Thursday, December 24, 2009
Cure for nail fungus, family members to escort
Onychomycosis extremely close relations with their families, mainly reflected in the family is an important place for fungi to breed is a fungal infection of the important position. One for "fungal skin infections in patients and their family members" of the survey, 46.1% of the fungal disease that they may be infected by their families at home, through the identification of fungi found that 85.4% of the patients and their family members infected the same pathogenic fungi. Family members suffering from onychomycosis, if the improper treatment of other disorders that (toe) A warehouse is like a fungus, bacteria continue to spread outward, through the sharing of the basin, towels, slippers and other items to the close contact with infected parents, spouses and children, so that the whole family always under the threat of fungal infection.
Thus, effective treatment of onychomycosis with each member of the family are closely related. The family is a haven for personal warmth, but also a crisis of family members of the strong backing, each person's dependence on the family determines the family to the individual responsible for an important role in health. From a medical perspective, not just disease in patients with onychomycosis of individual diseases, but it should be said is a kind of family disease. Onychomycosis treatment should not only himself alone in patients, family members share the prevention and treatment of this radical is onychomycosis.
On the one hand, when the family is suffering from onychomycosis, do not brush them aside, can not be avoided and a distance, to ill family members a heavy psychological burden. Family warmth is a panacea for the treatment of disease, family reminders and supervision to cure onychomycosis of the propellant. Each family member has the obligation to remind the ill family members in time to a regular hospital dermatology receiving correct diagnosis and treatment. Members of the family is the most intimate person, first understand the disease in patients with heart in healing the mind. Therefore, to learn more onychomycosis information to help patients to clarify the misunderstanding, facilitate their active and effective treatment, is the responsibility of each member of the family responsibilities.
On the other hand, the whole family to be together to change bad health habits. Only the family's health condition has improved, in order to better the clinical outcome of the consolidation of sick family members to prevent the recurrence; in order to effectively prevent cross-infection within the family, to prevent further harm to the family by the fungus. Specific practices include: maintaining the family's feet clean, cool and dry; do not wear gas-tight shoes, do not walk barefoot on the carpet, bathroom floor; to avoid the damp, dark environment; and the sick family members do not share the basin, towels, shoes socks, nail clippers and other supplies; on a regular basis on the family environment and patient supplies for sterilization.
For themselves, and the more people love, calling each family member in action, let us come to escort onychomycosis cure for ill family members, let us work together to clean house, never to be shut out fungi.
How can I cure onychomycosis
A surgical operation is suitable for pulling a single hair of onychomycosis can be carried out under local anesthesia, or to patients with the dissolving agent, A A bandage 3 days, and then disconnect. A's growth is due to start from the roots, bad A new A can eliminate the growth of normal. But this method has a larger pain is not easy to accept.
Local drug-coated pain is small, but more time-consuming effort, the advantage of more economical, simple and easy. Method is a daily scraping with a knife first disease A thin, coated with 30% acetic acid, 1 ~ 2 times a day until cured date, about 3 to 6 months. Applicator should be protected during a week's skin.
Oral antifungal agents suitable for multiple fingers (toes) A sick at the same time, this method has long been in clinical applications, such as griseofulvin and ketoconazole lessons there is a certain effect, but because of its toxic side-effects can not be promotion. With the development of medicine, new drugs emerging, not only increased efficacy, but side effects are also greatly reduced. There is now a new generation of itraconazole antifungal agents can be used for various types of fungal infections, particularly suitable for treatment of onychomycosis. The specific method is the week pulse therapy per month, or every 2 capsules twice daily after meals or clothes, even for 1 week, 3 weeks withdrawal as a shock treatment. The impact of treatment required two fingernails, toenails need to hit three courses. This method is of good efficacy, side effects, but the cost is relatively high, but some patients still relapse after treatment.
In short, treating onychomycosis to be a result of the person, according to local conditions, and relentlessly. Active treatment should also be in other parts of the body ringworm disease and chronic systemic diseases, to improve their resistance, equal emphasis on prevention and treatment, so that it can be completely cured onychomycosis.
Wednesday, December 23, 2009
Onychomycosis are fungal infections
We know that (toe) A are very hard, and well deck can withstand any invasion of microorganisms. But why so many people suffering from onychomycosis it? Onychomycosis is often the first patient suffering from ringworm or athlete's foot in hand, first of all invasive fungal skin around the nails, and then the evolution of the growth of fingernails or toenails, and gradually penetrated inside the deck, and to further the growth and reproduction, until the destruction of the entire deck. If the fungus invaded the roots of A, affecting the growth of nails, can cause stunted or deformed nails. Generally speaking, this process is relatively slow, and more the case of the occurrence of onychomycosis is due to fingers (toe) A scratch due to trauma or recurrent infection after a result of damage caused by fungus, such as athlete's foot or tinea cruris patients , due to unbearable itching commonly used fingernail scratch, so that will be stained with a number of bacteria on the fingernails of the fungus. The long-term repeated scratch friction, nails are susceptible to breakage, so take advantage caused by a fungal disease.
In addition, there is a situation is likely to suffer from onychomycosis, that is, when the whole body or partial resistance to low. The former mainly refers to the innate immune system dysfunction and particularly vulnerable to the fungal infection; the latter belongs to a malnutrition or A developmental disorders. Onychomycosis in patients with more than 95% are fungal infections.
Thursday, December 17, 2009
Cure for nail fungus
1.) Purchase Vinegar, Hydrogen Peroxide, Baking Soda, if you can find it.. (Detol - was only able to find this product where there is a huge population of Caribbean nationals... i.e. Miami)
2.) Mix the concoction together.
3.) Use a rough surface emery board or filer and file the outside of each toe... THOROUGHLY!!! Be COMPREHENSIVE!
4.) Take a cotton ball wet it with alcohol. Squeeze the alcohol out.
5.) Pour copious quantities on cotton ball.
6.) Apply to all toes... ALL even those NOT infected!
