An important role in the fight against the symptoms of psoriasis play competent picked up outside and prompt therapy and treatment. A key principle in the choice of the scheme of treatment, especially in the early stages of development of psoriasis, is the principle of "do no harm" — made the treatment should not harm the health of the skin, causing the appearance of undesirable effects such as atrophy of the skin or of a withdrawal syndrome. Since the main goal of therapy is to prolong the periods of rest and the health of the skin without sudden and painful of recurrence and exacerbations.
As it is a long time for the people to know about psoriasis?
With psoriasis, the humanity family over many centuries. Traces of lesions of skin psoriatic the archaeologists found mummified bodies of ancient men that have been preserved until our days. Description very similar to psoriasis of the skin eruptions can be found in the works of herodotus and plato.
The first description of the clinical manifestations of psoriasis belongs to the old scientist cornelia. The term psoriasis – psoriasis – comes from the Greek word "psora" (scabies, dandruff). This name is found in the writings of hippocrates.
However, the scientific study of psoriasis as an independent disease, not started until the early nineteenth century with the description of their clinical symptoms of the English physician robert. In 1798 had taken from him the leprosy, mycosis, eczema, and then, in his book "Skin diseases" in 1808, highlighted typical and atypical for psoriasis, as well as highlighted the role of hereditary factors in the development of dermatoses.
So what we know now about the basics of the disease? How to influence your current external factors such as stress, the ecology, bad habits, food?
The relationship of psoriasis and the nervous system is quite complicated, more similar to that of a vicious circle, and is of bipolar nature of the model. On the one hand, the stress and the prolonged voltage surge lead to the intensification of a process, and, on the other – the state of the skin (the presence of psoriatic rashes) causes the patient anxiety, leading to the development of chronic stress, which, in turn, worsens the course of illness and close this same vicious circle.
Some of the medications taken for the treatment of other diseases, can in some cases get worse for psoriasis. Among them we can mention the antibiotics (tetracycline, penicillin, bicillin, levomitsetin, etc), prepared from lithium, vitamin C and the vitamins of the B group, beta-blockers, nonsteroidal anti-inflammatory agents, estrogenic of the tool (control drugs), anticonvulsants, immunomodulatory agents. Can cause exacerbation of the process and of the vaccine and serum.
The ecology, the profile of the food, bad habits – all this negatively affects both the flow of the psoriasis and its treatment.
What is the prevalence of psoriasis in those countries?
The prevalence of psoriasis in the world is estimated to be around 1-3% of the population. According to data of the international organization, in the year 2010 on the planet of recorded 125 million patients with psoriasis. In europe affects up to 5 million people, which is comparable with the frequency of coronary artery disease and diabetes.
The highest rates in the countries of northern europe (4%), the lowest in african countries and the countries of Latin america, in japan (less than 0.5%).
As you now are diagnosed with psoriasis? What diseases can be confused?
Psoriasis mild the skin shows very typical rashes, and the diagnosis is taken clinically. There are diagnosis of the sample: psoriatic triad – strengthening of the peeling of the poskablivanii, the appearance of the red blood cells in the blood of the points after the removal of scales.
As a cured psoriasis before, and how is it treated now? If there was a treatment more perfect and effective?
Until the middle of the last century, the main methods included the use of medications with salicylic acid and Helio-, thalassotherapy. Then there were topical steroids (and later, analogs of vitamin d3) system and immunosuppressive medications. But the advancement in the treatment of psoriasis may be considered the emergence in the early 21st century of biological products. And, without a doubt, the arsenal of topical and system of drugs, methods of phototherapy are now allowed to collect an effective therapy for each patient.
The methods that apply to the treatment of children and adults?
First of all, the psoriasis is necessary to divide limited common (bass and mid-bass of the form). The therapy should be, taking into account these data.
The difference in approaches to the treatment of adults and children are only age restrictions on the use of medications (for example, calcipotriol is assigned from 6 years of age) or methods of phototherapy (e.g. puva therapy is assigned from the age of 18 years).
What are the most common myths about the disease?
- Psoriasis is contagious. No, psoriasis is a disease chronic non-infectious disease of the skin, which is not transmitted from person to person, and not migrating from one body part to another. The patient who suffers from psoriasis, you can freely visit the public space – baths, saunas, swimming pools, shared objects in the daily life, the treatment of the disease in general hospitals.
- The climate influences the incidence and if you move in the warm countries of the psoriasis is not. No, the climate on the prevalence of psoriasis is not affected. At the same time, one of their methods of treatment is a special therapy – treatments for the sun and the sea water, however, accommodation in the regions with a warm maritime climate, not saving the sick of exacerbations. A simple example is that of israel: "for there to successfully heal psoriasis in the spas of the Dead sea, but the incidence of diseases among the population, in the world.
- Psoriasis can be prevented. The drivers of the exacerbation, nor by themselves or in various combinations are not the cause of the disease. Today unknown, that it is essential to the development of psoriasis, and due to measures of prevention is not possible. Any of the recipes to do, or, on the contrary, what you should not do to not get the disease of psoriasis, no. Increase the period of remission, when eruptions on the skin are missing, you can, while avoiding actions that cause or worsen during the psoriasis factors, the conduct of right living and the application of supportive therapy.
- Psoriasis can be treated with methods of the call folk medicine. Relationship to methods of patients should be very cautious. On the one hand, we know that there is no psoriasis are the tool that can heal, but the desire in him that has to get rid of the disease pushes the patients in the different acts are doubtful (the appeal to the healers, the healers), and it is in vain for the money spent. On the other hand, these "healers" offer to the patients as, for example, the external means "self-development", in which, generally, are present hormones, but in this case, the mode and the dose cannot be controlled.
What you should know a patient with psoriasis and what you should keep in mind?
The main one can consider the principle of: "learn to live with psoriasis." Available today, the methods of therapy do not only allow to achieve remission (purification of the skin), but also, to some extent, control the psoriasis (long remission).
You should follow the recommendations of your doctor and have patience, since in all times, in particular, to the fact that medicines have acted. Without completing the course, the use of several methods at once (in particular, from the series "advised" to mean that the patient does not see the proper result, is disappointed, and considers that these methods do not help.