 2-3 hnub. Nws yuav tsum raug sau tseg tias qhov kev cuam tshuam ntawm cov ntiv taw nrog cov ntiv taw ingrown yog suav tias yog qhov zoo tshaj plaws.
Kev phais yuav tsum tsuas yog kws kho mob sau. Cov txheej txheem ua tau raug sai sai ua rau rov zoo.
tshuaj ntsuab
Ingrown toenails ntawm cov ntiv taw me thiab lwm cov ntiv tes tuaj yeem raug tshem tawm yog tias tus kab mob nyob rau theem pib, thaum mobSyndrome yog tsis heev pronounced. Thaum lub sijhawm no, cov khau nruj yuav tsum tsis txhob hnav. Thiab yog tias cov neeg hlub muaj tsawg kawg yog qee qhov kev paub kho mob, koj tuaj yeem nqa lub ces kaum uas tau txiav rau hauv daim tawv nqaij.
Ua li no, koj xav tau cov paj rwb swab, uas tau muab tso rau ntawm qhov chaw uas tshwm sim tom qab hloov chaw. Tom qab da dej sov, nws yog ib qho tsim nyog yuav tsum tau ua kom cov khoom siv hauv ob sab phlu ntxiv. Hloov tus chij txhua hnub.
Yog cov ntiv taw loj tuaj rau ntawm daim tawv nqaij, kev kho mob yog ua los kho qhov teeb meem:
- Butter. Taw yuav tsum tau steamed nyob rau hauv ib tug dej qab zib tov. Kho cov pob khaus nrog butter, npog nrog cov ntaub qhwv thiab polyethylene, thiab tom qab ntawd qhwv koj cov ntiv tes thiab tawm txhua hmo. Thaum sawv ntxov, cov ntaub qhwv raug tshem tawm, thiab ob txhais ceg yuav tsum tau steamed hauv cov kua ntsev. Nws yog ib qho tsim nyog los nqa qhov chaw ingrown thiab tso ib lub paj rwb swab hauv qab nws. Cov txheej txheem yuav tsum tau ua txhua hnub rau 2 lub lis piam kom txog thaum lub phaj loj tuaj.
- Aloe. Ib daim ntawv tshiab yuav tsum tau txiav, thiab tom qab ntawd txuas mus rau thaj chaw teeb meem thiab qhwv. Tus neeg sawv cev tseem tshuav ib hmos. Thaum sawv ntxov, txiav tawm lub protruding stratum corneum thiab txuas ib daim ntawv tshiab. Cov txheej txheem yog ua kom txog thaum tus ntsia thawv loj hlob.
- Ntsuab-dos compress. Koj yuav tsum tau chop lub dos mus rau lub pulp, thiab ces ntxiv zib mu (1 tbsp. L.). Steam ob txhais ceg thiab ua cov txheej txheem hauv qab daim ntaub qhwv. Ua cov txheej txheem txhua hmo rau 10 hnub, thiab nqa cov ntug dej hiav txwv thaum sawv ntxov.
- Da dej nrog infusions ntawm tshuaj ntsuab. Koj yuav xav tau chamomile, St. John's wort, calendula paj (2 tablespoons txhua). Cov khoom nyoos yuav tsum tau nchuav nrog dej npau npau thiabcia nws brew rau 30 feeb. Hauv cov lim dej lim dej, ob txhais taw tau khaws cia rau 20-30 feeb. Tom qab ntawd koj yuav tsum nqa lub steamed ingrown ntug ntawm tus ntsia thawv rau ntawm tus ntiv taw loj thiab muab ib daim ntaub qhwv hauv qab nws. Cov dej num yuav tsum ua txhua hnub rau 2 lub lis piam.
Nws yuav muaj peev xwm tshem tawm cov ntsia hlau ingrown ntawm koj tus kheej nkaus xwb thaum pib ntawm tus kab mob. Yog tias qhov mob hnyav heev, qhov teeb meem raug tshem tawm phais. Hauv qhov no, cov tshuaj ib txwm siv tsis tau, dua li, thaum siv nws txhais tau tias, rov kis tau zoo dua.
Kev Tiv Thaiv
Nws yog ib qho tseem ceeb uas yuav tsum xaiv cov khau kom raug thiab saib xyuas koj txhais taw kom zoo. Txhawm rau tiv thaiv ingrown, koj yuav tsum ua raws li cov lus qhia ntawm orthopedists. Cov kws tshaj lij pom zoo kom hnav cov khau zoo nkauj uas muaj lub ntsej muag dav. Nws yuav tsis txwv kev txav ntawm cov ntiv tes thiab ua rau kev loj hlob ntawm pob, calluses.
Yuav ua li cas txiav toenails ingrown? Qhov no yuav tsum tau ua yam tsis tau tshem tawm cov ces kaum - kom cov ntug ntawm lub phaj tsim ib txoj kab ncaj nraim. Txhawm rau tiv thaiv tus kab mob, nws raug nquahu kom ua kev kho mob pedicure txhua lub hlis. Nws suav nrog kev kho vajtse ntawm cov rau tes, ntsia thawv ridges nrog frescoes. Tom qab ntawd, capolin muab tso rau hauv nruab nrab ntawm lub phaj thiab cov ntaub so ntswg rau hauv ncoo thiab nqa lub ces kaum mob - cov ntaub so ntswg uas siv rau tamponade ntawm ntug ingrown.
