Psoriasis ndi matenda ofala, ambiri, osavuta kubwereranso, ovuta kuchiza matenda a pakhungu omwe kuwonjezera pa mankhwala akunja, mankhwala opangidwa mkamwa, chithandizo chachilengedwe, palinso chithandizo china ndi physiotherapy. UVB phototherapy ndi physiotherapy, Ndiye kodi zotsatirapo za UVB phototherapy pa psoriasis ndi ziti?
Kodi chithandizo cha UVB phototherapy n'chiyani? Ndi matenda ati omwe angachiritsidwe ndi chithandizochi?
Kuchiza ndi kuwala kwa UVBGwiritsani ntchito kuwala kopangidwa kapena mphamvu ya kuwala kwa dzuwa pochiza matenda, komanso kugwiritsa ntchito kuwala kwa ultraviolet pa thupi la munthu pochiza matenda otchedwa ultraviolet therapy. Mfundo ya UVB phototherapy ndikuletsa kuchuluka kwa maselo a T pakhungu, kuletsa epidermal hyperplasia ndi kukhuthala, kuchepetsa kutupa pakhungu, kuti khungu lisamawonongeke.
UVB phototherapy ili ndi zotsatira zabwino pochiza matenda osiyanasiyana a pakhungu, monga psoriasis, dermatitis yeniyeni, vitiligo, eczema, chronic bryophyid pityriasis, ndi zina zotero. Pakati pawo pochiza psoriasis, UVB (wavelength ya 280-320 nm) imagwira ntchito yayikulu, opaleshoniyi ndi yowonetsa khungu kukuwala kwa ultravioletpanthawi inayake; UVB phototherapy ili ndi zinthu zosiyanasiyana monga kuletsa kutupa, kuletsa chitetezo chamthupi komanso kuwononga maselo.
Kodi magulu a phototherapy ndi ati?
Chithandizo cha maso cha Psoriasis chili ndi mitundu inayi ya magulu, motsatana ya UVB, NB-UVB, PUVA, ndi chithandizo cha laser cha excimer. Pakati pawo, UVB ndi yosavuta komanso yotsika mtengo kuposa njira zina zochizira ndi phototherapy, chifukwa mungatheGwiritsani ntchito UVB phototherapy kunyumba. UVB phototherapy nthawi zambiri imalimbikitsidwa kwa akuluakulu ndi ana omwe ali ndi psoriasis. Ngati zilonda za psoriasis zikuchitika m'malo opyapyala, zotsatira za phototherapy zidzakhala zoonekeratu.
Kodi ubwino waUVB phototherapy ya psoriasis?
UVB phototherapy yaphatikizidwa mu malangizo owunikira ndi kuchiza matenda a psoriasis (kope la 2018), ndipo zotsatira zake zochiritsira ndizotsimikizika. Ziwerengero zikuwonetsa kuti 70% mpaka 80% ya odwala a psoriasis amatha kupeza mpumulo wa 70% mpaka 80% wa zilonda za pakhungu atatha miyezi 2-3 akugwiritsa ntchito phototherapy nthawi zonse.
Komabe, si odwala onse omwe ali oyenera kulandira chithandizo cha phototherapy. Psoriasis yofatsa imachiritsidwa makamaka ndi mankhwala opaka pakhungu, pomwe UVB phototherapy ndi chithandizo chofunikira kwambiri kwa odwala apakati komanso owopsa.
Kuchiza ndi Phototherapy kungatalikitse nthawi yobwereranso kwa matendawa. Ngati matenda a wodwalayo ndi ofatsa, kubwereranso kungapitirire kwa miyezi ingapo. Ngati matendawa ndi ovuta ndipo zilonda za pakhungu n'zovuta kuchotsa, chiopsezo chobwereranso chimakhala chachikulu, ndipo zilonda zatsopano za pakhungu zingachitike miyezi 2-3 mutasiya kugwiritsa ntchito phototherapy. Kuti pakhale chithandizo chabwino komanso kuchepetsa kubwereranso, phototherapy nthawi zambiri imagwiritsidwa ntchito limodzi ndi mankhwala ena apakhungu m'machitidwe azachipatala.
