Psoriasis treatment

Psoriasis is a disease associated with changes in more than 50 genes and subsequent transitions in body processes and metabolism.The sooner you can recognize this transition, the sooner you can adjust it.There are three main instructions of the violation:

• A violation of carbohydrate metabolism (diabetes),
• Changes in cholesterol (associated with damage to blood vessels - pressure, potential, heart attack, stroke),
• Improved protective reactions to the immune system - the body fighting with its own tissues, and not just with the disease 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 control the visual manifestation of the disease (rash can fully abuse).In addition, while controlling the disease, it is possible that complications are eliminated, which can be caused by the lack of scary carbohydrates and fat metabolism and the work of the immune system.

Methodological suggestions for psoriasis

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

• The affected skin area as a percentage,
• The red rash that exists,
• The density of the rash,
• Number of scales.

The effects of rash on the quality of life are also evaluated, as the invisible (hidden) rash is much more worried than the damage to the face, palms and genitals.

The most appropriate psoriasis therapy is determined by the proposed methodological proposal in Latvia, where the type of therapy is distinguished, which is best suited to the specific type and/or the severity of the scaly lichen.This methodological proposal was developed under the guidance of Prof.Y. Kisis and officially accepted in Latvia in 2013. Proposed Methodology Define Medications for the treatment of psoriasis paid by the government.The full content of the methodology suggestions can be found here.

Psoriasis therapy

Because psoriasis is a general disease that is genetically determined, it is important to evaluate all processes that may help improve the effects and prognosis of therapy.Easy rash treatment only has a short and insufficient effect.The full treatment of psoriasis includes many factors that can be controlled by the disease:

• Treating the upper layer of the skin - only the medications and medicines prescribed by the doctor should be used, follow the instructions of the dermatologist, as pharmaceutical products may not be suitable for all types of psoriasis.Chronic inflammation of the skin contributes to the development of tumors.
• Diet - it is necessary to examine certain digestive disorders (ie metabolic disorders, for example, inadequate gastric juice secretion or allergic reactions to different food products), which are expressed in solemnity of various ingredients.There is a risk of diabetes.To avoid this, the patient should not consume many calories at the same time, and should refrain from taking alcohol (impaired pancreas).
• Physical activity - versatile sports or physical activity can reduce the risk of cardiac disorders (cardiology) - rhythmic heart function contributes to lipid metabolism (lipids or fats that participate in the process of creating blood vessels, as well as part of skin cell binding substances).Studies have shown that sports people experience psoriasis.
• It is necessary to know the factors that exacerbate psoriasis, both weather conditions and seasonal changes can lead to adverse reactions (allergies, sensitivity).In the fall, it can be a difference in temperature, and in the spring it can be pollen.

Methods for the treatment of psoriasis

Means for the treatment of lichen scaly is used directly at the rash and in general (for example, drugs for internal administration).To choose the most appropriate treatment method, it should take into account not only the type and severity of psoriasis, but also age, gender, occupation, general health and other factors.

Phototherapy for the treatment of psoriasis

Phototherapy Rudimen returned to ancient Egypt in 2000 years ago, where a combination of plant photosensitizing plant extracts were used to treat skin diseases (photosensitis 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 scaly lichen, which:

• Reducing excessive immunity activity (immunosuppressive effect),
• Reduce inflammation,
• Reducing cell reproduction (antiprorolifratic effect),
• It has antibacterial effects.

To treat psoriasis, UVB radiation and narrow spectrum uva use special lamps used.UVA/UVB therapy can be used for children and pregnant women, therapy is often combined with other methods of treatment and medicines.

Laser therapy for the treatment of psoriasis

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

Cryotherapy for the treatment of psoriasis

Coldotherapy is used primarily to treat small focus.There is little publication on the use of this therapy, and its effectiveness is low, so it does not find a broad application.

Medicines for psoriasis

Any medications and medicines should only be used under the supervision of a dermatologist, carefully following the doctor's instructions.Self -psoriasis can worsen the disease, extend the course of therapy, and also make serious complications.

