Uxwebhu kunye ne-OTC
I-Onychomycosis, okanye i-fenus ye-fungus, ingxaki echaphazela izigidi zabantu emhlabeni jikelele. I-Onychomycosis ingaba yinyameko kwaye ixhala nje. Kodwa ezininzi, ukutshintshwa kwesikhonkwane kubangelwa intlungu kwaye ngamanye amaxesha kubangelwa ukusuleleka kwintsholongwane yebhaktheriya .
Iziganeko ze- fungus zixhomekeke kunzima ukuphelisa, ikakhulu ngenxa yokuba i-fungus ihlala kuyo yonke ikhonkwane, kwaye nakwiibhedi zesikhonkwane phantsi kwayo.
Isakhiwo sesikhonkwane ngokwayo asikwazi ukungena kalula ngama-agents, esenza ukuba unyango oluphezulu lusebenze kangangoko kunamachiza omlomo omlomo. Kodwa amayeza omlomo omlomo awunabo bonke abantu, ngenxa yeendleko zabo, iziphumo zecala, okanye ukukhethwa kwamanye amayeza okwelapha.
Kukho ininzi yamabali aphumelele apho xa kuziwa ekusebenziseni unyango lwe-onychomycosis, ngakumbi kwiimeko zakuqala apho ukuqina okanye ukuguqulwa komzimba kuthobekile kwaye kuphazamise umgca okanye umphezulu ophezulu.
Kuphi Ukuqala Kwonyango lwe-Toenail Fungus
Ingcamango enhle ukubona umculi wezobugqirha ukuba izipikili zakho zihlolwe kwaye uxoxe ngeendlela zokwenza unyango. Ukuba unquma ukuzama unyango lwamaqhinga, ukuxilongwa kwesikhokelo rhoqo (ukutyunjwa kwesilumkiso esithelelekileyo) ngumdlali we- podiatrist kuya kunceda uncedo olungcono lwangena kwi-nail. Esinye isizathu esikhulu sokungaphumeleli ngonyango kukuba abantu abaninzi bacinga ukuba banesibhokhwe sekhoboka xa ukugqithisa okanye ukuguqulwa kwamanzi kungenxa yenye ingxaki, njenge- nail trauma okanye intsholongwane yebhaktheriya.
Isampula yesilumko singathathwa kwaye ithunyelwe kwibhubhoratri ukuze sibone ukuba kwaye luhlobo luni lwefungus ekhoyo.
Iimpawu zeeNgqungquthela zeeNgcaciso
Enye yezilwanyana ezinokwakheka kwimihlathi ye-nail fungus i-Penlac (i-ciclopirox) I-Lacil ye-Nail, into ecacileyo isigulane esisigxina esisebenzayo kwisilumko ngexesha elimiselweyo, ngokuqhelekileyo iinyanga.
I-Penlac inconywa kuphela kumatyala amancinci kuya ku-moderation ye-onychomycosis, apho i-fungus iye yachaphazela kuphela intonga yesikhonkwane kwaye ayizange iphinde ibuyele kwi-matrix, okanye kwindawo yokukhula.
Ekubeni iyeza elikhuselekileyo ePenlac (ciclopirox) lijolise kuphela kwiintlobo ezithile zefungulu, kukulungele ukuba ne-laboratory test ukuze uqinisekise ukuba yeyiphi na isikhunta. Izifundo zibonisa ukuba ngaphantsi kweepesenti ezili-12 zezigulane zifumana ukuhlanjululwa kwesigxina okanye iziqhotho zabo zonke emva kokunyanga kunye nePenlac. Ngaloo ngqondweni, kulungile ukudibanisa iPenla kunye nolunye uhlobo lwonyango ngokunjalo. Kuyathakazelisa ukuba uphando olushicilelwe ngo-2013 lwabonisa ukuba abantwana baphathwe ngenxa yokusuleleka kwezifo ezisebenzisayo ngokusebenzisa i-ciclopirox nail lacquer babe nemiphumo engcono yonyango kunokuba babonwa ngabantu abadala.
Impumelelo yonyango ixhomekeke ekubeni kukho ikhonkwane elingakanani kunye nendlela elandelwa ngayo imiyalelo yokumisela - ukuba inxalenye echaphazelekayo yesikhonkwane isuswe ngokuqhelekileyo isicetyiswa njengenxalenye yonyango kunye nePenlac. Oku kuya kuthetha ukuxilongwa kwenyanga yesikhombiso (ukutyumba kweengxenyana eziphazamisekileyo), ngokufanelekileyo ngumgcini we-podiatrist. Umgqirha okanye i-dermatologist unokunika iyeza (urea) ukuba unqamle isikhonkwane okanye ususe nayo ukuphucula unyango.
