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Что делать если отслаивается ноготь на ноге

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17 августа 2019

Слоятся ногти на ногах по разным причинам. Существуют внешние и внутренние воздействия, которые вызывают подобные дистрофические изменения. Бороться с ними без устранения причин бесполезно, поэтому при появлении первых признаков расслоения необходимо записаться на прием к дерматологу и вместе с ним разрабатывать тактику лечения.

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Как проходит отслоение ногтей на ногах

Расслоение ногтей ног – признак ярко выраженной клинической картины дистрофии рогового слоя. Он может свидетельствовать о плохом уходе за ногтями ног или о развитии внутренней патологии. Организм таким образом сигнализирует о том, что присутствует нехватка белка (кератина) и витаминов.

Основу кератина составляют аминокислоты. В составе одной из них присутствует сера. Уровень этого элемента обеспечивает твердость ногтевой пластины. Объем аминокислот определяет запас прочности. У каждого из нас подобный показатель имеет разные значения. Если ногти расслаиваются, вероятно, присутствует нехватка серы, хрома, цинка, фосфора, селена и кальция. Неправильное питание, приведшее к дефициту витаминов и микроэлементов, – основная причина отслоения ногтей.

Применение косметики низкого качества, воздействие агрессивных средств бытовой химии растворяет жиры, которые отвечают за упругость ногтевой пластины. Женщины часто используют растворители для снятия лакового покрытия. Входящие в их состав толуол, ацетон и формальдегиды обезвоживают поверхность ногтя. Из-за этого тоже может начаться расслоение.

Еще одна причина – механические травмы, приводящие к появлению трещин и сколов. Существуют разные ситуации, при которых такое может произойти, но чаще всего описываемый симптом появляется у тех, кто любит ходить босиком по земле, работает в огороде с открытыми ногами, носит тесную неудобную обувь, постоянно создающую давление на пальцы.

Причины отслоения ногтей на ногах

Нижние конечности – парный орган, который испытывает постоянную нагрузку. Она воздействует на кости, суставы, мышцы, сухожилия. У тех, кто вынужден в силу своей профессиональной деятельности, долго находиться на ногах, часто возникают проблемы с кровообращением. Именно поэтому развивается подошвенный фасцит, появляется отечность, мозоли, натоптыши. Ногти из-за этого испытывают нехватку в питании, поэтому теряют блеск, становятся тусклыми и ломкими. Чтобы восстановить здоровье, нужно стараться снижать нагрузку на ноги. Для этого полезно:

  • повышать количество сидячих перерывов;
  • стараться стоять на разных поверхностях (переходить на мягкие коврики, потом искать твердое жесткое основание);
  • носить удобную обувь, при варикозе обязательно надевать компрессионные чулки;
  • применять облегчающую терапию (расслабляющие ванночки, массаж, ортопедические стельки);
  • сбрасывать лишний вес.

Эти меры рассматриваются только в качестве профилактики расслоения.

Причины дефекта, связанные с внутренними патологиями

Если расслоение ногтей происходит постоянно, если правильный уход за пластинами не позволяет добиваться положительных результатов, причина структурных изменений рогового слоя – дисфункции внутренних органов. Ломкость ногтей способна выступать в качестве симптома:

  • сахарного диабета;
  • анемии;
  • грибковой инфекции;
  • эндокринных заболеваний;
  • гормональных сбоев.

Без лечения основного заболевания устранить расслоение ногтевой пластины не удастся.

Необходимое лечение

Что делать, когда возникает дистрофия пластины? Если расслоение ногтей не связано с негативными внешними воздействиями, важно обратиться за помощью к врачу-дерматологу и вместе с ним попытаться выявить фактор-провокатор расслоения.

На первой консультации специалист при помощи специального инструмента осматривает расслаивающийся ноготь, собирает анамнез и берет соскоб с пораженного участка. Биологический материал отправляется на микроскопическое исследование. Оно позволяет подтвердить или опровергнуть наличие грибковой инфекции. Для оценки общего состояния организма больной получает направление на сдачу общего анализа крови. При наличии хронических заболеваний или выявлении дебютных патологий к консультации обязательно привлекаются узкие специалисты. С целью получения объективных данных проводится спектральный анализ, позволяющий определить уровень микроэлементов и анализ крови на гормоны.

