Prescription for onychomycosis
The treatment of onychomycosis takes a long time, and it is difficult for many patients to adhere to adequate medication courses for various reasons. Giving up medication halfway is one of the main reasons for the poor treatment effect. Therefore, patients with onychomycosis should be patient, adhere to medication, adhere to regular follow-up, and never stop taking drugs on their own. Even if the diseased nail has been completely replaced by a new nail, it does not mean that it has been cured. It should be judged by a professional doctor, and it is necessary to judge whether the curative effect has been achieved through microscopic examination and fungal culture results, otherwise you should continue to use drugs.
Need to be reminded that some patients have been dragging their feet, and when they have to come, the treatment is already very difficult. Especially diabetic patients, once they find onychomycosis, they must pay close attention to treatment. Because onychomycosis is often accompanied by beriberi, it is easy to cause toe skin damage and form bacterial infection. In addition, diabetic patients have high blood sugar, which provides nutrition for bacterial reproduction. Infection and suppuration can not be cured for a long time, which may eventually lead to gangrene and amputation.
The cure of onychomycosis does not mean that everything is all right. The recurrence rate of onychomycosis is relatively high. Therefore, in addition to taking preventive measures, other family members should be advised to treat onychomycosis as soon as possible to avoid re-infection and recurrence.
Aunt Hou, 64, looked forward to her grandson for a long time, but after the grandson was born, her daughter-in-law refused to hug her, and she was not allowed to intervene in steaming steamed bread, cooking and washing dishes because she had onychomycosis. Aunt Hou felt humiliated and put the responsibility of her daughter-in-law on everyone. Look at nail ailments like a millstone, where there will be so many infections! ? The daughter-in-law also has something to say: the mother-in-law is too careless. It is reported on the Internet that because the nanny suffers from onychomycosis, the baby over 2 years old is also infected. People often say: If you have onychomycosis, one can infect two. Can I be careless?
Many old people, like Aunt Hou, suffer from life troubles because of onychomycosis. What disease is onychomycosis? Why are older people more frequent? How to prevent it?
Prescription for treating onychomycosis 1
Drug preparation: Take 500 ml of Shanxi Taiyuan mature vinegar (the older the better), put it in an iron pot and boil it, concentrate it to 150 ml, then rinse 50 g of Sophora flavescens and 20 g of Zanthoxylum bungeanum with water and soak it in concentrated vinegar for one week.
Treatment: Before applying the medicine, soak the gray nails in hot water, and then gently scrape off the diseased nails layer by layer with a blade. The more thoroughly onychomycosis is scraped, the more obvious the therapeutic effect will be, without bleeding or pain. Then soak the sterilized cotton ball in the liquid medicine for 5~ 10 minutes, once every night before going to bed. It usually takes 5 to 7 days to take effect.
Note: 1. Before each application, the diseased nail must be soaked in hot water, so that the medicine can reach the affected area directly to speed up the efficacy. 2. During the treatment, avoid washing the affected part with cold water to keep the shoes and socks dry and clean.
Prescription for treating onychomycosis II
Drug preparation: Take 20 cloves of garlic, peel, chop or mash them, and put them into a jar with a stopper. Add 10% acetic acid 150 ml (vinegar can also be used instead) and soak for one day.
Treatment: soak the diseased nail in warm water for 5 minutes until soft, fry or scrape off the removable diseased nail with scissors, and insert the diseased nail into garlic for soaking 15 minutes. Three times a day, a week can be effective. If it is not cured, you can treat it for another course according to the above method. In order to save time, cotton wool can also be dipped in garlic extract and applied to the diseased nail, soaked or smeared with garlic extract. Sometimes the sick nail feels a little painful and should be persisted. Garlic extract can be preserved for a long time and can be reused. It is also effective to treat tinea pedis (beriberi) in this way.
Prescription for treating onychomycosis 3
Medicine preparation: 40g of urea, 20g of lanolin, 5g of ash and vaseline to100g. This urea preparation is a strong keratolytic agent.
Treatment: In application, first protect the skin around the diseased nail with gauze strips, fix it with adhesive tape, and then wrap it with gauze. Change the dressing/kloc-0 times a day, and separate the deck from the nail bed with a knife every time. Generally, the deck can be softened and separated from the nail bed after dressing change for 5 ~ 7 times. After separation, cut the deck in half with small scissors, disinfect it locally with iodine, drop a few drops of 1% ~ 2% procaine solution, pull out the diseased nail after a few minutes, scrape off the uneven cutin on the nail bed, then wrap it with mixed ointment of urea ointment and compound benzoic acid ointment, and change the dressing 1 time every day until the new nail grows completely.
Old people are prone to onychomycosis.
Onychomycosis is a common skin disease, medically known as onychomycosis. It is a fungus parasitic in fingernails and toenails, and one of its symptoms is nail thickening.
The main symptoms of onychomycosis are nail deformation, softening and discoloration. As long as there is any change in onychomycosis, there is no need to have both. Among them, the deformation includes nail thickening and relaxation. In general, the initial symptoms of onychomycosis rarely turn gray-black, and it usually takes a long time to change color. It may not be gray or gray-black, and patients with white onychomycosis have been seen in clinic.
Onychomycosis is a common fungal infection, accounting for 50% of onychomycosis, which can spread at all ages. However, the general trend is that the older you get, the higher the incidence rate, especially the elderly, who are more likely to be infected with pathogenic bacteria because of weakened physical function and decreased resistance. The prevalence rate of people over 70 years old can be as high as 50%. In addition, nail trauma, such as improper nail cutting and heavy objects, will also increase the chance of fungal infection.
