კანისა და ფრჩხილის სოკოს მკურნალობის თანამედროვე მიდგომები

კანისა და ფრჩხილის სოკოს მკურნალობის თანამედროვე მიდგომები

კანის დაავადებებს შორის ერთ-ერთი მნიშვნელოვანი ადგილი უკავია სოკოვან ინფექციებს ანუ მიკოზებს.
მიკოზები ეს დაავადებათა მთელი ჯგუფია, რომლებიც აზიანებენ ძირითადად კანს და კანის დანამატებს – თმას და ფრჩხილებს და ლორწოვან გარსს. განსაკუთრებით გავრცელებულია ფეხის ტერფისა და ფრჩხილების სოკოვანი დაავადება. ეს უსიამოვნო დაავადებები შეიძლება შეხვდეს ნებისმიერ ადამიანს, რომელიც სტუმრობს აუზს, საუნას, სილამაზის სალონებს. მაპროვოცირებელ ფაქტორებს მიეკუთვნება ასევე მჭიდრო და დახურული ფეხსაცმელი, კანისა და ფრჩხილის მუდმივი ტრავმატიზაცია, ზოგიერთი ქრონიკული დაავადება, იმუნური სისტემის დაქვეითება.
იმის მიხედვით თუ კანის რომელი უბნის სიკოვან დაავადებასთან გვაქვს საქმე, სიმპტომები განსხვავებულია.
კანის სოკოვანი დაავადება შეიძლება გამოხატული იყოს აქერცვლადობით, კანზე სხვადასხვა ფერის ლაქების გაჩენით, ქავილით, კანის ანთებით, კანის ნაოჭების გამოყელვით და ნახეთქებით. სოკოების ზოგიერთი სახეობა იწვევს თმის სტრუქტურის ცვლილებას, თმა ხდება მშრალი, მსხვრევადი და თავის თმიან საფარზე ჩნდება გაცვენილი უბნები.
ფრჩხილების სოკოვანი დაავადების დროს იცვლება ფრჩხილის შეფერილობა, ფრჩხილი სქელდება, შეიძლება გახდეს მსხვრევადი, ან ასცილდეს ფრჩხილის საწოლს.
განსაკუთრებით შესამჩნევია კანისა და ფრჩხილების სოკოვანი დაავადებები გაზაფხულზე, როდესაც კლიმატური პირობების გამო შედარებით შილიფად ჩაცმულები ვართ და სხეულზე სახეშეცვლილი უბნები ადვილი შესამჩნევია.
უნდა აღინიშნოს, რომ სოკოვანი დაავადებების გამომწვევთა უმრავლესობა ადვილად გადადის ერთი ადამიანიდან მეორეზე. მაგრამ არსებობს მთელი რიგი ქცევის წესები, რომელთა დაცვითაც თავიდან იქნება აცილებული ან მინიმუმამდე დაყვანილი სოკოვანი დაავადების გადაცემის საშიშროება.
ესენია
• არასოდეს გამოიყენოთ სხვისი აბაზანის ფეხსაცმელი და პირსახოცი
• არასოდეს გამოიყენოთ სხვისი მანიკურისა და პედიკურის იარაღები და ჰიგიენის სხვა საშუალებები.
• თუ მიდრეკილი ხართ ჭარბოფლიანობისაკენ განსაკუთრებულ რისკ ჯგუფს წარმოადგენთ სპორცმენებთან, სამხედრო მოსამსახურეებთან და საბავშვო ბაღის აღსაზრდელებთან ერთად.
• თუ უკვე ხართ დაავადებული ფეხის ტერფის სოკოთი იხმარეთ ბუნებრივი წინდა და მოხერხებული ფეხსაცმელი, რომელიც კარგად ნიავდება, რომ ფეხის ჩახურება იყოს მინიმუმამდე დაყვანილი
• ხოლო თუ უკვე ხართ დაავადებული კანისა და კანის დანამატების, თმის, ფრჩხილების სოკოვანი დაავადებით, მისი მკურნალობა მიანდეთ ექიმ სპეციალისტს, რომელიც უფრო სწრაფად და ეფექტურად გაუმკლავდება პრობლემას ვიდრე თქვენ მეგობრების, ახლობლების ან მეზობლების რჩევით.
კანისა და მისი დანამატების სოკოვანი დაავადების მკურნალობა დამოკიდებულია პროცესის სიმწვავეზე, ამიტომ ის შეიძლება იყოს სისტემური და კომბინირებული. არსებობს სისტემური ანუ პერორალურად , დასალევად მისაღები სოკოს საწინააღმდეგო პრეპარატების სხვადასხვა ჯგუფი, რომელიც უნდა შეირჩეს მხოლოდ ექიმი სპეციალისტის მიერ, გარკვეული რისკ-ჯგუფებისა და რისკ-ფაქტორების გათვალისწინებით და რაც მთავარია პროცესის სიმძიმიდან გამომდინარე.
