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Nail fungus on the hands: symptoms and treatment, the initial stage

What it is? Nail fungus on hands, scientifically, onychomycosis is an infectious disease that occurs when the skin and nails are infected with fungal microflora (see photo). There are about 50 species of fungi that cause disease.

Nail fungal infection is the most common dermatological disease. It is believed that the true number of infected is 10-20% of the entire population of the Earth, although the diagnosis has been established only in 2-14%.

Especially often the disease develops in persons of the older age group, in whom there is a physiological decrease in body resistance.

In Russia, up to 15 million people suffer from onychomycosis. Often affected by the fungus of the toe nail and foot . Infection of nails on the hands is less common and can occur as a primary disease, for example, when infection is introduced during manicure, and again, when the fungus spreads from infected toenails.

Nail fungus

This option is most often observed in older people, due to the late treatment of the fungus feet. A "family" infection with a fungus is quite common, it is observed in 88% of cases.

The high prevalence of onychomycosis among members of one family is associated with non-compliance with hygiene measures, for example, the use of 1 towel, washcloth, etc. for the whole family entirely. Normally, each family member should have individual hygiene products.

The cause and cause of the onychomycosis of the hands are:

  • yeast fungi of the genus Candida (in most cases);
  • dermatophytes are anthropophilic trichophytones.


Symptoms of fungal nails on the hands, photos

nail fingernail photo initial stage

nail fungus on the hands, photo - the initial stage may manifest weakening of the nails

Any kind of nail fungus has 3 main symptoms:

  1. Change the color of the nail plate;
  2. Thickening of the nail plate;
  3. Destruction of the nail in the form of eroded contours and other manifestations.

Changes in the nails can begin from the edge of the nail plate, or from its base. It depends on the type of microorganism that caused the disease, i.e. whether it is a candida or dermatofacial infection.

The fungus under the nails on the hands is observed in the proximal subungual form, which is caused by the fungi of the genus Candida albicans (Candida albicans). This form affects mainly women and usually affects the right hand, which is associated with its functional purpose.

The proximal form of the nail fungus on the hands in the initial stage is characterized by the fact that the pathological process starts from the root, the base of the nail.

In response to penetration of the pathogen in the posterior or lateral nail cushion, inflammation occurs - paronychia. In this case, the nail cushion swells, thickens, redness appears. On the edge appear scales gray-silver color. When you feel the roller painful, and when pressed on it may appear a drop of pus.

  • However, purulent exudate is not specific for fungal infection. It appears only when the bacterial pyogenic microflora is attached against the background of local immunity weakening.

Fungus under the nails on the hands

When the process moves to the nail in the area of ​​the half moon there are deformations. Then its color changes: white or yellow spots form in the thickness of the nail at the root. Onycholysis gradually develops - the nail lags behind its bed and loses its transparency, so it can fall off on its own.

What does the nail fungus look like when it is affected by dermatophytes? When infected with anthropophilic trihofitones, damage to the nails is observed, as a rule, in combination with damage to the scalp, as well as smooth skin. More often, the defeat of the nails begins on the hands, and the nails of the feet may change later.

Nail changes begin at the edge of the plate and from its sides with the appearance of stripes or gray spots, thickening of the nail plate, and the appearance of grooves on it. Also in the center of the nail may form a whitish spot, which, with an increase occupies the entire plate. Nails grow dull, over time they begin to deform and crumble.

Thus, you can avoid the negative effects associated with fungal nails. However, for this it is necessary to promptly seek medical help, i.e. before the development of complications.

From this position, the appearance of white spots and stripes on the nail plate are the signs when you need to visit a doctor (dermatologist or trichophytologist).

Treatment of nail fungus on the hands

Treatment of nail fungus on the hands

Before the start of therapy, a detailed examination of the patient is carried out using additional diagnostic techniques. If they detect a nail fungus on their hands, they begin treatment with topical agents.

