Furunkul (Chiri) - acute purulent inflammation of the hair bag and the surrounding fabrics. Called more often golden, less often than white staphylococcus. Develops as a result of acute purulent-necrotic inflammation of the hair bag - follicle and the surrounding fabric.
Content
Provisible to the development of the disease Pollution of the skin and microtrauma,
the weakening of the body's protective forces due to depleting chronic
diseases, avitaminosis, diabetes, etc.
Symptoms and current
In
The time of formation of the pustula in the form of a nodal patient feels a light itching and
tingling. On the 1st day there is an inflammatory infiltration. He
acts cone-like above the skin level that blues and becomes
Painful when touched. At the top of infiltrate marks
Small accumulation of pus with black dot (necrosis) in the center.
Pustule
Usually breaks and dries, and for 3-7 days, infiltrate fibot
Melted and necrotic fabrics in the form of a rod together with
Hair residues are distinguished with pus. The resulting wound is cleared,
filled with granular tissue and heals. Swelling around it
gradually decreases, pain disappear. At the site of inflammation remains
small, whitish, somewhat rotten scar.
Multiple
damage to boils that appear simultaneously or
sequentially one by one in different parts of the body - called
Furunculese. When it lasts with small remissions during
for several years, it is chronic, recurrent.
On the
places devoid of hair (palms and palm surface fingers, soles)
Furuncula do not develop. Most often observed in skin sections,
exposed pollution (forearm, rear brushes) and friction (rear
Neck surface, loin, buttock, hips). Usually a furuncle does not cause significant impairment of well-being. Pains are moderate,
But during localization, for example, in the outer hearing aisle, in the nose -
Significant. In the area of the face (lips, forehead), as well as on the scrotum of fuss
accompanied by significant swelling of the surrounding tissues, which is explained
the subcutaneous fiber here.
Heavy clinical
Current is often observed in the bolunculaes of the upper lip, nasolabial
Folds, Nose, Supportal (Olol-eyed) Area. Peculiarities
development of the venous and lymphatic network on the face contributes to rapid
Spreading microbes. Thrombophlebitis of veins in a furuncle face can
to spread across the anastomoses on venous sinuses of solid cerebral
shell, which leads to their thrombosis, creating a threat to purulent basal
Meningita. Fast swelling ramps, tight painful painful
veins, sharply deteriorates the overall condition of the patient, body temperature
reaches high level (40-41c), can be expressed by rigidity
Calm muscles, violation of vision (Hiazma defeat).
Furunculus complications include lymphangitis and regional lymphadenitis.
A special danger is the violent progressive acute thrombophlebitis and sepsis.
Spicy
Thrombophlebitis is usually developing in borunculaes located near
large subcutaneous veins, and sepsis - with furunculaes of the face. They are often
are a consequence of attempts to squeeze the contents of the furuncle, cutting
Its during shaving, injury during massage. Forecast with these complications
Very serious.
Heals the chirns always with the formation of a scar.
Clinically distinguish:
- single furuncle;
- Localized furunculosis when the elements consistently occur in
The same area, for example, on the forearm, lower back, etc.
The causes of localized furunculose are most often incorrect
Methods of therapy and regime (application of compresses, unlapping
residual seal, washing the place where elements appear);
- General (scattered) furunculosis - chronic appearance of all new and new elements on various sections of the skin.
Treatment of furunculov
Careful toilet leather around the focus of inflammation: wiping 70% alcohol, 2% salicylic alcohol
or lubrication 1-3% alcohol solution of methylene blue,
Diamond Green and DR. Hair around infiltrate carefully
Distribute. At the very beginning of the process, abortion action is sometimes
re-lubrication of pustules tincture iodine. Mazi S
Different antiseptics use only when the focus revealed
and empty from pus. In the presence of necrotic masses are suitable
Sodium chloride hypertensive solutions.
For
Single furuncle Sometimes one external therapy is enough
ichthyol stickers, cessation of washing affected seats, applications
Physiotherapeutic UHF methods, dry heat, ultrasound. but
Localization of even one furuncle on the face, and, in particular, in the area
nasolabial triangle, nose and on lips requires urgent
hospitalization of the patient, full rest for the Mimic muscles (prohibition
speech communication, translation into liquid food) and carrying out general therapy.
When localizing the furuncle on the face and with the total furunculese apply
Wide spectrum antibiotics. Need careful
Examination of the patient and, based on its results, appointment
Correctional events. To increase the body's resistance
Patients with chronic furunculosis are prescribed autohemotherapy, injection
Aloe Extract, Gamma Globulin and T.D. In persistent cases is carried out
Immunotherapy of staphylococcal vaccine, sometimes techniques inside
Fresh beer yeast and sulfur in powders.
Dry warmth (heater, solux, minina lamp), as well as UHF, which has an painful effect.
Compresses
do not do, as they contribute to the formation of multiple
Infiltrates. In furunculaes of the body, neck and limbs follows
apply stickers that protect the skin in the field of inflammation from
friction. Sometimes in the early stage, the furuncle is glued by an antibiotic with
Novocaine or make electrophoresis with him, but many surgeons give
Preference to intramuscular injections.
At
furuncules face dressings usually do not apply. Categorically
It is prohibited to extrude the contents of a furuncle and massage in the field of the hearth
Inflammation. At high temperatures, a strict bed mode is prescribed,
Liquid food, the patient is forbidden to talk, chew. Needed as
You can earlier to start energetic treatment with antibiotics, and
It is advisable to combine them with meals inside sulfonamide
drugs. Operational intervention is rarely used. However
The development of phlegmon is subject to urgent autopsy.
At
recurrent furunculach conduct nonspecific stimulating
Therapy in the form of autohemotherapy (intramuscular injections of aggroes by
5-10 ml after 1-2 days, only 3-5 injections), making small transfusions
Doses of canned blood. In chronic furunculese effective
Immunization of staphylococcal anatoxin, the introduction of a hyperimmune
Serum, Gamma Globulin and Repeat Transfusion of Small Dose Blood.
Local
Clean ichthyol therapy should be used only before opening the furuncle,
Then, several layers are superimposed on it (for peel suction)
gauze moistened with hypertensive solution. After deletion
necrotic rod and pus from the blurred furuncule prescribe ointment
Antibacterial and promotional granulation (ointment of Vishnevsky and others.),
On infiltration around ulcers, you can apply ichthyol again.
