График: Пн-Сб с 08-21:00 Вс с 10-19:00
Сеть поликлиник MEDСЕМЬЯ.
Солнцевский пр-т., д. 19

Лечение паронихия в Солнцево

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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<ul>
<li>Воспалительные заболевания кожи и подкожно-жировой клетчатки (фурункулы, карбункулы, абсцессы, инфильтраты);</li>
<li>удаление доброкачественных новообразований кожи и подкожно-жировой клетчатки (липомы, атеромы, папилломы);</li>
<li>первичная хирургическая обработка ран, перевязки, снятие послеоперационных швов); лечение облитерирующего атеросклероза артерий нижних конечностей.</li>
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Принимает взрослых. Занимается диагностикой и лечением таких заболеваний как:

  • Воспалительные заболевания кожи и подкожно-жировой клетчатки (фурункулы, карбункулы, абсцессы, инфильтраты);
  • удаление доброкачественных новообразований кожи и подкожно-жировой клетчатки (липомы, атеромы, папилломы);
  • первичная хирургическая обработка ран, перевязки, снятие послеоперационных швов); лечение облитерирующего атеросклероза артерий нижних конечностей.
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Галаев Михаил Юрьевич
Хирург

Клиника Солнцево
Записаться на прием
Галаев Михаил Юрьевич
Хирург
Клиника в Солнцево

Общая информация

Стаж: 31 год

Образование:
1992 г. - Московский Медицинский Стоматологический Институт им. Н.А. Семашко по специальности «Леч...

Записаться на прием
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            [VALUE_ENUM] => 
            [VALUE_XML_ID] => 
            [VALUE_SORT] => 
            [~VALUE] => Врач высшей категории
            [~DESCRIPTION] => 
            [~NAME] => Категория, научная степень, звание
            [~DEFAULT_VALUE] => 
        )

    [SKILLS] => Array
        (
            [ID] => 43
            [TIMESTAMP_X] => 2023-09-22 11:23:47
            [IBLOCK_ID] => 11
            [NAME] => Курсы повышения квалификации
            [ACTIVE] => Y
            [SORT] => 500
            [CODE] => SKILLS
            [DEFAULT_VALUE] => Array
                (
                    [TEXT] => 
                    [TYPE] => HTML
                )

            [PROPERTY_TYPE] => S
            [ROW_COUNT] => 1
            [COL_COUNT] => 30
            [LIST_TYPE] => L
            [MULTIPLE] => N
            [XML_ID] => 43
            [FILE_TYPE] => 
            [MULTIPLE_CNT] => 5
            [TMP_ID] => 
            [LINK_IBLOCK_ID] => 0
            [WITH_DESCRIPTION] => N
            [SEARCHABLE] => N
            [FILTRABLE] => N
            [IS_REQUIRED] => N
            [VERSION] => 1
            [USER_TYPE] => HTML
            [USER_TYPE_SETTINGS] => Array
                (
                    [height] => 200
                )

            [HINT] => 
            [PROPERTY_VALUE_ID] => 74942
            [VALUE] => Array
                (
                    [TEXT] => <ul>
	<li>"Хирургия", </li>
	<li>"Психиатрия и наркология"</li>
</ul>
                    [TYPE] => HTML
                )

