Psoriasis ndi wamba, kangapo, kosavuta kuyambiranso, zovuta kuchiza matenda a khungu omwe kuwonjezera pa mankhwala akunja amankhwala, oral systemic therapy, chithandizo chachilengedwe, palinso chithandizo china ndi kulimbitsa thupi. UVB phototherapy ndi chithandizo chakuthupi, Ndiye zotsatira zake za UVB phototherapy pa psoriasis ndi zotani?
Kodi Phototherapy ya UVB ndi chiyani? Ndi matenda ati omwe angachizidwe nawo?
Phototherapy ya UVBgwiritsani ntchito gwero lopangira kuwala kapena mphamvu ya dzuwa pochiza matenda, komanso kugwiritsa ntchito cheza cha ultraviolet pathupi la munthu pochiza matenda otchedwa ultraviolet therapy. Mfundo ya UVB phototherapy ndikuletsa kuchuluka kwa maselo a T pakhungu, kuletsa epidermal hyperplasia ndi thickening, kuchepetsa kutupa kwa khungu, kuti muchepetse kuwonongeka kwa khungu.
UVB phototherapy imakhala ndi zotsatira zabwino pochiza matenda osiyanasiyana a khungu, monga psoriasis, dermatitis yeniyeni, vitiligo, eczema, matenda a bryophyid pityriasis, etc. chachikulu ntchito, ntchito ndi poyera khungukuwala kwa ultravioletpa nthawi yeniyeni; Phototherapy ya UVB ili ndi zinthu zosiyanasiyana monga anti-inflammatory, immunosuppression ndi cytotoxicity.
Kodi mitundu ya phototherapy ndi yotani?
Psoriasis optical therapy imakhala ndi mitundu inayi yamagulu, motero UVB, NB-UVB, PUVA, excimer laser treatment. Pakati pawo, UVB ndiyosavuta komanso yotsika mtengo kuposa njira zina za phototherapy, chifukwa muthagwiritsani ntchito UVB phototherapy kunyumba. Phototherapy ya UVB nthawi zambiri imalimbikitsidwa kwa akulu ndi ana omwe ali ndi psoriasis. Ngati zilonda za psoriasis zimachitika m'madera oonda, zotsatira za phototherapy zidzakhala zoonekeratu
Ubwino wake ndi chiyaniUVB Phototherapy kwa psoriasis?
Phototherapy ya UVB yaphatikizidwa muupangiri wa psoriasis ndi malangizo othandizira (kope la 2018), ndipo zotsatira zake zochiritsira ndizotsimikizika. Ziwerengero zikuwonetsa kuti 70% mpaka 80% ya odwala psoriasis amatha kupeza 70% mpaka 80% mpumulo wa zotupa pakhungu pambuyo pa miyezi 2-3 ya phototherapy yokhazikika.
Komabe, si odwala onse omwe ali oyenera phototherapy. Mild psoriasis imathandizidwa makamaka ndi mankhwala apakhungu, pomwe UVB Phototherapy ndi chithandizo chofunikira kwambiri kwa odwala omwe ali odziletsa komanso owopsa.
Phototherapy ikhoza kutalikitsa nthawi yobwereza matendawa. Ngati mkhalidwe wa wodwalayo uli wochepa, kubwerezako kumatha kusungidwa kwa miyezi ingapo. Ngati matendawa ndi ouma khosi ndipo zotupa pakhungu zimakhala zovuta kuchotsa, chiopsezo chobwereza chimakhala chachikulu, ndipo zotupa zatsopano zapakhungu zimatha miyezi 2-3 mutasiya phototherapy. Pofuna kuchiza bwino komanso kuchepetsa kubwereza, phototherapy nthawi zambiri imagwiritsidwa ntchito limodzi ndi mankhwala apakhungu pazachipatala.
