Treatment of psoriasis

Psoriasis is a disease associated with a change in more than 50 genes and subsequent changes in body and metabolism processes.The sooner you can recognize these shifts, the 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, blows),
• The improved protective reaction of the immune system - the body fights with its own tissues, not just with diseases or microorganisms (bacteria) that cause them.

It is important to learn to live with psoriasis.By changing lifestyle and choosing the appropriate diet, you can control the visual manifestations of the disease (the rash can completely abuse).In addition, during disease control, possible complications are eliminated, which can be caused by the scaly deprivation of carbohydrate and fat metabolism violations 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 severe shapes.For classification purposes, they evaluate:

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

The effect of rash on quality of life is also evaluated because the imperceptible (hidden) rash is much less concerned than damage to the face, palm and genitals.

The most appropriate psoriasis therapy 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 scast lichen.These methodological recommendations were developed under the guidance of Prof.Y. Kisis and was officially accepted in Latvia in 2013. Methodological recommendations determine which drugs for the treatment of psoriasis are paid by the state.The full content of 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 help improve the effect and prognosis of therapy.Simple treatment of the rash provides only a short and insufficient effect.Full treatment of psoriasis includes many factors with which the disease can be controlled:

• Taking care of the upper skin layer - Only medications and medications prescribed by the doctor should be used, follow the dermatologist's instructions, 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 verify certain digestive disorders (ie metabolic disorders, for example insufficient secretion of gastric juices or an allergic reaction to different food products), 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 should abstain from taking alcohol (impaired pancreas).
• Physical Activity - Versatile sports or physical activity can reduce the risk of cardiac (cardiac) disorders - rhythmic cardiac function contributes to lipid metabolism (lipids or fats participate in the process of creating blood vessel shell and are also part of skin cell binding substances).Studies have proven that sports people suffer from psoriasis much less.
• It is necessary to be aware of the factors that exacerbate psoriasis, the two weather conditions and the change of stations can cause adverse reactions (allergies, sensitivity).In the fall, it can be a temperature difference and in the spring it can be pollen.

Methods for the treatment of psoriasis

The means for the treatment of scaly lichen are used directly at the site of rash and generally (for example, drugs for internal administration).To choose the most appropriate treatment method, it is necessary to take into consideration not only the type and severity of psoriasis, but also age, gender, occupation, overall health and other factors.

Phototherapy for the treatment of psoriasis

Phototherapy rudiments date back to ancient Egypt of 2000 years ago, where a combination of photosensitizing plant extracts was used to treat skin disease (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 the Scale Lichen, which:

• Reduces excessive immunity activity (immunosuppressive effect),
• Reduces inflammation,
• Reduces excessive cell reproduction (antiprolifratic effects),
• It has antibacterial effects.

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

Laser therapy for the treatment of psoriasis

Laser therapy, according to the principle of action, is similar to the UVB phototherapy of a narrow spectrum (Ultraviolet wave length NB-UVB 311 nm), is used to treat limited psoriasis outbreaks.

Cryotherapy for the treatment of psoriasis

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

Psoriasis medicines

Any medications and medications should be used only under the supervision of a dermatologist, carefully following the instructions of the doctor.Psoriasis self -medication can exacerbate the disease, extend the course of therapy and also create serious complications.

• Retinoids or synthetic derivatives of vitamin A. have high therapeutic activity - may affect immune cells, return reproduction and development of keratinocytes (cells synthesizing protein - protein that protects the epithelium by damage) within the norm.They can be consumed for a long time and are suitable for children.
• Cyclosporine A is an immunosuppressive medicine.Its effectiveness in psoriasis is associated with its impact on the immune system and the ability to reduce increased pathological reproduction of keratinocytes on the skin.
• Methotrexate is a medicine that suppresses cell metabolism (metabolism), it has been originally used to treat cancer, but since the 1970s it has also been approved for the treatment of psoriasis.
• Wobenzym is a drug above control, available in tablets.It has an anti -inflammatory and anti -reduductor effect, normalizes body protection skills, diluts blood, which allows to restore the level of digestive enzymes (enzymes) in the body to reduce manifestations of chronic diseases, etc.psoriasis.

