Carbuncle - urgent treatment. Carbuncle: you can not delay treatment

Furuncle (in everyday life “boil”) is an acute purulent inflammation of the hair follicle, sebaceous gland and the surrounding subcutaneous fat and skin. Most often, a boil occurs on the neck, back of the head, face, back, buttocks (“on the pope”) and thighs. A condition in which several boils form on the body at the same time (in one place and / or in different places) is called “furunculosis”.

The hair consists of a shaft and a root; the latter is located in the hair follicle. The sebaceous and sweat glands. In turn, the hair follicle is immersed in the skin and subcutaneous fat. Infection from contaminated and / or injured skin enters the hair follicle, where bacteria multiply. The infection then spreads to sebaceous glands, clogging their ducts, extends to the subcutaneous fat. A purulent focus is formed with a hair follicle in the center.

The cause of infection in a boil in 80% of cases is. The development of the disease is facilitated by a decrease in immunity, purulent discharge during, frequent skin contamination, trauma, skin scratches, etc.

The furuncle manifests itself in the form of painful redness and swelling of the skin with a zone of necrosis in the center, filled with pus (the “core” of the furuncle). When maturing, the boil, as a rule, opens on its own; while the “rod” comes out, the signs of inflammation (soreness, swelling, redness) decrease. In place of the "rod" of the boil, a scar is formed.

A furuncle (furunculosis) is diagnosed using an external examination.

Furuncle treatment is conservative with antiseptic treatment skin and resolving, anti-inflammatory ointments, such as ichthyol. UHF and dry heat are also used.

Without treatment, the boil is complicated by phlegmon, inflammation of a nearby vein (phlebitis), lymphatic vessels(lymphangitis), and even. With the threat of complications, he performs an operative opening of the boil and the installation of drainage to improve the outflow of pus. The procedure is performed under local anesthesia.

Prevention of boils and furunculosis comes down to personal hygiene, prevention and timely treatment skin microtrauma, avoidance of contact with irritating chemical compounds, strengthening immunity, etc.

Causes of a boil

Here are the main causes of the disease:

skin contamination;
injuries and microtraumas of the skin: scratches, cuts, abrasions; ; , complicated ;
excessive sweating of the skin;
frequent contact with irritating chemical compounds, liquids, construction and household dust;
chronic diseases:, frequent, etc.;
hypothermia;
reduced immunity;
deficiency of vitamins in the body.

Symptoms and types of boils

In its development, the boil goes through 3 successive stages.

At the stage of infiltration (“boiling”), there is redness, swelling of the skin around the infected hair follicle; pain and fever in that area.

After 2-4 days, a purulent-necrotic “rod” is formed around the hair with an infected hair follicle, which breaks through a thin tissue cover and comes out (“boil breakthrough”). Relief comes immediately: pain, swelling and local redness decrease.

After rejection of the “core” of the boil, a skin defect is formed in its place, similar to an ulcer, which heals within a week - is replaced connective tissue with the formation of a scar (scar).

Consider the frequent varieties of boils.

Furuncle in the ear - occurs, as a rule, in children when an infection enters from dirty hands when combing the skin; with the wrong hygiene care behind the ears. The development of the disease contributes to hypothermia,. Initially manifested by itching and discomfort; later, redness, swelling of the skin, sometimes strong “shooting” pain, radiating to the head and upper jaw. The pain is aggravated by touch. At the site of redness, a tubercle with a purulent center is formed. At this stage local boost temperature can develop into a general fever - an increase in body temperature up to 38 degrees.

Conservative treatment includes treatment with antibacterial and anti-inflammatory sprays, creams, ointments, ear drops. If the abscess does not resolve on its own, it is opened with a small incision and drainage installation. Untimely or incorrect opening of the abscess can provoke, and.

Furuncle on the face in most cases is localized near upper lip, nose and eyes. More often suffer people with a tendency to acne and pimples. The symptoms are similar to those of a furuncle in the ear, but the pain is less pronounced. A furuncle on the face cannot be opened on its own, especially squeezed out, as this can lead to severe complications: phlebitis and thrombosis of the veins of the face,.

The furuncle on the buttock is very painful, it interferes with walking, lying down and sitting. As the "rod" of the boil matures, a dense painful bump, on the surface of which appears white dot. The skin around the tubercle swells and turns red. There is a local increase in temperature. The “ripening” of a boil on the buttock lasts up to 4 days. After opening the abscess and getting pus with bacteria on the skin, an antibiotic ointment should be used to prevent new boils.