Pakafukufuku wowunika momwe mafuta a tacathinol amagwirira ntchito limodzi ndi ma radiation ochepera a UVB pochiza psoriasis vulgaris, odwala 80 adatumizidwa ku gulu loyang'anira lomwe lidalandira UVB phototherapy yokha ndi gulu lamankhwala lomwe limalandira tacalcitol topical (kawiri patsiku) kuphatikiza. ndi UVB phototherapy, kuwala kwa thupi, kamodzi tsiku lililonse.
Zotsatira za kafukufuku zimasonyeza kuti panalibe kusiyana kwakukulu kwa chiwerengero cha magulu awiri a odwala omwe ali ndi chiwerengero cha PASI komanso chithandizo chamankhwala mpaka sabata lachinayi. Koma poyerekeza ndi chithandizo cha masabata a 8, gulu lachipatala la PASI (psoriasis skin lesion degree score) limakhala bwino komanso logwira ntchito linali lopambana kuposa gulu lolamulira, limasonyeza kuti tacalcitol joint UVB phototherapy pochiza psoriasis ndi zotsatira zabwino kuposa UVB phototherapy yokha.
Kodi tacacitol ndi chiyani?
Tacalcitol ndi yochokera yogwira vitamini D3, ndi mankhwala ofanana ndi amphamvu irritant calcipotriol, amene ali ndi chopinga kwambiri pa kuchuluka kwa epidermal maselo. Psoriasis imayamba chifukwa cha kuchuluka kwa maselo a epidermal glial, zomwe zimapangitsa kuti pakhungu pakhale erythema ndi silvery white desquamate.
Tacalcitol ndi yofatsa komanso yosakwiya pochiza psoriasis (intravenous psoriasis ingagwiritsenso ntchito) ndipo iyenera kugwiritsidwa ntchito 1-2 pa tsiku malinga ndi kuopsa kwa matendawa. Bwanji mukunena mofatsa? Pazigawo zoonda komanso zofewa za khungu, kupatula cornea ndi conjunctiva, ziwalo zonse za thupi zingagwiritsidwe ntchito, pamene kupsa mtima kwakukulu kwa calcipotriol sikungagwiritsidwe ntchito pamutu ndi nkhope, chifukwa pangakhale kuyabwa, dermatitis, edema. kuzungulira maso kapena edema kumaso ndi zina zoyipa. Ngati mankhwala pamodzi ndi UVB phototherapy kuti phototherapy ndi katatu pa sabata, ndi tacalcitol kawiri pa tsiku
Ndi zotsatira zotani zomwe UVB Phototherapy ikhoza kukhala nayo? Kodi tiyenera kulabadira chiyani pa chithandizo?
Nthawi zambiri, zotsatira zoyipa za chithandizo cha UVB zimakhala zosakhalitsa, monga kuyabwa, kuyaka kapena matuza. Chifukwa chake, chifukwa cha zotupa zapakhungu, phototherapy iyenera kuphimba bwino khungu lathanzi. Sikoyenera kusamba mwamsanga pambuyo pa phototherapy, kuti musachepetse kuyamwa kwa UV ndi phototoxicity.
Pa mankhwala sayenera kudya photosensitive zipatso ndi ndiwo zamasamba: mkuyu, coriander, laimu, letesi, etc.; Komanso sangakhoze kutenga photosensitive mankhwala: tetracycline, sulfa mankhwala, promethazine, chlorpromethazine hydrochloride.
Ndipo zakudya zokometsera zokometsera zomwe zingayambitse matenda, kudya pang'ono kapena osadya, chakudya chamtundu uwu chimakhala ndi nsomba, fodya ndi mowa, ndi zina zotero, kupyolera mu kulamulira koyenera kwa zakudya zingathe kulimbikitsa kuchira kwa zotupa pakhungu. , komanso kupewa kuyambiranso kwa psoriasis.
Kutsiliza: Phototherapy pochiza psoriasis, akhoza kuchepetsa psoriasis zotupa, wololera kuphatikiza mankhwala apakhungu akhoza kusintha zotsatira za mankhwala ndi kuchepetsa zisadzachitikenso.
Nthawi yotumiza: Jun-07-2022