Biological medicines against psoriasis

Biological medications are viruses, serums, toxins, antitoxins, vaccines, blood and their components or other similar products used to treat or prevent the disease.They improve or restore the body's ability to deal with infections and other diseases.Normally, the drug molecules are large, so they are introduced into the subcutaneous layer, muscles or vein.

Biological therapy is used when other methods for the treatment of medium or high gravity psoriasis has become ineffective.The cost of therapy is high compared to other treatment methods.

Psoriasis injections

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

The latest methods of psoriasis treatment

The latest therapy is associated with increased interaction between the cells involved in the pathological process of psoriasis (lymphocytes, etc.) using signs 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 cost and conditions of use (there should be no inflammatory processes or tumors, extremely detailed control of exclusion factors, etc.).

Medicines paid by the state of psoriasis

The list of state -plyered drugs includes certain medications to treat psoriasis.More information about these medicines and the amount of payment covered by the state can be found in a consultation with a dermatologist.

Surplus psoriasis medicines

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

Shampoos of psoriasis

To take care of the scalp, different shampoos containing salicylic acid, urea (urea), resin and corticosteroids are used.Resin -content shampoos reduce skin peeling, moisturize the skin, avoid its thickening and reduce itching.Salicylic acid shampoos help soften the scalp and remove scales.Corticosteroid shampoos are used for a short time to reduce swelling or redness.

Psoriasis soap

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

Skin care with psoriasis

Lipids (intercellular skin connection) are one of the most important components of the skin, but common detergents tend to harm the skin, violating the development of a single set of skin microbes (microbiomas), which, together with the immune system, ensures the stability of the skin protective barrier and protects the body from the environment.When leaving the skin, it is important to avoid skin injuries and not destroy the protective barrier.

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

Taking care of psoriasis nails

Nail damage is possible in 80% of patients.It is recommended to cut the nails as short as possible to avoid the appearance of the fungus under the exfolid nail.It is necessary to use detergents savers, after washing hands, it is always necessary to apply a moisturizer or lotion.Unsaturated fatty acids, vitamins B, vitamins A, D. are important for nail health.

Ointments, creams and psoriasis lotions

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

• The appearance of a new bright red eruption, among which large scales appear (progressive stage),
• The appearance of the rash stabilizes and its surface is covered with smaller scales (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 corresponding external funds.For the progressive stage, they are creams and water -based liquids, stationaries - more fats and fats and for progressive creams and ointments.These medications serve as the main masses to which active medicines are added:

• Salicylic acid is used in combination with other therapeutic agents, as it removes scales, allowing medication to penetrate deeper layers.It is offered at a concentration of 2% to 10% and different shapes, and can use if the area of psoriatic lesions does not exceed 20%, because in high doses it can have a toxic effect.It is not suitable for patients with diabetes.
• Loemic acid is a keratolytic - a substance that removes large horn formations (dead cells).It is used for scales exfoliation.An alternative drug, if it is necessary to cover more than 20% of the skin area or for patients with diabetes.
• Corticosteroids are widely used to treat a limited psoriatic eruption as they restrict blood vessels, suppress inflammation and itching and decrease cell reproduction.
• The effect of resin -based preparations is based on the suppression of cell growth.Most of the time, these medications contain birch resin (oleumrusi) and pine resin (pixlique), less often coal resin (pixlithanthracis).
• The action of synthesized vitamin D3 (calcitriol, calcipotriol) is based on the effect on the immune system and a decrease in the reproduction of keratinocytes.
• Takrololimus and pimecroolimus (calciociumin topical inhibitors) are effective in treating psoriasis on the face, neck, genitals, folds.Medicines do not cause muscle relaxation, so they are suitable for prolonged use.
• The magnipsor ointment does not contain hormonal additives and toxic substances.Active substances are mineral components, dead sea salt, salicylic acid, tea tree oil, pumpkin, sea spine, bardan roots, etc.

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

Folkloric methods and natural remedies against psoriasis

Before using any natural medicine, you should definitely consult a dermatologist, as in combination with the medications they can cause undesirable reactions.The action of these drugs has not been proven and it is necessary to consider that natural medicines can also cause allergic reactions.