Carbuncle is an acute purulent inflammation of the skin, subcutaneous fat and sebaceous glands, which begins with infection and inflammation of several hair follicles. This distinguishes a carbuncle from a furuncle, in which only one hair follicle becomes infected. The carbuncle is usually localized on the back of the neck, face, back and buttocks. In ⅘ of cases, the cause of infection in carbuncle is staphylococcus aureus.

The defeat of several hair follicles at the same time determines the more severe course of the carbuncle in comparison with the furuncle. As a rule, not only a local increase in temperature is noted, but also general fever, chills, nausea and vomiting as a manifestation of intoxication of the body. The skin over the carbuncle first turns red, then turns blue and even blackens. After opening the abscess, several funnel-shaped sores are formed, which merge into one wound with a dirty gray bottom and undermined edges. Apart from local treatment with carbuncle, it may be necessary to prescribe antibiotics and remove intoxication with the help of intravenous infusions of saline and colloidal solutions.

Diagnosis of a boil

It does not present difficulties for, since the boil has a characteristic appearance.

With furunculosis, it is necessary to establish the cause of the disease (, etc.), which may require consultation, and other specialists.

Furuncle treatment

Immediately after infection, the abscess can be prevented with the help of UV and UHF therapy. But this rarely succeeds.

Carbuncle- acute purulent-non-critical inflammation of the skin and subcutaneous tissue around the sebaceous glands and hair follicles (follicles), forming extensive areas of necrosis.

Usually, carbuncle is solitary. The main localization sites are the neck, between scapular region, face, buttocks, lower back.

The development of the disease and its symptoms

First stage

In the first stage of carbuncle development, which lasts 8-12 days, there is the formation of a small infiltrate at the site of inflammation of the hair follicle, rapidly increasing in size. The skin in the affected area becomes tense, edematous, bluish-purple, then holes (fistulas) form in it, from which thick greenish pus and non-critical masses with blood are released. Carbuncle becomes like a sieve and, spreading more and more, forms a deep ulcer, sometimes reaching the muscles.

Second stage

The second stage lasts 14-20 days - this is the stage of suppuration and the formation of necrosis. After this, the holes in the skin merge, pus and non-critical masses are released through the formed defect, then intoxication decreases, and the ulcer is filled with granulation tissue and forms a large scar.

Characteristic phenomena that disturb patients during development carbuncle:

constant severe jerking pain in the affected area;
Nausea and vomiting;
Heat;
Loss of appetite;
Insomnia;
Tachycardia;
Unconsciousness and delirium.

Causes of carbuncle development

Carbuncle may develop due to various factors:

skin injury;
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.

Why is carbuncle dangerous?

Carbuncle- This is a disease characterized by an extensive purulent process. If you don't do it in time carbuncle treatment, the disease can be very serious consequences. characteristic complications of carbuncle:

regional lymphadenitis;
Purulent meningitis;
Lymphangitis;
thrombophlebitis;
Sepsis.

Carbuncle Treatment

Conservative treatment.

In the early stages of the disease, usually ambulatory treatment, which consists in the use of antibiotic therapy. Prescribe antibiotics and synthetic antibacterial drugs a wide range actions (biseptol, ampicillin, etc.), a lacto-vegetarian diet is also shown to patients. The affected area is treated with 70% ethyl alcohol and closed aseptic bandage. Also apply ultraviolet radiation. Starts in 2-3 days reverse development infiltrate, which is characterized by a decrease in pain and body temperature.

Surgical removal of the carbuncle

At more serious stages of the disease, hospitalization of the patient is necessary and carbuncle removal surgically . Indications for hospitalization and surgery are:

formed focus of necrosis;
Large size carbuncle;
The progressive nature of the disease;
Carbuncle on the background of diabetes mellitus.

The operation is under local anesthesia. Carbuncle dissected to viable tissue and removed. Until the final rejection of a non-critical purulent mass, the patient is changed dressings with proteolytic enzymes daily. After the operation, it is necessary to continue antibiotic therapy and physiotherapy.

If it happens that you need urgent removal of carbuncle in Moscow, the doors of our clinic are always open for those who need help!

Started on time antibiotic therapy, professionally performed operation and proper care help the patient speedy recovery and exclude the possibility of complications.

On the body of each person, at least during the period adolescence, there were small pimples-pustules. But few people know that such a trifle, with improper extrusion, can cause a number of problems: boils, carbuncles and hydradenitis. The most common species is a boil, less often a carbuncle, since a carbuncle is the result of a long-term neglect of the problem with boils. But these are not problems that can be easily cured. folk remedies. Needed here clear diagnosis from doctors and, if necessary, surgical intervention in order to cure the disease in time.

Staphylococcus is the main cause of the development of boils

Newsletter about furuncle

Since the carbuncle is a neglected state of the boil, then you need to figure out what it is.

