Treatment of psoriasis

Psoriasis is a disease associated with a change in more than 50 genes and subsequent shifts in body processes and metabolism.The sooner you can know these shifts, the sooner you can fix them.There are three main directions of violations:

• Carbohydrate metabolism violations (diabetes),
• Changes in cholesterol (associated with damage to blood vessels - pressure, power, heart attacks, strokes),
• Improved protective response of the immune system - the body fights with its own tissues, and not just with illness or microorganisms (bacteria) causing them.

It is important to learn how to live with psoriasis.By changing the lifestyle and choosing the right diet, you can control the visual manifestations of the disease (redness can completely abuse).Also, during the check of the disease, possible complications are eliminated, which can be caused by scaled deprivation of carbohydrate violations and the metabolism of the fat and immune system.

Methodological recommendations for psoriasis

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

• Area of the affected skin as a percentage,
• Frying existing rash,
• Density of redness,
• Number of scales.

The effect of redness on the quality of life is also appreciated because unacceptable (hidden) rash is much less concerned than damage to the face, palms and genitals.

The most appropriate therapy of psoriasis is determined by the methodological recommendations approved in Latvia, in which the types of therapy are best corresponding to a certain type and/or scapegoat.These methodological recommendations were developed under the direction of Prof.Y. Kizis and were 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

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.Simple redness treatment only gives a short -term and insufficient effect.Complete treatment of psoriasis includes many factors with which the disease can be controlled:

• Care for the upper layer of the skin - only the medicines and medicines 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 check for certain digestive disorders (ie metabolic disorders, for example, insufficient secretion of gastric juices or an allergic reaction to various food products), expressed in intolerance to various substances.There is a risk of diabetes.To avoid this, the patient should not take too many calories at the same time, and should be refrained by alcohol intake (damaged pancreas).
• Physical Activity - Comprehensive sport or physical activity can reduce the risk of heart disorders (cardiological) - rhythmic heart function contributes to lipid metabolism (lipids or fats participate in the process of developing blood vessels, and are also part of the binding substances of skin cells).Studies have shown that sports people suffer from much less psoriasis.
• It is necessary to be aware of factors that worsen psoriasis, both weather conditions and seasons change can cause side reactions (allergies, sensitivity).In the fall, it can be a temperature change, and in the spring it can be pollen.

Methods for the treatment of psoriasis

The tools for the treatment of scaly lichen are used both directly at the rash site and in general (for example, medicines for internal administration).To choose the most appropriate method of treatment, it is necessary to consider not only the type and severity of psoriasis, but also age, gender, profession, general health and other factors.

Phototherapy for the treatment of psoriasis

The rudiment of phototherapy return to the ancient Egypt of 2000 years ago, where a combination of photosensitizing plants was used to treat skin diseases (photosensitizing plants contain substances that increase sensitivity to ultraviolet radiation) and sunlight.Currently, this is one of the most used methods in the treatment of scaly lichen, which:

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

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

Laser therapy for the treatment of psoriasis

Laser therapy according to the principle of action is similar to UVB phototherapy of a narrow spectrum (Ultraviolet wavelength NB-UVB 311 NM), used to treat limited psoriasis seals.

Cryotherapy for the treatment of psoriasis

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

Psoriasis medicine

Anydo medicine and medicine should only be used under the supervision of a dermatologist, carefully following the doctor's instructions.Self -medication of psoriasis can worsen the disease, prolong the course of therapy and also create serious complications.

• Retinoids or synthetic derivatives of vitamin A. They have high therapeutic activity - they can affect immune cells, restore reproduction and development of keratinocytes (cells that synthesize keratin - protein that protects epithelium from damage) within the rate.They can be consumed for a long time, and they 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 increased pathological reproduction of keratinocytes in the skin.
• Metotrottis is a drug that suppresses metabolism (metabolism) of cells, initially used to treat cancer, but since the 1970s it has also been approved for the treatment of psoriasis.
• Wobenzym is an excess drug, available, available in the form of tablets.It has an anti -inflammatory, anti -reducing effect, normalizes the body's protective abilities, dilutes the blood, which allows you to restore the level of digestive enzymes (enzymes) in the body to reduce the manifestations of chronic diseases, etc.Psoriasis.

