Chiri
Causes and symptoms of chiriev, treatment and prevention
Chiriyami is usually called a purulent-type skin disease, which is characterized by inflammation of the follicle (hair follicle) and surrounding tissues. This is a process of deep skin lesions with visible redness and purulent discharge, with pain.
The cause of the disease is damage by pathogenic microorganisms - staphylococci. The infection penetrates into the subcutaneous layers through microtrauma of the epithelium (cracks, cuts).
The causes of the chiriev
The main reason for the emergence of chiries is a bacterial infection, which can develop against a background of various factors. These include: a significant decrease in immunity, hypothermia, non-compliance with the rules of personal hygiene, skin damage by chemicals, unhealthy diet, diseases of the digestive tract, metabolic disorders, the use of certain drugs, stress, climate change.
The risk of developing chirias is much higher in people suffering from diabetes mellitus, other chronic diseases, with a lack of vitamins in the body and with a deficiency of ultraviolet radiation (specific climate). Also in people with great physical exertion, lack of adequate rest, with prolonged physical fatigue. Because of this, there is a decrease in immunity and the body is unprepared to cope with the attack of pathogenic microorganisms.
Chiriev symptoms
There are three stages in the development of chiries:
- stage of congestion;
- stage of suppuration;
- stage of complete healing.
The signs of the first stage of chiria are the appearance of a raised, hard infiltrate and significant redness, which are accompanied by sensations of pain. In the process of inflammation, a node is formed. After some time, the site of the lesion thickens, and its boundaries expand, affecting the healthy epithelium. The feeling of pain intensifies, there is swelling of the surrounding tissues, the inflammatory process increases.
After 2 - 3 days, the second stage of chirium ripening begins. The seal takes on the shape of a cone and can be up to 3 cm in diameter. A purulent core is formed at the base. The inflammatory focus is clearly visible. At this stage, the pain can be quite sharp, especially when moving or bending over the abscess. The state of health worsens due to body temperature, which can rise to 38 ° C, and intoxication is also possible.
Soon, suppuration spontaneously or deliberately opens up and purulent discharge with an admixture of blood follows. After removing the necrotic rod from the base of the chirium, the swelling and pain are reduced. The temperature is normalized, due to which the state of health improves. Healing occurs in the next 2-3 days by scarring. The color of the scar is initially bluish-red, but over time it changes color, becomes white and invisible. All three stages take 8-10 days on average.
Chiriev diagnostics
Chiriev should be diagnosed by a dermatologist. He determines the diagnosis based on the results of examination and dermatoscopy of the affected area. To determine the causes of the appearance and the kind of causative agent of the disease, various kinds of research are carried out. Bacterial cultures make it possible to establish the type of microorganisms that cause an infectious disease. Clinical analysis of blood and urine - determines the level of infection. A blood test for sugar, fluorography, ultrasound of the abdominal cavity, kidneys - possible disruptions in the work of other organs of the patient.
If, as a result of the examination, a need arises, the patient is referred for consultation to other specialists. If a complication occurs, the doctor should prescribe additional examinations. Biological culture of blood for sterility with determination of sensitivity to antibiotics is performed to prevent or diagnose sepsis in time.
Chiriev treatment
Most often, the body is able to cope with a single chiri on its own. It is categorically contraindicated to warm and squeeze them out, there is a possibility of an even greater spread of the infection. To cope with chirium, at the initial stage, it can be treated with specially designed agents, essential oils, which by their nature are antiseptics (lavender oil, tea tree oil), salicylic or camphor alcohol.
If the chirium progresses, ichthyol is used for local treatment in the form of ointments, which are applied to the focus of inflammation; bandaging is not recommended. This helps to speed up the breakthrough of the chiria and helps to cleanse the purulent fluid that has formed inside. Also, in combination with local treatment, the doctor prescribes a course of taking antibiotics, which accelerates the process of eliminating the infection.
In the event that the chirium size is quite large or for a long time there is no breakthrough and rejection of the purulent core, they resort to surgical treatment. Chiriy is opened with a scalpel to remove purulent formations and dead tissue. If necessary, drainage can be installed, until the remnants of suppuration are completely removed. After that, the wound is treated and a bandage is applied with ointments that have antibacterial properties. Dressings are changed until the wound is completely healed.
The dissection of the chirium should be performed by a specialist, under appropriate conditions, using local anesthesia or freezing with chloroethylene. Surgical intervention is also combined with a course of antibiotics to help the body cope with the infection. To prevent the reappearance of chiriev, physiotherapy procedures are used. The patient should be under the supervision of a doctor until complete recovery.
Chiriev prevention
In order to prevent chirias, it is necessary to follow the rules of hygiene, use antibacterial soap. Even the smallest injuries of the skin should always be treated with antiseptic agents, and then covered with a plaster or bandages until complete healing. Prevention also includes special care for oily skin, treatment with special agents, protection from hypothermia and overheating of the skin.
It is not recommended to clean the ear canals with anything that is not intended for this. Such cleaning can lead to skin injury and chirium formation of the external auditory canal. It is recommended to eat food with sufficient amount of vitamins. Adequate nutrition, timely treatment of chronic diseases, correction of metabolic processes, regular exercise, a healthy lifestyle are the key to healthy skin.
Article author: Mochalov Pavel Alexandrovich | d. m. n. therapist
Education: Moscow Medical Institute. IM Sechenov, specialty - "General Medicine" in 1991, in 1993 "Occupational Diseases", in 1996 "Therapy".
