Skin problems annually constitute a large percentage of the total number of diseases of the surgical and dermatological profile. Patients often try to get rid of the inflammatory process using self-medication. In some cases, folk methods help, but at the same time there is a possibility of serious complications. The carbuncoon opened by surgical path, the furuncle or abscess must be treated under the control of the doctor, as it is possible to attach various infections.
Classification of purulent infiltrates
Seeing the formation on the skin, it is necessary to differentiate it for origin. Only an experienced surgeon will be able to determine the shape of the skin inflammation. Purulent seals are divided into such types:
Carbuncoon is a spilled purulent-necrotic inflammation of deep layers of dermis and hypoderms with the involvement of several adjacent hair follicles into the process.
- Furuncle. He is called "Chiri". This is purulent inflammation of the hair onion affecting the nearest sebaceous glands. Externally resembles a red seal, constituting 0.5-3 cm in a circle and causing painful character. The ripe infiltrate in the center forms the "head", filled with pus. In severe cases, the formation of a large number of seals in different parts of the body is possible. This indicates a general inflammatory process and requires additional diagnostics.
- Carbuncle. This disease passes much harder, forming an inspired focus with the redness of the skin. The accumulation of pus is not only in the center, there are many cavities performed by gentle. The difference between the furuncle from the carbuncule is that the first manifests itself locally, and the second significantly affects the overall well-being. There are symptoms of intoxication: fever, muscle pain, feeling fatigue, migraine.
Carbuncoon can occur at different parts of the body. If you do not consult a doctor in time - the consequences may be the most unfavorable. - Hydradenitis. The causative agent is golden staphylococcus, which penetrates the sweat glands. The inflammatory process is accompanied by the formation of pus. Most often, hydragenite causes an improper shaving of the armpits. It is necessary to carefully disinfect the tool and touch the irritated skin only with clean hands. The causative agent is easy to penetrate the apocryne sweat glands through microcracks in the skin.
AdScees may arise due to the suppuration of the federated body of the skin. Even the usual scratch, without special processing causes inflammation of the tissues. - Abscess. This is a local inflammatory process, accompanied by the accumulation of pus in tissues with their further melting in the presence of necrosis. It may arise due to the contamination by pathogenic bacteria, the presence in the wound of third-party bodies, entering into the bloodstream of glot microorganisms. It develops in subcutaneous fatty tissue, muscle tissue, bones and internal organs.
The testimony to the carbuncule operation is the formation of a focus of necrosis. In fact, determine which skin education struck a person, sometimes it is not easy. Considering the furuncular and carbuncules in the photo, one can only assume what kind of concrete patient affected. The true diagnosis should be a doctor to quickly appoint effective treatment.
Ethiology of the disease
Golden Staphylococcus is the main cause causing carbuncular, boils, hydragenite and other skin problems. But this pathogen can provoke the appearance of infiltrates only with certain conditions. A significant decrease in immunity sometimes leads to such an unpleasant condition like a furunculosis. Multiple furunculae individuals cannot be hidden under clothing, they scare away others, so it is necessary to eliminate the main causes of the disease for rapidly getting rid of defects.
Goldy Stafilakoka bacterium is the main cause of the yield of all diseases associated with inflammation of the skin. Risk factors include:
- non-compliance with the elementary rules of personal hygiene;
- reduction of immunity, including neutrophil activity;
- chemotaxis violation;
- excess synthesis of immunoglobulin E;
- the increased number of pathogenic staphylococci in the mucous membrane of the nose, under the mouse, in the crotch area;
- endocrine problems (diabetes mellitus and obesity);
- increased activity of sweat and sebaceous glands.