Важно на данном этапе дифференцировать расслоение как косметологический дефект от симптоматических проявлений псориаза, экземы, красного плоского лишая. Схема лечения разрабатывается в строго индивидуальном порядке с учетом результатов произведенных обследований.

Профессиональное лечение и рецепты народной медицины

Если выявляется нехватка витаминов, пополнять их запас можно, принимая витаминно-минеральные комплексы, биологически активные добавки. Важно обязательно корректировать питания. Недостаток кальция и фосфора может восполнить употребление яиц, творога, орехов, морепродуктов, сои, сухофруктов. Недостаток хрома компенсируется включением в рацион большого количества сушеных фиников, свежей вишни и жареных семечек. Цинк может появиться в организме благодаря поеданию креветок, морской капусты, сои, чеснока, сезонных ягод и имбиря. Норма кремния выравнивается при помощи употребления блюд, приготовленных из фасоли. Полезны также бананы, петрушка, любой зеленый салат и смородина.

Для устранения анемии больной должен принимать железосодержащие препараты, больше кушать говяжью печень, шпинат, сухофрукты и куриные желтки.

При выявлении грибковой инфекции проводится комплексная терапия, направленная на уничтожение патогенного микроорганизма. Для этих целей назначаются системные и местные противогрибковые препараты, для укрепления иммунитета проводится витаминотерапия. При обнаружении заболеваний внутренних органов осуществляется этиотропное лечение. Любой больной получает и общие рекомендации.

  1. Отказываться от контакта с любыми химическими реагентами (со средствами бытовой химии, декоративными лаками и растворителями).
  2. Правильно питаться.
  3. Хорошо высыпаться.
  4. Избегать стрессов и сильных переживаний.
  5. Ежедневно ухаживать за расслаивающимися пластинками. Для этих целей активно использовать средства народной медицины.

Хорошо помогают втирания раствора, приготовленного из облепихового масла и лимонного сока. Ингредиенты смешиваются в равных количествах, средство стирается в пластины. Лучше это делать на ночь. Для получения стойкого результата достаточно проводить процедуру три раза в неделю.

Высокую эффективность демонстрирует терапия глицерином. Готовится маска из 20 грамм этого компонента, 70 грамм воды и 5 грамм квасцов. Готовая смесь густым слоем накладывается на пораженную ногтевую пластину и оставляется на полчаса. После смывается, роговой слой обильно смазывается питательным кремом. Отлично укрепляет ногти отвар из овса. Он готовится просто: ложка сырья заливается литром кипятка и настаивается в течение получаса. Готовое средство используется для ванночек.

Укрепляющее воздействие оказывают примочки раствора, в составе которого есть сок чайного гриба, лимона, свежей смородины и клюквы. Ингредиенты смешиваются в равных пропорциях.

Чтобы предотвратить рецидивы важно стараться исключать воздействие внешних раздражителей, регулярно проводить содовые или соленые ванночки, перед сном раз в неделю смазывать пластины пчелиным воском. Перед применением средств народной медицины обязательно проводить тест на аллергию.

Первая помощь

При расслоении свободного края необходимо обязательно провести маникюрную обработку:

  1. Распарить ногти в ванночке с морской солью.
  2. Состричь мягкий край острыми ножницами.
  3. Подпилить новый срез мелкозернистой пилкой.
  4. Смазать обильно пластину любым растительным маслом (лучше оливковым).
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Если есть возможность, нужно посетить косметологический салон и произвести процедуру запечатывания расслаивающегося ногтя. Для этого сначала выполняется спа-педикюр, потом на ногти наносятся лечебные средства, в составе которых есть все необходимые витамины и минералы. Сверху все это закрывается особым защитным покрытием (акрил, биогель) и, по желанию клиентки, декоративным лаком. В некоторых салонах могут предложить провести «ремонт» расслоившегося ногтя при помощи файбергласса.

