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Psoriasis

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

  • Carbohydrate metabolism disorders (diabetes),
  • Changes in cholesterol (associated with damage to blood vessels - pressure, potency, heart attacks, strokes),
  • Increased protective reaction of the immune system - the body fights its own tissues, not just diseases or microorganisms (bacteria) that cause them.

It is important to learn how to live with psoriasis.By changing the lifestyle and choosing the right diet, you can control the visual manifestations of the disease (the rash can completely abuse).Also, during the control of the disease, possible complications are eliminated, which can be caused by flaky deprivation of disorders of carbohydrates and fat metabolism and the functioning of the immune system.

Methodological Recommendations for Psoriasis

Depending on the severity of the disease process, psoriasis is divided into mild, moderate and severe form.For the purposes of the classification, they appreciate:

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

The effect of a rash on the quality of life is also evaluated, since the imperceptible (hidden) rash is much less worried than the damage to the face, palms and genitals.

The most appropriate therapy for psoriasis is determined by the methodological recommendations approved in Latvia, which distinguishes the types of therapy, best corresponding to a particular type and/or severity of flaky lichen.These methodological recommendations were developed under the guidance of Prof. Y. Kisis and were officially adopted in Latvia in 2013. Methodological recommendations determine which medicines for the treatment of psoriasis are paid by the state.You can find the full content of the methodological recommendations here.

Psoriasis therapy

Because psoriasis is a genetically defined general disease of the body, it is important to evaluate all possible processes that help to improve the effect and prognosis of therapy.Simple treatment of the rash only gives a short and insufficient effect.Full treatment of psoriasis involves many factors that the disease can be controlled by:

  • Caring for the top layer of skin - only the medicines and medicines prescribed by the doctor should be used, follow the instructions of the dermatologist, as 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 check for certain digestive disorders (ie metabolic disorders, for example, insufficient secretion of gastric juices or an allergic reaction of various foods), expressed in intolerance to various substances.There is a risk of diabetes.To avoid this, the patient should not consume many calories at the same time and should refrain from drinking alcohol (impaired pancreas).
  • Physical activity - Multilateral sports or physical activity can reduce the risk of cardiac (cardiac) disorders - rhythmic cardiac function contributes to lipid metabolism (lipids or fats are involved in the process of creating blood vessels and are also part of the binders of skin cells).Studies have shown that sports people suffer from psoriasis much less.
  • You need to be aware of the factors that exacerbate psoriasis, both meteorological conditions and change of seasons can cause side effects (allergies, sensitivity).In the fall, this can be a difference in temperature, and in spring it can be pollen.

Methods for treating psoriasis

The agents for the treatment of flaky lichen are used both directly at the site of the rash and generally (for example, medicines for internal use).In order to choose the most appropriate method of treatment, it is necessary to take into account not only the type and severity of psoriasis, but also age, gender, profession, general health and other factors.

Phototherapy for the treatment of psoriasis

Phototherapy rudiment has returned to ancient Egypt from 2000 years, where a combination of photosensitizing plants is used to treat skin diseases (photosensitizing plants contain substances that increase sensitivity to ultraviolet radiation) and sunlight.Currently, this is one of the most widely used methods in the treatment of flaky lichen, which:

  • Reduces excessive immunity activity (immunosuppressive effect),
  • Decreases inflammation,
  • Reduces excessive cell reproduction (anti -prorolid effects),
  • It has antibacterial effects.

For the treatment of psoriasis, the radiation of UVB and UVA of a narrow spectrum is used with the help of special lamps.UVA/UVB therapy can be used for children and pregnant women, therapy is often combined with other treatments and medicines.

Laser therapy for the treatment of psoriasis

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

Croject for the treatment of psoriasis

Coldotherapy is mainly used to treat small foci.There are quite a few publications about the use of this therapy and its effectiveness is low, so it is not widely used.

Psoriasis Medicines

All medicines and medicines should only be used under the supervision of a dermatologist, carefully following the doctor's instructions.The suicide of psoriasis can exacerbate the disease, expand 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 the epithelium from damage) in the norm.They can be consumed for a long time and are suitable for children.
  • Cyclosporin A is an immunosuppressive drug.Its effectiveness in psoriasis is related to its effect on the immune system and the ability to reduce pathological increased reproduction of keratinocytes in the skin.
  • Methotrexate is a medicine that suppresses the metabolism (metabolism) of cells, originally used to treat cancer, but since the 70s it has been approved for the treatment of psoriasis.
  • Wobenzym is a medicine above -thecounter, available in tablet form.It has an anti -inflammatory, anti -duction effect, normalizes the body's protective capacity, dilutes the blood, allowing you to restore the level of digestive enzymes (enzymes) in the body to reduce the manifestations of chronic diseases, etc.Psoriasis.

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 cope with infection and other diseases.Usually the drug molecules are large, so they are introduced into the subcutaneous layer, muscles or vein.