At the beginning of the development of the carbuncule in the skin, several separate dense nodules are found, which merge into one infiltrate General symptoms and complications
The reddeful purulent seal is accompanied by the edema of the surrounding tissues. Subsequently, the inflammatory process is manifested by non-specific symptoms of malaise, which affect the activity of a patient person. It is sometimes difficult to determine what is the difference between externally similar purulent necrotic rashes. As a result of the arrangements of several furunculus, carbuncoon is formed. Its treatment is much more difficult and requires qualified medical care. When pressing on a furuncle and carbuncoon, a pulsating character is significantly enhanced.
The inspiring magnitude of the furunculosis can be complicated by bacteremia and septicemia, the spread of staphylococcal infection throughout the body. The valves of the heart, large joints, bones, internal organs (especially the excretory system) suffer. Hazardous complication is meningitis, which arises due to infection of the brain.
Features of Furunkula
The main task of any doctor is to formulate the correct diagnosis. At the same time, noticing the sick skin formation, the person must independently assess the complexity of the inflammatory process. The furuncle from the carbuncule is distinguished by the limited focus of the lesion due to the granulation tissue. More often there are single infiltrates, less often multiple. They are mainly localized in the facial area, on the neck, shoulders, buttocks, axillary depressions. There are chronic forms of the disease, when there are several infiltrates in different stages of development on the body.
This is the first stage of the development of infiltrate, which lasts 8-12 days
In turn, there are such forms of boils:
- Abscessant. Brightly pronounced symptoms: redness, swelling and the formation of pusa is combined with severe pain that does not give a person to sleep. The formed seal is collapsed over time. There is a rapid melting of the affected fabrics. The infection can get into the bloodstream or directed from the face to the base of the skull.
- Infiltrative. With this form of the disease inside the dense education over time, a rod is formed, which indicates the effectiveness of treatment. A distinctive feature of the carbuncle from a furuncule is the presence of several such purulent necrotic rods. The next step of healing is a slight recess, which over time is filled with granulations. In this case, the symptoms of intoxication are not expressed significantly. In case of timely treatment, the disease has only local character. While adults calmly carry discomfort during illness, children can become capricious and restless.
The furuncle refers to rashes by the type of deep pustula and has a nodal seal. The bug-red infiltrate with a diameter of 2-5 cm delivers people unpleasant pain. After the formation of a narcotized rod, the doctor reveals the seal, which is accompanied by the allocations of a large amount of pus. Face furuncula needs to be opened especially carefully, as there is a network of blood vessels. Then the scarring of the affected skin, sometimes the defect may remain forever. In such cases, plastic and maxillofacial surgery are necessary.
Usually there are single carbuncules Characteristic of Carbunkula
With carbuncule, several hair follicles are inflamed, forming a fusion infiltration, the purulent necrotic rods are formed later. Multi-chamber abscesses in the skin and subcutaneous fatty tissue, numerous pustules and holes through which are seeded by a pus - these are typical dimensions of the furuncle from the carbuncule. The skin under education and falls near it, becomes the crimson-red and warm to the touch. Carbuncoon is characterized by the influence on the body as a whole. It is a more serious lesion of the skin, but at the same time the same stages of development. The body temperature increases, sharp pain in the affected area gives to the nearest plots.
The overall blood test indicates all signs of the inflammatory process: ESP (erythrocyte sedimentation rate) increases, the number of leukocytes increases. In purulent-necrotic diseases, neutrophilic leukocytosis is observed.
Effective treatment leads to the fact that in a few days in the affected carbuncoon, the areas of fluctuations appear. It differs from other purulent formations by the presence of several rods inside. After getting rid of education, the skin is covered with ulcers and slowly heals (up to a month). At the site of the infiltrate, an ugly scar with uneven edges remains, resembling a star.
Treatment methods
In hospital conditions, the doctor reveals both a carbuncoon and a furuncle with the subsequent drainage of the affected cavity. Thus, purulent-necrotic masses come out, which contributes to rapid healing. In an open wound, an infection may be hit, so rational is the use of antibiotics. What is the difference between the treatment of various types of purulent necrotic diseases? The degree of complexity of the defeat plays the role. In severe cases, antibiotics are necessarily assigned to combat golden staphylococcus. When carbuncles or multiple furunculosis appear, the use of drugs inside to reduce overall intoxication. Getting rid of the sore seal, it is necessary to process ulcers to full healing. For such purposes, antibacterial and contributing to rapid regeneration of ointments are used.
