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Psoriasis treatment

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

  • Carbohydrate metabolism violations (diabetes),
  • Changes in cholesterol (associated with damage to blood vessels: pressure, power, heart attacks, blows),
  • The improved protective reaction of the immune system: the body fights with its own tissues, and not only with diseases or the microorganisms (bacteria) that cause 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 (eruption can abuse completely).In addition, during the control of the disease, the possible complications are eliminated, which can be caused by the squamous deprivation of the violations of the carbohydrates and the metabolism of the fats and the work of the immune system.

Methodological recommendations for psoriasis

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

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

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

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

Psoriasis therapy

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

  • Take care of the upper skin: only medications and medications prescribed by the doctor should be used, follow the dermatologist's instructions, since pharmacy products may not be suitable for all types of psoriasis.Chronic skin inflammation contributes to the development of tumors.
  • Diet: It is necessary to verify certain digestive disorders (that is, metabolic disorders, for example, insufficient secretion of gastric juices or an allergic reaction to different food products), expressed in intolerance to various substances.There is a risk of diabetes.To avoid this, the patient should not take many calories at the same time and must refrain from drinking alcohol (deteriorated pancreas).
  • Physical activity: versatile sports or physical activity can reduce the risk of heart (cardiological) disorders: rhythmic cardiac function contributes to lipid metabolism (lipids or fats participate in the process of creating the cover of blood vessels, and are also part of the binding substances of skin cells).Studies have shown that sports suffer much less psoriasis.
  • It is necessary to know the factors that exacerbate psoriasis, both climatic conditions and change of stations can cause adverse reactions (allergies, sensitivity).In autumn, it can be a temperature difference, and in spring it can be pollen.

Methods for the treatment of psoriasis

The means for the treatment of squamous lichens are used directly in the place of eruption and in general (for example, medications 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, gender, occupation, general health and other factors.

Phototherapy for the treatment of psoriasis

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

  • Reduces excessive immunity activity (immunosuppressive effect),
  • Reduces inflammation,
  • Reduces excessive cell reproduction (antipro -sympathetic effects),
  • It has antibacterial effects.

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

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), is used to treat limited psoriasis foci.

Cryotherapy for the treatment of psoriasis

Fryterapia is mainly used to treat small foci.There are enough publications about the use of this therapy, and its effectiveness is low, so it does not find a wide application.

Psoriasis medications

Any medication and medication should be used only under the supervision of a dermatologist, carefully following the doctor's instructions.The auto -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 a high therapeutic activity: they can affect immune cells, return the reproduction and development of keratinocytes (cells synthesizing the keratin protein that protects the epithelium of damage) within the norm.They can be consumed for a long time and are suitable for children.
  • Cylosporin A is an immunosuppressive medication.Its effectiveness in psoriasis is associated with its impact on the immune system and the ability to reduce improved pathological reproduction of skin keratinocytes.
  • Metotrexate is a medication that suppresses the metabolism (metabolism) of cells, it was originally used to treat cancer, but since the 1970s it has also been approved for the treatment of psoriasis.
  • Wobenzym is a drug medication, available in tablets.It has an anti -inflammatory effect, anti -reduction, normalizes the protective skills of the body, dilute the blood, which allows it to restore the level of digestive enzymes (enzymes) in the body to reduce manifestations of chronic diseases, etc.Psoriasis.

Biological medications against psoriasis

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

Biological therapy is used when other methods to treat half or high gravity psoriasis were ineffective.The cost of therapy is high, compared to other treatment methods.

Psoriasis injections

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

The latest methods to treat psoriasis

The latest methods to treat psoriasis

The last therapy is associated with a greater interaction between the cells involved in the pathological process of psoriasis (lymphocytes, etc.) using signals of biologically active substances.Biological medications block pathological substances (antibodies) or contain receptors that block the pathological process.The use of this method is limited by its high cost and conditions of use (there should be no inflammatory processes or tumors, extremely detailed control of exclusion factors, etc.).

