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Treatment of psoriasis

Psoriasis is a disease that involves changes in more than 50 genes and later changes in body processes and metabolism.The sooner you can recognize these shifts, the faster you can change them.There are three main directions of violations:

  • Violation of carbohydrate -metabolism (diabetes),
  • Changes in cholesterol (related to blood vessels - pressure, efficiency, heart attack, stroke),
  • Increased protective reaction of the immune system - the body fights with its own tissues and not only with diseases or microorganisms (bacteria) that cause them.

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

Methodological recommendations for psoriasis

Depending on the severity of the disease process, psoriasis is divided into clear, medium and severe forms.Are valued for classification purposes:

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

The impact of rash on quality of life is also evaluated, as 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 methodological recommendations approved in Latvia, in which the types of therapy are distinguished and best suited to certain types and/or severity of the scaly lichen.These methodological recommendations were developed under the direction of a professor.Y. Kisis, and in 2013 they were officially accepted in Latvia.Methodological recommendations determine which drugs are paid by the state to treat psoriasis.The full content of the methodological recommendations can be found here.

Psoriasis therapy

Because psoriasis is a genetically determined general disease of the body, it is important to evaluate all possible processes that promote the impact and prognosis of treatment.Simple treatment of rash only results in a short -term and insufficient effect.Full treatment of psoriasis contains a number of factors that can be controlled by the disease:

  • Care of the upper layer of the skin - only the medicines and medicines prescribed by your doctor should be used, follow the dermatologist's instructions as pharmacy products are not suitable for all types of psoriasis.Chronic inflammation of the skin contributes to the development of tumors.
  • Diet - Certain digestive disorders (ie metabolic disorders such as insufficient secretion of stomach juices or allergic reaction to various foods) should be expressed in intolerance to various substances.There is a risk of diabetes.To avoid this, the patient should not take much calories at the same time and refrain from taking alcohol (the pancreas).
  • Physical activity - versatile sport or physical activity can reduce the risk of heart (cardiological) disorders - rhythmic heart function contributes to lipid metabolism (lipids or fats are involved in creating blood vessels and is part of the skin cells).Studies have shown that sports people suffer much less in psoriasis.
  • You should be aware of the worsening of psoriasis, both of the weather and seasons changes that can cause unwanted reactions (allergies, sensitivity).In autumn, this can be a temperature difference and pollen can be pollen in the spring.

Methods for treating psoriasis

The tools for treating scaly lichen are used directly at the site of the rash and usually (for example, the drugs needed for internal administration).To select the most appropriate treatment method, not only the type and severity of psoriasis, but also age, gender, occupation, general health and other factors must not only be taken into account.

Phototherapy to treat psoriasis

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

  • Reduces the excessive activity of immunity (immunosuppressive effect),
  • Reduces inflammation,
  • Reduces excessive reproduction of cells (antiprorolifratic effects)
  • It has antibacterial effects.

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

Laser therapy to treat psoriasis

Laser therapy, according to the principle of effect, is similar to the narrow spectrum UVB phototherapy (ultraviolet waves length NB-UVB 311 NM), which is used to treat limited focus on psoriasis.

Cryotherapy to treat psoriasis

Choldotherapy is primarily used to treat small focuses.There are very few publications on the use of therapy and its efficiency is low, so it does not find a wide range of applications.

Psoriasis drugs

Any medicine and medicine should only be used under the supervision of a dermatologist, carefully following the doctor's instructions.The mediation of psoriasis alone can exacerbate the disease, extend the therapy and cause serious complications.

