Грибок стопы — распространённое заболевание, которым страдают и взрослые, и дети. Если болезнь запустить, лечение затянется надолго, поскольку кроме обычных мазей потребуется приём противогрибковых препаратов.
Симптомы микоза
Микоз вызывают грибковые микроорганизмы, большинство из которых относятся к группе плесневых грибов. Заражение происходит несколькими путями:
- в общественных местах (бани, бассейны, спортивные клубы);
- через чужую обувь и предметы личной гигиены (маникюрные принадлежности, полотенца);
- от членов семьи, проживающих в одной квартире;
- на фоне сниженного иммунитета;
- после приёма сильнодействующих антибиотиков, в результате чего нарушается здоровый баланс микрофлоры в организме;
- не соблюдением гигиены;
- через травмирование ног (порезы, мозоли).
Понять, что на стопах развивается грибок, можно при осмотре и по нескольким сопутствующим симптомам. Поводом для визита к микологу являются:
- сухость и утолщение кожи;
- глубокие трещины на пятках;
- мозоли;
- шелушение кожи между пальцев ног и на стопах;
- зуд;
- изменение цвета ногтей;
- неприятный запах.
Грибок стопы у взрослых диагностируется чаще, чем у детей. Это связано с тем, что регенерация в детском возрасте намного быстрее и кожа стопы и ногти в развивающемся организме быстрее восстанавливаются. Мужчины страдают от грибковых заболеваний ног чаще в отличие от женщин.
Виды противогрибковых средств
Препараты от грибка стопы делятся на две большие группы:
- Средства для наружного применения.
- Лекарства для приёма внутрь.
К первой группе относятся мази, крема, лаки и пластыри, предназначенные для обработки поражённых грибком участков кожи. К достоинствам этих средств относят минимум противопоказаний и простота применения. У этих средств есть и недостатки, среди которых основным считается долгий срок лечения. Кроме того, при грибковых заболеваниях в запущенной форме мази бесполезны без дополнительной терапии.
Таблетки для приёма внутрь воздействуют на весь организм. Активные вещества, содержащиеся в препаратах, уничтожают грибок изнутри, постепенно накапливаясь в коже и крови. Их часто назначают вместе с мазями для усиления эффекта. К недостаткам этих препаратов относится большее количество противопоказаний и негативное влияние на печень. Таблетки не рекомендуется принимать детям грудного возраста, беременным и кормящим.
Вне зависимости от типа, любые средства нужно применять строго по инструкции. Сроки лечения и дозировки должны определяться лечащим врачом-дерматологом с учётом анализов и анамнеза пациента. Стоит учитывать, что не существует средств, способных справиться с болезнью за одно применение.
Таблетки от грибка ног
К эффективным таблеткам от грибка стопы относятся:
- Кетоконазол. Дозировка препарата зависит от массы тела — до 30 кг принимают 4-8 мг таблеток в день, при весе более 30 кг пьют до 400 мг. Точную дозу можно рассчитать по инструкции, приложенной к препарату.
- Флуконазол. Выпускается в форме таблеток и капсул, он предназначен для лечения грибковых заболеваний всех видов. Суточная доза составляет 50 мг. Лекарство нельзя принимать при беременности и лактации.
- Ламизил. Это лекарство применяется при тяжёлых стадиях грибковых заболеваний. Активные вещества уничтожают микроорганизмы и оказывают профилактическое воздействие. Курс лечения составляет от 2 недель до 1,5 месяца.
- Онихон. Таблетки на основе тербинафина. Точную дозировку рассчитывают с учётом клинической картины заболевания. Детям до трёх лет препарат назначают, исходя из массы тела. Курс длится до 1,5 месяцев.
- Итраконазол. Выпускается в капсулах, для лечения грибка достаточно принимать по одной таблетке ежедневно. Терапевтический курс рассчитан на 3 месяца.
Внимание! Перед приёмом любого из перечисленных препаратов необходимо ознакомиться с противопоказаниями и побочными эффектами. А чтобы подобрать наиболее подходящее средство, стоит проконсультироваться с врачом.