• Retinoids or synthetic derivatives of Vitamin A. They have high therapeutic activity - they can affect immune cells, restore breeding and development of keratinocytes (cells that synthesize keratin - proteins that protect the epithelium from damage) in the norm.They can be eaten for a long time, and they are suitable for children.
• Cyclosporin A is an immunosuppressive drug.Its effectiveness in psoriasis is associated with its effects on the immune system and the ability to reduce the development of pathological keratinocytes in the skin.
• Methotrexate is a drug that suppresses the metabolism (metabolism) of the cell, it was originally used to treat cancer, but since the 1970s it has also been approved for the treatment of psoriasis.
• Wobenzym is a higher medicine, which is in the form of tablets.It has anti -inflammatory effects, anti -reduction, normalizes the body's protective ability, melts blood, allowing you to restore the level of digestive enzymes (enzymes) in the body to reduce the manifestations of chronic diseases, and other psoriasis.

Biological medicine against psoriasis

Biological drugs are viruses, serum, toxins, antitoxin, vaccines, blood and its components or similar products used to treat or prevent the disease.They improve or restore the body's ability to deal with infections and other diseases.Usually, the medication molecules are large, so they are introduced into the subcutaneous, muscle or vein.

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

Injection from psoriasis

For injection, corticosteroids are used - a certain type of steroid hormone used in drugs for various immunological diseases and inflammation.The steroid injection is an appropriate treatment for small damage, in the area of the body that is clearly distinguished, for example, the external surface of the hand or finger.The effect is resistant, and repeated injections may be needed only after a few months.

The latest methods for treating psoriasis

Recent therapies are associated with increased interactions between cells involved in the pathological process of psoriasis (lymphocytes, and others) using biologically active ingredients.Biological drugs either inhibit pathological substances (antibodies) or contain receptors that prevent pathological processes.The use of this method is limited by the high cost and its use condition (no inflammation or tumor process, very detailed control to exclude factors, etc.).

Medications paid by the state from psoriasis

The list of governments compensated by the government includes certain drugs for the treatment of psoriasis.Further information on these drugs and the amount of payment covered by the government can be found in consultation with dermatologists.

Excess drugs for psoriasis

This group mainly includes skin care products.Such medicines are intended only for symptom care (that is, maintaining "visible parts" of scaly lichen, without correcting metabolic processes, etc.) - they do not treat the psoriasis process throughout the body.It is recommended to choose a skin moisturizer that does not contain aromatic substances.

Shampoo from psoriasis

To keep the scalp, different shampoos containing salicylic acid, urea (urea), resin and corticosteroids are used.Shampoo with resin content reduces skin peeling, moisturizes the skin, prevents thickening and reduces itching.Salicylic acid shampoo helps soften the scalp and remove the scale.Shampoo containing corticosteroids is used for a short time to reduce swelling or redness.

Soap from psoriasis

It is recommended to prevent a detergent that is too aggressive so as not to dry and irritate the skin.

Skin care with psoriasis

Lipids (binding between skin cells) are one of the most important skin components, but common detergents tend to lower the skin, violate the development of unique skin microbes (microbiom), which, together with the immune system, ensures skin barrier stability and protects the body from the environment.When leaving the skin, it is important to prevent skin injury and not destroy the protective barrier.

Patient skin with dry, scaly psoriasis, contains many viruses.The presence of a scale contributes to the development of psoriatic rash.Washing should be washed by therapeutic cosmetics that release a layer of skin fat - do not destroy, but clean and fix it.After washing the skin, it is always necessary to moisturize in a dermatologist - cream, lotion, etc.

Treats psoriasis nails

Nail damage may be 80% of patients.It is recommended to cut the nails as soon as possible to avoid the appearance of the fungus under the nails.It is necessary to use a sparing detergent, after washing your hands, it is always necessary to apply a moisturizer or lotion.Unsaturated fatty acids, vitamin B, vitamin A, D. It is important for nail health.