  • Vitamin A retinoids or synthetic derivatives have a high therapeutic activity - may affect immune cells, return the proliferation and development of keratinocyte (keratin -synthesizing cells - protecting the epithelium from damage).They can be consumed for a long time and suitable for children.
  • Cyclosporin is an immunosuppressive drug.Its efficiency in psoriasis has an effect on the immune system and the ability to reduce abnormal growth of keratinocytes in the skin.
  • Metotrexate is a drug that suppresses cell metabolism (metabolism), originally used to treat cancer, but has been approved since the 1970s to treat psoriasis.
  • Wobenzym is an overwhelming medicine in the form of tablets.Anti -anti -inflammatory, anti -reducing effect, normalizes body protective capabilities, dilutes blood, which allows the body's digestive system to restore the levels of chronic diseases, etc.

Biological drugs against psoriasis

Biological drugs are viruses, serums, toxins, antitoxins, vaccines, blood and components or similar products used to treat or prevent or prevent the disease.They improve or restore the ability of the body to treat infection and other illnesses.Generally, the molecules of the drugs are large, so they are introduced into the subcutaneous layer, muscles or vein.

Biological therapy is used when other methods for treating psoriasis are ineffective.The cost of therapy is high, compared to other treatment methods.

Injections from psoriasis

Corticosteroids are used for injections - a certain type of steroid hormones used in drugs for various immunological and inflammatory diseases.Injection of such steroids is appropriate for small injuries, clearly distinguished, such as the outer surfaces of the hands or fingers.The effect is resistant and only a few months may need to be repeated.

The latest methods of treating psoriasis

The latest methods of treating psoriasis

The latest therapy The cells (lymphocytes, etc.) involved in the pathological process of psoriasis, use the signs of biologically active substances.Biological drugs either block pathological materials (antibodies) or contain receptors that block the pathological process.The use of this method is limited by high costs and conditions of use (not free inflammatory processes or tumors, extremely detailed control of exclusion factors, etc.).

Medicines paid by the state from psoriasis

The list of drugs compensated by the state contains certain drugs for the treatment of psoriasis.Further information on such drugs and the amount of payment covered by the state during consultation with the dermatologist.

Psoriasis suffering drugs

This group primarily contains skin care products.Such drugs have only been treated for symptomatic care (ie, for the "visible part" of scaly lichen, without correcting metabolism, etc.) - the whole body of psoriasis is not treated.We recommend that you choose skin moisturizers that do not contain aromatic substances.

Shampoos from psoriasis

Various shampoos are used to care for the scalp that contain salicylic acid, urea (urea), resin and corticosteroids.Sin -containing shampoos reduce skin peeling, moisturize the skin, prevent its thickening and reduce itching.Salicylic acid shampoos help soften the scalp and remove scales.Shampoos containing corticosteroids are used for a short time to reduce swelling or redness.

Soap from psoriasis

We recommend that you avoid too aggressive detergents to avoid drying and irritating the skin.

Skin care with psoriasis

Lipids (intercellular bonding in the skin) are one of the most important ingredients of the skin, but the usual detergents tend to degrease the skin, violating the formation of a unique series of skin microbes (microbios), which, together with the immune system, ensures stability of the skin and protects the body.When leaving the skin, it is important to avoid skin injury and do not destroy the protective barrier.

Patients with psoriasis are dry, scaly, and contain many viruses.The presence of scales contributes to the development of psoriatic rash.Washing should be washed with therapeutic cosmetics that spare the skin's fat layer - not destroyed, but cleaned and repaired.After washing the skin, the dermatologist - cream, cream, etc.Moisturized by means required.

Care of psoriasis nails

In the case of nail damage, 80% of patients are possible.We recommend cut the nails as soon as possible to avoid the appearance of the fungus under the peeling nail.After washing hands, use cleaning detergents, always apply a moisturizer or cream.Unsaturated fatty acids, vitamins B, vitamins A, D. are important for the health of the nails.

Ointments, creams and creams from psoriasis

There are three active sections in the process of psoriasis:

  • The appearance of a new, bright red rash with large scales appear (progressive stage),
  • The appearance of the rash stabilizes and its surface is covered with smaller scales (standing section),
  • The rash deepens, the scales decrease and the shape of the rings (regressive stage) is taken.