            [DESCRIPTION] => 
            [VALUE_ENUM] => 
            [VALUE_XML_ID] => 
            [VALUE_SORT] => 
            [~VALUE] => Array
                (
                    [TEXT] => 
  • "Хирургия",
  • "Психиатрия и наркология"
[TYPE] => HTML ) [~DESCRIPTION] => [~NAME] => Курсы повышения квалификации [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [EXPERIENCE] => Array ( [ID] => 44 [TIMESTAMP_X] => 2023-09-22 11:23:47 [IBLOCK_ID] => 11 [NAME] => Опыт работы [ACTIVE] => Y [SORT] => 500 [CODE] => EXPERIENCE [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => 44 [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Опыт работы [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [SKILLS_ABROAD] => Array ( [ID] => 45 [TIMESTAMP_X] => 2023-09-22 11:23:47 [IBLOCK_ID] => 11 [NAME] => Повышение квалификации за рубежом [ACTIVE] => Y [SORT] => 500 [CODE] => SKILLS_ABROAD [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => 45 [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Повышение квалификации за рубежом [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [PUBL] => Array ( [ID] => 46 [TIMESTAMP_X] => 2023-09-22 11:23:47 [IBLOCK_ID] => 11 [NAME] => Публикации и научные работы [ACTIVE] => Y [SORT] => 500 [CODE] => PUBL [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => 46 [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Публикации и научные работы [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [ASSOC] => Array ( [ID] => 47 [TIMESTAMP_X] => 2023-09-22 11:23:47 [IBLOCK_ID] => 11 [NAME] => Участие в ассоциациях [ACTIVE] => Y [SORT] => 500 [CODE] => ASSOC [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => 47 [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Участие в ассоциациях [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [SPECNAV] => Array ( [ID] => 48 [TIMESTAMP_X] => 2023-09-22 11:23:47 [IBLOCK_ID] => 11 [NAME] => Специализация и профессиональные навыки [ACTIVE] => Y [SORT] => 500 [CODE] => SPECNAV [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => 48 [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Специализация и профессиональные навыки [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [PROCHEE] => Array ( [ID] => 49 [TIMESTAMP_X] => 2023-09-22 11:23:47 [IBLOCK_ID] => 11 [NAME] => Дополнительно [ACTIVE] => Y [SORT] => 500 [CODE] => PROCHEE [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => 49 [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => 75095 [VALUE] => Array ( [TYPE] => HTML [TEXT] => <b>Лечение никотиновой, алкогольной, наркотической зависимости.</b><br> <br> Срочный выезд врача-нарколога на дом к пациенту( снятие ломки, вывод из запоя, снятие алкогольного отравления, ), внутривенная инфузионная терапия (капельница), детоксикация, сопровождение в течении нескольких дней по телефону. Поддерживающая терапия (Таблетированные препараты )на ближайшие несколько дней для закрепления результата. Рекомендации по дальнейшему лечению. Кодирование методом двойного блока, подшивка Эспераль, укол дисульфирама, после выхода из острого состояния. Поддерживающее, профилактическое лечение против срыва для предотвращения возможных рецидивов . ) [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => Array ( [TYPE] => HTML [TEXT] => Лечение никотиновой, алкогольной, наркотической зависимости.

Срочный выезд врача-нарколога на дом к пациенту( снятие ломки, вывод из запоя, снятие алкогольного отравления, ), внутривенная инфузионная терапия (капельница), детоксикация, сопровождение в течении нескольких дней по телефону. Поддерживающая терапия (Таблетированные препараты )на ближайшие несколько дней для закрепления результата. Рекомендации по дальнейшему лечению. Кодирование методом двойного блока, подшивка Эспераль, укол дисульфирама, после выхода из острого состояния. Поддерживающее, профилактическое лечение против срыва для предотвращения возможных рецидивов . ) [~DESCRIPTION] => [~NAME] => Дополнительно [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [STAZ_CLINIC] => Array ( [ID] => 50 [TIMESTAMP_X] => 2023-09-22 11:23:47 [IBLOCK_ID] => 11 [NAME] => Стаж в клинике [ACTIVE] => Y [SORT] => 500 [CODE] => STAZ_CLINIC [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => 50 [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Стаж в клинике [~DEFAULT_VALUE] => ) [OBR_POSLV] => Array ( [ID] => 51 [TIMESTAMP_X] => 2023-09-22 11:23:47 [IBLOCK_ID] => 11 [NAME] => Послевузовское образование [ACTIVE] => Y [SORT] => 500 [CODE] => OBR_POSLV [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => 51 [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Послевузовское образование [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [OBR] => Array ( [ID] => 52 [TIMESTAMP_X] => 2023-09-22 11:23:47 [IBLOCK_ID] => 11 [NAME] => Образование (вуз) [ACTIVE] => Y [SORT] => 500 [CODE] => OBR [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => 52 [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Образование (вуз) [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [SPEC_NAV] => Array ( [ID] => 53 [TIMESTAMP_X] => 2023-09-22 11:23:47 [IBLOCK_ID] => 11 [NAME] => Специализация (навыки) [ACTIVE] => Y [SORT] => 500 [CODE] => SPEC_NAV [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => 53 [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => 74943 [VALUE] => Array ( [TEXT] => Специализируется на лечении следующих заболеваний: <ul> <li>алкогольная эпилепсия;</li> <li>алкогольный параноид (психоз), который характеризуется бредом, навязчивыми идеями, иллюзиями и прочими психическими отклонениями;</li> <li>интоксикации (некачественным алкоголем, ядом, тяжелыми металлами);</li> <li>наркомания;</li> <li>полиневритический психоз, являющийся вариантом алкогольной энцефалопатии;</li> <li>алкогольный бред и галлюцинации;</li> <li>алкогольная депрессия;</li> <li>псевдопаралич алкогольного генеза, проявляющийся в поражении внутренних органов, в расстройстве речи, движений, зрения;</li> <li>белая горячка.</li> </ul> <br> [TYPE] => HTML ) [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => Array ( [TEXT] => Специализируется на лечении следующих заболеваний:
  • алкогольная эпилепсия;
  • алкогольный параноид (психоз), который характеризуется бредом, навязчивыми идеями, иллюзиями и прочими психическими отклонениями;
  • интоксикации (некачественным алкоголем, ядом, тяжелыми металлами);
  • наркомания;
  • полиневритический психоз, являющийся вариантом алкогольной энцефалопатии;
  • алкогольный бред и галлюцинации;
  • алкогольная депрессия;
  • псевдопаралич алкогольного генеза, проявляющийся в поражении внутренних органов, в расстройстве речи, движений, зрения;
  • белая горячка.