7.) Repeat this procedure at least with three (3) heavy sweeps
8.) Allow toes to dry for about five (5) minutes then
9.) Generously apply VICKS vapor rub heavily... continue to rub in until disappear... apply in between toes as well (no harm done) If you do this procedure at least twice (2x) per day... within 72 hours you will ALREADY begin to see a difference. This works on fingernails as well. YES, it does WORK!!! Remember keep filing the outside of your toes and use sterilized with alcohol toe and fingernail clippers and get RID of ALL the bad stuff... old spoilt nail... and you will have GORGEOUS toes and fingers.
Tuesday, December 15, 2009
Onychomycosis are fungal infections do
Trichophyton rubrum, Trichophyton gypsum samples, such as
Epidermophyton floccosum. Other areas such as Ashland's Trichophyton
rubrum, purple Trichophyton rubrum, Trichophyton tonsurans,
Trichophyton rubrum and the concentric nature of rosy Trichophyton
rubrum onychomycosis may also be addressed. In addition, there are
several fungi often a case of malnutrition caused by a disease, such
as Candida albicans, Aspergillus flavus, Aspergillus and other fume
color.
We know that (toe) A are very hard, and well deck can withstand any
invasion of microorganisms.
So why do so many people would nail fungal infection?
Onychomycosis patients often suffer from ringworm or athlete's foot in
hand, first of all invasive fungal skin around the nails, and then the
evolution of the growth of fingernails or toenails, and gradually
penetrated inside the deck, and to further the growth and
reproduction, until the destruction of the entire deck. If the fungus
invaded the roots of A, affecting the growth of nails, can cause
stunted or deformed nails. Generally speaking, this process is
relatively slow, and more the case of the occurrence of onychomycosis
is due to fingers (toe) A Flexible grasping a result of trauma or
recurrent infection after a result of damage caused by fungus, such as
athlete's foot or tinea cruris patients , due to itching often finds
it hard to grasp fingernails scratching, so that will be stained on
the fingernail fungus. Grasp the long-term repeated torsion friction,
nails are susceptible to breakage, so take advantage caused by a
fungal disease.
In addition, there is a situation is likely to suffer from
onychomycosis, that is, when the whole body or partial resistance to
low. The former mainly refers to the innate immune system dysfunction
and particularly vulnerable to the fungal infection; the latter
belongs to A or A developmental abnormalities malnourished patients.
Onychomycosis in patients with more than 95% are fungal infections.
Nails are healthy barometer reminder: brittle nails may be a lack of vitamin A; fungal infections, nail easy to empty, thickening, etc.
nails. However, it was easy to split or broken fingernails, as well as
people's fingernails appeared depression, tears, thickening and other
issues. Experts advise, nail health problems can not be overlooked -
is a healthy barometer of nails
□ reporter Wang Ya-qing
Brittle nails may be deficient in vitamin A
"A few months ago, I found their fingernails and toenails rough
surface matt, uneven, a little bit yellow." She had got to believe
that his got onychomycosis on their own in the pharmacy to buy
medicine to treat onychomycosis, but the has not the slightest
improvement in symptoms. In the Provincial People's Hospital through
the nail fungus testing, she had got was suffering from a fungal
disease, is not onychomycosis.
"Do you belong to a situation of malnutrition." Director of the
hospital dermatologist Dr. Li Lu said, may be a lack of vitamin A, or
systemic manifestations of malnutrition.
A person who appeared malnourished, in addition to congenital
ectodermal dysplasia and other factors, more and systemic nature of
malnutrition, micronutrient deficiencies, vitamin deficiency, anemia
and other factors. For example, vitamin A can regulate epidermal
keratinization role in normal metabolism and the lack of will lead to
keratosis is poor, there will be soften nails, thinning, easy to break
and so on.
A person who acquired malnutrition, we must adjust the diet to avoid
the partial eclipse, picky eaters. Appropriate eat vitamin A (liver)
or carotene (dark vegetables) high content of food, if necessary,
under the guidance of doctors to use vitamin A preparations.
Nail fungus infection will also appear crisp
In addition to malnutrition can cause nail splitting, breaking things,
nail issues may also be related to a number of skin diseases. Nails
can be said that the health status of the human body a window. When
the physical health problems, nail conditions and the color will
change.
"Fungal infection, is caused by a disease most common situation."
Provincial People's Hospital, director of dermatology, said Dr.
Shou-Min Zhang, nail, such as by Trichophyton rubrum, Candida albicans
infection, a change may appear empty, thickened, brittle, color, or
taupe, or even defects, deformation.
"Psoriasis, commonly known as psoriasis and lichen planus and other
systemic skin diseases, can cause deformed nails." Shou-Min Zhang said
that if the skin psoriasis, the patient's fingernails will first
appear a small depression with acupuncture, the deck may be color ,
thickening or with a separate bed.
Others lesions caused by other conditions. Such as the yellow nail
syndrome, nail growth is slow, hard and thick, yellow gray, the
patient often accompanied by lung disease. Malnutrition, anemia, pale
nails and no redness of the skin, thin and soft. Patients with
visceral lesions, nail color, yellow, blue, or black, a quality hard
and brittle. Class in patients with endocrine disorders, nail wide and
short. These diseases, must be approved by specialist doctors checkup
can be diagnosed.
Contact with acid-base solution most likely to hurt nails
Last week, Shou-Min Zhang admissions of a patient, her nails often
broken, but no nutrition, disease and other issues, asking also
learned that her job is to work washing dishes, often caused by the
use of detergents.
"Regular contact with acid and alkali solutions, organic solvents and
washing liquid, can also cause brittle A, A Yokomizo and other
issues." Shou-Min Zhang, said people often use washing liquid, it is
best to wear rubber gloves and wash their hands and reduce corrosion.
