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Лечение паронихия в Орехово

Паронихия - это болезненное воспаление складок, расположенных вокруг ногтей, которое проявляется покраснением и припухлостью в унгеальной складке, которая окружает ноготь. Поддержания сухих рук и использование антисептиков обычно достаточно для лечения хронической паронихии. В случае инфекции может быть рассмотрено лечение антибиотиками. Предотвращение травм вокруг ногтя ограничивает риск возникновения острой паронихии.

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Ультрафонофорез 1500
Ультрафонофорез 1500
Ультрафонофорез 1500
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Хирург
Название услуги Стоимость, руб
Операция - панариций, паронихия 3150,00
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Хирург
Название услуги Стоимость, руб
Операция - панариций, паронихия 3150,00
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Хирург
Название услуги Стоимость, руб
Операция - панариций, паронихия 3150,00
Array ( [SECTION] => Array ( [ID] => 367 [~ID] => 367 [TIMESTAMP_X] => 08.06.2018 11:12:02 [~TIMESTAMP_X] => 08.06.2018 11:12:02 [MODIFIED_BY] => 1 [~MODIFIED_BY] => 1 [DATE_CREATE] => 27.03.2018 15:37:28 [~DATE_CREATE] => 27.03.2018 15:37:28 [CREATED_BY] => 3 [~CREATED_BY] => 3 [IBLOCK_ID] => 9 [~IBLOCK_ID] => 9 [IBLOCK_SECTION_ID] => 14 [~IBLOCK_SECTION_ID] => 14 [ACTIVE] => Y [~ACTIVE] => Y [GLOBAL_ACTIVE] => Y [~GLOBAL_ACTIVE] => Y [SORT] => 40 [~SORT] => 40 [NAME] => Хирург [~NAME] => Хирург [PICTURE] => [~PICTURE] => [LEFT_MARGIN] => 10 [~LEFT_MARGIN] => 10 [RIGHT_MARGIN] => 11 [~RIGHT_MARGIN] => 11 [DEPTH_LEVEL] => 2 [~DEPTH_LEVEL] => 2 [DESCRIPTION] => [~DESCRIPTION] => [DESCRIPTION_TYPE] => text [~DESCRIPTION_TYPE] => text [SEARCHABLE_CONTENT] => ХИРУРГ [~SEARCHABLE_CONTENT] => ХИРУРГ [CODE] => khirurn [~CODE] => khirurn [XML_ID] => 367 [~XML_ID] => 367 [TMP_ID] => [~TMP_ID] => [DETAIL_PICTURE] => [~DETAIL_PICTURE] => [SOCNET_GROUP_ID] => [~SOCNET_GROUP_ID] => [LIST_PAGE_URL] => /tseny/ [~LIST_PAGE_URL] => /tseny/ [SECTION_PAGE_URL] => /tseny/detskoe-otdelenie/khirurn/ [~SECTION_PAGE_URL] => /tseny/detskoe-otdelenie/khirurn/ [IBLOCK_TYPE_ID] => content [~IBLOCK_TYPE_ID] => content [IBLOCK_CODE] => [~IBLOCK_CODE] => [IBLOCK_EXTERNAL_ID] => 9 [~IBLOCK_EXTERNAL_ID] => 9 [EXTERNAL_ID] => 367 [~EXTERNAL_ID] => 367 [ELEMENT_CNT] => 4 [~ELEMENT_CNT] => 4 ) [SECTIONS] => Array ( [367] => Array ( [ID] => 367 [~ID] => 367 [TIMESTAMP_X] => 08.06.2018 11:12:02 [~TIMESTAMP_X] => 08.06.2018 11:12:02 [MODIFIED_BY] => 1 [~MODIFIED_BY] => 1 [DATE_CREATE] => 27.03.2018 15:37:28 [~DATE_CREATE] => 27.03.2018 15:37:28 [CREATED_BY] => 3 [~CREATED_BY] => 3 [IBLOCK_ID] => 9 [~IBLOCK_ID] => 9 [IBLOCK_SECTION_ID] => 14 [~IBLOCK_SECTION_ID] => 14 [ACTIVE] => Y [~ACTIVE] => Y [GLOBAL_ACTIVE] => Y [~GLOBAL_ACTIVE] => Y [SORT] => 40 [~SORT] => 40 [NAME] => Хирург [~NAME] => Хирург [PICTURE] => [~PICTURE] => [LEFT_MARGIN] => 10 [~LEFT_MARGIN] => 10 [RIGHT_MARGIN] => 11 [~RIGHT_MARGIN] => 11 [DEPTH_LEVEL] => 2 [~DEPTH_LEVEL] => 2 [DESCRIPTION] => [~DESCRIPTION] => [DESCRIPTION_TYPE] => text [~DESCRIPTION_TYPE] => text [SEARCHABLE_CONTENT] => ХИРУРГ [~SEARCHABLE_CONTENT] => ХИРУРГ [CODE] => khirurn [~CODE] => khirurn [XML_ID] => 367 [~XML_ID] => 367 [TMP_ID] => [~TMP_ID] => [DETAIL_PICTURE] => [~DETAIL_PICTURE] => [SOCNET_GROUP_ID] => [~SOCNET_GROUP_ID] => [LIST_PAGE_URL] => /tseny/ [~LIST_PAGE_URL] => /tseny/ [SECTION_PAGE_URL] => /tseny/detskoe-otdelenie/khirurn/ [~SECTION_PAGE_URL] => /tseny/detskoe-otdelenie/khirurn/ [IBLOCK_TYPE_ID] => content [~IBLOCK_TYPE_ID] => content [IBLOCK_CODE] => [~IBLOCK_CODE] => [IBLOCK_EXTERNAL_ID] => 9 [~IBLOCK_EXTERNAL_ID] => 9 [EXTERNAL_ID] => 367 [~EXTERNAL_ID] => 367 [ELEMENT_CNT] => 4 [~ELEMENT_CNT] => 4 ) [34] => Array ( [ID] => 34 [~ID] => 34 [TIMESTAMP_X] => 08.06.2018 11:12:02 [~TIMESTAMP_X] => 08.06.2018 11:12:02 [MODIFIED_BY] => 1 [~MODIFIED_BY] => 1 [DATE_CREATE] => 13.03.2018 17:45:06 [~DATE_CREATE] => 13.03.2018 17:45:06 [CREATED_BY] => 3 [~CREATED_BY] => 3 [IBLOCK_ID] => 9 [~IBLOCK_ID] => 9 [IBLOCK_SECTION_ID] => 332 [~IBLOCK_SECTION_ID] => 332 [ACTIVE] => Y [~ACTIVE] => Y [GLOBAL_ACTIVE] => Y [~GLOBAL_ACTIVE] => Y [SORT] => 25 [~SORT] => 25 [NAME] => Хирург [~NAME] => Хирург [PICTURE] => [~PICTURE] => [LEFT_MARGIN] => 50 [~LEFT_MARGIN] => 50 [RIGHT_MARGIN] => 51 [~RIGHT_MARGIN] => 51 [DEPTH_LEVEL] => 2 [~DEPTH_LEVEL] => 2 [DESCRIPTION] => [~DESCRIPTION] => [DESCRIPTION_TYPE] => text [~DESCRIPTION_TYPE] => text [SEARCHABLE_CONTENT] => ХИРУРГ [~SEARCHABLE_CONTENT] => ХИРУРГ [CODE] => khirurgiya [~CODE] => khirurgiya [XML_ID] => 34 [~XML_ID] => 34 [TMP_ID] => 43f40a4036a49e3f30629517dbc3a09e [~TMP_ID] => 43f40a4036a49e3f30629517dbc3a09e [DETAIL_PICTURE] => [~DETAIL_PICTURE] => [SOCNET_GROUP_ID] => [~SOCNET_GROUP_ID] => [LIST_PAGE_URL] => /tseny/ [~LIST_PAGE_URL] => /tseny/ [SECTION_PAGE_URL] => /tseny/vzrosloe-otdelenie/khirurgiya/ [~SECTION_PAGE_URL] => /tseny/vzrosloe-otdelenie/khirurgiya/ [IBLOCK_TYPE_ID] => content [~IBLOCK_TYPE_ID] => content [IBLOCK_CODE] => [~IBLOCK_CODE] => [IBLOCK_EXTERNAL_ID] => 9 [~IBLOCK_EXTERNAL_ID] => 9 [EXTERNAL_ID] => 34 [~EXTERNAL_ID] => 34 ) ) [CLINIC] => Array ( [80] => Array ( [SECTIONS] => Array ( [367] => Array ( [ITEMS] => Array ( [3973] => Array ( [NAME] => Прием (консультация) врача-хирурга, повторный [PRICE] => 1500 ) [20419] => Array ( [NAME] => Ультрафонофорез [PRICE] => 1500 ) [20425] => Array ( [NAME] => Ультрафонофорез [PRICE] => 1500 ) [20428] => Array ( [NAME] => Ультрафонофорез [PRICE] => 1500 ) ) ) ) ) [2] => Array ( [SECTIONS] => Array ( [34] => Array ( [ITEMS] => Array ( [1164] => Array ( [NAME] => Операция - панариций, паронихия [PRICE] => 3150,00 ) ) ) ) ) [4] => Array ( [SECTIONS] => Array ( [34] => Array ( [ITEMS] => Array ( [1164] => Array ( [NAME] => Операция - панариций, паронихия [PRICE] => 3150,00 ) ) ) ) ) [5] => Array ( [SECTIONS] => Array ( [34] => Array ( [ITEMS] => Array ( [1164] => Array ( [NAME] => Операция - панариций, паронихия [PRICE] => 3150,00 ) ) ) ) ) [6] => Array ( [SECTIONS] => Array ( [34] => Array ( [ITEMS] => Array ( [1164] => Array ( [NAME] => Операция - панариций, паронихия [PRICE] => 3150,00 ) ) ) ) ) [7] => Array ( [SECTIONS] => Array ( [34] => Array ( [ITEMS] => Array ( [1164] => Array ( [NAME] => Операция - панариций, паронихия [PRICE] => 3150,00 ) ) ) ) ) [8] => Array ( [SECTIONS] => Array ( [34] => Array ( [ITEMS] => Array ( [1164] => Array ( [NAME] => Операция - панариций, паронихия [PRICE] => 3150,00 ) ) ) ) ) ) [CLINICS] => Array ( [80] => Орехово ) )
Хирург
Название услуги Стоимость, руб
Операция - панариций, паронихия 3150,00
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Хирург
Название услуги Стоимость, руб
Операция - панариций, паронихия 3150,00
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Хирург
Название услуги Стоимость, руб
Операция - панариций, паронихия 3150,00

