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The whole body of the disease
"Psoriasis, better known as psoriasis, is not really a rare disease: it is estimated that about 2% of the world's population is sick – the entire population (125 million people) and in Lithuania, this figure is twice as high – the prevalence is close to 4% Psoriasis-like rashes can occur for the first time in life: they can be diagnosed in infants or children, as well as at home. the elderly, "says LA Kuliešytė, resident physician at the Odessa Academy of Sciences.
However, she adds, there are two of the most common foci of the disease: between 20 and 30 years old and between 50 and 60 years old. In addition, the course of the disease is usually wavy – characteristic exacerbations of varying strength, which are reversed by remission. Women and men have a similar relationship.
"Psoriasis is a chronic multifactorial autoimmune disease that occurs due to an alteration of the immune response when the immune system is activated erroneously for a variety of reasons.The occurrence of an inflamed cascade affects the healthy cells of the body. body (more precisely the keratinocytes located on the surface of the skin) and encourages them to multiply ", explains L. Kuliešyt.
According to her, although the main symptoms of the disease appear in the skin, psoriasis is now considered a systemic disease of the body: "This means that chronic inflammation involves not only skin or nails, but also the whole body Over time, joint changes may occur, increase the risk of developing cardiovascular disease, eye inflammation, diabetes mellitus or other health problems. "
When the patient asks "why me?"
L. Kuliusytė explains that the onset of psoriasis is badociated with genetic factors and an abnormal immune response. "According to research data, even between 35 and 90% The cases of people with psoriasis are more numerous and the risk of developing a child with a sick relative is about 14% .However, even if there is a predisposition to psoriasis, the disease does not always occur, "says the doctor.
According to her, certain environmental factors and our own thoughts, emotions, attitudes towards ourselves and our relationship with our body play a very important role: "If a person constantly feels nervous tension, stress, negative emotions, work physical or painful at night, it can cause the first signs of the disease or exacerbate a long-standing illness.
There is often a vicious circle: the patient is worried about the disease that makes them worse, which leads to even more stressful and worrying experiences. "
Therefore, insisting on L. Kuliešytė, it is very important not to be alone and not to let your thoughts and emotions escape – talk to your doctor. He will often be able to recommend additional treatments, to express your fears and feelings to your loved ones and friends.
In addition, adds the doctor, it is better to be able to feel better than other organizations bringing together people with psoriasis, psychotherapy, meditation or other ways to relax the heart. "It is not easy to contract this disease, but slowly and slowly," said L. Kuliešytė.
Certainly the Academy lecturer of the skin does not hide, the other factors can cause the occurrence or exacerbation of psoriasis: acute or chronic infections, such as inflammation of the throat, harmful habits (excessive consumption of alcohol and tobacco), obesity and excess weight, skin integrity lesions, inadequate skin care and / or even medication. The development of psoriasis also influences seasonality: we observe that the symptoms of the disease worsen during the cold season.
Scary both physically and psychologically
"When it comes to the effects of psoriasis on the different organ systems, it is important to keep in mind its consequences for people's mental health.Linear diagnosis can significantly affect the quality of life and daily activities," says L. Kuliešytė.
According to research, in most patients, at some stage of life, she has experienced stigma badociated with psoriasis: in public, patients are confronted with sight, another unpleasant attention to rashes, disadvantages can even cause the visit of the hairdresser.
"For these reasons, patients start to feel ashamed of their bodies, do not trust each other, the disease can interfere with the enjoyment of still normal activities, restrict their leisure, their movements. patients with psoriasis, depression and anxiety disorders are much higher than in the general population ", – the doctor does not hide.
According to her, a particularly painful experience is that of exposing a rash not only in public places, such as a pool, a sports club or a beach, but also in a nearby environment, allowing a member from the family or to a badual partner to avoid any physical contact.
"It is very important to know that psoriasis is not a contagious disease.In the society of a patient, pressing his hand, hugging him, using everyday objects, even during you can not contract this disease, and if you are sick of the scalp, do not be afraid – neither friends, children nor other relatives will be transmitted during the contact during this contact ", says L. Kuliusytė.
