Malemba ndi OTC
Matenda a toychomycosis, kapena ophera bowa, ndi vuto lomwe limakhudza mamiliyoni ambiri padziko lonse lapansi. Onychomycosis ikhoza kukhala yofatsa komanso yokonzera zokongoletsa zokha. Koma kwa ambiri, kusintha kwa msomali komwe kumachitika kumabweretsa ululu ndipo nthawi zina kumayambitsa kachilombo koyambitsa matenda a bakiteriya .
Milandu ya fungus imakhala yovuta kuthetseratu, makamaka chifukwa bowa amakhala m'misomali, ngakhalenso pamsana wa msomali pansi pake.
Kapangidwe ka msomali wokha sikungowonjezeredwa mosavuta ndi mawonekedwe apamwamba, omwe amachititsa mankhwala amtunduwu kukhala ovuta kuposa mankhwala odziteteza amlomo. Koma mankhwala osamalidwa amamwa si onse, mwina chifukwa cha mtengo wawo, zotsatira zake, kapena zokonda zawo za mankhwala opatsirana.
Pali nkhani zambiri zopambana zokhudzana ndi mankhwala opatsirana pogwiritsa ntchito mankhwala a onychomycosis, makamaka pa nthawi yoyamba pomwe kuphulika kapena kutuluka kwa thupi kumakhala kofatsa ndipo kumakhudza m'mphepete mwa pamwamba kapena pamwamba pamwamba.
Kumene Mungayambe Kuchiza Tizilombo Toenail
Ndibwino kuti muwone podiatrist kuti adziwe kuti misomali yanu ikuyendetsedwa ndikukambirana njira zomwe mungasankhe. Ngati mwasankha kuyesa mankhwala opatsirana pogwiritsa ntchito mapepala, kumangika kwa msomali nthawi zonse (kudula msomali wodwalayo) ndi katswiri wamatenda kumathandiza mankhwalawa kuti alowe bwino msomali. Chifukwa chimodzi chachikulu chokhalira ndi mankhwala ndi chakuti anthu ambiri amaganiza kuti ali ndi bowa la msomali pamene kutentha kapena kutuluka kwa thupi kumakhala chifukwa cha vuto linalake, monga matenda a msomali kapena matenda a bakiteriya.
Chitsanzo cha msomali chingatengedwe ndi kutumizidwa ku labotori kuti akawone ngati ali ndi bowa wotani.
Zolemba Zopangidwira Zopangidwira
Chimodzi mwa mankhwala ochiritsira kawirikawiri omwe amapangidwa ndi msanganizo wa msomali ndi Penlac (ciclopirox) Nail Lacquer, lomwe ndi lachisi lomveka bwino lomwe wodwalayo amagwiritsa ntchito msomali kwa nthawi yoikika, nthawi zambiri miyezi.
Penlac imalimbikitsidwa kuti mukhale ndi zochepa zokha za toychomycosis, kumene bowa zakhudza chabe nsonga ya msomali ndipo sizinayambe kubwerera kumsana wa msomali, kapena malo okula.
Popeza mankhwala osokoneza bongo ku Penlac (ciclopirox) amangofuna mtundu wina wa bowa, ndibwino kukhala ndi mayeso a ma laboratory kuti adziwe ngati ali ndi fungayi. Kafukufuku amasonyeza kuti ocheperapo khumi ndi awiri mwa odwala aliwonse amavutika kuchotsa misomali yawo pang'onopang'ono kapena poyerekeza ndi Penlac. Poganizira izi, ndi bwino kuphatikiza Penlac ndi mtundu wina wa chithandizo. Chochititsa chidwi, kuti kafukufuku wofalitsidwa mu 2013 anasonyeza kuti ana omwe akuchiritsidwa ndi matenda opatsirana ndi fungalesi amatha kugwiritsa ntchito mankhwala osokoneza bongo kuposa zomwe zimawonedwa kwa anthu akuluakulu.
Kupambana kwa chithandizochi kumadalira kuchuluka kwa msomali komwe kumakhudzidwa ndi momwe malangizo operekera amatsatiridwa - ngati gawo lomwe lakhudzidwa la msomali likuchotsedwa mwachangu nthawi zonse limalimbikitsidwa ngati gawo la chithandizo ndi Penlac. Izi zikutanthawuza kuwonongedwa kwa msomali msomali (kuchotsa mbali zokhudzana ndi misomali), makamaka ndi katswiri wamaphunziro. Katswiri wamatenda kapena dermatologist angathenso kupereka mankhwala opangira mankhwala (urea) kuti azipukuta msomali kapena ngakhale kuchotsa kuti apititse patsogolo chithandizo.