In the therapy of purulent-inflammatory skin diseases are used:
- staphylococcal bacteriophages, anatoksins;
- proteolytic enzymes ("TRIPSIN", "HIMOPSIN") for rejection of narcotized masses;
- antiseptics. Shower with disinfecting soap or gel ("Povidone-iod");
- local treatment. Antibacterial ointments (for example, Mupirocin).
Warming of the affected area helps purulent seals to mature faster. Following the rules of antiseptics will protect the patient from the attachment of concomitant bacteria. A special diet with vitamins B and antioxidants is recommended. If the disease often recurrences, it is worth the presence of a chronic inflammatory process. In this case, a general survey of organs and systems is appointed to find the cause of skin infiltrates.
Carbuncoon - necrotic inflammation of several nearby hair onions. The name comes from the Greek word "Carbo" - coal. The skin at the site of the development of this inflammatory process is becoming very dark, almost black color. It is formed independently or is a complication in a furunculese when several furunculov merges into a single focus.
Causes of occurrence
Causes inflammation, in the overwhelming majority, staphylococcus. Occasionally - Streptococcus, which
Penetrates the follicle through the microtraums of the skin.Especially favorable conditions for the appearance of a carbuncule creates increased sweating - every second case is fixed in the summer.
Additional risk of carbuncule formation occurs with reduced immunity and diabetes mellitus.
Symptoms
Usually, opening is single. At the initial stage of development, it consists of several separate, but closely localized, foci of inflammation. These are some of the inflated hair lows.
As the inflammatory process progresses, the foci merge into one. Filter of large size is formed - up to 6-7 cm. In diameter. It is dark color, there is a local temperature increase.
As the carbuncule ripens, the pain increases. Often, the body temperature rises strongly (above 39 degrees). Often there are symptoms of general intoxication - headaches, nausea and vomiting, weakness.
When the carbuncoon matures, several purulent pustulas are formed on the skin. They are opened, comes out of the pus and dead follicles (rods). A very deep ulcer is formed on the spot, a very deep ulcer is formed - necrosis striking all layers of skin, connective tissues and often reaches the muscles. After healing, the ulcers remain a noticeable scar.
Complications
Carbuncoon often gives complications due to the spread of infection on adjacent tissues.
If inflammation reaches soft tissues - abscess or phlegmon can develop. With the defeat of nearby vessels, the development of phlebitis, the affected vessels, in this case, often bleed is often. If the carbuncoon is located close to the lymph nodes, the development of lymphadenitis is possible.
Carbuncules arisen on the face are very much danger. This is due to the peculiarity of venous blood flow. Meningitis is possible.
With a severe course of the disease or when several carbuncles occur, the risk of sepsis is raised.
Treatment
The only possible way to get rid of carbuncule is surgical. The excision is done under local anasthesthesia, often with the help of radiosurgery (bloodless cut). With a properly conducted operation, the patient does not feel pain, only light discomfort. After surgery, if necessary, the internal (cosmetic) seam is superimposed, after which there are no traces. With proper excision, the healing process passes painlessly, quickly and without traces.
If the disappearance is not located on the face, it has a small size, and the patient has no symptoms of intoxication and there is no heat, then an outpatient treatment is possible. The patient is prescribed antibacterial therapy and treatment with antiseptics.
After the carbuncoon revealed, the surgical removal of necrotic tissues is necessary. Under local anesthesia, the patient excised dead tissues in the crater of the carbuncule and lay a tampon with hypertensive or with antiseptic ointment. Sometimes, if necrosis is deep enough, the operation has to repeat several times.
