{"id":3504,"count":43,"description":"A gomb\u00e1s fert\u0151z\u00e9sek \u00e9let\u00fck sor\u00e1n k\u00f6r\u00fclbel\u00fcl minden negyedik feln\u0151ttet \u00e9rintenek \u2013 leggyakrabban a b\u0151rt (l\u00e1bgomb\u00e1sod\u00e1s, \u00e1gy\u00e9kgomb\u00e1sod\u00e1s, testi gomb\u00e1sod\u00e1s), a k\u00f6rmeket (onychomycosis), a fejb\u0151rt (tinea capitis), a sz\u00e1j\u00fcregi vagy h\u00fcvelyi candidiasis \u00e9s a szeborrho\u00e1s dermatitis. A s\u00falyos sziszt\u00e9m\u00e1s gomb\u00e1s fert\u0151z\u00e9sek (invaz\u00edv candidiasis, aspergillosis, mucormycosis) k\u00f3rh\u00e1zi szint\u0171 intrav\u00e9n\u00e1s kezel\u00e9st ig\u00e9nyelnek, \u00e9s nem tartoznak ebbe a katal\u00f3gusba. A MedsBase Gomb\u00e1s Fert\u0151z\u00e9sek Kezel\u00e9se katal\u00f3gus 31 term\u00e9ket<\/strong> tartalmaz, amelyek a teljes topik\u00e1lis \u00e9s or\u00e1lis gombaellenes k\u00edn\u00e1latot lefedik, besz\u00e1ll\u00edt\u00f3i k\u00f6z\u00f6tt megtal\u00e1lhat\u00f3ak WHO-GMP tan\u00fas\u00edtv\u00e1nnyal rendelkez\u0151 gy\u00e1rt\u00f3kt\u00f3l sz\u00e1rmazik<\/strong>.\n\nTopik\u00e1lis azolok.<\/strong> A topik\u00e1lis azolok g\u00e1tolj\u00e1k a gomb\u00e1k CYP-medi\u00e1lt ergoszterol szint\u00e9zis\u00e9t. A ketokonazol 2%-os kr\u00e9m \u00e9s sampon (a szeborrho\u00e1s dermatitis, tinea versicolor \u00e9s fel\u00fcletes candidiasis kezel\u00e9s\u00e9nek alapvet\u0151 eszk\u00f6ze) el\u00e9rhet\u0151 Keto kr\u00e9m<\/a>, KZ kr\u00e9m<\/a>, Ketoforce<\/a>, \u00e9s Keto test\u00e1pol\u00f3<\/a>. A mikonazol 2%-os kr\u00e9m \u00e9s g\u00e9l (sz\u00e9les spektrum\u00fa, k\u00fcl\u00f6n\u00f6sen hat\u00e9kony candidiasis eset\u00e9n) k\u00e9szletben van Daktarin Gel<\/a> \u00e9s Micogel<\/a>. A lulikonazol 1%-os (egyszeri napi alkalmaz\u00e1s el\u0151ny\u00e9vel rendelkez\u0151) el\u00e9rhet\u0151 Lulibet XL kr\u00e9m<\/a>. A klotrimazol (h\u00fcvelyi pessz\u00e1rium + kr\u00e9m) a vulvovaginalis candidiasis kezel\u00e9s\u00e9re k\u00e9szletben van Candid V Gel<\/a>.\n\nAlilaminok (topik\u00e1lis \u00e9s or\u00e1lis).<\/strong> A terbinafin g\u00e1tolja a szqual\u00e9n-epoxid\u00e1z enzimet \u00e9s fungicid hat\u00e1s\u00fa a dermatofitokkal szemben \u2013 els\u0151 vonalbeli kezel\u00e9s l\u00e1bgomb\u00e1sod\u00e1s, testi gomb\u00e1sod\u00e1s, \u00e1gy\u00e9kgomb\u00e1sod\u00e1s \u00e9s k\u00f6r\u00f6mgomba eset\u00e9n. A topik\u00e1lis 1%-os kr\u00e9m el\u00e9rhet\u0151 Terbicip kr\u00e9m<\/a> \u00e9s Terbiface<\/a>. 