I-prescription ne-OTC
I-Onychomycosis, noma i-toenail fungus, yinkinga echaphazela izigidi zabantu emhlabeni jikelele. I-Onychomycosis ingaba mnene futhi iwukukhathazeka nje ngezimonyo. Kodwa kwabaningi, izinguquko ze-nail ezitholakala zibangelwa ubuhlungu futhi ngezinye izikhathi zingabangela ukutheleleka kokubili kwebhaktheriya .
Izimo ze- fungus eziyinkimbinkimbi zinzima kakhulu ukuqeda, ikakhulukazi ngoba i-fungus ihlala kuyo yonke i-nail, ngisho nangaphansi kombhede ongaphansi kwe-nails.
Ukwakhiwa kwesipikili ngokwawo akungenwa kalula yiziphathamandla ze-topical, okwenza ukwelashwa kwama-topical kungasebenzi kahle kunemithi ye-antitifungal yomlomo. Kodwa imithi ye-antifungal yomlomo akuyona wonke umuntu, ngenxa yezindleko zabo, imiphumela emibi, noma okuthandwa yizo zokwelapha zokwehla.
Kukhona izindaba eziningi zokuphumelela lapho uma kuziwa ekusebenziseni ukwelashwa kwama-onychomycosis, ikakhulukazi ezimweni zakuqala lapho ukuqina noma ukuguqulwa komzimba kunomthelela futhi kuphazamisa umkhawulo noma phezulu kwendawo.
Ukuthi Uzoqala Kuphi Ukwelashwa Kwe-Toenail Fungus
Kungumqondo omuhle ukubona umculi wezinsizwa ukuthi izipikili zakho zihlolwe futhi uxoxe ngezinketho zokwelashwa. Uma unquma ukuzama ukwelashwa kwama-headical, ukuxoxwa kwama-nails okuvamile (ukusika kwe-nail egciniwe) ngumuntu we- podiatrist kuzosiza imithi ibe ngcono ukungena esikhwameni. Esinye isizathu esikhulu sokuhluleka kokwelapha ukuthi abantu abaningi bacabanga ukuthi banesisindo se-nail lapho ukuqina noma ukuguqulwa kwezinto ezidalwa ukubola kungenxa yenye inkinga, njenge- nail trauma noma ukutheleleka kwebhaktheriya.
Isampula se-nail singathathwa bese sithunyelwa ebhokisithri ukuze sibone ukuthi yikuphi uhlobo lwefungus ekhona.
I-Antifungals ye-Prescription ye-Prescription
Enye yezokwelapha ezihlotshaniswa kakhulu ngezihloko ze-nail ukhunta i-Penlac (i-ciclopirox) i-Nail Lacquer, okuyi-lacquer ecacile isiguli esisebenza ku-nail isikhathi esithile esimisiwe, ngokuvamile izinyanga.
I-Penlac inconywa kuphela ngamacala amancane okulinganisa i-onychomycosis, lapho isikhunta sithinte khona kuphela isihloko se-nail futhi asizange siphindele emuva kumatrix we-nail, noma isikhungo sokukhula.
Njengoba umuthi ongekho emthethweni ePenlac (i-ciclopirox) uhlose kuphela izinhlobo ezithile zefungi, kungcono ukuthi ube nokuhlolwa kwelabhorethri ukucacisa ukuthi ngabe uhlobo luni lomfutho lukhona nokuthi luhlobo luni. Ucwaningo lubonisa ukuthi iziguli ezingaphansi kuka-12 ezingaphansi kwezilwane zithola ukuhlanzwa okuyingxenye noma okuphelele kwezipikili zabo ngemuva kokwelashwa nge-Penlac. Ngalokhu engqondweni, kungcono ukuhlanganisa i-Penlac ngolunye uhlobo lwezokwelapha. Ngokuthakazelisayo, ukutadisha okushicilelwe ngo-2013 kubonise ukuthi izingane eziphathwa nge-fungal toenail infections zisebenzisa i-ciclopirox nail lacquer inemiphumela eminingi yokwelashwa engcono kunalokho okwabonwa kubantu abadala.
Impumelelo yokwelashwa incike ekutheni i-nail iningi libandakanyeka nokuthi kanjani ukulandelwa kweziyalezo ezilandelwayo - ukuthi inxenye ethintekile yezipikili ezikhishwe ngokomsebenzi njalo kunconywa njengengxenye yokwelashwa nge-Penlac. Lokhu kusho ukuthathwa kwe-nail debridement nyangazonke (ukukhipha izingxenye ze-nail ezithintekayo), ngokufanele ngumuntu wephoyisa. I-podiatrist noma i-dermatologist ingase ibeke umuthi wezokwelapha (urea) ukuze unciphise isilonda noma uyisuse ukuze ukwandise ukwelashwa.
