California Foot and Ankle Medical Center

加州足科醫療中心
加州足科醫療中心 HOME
About Podiatry 關於足醫
Our Services 我們的服務
Our Doctors 足醫博士
Foot Conditions 各種足病
Diabetic Foot 糖尿病足
Fungal Nail 灰甲
Heel Pain 足跟痛
Ingrown Toenail 嵌甲
FAQ 常見問題
Contact Us 聯絡我們
Fungal Toenails                              
 
 
 
What is Fungal Toenail?

         

It's estimated that hundred thousands of people in Hong Kong has fungal toenail, or onychomycosis, which is fungus infection of the toenail, characterized by a progressive change in a toenail's quality and color, which is often ugly and embarrassing.  In reality, the infection happens underneath the nailplate, where the tiny organism resides, causing darker color, foul smelling, and debris.  They are capable to spread to other toenails, the skin, or even the finger nails.  The resulting thicker nails are difficult to trim and cause pain when inside shoes, in some cases even cause ingrown toenails.

 

 

Who gets Fungal Toenail?

 

Frequent contact of damp areas (such as swimming pools, showers), those who have athlete's feet, previous injury to the nail bed, people with chronic diseases (such as diabetes, circulatory problems, immune-deficiency conditions), advanced age, people with excessive perspiration, or those who are required to wear closed shoes for long hours are especially prone to fungal nails.

 

 

What should I do to prevent Fungal Toenail?

 

Prevention mainly by reducing the risk of infection, such as

  • Proper hygiene and regular inspection of the feet and toes
  • Clean and dry feet thoroughly
  • Shower shoes should be warn when possible in public areas
  • Shoes, socks, or hosiery should be chaged at least daily
  • Toenails should be clipped straight across
  • Wear shoes that can breath
  • Wear socks made of synthetic fiber (better wicking property)
  • Avoid waring tight shoes and socks
  • Disinfect instruments used to cut nails
  • Do not apply nail polish when suspecious of infection
  • Do not pedicure if you have chronic condition such as diabetes 
    or poor circulation as their instruments often are not sterilized.

 

How to treat Fungal Toenail?

 

Fungal toenails do not resolve on their own!  In order to prevent worsening of condition and spreading of the infection, early treatment is recommended.  Choice of treatment varies, depending on the nature and severity of the infection:

  • Daily routine cleaning
  • Frequent nail filing & trimming
  • Professional nail debridement
  • Topical anti-fungal liquid / cream
  • Oral anti-fungal medication
  • Surgical removal of the infected nail
  • Permanent removal of chronically painful infected toenail

灰趾甲

 

 

 

甚麼是灰趾甲 ?  

 

現時估計香港有數十萬人患有灰甲,即是腳趾甲受到真菌感染,在醫學上稱為「甲癬」。外表會因腳甲的質地及顏色慢慢變差而引起尷尬,而事實上,真菌停留在腳甲下面,從中吸取養份,出現腳甲變形如變厚、失去光澤、產生異味及容易脆裂及甲碎,真菌會鑽入甲床,匿藏於趾甲內並不停滋生蔓延,造成感染。灰甲傳染性極高,甚至可引致灰手指甲;厚的灰趾甲亦會造成修剪困難,痛楚,甚至變成嵌甲。

 

 

  

甚麼人會有灰趾甲 ?

 

常在潮濕地方(例如:游泳池、浴室等),患有香港腳的人士,腳趾甲甲床曾受傷,長期病患者(如糖尿病、血液循環不足、抵抗力較低的人仕),長者,足部較易出汗或因工作關係須長期穿著鞋或靴子的人士受感染風險最大。

 

 

 

 

怎樣預防灰趾甲 ?

 

 

預防主要靠減低感染機會,例如

 

  • 注重個人衛生
  • 定期檢查雙腳,腳趾及
    保持腳部乾爽
  • 去泳池時着拖鞋
  • 勤換鞋襪及絲襪
  • 經常剪腳甲指甲
  • 使用透氣鞋款
  • 選擇有人造籤維的襪
  • 避免使用過緊的鞋襪
  • 修甲用具要消毒
  • 若懷疑有灰趾甲,應停止使用腳甲油
  • 若有長期病患(如糖尿病、血液循環不足、

      抵抗力較低的人仕),應避免到外修甲

 

 

 

怎樣治療灰趾甲 ?

 

 

不少人以為灰甲會自行痊癒而「拖延」治理,事實上若不及早治療,病情可能惡化,不但會傳染他人,嚴重者更會疼痛不甚。

 

治療方法因灰趾甲嚴重程度而異:

 

  • 每日進行清潔
  • 定期挫薄及剪腳甲
  • 專業修剪腳甲
  • 外敷的抗真菌藥膏或藥液
  • 口服抗真菌藥物
  • 小手術去除灰甲
  • 永久去除疼痛的灰甲

 


California Foot and Ankle Medical Center  加州足科醫療中心 

Room 2306 Melbourne Plaza, 33 Queen's Road Central,Hong Kong  香港皇后大道中33號萬邦行23樓2306室

 T: 852-2525-0611   F: 852-2525-0619   Email: calfootcare@live.com

Website:  www.calfootcare.com