I-Psoriasis ixhaphakile, ixhaphakile, kulula ukuyiphinda, kunzima ukuyinyanga izifo zesikhumba, ukongeza kunyango lwamayeza angaphandle, unyango lomlomo, unyango lwebhayoloji, kukho olunye unyango oluyi-physical therapy. I-UVB phototherapy lunyango lomzimba, Ngoko ke zithini iziphumo ebezingalindelekanga ze-UVB phototherapy kwi-psoriasis?
Yintoni i-UVB phototherapy? Zeziphi izifo ezinokunyangwa yiyo?
Unyango lwe-UVB phototherapysebenzisa umthombo wokukhanya owenziweyo okanye amandla emitha yelanga ukunyanga izifo, kunye nokusetyenziswa kwemitha ye-ultraviolet emzimbeni womntu indlela yokunyanga isifo ebizwa ngokuba yi-ultraviolet therapy. Umgaqo we-UVB phototherapy kukuthintela ukwanda kwee-T cells eluswini, ukuthintela i-epidermal hyperplasia kunye nokuqina, ukunciphisa ukudumba kolusu, ukuze kuncitshiswe umonakalo wolusu.
I-UVB phototherapy inefuthe elihle kunyango lwezifo ezahlukeneyo zesikhumba, ezifana ne-psoriasis, i-dermatitis ethile, i-vitiligo, i-eczema, i-chronic bryophyid pityriasis, njl. Phakathi kwazo kunyango lwe-psoriasis apho i-UVB (ubude be-wavelength ye-280-320 nm) idlala indima enkulu, utyando kukuveza ulusu kwi-ukukhanya kwe-ultravioletngexesha elithile; i-UVB phototherapy ineempawu ezahlukeneyo ezifana nokulwa nokuvuvukala, ukuthintela amasosha omzimba kunye nokudumba kwamangqamuzana.
Ziziphi iindidi ze-phototherapy?
Unyango lwe-Psoriasis optical luneentlobo ezine zodidi, ngokulandelelana kwazo ze-UVB, NB-UVB, PUVA, kunye nonyango lwe-laser ye-excimer. Phakathi kwazo, i-UVB ilula kwaye ingabizi kakhulu kunezinye iindlela ze-phototherapy, kuba unakosebenzisa i-UVB phototherapy ekhaya. Unyango lwe-UVB ludla ngokucetyiswa kubantu abadala kunye nabantwana abane-psoriasis. Ukuba izilonda ze-psoriasis zenzeka kwiindawo ezincinci, isiphumo se-phototherapy siya kubonakala ngokucacileyo.
Zithini iingenelo zeUVB phototherapy ye-psoriasis?
I-UVB phototherapy ifakiwe kwizikhokelo zokuxilonga kunye nonyango lwe-psoriasis (uhlelo luka-2018), kwaye isiphumo sayo sonyango siqinisekile. Izibalo zibonisa ukuba i-70% ukuya kwi-80% yezigulana ze-psoriasis zinokufumana ukukhululeka kwezilonda zesikhumba nge-70% ukuya kwi-80% emva kweenyanga ezi-2-3 ze-phototherapy eqhelekileyo.
Nangona kunjalo, ayizizo zonke izigulana ezifanelekileyo kwi-phototherapy. I-psoriasis ethambileyo inyangwa kakhulu ngamayeza asetyenziswa endaweni yokuthambisa, ngelixa i-UVB phototherapy ilunyango olubaluleke kakhulu kwizigulana eziphakathi nezinzima.
Unyango ngefoto lunokwandisa ixesha lokuphinda sibuye isifo. Ukuba imeko yesigulana incinci, ukuphinda sibuye isifo kunokugcinwa kangangeenyanga ezininzi. Ukuba isifo sinzima kwaye izilonda zesikhumba kunzima ukuzisusa, umngcipheko wokuphinda sibuye uphezulu, kwaye izilonda ezintsha zesikhumba zinokuvela kwiinyanga ezi-2-3 emva kokuyeka unyango ngefoto. Ukuze kubekho impembelelo engcono yonyango kunye nokunciphisa ukuphinda sibuye, unyango ngefoto ludla ngokusetyenziswa kunye nezinye iziyobisi ezisetyenziswa ekliniki.
