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Treatment of psoriasis

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

  • Violations of carbohydrate metabolism (diabetes),
  • Chairesterol levels (combined with damage to blood vessels - pressure, effectiveness, heart attacks, lines),
  • The increased protective reaction of the immune system - the body struggles with its own tissues and not only with diseases or the microorganisms (bacteria) that cause it.

It is important to learn how to live with psoriasis.By changing the lifestyle and the selection of the appropriate diet, you can control the visual manifestations of the disease (the rash can fully abuse).Possible complications are also removed during the control of the disease, which can be caused by harmful deprivation of violations of carbohydrate and fat metabolism 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 heavy forms.For classification purposes, rate:

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

The impact of the rash on the quality of life is also evaluated, since the non -perceptible (hidden) rash is much less concerned than damage to the face, palms and genitals.

The most suitable therapy of psoriasis is determined by the methodological recommendations approved in Latvia, in which the types of therapy are differentiated, which best corresponds to a certain way and/or severity of scaly lichen.These methodological recommendations were developed under the direction of Prof..Y. Kisis and was officially accepted in Latvia in 2013.Methodological recommendations determine which medication for the treatment of psoriasis is paid for 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 improve the effect and prognosis of therapy.A simple treatment of the rash leads to a short -term and inadequate effect.The full treatment of psoriasis includes many factors that can be used to control the disease:

  • Maintaining the upper skin layer - only the medication and medication prescribed by the doctor should be used, follow the instructions of the dermatologist, 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 check certain digestive disorders (i.e. metabolic disorders, for example inadequate secretion of stomach juices or an allergic reaction to different food products), which are 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 do not take alcohol (impaired pancreas) with them.
  • Physical activity - versatile sports or physical activity can reduce the risk of heart (cardiological) disorders - the rhythmic heart function contributes to lipid metabolism (lipid or fats participate in the production of the shell of the blood vessels and are also part of the binding substances of the skin cells).Studies have shown that athletes suffer much less from psoriasis.
  • It is necessary to be aware of the factors that make psoriasis worse, both the weather conditions and the change in the seasons to disadvantageous reactions (allergies, sensitivity).It can be a temperature difference in autumn, and it can be pollen in spring.

Methods for the treatment of psoriasis

Medium to treat scaly lichen are used directly instead of the rash and in general (e.g. medication for internal administration).In order to choose the most suitable treatment method, not only the type and severity of psoriasis, but also the age, gender, work, general health and other factors must be taken into account.

Phototherapy for the treatment of psoriasis

The basics of phototherapy go back to ancient Egypt 2000 years ago, where a combination of extracts of photosensitization systems was used to treat skin diseases (photosensitis systems contain substances that increase sensitivity to ultraviolet radiation) and sunlight.This is currently one of the most frequently used methods in the treatment of scyal lichen that:

  • Reduces the excessive activity of immunity (immunosuppressive effects),
  • Reduces inflammation,
  • Reduces the excessive reproduction of cells (anti -proproroliflatic effects),
  • It has antibacterial effects.

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

Laser therapy for the treatment of psoriasis

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

Cryotherapy for the treatment of psoriasis

Coldotherapy is mainly used to treat small focal points.There are some publications on the use of this therapy, and its effectiveness is low, so it is not widely used.

Medicines for psoriasis

All medication and medication should only be used under the supervision of a dermatologist, which carefully corresponds to the instructions of the doctor.The self -medication of psoriasis can worsen the disease, extend the course of therapy and also cause serious complications.

  • Retinoids or synthetic derivatives of vitamin A. You have a high therapeutic activity - you can influence immune cells, the reproduction and development of keratinocytes (cells synthesize keratin protein that synthesize the epithelium from damage) within the standard.They can be consumed for a long time and are suitable for children.
  • Cyclosporin A is an immunosuppressive medication.Its effectiveness in psoriasis is associated with its effects on the immune system and the ability to reduce the pathological increased reproduction of keratinocytes in the skin.
  • Methotrexate is a medication that suppresses 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.
  • Wabenzyme is a superior medication that is available in the form of tablets.It has an anti -inflammatory, anti -reducing effect, normalizes the protective capabilities of the body, dilutes the blood, so that they can restore the degree of digestive enzymes (enzymes) in the body in order to reduce the manifestations of chronic diseases, etc.

Biological medication for psoriasis

Biological drugs are viruses, serums, toxins, antipoxins, vaccines, blood and its components or similar products that are used to treat or prevent the disease.They improve or restore the body's ability to deal with infections and other diseases.Typically, the molecules of the medicines are large, so that they are inserted into the subcutaneous layer, muscles or vena.

Biological therapy is used when other methods for treating psoriasis with medium or high severity have been highlighted as ineffective.The therapy costs are high compared to other treatment methods.