Biological therapy is used when other methods of treating medium or high psoriasis have proven to be ineffective.The cost of therapy is high compared to other treatments.

Psoriasis injections

Corticosteroids are used for injections - steroid hormones of a certain type used in medicine for various immunological and inflammatory diseases.Injections of such steroids are appropriate treatment for small damage, in a clearly distinguished area of the body, for example, the outer surfaces of the hands or fingers.The effect is resistant and may need repeated injection in just a few months.

The most methods of treating psoriasis

The most methods of treating psoriasis

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

Medicines paid by the country by psoriasis

The list of medicines compensated by the state includes certain medicines for the treatment of psoriasis.More information about such medicines and the amount of payment covered by the state can be found in consultation with a dermatologist.

Psoriasis Drugs

This group mainly includes skin care products.Such drugs are intended only for symptomatic care (ie, care for the "visible part" of scaly lichen without adjusting metabolic processes, etc.) - they do not cure the process of psoriasis throughout the body.It is recommended that you choose skin moisturizers that do not contain aromatic substances.

Psoriasis shampoos

To take care of the scalp, various shampoos containing salicylic acid, urea (urea), resin and corticosteroids are used.The resin shampois reduces skin peeling, moisturizes the skin, prevents it from thickening and reduces itching.Salicylic acid shampoos help to soften the scalp and remove the flakes.Shampoos containing corticosteroids are used for a short time to reduce swelling or redness.

Psoriasis soap

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

Skin care with psoriasis

Lipids (intracellular binding in the skin) are one of the most important components of the skin, but ordinary preparations tend to degrease the skin, disrupting the development of a unique set of skin microbes (microbiomes), which together with the immune system guarantee the stability of the skin's protective barrier and protects the body.When leaving your skin, it is important to avoid skin injury and not destroy the protective barrier.

The skin of patients with psoriasis is dry, flaky, contains many viruses.The presence of flakes contributes to the development of psoriatic rash.Wash should be washed with therapeutic cosmetics that spares the fat layer of skin - do not destroy but purify and improve it.After washing the skin, it is always necessary to moisturize the agents prescribed by the dermatologist - cream, lotion, etc.

Psoriasis Nail Care

Nail damage is possible Y 80% of patients.It is recommended that you cut the nails as soon as possible to avoid the appearance of fungi under the exfoliation of the nails.It is necessary to use frugal detergents, after washing hands it is always necessary to apply a moisturizer or lotion.Unsaturated fatty acids, B vitamins, vitamins A, D. are important for nail health.

Glutti, creams and lotions of psoriasis

Three active stages are distinguished in the process of psoriasis:

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

For each stage, it is necessary to use the appropriate external funds.For the progressive stage, these are creams and liquids based on water, for stationary - more greasy creams and pastes and for progressive - greasy creams and ointments.These drugs serve as main masses to which active medicines are added:

  • Salicylic acid is used in combination with other therapeutic agents as it removes the scales, allowing medicines to penetrate into more deep layers.It is available in a concentration of 2% to 10% and different forms and is allowed to be used if the area of psoriatic lesions does not exceed 20%, since at high doses it can have a toxic effect.Not suitable for patients with diabetes.
  • Lomic acid is keratolithic, a substance that removes large horn formations (dead cells).Used to exfoliate rocks.Alternative medicine, if necessary, cover more than 20% of the skin or for patients with diabetes.
  • Corticosteroids are widely used to treat limited psoriatic rash as they tighten blood vessels, inhibit inflammation and itching and slow the reproduction of cells.
  • The effect of resin -based preparations is based on cell growth suppression.Most often, such medicines contain birch resin (oleumus) and pine resin (pixel), less often coal resin (pixlithanthracis).
  • The action of synthesized vitamin D3 (calcitriol, calcipotriol) is based on the effect on the immune system and reducing the reproduction of keratinocytes.
  • Tacrolimus and pimecrolimus (topical calcirinein inhibitors) are effective in the treatment of psoriasis of the face, neck, genitals, turns.Medicines do not cause muscle relaxation, so they are suitable for prolonged use.
  • Magnipse ointment does not contain hormonal supplements and toxic substances.The active substances are mineral components, dead sea salt, salicylic acid, tea tree oil, pumpkin, sea beans, Burdok roots and more.

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

Folk methods and natural remedies against psoriasis

Before using any natural medicines, you should definitely consult a dermatologist, as in combination with medicines, they can cause side effects.The effect of these drugs has not been proven and it is necessary to take into account that natural remedies can also cause allergic reactions.

