The shorter the nail cut, the better? Beware of paronychia! On the morning of May 25, the topic word of #Nail Gullyitis rushed to the hot search, with 82,000 discussions and more than 660 million reads. Netizens have discussed, what is the correct cutting method for nails? How can we effectively prevent paronychia?
Improper wearing of shoes and incorrect manicure
All can cause paronychia
According to He Rongguo, chief physician of the Department of Dermatology of the Twelfth People's Hospital of Guangzhou, paronychia is caused by bacteria attacking the subcutaneous skin through minimally invasive damage to the parathyroid skin and growing and multiplying, which refers to the suppuration infection of the soft tissues around the (toe) nail. Clinical manifestations are redness, swelling, pain, and even suppuration of the paronyroid and surrounding tissues, which can be complicated by purulent toeitis and osteomyelitis, which affects walking.
Why do I get paronychia? He Rongguo said that the occurrence of paronychia is mostly due to incarcerated nails, trauma, improper wearing of shoes, incorrect manicure, fungal infections and other reasons. Clinically, it can be divided into traumatic paronychia and growth paronychia, and these precipitating factors can be prevented by noticing these triggers.
Traumatic paronychia is mostly caused by trauma, such as kicking injuries, stampede injuries and smash injuries caused by infection; nail pulling, foot hygiene is not good, long-term wearing of the same pair of shoes, sweaty feet, etc. lead to bacterial reproduction and infection; improper toenail trimming. Growth paronychia includes paronychia and pincer nails.
a. Paronychia: continuous compression on the side of the nail groove, too tight wearing shoes, etc.; abnormal structure of the phalanges; excessive use of finger (toe) nails to assist in the force of force caused by sports damage, such as jumping, playing basketball and jumping ballet, etc.; multiple nail pulling; foot deformities, posture and foot shape abnormalities; diabetes and other factors caused.
b. Pincer nails: the main fungus infects the nail bed, hyphal deposition, affects the growth of the nail bed, bends the deck and grows to form the pincer nail, resulting in paronychia.
Experts recommend making the toenails square
Who is more likely to develop paronychia? Wu Liangcai, director of the Department of Dermatology of the Sixth Affiliated Hospital of Sun Yat-sen University, introduced that the finger (toe) nail is divided into the deck, nail bed, nail fold, nail groove, nail root, nail epithelium, subparathyroid and other parts. People who need to immerse their hands and feet in water for a long time at work are more likely to develop paronychia.
Paronychia usually presents with redness, swelling, pain, and even suppuration of the tissues around the nails. Photo courtesy of Dr. Wu Liangcai.
Wu Liangcai reminded that patients should try to keep their hands and feet dry, avoid soaking in dirty water or soapy water for a long time without adequate protection, carefully trim nails to avoid trauma, and do not bite nails.
"Treatment should be based on different etiologies and symptoms, and some patients with mild disease can immerse the affected fingers or toes in sterile warm water for 20 minutes at a time, 3 times a day, soaked and then applied to the infected area with triple antibiotic ointment, such as neomycin or triple antibody ointment." Patients with abscess paronychia should see a doctor. ”
How to prevent paronychia in daily life? He Rongguo reminded that trimming the toenails should not be cut too short and too deep, and it is not recommended to trim the nail horns obliquely. The toenails can be made square so that the carapace horns on both sides of the thumb extend beyond the nail grooves. When the newly grown toenails have a tendency to bend inwards, insist on bending the distal sides of the toenail outwards with forceps every day, and seek medical attention in time if necessary.
The image comes from the Internet.
Paronychia treatment must be done?
What are the cognitive misunderstandings about paronychia? He Rongguo reminded that some people think that paronychia is only a local infection, small problems do not attract attention, thinking that topical external application of antibacterial ointment or oral antibiotic treatment can be, refuse the doctor's nail pulling treatment advice, do not go to the hospital for treatment and go to the pedicure shop, resulting in the deterioration of paronychia.
"Paronychia is not necessarily a bacterial infection, only in acute, abscess paronychia is dominated by bacterial infection, chronic paronychia may be fungal or inflammatory reactions, and paronychia caused by bacteria is only a small part," Wu Liangcai said.
Many netizens in the comment area shared the painful experience of having paronychia to remove nails. Must paronychia be pulled? Wu Liangcai mentioned that paronychia does not necessarily have to be pulled out. According to the severity of paronychia and the cause of the disease, most of them take conservative treatment, and there are fewer patients who really need to do nail surgery, generally the deck is pulled out or the nail unit is removed as a whole.
【Netizen Comments】
Paronychia afflicts people, nail clipping should be paid attention to
Written by: Nandu reporter Yang Liyun correspondent Liao Wenbo