Vanhu vazhinji vakawedzera, zvinyorwa zvitsvuku uye zvigunwe uye anenge 50 muzana yezvipikiri zvisingasviki ndezvikonzero nekuda kwehutachiona hwehutachiona hwembambo dzembambo, matrix, kana tambo yepail. Mhuka yehutachiona iyo inokonzera zvirwere zvakanyanya zvinokonzerwa nefungal zvipembenene ndeye Trichophyton rubr u m . Mishonga yehutachiona yehutachiona hwehutachiona iyi ndeye onychomycosis kana tinea unguium.
Zvinotaridzika
Kune mavara mana akasiyana-siyana e onychomycosis uye anosarudzwa nechikamu chepikiri iyo inobatanidzwa. Chirwere chinowanzobatana chinosanganisira kuguma kwembambo-apo fungi inopinda mu hyponychium .
Pakutanga, bhandi repikiri rinoparadzaniswa pamubhedha wemakumbo, chiito chinonzi onychomycosis. Zvadaro, kuguma kwembambo kunoshandura njodzi kana machena uye keratin tsvina inokura pasi pemisungo, zvichiita kuti zviparadzanise zvakare. Iyo fungus inokura mumusweiri ichiita kuti ive yakaoma uye inopera.
Risk Factors
Izvi zvinotevera zviitiko zvinokurudzira utachiona hwehutachiona kana kukurudzira kukura kwefungi.
- Nzvimbo dzakashambidzwa dzinokurudzira kubvongodza kwezvigunwe, kuchengetedza zvigunwe zvinodziya uye zvinonaya-nzvimbo yakakwana ye fungi kukura.
- Kuita muviri kunogona kukonzera kushungurudzika kwechinguva chiduku kune hyponychium, zvichibvumira fungi kupinda.
- Mahara emagetsi anokwanisa kuzarura tsoka kune fungi.
- Zvirwere zvinokonzera utachiona hwehutachiona hwakafanana neAIDS uye chirwere cheshuga chinogona kuita kuti zvive nyore kune utachiona hwehutano kutanga.
Kuongororwa kweOnmymycosis
Hasi dzose dzakasvibiswa, misoro yakagadziriswa ndeye chirwere chefungal. Zvimwe zvirwere zvinogona kuita kuti zvipikiri zvakasimba zvive psoriasis, eczema, uye lichen planus . Zvakakosha kuti fungal neil zvirwere zvinoratidzika zvakanaka nokuti kurapwa kunogara kwenguva refu uye kunodhura.
Fungal nail zvirwere zvinoratidzwa nekutora sampuli yemadhiri pasi pechipikiri.
Zvinhu zvakanyanya kufungidzirwa zvinowanikwa pasi pemisungo uye iri pedo neganda, naizvozvo misumari inofanira kugadziriswa kusati yamuenzaniso inotorwa.
Iko kune miviri miviri inoshandiswa kuongororwa nehutachiona hutachiona hutachiona:
- Iko test KOH
- A fungal tsika
Iko kuongorora kweKOH kune zvakakosha zvokuti inogona kukurumidza kuitwa. Chimiro chemafungidziro chinotora masvondo matatu kana mana kuti adzoke asi anokwanisa kuziva chaicho chiri mhuka, kana pane mubvunzo chero upi zvake.
Mitatu Mitatu Yokurapa
Mushonga we onychomycosis inodhura uye kwenguva refu. Zvinoda kuzvipira kune chikamu chemurwere kutora mishonga kwemwedzi inoverengeka.
Zvinosuruvarisa, mazano ekugadzirira mazano (mishonga yaunoshandisa kumusana wekupikira) usanyatsobata kurapa zvirwere zvepungile. Dhiyabhorosi yakagamuchira mabiko emisipi anonzi ciclopirox (Penlac) yezvipembenene zvepungal, asi hazviwanzobudiriri. Inogona kunge iri sarudzo, zvisinei, kune vanhu vasingakwanisi kutora mishonga yekunyora antifungal (mapiritsi aunotora nemuromo).
