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标题: 大家好，我是新人 [打印本页]

作者: 秋色梧桐 时间: 2008-7-14 09:23
标题: 大家好，我是新人
[BR]大家好，我是新人，但是有病史已经25年了，呵呵，今年31。从一个从来不CARE 自己的孩子到一个天天审视自己的父亲，变了很多很多。寄的自己的每一次忧伤后，总有亲人朋友的鼓励支持，我也下定决心放弃了自己的专业。原来是一名医生，毕业于上海医科大学。所有的朋友都替我惋惜，但是我知道我没有选择，曾经那么郁闷过。我的病情还算稳定，在上大学时候发了一回厉害的，其他时候都是夏天可以穿短裤短袖的，冬天有2-3片。总之，由于自己是学医的，对这个很关注，注意保养和调节。
[BR]希望大家都好起来，我也愿意回答大家的问题，现在人在美国。
[BR] 

作者: 天涯倦客 时间: 2008-7-14 11:06
欢迎楼主用自己的知识帮助大家，总之，你到家了。

作者: shiyu30 时间: 2008-7-14 11:21
楼主怎么保养和调节自己的，怎么好的？？？

作者: 清水不甜 时间: 2008-7-14 16:20
人在美国？给我们讲讲美国人是怎么治牛皮癣的。

作者: 牛人快乐 时间: 2008-7-14 17:55
[BR]美国怎么治疗的啊？？？

作者: 易水寒 时间: 2008-7-14 19:26
[BR]          首先,很欢迎楼主找到家了,顺便问问楼主,美国是怎么治疗,疗养NPX的啊?谢谢.

作者: 夜未央 时间: 2008-7-15 02:46
都说美国医学发达，他们用什么治P，给咱们介绍介绍。

[此贴子已经被作者于2008-7-15 2:46:11编辑过]

作者: 秋色梧桐 时间: 2008-7-15 08:56
标题: 大家好
[BR]大家好，我从MAYO的网站找的，是美国最有名的医疗机构，有兴趣的可以看看。
[BR]Psoriasis treatments can be divided into three main types: topical treatments（外用）, light therapy 光疗and oral medications口服.
[BR]Topical treatmentsUsed alone, creams and ointments that you apply to your skin can effectively treat mild to moderate psoriasis. When skin disease is more severe, creams are likely to be combined with oral medications or phototherapy. Topical psoriasis treatments include:

Topical corticosteroids. These powerful anti-inflammatory drugs are the most frequently prescribed medications for treating mild to moderate psoriasis. They slow cell turnover by suppressing the immune system, which reduces inflammation and relieves associated itching. Topical corticosteroids range in strength, from mild to very strong. Low-potency corticosteroid ointments are usually recommended for sensitive areas such as your face and for treating widespread patches of damaged skin. Your doctor may prescribe stronger corticosteroid ointment for small areas of your skin, for stubborn plaques on your hands or feet, or when other treatments fail. To minimize side effects and to increase effectiveness, topical corticosteroids are generally used on active outbreaks until they're under control.
Vitamin D analogues. These synthetic forms of vitamin D reduce skin inflammation and help prevent skin cells from reproducing. Calcipotriene (Dovonex) is a prescription cream, ointment or solution containing a vitamin D analogue that may be used alone to treat mild to moderate psoriasis or in combination with other topical medications or phototherapy.
Anthralin. This medication is believed to normalize DNA activity in skin cells and to reduce inflammation. Anthralin (Dritho-Scalp or Psoriatec) can remove scale and smooth skin, but it stains virtually anything it touches, including skin, clothing, countertops and bedding. For that reason doctors often recommend short-contact treatment — allowing the cream to stay on your skin for a brief time before washing it off. Anthralin is sometimes used in combination with ultraviolet light.
Topical retinoids. These are commonly used to treat acne and sun-damaged skin, but tazarotene (Tazorac) was developed specifically for the treatment of psoriasis. Like other vitamin A derivatives, it normalizes DNA activity in skin cells. The most common side effect is skin irritation. Although the risk of birth defects is far lower for topical retinoids than for oral retinoids, your doctor needs to know if you're pregnant or intend to become pregnant if you're using tazarotene.
Calcineurin inhibitors. Currently, calcineurin inhibitors (tacrolimus and pimecrolimus) are only approved for the treatment of atopic dermatitis, but studies have shown them to be effective at times in the treatment of psoriasis as well. Calcineurin inhibitors are thought to disrupt the activation of T cells, which in turn reduces inflammation and plaque buildup. Calcineurin inhibitors are not recommended for long-term or continuous use because of a potential increased risk of skin cancer and lymphoma.
Coal tar. A thick, black byproduct of the manufacture of gas and coke, coal tar is probably the oldest treatment for psoriasis. It reduces scaling, itching and inflammation. Exactly how it works isn't known. Coal tar has few known side effects, but it's messy, stains clothing and bedding, and has a strong odor.
Moisturizers. By themselves, moisturizing creams won't heal psoriasis, but they can reduce itching and scaling and can help combat the dryness that results from other therapies. Moisturizers in an ointment base are usually more effective than are lighter creams and lotions.

