The ecoral (vulgar) psoriasis is a chronic skin disease that is characterized by the occurrence of characteristic changes on the skin, a strong decrease in quality of life due to the occurrence of itching and burning the skin.
In most cases, the first signs of psoriasis are generally not manifested in childhood or in youth after thirty years.About two percent of the population suffer from this disease, although after some other data the number exceeds over 6%, but many cases of mild course of illness are simply not recorded.
Causes
The ordinary common psoriasis is a versatile disease, i.e. under the influence of a certain cause, but due to the influence of a large number of factors.So it was taken into account for a long time until the scientists found that genetic anomaly is actually based on the development of the disease.
Violations in the short shoulder of the fifth chromosome are the cause of a change in immune tolerance and under the influence of a series of factors, this change can occur in the form of psoriasis.In other words, a genetic anomaly creates a predisposition to the disease, but does not yet guarantee its occurrence.
Factors that can contribute to psoriasis should be called:
- Stress;
- Alcohol and smoking;
- Infectious diseases and focus of chronic infections;
- Endocrine disorders, especially diabetes;
- Violations of immune tolerance under the influence of various external factors, including bad ecology.
Symptoms and first signs
Professional psoriasis is the most common form of the disease.It is believed that 90% of all cases of psoriasis fall on vulgar psoriasis.
Psoriasis of the scalp can take place, but manifestations are often observed exactly on the skin.The first changes appear on the skin of the extensor surface of the elbow and knee joints.Then you can spread from the primary focus on the surface of the forearm and shoulder, chest and back shoulder.
The characteristics of rashes are as follows:
- Black spot;
- There is a white badge on the surface (looks like a wax gak);
- Crusts are removed, but not easy;
- After removing the crusts on the surface of the rash, a bloody discharge occurs because the removal of crusts violates blood vessels.
Rashes for psoriasis are always accompanied by severe itching, sometimes so pronounced that the night sleep is disturbed, which leads to pronounced negative emotions and impairment of the regime and calm.The work skills are significantly reduced, in connection with which psoriasis can lead to disabilities without treatment.
Ordinary psoriasis in children
In some cases, ordinary psoriasis in children can manifest themselves in this age, in this case characteristic clinical manifestations, and standard treatment is difficult due to the negative effect of medicinal products on other organs and systems.
However, ordinary or other psoriasis in early childhood does not develop practically, in most cases the disease develops in adolescence and can imitate dermatitis much more often in earlier years.However, if changes occur on the skin, it is still necessary to consult a doctor as soon as possible in order to examine and form an exact diagnosis.
Diagnostic measures
In most cases, the diagnosis of ordinary psoriasis does not cause much difficulties.Characteristic clinical signs make it possible to suspect the presence of the disease, a positive symptom confirms the assumptions, but to make a final diagnosis, it is used to carry out a biopsy of the skin area covered with rashes, in which histological changes in the dermis are determined by the disease.
How can you confuse?
Despite the presence of a characteristic clinical image, it is not always possible to only make a diagnosis during the examination.In some cases it is necessary to distinguish the disease:
- Seborrhoer -Czem;
- Red flat braids;
- Neurodermatitis;
- Atopic dermatitis.
The most effective method for carrying out a differential diagnosis is a biopsy of the skin area.The detection of changes that are characteristic of psoriasis in the skin enables the diagnosis to be checked.
Psoriasis treatment
If there was a single scheme of the effective treatment of psoriasis, all patients could probably easily get rid of the manifestations of the disease and significantly improve the quality of life, but there are a number of problems in the therapy of this disease, including:
- Rejection of patients with treatment with light and moderate course;
- The difficulty of dealing with the situation in a severe course of illness;
- High costs of effective treatment methods;
- The need for an individual selection of the therapy to achieve the desired result.
Psoriasis therapy should not only treat treatment with systemic and local drugs, but also the use of physiotherapy techniques (good performance shows strength therapy) as well as compliance with diet and a change in lifestyle (rejection of poor habits, limitation of psychological stress).
