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Чаще всего поражаются большие пальцы ног [1](https://www.smclinic.ru/diseases/vrosshiy-nogot/)[4](https://ru.wikipedia.org/wiki/%D0%9E%D0%BD%D0%B8%D1%85%D0%BE%D0%BA%D1%80%D0%B8%D0%BF%D1%82%D0%BE%D0%B7). \n\nПатология носит рецидивирующий характер: периоды острого воспаления могут годами чередоваться с ремиссиями, а медикаментозная терапия даёт кратковременный эффект [3](https://locmr.ru/articles/vrosshiy-nogot-onikhokriptoz/).\n\n\n\n## Причины\nНекоторые причины вросшего ногтя: \n* **Неправильное подстригание ногтей** (слишком коротко или с закруглёнными краями) [2](https://ms4sm.ru/spravochnik/vrosshiy-nogot-onikhokriptoz)[8](https://voronezh.sovamed.ru/zabolevaniya/vrosshiy-nogot/). \n* **Ношение тесной обуви** с узким носком, которая сдавливает пальцы [5](https://mnogoclinica.ru/poleznaya_informaciya/stati/vrosshii_nogot_ili_onihokriptoz._prichin/)[8](https://voronezh.sovamed.ru/zabolevaniya/vrosshiy-nogot/). \n* **Травмы ногтя** (удары, сдавливания) [2](https://ms4sm.ru/spravochnik/vrosshiy-nogot-onikhokriptoz). \n* **Ортопедические патологии** (вальгусная деформация большого пальца, плоскостопие) [2](https://ms4sm.ru/spravochnik/vrosshiy-nogot-onikhokriptoz). \n* **Грибковые инфекции**, утолщающие и деформирующие ноготь [2](https://ms4sm.ru/spravochnik/vrosshiy-nogot-onikhokriptoz). \n* **Хронические заболевания** (сахарный диабет, артрит, нарушения кровообращения и др.) [2](https://ms4sm.ru/spravochnik/vrosshiy-nogot-onikhokriptoz). \n* **Генетическая предрасположенность** к аномальному росту ногтевой пластины [2](https://ms4sm.ru/spravochnik/vrosshiy-nogot-onikhokriptoz).\n\n## Симптомы\nВыраженность симптомов зависит от стадии заболевания [1](https://www.smclinic.ru/diseases/vrosshiy-nogot/): \n* **Начальная стадия** — покраснение и отёк кожи в области бокового валика, дискомфорт или боль при надавливании и ходьбе [11](https://www.MedCentrServis.ru/disease/vrosshiy-nogot/). \n* **Стадия выраженного воспаления** — усиливающаяся боль, в том числе в покое, нарастание отёка и инфильтрации тканей, появление гнойного отделяемого, уплотнение и потускнение ногтя [11](https://www.MedCentrServis.ru/disease/vrosshiy-nogot/). \n* **Хроническая стадия** — стойкая деформация ногтя и прилегающих тканей, утолщение и гипертрофия околоногтевых валиков, сохраняющееся воспаление при снижении болевого синдрома [11](https://www.MedCentrServis.ru/disease/vrosshiy-nogot/).\n\n## Диагностика\nДиагностика онихокриптоза основывается на клинической картине и осмотре пальца [11](https://www.MedCentrServis.ru/disease/vrosshiy-nogot/). Врач оценивает степень воспаления, наличие гнойного отделяемого, деформацию ногтевой пластины и разрастание мягких тканей [11](https://www.MedCentrServis.ru/disease/vrosshiy-nogot/). \n\nДля уточнения тяжести процесса и исключения осложнений могут использоваться вспомогательные методы: рентгенография стопы, общий анализ крови, бактериологическое исследование гнойного отделяемого [11](https://www.MedCentrServis.ru/disease/vrosshiy-nogot/).\n\n## Лечение\nВыбор метода лечения зависит от стадии заболевания, выраженности воспаления, наличия осложнений и общего состояния пациента [11](https://www.MedCentrServis.ru/disease/vrosshiy-nogot/). \n\n**На ранних этапах** возможно консервативное лечение: уменьшение нагрузки на палец, ограничение ходьбы, ношение свободной обуви, гигиена стоп, исключение травматизации, компрессы с антисептическими растворами [5](https://mnogoclinica.ru/poleznaya_informaciya/stati/vrosshii_nogot_ili_onihokriptoz._prichin/)[12](https://ProBolezny.ru/vrosshiy-nogot/). \n\n**При отсутствии эффекта** или в случае хронического течения показано хирургическое вмешательство [11](https://www.MedCentrServis.ru/disease/vrosshiy-nogot/). В тяжёлых случаях — полное удаление ногтя [2](https://ms4sm.ru/spravochnik/vrosshiy-nogot-onikhokriptoz). \n\n**Обратиться к врачу** необходимо при первых признаках врастания ногтя: болезненности, покраснении, отёке или изменении формы ногтевой пластины [11](https://www.MedCentrServis.ru/disease/vrosshiy-nogot/). 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