Дополнительное лечение и профилактика

Здоровье хрупких и ломких ногтей необходимо постоянно поддерживать. Для этого полезно в профилактических целях использовать лечебную косметику – крема и масла, в составе которых есть аллантоин, липосомы, пантенол, протеин и витамин С.

Раз в неделю парить пальцы в воде, в которой предварительно была растворена морская соль. В ее составе есть йод, его воздействие оказывает положительное влияние. Через день нужно делать массаж кожных валиков. Он помогает улучшать микроциркуляцию крови.

Полезными считаются процедуры парафинотерапии. Они должны выполняться в строгом соответствии со следующими правилами. Предварительно ногти моются с мылом в прохладной воде, потом их поверхность дезинфицируется. Проводится тест на реакцию кожи на парафин. После ногти ног окунаются в предварительно расплавленный парафин на десять секунд, вытаскиваются, снова окунаются (и так пять подходов). Парафин должен затвердеть, затем ноги обматываются целлофаном, поверх надеваются носки. Через полчаса компресс снимается, ногтевые пластины и кожа вокруг них обильно смазывается любым питательным кремом.

Важно обеспечить кутикулу питательными веществами, обрабатывать ее постоянно маслами и кремами. Такой уход улучшает кровоток в тканях, стимулирует рост здорового ногтя. При посещении бассейнов целесообразно защищать ногти от хлора специальными покрытиями. Для удаления лака выбирать растворители, в составе которых нет формальдегидов и толуола.

Любые изменения в организме или на коже не происходят просто так, для этого есть свои причины. Если отходит ноготь на ноге, можно говорить о развитии такого заболевания как онихолизис, при котором ногтевая пластина отходит от ложа, отмечается ее дистрофия.

Почему отслаивается ноготь

Отслаивание ногтей на ногах – это не только не эстетическое, но еще и опасное проявление. Такой процесс говорит о присутствии в организме вирусов и инфекций, которые дают подобное осложнение на ногтевую пластину. Если отслаивается ноготь на ноге, своему здоровью стоит уделить большое значение.

Отслоение ногтя на большом пальце ноги происходит по ряду следующих причин:

  • Инфекционные заболевания.
  • Возникновение аллергических проявлений.
  • Прием антибиотиков.
  • Педикюр не в гигиенических условиях.
  • Грибковые заболевания.
  • Ослабленный иммунитет.
  • Травма.
  • Ношение неудобной обуви.

Если возникает заболевание пластины ногтя на ноге, причины такому проявлению могут быть самыми разнообразными. Понять, с чем нужно иметь дело, поможет только врач. Он проведет внешний осмотр пораженного ногтя, возьмет у пациента нужные анализы, чтобы определить, что именно стало причиной такого проявления. Только после определения причины будет назначено действенное лечение, которое в минимальные сроки позволит избавиться от проблемы, вылечить ногтевую пластину и избавить пациента от вирусов и бактерий внутри организма.

Симптомы онихолизиса

Онихолизис – это не только косметологический недостаток, это серьезное заболевание, которое требует срочной и неотложной медицинской помощи. Симптомами того, что отошел ноготь на ноге, являются болезненные ощущения различной степени выраженности. Нередко после появления механической травмы возникают такие симптомы, как кровотечение, образование кровоподтека, появляется болевой синдром.

Если отпал ноготь на ноге после инфекционного заболевания, то его первыми симптомами было образование желтовато-зеленого оттенка на поврежденном ногте, а также резкое уплотнение ногтевой пластины. При надавливании на травмированный ноготь возникает тупая и длительная боль, появляются гнойные выделения, возникает сильный неприятный запах. Вокруг пораженного ногтя всегда наблюдается красная воспаленная кожа.

Среди симптомов проявления заболевания отличают:

  • Потемнение ногтя.
  • Ноющая боль.
  • Покалывание в ногах.
  • Скопление воздуха под пластиной.
  • Покраснение околоногтевых валиков.
  • Отставание ногтя от пальца.