Some people also frequent ingrown toenails, that is, a long nail into
the meat. This is largely inappropriate manicure or toe shoes A long
been oppressed, leading to fragmentation into the toenails on both
sides of a week, causing pain, inflammation and secondary infection.
To avoid this situation, first of all, shoes do not too tight,
diligence and clipping the nails; Secondly, the length of nails should
be cut very moderate, from 0.1 to 0.2 centimeters a bed.
"A lot of women like fashion nail, but excessive rubbing nails, can
cause nail damage, and even cross-infection." He said, the long-term
use of chemical medicine nail, nail damage and will increase the
chance of infection. Therefore, the United States that still leaves a
little to do or not do.
Armor is not 6 tips
1. Do not use nail containing toluene or formaldehyde products.
2. Do not let nails soaked in water (especially soapy water or
detergent water) for too long, when the nail after the water
absorption saturation become fragile.
3. Do not use nail force tap keyboard.
4. Do not tear nails next to the barbed leather, it is best cut with clippers.
5. Do not let nail beautician did not disinfect equipment used
directly to repair their fingernails, because sharing nail repair tool
also transmit diseases.
6. Do not ignore the skin around the nail or nail infection, once the
inflammation would be an immediate medication.
Monday, December 14, 2009
curing nail fungus two kinds of programs cost - effectiveness analysis
Present. Most of the treatment of nail fungal disease using oral
itraconazole intermittent pulse therapy or short-term continuous
terbinafine therapy. In the drug of choice, not only to consider their
safety and effectiveness. Should also consider the economy, so look
for more effective and more economical means of treatment has become a
necessity. Pharmacoeconomic studies can help physicians in clinical
decision-making process to select the best programs, so that patients
with minimal cost, best interests. To explore the economic effects of
these programs, based on clinical patients with 82 cases of nail
fungus with different methods for treatment. Pharmacoeconomics of
their effectiveness using methods cost - effectiveness analysis.
Designed for clinical choice of safe, effective and economical
treatment programs provide a reasonable basis.
Anti-fungal nail polish composition
purpose for which the composition contains: a) at least one
anti-fungal agent, and b) at least one film-forming agent, in which
component b) is selected from the hydroxyl Alkyl Chitosan and
carboxymethyl chitosan alkyl of chitosan derivatives. The invention
also covers selected from hydroxyalkyl chitosan and carboxymethyl
chitosan alkyl of water-soluble film-forming agent used as additive in
nail polish use.
From concept to practice, treatment of nail fungal disease is a reasonable
shall immediately conduct an appropriate medical treatment. As
It is a world-wide high incidence and high-epidemic diseases, and thus
have public health concerns. True
Vegetative bacteria spread to others a great possibility, but also
possible complications, including generalized dermatophytes
Infection [1,2]. In addition, the nail fungus is not a single disease
[3], in China and other parts of the world,
There is sufficient evidence that a number of dermatophytes, yeasts
and other fungi may be a separate violation of, or joint participation
in pathology
Guo
Cheng [3-12]. In fact the different nail fungal disease pathogens may
be related to the following circumstances. Once the pathogen
Bacteria invade the deck, in a way to escape a natural anti-bacterial
defense and immune surveillance. This situation with the intrusion
Stratum corneum is different from the skin, it has been the host of
antibacterial proteins and for the eradication of fungi in small local
inflammation
Cellular effects.
Fungal culture, histopathology, immunohistochemistry and flow
cytometry is used to identify a common nail fungal diseases of
different
Bacteria [4-6,13]. In Europe, the nail fungus disease is about 75% of
pathogenic dermatophytes, yeasts, and other sp
10% of all bacteria. In addition, two or more kinds of fungi mixed
infection, accounting for only 5% of nail mycosis. A true
Pathogenic bacteria of different diseases, for treatment is a great
challenge, choose the broad-spectrum antifungal itraconazole is
Attractive. In addition, the drug can rapidly penetrate the deck and
can persist in the A of [14].
1, in vitro drug sensitivity test
Antifungal agents in vitro test can first determine the antibacterial
spectrum [15]. In the literature there are various ways to deal with
drug
The proliferation of materials in some media with limited capacity
within the technical difficulties. If they can not properly explain,
for the information and explanations can be produced
Health prejudice.
The current approach is to measure the drug can inhibit fungal growth
and minimal inhibitory concentration (MIC), There is also measured
Minimal bactericidal concentration (MFC) the ability to [16]. MFC of a
fungus and is very close to MIC, the drug has been called
Bactericidal drug for the right bacteria, when the two values is
obviously not in the same time, use the word bacteria.
Used to directly infer the concept of bacteriostatic bactericidal nail
fungus disease of the body can produce the wrong impression. Vitro
Bacterial activity and clinical efficacy is not always coincide.
Laboratory testing is only to assess the efficacy of fungal cell
growth phase
Fruit. Fungi in the body are very different situations, especially in
the A, scalp, palm, plantar fungal disease fungus,
In these areas the growth of mycelium, usually accompanied by joint
spores and other resting cells. After two kinds of cells are
On behalf of any antifungal agents is very sensitive. They almost
always appear in the dermatophytes and other fungal infections of the
deck
China, which explains why in vitro is a bactericidal drug, while in
the body does not show this effect. So
The concept of fungicides has become inconsistent with clinical
practice. Therefore, the need for a better way to detect the in vivo
anti-truth
Bacteria drug efficacy. Determination of biological analysis horny
fungi, hoping to solve this problem [17].
Second, in vitro determination of horny fungal bio-analysis
Using cyanoacrylate skin surface stripping method
(cyanoacrylateskinsurfacestripping, CSS
S) removed from the normal skin stratum corneum [17], use this sample
as a substrate, in vitro will choose the true
The growth of pathogenic bacteria on top. In short, from the beginning
of the medium sand castle on behalf of the culture collection of
conidia, inoculum
In the CSSS central, placed in a wet environment, the temperature
inside train 10d. At this point, the gradual growth of fungi, and the
horny
Layer form a mycelium.
