I-Phototherapy Types, i-Benefits and Drawbacks
I-Phototherapy, eyaziwa nangokuthi yonyango elincinci, linye yezo unyango oluphambili kwi psoriasis . Kubandakanya ukuveza isikhumba kwi-UV energy. Kuye kwaziwa ngeenkulungwane kangangokuthi ukukhanya kwelanga kunokuphucula izifo ezininzi ezinokukhubaza, kuquka i-psoriasis, i- eczema kunye ne-vitiligo. Kodwa yintoni nje into yokubheka i-phototherapy? Ingaba isebenza kanjani? Ziziphi iziphumo zecala?
Kwaye mhlawumbi kube yindlela efanelekileyo yokunyanga?
Imvelaphi: Amandla okombane
Ilanga lethu linika amandla okombane kwiindlela ezahlukeneyo. Ezinye zezi zinto ziza ngendlela yokukhanya. Kodwa ilanga libuye linike nezinye iifom zamandla kagesi. Amandla e-Ultraviolet (UV) abhekisela kumbane we-electromagnetic onomlinganiselo omncinci kunye namandla ngaphezu kokukhanya okubonakalayo esikubonayo:
- Ngokukodwa, i-radiation ye-UVA inomyinge ophezulu kunelokukhanya okubonakalayo.
- I-UVB imisebe ilandelayo kwibala. Olu hlobo lombane lunomlinganiselo omncinci. Unamandla angaphantsi kwee-UVVA.
Izingozi ezinokwenzeka ze-UV Radiation
Iimitha zombini ze-UVA kunye ne-UVB zingena emoyeni. Ukugqithisa kakhulu kule mibala kungonakalisa ulusu. Ngokukodwa, i-UVB yimbangela ebalulekileyo yokushisa ilanga, kwaye zombini i-UVA kunye ne-UVB idlala indima ekuguga kwesikhumba nasemdlalweni wesikhumba . Yingakho kubalulekile ukusebenzisa iindlela zokukhusela isikhumba, njenge-sunscreen.
Ulwaphulo lwe-UV ye-Psoriasis
Kwi-psoriasis, ukukhanya okukhawulezileyo kwimisebe ye-UV kunokuba nemiphumo emihle. Imisebe ye-UV ine-immunosuppressive and anti-inflammatory effects on the cells in skin. Ngenxa yokuba i-psoriasis ibandakanya ukukhulelwa kancinci, ukuvezwa kwezi radi kunganceda ukunciphisa iimpawu zakho.
Oososayensi bafunda ngezinye iindlela ezinye ezi ziza kunceda ukuphatha i-psoriasis.
I-Phototherapy ibandakanya ukubonakalisa indawo echaphazelekayo kwizibane ezikhethekileyo ze-ultraviolet. I-Phototherapy iyasebenza kakhulu kubantu abanesifo esilinganiselweyo okanye esinzima esichaphazela inxalenye enkulu yomzimba wabo.
Iintlobo zePhototherapy
Ukususela ekuqaleni kwe-20 leminyaka, oogqirha baqala ukuhlakulela iintlobo ezahlukeneyo ze-phototherapy ukunceda abantu abane-psoriasis. Namhlanje kukho iintlobo ezahlukeneyo ze-phototherapy ezikhoyo ukuphatha i-psoriasis. Iintlobo ezintathu eziqhelekileyo ezisetyenziswayo namhlanje:
- I-Broadband ultraviolet B (BB-UVB)
- I-Narrowband ultraviolet B (NB-UVB)
- I-Psoralen kunye ne-ultraviolet A (PUVA)
Ngokuqinisekileyo, uhlobo olulula kunye nelona ludala lwe-phototherapy lucacisa ukukhanya kwelanga ixesha elifutshane. Nangona kunjalo, ngenxa yeziphumo ezisemgangathweni nezikhuselekileyo, iikliniki zincoma iifom ezilawulwayo zephototherapy.
BB-UVB kunye ne-NB-UVB
I-BB-UVB yilona hlobo lokuqala lwe-phototherapy oluza kuphuhliswa. Kubandakanya ukuveza isikhumba kwizinto zokukhanya zokukhanya phakathi kwe-290 no-313nm.
Kwiminyaka kamva, abaphandi bavelisa uhlobo lwe-UVB unyango olusebenzisa uluhlu oluncinci lweevelengths (phakathi kwe-308 no-313nm). Yingakho ibizwa ngokuba "ngumgca omncinci." I-NB-UVB ngoku iyindlela eqhelekileyo isetyenziswa ngayo i-phototherapy namhlanje ngezizathu ezininzi:
- Kusebenza ngakumbi kuneBB-UVB.