IJublia (efinaconazole) yamukelwa yi-FDA ngo-2014. Iphumelela kakhulu kune-Penlac. Isetshenziswa kanye ngosuku ngamaviki angu-48.
I-Urea ephezulu
Urea okunamathiselwe noma ukhilimu kusetshenziswe ku-nail ethintekile njalo, ngaphansi kokunakekelwa udokotela oqokwe, amasonto ambalwa kuze kube yilapho ingxenye engathintekile yesikhumba isuka kancane embhekeni. Ucwaningo olulodwa lwathola ukuthi ukwelashwa kwe-urea kwaba nemiphumela emihle ngemuva kweviki ezimbili ukuya kwesine ukwelashwa kweviki ezine, ngoba izimpawu zokutheleleka kwe-nail zithuthukisiwe. Ucwaningo lubuthole ukuthi ukusebenzisa ukhilimu we-antifungal ethize kanye ne-urea kwandise imiphumela ngokuqeda okungaphezulu kwe-fungus eyabangela ukutheleleka.
Lolu hlobo lwezokwelapha lungase lungalungele kakhulu ngoba ngokuvamile ludinga ukuthi imithi ibekwe ngaphansi kwebhanji elibonakalayo.
Ukwelashwa Okungaphezu Kokweqile Kwama-Antifungal
Kunezinhlobo eziningi zezokwelapha ze-OTC ze-antifungal ezingaphandle lapho, ezinye zazo zithembisa ukuphulukisa imfucumfucu yama-nails, cishe okungenangqondo. Iningi lalemikhiqizo ayangena ngaphakathi kwe-nail futhi ifinyelele embhedeni we-nail futhi igciwane. Uma unesilwane esinzima kakhulu esinezibonakaliso eziphambili ze-fungal infection, njenge-discoloration kanye nezinguquko zokuthungwa, amathuba ngeke ube nempumelelo enkulu ngale mikhiqizo yedwa. Isihluthulelo sokwenza ngcono umphumela wokwelashwa yi-nail yokunciphisa / ukuguqulwa nokusetshenziswa okuthembekile komkhiqizo, okungase kusho izinyanga zesicelo esivamile.
Ukwelashwa Kwemvelo Ye-Toenail Fungus
Kunezixazululo ezimbalwa zemvelo eziye zahlonywa njengezokwelapha ze-nail ukhunta. Imikhiqizo emibili eyaziwa kangcono ukuthi iphumelele ngokumelene ne-nail ukhunta i- oli tree tree kanye no-Vic's VapoRub. Yomibili yale mikhiqizo ayinayo nje impahla ene-antifungal, kodwa nayo ibe nokuthungwa kwe-oily, okungase kube ngcono ukugonywa nge-nail.
Ukufunda okuncane okudala okusebenzisa i-Vic's VapoRub ye-nail fungus yabonisa imiphumela ethembisayo. Ngemuva kwamaviki angu-48, abayishumi kwabangu-18 abahlanganyeli babenokuhlanzwa okungenasici kwezibonakaliso zabo, kuyilapho ezinhlanu beziqedile ngokuphelele. Ucwaningo lwamuva luyithinta njengendlela yokwelashwa okuhle kwe-fungus ye-toenail kubantu abane-HIV.
> Imithombo:
> I-JQ yaseDel Rosso. Indima ye-Topical Antifungal Therapy ye-Onychomycosis kanye ne-Emergence of Newer Agents. I Journal of Clinical and Aesthetic Dermatology . 2014; 7 (7): 10-18.
> Derby R, et.al. Ukwelashwa kweNewvely ofyymymyosis ukusebenzisa i-over-the-counter-fathol mentholated ointment: uchungechunge lwamacala omtholampilo. I-Journal ye-American Board of Family Medicine. Jan-Feb 24 2000 (1): 69-74.
> Friedlander SF, et. al. I-Onychomycosis ayidingi njalo imithi yokwelapha yokwelashwa: isilingo ngokusebenzisa ukwelashwa kwezintambo. Dermatology yezingane. May-Jun 2013; 30 (3: 316-22.
> Snell M, Klebert M, Önen NF, Hubert S. A Novel Treatment for Onychomycosis kubantu abaphila ne-HIV Infection: Vicks VapoRub ™ iyasebenza futhi iphephile. I-Journal ye-Association of Nurses e-AIDS Care . 2016; 27 (1): 109-113. doi: 10.1016 / j.jana.2015.10.004.
> Tietz H-JCBC, Hay R, Querner S, Delcker A, Kurka P, Merk HF. Ukusebenza kwamasonto ama-4 ukwelashwa okuyi-topical bifonazole ye-onychomycosis emva kokunakekelwa kwe-nail nge-40% urea: isifundo se-multiple-blind, randomized, se-placebo esilawulwa ngokuphindaphindiwe. Ama-mycoses . 2013; 56 (4): 414-421. i-doi: 10.1111 / myc.12037.