Horny fungi assay used to compare itraconazole (Sporanox, Dr YEUNG
Sum) and terbinafine (Lamisil,
Novartis) is effective [18]. And to explore the pharmacokinetics and
pharmacodynamics of certain aspects. Of dermatophytes experiments,
A few days after oral administration of the two drugs showed the same
effect. Horny fungi assay for Candida albicans and several other
fungi, significantly
Itraconazole has shown anti-fungal toxicity of these [18,19]. This
proves that horny measurement meter is detecting fungal oral
anti-truth
Bacteria drugs on pharmacokinetics and pharmacodynamics of a very good
indication.
Third, in vivo clinical study
Many clinical studies evaluated the itraconazole month 1 week 400mg /
d of intermittent treatment and the impact of treatment programs
Effect [3,20-24], by meta-analysis (Meta � analysis), the cure rate of
up to 75% [23]. Recently
China's studies are almost similar with the nail fungus disease, 89%
clinical cure rate of fingernails, toenails was 74% [25].
Around the world about the application of itraconazole, mostly
controlled study, has more than 5 million people, and certainly the
Itraconazole security. The interaction of drugs to determine their
metabolism related to cytochrome P
450CPY3A4 enzyme.
After 6 months of treatment Mycological cure the failure of refractory
cases, the proposed increase of 1-week itraconazole shocks, that is,
An enhanced oral antifungal treatment (boostedoral antifungal therapy,
BOAT) [26]
. BOAT occur within the deck against the propagation of fungal resting
bodies (spores and spores) of a treatment. And
Compared to the growth of mycelium, which breed in any body on the
current effectiveness of antifungal agents are extremely poor. BOAT in
the oral
Itraconazole plus a sand castle when the medium on the A on the
disease, dormant fungal cells stimulated by the sand castle medium
composition
Be transformed into a mycelium, fungal cells in these growing season
the role of itraconazole is more sensitive [27].
4 Conclusion
In vitro evaluation of antifungal efficacy can not be extended without
reservation to the body. When the treatment of fungal nail disease
When, and not related to the concept of killing fungi. This is also an
evidence of why the nature of using a fungicide resistance
Fungal drugs, you need to continuously take several months. The
reality is that fungi have different degrees of anti-fungal toxicity,
according to real
The nature of bacteria and fungi growth and the biological
characteristics of quiescent cells determined. Whether A is the
primary fungal pathogen
, Or opportunistic pathogen, should be removed [27].
Itraconazole intermittent pulse therapy, and its nails against
refractory mycosis BOAT methods of treatment for the treatment of a
true
Bacterial disease a preferred solution [28]. Both efficient and safe,
the patient accessible.
What people tend to suffer from nail fungus disease
trauma, easy to sweat for a long time people who wear tight shoes and
socks, are a potential nail fungus skin disease-prone population.
Nail fungus in elderly patients with a maximum of
Nail fungal disease in the elderly up to, but older, the higher the
incidence of skin disease, 60 years of age or older high rate of nail
fungal disease, and some elderly people suffering from nail fungus as
long as 50-60 years. Generally men than women, more common, toenail
fungus disease more common than the nail.
Pregnant women more prone to suffering from nail fungus disease
Pregnant women because of intra-abdominal fetal life is not easy in
all aspects of foot sweat more, bending more difficult feet of living
and relatively lazy, but also prone to nail fungus, and the skin
developed rapidly. Toe nail fungus is more common than fingernail.
Pregnancy or breast-feeding should not be found in nail fungus
treatment with oral antifungal agents, skin will bring about adverse
reactions fetus or infant should be treated with topical application
of antifungal cream is better.
Diabetes nail fungus disease is 3 times the normal
Abroad with diabetes found that their incidence of nail fungal disease
26.2%, in the same age and sex of the skin in patients without
diabetes compared to the incidence of nail fungal disease 2.77 times
higher, but also found that one third of the diabetic toe nail fungal
disease occurs in A, most of the big toe, and it is most likely to
lead to secondary bacterial skin infection.
Nail fungal disease affecting efficacy of factor analysis
the efficacy of treatment of nail fungal diseases has been significant
progress. However, the
Articles published during the show the efficacy of nail fungal
diseases in different patients, different drugs are very different
between the two groups. As a
993 ~ April 2002 in the core of the domestic three dermatology
journals published Itraconazole treatment of nail fungal diseases
80 articles, treatment, cure rate of 40% to 100%, nail fungus disease
overall cure rate is 91.33%, toenail fungus disease overall
Cure rate was 85.59%, the recurrence rate was 1.26% [1]. In other
countries, about 25% ~ 40% of the clinical patient belongs to
Treatment failure, including the original recurrence of infection or
new infections [2]. In China, a long-term follow-up study
Show that using the standard oral drug therapy in patients three years
after the recurrence rate was 22.2% [3].
A nail fungus disease susceptibility factors
Nail fungal disease widely prevalent in the world, according to RJHAY
reported incidence in Europe is generally 3% to 22
% [2]; according to a survey conducted in China in 2000, dermatology
outpatient clinic patients, 15.6% of patients with toe nail fungus
Infection [4]. In different populations, disease incidence difference
was significant. In people suffering from peripheral vascular disease
Groups in the incidence of this disease for more than 40%; in older
age groups in the incidence of this disease by nearly 50%; psoriasis,
diabetes mellitus
Also exposes patients susceptible to this disease [2]. The use of
corticosteroids, immunosuppressive agents in the crowd, patients also
stipulates that
Significantly increased.
Two factors that affect the efficacy of nail fungus
2.1 A severity of disease with nail fungus disease related to clinical
classification. 1972 Zaias will nail fungus disease
Is divided into three types: white superficial nail fungus disease
(SWO), proximal subungual type nail fungus disease (PSO), distal
subungual
Type nail fungus disease (DLSO). At present, will be divided into five
clinical types, in addition to the above-mentioned three types, there
are full-A nutritional
Liang-type nail onychomycosis (TDO), a nail fungus disease in type
(EO). For the PSO, TDO, because the root involvement in patients with
a
, A disease severity significantly compared with DLSO, SWO, EO else.
