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Psoriasis treatment

Psoriasis is a disease associated with a change in more than 50 genes and subsequent changes in body and metabolism processes.The sooner you can recognize these changes, the faster you can adjust them.There are three main guidelines for violations:

  • Violations of carbohydrate metabolism (diabetes),
  • Changes in cholesterol (associated with damage to blood vessels - pressure, power, heart attacks, cerebral vascular accidents),
  • The improved protective reaction of the immune system - the body fights with its own tissues, not only with diseases or microorganisms (bacteria) causing them.

It is important to learn to live with psoriasis.By changing the lifestyle and choosing the appropriate diet, you can control the visual manifestations of the disease (the rash can be completely abuse).In addition, during the control of the disease, possible complications are eliminated, which can be caused by a scaly deprivation of the violations of the metabolism of carbohydrates and fats and the work of the immune system.

Methodological recommendations for psoriasis

Depending on the severity of the disease process, psoriasis is divided into light, moderate and serious forms.For classification purposes, they evaluate:

  • The area of the skin affected as a percentage,
  • Redness of the existing eruption eruption,
  • Reckless density,
  • The number of scales.

The effect of the eruption on quality of life is also evaluated, because the imperceptible (hidden) eruption is much less worried than damage to the face, palm trees and genitals.

The most appropriate therapy of psoriasis is determined by the methodological recommendations approved in Latvia, in which the types of therapy are distinguished, corresponding better to a certain type and / or the severity of the scaly lichen.These methodological recommendations were developed under the direction of the teacher.Y. Kisis and were officially accepted in Latvia in 2013. The methodological recommendations determine which drugs for the treatment of psoriasis are paid by the State.The complete content of the methodological recommendations can be found here.

Therapy at psoriasis

Since psoriasis is a general genetically determined disease of the body, it is important to assess all possible processes that help improve the effect and prognosis of therapy.A simple eruption treatment gives only the short -term and insufficient effect.The complete treatment of psoriasis includes many factors with which the disease can be controlled:

  • Take care of the top layer of the skin - only drugs and drugs prescribed by the doctor should be used, follow the dermatologist's instructions, as pharmacy products may not suit all types of psoriasis.Chronic skin inflammation contributes to the development of tumors.
  • Diet-It is necessary to verify certain digestive disorders (that is to say metabolic disorders, for example, insufficient secretion of gastric juice or an allergic reaction to different food products), expressed by intolerance to various substances.There is a risk of diabetes.In order to avoid this, the patient should not take many calories at the same time and should refrain from taking alcohol (altered pancreas).
  • Physical activity - Versatile sports or physical activity can reduce the risk of cardiac disorders (cardiological) - rhythmic cardiac function contributes to lipid metabolism (lipids or fats participate in the process of creating the blood vessels and are also part of the skin cell binding substances).Studies have proven that athletes suffer far fewer psoriasis.
  • It is necessary to be aware of the factors that exacerbate psoriasis, the two weather conditions and the change of seasons can cause adverse reactions (allergies, sensitivity).In the fall, it can be a temperature difference and in spring, it can be pollen.

Methods for the treatment of psoriasis

The averages for the treatment of the Lichen Scalette are used directly instead of the eruption and in general (for example, drugs for internal administration).To choose the most appropriate treatment method, it is necessary to take into account not only the type and severity of psoriasis, but also age, sex, occupation, general health and other factors.

Phototherapy for treatment of psoriasis

The basics of phototherapy date back to ancient Egypt 2000 years ago, where a combination of extracts from photosensitizing plants has been used to treat skin diseases (photosensitizing plants contain substances that increase sensitivity to ultraviolet radiation) and sunlight.Currently, it is one of the most used methods in the treatment of the Lichen Scatale, which:

  • Reduces excessive activity of immunity (immunosuppressive effect),
  • Reduces inflammation,
  • Reduces excessive cell reproduction (antiprolifratic effects),
  • It has antibacterial effects.

To treat psoriasis, the influence of UVB and UVA of a narrow spectrum using special lamps is used.UVA / UVB therapy can be used for children and pregnant women, treatment is often combined with other treatment methods and drugs.

Laser therapy for the treatment of psoriasis

Laser therapy according to the principle of action is similar to the UVB phototherapy of a narrow spectrum (length of ultraviolet waves NB-UVB 311 NM), it is used to treat the limited foci of psoriasis.

Cryotherapy for the treatment of psoriasis

The coldrapy is mainly used to treat small foci.There are a lot of publications on the use of this therapy, and its effectiveness is low, so it does not find a large application.

