August (August) every year is a month of awareness of Psoriasis, a chronic self skin that affects millions of people around the world. His impact is not only limited for the skin only, but extends the quality of life and mental health, which makes the sensitivity to reduce railway support.
Awareness has on purpose for this month to support people with psoriasis, zaise the society level, and provide a fulfillment of the chronician’s captivity.
Inflammatory
* What is the psoriasis? The Psoriasis is a disease chronic inflammatory disease that belonged to where the immune system work and the share, forming anxical and scaltical disease by red and inflamen and inflamen.
Plaque Psoriasis is the most common species, since the sample shows in the red plasters and white plasters. May affect different areas of the body, as scalp, codes, the knees, and low.
* Types of psoriasis: beyond the rich psoriasis, there are other less common types including:
Gutile Psorites: Looks like small sports spots, often after battered throat infections.
Psoriasis pusulars: is characterized by the appearance of the blisters full of pus on inflamed skin.
Psoriasis reversion: appears in the skin carge as under the harmputs and between the cosse, and are fewer and more red.
Psoriasis etherdermina: a rare and dangerous form covering large skin areas with a severe infmammation and may threaten life.
It is worth noting that I embedd that pureasis is not an inf intentionful disease,, it is not to be handed by one person to touch or incentives as the end, or some medications. Help us understand the nature of the disease and their types in initial diagnosis and choose the appropriate treatment plan.
Facts and statistics
* On the global level: According to the funding of the boxing the amount of 125 milestones of people around the world, equivalent to 23 percent of the ghobally. In some North countries as the Norway, sparks rates reaches between 8-11 percent of the population (PMC).
* At the regional level. Especially the Middle Eastern Region, -Scale Studies are not achieved, but differences appear between countries and research stones between 0.5 to rise in certain studies (BMJ).
* At local level (Saudi Arabia): According to the Richotation National Psoriasis (psoriasis) the psoriasis in Saudi Arabia is about 533 percent.
There are other estimates of the LippepPott newspaper, that are more moderate volts, wearing that the spread of psoriasis springs 2-3 percent.
Symptoms, cause and risk factors
* • symptoms:
– Spell, red or red spots covered with scales.
Itingch or hearts in the affected areas.
Dry and cracking of the skin in some cases.
Nail changes as zigzags or cracking.
* Cause and the role of the immune system: the direct cause of psoriasis is unknown. The Psoriasis is classified as a disease of autoimmune, where the immune system work is disturbed and deal with the healthy skin cells as if they were strange bodies.
In normal cells, t-cell protect the body from infection by attaching viruses or batteries. But in psoriasis, this blinds become excessive, and chemicals are released called named cytokines, the most important thing to which interleadin-17 (il-23). These substances of skin cells to a much faster fee more than normal, as the cycle of life that accelerates it by 28 days at only 3-7 days.
This acceleration brings to the immature cell accumulations on the skin skin, which causing the appearance of thick plasters accompanied by inflammation, red and pretering. This process is not limited to the skin but may have systems, which explains the association of psoriasis with complications as the psoriasis disease and heart.
* Risk factors and incentives: Although the essentation of psoriasis is unknown, there are factors that increase the possibility of or their severity:
Genetic factors (the presence of a family story).
Severe psychological pressure.
Skin infections or injury.
– cold and dry time.
Some medications (such as blockers beta ori medical) medications).
* Complications: In addition to the physical pain, psoriasis makers can exceed their effect on the skin, and includes physical and psychological problems that may significantly the quality of life. Between the most prominent of these complications:
Psorites, an inflammatory condition that affects the joints in some psoriasis patients. Causing pain, stiffness, and fallen in love with comments. If it is not treated, can lead to permanent damage to the joints.
Nail problems. The color of the nails changes or appearance of small pockets in it. The gross of the nails oa their separation from the base of the nail grows.
Increased risk of chronic disease, as marked illness, due to chronic infections. High blood pressure. Type 2 diabetes. Metabolic syndrome.
Eye problems: Eyes infections as the inflammation of the iris or conjunctivis.
Psychological and social problems: anxiety and depression as a result of the external appearance of the chronic pain, especially they make negative and cronk. The social isolation and lack of yourself, that society aware is playing an essential role in reduction in this stigma and fascinating sympathy.
– Side effects of some psoriasis medications: some long treatments can cause side effects, as the liver or immunished problems, especially in biological or systemic treatments.
Disc of immune system stimulates skin cells to abnormally quick breeding
Treatment and control methods
Do now there is no final cure for medical phase, but the medical development provided a medical meal, prolonge the calm periods, and reduces the severity of cussion. The choice of treatment dependel on the type of pavedness, the severance of the symptoms, and the space increases with measles of treatments.
Topic treatments: It is considered the first choice for the conditions of light and averaged to reduce inflamacations and slow the growth of the skin cells. Between the most prominent:
Topic Corticosteroiids: As the hydrocortision and bitamythonzone creams or ointment, to reduce inflamacations and association.
Vitamin D: Calciumtrol, helps slowing the growth of the skin cells.
Moist’s moist lions and medical oils: to maintain the moisture of skin and reduce the scales. Then salicicly acid: to remove crust and improve the absorption of other treatments.
PhototherraRapy: It is used in medium and severe cases or when the topic treatments failed. It depends on exposed skin to the specific doses of ultraviolet ray (UVB) or grape with soraline (fub). Help slowing skin cells and reduce inflammation. Is under the close medical supervision to avoid burning or increasing the risk of the skin cancer with excessive.
Systems treatments: it is used in severe cases or generalized, or in case of psoriasis associated with the arthritis of psoriasis. Includes:
Traditional medicines:
Methotexate reduces the immune system activity and slow the growth of cells.
Cyclosporinina inhibits the immune system and reduce inflammation.
Acotrein: a type of oral retinoos regulating the growth of the skin cells.
* Biological
The latest treats are given to injection, and were integers from the immune system (tnf-alpha), and include: Alpha), and includes: Alpha), and include: Alpha), includes: ALPHA),
Adalimumab
* Ixkizmab
* Utekinumab
* A healthy and self -support life mode, and head toward:
– The reduction of tension: by meditation, yoga, or exercise, as the psychological tension is one of the most prominent stimulus of seizus.
Care of care: Use the fit humiders regularly, and avoid the hard water or very hot water.
Avoid incentives: As the smoke, excess alcohol, and some medication that can increase symptoms.
Nutriution: Some studies indicate that a antiinal diet can help relieve symptoms.
Following regular doctors: to control treatment as needed and monitor any side effects.
Sensitization of illness
Finally, the purpose of conscious month is to bring a basic and clear message is not infectious disease, and it is worth support and discrimination. This month is not suitable to increase medical knowledge but rather an opportunity to improve human solidarity with millions of people who chisel with this daily daily.
Awareness means:
The correctness of misleading: Many pink is a disease of infectious skin, while the truth is that is a chronic immune condition that does not move from the person.
– breaking the barrier in silence: opens the wound to share their stories and hopes with the life of treatment and which reccatles isolation.
– Ibatulu persour psychological juice: realized that the good word, and the aspect of understanding, may be part of the journey of medical treatment.
By encouraging medical search: By leaning of scientific studies that the purpose of making a deeper understanding of the disease and find more effective treatment methods.
This month is an invitation to all, individual and institutions for the ambassies for comprehenses in order to spread the correct activity and organization, provides psory relatives.
As this month, let’s remember that the medicine that is not achieved with the recipe, but their effect may exceed each treatment is the first understanding, and in support with psoriasis.
* Consultant of community medicine.
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