Treatment of fungal diseases should be carried out under the supervision of a dermatologist.Improper antifungal agents can only cause temporary improvement without curing the disease itself.
Treatment of fungal diseases must be carried out under the supervision of a dermatologist.In the case of self-medication, the chosen antifungal agent can only cause a temporary improvement without curing the disease itself.
When choosing a treatment method, it is necessary to take into account the area and shape of the lesion, the level of fungal prevalence, the presence of concomitant diseases, and the age of the patient.
Antifungal drugs are divided into two types: for external and internal use.External medicines themselves are only effective in the early stages of the disease, so the treatment must be comprehensive: the fungus must be affected both from the outside and from the inside.
Internal setup
For successful and safe treatment of fungal diseases with internal antifungal drugs, it is advisable to follow certain rules:
- The diagnosis must be confirmed by a doctor.
- During treatment with internal antifungal drugs, it is advisable to limit the intake of other drugs, except for essential ones.
- Medicines should be used under the supervision of a doctor for a long time, until the fungus is completely gone.
- Control examinations must be carried out initially once every 2 weeks, then once a month.Scraping control - 6 months after the end of treatment.If fungus is detected, a second treatment is required.
Currently, dermatologists consider pulse therapy to be the most effective and safe method of treatment - taking medicine at long intervals.In some cases, a 1-week course of therapy is prescribed, followed by a 3-week break and then a new seven-day treatment.During administration, the drug accumulates in the body, and in the following weeks continues to actively fight the infection.
A full course of therapy usually lasts three months.However, after completion, the drug continues to act for a year, protecting against the reappearance of the fungus.This technique, on the one hand, allows the body to "rest" from taking drugs, on the other hand, it does not exclude the possibility of taking other drugs, including antibiotics.In addition, the risk of relapse is significantly reduced.
External setup
When nails are affected, not only internal drugs are used, but also topical drugs - nail polish and plasters and skin ointments (keratolytic) and ointments.
Loceryl and 5% batrafen are used as antifungal varnishes, which can penetrate the inner layer of nails and nails.Varnish is applied to the top of the nail (the affected area of the nail surface can be removed using the nail file included with the varnish), cleaned and degreased (for example, with alcohol) of the nail.
In addition, keratolytic ointments and plasters can be used to remove the affected nail area.These products soften the nails, as a result of which they are easily and painlessly removed from the surface of the nail bed.Patches that are currently used contain urea or salicylic acid as a keratolytic component.Sometimes an antiseptic (quinozole, iodine) or a local antifungal agent, such as ketoconazole, is added to the patch.
A keratolytic patch is applied to the nail surface and covered with an adhesive plaster and bandage.After 2-3 days, the affected area is cleaned and the patch is reapplied.The procedure is performed daily until the affected nail is completely removed.Average treatment duration is 6 months for fingernails and 9-12 months for toenails.
In addition, a special set for nail treatment is produced, which includes ointments with antifungal and keratolytic effects, nail scrapers and patches.
For fungal skin infections, topical creams are used, for example, loceryl.This cream is applied daily to the affected area.The average duration of treatment is 2-3 weeks;When treating feet - up to 6 weeks.
Treatment of contaminated goods (disinfection)
During and after treating a fungal infection, it is very important to eradicate everything the fungus has come in contact with.The floor, walls, equipment in the bathroom, shower, bathroom, as well as the patient's personal items: pants, shoes, skin care items and nails should be disinfected.
The walls and bottom of the shower should be treated with a mixture of equal parts washing powder and bleach or chloramine, diluted to a creamy consistency (the powder should be washed off after 30 minutes).You can also use a 5% solution of chloramine or bleach, or a 3% solution of lysol.
It is recommended to treat shoes with a solution of formaldehyde (25%) or acetic acid (40%).You should wipe the insoles and side areas of the shoes with a moistened swab.Then place a tampon on the foot of the shoe, and place the shoe itself in a hermetically sealed plastic bag for 24 hours.After using acetic acid or 25% formaldehyde solution, the shoes are ventilated or wiped with ammonia to eliminate the smell.
Underwear, stockings, socks, tights can be disinfected by boiling for 15-20 minutes in a 2% soap-soda solution.Then they should be ironed with a hot iron.
Nail scissors are disinfected by soaking them in alcohol and then burning them through an incendiary flame.
Prevention
To avoid infection with foot fungus, it is recommended to adhere to the following rules:
- Use only your own shoes.
- Do not wear tight shoes, which keep the environment moist and expose the skin and nails to friction and microtrauma.
- Take care of your shoes;Shoes should be dried well after wearing.
- People who often visit saunas, swimming pools, baths, sports and gyms are recommended to use local antifungal agents (ointments, creams, varnishes).
- Avoid porous carpets in the bathroom - they are difficult to wash and therefore serve as excellent protection for various microorganisms, including fungi.