Симптомы заболевания длятся несколько недель, за это время необходимо установить причину появления, а также подобрать подходящий метод лечения, позволяющий избавить пациента от неприятного проявления. Процесс снятия ногтя происходит в несколько этапов:

  • Под травмированным ногтем образуется пустота, которая полностью заполняется воздухом.
  • Далее пластина постепенно отделяется от мягких тканей, находится в подвешенном состоянии.
  • Пораженный ноготь обретает синюшный цвет.
  • Ноготь полностью отслаивается и снимается с мягких тканей.

Существуют осложнения, при которых отслоение ногтя происходит вместе с образованием дополнительных гнойных образований, которые препятствуют новому ногтю заполнить свободное пространство. В таких случаях дополнительно обращаются за медикаментозной помощью, выявляют причины осложнений и подбирают повторный курс лечения медикаментозными средствами.

Медикаментозное лечение

Если человек обнаруживает у себя некоторые симптомы, которые были приведены выше, стоит незамедлительно обратиться за помощью к специалистам, установить причины появления онихолизиса и устранить их.

После проведения комплексного обследования, врач поставит точный диагноз, назначит курс терапии, который позволит максимально быстро вернуть ногтю прежний вид, избавив его от ухудшения. Лечение подбирается в зависимости от причины появления заболевания.

Ноготь отходит вследствие появления травмы

Травматизму подвергаются именно большие пальцы на ногах, которые принимают весь удар на себя. В таких случаях лечение довольно простое – поврежденный ноготь убирают из участка, используют аптечные средства. Чем мазать, если слез ноготь на ноге? В таких случаях используют такие средства, как «Ногтимицин» и «Ногтивит».

Чтобы процедура прошла успешно, необходимо выполнять ее последовательно. Сначала в теплой ванне с добавлением лекарственных трав следует хорошо распарить ногу. Затем на поврежденный палец наносится аптечный крем, сверху накладывается пластырь или повязка. Через 5 дней повязка снимается, забирая вместе с собой поврежденный ноготь. На его месте вырастает здоровый.

Ноготь отходить вследствие грибкового заражения.

В таком случае самостоятельные методы лечения проводить не рекомендуется, нужно сразу же обратиться к дерматологу, который после проведения осмотра назначит действующий курс лечения. Чаще всего лечение заключается в приеме антимикотических препаратов, которые препятствуют прогрессированию заболевания, борются с грибковыми инфекциями:

Лечение происходит на протяжении 1-6 месяцев, в зависимости от сложности течения и индивидуальных особенностей пациента.

Отхождение ногтя по причине хронических заболеваний

Основным симптомом такого повреждения является именно отхождение ногтя, больше заболевание никак себя не проявляет. Если поражение не было спровоцировано травмой, стоит обратиться к специалисту, который быстро поставит имеющийся диагноз, подберет комплекс лечебных мероприятий, направленных на стремительное выздоровление.

  • витамины группы “B”;
  • антиоксидантный комплекс — витамины “A”, “E” и “C”, бета-каротин;
  • макро- и микроэлементы.

Если в организме будет наблюдаться недостаточное количество витаминов или кальция, врач назначает не только комплекс препаратов, но еще и соответствующую диету, которая будет способствовать быстрому восстановлению и возвращению к нормальной жизни. Лечение онихолизиса на ногах требует к себе повышенного внимания и времени на восстановление.

Ранние стадии возникновения таких заболеваний можно устранить с помощью народной медицины, которая также широко используется и является эффективной. Но, ее применение должно оговариваться со специалистом, который отметит все достоинства и недостатки используемого метода.

Лечение народными средствами

Если слез ноготь на ноге, это говорит о наличии в нем инфекции, либо же является следствием сильного удара. Чаще всего отходит ноготь на ноге после удара, сопровождается сильными болевыми ощущениями, покраснением, кровотечением. В таких случаях обязательно нужно использовать медикаментозные препараты, народное лечение не поможет.

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Что делать, если отпал ноготь на ноге вследствие грибковых заражений? Народными средствами для устранения данной проблемы являются ванночки, компрессы, отвары, настойки.

Существует несколько способов лечения с помощью народной медицине, которая широко используется.