Among the systems and local medication are used most frequently:
- Cytostatics;
- Monoclonal antibodies;
- T-cell of immunity;
- Glucocorticoids;
- Anti -inflammatory ointments based on salicylic acid.
The selection of specific drugs, determining your compatibility and the possibility of use (depending on the presence of a simultaneous pathology) is determined exclusively by the doctor after a comprehensive examination.Under no circumstances can correspondence recommendations be given in order to increase the effectiveness of the treatment.
How to treat psoriasis at home
The development of psoriasis is based on immune factors, a violation of tolerance due to a genetic anomaly leads to the development of these changes in the skin, which are the cause of the occurring symptoms.
It is not surprising that traditional medicine contains the use of various recipes based on herbs, leaves and roots of plants with immunododulating properties.It is believed that the immunomodulating effect can reduce the severity of manifestations.
But many herbs that are recommended to use (calendula, chamomile, etc.) have more immuns.The activation of immunity in psoriasis can cause an aggravation of the disease and only an increase in the severity of the symptoms.
For this reason, you should never use self -medicine with herbs and other folk remedies for psoriasis.
If the appearance of new rashes, an increased severity of the symptoms, the deterioration of burning and itching is determined during the treatment, such therapy should be stopped immediately, as this can be a direct danger to your health.
Do you take the army with psoriasis?
Psoriasis is the disease in which a temporary delay in military service is specified or a corrugated script is recognized as worthless for military service.In the case of severe forms of the disease, if large skin areas are affected, the general disease suffers significantly - they do not take into the army.
If we talk about limited and easy -to -treat forms, a medical commission can be administered a temporary delay in the army after treatment.
It is believed that psoriasis is a contraindication to the services for the services.In some cases, however, a medical commission can be made by another decision.Therefore, the final answer to this question gives a medical commission according to the assessment of the general state, the severity of the disease and other factors.The actions of doctors are regulated by the relevant instructions, according to which the conscription must be assigned to one of the categories (from A to D) according to the temporary or constant exemption from the service.
Prevention of the development of psoriasis
Is it possible to carry out effective prevention of psoriasis?The rhetorical question that is not clear.The fact is that all factors that contribute to the development of the disease can lead to psoriasis, as they are taken into account today, only in the presence of a genetic anomaly that cannot be influenced.
Of course, no prevention is carried out in most cases, since neither the patient himself nor someone knows anything about the presence of disposition.Exceptions are only cases in which parents suffer from psoriasis, and this fact can be assessed as a high risk of developing the disease in the patient itself.
Measures to prevent the development of the disease should include:
- The maximum restriction of all stressful influences and psychological stress is not always able to do this, but it is recommended to limit psychoemotional stress.
- Timely and complete treatment of infection varieties and sanitary facilities of heroffache chronic infections (recommended not only with the aim of preventing psoriasis, but also from others, including autoimmune diseases);
- Rejection of bad habits, compliance with the regime of work and calm, appropriate nutrition;
- Proper treatment of simultaneous diseases, mainly - endocrine pathology;
- Protection against ultraviolet rays (restriction of the stay under direct sunlight, use of sun protection creams).
Measures to prevent ordinary psoriasis are not strictly specific, and the main difficulty of its practical use is that due to the ignorance of the potential risk, it is practically impossible to make secondary prevention to prevent the disease important, but it does not help to eliminate existing changes.
Forecast for life and recovery
With psoriasis, the forecast for life is cheap, but for recovery - unfavorable.This disease does not lead to the development of complications that threaten life and is not the cause of death of patients, but significantly reduces the quality of life.
The use of approaches and treatment methods does not make it possible to get rid of the disease completely, so that the prognosis for recovery is unfavorable.The therapy should aim to reduce the severity of the symptoms and extend the remission period.With proper treatment, it is possible to achieve an almost complete disappearance of rashes and significantly reduce the frequency of exacerbations.