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Что делать когда наступил на гвоздь

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17 августа 2019

Проткнул ногу гвоздём, есть опасность заражения

Проткнуть ногу ржавым гвоздём, не особое удовольствие. Это конечно не ножевое ранение или какая другая смертельная опасность, но тем не менее не приятная травма, которая при не оказании правильной помощи, может перерасти в страшное заболевание, с плачевным исходом.

Проткнуть ногу, пятку или палец гвоздем может абсолютно каждым (лично со мной, не смотря на мою осторожность и внимательность, случалось такое дважды). Если проткнули какую-то часть тела новеньким гвоздём, например во время ремонта, это еще не очень страшно. В большинстве случаев помогут обычные средства, которые должны быть в каждой домашней аптечке (перекись, йод, зеленка, бинт и тп.). Но если речь идёт о повреждении кожи во время работы на огороде или при контакте с ржавым гвоздём, одним обрабатыванием раны антисептиком и повязкой ограничиваться нельзя.

Такая рана может нагноиться, если в нее попадет инфекция (а она туда обязательно попадет при длинном и узком раневом канале).

Ну, а скопление гноя в ране ничем хорошим не заканчивается, кроме того среди бактерий может оказаться так называемая «синегнойная палочка», которая приводит к быстрой гангрене. Тогда человек может просто лишиться ноги. Прокол тела гвоздём рана серьезная, это не синяк после ушиба. Так что если есть возможность не занимайтесь самолечением, а идите в травмпункт, там знают, как обрабатываются подобные раны.

Напоролся на гвоздь, есть опасность столбняка

Сама по себе ржавчина не страшна, но вот в почве или на поверхности грязного старого гвоздя могут оказаться споры столбняка. Для не привитого человека в четверти случаев заражение столбняком заканчивается летальным исходом (смертью). Даже сейчас врачи не могут вылечить это заболевание, если оно уже развилось. Поэтому если проткнул ногу гвоздем или другим предметом, когда рана получается узкая и доступ воздуха к ней закрыт, и невозможно её полноценно обработать антисептиком, надо срочно ехать в травмпункт, чтобы врач поставил противостолбнячную сыворотку.

Чем опасен столбняк?

При самых серьёзных формах заболевания токсины столбняка успевают за 5-8 дней вместе с кровотоком попасть в ЦНС (центрально нервная система) и повредить нервно-мышечные синапсы. В результате этого у больного человека возникают:

— судорожный синдром,
— полностью изменяется структура мышечных тканей,
— страдает костно-суставной аппарат
— одновременно наблюдаются нарушения со стороны сердечно-сосудистой системы. Смерть при заражении столбняком может наступить из-за паралича сердечной мышцы или асфиксии (удушья), вызванной спазмом дыхательных путей.

Лечение и последствия столбняка

Лечение столбняка длится до 3 месяцев в условиях стационара, но ещё 2 года переболевший человек должен наблюдаться у невропатолога, и такое же время у пациента могут сохраняться остаточные последствия болезни: деформация позвоночника, ограниченная подвижность суставов, мышечная слабость. Такой серьёзной оказывается расплата за отсутствие прививки и неправильное поведение при травмах.

Правильное оказание помощи при проколе ноги гвоздём

Какие же действия при проколе ноги гвоздём можно назвать правильными?

Во-первых, это промывание раны слабым раствором марганцовки, обработка места вокруг прокола йодом или зелёнкой, повязка на ногу. А во-вторых, это визит в поликлинику к травматологу, в самое ближайшее время.

Если вакцинация от столбняка проводилась больше 10 лет назад, пострадавшему срочно понадобится введение противостолбнячной сыворотки.

Привитому человеку обычно достаточно ножных ванночек с морской солью для более быстрого заживления раны. При первых признаках нагноения врач назначит антибиотики перорально, то есть в виде таблеток, и местно — в форме мазей.

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Если человек по неосторожности или невнимательности наступил на гвоздь и нога опухла, необходимо знать, что делать, особенно если действия будут оказываться в домашних условиях. поскольку такая проблема может вызвать развитие различных воспалительных и инфекционных заболеваний. Поэтому важно знать, какие действия нужно совершить во избежание развития негативных последствий.

При отсутствиии возможности удалить гвоздь из ноги самостоятельно, лучше вызвать скорую помощь. По прибытию специалисты окажут больному помощь, при необходимости доставят в медицинское учреждение или подскажут, как в дальнейшем обрабатывать рану.

Что вызывает отечность

Если проткнули ногу гвоздем, она может опухнуть. Такое состояние сопровождается болевыми ощущениями и другими симптомами. Причиной развития отечности является:

  • наверняка на гвозде находилось множество различных микроорганизмов, которые спровоцировали воспаление. Такой отек протекает с выраженными болями, рана заметно теплеет;
  • форма повреждения может негативно влиять на кровоток. В результате развивается отечность, в некоторых случаях это становится причиной некроза, нагноения;
  • повреждение глубоких сосудов. Данное состояние требует срочной медицинской помощи, в противном случае возможен паралич ступней. В некоторых случаях его можно излечить, но пальцы на конечности могут остаться неподвижными навсегда;
  • кожа на стопах толще, поэтому внешняя рана заживает быстрее, а внутренние повреждения дольше, что и провоцирует нарушения кровотока.

