A purulent inflammatory disease that occurs in the sweat glands is called hydradenitis. It causes its golden staphylococcus aureus. The people called the bitch udder. Favorite places of its localization are the groin area, anus, nipples, neck, the area around the navel. But the most common is hydradenitis under the arm. Apocrine glands( sweat) begin their work in the adolescent period, and their age is extinguished by the old age. Because children and people of advanced age do not suffer from this disease. The most vulnerable to him are women, because they have more sweat glands, and sexual maturation occurs earlier.
Table of Contents:
- Causes of Hydradenitis
- Symptoms of
- Disease Diagnosis
- Methods of Hydradenitis Treatment
- Surgical Treatment of
- Folk Treatments
Causes of Hydradenitis
Inflammation under the arm can develop as a result of occlusion of sweat glands or follicles. When scratches, cuts and scratches occur on the skin, they become a gateway to the penetration of the pathogen of the purulent-inflammatory process. By lymphatic vessels or the excretory system, they freely penetrate into the apocrine glands. There the bacteria multiply, causing hydradenitis. It can also develop during the hormonal adjustment of the endocrine system.
Risk factors in this case are:
- diabetes mellitus;
- reduction of the body's defenses;
- state of weakness after a previous illness;
dysfunction of the gonads;
- increased sweating, in which the pH of the sweat is inclined toward the alkali;
- not proper skin hygiene;
- cuts when shaving;
- excessive passion for deodorants;
- work associated with dirty conditions.
Symptoms of the disease
Hydradenitis is initially manifested by the appearance of small and dense nodules on the skin. While this delivers only a small discomfort: nodules are itchy and painful when pressed. Soon they become large in size, becoming a bump. Skin on this place becomes red-cyanotic color, there is swelling, general weakness, headaches, sometimes fever. At this stage( ripening ripening), the patient may have a temperature of up to 39 *.Then there are blisters that grow and merge into one big abscess, very painful. There is a danger of developing sepsis. Severe pain makes you hold your hand up, as you can see in the photo.
After a while, the abscesses are opened, pus appears and often with blood. When the inflammation affects the subcutaneous tissue, you get a deep abscess - phlegmon. If lymph nodes are affected, the disease is called lymphadenitis.
Diagnosis of the disease
The physician should differentiate it with boils and carbuncles, with felinosis and actinomycosis, venereal disease with lymphogranuloma, etc.
The blood test for ESR and leukocytes is first performed. With inflammation they will show an increase in their values. Further, the purulent discharge from the abscess is examined. Bacteriological culture on the determination of the type of bacteria causing the disease and the proper selection of an antibiotic for the treatment of hydradenitis.
Methods for treating hydradenitis
Know that without treatment with hydradenitis can not do and you can not try to squeeze out the contents of the abscess yourself. This is very dangerous because pyogenic microorganisms can get into the blood and cause a serious infectious disease - septicemia with a fatal outcome. Mandatory medical or even surgical treatment of hydradenitis. In connection with this, it will be natural to seek help from a medical institution at an early stage of the disease and possibly avoid surgical intervention.
As first aid you can use in the early days of dry heat or the application of Vishnevsky ointment. But before it is necessary to very carefully cut hair in the affected area and treat with antiseptic solutions( 2% alcohol solution of salicylic acid or camphor alcohol).Hydradenite does not tolerate humidity, therefore it is impossible to do compresses and wash in the bathroom. You can only take a shower, after gluing the place of inflammation with adhesive plaster.
Physicians treat hydradenitis with sulfonamides and antibiotics. They can be taken or injected. For example, with acute hydradenitis, a local injection of Triamcinolone with Lidocaine is used. When a suppuration occurs, it is opened and drainage is left to drain the fluid.
Chronic hydradenitis is also treated with antibiotics: Erythromycin, Tetracycline, Minocycline, Isotretinoin, Oleandomycin, Ristomycin, Lincomycin. In more severe cases, the corticosteroid hormone Prednisone is administered at 70 mg per day, gradually decreasing the dosage. If detected as a causative agent of staphylococcus, immunotherapy in the form of gamma globulin and a vaccine against staphylococcus is additionally prescribed.
For local treatment ointments are used: Levomecol, Clindamycin, Neomycin, Levosin, etc. For usual small knots such treatment is enough.
In the formation of a purulent process without surgical intervention is indispensable. First, the abscess is opened and drained, then the fibrous nodes are excised together with fistulous passages. If the disease often recurs, then the skin is completely removed from the affected area, and the skin is transplanted from healthy areas into its place. After that physiotherapeutic procedures are appointed: UHF, laser therapy, electrophoresis, magnetotherapy.
When treating a disease such as hydradenitis, the patient needs to be completely at rest, because it causes a lot of unpleasant moments and is quite painful. Food should be filled with vitamins, trace elements and easy to digest.
Traditional methods of treatment
- In the warm season, leaves of plantain or celery are very effective. Well razmomnite their hands, while the juice begins to act and put on the hearth of inflammation several times a day.
- The bactericidal properties of aloe are well known: its leaves are well rinsed, pricked, pricked and applied to the abscess. Aloe will pull on the pus and accelerate the process of maturation of the abscess.
- Knead the dough from wheat flour, egg yolk, honey and smaltz. Make cakes from it and put them on nodules for the whole night.
For the prevention of hydradenitis, keep your weight in order and observe basic rules of personal hygiene, try to wear clothes only from natural materials, take water procedures more often and especially for axillary depressions, and do not get carried away by irritating perfumery.
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