Medicines for psoriasis

All medications and drugs should only be used under the supervision of a dermatologist, carefully following the doctor's instructions.The self-medication of psoriasis can exacerbate the disease, extend the course of therapy and also create serious complications.

  • Retinoids or synthetic derivatives of vitamin A. They have high therapeutic activity - they can affect immune cells, return the reproduction and development of keratinocytes (cells synthesizing keratin - protein that protects epithelium against damage) in the standard.They can be consumed for a long time and they are suitable for children.
  • Cyclosporin A is an immunosuppressant medication.Its effectiveness in psoriasis is associated with its impact on the immune system and the ability to reduce improved pathological reproduction of keratinocytes in the skin.
  • Methotrexate is a drug that removes metabolism (metabolism) from cells, it has been used to treat cancer, but since the 1970s, it has also been approved for the treatment of psoriasis.
  • Wobenzym is an exaggerated drug, available in the form of tablets.It has an anti-inflammatory and anti-reduction effect, normalizes body protection capacities, dilutes blood, which allows you to restore the level of digestive enzymes (enzymes) in the body to reduce the manifestations of chronic diseases, etc.

Biological drugs against psoriasis

Biological drugs are viruses, serums, toxins, antitoxins, vaccines, blood and its components or other similar products used to treat or prevent the disease.They improve or restore the body's ability to deal with infection and other diseases.As a rule, the drug molecules are large, so they are introduced into the subcutaneous layer, muscles or vein.

Biological therapy is used when other methods of treatment for medium or high severity psoriasis have proven to be ineffective.The cost of therapy is high, compared to other treatment methods.

Psoriasis injections

For injections, corticosteroids are used - steroid hormones of a certain type used in medicine for various immunological and inflammatory diseases.The injections of such steroids are an appropriate treatment for small damage, in a clearly distinguished body area, for example external surfaces of the hands or fingers.The effect is resistant and a repeated injection can only be necessary after a few months.

The latest methods of treatment of psoriasis

The latest methods of treatment of psoriasis

The latest therapy is associated with increased interaction between cells involved in the pathological process of psoriasis (lymphocytes, etc.) using biologically active substances.Biological drugs block pathological substances (antibodies) or contain receptors that block the pathological process.The use of this method is limited by its high cost and its conditions of use (there should not be any inflammatory processes or tumors, an extremely detailed control of excluding factors, etc.).

Drugs paid by the state of psoriasis

The list of state compensated drugs includes certain drugs for the treatment of psoriasis.More information on these drugs and the amount of payment covered by the state can be discovered during a consultation with a dermatologist.

Overput drugs for psoriasis

This group mainly includes skin care products.These drugs are intended only for symptomatic care (that is to say to take care of the "visible part" of the scaly lichen, without correcting metabolic processes, etc.)-they do not treat the process of psoriasis throughout the body.It is recommended to choose hydrating skin that does not contain aromatic substances.

Psoriasis shampoos

To take care of the scalp, different shampoos containing salicylic acid, urea (urea), resin and corticosteroids are used.Shampoos with the resin content reduce the skin of the skin, hydrate the skin, prevent its thickening and reduce itching.Salicylic acid shampoos help soften the scalp and eliminate the scales.Shampoos containing corticosteroids are used for a short period to reduce swelling or redness.

Psoriasis soap

It is recommended to avoid too aggressive detergents so as not to dry and irritate the skin.

Skin care with psoriasis

Lipids (intercellular bond in the skin) are one of the most important components of the skin, but ordinary detergents tend to degrease the skin, violating the development of a unique set of skin microbes (microbiobas), which, as well as the immune system, ensures the stability of the protective barrier of the skin and protects the body from the environment.When you leave the skin, it is important to avoid skin injury and not destroy the protective barrier.

The skin of patients with psoriasis is dry, scaly, contains many viruses.The presence of scales contributes to the development of a psoriac rash.Washing must be washed by therapeutic cosmetics that spare the fatty layer of the skin - do not destroy, but do not purify them and improve it.After washing the skin, it is always necessary to hydrate with the means prescribed by the dermatologist - cream, lotion, etc.

Take care of psoriasis nails

Nail lesions are possible, 80% of patients.It is recommended to cut the nails as short as possible to avoid the appearance of the fungus under the exfolved nail.It is necessary to use saver detergents, after wash your hands, it is always necessary to apply a moisturizer or a lotion.Insaturated fatty acids, vitamins B, vitamins A, D. are important for nail health.