Neither of these attitudes is desirable.
In life, people have two diametrically opposite views on onychomycosis. One is to avoid people suffering from onychomycosis, who seem to be infected when touched, and are very scared. The other is indifference. Some elderly people have suffered from onychomycosis for 10 years and have not been treated. Some people take a natural attitude after treatment, so that their fingernails and toenails are infected. They also said: don't eat or drink, but sometimes it itches and hurts. It's no big deal. Whatever! ? Both attitudes are caused by lack of understanding of onychomycosis.
Some patients will cover their nails in various ways in order not to affect their appearance, that is, they will not go to regular hospitals for treatment. As we all know, onychomycosis not only affects the appearance, causes pain and discomfort, and is easy to infect others, but also causes complications when patients scratch and infect other parts of the body, such as paronychia and pyoderma of fingers. In severe cases, systemic diseases such as erysipelas or cellulitis may occur. If female patients are infected with pudendal region, gynecological diseases such as fungal vaginitis and candida albicans vaginitis can be formed.
Six methods to prevent onychomycosis infection
The pathogen of onychomycosis is fungus, which is contagious. People with onychomycosis are really easy to infect children if they are in frequent contact, but don't be too afraid and nervous. Because the infection of fungal diseases requires certain conditions, the survival of onychomycosis pathogens requires two conditions, humidity and 38℃ environment. As long as you pay attention, infection can be prevented.
To prevent onychomycosis infection, first, do not use slippers, slippers should be used for personal use, washed and dried or dried after use; Second, towels should be for your own use, not for * * *. Wash towels, bath towels and foot towels should be separated. Wash and work hard. Pay attention to dry your feet after bathing; Third, bedding should be cleaned and exposed in time; Fourth, we should pay attention to protecting the nail to avoid trauma; Fifth, patients with onychomycosis can wear gloves when holding or caressing their children; Sixth, change shoes every 2-3 days, and the replaced shoes and insoles should be kept in a well-lit, dry and ventilated environment to dry.
If you do these six things, you can prevent the breeding and infection of pathogenic fungi to a great extent and reduce the incidence of onychomycosis.
Some people think that nail thickening and graying is onychomycosis. In fact, in addition to onychomycosis, there are several reasons for nail deformation and thickening.
First, when there is cor pulmonale, because the nail is the farthest part from the heart, there must be a normal blood supply. If the blood supply to the distal end is insufficient, the nails will thicken.
Secondly, ischemic diseases such as anemia can also change the shape of nails, which is called spoon-shaped finger in medicine.
Third, some lipid-lowering drugs also have the side effect of thickening nails.
Fourth, if nails are malnourished, they sometimes feel thicker. In fact, the nails are empty, and there are white powdery things underneath.
5. Other diseases can also cause nail thickening or deformation, such as lichen planus, alopecia areata, psoriasis, nail malnutrition, congenital nail hypertrophy, pityriasis rubra and various immune diseases.
The treatment of onychomycosis can not be effective in a day or two, so we must stick to the treatment.
In the early stage of onychomycosis, topical antifungal drugs such as terbinafine tincture and Amo Lu Fen A liniment can be applied locally. Or combined with foot bath formula to treat beriberi. For mild patients with less than 50% nail damage and less than 4 diseased nails, they can be cured by topical antifungal drugs. For example, Amo Lu Fen liniment contains antifungal components, which can quickly penetrate the deck, kill and inhibit fungi, and the drug effect can last for 7 days. Because onychomycosis is more stubborn than beriberi fungus, and the course of treatment is longer.
At present, there are two kinds of drugs for treating onychomycosis: external use and oral use. Patients with mild onychomycosis had better apply externally first. If the condition is serious, it needs to be treated with oral and topical drugs. For patients with normal liver function, terbinafine tablets can be taken orally, 250 mg per day for 6- 12 weeks; Or itraconazole 400mg/ day, take it continuously for 7 days, rest for 2 1 day as a course of treatment, and last for 3-6 courses (this is shock therapy); Or take fluconazole 1-2 times a week for more than 4 months. Because these drugs can not play an antibacterial role until they reach the deck where fungi live, the dosage is large and the medication time is long. It is suggested that adverse drug reactions should be monitored regularly and medication should be adjusted in time.
Because of the high density of nails, drugs are difficult to penetrate, and there are no nerves and blood vessels in nails, it is difficult to completely cure external drugs. Generally, drugs for external use of Tu Zhi beriberi are ineffective for onychomycosis; The clinical treatment of onychomycosis is usually combined with oral antifungal drugs or external packaging treatment. Patients with onychomycosis should not go to the drugstore to buy medicine at will. It is best to go to the hospital for examination and receive standardized treatment.
Nail fungi are like tiny pests that grow in nails and are difficult to kill. Antifungal drugs mainly play a role by inhibiting the growth and reproduction of fungi. Therefore, if you want to get rid of onychomycosis completely, you have to wait for healthy new nails to grow slowly and gradually push out the diseased nails. When the patient cuts off the diseased nail, the onychomycosis will disappear with the diseased nail.
The cure time of onychomycosis depends on the growth cycle of nails. The average length of human nails is 16 mm, and the growth rate of nails is 0. 1 mm per day. So it takes about 160 days to grow a new pair of nails completely, which will be nearly five months. This is the growth rate of fingernails, while the growth cycle of toenails is relatively slow, requiring 9-65438. At present, all the claims that onychomycosis can be cured within one month are unscientific, and consumers must be cautious about these products or treatments. These so-called quick-acting drugs often contain acidic components, which may be more harmful to the health of nails and surrounding skin.