- Ingasetyenziselwa iintlobo ezahlukeneyo zeemeko.
- Kulula ukuyisebenzisa kunezinye iifomotherapy.
- Unemiphumo emibini yecala xa kuthelekiswa ne-BB-UVB okanye iPUVA.
Zomibini iintlobo zonyango lwe-UVB zingasetyenziselwa emva kokufaka umgca we-tar. Le ndlela, enokuthi yenze unyango usebenze ngakumbi, iyaziwa ngokuba yi-Goeckerman therapy.
PUVA
I-PUVA yindlela enye eqhelekileyo ye-phototherapy, okwesibini eqhelekileyo emva kwe-NB-UVB. Ziyinxalenye yesibini yeyeza. Okokuqala usebenzisa i-substance, ebizwa nge-psoralen, ixesha elifutshane phambi kweseshoni ye-phototherapy. Ngokuxhomekeke kwindlela ethile ye-PUVA unyango, ungayisebenzisa le nto kwesikhumba okanye uyithathe njengepilisi.
Emva koko ufumana unyango lwe-UV, ngendlela yama-UV eva. I-Psoralen ivuselela isikhumba sakho ukuze iphendule kakuhle kwi-exposure ye-UVA. Ngenxa yokuba i-UVA ayinjalo "inamandla" njenge-UVB (i-radiation ayinamandla amaninzi), udinga ukunyuswa okungakumbi kwi-psoralen ukwenzela ukuba unyango luphumelele.
ITraer Therapy
Olunye uhlobo olutsha nolusasetyenziswa ngokuqhelekileyo lwe-phototherapy lusetyenziso lwe- laser excimer . Ingathathwa njengoluhlobo lwe-UVB-NB. I-laser isebenza ngokujolisa kwonyango lokukhanya phezu kwendawo encinci yesikhumba. Ama-lasers angasebenzisa ukuphakama kwamayeza omzimba, onokukunceda ulusu luphilise ngokukhawuleza. Okwangoku ivunyiwe yi-US Food Administration kunye neDrug Administration kwi-psoriasis elula okanye ephakathi.
Iingeniso ezibonakalayo zePhototherapy
Kukho okwangoku uninzi lweendlela ezahlukeneyo zonyango lwe-psoriasis, kubandakanywa unyango lwamayeza asekudala kunye neziyobisi ze-biologic ezintsha. Nangona kunjalo, i-phototherapy inezimpawu ezithile ezenza kube yindlela yokwelapha ebalulekileyo. Ezinye zezi zi:
- Isebenza kakuhle.
- Ixabiso elinempumelelo.
- Ayinayo imiphumo emibi yezobugcisa zendalo kunye neenkqubo, ezifana nokucima i-immune system.
Ukongezelela, kubonakala kukhuselekile ukusetyenziswa ngexesha lokukhulelwa, ngokungafani nezinye i-psoriasis zonyango.
Ixesha lokuqwalasela i-Phototherapy
I-Phototherapy ayisoloko isetyenziswa njengonyango ngokwayo. Izifo zonyango (njengama- creticosteroid creams) zisengundoqo kunyango kubantu abaninzi abane-psoriasis. Ukuba ezi zixhobo zengqungquthela azisebenzi kakuhle ekulawuleni i-psoriasis yakho, ugqirha wakho unokubonisa ukuba usebenzisa i-phototherapy njengonyango olongezelelweyo.
I-Phototherapy isetyenziswa rhoqo njengonyango olongezelelweyo kulezi zonyango. Nangona kunjalo ingasetyenziswa phantsi kwezi meko zilandelayo:
- Ngeendlela zokwenza i-psoriasis (ezifana ne- methotrexate okanye i-cyclosporine)
- Ngonyango lwe-biologic ye-psoriasis (njenge- etanercept okanye i-infliximab)
Kuphi na Kwenziwe Njani?
I-Phototherapy yenziwa ngokusesikweni kwiofisi ye-dermatologist kwibhokisi lokukhanya elimileyo. Nangona kunjalo, ngokuveliswa kwezixhobo ezisetyenziswayo ezitsha, kuye kwaba lula kubantu abaninzi ukuba banike i-phototherapy ekhaya. Izixhobo eziphathekayo nazo zinamathuba athile, kuba zinciphisa inani le-non-affected affected by radiation. Izibane zomzimba ezipheleleyo kunye neebhokisi zokukhanya ukuphatha izandla kunye neenyawo ziyafumaneka kwonyango lwasekhaya.
