Treatment of fungal diseases

Dermatologists and mycologists try not to use formal approaches to the treatment of fungus, which are inherent in the prescription of standard ointments and pills and lead to chronic fungal infections and development. Serious complications that reduce quality of life:

1. Fungal eczema.
2. Persistent hair loss.
3. Destroys nail plaques and scars.
4. Chronic inflammation of the foreskin of the penis and vagina is a constant problem that plagues men and women and makes sex life unsatisfactory.

A method of completely eliminating fungal diseases, which helps to achieve the following goals:

1. Kills pathogenic fungi in the damaged skin.
2. Protect healthy skin (nails, mucous membranes) from the spread of fungal diseases.
3. Prevention of recurrence.
4. Restores the normal structure of skin, hair and mucous membranes while maintaining their elasticity and beauty.
5. Removes from the body the waste products of fungi, the cause of chronic intoxication and allergies.
6. Restores sensitivity of the skin and mucous membranes of the genital organs to normalize sex life.

It seems all this is logical and in its way. But in fact, it is very rare that the dermatologist adheres to all the rules of the treatment of mycosis, often limiting himself to external treatment. Yes, and many patients just want to "anoint something" instead of going through a full course of treatment.

What diseases are treated at the clinic:

• Onychomycosis is a fungal infection of the nails and feet.
• Fungal lesions of the skin of the feet and hands.
• Smooth skin fungus.
• Fungal diseases of the inguinal folds, axillary, under the mammary glands, intervertebral folds.
• Ringworm disease.
• Scalp fungus, dandruff.
• The fungus that causes seborrheic dermatitis.
• Candida infections, thrush in the penis and vagina.
• Fungal prostatitis.
• Candida infection of the oral mucosa and tongue.
• Fungal diseases of the outer ear.

Of course, the treatment of fungus depends on the type of fungus and the localization of the process. Let's take a look at the general stages of therapy:

• Mandatory analysis of debris of a fungus with identification of the fungus type, drug sensitivity, and quantity, if possible.
• Blood tests, biochemistry and the state of the immune system.
• Remove the affected area of the nail, hair with laser, hardware or surgery.
• Drug treatment: Antifungal drugs given intravenously or in tablet form. Lasts from 10 days to 4 months (with nail fungus). Injections of antipyretics have been shown to be the best and allow to reduce the duration of mycosis treatment and reduce the impact on the liver. External treatment with antifungal ointments, creams and solutions in a certain sequence. Preparations help improve the growth of nail and hair plaques, restore intact epithelium of the skin and mucous membranes. Local treatment in the form of baths on the penis and in the vagina, restoring the normal microflora of the genitals with mycosis of the genitals. Immunotherapy and removal of mycotoxins and allergens.
• Physiotherapy: ultraviolet light with medical quartz, treatment of affected areas with infrared or ultrasonic laser.
• And lastly - check for fungal control.

Treating fungal diseases can seem too time-consuming and complicated. So it is, but only for one doctor! The treatment regimens are designed in such a way that the patient does not notice much discomfort during the treatment and everything goes quite easily for him.

Treatment of tinea capitis usually does not take time and is about 10-20 days. Treatment of hair and nails longer and up to several months.

But it's not even about the duration of the treatment. The treatment of fungal diseases should be carried out by a specialist, a dermatologist, a mycologist, who is familiar with all the methods listed above and actively applies them in practice. . Specialists in this field are receiving in clinics every day.

Foot fungus treatment

The treatment of foot fungus has been carried out alongside the treatment of other fungal diseases for more than 13 years.

The foot fungus treatment developed and used in the clinic has long proven to be effective, despite the difficulties in treating the fungus.

The results were patients who completed a full course with a diagnosis of mycosis of the foot:

• Completely destroy pathogenic fungi on the soles of the feet, in between the toes, in the instep, in the thickness of the nail plates.
• Removes itching and unpleasant odors from the feet.
• Heals cracks and inflammatory changes in the skin of the feet.
• Restore skin elasticity, eliminate hyperkeratosis - thickening of the skin on the soles of the feet, especially the heel area.
• Eliminates excessive sweating - hyperhidrosis of the feet.
• Healthy nail growth.

That is, if at the initial appointment the dermatologist, oncologist and the patient themselves see thickened soles, fissures, scaly epithelium between the fingers, red pulsethe skin of the feet, shoes and socks are constantly wet, and twisted. If the nails are black, then after a full treatment of foot fungus, this part of the body has a pleasant feeling, the skin becomes smooth, the odor is gone, and the nails are gradually restored. .