Мази и гели от грибка стоп
Средства для наружного применения хороши на начальных стадиях грибковых заболеваний. При более тяжёлых случаях их применяют в комбинации с таблетками. Мази нельзя наносить на открытые раны, а некоторые средства не должны попадать на здоровую кожу. Самые эффективные мази:
- Амфотерицин. Сильный антибиотик с агрессивным воздействием, поэтому перед его использованием стоит проконсультироваться с врачом. Эффективен против большинства разновидностей плесневых и дрожжеподобных микроорганизмов.
- Миконазол. Выпускается в виде крема и геля, есть аналоги и в таблетках. Основное действие направлено не на уничтожение грибка, а на разрушение его репродуктивных функций.
- Эконазол. Хорошее средство, предотвращающее дальнейшее распространение грибка.
- Дифлукортолон. Борется с симптомами болезни, помогает быстрее восстановиться повреждённой коже, но не эффективен против самого грибка. Препарат нужно совмещать с противомикозными средствами.
- Ламизил. Выпускается в виде мази и спрея, считается одним из лучших лекарств для наружного применения. Ламизил борется с грибком и восстанавливает повреждённые ткани. Курс длится 1 месяц.
Важно! Эффективность наружных средств не зависит от их формы. Выбор между мазью, спреем или кремом зависит от удобства. Крема быстрее впитываются и не оставляют жирных следов на одежде и коже.
Эффективные и недорогие препараты от грибка ног
Большинство дорогих препаратов имеют более дешёвые аналоги, не уступающие брендовым по эффективности. Несколько простых и недорогих средств:
- Серная мазь. Эффективное средство для борьбы с грибком, лечебный курс составляет 1 неделю. Перед использованием нужно проверить средство на аллергическую реакцию, для чего небольшое количество мази наносят на запястье и ждут результата в течение суток.
- Цинковая мазь. Срок лечения — 10 дней. Мазь подходит всем, её можно использовать маленьким детям и беременным.
- Салициловая мазь. Лучшее противогрибковое средство используется на начальных стадиях микоза. Обладает заживляющим свойством. Полный курс составляет 3 недели, для успешного лечения достаточно средство наносить на больную кожу 1-2 раза в день.
- Клотримазол. Борется и с грибком, и с симптомами заболевания. Выпускается в виде мази, крема и спрея.
Все мази и крема наносятся только на чистую кожу. Людям со склонностью к аллергическим реакциям стоит предварительно проконсультироваться с врачем-дерматологом.
Народные рецепты
Среди народных средств для борьбы с грибком стопы популярны домашние примочки, ванночки, промывание больной кожи отварами трав. Несколько эффективных рецептов для лечения микоза:
- Примочки с чистотелом. Чтобы сделать компресс, нужно отжать сок из свежих листьев и стеблей растения. Смоченные в соке ватные диски или скрученные бинты прикладывают к поражённому участку и фиксируют полиэтиленом на 10 минут.
- Ванночка для ног с содой. На 3 литра горячей воды разводят 30 г соды до полного растворения. Ванночку принимают в течение получаса, размягчённый ороговевший слой кожи аккуратно снимают, а ногам дают полностью высохнуть. После ванночки на ночь можно нанести противогрибковую мазь.
- Репчатый лук. Для лечения используют сок или луковую кашицу, которую накладывают на поражённую кожу стопы.
- Ванночка с морской солью. На 1 л воды добавляют 1 чайную ложку соли, после чего стопы обмывают этим раствором на ночь в течение 14 дней.
- Настойка прополиса. Для лечения микоза смачивают в этой жидкости ватный диск и прикладывают к коже, закрепив пластырем.
- Морковный сок. Для приготовления средства смешивают свежий сок и уксусную эссенцию в равных дозах. Раствор используется для протираний больной кожи.
