We all understand that nail fungus, or onychomycosis, is a serious disease that needs to be treated. However, despite all reasonable arguments, most people, at the first suspicion of a fungus, do not rush to the doctor, get tested and begin treatment. A common excuse: the nail accidentally became deformed and changed color, it will soon go away. Are they right or wrong? What can nail fungus be confused with, is it necessary to treat the fungus, and is it possible to make a diagnosis on your own? Let's try to find answers to these questions together.
Treatment of nail fungus
General rules
Therapeutic and hygienic measures must be carried out regularly; treatment cannot be interrupted until the fungus is completely eliminated. The duration of the recovery process depends on the degree of neglect of the disease and the affected area. Read also: Fungus on the fingers: treatment and symptoms with photos.
For a successful outcome of treatment and prevention of infection of others, it is recommended to follow the basic rules:
- For the entire period of treatment, you should avoid visiting swimming pools, saunas, beaches, and pedicure rooms.
- The patient must have individual means for hygienic treatment of feet: files, pumice stones, soap, towels, etc.
- Shoes must be thoroughly disinfected and dried. Insoles and the inner surface of shoes can be treated with special solutions or sprays.
- Feet must be dry at all times. Fungal pathogens actively reproduce in warm and humid environments. After water procedures, feet should be dried with a clean towel, and if the feet are sweating, use talcum powder, powders and powders.
- Particular attention is paid to hosiery. It is better to choose socks made of natural cotton. This material absorbs moisture well and ensures normal ventilation of the skin of the feet. Socks should be changed as often as possible, and used items should be boiled.
- Drug treatment is carried out strictly in accordance with the instructions of the attending physician after confirmation of the diagnosis by the results of laboratory tests of the infected material.
The keratinized skin of the fingers and soles must be constantly removed with a special foot brush or pumice stone. Otherwise, cracks may form through which the fungus penetrates into the deep layers of the epidermis and the bloodstream.
Preference should be given to comfortable shoes made from natural materials to prevent the accumulation of excess moisture.
Features of nail damage in different types of onychomycosis
Nail damage due to different types of fungal diseases has its own characteristics. The main types of pathogens are Trichophyton rubrum (70 - 90%) and Trichophyton mentagrophytes v.interdigitale (8 - 30%). Much less common are the fungi Candida albicans, molds, T. mentagrophytes v.gypseum, T. verrucosum, T. tonsurans and T. violaceum, Epidermophyton floccosum, Trichophyton schonleinii.
Onychomycosis on the legs with rubrophytosis
Rubrophytosis in the Russian Federation accounts for 70 to 90% of all mycoses of the feet. The feet are most often affected by the disease (usually the squamous-dry type). An indispensable companion of foot rubrophytosis is toenail fungus. With mycosis, a distal-lateral form of onychomycosis usually develops, characterized by pronounced hyperkeratosis, several toes and often the fingers of one hand are affected. The disease occurs without any special subjective sensations. Pain and discomfort when wearing shoes occurs with severe hyperkeratosis, onychogryphosis and ingrown toenails. The source of infection is often in the patient's family.
Associated onychomycosis is often recorded: Trichophyton rubrum and Candida albicans, Trichophyton rubrum and molds. It is important to evaluate the culture.
Rice. 33. The photo shows onychomycosis against the background of foot rubrophytosis (distal-lateral form).
Onychomycosis on the legs caused by T. mentagrophytes fungi. v.interdigitale
Fungi T. mentagrophytes. v.interdigitale affects the skin of the feet and nails. Athlete's foot accounts for 10 to 30% of all foot mycoses.
The disease affects the upper (dorsal) part of the nail plate. Usually a superficial white form of onychomycosis develops. The pathological process predominantly involves the 1st and 5th toes (they are the ones that are most susceptible to injury from shoes when walking) and the 1st and 4th interdigital folds. Transmission of infection occurs when using a shared bathroom, shower, sauna, swimming pool, beaches and swimming pools.
Rice. 34. Toenail fungus caused by Trichophyton mentagrophytes. v.interdigitale (white surface form).
