Introduction
Gymnasium and gills are fungi-infective diseases common in dermatology and are more common in treatment at primary hospitals. Because of its contagious and hair-prone nature, proper treatment is essential for the rehabilitation of patients and the prevention of disease transmission. Basic hospitals need to consider a combination of diagnostic methods, treatment methods and patient education in order to improve treatment effectiveness.
Diagnosis of body and stocking
(i) Clinical diagnosis
Symptoms observation
The gills can occur in any part of the body, while the gills are located mainly in special areas such as groin, cavity and anal weeks. The patients usually have red spots with clear borders, which, as the disease evolves, can be circular or polycyclic, with the edges rising, with rubles, herpes or crumbs, which tend to recede at the centre, with a tendency to heal. Patients may feel itching on their own, especially at night or in heat. Primary health-care workers can make a preliminary assessment of a patient ‘ s condition by consulting in detail the patient ‘ s symptoms, including the level of itching, the onset of the disease, whether there are aggravating or mitigating factors.
Medical examination
The pathology of the patient is carefully examined and the form, size, distribution characteristics of the rash are observed. Care is taken to check the presence of similar small rashes or crumbs in the surrounding skin to determine the potential spread of infection. In the case of enzyme patients, the skin wrinkles of the vagina, anal weeks, etc., are also examined for any combination of other infections or pathologies, such as coronary infections.
(ii) Laboratory diagnosis
Funcular examinations
In grass-roots hospitals, simple fungi screening methods are critical for the identification of gills and gills. A direct lens can be used to scrap a small amount of crumbs on the edge of the disease, drop them on the carrying tablet, add 10% – 20% of the potassium hydroxide solution and cover them with a microheating of alcohol lamps. Under the microscope, fungi infections can be diagnosed if there is a separate filament or group of spores. This method is simple and fast, but requires some experience on the part of the tester in order to identify the fungal structure accurately. Factal culture can also be developed, if conditions permit, to determine the type of fungi, which is of guidance in cases of difficult or repeated occurrence.
III. Treatment of body and stocking
(i) Partial treatment
1. Exterior anti-fluent drugs
This is the main method of treatment of thallium and thorium in primary hospitals. The most common external antifluent drugs include americoids (e.g., cormoxazole, ecstasy, etc.), acetamines (e.g., Tebbiphene, thiophene, etc.) and acetamides (e.g., Amorofen). The mechanism of these drugs is mainly to inhibit the synthesis of hysterol in fungal cell membranes, thereby undermining the structure and functioning of fungal membranes. It is generally recommended that the patient spend 1 – 2 times a day and that the paint should be slightly greater than the edge of the skin, using 2 – 4 consecutive weeks. For cylindrical patients, because of the thin skin of parts such as groin, less irritating drugs, such as Tebitrin cream, should be chosen.
2. Combination formulations
Some of the compound formulations contain anti-fungist drugs and glucose cortex hormones, such as cotoxone emulsions. Such drugs can be used for short periods of time, usually not exceeding two weeks, when the inflammation response is evident and itchy at the onset of the disease. Since sugar cortex hormones may inhibit local immune responses, long-term use may lead to increased fungi reproduction, which can exacerbate or relapse. Basic doctors are required to provide patients with details of time and care when using a combination.
(ii) Systematic treatment
The systematic use of anti-fouling drugs may be considered for patients with large skin-damaged, foreign-use drugs that are ineffective or repeated. In primary hospitals, oral anti-foulbacterial drugs are commonly used in Ictarconol and Tebbiphen. In general, it is used for shock therapy, such as 200 mg per day, two times per day, one week in a row, three weeks without medication, one or two sessions, and in the case of entropy, the treatment is similar to the dose, but care is taken to observe the adverse effects of the drug, such as a gastrointestinal discomfort and liver function impairment. The oral dose of Tebbiphene is generally 250 mg per day for 2-4 weeks, with equal attention to monitoring adverse effects, especially on liver function. Before using a systematic anti-foulbacteric drug, patients are asked about their past medical history, in particular whether there are liver diseases, drug allergy, etc., and if necessary, check the liver function.
IV. Patient education and preventive measures
(i) Patient education
1. Medical guidance
Primary doctors are required to provide patients with a detailed description of the method of use, frequency of use and course of treatment for external and oral drugs. The patient is advised to use the medication on time, as prescribed by the doctor, and is not free to stop, even if the symptoms are cured, and the whole process is completed to prevent recurrence. In the case of external drugs, the patient should be taught the correct method of painting, so as to avoid overpainting or overdoing.
2. Health education
Patients are advised to keep their skin clean and dry, particularly in areas prone to sweat, such as groin, armpits, etc. It would be preferable to opt for air-freighted cotton clothing to change laundry, especially underwear. Avoiding scratching of the skin and preventing inoculation and subsequent bacterial infections. In the case of enzymes, care should be taken to keep the vagina clean, to wash back before taking a shit and to avoid taking fungi from the anus to the groin.
(ii) Preventive measures
Public health promotion
Basic hospitals can reach out to the population, including through community outreach, about the prevention of body and condominium. In public places such as public bathrooms, swimming pools, avoiding the use of public slippers, towels, etc., and promoting personal hygiene. In the case of patients with thorium or gills, the sharing of clothing, towels, etc. should be avoided in order to prevent the spread of the disease.
2. Environmental management
Good ventilation in the living environment, reduction of the humid environment, regular cleaning and tanning of clothing, sheets, etc. to kill fungi, if any. For families with pets suffering from leachate, the pets should be treated in a timely manner to avoid transmission to humans.
Concluding remarks
Basic hospitals are required to provide accurate diagnosis, reasonable treatment and adequate patient education in the treatment of body and condominium. (c) To improve the rate of treatment of patients, reduce the recurrence and spread of diseases and guarantee their skin health through a combination of treatment and preventive measures. At the same time, grass-roots health workers are constantly learning and updating their knowledge to better cope with these common fungal infectious diseases.