Medications paid by the State by psoriasis

The state compensated drug list includes certain medications for the treatment of psoriasis.You can find more information about these medications and the amount of payment covered by the State in a consultation with a dermatologist.

Overceptored medications for psoriasis

This group mainly includes skin care products.These medications are intended only to symptomatic attention (that is, the care of the "visible part" of the squamous lichen, without correcting metabolic processes, etc.): they do not treat the process of psoriasis throughout the body.It is recommended to choose skin moisturizers that do not contain aromatic substances.

Psoriasis shampoos

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

Psoriasis soap

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

Skin care with psoriasis

Lipids (the intercellular union in the skin) are one of the most important skin components, but ordinary detergents tend to misery the skin, violating the development of a unique set of microbes of the skin (microbiomas), which, together with the immune system, guarantees the stability of the protective barrier of the skin and protects the body from the environment.When leaving the skin, it is important to avoid skin injuries and not destroy the protective barrier.

The skin of patients with psoriasis is dry, squamous, contains many viruses.The presence of scales contributes to the development of the psoriatic eruption.Washing should be washed by therapeutic cosmetics that save the skin fat layer, do not destroy, but purify it and improve it.After washing the skin, it is always necessary to hydrate with the media prescribed by the dermatologist: cream, lotion, etc.

Taking care of psoriasis nails

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

Ointments, creams and lotions of psoriasis

In the psoriasis process, three active stages are distinguished:

  • The appearance of a new bright red eruption, among which great scales (progressive stage) appear,
  • The appearance of the eruption is stabilized, and its surface is covered by smaller scales (stationary stage),
  • The eruption deepens, the scales are reduced and the shape of the rings is taken (regressive stage).

For each stage, it is necessary to use the corresponding external funds.For the progressive stage, these are creams and liquids based on water, for creams and pastes of stationary fat, and for progressive creams and ointments.These medications serve as the main masses to which active medications are added:

  • Salicylic acid is used in combination with other therapeutic agents, since it eliminates the scales, allowing the medication to penetrate deeper layers.It is offered in a concentration of 2% to 10% and different forms, and is allowed to use if the psoriatic lesions area does not exceed 20%, since in high doses it can have a toxic effect.It is not suitable for diabetes patients.
  • Lomic acid is a keratolithic, a substance that eliminates large horn formations (dead cells).It is used for scales exfoliation.An alternative medication, if necessary to cover more than 20% of the skin area, or for diabetes patients.
  • Corticosteroids are widely used to treat a limited psoriassic eruption, since they reduce blood vessels, suppress inflammation and itching, and slow down the reproduction of cells.
  • The effect of resin -based preparations is based on the suppression of cell growth.Most of the time, such drugs contain the birch resin (oleumrusci) and pine resin (pixlique), less frequently 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 calcium inhibitors) are effective in the treatment of psoriasis in the face, neck, genitals, curves.Drugs do not cause muscle relaxation, so they are suitable for prolonged use.
  • The 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 barrel, roots of the gross, etc.

The choice of drug is determined depending on the eruption in the specific area of the body.

Popular methods and natural remedies against psoriasis

Before using natural drugs, you should definitely consult a dermatologist, since in combination with medications it can cause undesirable reactions.The action of these medications has not been demonstrated, and it is necessary to take into account that natural drugs can also cause allergic reactions.

