Treatment of fungal diseases

Dermatologists and mycologists try not to use formal approaches to fungal treatment, which consist in standard prescription of ointments and tablets and lead to chronic fungal infections and the development of serious complications that reduce quality of life:

1. Fungal eczema.
2. Hair loss continues.
3. Destruction of nail plates and scars at the base of the nail.
4. Chronic inflammation of the penile and vaginal glands, which constantly bothers men and women and makes sexual life impossible.

Methods to completely get rid of fungal diseases, which help achieve the following goals:

1. Destruction of pathogenic fungi in the focus of skin lesions.
2. Protection of healthy skin (nails, mucous membranes) from the spread of mycosis.
3. Recurrence prevention.
4. Restoration of the normal structure of the skin, hair and mucous membranes while maintaining its elasticity and beauty.
5. Removal from the body of fungal waste products, which cause chronic intoxication and allergies.
6. Restores the sensitivity of the skin and mucous membranes of the genitals to normalize sexual life.

It seems that all of this is logical and should be. But in practice, very rarely, dermatologists adhere to all the rules for the treatment of fungal diseases, often limiting themselves to external therapy. Yes, and many patients just want to "anoint something" instead of undergoing full treatment.

What diseases are treated in the clinic:

• Onychomycosis is a fungal infection of the fingernails and toenails.
• Fungal lesions on the skin of the feet, hands.
• Smooth skin fungus.
• Fungal diseases of the inguinal folds, axillary, below the mammary glands, intergluteal folds.
• Pityriasis versicolor.
• Scalp fungus, dandruff.
• Fungi that cause seborrheic dermatitis.
• Candidiasis, penile and vaginal thrush.
• Fungal prostatitis.
• Candidiasis of the oral and tongue mucosa.
• Fungal diseases of the outer ear.

Fungal treatment, of course, depends on the type and localization of the process. Let's choose the general rating of therapy:

• Mandatory analysis of abrasion for fungi with determination, if possible, its type, sensitivity to drugs, quantity.
• Blood tests, biochemistry and immune system conditions.
• Removal of the affected area on the nail plate, hair with laser, hardware or surgery.
• Drug therapy: Antifungal drugs intravenously or in tablet form. Lasts from 10 days to 4 months (with onychomycosis). Antimycotic injections have proven to be the best and allow to reduce the duration of treatment of fungal diseases and reduce the effects on the liver. External treatment with antifungal ointments, creams and solutions in a specific sequence. Preparations that enhance the growth of nail plates, hair, restore the integumentary epithelium of the skin and mucous membranes. Local treatment in the form of baths on the penis and in the vagina, restoration of the normal microflora of the genitals with fungal diseases of the genital organs. Immune therapy and removal of fungal toxins and allergens.
• Physiotherapy: ultraviolet irradiation with medical quartz, treatment of the affected area with infrared or ultrasonic laser.
• And finally - a control test for mushrooms.

Treatment of fungal diseases may seem too time consuming and complicated. Similarly, but only for doctors! The treatment regimen is designed in such a way that the patient does not notice much discomfort during therapy and everything goes smoothly for him.

Skin fungus treatment usually does not take time and is about 10-20 days. Hair and nail treatments are longer and reach several months.

But it’s not about the duration of therapy. Treatment of fungal diseases should be carried out by a professional, dermatovenereologist, mycologist familiar with all the methods listed above and actively apply them in practice. Specialists in this field receive treatment at the clinic on a daily basis.

Foot fungus treatment

Foot fungus treatment has been carried out in conjunction with other fungal disease therapies for more than 13 years.

The method of treating foot skin fungus, developed and used in clinics, has long proven its effectiveness, despite the well -known difficulties in the treatment of fungal diseases.

What do patients who have completed a full course with a diagnosis of foot mycosis receive as a result:

• Complete destruction of pathogenic fungi on the soles of the feet, in the interdigital space, on the back of the feet, in the thickness of the nail plate.
• Removal of itching and unpleasant odor from the feet.
• Healing of cracks and inflammatory changes in the skin of the feet.
• Restoration of skin elasticity, elimination of hyperkeratosis - thickening of the skin of the soles of the feet, especially in the heel area.
• Elimination of excessive sweating - hyperhidrosis of the feet.
• Healthy nail growth.

