The fungus between toes is a very easy -to -collect disease.But getting rid of him is far from being so easy.The disease can last for years, often a bacterial infection joins it.When the first symptoms appear, it is very important to contact a dermatologist and not to self-managed.
Why does the fungus develop between the toes
The fungus between toes is the most common type of fungal infection, which occurs in 70% of the population of our planet.This disease is particularly frequent in people who are constantly in a wet or hot environment, often sweating due to high physical effort.These include banners, swimmers, hot workshop employees, etc.Children are sick much less often (no more than 4%), but the incidence increases considerably in adolescence.
The disease is caused by various species of dermatophile fungi: red trichophyton, trichophytone interalsev and certain types of epidermophytons.All these pathogens are distinguished by a high degree of survival in the environment.They can last long on bath and sauna floors, bathing equipment, linen, shoes.
You can be infected in a bath, a sauna, a swimming pool, less often on the beach.Therefore, it is so important to observe hygiene rules: use only an individual towel, do not walk barefoot in public places, using individual shoes for this.
Once on the surface of the body, mushrooms produce enzymes (keratinase) which break down keratin - the protein from the layers of surface skin.This allows the infection to penetrate the epidermis and multiply there.Cellular membranes of fungi contain substances (manners) which can inhibit local immunity.The windfalls also remove the reproduction of the surface cells of the epidermis, because of which their design and purification are disturbed, which therefore leads to an prolonged and chronic course of the disease.
Factors contributing to the propagation and implementation of the fungus
Such factors include:
- Shoes that tighten the legs that violate blood circulation and do not pass the air;
- Doing sports and heavy physical work;
- trauma of the feet with a violation of the skin;
- Altered immunity, for example, in the context of diabetes, prolonged administration of certain drugs (glucocorticoid hormones), HIV infection;
- Violation of blood circulation in the feet of the feet in the bottom of atherosclerosis of the lower limbs, flat feet, etc.
If a person has normal general and local immunity, the fungus will not be able to overcome the protective barrier of the skin and infiltrate the skin.All factors removing skin immunity allow the introduction of pathogenic fungi in the obstacle without obstacle, causing a pathological process.
Infection symptoms
When introducing pathogenic fungi in the skin, areas mainly with thin and delicate skin are affected by interdigital gaps.This is where the infection begins, which can then spread to the whole foot.The first thing that a infected person has experienced is itching and burns between the toes.
The itching can be very strong, or can be insignificant or even completely absent and appear only in the background of the perspiration of the feet or a decrease in immunity.Significant itching, drought and painful cracks in interdigatory spaces contribute to the addition of bacterial infection and the development of purulent processes.
Sometimes slow bubbles appear between the fingers, filled with transparent liquid, which opens quickly, forming erosion.And this type of disease can be complicated by adding a bacterial infection.
The most characteristic of the hidden course of the fungus between the toes, which is characterized by itching periodically.Often these patients do not suspect the presence of an infection and distribute it among others.
How the disease flows
The fungus can manifest itself in different ways.The following forms are distinguished:
- Intriguing- the most common;It manifests itself in the form of itching and burns between the toes, the drought, the cracks with the release of the paw and the subsequent development of the maceration (relaxation of the skin under the influence of the liquid);Inflammation often goes to the plantar surface of the feet and almost never on the back;Bacterial infection often joins;
- Dyshidrotic- with the advent between the fingers of the judgments of slow and exploded bubbles, the formation of erosion, the introduction of bachelor pathogens and the development of the pathological process according to the type of eczema, which spreads to the whole foot, to the leg and even to the body;
- erased- Going unnoticed;Sometimes a slight itch arises;A moderate thin coat appears between the toes (most often between 1 and 2 or 5), very small, unnoticed by crack patients.
The mushroom of interdictal gaps can occur in the form of independent disease or is a manifestation of a general infection.Often the fungus goes to nail plates with the development of onychomycosis.Sometimes there is a combined lesion of the skin of the feet and the skin in the area of large folds on the body, as well as the hands.In the latter case, the infection often develops on the principle of "two feet - a brush".
How to identify an infection
The diagnosis is made on the basis of an examination of a dermatologist and is confirmed by laboratory research:
- The microscopy method- Under the microscope, the skin elements (ladders) drawn from the lesion are examined;This is the most common method, it allows you to identify a fungal infection, but cannot determine the type of fungus;
- Microbiological examination- sowing of biological material taken from lesion to nutrients;Mouled mushrooms are easy to identify, but they do not always give growth in laboratory conditions, so it often remains to focus only on the microscopy method.
The basic principles of treatment
For the treatment of mushrooms for interdigital gaps, antifungal drugs are used.If the disease does not take place long, does not progress, then external funds are used.In severe fungal infections with a tendency to propagate or develop microbial eczema, antifungal drugs of general action (system) are used.
