Phototherapy Types, Advantages, and Drawbacks
Phototherapy, inozivikanwawo sechiedza chekuedza, ndiyo imwe yemishonga inobatsira zvikuru ye psoriasis . Inosanganisira kuisa ganda kuvhizha reUV. Izvo zvave zvichizivikanwa kwemazana emakore kuti kusvibiswa kwezuva kunogona kugadzirisa zvirwere zvakawanda zveputi zvinopisa, kusanganisira psoriasis, eczema , uye vitiligo. Asi chii chinonzi phototherapy? Chinoshanda sei? Ndezvipi zvinokonzerwa nemigumisiro?
Uye zvingave zvakanaka here kurapa kwako?
Mhemberero: Simba reMagetsi
Zuva redu rinopa simba rema electromagnetic nenzira dzakasiyana-siyana. Zvimwe zveizvi zvinouya nenzira yechiedza. Asi zuva rinopawo mamwe maitiro emagetsi emagetsi. Ultraviolet (UV) simba rinoreva simba remagetsi rine simba shoma uye simba rinopfuura chiedza chinooneka chatinoona:
- Kunyanya, mashizha eUVA ane enhizha yepedyo kupfuura yechiedza chinooneka.
- UVB radiation ndeyepamusoro pemaonero. Rudzi urwu rwemhepo yakasviba ine kunyange shoma shoma. Iine simba zvishomanana kupfuura mazai eUVA.
Njodzi Dzinogona Kuitika yeUV Radiation
Zvose zviviri UVA uye UVB rays inopinda mumhepo. Kukurukurwa zvikuru kwemisara iyi kunogona kukuvadza ganda. Kunyanya, UVB ndiyo inonyanya kukonzera kupisa kwezuva, uye zvose zviviri UVA uye UVB inobatsira pakukwegura kweganda uye nekenza yeganda . Ndosaka zvakakosha kushandisa zviyero zvekuchengetedza ganda, sezuva.
UV Therapy yePororiasis
Mumaporioriasis, kusvikidzirwa kwemazimbe emagetsi eEV kungabatsirawo. Iwadhi yezuva ino ine immunosuppressive uye anti-inflammatory effect pamasero ari paganda rako. Nemhaka yokuti psoriasis inosanganisira kuwedzera kwekudzivirira kweganda, kusvibiswa kwemirazi iyi kunogona kubatsira kuderedza zviratidzo zvako.
Masayendisiti vachiri kudzidza pamusoro peimwe nzira dzose iyo mahara aya angabatsira kubatsira kubata psoriasis.
Kunyora maonero ekubatanidza kunosanganisira kuzarura nzvimbo yakagadzirirwa kune magetsi anonzi ultraviolet. Phototherapy inonyanya kubudirira kune vanhu vane chirwere chinononoka kana chakakomba chinokanganisa chikamu chikuru chemuviri wavo.
Mhando dzePhototherapy
Kutanga mukutanga kwezana remakumi maviri nemakumi maviri, vanachiremba vakatanga kutanga mhando dzakasiyana dzephototherapy kubatsira vanhu vane psoriasis. Nhasi kune marudzi akasiyana-siyana epo phototherapy inowanika kurapa psoriasis. Iyo mitatu yakanyanya kunyanya kushandiswa nhasi ndeyi:
- Broadband ultraviolet B (BB-UVB)
- Narrowband ultraviolet B (NB-UVB)
- Psoralen plus ultraviolet A (PUVA)
Zvechokwadi, maitiro akare uye ekare ekare e-phototherapy ari nyore kusvikirwa kwezuva kwenguva pfupi. Zvisinei, nokuda kwemigumisiro yakabudirira uye yakachengeteka, vanachiremba vanorayira maitiro ehurongwa hwephototherapy.
BB-UVB uye NB-UVB
BB-UVB ndiyo yaiva yekutanga ye phototherapy yekugadzirwa. Inosanganisira kuisa ganda kuvhenekera kwechiedza pakati pe 290 ne 313nm.
Makore gare gare, vatsvakurudzi vakatanga chirongwa cheUVB chirwere chakashandisa zvishoma zvishoma zveavelengths (pakati pe308 ne 313nm). Ndokusaka inonzi "shoma band". NB-UVB iye zvino ndiyo inowanzoshandiswa phototherapy nhasi nokuda kwezvikonzero zvakasiyana siyana:
- Inonyanya kubudirira kupfuura BB-UVB.