Onychomycosis on the legs caused by yeast-like fungi of the genus Candida
This form of mycosis on the legs is rare. It accounts for less than 3% of all onychomycosis. The disease is often registered in individuals with chronic generalized candidiasis. Nail damage, as a rule, begins with inflammation of the periungual fold located near the hole. There is swelling and thickening, which leads to separation of the cuticle from the surface of the plate. Next, the fungi freely enter the matrix and nail bed (proximal subungual form), when damaged, grooves, irregularities and cracks appear on the nail, a loss of natural shine and cloudiness is noted, and a brownish-brown color appears. Gradually the nail is destroyed, and in severe cases it falls off.
Rice. 35. Combined form of onychomycosis on the legs.
Onychomycosis on the legs caused by molds
Mold fungi settle in an already affected nail - cracks, in the spaces between the ridges of the nail bed or empty vessels. Next, hyperkeratosis develops and slow destruction of the nail plate, which in the course of the disease turns black (Scytalidium spp.) or green or gray (Scopulariopsis brevicaulis).
Rice. 36. Mold onychomycosis on the legs caused by Scopulariopsis brevicaulis (photo left) and Aspergillus spp. (photo on the right).
Foot baths
Therapeutic baths are a must in the treatment of fungal diseases of the feet at any stage of development of the infectious process. Procedures for steaming the feet in hot water with the addition of various active ingredients are a preparatory stage before applying the main antifungal drugs.
Foot baths can be used twice a day or daily before bed. The duration of the procedure depends on the composition of the bath, but does not exceed a half-hour threshold.
Healing herbs
For antifungal foot baths, decoctions of medicinal herbs are used:
- plantain;
- wormwood;
- burdock;
- milkweed;
- yarrow;
- calendula flowers.
Herbs can be combined or steamed separately. For the best effect, the decoction should be strong enough. The required amount of plant material must be poured with boiling water. As soon as the temperature of the decoction becomes tolerable for the skin, you can put your feet in the bath and steam your feet for 15-20 minutes.
Celandine
Celandine preparations are often used in the fight against foot fungus. To prepare foot baths, it is recommended to use dried celandine herb. You can buy it at the pharmacy or prepare it yourself.
The decoction is prepared at the rate of 8 tablespoons of herb per 2 liters of boiling water, then cooled to a temperature of 50˚C and placed in a convenient container. Feet should be kept in the bath until it cools down. The course of treatment is 20 days.
Vinegar
An acidic environment has a detrimental effect on pathogenic microflora that causes mycoses. Baths with vinegar essence are used as an effective treatment for foot fungus at home using folk remedies.
Vinegar is taken at the rate of 100 ml of essence per 2 liters of warm water. The estimated duration of the procedure is a third of an hour. Such a home remedy for fungus can significantly speed up the treatment carried out with modern pharmaceuticals.
Soda and salt
Salt and soda solutions for soaking the feet allow you to fight foot fungus in the initial stage. There are a lot of options for preparing foot baths with salt and soda at home. The simplest and most effective recipes:
- Dissolve 2 tablespoons of table salt and baking soda in two liters of warm water and soak your feet for up to 20 minutes.
- To two liters of boiling water add a similar amount of strong oak bark decoction, a few drops of peppermint oil and tea tree essential oil, 2 tablespoons of soda, 2 tablespoons of sea salt. The duration of steaming is half an hour. The treatment period takes 14 days.
- Mix 1 heaped tablespoon of soda and coarse salt in warm water, add a couple of tablespoons of liquid soap with an antibacterial effect (you can use tar). Steam your feet in the prepared solution for up to half an hour; at the end of the procedure, let your feet dry without wiping or rinsing with clean water.
Salt helps strengthen nails and regenerate epidermal tissue, and soda softens the skin, cleansing and disinfecting the surface of the feet. Salt solutions containing iodine have a pronounced fungicidal effect.
Foot steaming with vodka, ammonia, propolis, strong coffee, birch tar, hydrogen peroxide and garlic juice helps perfectly.