Ointment, cream and lotion from psoriasis

In the process of psoriasis, three stages of active are distinguished:

• The emergence of a new red rash, among which a large scale appears (progressive levels),
• The appearance of rash stabilizes, and the surface is protected by a smaller scale (stationary level),
• The rash is deep, the scale is reduced and the ring shape (regressive level) is taken.

For each level, it is necessary to use the corresponding external funds.For progressive stages, these are creams and water -based fluids, for stationary - more creams and fat pastes, and for progressive - fatty creams and ointments.These drugs serve as the main mass of which the drugs are active:

• Salicylic acid is used in combination with other therapeutic agents, as it eliminates the scale, allowing the drug to penetrate a deeper layer.It is offered in a concentration of 2% to 10% and different forms, and is allowed to use if the psoriatic lesion area does not exceed 20%, as in high doses it can have toxic effects.Not suitable for diabetic patients.
• Loemic acid is keratolytic - a substance that removes large horn formations (dead cells).It is used for scale exfoliation.Alternative medicine, if necessary to cover more than 20% of the skin area, or for diabetic patients.
• Corticosteroids are widely used to treat limited psoriatic rash, as they narrow blood vessels, suppress inflammation and itching, and slow down cell reproduction.
• The effects of resin -based preparations are based on cell growth suppression.Often, these medicines contain birch resins (oleumrusci) and pain resin (pixlique), less coal resin (pixlithanthracis).
• The action of vitamin D3 is synthesized (calcitriol, calcipotriol) is based on the effects of the immune system and a decrease in keratinocyte reproduction.
• Takrolimus and pimecrolimus (topical calciuminein inhibitors) are effective in the treatment of psoriasis on the face, neck, genitals, bends.Medications do not cause muscle relaxation, so they are suitable for prolonged use.
• Magnips ointment contains no hormone and toxic ingredients.The active ingredients are mineral components, dead sea salt, salicylic acid, tea tree oil, pumpkin, sea buckthorn, burdock root, etc.

The choice of drug is determined depending on the rash in certain areas of the body.

Folk methods and natural remedies against psoriasis

Before using any natural remedy, you should definitely consult a dermatologist, as it is combined with medicines that they can cause unwanted reactions.The action of these drugs has not been proven, and it should be noted that natural drugs can also cause allergic reactions.

• Aloe - has a properties that reduce redness and peel.
• Apple vinegar - used by ancient culture as a disinfectant, can help reduce itching on the scalp.
• Chile pepper contains capsaicin - it prevents the nerve endings responsible for the conductivity of the pain signal.Products that contain it can reduce pain, inflammation, redness, peeling.
• Bath with dead sea salt dissolved in warm water can release a scale in 15 minutes and reduce itching.After bathing, it is necessary to use a skin moisturizer.
• Oats are considered to be a natural soothing skin.Bathing with the addition of oats in water can reduce itching and redness.
• Tea tree oil has antiseptic properties.Shampoo containing it fights with manifestations of psoriasis on the scalp.
• Turmeric or yellow ginger has anti -antioxidant properties and antioxidants.Kurkumin, which is part of it, can withstand lightning psoriasis.Turmeric can be used in capsules, in concentrated form, or added to foods (various dishes carry, etc. -more).
• Flax seeds contain omega-3 fatty acids, fiber and other essential nutrients.Omega-3 fatty acids improve the operation of the immune system and skin conditions.They are related to the much -needed fatty acids, whose 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

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

Metabolism begins with the isolation of digestive enzymes (enzymes), the overall interaction of the microbes (microbioms) of the intestinal tract, and the absorption of nutrients by the body.To process the material and its use in the process, energy is required.

If the body's characteristics, 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.), vitamin B, vitamin D. For psoriasis, you should refuse to eat easy-to-digest carbohydrate bread, potatoes.Alcohol, nicotine and preservatives damage the intestinal tract flora - to maintain, the use of probiotic or moderate probiotic bacteria (a culture of living organisms affecting the digestive tract) is recommended.