UNGUENTS, CRUES AND PSORIASIS

In the process of psoriasis, three active stages are distinguished:

  • The appearance of a new bright red eruption, among which appear large scales (progressive stage),
  • The appearance of the eruption is stabilized and its surface is covered with smaller scales (stationary stage),
  • Skin eruptions are deepened, the scales are reduced and the shape of the rings (regressive step) is taken.

For each step, it is necessary to use the corresponding external funds.For the progressive stage, these are creams and liquids based on water, for fixing creams and pasta - more fats, and for creams and gradual oints.These drugs serve as the main masses to which are added active drugs:

  • Salicylic acid is used in combination with other therapeutic agents because it eliminates the scales, allowing the drug to enter deeper layers.It is offered in a concentration of 2% to 10% and different forms, and is authorized to use if the area of psoriatic lesions does not exceed 20%, because at high doses, it can have a toxic effect.Not adapted to patients with diabetes.
  • Loemic acid is a keratolytic - a substance that eliminates large horn formations (dead cells).It is used for the exfoliation of scales.Another medication, if necessary to cover more than 20% of the skin area or for diabetic patients.
  • Corticosteroids are widely used to treat a limited psoriatic eruption, as they shrink blood vessels, suppress inflammation and itching and slow down cell reproduction.
  • The effect of resin -based preparations is based on the suppression of cell growth.Most often, these drugs contain birch (oleumrusci) and pine resin resin (pixlic), less often of coal resin (pixlithanthracis).
  • The action of synthesized vitamin D3 (Calcitriol, Calcipotriol) is based on the effect on the immune system and a decrease in the reproduction of keratinocytes.
  • Takrolimus and pimecrolimus (topical calciumine inhibitors) are effective in the treatment of psoriasis on the face, neck, genitals, turns.Drugs do not cause muscle relaxation, so they are suitable for prolonged use.
  • Magnipsor ointment does not contain hormonal additives and toxic substances.Active substances are mineral components, dead sea salt, salicylic acid, tea tree oil, pumpkin, sea buckthorn, bard roots, etc.

The choice of medication is determined according to the eruption in the specific area of the body.

Folk methods and natural remedies against psoriasis

Before using natural drugs, you must certainly consult a dermatologist, because in combination with drugs, they can cause unwanted reactions.The action of these drugs has not been proven and it is necessary to take into account that natural drugs can also cause allergic reactions.

  • Aloe - has properties that reduce redness and coat.
  • Apple vinegar - used by old crops as a disinfectant can help reduce itching on the scalp.
  • Chilean pepper contains capsaicin - it blocks the nerve endings responsible for the conductivity of the pain signal.The products that contain can reduce pain, inflammation, redness, peeling.
  • A bath with the salt of the Dead Sea dissolved in lukewarm water can eliminate the scales in 15 minutes and reduce itching.After taking the bath, it is necessary to apply the hydrating skin.
  • Oat is considered the best natural soothing skin.A bath with the addition of oat in water can reduce itching and redness.
  • Tea tree oil has antiseptic properties.Shampoos containing fights with manifestations of psoriasis on the scalp.
  • Turmeric or yellow ginger has anti-inflammatory and antioxidant properties.The Kurkumin, which is one of them, can resist the lightning of psoriasis.Turmeric can be used in capsules, in concentrated form or added to food (various transport dishes, etc.).
  • Lin seeds contain omega-3 fatty acids, fibers and other important nutrients.Omega-3 fatty acids improve the functioning of the immune system and the skin state.They relate to essential fatty acids, which the body cannot synthesize and can only be taken with food.Omega-3 is also contained in hemp seeds, nuts, herbs and various fish.
Diet with psoriasis

Diet with psoriasis

Psoriasis is associated with lipid exchange problems (fat), carbohydrates (sugar) and sometimes gluten (grain), caused by congenital changes in metabolism (genetic disorders).

Metabolism begins with the isolation of digestive enzymes (enzymes), the interaction of all the microbes (microbiomas) of the intestinal tract with the body and the absorption of nutrients by the body.To treat substances and their use in processes, energy is necessary.

If the characteristics of the body, digestion and metabolism are not studied, it is recommended to eat in small portions at least 4 times a day.It is recommended to use unsaturated fatty acids (omega-3, etc.), vitamins B, vitamin D. For psoriasis, you should refuse to eat digestible white and white bread, potatoes, potatoes.Alcohol, nicotine and preservatives harm the flora of the intestinal tract - to take care of it, a moderate use of probiotic or probiotics (cultures of living organisms which affect the digestive tract) is recommended.