If the carbuncoon is large diameter, located on the face, in the patient a strong heat and pronounced intoxication, then the patient is hospitalized into the surgical department.
Acute inflammation of several nearby hair follicles with the formation of an extensive focus of necrosis. After removing the necrotic masses, a deep ulcer is formed on the site of the carbuncule, in some cases reaching muscles. In exhausted patients, diabetics and elderly people, the carbunkula flow can be malignant and complicated with sepsis or bleeding. The treatment shows antibiotic therapy, local application of antiseptics, some types of physiotherapy. When forming a necrotic focus, surgical treatment is carried out.
General
Carbuncoon received its name due to the dark color of the purulent necrotic masses during it. After all, "Carbo" translated from Greek means "coal". Carbuncules are found at different ages, but most often young people. At the same time, men sick approximately 1.5 times more often than women. About 40% of cases of Carbunkula falls at the summer season.
Causes of Carbunkula
The causative agent of the carbuncule in the overwhelming majority of cases is staphylococcus, sometimes mixed staphylococcal and streptococcal infection. In some cases, the carbuncoon can be caused by an intestinal wand, noncomputernedial anaerobes, protein or enterococci. Favorable conditions for infection with hair follicles are created with an increased sweating, increasing the secretion of the sebaceous glands, polluting the skin with dust particles of sand, cement, lime, coal, etc. The pathogen can penetrate the microtraums and scuffle on the skin. Contribute to the occurrence of the carbuncule decreased by the resistance of the body, exchange disorders in diabetes mellitus and obesity, the depletion of the body and severe diseases.
Symptoms of Carbunkula
As a rule, carbuncules are solitary. They are often localized on the rear surface of the neck, on the face, between the blades, on the buttocks and the lower back, the leather of the limbs is amazed much less. At the beginning of its development, the carbuncoon consists of several dense tuberculk-infiltrates, which are separate inflamed hair follicles.
As inflammation increases, these hillocks merge and the semi-suicide infiltrate elevated above the skin is formed. It can achieve the size of the children's palm. The skin in the center of the infiltrate has a blue painting and hot to the touch. The skin tension in the field of infiltrate is gradually increasing, which is accompanied by an increase in pain. This is the ripening stage of the carbuncule, which occupies an average of 8-12 days. It is often accompanied by an increase in body temperature (sometimes up to 40 degrees), a total weakness, a decrease in appetite, headache, nausea and vomiting may be observed.
The ripening of the carbuncule ends with the formation on its surface of several empty. Opening, the points are forming holes through which the extraction of necrotic masses and pus is released. The separated has a green color and maybe with an admixture of blood. Gradually, more and more fabrics of the carbuncule undergoes necrosis and a deep ulcer is formed at the site of the infiltrate. In some cases, it can reach muscle. The stage of suppuration and necrosis lasts 14-20 days. The process of the development of the carbuncoon ends with a gradual healing of the resulting skin defect. In its place is formed a row-floor-wood with surrounding tissues.
Complications
The complications arising during the carbuncule are associated with the spread of infection in the depths of the tissues, along the vessels and its getting into the blood. Usually they develop in weakened patients or in the absence of adequate treatment.
The propagation of infection in the depths of soft tissues can lead to the formation of abscesses of soft tissues or the occurrence of phlegmon, infection of the bone leads to the development of osteomyelitis. When transitioning infection on venous vessels, phlebitis and thrombophlebitis develops. It is possible to bleed from the affected vessels. In the involvement of lymphatic vessels and nodes, serous-purulent lymphadenitis, lymphangitis, periodyenitis and adenoflemond can occur. In some cases, the connection of the grinding inflammation is observed.
The most dangerous carbuncules located on the face. Infection from them can move on brain shells with the development of purulent meningitis. In case of causative agents of the carbuncule in the blood and the separation of their organism, sepsis is developing, which can lead to a fatal outcome. With the rapid appearance of such serious complications as sepsis, meningitis or bleeding, they say about the malignant flow of the carbunkula.