That is, if at the initial appointment, dermatovenereologists, mycologists and patients themselves see pictures of thickened soles, with cracks, flaky epithelium between the toes, congestive redness on the skin of the feet, shoes and socks constantly wet, and twisted. , dark nails, then after a full course of fungal therapy on the feet, there is a pleasant feeling of comfort in this part of the body, the skin becomes smooth, the smell disappears, the nails are gradually restored.

Treatment measures for foot fungus

1. The diagnostic stage includes the study of abrasions from the skin and nail plates for pathogenic fungi with the determination of the pathogen group, which is important for selecting antifungal drugs. To complete the picture, information is needed about changes in the patient’s metabolism, which can be the cause of excessive sweating on the skin of the feet and a decrease in local resistance to fungal infections. This is where blood tests help us.
2. Treatment of foot mycosis itself is carried out in several stages, which depend on the initial clinical picture and the type of fungus. Removal of the thick layer of keratin skin and the affected area on the nail plate. This is achieved with the help of special ointments, procedures or hardware and laser removal of pathological areas. Stage duration is from 1 to 7 days. Once the skin has been cleansed, it becomes possible to use external antifungal therapy that delivers the medication directly to the skin of the feet.
3. Systemic action antimycotics, that is, antifungal drugs given by injection or in tablets. Of course, intravenous drops of such drugs have proven to be more effective. Moreover, it turns out to be safer for the liver and reduces the duration of treatment, which is 7-14 days for skin lesions, and up to 4 months in combination with nail lesions.
4. Physiotherapy treatments of foot fungus include exposure to medical ultraviolet radiation, which has a detrimental effect on foot fungus, and infrared laser therapy, which further increases blood supply to the affected area, accelerating 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, lack of micro -elements and other substances necessary for the delivery of antifungal drugs to the skin, for skin regeneration, to activate the fight against pathogenic fungi, are identified. , then additional additional drugs are prescribed to correct these changes: immunomodulators, ozone therapy, vitamins, hepatoprotectors, iron, calcium and vitamin complexes with micro -elements.
6. Excessive sweat and odor often disappear with this foot fungus treatment. But sometimes it is necessary to prescribe drugs that block the sweat glands of the skin of the feet, to conduct laser therapy sessions and cryomassage with liquid nitrogen.
7. After treatment, it is necessary to check whether the fungus on the feet has been destroyed. Repeated abrasion analyzes for fungi were performed. But often the result is almost 100%.

A very important step in the treatment of foot fungus is the subsequent appointment of recurrent prevention, including skin care products and shoe treatments that can remain fungal spores.

Foot fungus treatments are very diverse. It is not impossible to describe all therapy options in one article. The clinical dermatovenereologist, after examination and based on the results of laboratory diagnostics, will be able to determine the most appropriate technique in a particular case of fungus of the skin of your feet and carry out the treatment completely.

Nail fungus treatment

Nail fungus treatment is one of the main areas of clinical work in specialized centers, for the development of specialists who approach each stage of onychomycosis 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. Uncontrolled use of various antifungal ointments, tablets, solutions, varnishes has led to the growth of a large number of drug -resistant fungi. And the number of these drugs is very limited, unlike antibiotics. Therefore, to achieve the maximum effect of treating patients, we had to use a scientific and practical approach in the treatment of toenail and fingernail fungus, and not limited to the official prescription of external therapy for onychomycosis.

What results will you see after the full course:

• Color restoration and structure of nail plates.
• Normalization of nail growth and its shape.
• Loss of nail fungus, confirmed by laboratory.
• Unpleasant odors and excessive sweating on the feet will disappear.
• The inflammatory process of the skin of the periungual ridge, the interdigital space and the soles of the feet or palms will disappear. That is, redness, itching, peeling, crying caused by fungal diseases will disappear.

Treatment of nail fungus on the hands lasts 2-3 months, on the feet up to 3-4 months. But everything, of course, is individual and depends on the type of pathogenic fungus, the rate of nail growth in a particular person, the presence of the corresponding pathology of internal organs and blood vessels. For example, in diseases of the veins or arteries in the lower part of the foot, when the delivery of drugs and nutrients to the nails is disrupted, the treatment time is longer and the results are very difficult to achieve.

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

The clinic employs dermatovenerologists who are trained in all methods of nail removal and professionally select the optimal course of therapy for each individual patient diagnosed with nail fungus on the hands and feet.