The furuncle itself is very acute education purulent tissue around hair bulb as a result of inflammation of the sebaceous glands. Such unpleasant factor invoked in practice Staphylococcus aureus, which easily survives in any conditions and can be carried by almost anything and enter the body thanks to open wounds and scratches.

Localization area

Boils form only where hair grows. If this ailment looks like a large abscess with redness, the skin around which is hot - just furunculosis inflammation.

The main causes of boils:

Neglect of hygiene. Eg, long work in landings, and after with the same dirty hands wipe a fresh scratch on the leg from some dry twig.
Reducing the protective abilities of the skin in a particular area. In other words, areas of the skin in which clothing rubs.
Hypothermia or vitamin deficiency.

Severe illnesses like diabetes and similar diseases that oppress immune defense such as hepatitis or herpes.

Dirty hands spread the infection that provokes boils

Stages of development of inflammation and the clinical picture of the disease

Stages of formation of a boil on the body:

Suppuration appears near the hair follicle, inflammatory processes occur that cover the surrounding tissues, eventually gaining a size of about two centimeters. In the middle, a seal is formed from dead tissues - a purulent core.
The next step is blue skin around the boil, which swells and begins to ache when touched.
The furuncle spontaneously bursts, greenish-yellow pus flows out from there and after that the same purulent core remains in the middle, which you should not squeeze out on your own - it can lead to a re-infection of the surrounding tissues and cause a carbuncle. The body gets rid of dead tissue on its own within a couple of days.

Healing with boils lasts from seven to ten days, but may be longer - with large or deep boils.

Pain leaves immediately, as soon as the boil has matured and released pus. In place of the boil, a small scar usually remains, which disappears over time.

Physical symptoms

Patients report the following symptoms:

light, "pulling" pain in the area of the abscess;
boils swell more than regular pimples and sometimes turn blue.

If the boil rots more than the one marked above, or several boils form in one place, then this may be accompanied by the following sensations:

increased pain near the ears, on the moving parts of the body and also above the lip, especially in the "Amur" fold;
fever, migraines, body aches, general fatigue - a natural reaction of the body to poisoning with toxins;
if staphylococcus chose the penis or scrotum as the site of distribution, it is possible strong increases lymph nodes and violation of the structure of the skin.

Remember that dealing with this problem on your own (cutting, squeezing) from an immature boil entails the spread of infection to the surrounding tissues and can penetrate into blood vessels, thanks to which it can reach the brain, thereby causing meningitis and death meninges.

Migraine is a common reaction to a boil

What can lead to improper extrusion of boils?

Squeezing out large boils on the head, neck, face, people do not realize that this can lead to inflammation of the surrounding vessels, accompanied by purulent secretions(most often this happens in people with diabetes), the ingress of dead tissue into the blood, which can provoke blood poisoning. And in general, provoke the development of furunculosis and clogging of the valves of the heart, interarticular fluid and kidneys. Pleasant to bring this disease is not enough.

What is a carbuncle: manifestation, development and treatment

As mentioned above, purulent carbuncle is a fusion of several boils in one area, most often around one hair follicle, which create a single rod of dead cells mixed with fatty tissue elements. Only a dermatologist knows how to distinguish a carbuncle (multiple inflammation) from a boil.

How to distinguish a furuncle from a carbuncle?

A carbuncle is characterized by the fact that a boil first forms around one hair follicle. But due to ignoring the problem, it infects neighboring hair follicles and provokes the deepening of this neoplasm deep into the subcutaneous tissues. Inflammation of this type can appear anywhere, especially favorite places - the head, face, neck, armpits and buttocks.

The symptoms are very similar to those that accompany the formation of a boil, namely:

intermittent, tearing pains in the area of inflammation;
aches, fever;
fatigue, exhaustion, exhaustion, nausea and clouding of consciousness;
reduction in the amount of fluid released.
an increased number of leukocytes in the blood;
the patient loses his appetite;
restriction of movement in areas where inflammation is located.

People who additionally have complications such as malnutrition, diabetes mellitus or various mental disorders may also experience neurological pain, complete loss of personality, a state of delirium and deep prostration.

Loss of appetite is characteristic of the development of a carbuncle

The process of carbuncle development consists of the following stages:

The incubation period is, on average, four days, during which a seal resembling a wen is formed, however large sizes(up to ten centimeters).
The neoplasm begins to darken, the skin area turns from dark red to blue. At the same time, the texture of the skin changes and becomes loose, forming a kind of “sieve”, through which whitish pus heads are visible.
Soon, the abscess breaks through and after the expiration of all the greenish-yellow pus, accumulations of dead tissues, the so-called rods, remain in the middle of the holes. Inside, these rods combine and go deeper into the thickness of the tissues, so you will not be able to clean the carbuncle yourself. It will make your body on its own.
Over the course of four weeks, the body will slowly shed dead tissue, pushing it out and filling it with new and healthy cells. Since the wound is deep, the scarring process also occurs slowly.