При возникновении отечности лучше не медлить и обратиться к врачу. После диагностики доктор сможет подобрать эффективный способ лечения. Самолечение в таких случаях может устранить симптомы, а причина останется и в дальнейшем приведет к серьезным осложнениям.

Возможные осложнения

Прокол ноги при наступании на гвоздь только кажется незначительным повреждением. Это неверно, поскольку обычный гвоздь может стать причиной развития серьезных осложнений, требующий квалифицированной медицинской помощи.

Воспаление

Один из распространенных вариантов осложнений. Такое состояние наблюдается, если на гвозде присутствовала ржавчина, болезнетворные микроорганизмы. Рана является идеальной средой для развития бактерий, поэтому без первой помощи они начинают в ней развиваться и приводят к инфекционным, воспалительным заболеваниям.

Гангрена

Представляет собой активно развивающийся некротический процесс, берущий свое начало в месте повреждения.

Данное состояние сегодня легко поддается терапии, однако если инфекция сопровождается наличием других хронических заболеваний, возможно, потребуется ампутация поврежденных тканей.

Характерные симптомы гангрены:

  • кожа сначала становиться синей, затем черной;
  • выраженный запах серы;
  • образование кровянистых волдырей;
  • границы раны становятся размытыми;
  • сильные боли и общее ухудшение самочувствия.

Столбняк

Если наступили на ржавый гвоздь, нельзя исключать вероятность заражения столбняком, особенно при отсутствии прививания ранее. Тогда после прокола нужно в короткие сроки сделать профилактическую прививку от столбняка.

Данное заболевание характеризуется сильными спазмами мышц, которые провоцируют переломы костей, нарушают функционирование внутренних органов, развиваются психические расстройства и велика вероятность летального исхода.

Лучше обратиться к врачу для проведения вакцинации от столбняка.

Сепсис

Иммунная система с легкостью может противостоять большинству различных микроорганизмов. Однако при ее ослабление инфекция с раны проникает в кровь и развивается сепсис. Данное состояние сопровождается:

  • активным ростом отечности;
  • образованием гнойных очагов;
  • повышенной температурой тела;
  • ухудшением аппетита;
  • печень вместе с селезенкой значительно увеличиваются в размерах;
  • покраснением кожных покровов;
  • развитием воспаления.

Сепсис является крайне опасным состоянием, которое в 20% случаев заканчивается летальным исходом.

Первая помощь

Если человек проколол ногу гвоздем и сразу начал развиваться отек, необходимо срочно обратиться к врачу для оказания медицинской помощи.

Для начала потребуется удалить гвоздь. Если он вошел в ногу неглубоко, сделать это можно самостоятельно. При глубоком проколе лучше, чтобы это делал квалифицированный специалист.

После удаления гвоздя требуется обработка антисептиками – они предотвратят развитие инфекции, которая сопровождается серьезными осложнениями.

Какие растворы для обработки применяются

Наиболее эффективными антисептиками являются:

  • перекись водорода 3%;
  • раствор марганцовки – применяется для ванночек. Процедура проводится в течение 20 минут;
  • раствор фурацилина – 2 таблетки на ¼ л воды;
  • Мирамистин;
  • зеленка для обработки тканей вокруг прокола, но ни в коем случае не самой раны. Использование такого агрессивного средства может спровоцировать ожог, что значительно усугубляет проблему;
  • на рану накладывается стерильная повязка, предотвращающая инфицирование.
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Лечение

Лечить прокол, при котором развивается опухоль, должен только квалифицированный врач. Исходя из клинической картины, специалист подбирает наиболее эффективные методы лечения, которые ускорят процесс выздоровления и исключат вероятность развития осложнений.

Местные антибактериальные средства

Лечение антибактериальными мазями является достаточно распространенным методом. Обычно для терапии подбирают:

Название мази Краткое описание
Аргосульфан Активное вещество (сульфат серебра) является эффективным антисептиком, который предотвращает и борется с гнойными образованиями. Мазь не оказывает токсического воздействия на организм, способствует уничтожению болезнетворных бактерий и очищению раны.
Банеоцин Выпускают в виде мази, антибактериального порошка. Отличается широким спектром действия. Является незаменимым средством даже при проколе ноги загрязненным, ржавым гвоздем.
Левомеколь Одна из самых эффективных мазей, которая отличается комплексным действием. Помогает справиться с воспалением, бактериями и способствует ускоренному заживлению раны.
Тетрациклиновая Отличный вариант для дезинфекции вместе с ношением стерильной повязки. Активные вещества проникают в рану, очищая ее, устраняя воспаления.

Общая антибактериальная терапия

Если прокол ноги сопровождается негативной симптоматикой, указывающей на развитие инфекции, необходимо обратиться к доктору для выбора наиболее эффективных и безопасных антибиотиков. В большинстве случаев назначают антибактериальные препараты с основным компонентом в виде левофлоксацина и клиндамицина:

Самостоятельный выбор антибиотиков категорически недопустим – это может привести к нежелательным последствиям, которые значительно усугубят проблему.