Steps to treat foot fungus

1. The diagnostic phase includes the study of scrapes from the skin and nail plates for a pathogenic fungus with the identification of the pathogen group, which is important for the selection of an antifungal drug. To complete the picture, information is needed on the changes in the patient's metabolism, which may be the root cause of excessive sweating in the skin of the feet and reduced local resistance to infections. mushroom. This is where blood tests help us.
2. The treatment of mycosis of the foot is carried out in several stages, depending on the initial clinical picture and the type of fungus. Removes thick layers of keratinized skin and affected areas of the nail. This is achieved with the help of special ointments, procedures or hardware, and lasers that remove the pathological areas. The duration of the phase is from 1 to 7 days. Once the skin is clear, external antifungal therapy can be used to deliver the medication directly into the skin of the feet.
3. Systemic anticonvulsants, i. e. , antifungals administered by injection or in tablet form. Of course, intravenous drip of such drugs proved to be more effective. Furthermore, the drug is safer for the liver and reduces the duration of treatment, from 7-14 days for skin lesions and up to 4 months for nail lesions.
4. Physical therapy for foot fungus includes exposure to medical ultraviolet radiation, which has a detrimental effect on foot fungus, and infrared laser therapy, which further improves blood supply to affected areas. affect, accelerate skin recovery and nail growth. The duration of the procedure is from 3 to 10 minutes.
5. If, as a result of the diagnosis, problems with internal organs, a lack of trace elements and other substances necessary for the delivery of antifungal drugs to the skin, for skin regeneration, to activate the fight againstpathogenic fungi, were identified. , then additional ancillary drugs are prescribed to correct these changes: immunomodulators, ozone therapy, vitamins, hepatoprotectants, iron complexes, calcium and vitamins with trace elementsquantity.
6. Sweating and odors usually go away with this foot fungus treatment. But sometimes it is necessary to prescribe drugs that block the sweat glands of the skin of the legs, conduct laser and cryotherapy sessions with liquid nitrogen.
7. After treatment, it is necessary to check whether the fungus on the feet has been destroyed. Repeated analyzes for fungi were performed. But usually the result is close to 100%.

A very important step in the treatment of toenail fungus is to prescribe further measures to prevent recurrence, including skin care products and shoe treatments on which fungal spores may remain.

There are many different ways to treat foot fungus. It is not possible to describe all therapy options in one article. The clinic's dermatologists, upon examination and based on the diagnostic test results, will determine the most appropriate technique for your specific tinea pedis and conduct definitive treatment.

Treatment of nail fungus

Treatment of onychomycosis is one of the main areas of clinical work in specialist centers, to develop specialists who approach each stage of nail therapy in detail.

It has long been known that the treatment of fungal diseases is a serious problem, even more serious than the treatment of bacterial infections. The uncontrolled use of various antifungal ointments, tablets, solutions, varnishes has led to the development of a large number of resistant fungi. And the amount of this medicine is very limited, unlike antibiotics. Therefore, to achieve maximum effectiveness in the treatment of patients must use a scientific and practical approach in the treatment of toenail and nail fungus and is not limited to prescribing the treatment of ringworm. official skin.

What results will you see after a formal course:

• Restores color and structure of nails.
• Normalizes nail growth and its shape.
• Disappearance of nail fungus, confirmed by laboratory.
• Unpleasant odors and excessive sweating of the feet will disappear.
• The inflammatory process of the ridges around the edges, between the toes and the soles of the feet or palms will disappear. That is, the redness, itchiness, peeling, and watery eyes caused by thrush will disappear.

Treatment of nail fungus in the hands lasts 2-3 months, in the legs up to 3-4 months. But everything, of course, is individual and depends on the type of fungus causing the disease, the rate of nail growth in a given person, the presence of simultaneous pathology of internal organs and blood vessels. For example, in diseases of the veins or arteries of the lower extremities, when the supply of drugs and nutrients to the nail is interrupted, the duration of treatment is much longer and results are difficult to achieve.

Curative control was performed with toenail fungus after 6 months, toenail fungus after 1 year.

The clinic employs dermatologists trained in all methods of nail removal and professionally selects the optimal course of treatment for each patient diagnosed with toenail fungus.

How to treat nail fungus at the clinic

Onychomycosis is a chronic disease, therefore, the treatment has many stages and first of all, a detailed diagnosis to know the type of fungus and the possibility of complex treatment, unfortunately cannot be indicated for everyone. People.