Tea tree oil
Choose quality essential oil. It doesn't have to be cheap. Only 100% oil will help. Usually there is a 10 ml bottle on sale. This amount will be enough for a whole year and there will be some left over.
Every night, use the pipette built into the bottle to place a drop on each nail. The liquid envelops the entire nail plate, the area around the nail and even the spaces between the fingers.
Dry your fingers in the open air. Wrap with gauze and put on cotton socks.
Compresses, rubbing, lotions
You can remove foot fungus using compresses and various rubs according to alternative medicine recipes. The procedure is carried out after thorough treatment and steaming of the legs.
The healing mass is applied to the affected area, fixed with a gauze bandage and insulated on top with clean socks. Provided there are no aggressive substances in the compress, the bandage is left overnight.
The most popular recipes for homemade antifungal compresses for the treatment of mycoses of the feet:
- Apply finely chopped fresh rowan leaves to the infected skin, cover with a burdock leaf on top and wrap in cellophane.
- Apply 35% salicylic ointment evenly to the fungal lesions and cover with cling film. Change the bandage once a day.
- Pass a few cloves of garlic through a press and mix with an equal amount of butter until smooth. Apply the resulting mass to the sore spot, cover with film, and leave overnight. Garlic will sting, but it is a good way to quickly cure foot fungus.
- Onion pulp is used for compresses in its pure form; you just need to change the dressings as often as possible. If the itching becomes unbearable, you can dilute the onion with Vaseline in a 1:1 ratio.
- Night vinegar compresses show good results. It is more convenient to use a cotton pad soaked in a weak solution of vinegar essence.
- Alcohol wraps help against foot fungus. A small piece of linen fabric soaked in an aqueous solution of ammonia is wrapped around the sore leg and insulated with polyethylene. The course lasts 7-10 days.
- Mashed potato sprouts are infused with vodka for 24 hours. The prepared pulp is used for foot compresses before bed.
- If the fungus is localized in the interdigital folds, you can apply a paste of peppermint herb and salt to the affected skin. This product perfectly combats itching, removes unpleasant odor and other symptoms.
The method of rubbing the affected skin with birch tar, an alcohol solution of iodine, garlic juice, tea tree and celandine oils helps to quickly get rid of foot fungus at home.
Many pharmaceutical local antifungal drugs are recommended for use in the form of compresses if mycosis has reached an advanced stage.
Types of nail plate lesions
There are 3 variants of onychomycosis:
- Normotrophic.
- Hypertrophic.
- Atrophic.
Normotrophic type of onychomycosis on the legs
In the normotrophic type, the infection is localized in the upper layers of the nail plate. Its thickness and color do not change during the disease, but spots and stripes are visible in the depths. The color of nails varies from white to deep yellow. After some time, the spots and stripes merge. The affected area extends to the entire nail plate, excluding the lunula. No brittleness or crumbling is observed. Sometimes there is a slight loosening of the free edge. With adequate treatment, cure is possible.
Rice. 21. Normotrophic type of lesion.
Hypertrophic type of onychomycosis on the legs
This type of onychomycosis is the most common. As a result of the development of subungual hyperkeratosis, the nail plate becomes significantly thicker, deformed and loses its shine. Nails become uneven, dull, acquire a brownish-gray color and crumble. The lunula area is not affected. The disease causes significant discomfort to the patient. In elderly patients, onychogryphosis develops - the nails thicken, lengthen and bend like a bird's claw.
Rice. 22. Hypertrophic type of onychomycosis on the legs.
Rice. 23. Hypertrophic type of onychomycosis on the legs. Onychogryphosis.
Atrophic type of onychomycosis on the legs
With the atrophic (onycholytic) type, the nail plate quickly loses connection with the nail bed, many voids appear in its layers, it fades, becomes thinner and changes color to whitish or yellowish-whitish. The surface remains smooth for a long time. Over time, its partial destruction occurs.
Rice. 24. Atrophic type of nail damage.
Rice. 25. Onycholytic (atrophic) type of onychomycosis on the legs.
