How does panaritis arise.
Why an infection contracted with a needle prick or splinter under the skin can lead to severe complications up to amputation of the fingers?
The fact is that on the palm of the hand, a fairly thick layer of subcutaneous tissue is permeated by fibrous bundles that end in the phalanges of the fingers.
Therefore, the subcutaneous tissue of the fingertip pulp has a cellular structure.
If an infection enters a wound or scratch, it will spread vertically, in depth, toward the tendon, joint, or bone.
Each tendon is surrounded on all sides by a thin and dense sheath, the tendon sheath.
Inflammation can also develop here. The tendinous sheaths of the thumb and little finger continue to the forearm and communicate with each other.
That is why sometimes the inflammation from the thumb spreads to the little finger.
This is not the case with the 2nd, 3rd, and 4th fingers; their tendon sheaths end in blind sacs.
The ligaments are thinner in places where the joints are located, which is why when the tendon sheaths become infected, the tumor appears primarily in the joints.
The accumulating exudate, first serous and then purulent, squeezes the vessels that feed the tendon, and it becomes necrotic.
If the necessary therapeutic measures are not taken within 36-48 hours, the function of the finger may not be preserved.
If the inflammation passes to the subcutaneous tissue of the hand, one of the severe complications of panarization can occur — phlegmon, when blood vessels are blocked by purulent clots and there is a threat of gangrene — the necrosis of individual phalanges of the fingers.
In advanced cases, in order to save the life of the patient, they sometimes resort to the extreme measure — amputation of the fingers. That’s what serious consequences a small wound, a scratch or an ordinary hangnail can lead to!
The literal translation of the Latin term panaricium is toenail. This term now refers to an acute purulent inflammation of the tissues of the finger.
The finger is swollen, the skin becomes pinkish-red color, there is a pulling, incessant pain, depriving you of sleep. Sometimes the temperature rises, on the skin is visible pus covered with a thin film. As a rule, panaritis is the result of minor wounds, abrasions on the skin of the finger or nail bed.
The infection (most often streptococci and staphylococci) enters through a small wound. Depending on where the inflammatory process develops, a distinction is made between
Cutaneous, nail, subcutaneous, tendon, bone, and joint forms of the disease.
The most common is subcutaneous panaritis of the terminal phalanx of the finger.
Treatment of panarization.
Treatment of panaricosis in the non-purulent stage consists of the application of moist heat.
— The finger is dipped into the hottest possible water in which table salt and drinking soda are dissolved (approximately 3-5% solution).
The procedure is repeated for 10-15 minutes every hour, 2-4 times in total.
— In between hot baths, the finger is treated with alcohol or a solution of dimethoxide (30-50%).
Then a napkin with diluted ethyl alcohol is put on the finger and a rubber fingerstall. If there is no pus, then panaricosis from such treatment passes in a few hours.
At the beginning of suppuration, other remedies are needed to help the pus mature and pus come out.
— Aloe leaves are effective for panaritis.
Wash the fleshy leaf, cut it in half, apply it to the wound with the pulp, carry out this procedure overnight.
— One of the most effective ways to treat panaricosis is the treatment with onions.
It is necessary to peel the husk off a medium-sized onion, then it should be cut into two halves and baked in the oven. As a result, it should become soft. Or you can boil the onion in milk, put it on the pustule and bandage the finger firmly with a bandage. The bandage should be changed every five hours. should be changed every 5 hours.