Steps to treat nail fungus:

1. Appointment with a neurologist.
2. Diagnose.
3. Direct treatment.

At the initial appointment, the doctor will evaluate the extent of damage to the nail plates and the surrounding skin, if it is also involved in the pathological process, which is often the case. The doctor will examine other areas of the skin on the skin, mucous membranes, and hair because there are cases where the patient is referred for a suspected fungus and eventually the diagnosis sounds like nail dystrophy, i. e. the symptoms are similar tothis disease, but no. an infectious agent. It is associated with metabolic disorders, hormone levels, chronic diseases of the skin and trauma of the foundation and bed.

Next, a plan of diagnostic measures is drawn up, elements of the nail plate and blood are taken for examination.

Diagnosing nail fungus on fingers and toes

No.	Analysis	Target	Execution time
one.	Grate from nail plates and nail beds for fungus	Identify the fungus to choose the most effective medicine	1–3 days
2.	Mushroom breeding	Determination of the fungus and its susceptibility to antifungal agents	7-10 days
3.	PCR diagnostics for Candida	Identification of fungal diseases caused by yeast-like fungi	1–2 days
4.	Blood chemistry	Determine status of liver and kidney function when planning systemic antipyretic therapy. It can also detect metabolic disorders that lead to nail changes.	1 day
5.	Hospital complex (syphilis, HIV, hepatitis, coagulation)	If you plan to remove the nail plate or the affected part of the nail	1 day

The following is a complete list of the main diagnostic measures, but not everyone is assigned all of these studies by a mycologist. For example, in the superficial form, when there is no need to remove the plaque and prescribe an oral or drip antifungal medication, there is no need to conduct a blood test.

Cultivation is also done quite rarely due to low sensitivity.

Therefore, people who are treated for toenail fungus or toenail fungus must first consult a dermatologist or mycologist, and then start doing tests, applying ointments and medications, and not vice versa. again.

It is also important to accurately sample material from affected areas to identify fungi. Its detection in a particular patient depends on this up to 90%. Not only the hard parts of the nail are taken for study, but also the loose mass from the nail bed, which contains the maximum amount of pathogens.

But even with this approach, the laboratory does not always immediately determine the presence of a muscle infection.

With obvious signs of onychomycosis, the analysis was repeated three times with negative results.

So, the diagnosis is made, the fungus is discovered, its type is determined, the condition of the internal organs is examined and treatment is started.

Treatment of nail fungus by a mycologist

Everything here depends on the clinical situation. Superficial forms of mycosis can be cured using external agents such as varnishes, solutions containing fungicides, and laser treatment. Total damage to the nail requires amputation of the affected area and the use of medication by mouth or intravenously.

We will be looking at the treatment stages of an advanced form of toenail fungus, because this is the most difficult stage of toenail fungus to treat with medication.

Cut off the nail or part of the nail that is infected.

As a result, we will immediately remove the huge accumulation of fungus and make it easier for the nail to penetrate the medicinal substances into it to destroy the remaining bacteria in it. It also reduces the absorption of fungal waste products into the blood, reducing the allergic and toxic effects to humans.

There are several methods for removing plaques affected by fungal diseases. The choice depends on the clinical condition and which doctor treats nail fungus in this patient, the technique that he most expertly possesses:

No.	Methodology	How is it done?	Favorable	Price
one.	Hardware nail removal	Used most often. The affected part of the nail plate is sawed with a special cutter for the nail and the back contour around the nail	Guard Minimal discomfort The patient does not lose his ability to work	1000–1500 rubles
2.	Surgical removal	After the finger is numbed, the nail is removed completely or partially, if necessary. An antibacterial bandage is applied.	Cut off the affected nail in the most "clean" way, when the fungus is removed, including from under the nail ridges, the nail bed is stripped of the mycotic layers. Curved nail bed surgery can be performed.	From 2500 rub.
3.	Laser nail removal	Treated finger anesthesia is also performed. The laser beam burns the fungal nail area by capturing the nail layer	Removes as much fungal mass as possible, but does not penetrate below the rear roller	From 3000 rub.

The hardware technique is used more often, because it brings minimal complications, does not damage the growth zone and the nail bed, is affordable, but requires more frequent cleaning of the nail bed, as it does not provide complete hygiene for fingernails from fungus.

Of course, after surgical or laser excision, the number of fungi remaining is very small, but the long recovery time, the possibility of disability, the dressing limit the use of these methods in some diseases. core.

Kill the fungus by external means.

