Every summer, the most annoying thing is people who have beriberi and are not conscious of it. In public, revealing a pair of smelly feet and twisting their toes intermittently, even in the face-watching world, it is estimated that no one will want to approach you.
If you have beriberi, it is estimated that only the parties concerned know the feeling of itching to your heart.
So, let’s talk about beriberi today.
First of all, I said beriberi, some called Hong Kong foot, doctors called tinea pedis, and beriberi is not the same thing. Beriberi is also called vitamin B1 deficiency, which is not among our discussions today.
The main symptoms of tinea pedis include itching, blistering, desquamation, thick skin, erosion and running water in severe cases, and even erysipelas, cellulitis or eczema caused by infection. It is a foot skin disease caused by pathogenic fungi and is infectious and common in the population.
Summer because of high temperature, sweating, and poor air circulation, local humidity and warmth, conducive to the growth of filamentous fungi. Some people do not pay attention to foot hygiene and shoes and socks, providing a good breeding ground for fungi. Therefore, tinea pedis is more common in summer.
So when you find yourself infected with tinea pedis, do you usually adopt what’s method? It is estimated that most people will choose to go to the pharmacy to buy an ointment and apply it first.
According to the survey, The most widely used drugs for tinea pedis are: Dakening Cream, 999 Piyanping Ointment, Perisone Cream, Meike Cream, Lanmeishu Cream. Some of these ointments contain bactericidal and bacteriostatic ingredients. Can achieve the purpose of treatment. For example, Dakening cream contains 2% miconazole nitrate, miconazole is a broad-spectrum antifungal drug, which can inhibit the synthesis of fungal cell membrane, thus achieving the purpose of treatment. Piyanping is not an antifungal drug and does not have any help in the treatment of beriberi. Thus, ointment is not just bought.
So is it enough to buy the right fungicidal ointment?
If tinea pedis can be cured by applying ointment, then it will not become a secret for everyone. If you apply the same medicine for tinea pedis, some people will cure tinea pedis, while others will not, or even have the opposite effect. Why is this? This may be explained by the type of tinea pedis.
Tinea pedis is divided into three types: the first type is a common type, mainly manifested as desquamation between toes, a little skin whitening and occasional small blisters. This type uses clotrimazole cream, perisone cream, lanmeishu cream, caile lotion, etc., which will have obvious effects.
The second type involved the plantar arch, the lateral edge of the toes, the intertoes of the toes, It is mainly blisters the size of needles to mung beans. Blister wall is thick, shiny, not easy to break, the content is transparent liquid, blister can fuse, showing multi-room nature. Due to severe pruritus, often scratched, visible honeycomb-shaped bright red base, or exudate. Some people often use toilet paper plug between the toes, so, not only is it difficult to cure tinea pedis with good drugs, even add fuel to the fire, resulting in red swelling and more itching of the affected part.
Such tinea pedis, Due to the severe itching of blisters, Forcing the patient to grasp it, And often catch pain, Causing the water scar to rupture, Skin damage. You know, The exudate in the blister is very suitable for the growth of bacteria on the skin surface. Causing the infection. In addition, Infection of the patient’s foot, Bacteria and their metabolites can be used as allergens to cause local allergic reactions in the affected part, plus exudate liquid after blister rupture. Applying any ointment or cream at this time will block the inflammatory exudate in the skin lesion tissue so that it cannot drain out of the skin lesion, causing more redness and swelling of the skin lesion and even lymphangitis and lymphadenitis.
The correct approach is to select some hypertonic liquid to wet compress the affected part, such as 3% boric acid water, which can achieve the purpose of detumescence. If the secretion is obviously purulent, it can be soaked in 1: 5000 potassium permanganate solution and 0.1% ravenor solution for 20 minutes. If necessary, it can take some antiallergic drugs (such as Xiante Sensitive, Keminneng, etc.) and anti-infection drugs (such as roxithromycin, Lijunsha, etc.). When the exudate is reduced or scales appear, drugs with low irritation, such as clotrimazole, Ramesus, Perisone Cream, etc. can be used. If there is malodor, soak it in povidone iodine solution first, and then use antifungal drugs.
The third type is hyperkeratosis type, mainly diffuse thickening, roughness, desquamation, surface covered with scales, occasionally blisters on the edge, pain and hemorrhage after scratching or chapping. This type is suitable for ointment drugs, such as 10% salicylic acid ointment, which is coated thick or wrapped with plastic film first, and various types of topical tinea drugs are selected after cutin exfoliation.
For those who are not satisfied with the curative effect of simple external medicine, oral antifungal drugs, such as Spirenol (Itraconbi) and Ramesub (Terbitafen), can be added under the guidance of doctors.
Of course, some people will also say that my medicine was prescribed by a professional doctor and should not be used wrong. Why is it still not cured? Here is the need to mention medication compliance. The three most important points in beriberi treatment:
First: Inability to persist in medication leads to frequent recurrence,
According to the investigation, Among the patients, Each external drug can only last for 14 days, The shortest is only 3 days. Professor Xiang Leihong, chief physician of Huashan Hospital Affiliated to Fudan University in Shanghai, once pointed out that [Nearly 80% of the patients relapse frequently, The main reason is that there is no standard medication.] Since most antifungal drugs on the Chinese market are antifungal drugs (azole drugs), Bacteriostatic drugs have a long course of treatment and need to be used continuously for 4-6 weeks according to the instructions. Only twice a day can they kill fungi to cure beriberi. Most beriberi patients cannot insist on using them, resulting in beriberi fungi not being completely killed and eventually frequent recurrence of beriberi symptoms.
Second, it is the key to select the right drugs and thoroughly sterilize them.
Antifungal drugs on the market are mainly azoles (such as ketoconazole, etc.) and acrylamines (such as Ramesus). The former is a bacteriostatic drug, while the latter is a bactericidal drug. The bactericidal drug has strong bactericidal effect and short course of treatment. Generally, it can kill fungi and treat beriberi in 1-2 weeks. Terbinafine hydrochloride, a bactericidal ingredient, is still the international antifungal gold standard.
For such patients with poor compliance and difficulty in persisting in use for 4-6 weeks, experts suggest that bactericidal drugs with short course of treatment, such as terbinafine hydrochloride (formerly developed brand Lameishu), can completely kill fungi to treat beriberi in a short period of time, and nearly 90% of patients will not relapse for 4 months.
Third: Prevention and protection are very important.
Protection during and after beriberi treatment is also very important. More than 50% of tinea pedis patients have sweat feet and wear airtight shoes. In addition, only about 10% of patients will disinfect shoes and socks during and after treatment. Fungi and bacteria will remain on these shoes and socks. This also lays a hidden danger for beriberi recurrence. Therefore, Some little knowledge of beriberi prevention is very necessary for patients, For example, get into the good habit of washing feet every day, scald socks with boiling water every day to kill fungi, and do not share slippers or towels with family members. Wear clean, dry and ventilated shoes, do not wear shoes with poor quality and broken soles, and do not wear wet shoes and slippers to go out, which contain a large number of harmful bacteria.
Disinfection of shoes is the main link of treatment and prevention of recurrence, such as leather shoes disinfection is a big problem. Because, sunlight cannot kill fungi, ordinary ultraviolet rays also cannot kill fungi. Therefore, it is recommended that patients use spray made of antifungal drugs to clean shoes.
Therefore, in order to give full play to the curative effect of tinea pedis drugs, in addition to the appropriate selection and use of drugs, attention should also be paid to personal hygiene habits, and dermatologists should be invited to guide the treatment when necessary.
After treatment of beriberi, let’s be friends happily again!