მიუხედავად იმისა, დაინიშნება თუ არა პერორალური საშუალება სოკოვანი დაავადების საწინააღმდეგოდ, ყველა შემთხვევაში საჭიროა მოხდეს დაზიანებული კანის დამუშავება და მკურნალობა ანტიმიკოზური მალამოებისა და კრემების საშუალებით, რომელიც შეიძლება დაინიშნოს როგორც მონოთერაპიაში, ასევე კომბინირებული თერაპიული კურსის შერჩევისას.
თანამედროვე ფარმაკოლოგიის მიღწევად უნდა ჩაითვალოს კრემებსა და მალამოებთან ერთად ამ სამკურნალწამლო საშუალებების სპრეისა და სითხის სახით გამოშვება, რომელიც მოსახმარად უფრო პრაქტიკულია და ხასიათდება კანში მაღალი შეღწევადობით, ამის გამო ეს პრეპარატები რჩება მთელი რიგი კანის უბნების მიკოზების სამკურნალო პირველი რიგის პრეპარატებად.
ერთ-ერთ ასეთ პრეპარატს წარმოადგენს ნაფტიფინი (სტიბერილი), რომლის გამოშვების სხვადასხვა ფორმა – ხსნარი და სპრეი, კარგად მოქმედებს კანის ზედაპირულ მიკოზებზე როგორც მონო ისე კომბინირებული თერაპიის დროს.
სტიბერილი ხასიათდება
• სოკოს საწინააღმდეგო ანუ ანტიმიკოზური თვისებით
• ანთების საწინააღმდეგო და
• ანტიბაქტერიული ეფექტით
რაც ასევე მნიშვნელოვანია, რადგან სოკოვანი დერმატოზები ხშირად მიმდინარეობს კანის ადგილობრივი ანთებითი რეაქციებით, რომელსაც თან ახლავს ბაქტერიული ინფექციაც. პრეპარატის უპირატესობად შეიძლება ჩაითვალოს სწორედ მისი სამმაგი მოქმედება: ანტიმიკოზური, ანთების საწინააღმდეგო, ანტიბაქტერიული. გარდა ამისა გამოყენების მოსახერხებელი სიხშირე – ერთხელ დღეში.
სტიბერილი
• ეფექტურია კანისა და ფრჩხილის სოკოვანი ინფექციის დროს ადგილობრივი მკურნალობისათვის
• ღრმად აღწევს ფრჩხილქვეშა კანის შრეებში და ქმნის მდგრად კონცენტრაციას, რაც განაპირობებს მის ეფექტურობას
• ავლენს ფუნგიციდურ და ფუნგისტატიურ აქტივობას სოკოვანი ინფექციის გამომწვევის მიმართ
• სტიბერილის სპრეის გამოყენებისას სწრაფად მცირდება ტერფებისა და კანის სხვა უბნების სოკოვანი დაავადევის ადგილობრივი სიმპტომები – ერითემა ანუ სიწითლე, ქავილი, მაცერაცია
• მოქმედებს ადგილობრივად, არ გააჩნია სისტემური მოქმედება, რაც განაპირობებს მის უსაფრთხოებას ხანგრძლივი თერაპიის დროს. გვერდითი მოვლენები მხოლოდ ადგილობრივია და იშვიათი და სწრაფად ლაგდება პრეპარატის შეწყვეტის შემდეგ
• აქტიურია კანის სოკოვანი დაავადებების გამომწვევი მრავალი ჯგუფის – ტრიქოფიტონების, ეპიდერმოფიტონების, მიკროსპორუმების, საფუარა, ობის და სხვა სოკოების მიმართ.
• გამოყენებისას არ იწვევს კანის გაღიზიანებას, არ არის ფოტოტოქსიური, და არ იწვევს ფოტოსენსიბილიზაციას.
სტიბერილის სპრეი ეფექტურია ისეთი მნიშვნელოვანი და ფართოდ გავრცელებული სოკოვანი დაავადების მიმართ, როგორიცაა ნაირფერი პიტირიაზი, რომლის ვიზუალიზაციაც განსაკუთრებით ხდება გაზაფხულ-ზაფხულის პერიოდში.
აღსანიშნავია პრეპარატის როგორც ანტიბაქტერიული საშუალების გამოყენება პიოდერმიების დროსაც, როგორც დამოუკიდებლად ასევე მიკოზების დროს მეორადად კანის ანთებითი ბაქტერიული პროცესების დროს.
ამგვარად, სტიბერილის ხსნარი და სპრეი შეიძლება გამოყენებულ იქნეს როგორც ანტიმიკოზური, ანთების საწინააღმდეგო და ანტიბაქტერიული საშუალება კანისა და კანის დანამატების ინფექციების სამკურნალოდ.