  • Марганец. Используются местные ванночки с добавлением слабого раствора марганцовки. Прием составляет 10-15 минут.
  • Ванночки с морской солью. В теплой воде растворяется морская соль, в которую погружается конечность с поврежденным ногтем. За счет таких ванн снимается воспаление, кожа полностью дезинфицируется на ногах. Прием составляет до 10 минут.
  • Сода. Ванночки с добавлением соды обеззараживают поверхность поврежденных ногтей. Достаточно развести чайную ложку соли в 300 мл воды и погрузить в воду конечность. Длительность 15 минут.

Процесс лечения грибковых и инфекционных заболеваний можно проводить с помощью народных средств, которые желательно применять с первых дней выявления проблемы. Курс может затянуться на годы, поэтому, чем раньше будет проведено лечение, тем быстрее наступит процесс восстановления.

Удаление ногтя

Если отвалился ноготь на ноге, его следует аккуратно и постепенно убрать из поврежденной поверхности. Поврежденная пластина чаще всего самостоятельно не отваливается, она может только деформироваться, рушиться с места и причинять много дискомфорта. Чтобы снизить риск появления инфекции в поврежденном участке, необходимо провести небольшую операцию по удалению ногтя. Она проводится в следующие этапы:

  • Использование анестезии для обезболивания. Процедура довольно болезненная и неприятная, поэтому стоит к ней подготовиться.
  • Врач вводит под пластину ногтя специальный инструмент и отделяет ее от мягких тканей. Если повреждению поддалась только часть ногтя, удаляют поврежденную пластину, здоровую оставляют без внимания.
  • На рану наносится мазь с антибиотиком.
  • Сверху покрывается палец повязкой.

Доверять процедура снятия поврежденного ногтя можно только профессиональному врачу. Если нет опыта в подобных манипуляциях, самостоятельные действия только приведут к ухудшению ситуации, спровоцируют повторное серьезное заражение. Открытые раны и повреждения несут за собой большую опасность для здоровья человека, и если отсутствует достаточная гигиена, последствия могут быть самыми непредсказуемыми.

Профилактические меры

Почему слезают ногти на ногах? Все дело в том, что отсутствуют меры предосторожности, человек подвергает себя инфекционным заболеваниям, не задумываясь об этом. Чтобы не столкнуться с такой ситуацией, нужно соблюдать профилактические меры, позволяющие уберечь себя от инфекционного заражения ногтевой пластины.

Профилактика заключается в следующих мероприятиях:

  • Соблюдение личной гигиены.
  • Ограничение нахождения в местах, где наблюдается большое скопление людей;
  • Ограничения в занятиях спортом, которые сулят серьезные повреждения.
  • Прием дополнительных витаминов и активных пищевых добавок для укрепления иммунитета.
  • Регулярная очитка обуви, замена стелек.
  • Посещение только профессиональных салонов красоты с повышенным уровнем гигиены.

Все это позволит уберечь каждого человека от грибковых и инфекционных заболеваний, которые повреждают ногтевую пластину и провоцируют возникновение такого заболевания, как онихолизис. К здоровью подходят внимательно, для этого соблюдают нормы дозировки, и имеют повышенную безопасность во время занятия спортом или работы на опасных производствах. Повреждения ногтей – это частая проблема современности, которую можно устранять не только с помощью медикаментозных средств, но еще и используя методы народной медицины, обладающие сильным воздействием.

Автор статьи: Наталья Федорова

Отслоение ногтя от ногтевого ложа называют еще онихолизисом. Некоторые не придают этому заболеванию должного внимания, хотя проблема является достаточно серьезной – игнорирование лечения приводит к запущенной форме и тяжелоустранимым грубым дефектам ногтевых пластин.

Что происходит при онихолизизе?

Отслоение – нарушение целостности ногтевых пластин. Под их поверхностью образуются полые проблески, что становится причиной отделения ногтей от мягких тканей пальцев.

Происходит полная или частичная смена цвета ногтевых пластин. Они могут стать бледно-желтыми, беловато-серыми, реже – синеватыми или коричневыми. Сначала отслаиванию подвергается лишь верхняя часть ногтя или его боковые стороны, затем, по мере развития заболевания, дефект достигает и его основания – вся поверхность отходит от ногтевого ложа. Но чаще всего, до этого не доходит, и ногтевая пластина отделяется не полностью.