The growth rate of 2.2 deck deck growth rate and disease A patient's
age, location and closely related.
Index finger, middle finger, ring finger nail the fastest growth rate
is about 3 times the thumb nail; while the thumb nail with 2 ~ 4-toed
The growth rate similar to toenail, toe nail growth rate were 1.5
times [5]. In different age groups
In the growth rate is also a significant difference: in 25 years ago,
a growth rate of the fastest; 30 ~ 60 years old, Health
Rates of growth decreased by 20% to 30%; to 80 years old, a growth
rate can be reduced by 50% [5].
Nail fungus treatment, how to choose?
Can be used as adjuvant treatment of or damage to parts of hours use
Advantages: more economical, simple and easy to operate, less pain, low-cost
Drawback: To compare the time-consuming and laborious, treatment
efficiency is low
Implementation of the method:
1. With 1% iodine, 6% salicylic acid, 30% acetic acid were coated
with: You can use any kind of drug, daily Tu disease A 1 to 2 times
that before treatment should first scratch disease A thin. Adhere to
treatment for 3 to 6 months until the new A grown, applicator should
be protected during a week the skin.
2. The concentration of 8% ciclopirox olamine cream: A 2 times a day
Tu disease, persist in 3 to 6 months.
3. The concentration of 5% amorolfine A Paint: 1 times per week
medication, used in conjunction for 6 months.
Oral
A more serious for the damage, extensive, and those in poor topical
Advantages: This method is of good efficacy, side effects, from the
inside out, cure the disease. Treatment with itraconazole pulse
therapy is intermittent, the patient compliance is good, while oral
medication can also be opponents of tinea pedis, tinea corporis, tinea
cruris, tinea capitis and so be treated.
Disadvantages: cost is relatively high, some patients may develop
gastrointestinal adverse reactions.
Implementation methodology: At present, doctors often recommend the
use of three kinds of oral antifungal agents.
1. Itraconazole (Sporanox): use of intermittent pulse therapy, a daily
400mg, take 1 week straight, and then three weeks into a course of
treatment discontinuation. Itraconazole is a broad spectrum of
antibacterial against yeast, dermatophytes and some non-dermatophytes
fungi have antibacterial activity. Oily foods are beneficial to drug
absorption, it is recommended the service one morning and evening
meal. The impact of skin infections need only one course of treatment,
fingernail infection required two treatment courses, toenails infected
with the three courses.
2. Fluconazole: Weekly oral 150mg, used in conjunction 3 to 6 months.
But only Candida valid, current relatively small.
3. Terbinafine: Daily oral administration of 250mg, row 1 week,
followed by the next day oral 250mg, take 3 to 6 consecutive months.
The above three kinds of drugs in China has listed more than a decade,
a wide range of clinical applications, security is good.
A surgical and chemical drawing
Single of the onychomycosis applied
Advantages: a more thorough treatment.
Disadvantages: painful, difficult to accept.
Implementation methodology: Surgery can be a local anesthetic under
the pull. A multi-purpose chemical drawing stripping A drugs (such as
40% urea ointment) A parcel disease, dressing was changed every day,
generally after the dressing was changed 5 to 7 times the deck that is
softening and nail bed separation, this time with a removal disease.
A easy to pull the suffering caused to patients and the daily
inconvenience, currently only in supplemental treatment, rarely used.
Attachment:
Nail Anatomy
A deck, as well as from around the nail bed and the following
organizations. Deck for the transparent horny plates, long in each
refers to the back of the distal nail, showing convex rectangular deck
shape and size in different individuals and the same individual in all
means that there are differences between toenail.
The deck from the proximal to the distal gradually thickened to a
free edge when the thickness is about 0.3mm ~ 0.7mm. From the vertical
perspective, the deck can be divided into a root, a body and the free
edge of the deck remote. A proximal part of the A arc below the shadow
of a white half-moon region is a parent material germinal cells in the
distal sign. A shadow arc clearly visible on the thumb, little finger
on the sight, uncertain whether the rest of the fingers. White in this
area may be due to two factors: 1. Where the deck of the
keratinization not yet complete. 2. A parent material epithelial thick
to cover up the blood flow in the bottom of the organization given
color. A bed is close to the soft tissue under the deck, located a
half months, and between the subungual skin.
A life-long non-stop growth, growth rate varies, but relatively
constant in the same individuals, found that only a very small number
of clinical patients with a larger difference between the growth rate
of right-hand man. The average daily growth of nail is about 0.1mm,
the daily growth of only nail nail 1 / 2, 1 / 3. Refers to a long nail
from the nail root to the distal free edge of the deck, it normally
takes 3 ~ 6 months, and some nail you need more than 6 months time. A
growth rate of age-related increase after puberty is slowed down more
slowly in old age.
Nail fungus treatment and prevention of disease
onychomycosis, fried a means by dermatophytes, yeasts and
non-dermatophytes fungus (the fungus) infection caused by deck, deck
gray become thickened and dull, or uneven, or A broken incomplete
disease. The incidence of fungal nail disease accounted for 2% of a
natural population of 5%, accounting for 30% of fungal skin
infections. Children's Nail rare fungal disease, the elderly more
common in the 40-60 year-olds is 15% -20%. Nail fungal infection of
the disease and climate (temperature, humidity), shoes, trauma,
self-immunity, genetic factors, and other related health conditions.
Etiology: onychomycosis pathogens are dermatophytes accounted for
first, followed by yeasts and molds. Many fungi can cause the disease,
dermatophytes are also due to regional differences in different
bacteria. Due to the different climatic conditions throughout its
incidence are not the same, an average of 9.1% of foreign and domestic
an average of 15%, Hong Kong residents toe nail fungal disease was 17%
~ 21%. It accounts for superficial fungal disease in 30% of the total
foot disease by 50%.
