Selasa, 20 Juni 2017

Furunkel or Furuncle

Understanding
Ulcers (furunkel) is a bacterial infection that fits inflammation within the hair follicle. At first, the skin in the infection area becomes red and a bump appears. After four to seven days, the lump begins to contain pus and pain.

Ulcers commonly appear in areas of skin that have hair, often sweating, and rubbing-like the neck, face, armpits, buttocks, and thighs. However, did not rule out boils appear on the surface


Diagnosis
Ulcers can generally heal themselves without medical treatment. However, you should immediately check yourself to a doctor if you have the following conditions of ulcers:

  • Appear on the face, nose, or spine. This can lead to complications 
  • Enlarges to a diameter of more than 5 cm 
  • Not healed in 14 days
You are also advised to consult a doctor if a coir boiler appears, or feel any additional symptoms such as fever.

Doctors usually diagnose ulcers just by looking at the patient's skin condition. If the infection is recurrent or not resolved with the previous treatment, the doctor will advise investigation in the form of blood tests in the laboratory. This examination is performed to determine the exact antibiotic to fight the bacteria that cause ulcers.


Symptoms
Boils start from small, hard, red, and painful lumps. A few days later, the lump softened and then enlarged, and the pain grew. Not long, pus bags will form at the top of the bump.

Ulcers rarely require medical treatment because it can heal by itself. However, if the condition worsens, you need to see a doctor. The signs are as follows:

  • Fever
  • The lump continues to grow and hurt
  • Numbered more than one fruit in the same area, known as a coir boil
  • Lymph nodes swell
  • Ulcer never dry
  • Having problems with the immune system, or in medications that disrupt the immune system and cause mute 

Treatment
Most cases of ulcers can heal by themselves and can be treated with self-care at home. However, some other cases require treatment from a doctor.
 

Self Care
One way to speed up the healing process is to compress the boils with a cloth that has been previously dipped in warm water. Apply warm compresses for 10 minutes, three to four times each day.
The heat will increase blood circulation around the boils. This makes there will be even more white blood cells that the immune system sends to help heal.
When boils break, cover with sterile gauze so that the infection does not spread to other areas. Afterwards, make sure you wash your hands with warm water and soap. This will help the bacteria not spread to other areas of the body or even to other individuals.
If the pain can not be retained, you can take painkillers such as paracetamol or ibuprofen.
 

Drying-Ulcer
If the size of the ulcer is rather large and feels soft, consult a doctor. Ulcers with these characteristics usually will not break apart by themselves and can not be treated with antibiotics.
The doctor may excrete pus by performing a small surgery. Before the action is taken, the area of the boil will be drugged locally to be invulnerable. Then, the top of the ulcer will be pierced with a sterilized needle or scalpel.
The process aims to make pus out of ulcers completely. The pain will subside and the healing process will begin. But do not ever solve the ulcers themselves, because it will only make the infection spread to other areas.
 

Antibiotics
Doctors will usually give antibiotics if: 

  • Coating ulcers occur 
  • There is a fever 
  • Occurs secondary infections, such as cellulitis 
  • Location of boils on the face, because it is more susceptible to infection 
  • You feel pain and discomfort
The antibiotics doctors usually give are penicillin-based antibiotics called flucloxacillin. If you are allergic to penicillin, the alternative can take erythromycin and clarithromycin.
It should be noted that antibiotics should be consumed even when the ulcers are healed. It is useful for complete healing and not repeated infections.
 


Treatment of Repeated Emerging ulcer and ulcer
Concussions and boils that repeatedly appear to require further treatment. Most people with recurring ulcers experience it because they are carriers of Staphylococcus aureus bacteria. If so, certain medications should be taken to ensure that bacteria can be completely destroyed.

Treatment depends on the location of Staphylococcus bacteria on your body. Bacteria present on the skin surface can be treated with antibacterial soaps. If bacteria are found in the nose, then you need to use antiseptic cream for 10 days.
 


Complications of ulcers
The following complications of ulcers can occur:
 

Scar
Large boils or ulcers sometimes leave scars. This scar will not disappear completely, but over time will fade and will not be too visible as before. If you are worried that scars will disturb the appearance, there are several types of treatments that can be done, for example:

  • Injection of corticosteroids that will help to deflect scarring.
  • Plastic surgery.
Alternatively, you can use cosmetics to disguise the scars. 
Widespread Infections
The bacteria present in boils or ulcers can sometimes spread to other parts of the body and trigger secondary infection. Cellulitis is the most common secondary infection that is often associated with ulcers and boils.
Other secondary infections that may arise are:

  • Impetigo - an infectious skin infection that can cause cuts and abrasions.
  • Sepsis arthritis - joint infection.
  • Osteomyelitis - an infection that forms in the bone.
  • Endocarditis - infection of the inner lining of the heart.
  • Blood poisoning - a blood infection.
  • Brain-pus abscess that forms in the brain.
  • Some of the above infections need to be treated with antibiotic injections. For cases of blood poisoning and brain abscess, you should be admitted to intensive care (ICU). 
Cavernosus sinus thrombosis
This is a rare ulcer complication that can be life-threatening to the sufferer. Starting from when the infection triggers blood clotting in the back room of the eye bag. Blood clots then will put pressure on the brain that can lead to:
  • Headache.
  • Eyes swollen.
  • Pain in the eye.
If not immediately given antibiotic treatment, cavernous sinus thrombosis can be fatal. 

Prevention
Ulcers are not always preventable, but doing the following simple steps can lower your risk:

  • Clean the skin regularly using antibacterial soaps.
  • Always clean the scratch, open wound, or insect bites.
  • Keep clean of scratches, open wounds, and insect bites by using sterile gauze until the wound heals.

Run a healthy lifestyle by eating nutritious foods and exercise routine. This will boost the immune system that will reduce the risk of skin infection.
 


Ways To Boil Not Spread
When you have ulcers, it is important to keep the infection from spreading to other parts of the body as well as others. You can do this by:

  • Wash hands with antibacterial soap every time they touch the ulcers.
  • Wash clothes, sheets and towels with high temperature.
  • Use a different towel for the face and body area.
  • Wear a sterile gauze to cover the wound until it is completely healed.
  • Routine replacing sterile gauze covering boils.
  • Pay attention to the handling of sterile gauze waste. Must be put into plastic and tightly closed before disposal into the trash.
  • Avoid saunas, fitness center and swimming pool until healthy skin condition returns. 

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