Txhawm rau tiv thaiv cov teeb meem, ntawm thawj qhov kev mob tshwm sim, koj yuav tsum hu rau tus kws phais lossis kws kho mob. Tus kws kho mob tshwj xeeb yuav ntsuas qhov tsis saib xyuas ntawm tus txheej txheem, thiab tom qab ntawd xa nws mus kuaj ntshav, tej zaumyuav pom zoo kom teeb tsa cov piam thaj ib yam nkaus.
Yog tias koj xav tias tus ntsia thawv fungus, nws yog ib qho tseem ceeb mus ntsib kws kho mob dermatologist uas yuav tau txais kev kho mob tsim nyog.
Kev xaiv khau
Txhawm rau tiv thaiv teeb meem ko taw, koj yuav tsum ua raws li cov cai yooj yim:
- Taw yuav noj qab nyob zoo tsuas yog nrog cov khau kom zoo. Nws yuav tsum ua kom koj txhais taw qhuav thiab xis nyob.
- Thaum tshav kub kub, hnav khau ua pa kom tiv thaiv koj ob txhais taw los ntawm cua sov. Txwv tsis pub, tus ntxhiab tsw tsw qab tshwm sim, thiab tom qab ntawd cov kab mob tshwm sim.
- Lub caij ntuj no, koj yuav tsum ua kom koj txhais taw sov thiab qhuav. Nws yog qhov zoo dua los xaiv cov khau khiab siab tsis muaj dej thiab cov thom khwm wool, txwv tsis pub muaj kev pheej hmoo ntawm frostbite.
Yuav kom tsis txhob muaj ingrownness, nws yog ib qho tsim nyog yuav tsum tau ua kev saib xyuas ko taw kom zoo:
- Taw ko taw qias neeg sai dua lwm qhov hauv lub cev. Yog tias da dej tshwm sim thaum sawv ntxov, ces nws yuav tsum tau yaug ob txhais taw ua ntej yuav mus pw. Cov txheej txheem ntxuav tawm tiv thaiv cov tsos ntawm cov kab mob.
- Taw yog ntxuav nrog dej sov thiab xab npum kom tshem tawm cov kab mob, hws thiab av. Nco ntsoov ntxuav qhov chaw nruab nrab ntawm koj cov ntiv tes kom huv si, vim tias cov fungus tshwm nyob ntawd.
- Taw yuav tsum tau so qhuav, txhuam cov indentations kom huv si. Yog tias cov khau qhib tau hnav thaum lub caij ntuj sov, ces koj yuav tsum xyuam xim rau koj cov rau tes, ntxuav lawv nrog txhuam thiab xab npum.
Tom qab cov txheej txheem dej, koj yuav tsum moisturize koj ob txhais ceg thiab ko taw, kho lawv nrog ib tug nourishing cream los yog lotion, qhov no yuav ua rau cov tawv nqaij mos. Koj tuaj yeem siv cov tshuaj pleev ib ce Vaseline - tom qab siv nws, koj yuav tsum hnav thom khwm. Nws yog ib qho tseem ceeb los saib xyuas qhov muaj pes tsawg leeg, vim tias daim ntawv thov ntau dhau ua rau cov kab mob fungal.
Tseem yuav tau tshem cov cuticle. Txhawm rau soften nws, ib qho tseem ceeb roj yog siv, uas yuav tiv thaiv cov tawv nqaij rupture nyob rau hauv qhov chaw no. Cuticles xav tau kev saib xyuas tsis tu ncua. Ua ntej, nws yog steamed nrog tshuaj ntsuab da dej, thiab ces tsiv mus rau lub hauv paus ntawm tus ntiv tes nrog ib tug txiv kab ntxwv stylus.
txiav cov ntsia hlau
Nws yog ib qho tseem ceeb kom ua raws li cov txheej txheem no kom raug:
- Txiav koj cov rau tes ib zaug txhua 3-4 lub lis piam. Qhov no ua kom lawv txoj kev noj qab haus huv. Yog hais tias qhov kev tshwm sim tsis tau ua kom raug, ces tsis tsuas yog ib tug ntsia thawv ingrown yuav tshwm, tab sis kuj mob rhiab heev.
- Ua ntej koj yuav tsum tau ncu, thiab txiav cov ntug dawb ntawm txoj kab ncaj nraim.
- Yuav ua kom cov rau tes ntawm cov duab sib npaug nws yuav tig tawm ua tsaug rau cov ntaub ntawv tshwj xeeb. Lub phaj yuav tsum tau txiav tsis muaj qhov sib npaug. Koj tsis tas yuav txiav koj cov ntsia hlau mus rau hauv paus.
Yog li, cov ntiv taw ingrown yog ib qho teeb meem tshwm sim, tshwj xeeb tshaj yog ntawm ko taw. Nws yog ib qho tsim nyog yuav tsum ua raws li cov cai ntawm kev tiv thaiv kom tsis txhob muaj qhov tshwm sim no. Tab sis yog tias nws tau tshwm sim, nws yog ib qho tseem ceeb uas yuav tsum tau siv cov kev ntsuas kom tshem tawm nws.