This type of therapy is acceptable when there is limited damage to single nails, with the surface and initial form. A limited lesion is determined if no more than 3 nails are involved in the pathological process, and each nail plate has no more than 50% damage to its surface. In other cases, it is shown and systemic therapy.

In local treatment, an approach is used in which the affected nail is softened and removed, followed by the application of an antifungal agent, or medicinal varnishes are used.

  • Cleaning up and treatment using the Mikospor kit.

The kit includes an ointment containing the antifungal drug bifonazole and urea. These drugs contribute to the softening of the nail plate.

The ointment is applied to the affected nail, covered with a patch and left for 24 hours. Then, after first dropping your hands in warm water for 10 minutes, scrape away the softened part of the nail with a special scraper included in the set.

After that, again apply the ointment and close the nail with a plaster. This procedure is carried out daily until complete removal of the infected plate - the nail should not peel off from the bed, and the nail bed should be smooth.

running hand fungus

It usually takes from 1 to 2 weeks. Further treatment of nail fungus on the hands is a daily application of a cream or solution Mikospor for 2-3 weeks.

Also, after removing the affected part of the nail, it is possible to apply a solution of amorolfine (contains tsiplopiroks), creams, ointments or sprays: Exoderil, Thermicon, Terbinafin, Lamisil, Nizoral.

бзор недорогих, но эффективных препаратов от грибка . A review of inexpensive, but effective drugs from the fungus .

This information is a reference, so you must consult your doctor. Only a specialist can choose the most optimal drug, taking into account the spectrum of antifungal action and pharmacological sensitivity of these microorganisms.

  • Medical varnishes are applied according to the scheme until the healthy nail grows fully, but not more than six months.

Before the first application, it is necessary to remove the maximum possible area of ​​the affected nail with scissors or nail clippers. This will be a mechanical way of getting rid of pathogenic fungi.

To clean the nail plate from the previous layers of varnish should be no more than once a week using any nail polish remover. This is due to the fact that the active components of medicinal varnishes exert their effect within 1 week. They are then inactivated, so reapplication is required.

The most commonly used varnishes such as Batrafen, Loceryl, Microderil, Demicten. They are implemented through the pharmacy chain without a prescription. As the only method of treating onychomycosis, this method has conflicting data regarding the effectiveness and the associated cure rate (9-50%). Therefore, combination therapy is required.

If the fungus on the hands does not respond to treatment with local remedies or has caused it to spread from the legs, as well as there are significant changes in the nail, full-fledged comprehensive treatment is necessary, in which the local therapy is supplemented by the intake of an antimycotic drug by mouth local therapy is combined with systemic.

The most effective drugs are the following groups:

  • Introconazole (Orungal). It is used for any form of onychomycosis. Appointed in the mode of "pulse therapy": with the disease of the hands - 2 times a day for 1 week, 3 weeks break, repeat the cycle 1 time;
  • Fluconazole (Diflucan), is effective for onychomycosis caused by yeast fungi. With the defeat of the nails on the hands appointed once a week for 6 weeks;
  • Terbinafin (Lamisil, Exifin). Basically they are effective and are used for dermatophytes. Appointed with the fungus of the nails of the hands 1 time per day for 6 weeks.

According to current recommendations, the duration of treatment and its type (local, systemic, combined) is determined using the KIOTOS index. To calculate it, a special calculation ruler is used.

By rotating its circles, the specialist compares the shape of the lesion (taking into account the symptoms), the length of the pathological process and the degree of hyperkeratosis in combination with the patient's age.

As a result, he receives a certain value in points, which was previously derived by researchers empirically using mathematical formulas. KIOTOS is a universal system for taking therapeutic treatment of onychomycosis.

It should be noted that antimycotic drugs are toxic and contraindicated in diseases of the kidneys, liver, as well as pregnant women. Therefore, should be appointed only after an accurate diagnosis and assessment of the circumstances "for" and "against."