- Лечебная мазь. Смешивают сырое яйцо, 200 г сливочного масла и 100 мл уксуса. Яйцо нужно поместить в стеклянную банку вместе с остальными ингредиентами и оставить в холодильнике на 10-12 дней, пока скорлупа полностью не растворится. После этого содержимое банки перемешивают до однородной массы и наносят на поражённую кожу.
Важно! Используя народные средства, важно помнить, что они не являются основным лечением. Домашние мази и примочки можно применять только в качестве вспомогательных средств.
Показания и противопоказания
Показанием к лечению противомикозными лекарственными препаратами и народными средствами является заражение грибком. Лечить микоз необходимо при появлении первых же симптомов болезни. К основным противопоказаниям медицинских препаратов относят:
- беременность;
- грудное вскармливание;
- возраст до 3 лет;
- открытые раны на поражённых участках;
- заболевания печени и почек.
Что касается народных средств, большинство рецептов подразумевает использование лекарственных трав. Многие из них являются сильными аллергенами и противопоказаны при индивидуальной непереносимости. Беременным и маленьким детям перед использованием народных рецептов желательно проконсультироваться с врачом.
Препараты для профилактики грибка
Для профилактики грибка в первую очередь нужно следить за состоянием личной обуви и вовремя ее обрабатывать. Для этого используются специальные средства:
Также для профилактики рекомендуется использовать ультрафиолетовые сушилки для обуви, так как грибковые микроорганизмы не выносят воздействия УФ-излучения. Чтобы обезопасить себя от, обрабатывать нужно всю обувь. Помимо использования средств для обуви не стоит забывать и об общих правилах:
- запрещается пользоваться чужими маникюрными инструментами и носить не свою обувь;
- Рекомендуется соблюдать гигиену.
Своевременные профилактические меры позволят снизить риск заражения.
Важно! При первых признаках стоит обратиться к дерматологу.
Риск заразиться микозом существует везде, если вы ходите босиком или используете чужую обувь. Значительно увеличивается вероятность при сниженном иммунитете, когда организм не способен противостоять патогенным микроорганизмам. Неприятность болезни в том, что он доставляет сильный дискомфорт человеку и требует длительного лечения. При это остается высокий риск рецидива патологии.
Что такое грибок стопы
Поражение бактериями ноги называется микозом, чаще возникает между пальцами ног. Провоцируют развитие патологии несколько видов возбудителей. Диагностируется грибок стопы чаще у взрослых людей, потому что уникальные особенности детского бота инактивируют большую часть разновидностей грибка. Выделяют несколько видов микоза стопы:
- Кандидоз. Развивается при снижении иммунитета, чаще диагностируется у женщин и по проявления похож на молочницу.
- Эпидермофития. Чаще встречается у мужчин из-за повышенной потливости ног.
- Рубромикоз, трихофития. Этот вид очень легко передается (контагиозная), встречается и у детей.
Основная причина грибка стопы – поражение организма грибковой инфекции. Они находятся вокруг нас, но при сильном иммунитете они не могут развиваться и размножаться. Самыми распространенными возбудителями микоза являются:
- Trichophyton Mentagrophytes (трихофитон ментагрофитес) — эпидермофития стопы;
- Trichophyton Rubrum (трихофитон рубрум) – кроме стоп может поражать крупные складки кожи, кисти рук, способен распространяться по лимфатической системе;
- Trichophyton interdigitale (Трихофитон интердигитале) – чаще поражает межпальцевое пространство на ногах, далее распространяется микоз на всю стопу;
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Причины заболевания
Грибок стопы очень легко передается, это заразная инфекционная патология, которая передается при контакте с возбудителем. Болезнь не несет большой угрозы больному, поэтому часто прибегают к самолечению или вообще игнорируют проблему, что приводит к большему распространению микоза. Заразиться легко в общественных местах, где люди ходят босиком, к примеру: бассейн, спортзал, пляж, сауна/баня. Существует ряд факторов, которые провоцируют «агрессивное» состояние микроорганизмов:
- микротравмы при ношении тесной обуви;
- гипергидроз – повышенная потливость (влажность) стоп;
- использование чужих мочалок, полотенец;
- отсутствие гигиены ног;
- ношение чужой обуви;
- хождение босиком в общественных местах;
- сниженный иммунитет, к примеру, после длительного лечения гормональными препаратами, антибиотиками.
