Nail Bed Injury कारण, लक्षण और इलाज

Nail Bed Injury (नाखून की चोट) तब होती है जब नाखून के नीचे की tissue (nail bed) घायल हो जाती है।

• यह अक्सर fingernail या toenail में trauma के कारण होती है।
• Nail bed injuries painful, bleeding, और infection prone होती हैं।
• Proper treatment से nail regrowth और normal appearance बनाए रखना संभव है।

Nail Bed Injury क्या है  (What is Nail Bed Injury)

• Trauma के कारण nail plate और underlying nail bed tissue damage
• Types:
  1. Subungual hematoma – nail के नीचे blood collection
  1. Laceration – tear या cut in nail bed
  1. Crush injury – nail plate damage with tissue destruction
  1. Avulsion – complete loss of nail

Nail bed injuries untreated रहने पर infection और permanent nail deformity हो सकती है।

Nail Bed Injury कारण (Causes of Nail Bed Injury)

1. Trauma / Accident

• Finger or toe get caught in door
• Heavy object fall on finger or toe

2. Sports Injuries

• Ball or sports equipment impact
• Nail crush during physical activity

3. Repetitive Pressure / Occupational Hazards

• Hammering, typing, or machinery use

4. Fingernail Biting / Improper Manicure

• Can lead to minor cuts and infections

Nail Bed Injury लक्षण (Symptoms of Nail Bed Injury)

• Pain, tenderness at nail site
• Swelling and redness
• Bleeding under the nail (subungual hematoma)
• Nail lifting or cracking
• Blue or black discoloration due to blood collection
• Infection signs: pus, foul smell, increased redness

Symptoms severity depends on type and extent of injury।

Nail Bed Injury कैसे पहचाने (Diagnosis of Nail Bed Injury)

1. Physical Examination – assess nail plate, nail bed, and surrounding tissue
2. X-ray – if suspected fracture of distal phalanx (finger/toe bone)
3. History of trauma – mechanism and time of injury
4. Signs of infection – pus, erythema, warmth

Early diagnosis helps prevent permanent nail deformity and infection।

Nail Bed Injury इलाज (Treatment of Nail Bed Injury)

1. Minor Injuries / Subungual Hematoma

• Ice application to reduce swelling
• Pain relief: acetaminophen or NSAIDs
• Nail trephination (small hole to release trapped blood)

2. Lacerations / Nail Bed Cuts

• Clean wound with antiseptic
• Suturing of nail bed if necessary
• Nail plate replacement or protective dressing

3. Crush Injuries / Severe Damage

• Surgical repair under local anesthesia
• Nail removal if badly damaged
• Splinting if associated fracture

4. Infection Prevention

• Topical or oral antibiotics if infection risk
• Keep area clean and dry

5. Follow-up

• Nail growth takes 6–12 months for fingernails, longer for toenails
• Monitor for nail deformities and infection

रोकथाम (Prevention)

• Wear protective gloves or footwear
• Avoid nail-biting or aggressive manicure
• Handle heavy objects with caution
• Use proper tools during sports or occupational activities
• Maintain nail hygiene

सावधानियाँ (Precautions)

• Do not attempt deep cuts repair at home
• Seek medical attention if:
  1. Persistent bleeding
  1. Nail plate loss
  1. Severe pain or infection
• Avoid pressure on injured nail until fully healed
• Follow surgeon’s or doctor’s advice for nail bed repair

FAQs (अक्सर पूछे जाने वाले प्रश्न)

Q1. Nail bed injury में nail कितने समय में grow करता है?

Fingernails: 6–12 months, Toenails: 12–18 months, depends on severity.

Q2. क्या nail हमेशा normal grow करेगा?

Minor injuries में हाँ, लेकिन severe crush or laceration से deformity या ridges हो सकते हैं।

Q3. Infection होने पर क्या करना चाहिए?

तुरंत doctor से consult करें, antibiotics और proper wound care जरूरी है।

Q4. क्या nail bed injury permanent damage कर सकती है?

हाँ, untreated या severe injuries में nail deformity, chronic pain या infection हो सकती है।

निष्कर्ष (Conclusion)

Nail Bed Injury (नाखून की चोट) आम लेकिन कभी-कभी गंभीर समस्या हो सकती है।
Early wound care, proper medical attention, surgical repair if needed और infection prevention से nail regrowth और normal appearance सुनिश्चित किया जा सकता है।
अगर किसी को bleeding, severe pain या nail lifting दिखाई दे, तो तुरंत orthopedic surgeon या dermatologist से consultation जरूरी है।