- Inogona kushandiswa kune zvakasiyana-siyana zvakasiyana zveganda.
- Izvo zviri nyore kushandisa pane mamwe maitiro echhototherapy.
- Iine zvishoma zvinokonzerwa neB BB-UVB kana PUVA.
Zvose zviviri zvehutachiona hweVB dzinogonawo kushandiswa mushure mekushandisa imwe nheyo yetikiti. Iyi nzira, iyo inogona kuita kuti kurapwa kunyatsoshanda, inozivikanwa seGoeckerman therapy.
PUVA
PUVA chimwe chimiro chakajairika chephototherapy, yechipiri inowanikwa mushure meNB-UVB. Icho chikamu chechipiri chinodhaka. Kutanga iwe unoshandisa chinhu, chinonzi psoralen, nguva pfupi usati watora phototherapy session. Zvichienderana nehuwandu hwePUVA therapy, iwe unogona kushandisa izvi kune ganda rako kana kutora sepiritsi.
Zvadaro unogamuchira vhidhiyo yeUV, nenzira yeUVA mahara. Psoralen inokurudzira ganda rako kuitira kuti iro rizopindura zvakanaka kuhutu hweUVA. Nokuti UVA haisi "yakasimba" seVBB (iyo mihizha haina simba rakawanda), unoda humwe huwandu kubva ku psoralen kuita kuti kurapwa kuchibudirire.
Laser Therapy
Imwe maitiro matsva uye asingashandiswiki ekushandisa phototherapy ndiyo yekurapa kurapa . Inogona kuonekwa sechirongwa cheVB-NB therapy. Iwaser rinoshanda nekutsvaga kurapa kwechiedza pane imwe nzvimbo shoma shoma reganda. Iro lasers inogona kushandisa madhigirii akareba emasikati, ayo anogona kubatsira ganda kuporesa nekukurumidza. Iko ikozvino inogamuchirwa neU.S. Food and Drug Administration ye psoriasis ine unyoro kana yepamusoro.
Mikana inobatsira yePhototherapy
Ikozvino pane nhamba dzakasiyana-siyana dzokurapa zve psoriasis, kusanganisira mishonga yekare yezvinodhaka uye mishonga mitsva yebiologic. Kunyange zvakadaro, phototherapy ine humwe unhu hunoita kuti huve hunokosha hwekurapa. Zvimwe zvei ndezvi:
- Inoshanda zvakanaka zvine musoro.
- Inodhura-inoshanda.
- Iyo inoshaya migumisiro yemagariro ezvinyorwa zvezvigadzirwa zvemaitiro uye zvirongwa zvemuitiro, zvakadai sekudzivisa maitiro ezvirwere zvemuviri.
Uyezve, inoratidzika kunge yakachengeteka kushandiswa panguva yekuzvitakura, kusiyana nemamwe maitiro eporioriasis.
Nguva Yokufunga Phototherapy
Phototherapy haigoni kushandiswa semushonga pachayo. Mishonga yepamusoro (yakadai seyorticosteroid creams) ichiri chekutanga kurapwa kwevanhu vazhinji vane psoriasis. Kana izvi zvipfeko zvisingabatsiri mukudzora psoriasis yako, chiremba wako angaratidza kushandisa phototherapy sechimwe chirwere chinowedzera.
Phototherapy inowanzoshandiswa sehumwe hutano kune izvi zvinyorwa zvepfungwa. Kunyange zvakadaro inogona kushandiswawo mumamiriro anotevera:
- Ne systemicrapies for psoriasis (yakadai se methotrexate kana cyclosporine)
- Nezvirwere zvebiologic zve psoriasis (zvakadai se etanercept kana infliximab)
Ndekupi Uye Sei Inoitwa?
Phototherapy inowanzoitwa muhofisi yechepatologist mubhokisi rekusimudza bhokisi. Zvisinei, nekugadzirwa kwezvinhu zvitsva zvemasasa, zvakava nyore kuti vanhu vakawanda vazvipe phototherapy kumba. Zvigadzirwa zvemapuranga zvinewo zvimwe zvinobatsira, nokuti dzinoderedza huwandu hweganda risina kugadzikana rinoratidzirwa kune mazaisai. Matambi akazara-muviri uye mabhokisi ekudzivirira kubata maoko nemakumbo zvinowanikwawo kumishonga epamba.
