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.
No comments:
Post a Comment