Diagnostics
The specific clinical picture and the appearance of the carbuncule, as a rule, do not cause any difficulties in its diagnosis from a dermatologist. However, an important diagnostic torque is the differential diagnosis of ordinary carbuncule from the carbuncule in a Siberian ulcer, which is characterized by the appearance of a black stamp in the pustula region. Sowing the carbuncule separated makes it possible to eliminate the presence of a siberiated stick and determine the sensitivity of the selected microflora (usually staphylococci) to antibiotics.
Treatment of Carbunkula
Small carbuncles without pronounced intoxication and disorders of general well-being are subject to outpatient treatment. If the treatment has begun in the ripening stage of the carbuncule, then it is carried out by conservative methods and can end it with reverse development with resorption of inflammatory infiltrate. The patient is prescribed an antibiotics of a wide range of action for intakes: ampicillin, gentamicin, carbenicillin, etc. In parallel, the carbuncule is glued in parallel with antibiotics. Analgesics are used to relieve pain. The surface of the carbuncule is treated with 70% ethyl alcohol, then apply a aseptic bandage. It is possible to use syntycin or streptomycin emulsion.
Carbuncule moving to the necrotic stage is an indication for surgical treatment. It is carried out against the background of antibiotic therapy. The operation is carried out under local anesthesia. The autopsy of the carbuncule includes widespread dissection, removing all necrotic and non-viable tissues. After surgery, a tampon with proteolytic enzymes and a hypertensive solution of sodium chloride is introduced into the wound. In the postoperative period, for the final rejection of necrotic masses and the purification of postoperative wounds, a daily shift of the dressings with hypertensive solution and proteolytic enzymes are carried out. In some cases, there is a need for additional rapid necritectomy. The large area and depth of lesions of tissues during the carbuncule leads to the fact that the postoperative wound heals with the formation of a noticeable and coarse scar.
From the physiotherapeutic methods of treatment in the ripening stage of the carbuncule and the local UFO and UHF therapy are used in the postoperative period. If necessary, ultraviolet blood irradiation (UFOK) and intravenous laser irradiation are carried out to stimulate the protective forces of the organism. Indications for treatment in the hospital are: pronounced intoxication, large size of the carbuncule, its localization on the face, the presence of non-compatinated diabetes in the patient and other severe diseases.
Carbuncle - acute purulent-non-critical inflammation of the skin and subcutaneous fiber around the sebaceous glands and hairbags (follicles), forming extensive areas of necrosis.
Usually, carbuncoon is single. The main locations of localization - neck, between the bladder area, face, buttocks, loin.
Development of the disease and its symptoms
The first stage
In the first stage of the development of Carbunkulawhich lasts 8-12 days, there is an education at the site of inflammation of the hair follicle of small infiltrate, rapidly increasing in size. The leather in the area of \u200b\u200bthe lesion becomes intense, edema, the blue-baaghro, then the holes (fistulas) are formed in it, of which the thick greenish pus is distinguished and the critical masses with blood. Carbuncle It becomes similar to the sieve and, spreading more and more, forms a deep ulcer, sometimes reaching muscles.
Second stage
The second stage lasts 14-20 days is the stage of suppuration and formation of necrosis. After that, the holes in the skin merge, through the resulting defect is distinguished by the pus and not critical mass, then intoxication decreases, and the ulcer is filled with granulation tissue and forms a large scar.
Characteristic phenomena that are concerned with patients with development carbunkula:
constant severe twigging pain in the damage zone;Nausea and vomiting;
Heat;
Loss of appetite;
Insomnia;
Tachycardia;
Unconscious condition and nonsense.
Causes of the development of Carbunkula
Carbuncle may develop because of various factors:
skin injuries;Pollution;
Increased secretion of the sebaceous glands;
Diabetes;
Metabolic disease.