Recent discovery of dermatophytes and yeast mixed infections accounted
for 10% -20%, mixed infection of dermatophytes with the mold 4% ~ 17%,
yeasts and molds mixed infection of 15%.
Clinical manifestations of nail fungus disease clinical manifestations
of the deck turbid, thick, rugged surface, discoloration, deck
destruction, impairment or loss, tilt, and paronychia. There are
divided into two types: superficial type and a lower type; is usually
divided into the following four types:
1. Distal lateral subungual type is one of the most common type.
Common bacterial pathogens in red hair to be Trichophyton fungus,
Ashland hair fungus, Candida albicans, Candida parapsilosis, short and
capitals Scopulariopsis sp. A first invasive pathogens distal nail bed
under, and from this invasion, and a lower deck. A first cause
cortical destruction, a bed horny hyperplasia, thickening, turbid
deck, deck color. A remote damage the edge of an irregular, pigment
changes may be distal to the proximal nail bed spread was at band. As
the deck thickness, can be formed deck warpage, or cause a separation.
A remote deck of longer duration are missing, crisp, fall off a rugged
proximal residues.
2. Proximal subungual type this type common in patients with immune
deficiencies, such as HIV infection, leprosy patients. Pathogenic
bacteria mainly for red hair, but also for Candida albicans,
Epidermophyton floccosum, Ashland hair bacteria. A pathogenic bacteria
invade the roots of the deck and a small skin and proximal nail bed,
the deck appears cloudy, thickened, rough rugged and so on, often
accompanied by paronychia.
Superficial white type 3 by the required majority of infections caused
by Trichophyton, but also for Candida albicans, peach microspore
fungus, Cephalosporium, Fusarium and Aspergillus, etc.. A direct
violation of the deck surface for the bacteria, early lesions less
than 1mm white islands, expanding and blended them into a white cloudy
cloudy, uneven deck surface or deformation can also be collapsed.
A four-wide malnutrition type: by the above-mentioned three lesion
aggravated evolved. Full deck erosion, damage, loss, nail scratching
the surface of the accumulation of keratin hyperplasia.
Diagnosis: The diagnosis of nail fungal disease based on clinical
manifestations and mycological examination (microscopy and culture),
and sometimes to do multiple checks to determine. The disease needs to
and the following A Disease Identification:
1. Psoriatic A disease: the head, trunk or limb with psoriatic skin
lesions, the deck of a thimble, there is a separation, a thickening, a
turbidity, color, etc. A change in negative fungal examination.
2. A Lichen Planus: Lichen planus may be violations of the deck,
forming the deck deformation, deck shrinking, according to the body
skin lesions, the deck changes and negative fungal examination can be
identified.
3. Chronic eczema: eczema-like other parts of the body changes, and
often invaded and palms and soles, pointed toes, deck gray, with
vertical and horizontal ridge groove, fungi examination negative.
4. A White syndrome: the performance of similar superficial white nail
fungus disease, but the surface is smooth, white cloud-like changes
seen in the deck, the fungus examination negative.
5. A thick congenital disease: a family history, childhood disease,
deck thickening, opacity, but the deck is smooth, negative fungal
examination.
Treatment: Nail fungus relatively refractory disease, treatment for a
long time because of a slow growth, deck thickness, less than a direct
role in bacterial drug, obtained good results, be sure to adhere to
treatment interruption, the deck to try to scrape thin.
1, local drug: A little applied to disease, damage, or pulling a small
range of A can be used as auxiliary treatment after the application.
And internal medicine when there is a contraindication choice.
Adherence to treatment can cure more than 50%.
1) simple external application
(1) 30% acetic acid solution or 10% iodine tincture for external use:
Start out the disease before treatment is best Xiu A, the more
thorough the better, so that a direct role in bacterial liquid. Before
each subsequent drug Zaigua look, adhere to more than 6 months. To
protect a surrounding skin. Can also be soaked in vinegar eating
disease A, 30 minutes a day, stick to cure.
(2) Bate Fen (8% ciclopirox olamine A agents): Daily topical once a
medication for 16 weeks straight nails, nail 24 weeks.
(3), amorolfine (5% amorolfine A system of Liu): external use once a
week, continuous in June.
(4) quinoline itraconazole (including 28% of quinoline itraconazole
formulations A): once a day topical, sustained in June.
2), surgical and chemical addition to pulling A A
(I) Surgery pull A: application of a single fungal infection of the
disease A, pulling a short-term after taking the antifungal drug,
while a bed to clean up the liquid or partially coated. Can improve
the cure rate.
(2) Chemical addition to A: Available 40% urea ointment, mycophenolate
g PCS (1% biphenyl and 40% urea Festival wow ointment), and stripping
A cream and so on. Deck after the removal of the liquid for external
use at best.
Superficial white nail fungus, simply scrape disease A, topical
anti-fungal agent therapy.
2, the system medication: for people with various diseases A and
accompanied by other skin ringworm, or 1-2 months after a long illness
A drug for treatment or those who pull a treat unhealed. Except for
contraindications. Be chosen according to the following drugs: adhere
to medication cure rates of up to 90%.
(1), itraconazole, wow: At present, to use more shock therapy. Each
200mg, day, two times, the middle, or after a meal of rice Dayton
clothes, even clothes l weeks after 3 weeks as a course of treatment
withdrawal. Nail infections take 2-3 months treatment, nail treatment
required 3-4 months.
(2) terbinafine; to dermatophytes infection of choice, for some yeast
and mold and effective. Patients in general usage as follows: 250mg
once daily after a meal or clothes, and even changed every other day
for 1 week after medication 250mg, continuous medication 4-6 weeks
(fingernails) or 4-12 weeks (toenail).
