A foreign medical expert once said, “In general, the probability of success in treating any disease is inversely proportional to the number of recommended treatment options for that disease.” That is, the more treatment options there are, the worse the outcome. I think that sums it up pretty well. For a disease, if it really works, one or two approaches are enough, so why come up with 80 or 90 approaches. For example, foot fungus, only one antifungal drug is enough, as long as you adhere to a sufficient course of treatment (more than 4 weeks), you can always treat the disease. Then again, for example, with dantoise, just a sufficient dose of penicillin on an IV basis (about 2 weeks) can make the symptoms subside.
Unfortunately, vitiligo belongs to this “many treatment methods, poor treatment effect” situation, the recommended treatment means a lot, but all lack of sufficient basis, moreover no special treatment.
Therefore, the best way to treat a disease is to identify and eliminate the cause of the disease, such as infectious diseases. Secondly, for some diseases, the cause cannot be clarified or there are too many causes to do cause-specific treatment, but only the possible causative mechanism can be dealt with accordingly, and most patients can achieve better results, such as lupus erythematosus or aspergillosis, and the application of appropriate amount of glucocorticoids can control the autoimmune process in most patients, and the disease is significantly controlled. The reason for this is that the causes and pathogenesis of many diseases are not completely clear, and doctors can only treat them symptomatically according to the clinical manifestations of the disease, and the results are often not as good as they should be. This is the case with vitiligo.
The actual fact is that you can find a lot of people who are not able to get a good deal on this. Based on the above summary, the pathogenesis of vitiligo currently has more than 10 kinds of juridical theory: genetic theory, autoimmune theory, psychoneurological theory, autologous cytotoxic theory, rough endoplasmic reticulum inherent defects theory, toxic compounds accumulation theory, melatonin receptor theory, cytokine deficiency theory, keratinocyte abnormal function theory, copper ion relative deficiency theory, infection theory, skin lymphoma theory. The treatment measures based on one of the hypotheses can be effective for some patients, but not for everyone. This is inseparable from the fact that the pathogenesis of vitiligo is unknown and cannot be effectively prevented for the cause.
The above analysis is the objective reason why vitiligo is difficult to cure, there is another objective reason with the tissue structure of the skin. periphery.
In addition to the two objective reasons mentioned above, the subjective factors of the patient are also important in affecting the efficacy of the treatment.
1, not to nip the condition in the bud. It is well known that after the onset of vitiligo with more and more time, the recovery of melanin again will be more and more difficult. A lot of practice has proven that in the initial stage of vitiligo, the affected skin lesions and normal skin is not easy to distinguish, melanocytes are not completely dead, this stage cure rate is the highest. But some patients found not timely, or found, not timely treatment, and ultimately affect the efficacy.
2, treatment method bias. The methods applicable to different physiques and symptoms should be different, so it is important to choose the right method for individual characteristics. Some patients like to pursue the so-called special methods, often contrary to their wishes.
3, the treatment is not progressive, lack of systematization. After choosing the right method to adhere to the systematic treatment, the same can not be ignored. In the course of treatment, according to the re-color situation and the corresponding adjustment of methods and drugs or doses. Treatment is a systematic and gradual process, and is not set in stone. Some patients lack persistence, which affects the efficacy of treatment.
4, eager for success, superstitious prescription. False information to seize the patient’s weaknesses of anxiety, exaggerate the efficacy, haphazard assurance, deceive patients, and then the cause of failure will be attributed to the patient himself, or require patients to additional treatment costs, increase investment, further entice patients money, or even under the guise of the secret recipe, shot for shot, is really a victim of the patient.
5, poor adherence. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.
The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.
The above analysis caused vitiligo difficult to treat the objective factors, each patient can self-contrast analysis, strengths and weaknesses, for the best treatment effect.
The combination of systemic medicine and local treatment, western medicine and Chinese herbal medicine. The cooperation between the doctor and the patient can change from incurable to curable and from treatable to curable. Both doctors and patients need confidence, patience and persistence.