I-Psoriasis yinto eqhelekileyo, eninzi, kulula ukuphinda ibuyele, kunzima ukunyanga izifo zolusu ezithi ukongeza kunyango lwangaphandle lweziyobisi, unyango lwenkqubo yomlomo, unyango lwebhayoloji, kukho olunye unyango lonyango lomzimba. Ifototherapy ye-UVB lunyango lomzimba, Ke zithini iziphumo ebezingalindelekanga ze-UVB phototherapy ye-psoriasis?
Yintoni iUVB phototherapy? Zeziphi izifo ezinokunyangwa ngayo?
UVB phototherapysebenzisa umthombo wokukhanya okwenziweyo okanye amandla emitha yelanga ukunyanga izifo, kunye nokusetyenziswa kwemitha ye-ultraviolet kunyango lomzimba womntu wendlela yesifo ebizwa ngokuba yi-ultraviolet therapy. Umgaqo we-UVB phototherapy kukuthintela ukwanda kweeseli ze-T eluswini, ukuthintela i-epidermal hyperplasia kunye nokuqina, ukunciphisa ukuvuvukala kwesikhumba, ukuze kuncitshiswe umonakalo wolusu.
I-UVB phototherapy inefuthe elihle kunyango lwezifo ezahlukeneyo zesikhumba, ezifana ne-psoriasis, i-dermatitis ethile, i-vitiligo, i-eczema, i-bryophyid pityriasis engapheliyo, njl. indima enkulu, umsebenzi kukuveza ulusuukukhanya kwe-ultravioletngexesha elithile; I-phototherapy ye-UVB ineempawu ezahlukeneyo ezifana ne-anti-inflammatory, immunosuppression kunye ne-cytotoxicity.
Ziziphi iindidi zephototherapy?
Unyango lwamehlo lwe-Psoriasis luneentlobo ezi-4 zokuhlelwa, ngokulandelelanayo kwi-UVB, i-NB-UVB, i-PUVA, unyango lwe-laser ye-excimer. Phakathi kwabo, i-UVB ilula kwaye ibiza kakhulu kunezinye iindlela ze-phototherapy, kuba unakosebenzisa iUVB phototherapy ekhaya. I-phototherapy ye-UVB idla ngokucetyiswa kubantu abadala kunye nabantwana abane-psoriasis. Ukuba izilonda ze-psoriasis zenzeka kwiindawo ezincinci, umphumo we-phototherapy uya kubonakala ngokucacileyo
Ziziphi iingenelo zeIfototherapy ye-UVB ye-psoriasis?
I-phototherapy ye-UVB ifakwe kwi-psoriasis yokuxilongwa kunye nezikhokelo zonyango (i-2018 edition), kwaye umphumo wayo wonyango uqinisekile. Izibalo zibonisa ukuba i-70% ukuya kwi-80% yezigulane ze-psoriasis zinokufikelela kwi-70% ukuya kwi-80% yokukhululwa kwezilonda zesikhumba emva kweenyanga ezi-2-3 ze-phototherapy rhoqo.
Nangona kunjalo, ayizizo zonke izigulane ezifanelekileyo kwi-phototherapy. I-psoriasis ethambileyo iphathwa kakhulu ngamachiza asematheni, ngelixa i-UVB ifototherapy yonyango olubaluleke kakhulu kwizigulana ezimodareyitha neziqatha.
I-Phototherapy inokwandisa ixesha lokuphindaphinda kwesi sifo. Ukuba imeko yesigulane ilula, ukuphindaphinda kunokugcinwa kwiinyanga eziliqela. Ukuba isifo sinenkani kwaye izilonda zesikhumba zinzima ukususa, umngcipheko wokuphindaphinda uphezulu, kwaye izilonda ezintsha zesikhumba zingenzeka emva kweenyanga ezi-2-3 emva kokuyeka i-phototherapy. Ukuze ube nesiphumo esingcono sonyango kunye nokunciphisa ukuphindaphinda, i-phototherapy isoloko isetyenziswa kunye namanye amachiza avela kwiklinikhi.