Kwisifundo sokuqwalasela ukusebenza kakuhle kweoyile ye-tacathinol edityaniswe nemitha ye-UVB enqamlezileyo kunyango lwe-psoriasis vulgaris, izigulana ezingama-80 zabelwa kwiqela lolawulo elafumana i-UVB phototherapy yodwa kunye neqela lonyango elafumana i-tacalcitol topical (kabini ngemini) edityaniswe ne-UVB phototherapy, i-body radiation, kanye emva kwemini.
Iziphumo zophando zibonisa ukuba akukho mahluko ubalulekileyo ngokwezibalo phakathi kwamaqela amabini ezigulana ezine-PASI score kunye nokusebenza kakuhle konyango kwiveki yesine. Kodwa xa kuthelekiswa nonyango lweeveki ezisi-8, amanqaku eqela lonyango lwe-PASI (amanqaku enqanaba lesilonda sesikhumba se-psoriasis) aphuculwe kwaye asebenza kakuhle ayengcono kuneqela lolawulo, nto leyo ebonisa ukuba i-tacalcitol joint UVB phototherapy kunyango lwe-psoriasis inefuthe elihle kune-UVB phototherapy kuphela.
Yintoni i-tacacitol?
I-Tacalcitol ivela kwi-vitamin D3 esebenzayo, kwaye amayeza afanayo ane-calcipotriol enamandla ecaphukisayo, enefuthe lokuthintela ukwanda kweeseli ze-epidermal. I-Psoriasis ibangelwa kukwanda kakhulu kweeseli ze-glial ze-epidermal, okubangela i-erythema kunye ne-silvery white desquamate eluswini.
I-Tacalcitol ithambile kwaye ayicaphukisi kangako kunyango lwe-psoriasis (i-psoriasis efakwa kwi-intravenous nayo ingayisebenzisa) kwaye kufuneka isetyenziswe ka-1-2 ngemini kuxhomekeke kubukhali besifo. Kutheni isithi ithambile? Kwiindawo ezincinci nezithambileyo zolusu, ngaphandle kwe-cornea kunye ne-conjunctiva, zonke iindawo zomzimba zingasetyenziswa, ngelixa ukucaphuka okukhulu kwe-calcipotriol akunakusetyenziswa entlokweni nasebusweni, kuba kunokubakho ukurhawuzelelwa, i-dermatitis, ukudumba okujikeleze amehlo okanye ukudumba kobuso kunye nezinye iziphumo ezimbi. Ukuba unyango ludibene ne-UVB phototherapy, olo nyango luphindwe kathathu ngeveki, kwaye i-tacalcitol kabini ngemini.
Yeyiphi imiphumo emibi enokuba nayo i-UVB phototherapy? Yintoni ekufuneka iqwalaselwe ngexesha lonyango?
Ngokubanzi, uninzi lweziphumo ebezingalindelekanga zonyango lwe-UVB zizinto zexesha elifutshane, ezinje ngokurhawuzelela, ukutsha okanye amadyungudyungu. Ke ngoko, kwizilonda zesikhumba, i-phototherapy kufuneka igqume ulusu olusempilweni kakuhle. Akufanelekanga ukuhlamba kwangoko emva kwe-phototherapy, ukuze kunganciphisi ukufunxwa kwe-UV kunye nobuthi be-phototoxicity.
Ngexesha lonyango, akufanele utye iziqhamo kunye nemifuno enokuthamba: umkhiwane, ikoriyandire, ilayimu, ilettuce, njl.njl.; Kwakhona, akufanele kuthathwe kumayeza anokuthamba: itetracycline, i-sulfa, i-promethazine, i-chlorpromethazine hydrochloride.
Kwaye ngokutya okuneziqholo okubangela ukuba imeko ibe mandundu, yitya kancinci kangangoko okanye ungayityi, olu hlobo lokutya luneentlanzi zaselwandle, icuba kunye notywala, njl.njl., ngokulawula ukutya okufanelekileyo kunokukhuthaza ukubuyiselwa kwezilonda zesikhumba, kwaye kuthintele ngokufanelekileyo ukuphinda kwe-psoriasis.
Isiphelo: I-Phototherapy kunyango lwe-psoriasis, inokunciphisa izilonda ze-psoriasis, indibaniselwano efanelekileyo yamayeza asetyenziswa endaweni yesikhumba inokuphucula isiphumo sonyango kwaye inciphise ukuphinda kwaso.
Ixesha lokuthumela: Juni-07-2022