(3) of fluconazole: the dermatophytes and Candida A illnesses. In
recent years, found that drug resistant strains of Candida increased
medication means medication a week once a dose of 150 ~ 300mg,
medication for 12 weeks in patients with fingernail, toenail 16 ~ 36
weeks.
Following the above method cure for nail fungus disease, but also
re-infection or recurrence, we must adopt the following preventive
measures to avoid recurrence.
To prevent a. Improve the body's immune function. 2. Improvement means
that the toe blood circulation, to avoid Chuanxiao Xie. 3. Active
treatment of common diseases of the hand, foot and ringworm. Part 4 to
avoid the trauma. 5. To develop good health habits, do not wear other
people's shoes and socks, do not other people's towels, bath towels,
do not share it with others basin, tub. 6, scheduled preventive
coating antifungal foot every 3 - 4 weeks time. Year in and year.
Timely treatment for nail fungus is very important
the deck, or organized under the disease. Nail fungal disease is
usually caused by a major causative organism is dermatophytes,
followed by mold and yeast. Then got nail fungus how to do?
1. Do not own treatment of infected nail fungus disease is a chronic
fungal infection, require active treatment, if not actively treated,
the victim may not only own a person must not see their fingernails,
toenails after a change in own use of ginger tea, water, essential
oils, or bubbles vinegar to treat not only a waste of money and time,
easier to improve the chances of more serious complications occur.
2. Timely treatment! The best choice of the year from April to
September therapy, all things grow in spring and summer are the most
vigorous, and nails, too, in this season to choose their own method of
effective treatment can be shortened one-third of treatment time, will
treat fungal disease of the nail to minimize the impact of the cost to
a minimum.
3. Note that cross-infection between family members in June after the
hot and humid weather, particularly in the south the weather is very
humid, it was mold good time to multiply and attack the human body!
Pay special attention to cross-infection of bacteria. Cross-infection
such as fungal nail fungus led to the disease, easily lead to a high
degree of family infection rate, according to statistics, domestic You
Sancheng about the families of patients with nail fungus, there are
varying degrees of foot fungal infection phenomenon.
Now you got nail fungus should know how to do a bar. Here to remind
you that there are many patients tend to overlook the seriousness of
nail fungal disease, usually in out-patient treatment of fungal
infection in other parts of the body, they find that hands and feet
with nail fungus. This is very dangerous.
Onychomycosis caused by pathogenic fungi
"onychomycosis," which is caused by a fungal infection. Onychomycosis
can cause a variety of pathogenic fungi. As the fingers (toes) A
fungal structure and the complex nature of onychomycosis difficult to
cure. There are the following four reasons:
A deck of dense compact structure, drug hard to penetrate, giving the
propagation of bacteria provides a natural barrier to the provision of
breeding grounds for parasites.
Two fungal diversity studies have shown that the fungus has caused
onychomycosis: dermatophytes (Trichophyton rubrum, Trichophyton gypsum
samples, Epidermophyton floccosum), pathogenic yeasts and filamentous
fungi other than dermatophytes (Penicillium, Paecilomyces,
Scopulariopsis, capitals sp, Acremonium, Aspergillus and Fusarium
bacteria), but is difficult to single certain drugs are effective for
all fungi.
3 on drug insensitivity in a static body of dormant fungal sensitivity
to antifungal agents in general poorly or not at all sensitive, but
also extremely long incubation period. Once the medication ended,
encounter suitable environment, spores will germinate, growth,
reproduction.
4 and repetitive due to athlete's foot infection in most cases, the
first due to have athlete's foot (tinea pedis) and then the secondary
"onychomycosis," of course because of "onychomycosis" to which led to
athlete's foot (tinea pedis) or hand ringworm. Therefore, in order to
complete two must Tongzhi.
How to prevent toenail fungus infection?
cause pain, but also affect the appearance. In most cases the need for
6 months or even longer, treatment and recovery. This is why
preventive measures very important reason. Here are some recommended
steps that can help you keep toenails healthy and free from infection
influence.
Mildew, mold, yeast and other microorganisms were the main cause of
nail infection, warm and humid environment, especially suited to their
growth. In public places, water or wet pavement barefoot walking and
Jiaohan the easiest way to toenails infected with fungus. Therefore,
to keep feet dry and clean is the best preventive measures. The
following is a simple way can be done:
* In public places (such as gym, spa and bathroom) to wear slippers to walk.
* Weekly use of bleach disinfectant towels and towels.
* Take off his shoes and socks during the day so that the foot
contact with air.
* In the home, barefoot allows feet more exposed to air and keep dry.
* If you must wear shoes and socks all day, you can use
anti-fungal foot powder. Also, do not sleep at night wear socks.
* Feet per day, especially in the gap between the toes.
* In the wear socks to ensure the feet are dry before.
* Regular nail trimming and clean.
* If you use a toe nail polish, it is recommended frequently
changed in order to facilitate the opportunity to nail contact with
air.
* Do not share nail tools with others. To ensure that the tools
used in the nail salon after disinfection.
In addition, the sub-foot A fungal toe shoes will also increase the
chance of infection, thus ensuring normal wear comfortable shoes.
Let toenails away from the fungus
space, whether it is sports, showers, beach play, or sweating, can
make your feet fungus infection, affecting comfort and health. In
order to timely detection and treatment of fungal infections, the
United States Mayo Medical School remind people of the symptoms of
fungal infections, such as: thickening toenails, fragile or
discoloration, skin itching or pain, skin burning, pain or flavored
and other toes.
General fungal infections from toenails and skin begins, but also easy
to spread, once the toenails infected and cause skin damage, but also
easily lead to other adverse symptoms, such as cellulitis. In
addition, fungal infections can be easily spread in the family. In
order to avoid fungal infections pose a threat to themselves and their
families, New York, the authority of the surgeon, St. Anniliwei
describes six ways in which your feet healthy response to the summer
heat.