  • Aloe - There are properties that reduce redness and peeling.
  • Apple cider vinegar - used by ancient cultures as a disinfectant, can help reduce the itching of the scalp.
  • Chilean pepper contains capsaicin - it blocks the nerve endings responsible for the conductivity of the pain signal.The products containing it can reduce pain, inflammation, redness, peeling.
  • A dead sea bath, dissolved in warm water, can remove the flakes for 15 minutes and reduce itching.After taking the bath, it is necessary to apply the skin moisturizing.
  • Oats are considered the best natural soothing skin.The bath with the addition of oats to water can reduce itching and redness.
  • Tea tree oil has antiseptic properties.The shampoos containing it fight scalp psoriasis.
  • Turmeric or yellow ginger has anti -inflammatory and antioxidant properties.Curcumin, which is part of it, can resist the glimpses of psoriasis.Turmeric can be used in capsules, in concentrated form or added to food (different dishes, etc.).
  • Flax seeds contain omega-3 fatty acids, fiber and other important nutrients.Omega-3 fatty acids improve the function of the immune system and skin condition.They refer to essential fatty acids, which the body cannot be synthesized and can only be taken with food.Omega-3 is also found in hemp seeds, nuts, herbs and various fish.
Psoriasis

Psoriasis

Psoriasis is associated with the problems of lipids (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 the set of germs (microbiomes) of the intestinal tract with the body and the absorption of nutrients from the body.Energy is required to process substances and their use in the processes.

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 easily digestible carbohydrates-white bread, potatoes.Alcohol, nicotine and preservatives harm the flora of the intestinal tract - to care for it, it is recommended to have a moderate use of probiotic bacteria or probiotics (cultures of living organisms that have a beneficial effect on the digestive tract).

Acupuncture from psoriasis

Acupuncture is widely used to treat psoriasis in China and other Asian countries.During the treatment, a needle of no more than the hair of the head is introduced into the skin.As a result of injection into the body, adenosine, endorphins, serotonin, etc.Are separated into the body.Substances with painkillers, so this method can 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, recovers worse and is more susceptible to environmental effects -there are prerequisites for the outbreak of chronic skin diseases (dermatoses).

Heating during the winter season, artificial ventilation, the need for clothing, sweating, in the crowd with different microflora worsen the physiology and self -regulation of the skin.With the advent of spring, the skin barrier becomes greater than in the fall, and spring allergens - flowering trees, pollen, herbs easily overcome it.

In a small percentage of patients with psoriasis (up to 20%), the skin condition worsens from UV rays.The summer type of psoriasis is characterized by a lack of antioxidants that could protect the skin from increased free radicals that appear as a result of solar radiation, and a rash in places affected by the sun.

Realizing the exacerbations caused by the change of seasons, the manifestations of the disease can be controlled by rest in resorts.

Resorts to treat psoriasis or balneotherapy

The beneficial effects of climate therapy around the world have been described for 200 years and is related to certain geographical regions and specific places located in them.The effect of resort therapy is mainly related to the ability to cleanse the daily stress and to avoid factors that worsen the condition of the skin (such as 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 spread of cells and more cellular cycles.

The most important psoriasis treatment resort is the Dead Sea, the lowest point on Earth (360 m below sea level), it has a high concentration of natural minerals and the evaporation of minerals filter UVB rays (as with phototherapy).Studies have noted that patients who sunbathing and swimming in the Dead Sea salts have an improvement in psoriasis in 83% of cases, only sunbathing - in 73% of cases just swim in the Dead Sea - in 28% of cases.

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

Psoriasis prevention

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

  • Physical activity (exercise, etc.),
  • Rest in the resorts,
  • Avoid stress,
  • Limit the use of coffee, cocoa, alcoholic beverages and smoking,
  • Thoughtful eating (avoid too fatty foods),
  • Avoid hypothermia,
  • Limit the use of household chemicals and cosmetics,
  • Improve metabolism (drink more fluids, etc.),
  • Vitamin D control, folic acid and lipids from the doctor,
  • Use Omega 3/6,
  • And other actions prescribed by the dermatologist present.

Will we cure psoriasis?

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

Early diagnosis and proper lifestyle, skin care and therapy prolong life (statistics show that patients with psoriasis in which the disease occurs in childhood is difficult to reach 60 years, mainly due to diseases of the circulatory and vascular systems).

Where to treat psoriasis?

Human skin is its largest organ and proper care for it prevents the disease prevents the disease (pathological process).The symptoms of psoriasis initially manifest themselves on the skin.The functional condition of the skin and nails is directly related to the course of therapy (both locally and internally), whose effectiveness is evaluated by an expert on the condition of the skin - a dermatologist.

Psoriasis treatment is very difficult.It is not difficult to diagnose (determining the type of flaky lichen), namely his understanding and consideration of laws.Only highly qualified doctors can recognize models after data analysis.

Doctors at our clinic have knowledge of the microsymptomatics of the disease (small, difficult to make this possible and earlier symptoms), which allows them to recognize the disease already at the initial stage.In the course of treatment, doctors determine the relationship of skin disease with the body, its activity and metabolic disorders.Our experts are also well aware of the characteristics of Scaly Lichen in children.