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Nail fungus treatment - advanced form - methods and features

Every fifth patient comes to see a dermatologist when the disease is already in advanced form. The main reason is the lack of treatment of nail fungus in the initial stage.

Such carelessness leads to the deep introduction of the fungal pathogen into the body and the transition of the disease to the chronic phase. The treatment of the nail fungus of the neglected form has its own characteristics and requires a long-term complex therapy.

Content

Features of the development of nail fungus

Nail fungus treatment

Nail fungus treatment

In the official registry of serious WHO diseases, a fungal infection of the nails is designated as onychomycosis, which corresponds to a literal translation from Greek.

The causative agent is dermatomycetes - a large group of parasitic fungi. The main role in the development of pathology is assigned to the red trihofiton.

Spreading throughout the body is lymphogenous, as evidenced by a number of factors - the detection of a fungal pathogen in the lymph nodes of the inguinal zones, in the secret of the prostate and other organs. And in the ascending way (by extension), starting infection from the proximal (posterior) sections of the nail plates.

Therefore, it is important not to heal the visible symptoms of the disease, but to completely remove the infection from the body.

The clinical picture of the development of a fungus in the nail plates of the fingers of the extremities is conventionally divided into three types of lesions.

  1. The normotrophic appearance of a lesion is characterized by the formation of plates in the depth, mainly along the edges, of white or saturated yellow spots and streaks. Over time, their merger is celebrated. They are localized over the entire surface of the plate, with the exception of the rear part adjacent to the well.
  2. In hypertrophic lesions, subungual keratosis develops, causing a significant thickening of the nail plate. In the thickness white stripes or yellow spotty inclusions are seen. Due to the substantial loss of the substance of the nails, their separation, brittleness, and characteristic edema of the edges are noted.
  3. The onycholytic appearance quickly changes the nail plate. The color changes from dim whitish to whitish-yellow color. The process of separating the plate from the bed begins.

When the fungus stage is neglected, the nail plates change their structure, becoming uneven, dense and uneven. The enhanced development of hyperkeratosis inside the plate causes:

  • nail deformation - thickening or thinning;
  • keratinization of the nail plate;
  • destruction - lamination and crumbling;
  • delamination of the plate from the bed with the formation of a cavity filled with dead skin cells, fungi, germs and dirt;
  • change in growth direction;
  • possible development of signs of onychogrifosis (bird claw);
  • twisting the nail plate;
  • it grows into the outer side edge of the roller.

Possible consequences

consequences of the running form of fungal nail infections

neglected form of fungal infection, photo 2

Inadequate independent attempts at treating the neglected chronic form of the fungal infection of the nails can provoke:

  • violations in the protective functions of the body;
  • easy exposure of the body to infections and viruses;
  • exacerbation of background pathologies;
  • the spread of an infectious carrier into the circulatory system and internal organs;
  • overall decline in the immune system.

In addition, against the background of chronic fungal infections can develop: various forms of dermatitis, inflammatory and dystrophic reactions on the skin (eczema), inflammation of the mucous membranes of the conjunctiva, throat or nose, bronchitis and allergies.

Such effects are caused by the action of toxins secreted by the fungal parasite. It should be remembered that the fungal infection is very contagious, therefore it is dangerous not only for the wearer, but also for the people around them.

Diagnosis and treatment of neglected nail fungus

treatment of neglected nail fungus The diagnosis of nail fungus is mainly carried out by evaluating the clinical signs and symptoms. The correct interpretation of fungal nail infections helps to determine the treatment tactics.

Methods of laboratory diagnostics are used to assess the status of the pathogen and confirm or exclude the diagnosis.

  • cytological research methods (exclusion / confirmation of malignant pathologies in the nail bed);
  • complex of mycological studies (seeding and microscopy);
  • determining the etiological role of one or another pathogen in the development of pathology is a microbiological study.

With the running form of the fungus, the tactic of the treatment process is based on the use of complex techniques, including antifungal drugs of internal and external use, methods of hardware treatment, correction of background adverse conditions - immunodeficiency, varicose veins, failure in metabolic processes.

Для достижения наиболее эффективного лечение запущенной формы грибка ногтя таблетками, назначаются системные препараты группы триазолов и аллиламинов – «Итраконазол», « Флуконазол », «Тербинафин». 1) To achieve the most effective treatment of the neglected form of the nail fungus with pills, the systemic drugs of the group of triazoles and allylamines are prescribed - Itraconazole, Fluconazole , Terbinafin. These groups include dozens of local and systemic drugs.

The effective action is due to the destructive effect of the drug on the cell wall of the fungus. It has a fungicidal effect of cumulative properties, in 90% of cases of neglect of the disease destroys dermotofity, yeast and mold fungi.

Комбинация применения системных препаратов с местной терапией (мазь, лак) ускорит процесс выздоровления. 2) The combination of the use of systemic drugs with local therapy (ointment, varnish) will accelerate the healing process. Among the popular drugs are Clotrimazole, Lamisil and Terbinafin , Lamitele or Termikon, Mikosan, Batrafen and others.

Laser treatment of fungus on the nails

Laser treatment of fungus (photo 4)

Hardware techniques include:

Лазерная методика не оказывает существенного влияния на организм, разрушает грибковые колонии, не нанося вреда здоровым тканям. 1) The laser technique has no significant effect on the body, destroys fungal colonies, without harming healthy tissues. In four sessions of laser therapy, you can get rid of the fungus (photo 4).

Методика озонотерапии устраняет инфекцию посредством введения инъекции озона в ногтевую пластину. 2) The ozone therapy technique eliminates the infection by injecting ozone into the nail plate. The procedure has an anti-inflammatory effect and contributes to the improvement of immunity functions (the duration of treatment is 10 sessions).

Метод аппаратной обработки – электромеханическая обработка и снятие верхнего слоя ногтя. 3) The method of hardware processing - electromechanical processing and removal of the upper layer of the nail. The course of treatment is 6 procedures.

In case of complete destruction of the nail plate, it is completely removed in 4 procedures with special external preparations prescribed by the doctor or in 1 session by the hardware method.

Folk remedies

. Methods of treatment of nail fungus in the form of running folk remedies - untenable . Various recipes for their use have a therapeutic effect only at the beginning of the infectious process.

The treatment of nail fungus of a neglected form with hydrogen peroxide is the only folk remedy that can be used as a disinfecting antibacterial agent in the process of medical treatment.

The easiest and sparing procedure:

  1. Prophylactic baths - the recipe is designed for 2 liters of hot water. Dissolve a little rubbed tar soap, add 120 ml. 3% peroxide solution. Disinfection time - 20 min. Clean the nail of dead cells and apply antifungal external agent.
  2. Compresses - tampons moistened with peroxide are applied to previously steamed affected areas for 40 minutes (twice a day), the plate is cleaned and antifungal ointment is applied.

Full recovery is possible if you adhere to all medical recommendations, and adherence to strict rules of hygiene.

Interesting
Inga
2017-03-28 08:48:44
Tar soap in general is useful to apply, but we remember about it only when we already become infected ... And the same micospray can be taken for prophylaxis, but no one thinks about it again.

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