Pane mitatu inoshandiswa mumuromo wemishonga inogadziriswa-inonzi FDA-inogamuchirwa nehutachiona hwemapachipi uye imwe iyo isiri FDA-inogamuchirwa zvakanyanya nokuda kwezvipi zvepachipi.
Zvose mishonga mitatu ine migumisiro yakawanda uye inobatanidza nemishonga yakawanda.
Chero ani anotora mishonga inogadziriswa nemuromo inofanira kuva nenguva dzinoongorora miedzo yakagadzirwa kuti ichengetedze chiropa uye neropa rekushanda. Mishonga inonzi antifungal mishonga inowanikwa mumisungo-saka, inoramba ichishanda kunyange mushure mokunge mishonga ichibviswa. Hapana chimwe chezvinyorwa zvinyorwa zvinogona kutorwa panguva yekuzvitakura.
- Terbinafine (Lamisil) iri FDA-inogamuchirwa kuti iite zvirwere zvemapachipi emapulisa uye makumi manomwe kusvika ku90 muzana inoshandiswa kana inoshandiswa sezvinorayirwa. Terbinafine anobatana nemamwe mishonga mishomanana, kunyanya caffeine uye cimetidine. Nhamba iyo inoshandiswa ndeye 250 milligrams kamwe kamwe pazuva kwevhiki masere nekuda kwechirwere chetachiona uye masvondo gumi nemaviri ekubatisa zvirwere.
- Itraconazole (Sporanox) zvakare FDA-inogamuchirwa kurapa onychomycosis uye 70 kusvika ku80 muzana inoshanda. Itraconazole inopindirana nemishonga yakawanda uye inofanira kutorwa nechingwa. Itraconazole inogona kutorwa zuva rega rega kana se-pulse therapy. Nhamba yezuva nezuva inokwana 200 milligram imwe kamwe pazuva kwevhiki masere nekuda kwechirwere chetachiona uye masvondo gumi nemaviri ekutapukisa zvirwere. Dhiping dosse iri 200 milligrams kaviri pazuva kwevhiki imwe pamwedzi, inodzokororwa kwemwedzi miviri kana mitatu.
- Fluconazole (Diflucan) haisi FDA-inogamuchirwa kurapa utachiona hwemapachipi asi inogadzirwa nemishonga inogadzirisa inopungal. Kubatsira kwe fluconazole ndeyekuti inoramba iri mumuviri kwenguva refu uye inoda kutorwa vhiki nevhiki chete. Ongororo yekutanga inoratidza kuti fluconazole iri 72 kusvika ku89 muzana inoshanda. Nhamba iyo inoshandiswa ndeye 450 milligram imwe kamwe pavhiki kwemwedzi mina kusvika mapfumbamwe.
Shoko Rinobva
Kana iwe kana munhu waunoda ane fungal yeil cluster, iwe hausi woga. Zvechokwadi, onychomycosis inosvika kusvika 10 muzana yevanhu vakawanda. Varume vanowanzovawana kupfuura vakadzi, uye mikana yekuvandudza imwe inowedzera nezera. Izvo zvataurwa, iva nechokwadi chokuti unozoongorora chirwere chaicho, zvichida nekutarisira kwako kunyanya kana kuti nedermatologist (chiremba anoziva mukurapa ganda nemisungo).
> Sources:
> Thomas J, Jacobson GA, Narkowicz CK, Peterson GM, Burnet H, Sharpe C. Toenail onychomycosis: chinhu chakakosha chemutoro wepasi rose. J Clin Pharm Ther . 2010 Oct; 35 (5): 497-519.
> Westerberg DP, Voyack MJ. Onychomycosis: Current Trends mu Kuziva uye Kurapa. Ndiye Chiremba weNzara . 2013 Dec 1; 88 (11): 762-70.