Acupuncture of psoriasis

Acupuncture is widely used to treat psoriasis in China and other Asian countries.During therapy, a needle is introduced into the skin, with a diameter nothing more than the hair of the head.Following the injection into the body, adenosine, endorphins, serotonin, etc.are released in the body.Substances with pain relievers, this method can therefore be used for psoriatic arthritis.

The influence of seasons on psoriasis

When the temperature of the external environment changes, the metabolism changes and the skin begins to lack fatty acids and the protective barrier of the skin is weakened.As soon as a lack of vitamin D occurs in the skin, it becomes dry, is restored worse and is more sensitive to environmental effects - conditions of the epidemic of chronic skin diseases (dermatoses) appear.

Heating in winter, artificial ventilation, need for clothing, perspiration, being in a crowd with different microfloras aggravate physiology and self-regulation of the skin.With the advent of spring, the skin barrier becomes lower than in the fall, and the allergens of spring - flower trees, flower pollen, herbs easily overcome it.

In a small percentage of patients with psoriasis (up to 20%), the condition of the skin worsens in UV rays.The type of summer of psoriasis is characterized by a lack of antioxidants which could protect the skin from improved free radicals which appeared following solar radiation and rashes in places affected by the sun.

Carrying out the exacerbations caused by the change of seasons, the manifestations of the disease can be controlled by rest in the stations.

Stations for the treatment of psoriasis or balneotherapy

The favorable impact of climate therapy in the world has been described for 200 years and has been associated with certain geographic regions and specific places located.The effect of complex therapy is mainly associated with the ability to take a break in daily stress and avoid factors that aggravate the condition of the skin (for example, dry air due to central heating).It is also possible to adjust the mode and the rhythm of power.

Certain procedures may compensate for the amount of water in the skin, exfoliate the old skin, slow down the propagation of cells and lower cell cycles.

The most important complex for the treatment of psoriasis is the dead sea, the lowest point on earth (360 m under sea level), it has a high concentration of natural minerals and the evaporation of UVB rays of minerals (as in phototherapy).In studies, it should be noted that patients sunking and swimming in the Dead Sea salts have an improvement in psoriasis in 83% of cases, only a tan - in 73% of cases, swimming only in the Dead Sea - in 28% of cases.

Balneotherapy (a set of various therapeutic actions aimed at hydrating dry skin) occupies a special place in the long -term treatment of psoriasis, but is not recommended for patients with increased photosensitivity (summer type of psoriasis) and a high risk of skin cancer.This type of therapy is not used for acute treatment or short -term treatment.

Prevention of psoriasis

In order to avoid exacerbation or development of a skin disease, many factors must be taken into account - both a change in lifestyle and different classes: different classes:

  • Physical activity (exercises, etc.),
  • Rest in the stations,
  • Avoid stress,
  • Limit the use of coffee, cocoa, alcoholic beverages and smoking,
  • Reflected nutrition (avoid too fatty food),
  • Avoid hypothermia,
  • Limit the use of chemicals and domestic cosmetics,
  • Improve metabolism (drink more liquids, etc.),
  • Control vitamin D, folic acid and lipids by the doctor,
  • Use Omega 3/6,
  • And other actions prescribed by the dermatologist dealing.

Are we going to cure psoriasis?

No, because medicine has not yet found the opportunity to change the human genetic code.The disappearance of the eruption means the suspension of the process of the disease.An experienced doctor can help choose the lifestyle that is most suitable for the patient's characteristics (diet, physical activity, skin care) and the necessary treatment diet.

Early diagnosis and correct lifestyle, skin care and therapy prolong life (statistical data indicate that patients with psoriasis in whom the disease appeared in childhood is difficult to reach the age of 60, mainly due to diseases of the circulatory and vascular system).

Where to treat psoriasis?

Human skin is its largest organ, and appropriate care prevent the subsequent development of the disease (pathological process).The symptoms of psoriasis are initially manifested on the skin.The functional state of the skin and nails is directly linked during therapy (local and internal), the effectiveness of which is evaluated by an expert by the state of the skin - a dermatologist.

The treatment of psoriasis is very difficult.It is not difficult to diagnose (determine the type of scaly lichen), namely its understanding and consideration of laws.Only highly qualified doctors can recognize models after data analysis.

Doctors of our clinic are posted to the microsymptomatic of the disease (small, difficult to make the symptoms possible and unpublished), which allows them to recognize the disease already at the initial stage.In the processing process, doctors determine the link of a skin disease with the body, its activity and its metabolic disorders.Our experts also know the characteristics of the scaly lichen in children.