Ways to get rid of psoriasis – Can I really get full recovery from it?
Psoriasis – a chronic disease, and to achieve full recovery can be extremely rare. Therefore the goal of therapy for psoriasis – to achieve the maximum possible effect for each individual patient.
There are many techniques for treating psoriasis, which allows a dermatologist in each case to choose the most suitable treatment program. It is very important that the method of treatment was clear not only to the patient but also family members, to all those who can give him the necessary support.
Ways to treat psoriasis with drugs?
No cure exists for psoriatic arthritis, so treatment focuses on controlling inflammation in your affected joints to prevent joint pain and disability. Medications used to treat psoriatic arthritis include:
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Disease-modifying antirheumatic drugs (DMARDs)
- Immunosuppressant medications
- TNF-alpha inhibitors
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Drugs such as ibuprofen (Advil, Motrin, others) or naproxen (Aleve, Anaprox, others) may help control pain, swelling and morning stiffness, and they’re usually the first treatment tried for psoriatic arthritis. Prescription NSAIDs provide higher potencies than do over-the-counter drugs.
But all NSAIDs can irritate your stomach and intestine, and long-term use can lead to gastrointestinal bleeding. Other potential side effects include damage to your kidneys, fluid retention, high blood pressure and heart failure. In addition, NSAIDs may worsen the skin problems associated with psoriatic arthritis.
Used to treat psoriasis drugs, which are applied to the skin surface, as well as those who are appointed by injection or taken by mouth (systemic treatment of psoriasis). Local therapy may be the only way to cure or be used in conjunction with systemic therapy or with ultraviolet irradiation.
For the treatment of psoriatic lesions on the surface of which there are scales, the best dosage form for external use is an ointment, as it is conducive to easy removal of flakes. Creams are more appropriate in cases where it is important to soften the skin. For the treatment of the scalp are usually applied lotions, solutions or gels.
Ointments containing corticosteroids, used to treat psoriasis for many years. Their advantage is that they allow to reach a quick effect where it matters most – to remove the rash to exposed skin (face, hands) or where precipitation deliver great inconvenience (for example, in the folds of skin).
Preparations for external application containing corticosteroids are easy to use. They are applied 1-2 times a day, does not stain skin and clothing. However, prolonged use corticosteroid ointments are not recommended, as it develops over time habituation of the skin to these drugs and their effectiveness is reduced. In addition, prolonged use of ointments containing corticosteroids, may develop superficial skin atrophy.
In recent years, new drugs with corticosteroids for topical application which do not contain in its composition fluorine and chlorine. The absence of these substances in the preparations of a new generation significantly reduces the risk of systemic and local side effects. Taking corticosteroids into the case of psoriasis is not recommended, as after drug withdrawal may occur very severe exacerbation of the disease, which can not always be cut short.
As a means for topical use in psoriasis are also used drugs tar. , Although they are safe for prolonged use, but much less effective than hormonal. In addition, funds on the basis of tar have a sharp odor and stain clothing.
In recent years, appeared on the market an effective non-hormonal drugs for external use, which do not have such shortcomings. They contain an analog of vitamin D3, which affects the metabolism of skin cells. Drugs reduce the rate of cell division in skin, reduce flaking, inflammation, have a positive effect on the immune protection of the skin.
The majority of patients with psoriasis, a good influence ultraviolet radiation, which, depending on the wavelength is divided into three types: A, B and C. In the modern practice of treating psoriasis are used in medium wave radiation and long-wavelength ultraviolet light A.
Method of treatment using special lamps with the medium-UV-called selective phototherapy. The course of selective phototherapy usually consists of 20-40 procedures, depending on the prevalence and severity of the process. The frequency of procedures is 4-5 times a week.
A long-wavelength rays are part of the treatment of psoriasis, as photo-or PUVA-therapy. This method of treatment involves oral administration 2 hours before the procedure, a photosensitizer, which increases the skin’s sensitivity to UV radiation and subsequent exposure of the skin rays A. Frequency of procedure – 3-4 times a week. The total number of procedures for the course – from 15 to 30, depending on the severity of the process.
Clinical results of PUVA-therapy is very high. After the treatment field lesions are pinkish-brown flat spots that are within a half to two months, gradually disappearing.
Modern centers of psoriasis have facilities that allow the patient to hold during the procedures both vertical and horizontal position, as well as conduct local irradiation of the hands, feet and scalp.
Treatment of psoriasis of the scalp is a rather complicated problem, especially among women. In such situations, a good result gives the application of UV-comb, which is a two fluorescent bulbs, which are worn cover with transparent teeth.
Combing the simultaneous irradiation of the scalp. Use such a comb to be 1 per day, ranging from 15 seconds, gradually increasing the dose by 15 seconds with no side effects. Rate – approximately 20-40 procedures. UV combs are very comfortable, but, unfortunately, expensive and therefore not accessible to all.
The most common drugs for systemic treatment of psoriasis are so-called aromatic retinoid – synthetic derivatives of vitamin A. They are used for severe psoriasis and in cases where the external therapy is not effective (psoriatic erythroderma, pustular psoriasis, palmar-plantar form of psoriasis, lesions of the scalp , psoriatic arthritis).
It should be remembered that, despite the fact that the aromatic retinoids are sold in pharmacies without a prescription in any case should not appoint them for himself alone. The drugs have a number of severe side effects (dryness of the mucous membranes of lips and eyes, cracked lips, peeling of palms and soles, there may be elevated levels of blood fats).
Aromatic retinoids adversely affect fetal development. Therefore, they are absolutely contraindicated during pregnancy. Moreover, women of childbearing age taking retinoids, you must use effective contraception not only during treatment, but after two years of therapy (the term for which the retinoid is completely eliminated from the body).
In medical practice, Western countries used retinoids for topical use. But they are only effective in mild forms of psoriasis.
Sun, air and water – our best friends:
At receptions in patients with psoriasis have many questions about how to eat properly, much better to go in order to prevent exacerbations and treatment of psoriasis.
Natural sunlight – a whole range of radiation, the contents of which are useful for psoriasis rays B and A is relatively low. Contained in sunlight, other kinds of ultraviolet radiation can cause exacerbation of psoriasis. Therefore, the use climatotherapy and spa treatment need not progressing, and in a stationary or regressing disease.
A unique place for the treatment of psoriasis is the Dead Sea in Israel. The treatment program consists of a combination of sun-bathing and sea bathing. Zone of the Dead Sea is located about 400 meters below sea level, creating a special microclimate: the harmful components of the solar spectrum are filtered out, while maintaining a unique combination of ultraviolet A and B, so useful for patients with psoriasis.
Dead Sea water contains a unique composition of minerals, the concentration of which is almost 10 times higher than in Mediterranean waters.
Effectiveness climatotherapy at the Dead Sea is very high and reaches 80%. The course of treatment takes between 2-4 weeks depending on the severity of the disease. However, we should not think that the treatment at the Dead Sea – a panacea.
It may become an alternative medical treatment of psoriasis, but the duration of remission, occurring after treatment at the Dead Sea is comparable with other treatments. To all other treatment at the Dead Sea resorts are very expensive.
Meals for psoriasis – not the decisive factor. However, since the functions of the skin and gastrointestinal tract are related, psoriasis patients are advised to avoid foods that cause irritation of the gastrointestinal tract that have a bad effect on the liver (acute fatty foods). Also, do not eat foods that can cause allergic reactions – citrus, chocolate, fish, chicken, etc. Undesirable use of alcohol, as it reduces the body’s defense system.
Go back To Part 1 “Psoriasis and Psoriasis Treatment“
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