1. Do not your feet shower naked in public places, walking on the floor at home;
2. If you go to pedicure, to ensure the tub and related tools for
disinfection, clean, and pay attention to these tools on the
disinfection cabinet;
3. To the foot health care settings, you can bring their own
disinfectant and towels, etc.;
4. Do not always used nail polish, taking a short break to the toes,
rest a week and then smear;
5. After the bath, to rub some lotion around the toenails, and to
prevent toenails were injured;
6. Care of your feet to keep feet skin health, delicate, avoid
chapped, peeling, or dry heels, with good health habits, is the best
side away from the fungus.
The role of citronella oil - treatment of toenail fungus
ingredient commonly used in soup and curry sauce can also be used as
an herbal tea. The role of one of the essential oils including
citronella, as the use of pesticides.
Citronella essential oil is distilled from lemon plant derived,
because it has antibacterial properties, so often treated as a toenail
fungus home remedies use of the active ingredients. In addition, such
oils also protect the nails role.
In the ancient Indian herbal medicine, lemon herb used to treat colds,
cough and fever. The Brazilians use this herbal tea to treat anxiety,
nervousness, stomach pain and diarrhea. Recent research also shows
that lemon herbs lower blood cholesterol levels have a potential
effect. By the United States under the auspices of the University of
Wisconsin study also found that through clinical trials, lemon herb
can lead to cell death, which contains citral substances can cause
cancer cells to self-destruction.
Citronella oil is not only a treatment for toenail fungus outside of
the effective remedies, because of its anti-fungal properties, but
also effectively protect the nails, to avoid unnecessary erosion of
moisture and mold. Mysore University in India, lemongrass essential
oil is used to protect and preserve written on palm leaves on the
ancient Sanskrit, to avoid fungal reproduction. The effect of such
preventive measures apply equally to the prevention and treatment of
toenail fungus.
The important point is the use of pure essential oils. Brittle,
rotten, and nail deformities and other problems can be effectively
used citronella oil immersion treatment. Twice a day, every 5 minutes,
do not mixed with other oils or substances. Best of all, this recipe
does not contain any corrosive substances, it will not cause harm to
the nail.
Tea tree oil toenail fungus treatment of the principle
Tea tree oil is also known as Melaleuca oil is a shrub, is native to Australia, New South Wales, Melaleuca is a shrub leaf extract of oil. It is almost clear or light golden. This volatile oil is commonly used in diluted form, because the pure oil may cause reactions. It has a large number of medical benefits. Its antibacterial and anti-fungal properties make it a perfect treatment for toenail fungus drug. A long period of time, it has been used as preservatives used in Australia. Recently, however, an increasing number of studies have found that tea tree oil can be used as a good skin care products, and can be used to treat other diseases.
Treatment of toenail fungus tea tree oil because it can resist the skin fungus. The primary reason for fungal skin fungal infections, including nail infections are the most common form. Dermatophytes in nail keratin as a food. From a nail infections often start at the top, if not treated early, often form a deep infection.
Believe it or not, tea tree oil is also thought to help the treatment of other diseases, including dandruff, athlete's foot, eyelid inflammation, insect bites, minor wounds, ear infections, bee stings, sunburn, and acne and so on.
Treatment of toenail fungus tea tree oil, there are two ways to choose from. First, use cotton swabs and sticky tea tree oil painting of the affected area, stay a few minutes. The efficacy of tea tree oil is that it can penetrate the nail. Another option is blending of pure tea tree oil with warm water immersion foot. Before treatment should first wash and dry feet, as long as taking the right approach, tea tree oil toenail fungus removal rate will exceed your imagination.
Prevention of fungal infection toenails method
A fungal infection of the toes to prevent the need for attention to the following points:
1. Do not barefoot in wet public areas to walk.
2. As far as possible to wear shoes to protect their feet, and do not use public showers, swimming pool, a public slippers.
3. Always keep feet dry after swimming or bath, dry thoroughly with a clean towel foot.
4. Toenails trimmed on a regular basis. Avoid using nail polish, because it is easy to fungal wrapped up.
Above is the prevention of toenail fungal infection in a few precautions people should always pay attention in everyday life.
Toenail fungal infection causes, prevention and treatment
What is toenail fungus?
Nail fungus or onychomycosis is an infection occurred in the nails on. This situation occurred in the nail fungus occurs inside the case, it keratin as a food, will cause nail harden. Difficult to treat toenail fungus, because they prefer to live in dark, warm and moist environment, while wearing socks and closed shoes just created such an environment.
Place a notice in wet barefoot walking is very susceptible to fungus. These places include public showers, sauna, spa and swimming pools. Manicure in the nail shop is also one way of infection, in particular, is a tool not thorough disinfection of the case. Wear closed shoes and socks is also a gas-tight synthetic materials is another reason for fungal infections.
People with weak immune systems are also vulnerable to infection. The health of other risk factors include diabetes or poor circulation conditions and other diseases. Toenail fungus infection nail injuries for another reason. Jogging or participating in sports may result in broken nails. Shoes and socks inside the water would seep into the cracks caused by nail fungal infections, which would make it harder to treat.
Poor sanitary conditions may also lead to fungal toenails. Therefore, to maintain dry feet and toes is very important, which can prevent mold growth.
Fungal Prevention
Do not barefoot in wet public areas to walk. As much as possible to wear shoes to protect their feet, and do not use public showers, swimming pool, public slippers. Always keep feet dry after swimming or bath, dry thoroughly with a clean towel foot. The space between the toes wet easily, and should therefore attract attention. Regular trimming toenails. Avoid using nail polish, because it is easy to fungal wrapped up. In addition, the nail polish will prevent sunlight into the nail, thus suitable for the growth of fungi caused by a dark environment.
Fungal Treatment
Oral drugs should be avoided, because this would have a negative impact, extreme cases may also lead to death. Local treatment is more safe and effective treatment programs. It is made of natural plant oils, such as tea, almonds, cloves, and lavender composition, well-known of these is to promote healthy nails herbs. They are cheap and there are no known side effects.