Psoriasis injections

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

The latest methods for the treatment of psoriasis

The latest methods for the treatment of psoriasis

The latest therapy is associated with an increased interaction between cells that are 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 terms of use (there should be no inflammatory processes or tumors, extremely detailed control of the exclusion of 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 medication and the payment covered by the state can be found in a consultation with a dermatologist.

Over -the -faulted medication for psoriasis

This group mainly contains skin care products.Such drugs are only intended for symptomatic care (i.e. the care of the "visible part" of scaly lichen, without metabolic processes, etc.) - they do not treat the process of psoriasis throughout the body.It is recommended to choose skin moisture creams that do not contain aromatic substances.

Psoriasis shampoos

Various shampoos are used to maintain the scalp, which contain salicylic acid, urea (urea), resin and corticosteroids.Shampoos with resin content reduce the skin of the skin, moisten the skin, prevent their thickening and reduce itching.Salicylic acid shampoos help to soften the scalp and remove scales.Shampoos containing corticosteroids are used for a short time to reduce swelling or redness.

Soap from psoriasis

It is recommended to avoid aggressive cleaning agents so as not to dry and irritate the skin.

Skin care with psoriasis

Lipid (intercellular binding in the skin) are one of the most important components of the skin, but ordinary genocides tend to release the skin and to relieve the development of a unique movement of skin microbes (microbiomas), which together with the immune system ensure the stability of the protective blocking barriers of the skin and protecting the body from the environment.When leaving the skin, it is important to avoid skin injuries and not to destroy the protective barrier.

The skin of patients with psoriasis is dry, scaly, many viruses.The presence of scales contributes to the development of psoriasis rash.Washing should be washed by therapeutic cosmetics that save the fat skin layer - do not destroy, but clean and improve it.After washing the skin, it is always necessary to moisten with the means prescribed by dermatologists - cream, lotion, etc.

Care of psoriasis nails

Nail damage is possible Y 80% of patients.It is recommended to cut the nails as short as possible to avoid the occurrence of the mushroom under the peeled fingernail.After washing your hands, it is always necessary to use economical cleaning agents.Unsaturated fatty acids, B vitamins, vitamins A, D are important for the health of the nails.

Ointments, creams and lotions from psoriasis

In the process of psoriasis, three active stadiums are differentiated:

  • The appearance of a new, bright red rash, under which large scales appear (progressive stage),
  • The appearance of the rash stabilizes itself and its surface is covered by smaller standards (stationary level).
  • The rash is deepened, the scales are reduced and the shape of the rings (regressive stage) is taken.

For each phase, it is necessary to use the corresponding external means.For the progressive stage, these are creams and water base for stationary - more fat creams and pastes as well as for progressive - fat creams and ointment.These drugs serve as main masses to which active medication are added:

  • Salicylic acid is used in combination with other therapeutic agents because they remove scales so that the medication can penetrate deeper layers.It is offered in a concentration of 2% to 10% and different forms and should be used if the area of psoriasis lesions does not exceed 20%, since it can have a toxic effect in high doses.Not suitable for patients with diabetes.
  • The mood acid is a keratolytic - a substance that removes large horn formations (dead cells).It is used for the peeling of scales.An alternative medication if necessary to cover more than 20% of the skin area or for patients with diabetes.
  • Corticosteroids are widespread to treat a limited psoriasis rash because they narrow down the blood vessels, inflammation and itching and the reproduction of cells.
  • The effect of resin -based preparations is based on the oppression of cell growth.In most cases, such drugs contain the resin of birches (oleumrusci) and pine resin (pixlique), less often coal resin (pixlithracis).
  • The effect 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 beecrolimus (topical calciuminine inhibitors) are effective in the treatment of psoriasis on the face, neck, genitals and bends.The medication does not cause muscle relaxation and are therefore suitable for longer use.
  • The Magnipsor ointment does not contain hormonal additives and toxic substances.Real substances are mineral components, hydrochloric acid, salicylic acid, tea tree oil, pumpkin, marine bockdorn, burdock root etc.

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

People's methods and natural remedies for psoriasis

Before you use natural medication, you should definitely consult a dermatologist because you can cause unwanted reactions in combination with the medication.The effect of these drugs has not been proven, and it is necessary to take into account that natural medications can also cause allergic reactions.