Antimycotic drugs
The fastest way to cure a mycosis infection is the right combination of folk remedies and antifungal drugs. Medicines for fungal diseases are divided into two main groups: for local and systemic use.
Oral antimycotics are prescribed for drug therapy of fungus in an advanced form in the absence of contraindications. Taking tablet medications is associated with a risk to the liver; they should be taken only in the dosage prescribed by your doctor. Systemic antifungal drugs include:
- Ketoconazole;
- Intraconazole;
- Candithral;
- Terbinafine;
- Griseofulvin and numerous of their analogues.
The choice of local medicines depends on the species of the causative agent of the disease and the financial capabilities of the patient. It may take several months to remove the fungus, and not everyone can buy expensive drugs.
Preparations for external use are available in the form of creams, gels, ointments, sprays, varnishes and solutions. Well-known pharmaceutical companies produce entire series of products for the complex treatment of fungus.
Regardless of the form, brand and price category, the main difference is the type of active ingredient of the drug. It is this criterion that determines the effectiveness of the drug against a specific type of infectious agent.
Antifungal drugs contain fungistatic substances: sertoconazole, bifonazole, ketoconazole, oxyconazole, terbinafine, ciclopiroxalamine, amorolfine.
It is easier to defeat foot fungus with the help of local medications in the early stages of the disease when the first signs of infection appear, if treatment is carried out continuously in accordance with the attached instructions.
Diagnosis of the disease
If any changes are detected on the surface of the nail plate, it is recommended to seek medical help. The specialist will prescribe a series of procedures to accurately determine the type of fungus and the extent of damage to the nail bed. The patient must first undergo a series of tests:
Microscopy. A scraping is taken from the surface of the affected nail from the infected person. The only drawback of this diagnostic method is the impossibility of accurately determining the type of fungus.
Cultural diagnostics. The taken material is placed in Sabouraud's nutrient medium. This composition promotes the rapid growth and development of fungus in laboratory conditions. After this, the pathogen is distinguished by its color pigment, its growth rate and the type of colony.
This method has good sensitivity to various medications. After 5 days, the patient is given the results of the study, according to which the appropriate treatment is selected.
DNA test. This method allows you to detect the genetic code from a fungal infection. To do this, the scraping is studied for several days and its predisposition to the genus dermatophytes or candida.
Rules of personal hygiene as prevention against foot fungus
Prevention of foot fungus is, first of all, personal hygiene measures aimed at preventing infection and creating an environment hostile to microorganisms.
It is important to remember that mycotic lesions of the feet can last for a long time, almost without manifesting themselves; they are characterized by a chronic relapsing course.
Pathogenic microorganisms that affect the foot are unusually tenacious; they love dampness, damp, unventilated interdigital folds of the feet, the lower and lateral surfaces of the sole.
Below is a short list of personal hygiene rules (well known, however, not always followed) to avoid catching this obsessive infection:
- Keep your feet dry and cool;
- Do a pedicure in a timely manner using tools that have undergone proper disinfection, using modern auxiliary and care products;
- Wash your feet with warm soapy water daily, use antibacterial soap if necessary, wash your feet several times a day;
- Wipe your toes dry from the base to the very tip, the skin between the toes, and the entire foot;
- Fight sweaty feet;
- Use antifungal foot powders, and, if necessary, antifungal cosmetic and medicinal creams, gels, nail polishes;
- Go barefoot, at least at home, in the country;
- Keep your toes slightly apart;
- In locker rooms, showers, gyms, fitness clubs and other public places, do not walk barefoot - wear flip-flops (rubber slippers, waterproof flip-flops);
- Do not use someone else’s sponge, washcloth, towel, slippers (even within the family);
- If infected, provide a separate towel for the affected area or use disposable paper towels;
- Wear comfortable shoes that fit properly, made of leather and other natural materials;
- Avoid rubber and plastic shoes - a favorable environment for the growth of dermatomycetes;
- Keep your shoes clean and dry, ventilate them, treat the inside of your shoes with antifungal powder or aerosol;
- In summer, wear light, well-ventilated shoes;
- Change your sneakers in a timely manner; if they can be washed, wash them at least once a month;
- Change socks (socks, stockings, tights) more often, especially with hyperhidrosis, more often if necessary;
- Wear socks made of hygroscopic materials (natural fibers or special synthetics);
- To kill fungal spores, wash socks twice in very hot water; rinse your socks thoroughly after washing to remove the washing powder so as not to worsen the condition of the skin;
- For proper sanitary and hygienic condition of sinks, showers, bathtubs, basins, wash them regularly, use special products;
- Do not self-medicate, consult a doctor in the early stages of a fungal disease; do not expose others to the risk of infection;
- Be especially careful if you have fungal diseases in your household;
- Help elderly family members comply with dermatological orders and the necessary sanitary and hygienic requirements aimed at treating this disease.
