ʻO Psoriasis, he maʻi ʻili mau loa, hana hou, mumū a me ke ʻano o ka ʻili i hoʻokumu ʻia e nā hopena genetic a me ke kaiapuni.Ma waho aʻe o nā hōʻailona ʻili, aia pū kekahi mau maʻi cardiovascular, metabolic, digestive a me nā maʻi malignant a me nā maʻi multi-system ʻē aʻe. ʻOiai ʻaʻole ia he maʻi lele, ʻeha nui ia i ka ʻili a he hopena nui i ke ʻano, kahi e lawe mai ai i ke kaumaha kino a me ka noʻonoʻo i nā maʻi a hoʻopilikia nui i ke ʻano o ke ola.
No laila, pehea e mālama ai ka phototherapy ultraviolet i ka psoriasis?
1.Tka mālama maʻamau o ka psoriasis
ʻO nā lāʻau lapaʻau topical ka lāʻau lapaʻau nui no ka psoriasis ʻoluʻolu a me ka paʻakikī. ʻO ka mālama ʻana i nā lāʻau lapaʻau topical e pili ana i ka makahiki o ka mea maʻi, ka mōʻaukala, ke ʻano o ka psoriasis, ke ʻano o ka maʻi a me nā ʻeha.
ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia he glucocorticoids, nā mea i loaʻa mai ka huaora D3, ka waikawa retinoic a pēlā aku. Paipai ʻia ka hoʻohana ʻana i nā lāʻau lapaʻau waha a i ʻole nā mea olaola e like me methotrexate, cyclosporine a me ka waikawa retinoic no nā poʻe maʻi me ka psoriasis poʻo i hele pū ʻia me nā ʻeha waena a koʻikoʻi.
2.Tnā ʻano o ka phototherapy ultraviolet
ʻO ka phototherapy ultraviolet kahi lāʻau lapaʻau i ʻōlelo ʻia no ka psoriasis ma waho aʻe o nā lāʻau lapaʻau. Hoʻoulu nui ka Phototherapy i ka apoptosis o nā cell T i nā ʻeha psoriatic, no laila e kāohi ana i ka ʻōnaehana pale i hoʻoulu nui ʻia a paipai i ka hoʻihoʻi ʻana o nā ʻeha.
ʻO ka mea nui, ʻo ia ka BB-UVB (>280 ~ 320nm), NB-UVB (311 ± 2nm), PUVA (waha, ʻauʻau lāʻau lapaʻau a me ke kūloko) a me nā lāʻau ʻē aʻe. ʻOi aku ka maikaʻi o ka hopena hoʻōla o NB-UVB ma mua o BB-UVB a nāwaliwali ma mua o PUVA i ka mālama ʻana i ka psoriasis ma o ka UV. Eia nō naʻe, ʻo NB-UVB ka lāʻau ultraviolet i hoʻohana pinepine ʻia me ka palekana kiʻekiʻe a me ka hoʻohana pono. Manaʻo ʻia ka mālama ʻana i ka UV topical i ka wā e emi ai ka ʻili ma mua o 5% o ka ʻili o ke kino holoʻokoʻa. Ke ʻoi aku ka nui o ka ʻili ma mua o 5% o ka ʻili o ke kino, manaʻo ʻia ka mālama ʻana i ka UV systemic.
3.NB-UVB ka mālama ʻana i ka psoriasis
I ka mālama ʻana i ka psoriasis, ʻo ke kāʻei UVB nui loa ma ka pae o 308 ~ 312nm. ʻOi aku ka maʻemaʻe o ke kāʻei NB-UVB (311 ± 2nm) i ka mālama ʻana i ka psoriasis ma mua o BB-UVB (280 ~ 320nm), a ʻoi aku ka maikaʻi o ka hopena, kokoke i ka hopena o PUVA, a hoʻemi i ka hopena erythematous i hoʻokumu ʻia e ke kāʻei kūpono ʻole. Palekana maikaʻi, ʻaʻohe pilina me ka maʻi ʻili i loaʻa. I kēia manawa, ʻo NB-UVB ka noi lapaʻau kaulana loa i ka mālama ʻana i ka psoriasis.
Ka manawa hoʻouna: Pepeluali-16-2023
