Treatment of psoriasis

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

• Violations of carbohydrate metabolism (diabetes),
• Changes in cholesterol (associated with damage to blood vessels - pressure, power, heart attacks, strokes),
• The improved protective reaction of the immune system: the body fights with its tissues and not only with the diseases or microorganisms (bacteria) that cause them.

It is important to learn to live with psoriasis.By changing the lifestyle and choosing the appropriate diet, it is possible to control the visual manifestations of the disease (the rash can completely abuse).Furthermore, during the control of the disease, possible complications are eliminated, which can be caused by the squamous deprivation of the violations of the metabolism of carbohydrates and fats and by the work of the immune system.

Methodological recommendations for psoriasis

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

• The area of the skin concerned as a percentage,
• Redness of the existing rash,
• Erutte density,
• The number of stairs.

The effect of the rash on the quality of life is also assessed, since the imperceptible eruption (hidden) is much less worried about the damage on 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 distinguished, better corresponding to a certain type and/or severity of the squamous lichen.These methodological recommendations have been developed under the guidance of prof.Y. Kisis and have been officially accepted in Latvia in 2013. Methodological recommendations determine which drugs for the treatment of psoriasis are paid by the state.The complete content of the methodological recommendations is available 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 treatment of the rash 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 layer of the skin: only the drugs and drugs prescribed by the doctor should be used, follow the instructions of the dermatologist, since pharmaceutical 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 the presence of some digestive disorders (for example metabolic disorders, for example, an insufficient secretion of gastric juices or an allergic reaction to different food products), expressed in intolerance to various substances.There is the risk of diabetes.To avoid this, the patient should not take many calories simultaneously and should refrain from taking alcohol (altered pancreas).
• Physical activity - versatile sport or physical activity can reduce the risk of heart (cardiological) disorders - the rhythmic cardiac function contributes to lipid metabolism (lipids or fats participate in the process of creating the shell of the blood vessels and are also part of the binding substances of skin cells).Studies have shown that sportsmen suffer from psoriasis much less.
• It is necessary to be aware of the factors that exacerbate psoriasis, both the weather conditions and the change in seasons can cause adverse reactions (allergies, sensitivity).In autumn, it can be a difference in temperature and in spring it can be pollen.

Methods for the treatment of psoriasis

The means for the treatment of squamous lichen are used both directly in place of the rash and in general (for example, drugs for internal administration).To choose the most suitable method of treatment, it is necessary to take into account not only the type and gravity of psoriasis, but also of age, genre, employment, general health and other factors.

Phototherapy for the treatment of psoriasis

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

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

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

Laser therapy for the treatment of psoriasis

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

Criotherapy for the treatment of psoriasis

Freddherapy is mainly used to treat small fires.There are few publications on the use of this therapy and its effectiveness is low, so it does not find a wide application.

Medicines for psoriasis

Any drugs and drugs must be used only under the supervision of a dermatologist, carefully following the doctor's instructions.The car -mediation of psoriasis can exacerbate the disease, extend the course of therapy and create serious complications.

• Retinoids or synthetic derivatives of vitamin A. have a high therapeutic activity: they can influence immune cells, return the reproduction and development of keratinocytes (cells that summarize keratin - protein that protects the epithelium from damage) in the norm.They can be consumed for a long time and are suitable for children.
• Cyclosporine A is an immunosuppressive drug.Its effectiveness in psoriasis is associated with its impact on the immune system and the ability to reduce the improved pathological reproduction of keratinocytes in the skin.
• Methotrexate is a drug that suppresses the metabolism (metabolism) of the cells, has been originally used to treat cancer, but since the 70s it has also been approved for the treatment of psoriasis.
• Wobenzym is a drug -the couunter over -The -Counter, available in the form of tablets.It has an anti -inflammatory and anti -hytecent effect effect, normalizes body protection skills, dilutes blood, which allows to restore the level of digestive enzymes (enzymes) in the body to reduce the manifestations of chronic diseases, etc.

Biological medicines against psoriasis

Biological medicines are viruses, serums, 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 face infection and other diseases.Typically, the molecules of the drugs are large, therefore they are introduced into the subcutaneous layer, in the muscles or in the vein.

Biological therapy is used when other methods for the treatment of medium or high severity psoriasis have proved to be ineffective.The cost of therapy is high, compared to other treatment methods.