If you address this problem to a doctor, and not try to treat carbuncles at home, then patients with this problem are immediately placed in a hospital. Especially if boils and carbuncles maxillofacial region, then the patient is forbidden to use solid food and speak accordingly. The course of treatment itself includes antibiotics and anti-inflammatory drugs. It is also not uncommon to have surgery to treat the carbuncle.

When a boil or carbuncle forms, it is important to consult a doctor

Surgical removal of the carbuncle

Get rid of carbuncle surgical cleaning wounds, the operation itself is as follows:

Disinfection of the area in which the carbuncle is located. Treatment with iodine or similar preparations.
At the request of the patient or special big inflammation local anesthesia is administered to anesthetize the cleansing process.
A thin incision is made along the abscess and all liquid pus is removed, squeezed out cleanly and a physical flush is done. solutions to the point where only blood does not begin to be washed out.
Further deep cleaning gauze swabs or special devices to cleanse tissue from necrosis and remove those same rods.
Again, checking the opening of the incision with forceps, washing and rechecking the remnants of dead tissue. If you are careless in this process, then suppuration can repeat again and with greater force.
Next, a bandage is applied to the suture, with an antibacterial agent or, if necessary, a pair of sutures or staples. The healing of this wound takes about two to three weeks in bed. The course of treatment must be supervised by the attending physician.

Although a cured carbuncle leaves only a small scar, not a scar.

After the breakthrough of the boil, a bandage should be applied

How to avoid the occurrence of carbuncle?

Some simple tips will help not to call this trouble to yourself. After all, the treatment of carbuncle is not a pleasant process. First of all, you should monitor your personal hygiene and take a shower every day, at least. Special attention give to the legs and arms. Change disposable razors more often, since with a dull blade they subsequently cause irritation, and as a result, a complication in the form of a carbuncle or boil. Also remember that you should not use other people's personal hygiene products, as this can become a source of various bacteria and diseases. Also, do not crush acne and boils on your own, since most often at home this happens incorrectly and leads to complications. Do not comb insect bites, as you can easily bring the infection through an open wound.

And wear underwear only from natural materials and abandon synthetic fabrics. They prevent the skin from breathing and do not absorb well. skin secretions, rub and spoil the general flora on the surface of the skin.

Complications with improper treatment

If, nevertheless, your hands itch, and you decide to squeeze out the carbuncle yourself, then you should know what you are preparing for. As a result, staphylococcal infection penetrated deeper into the skin and became the cause of a number of the following diseases associated with the destruction of soft and muscle tissues. Especially if the boils and carbuncles of the face, then their improper extrusion can provoke purulent meningitis. And one of the most dangerous is sepsis, when necrotic tissues are carried throughout the body thanks to the blood and can enter the brain, thereby causing unwanted disorders in certain parts of the brain.

However, thanks to modern medicine If you address any problem in time, you can count on its successful treatment. Qualified doctors know how to cure the disease. The main thing is to show the doctor the problem in time, correct diagnosis and carbuncle treatment, and then an immuno-strengthening course for the patient, so that the body, if necessary, resists the remnants of the staph bacillus.

Don't be afraid to go to the doctors and take care of yourself and your family. Be healthy!

Carbuncle is a purulent-inflammatory disease of the deep layers of the skin, characterized by simultaneous damage to several hair follicles at once. Due to extensive inflammation, the patient develops symptoms of intoxication of the body. Delayed treatment can lead to serious complications. What is a carbuncle and what causes it to appear?

Carbuncle - what is it and how does it look

A carbuncle is a collection of several boils (boils) on a small area of the skin. As a rule, a bacterial infection contributes to the development of the disease.

The carbuncle got its name from dark color necrotic masses that form during the development of the disease. From the Greek "carbo" means "coal".

Pathology can occur at any age in both women and men. But statistics indicate that the representatives of the stronger sex are faced with the disease 1.5 times more often. In most cases, the pathology develops during the hot season. This is due to the fact that pathogenic microorganisms high temperature multiply rapidly.

A carbuncle is a cluster of several boils

As a rule, carbuncles develop against the background of a weakening of the body's defenses in violation of the diet or chronic diseases. The inflammatory process can also begin after stressful situation or severe hypothermia.