Mu kafukufuku wofufuza momwe mafuta a tacathinol ophatikizidwa ndi kuwala kwa UVB kochepa pochiza psoriasis vulgaris, odwala 80 adapatsidwa gulu lowongolera lomwe linalandira UVB phototherapy yokha ndi gulu lothandizira lomwe linalandira tacalcitol topical (kawiri patsiku) pamodzi ndi UVB phototherapy, kuwala kwa thupi, kamodzi tsiku lililonse.
Zotsatira za kafukufuku zikusonyeza kuti panalibe kusiyana kwakukulu pakati pa magulu awiri a odwala omwe anali ndi PASI score ndi momwe chithandizocho chinali chothandiza kwa sabata lachinayi. Koma poyerekeza ndi chithandizo cha masabata 8, chiwerengero cha PASI cha gulu la chithandizo (psoriasis skin lesion degree score) chinali chabwino komanso chogwira ntchito bwino kuposa gulu lolamulira, zomwe zikusonyeza kuti tacalcitol joint UVB phototherapy pochiza psoriasis ndi yabwino kuposa UVB phototherapy yokha.
Kodi tacacitol ndi chiyani?
Tacalcitol ndi yochokera ku vitamini D3 yogwira ntchito, ndipo mankhwala ofanana nawo ali ndi calcipotriol yoopsa kwambiri, yomwe imaletsa kuchulukana kwa maselo a epidermal. Psoriasis imayamba chifukwa cha kuchulukana kwambiri kwa maselo a epidermal glial, zomwe zimapangitsa kuti erythema ndi siliva woyera ziwoneke pakhungu.
Tacalcitol ndi yofatsa komanso yosakwiyitsa kwambiri pochiza psoriasis (psoriasis yogwiritsidwa ntchito m'mitsempha ingagwiritsidwenso ntchito) ndipo iyenera kugwiritsidwa ntchito kamodzi kapena kawiri patsiku kutengera kuopsa kwa matendawa. Nchifukwa chiyani ndiyenera kuigwiritsa ntchito mofatsa? Pazigawo zoonda komanso zofewa za khungu, kupatula cornea ndi conjunctiva, ziwalo zonse za thupi zingagwiritsidwe ntchito, pomwe kuyabwa kwakukulu kwa calcipotriol sikungagwiritsidwe ntchito pamutu ndi pankhope, chifukwa pakhoza kukhala kuyabwa, dermatitis, kutupa kuzungulira maso kapena kutupa kwa nkhope ndi zina zoyipa. Ngati chithandizocho chikuphatikizidwa ndi UVB phototherapy, phototherapy ndi katatu pa sabata, ndipo tacalcitol kawiri patsiku.
Kodi zotsatirapo zoyipa za UVB phototherapy zingakhale zotani? Kodi muyenera kusamala ndi chiyani panthawi ya chithandizo?
Kawirikawiri, zotsatirapo zambiri za chithandizo cha UVB zimakhala zakanthawi kochepa, monga kuyabwa, kupsa kapena matuza. Chifukwa chake, pazifukwa zina, chithandizo cha phototherapy chiyenera kuphimba khungu labwino. Sikoyenera kusamba nthawi yomweyo mutatha kugwiritsa ntchito phototherapy, kuti musachepetse kuyamwa kwa UV ndi poizoni wa phototoxic.
Pa nthawi ya chithandizo, musadye zipatso ndi ndiwo zamasamba zomwe zimakhala ndi kuwala: nkhuyu, coriander, laimu, letesi, ndi zina zotero; Komanso musamwe mankhwala omwe amaletsa kuwala: tetracycline, sulfa, promethazine, chlorpromethazine hydrochloride.
Ndipo chakudya chokoma chomwe chingayambitse kukwiya kwa matendawa, idyani pang'ono momwe mungathere kapena musadye, chakudya chamtunduwu chili ndi nsomba zam'madzi, fodya ndi mowa, ndi zina zotero, kudzera mu zakudya zoyenera, chingathandize kubwezeretsa zilonda za pakhungu, ndikuletsa kubwereranso kwa psoriasis.
Pomaliza: Kuchiza ndi phototherapy pochiza psoriasis, kungachepetse zilonda za psoriasis, kuphatikiza koyenera kwa mankhwala apakhungu kungathandize kuti chithandizocho chikhale bwino komanso kuchepetsa kubwereranso.
Nthawi yotumizira: Juni-07-2022