Injections from psoriasis

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

The latest methods for the treatment of psoriasis

The latest 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 drugs 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, an extremely detailed control of the excluded factors, etc.).

Medicines paid by the state by psoriasis

The list of drugs compensated by the state includes some drugs for the treatment of psoriasis.Further information on these drugs and the amount of payment covered by the state can be discovered in consultation with a dermatologist.

Doctors excessively for psoriasis

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

Shampoo from psoriasis

To take care of the scalp, different shampoo containing salicylic acid, urea (urea), resin and corticosteroids are used.Shampoo with resin content reduce skin peeling, hydrates the skin, prevents it from thickening and reduce itching.Salicylic acid shampoo helps to soften the scalp and remove the stairs.Shampoo containing corticosteroids are used for a short time to reduce swelling or redness.

Soap from psoriasis

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

Skin care with psoriasis

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

The skin of patients with psoriasis is dry, scaly, contains many viruses.The presence of stairs contributes to the development of the psoriatic eruption.Washing should be washed by therapeutic cosmetics that save the fatty layer of the skin - do not destroy, but purify and improve it.After washing the skin, it is always necessary to hydrate with the means prescribed by the dermatologist - Crema, lotion, etc.

Take care of the psoriasis nails

Damage to nails is possible 80% of patients.It is recommended to cut the nails as short as possible to avoid the appearance of the mushroom under the esfolta nail.It is necessary to use saved detergents, after washing your hands, it is always necessary to apply a moisturizing cream or a lotion.Failure acids, vitamins B, vitamins A, D. are important for the health of the nails.

Ointments, creams and lotions from psoriasis

In the psoriasis process, three active stages are distinguished:

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

For each phase, it is necessary to use the corresponding external funds.For the progressive phase, these are creams and liquids based on water, for stationary creams and pasta - fatter and for progressive - fatty ointments and ointments.These drugs act as main masses to which active medicines are added:

• Salicylic acid is used in combination with other therapeutic agents, as it removes stairs, allowing drugs to penetrate in deeper layers.It is offered in a concentration from 2% to 10% and different forms and is authorized to use whether the area of psorial lesions does not exceed 20%, since in high doses it can have a toxic effect.It is not suitable for patients with diabetes.
• Lohemical acid is a keratolithic - a substance that removes the great formations of the horn (dead cells).It is used for the exfoliation of the stairs.An alternative drug, if it is necessary to cover over 20% of the skin area or for patients with diabetes.
• Corticosteroids are widely used to treat a limited psoriatic eruption, since they narrow blood vessels, suppress inflammation and itching and slow down the reproduction of cells.
• The effect of resin preparations is based on the suppression of cell growth.Very often, these drugs contain the birch resin (oleumrusca) and pine resin (pixlique), less often coal resin (pixlithanthracis).
• The action of vitamin D3 synthesized (calcitriol, calcipotorol) is based on the effect on the immune system and a decrease in the reproduction of keratinocytes.
• Takrolimus and Pimecrolimus (topical calciuminin inhibitors) are effective in the treatment of psoriasis on face, neck, genitalia, curves.The drugs do not cause muscle relaxation, therefore they are suitable for prolonged use.
• Magnipsor ointment does not contain hormonal additives and toxic substances.Active substances are mineral components, dead sea salt, salicylic acid, tea tree oil, pumpkin, if the sponsorship angle, whale roots, etc.

The choice of the drug is determined according to the eruption in the specific area of the body.

Folk methods and natural remedies against psoriasis

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

• ALOE - It has properties that reduce redness and peeling.
• Apple vinegar - used by ancient cultures as a disinfectant, it can help reduce itch on the scalp.
• Chilean pepper contains capsaicin: blocks the nerve endings responsible for the conductivity of the pain signal.The products containing can reduce pain, inflammation, redness, peeling.
• A bathroom with the salt of the dead sea dissolved in hot water can remove the stairs in 15 minutes and reduce the itching.After bathing, you need to apply moisturizing skin.
• Oat is considered the best natural soothing skin.A bathroom with the addition of oats in the water can reduce itching and redness.
• The tea tree oil has antiseptic properties.The shampoo containing fight with manifestations of psoriasis on the scalp.
• Turmeric or yellow ginger has anti -inflammatory and antioxidant properties.Kurkumin, which is part of it, can resist the flashes of psoriasis.Turmeric can be used in capsules, in concentrated form or addition to food (various carry 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 conditions.They refer to indispensable fatty acids, that the body cannot synthesize and can only be taken with food.Omega-3 is also contained in hemp seeds, walnuts, herbs and various fish.