Возможные заболевания при отслоении ногтей

Отслоение ногтевой пластины может наблюдаться при некоторых заболеваниях как хронических, так и острых. Самым частыми являются:

  • проблемы с желудочно-кишечным трактом – язва, гастрит и другие болезни;
  • сердечно-сосудистые заболевания;
  • нарушения работы ЦНС;
  • расстройства эндокринной системы.

Это системные заболевания. Также онихолизис свойственен:

  • экземе и псориазу;
  • атопическому дерматиту;
  • буллезному дерматозу.

Причины онихолизиса

Причинами отслоения ногтевой пластины могут быть различные факторы как инфекционной, так и неинфекционной природы.

химический фактор отслоения ногтей

Неинфекционные причины:

  1. Химические – заболевание проявляется при частом контакте с бытовой химией без использования перчаток или другими веществами. Таким средством может оказаться стиральный порошок, лак для ногтей, жидкость для его снятия.
  2. Механические – различные травмы: сильный удар, рассечение, сдавливание, привычка грызть ногти. В таких случаях образуется гематома (скопление крови) под ногтем, которую необходимо как можно скорее правильно удалить.
  3. Аллергия. Такую реакцию могут вызвать те же бытовые средства, латекс, лак для ногтей. Часто их отслаивание может наблюдаться после покрытия гель-лаком, пользующимся популярностью на сегодняшний день, но нередко вызывающим аллергию.
  4. Лекарственные препараты. Сюда относят некоторые группы антибактериальных препаратов, чаще всего причиной расслаивания ногтей становится лечение фторхинолонами.
  5. Маникюр и педикюр , проводимый неправильно в домашних условиях – также нередкая причина онихолизиса. Ногти могут начать расслаиваться, если неаккуратно срезать их, что приводит к деформации, а также при их подпиливании держать пилку не перпендикулярно к ногтевой пластине, а под углом, двигать инструментом в разных направлениях.

Онихолизис могут спровоцировать колебания гормонального фона, недостаток витаминов и стрессовые ситуации.

К инфекционным причинам относят грибки, реже – бактерии. В 40% случаев заболевания онихолизис вызывается именно первыми микроорганизмами. Попадая на ногтевые пластины, они разрушают ее, ногти начинают расслаиваться и ломаться.

Недостаток витаминов

Дефицит витаминов и различных макро- и микроэлементов тоже могут спровоцировать отслоение ногтевой пластины. Их нехватка обычно происходит при питании скудной пищей.

В рационе обязательно должны присутствовать продукты с высоким содержанием железа, кальция, цинка. Идеально подходит рыба, содержащая также большое количество магния, витамина D , фосфора, без которых невозможно усвоение кальция.

Для здоровья ногтей важны и витамины В, А и Е, содержащиеся в яблоках, сливочном и подсолнечном масле, семечках, кисломолочной продукции, орехах.

Также в рационе должно быть присутствие белковых продуктов, овощей и фруктов, содержащих кремний, аминокислоты, цинк и фолиевую кислоту.

Виды и возбудители онихолизиса

В зависимости от причины, вызвавшей онихолизис, различают следующие его виды:

  • травматический;
  • онихолизис, вызванный кожными заболеваниями;
  • системный (вызванный системными заболеваниями);
  • онихолизис, вызванный нарушениями в работе эндокринной системы;
  • грибковый или бактериальный (чаще при руброфитии, эпидермофитии);

Диагностика онихолизиса

При обнаружении у себя отслоения ногтевой пластины следует обратиться к дерматологу для установления причины этой проблемы. Если в процессе диагностики врач обнаружит сопутствующие заболевания, он направит пациента к другому специалисту. Это необходимо для того, чтобы устранить факторы, провоцирующие онихолизис.

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На первом приеме дерматолог визуально осматривает ногтевые пластины. Случается так, что врач сразу распознает грибковое поражение ногтей и направляет пациента на анализ (соскоб), выявляющий вид возбудителя. После этого назначается соответствующее лечение.

