Psoriasis he maʻamau, lehulehu, maʻalahi e hoʻihoʻi hou, paʻakikī e ho'ōla i nā maʻi ʻili i hoʻohui ʻia i ka lāʻau lapaʻau o waho, ka ʻōnaehana oral systemic, ka lāʻau biological, aia kekahi lāʻau lapaʻau kino. He lāʻau lapaʻau kino ka UVB phototherapy, No laila he aha nā hopena ʻaoʻao o UVB phototherapy no psoriasis?
He aha ka UVB phototherapy? He aha nā maʻi e hiki ke mālama ʻia e ia?
UVB phototherapyhoʻohana i ke kumu kukui kūlohelohe a i ʻole ka ikehu lā e mālama ai i ka maʻi, a me ka hoʻohana ʻana i ka radiation ultraviolet ma ke kino o ke kanaka i ka mālama ʻana i ke ʻano maʻi i kapa ʻia ʻo ultraviolet therapy. ʻO ke kumu o ka phototherapy UVB ka mea e pale ai i ka hoʻonui ʻana o nā pūnae T i ka ʻili, e kāohi i ka hyperplasia epidermal a me ka mānoanoa, e hoʻemi i ka ʻili ʻili, i mea e hōʻemi ai i ka pōʻino o ka ʻili.
He hopena maikaʻi ko UVB phototherapy i ka mālama ʻana i nā maʻi ʻili like ʻole, e like me psoriasis, dermatitis kikoʻī, vitiligo, eczema, bryophyid pityriasis maʻi, etc. Ma waena o lākou i ka mālama ʻana i nā psoriasis e pāʻani ana ʻo UVB (ka lōʻihi o ka nalu o 280-320 nm). kuleana nui, ʻo ka hana e hōʻike i ka ʻilikukui ultravioleti kekahi manawa; Loaʻa nā waiwai like ʻole o UVB phototherapy e like me ka anti-inflammatory, immunosuppression a me ka cytotoxicity.
He aha nā ʻano o ka phototherapy?
Psoriasis optical therapy he 4 mau ʻano o ka hoʻohālikelike ʻana, kēlā me kēia no UVB, NB-UVB, PUVA, excimer laser treatment. I waena o lākou, ʻoi aku ka maʻalahi o ka UVB a ʻoi aku ka maʻalahi ma mua o nā ʻano phototherapy ʻē aʻe, no ka mea hiki iā ʻoehoʻohana i ka phototherapy UVB ma ka home. Hōʻike pinepine ʻia ka phototherapy UVB no nā pākeke a me nā keiki me psoriasis. Inā loaʻa nā ʻeha psoriasis ma nā wahi lahilahi, e ʻike ʻia ka hopena o ka phototherapy
He aha nā pōmaikaʻi oUVB phototherapy no psoriasis?
Ua hoʻokomo ʻia ʻo UVB phototherapy i loko o ka maʻi psoriasis a me nā alakaʻi lapaʻau (2018 edition), a ua maopopo kona hopena therapeutic. Hōʻike nā helu helu he 70% a hiki i ka 80% o nā maʻi psoriasis hiki ke loaʻa i ka 70% a hiki i ka 80% hoʻomaha o nā ʻili ʻili ma hope o 2-3 mau mahina o ka phototherapy maʻamau.
Eia naʻe, ʻaʻole kūpono nā maʻi āpau no ka phototherapy. Hoʻomaʻamaʻa nui ʻia ka psoriasis māmā me nā lāʻau lapaʻau topical, ʻoiai ʻo UVB phototherapy kahi mālama koʻikoʻi no nā maʻi maʻamau a koʻikoʻi.