How nail fungus is treated in the clinic

Nail mycosis is a chronic disease, so treatment has several stages and it is always preceded by a detailed diagnosis that reveals the type of fungus and the possibility of complex treatment, which, unfortunately, cannot be prescribed to everyone.

Treatment steps for nail fungus:

1. Appointment of mycologist.
2. Diagnostics.
3. Direct treatment.

At the initial appointment, the doctor will assess the damage to the nail plate and the skin around it, if it is also involved in pathological processes, which often occur. He will examine other areas of the skin, mucous membranes, hair, as there are cases when the patient is referred for suspected fungus, and in the end the diagnosis sounds like onychodystrophy, that is, symptoms similar to the disease, but without infectious agents. It is associated with metabolic disorders, hormone levels, chronic skin diseases and injuries to the nail and bed matrix.

Next, a diagnostic step plan is prepared, nail plate particles and blood are taken for examination.

Diagnosis of onychomycosis of the fingers and toes

No.	Analysis	Target	Implementation period
one.	Scrape from nail plates and nail beds for mushrooms	Determine the type of fungus to choose the most effective remedy	1–3 days
2.	Sowing for mushrooms	Determine the type of fungus and its sensitivity to antifungal drugs	7–10 days
3.	PCR diagnostics for Candida	Identification of mycosis caused by yeast -like fungi	1–2 days
4.	Blood chemistry	Determination of the state of liver and kidney function when planning systemic antimycotic therapy. It is also possible to detect metabolic disorders that lead to changes in the nails.	1 day
5.	Hospital complex (syphilis, HIV, hepatitis, coagulogram)	If you plan to remove the nail plate or the affected part of the nail	1 day

The following is a complete list of key diagnostic measures, but not everyone is given all of these studies by a mycologist. In superficial form, for example, when it is not necessary to remove the plate and prescribe antifungal medication orally or drops, there is no need to conduct a blood test.

Crops are also rarely done because of their low sensitivity.

Therefore, those who treat toenail or fingernail fungus should always first consult a dermatologist or mycologist, and then start taking tests, rubbing ointments and drinking pills, and not the other way around.

Very important is also the proper sampling of material from the affected area to identify fungi. Its detection in certain patients depends on this by 90%. Not only the hard part of the nail plate is taken for research, 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 mycotic infection.

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

So, a diagnosis is made, the fungus is detected, its type is identified, the condition of the internal organs is checked, and therapy begins.

Nail fungus treatment by a mycologist

Everything here depends on the clinical situation. Shallow forms of mycosis can be cured using external agents such as varnishes, solutions containing drugs that are harmful to fungi, and laser processing of plates. Total wounds on the nail require removal of the affected area and administration of medication orally or intravenously.

We will consider the treatment stage of an advanced form of toenail fungus, as this is the most difficult stage of onychomycosis to treat with medication.

Removal of the nail or part of the nail plate affected by the fungus.

As a result, we will immediately cleanse the body of large accumulations of fungus and make the nail bed accessible by the penetration of medicinal substances into it to destroy the microbes that live in it. It also reduces the absorption of fungal wastes into the blood, reducing the effects of allergies and toxicities in humans.

There are several methods for removing plates affected by mycosis. The choice depends on the clinical situation and on which doctor treats nail fungus in this patient, what techniques he has professionally:

No.	Methodology	How it is run	Advantage	price
one.	Hardware nail removal	Used most often. The affected portion of the nail plate is sawed with a special cutter to the base of the nail and the posterior periungual ridge	Security Minimal discomfort The patient does not lose work capacity	1000-1500 rubles
2.	Surgical removal	After finger flow anesthesia, the nail plate is removed completely or partially, if necessary. Antibacterial bandages are used.	The most "clean" removal of the affected nail, when the fungus is removed, including from under the nail ridge, the nail bed is cleaned of mycotic layer. It is possible to perform plastic surgery on a curved nail bed.	From 2500 rub.
3.	Laser nail removal	Anesthesia of the treated finger was also performed. The laser beam burns the nail area affected by the fungus by capturing the nail bed	Maximum removal of fungal mass, but without penetration under the back rollers	From 3000 rub.

The hardware technique is used more often, as it provides a minimal number of complications, does not damage the growth zone and nail base, is affordable, but requires more frequent cleaning of the nail bed, as it does not provide complete sanitation of the fingers from the fungus.

After surgery or laser removal, of course, the remaining amount of fungus is minimal, but the length of the recovery period, the possibility of deformities, bandages limit the use of this method in some patients.

