Treatment of psoriasis psychological factors can affect the condition

  Psoriasis is a major persistent disease of human skin, and the prevalence rate in China is between 0.1-3.0%, with a relatively large patient base. However, there are a lot of misunderstandings about the treatment of psoriasis, so the current psoriasis has fallen into the dilemma of “difficult to cure”. Although psoriasis cannot be cured, but according to the doctor’s instructions, it can still play a good control of the condition.  1, the severity of psoriasis varies, will be hereditary, but not necessarily disease.  Many patients do not have a clear understanding of psoriasis, Dr. Liang Yanhua pointed out that psoriasis is divided into many types: lighter is called droplet type, light to moderate plaque type, difficult to treat with pustules, red bottom type, affecting the joints with arthritic psoriasis and so on, from mild to severe on the patient’s impact is not the same, the patient’s degree of attention is also different, droplet type of disease is the body appears pinhead sesame seed size The patient will not be very concerned about the spotted psoriasis, sometimes it is not even diagnosed in the primary hospital and is misdiagnosed as other allergic diseases, and the hormonal treatment of allergic diseases will aggravate the psoriasis so that the spotted type is transformed into the plaque type.  Is psoriasis hereditary? So far, more than 30 genes have been found to be related to psoriasis internationally, and 35 genes with chromosomal loci have been confirmed to be related to psoriasis, so psoriasis can be said to be a disease that can be inherited, but heredity and pathogenesis are two different concepts, and if the triggering factors in your body are well suppressed, psoriasis will not be induced.  2, can psoriasis be cured? Not yet, but it can be controlled.  For the treatment of diseases, many people are concerned about such a question “Can it be cured?” For psoriasis, this question is also asked. Psoriasis itself cannot be cured because it is a disease that is closely related to psychological factors. Like diabetes and hypertension, there is no cure for psoriasis, but it can be controlled through standardized treatment.  The treatment of psoriasis is a longer-term process, so it is best for patients to record their own treatment: the specific condition, the severity, and the previous treatment are all necessary. reference.  3, the treatment of psoriasis can not be used indiscriminately hormones, buy their own drugs is not desirable.  There are many patients who reflect that they have adopted hormone therapy, and as a result, their condition has worsened in the course of treatment, so is it reliable to use hormones to treat psoriasis? In principle, it is not recommended to use hormones to treat psoriasis. However, under certain special circumstances, such as special types of psoriasis, pustular psoriasis is suitable for hormone treatment, small pustules all over the body, unlike the psoriasis we usually see, small range of rash-like pustules, can also be treated with hormones, while ordinary psoriasis is not suitable for treatment with hormones.  Special attention should be paid to the fact that arthritic psoriasis and erythrodermic psoriasis will aggravate the development of psoriasis if they are treated with hormones! Dr. Liang Yanhua also pointed out that in clinical practice, he often encountered many psoriasis patients who used hormones indiscriminately and were affected by obesity, elephant heart obesity, joint necrosis, hirsutism and the side effects of hormones, which was really distressing. For chronic diseases such as psoriasis are not recommended to buy their own drugs, but to use them under the supervision of medical personnel.  Many people have the notion that the treatment of psoriasis requires the elimination of the dander. If the overproliferated skin on the body surface can be controlled to a smooth and normal skin state, that is the ideal state. In addition to treatment, attention to regulation in life can also be achieved to drive out the flakes: stay away from smoking and alcohol, do not stay up late, avoid humid environment and tension and anxiety.  4, ultraviolet light treatment of psoriasis has four advantages and disadvantages: too much energy or cause photosensitive skin disease.  In addition to the use of drugs, ultraviolet light treatment of psoriasis is also a more effective way, Dr. Liang Yanhua introduced that ultraviolet light is one of the traditional methods of treatment of psoriasis, the latest research found that ultraviolet light can stimulate the transformation of T cells inside the skin, so that PH1 cells are transformed into PH2 cells, psoriasis is dominated by PH cells, PH cells are less transformed into PH2 cells, balanced psoriasis is also some. Ultraviolet light can affect the function of T-cells and the immunological function of T-cells, so it is possible to treat psoriasis with ultraviolet light, and there is a theoretical basis for it.  However, there are four points of UV treatment for psoriasis: it can be locally regulated and affect the development of psoriasis; it is easy to use and does not need to be applied all over the body like ointment; it is cheap and more practical; it is easy to carry and can be treated at home by itself. However, it is worth reminding that UV light can produce side effects and increase the risk of photosensitive skin disease if the energy is too high, so it is generally recommended that patients go to the hospital for UV light treatment of psoriasis. Patients who go to the hospital for psoriasis ultraviolet treatment are generally speaking treated according to their response to ultraviolet light, and are generally treated for one to two weeks to observe a guess, and then decide whether to continue according to his specific situation.  UV treatment for psoriasis does not have a fixed course of treatment, while biologic treatment needs to follow the process, biologic therapy is more widely used abroad and has a very good effect on psoriasis.  5, psoriasis treatment psychological factors are crucial, diet should not be deliberately taboo, can do “diet diary”.  In addition to drugs, the psychological treatment of psoriasis plays a vital role in the whole treatment process, the triggering factors of psoriasis are psychological factors, tension and anxiety, etc. Both internationally and domestically, there are many experts who do psychological treatment of psoriasis, and psychological treatment can reduce and even some mild psoriasis patients can not use drugs through psychological treatment, and in some cases, psychological treatment alone can control the disease. In some cases, psychotherapy alone can control the disease.  Many patients are concerned about whether diet will help in the treatment of the disease, which is not clearly defined. Many habits can affect the development of psoriasis, smoking and radiation are among the factors, but if too much emphasis is placed on certain foods such as protein-rich beef and lamb and seafood and eggs, it will often lead to nutritional deficiencies for patients, as psoriasis patients need to supplement their nutrition because they lose skin flakes all over their body, and if the protein is too low, it will cause edema all over the patient’s body. Therefore, in terms of whether or not to abstain from eating, Dr. Liang Yanhua cautions patients not to abstain from eating casually, but only to make dietary adjustments according to their actual situation, or to make a “dietary diary”.