Soda paste
To form a thick mixture, you need to dilute the required amount of soda with water. Then mix it all thoroughly until a homogeneous mass is formed. This paste should be applied in an equal layer to the nail, then drop a few drops of lemon juice on top of the soda.
As a result, it will pinch a little and characteristic bubbles will form. After 5 minutes, the paste should be removed by washing your feet with warm water and soap. When treating nail fungus with soda, you must use antifungal ointments.
Giving up bad habits is a significant contribution to the prevention of foot fungus
Bad habits (excessive alcohol consumption, smoking, drug addiction), improper wakefulness-sleep, work-rest patterns, inappropriate behavior in stressful situations usually lead to a serious decrease in immunity and poor circulation.
Unreasonable unbalanced nutrition, excessive consumption of light carbohydrates, physical inactivity lead to obesity. Against the background of weakened immunity, poor circulation and obesity, a favorable climate is formed for infection and the development of infection into a generalized dangerous disease.
This indicates an urgent need to give up bad habits.
What factors provoke the development of onychomycosis?
- Age group 60+;
- Diabetes;
- Thrombophlebitis of the lower extremities;
- Weak immunity. The presence of chronic diseases negatively affects the general condition as a whole;
- Uncomfortable shoes made from synthetic materials.
Folk and pharmacy remedies for the prevention of foot fungus
When choosing folk remedies for the prevention of foot fungus, you should remember that fungi do not like an acidic environment; to stop the growth of fungi, a slightly acidic environment (pH 5.5) is sufficient. For preventive purposes, it is advisable to periodically:
- Treat your feet with diluted lemon juice or fermented milk products (kefir, yogurt, etc.)
- Make baths with salt water (2 tablespoons of salt in 0.5 liters of water) or light vinegar water (1 glass of table vinegar in 3 - 4 liters of water) or soda water (1 tablespoon of sodium bicarbonate in 1 liter of water).
Birch tar
You need to treat your nails with tar after steaming baths. This should be done 2 times weekly. A drop of pharmaceutical birch tar should be placed on the dry surface of each plate. Wait until the product dries, put on cotton socks and do not wet your feet for two days. Then repeat the procedure until improvement occurs.
You can also prepare an ointment. For one part of tar, take 4 parts of interior fat or baby cream, mix everything and apply it to your nails every day before bed. The fingers are wrapped in polyethylene, the bandage is secured, and socks are put on. In the morning, you can wash your feet with warm water and laundry soap.
You can also use tar soap, but there is not enough tar there, only 10%.
Forms of mycosis
In total, there are about one thousand species of fungi in the world. And moreover, each of them is completely different from one another. Medical experts were able to find out which of all types of fungi are dangerous for children and affect the skin of their feet. Next, let's look at the three types that are most dangerous for a child :
- The first type is called keratomycosis . This fungus is characterized by the fact that it harms only the surface of the skin of the child’s feet. It is a type of so-called tinea versicolor. The sign of this species is presented in the form of peeling of the human skin. It is worth noting that this type is less dangerous for a child’s feet;
- The second type is called candidiasis . The development of this type is caused by damage to the skin by a certain fungus of the same name. Often this type also affects the top layer of skin on the child's foot;
- And the third type is the so-called mold . This fungus can appear in places with high humidity. In the case of a child, these are sweaty feet in boots. In this case, it is not the mold that poses a certain danger, but its spores, which can spread into the external environment. Based on this, the child needs to avoid wet areas and moisture in the feet, especially if the child is prone to allergic reactions.