Biological drugs against psoriasis

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

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

Injections from psoriasis

For injections, corticosteroids are used - steroid hormones of a particular type used in medicine for various immune and inflammatory diseases.Injection of such steroids are a suitable treatment for minor damage, in an area of the clearly distinguished body, for example, the outer surfaces of the hands or fingers.The effect is resistant, and a repeated injection may only be needed after a few months.

The latest methods of treatment of psoriasis

The latest therapy is associated with an increase in the interaction between the cells involved in the pathological process of psoriasis (lymphocytes, etc.) using signals of active biological 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 cost and conditions of use (there should be no inflammatory or tumor processes, extremely detailed control of excluded factors, etc.).

State -paid medicines by psoriasis

The list of state offset drugs includes certain medicines for the treatment of psoriasis.More information about such medicines and the amount of payment covered by the state can be detected in a consultation with a dermatologist.

Excessive medicines for psoriasis

This group mainly includes skin care products.Such medicines are only aimed at symptomatic care (ie, care for the "visible" scaly 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.

Shampoo from psoriasis

To take care of the scalp, various shampoos containing salicylic acid, urea, resin and corticosteroids are used.Resinable shampoos reduce skin peel, moisturize the skin, prevent its thickening and reduce itching.Salicylic acid shampoos help soften the scalp and remove scales.Corticosteroid -containing shampoos are used for a short time to reduce swelling or redness.

Soap from psoriasis

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

Skin care with psoriasis

Lipids (intercellular bonding to the skin) are one of the most important ingredients of the skin, but ordinary cleaners tend to degenerate the skin, violating the development of a unique group of skin germs (microbioms), which, together with the immune system, ensure the sustainability of skin protective barriers and protect the body from the environment.When you get out of the skin, it is important to avoid damage to the skin and not destroy the protective barrier.

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

Care for psoriasis nails

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

Ointments, creams and lotions from psoriasis

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

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

For each stage, it is necessary to use the corresponding external funds.For the progressive phase, these are water -based creams and juices, for more creamy creams and pastes, and for creams and progressive fatty boots -.These medicines serve as the main measures to which active medicines are added:

• Salicylic acid is used in combination with other therapeutic agents, as it removes scales, allowing medicines to penetrate deeper layers.It is offered at a concentration of 2% to 10% and different forms, and is allowed to be used if the area of psoriatic lesions does not exceed 20%, as in high doses it can have a toxic effect.Not suitable for patients with diabetes.
• Loemic acid is a keratolytic - a substance that removes large horn formations (dead cells).Used for scapery exfoliation.An alternative medicine, 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 rash, as they narrow blood vessels, suppress inflammation and itching and slow down cell reproduction.
• The effect of resin -based preparations is based on the suppression of cell growth.Most often, such medicines contain the birch resin (oleumrusci) and pixlique resin, the smallest 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.
• Takrolimus and pimecrolimus (topic calciumin inhibitors) are effective in treating psoriasis on the face, neck, genitalia, curves.The drug does not cause muscle relaxation, so they are suitable for prolonged use.
• Ointment Magnipsor does not contain hormonal additives and toxic substances.Active substances are mineral ingredients, dead sea salt, salicylic acid, tea tree oil, squash, sea buckthorn, buried roots, etc.

The choice of medicine is determined depending on the redness in the specific area of the body.