[TYPE] => HTML ) [~DESCRIPTION] => [~NAME] => Специализация (навыки) [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [PRICE] => Array ( [ID] => 187 [TIMESTAMP_X] => 2023-09-22 11:23:47 [IBLOCK_ID] => 11 [NAME] => Стоимость первичного приема [ACTIVE] => Y [SORT] => 500 [CODE] => PRICE [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => 187 [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => 116399 [VALUE] => 2300 [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => 2300 [~DESCRIPTION] => [~NAME] => Стоимость первичного приема [~DEFAULT_VALUE] => ) [COUNT_R] => Array ( [ID] => 189 [TIMESTAMP_X] => 2023-09-22 11:23:47 [IBLOCK_ID] => 11 [NAME] => Количество отзывов [ACTIVE] => Y [SORT] => 500 [CODE] => COUNT_R [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => 189 [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => 116400 [VALUE] => 11 [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => 11 [~DESCRIPTION] => [~NAME] => Количество отзывов [~DEFAULT_VALUE] => ) [RATING] => Array ( [ID] => 190 [TIMESTAMP_X] => 2023-09-22 11:23:47 [IBLOCK_ID] => 11 [NAME] => Средний рейтинг [ACTIVE] => Y [SORT] => 500 [CODE] => RATING [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => 190 [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => 116401 [VALUE] => 5 [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => 5 [~DESCRIPTION] => [~NAME] => Средний рейтинг [~DEFAULT_VALUE] => ) [CLINIC_TO_SHOW] => Array ( [ID] => 249 [TIMESTAMP_X] => 2024-01-18 14:39:13 [IBLOCK_ID] => 11 [NAME] => Клиника (для страницы врачей) [ACTIVE] => Y [SORT] => 500 [CODE] => CLINIC_TO_SHOW [DEFAULT_VALUE] => [PROPERTY_TYPE] => E [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => Y [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 26 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => Array ( [0] => 279486 [1] => 280453 [2] => 280954 [3] => 281436 ) [VALUE] => Array ( [0] => 5994 [1] => 5992 [2] => 5991 [3] => 27471 ) [DESCRIPTION] => Array ( [0] => [1] => [2] => [3] => ) [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => Array ( [0] => 5994 [1] => 5992 [2] => 5991 [3] => 27471 ) [~DESCRIPTION] => Array ( [0] => [1] => [2] => [3] => ) [~NAME] => Клиника (для страницы врачей) [~DEFAULT_VALUE] => ) )
Суюндуков Руслан Рамильевич
Нарколог, Хирург

Орехово, Беломорская, Солнцево, Речной вокзал
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Суюндуков Руслан Рамильевич
Нарколог, Хирург
Солнцево, Домодедовская, Беломорская, Орехово, Речной вокзал

Общая информация

Стаж: 20 лет

Образование:
Диплом по специальности "Лечебное дело", Самарский военно-медицинский институт; Ординатура по с...

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Все специалисты
Цены
Название услуги Стоимость, руб
Прием (консультация) врача-хирурга, повторный 1500
Хирург
Название услуги Стоимость, руб
Ультрафонофорез 15000

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

Лечение паронихия у метро Говорово
Лечение паронихия у метро Озерная
Лечение паронихия у метро Новопеределкино
Лечение паронихия у метро Саларьево
Лечение паронихия у метро Юго-западная
Лечение паронихия у метро Боровское шоссе
Лечение паронихия у метро Румянцево
Лечение паронихия у метро Рассказовка
Лечение паронихия у метро Тропарево


Фото клиники
Солнцево9
Солнцево8
Солнцево7
Солнцево6
Солнцево5
Солнцево4
Солнцево3
Солнцево2
Солнцево1

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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