Important!
The most dangerous fungus for a child is candidiasis. This is justified by the fact that it is capable of infecting the child’s body directly during childbirth. Or before childbirth if his mother suffers from thrush. This fungus is also transmitted through breast milk.
Causes of infection in a child
Among the so-called fungal diseases, dermatomycosis dominates . This is due to the fact that the skin of the legs is constantly in contact with the external environment. In children, these fungal diseases may represent a so-called sporadic case. But outbreaks of dermatophytosis are more common on the scalp.
In general, the distributor and source of certain dermatomycosis can be both humans and animals, but in rare cases the source can be soil. Infection with this disease occurs through direct contact of the skin of the child’s feet and the source .
In addition to contact with a person or animal, a hat, shoes or other personal item will be sufficient for infection. According to statistics, the most common place where a child’s feet become infected with a fungal disease is a swimming pool or shower room. This place can also be an ordinary beach or a hairdresser.
Due to the fact that children's skin is special, that is, immature, as well as the immune system, they contribute to the simple penetration of the disease into the epidermis, as well as the rapid development of infection.
Also, during the period of exposure to this disease, the child’s body may not have great strength.
The reason for this factor, as a rule, is poor ecology in the area, exposure to a stressful situation, lack of vitamins in the body, or some kind of chronic infection.
If the child’s immunity does not work fully during the period of infection, the fungus can develop into a pathogenic effect. This process inherently develops into a fungal disease.
How to recognize a virus?
An infection of a fungal nature, like other infectious diseases, occurs in certain stages. In this case, there are three stages of the pathological process :
- The skin on the child's foot loses its normal appearance . Changes of this nature are associated with a problem in the structural relationship of the skin. The skin begins to exfoliate, and the top layer becomes thinner and somewhat rougher.
- At this stage, the skin on the child’s feet is often moist . The relief of the foot is no longer smooth, but more rough.
- This is the last stage and here the deformation of the skin composition on the foot reaches, so to speak, its peak. The structure of the skin is very much destroyed .
A couple more tips for treatment
Traditional medicine will help cure a fungal problem, only at the initial stage. Therefore, do not start the disease. Consult a specialist, and using a folk remedy for toenail fungus will be an excellent assistant to the treatment prescribed by the doctor.
One of the side effects of folk remedies is an unpleasant burning sensation. If you are a patient person, this is not a problem, because prolonged treatment may seem like torture. For those who do not tolerate pain well, it is better to limit yourself to medicinal baths, and then use ointments or drops prescribed by your doctor.
Be careful about your health. Sometimes excessive caution and pedantry in many things helps maintain health for many years. Do not leave your personal belongings in public places. Swimming pools, bathhouses, water parks, even going to a bowling alley where you need to change your shoes can cost you beautiful and healthy feet. Be healthy.
How does infection occur?
The so-called mycotic type of infections in childhood is severe.
Often children affected by this disease complain to their parents of itching in the heels, as well as burning and pain in the feet.
Also, the lesion of this infection becomes red. Such symptoms mean that it is necessary to show the child to a specialized doctor. But how does this infection occur?
The main cause of fungal disease of a child's feet is onychomycosis . The risk of this disease is quite high due to the fact that children most often stay in a place where they are surrounded by peers - this is a school, kindergarten, and so on.
If a child walks barefoot on the floor, has close contact with other children, or has a sick person at home with a similar disease, then this all leads directly to the rapid and rapid spread of mycosis.
But having caught this infection? for a child this is not all. This is just the beginning of the contagious process. Further, everything happens due to certain factors that contribute to this process, namely:
- a weak immune system that is affected by one or another disease or has not yet had time to get stronger from the previous one;
- malnutrition;
- hypovitaminosis or avitaminosis;
- wearing shoes of another person or your own, but not comfortable ones;
- presence of flat feet.
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