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В обиходе также используются названия «нарыв на пальце» или «гнойник у ногтя» [2](https://mc21.ru/articles/panaritsiy/). \n\nВыделяют разные формы панариция, например: \n* **Кожный** — поверхностное воспаление кожи [1](https://doct.ru/diseases/panaritsiy.html)[9](https://duetclinic.ru/diseases/panaritsiy/). \n* **Подкожный** — гной образуется под кожей, чаще на ладонной поверхности [1](https://doct.ru/diseases/panaritsiy.html). \n* **Сухожильный** — поражается сухожильное влагалище, движения резко ограничиваются [1](https://doct.ru/diseases/panaritsiy.html). \n* **Суставной** — затрагивается капсула сустава, возможны поражения суставов [1](https://doct.ru/diseases/panaritsiy.html). \n* **Костный** — инфекция распространяется на костные ткани, развивается остеомиелит [1](https://doct.ru/diseases/panaritsiy.html).\n\n\n\n## Причины\nИнфекция попадает в ткани через мелкие повреждения кожи — порезы, уколы, трещины или заусенцы [2](https://mc21.ru/articles/panaritsiy/)[4](https://nadejdamed.ru/medical/hirurgiya/panaritsij/). Чаще всего возбудителями инфекции бывают стафилококки и стрептококки [4](https://nadejdamed.ru/medical/hirurgiya/panaritsij/). \n\nНа развитие панариция влияют сопутствующие заболевания или состояния, снижающие устойчивость к инфекции и/или препятствующие заживлению ран (например, сахарный диабет) [6](https://ProBolezny.ru/panariciy/).\n\n## Симптомы\n**Основные симптомы**: \n* интенсивная боль в области пальца, часто пульсирующего характера [2](https://mc21.ru/articles/panaritsiy/); \n* покраснение и отёк кожи [2](https://mc21.ru/articles/panaritsiy/); \n* местное повышение температуры [2](https://mc21.ru/articles/panaritsiy/); \n* ограничение подвижности пальца [2](https://mc21.ru/articles/panaritsiy/); \n* возможное образование гноя [2](https://mc21.ru/articles/panaritsiy/); \n* при подногтевой форме — отслоение или изменение цвета ногтя [2](https://mc21.ru/articles/panaritsiy/). \n\nСимптомы усиливаются по мере развития воспаления, особенно в ночное время [2](https://mc21.ru/articles/panaritsiy/).\n\n## Диагностика\n**Врач устанавливает диагноз «панариций» на основании** [2](https://mc21.ru/articles/panaritsiy/): \n* осмотра пальца, оценки симптомов, выявления причины заболевания [2](https://mc21.ru/articles/panaritsiy/); \n* инструментальных методов диагностики (УЗИ, рентген — при глубоком воспалении) [2](https://mc21.ru/articles/panaritsiy/); \n* лабораторных анализов (при подозрении на осложнения) [2](https://mc21.ru/articles/panaritsiy/). \n\nПри подозрении на панариций необходимо записаться к врачу-хирургу [1](https://doct.ru/diseases/panaritsiy.html).\n\n## Лечение\n**Тактика зависит от формы и стадии заболевания** [1](https://doct.ru/diseases/panaritsiy.html): \n* **При раннем выявлении** — консервативное лечение: антибиотики, противовоспалительные препараты, антисептики [1](https://doct.ru/diseases/panaritsiy.html). \n* **При развитии нарыва** — хирургическое лечение: вскрытие гнойника, удаление некротизированных тканей, установка дренажа [1](https://doct.ru/diseases/panaritsiy.html). \n* **При глубоком поражении** — лечение в условиях дневного стационара с применением системных антибиотиков, промываний, перевязок, физиотерапии [1](https://doct.ru/diseases/panaritsiy.html). \n\n**Самолечение панариция недопустимо** — промедление с обращением к специалисту увеличивает риски осложнений [11](https://lit-clinic.ru/diseases/panaritsiy/).","linksData":[{"sourceId":1,"url":"https://doct.ru/diseases/panaritsiy.html","shownUrl":"https://doct.ru/diseases/panaritsiy.html","title":"Панариций - причины, симптомы, диагностика и лечение гнойно-воспалительного заболевания пальцев","shortUrl":"doct.ru","isTranslated":false,"description":"","greenUrl":"doct.ru"},{"sourceId":2,"url":"https://mc21.ru/articles/panaritsiy/","shownUrl":"https://mc21.ru/articles/panaritsiy/","title":"Панариций: симптомы, когда обращаться к врачу, лечение, реабилитация","shortUrl":"mc21.ru","isTranslated":false,"description":"","greenUrl":"mc21.ru"},{"sourceId":3,"url":"https://nabchel.medguard.ru/otdeleniya/khirurgiya/khirurgiya-odnogo-dnya/lechenie-panaritsiya-u-vzroslykh/","shownUrl":"https://nabchel.medguard.ru/otdeleniya/khirurgiya/khirurgiya-odnogo-dnya/lechenie-panaritsiya-u-vzroslykh/","title":"Опух палец (панариций): лечение панариция и гноя на пальце в клинике Медгард","shortUrl":"nabchel.medguard.ru","isTranslated":false,"description":"","greenUrl":"nabchel.medguard.ru"},{"sourceId":4,"url":"https://nadejdamed.ru/medical/hirurgiya/panaritsij/","shownUrl":"https://nadejdamed.ru/medical/hirurgiya/panaritsij/","title":"Панариций на пальце - причины, симптомы и лечение у хирурга | Медцентр \"Надежда\"","shortUrl":"nadejdamed.ru","isTranslated":false,"description":"","greenUrl":"nadejdamed.ru"},{"sourceId":5,"url":"https://fnkc-fmba.ru/zabolevaniya/panaritsiy/","shownUrl":"https://fnkc-fmba.ru/zabolevaniya/panaritsiy/","title":"Панариций - лечение, причины заболевания, симптомы, виды","shortUrl":"fnkc-fmba.ru","isTranslated":false,"description":"","greenUrl":"fnkc-fmba.ru"},{"sourceId":6,"url":"https://ProBolezny.ru/panariciy/","shownUrl":"https://ProBolezny.ru/panariciy/","title":"Панариций: причины, симптомы и лечение в статье хирурга Томских Н. 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