Classification: purulent, anthrax, emphysematous, facial and other types of carbuncles

In most cases, patients develop an ordinary purulent carbuncle.

Emphysematous carbuncle rarely occurs in humans. This infectious disease predominantly large artiodactyl animals, which is characterized by an acute course with the development of crackling tumors in individual muscles of the body and fever.

There may also be tissue inflammation caused by anthrax bacteria. Most often, such carbuncles develop in people who work with large cattle in agricultural lands. The anthrax form is more dangerous. In most cases, patients with this pathology require surgery.

Carbuncle can be either single or multiple. On initial stage inflammation is localized in one place. As the disease progresses, other areas are also affected.

Carbuncle on the head, face, nose, chin, neck, shoulders, arms, legs, buttocks, mammary glands, jaw, in the occipital region

Most often, carbuncles are localized on the back or buttocks. They can also appear in the following places:

face (chin, nose, ear, eye, forehead);
legs;
shoulders;
hands;
scalp;
mammary gland;
groin area, scrotum.

Carbuncles in the jaw area are also common. As a rule, an abscess develops due to untimely treatment of dental diseases. So, ordinary caries can lead to the formation of a carbuncle on the cheek.

Causes of the disease

In the vast majority of cases, the causative agent of carbuncle is Staphylococcus aureus. Less commonly, inflammation develops due to streptococcus, enterococcus, coli or anthrax bacteria. A favorable factor for the onset of the disease is a decrease in the body's resistance to various infections.

Many patients suffer from frequent carbuncles.

The following factors can also contribute to the formation of pathology:

depletion of the body due to constant diets;
anemia;
increased activity of sweat and sebaceous glands;
non-compliance with personal hygiene (untimely change of bed linen, clothes);
increased air humidity;
endocrine diseases;
constant contact with petroleum products.

Incorrect squeezing of a pimple can cause the development of a carbuncle

A carbuncle may appear due to an improperly squeezed pimple. A small purulent inflammation will rapidly increase if it is not treated correctly. The situation is aggravated by reduced immunity in the patient. The body's defenses cannot resist a multiplying infection.

Symptoms and signs depending on the stage of the disease: fever, itching, fistulas on the skin and others

The development of the carbuncle takes place in two stages:

stage of infiltration. For 7-10 days, a seal forms at the site of inflammation of the hair follicle. The skin here becomes burgundy, the temperature rises locally. As the pathology develops, the inflamed area acquires a bluish tint. After a few days, fistulas appear, from which pus oozes along with blood. The carbuncle increases, begins to resemble an ulcer.
The stage of progression of the purulent process. Fistulas merge together, purulent masses stand out. 10–14 days after the onset of the first symptoms, with adequate treatment, the ulcer heals, and a scar forms in its place.

Features of the flow has anthrax carbuncle. Inflammation develops rapidly (in a few days). Initially, a burgundy knot appears on the skin, which itches. Then the affected area darkens, cloudy contents form inside. After the knot breaks through, a scab forms in its place, which after a few hours turns black and hardens.

The following accompanying symptoms are characteristic of a carbuncle in any form:

an increase in body temperature to 40 degrees 3–4 days after the onset of the development of the inflammatory process;
delirium;
sleep disturbance;
loss of appetite;
tachycardia;

Diagnosis of pathology in men, women and children

By characteristic appearance a specialist can accurately diagnose a carbuncle. But to identify the causes of the development of the disease, the following methods will additionally be used:

Survey. The doctor finds out what preceded the development of the inflammatory process, whether the patient has chronic diseases, whether he had to deal with carbuncle before.
Blood analysis. The study allows you to determine the level of leukocytes and ESR. Thus, it is possible to determine at what stage inflammatory process.
Bacterial culture of carbuncle contents. The study helps to differentiate the usual purulent inflammation with anthrax. In addition, the technique makes it possible to most accurately select an antibiotic, taking into account the sensitivity of pathogenic microflora.
General urine analysis. The study is mandatory upon admission to the hospital. Thanks to the study of the composition of urine, it is possible to diagnose concomitant diseases.

The doctor will be able to make a diagnosis already at the first examination.

How to distinguish from abscess and boil

A qualified surgeon can easily differentiate a carbuncle from a skin abscess or furunculosis. The main differences of the disease:

extensive inflammation;
damage to the deep layers of the epidermis.

First aid at home, including at the opening of the carbuncle, and subsequent treatment

Small carbuncles without a significant deterioration in the patient's well-being and severe intoxication are treated at home. If therapy is started at the initial stage of the disease, it is possible to get by with conservative methods that involve taking anti-inflammatory and antibacterial agents.

