ʻO ka whitlow he maʻiʻaʻai aia ma ka 2/3 o nā hihia ma ka ʻaoʻao a i ʻole ma lalo o ke kui. Eia nō naʻe, hiki ke loaʻa ma ka pae o ka pulp, ma ka ʻaoʻao a i ʻole ke kua o ka manamana lima, a i ʻole ma ka poho lima. I loko o 60% o nā hihia, ʻo Staphylococcus aureus ke kumu o ka whitlow, akā hiki nō hoʻi ke streptococcus, enterococcus, etc. No laila pono e mālama koke ʻia ka whitlow no ka mea he maʻi ia me nā germ pyogenic (= kumu i ka pus) o kahi ʻāpana palupalu. o ke kino, hiki paha i ka iwi a me na ami o na lima, a hoopuka i na hopena ko'iko'i, e like me ka nalo ana o ka nee a me ka nawaliwali o ka lima.

Nā hōʻailona o ka maʻi

Hoʻokumu ka whitlow i ʻekolu pae¹:

• ʻO ka pae inoculation. Hoʻokumu ʻia ka whitlow ma muli o kahi ʻeha ʻo ia ke ʻano o ke komo ʻana o ka germ
• Komo mai ka bacteria ma lalo o ka ʻili ma o ka ʻeha. Hiki ke ʻike ʻole ʻia kēia ʻeha no ka mea ʻo ka hapa nui o ka manawa e pili ana i kahi micro-cut, i ka ʻili liʻiliʻi i haehae ʻia a puni ke kui, i kapa ʻia ʻo "cravings", i nā kui nahu, i ka manicure a me ka hoʻopaʻa ʻana i nā cuticles. wahi liʻiliʻi o ke kui. ʻili e uhi ana i ke kui ma kona kumu, he nahu, he māmala a ʻokalaioa. No 2 a 5 mau lā ma hope o ka loaʻa ʻana o kēia ʻeha, ʻaʻohe hōʻailona i ʻike ʻia (ʻaʻohe ʻeha, ʻulaʻula, etc.)
• ʻO ka pae inflammatory ou catarrhal. Hōʻike ʻia nā hōʻailona inflammatory kokoke i kahi o ka inoculation, e like me ka pehu, ʻulaʻula, a me ka manaʻo o ka wela a me ka ʻeha. Ke emi nei kēia mau hōʻailona i ka pō. ʻAʻohe lymph nodes (= ʻeha ʻeha ma ka ʻāʻī, he hōʻailona e hoʻomaka ana ka maʻi e hoʻopilikia i ka ʻōnaehana hoʻoheheʻe lymphatic). Hiki ke hoʻohuli pinepine ʻia kēia pae me ka mālama ʻana i ka ʻāina (e ʻike i ka ʻāpana: Treatment of whitlow).
• ʻO ke kahua hōʻiliʻili ou pōkole. Lilo mau ka ʻeha, ʻohu (ka manamana lima "kuʻi") a pale pinepine i ka hiamoe. ʻOi aku ka mākaʻikaʻi o nā hōʻailona inflammatory ma mua o ka pae mua a he mea maʻamau ka ʻike ʻana i kahi ʻeke melemele purulent. Hiki ke ʻike ʻia kahi puʻu lymph ʻeha ma ka ʻāʻī (e hōʻike ana i ka laha ʻana o ka maʻi) a hiki mai ke kuni haʻahaʻa (39 ° C). Pono kēia pae i kahi lāʻau hōʻoki koke no ka mea e hōʻike ana i nā pilikia pili i ka laha ʻana o ka maʻi:

- ma ka ʻili paha me ka ʻike ʻia ʻana o nā kiko purulent melemele ʻē aʻe, i kapa ʻia ʻo fistulas (= ramifications o ka maʻi ma ka ʻili a puni), a i ʻole kahi ʻeleʻele ʻeleʻele o ka necrosis (= ua make ka ʻili ma kēia wahi a me kahi hoʻomaʻamaʻa excision o ka ʻili. e pono ai ka wahi make)

– i ka hohonu paha i ka iwi (= osteitis), nā aʻa (= phlegmon o nā ʻāʻī e hoʻopuni ana i nā aʻa a i ʻole nā ​​hono (= septic arthritis).