  • Aloe - has properties that reduce reddening and peeling.
  • Apple cider vinegar - used by old cultures as a disinfectant can help reduce the scalp.
  • Chilean pepper contains capsaicin - it blocks the nerve ending for the conductivity of the pain signal.The products that contain can reduce pain, inflammation, redness and peeling.
  • A bathroom with the salt of the dead sea dissolved in warm water can remove scales in 15 minutes and reduce itching.After taking the bath, it is necessary to supply the skin with moisture.
  • Oats are considered the best natural, soothing skin.A bathroom with oats in the water can reduce itching and redness.
  • Tea tree oil has antiseptic properties.Shampoos that contain it fight with manifestations of psoriasis on the scalp.
  • Turmeric or yellow ginger has anti -inflammatory and antioxidant properties.Turmeric, which is part of it, can resist flashing psoriasis.Turmeric can be used in capsules, in concentrated form or in food (different supporting dishes, etc.).
  • Flax seeds contain omega-3 fatty acids, fiber and other important nutrients.Omega-3 fatty acids improve the operation of the immune system and skin condition.They refer to indispensable fatty acids, which the body cannot synthesize itself and can only be taken with food.Omega-3 is also contained in hemp seeds, walnuts, herbs and various fish.
Diet with psoriasis

Diet with psoriasis

Psoriasis is associated with the problems of replacing lipids (fats), carbohydrates (sugar) and sometimes gluten (cereals), which are caused by congenital changes in metabolism (genetic disorders).

Metabolism begins with the insulation of digestive enzymes (enzymes), the interaction of the totality of microbes (microbiomes) of the intestinal tract with the body and the absorption of nutrients through the body.Energy is required to process substances and their use in processes.

If the characteristics of the body, digestion and metabolism are not examined, it is recommended to eat in small portions at least four times a day.It is recommended to use unsaturated fatty acids (omega-3 etc.), B-vitamine, vitamin D.With psoriasis, you should refuse to eat easily digestible carbohydrate-white bread, potatoes.Alcohol, nicotine and preservatives damage the flora of the intestinal tract - to supply it, moderate use of probiotic bacteria or probiotics (cultures of living organisms that positively influence the digestive internship) is recommended.

Acupuncture from psoriasis

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

The influence of the seasons on psoriasis

If the temperature of the external environment changes, the metabolism changes and the skin is missing fatty acids and the protective barrier of the skin is weakened.As soon as a deficiency of vitamin D occurs in the skin, it becomes dry, less restored and is more susceptible to environmental effects - prerequisites for the outbreak of chronic skin diseases (dermatoses).

Heat in the winter season, artificial ventilation, the need for clothing, sweating, in an amount with different microflora, physiology and self -regulation of the skin worsen.With the advent of spring, the skin barrier becomes weaker than in autumn, and spring allergens - flowering trees, flower pollen, herbs easily overcome it.

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

The manifestations of the disease recognize the deteriorations caused by the change in the seasons and can be controlled by calm in resorts.

Resorts for the treatment of psoriasis or balneotherapy

The favorable effects of climate therapy all over the world have been described for 200 years and are connected to certain geographical regions and certain places that are located in them.The effect of resort therapy is mainly related to the ability to break a break from the daily stress and avoid factors that aggravate the skin condition (e.g. dry air due to central heating).It is also possible to adapt the mode and rhythm of performance.

Certain processes can compensate for the amount of water in the skin, the old skin peel, the spread of cells and cycles of inferior cells slow down.

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

Balneotherapy (a number of different therapeutic effects that aim at the moisture duration of dry skin) takes a special place for the long -term treatment of psoriasis, but is not recommended for patients with increased photo sensitivity (summer type of psoriasis) and high risk of skin cancer.This type of therapy is not used for acute treatment or short -term therapy.

Prevention of psoriasis

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

  • Physical activity (exercises, etc.),
  • Rest in the resorts,
  • Avoid stress,
  • Limit the use of coffee, cocoa, alcoholic beverages and smoking,
  • Thicken nutrition (avoid fat foods),
  • Avoid hypothermia,
  • Limit the use of household chemicals and cosmetics,
  • Improvement of metabolism (more liquids etc.).
  • Control vitamin D, folic acid and lipid by the doctor,
  • Use Omega 3/6,
  • And other measures prescribed by the dermatologist present.

Will we heal psoriasis?

No, since medicine has not yet found the opportunity to change the genetic code of the human genetic code.The disappearance of the rash means the suspension of the disease process.An experienced doctor can help choose the lifestyle that is best suited for the characteristics of the patient (nutrition, physical activity, skin care) and the required treatment scheme.

The early diagnosis and the correct lifestyle, skin care and therapy extend life (statistical data show that patients with psoriasis in which the disease appear in childhood is difficult to achieve at the age of 60, mainly due to diseases of the circulatory and vascular system).

Where do you treat psoriasis?

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

Treatment of psoriasis is very difficult.It is not difficult to diagnose (to determine the type of scaly braids), namely its understanding and consideration of laws.Only highly qualified doctors can recognize patterns after analyzing the data.

The doctors of our clinic have knowledge of the micros frequency of the disease (small, difficult to enable and previously unpublished symptoms), which enables them to recognize the disease in the early stages.During the treatment, doctors determine the connection of a skin disease with the body, its activity and its metabolic disorders.Our experts are also familiar with the characteristics of scaly lichen in children.