The appropriate external funds must be used in each stage.In the progressive phase, these are creams and water -based liquids, standing located - more fat cream and paste, as well as progressive fat creams and ointments.These drugs serve as the main masses to which active drugs are added:

  • Salicylic acid is used in combination with other therapeutic agents because it removes scales, allowing the penetration of drugs into deeper layers.This is offered from 2% to 10% and for different shapes and should be used if the area of psoriatic lesions does not exceed 20% as it can have toxic effects at high doses.Not suitable for patients with diabetes.
  • Loemic acid is a keratolytic - a substance that removes large horn formations (dead cells).It is used to peel the scales.Alternative medicine if more than 20% of the skin area is needed for patients with diabetes.
  • Corticosteroids are widely used to treat a limited psoriatic rash because they narrow the blood vessels, suppress inflammation and itching, and slow down cell growth.
  • The effect of resin -based formulations is based on suppressing cell growth.Such drugs most often contain birch resin (olumrusci) and pine resin (pixlique), less frequently carbon resin (pixlithanthracis).
  • The effect of synthesized vitamin D3 (calcitriol, calcipotriol) is based on the effect on the immune system and a reduction in the reproduction of keratinocytes.
  • Tacrolimus and pimecrolimus (current calcium inhibitors) are effectively treated with the treatment of psoriasis of the face, neck, genitals, and bends.Drugs do not cause muscle relaxation and are therefore suitable for longer use.
  • Magnipsor ointment does not contain hormonal additives and toxic substances.Active substances include mineral components, dead sea salt, salicylic acid, tea tree oil, pumpkin, seaweed, burdock roots, etc.

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

Folk methods and natural cures against psoriasis

Before using any natural medicine, be sure to consult a dermatologist as they can cause unwanted reactions when combined with medicines.The effects of these drugs have not been proven and it should be taken into account that natural drugs can cause allergic reactions.

  • Aloe - It has features that reduce redness and peeling.
  • Apple cider vinegar - used as ancient cultures as a disinfectant and can help reduce the itching of the scalp.
  • Chilean pepper contains capsaicin - blocking the nerve endings responsible for pain signal conductivity.Products containing IT can reduce pain, inflammation, redness, peeling.
  • The salt bath of the dead sea dissolved in warm water can remove the scales in 15 minutes and reduce itching.After bathing, the skin should be used.
  • Oats are considered the best natural soothing skin.The bath with the adding oats to water can reduce itching and redness.
  • Tea tree oil has antiseptic properties.Shampoos containing IT fight with psoriasis manifestations on the scalp.
  • Turmeric or yellow ginger has anti -inflammatory and antioxidant properties.The turmeric is resistant to the flash of psoriasis.Kurcuma can be used in capsules, concentrated, or added to food (various carriers, etc.).
  • Linseeds contain omega-3 fatty acids, fibers and other important nutrients.Omega-3 fatty acids improve the function of the immune system and the condition of the skin.These are associated with essential fatty acids that the body is unable to synthesize and can only be taken with food.Omega-3 can be found in hemp seeds, nuts, herbs and various fish.
Diet with psoriasis

Diet with psoriasis

Psoriasis is related to the replacement of lipids (fats), carbohydrates (sugar) and sometimes gluten (cereal) caused by congenital changes in metabolism (genetic disorders).

Metabolism begins by isolation of digestive enzymes (enzymes), interaction with the ability of microbes (microbios) and the absorption of the body.Energy is required for processing and using materials in processes.

If the body properties, digestion and metabolism are not tested, it is recommended to eat at least four times a day in small portions.It is recommended to use unsaturated fatty acids (omega-3, etc.), B vitamins, vitamins D.Alcohol, nicotine and preservatives damage the gut flora - a moderate use of probiotic bacteria or probiotics (cultures of living organisms that have a positive effect on the digestive system).