Народные средства

Народная терапия помогает устранить негативную симптоматику. Большинство рецептов основаны на использовании продуктов с выраженными противовоспалительными, антисептическими и ранозаживляющими свойствами.

Как и другие методы лечения, народные средства отличаются рядом противопоказаний, при игнорировании которых могут развиваться побочные эффекты.

Наиболее эффективные домашние средства при ранении гвоздем:

  • к ране можно прикладывать соленое слоеное тесто – оно впитывает в себя лишнюю жидкость и гной;
  • сырой измельченный картофель считается лучшим антисептиком. Его можно прикладывать к ране для борьбы с гнойным воспалением;
  • измельченные листья березы помогают снять воспаление;
  • также для борьбы с воспалением, снижения местной температуры можно использовать капустный лист;
  • кашица из алое и его сок укоряют заживление, борются с инфекцией;
  • сделать небольшой комочек из черного хлеба с солью и приложить к ране – данный компресс впитывает в себя жидкость, гной;
  • для борьбы с бактериями, воспалениями можно делать ванночки с использованием настоя шиповника, пустырника, фенхеля, шалфея, арники;
  • сильный терапевтический эффект наблюдается от ночных компрессов на основе масла камфоры и оливы (1:1).

Если после прокола нижней конечности гвоздем развивается отек, нужно незамедлительно обратиться к врачу. Без квалифицированной медицинской помощи данное состояние может привести к серьезным патологическим изменениям, для устранения которых потребуется применение хирургических методов. Заниматься самолечением не рекомендуется – это может значительно усугубить проблему, осложнив процесс дальнейшей терапии с выздоровлением.

Если вы наступили на ржавый гвоздь, в первую очередь нужно хорошо осмотреть и затем продезинфицировать рану. Оцените, насколько глубоко гвоздь проник в ногу, и если ранение глубокое, незамедлительно обратитесь в травмпункт или к хирургу по месту жительства, поскольку тщательно осмотреть рану в этом случае сможет только врач.

Если при проколе ржавым гвоздем гвоздем не посетить врача, рана может начать гноиться и перейти в гангрену. Также стоит помнить, что запущенная рана существенно повышает риск сепсиса — заражение крови. Гвоздь может повредить сухожилия на ноге, а это чревато ухудшением двигательных функций конечности. Какова же первая помощь при проколе ржавым гвоздем?

Что делать, если наступил на гвоздь

Если гвоздь размером 1-2 см, для начала нужно осмотреть рану, затем промыть ее и продезинфицировать. После этого прокол необходимо забинтовать, чтобы избежать попадания грязи. Если нога начала опухать, температура тела повышаться, следует незамедлительно обратиться в больницу. Не нужно дожидаться сильного ухудшения самочувствия, чтобы не возникла потребность в экстренном хирургическом вмешательстве.

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Прокол ржавым гвоздем

Если вы прокололи ногу ржавым гвоздем, помимо обработки раны антисептиком и наложения повязки, некотрым пациентам требуется также сделать укол от столбняка, поскольку на поверхности старого грязного гвоздя могут находиться его споры. Если человек не привит от столбняка, ему непременно следует сделать инъекцию противостолбнячной сыворотки, поскольку столбняк, к сожалению, приводит к большому количеству летальных исходов.

Опасность столбняка при проколе гвоздем

Столбняк опасен тем, что при развитии серьезных форм заболевания, его токсины вместе с кровотоком успевают попасть в центральную нервную систему человека за 5-8 дней и повредить тем самым нервно-мышечные синапсы. Вследствие этого у зараженного столбняком появляются судороги, происходят изменения структуры мышечных и костно-суставных тканей. Кроме этого, нарушается работа сердечно-сосудистой системы.

Летальный исход при столбняке возможен из-за паралича сердечной мышцы или асфиксии, которая вызывается спазмом дыхательных путей. Столбняк лечится в течение нескольких месяцев в стационаре, но даже после успешного излечения переболевший 2 года должен находиться на учете у невропатолога. Все это время у пациента могут сохраняться последствия болезни, к которым относится деформация позвоночника, мышечная слабость, ограниченная подвижность суставов.

Правильная помощь при проколе ноги гвоздем

1. Начать стоит с промывания раны, используя слабый раствор марганцовки;

2. Затем нужно обработать место вокруг прокола зеленкой или йодом (только не саму рану, т.к. свежие раны нельзя обрабатывать йодом);

3. После этого стоит перевязать ногу;

4. В ближайшее время после прокола необходимо будет посетить травматолога.

Если пострадавший не вакцинировался от столбняка или прошло более 10-ти лет после последней прививки, ему необходимо будет ввести противостолбнячную сыворотку. Если человек привит от столбняка, достаточно сделать ножную ванночку, добавив в нее морскую соль, чтобы рана быстрее зажила. При появлении первых признаков нагноения врач назначает пациенту прием антибиотиков внутрь и использование мазей местно.

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