The rapid deterioration of the patient's well-being, as well as the transition of the carbuncle to the necrotic stage - all this is an indication for immediate surgical intervention. The operation is also performed with anthrax carbuncle.

Correct actions for initial stage diseases will avoid complications. First aid for carbuncle includes the following:

Treat the inflamed area with alcohol.
Apply a bactericidal bandage with Vishnevsky's ointment.
Immediately contact the doctor of the Department of Surgery for the appointment of further treatment.

If the carbuncle develops rapidly, the patient's state of health has deteriorated sharply, emergency care should be called.

In no case should you try to open the carbuncle yourself! This will lead to the rapid spread of infection. If the purulent masses nevertheless began to come out even before contacting a specialist, in this case, you should also apply a bactericidal (non-compressive) bandage and rush to the doctor.

In the stage of infiltration is shown conservative treatment. At right approach it is possible to stop the inflammatory process in 3-4 days.

Medical therapy

Proper therapy at an early stage of the inflammatory process will eliminate the symptoms of the disease without surgical intervention. The infiltrate will resolve and there will simply be no need to open the carbuncle. A specialist can prescribe medicines from the following groups:

Antibiotics (Gentamicin, Ampicillin and others - administered intramuscularly). Initially, the doctor prescribes broad-spectrum drugs to the patient. Later, if the disease progresses, antibacterial agent can be selected taking into account the sensitivity of pathogenic microflora.
Bactericidal ointments (Levomekol, Vishnevsky liniment, Synthomycin ointment). These drugs block the further reproduction of pathogenic microflora.
Antiseptic solutions (Hydrogen peroxide, Ethanol, Furacilin). These funds are used to treat the inflamed surface during dressings.
Non-steroidal anti-inflammatory drugs (Panadol, Paracetamol, Nurofen). Medicines from this category help to improve the patient's well-being, relieve pain and normalize body temperature.
If the patient's body temperature has risen, treatment should be carried out in a hospital.

Antibiotics, bactericidal ointments and other medicines used for illness, in the photo

Gentamicin is a broad-spectrum antibiotic
Levomekol - effective antibacterial ointment
Paracetamol relieves pain and reduces inflammation
Hydrogen peroxide is used for antiseptic treatment wound surface
Nurofen normalizes body temperature
Liniment Vishnevsky blocks further reproduction of pathogenic microflora

The operation to remove the carbuncle and rehabilitation after the intervention of the surgeon

If conservative therapy does not give positive result The patient is indicated for surgical intervention. Under local anesthesia, the carbuncle is incised. With extensive lesions, as well as in pediatrics, such manipulation is carried out under general anesthesia. During the operation, the specialist removes all non-viable tissues, conducts antiseptic treatment of the wound and installs drainage. Drainage is necessary for the final rejection of necrotic masses.

Immediately after surgery, the patient may have an increase in body temperature. This normal reaction body for such manipulations. If the patient takes antibiotics and anti-inflammatory drugs, the state of health returns to normal the very next day.

Surgery is the most effective method get rid of the carbuncle

On day 3-4, the drainage is removed. Daily antiseptic treatment of the wound surface, removal of the remnants of the infiltrate. At right action specialist, the patient can leave the hospital 5-7 days after the operation.

Diet Features

If you follow the diet, it will be possible to quickly eliminate the inflammatory process. Food should be dairy and vegetable. For the duration of the treatment of the disease, sweets, carbonated drinks, factory-made juices will have to be excluded. Be sure to include the following in your diet:

fermented milk products (cottage cheese, sour cream, kefir, natural yogurt);
freshly squeezed juices (including vegetable);
salads from fresh vegetables and fruits;
soups with vegetable broth;
lean fish and beef.

The basis of the diet for carbuncle should be sour-milk products

Particular attention should be paid to the drinking regimen. An adult patient should consume at least 2 liters per day clean water. It is desirable to supplement the diet:

dried fruit compotes;
fruit drinks;
weak teas based on chamomile, mint and lemon balm.

Thanks to the correct drinking regimen, it will be possible to speed up the process of cleansing the body of harmful substances and toxins.

Foods to include in the diet in case of illness - gallery

Kashi - hearty and healthy dish
Dairy products form the basis of the diet for carbuncles
Fresh fruits- a source of vitamins necessary to maintain immunity
Juices contain a large number of vitamins, the main thing is to choose freshly squeezed

Physiotherapy techniques

In the stage of infiltration, as well as in postoperative period(to accelerate the healing of the wound surface) the following techniques can be used:

UFO. Ultraviolet rays penetrate into inflamed tissues, have an antimicrobial, immunostimulating and anti-inflammatory effect.
UHF therapy. The treatment is carried out with an electric field with an ultra-high frequency. The procedure also encourages defensive forces body, accelerates the process of resorption of the infiltrate.

