The problem of fungal infection of the nail plates on the legs is familiar to many. According to medical statistics, this disease worries about 20% of the world's population. Only on the territory of our country more than 15 million people suffer from the fungus. Therefore, the problem of how to treat toenail fungus is extremely relevant today. This disease in the medical environment is also called onychomycosis. The disease is more common among the stronger sex. This is due to the fact that they are more likely to wear closed-toe shoes. And this, in turn, prevents the flow of air to the feet, which contributes to the emergence of an environment favorable for the rapid reproduction of pathogenic microorganisms.
Important!
The information in this section should not be used for self-diagnosis or self-treatment. In case of pain or other exacerbation of the disease, only the attending physician should prescribe diagnostic tests. For proper diagnosis and treatment, you should contact a specialist.
disease symptoms
There are about 50 different types of fungus that can infect the human body. Therefore, to determine how to treat toenail fungus, you need to know the exact type of infection. The symptoms of the disease also vary depending on which pathogen caused it. When infected with a normotrophic fungus in a patient:
- there is a change in the color of the nail;
- spots and stripes appear on it;
- observed onycholysis.
With the atrophic type of the disease, the patient observes that his nail is slowly being destroyed. The damage occurs at the outer edge and moves towards the nail fold. At first, just a change in the color of the plaque indicates a disease. She becomes:
- Gray;
- dull;
- matte.
In the future, complete loss of the nail occurs. With hypertrophic fungus, a thickening of the plaque is observed. This is due to increased growth of scales on the skin. As a result, the nail can thicken up to two millimeters and become severely deformed. The following symptoms indicate the appearance of this disease:
- change in the shape of the nail (the side parts are destroyed);
- loss of plate brightness;
- nail yellowing.
Treatment of toenail fungus should be started urgently when signs of lateral and distal lesions appear. These two types of disease often occur in combination. This disease will be indicated by:
- the appearance of transverse grooves on the nail;
- plate color change (from blue-green to black);
- roughness of the affected areas.
The disease ends with complete loss of the nail, as well as inflammation of the nail folds. Regardless of the type of injury, there are symptoms that bother every fungus patient:
- itching in the affected area;
- plaque delamination;
- nail disintegration and loss.
Causes
The fungus occurs due to tissue damage by mycotic bacteria. In almost 90% of cases, the disease is caused by dermatomycetes. In rarer cases, fungi of the genus Candida, as well as mold microorganisms, become pathogens. Pathogens can penetrate deep into the nail:
- by the dorsal part of the nail;
- below the distal border;
- through the proximal fold.
In the first case, the fungus penetrates deep into the nail. This route of infection is characteristic of dermatomycetes. In the second case, the injury occurs directly under the plaque. This greatly complicates the treatment of toenail fungus, since it is difficult to act with drugs directly on the site of infection due to their inaccessibility. Through the proximal roller, the infection rarely penetrates. In order for the fungus to get on the nail, certain conditions are necessary. Increase the risk of infection:
- mechanical damage to the nail area;
- wearing narrow, uncomfortable shoes;
- constant contact with water;
- increased sweating;
- exposure to chemicals on the feet;
- non-compliance with the rules of personal hygiene.
You can catch a fungus from a sick person. The causative agents of the disease are perfectly preserved in humid and warm environments; therefore, the infection most often occurs in showers, swimming pools, water parks and public baths. The fungus can also be transmitted by sharing these items:
- towels
- dish towels;
- flip flops;
- scissors;
- pumice stone
Which doctor treats?
When the first symptoms appear, indicating the development of the disease, it is recommended to immediately seek medical help. Self-medication is possible, but during attempts to cope with the disease on your own, there is a high probability of infecting all loved ones, as well as provoking the development of complications. Therefore, it is better to trust professionals. Treatment and diagnosis of nail fungus is carried out by: dermatovenereologist, cosmetologist, podiatrist.