Ngokuqhelekileyo, abantu bafumana iiseshoni ezintathu kwiiveki kwiiveki eziliqela kwiinkqubo zonyango. Emva koko, unokudinga iiseshoni zokugcinwa kwesinye ixesha okanye unyango oluphindaphindiweyo. Ngokuqhelekileyo kuthatha iiseshoni ezimbalwa ngaphambi kokuba isikhumba sakho siqalise ukucima.
Iimiphumo zemiSebenzi yePhototherapy
Uninzi lwabantu luthandana kakuhle ne-phototherapy. Nangona kunjalo, unemiphumo emibi. Iziphumo eziqhelekileyo ezichaphazelekayo zichaphazela indawo evezwe kwiphototherapy kwaye iquka:
- Ukutsha
- Ukutshiza
- Ubomvu
Ngokuqhelekanga, abantu abane-PUVA phototherapy banokufumana isicupunu.
Ingozi yeCatal Cancer
I-Phototherapy ibonakala ibe yandisa ingozi yokufumana umdlavuza wesikhumba, ngokukodwa uhlobo oluthiwa ngumdlavuza weselfamous cell . Olu mngcipheko luphezulu kubantu abafumana unyango lwe-PUVA ngexesha elide, kodwa kungenzeka ukuba unyango lwe-UVB lunokunyusa ingozi. Ngokuchanekileyo kangakanani u-phototherapy ukwandisa umngcipheko ongaziwa ngokupheleleyo.
Akufanele usebenzise i-sunscreen ngethuba le-phototherapy, kuba le nto ikhusela ii-ray kunye nokwenza unyango lungasebenzi. Nangona kunjalo, ukuba ube kwicala elikhuselekileyo, oogqirha bancoma ukuba uhlolwe rhoqo ngesikhumba ngophando logqirha oluqeqeshiwe ukujonga nayiphi na izilonda ezingaphambi komhlaza. Ukuba unenkxalabo, unganqikazi ukuxoxa ngesihloko nomniki wakho wezempilo.
Ukuqwalasela
I-Phototherapy ayinokuba yinto efanelekileyo kuwe ukuba:
- Yiba nembali yesifo se-photosensitivity
- Thatha iifomensensitizing
- Yiba nembali ye-melanoma
- Unemibandela ethile yezonyango ezingaqhelekanga, njenge-lupus
- Ngaba ungazixilongo (njengokuba usuka kwi-organ)
Abantu abanesikhumba esilungileyo banokufuna ukuba baqaphele kunye ne-phototherapy, njengoko banokuba banokuvakala.
Ukunciphisa Ukufumaneka kwePhototherapy
Uninzi lwezidermatologists zifana nokubonelela i-phototherapy njengendlela yokuzikhethela kwizigulane zabo, ekufumaneni ukhetho olusebenzayo. Nangona kunjalo, abantu abambalwa baye bafumana unyango lwama-phototherapy kwiminyaka yamuva. Oku mhlawumbi ngenxa yeemeko ezahlukeneyo, ezifana ne:
- Ukungagxininiswa kwi-phototherapy ngexesha loqeqesho lwezonyango
- Izinga lokubuyiselwa okuphantsi kweenkampani zomshuwalense
- Iindleko ezandisiweyo zonyango lwama-phototherapy
- Ubukho obukhulu bezinye unyango
ILizwi
I-Phototherapy yonyango lwangaphambilini, kodwa enye isenokuba nokwelashwa kwabantu abaninzi abane-psoriasis. Ukuba i-psoriasis yakho ayingaphantsi kolawulo kunye neyeza zonyango kuphela, unokufuna ukuzama ukujonga i-phototherapy. Njengawo nawuphi na unyango, kuza neempembelelo ezinobungozi. Nangona kunjalo, kubantu abaninzi banokubonelela ngempumelelo ukhetho oluza ngaphandle kokungabikho kwemithi ethile ye-psoriasis.
> Menter A, Korman NJ, Elmets CA, et al. Izikhokelo zokunyamekela ukuphathwa kwe-psoriasis kunye ne-psoriatic arthritis: Icandelo 5. Izikhokelo zokunyamekela unyango lwe-psoriasis kunye ne-phototherapy kunye ne-photochemotherapy. J Am Acad Dermatol . 2010; 62 (1): 114-35.
> Nakamura M, Farahnik B, uBhutani T. Ukuqhubela phambili kwi-phototherapy ye psoriasis. F1000Kusesha . 2016; 5: F1000 I-Faculty Rev-1684. Itheyithi: 10.12688 / f1000research.8846.1.