The initial stage of psoriasis is not always diagnosed on time. This is due to the similarity of clinical manifestations of dermatitis of allergic nature, lishaynyh rashes inritant as a result of contact with chemical substances. In such cases usually apply ointments General purpose, for example:
- made with calendula, chamomile, burdock;
- containing zinc oxide;
- enriched in sulfur;
- salicylic ointment;
- anti-inflammatory ;
- in more complex cases containing aminoglycosides and steroids.
Instead of ointments, you can apply lotions containing these components.
Further development of the disease is caused by a pathological condition of keratinocytes, lymphocytes and macrophages. As a result of their infiltration in the skin of some of its areas become thickened, swollen, covered with a special film with a steel Shine. Over time, these areas dry out and can burst.
During this period, treatment should be specific and goes against the General body.
What are the treatment for psoriasis?
Effective treatment of psoriasis is achieved through the following effects:- Anti-inflammatory;
- Antiseptic;
- regenerans;
- Moisturizing;
- Circulation (vascular);
- antiproliferative;
- Cytostatic.
Representative of such drugs are prednisone, hydrocortisone, cyclosporine, such as class A.
Negalagenizirovannye glyukokortikoily (advantan, elokom) is also quite effective and have virtually no contraindications. With their participation, recommended therapy pediatric patients and the elderly.
The main reason for the change of skin and proliferation of T-cells can be successfully treated with dithranol and means, containing in its composition. Examples include dithranol . The use of such drugs is rather long and can cause adverse reactions in the form of itching or additional swelling.
How are the aromatic retinoids?
The best remedy for psoriasis is a definitely hard to find. Individual approach to each patient is what should be the basis of therapy. Recently many patients helps treatment with retinoic acid.
Atsetrin (neotigazon) is the representative of this group of drugs. The effect of adoption is due to a direct effect on the tissues of the dermis, regulating cell division and early death of young cells. As safe as possible, not to provoke complications. On the background of the regulation of cellular metabolism decreases permeability of the capillaries, relieves swelling and improving the water-salt metabolism inside of biological tissues. Out psoriatic erythroderma, decrease or leave "no" pustular rash.
Along with retinoids apply local anti-inflammatory therapy (ointments with diclofenac, indomethacin), aimed at:
- Removal of edema;
- Alignment of skin relief;
- Removing itching;
- Regulation of local temperature.
Which classification of ointments for psoriasis?
The influence of all ointments can be divided into: weak, moderate, strong and very strong. The patient should not start to be treated immediately with strong compositions, because they quickly develop an addiction. In addition, a number of them have quite serious side effects.
After 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 the result of its application reduced the bleeding wounds, the skin is dried and smoothed. If the patient has not observed any positive changes in treatment, which seems to be ointment of a strong therapeutic effect. One of them is triamcinolone acetonide. It will help with the itching, relieves the inflammatory processes of nature, will have an impact on proliferative processes keratinotsidov.
And finally, the most powerful drug is the ointment clobetasol . It hinders the keratinization of skin cells, has an antiallergenic effect, regulates the processes of division in the skin tissues.
Can be treated with creams?
The most effective remedy for psoriasis is one that fits a particular patient. In some cases this creams containing:
- Vitamin D and its analogs – regulation of tissue composition and usefulness of the structure of each cell;
- Vitamin a and its analogs – effective for keratinotsidy;
- Antipigmentatsionnye components .
Quite a lot of positive feedback from the use psoriasis cream. It contains the naftalan oil and birch tar. Acting directly on the upper part of the plaques is their gradual emancipation from the flakes. As a result, the color of the plaque is reduced, the skin gradually compared with the undisturbed plots.
Creams can contain natural and herbal ingredients. Have decent authority
- Series;
- Birch tar;
- The aralia;
- The seeds of Portulaca;
- Kalanchoe;
- Castor oil and other
Whichever cream or was selected for use, it must be applied to clean skin (including residue from the previous drug component). Before greasing the skin should be thoroughly dried or treated with antiseptic (in case of exudative manifestations).
What can enhance the effects of ointments and creams from psoriasis?
Today known to a wide list of physiotherapeutic procedures, which increase the therapeutic effect of the active substances. Among them, we should dwell on:
- phototherapy (PUVA), including ultraviolet irradiation (load on the body must be strictly controlled to avoid the tendency to morbo oncological skin);
- Climatotherapy (optimum temperature, its moisture content and mineral composition);
- Laser therapy (using a laser turns out to be a negative impact on the blood vessels that feed plaques);
- SWT (shock wave therapy) – the use of acoustic waves within the infrasound. Accelerates the regeneration of cells, smoothes scars, and flattens the overall topography of the top layer.
Psoriasis treatment – the process is long and rigorous. Treatment should include systemic medications, local forms of treatment and the restorative treatment needed to restore its own immune protection.
Effective remedy for psoriasis will justify itself in full, if the intervals between acute exacerbations become less frequent, and the rash will be characterized by smaller manifestum.