Psoriasis, the disease that occurs, leads its owner to shock, because since ancient times it has been considered leprosy.Immediately this is almost invisible, manifests itself in the form of red plaques with attack, but with the development of the disease gradually formed spots merge into one large, and then new lesions appear, in other areas of the skin, ugly of the human body and sometimes bring it to insanity.Psoriasis, like other diseases, has its own stages and the earlier measures are taken to combat the disease, the more the opportunity to protect the body from complete damage.
What do the numbers talk about?
Among all skin diseases, psoriasis occupies almost a quarter of them.According to statistics, about 3% of people around the world are struck by this pathology, the inhabitants of the northern countries are more likely to suffer, as well as with a moderate climate zone, but the tropical population, on the contrary, is much less.It is impossible to say at what age there is no psoriasis, it can develop in any period of life.According to the monitoring of established diagnoses, the disease more often affects young people, on average at the age of 16 to 20 years, this is the time when significant hormonal changes are able to affect the malfunction in the body.The second jump in the disease is observed in adulthood people from 40 to 60 years.
US scientists have revealed that about 65% of patients have a mild disease in which the skin lesion is no more than three percent and, accordingly, does not affect the quality of life of the patient.In 25% of patients, this figure is about ten percent and only 8% of people change in the body exceed the tenth and can reach the total number.Another established fact suggests that more than half of patients have problems with carbohydrate exchange.
Psoriasis stages
The pathology has a chronic form and, when the influence of certain factors, exacerbations occur.Unfortunately, complete treatment of the disease is extremely rare, but it is quite possible to achieve remission (hidden stage), which does not bring discomfort to the patient.
Initial stage
At this stage, the disease is still beginning to manifest itself, the rashes are formed on the skin, usually no more than a pin head, which increases with progression.Most often, the first papules appear on the turns of the hands and feet, as well as at the place of pre -formed scars.It is characteristic of the first plaques that appear at the indicated places for a long absence of progress to their increase, such papules are called patrols, they are arranged in parallel.The papules have a pink hue, a few days after their appearance, they are covered with gray in an event, this action shows the beginning of the death of the epithelium and the coverage of a new one.When the skin is not affected, this process takes about three weeks, but in people with psoriasis it lasts no more than 5-6 days, which is why the epithelium does not have time to renew and manifest itself in the form of scaly plaques.
The treatment of the initial stage
The main methods of therapy at this stage of the disease are with local medication treatment.They contribute to the elimination of uncomfortable sensations that are mainly in itching, and also accelerate the healing process by reducing the inflammatory process.Caratolithic external drugs are mainly prescribed, they contribute to the dissolution of the affected epithelium.Also take Group A and D3 vitamins and use hormonal ointments.
Progressive stage
The next step in the development of the pathology is the progressive stage.The papule is becoming more and more, they are uniting each other into larger plaques, can be of different shapes and sizes.The surface is more insobically covered with gray flakes, their main location in the center of the plaque, its periphery remains not flaky, shiny, pink.The main symptom of progress is considered to be the phenomenon of a kebner, the essence of which in isomorphic reactions, if the skin has been subjected to irritating or injury, for example, a scratch in this place, after about a week, new papules are formed.This period is approximate, since their appearance is diagnosed after three days, and sometimes after twenty days.The duration of the progressive stage of psoriasis is so individual that it is quite difficult to call even its approximate period.Its average interval is from two weeks to several months.The name of the scene speaks for itself, characterized by an increase in itching and significant progress in the abundance of new plaques, in fact it is the pinnacle of exacerbation.Treatment during this period should only be complicated and as coordinated as possible, should be present:
- medicines;
- physiotherapy actions;
- Strict adherence to the diet.
Depending on the complexity of the process and the area of skin lesions, a number of medicines and procedures are prescribed, we give a common list of the necessary therapy, but it is important to understand that in different situations the dermatologist decides in favor of a particular method.
Medicines:
- antihistamines;
- Pyrogenic;
- soothing;
- anti -inflammatory drugs;
- diuretics;
- Keratolytic ointments;
- immunomodulators;
- corticosteroids;
- Cytostatics.
The last two groups of medicines are prescribed only with particularly complex processes.
Physiotherapy procedures include:
- PUVA therapy;
- UV radiation;
- Paraffin applications.
Effective methods, especially in erythroderma and exudative psoriasis, are considered hemosorption and plasmapheresis.It also has a beneficial effect on both the physiological condition and the psycho-emotional origin of the treatment with the sanatorium-resource, especially with sources of sulfide and radon.
Stationary stage
This period of the disease can continue an indefinite period, it replaces the progressive stage, but after a while it can return to it or go to the last, in front of a remission, a regression stage.This stage is characterized by the cessation of growth and the formation of new plaques, their surface is covered with a layer completely, to the periphery, without leaving a pink edge along the edge of the papule.The discomfort in the form of itching or pain disappears.As a rule, the treatment complex continues with a slight correction from the progressive stage.
Important!Do not cultivate yourself how quickly you will consult a professional, competent help specialist, the success of the treatment may depend.
Regressing stage
The exacerbation process is completed by the regression stage, characterized by a gradual absorption of plaques.Their color is made of bright pink, and sometimes red, acquires a light pink shade, gradually comparing to the overall color of the skin or completely discolored.Peeling passes and after a few months as a result of complete, intensive treatment, remission occurs.The papules completely disappear, except for the particularly favorite places of their localization, where the so -called customs rashes on the elbows and knees are located.The remission period is also individual, in a hidden form of psoriasis, can be from several months to decades.More often, with exacerbations, patients collide in winter, with the exception of several forms of psoriasis.
This division of the stage is considered quite conditional and at the first visit of the dermatologist the doctor may not always determine the stage at which the patient's disease is located, this requires a certain monitoring of it.But with repeated exacerbation, when the disease has been years of patient, he himself begins to move around the stage of pathology.
Unfortunately, world statistics show the growing spread of psoriasis.This phenomenon is explained by the changes in ecology, not to the better, the rapid rhythm of life and the associated stressful conditions.But despite the spread of the pathology and the inability to complete treatment, with properly arranged priorities and systematic preventive actions, psoriasis can be in a hidden stage for a long time without preventing a person from living a full life.Be healthy!