Acupuncture from psoriasis

Acupuncture is widely used to treat psoriasis in China and other Asian countries.During the treatment, the needle is introduced into the skin and the head of the head with a diameter at most.As a result of body injection, adenosine, endorphins, serotonin, etc.Liberates in the body.Materials with analgesics, so this method can be used for psoriatic arthritis.

The impact of seasons on psoriasis

When the temperature of the external environment changes, the metabolism changes and the skin lacks fatty acids and the skin's barrier is weakened.Once the lack of vitamin D in the skin dehydrates, dries, is in a worse position, and is more prone to environmental effects, the prerequisites for the eruption of chronic skin diseases (dermatosis) appear.

During the winter season heating, artificial ventilation, the need for clothes, sweating, mass with various microfloriums, exacerbates skin physiology and self -regulation.With the appearance of spring, the leather barrier becomes weaker than in the fall, and spring allergens - floral trees, flower panels, herbs can easily be overcome.

In a small percentage (up to 20%) of patients with psoriasis, the condition of the skin is worsening from UV rays.The summer type of psoriasis is characterized by a lack of antioxidants that can protect the skin from increased free radicals, which have appeared as a result of sunlight and rash in the sun.

By improving the aggravations of the seasons, the manifestations of the disease can be regulated by relaxing resorts.

Resorts to treat psoriasis or balneotherapy

The beneficial effects of climatic therapy have been described for 200 years throughout the world and is associated with certain geographical regions and specific places in it.The effect of the resort therapy is primarily the ability to take a break from daily stress and avoid the factors that exacerbate skin condition (such as dry air due to central heating).You can also adjust the mode and rhythm of performance.

Certain procedures can replace the amount of water in the skin, displace old skin, slow down cell spread and lower -level cell cycles.

The most important resort for psoriasis treatment is the Dead Sea, the lowest point of the Earth (360 m below sea level), high concentrations of natural minerals, and evaporation of minerals in UVB rays (as in phototherapy).In the studies, it should be noted that sunbathing and swimming in psoriasis in psoriasis improves psoriasis, only sunbathing in 73% of cases, only in the Dead Sea swimming in 28% of cases.

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

To prevent psoriasis

Many factors should be considered to avoid the aggravation or development

  • Physical activity (exercises, etc.),
  • Relax in resorts,
  • Avoid stress,
  • Limit the use of coffee, cocoa, alcoholic beverages and smoking,
  • Thoughtful nutrition (avoid too greasy foods),
  • Avoid hypothermia,
  • Limit the use of household chemicals and cosmetics,
  • Improve metabolism (drink more fluids, etc.),
  • Control vitamin D, folic acid and lipids by the doctor,
  • Use Omega 3/6,
  • And other measures prescribed by the participant dermatologist.

Do we heal psoriasis?

No, since medicine has not yet found the opportunity to change the human genetic code.The disappearance of a rash means suspending the disease process.An experienced doctor can help you choose the lifestyle that is best suited to the properties of the patient (diet, physical activity, skin care) and the necessary treatment system.

Early diagnosis and good lifestyle, skin care and therapy extend life (statistics show that patients with psoriasis have a disease in childhood, it is difficult to reach the age of 60, mainly due to the disease in the circulatory and vascular system).

Where can psoriasis be treated?

Human skin is the largest organ and properly care prevents the disease from developing (pathological process).Symptoms of psoriasis initially occur on the skin.The functional condition of the skin and nails is directly related to the treatment of therapy (both local and internal), the efficiency of which is evaluated by an expert with the condition of the skin - dermatologist.

Treatment of psoriasis is very difficult.It is not difficult to diagnose (defining scaly lichen), namely its understanding and consideration of laws.Only highly trained doctors can recognize the samples after analyzing the data.

Our clinic doctors have their own knowledge of the microsimatism of the disease (small, difficult to allow and not previously issued symptoms), which allows them to recognize the disease in the initial stages.During the treatment, doctors determine the relationship between the skin, its activity and metabolism disorders.Our experts also know the characteristics of Scaly Lichen children.