Treatment and prevention of exacerbations of ichthyosis

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  • How treatment and prevention of exacerbations of ichthyosis is carried out



  • 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»).

    Treatment and prevention of exacerbations of ichthyosis
    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).

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