IJublia (efinaconazole) yavunywa yi-FDA ngo-2014. Inempumelelo ngakumbi kunePenla. Isetyenziswe kanye ngosuku ngosuku lweeveki ezingama-48.
Topical Urea
Urea unamathela okanye i-krimu isetyenziswe kwi-nail echaphazelekayo rhoqo, phantsi kokunyamekelwa koogqirha okumisela, kwiiveki ezimbalwa kude kube yinto echaphazelekayo yesikhonkwane isuke isuka kwinqanawa ye- nail . Olunye uphando lufumene ukuba unyango lwe-urea lube nemiphumo emihle emva kweveki ezimbini ukuya kweeveki zonyango lweeveki ezine, ngokuba iimpawu zentsholongwane ye-nail ziphuculwe. Uphononongo lufumene ukuba ukusebenzisa i-cream e-antifungal cream kunye ne-urine kwandisa iziphumo ngokuphelisa ezinye iifungus ezibangele usulelo.
Olu hlobo lonyango alukwazi ukulungelelanisa kakhulu ngenxa yokuba ludinga ukuba unyango lubekwe phantsi kwebhanki ebonakalayo.
Ukunyangwa kwama-Antifungal Over-Counter
Kukho ininzi ye-OTC yonyango lwe-antifungal ngaphandle, ezinye zazo zithembise ukunyanga i-nail fungus, mhlawumbi ingenangqiqo. Uninzi lwalo mveliso alungena ngaphakathi kwesikhonkwane kwaye lufikelele kumbhede wesikhonkwane osuleleke. Ukuba unesilumko esinzima kakhulu kunye nempawu eziphambili zentsholongwane yefungal, njenge-discoloration kunye nokuguqulwa kwamathambo, amathuba akuyi kuba nempumelelo enkulu ngale mveliso kuphela. Isiphambili sokuphucula isiphumo sonyango i-nail yokwehlisa / ukuxilongwa kunye nokusetyenziswa okuthembekileyo komveliso, oko kungathetha inyanga yesicelo esiqhelekileyo.
Izonyango zeNdalo ze-Toenail Fungus
Kukho iindlela ezimbalwa zonyango eziye zapapashwa njengezilwanyana zezilwanyana. Eminye imveliso eyaziwayo engcono kakhulu ivakaliswe ukuba isebenze ngokumelene nefungus ye-nail ioli ye-tea kunye ne-Vic's VapoRub. Zomibini zale mveliso zinezakhiwo ezingenayo i-antifungal kuphela, kodwa nazo zineentambo ezinamafutha, ezinokuthi zithathwe ngcono ngesikhonkwane.
Esinye isifundo esincinci esikhulileyo esebenzisa iVic's VapoRub yefayibusayibonisi yabonisa iziphumo ezithembisayo. Emva kweeveki ezingama-48, abathathi-10 kwabangu-18 abathathi-nxaxheba babenomlinganiselo wokucoca ngokucacileyo iimpawu zabo, ngelixa iintlanu ziye zagqitywa ngokupheleleyo. Uphononongo olutshanje lusithatha njengonyango olulungileyo lwe-fenus ye-fungus kubantu abanentsholongwane kaGawulayo.
> Imithombo:
> IDel Rosso JQ. Indima ye-Topical Antifungal Therapy ye-Onychomycosis kunye ne-Emergency of Agents Newer. Umbhalo we-Clinical and Aesthetic Dermatology . 2014; 7 (7): 10-18.
> Derby R, et.al. Inychomycosis yonyango yokusetyenziswa kwe-onychomycosis usebenzisa ioli-mentalated oil-in-series. Umbhalo we-American Board of Medicine Family. NgoJan-Februwari 24 2000 (1): 69-74.
> Friedlander SF, kunye. al. I-Onychomycosis ayisoloko idinga unyango lwenkqubo yokunyanga: ityala ngokusetyenziswa kweyeza. Dermatology yezilwanyana. Meyi-Juni 2013; 30 (3: 316-22.
> Snell M, Klebert M, Önen NF, Hubert S. Inyano yeNyango ye-Onychomycosis kubantu abaphila ne-HIV: I-Vicks VapoRub ™ iyasebenza kwaye ikhuselekile. Umbhalo weMbutho wabahlengikazi kwi-Care Care . 2016; 27 (1): 109-113. I-doi: 10.1016 / j.jana.2015.10.004.
> Tietz H-JCBC, Hay R, Querner S, Delcker A, Kurka P, Merk HF. Ukusebenza kweeveki ezine zonyango lwe-bifonezole ye-onychomycosis emva kwe-eneil ablation kunye ne-40% urea: i-double-blind, i-randomized, i-placebo-elawulwa ngokubanzi. Mycoses . 2013; 56 (4): 414-421. i-doi: 10.1111 / myc.12037.