ავტორი:
შპს „კანისა და ვენსნეულებათა ს/კ ეროვნული ცენტრი“-ს დერმატო-ვენეროლოგი, მედიცინის დოქტორი,
პროფესორი თამარ ებანოიძე

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  • The on-line steroid market has advanced considerably in latest years.
    More suppliers are providing discreet delivery, lab-tested merchandise, and safe cost choices.

    Nonetheless, scams and low-quality merchandise stay an issue, making it essential to do correct analysis earlier than making a purchase.

    These are full of fights between members and moderators, members
    and reps, and plenty of hate. You also can Sign up, login and own an account like most online shops, all impending purchases are despatched to the cart the place you can pay
    for the gadgets utilizing a variety of cost strategies.
    Under are a variety of the sites to purchase actual steroids online in the USA.

    Our online retailer not only sells all kinds of sports medicine,
    however we additionally assure their efficacy.

    Some steroids have to be administered orally only, however some of them can additionally be injected.

    The most serious problem with oral steroids is their hepatotoxicity because they should be metabolized by the liver.
    This may find yourself in heartburn, notably in regular or recurring use.

    You may even discover that additionally they supply completely clear air
    so that you can breathe. Ladies clearly would go through these modifications
    when anticipating, when using birth control tablets and after they
    have their menstrual cycle. Pimples outbreaks appear
    within the oil-creating locations of the body-namely, the face, higher physique,
    and again however also can happen on the neck and upper arms.
    The precise trigger is unknown and docs really think that a
    number of elements can trigger outbreaks. A concept which seemed to be borne out by
    time, when in the subsequent 12 months, my set off finger condition returned with
    a vengeance. Nicely, I took alternative b and decided on the non interference selection, and you know the difficulty
    seemed to become less as time went by. New study suggestst that even when your cells are
    dehydrated by 1 p.c, your outcomes and general efficiency are severely restricted.

    Prime Male is a popular legal steroid that has garnered a powerful following
    because of its effectiveness in serving to
    individuals build muscle mass, shred fats, and enhance testosterone levels.

    Made from a blend of pure ingredients, Prime Male is specifically designed for men who
    need to enhance their exercise performance, improve
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    We offer a variety of pharmacology for athletes, together with numerous drugs and dietary supplements for post-cycle therapy.
    Nonetheless, it’s onerous to seek out the right information about the
    use of these medicine for bodybuilding online.
    From the second I bought their products, I experienced nothing however excellence.
    The quality of their products and their customer support team; whom supplied nice help
    inquiries or issues I had. I am truly impressed by the level of
    care and a focus this firm places into their merchandise and their customers.
    When it comes to buying steroids, you must also contemplate the legal status of the
    medication in your nation. Some nations require a prescription from
    a physician before you can buy anabolic steroids. Shopping For Steroids For women to lose Weight on-line is a great
    way to get the benefits of steroids with out the
    downsides. However earlier than you sign up for the primary
    web site, you’ll want to make sure they offer what you want.

    Androgens have a excessive lipid solubility, enabling them to quickly enter cells
    of goal tissues. Inside the cells, testosterone undergoes enzymatic conversion to 5-alpha-dihydrotestosterone and types a
    loosely bound complicated with cystolic receptors. Androgen action arises from the initiation of transcription and
    mobile changes within the nucleus led to by this steroid-receptor complicated.

    It is necessary that your metabolism begins early in the morning to offer you energy for workout routines.

    Amino acids are important to muscle mass creating and you could get it from protein bars and drinks.
    This is doubtless considered one of the most neglected elements
    on how to rapidly purchase muscle.
    The preliminary step involves consultation with a healthcare provider, whereby the individual’s need for steroids is evaluated primarily based on medical situation and
    total well being status. If deemed essential, the physician issues a prescription, which may be crammed at a licensed pharmacy.