At the first consultation, the patient will be examined. The doctor needs to study the condition of the nail plate, determine the nature and prevalence of the disease. The patient needs to tell as much as possible about all the complaints, indicate his assumptions about the causes of the appearance of the disease. In order to decide how to cure toenail fungus, it is important for the doctor to do some research. The specialist will ask the patient:
- Have there been similar problems in the past?
- Are there other health complaints?
- Have you visited saunas, baths or swimming pools lately?
- Do relatives suffer from nail fungus?
- Are there chronic illnesses?
- How did you try to solve the problem yourself?
It is very important for the doctor to understand what kind of fungus has affected the nail. The diagnostic test helps to find out. The patient will be shaved from the affected part, which will be sent for laboratory study. The study will determine the type of pathogen, as well as study its sensitivity to drugs.
Effective treatment for toenail fungus
You can cope with the disease quite quickly, if you strictly follow all the recommendations of a specialist. The doctor will develop an individual therapy plan for the patient, select drugs and indicate their maximum permissible dosage. For the treatment of nail fungus, drugs are used in the form of:
- varnishes;
- solutions;
- plasters;
- creams.
They need to be applied regularly. It is important not to mix several products, as their effect is reduced. It is impossible to independently acquire and use these drugs, because they have a number of contraindications. Only a doctor knows how to treat toenail fungus in such cases:
- with lactation;
- During the pregnancy;
- in the presence of liver diseases;
- in the childhood.
It is very important to follow the rules for applying these drugs. For example, before covering the plate with a special antimycotic varnish, you must:
- remove the affected part of the nail with a nail file;
- steam the leg;
- degrease the surface of the nail.
The drug is applied in one layer. Remove it every week with simple nail polish remover. Then apply it again. Some types of these products can be coated with ordinary nail polish. The duration of therapy depends on the type of pathogen, the prevalence of the disease, as well as the individual characteristics of the patient's body.
What is the best treatment?
The sooner a person sees a doctor, the easier and faster he will get rid of the problem. However, not all people immediately go to the hospital when the first signs of fungus appear. Many try to cope with the disease on their own, which leads to the fact that the disease goes into an advanced stage. In this case, it will not be possible to cure it quickly. The patient will need a long and serious therapy, during which he will have to:
- taking antifungal pills;
- use funds for topical application;
- use patches all the time.
The doctor will determine how to treat advanced stage nail fungus by the extent of the lesions. If the plaque is completely affected, its removal is prescribed. Surgical methods can be used for this. However, most often it is possible to remove the nail with the help of special preparations. The way to use them is as follows:
- On a steamed and well-dried leg, a thick layer is applied.
- From above, the nail is fixed with plaster.
- After 4 days, it is removed, and the affected nail is scraped off with manicure tools.
In this way, the fungus can be completely removed. In place of the affected nail, over time, a new, completely healthy one will grow. If the therapy was carried out correctly and to the end, then you can completely get rid of the disease and not worry about relapses.
reinfection prevention
Even after defeating the disease, there is a chance to encounter a problem again if certain rules are not followed. In this case, the treatment of nail fungus will have to start over. Reinfection can be avoided by strictly observing the following prevention methods:
- Keep your feet dry, do not walk in wet shoes.
- Don't wear other people's shoes.
- Wear closed disposable slippers in saunas and baths.
- Do not walk barefoot on the beach.
- Use only socks made from natural fabric.
It is important to abandon uncomfortable and too narrow shoes in which the feet sweat a lot. In addition, the prevention of the disease includes strengthening the immune system. If the body's defenses are working perfectly, even if the fungus penetrates the nail plate, they will solve the problem on their own. Therefore, it is very important:
- eat properly and nutritiously;
- avoid hypothermia;
- do sports;
- observe the regime of work and rest;
- treat all diseases in a timely manner.
Important!
Remember that only a qualified doctor can make an accurate diagnosis, determine the causes and nature of the disease, and prescribe effective treatment.