Procedures in the physiotherapy room can be carried out only when the patient feels normal. Elevated temperature body is a contraindication.

UHF will accelerate the recovery of the inflamed area

With frequently recurring carbuncles, the patient is indicated ultraviolet irradiation blood. From the patient's vein, blood enters a special apparatus, where irradiation takes place. ultraviolet rays and then returns back. The procedure shows high efficiency. As a rule, just a few sessions are enough to deal with a chronic infection.

ethnoscience

It is impossible to treat purulent inflammation of the skin without consulting a doctor.. This may cause serious complications, life threatening. However, some methods of traditional medicine show high efficiency and can be used in consultation with a specialist at home for carbuncles. mild degree gravity.

The plant has excellent anti-inflammatory properties. To fight purulent inflammations it is worth preparing an ointment. Fresh flowers of the plant must be mixed with lard in a ratio of 1:4.

This medicine can be stored in the refrigerator for a long time. The ointment is recommended to be applied daily to the inflamed area until the inflammation is completely eliminated.

With the help of calendula, you can prepare a healing ointment

Calendula tincture (ready-made can be purchased at a pharmacy) can be used for antiseptic treatment of the wound surface.

Plantain has a pronounced anti-inflammatory effect

The product is a natural antibiotic, therefore it is successfully used in traditional medicine during treatment purulent infections. A few cloves of garlic are recommended to be grated on a fine grater. The resulting slurry must be applied to the diseased area, fixed with a bandage. You need to change the compress twice a day.

Garlic is a natural antibiotic

Infusion of medicinal herbs

To prepare medicine for the same amount you need to take the following ingredients:

chamomile officinalis;
sweet clover grass;
leaves and flowers of mallow.

All components should be crushed and mixed.
Add a small amount of boiling water to the mixture to make a slurry.
Leave the medicine for 15 minutes.
Apply to the affected area.
Fix with a bandage.

Mallow is used to prepare a therapeutic compress

Prognosis of treatment and possible complications (scars, etc.)

With timely seeking medical help, the prognosis is favorable. The only complication in this case may be the formation of unattractive scars, scars and cavities at the site of inflammation. Refusal of treatment can provoke the spread of infection deep into the tissues. Carbuncles on the head are especially dangerous. Complications such as meningitis, encephalitis may develop.

To others dangerous complications carbuncle can be classified as:

soft tissue abscess;
osteomyelitis;
thrombophlebitis (with vascular damage);
sepsis
lymphadenitis, etc.

Untimely therapy of carbuncle often leads to the death of the patient. Most often dangerous consequences develop in children due to weakened immunity.

Prevention

In order not to face unpleasant disease following simple preventive measures:

eat well;
sleep at least 8 hours a day;
regularly spend time outdoors;
monitor personal hygiene;
do not squeeze pimples;
seek medical attention at the first symptoms of inflammation.

How to recognize and treat carbuncle - video

Carbuncle can be cured with minimal time and money. The main thing is to seek help from a doctor at the first signs of an inflammatory process.

Carbuncle on the face: causes and treatment

A purulent-necrotic process that develops as a result of inflammation of several hair follicles and nearby sebaceous glands with the formation of extensive necrosis of the skin and subcutaneous tissue is called carbuncle. As a rule, such formations appear one by one.

It should be noted that carbuncles on the face and on the head in the area of hair growth are the most dangerous. This is due to the fact that in this area there are anastomoses of the superficial veins of the head and face with the venous sinuses of the dura mater. That is why, in case of penetration of infection to cerebral sinuses may develop purulent meningitis, often fatal.

Carbuncle on the face occurs due to inflammation of the deep layers of the dermis and hypodermis, while simultaneously involving nearby hair follicles in the process. It should be noted that the purulent-necrotic infiltrate, formed during the development of the carbuncle, spreads to deeper layers and occupies much large area than when a boil occurs.

For reference, carbuncle in Greek means "coal". It received this name due to the fact that the emerging areas of necrosis in this pathology are almost black.

Causes of carbuncle on the face.

As a rule, carbuncle develops due to staph infection. Most often, this formation occurs in malnourished patients, as well as with endocrine diseases, in case of metabolic disorders and severe common pathologies. Another important reason for the occurrence of this pathological condition is the high virulence of the pathogen (staphylococcus or streptococcus penetrating through the hair follicles).

Symptoms of the pathological process

With the development of a carbuncle, first of all, a hemispherical seal appears on the skin of the face, which is characterized by the formation of a tense, shiny area of red skin with a bluish center. This formation begins to rapidly increase in size and becomes very painful on palpation. Patients complain of bursting tearing pain, the skin in the infiltrate area gradually acquires a purple color, and edema develops.