Many patients with the disease
"It's not true that psoriasis is the same for everyone – this disease has many faces 80-90% The united form is defined by people: pink, slightly elevated above the skin, clear edges of the plates appear on the skin and they are covered with large white and silver scarves.
Other pseudo-expressions are also slightly less common. In the form of drip, small rashes resembling droplets appear. Pustular and erythrodermic forms are less common. The rashes can spread throughout the body, but sometimes only certain areas are affected, for example the palms and the plant of the skin (wrinkled) of the shoulders of the body, "explains L. Kuliešytė.
It is important to know, he points out that psoriasis is characterized by the Kiobner phenomenon. This means that the rashes are formed by physical or mechanical stimuli in the damaged areas of the body: surgical incisions, bruising or severe sunburn.
"To develop rashes, even mild skin irritation, such as frequent rubbing, is sometimes enough, for example, because of the elbows on the table.It is always important to remember this property of psoriasis before making tattoos. , to pierce the earrings, to wear tight-fitting clothes, "recalls L. Kuliešytė.
In the case of psoriasis, the drug is pronounced and about 10 to 55% of the arms or legs are affected. Patients: "The most common symptom is a small hole in the nail plate, also called thumb symptom.The nail plate can thicken, blacken, disintegrate, sometimes there are yellowish stains called oil stains. "
Onycholysis is another characteristic symptom of the doctor: the distal edge of the nail plate separates from the bearing.
"To prevent the progression of nail damage, daily care is essential: after each hand washing, the nails must be drained and emollient, using chemical agents – wearing gloves." It is recommended to cut the nails briefly and not to refute the cuticle, thus reducing the risk of injury of the nail ", – explains L. Kuliešytė.
Treatment requires patience
"It is important to know that the treatment of psoriasis is long-term, often complex and that it is often necessary to try several treatments or their combinations until the desired result is achieved." ", do not hide L. Kuliusyt L ..
Of course, she says, an essential part of psoriasis treatment is taking care of your skin. "At least once a day, it is recommended to apply all the skin of the body to the emollients.These are hypoallergenic drugs that contain no dye, flavoring or other irritating substance.Most of them are Based on various oils that restore the damaged skin barrier and retain moisture, moisturizing and softening the skin, while improving the penetration of topical medications in the deeper layers of the skin, "says the doctor.
Each patient needs another body care product, add L. Kuliusytė, keratolics. These are preparations containing substances that dissolve dead skin cells (such as urea, salicylic acid).
"It is especially recommended for rashes because it reduces the flaking of psoriatic plaques, cleanses the scalp and removes itching.Specially designed shampoos for psoriasis can be used if you have rashes in the area of the head It is important that the control of the disease does not always require medication – a non-medical device is sometimes enough too, "says the drug.
Influence of nutrition
"People who are frequently sick have many questions about nutrition: what should be left out and what should be included in your diet? And although many studies are constantly being conducted, it is not yet proven that specific products have a direct impact ", does not hide L. Kuliešytė.
However, she added, it was found that a healthy and balanced diet had a positive effect on the evolution of psoriasis. So you can test the Mediterranean diet by adding more fresh vegetables, fruits and products containing omega-3 fatty acids to your diet.
"It is not recommended to use high glycemic index foods to limit or totally abstain from alcohol.It is important to maintain an optimal body mbad index, as being overweight and overweight. Obesity can complicate the evolution of psoriasis, "says L. Kuliešytė.
Academy of Dermatology – a free educational project on skin diseases and their prevention for society organized by dermatologists-oenologists of VUL Santaros clinics and residents of this specialty. Skin Academy prepares specialized courses on acne, rosacea, atopic dermatitis and psoriasis, and regularly introduces new topics. For meeting attendees, it's a great way to meet candidates, share your experiences with friends of your fate or just chat with your doctors. The conferences at the Academy of Medicine do not only treat diseases, but also skin; we talk about caring for pregnant and lactating women and newborn skin. During the hot season, conferences are devoted to skincare in the summer and, when autumn begins, to the subtleties of skin care during the cold season. .
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