Diet with psoriasis

Psoriasis is associated with the problems of the exchange of lipids (fat), carbohydrates (sugar) and sometimes gluten (wheat), caused by congenital changes in metabolism (genetic disorders).

The metabolism begins with the isolation of digestive enzymes (enzymes), the interaction of the totality of the microbes (microbiomes) of the intestinal tract with the body and the absorption of nutrients by the body.To process substances and their use in processes, energy is needed.

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 of group B, vitamin D. For psoriasis, you should refuse to eat white-white-white bread easily digestible, potatoes.Alcohol, nicotine and preservatives damage the flora of the intestinal tract - to take care of it, moderate use of probiotic or probiotic bacteria is recommended (crops of living organisms that favorably influence the digestive tract).

Acupuncture from 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 no longer of the hair of the head.Following the injection in the body, adenosine, endorphins, serotonin, etc.They are released into the body.Substances with painkillers, therefore this method can be used for psoriatic arthritis.

The influence of the seasons on psoriasis

When the temperature of the external environment changes, the metabolism changes and the skin begins to fail the oily 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, it is restored and is more susceptible to the environmental effects: the prerequisites appear for the outbreak of chronic chronic diseases (dermatosis).

Heating in the winter season, artificial ventilation, the need for clothes, sweating, being in the crowd with different microflora worsens physiology and car -skin regulation.With the advent of spring, the leather barrier becomes weaker than in autumn and spring allergens: trees in bloom, flower pollen, herbs easier.

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 improved free radicals that appeared due to solar radiation and a rash in the places affected by the sun.

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

Resort for the treatment of psoriasis or balne therapy

The favorable impact of climatic therapy all over the world has been described for 200 years and is associated with some geographical regions and specific places located in them.The effect of resort therapy is mainly associated with the ability to take a break from daily stress and avoid factors that worsen the conditions of the skin (for example, dry air due to central heating).It is also possible to adjust the mode and the rhythm of power.

Some procedures can compensate for the amount of water in the skin, exfoliate the old skin, slow down the propagation of lower cells and cell cycles.

The most important resort 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 minerals filter UVB rays (as in phototherapy).In studies, it is known that patients who have taken the sun and swimming in the salts of the dead Sea have an improvement in psoriasis in 83% of cases, only the sun - in 73% of cases, swimming only in the dead Sea - in 28% of cases.

Balnetherapy (a series 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 increased photosensitivity (summer type of 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 consideration: both a change in lifestyle and the different classes: different classes:

• Physical activity (exercises, etc.),
• Rest in the resorts,
• Avoid stress,
• Limit the use of coffee, cocoa, alcoholic beverages and smoke,
• Weight nutrition (avoid too fatty foods),
• Avoid hypothermia,
• Limit the use of domestic chemicals and cosmetics,
• Improve metabolism (drink more liquids, etc.),
• Check vitamin D, folic acid and lipids by the doctor,
• Usa Omega 3/6,
• And other actions prescribed by the dermatologist present.

Will we take care of psoriasis?

No, since medicine has not yet found the opportunity to change the human genetic code.The disappearance of the rash means the suspension of the disease process.An expert doctor can help choose the lifestyle that best suits the patient's characteristics (diet, physical activity, skin care) and necessary treatment regime.

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

Where to treat psoriasis?

Human skin is its largest organ and correct care prevents the further development of the disease (pathological process).The symptoms of psoriasis are initially manifested on the skin.The functional state of the skin and nails is directly related to the course of therapy (both local and internal), whose effectiveness is assessed by an expert by the condition of the skin - a dermatologist.

The treatment of psoriasis is very difficult.It is not difficult to diagnose (determine the type of squamous lichen), i.e. its understanding and consideration of the laws.Only highly qualified doctors can recognize models after data analysis.

The doctors of our clinic are the knowledge of the microsintomatic of the disease (small, difficult to make it possible and previously not published), which allows them to recognize the disease already in the initial phase.In the processing process, doctors determine the connection of a skin disease with the body, its activity and metabolic disorders.Our experts are also experts in the characteristics of squamous lichen in children.