Nail dystrophy - Msumari Dystrophyhttps://en.wikipedia.org/wiki/Nail_disease
Dystrophy ya kucha (Nail dystrophy) ni ugonjwa au ulemavu wa ukucha kutokana na uvimbe usiojulikana. Katika takriban nusu ya kesi zinazoshukiwa za kuvu ya msumari kuna kweli hakuna maambukizi ya vimelea. Kulikuwa na dystrophy ya kucha tu.

Dystrophy ya kucha mara nyingi hutambuliwa vibaya kama onychomycosis na kutibiwa. Kabla ya kuanza tiba ya antifungal, mtoa huduma wa afya anapaswa kuthibitisha maambukizi ya vimelea. Utawala wa matibabu kwa watu wasio na maambukizi sio huduma ya afya isiyo ya lazima na husababisha athari zisizohitajika.

Matibabu
Sindano ya ndani ya corticosteroid inaweza kujaribiwa kutibu dystrophy ya kucha.

Matibabu - Dawa za OTC
Epuka shughuli zinazoweza kuharibu kucha zako za miguu, kama vile kucheza soka au kupanda milima. Matibabu ya antifungal haifai kwa sababu dystrophy ya kucha (onychodystrophy) haisababishwi na maambukizi ya fangasi.

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  • Median nail dystrophy ― Haisababishwi na maambukizi ya fangasi.
  • Msumari Dystrophy (Nail dystrophy) inayohusisha vidole vingi.
References Trachyonychia and Twenty-Nail Dystrophy: A Comprehensive Review and Discussion of Diagnostic Accuracy 27843915 
NIH
Trachyonychia, au dystrophy ya nyembe ishirini (twenty‑nail dystrophy), inarejelea misumari nyembamba, iliyokatika na matuta mengi yanayopita kwa urefu. Wakati mwingine, dystrophy ya nyembe ishirini (twenty‑nail dystrophy) inatumika kimakosa kuelezea hali zingine zinazoathiri kucha zote ishirini.
The term trachyonychia, also known as twenty-nail dystrophy, is used to describe thin, brittle nails with excessive longitudinal ridging. The term twenty-nail dystrophy has been incorrectly applied to other conditions that can affect all twenty nails.
 Median nail dystrophy - Case reports 33318093 
NIH
Mwanamume mwenye umri wa miaka 34 alienda kwa daktari wake wa kawaida kwa sababu alikuwa na uvimbe usio na maumivu kwenye vijipicha vyake vyote viwili kwa miaka 20. Hakukumbuka kuumia kucha au kupata maambukizi. Kwenye vidole gumba vyote viwili, kulikuwa na shimo lililonyooka katikati, lenye umbo la msonobari, lenye mistari kuvuka. Hali hii inahusishwa na ugonjwa wa ugumu wa mkia wa kati (median nail dystrophy).
A 34-year-old man presented to his primary care physician with a 20-year history of painless bilateral thumbnail lesions. The patient had no history of nail trauma or infection. Both thumbs had a central linear depression in a fir tree pattern, surrounded by parallel transverse ridges.
 Nail cosmetics: What a dermatologist should know! 37317711
Nail dystrophy (dystrophy ya kucha) ni ugonjwa au deformiti ya kucha inayosababishwa na uvimbe usiojulikana. Katika takriban nusu ya kesi zinazodhaniwa kuwa na fangasi ya kucha, hakika hakuna maambukizi ya fangasi—ni dystrophy ya kucha tu. Dystrophy ya kucha mara nyingi husababisha uchunguzi usio sahihi kama onychomycosis (ugonjwa wa fangasi wa kucha) na hutibiwa bila sababu. Kabla ya kuanza tiba ya dawa ya kuua fangasi, mtoa huduma ya afya anapaswa kuthibitisha uwepo wa maambukizi ya fangasi. Kutibu watu ambao hawana maambukizi husababisha matumizi yasiyo ya lazima ya huduma za afya na anaweza kusababisha madhara yasiyo ya lazima. ○ Tiba Uingizaji wa ndani wa corticosteroid unaweza kujaribiwa kutibu dystrophy ya kucha. ○ Tiba ― Dawa zisizo na agizo (OTC) Epuka shughuli zinazoweza kuharibu kucha zako, kama vile kucheza mpira wa miguu au kupanda milima. Tiba ya dawa ya kuua fangasi haina ufanisi kwa sababu onychodystrophy (dystrophy ya kucha) haina chanzo cha fangasi. Maelezo zaidi ― Kiingereza: Ugonjwa wa kucha (nail disease) au onychosis ni ugonjwa au deformiti ya kucha. Baadhi ya hali za kucha zinazonyesha ishara za maambukizi au uvimbe zinaweza kuhitaji msaada wa matibabu. Trachyonychia na Twenty‑Nail Dystrophy: mapitio kamili na majadiliano ya usahihi wa utambuzi. Trachyonychia, pia inajulikana kama twenty‑nail dystrophy, inahusishwa na kucha nyembamba, nyembamba zenye milongo mirefu. Median nail dystrophy (dystrophy ya kucha ya kati) haijasababishwa na maambukizi ya fangasi. Dystrophy ya kucha inayogusa vidole vingi.
While most nail cosmetics are generally safe, they can still lead to issues such as allergic reactions, irritations, infections, and mechanical problems. It's worth noting that many of nail cosmetic procedures are carried out by beauticians who may lack proper knowledge of nail anatomy and function, rather than dermatologists. Additionally, the hygiene practices in nail salons and beauty parlors vary, which can result in acute problems like paronychia and nail dystrophy due to matrix injury.