Симптомы
Первые проявления патологии развиваются, как правило, между пальцами на ноге. Человек начинает испытывать зуд, затем жжение, появляется шелушение. Если лечить болезнь неправильно, то она распространяется на ближайшие ногтевые пластины. Если же заражение произошло в маникюрном салоне, то последовательность распространения будет обратной. Общие симптомы всех видов грибка стоп следующие:
- между пальцами ног появляется одна ил несколько трещин;
- кожный зуд, шелушение и жжение;
- покраснение дермы, утолщение и появление чешуек;
- появление пузырьков с прозрачно жидкость. которые потом лопаются и оставляют эрозию.
Все виды грибков протекают однотипно, но существуют некоторые специфические особенности в зависимости от формы микоза. Выделяют следующие виды болезни по клиническим проявления:
- Стертая форма. Начальная стадия микоза стоп, отмечается скудная клиническая картина: мелкие поверхностные трещины, шелушение в межпальцевых складках. Больной не испытывает никаких беспокойств из-за этих симптомов, поэтому замечает ее чаще врач при осмотре, а не сам больной.
- Сквамозная форма. Проявляется патология в виде шелушения в межпальцевых складках, распространяется на боковые поверхности стоп. Признаков воспаления, как правило, нет. Поверхность кожи подошв гиперемирована и лихенифицирована. Появляется лаковый блеск из-за диффузно утолщенного рогового слоя. Наблюдается усиленный кожный рисунок, поверхность покрыта мелкими пластинчатыми чешуйками, сухая. Со временем в микотический процесс вовлекаются ногтевые пластины. Больной на беспокойства из-за патологии не жалуется.
- Гиперкератотическая форма. На сводах стоп появляются плоские и сухие папулы синюшно-красного цвета. В местах высыпания образуются чешуйки разной толщины серовато-белого цвета с резкими границами. Далее сыпь сливается и образует большие диффузные очаги, которые могут распространиться по всей подошве, на тыльные и боковые поверхности стоп. Клиническая картина иногда напоминает псориаз, роговые сифилиды и тилотическую экзему.
- Интертригинозная форма. Симптомы похожи на простую опрелость ног. Поражаются чаще складки между 3 и 4, 4 и 5 пальцами. Кожа приобретает насыщенно-красный цвет, появляется отек, далее присоединяется мацерация и мокнутие. Часто отмечается эрозия, болезненные и глубокие трещины. Отличает от опрелостей микоз тем, что у мест поражения округлые очертания, белесая бахромка, резкие границы. Больной жалуется на болезненность, жжение, зуд.
- Дисгидротический микоз. Локализуется на сводах стоп, проявляется в виде множественных пузырьков с толстым покрытием. Распространяются высыпания на большие участки стоп, затем мелкие пузырьки сливаются, образуя крупные многокамерные образования. После их вскрытия остается влажная эрозия розово-красного цвета. При отсутствии лечения присоединяется отечность, гиперемия кожи. Больной жалуется за жжение, зуд.
Вместе с грибком стоп всегда развивается онихомикоз – поражение ногтей. Выделяют три основных вида этой патологии: гипер-, нормо-, атрофический. Все они проявляются в виде изменения окраски ногтей, далее может присоединяться подногтевой гиперкератоз (пропадает блеск ногтя, утолщается, становится тусклым и сильно деформируется, частично разрушается). Больные при онихомикозе жалуются на болезненны ощущения при ходьбе.
Грибок или микоз кожи стоп сопровождается рядом неприятных симптомов, поэтому лечить заболевание нужно своевременно. Для лечения можно использовать как противогрибковые препараты, так и домашние средства из арсенала народной медицины. Недостатком домашнего лечения является низкая эффективность против тяжелой формы грибкового поражения. Следует помнить – чем раньше начато лечение грибка, тем быстрее получится избавиться от проблемы.