    The prescribed amount is strictly regulated and monitored to prevent misuse.
    It’s essential to notice that obtaining steroids with no prescription, or misusing
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    When you store with us, you’ll be able to getproducts of the highest quality on the most competitive costs.
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    steroids are legal and safe to use. Endogenous testosterone is synthesized by cells in the testis, ovary, and adrenal cortex.
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    Anabolic steroids, derivatives of testosterone, have
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  • Dianabol for Bulking and Muscle Building Dianabol, also recognized as Dbol or Methandrostenolone, is one
    of the hottest anabolic steroids used by bodybuilders and athletes to realize
    muscle shortly. It has been used for many years by people who want to construct big muscles quick.
    Except you’re using non-suppressive compounds like Clenbuterol, most anabolic steroids suppress natural
    testosterone. A proper PCT protocol utilizing Clomid or Nolvadex helps restore hormonal stability and prevent post-cycle crash.
    When injected, Win Max is often administered
    each other day at a dose of around 50 mg.Win Max cycles often final between 6 to 12 weeks.

    If your Primo seems to be Masteron, and also you didn’t get it tested earlier than using it?
    The results might be related, however Masteron usually has harsher unwanted effects.
    I contemplate this to be essentially the most tolerable
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    Kidney and liver operate must be unaffected by Primo, and it shouldn’t impression levels of cholesterol both.
    Count On all the standard outcomes from Primo
    taken to a higher stage with HGH. HGH may even make
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    your outcomes might be formed by your food plan and
    coaching.
    The cause why males might struggle to get an erection on Deca Durabolin is as a result of
    of its deficiency in androgenicity. Androgenic steroids facilitate nitric oxide manufacturing, which is essential in supplying
    blood circulate to the penis. Thus, we often see Deca Durabolin compromising circulation on this regard.

    Also, Deca Durabolin raises prolactin levels, a lactating hormone
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    Track macros to make sure enough protein consumption (0.8-1g
    per pound).
    Thus, men could be prescribed it if they’ve an endogenous testosterone
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    already exist as a result of presence of testosterone.
    It consists of Testo-Max (testosterone), D-Bal (Dianabol), Deca-Max
    (Deca Durabolin), and Tren-Max (trenbolone).
    I say mysterious as a result of we don’t know what
    causes it, although another AAS can even induce anxiousness and related feelings.
    Nolvadex for 4-6 weeks at 20mg/day, decreased to 10mg/day for the ultimate week.
    At the very least, a testosterone steroid have to be
    added to a cycle that uses EQ as a result of while its suppressive qualities are
    comparatively gentle, they nonetheless exist.
    Hence, you have to provide a testosterone supply during the
    cycle. Being a Nandrolone steroid, Trenbolone can even suppress your testosterone for years or even for life.

    On the other hand, most males can recover normal testosterone perform with
    an excellent PCT cycle after utilizing Boldenone.

    This 12-week cycle can embody Testosterone Enanthate at just 100mg weekly to offer for base testosterone,
    as much as 600mg of Equipoise weekly, and 400mg of Trenbolone Enanthate
    weekly.
    Not only for superior customers but for intermediate, this bulking cycle is
    helpful to achieve their health objectives. Even when you don’t have time for workouts, Testosterone may help you in muscle features.
    In addition to doing these items, Testosterone
    Enanthate additionally supports the production of red blood cells.
    This helps the muscle tissue get further oxygen, leading to enhancements in bodily stamina and training capability.

    The infamous Deca Dick is likely considered one of the
    best-known Deca Durabolin unwanted effects. Though it isn’t as harmful as unwanted
    facet effects corresponding to liver harm and cardiovascular
    issues, the chance of Deca Dick is amongst the major reasons some bodybuilders decide
    to not use this steroid.
    HGH can provide that additional push-through; the results will speak for themselves.
    We have seen this duo and other Anadrol cycles cause devastating effects
    in novices. Thus, only skilled steroid websites users typically stack Anadrol with other
    anabolic steroids.
    When she’s not working, you can catch her coaching for her subsequent race (NYC Marathon loading!) and binge-watching F1 or combat
    sports. Everybody is completely different, but “for most women, aiming for about 25 to 40 grams of protein per meal is right,” Trotta says, and this feature
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    exercise in order to maximise their results. You could possibly buy
    deca 300 online and other nations where there is a legal loophole, however there’s the
    problem of importing it in your nation whether it is unlawful.

    As with other anabolic steroids, using it for bodybuilding is unlawful.
    Nevertheless, Testosterone Enanthate is an FDA-approved testosterone
    alternative remedy. Dianabol, also referred to as Methandrostenolone or Dbol, is
    among the most popular oral anabolic steroids famend for its capacity
    to ship fast muscle gains. A nice option for a first steroid cycle,
    Dianabol is usually stacked with other steroids. Welcome to our complete information on one of the best anabolic steroids for beginners.

    This article goals to offer an outline of the best first steroid
    cycle for bodybuilders just beginning, providing insights
    into their benefits, dangers, and considerations.

    General, a Winstrol cycle for bulking can be an effective approach to promote muscle development
    and power positive aspects when used in mixture with different drugs and dietary supplements.

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