Если осмотр ногтей не выявил причину их отслоения, могут быть назначены такие методы диагностики как:

  • взятие проб , определяющих наличие грибка, стафилококков и стрептококков;
  • анализ крови для того, чтобы оценить общее состояние организма.

Не исключена и другая инструментальная и лабораторная диагностика, выбор которой основывается на наиболее вероятной причине онихолизиса.

Клиническая картина

Симптомы онихолизиса зависят от причины, его вызвавшей.

При заболевании, возникшем после травмы ногтя, может отмечаться:

  • болевой синдром;
  • образование гематомы;
  • обесцвечивание и ослабление ногтевой пластины;
  • кровотечение.

Если онихолизис вызван инфекцией, могут наблюдаться:

Симптомы, общие для всех видов онихолизиса:

  • ногтевая пластина меняет цвет, сначала расслаивается в верхней ее части;
  • неровность, изменение линии границы, разделяющей ногтевую пластину на розовую и белую части;
  • кожа под ногтем утолщается;
  • боль возникает лишь при вторичном инфицировании, вследствие попадания микроорганизмов под отошедшую ногтевую пластину.

Лечение и препараты от отслоения ногтей

Онихолизис является достаточно стойким заболеванием, его нельзя вылечить за короткий промежуток времени. Устранение симптомов может произойти только после полного отрастания ногтя.

Задача лечения – остановка отслоения и устранение основной его причины. Поэтому для избавления от онихолизиса применяется комплексная терапия. Последовательность действия при обнаружении отслоения ногтевой пластины:

  • Посещение дерматолога и при необходимости, врача узкой специализации (гастроэнтеролога, эндокринолога и других) для устранения основного заболевания как причины онихолизиса. Необходимо обязательно следовать назначенному лечению.
  • Соблюдение диеты, включающей продукты с необходимыми витаминами и минералами, большим количеством белковых продуктов, пищу, содержащую желирующие вещества.
  • Выполнение массажа пальцев для усиления циркуляции крови.
  • Ванночки для ногтей с добавлением марганцовки. После таких процедур на пораженные ногти накладывается синтомициновая или гелиомициновая мазь, фиксируется повязкой и пластырем, компресс оставляют на ночь.

Если при диагностике были обнаружены проблемы со здоровьем, ставшие причиной расслоения ногтей, местная терапия не принесет результата. В таких случаях следует лечить основные заболевания:

  • При выявлении псориаза или экземы часто назначают кортикостероиды, устраняющие воспалительный процесс.
  • В случаях бактериального поражения ногтей, вызванного стафилококками, назначаются антибиотики.
  • Грибковые инфекции требуют иного лечения . Для их устранения используются препараты местного назначения, включающие в состав имидазол и аллиламин . Существуют и лекарства, борющиеся с грибком, для употребления внутрь, они называются антимикотиками системного действия . К ним относятся «Гризеофульфин», «Тербинафин», «Флуконазол», «Кетоконазол», «Интраконазол» . Принимаются такие препараты исключительно под наблюдением врача, так как имеют множество противопоказаний и побочных эффектов. Курс лечения длится от 3 месяцев до года , терапия непрерывная. Врач может порекомендовать и ванночки с добавлением соли, соды. Новым методом лечения отслоения ногтевой пластины, вызванной грибком, является лазер , направленный именно на возбудителя под роговым слоем. При деформации ногтевой пластины и выраженном болевом синдроме специалист может посоветовать удаление ногтевой пластины.
  • Если отслоение ногтя вызвано аллергией, определяется раздражитель . Контакты с этим веществом полностью предотвращаются. В некоторых ситуациях специалист назначает иммунотерапию для уменьшения или устранения аллергии.
  • При отслоении ногтевых пластин, появившемся после антибиотикотерапии , необходимо восстановить нарушенную микрофлору кишечника. Помочь этому могут натуральные кисломолочные продукты . После того, как микрофлора кишечника придет в норму, отслоение ногтей прекратится.