250 mg-os or\u00e1lis tablett\u00e1k (az onichomycosis kezel\u00e9s\u00e9nek arany standardja: 6 h\u00e9t k\u00e9zk\u00f6r\u00f6mre, 12 h\u00e9t l\u00e1bk\u00f6r\u00f6mre) k\u00e9szleten vannak, mint Terbicip<\/a>, Terbijohn<\/a>, Zimig<\/a>, \u00e9s a topik\u00e1lis Fintop Kr\u00e9m<\/a>. Az or\u00e1lis terbinafin kezel\u00e9shez alapv\u00e9rk\u00e9p \u00e9s 4\u20136 hetes ellen\u0151rz\u00e9s sz\u00fcks\u00e9ges \u2014 a hepatotoxicit\u00e1s ritka, de val\u00f3s. Ker\u00fclje akt\u00edv m\u00e1jbetegs\u00e9gben.\n\nOralis azolok.<\/strong> A fluconazole (v\u00edzold\u00e9kony, kiv\u00e1l\u00f3 CSF \u00e9s vizelet\u00e1tereszt\u0151 k\u00e9pess\u00e9g\u0171, heti adagol\u00e1si lehet\u0151s\u00e9g\u0171 kr\u00f3nikus candidiasis megel\u0151z\u00e9s\u00e9re) el\u00e9rhet\u0151 mint Fluconaz<\/a>, Forcan<\/a>, Zocon<\/a>, Zocon DT<\/a>, Fluka<\/a>, \u00e9s Fluka kapszula<\/a>. Egyszeri 150 mg adag komplik\u00e1latlan vulvovaginalis candidiasis eset\u00e9n; heti 150 mg ism\u00e9tl\u0151d\u0151 VVC eset\u00e9n; 6\u201312 h\u00e9t tinea pedis\/cruris eset\u00e9n. Az itraconazole (sz\u00e9lesebb spektrum\u00fa, bele\u00e9rtve a dermatofit\u00e1kat, dimorf gomb\u00e1kat \u00e9s sz\u00e1mos pen\u00e9szt) el\u00e9rhet\u0151 mint Sporanox<\/a>, Itratuf<\/a>, Itrotab<\/a>, \u00e9s Itaspor<\/a>. Az itraconazole pulzusos adagol\u00e1sa (200 mg naponta k\u00e9tszer 1 h\u00e9tig havonta, 2 pulzus k\u00e9zk\u00f6r\u00f6mre, 3 l\u00e1bk\u00f6r\u00f6mre) az alternat\u00edv onichomycosis kezel\u00e9si m\u00f3d, ha a terbinafin kontraindik\u00e1lt. A voriconazole (szakorvosi szer invaz\u00edv aspergillosis eset\u00e9n) k\u00e9szleten van mint Voritrol<\/a> \u00e9s Vorier.\n\nGriseofulvin.<\/strong> . A klasszikus or\u00e1lis antimikotikus, amelyet gyermekekn\u00e9l haszn\u00e1lnak tinea capitis kezel\u00e9s\u00e9re (ahol az azolok m\u00e1sodik vonalbeli kezel\u00e9s), valamint s\u00falyos, kiterjedt tinea fert\u0151z\u00e9sek eset\u00e9n. El\u00e9rhet\u0151 mint Grisovin FP<\/a>, Griso<\/a>, Grisoheal<\/a>, \u00e9s Griseofulvin<\/a>. Zs\u00edros \u00e9tellel egy\u00fctt szedve fokoz\u00f3dik a felsz\u00edv\u00f3d\u00e1s; a kezel\u00e9si k\u00fara hossz\u00fa (4\u20138 h\u00e9t tinea capitis eset\u00e9n, ak\u00e1r 12 h\u00f3nap onichomycosis eset\u00e9n). Manaps\u00e1g kev\u00e9sb\u00e9 haszn\u00e1latos, mivel lassabb a gomba\u00f6l\u0151 hat\u00e1sa a terbinafinhez k\u00e9pest.\n\nTopik\u00e1lis k\u00f6r\u00f6mlakkok.<\/strong> . Amorolfine 5% lakk (heti alkalmaz\u00e1s) el\u00e9rhet\u0151 mint Loceryl k\u00f6r\u00f6mlakk<\/a> \u00e9s Nailrox k\u00f6r\u00f6mlakk<\/a>. Legink\u00e1bb korai st\u00e1dium\u00fa onichomycosis kezel\u00e9s\u00e9re javasolt, ha a k\u00f6r\u00f6m kevesebb mint 50%-\u00e1t \u00e9rinti \u00e9s a matrix \u00e9rintetlen, vagy kieg\u00e9sz\u00edt\u0151k\u00e9nt or\u00e1lis terbinafin mellett.