Umuthi u-a ukutheleleka elitholakala ku-2/3 wamacala asemaphethelweni noma engxenyeni engaphansi yesipikili. Kodwa-ke, ingatholakala futhi ezingeni le-pulp, ohlangothini noma ngemuva komunwe, noma ngisho nasesandleni sesandla. Ezimweni ezingu-60%, igciwane elibangela i-whitlow yi-Staphylococcus aureus, kodwa futhi kungaba yi-streptococcus, i-enterococcus, njll. Ngakho-ke i-whitlow kufanele ilashwe ngokushesha ngoba iwukutheleleka ngamagciwane e-pyogenic (= abangela ubomvu) engxenyeni ebuthakathaka. yomzimba, okungenzeka ukuthi ifinyelele emigodleni ye-tendon, amathambo namalunga ezandla, futhi ikhiqize ama-sequelaes abucayi, njengokulahlekelwa ukuhamba kanye / noma ukuzwela kwesandla.

Izimpawu zesifo

I-whitlow ikhula ngezigaba ezintathu¹:

• Isigaba se-inoculation. I-whitlow ibangelwa ukulimala okuluhlobo lokungena kwegciwane
• Amagciwane angena noma ngaphansi kwesikhumba ngenxeba. Lokhu kulimala kungase kungabonakali ngoba isikhathi esiningi kuxhunyaniswa nokusikwa okuncane, esikhumbeni esincane esidatshulwe eduze nozipho, okuvame ukubizwa ngokuthi "izifiso", ukulunywa izinzipho, ukukhanda izinwele kanye nokucindezelwa kwama-cuticles, lezi. izindawo ezincane ze-nail. isikhumba esimboza isipikili emazansi aso, ukuluma, isinqamu noma ameva. Ezinsukwini ezi-2 kuya kwezi-5 ngemuva kokwenzeka kwalokhu kulimala, azikho izimpawu ezisazwakala (akukho buhlungu, ububomvu, njll.)
• Isigaba sokuvuvukala ou i-catarrha. Izimpawu zokuvuvukala zivela eduze kwendawo yokujova, njengokuvuvukala, ububomvu, nomuzwa wokushisa nobuhlungu. Lezi zimpawu ziyehla ebusuku. Awekho ama-lymph node (= isigaxa esibuhlungu ekhwapheni, uphawu lokuthi ukutheleleka sekuqala ukuthinta uhlelo lwe-lymphatic drainage system). Lesi sigaba sivame ukuhlehliswa ngokwelashwa kwendawo (bheka isigaba: Ukwelashwa kwe-whitlow).
• Isiteji sokuqoqa ou esifushanisiwe. Ubuhlungu buba unomphela, ukushaya (umunwe "ushaya") futhi ngokuvamile kuvimbela ukulala. Izimpawu zokuvuvukala zimakwe kakhulu kunasesigabeni esedlule futhi kujwayelekile ukubona ukuthi kuvela iphakethe eliphuzi eliphuzi. I-lymph node ebuhlungu ingase izwakale ekhwapheni (okubonisa ukusabalala kokutheleleka) kanye nokushisa okulinganiselwe (39 ° C) kungase kwenzeke. Lesi sigaba sidinga a ukwelashwa okuphuthumayo kokuhlinzwa ngoba kuveza izinkinga ezihlobene nokusabalala kokutheleleka:

- kungaba ngaphezulu ngokubonakala kwamanye amachashazi aphuzi aphuphumayo, abizwa ngokuthi ama-fistula (= imiphumela yokutheleleka esikhumbeni esizungezile), noma i-black plaque ye-necrosis (= isikhumba sifile kule ndawo kanye nokwelashwa ngokuhlinza indawo efile izodingeka)

– kungaba ngokujula ngasemathanjeni (= i-osteitis), imisipha (= phlegmon of the tendon sheaths ezungeza imisipha noma amalunga (= septic arthritis) ukufinyelela kuma-antibiotics futhi okudinga ukuhlinza nokuhlinzwa kwezakhiwo ezinegciwane.