Первая помощь при травме ногтя

При ушибе пальца необходимо как можно быстрее поместить руку или ногу под струю холодной воды. Это нужно для предотвращения появления гематомы под ногтем, которая провоцирует отслоение ногтевой пластины. В холоде травмированную конечность нужно держать не менее 15 минут для сужения кровяных сосудов и устранения боли.

Для избежания отека на кожу наносится йодная сетка и накладывается утягивающая бинтовая повязка. Это максимально снизит риск отхождения ногтя от ногтевого ложа.

прокол для выхода крови от гематомы

Если образовалась гематома, следует обратиться к врачу для проведения небольшого хирургического вмешательства: в ногте проделывается маленькое отверстие для того, чтобы скопившая под ним кровь вышла.

В случае невозможности визита к специалисту, можно попробовать провести эти манипуляции в домашних условиях при условии полной стерильности. Для этого нужно тщательно вымыть руки и обработать ушиб раствором антисептика, взять стерильную иглу, раскалить ее на огне. Проделав отверстие в ногтевой пластине, убрать из-под нее кровь. Затем повторно обработать ноготь.

При возникновении отслоения ногтевой пластины из-за ее травмирования необходимо сразу провести следующие действия:

  • Сначала нужно продезинфицировать щипчики или маникюрные ножницы. Срезать ими отслаивающуюся часть (если она находится на кончике ногтя).
  • Обработать ногтевую пластину и ткани вокруг нее антисептическим раствором (йодом, хлоргексидином).
  • В 250 мл воды добавить морскую соль в количестве 2 столовых ложек, масло чайного дерева (5 капель), вылить раствор в таз, опустить туда травмированную конечность. Делать ванночку в течение 20 минут , затем насухо промакнуть полотенцем.
  • На поврежденный участок нанести крем с успокаивающими и регенерирующими свойствами («Бепантен»). Повторять эти процедуры несколько дней.
  • Для того, чтобы под отслоившейся ногтевой пластиной не завелись бактерии и грибки, следует соблюдать ежедневную гигиену рук и ног.

В видео подробно рассматривается прокол ногтя при ушибе.

Лечение народными средствами

Способы нетрадиционной медицины используются как дополнительные, для симптоматического лечения и дезинфекции.

апельсиновый сок с солью

Хорошим средством для укрепления ногтей является раствор из апельсинового сока, столовой ложки соли и 60 мл теплой минеральной воды. К этим составляющим добавляется 5 капель йода. Все перемешивается. Держать пальцы в этой смеси не меньше 10 минут.

Чайный гриб обладает обезболивающими, противовоспалительными и противобактериальными свойствами. Из него можно приготовить кашицу. Взять небольшую часть, очищенную от пленок. Измельчить ее. Полученную массу накладывать на пораженные участки 2-3 раза в день.

Несколько дополнительных способов по лечению ушиба ногтя в домашних условиях в видео.

Меры профилактики отслоения ногтевой пластины

Для предотвращения такого заболевания как онихолизис, необходимо придерживаться следующих правил:

  1. Носить нужно только ту обувь, которая «дышит».
  2. Носки нужно выбирать из таких материалов, которые обладают высокой воздухопроницаемостью (хлопок). Менять их следует каждый день.
  3. Не носить тесную обувь.
  4. После контакта с водой, насухо вытирать руки или ноги.
  5. При работе с химическими бытовыми средствами нужно всегда надевать перчатки и потом высушивать.
  6. Необходимо правильно организовать питание, исключающее консервы, жирные и острые продукты. Необходимые продукты – с высоким содержанием витаминов А, В, D , Е, кальция и микро-, макроэлементов, способствующих его усвоению, полиненасыщенных кислот.
  7. Как можно реже проводить лечение антибиотиками.
  8. Обязательно лечить хронические заболевания в фазе обострения.
  9. Избегать стрессовых ситуаций, переутомления, недосыпа.

Таким образом, если профилактические меры не соблюдались и проявились симптомы онихолизиса, следует обратиться за консультацией к специалисту, который проведет диагностику и назначит адекватную комплексную терапию. Самолечение в этом случае допускать нельзя, так как причин отслоения ногтевых пластин много, и самостоятельно их установить невозможно.

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