Popular methods and natural remedies against psoriasis

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

• Aloe - has properties that reduce redness and peel.
• Apple cider vinegar - used by ancient crops as a disinfectant, can help reduce itching on the head.
• Chilic pepper contains capsaicin - blocks nerve endings responsible for the conductivity of the pain signal.Products that contain it can reduce pain, inflammation, redness, peel.
• A bath with dead sea salt dissolved in warm water can remove the scales in 15 minutes and reduce itching.After taking the bathroom, it is necessary to apply moisturizing skin.
• Oat is considered the best natural soothing skin.A bath with the addition of oats to the water can reduce itching and redness.
• Tea tree oil has antiseptic properties.The shampoos that contain it struggle with manifestations of psoriasis on the head.
• Saffron or yellow ginger has anti -inflammatory and antioxidant properties.The curcumin, which is part of it, can resist psoriasis ignitions.India saffron can be used in capsules, in concentrated form, or added to food (various transmission vessels, etc.).
• Flax seeds contain omega-3 fatty acids, fiber and other important nutrients.Omega-3 fatty acids improve the functioning of the immune system and skin condition.They are associated with necessary fatty acids, which the body cannot synthesize itself and can only be taken with food.Omega-3 also contained in hemp seeds, nuts, herbs and various fish.

Diet with psoriasis

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

Metabolism begins with the insulation of digestive enzymes (enzymes), interaction of the totality of germs (microbiomas) of the intestinal tract with the body, and the absorption of nutrients from the body.To process substances and their use in processes, energy is needed.

If the features of the body, digestion and metabolism are not studied, it is recommended to eat in small parts at least 4 times a day.It is recommended to use unsaturated fatty acids (omega-3s, etc.), vitamin B, vitamin D. For psoriasis, you should refuse to eat easily soluble white bread, potatoes.Alcohol, nicotine and preservatives damage the intestinal tract flora - to take care of it, the moderate use of probiotic bacteria or probiotics (cultures of living organisms that favorably affect the digestive tract) is recommended.

Acupuncture from psoriasis

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

The impact of seasons on psoriasis

When the temperature of the external environment changes, metabolism changes and the skin begins to lack fatty acids, and the protective barrier of the skin weakens.Once of vitamin D deficiency occurs on the skin, it becomes dry, reset worse and is more susceptible to environmental effects - prerequisites appear for the outbreak of chronic skin diseases (dermatoses).

Winter season warming, artificial ventilation, the need for clothes, sweating, being in a crowd with different microflora exacerbates physiology and self -regulation.With the advent of spring, the skin barrier becomes weaker than in the fall, and the spring allergens - flowering trees, flower pollen, plants easily overcome it.

In a small percentage of patients with psoriasis (up to 20%), the skin condition is exacerbated by UV rays.The summer type of psoriasis is characterized by the lack of antioxidants that can protect the skin from expanded free radicals that emerged as a result of solar radiation, and redness in the sun -affected places.

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

Resorts for the treatment of psoriasis or balneotherapy

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

Certain procedures can make up the amount of water on the skin, exterminate old skin, slow down cell spread and inferior cell cycles.

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

Balneotherapy (a set 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 (type of psoriasis wine) 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 irritation or development of a skin disease, many factors should be considered - both a 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,
• Thoughtful food (avoid very greasy foods),
• Avoid hypothermia,
• Limit the use of household chemicals and cosmetics,
• Improve metabolism (drink more fluids, etc.),
• Check vitamin D, folic acid and lipids from the doctor,
• Use omega 3/6,
• And other actions described by the dermatologist participating.

Will we cure psoriasis?

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

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

Where to treat psoriasis?

Human skin is its largest organ, and proper care to prevent further development of the disease (pathological process).Symptoms of psoriasis initially manifest in the skin.The functional condition of the skin and nails is directly related to the flow of therapy (both local and internal), the effectiveness of which is assessed by an expert from the condition of the skin - a dermatologist.

Treating psoriasis is very difficult.It is not difficult to diagnose (determination of the type of scales), namely the meaning and consideration of its laws.Only highly qualified doctors can recognize models after data analysis.

Doctors of our clinic have knowledge of the microzympomatics of the disease (small, difficult to make it possible and previously inaccessible symptoms), which allows them to recognize the disease already in the initial stage.In the treatment process, doctors determine the connection of a skin disease to the body, its activity and metabolic disorders.Our experts are also capable of the features of scaled liqueur in children.