Jublia (efinaconazole) inavomerezedwa ndi FDA mu 2014. Icho chimapambana kwambiri ndi Penlac. Amagwiritsidwa ntchito kamodzi pa tsiku kwa masabata 48.
Topical Urea
Urea amagwiritsidwa ntchito pa msomali wokhazikika nthawi zonse, pansi pa kusamalidwa kwa dokotala, kwa masabata angapo mpaka gawo lomwe lakhudzidwa la msomali likuchoka pang'onopang'ono pa bedi la msomali . Kafukufuku wina anapeza kuti chithandizo cha urea chinali ndi zotsatira zabwino patapita masabata awiri mpaka masabata anayi, chifukwa chakuti zizindikiro za matendawa ali bwino. Kafukufukuyu anapeza kuti kugwiritsa ntchito mankhwala enaake opangira mavitamini pamodzi ndi urea kunalimbikitsa zotsatirapo pochotseratu bowa lomwe linayambitsa matendawa.
Mankhwalawa sangakhale abwino kwa anthu ambiri chifukwa nthawi zambiri amafunika kuti mankhwalawa akhale pansi pa bandage.
Mankhwala Osokoneza Bongo
Pali mitundu yambiri ya mankhwala opangira mavitamini kunja kwa OTC, ena omwe akulonjeza kuti adzachiza zoweta za msomali, zomwe mwina sizingatheke. Zambiri mwazinthuzi sizimadutsa pamsomali ndikufika pamsana wa msomali womwe uli ndi kachilomboka. Ngati muli ndi misomali yowopsya kwambiri yomwe ili ndi zizindikiro zowopsa za matenda a fungalomu, monga kusintha kwa thupi ndi kusintha kwa thupi, mwayi sungakhale wopambana kwambiri ndi mankhwalawa okha. Chinthu chothandizira kuti zotsatira zake zitheke ndizowonongeka msomali / kuwonongeka ndi kugwiritsa ntchito mokhulupirika mankhwala, zomwe zingatanthauze miyezi yowonongeka nthawi zonse.
Kuchiza kwachilengedwe kwa bowa la Toenail
Pali mankhwala ochepa ochiritsira omwe akhala akudziwika ngati machiritso a msomali. Zinthu ziwiri zomwe zimadziwika bwino kwambiri zimapangitsa kuti zitsulo zikhale zogwirizana ndi bowa la msomali ndi mafuta a tiyi komanso Vic's VapoRub. Zonsezi sizimangokhala ndi katundu wokhawokha, koma zimakhalanso ndi mafuta, zomwe zingapangidwe bwino ndi msomali.
Phunziro limodzi laling'ono lakale pogwiritsa ntchito Vic's VapoRub kwa zoweta za msomali zinasonyeza zotsatira zowonjezera. Pambuyo pa masabata makumi asanu ndi awiri (48), ophunzira khumi (18) mwa khumi ndi atatu (18) adatsuka zizindikiro zawo mosasamala, pamene asanu adasiya kufotokoza. Kufufuza kwatsopano kumeneku kumakhudza ngati chithandizo chabwino chothandizira bowa kwa anthu omwe ali ndi kachirombo ka HIV.
> Zotsatira:
> JQ Del Rosso. Udindo wa Topical Antifungal Therapy kwa Onychomycosis ndi Emergence of Newer Agents. Journal of Clinical ndi Aesthetic Dermatology . 2014; 7 (7): 10-18.
> Derby R, et.al. Mankhwala atsopano a onychomycosis pogwiritsa ntchito mafuta owonjezera a mentholated: chithandizo chamakono. Journal ya American Board of Family Medicine. Jan-Feb 24 2000 (1): 69-74.
> Friedlander SF, ndi. al. Onychomycosis sizimafuna nthawi zonse mankhwala ochiritsira ochizira: yesero pogwiritsira ntchito mankhwala opatsirana. Matenda a Dokotala. May-Jun 2013; 30 (3: 316-22.
> Snell M, Klebert M, Önen NF, Hubert S. A Treatment for Onychomycosis mwa Anthu Amene Ali ndi Vuto la Edzi: Vicks VapoRub ™ ndi yothandiza ndi yotetezeka. Journal of Association of Nurses mu AIDS Care . 2016; 27 (1): 109-113. lembani: 10.1016 / j.jana.2015.10.004.
> Tietz H-JCBC, Hay R, Querner S, Delcker A, Kurka P, Merk HF. Kugwira ntchito kwa masabata 4 mankhwala ovomerezeka a bifonezole a onychomycosis pambuyo pa kuperekera kwa msomali ndi 40% urea: kuphunzira kawiri kawiri khungu, kosaoneka bwino, kamene kakupangidwe ndi malo. Mycoses . 2013; 56 (4): 414-421. lembani: 10.1111 / myc.12037.