The stage of suppuration, as a rule, is formed in a few days. During this period, in places of hair growth under surface layer droplets of pus appear on the skin of the face. When the pustules are opened, the carbuncle begins to resemble a sieve, from which thick gray-green purulent contents are released. Without appropriate treatment, this stage can last more than a week, after which the dead tissue is rejected and the healing process begins with the formation of a scar. In unfavorable cases, the carbuncle can increase, reaching a significant size, and it often causes severe complications, and even death.

The general condition of the patient with the development of a carbuncle on the face is quite severe. There is an increase in body temperature to high levels, chills appear, the pulse quickens and severe pain in the affected area. Also, carbuncles localized on the face can cause severe headaches, loss of appetite, nausea and vomiting. IN rare cases pathological condition may be accompanied by delirium and clouding (loss) of consciousness.

It should be noted that a pronounced intoxication of the body during the formation of a carbuncle on the face decreases much faster than with the development of this pathology in other parts of the body. Significant relief comes with the release of pus and the rejection of dead tissues. The cleaned wound scars and heals.

Carbuncle Treatment

In the event that the formation of a carbuncle on the face begins, an urgent consultation with a specialist is required, since this condition often requires surgical intervention.

With a delay of a specialized medical care it is recommended to apply warming compresses to the affected area, and after the formation of purulent contents, it, together with dead necrotic tissues, must be carefully removed using disinfected tweezers, after which the wound is carefully treated with disinfectants.

In the event of complications, the patient is hospitalized in a hospital. When forming inflammatory infiltrate antibiotic therapy is prescribed, which provides for in the event of a carbuncle on the face, intramuscular injections, as well as parenteral administration of long-acting sulfa drugs, and blood transfusion is often recommended.

On early stages diseases, UHF is prescribed and the surface of the carbuncle is covered with a dry antiseptic dressing (or a dressing impregnated with streptomycin or synthomycin emulsion).

With carbuncle of the face, the patient is given liquid food and forbidden to talk, and it is also recommended that bed rest, a dairy-vegetarian diet and plentiful drink. IN without fail prescribed painkillers and heart medications. Some practice only carbuncle treatment at home.

In the event that within two days all conservative methods are powerless and intoxication develops, the carbuncle is opened. During surgery, a small cruciform incision is made in the affected area (deep to healthy tissue). The resulting skin flaps are moved apart and produced complete removal purulent masses and dead tissue.

After complete cleansing wounds during dressings begin to use dressings soaked in antibacterial and wound healing ointments. As a rule, in the process of wound healing, a deep deformed scar is formed, which may require laser treatment, physiotherapy, and the use of Contratubex gel has proven itself well.

It should be noted that patients suffering from diabetes, in the treatment of carbuncles, insulin therapy is performed, which reduces the formation of infiltrate and the development of necrosis. With timely and adequate treatment, the outcome of the disease is usually favorable. Read also furuncle on the face to understand more about purulent process faces.

How to remove pus from a wound

Pus in the wound can occur if it was not sufficiently processed by the doctors at the first stage, that is, all dead cells and tissue sections were not removed, and also if microbes were initially introduced into the wound from the object with which the wound was inflicted. Contribute to suppuration of the wound, the extent of its damage, as well as a decrease in immunity by different reasons. It could be congenital pathology immunity, and pregnancy, and constant stress with sleep deprivation, as well as taking medications that reduce protective function organism.

Purulent atheroma: causes and minimally invasive treatment

Purulent atheroma is an acute microbial inflammation of the contents of clogged and stretched sebaceous skin gland. The sebaceous glands are located in the thickness of the skin and are closely adjacent to the hair follicles. These glands produce lubricating oils for hair and skin. When blocked excretory ducts cysts can form - sacs filled with a mushy greasy mass. In all places where hair grows and there are sebaceous glands, atheromas can form. Most often they appear in the head, face, back, neck, genitals.

How to treat a purulent wound

Should I pay attention to minor wounds or scratches? Think what a waste! But this opinion is not correct. A wound is a violation of the integrity of the skin or mucous membrane. Very often, pyogenic bacteria get into the wound, most of which live on the surface of the skin, and it begins to rot.

How to treat festering wounds

Wound - mechanical damage tissues with a violation of their integrity. It has been proven that the presence of 105-106 microbial bodies per 1 gram of tissue is necessary for the development of an infection in a wound. This is the so-called "critical" level of bacterial contamination. But the "critical" level can be low. It is now believed that any accidental wound is bacterially contaminated, or infected.