On a cleaned foundation after nail plate removal, an antifungal solution is applied daily for several months until nail growth is normal and the analysis is negative for fungus. It is also possible to add a waterproof varnish to the edge of the growing nail.

Use of systemic antifungal agents orally and intravenously. This is the main stage of treatment after nail removal.

It is important to ensure that the drug is delivered to the foundation, from where the new nail grows, and to the nail bed with blood flow.

Based on the tests, the doctor will choose a drug that is suitable for this patient, as well as the method of drug use.

The type of fungus, the condition of the liver and kidneys, and the convenience of the patient are taken into account.

For the liver, intravenous administration of drugs that enter the bloodstream and nails, bypassing the intestines and liver, respectively, is safest.

Treatment is carried out up to 3-4 months with lesions on the feet and 2-3 months if the fungus is on the hands.

There are several treatment regimens for nail fungus, including daily medications and intermittent courses.

At least once a month, have a blood test for liver and kidney indicators. If it deviates from the standard, the treatment will be stopped.

1. Physiotherapy in the treatment of onychomycosis - both helps to destroy the infection, and helps to improve drug delivery and accelerate the growth of nail plaques. UV radiation of nails is a detrimental effect on fungi. 10-15 sessions in 3-5 minutes. Infrared laser - improves blood flow in the area of the growth zone and nail bed, ensures enhanced drug delivery to the affected area and accelerates the growth of a new array impregnated with an antispasmodic. Antifungal electrophoresis is the generation of the maximum possible concentration of a drug directly at the focus of the pathological process.
2. Regularly clean the hard part of the nail from hyperkeratosis and fungal remnants. For patients with onychomycosis, it is important to visualize the entire course of treatment and to understand that this is a rather long-term event, the success of which depends not only on the doctor treating the nail fungus but alsodepend on themselves. It is important to regularly take medication and apply antifungal solutions, regularly treat shoes, adhere to the schedule of physiotherapeutic procedures and clean the nail bed.

Which doctor treats nail fungus?

Nail fungus is a serious problem. Everyone who has experienced the failure of nail plates with fungal diseases knows this. It is treated for a long time, never has a good effect, and the use of ointments, creams, solutions in almost 95% of cases does not bring any results.

But in reality, it's not all sad if you don't know which specialist to contact for nail fungus treatment. And then success is guaranteed even with nail fungus.

The doctor who treats nail fungus is a mycologist or a dermatologist experienced in the management of such patients.

Why experience is important, and not just theoretical knowledge. The fact is that therapy for fungal infections affecting the nails lasts more than a month. Results are not immediately visible, making it difficult to assess effectiveness. It is also not easy to choose all of the procedures and medications for a particular patient, which will vary in each clinical situation.

There is a lot of information on the Internet about different types of antifungal medications, laser methods, physical therapy, and nail clipping. Patients who self-medicate begin to buy one drug after another and, without getting results, they despair and stop all efforts to get rid of the fungus. The same goes for when treatment is prescribed by a physician who has no experience in monitoring such patients.

The doctor's clinic treats fungus on the feet and hands every day, and also has a fully equipped fungus room, which performs all stages of diagnosis and treatment of nail fungus.

Which doctor cures nail fungus effectively?

1. This is necessarily a dermatologist or mycologist.
2. He has experience in examining and treating nail fungus diseases.
3. Know how to remove the affected nail plate, clean the foundation.
4. Know the stages of systemic treatment of onychomycosis, introduce the course of physical therapy methods.
5. It is possible to change the treatment method in time or add a procedure, a drug, a weak effect of the previously prescribed therapy.
6. It is capable of using all the modern methods and equipment needed in the clinic for the treatment of nail fungus.

The treatment of such fungi is a plan, not an emergency procedure. So, after examination, the nail fungus doctor explains to the patient all the possible therapy options, but which one is up to the patient himself.

The course, regardless of the technique chosen, is very long and each patient must understand from the very beginning the effectiveness of each method:

Treatment of nail fungus with external methods (solutions, varnishes, ointments) - less than 10% effectiveness, that is, only in the initial, superficial form.

The use of an integrated approach that does not remove the affected areas of the nail, is effective up to 60%.

Complex treatment with excision of the affected nail and physiotherapy - up to 90-95% effectiveness.

Usually, at the initial appointment, the nail specialist says to the patient: If the patient is willing to undergo a complex 3-4 month course of toenail fungus treatment, success can be achieved. If not, then it's better not to start at all. Money, time will be spent, and the results will be unquestionable. This is a disease that requires a long and complex treatment from both the doctor and the patient, where even the small details matter.