Kazhinji, vanhu vanogamuchira zvikamu zvitatu kusvika kune zvishanu pavhiki kwevhiki dzinoverengeka munguva yekurapa. Mushure maizvozvi, iwe unogona kunge uchida zviitiko zvekugadzirisa dzimwe nguva kana kuti nguva yakawanda yekurapa. Inowanzoitora zvishoma zvidzidzo zvishomanana ganda rako risati rasvika.
Zvichida Zvimwe Zvikamu zvePhototherapy
Vanhu vakawanda vanoita zvakanaka nekutapotherapy. Kunyange zvakadaro, ine zvimwe zvingava nemigumisiro. Zvikamu zvinowanzovhiringidza zvinokanganisa nzvimbo yakasununguka kune phototherapy uye inosanganisira:
- Burning
- Itching
- Rufu
Pashoma pfupi, vanhu vane PUVA phototherapy vanogona kuve nekurwadziwa.
Ngozi yeKepa yeganda
Phototherapy inoratidzika kunge inowedzera dambudziko rekuwana kenza yeganda, kunyanya chirwere chinonzi squamous cell cancer . Iyi njodzi yakakwirira kune vanhu vanowana PUVA kurapa kwenguva yakareba, asi zvinoita kuti mushonga weVB unogonawo kuwedzera dambudziko reumwe. Kunyatsoratidza kuti phototherapy yakawanda inowedzera sei njodzi yako isingazivikanwi zvachose.
Iwe haufaniri kushandisa sunshru pazuva phototherapy, sezvo izvi zvinodzivirira mazai e UV uye inoita kuti kurapwa kusabatsire. Zvisinei, kuti uve parutivi rwakachengeteka, vanachiremba vanokurudzira kuti iwe unogara uine maziso ekugadzirwa kweganda nemuongorori akarembedzwa kuti uongorore chero zvirwere zvinogona kuitika kare. Kana uchinetseka, usanonoka kurukura nyaya yacho nemupiki wehutano.
Kufunga
Phototherapy ingasave yakakosha iwe kana iwe:
- Iva nhoroondo yefosensitivity disorder
- Tora mapepa ekubvisa photosensitizing
- Iva nhoroondo ye melanoma
- Iva nehumwe hutano husingaoneki hwehutano, se lupus
- Inofunusuppppressed (kufanana nhengo yomuviri)
Vanhu vane ganda rakanaka chaizvo vanogonawo kuva vakangwarira ne phototherapy, sezvo vangave vanowanzova nehasha.
Kuderedza Kuwanikwa kwePhototherapy
Vakawanda vanonzi dermatologists vanoda kupa phototherapy sechinhu chisarudzo kuvarwere vavo, vachiona kuti inobudirira kurapa nzira. Zvisinei, vashomanana vanhu vave vachigamuchira phototherapy kuchipatara mumakore achangopfuura. Izvi zvichida nekuda kwezvinhu zvakasiyana-siyana, zvakadai se:
- Kunyanya kusimbisa phototherapy panguva yekurovedza kurapwa
- Kudhura kwekubhadhara kwekodzero nemamwe makambani eshuwarisi
- Kuwedzera kwemari yephototherapy treatments
- Kuwanda kwekuwanika kwezvimwe nzira dzokurapa
Shoko Rinobva
Phototherapy ndiyo mushonga wekare, asi iyo inenge ichiri nekodzero yekurapa yevanhu vazhinji vane psoriasis. Kana iwe psoriasis yako isingakwanisi kudzora nemishonga yemasikirisi chete, ungada kuedza phototherapy. Kungofanana nekurapa chero kupi zvako, kunouya nemigumisiro yemigumisiro. Zvisinei, kune vanhu vazhinji inogona kupa sarudzo inoshanda inouya pasina zvipingamupinyi zvemimwe mishonga ye psoriasis.
> Menter A, Korman NJ, Elmets CA, et al. Mirayiridzo yekuchengetedza kutungamirirwa kweporioriasis uye psoriatic arthritis: Chikamu 5. Mirayiridzo yekutarisira kurapwa kwe psoriasis ne phototherapy uye photochemotherapy. J Am Acad Dermatol . 2010; 62 (1): 114-35.
> Nakamura M, Farahnik B, Bhutani T. Recent advances in phototherapy for psoriasis. F1000Research . 2016; 5: F1000 Faculty Rev-1684. doi: 10.12688 / f1000research.8846.1.