  • ALOE: It has properties that reduce redness and peeled.
  • Apple vinegar, used by ancient cultures as a disinfectant, can help reduce itching in the scalp.
  • The Chilean pepper contains capsaicin: blocks the nerve endings responsible for the conductivity of the pain signal.Products that contain it can reduce pain, inflammation, redness, peeling.
  • A bath with the salt of the dead sea dissolved in warm water can eliminate the scales in 15 minutes and reduce itching.After taking the bath, it is necessary to apply the hydration of the skin.
  • Oatmeal is considered the best calming natural skin.A bath with the addition of oatmeal in the water can reduce itching and redness.
  • Tea tree oil has antiseptic properties.The shampoos that contain it fight with manifestations of psoriasis in the scalp.
  • Turmeric or yellow ginger has anti -inflammatory and antioxidant properties.Kurkumin, which is part of it, can resist flash of psoriasis.Turmeric can be used in capsules, concentrated, or add to food (several transport dishes, etc.).
  • Linen seeds contain omega-3 fatty acids, fiber and other important nutrients.Omega-3 fatty acids improve the functioning of the immune system and skin condition.They are related to indispensable fatty acids, that the body cannot be synthesized and can only be taken with food.Omega-3 is also contained in hemp seeds, nuts, herbs and several fish.
Diet with psoriasis

Diet with psoriasis

Psoriasis is associated with the problems of lipid exchange (fats), 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 microbes (microbiomes) of the intestinal tract with the body and the absorption of nutrients by the body.To process substances and its 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, should refuse to eat easily digestible white carbohydrate bread, potatoes.Alcohol, nicotine and preservatives damage the flora of the intestinal tract: to take care of it, the moderate use of probiotic or probiotic bacteria (crops of living organisms that favorably affect the digestive tract) is recommended.

Acupuncture of psoriasis

Acupuncture is widely used to treat psoriasis in China and other Asian countries.During the therapy, a needle is introduced into the skin, with a diameter of no more than the hair of the head.As a result of body injection, adenosine, endorphins, serotonin, etc.They are released in the body.Substances with analgesics, so this method can be used for psoriatic arthritis.

The influence of stations 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 weakens.As soon as the lack of vitamin D occurs in the skin, it dries, it is worse and is more susceptible to environmental effects, previous requirements for the burst of chronic skin diseases (dermatosis) appear.

Heating in the winter season, artificial ventilation, the need for clothing, sweating, being in a multitude with different microflora worsens physiology and self -regulation of the skin.With the advent of spring, the skin barrier weakens more than in autumn and spring allergens: 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 of UV rays.The type of summer psoriasis is characterized by the lack of antioxidants that could protect the skin from improved free radicals that appeared as a result of solar radiation and eruption in places affected by the sun.

When realizing the exacerbations caused by the change of stations, the manifestations of the disease can be controlled resting in resorts.

Resorts for the treatment of psoriasis or balneotherapy

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

Certain procedures can compensate for the amount of water in the skin, exfoliate old skin, slow down the propagation of the 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 below sea level), has a high concentration of natural minerals and the evaporation of UVB rays of mineral filter (as in phototherapy).In studies, it is observed that patients take the sun and swim in the salts of the Dead Sea have an improvement in psoriasis in 83% of cases, just taking the sun, in 73% of the cases, just swimming 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 greater photosensitivity (type of summer psoriasis) and high risk of skin cancer.This type of therapy is not used for acute treatment or short -term therapy.

Psoriasis prevention

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

  • Physical activity (exercises, etc.),
  • Rest on the resorts,
  • Avoid stress,
  • Limit the use of coffee, cocoa, alcoholic beverages and smoking,
  • Reflective nutrition (avoid too fatty foods),
  • Avoid hypothermia,
  • Limit the use of chemical and cosmetics of the home,
  • 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 assistant dermatologist.

Will we cure psoriasis?

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

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

Where to treat psoriasis?

Human skin is its largest organ, and proper care prevents the additional development of the disease (pathological process).Psoriasis symptoms initially manifest in the skin.The functional status of the skin and nails is directly related to the course of therapy (both local and internal), whose effectiveness is evaluated by an expert for the skin condition: a dermatologist.

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

The doctors of our clinic have knowledge about the microsintomatic of the disease (small, difficult to make it possible and that previously unpublished), which allows them to recognize the disease already in the initial stage.In the treatment process, doctors determine the connection of a skin disease with the body, their activity and metabolic disorders.Our experts are also well versed in the characteristics of the squamous lichen in children.