Acupuncture from psoriasis

Acupuncture is widely used to treat psoriasis in China and other Asian countries.During therapy, the needle is introduced into the skin, with a diameter of no more than the hair.As a result of injection in the body, adenosin, endorphin, serotonin, and others are released in the body.Ingredients with painkillers, so this method can be used for psoriatic arthritis.

The influence of psoriasis season

As the temperature of the external environment changes, the metabolism changes, and the skin begins to lack fatty acids, and weak skin protective barriers.Once vitamin D deficiency occurs on the skin, it is dry, restored worse and is more vulnerable to environmental effects - a prerequisite for a chronic skin disease (dermatosis).

Winter warming, artificial ventilation, need for clothing, sweating, in the crowd with different microflora exacerbates physiology and oneself.With the arrival of spring, the skin barrier is weaker than the fall, and the allergen of spring - flowering trees, flower pollen, herbs can easily overcome them.

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

Recognizing the anxiety caused by the changing season, the manifestation of the disease can be controlled by resting at the resort.

Resort for the treatment of psoriasis or balneotherapy

The encouraging effects of climate therapy around the world have been described for 200 years, and are associated with certain geographical areas and certain places located in it.Resort therapy effects are mainly associated with the ability to relax from daily stress and avoid factors that worsen skin conditions (for example, dry air due to central heating).It is also possible to adjust the mode and rhythm of power.

Certain procedures can make the amount of water in the skin, peel off the old skin, slow the spread of cells and low cell cycles.

The most important resort for the treatment of psoriasis is the Dead Sea, the lowest point on the earth (360 m below sea level), it has a high natural mineral concentration, and the evaporation of UVB-ray filter minerals (as in phototherapy).In the study, it was noted that patients sunbathing and swimming in the Dead Sea salt had an increase in psoriasis in 83% of cases, only in the sun - in 73% of cases, only swimming in the dead sea - in 28% of cases.

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

Prevention of psoriasis

To prevent the severity or development of skin diseases, many factors must be taken into account - both different lifestyle changes and classes: different classes:

• Physical activity (training, etc.),
• Rest in the resort,
• Avoid stress,
• Limit the use of coffee, cocoa, alcoholic beverages and smoking,
• Wise nutrition (avoid fatty foods too),
• Avoid hypothermia,
• Limit the use of household and cosmetics chemicals,
• Increase metabolism (drink more fluids, etc.),
• Vitamin D, folic acid and lipids by doctors,
• Use Omega 3/6,
• And other actions prescribed by the present dermatologist.

Shall we cure psoriasis?

No, because the drug has not yet found the opportunity to change the human genetic code.Loss of rash means the suspension of the disease process.Experienced doctors can help choose the most suitable lifestyle for the patient's characteristics (diet, physical activity, skin care) and the necessary treatment regimen.

Proper diagnosis and lifestyle, skin care and life -long therapy (statistical data shows that patients with psoriasis in which the disease appears in the age of children is difficult to reach the age of 60, mainly due to circulatory and vascular system diseases).

Where to treat psoriasis?

Human skin is its largest organ, and proper care prevents the development of the disease (pathological process).Symptoms of psoriasis are initially indicated on the skin.The functioning of the skin and nails is directly related to the course of therapy (both local and internal), its effectiveness is evaluated by experts by skin conditions - dermatologists.

Psoriasis treatment is very difficult.It is not difficult to diagnose (determining the type of scaly lichen), that is, understanding and consideration of law.Only high qualified doctors can recognize patterns after data analysis.

Our own clinic doctor knows about microsymptomatics of the disease (small, difficult to make symptoms that are unlikely and before), which allows them to recognize the disease early.During the treatment process, the doctor determines the connection of the skin with the body, its activity and its metabolic disorders.Our experts are also experienced in the features of Lichen Scaly in children.