The causative agents of the disease can be staphylococci, enterococci, streptococci and other types of bacteria of this group.
What is dangerous carbuncoon?
Carbuncle - This is a disease characterized by an extensive purulent process. If you don't go treatment of CarbunkulaThe disease may have very serious consequences. Characteristic complications for carbuncule:
Regional lymphadenitis;Purulent meningitis;
Lymphangitis;
Thrombophlebitis;
Sepsis.
Treatment of Carbunkula
Conservative treatment.
At an early stage of the disease, an outpatient treatment is usually carried out, which is to apply antibacterial therapy. Antibiotics and synthetic antibiotic drugs of a wide range of action (bispetol, ampicillin, etc.) are prescribed, and a peculiar diet is also sick. The affected area is treated with 70% ethyl alcohol and is closed by aseptic bandage. Ultraviolet radiation is also used. After 2-3 days, the inverse development of infiltrate begins, which is characterized by a decrease in pain and body temperature.
Surgical removal of Carbuncoule
In more serious stages of the disease, hospitalization of the patient and cartbuncule removal surgically. Indications for hospitalization and operations are:
The formed focus of necrosis;Large sizes of carbuncule;
Progressive nature of the disease;
Carbuncoon on the background of diabetes mellitus.
The operation passes under local anesthesia. Carbuncle dissect to viable tissues and remove. Until the final rejection of the non-critical purulent mass, the patient changes daily bandages with proteolytic enzymes. After surgery, it is necessary to continue antibacterial therapy and physiotherapy.
If it happened so that you need urgent removal of carbuncoule in MoscowThe doors of our clinic are always open for those who need help!
In time, antibacterial therapy, a professionally performed operation and proper care for the patient contribute to rapid recovery and will exclude the possibility of complications.
Carbuncoon - purulent-necrotic inflammation, developing in deep layers of dermis and hypoderma. At the same time in the inflammatory process involved nearby hair follicles. Carbuncles are usually localized on the back, neck, lower back. After the necrotic masses are departed, a deep ulcer remains on the site of the carbuncule.
In the treatment of carbuncule uses antibiotic therapy, local antiseptics, physiotherapy. In some cases, surgical treatment is shown.
Causes of the development of Carbunkula
The occurrence of the carbuncule is due to the golden staphylococcus. Sometimes other types of staphylococcus are causative agents.
The appearance of the carbuncoon contributes:
- The exhaustion of the body, the cause of which is constant malnutrition or recently transferred diseases;
- Violation of metabolic processes, including due to diabetes;
- Disorders in the work of the kidneys, gastrointestinal tract, liver;
- Total avitaminosis.
Often, the carbuncules occur on contaminated areas of the skin exposed to constant contact with clothing.
Symptoms of Carbunkula
At the beginning of the disease in the skin, dense nodules, located individually, but merging into a single infiltrate, which gradually becomes extensive. The affected surface has a semi-shape. At the location of the carbuncule, the tension of the skin is noticeably, in the center of infiltrate the skin has a blue shade. In place of the defeat, a certain pain is felt. The initial stage lasts 8-12 days.
Then, at the location of the infiltrate, several emptung occurs. Then their autopsy occurs and holes appear on the site of their tires. In this phase of development of the disease, the carbuncoon is similar to the solution, while the pus and necrotic release of greenish colors are distinguished through the holes, in which blood impurities can be seen. After a while in the central regions of the carbunkula, the process of necrosis development begins. When dead skin masses are twisted, a deep ulcer arises. Sometimes an ulcer can reach the muscle to the depth. This stage of the development of the carbuncule lasts 14-20 days. The ulcer is then filled with granulation tissue and a deep scar, soldering with the subjectable tissues, occurs on the site of the carbuncule.
The development of the carbuncoon is completed by the gradual healing of the resulting skin defect with the formation of coarse, paved with the surrounding fabrics, the scar.