作者: 秋色梧桐 时间: 2008-7-15 08:57
标题: 下面是光疗
[BR]Light therapy (phototherapy)As the name suggests, this psoriasis treatment uses natural or artificial light. The simplest and easiest form of phototherapy involves exposing your skin to controlled amounts of natural sunlight. Other forms of light therapy include the use of artificial ultraviolet A (UVA) or ultraviolet B (UVB) light either alone or in combination with medications.

Sunlight. Ultraviolet (UV) light is a wavelength of light in a range too short for the human eye to see. When exposed to UV rays in sunlight or artificial light, the activated T cells in the skin die. This slows skin cell turnover and reduces scaling and inflammation. Brief, daily exposures to small amounts of sunlight may improve psoriasis, but intense sun exposure can worsen symptoms can cause skin damage. Before beginning a sunlight regimen, ask your doctor about the safest way to use natural sunlight for psoriasis treatment.
UVB phototherapy. Controlled doses of UVB light from an artificial light source may improve mild to moderate psoriasis symptoms. UVB phototherapy, also called broadband UVB, can be used to treat single patches, widespread psoriasis and psoriasis that resists topical treatments.
Narrowband UVB therapy. A newer type of psoriasis treatment, narrowband UVB therapy may be more effective than broadband UVB treatment. It's usually administered two or three times a week until the skin improves, then maintenance may require only weekly sessions. Narrowband UVB therapy may cause more severe and longer-lasting burns, however.
Photochemotherapy, or psoralen plus ultraviolet A (PUVA). Photochemotherapy involves taking a light-sensitizing medication (psoralen) before exposure to UVA light. UVA light penetrates deeper into the skin than does UVB light, and psoralen makes the skin more sensitive to the effects of UVA exposure. This more aggressive treatment consistently improves skin and is often used for more severe cases of psoriasis. PUVA involves two or three treatments a week for a prescribed number of weeks. Short-term side effects include nausea, headache, burning and itching. Long-term treatment increases your risk of skin cancer, including melanoma, the most serious form of skin cancer.
Excimer laser. This form of light therapy, used for mild to moderate psoriasis, treats only the involved skin. A controlled beam of UVB light is aimed at the psoriasis plaques to control scaling and inflammation. Healthy skin surrounding the patches remains undamaged. Excimer laser therapy requires fewer sessions than does traditional phototherapy because more powerful UVB light is used. Side effects can include redness and blistering.
Combination light therapy. Combining UV light with other treatments such as retinoids frequently improves phototherapy's effectiveness. Combination therapies are often used after other phototherapy options are ineffective. Some doctors give UVB treatment in conjunction with coal tar, called the Goeckerman treatment. The two therapies together are more effective than either alone because coal tar makes skin more receptive to UVB light. Another method, the Ingram regimen, combines UVB therapy with a coal tar bath and an anthralin-salicylic acid paste that's left on your skin for several hours or overnight.

作者: 秋色梧桐 时间: 2008-7-15 08:58
标题: 下面是口服
[BR]Oral medicationsIf you have severe psoriasis or it's resistant to other types of treatment, your doctor may prescribe oral or injected drugs. Because of severe side effects, some of these medications are used for just brief periods of time and may be alternated with other forms of treatment.