• Aloe - Has properties that reduce redness and peeling.
• Apple Vinegar - Used by old cultures as a disinfectant, it can help reduce itching scalp.
• Chilean pepper contains capsaicin - blocks nerve endings responsible for pain signal conductivity.Products that contain this can reduce pain, inflammation, redness, peeling.
• A bath with the dead sea salt dissolved in warm water can remove scales in 15 minutes and reduce itching.After taking the bath, it is necessary to apply the hydration of the skin.
• Oatmeal is considered the best natural soothing skin.A bath with the addition of oats in the water can reduce itching and redness.
• Tea tree oil has antiseptic properties.Shampoos containing this fight with manifestations of scalp psoriasis.
• Yellow saffron or ginger has anti -inflammatory and antioxidant properties.Kurkum, which is part of it, can resist flashes of psoriasis.Safron can be used in capsules, in concentrated form or added to food (various transport dishes, etc.).
• Linen 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 relate to indispensable fatty acids that the body cannot synthesize and can only be taken with food.The omega-3 is also contained in hemp seeds, walnuts, herbs and various fish.

Diet with psoriasis

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

Metabolism begins with the isolation of digestive enzymes (enzymes), interaction of the entire microbes (microbiomas) of the intestinal tract with the body and the absorption of nutrients through the body.To process substances and their use in processes, energy is required.

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 carbohydrates with ease digestible white bread, potatoes.Alcohol, nicotine and preservatives damage the flora of the intestinal tract - to take care of it, the moderate use of probiotic bacteria or probiotics (cultures of living organisms that favorably the digestive tract) is recommended.

Psoriasis acupuncture

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

The influence of stations on psoriasis

When the temperature of the external environment changes, metabolism changes and the skin begins not to have fatty acids, and the protective barrier of the skin is weakened.Once the lack of vitamin D occurs on the skin, it becomes dry, is restored worse and is more susceptible to environmental effects - pre -prerequisites appear for the outbreak of chronic skin diseases (dermatoses).

Winter heating, artificial ventilation, the need for clothing, sweating, being in a multitude with different microflora worsens physiology and self -regulation of the skin.With the advent of spring, the skin barrier becomes weaker than in the fall and allergens of spring - flowery trees, flower pollen, herbs are easily overcome it.

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

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

Resorts for the treatment of psoriasis or balneotherapy

The favorable impact of climate therapy worldwide was described 200 years ago and is associated with certain geographical and specific locations located in them.The effect of resort therapy is mainly associated with the ability to take a pause in daily stress and avoid factors that worsen the skin condition (eg dry air due to central heating).It is also possible to adjust the mode and rhythm of energy.

Certain procedures can compensate for the amount of water on the skin, exfoliate the old skin, slow down cell propagation and lower 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 the studies, it should be noted that patients sunbathing and swimming in the dead sea salts have an improvement in psoriasis in 83% of cases, only taking sunbathing - in 73% of cases, just swimming in the dead sea - in 28% of cases.

Balneotherapy (a set of various therapeutic actions intended for dry skin hydration) occupies a special place in the long -term treatment of psoriasis, but is not recommended for patients with increased photosensitivity (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

To avoid exacerbation or the development of a skin disease, many factors should be taken into consideration - a change in 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 smokers,
• Attentive nutrition (avoid very greasy foods),
• Avoid hypothermia,
• Limit the use of chemicals and domestic cosmetics,
• Improve metabolism (drink more fluids, etc.),
• Vitamin D control, folic acid and lipids by the doctor,
• Use omega 3/6,
• And other actions prescribed by the participating dermatologist.

Let's cure 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 experienced doctor can help choose the most suitable lifestyle for patient characteristics (diet, physical activity, skin care) and the necessary treatment regime.

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

Where to treat psoriasis?

Human skin is its largest organ, and proper care prevents the additional development of the disease (pathological process).Psoriasis symptoms are initially manifested on the skin.The functional state of the skin and nails is directly related to the course of therapy (local and internal), whose effectiveness is evaluated by a specialist by the condition of the skin - a dermatologist.

Psoriasis treatment is very difficult.It is not difficult to diagnose (determine the type of scaly lichen), namely your understanding and consideration of laws.Only highly qualified doctors can recognize patterns after data analysis.

The doctors of our clinic are knowledgeable about the microsimpaths of the disease (small, difficult to make symptoms possible and previously not released), allowing them to recognize the disease in the early stage.In the treatment process, doctors determine the connection of a body disease with the body, its activity and metabolic disorders.Our experts are also well -versed in the characteristics of scaly lichen in children.