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Наш центр поможет подобрать оптимальное обследование и назначить правильное лечение для жителей района:

Лечение паронихия у метро Домодедовская
Лечение паронихия у метро Каширская
Лечение паронихия у метро Шипиловская
Лечение паронихия у метро Зябликово


Острая паронихия- это бактериальная инфекция кутикулы ногтя.

Причины

Острая паронихия возникает из-за заражения бактериями (обычно золотистым стафилококком или стрептококками), которые попадают в организм через поражение кожи.

Хроническая паронихия часто возникает из-за контактной гиперчувствительности, а бактериальная или микозная суперинфекция является вторичной причиной.

Механические причины:

  • Сосание большого пальца
  • Маникюр
  • Онихотилломания, обсессивно-компульсивное расстройство.

Дерматологические причины:

  • Контактная экзема
  • Псориаз
  • Буллезные кожные заболевания
  • Онихомикозы.

Лекарственные причины:

  • Ретиноиды, производные витамина А
  • Антиретровирусные препараты: Индинавир, Ламивудин.

Диагностика

Диагноз паронихии прежде всего клинический. Врачи ставят диагноз, осматривая пораженные пальцы и расспрашивая пациента об обстоятельствах возникновения, испытываемой боли, его истории болезни, профессии и т.д.

После постановки диагноза и при отсутствии реакции на лечение могут быть назначены дополнительные обследования (биопсия, микобактериологический отбор, рентгенология).

Также причиной возникновения недуга может быть:

  • Плоскоклеточный рак
  • Проксимальный онихомикоз
  • Пиогенная гранулема: узелки красного или красновато-коричневого цвета, образованные разрастанием капилляров, которое вызывает опухание окружающей ткани
  • Некроз кожи
  • Дистальная инфекция кожи пальца, вызванная вирусом простого герпеса.

Факторы риска

Хроническая паронихия поражает в основном людей, чьи руки регулярно находятся в контакте с водой. Это касается, в частности барменов и уборщиков.

Факторами, способствующими острой паронихии, являются все минимальные травмы, которые могут привести к повреждению кожи: небольшая травма, срывание кожи вокруг ногтей, чрезмерный маникюр с отрыванием кутикулы, искусственные ногти, онихофагия, сосание большого пальца у ребенка.

Симптомы паронихии

Паронихия вызывает ряд клинических симптомов:

Покраснение и отек
Паронихия, как хроническая, так и острая, вызывает покраснение и отек в унгеальной складке (складка кожи по бокам ногтя, где ноготь и кожа соединяются).

Боль
Покраснение сопровождается болью.

Накопление гноя
В случае острой паронихии гной может накапливаться под кожей вокруг ногтя, а иногда и под ногтем.

Деформация ногтя

Лечение паронихии

Основное лечение заключается в том, чтобы держать руки сухими. При необходимости контакта с водой можно использовать защитные перчатки или кремы. Некоторые препараты (предназначенные для нанесения на кожу или слизистые оболочки) с противовоспалительными свойствами помогают улучшить состояние кожи, в частности, кортикостероиды и Такролимус.

На ранней стадии лечение часто основано на применении антибиотиков, таких как Диклоксациллин и Цефалексин (антистафилококковая активность) или активных ингредиентов более широкого спектра действия, таких как Клиндамицин. В то же время антисептики позволяют убрать заражение. В стадии гнойного абсцесса, если накапливается гной, его необходимо убрать. А частые теплые ванны помогают улучшить кровообращение.

Предотвращение паронихии

Профилактическое лечение острой паронихии заключается в том, чтобы избежать травмы: бороться с онихофагией, не сдирать и не грызть кожу вокруг ногтей, избегать неаккуратного маникюра, носить перчатки во время уборки и проводить антисептические процедуры при появлении любой раны.


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