Retinoids. Related to vitamin A, this group of drugs may reduce the production of skin cells in people with severe psoriasis who don't respond to other therapies. Signs and symptoms usually return once therapy is discontinued, however. And because retinoids such as acitretin (Soriatane) can cause severe birth defects, women must avoid pregnancy for at least three years after taking the medication.
Methotrexate. Taken orally, methotrexate helps psoriasis by decreasing the production of skin cells, suppressing inflammation and reducing the release of histamine — a substance involved in allergic reactions. It may also slow the progression of arthritis in some people with psoriatic arthritis. Methotrexate is generally well tolerated in low doses, but when used for long periods it can cause a number of serious side effects, including severe liver damage and decreased production of red and white blood cells and platelets. Taking 1 milligram of folic acid on a daily basis may help reduce some of the common side effects associated with methotrexate.
Azathioprine. A potent anti-inflammatory drug, azathioprine may be used to treat severe psoriasis when other treatment options fail. Taken long term, azathioprine increases the risk of developing cancerous or noncancerous growths (neoplasias) and certain blood disorders. Other potential side effects include nausea and vomiting, bruising more easily than normal, and fatigue.
Cyclosporine. Cyclosporine works by suppressing the immune system and is similar to methotrexate in effectiveness. Like other immunosuppressant drugs, cyclosporine increases your risk of infection and other health problems, including cancer. Cyclosporine also makes you more susceptible to kidney problems and high blood pressure — the risk increases with higher dosages and long-term therapy.
Hydroxyurea. This medication isn't as effective as cyclosporine or methotrexate, but unlike the stronger drugs it can be used with phototherapy treatments. Possible side effects include anemia and a decrease in white blood cells and platelets. It should not be taken by women who are pregnant or planning to become pregnant.
Immunomodulator drugs (biologics). Several immunomodulator drugs are approved for the treatment of moderate to severe cases of psoriasis. They include alefacept (Amevive), efalizumab (Raptiva), etanercept (Enbrel) and infliximab (Remicade). These drugs are given by intravenous infusion, intramuscular injection or subcutaneous injection and are usually used for people who have failed to respond to traditional therapy or for people with associated psoriatic arthritis. Biologics work by blocking interactions between certain immune system cells. Although they're derived from natural sources rather than chemical ones, they have strong effects on the immune system and likely pose many of the same risks as other immunosuppressant drugs.

作者: luckystar 时间: 2008-7-15 10:08
[BR]楼主，您好；
[BR] 
[BR]     我刚从医院回来，我的病情不是很严重，身上几乎没有，但是我的头上很严重，寻常型的，刚才在医院，我问医生有没有针对头部比较好的药，她说以前有从美国进口的“泽塔”，但是因为商业原因，现在不让进口了。我想问一下，你在美国用过泽塔嘛？效果如何？
[BR] 
[BR]    她今天给我开了“软皂乙醇溶液”，洗头用。 
[BR] 
[BR]  ”达力士“和”哈西奈德溶液“ 头部外用
[BR] 
[BR]   “萌尔夫”擦腿上的两个地方。
[BR] 
[BR]   请各位P友帮忙看看能用吗？

作者: 秋色梧桐 时间: 2008-7-15 10:55
标题: hi
[BR]泽塔是一种煤焦油洗剂，很久以来证明对疾病有效，因为我没有用过，但是看国外论坛对他评价很好，还有煤焦油的肥皂，也很有用，有些人用了几十年，因为白种人患病几率高，所以他们还比较重视，路上也有患者穿短裤短袖。建议不要用哈西奈的，是激素。因为我是学医的。软皂乙醇溶液是有点清洁杀菌作用，最好不用，建议用温和洗发剂稀薄地迅速清洗头发。达力士和萌尔夫浓度不同，你仔细看说明。

作者: luckystar 时间: 2008-7-15 11:23
[BR]谢谢您的回答，请问您能帮我买到泽塔吗？

作者: 秋色梧桐 时间: 2008-7-15 11:35
标题: 你好
国外药店都有，但是有很多牌子和总类，有单COAL TAR 和POLYTAR（混合），可以买到，但是邮寄不方便，尤其是运动会，不能有液体，真抱歉

作者: 柳橙 时间: 2008-7-15 22:33
外国人治P的药物是不是多半是激素呀....~~~~

作者: shiyu30 时间: 2008-7-16 05:36
上次看到一篇报道说在国外，运用光疗治病的人很多？ 楼主的帖子应该放到治疗交流区。

[此贴子已经被作者于2008-7-16 5:40:59编辑过]

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