Folk remedies for the treatment of fungus on the nails of the hands

Folk remedies for the treatment of fungus on the nails of the hands

To cure nail fungus on the hands of only folk remedies is difficult, and often impossible. However, they can be used in combination with pharmacological agents, as well as when there are contraindications to the use of antimycotics.

The algorithm for the treatment of fungi folk remedies is the same as with traditional therapy: you first need to remove the affected part of the nail, and then apply the tool.

Some folk remedies that can be used with the nails fungus of the hands are listed in this list:

  • Hydrogen peroxide - applied to a small portion of a cotton pad, about the size of a nail, applied to the lesion and fixed. The exposure time is 10-15 minutes. The procedure is carried out 1 time per day for 1-3 months. Peroxide as an active oxidizing agent has a detrimental effect on mycelium and fungal spores;
  • Acetic acid - first, make therapeutic baths, diluting 9% vinegar with water in a ratio of 1: 8, immerse the nails in the solution for 5 minutes. Baths produce 1 time in two days, the course - 7 baths. Then the following mixture is applied: 70% vinegar (1 tsp), sunflower oil (1 tsp), 1 chicken egg and dimetiphthalate (1 tsp). After applying the nails wrap cling film and put on gloves, leave for a few hours. The course consists of 4 procedures;
  • Propolis - mix 1 tsp. with 100 ml of ethyl alcohol, put on pre-steamed and treated nails and as much as possible under the nail plate in the places of destruction, wrap, leave for a few hours. Course 3 treatments;
  • Tar soap - cover the affected nail and the roller with this soap, after which the hands are dipped in salt, you should wrap your fingers with a film and put on gloves or mittens, leave for the night. You can use this tool to complete treatment;
  • Coffee - in strong coffee, cooled to room temperature, lower fingers for 5 minutes. Such a bath removes itchiness well and makes the skin smooth. After the procedure, applying antifungal cream gives a good effect.

Ideally, folk remedies should be considered as an addition to traditional therapy. They help strengthen the action of antifungal drugs and achieve a speedy cure and eradication (destruction) of fungi.

Prevention of fungal infection of the hands

To prevent fungal infections of the nail plates on the hands and feet should follow certain preventive rules. They are fairly simple and effective if performed regularly.

These include:

  1. Moderate hand hygiene, to preserve the protective lipid layer of the skin, which provides natural antifungal protection;
  2. Monitoring the condition of nails with frequent visits to nail salons. With the preventive purpose after a manicure, you can treat your nails with an antimycotic cream. However, they often do not get involved because it breaks the natural protective layer. It is better to visit a proven nail salon, where due attention is paid to the processing tools;
  3. Prevention of family infection consists in the timely detection and treatment of fungus, especially the foot fungus in the elderly, as well as the use of individual towels, nail scissors and other personal care products;
  4. Prevention of reinfection is performed by treating the patient's gloves, disinfecting nail files, washcloths, and towels. It is advisable to wash the latter at high temperatures and, if possible, to iron.
2017-03-26 10:57:27
In my situation, the most annoying thing is that after a pedicure I always processed mycospray in order not to get infected with a fungus, and I did not even think that I could catch a fungus on my hands. Accordingly, she did not take any preventive measures. And it turns out. the manicure is even more terrible as the gel was removed, so God knows what a terrible picture it was. And you can not prove that this salon is to blame.
Medical Consultant
2017-04-03 18:31:18
Hello! Myspray is sometimes positioned as a treatment spray. But this is nothing more than an advertising move. In order to cure a nail fungus, even in the initial stage, we need special means that diffuse through the nail plate and are able to “get” the fungus under the nail. These drugs include “Exoderil” (naftifine) ... As for gel nails, there may be conditions for the appearance of a fungus under them. Therefore, you need to quickly go to a dermatologist, and pass the scraping from under the nails to determine the presence of mycelium and fungal spores. Only then will the question of rational antimycotic therapy be resolved.

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