Средства, проверенные временем
Народная медицина знает множество эффективных способов, как лечить грибок. Однако аптечные противогрибковые препараты более эффективны при обширном поражении эпидермиса. Чтобы народные средства дали результат, следует начинать лечение при обнаружении первых симптомов грибка на ногах.
Вылечить грибок стопы в домашних условиях помогают следующие средства:
- раствор йода;
- раствор перекиси водорода;
- свежий либо сушеный чистотел;
- яблочный уксус;
- пищевая сода.
При использовании этих средств следует быть готовым к усилению сухости кожи и шелушения. Эффективность народного лечения основана именно на способности компонентов подсушивать эпидермис, благодаря чему создается препятствие для роста патогенной микрофлоры.
Использование раствора йода помогает обеспечить антисептическую обработку кожи. Кроме того, компоненты средства воздействуют на белковые соединения патогенной микрофлоры, что останавливает рост грибковой инфекции. Йод используется двумя способами.
- В 5 л горячей воды комфортной температуры растворить 3 большие ложки раствора йода и поместить стопы в ванночку на 20 минут. После процедуры следует тщательно просушить ноги. Процедуру рекомендуется повторять через день.
- Смешать йод и спирт в равных пропорциях. Затем с помощью ватного диска следует нанести средство на кожу перед сном. Обработка повторяется ежедневно в течение 5-10 дней, в зависимости от выраженности симптомов.
Лечение йодом противопоказано при индивидуальной непереносимости и заболеваниях щитовидной железы. Средство может сильно сушить кожу, а при неправильном использовании высока вероятность появления ожога.
Перекись водорода применяется в качестве ежедневных компрессов. Трехпроцентный раствор препарата следует обильно нанести на марлевый компресс, а затем приложить его к пораженному участку кожи на 20 минут. Процедура проводится дважды в день на протяжении недели. Средство предотвращает распространение инфекции, сокращает жизненный цикл патогенной микрофлоры и обеспечивает антисептическую обработку кожи, благодаря чему уменьшается неприятный запах, который часто сопровождает микоз ног.
Чистотел – это ядовитое растение, которое издавна применяют для лечения ряда дерматологических заболеваний. Против грибка стопы можно использовать как свежие стебли, так и сушеные цветки растения.
- Три больших ложки сушеного чистотела залить стаканом кипятка и проварить на небольшом огне в течение 10 минут. Затем отвар выливают в таз с водой. Стопы помещаются в ванночку на 20 минут. Процедуру можно проводить через день перед сном.
- Отвар чистотела можно использовать в качестве компресса. Бинт либо марля смачиваются в лекарстве и прикладываются к пораженной области на 20 минут.
- Если на пораженной коже присутствуют трещины и гнойничковая сыпь, эти участки следует обрабатывать чистым соком растения. Для этого необходимо срезать стебель и приложить местом среза к пораженному участку кожи. Такая обработка повторяется каждые три дня до исчезновения симптомов.
Прежде чем использовать свежий сок чистотела, необходимо получить консультацию у лечащего врача, так как растение ядовито и может привести к появлению ожога.
Яблочный уксус можно применять в качестве ванночек либо компрессов. В первом случае необходимо растворить три больших ложки уксуса в 5 литрах воды. Ванночку следует принимать 20 минут, процедура повторяется через день. Для компрессов следует смешать уксус с водой в равных пропорциях. В растворе смачивают марлю и прикладывают к стопе на 20 минут. Компрессы можно делать ежедневно.
При использовании йода, перекиси и уксуса рекомендуется обработать здоровые участки кожи жирным антисептическим кремом. Это позволит избежать чрезмерной сухости и шелушения стоп.
Самые эффективные методы лечения
Итак, как вылечить грибок на ногах в домашних условиях быстро? По мнению пациентов, самое эффективное средство при микозе – это сода.