Kuphononongo lokuqwalasela ukusebenza kwe-tacathinol ointment kudityaniswe nemitha ye-UVB emxinwa kunyango lwe-psoriasis vulgaris, izigulane ezingama-80 zabelwa kwiqela lolawulo elafumana i-UVB phototherapy yodwa kunye neqela lonyango elafumana i-tacalcitol topical (kabini yonke imihla) idityanisiwe. ngeUVB phototherapy, iradiation yomzimba, kanye yonke imihla.
Iziphumo zophando zibonisa ukuba akukho ntlukwano ephawulekayo yamaqela amabini ezigulane ezinamanqaku e-PASI kunye nokusebenza kakuhle kwonyango kwiveki yesine. Kodwa xa kuthelekiswa nonyango lweeveki ze-8, iqela lonyango lwe-PASI (i-psoriasis skin lesion degree score) liphuculwe kwaye lisebenza kakuhle liphezulu kwiqela lokulawula, libonisa ukuba i-tacalcitol edibeneyo ye-UVB phototherapy kunyango lwe-psoriasis inefuthe elihle kune-UVB phototherapy kuphela.
Yintoni i-tacacitol?
I-Tacalcitol yi-derivative ye-vitamin D3 esebenzayo, kwaye iziyobisi ezifanayo zine-calcipotriol ecasulayo enamandla, enefuthe elithintelayo ekwandeni kweeseli ze-epidermal. I-Psoriasis ibangelwa ukwanda okugqithisileyo kweeseli ze-epidermal glial, ezikhokelela kwi-erythema kunye ne-silvery white desquamate esikhumbeni.
I-Tacalcitol ilula kwaye iyancipha kunyango lwe-psoriasis (i-psoriasis ye-intravenous nayo ingayisebenzisa) kwaye kufuneka isetyenziswe ngamaxesha angama-1-2 ngosuku ngokuxhomekeke kubunzima besifo. Kutheni isitsho nje? Kwiindawo ezincinci kunye nezithambileyo zesikhumba, ngaphandle kwe-cornea kunye ne-conjunctiva, zonke iindawo zomzimba zingasetyenziswa, ngelixa ukucaphuka okunamandla kwe-calcipotriol akunakusetyenziswa entloko nasebusweni, kuba kunokubakho ukurhawuzelela, i-dermatitis, i-edema. malunga namehlo okanye i-edema yobuso kunye nezinye iziphumo ezibi. Ukuba unyango ludityaniswe ne-UVB phototherapy ukuba i-phototherapy iphindwe kathathu ngeveki, kunye ne-tacalcitol kabini ngosuku
Yiyiphi impembelelo esecaleni enokuba nayo iUVB phototherapy? Yintoni ekufuneka inikele ingqalelo ngexesha lonyango?
Ngokubanzi, uninzi lweziphumo ebezingalindelekanga zonyango lwe-UVB zezokwexeshana, njengokurhawuzelelwa, ukutshisa okanye amadyungudyungu. Ke ngoko, kwinxalenye yezilonda zolusu, i-phototherapy idinga ukugubungela ulusu olusempilweni kakuhle. Akufanelekanga ukuhlamba ngokukhawuleza emva kwe-phototherapy, ukwenzela ukuba unganciphisi i-uv absorption kunye ne-phototoxicity.
Ngethuba lokunyanga akufanele udle iziqhamo kunye nemifuno ye-photosensitive: umkhiwane, i-coriander, i-lime, i-lettuce, njl.; Kwakhona ayikwazi ukuthatha amayeza photosensitive: tetracycline, ichiza sulfa, promethazine, chlorpromethazine hydrochloride.
Kwaye ukutya okuneziqholo okucaphukisayo okunokubangela ukuba imeko ibe mandundu, utye kancinci okanye ungatyi, olu hlobo lokutya lunokutya kwaselwandle, icuba kunye notywala, njl., ngolawulo olufanelekileyo lokutya kunokukhuthaza ukubuyiswa kwezilonda zolusu. , kwaye ukuthintela ngokufanelekileyo ukuphindaphinda kwe-psoriasis.
Isiphelo: I-Phototherapy kunyango lwe-psoriasis, inokunciphisa izilonda ze-psoriasis, ukudibanisa okufanelekileyo kwezidakamizwa ze-topical kunokuphucula umphumo wonyango kunye nokunciphisa ukuphindaphinda.
Ixesha lokuposa: Jun-07-2022
