In general, early nail groove infection can be treated with hot compresses and physiotherapy, using antibiotics or sulfonamides to eliminate the inflammation, and if there is pus flow, a longitudinal incision should be made at the nail groove to drain. We have to choose the best treatment for onychomycosis according to the specific condition of the child.
The best treatment for inguinitis
The occurrence of inguinitis is mainly due to the infection of Staphylococcus aureus, etc. At the beginning of inguinitis, the subcutaneous tissues of the side of the nails are red, swollen, hot, and painful, and some of them may subside on their own, while some of them may rapidly turn into pus. When hoping to choose the best treatment for inguinitis, the first thing to do is to do a good job of further being infected measures, choose effective medication for treatment, if you find that the site of the disease when the pus, to do a good job of draining the pus measures to prevent being further infected.
If it is acute nail inguinitis, the first thing to do is to prepare for the treatment, as soon as possible to choose an effective treatment to prevent damage to the nail bed. In general, you can choose sulfa drugs or antibiotics and other broad-spectrum antimicrobial drugs, if the symptoms do not improve in 48 hours, you should take surgical treatment. Of course, if the child suffers from inguinitis, in the medication, pay particular attention to the side effects of drugs on children, in general, antibiotic drugs have an impact on children's growth, the specific use of medication to consult a doctor Professional advice. Acute inguinitis can be incised and drained when the infection is superficial and limited. If the infection is deep, under local anesthesia, lift the proximal 1/3 of the nail plate and place a drainage strip under the proximal nail fold to drain the secretion. Chronic onychomycosis secondary to ingrown nails can simply be removed from the nail plate.
Treatment of early inguinitis
Early inguinitis: early inguinitis symptoms of redness, swelling, pain, staphylococcus aureus and other bacterial infections are still mild, so the best treatment for early inguinitis with simple hot compresses, physiotherapy, topical and other measures, the application of sulfa drugs or antibiotics.
(1) hot compresses: that is, hot towels local external application, the application of thermal principles and chemical reaction of drugs, promote blood circulation, enhance the phagocytosis of local leukocytes and tissue viability, which can make the hematoma is limited, and help to resist infection. Sometimes incision and drainage is needed, and drainage is sufficient, antibiotic treatment may not be necessary, if the infection spreads oral antibiotics can be taken.
(2) physical therapy: the treatment of inguinitis can be used ultrashort wave, infrared and other physical therapy, will be infected parts of the staphylococcus aureus and other kill, inhibit the growth and reproduction of germs in the wound area, so as to play a therapeutic effect.
(3) external: that is, Chinese medicine compresses, which is a conservative method of treatment of inguinitis, external ichthyol ointment or three yellow powder, etc., the role is to reduce swelling and pain, detoxification, suitable for early inguinitis patients.
(4) the application of sulfonamides: sulfonamides are a broad-spectrum antibacterial drugs, for staphylococcus, Streptococcus pyogenes, Aspergillus albicans Candida, and many other bacteria have an inhibitory effect, by interfering with the bacterial metabolism of folic acid and inhibit bacterial growth and reproduction. Sulfonamides can be used in the treatment of onychomycosis, but they are generally derivatives of sulfonamide. Prolonged use of sulfonamide is likely to cause stones. Therefore, children should minimize the use of sulfonamides.
(5) Application of antibiotics: Conservative treatment of onychomycosis can be treated with antibiotics, urea ointment, anti-inflammatory and analgesic treatment. In addition, silver nitrate can also be used to treat inguinitis. Antibiotics commonly used in the treatment of inguinitis include cefaclor and roxithromycin. However, antibiotics have a lot of side effects and are not suitable for children.
Treatment of inguinitis after the appearance of pus
The appearance of pus: When inguinitis develops to the appearance of pus, it means that the condition has been more serious, and it is necessary to use the correct treatment in time to alleviate the symptoms, to avoid further infection and aggravation of the condition. The pus spreads from one side of the nail groove to the root of the nail under the skin and the opposite side of the nail groove, forming a semi-circular abscess. This is when measures to drain the pus are needed.
The best treatment for a pus-filled onychomycosis is to make a longitudinal incision and drain the nail groove, and if necessary, incise and drain both grooves or remove the nail. Infection has been involved in the base of the nail around the subcutaneous, can be on both sides of the nail groove for each longitudinal incision, the nail root on the skin piece turned up, excision of the root of the nail, placed a small piece of petroleum jelly gauze or latex sheet drainage. If pus has accumulated under the nail bed, the nail should be pulled out, or the nail on the pus cavity should be clipped. When pulling out the nail, care should be taken to avoid damaging the nail bed, so as to avoid deformity of the newborn nail in the future. When the nail root or nail bed is involved, the nail should be partially or completely extracted. If the nail bed is not destroyed after the extraction of the nail, the nail will still be regenerated in 2 to 3 months.
However, mothers do not have to worry too much, the appearance of pus in the nail inguinitis is a relatively common stage of the development of the disease, as long as the good care measures, purulent nail inguinitis first focus on self-care, the first task is to eliminate inflammation, to prevent infection. You can use iodophor to scrub the affected finger to prevent further infection, while paying attention to cleaning and daily care.