The external use of antifungal agents requires preliminary preparation.Pathologically modified skin elements are removed from the surface of the skin: peel, destroy the places and the remains of bursts that burst.They try to relieve inflammation and swelling of the tissues if possible.
Perform the following procedures:
- If there is inflammation and pronounced swelling of the tissues, the lotions are prescribed with solutions of 2% of boric acid, special ointments;If that does not help, corticosteroid ointments are prescribed in short courses;
- In the presence of scales and crusts, the affected areas of the body surface twice a day are lubricated with salicylic oil jelly, then bath baths with a 2% soda solution are carried out.
It is only after cleaning that the main treatment is carried out.If there is a suspicion of mixed fungal bacterial infection, combined ointments are used, which include antifungal, antibacterial and anti-allergic components.
Pharmacotherapy
The most modern drugs for the treatment of these diseases are drugs, whose active actor substance is terbinafine, which is part of the external products for external use produced by various pharmaceutical companies under their trading names.These are creams, gels, sprays and 1% solutions for external use.
This substance easily enters into the epidermis.Already 4 hours after applying its concentration, its concentration is sufficient to remove the vital activity from the infection.The concentration of the product gradually accumulates in the skin and after treatment is several times higher than the concentration causing the death of mushrooms.In addition, it does not penetrate the average and deep layers of the skin and has no systemic effect on the body.A characteristic of the antifungal agent is that it has an antibacterial effect, removing vital activity from most pathogenic bacteria.Therefore, for the treatment of fungal-bacterial infection, additional antibacterial treatment is not always necessary.
The cream, spraying and frost are applied to pathologically modified areas of the feet per day for 7 days.Usually that is enough to go completely through all the symptoms of infection.If necessary, a dermatologist can prolong the treatment.
With the ineffectiveness of external treatment and common forms, often recurrent of the disease, antifungal drugs of general action are prescribed.
With the development of microbial eczema, a complex treatment is prescribed, which includes antifungal drugs, antibiotics and desensitizing agents that reduce allergic mood, inflammation and tissue edema.With serious allergic and inflammatory processes, glucocorticoid hormones are included in complex treatment.
Folk remedies against inter -trade mushrooms
Popular remedies can also be effective if used correctly.Traditional medicine recommends that before starting antifungal treatment, preparatory treatment for cleaning the pathologically modified areas of the surface of the feet.Cleaning is carried out in the same way as before the drug treatment.After that, fixed assets are used to delete vital functions from mushrooms.
- Method 1.Twice a day, for 2 to 3 weeks, make the legs for the legs with a celandin infusion of a large (a third of a glass of grass crushed by liter of boiling water), then lubricate the dried surface of the feet with 10% of propolis dye.
- Method 2.Add 20 ml of ammonia to a glass of water, moisten the bandage, first wrap your fingers, then all the foot (do not tighten!) And go as far as drying;The duration of treatment is 14 days.
- Method 3.Baths on foot with vinegar (for 2 liters of water - 100 ml of table vinegar).They are held every day before bedtime for 14 days.After the procedure, dry your legs and sprinkle them slightly with boric acid.
- Method 4.Baths required with a touch of trees (20 g of mahorka by 1 l of boiling water, insist 3 to 4 hours in a thermos).Make every day before bedtime for four weeks.After the procedure, the legs must dry.In the morning, wash your feet with water.
- Method 5.Wash your feet with domestic soap, carefully washing between the fingers.Dry your legs and grease the skin with celandin juice.Do it every day for 14 days.
- Method 6.Daily legs for the legs with a 2%soda solution.After the bath, dry your legs with a towel and grease with garlic oil.In the morning, wash them with soap.Garlic oil: Mix a teaspoon of crushed garlic from 100 g of butter until a homogeneous mass is obtained.
- Method 7.Take an equal amount of apple cider vinegar and freshly rushed carrot juice.Apply the resulting mixture on the affected areas of the skin of the feet several times a day for a month.
How to warn the infection
To prevent illness, you need:
- Wear rubber shales in a bath, sauna, swimming pool, on the beach;
- Never wear someone else's shoes, do not use someone else's towel and bath accessories;
- During the hot season, put shoes or sandals from light natural materials that pass from air and absorb moisture;
- To lead a pedicure, use only individual or disposable tools.
To prevent re-infection from being:
- Treat the interior surface of shoes with disinfectant solutions, for example, formalum solutions or an essence of vinegar;Two days after such treatment, the death of all infectious pathogens occurs.
The fungus between the toes lends itself well to therapy with modern antifungal agents and folk methods.But it is very important to do everything possible so that there is no re-infection, including through your own shoes and other articles for personal use.