General symptoms with this disease are:
- Nausea and vomiting;
- Headache;
- Fever with an increase in temperature sometimes up to 40ยบ.
Sometimes the carbuncoon can develop malignant. Such carbuncules occur more often in old age, in exhausted diabetes or neuropsychic overwriting of patients. In this case, a person can feel neurological pain, a state of deep prostration, nonsense, fever may arise.
Complications of Carbunkula
Complications caused by carbuncule are associated with the penetration of infection in the infection of tissues and getting into blood. This leads to the development of soft tissue abscesses, phlegmon, osteomyelitis. If the infection proceeds to venous vessels, then phlebit and thrombophlebitis occur. If lymphatic nodes are involved in the process, serous-purulent lymphadenitis, periathless, lymphangitis, adenoflemone can develop. Sometimes there may be a grinding inflammation.
The largest danger represents on the face of Carbuncules. The infection of them can go to the brain shells and lead to the development of purulent meningitis.
If, in the presence of a carbuncule, profuse bleeding from a large vessel arises, it can lead to a fatal outcome.
Diagnostics of Carbunkula
Of particular difficulties, the diagnosis of this disease does not cause. But in some cases it is necessary to differentiate the carbuncoon from the Siberian ulcers. At some stages of development, they have a similar clinical picture, which contributes to the presence of necrotic crust in the carbuncule.
If the doctor has doubts, then a bacterioscopic study of the detachable carbuncule is prescribed to eliminate the symbolic wand and establish microflora sensitivity to antibiotics.
Treatment of Carbunkula
Carbuncules of small sizes that proceed without noticeable intoxication and deterioration of the patient's overall well-being are treated outpatient.
If the treatment of the carbuncule was started at the stage of its maturation, conservative methods are used, which leads, as a rule, to the regression of the disease, that is, the resorption of infiltrate. The patient is shown to receive inside antibacterial preparations with a wide range of action. At the same time, the kabunkul himself is planted with antibiotics. Analgesic means to reduce painful sensations.
Local treatment of the carbuncule is to process the surface of the carbuncule by ethyl alcohol (70%), imposing aseptic dressing. Also used syntomicin or streptomycin emulsion.
If the carbuncoon goes into a necrotic stage, this is a direct indication for surgical intervention, which is performed against the background of the use of antibiotic therapy. The operation lies in the dissection of the carbuncule and the removal of necrotic tissues from it. Then, a tampon with a hypertensive solution of sodium chloride and proteolytic enzymes is introduced into the wound. To purify the postoperative wound and the final rejection of necrotic tissues, the bandage changes daily.
If they try to avoid surgery, then a combined treatment with streptomycin, penicillin, terrarsicin, biomycin and sulfanimide, and in sufficiently high doses of these funds are used. Penicillin, as a rule, is administered by smoking the affected foci and intramuscularly (the duration of therapy by Penicillin - to subsidiaries of local inflammation and the disappearance of common symptoms). Norsulfazol or streptocid is appointed for 7-10 days.
Sometimes there may be a need for additional non-necctomy.
Also, physiotherapy methods are used to treat carbuncule. At the stage of ripening, as well as in the postoperative period, UHF therapy and local UFO are prescribed. An intravenous laser and ultraviolet blood irradiation can also be carried out to stimulate the protective forces of the body.
If a patient has severe intoxication, the carbuncoon has large sizes and is localized on the face, the patient suffers from noncompensated diabetes or other severe diseases, the treatment is carried out in the hospital.
Thus, the carbuncoon (in the absence of appropriate treatment in the early stages of its development) is a rather dangerous disease that can lead to serious consequences and even a deadly outcome. Therefore, in order to prevent its appearance, it is necessary to constantly maintain cleanliness of the skin and regularly change underwear; Do not allow a reduction in general immunity and developing capable of provoking the development of carbunkul disease.
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