\n\nKombin\u00e1ci\u00f3s k\u00e9szletek.<\/strong> A Zocon-T Kit (fluconazole + tinidazole + adapalene-clindamycin \/ azithromycin vari\u00e1ns; kombin\u00e1lt vagina\/cervix fert\u0151z\u00e9s kezel\u00e9s\u00e9re) el\u00e9rhet\u0151 mint Zocon-T Kit<\/a>. A Co-Trimoxazole k\u00e9szleten van mint Co-Trimoxazole<\/a> kiv\u00e1lasztott pneumocystis megel\u0151z\u00e9s\u00e9re.\n\nHogyan v\u00e1lasszunk.<\/strong> Lokaliz\u00e1lt fel\u00fcletes tinea vagy candidiasis \u2192 topik\u00e1lis azol vagy terbinafin 2\u20134 h\u00e9tig. Kiterjedt, ism\u00e9tl\u0151d\u0151 vagy fejb\u0151r\/k\u00f6r\u00f6m \u00e9rintetts\u00e9g \u2192 els\u0151 vonalbeli or\u00e1lis terbinafin dermatofit\u00e1k eset\u00e9n, or\u00e1lis fluconazole candida \u00e9s pityriasis versicolor eset\u00e9n, or\u00e1lis itraconazole alternat\u00edvak\u00e9nt vagy dimorf\/sz\u00e9lesebb spektrum\u00fa lefedetts\u00e9g eset\u00e9n. Vulvovaginalis candidiasis (komplik\u00e1latlan) \u2192 fluconazole 150 mg egyszeri adag vagy topik\u00e1lis clotrimazole. Ism\u00e9tl\u0151d\u0151 VVC \u2192 fluconazole 150 mg hetente \u00d7 6 h\u00f3nap. S\u00falyos invaz\u00edv betegs\u00e9g k\u00f3rh\u00e1zi kezel\u00e9st ig\u00e9nyel.\n\nFontos.<\/strong> Confirm fungal aetiology before starting prolonged systemic therapy \u2014 many \"stubborn rashes\" are eczema or psoriasis, not fungus, and respond worse to antifungals than to topical steroids. Oral terbinafine and azoles need hepatic monitoring on extended courses. Itraconazole and ketoconazole have major CYP3A4 interactions (avoid with statins, oral midazolam, ergot alkaloids, many tyrosine-kinase inhibitors). Do not use any oral antifungal in pregnancy without specialist advice.\n\nAll MedsBase Fungal Infection Treatments ship from WHO-GMP tan\u00fas\u00edtv\u00e1nnyal rendelkez\u0151 gy\u00e1rt\u00f3kt\u00f3l sz\u00e1rmazik<\/strong> diszkr\u00e9t vil\u00e1gszerte t\u00f6rt\u00e9n\u0151 sz\u00e1ll\u00edt\u00e1ssal, \u00e9s r\u00e9szes\u00fcl a \u00dajrak\u00fcld\u00e9si Garancia<\/a>.","link":"https:\/\/medsbase.com\/hu\/fungal-infection-treatment\/","name":"Gomb\u00e1s fert\u0151z\u00e9sek kezel\u00e9se","slug":"fungal-infection-treatment","taxonomy":"product_cat","parent":3342,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat\/3504","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat\/3342"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product?product_cat=3504"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}