Onychomysosis - Jamur Kukuhttps://en.wikipedia.org/wiki/Onychomycosis
Jamur Kuku (Onychomycosis) yaiku infeksi jamur ing kuku. Gejala bisa kalebu warna kuku putih utawa kuning, kuku dadi tebal, lan pemisahan kuku saka amben kuku. Kuku tangan utawa kaki bisa kena pengaruh, nanging luwih umum kanggo kuku kaki. Komplikasi bisa kalebu selulitis ing sikil ngisor. Sawetara jinis jamur, kalebu dermatofit, bisa nyebabake jamur kuku (onychomycosis). Faktor risiko kalebu sikil atlit, penyakit kuku liyane, paparan marang wong sing kena infeksi, penyakit pembuluh darah perifer, lan fungsi kekebalan sing kurang.

Pangobatan antijamur terbinafine sing dijupuk kanthi lisan paling efektif, nanging terbinafine bisa nyebabake efek samping ati.

Jamur kuku (onychomycosis) dumadi ing udakara 10 % populasi diwasa, kanthi wong tuwa luwih kerep kena pengaruh. Wong lanang kena luwih asring tinimbang wadon. Jamur kuku (onychomycosis) nggambarake kira‑kira setengah saka penyakit kuku, tegese deformitas kuku sikil uga bisa disebabake faktor liya kajaba onikomikosis.

Pengobatan – Obat OTC
Iku angel nambani onychomycosis nganggo obat topikal amarga obat topikal angel nembus kuku sikil sing kandel.
#Ketoconazole
#Clotrimazole
#Miconazole
#Terbinafine
#Butenafine [Lotrimin]
#Tolnaftate

Pengobatan
Pangobatan jangka panjang asring dibutuhake nganti kuku sing kena infeksi rampung tumbuh maneh.
#Terbinafine (oral)
#Itraconazole
#Efinaconazole lacquer [Jublia]
#Ciclopirox lacquer
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  • Kuku sing kena pengaruh jamur kuku (Onychomysosis)
  • Kaki wong sing kena infeksi jamur kuku kudu diobati nganggo obat oral terbinafine sajrone sepuluh minggu. Penting kanggo njaga pita pertumbuhan kuku sing sehat ing mburi kuku sing kena infeksi.
  • Kasus infeksi jamur ing jempol sikil.
References Onychomycosis: Current trends in diagnosis and treatment 24364524
Antifungal sistemik minangka perawatan sing paling efektif. Meta-analisis nuduhake tingkat penyembuhan mycotic kaya ing ngisor iki: terbinafine = 76%, itraconazole with pulse dosing = 63%, itraconazole with continuous dosing = 59%, fluconazole = 48%. Debridement kuku bebarengan nambah tarif penyembuhan. Terapi topikal nganggo ciclopirox kurang efektif; nduweni tingkat kegagalan luwih saka 60%.
Systemic antifungals are the most effective treatment. Meta-analyses shows mycotic cure rates as follows: terbinafine = 76%, itraconazole with pulse dosing = 63%, itraconazole with continuous dosing = 59%, fluconazole =48%. Concomitant nail debridement further increases cure rates. Topical therapy with ciclopirox is less effective; it has a failure rate exceeding 60%.
 Onychomycosis 28722883 
NIH
Onychomycosis minangka infeksi jamur sing ngaruhi kuku. Nalika disebabake dening dermatofit, disebut tinea unguium. Onikomikosis kalebu infeksi sing disebabake dening dermatofit, ragi, lan jamur. Masalah kuku sing ora disebabake infeksi jamur diarani nail dystrophy. Sanajan bisa ngaruhi kulit lan kuku, onikomikosis kuku luwih umum. Artikel iki mbahas macem‑macem aspek onikomikosis kuku, kayata pengaruhe, jinis klinis, tahapan, diagnosis, lan perawatan. Sanajan ora ngancam nyawa, onikomikosis bisa nyebabake komplikasi serius kaya selulitis, sepsis, infeksi balung, karusakan jaringan, lan kerusakan kuku.
Onychomycosis is a fungal infection of the nail unit. When dermatophytes cause onychomycosis, this condition is called tinea unguium. The term onychomycosis encompasses the dermatophytes, yeasts, and saprophytic mold infections. An abnormal nail not caused by a fungal infection is a dystrophic nail. Onychomycosis can infect both fingernails and toenails, but onychomycosis of the toenail is much more prevalent. Discussed in detail in this activity are all evolving facets of the topic, including disease burden, clinical types, staging, diagnosis, and management of toenail onychomycosis. While non-life-threatening, onychomycosis can lead to severe complications such as cellulitis, sepsis, osteomyelitis, tissue damage, and nail loss.
 Terbinafine 31424802 
NIH
Terbinafine minangka obat antijamur sing kerja kanthi ngalangi enzim squalene epoxidase. Obat iki efektif nglawan macem‑macem jamur kulit lan wis disetujoni kanggo ngobati infeksi jamur kuku nalika diparingi sacara lisan. Efek samping sing paling umum kalebu rasa ngelu, gangguan pencernaan, lan rasa ora enak ing weteng. Owah‑owahan rasa (dysgeusia) bisa beda‑beda, saka sing entheng nganti sing abot, lan kadhangkala nyebabake penurunan bobot awak. Rasa owah‑owahan permanen arang banget, nanging wis dilaporake.
Terbinafine is an antifungal medication that works through the inhibition of squalene epoxidase. It has activity against most dermatophytes, and it has approval for use as an oral therapy for the treatment of onychomycosis. Although most side effects are mild and self-limited, such as headache and gastrointestinal symptoms, taste disturbances (dysgeusia) can range from mild to severe, resulting in weight loss, and have rarely been reported permanent.
 Onychomycosis: An Updated Review 31738146 
NIH
Onychomycosis yaiku infeksi jamur sing ngaruhi kuku. Kira‑kira 90 % infeksi kuku jempol lan 75 % infeksi kuku disebabake dening jamur (Trichophyton mentagrophytes, Trichophyton rubrum). Gejala kalebu owah‑owahan warna kuku, penebalan (thickening), pisah saka amben kuku, lan pertumbuhan berlebih (overgrowth). Perawatan biasane kalebu obat oral kaya terbinafine utawa itraconazole, lan perawatan topikal dadi pilihan kanggo kasus sing entheng nganti moderat.
Onychomycosis is a fungal infection of the nail unit. Approximately 90% of toenail and 75% of fingernail onychomycosis are caused by dermatophytes, notably Trichophyton mentagrophytes and Trichophyton rubrum. Clinical manifestations include discoloration of the nail, subungual hyperkeratosis, onycholysis, and onychauxis. Currently, oral terbinafine is the treatment of choice, followed by oral itraconazole. In general, topical monotherapy can be considered for mild to moderate onychomycosis.