Destruction of fungi by external means.

On nail beds cleaned as a result of nail plate removal, an antifungal solution was applied daily for several months until normal nail growth and negative analysis for fungus. It is also possible to add antimycotic varnish to the growing edges on the nail plate.

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

It is necessary to ensure delivery of the drug to the nail matrix, from which new nails grow, and to the nail bed with blood flow.

Based on the test, the doctor will select the appropriate medication for this patient, as well as the method of administration.

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

For the liver, intravenous administration of drugs that enter the blood and nails, each bypassing the intestine and liver, is the safest.

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

There are several treatment regimens for nail fungus, which include both daily medications and intermittent course work.

At least once a month, blood tests are done for liver and kidney indicators. If it deviates from the norm, treatment is stopped.

1. Physiotherapy in the treatment of nail fungus-helps both to destroy the infection and improve the delivery of drugs, accelerating the growth of nail plates. UV radiation on the nail bed is a detrimental effect on the fungus. 10-15 sessions for 3-5 minutes. Infrared laser - an increase in blood flow in the area of the growth zone and the nail bed, which ensures enhanced delivery of the drug to the affected area and acceleration of the growth of new plates impregnated with antimycotics. Electrophoresis of antifungal drugs is the creation of the maximum possible concentration of the drug directly in the focus of the pathological process.
2. Regular hardware cleaning on nail polishes from hyperkeratosis layers and fungal residues. For patients with fungal nail disease, it is important to imagine the whole treatment process and understand that this is a relatively long event, the success of which largely depends not only on the doctor treating the nail fungus, but also on themselves. It is important to regularly take medications and use antifungal solutions, regularly treat shoes, adhere to a schedule of physiotherapy procedures and clean nail beds.

Which doctor treats nail fungus?

Nail fungus is a serious problem. Everyone who has experienced nail plate defeat with mycosis knows this. It is treated for a long time, far from always with a good effect, and the use of various ointments, creams, solutions in almost 95% of cases does not bring any results at all.

But, actually, not everything is so sad if you know which specialist to contact for nail fungus. And then success is guaranteed even when it comes to onychomycosis.

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

Why experience is important, and not just theoretical knowledge. The fact is that the therapy of fungal infections that affect the nail plate lasts more than a month. The results are not immediately visible, it can be very difficult to assess its effectiveness. It is also not easy to select the entire range of procedures and medications for a particular patient, which is different in each clinical situation.

There is a lot of information on the Internet about antifungal medications, various lasers, physiotherapy methods, and nail removal. The patient, self -medicating, began to buy one drug after another and, having not received the results, gave up and stopped all attempts to get rid of the fungus. The same thing happens when treatment is prescribed by a doctor who has no experience in monitoring the patient.

The clinic sees doctors who treat fungus on the legs and arms on a daily basis, there is also a fully equipped mycology room, where all stages of diagnosis and treatment of onychomycosis are carried out.

Which doctor treats nail fungus effectively

1. This is definitely a dermatologist or a mycologist.
2. He has experience in the examination and treatment of nail mycoses.
3. Know how to remove the affected nail plate, clean the nail plate.
4. Knowing the stage of systemic therapy of onychomycosis, introduction to the course of physiotherapy methods.
5. May change treatment tactics in time or add procedures, medications, with a weak effect of previously prescribed therapy.
6. It has the ability to use all modern methods and equipment needed in the clinic for the treatment of nail fungus.

Treatment of such mycoses is a planned, not an emergency procedure. Therefore, after the examination, the doctor treating the nail fungus explains to the patient all the options for possible therapy, but the choice is always up to the person himself.

This course, regardless of the choice of technique, is very long, and each patient must understand at the beginning the effectiveness of each method:

Treatment of nail fungus by external methods (solutions, varnishes, ointments) - its effectiveness is less than 10%, that is, it only helps with the initial and superficial forms.

The use of an integrated approach, but without removing the affected area on the nail, is up to 60% effective.

Complex treatment with removal of the affected part of the nail plate and physiotherapy - efficiency up to 90-95%.

Usually, at the initial appointment, the doctor who treats nail fungus says to the patient: If the patient is willing to undergo a course of complex therapy for 3-4 months for onychomycosis, then success can be achieved. If not, then it is better not to start. Money, time will be spent, and the results will be questionable. This is a disease that requires a long and pedantic approach in treatment from both physicians and patients, where even small details are important.