How treatment and prevention of exacerbations of ichthyosis is carried out? Answer to this question you will find in the article.
Content
How treatment and prevention of exacerbations of ichthyosis is carried out
During ichthyosis, retinol is shown in 0.01 g (33 000 me) 3 times a day or
Oil solution of 10-20 drops 3 times a day during the meal (daily
Dose 100 000-200 000 ME) for 1.5-2 months. With insufficient
The effect of the drug is injected intramuscularly by 0.5-1 ml / day. (15-20
Injection). After 1.5 months. Course repeat. Retinol in large doses (up
400 000 IU / SUT.) Assign short-term courses, given
The possibility of side effect. Nursing mothers should receive retinol
100 000-150 000 me for 2 months., after 3 weeks. Course repeat.
A favorable effect is tigan of 0.5-1 mg / kg body weight in
day (4-5 weeks.), Etretinat 25 mg 2 times a day, after improving -
10 mg 1-2 times a day (not to apply simultaneously with retinol!).
Aromatic retinoids can also be used in combination with
PuU-therapy. Shown tocopherol acetate at 0.2 g intramuscularly through
Day, children inside 2-3 ml 10% oily solution 2 times a day,
Aevit 1 capsule 3-4 times a day (2-3 months.) or intramuscularly 1
ML / Sut. (20-25 injections), group vitamins, ascorbic acid,
Nicotin, orothic, multivitamin preparations («Pangeksavit»).
With severe fluids, gamma globulin is prescribed 3 ml
intramuscularly 2 times a week (5-7 injections), splinin. Marked
Favorable results from intake of thyroid 0.01 g 2-3 times
a week (children depending on age), for 25-30 days;
Iron glyceluchosphate 0.5 g 4 times a day, Solution of potassium arsenit
3-5 drops 2-3 times a day after meals (3-5 weeks.). Apply tissue
therapy, aloe extract, apilax and other constructive and stimulating
funds. In case of violation of fat metabolism - lipamide, methionine,
readings of festal. Recommend to treat ichthyosis with pilocarpin (inside or
parenteral) insulin.
In winter, it is carried out with UFOs (ultropiolet irradiation) 2 times a week, 30 times, after 1 month.
Treatment repeat. Recommend ultrafiolet irradiation by zone scheme: daily
They irradiate one of the 12 zones of the torso intensive doses (3-4 biodozes),
Total 24 sessions, 2 rounds-12 + 12 (in. G. Colladenko, 1979). In summer good
action has solar irradiation. Apply hot sucho-aggravated
Baths (55-60 °C), oxygen therapy - subcutaneous blowing of oxygen by
250-300 cm3 on the session, 2 times a week (10-15 procedures). NS.
N. Nobye, L. BUT. Grabovskaya (1979) recommend oxygen therapy in the form
salt baths (200 g of cook salt) saturated with oxygen,
which comes from the balloon into the water on the rubber tube through the shield with
Small holes for the entire time of reception of the bath (10-15 min.;
15-20 baths). Faradization, massage. To improve processes
Element, functions of the sebaceous and sweat glands (in patients with ichthyosis reduced
Their secretion) recommend daily water treatments: shared baths
(30-39°C) with sea salt, sodium chloride (1-3%, or 100 g on the bath),
Rapny, with the infusion of chamomile flowers, sodium bicarbonate, starch.
The favorable action is provided by a bath, sauna (not often
apply soap). Salt baths are inappropriate to take when combined
ichthyosis with neurodermitomit, eczema, which is observed relatively often
(WITH. WITH. Kryazheva, 1978). After the water procedure, the skin lubricates
Salcossurile ointment, ointments and creams containing retinol, tocopherol
acetate, 1-2% salicylic acid, 5-10% sodium chloride, 10-15%
urea, 5% milk acid, as well as 1% white mercury ointment. IN
As the basis, it is advisable to use funds that do not obstruct
gas exchange through the skin: pork fat, spermacetter, Lanolin with
peach oil, water (ointment on vaseline, as well as high
The content of vegetable oil patients with ichthyosis is sometimes bad
carry). Effective external means containing aromatic
Retinoida. Recommend heat to cover patients (for 2 hours) and at the same time
give them to drink hot drinks - tea with raspberries and others. With severe forms
Diseases in ointments add corticosteroid preparations (official
ointment in the ratio of 1: 4, 1: 5), they can be combined with retinic
acid. Effective 5-10% ichthiol ointment with hormonal cream and
Oil solution Ayevita. It should be taken into account increased during ichthyosis
A tendency to complications with piococcal and pathogenic mushrooms
(Trikhofiton, Candida and DR.) and assign the appropriate timely
treatment. At the same time, the external means are not recommended to include sulfur, so
How patients with ichthyosis are poorly transferred.
Sanatorium-resort treatment (better in summer) with
Use Heliotherapy, Helicamotherapy, Healing Baths
(carbon dioxide, hydrogen sulfide), clay and peat mud applications
(South Coast of Crimea, Sochi-Matsesta, Pyatigorsk, Belokurikha, Lake Yarova).
