In the initial phase of psoriasis is not always diagnosed on time. This is due to the similarity of the clinical manifestations of dermatitis of allergic nature, lishaynyh rashes inritant as a result of contact with chemical substances. In such cases, the commonly used ointments for General applications, such as:
- made with calendula, chamomile, burdock;
- contains zinc oxide;
- enriched with the sulfur;
- salicylic ointment;
- anti-inflammatory ;
- in more complex cases, which include aminoglycosides and steroids.
Instead of ointments, you can apply lotions containing these components.
Further development of the disease, which is caused by the pathological status of the keratinocytes, lymphocytes and macrophages. As a result of their infiltration in the skin of the individual plots thicken, swell, covered with a special tape with a steel Shine. Over time, these areas dry out and can burst.
In this period, the treatment has to be specific and takes place against the background of General therapy of the body.
What are the treatment of psoriasis?
Effective treatment of psoriasis is achieved through the following effects:- Anti-inflammatory;
- Antiseptic;
- regenerans;
- Moisturizing;
- Improve blood circulation (vascular);
- antiproliferative;
- Cytostatic.
Representative of such drugs are prednisone, hydrocortisone, cyclosporine, such as class A.
Negalagenizirovannye glyukokortikoily (advantan, elokom) is also very effective and have virtually no contraindications. With their participation, the recommended therapy of pediatric patients and elderly people.
The main cause of skin changes – the proliferation of T-cells can be successfully treated with dithranol and means, containing in its composition. Examples include dithranol . The use of these drugs is quite long and can cause adverse reactions in the form of itching or additional swelling.
How are aromatic retinoids?
The best medicine for psoriasis is definitely hard to find. Individual approach to each patient is what should be the basis for therapy. Recently many patients helps in the treatment with retinoic acid.
Atsetrin (neotigazon) is representative of this group of drugs. The effect of adoption is due to the direct effects on the tissue in the dermis, regulation of cell division and early death of young cells. Be as safe as possible, not to provoke complications. On the basis of the regulation of cellular metabolism, reduces the permeability of capillaries, eliminates swelling and improve water-salt metabolism in the inside of biological tissues. From psoriatic erythroderma, decrease, or go "down" pustular rash.
Along with retinoids used local anti-inflammatory therapy (ointments with diclofenac, indomethacin), which are designed to:
- The removal of edema;
- The alignment of skin relief;
- Remove the itching;
- The adjustment of the local temperature.
What is the classification of ointments for psoriasis?
The impact of all ointments, which can be divided into: weak, medium, strong and very strong. The patient should not start to be treated immediately with a strong composition, because they are quickly developing an addiction. In addition, many of them have quite serious side effects.
After the hydrocortisone (the most basic of ointment, which has anti-inflammatory in nature), patients prescribed flumethasone. It is particularly suitable for patients with exudative manifestations. In result, its use reduces the bleeding from the wound, the skin is dry and smoothed. If the patient has not observed any positive changes in treatment, which seems to grease the powerful therapeutic effect. One of them is triamcinolone acetonide. This will help with the itching, relieves the inflammatory processes of nature, will have an impact on the proliferative processes keratinotsidov.
And finally, the most powerful drug is the ointment clobetasol . This hinders the keratinization of skin cells, has an antiallergenic effect, which governs the procedures for the division in the skin tissue.
Or it is possible to treat with creams?
The most effective cure for psoriasis is the one that is suited to each patient. In some cases this creams that contain:
- Vitamin D and its analogs – adjust the fabric composition and the usefulness of the structure of individual cells;
- Vitamin a and its analogs – effective for keratinotsidy;
- Antipigmentatsionnye components .
Quite a lot of positive feedback from the use of the cream for psoriasis. Contains the naftalan oil and birch tar. It works directly on the upper part of the panels is their progressive emancipation from the flakes. As a result, the colour of the panel is reduced, the skin gradually in comparison with the undisturbed plots.
Creams can contain natural and herbal ingredients. They have decent authority
- Series;
- Birch tar;
- In aralia;
- The Seeds Of Portulaca;
- Kalanchoe;
- Castor oil and other
What cream or has been selected for use, it should be used for cleaning the skin (including the residue from the previous drug part). Before lubrication of the skin must be thoroughly dried or treated with an antiseptic (in the case of the exudative manifestations).
What can enhance the effects of the ointments and creams of psoriasis?
Today it is known that a wide list of physiotherapeutic procedures, improve the therapeutic effect of the active substance. Among them it is worth dwelling on:
- phototherapy (PUVA), including ultraviolet irradiation (load on the body must be strictly controlled to avoid predisposition to oncological morbo the skin);
- Climatotherapy (optimum temperature, moisture content and mineral composition);
- Laser therapy (using a laser turns out to be a bad influence on blood vessels, which supply the panels);
- SWT (shock wave therapy) – the use of acoustic waves in the infrasound. Accelerates the regeneration of cells, smoothes scars, and flattens the entire topography of the upper layers.
Psoriasis treatment – the process is long and rigorous. Treatment should include systemic medications, local forms of treatment and the restorative treatment needed to restore his immune protection.
Effective cure for psoriasis will justify itself fully, if the intervals between acute exacerbations become less frequent, and the rash will be characterized by smaller manifestum.