Psoriasis and ultraviolet UVB.
UVB is more effective than-rays such as UVA. Apply this method of treatment not
only in psoriasis. and other diseases over the past 50 years. UVB is considered
better for the reason that it requires additional intake of psoralens, which
makes it less dangerous, less dose is needed. Often used in the common cabin in
conjunction with UVA. Most security-rays of this type is explained by the fact
that UVB rays affect only the epidermis, and all the pathogenic process are here.
Fully justified the use of UVB and tar. This substance is as close to sunlight.
Allocate just UVB, narrowband UVB, and selective. Just UVB is also known as
phototherapy. It is applied at the same time as other medications, and as the
only method of treatment for psoriasis, drip, palmoplantar or generalized form.
It is best to use this method to people with fair skin and young adults with
limited damage zone, with no long term illness and the ineffectiveness of other
traditional means.
As already mentioned, UVB is divided into three types - is selective with a
wavelength of 305-325 nm, 280-320 broadband and narrowband UVB NB with a length
of 311 nm. It is the most effective and interesting to us to a greater extent.
But the methods described can be used for other varieties. Thus, the wavelength
of the beam UVB NB is only 311-313 nm. This gap and the need for treatment of
psoriasis.
Specifically, this method appeared not so long ago, and while talking about
some kind of experience. of data on long-term results is not necessary. Besides
the lamp, giving a radiation are very expensive, which also affected the
distribution of funds. This method can be combined with other drugs that
require fewer sessions, when compared with other types of radiation, remission is
longer, the radiation dose is also less side effects to a minimum. Compared
with other narrowband ultraviolet rays least carcinogens. So we'll talk about
exactly these rays.
There are several protocols, the use of these rays. As a rule, assigned to 2-3
procedures weekly. If there is a limited area of psoriasis
lesions, such as the scalp, the irradiation is carried out in a special booth
so that the effects of being an adequate zone. If generalized psoriasis. then
irradiated by the body. Time of the procedure varies depending on the
equipment, or rather its form and power, and can vary from several seconds to
several minutes. The procedure begins with the designation of minimal erythema
zone MED. This distinction between the reddening of the skin and burns within
days after completing the procedure. It is necessary to accurately determine
the correct dose, which depends on the patient's age, condition and skin type.
Of course, for the implementation of this procedure is the special equipment
that makes it possible to irradiate the desired area. Also, the dose can be
counted on the table. Consequence we must try to make the normal skin was
exposed to as little as possible. The exposure time is gradually increased by
10 percent and it may reach a three-MED on something which the affected areas.
The greatest value depends on the type of psoriasis, reactions, and so on.
After beginning to be noticeable effect of treatment, the dose is changed
gradually downward. During therapy, you can use moisturizers. Similarly, this
will tell the physician.
Salicylic acid reduces the result. Approximately 5-10 sessions to psoriatic
lesions are refined, peeling becomes smaller. More significant improvements,
even a complete cleansing of the skin occurs in 15-30 procedure. The greatest
number of procedures - this is 45. Next month should be a break after a
possible continuation of therapy, unless it is required. After the termination
of sessions needed about once a week to do a preventive procedure, and use the
ointment. A month after the last treatment and dark spots disappear, the
remaining field of psoriatic plaques. Remission lasts from 4 to 10 months.
There were times when disappeared and spots, do not fall directly under
influence of light. The main side effect is possible burns. By and large they
are not dangerous, although they cause discomfort in the form of burning, but
should try to avoid a more serious second-degree burns. During the treatment
should be lubricated skin softening and moisturizing creams. Before the beginning
of exposure to wash off cosmetics, creams or ointments. Some diseases, which
may suffer ill addition to psoriasis, may be contraindications to irradiation
with ultraviolet light. Therefore, before the procedures needed to consult with
specialists. You also need to use sun glasses, as if UV reaches the eyes,
conjunctivitis can begin or keratitis. Although UV rays are considered
carcinogenic, the risk of cancer is not increased. This risk is increased in
excess of permitted procedures. So if you're still exceeded the norm, consult
oncologist.
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