Лечение грибка пищевой содой проводится с помощью следующих рецептов.
- Добавить в ванночку для ног большую ложку соды и йодированной либо морской соли. Поместить стопы в ванночку на полчаса, а затем вытереть насухо.
- Еще одна эффективная ванночка для ног – это две больших ложки соды смешанные с таким же количеством стружки натурального дегтярного мыла. Ингредиенты следует растворить в 5-7 литрах горячей воды. Ванночку можно делать ежедневно по 20 минут.
- Аппликации из соды помогают быстро избавиться от проблемы, однако сильно сушат кожу. Для приготовления средства три ложки гидрокарбоната натрия смешивают с четырьмя ложками кипяченой воды и наносят полученную пасту на кожу. Средство выдерживается 10 минут, а затем смывается водой.
- Еще один вариант аппликаций – обработать кожу пастой из соды, а через пять минут вылить маленькую ложку свежего лимонного сока, прямо на нанесенное средство. В результате реакции лимонной кислоты с содой образуется пена, которая смывается с кожи через несколько минут.
Дегтярное мыло хорошо помогает в борьбе с грибком стоп и ногтей. Средство подсушивают кожу, а также уменьшает потливость и неприятный запах. Дегтярное мыло рекомендуется использовать для ежедневной гигиены ног на весь период лечения.
Если поражена ступня, можно использовать обычное хозяйственное мыло для обработки кожи. В случаях, когда грибок поразил палец и ноготь, можно делать аппликации из раствора дегтярного мыла. Для этого четверть бруска следует натереть, а затем растворить в стакане горячей воды. Затем в средстве смачивают компресс и прикладывают к пораженному участку на 20 минут.
Избавиться от проблемы также помогает комнатное алоэ. Несколько листков растения следует срезать и измельчить ножом. Затем растение заливают стаканом кипятка и настаивают несколько часов. В полученном лекарстве нужно смочить ватный тампон и тщательно обработать пораженный эпидермис. Обработка проводится дважды в день.
Быстро устранить неприятный запах помогает свежий лимон. Сок четверти лимона следует наносить на кожу ежедневно перед сном. Также можно прикладывать лимонные дольки на 10 минут к пораженным участкам кожи.
Еще одно простое и эффективное средство от микоза – это чеснок. Его можно использовать несколькими способами.
- Выдавить несколько зубчиков чеснока и отжать кашицу через марлю. Образовавшийся сок с помощью ватной палочки наносят на область поражения дважды в день.
- Кашицу 4 зубчиков чеснока смешать со столовой ложкой сока репчатого лука. Полученная смесь наносится на кожу, а сверху прикрывается повязкой либо компрессом. Держать такую аппликацию следует 30 минут.
Чеснок обладает антибактериальным свойством, препятствует росту патогенной микрофлоры, а также устраняет неприятный запах. Использовать эти рецепты следует ежедневно в течение недели.
Зная, чем лечить грибок, следует придерживаться определенных правил, чтобы быстрее избавиться от болезни.
В первую очередь необходимо избавиться от всех предметов, соприкасавшихся с пораженной кожей. Постельное белье, носки, обувь, полотенца – все это нужно либо выкинуть, либо прокипятить и постирать с дезинфицирующим раствором. Носить обувь без обработки нельзя, так как это может стать причиной повторного заражения грибком.
На время лечения необходимо отдавать предпочтение носкам из натуральных тканей. От некачественной обуви из искусственных материалов также следует отказаться. Обувь должна быть свободной и удобной, стопа при ходьбе не должна потеть и сдавливаться. Следует помнить, что обильное потоотделение провоцирует стремительный рост патогенной микрофлоры, в результате микоз прогрессирует.
Если спустя 5 дней после начала использования народных методов симптомы не проходят, рекомендуется обратиться к врачу за назначением противогрибковой терапии. Самое эффективное средство против микоза – это сочетание народного и медикаментозного лечения.
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