Hiki i ka Phototherapy ke hoʻolōʻihi i ka manawa hou o ka maʻi. Inā maʻalahi ke kūlana o ka mea maʻi, hiki ke mālama ʻia ka hoʻihoʻi ʻana no kekahi mau mahina. Inā paʻakikī ka maʻi a paʻakikī ka wehe ʻana i ka ʻili, ʻoi aku ka nui o ka pilikia o ka hoʻi hou ʻana, a hiki ke loaʻa nā ʻili hou i 2-3 mau mahina ma hope o ka pau ʻana o ka phototherapy. I mea e loaʻa ai ka hopena therapeutic ʻoi aku ka maikaʻi a hōʻemi i ka hoʻihoʻi hou ʻana, hoʻohana pinepine ʻia ka phototherapy me kekahi mau lāʻau lapaʻau i ka hana lapaʻau.
Ma kahi noiʻi nānā ʻana i ka maikaʻi o ka ʻaila tacathinol i hui pū ʻia me ka radiation UVB haiki i ka mālama ʻana i ka psoriasis vulgaris, ua hāʻawi ʻia nā maʻi 80 i kahi pūʻulu mana i loaʻa i ka UVB phototherapy wale nō a me kahi hui lapaʻau i loaʻa i ka tacalcitol topical (ʻelua mau lā) i hui pū ʻia. me ka UVB phototherapy, kino irradiation, hoʻokahi manawa i kēlā me kēia lā.
Hōʻike nā hopena noiʻi ʻaʻohe ʻokoʻa koʻikoʻi o nā hui ʻelua o nā maʻi me ka helu PASI a me ka maikaʻi o ka mālama ʻana i ka pule ʻehā. Akā i ka hoʻohālikelike ʻana i ka mālama ʻana i nā wiki he 8, ʻoi aku ka maikaʻi o ka pūʻulu lapaʻau PASI (psoriasis skin lesion degree score) a ʻoi aku ka maikaʻi ma mua o ka hui hoʻomalu, e hōʻike ana ʻo tacalcitol hui UVB phototherapy i ka mālama ʻana i nā psoriasis he hopena maikaʻi ma mua o UVB phototherapy wale nō.
He aha ka tacacitol?
ʻO Tacalcitol kahi mea i loaʻa i ka vitamin D3 ikaika, a me nā lāʻau like me ka calcipotriol irritant ikaika, he hopena pale i ka hoʻonui ʻana o nā cell epidermal. Hoʻokumu ʻia ka psoriasis ma muli o ka hoʻonui nui ʻana o nā cell glial epidermal, ka hopena o ka erythema a me ke kala keʻokeʻo desquamate ma ka ʻili.
ʻO Tacalcitol ka maʻalahi a me ka liʻiliʻi o ka huhū i ka mālama ʻana i ka psoriasis (hiki ke hoʻohana ʻia ka psoriasis intravenous) a pono e hoʻohana ʻia i 1-2 mau manawa i ka lā ma muli o ke koʻikoʻi o ka maʻi. No ke aha e ʻōlelo ai he mālie? No nā ʻāpana lahilahi a palupalu o ka ʻili, koe wale ka cornea a me ka conjunctiva, hiki ke hoʻohana ʻia nā ʻāpana āpau o ke kino, ʻoiai ʻaʻole hiki ke hoʻohana ʻia ka huhū ikaika o ka calcipotriol i ke poʻo a me ka maka, no ka mea, aia paha ka ʻili, dermatitis, edema. a puni nā maka a i ʻole ka edema maka a me nā hopena ʻino ʻē aʻe. Inā hui pū ʻia ka lāʻau me UVB phototherapy, ʻekolu manawa i ka pule ka phototherapy, a ʻo ka tacalcitol ʻelua i ka lā
He aha ka hopena ʻaoʻao e hiki ke loaʻa i ka phototherapy UVB? He aha ka mea e pono e makaʻala i ka wā mālama?
ʻO ka ʻōlelo maʻamau, ʻo ka hapa nui o nā hopena ʻaoʻao o ka mālama ʻana i ka UVB he manawa pōkole, e like me ka ʻili, ke kuni a i ʻole nā ʻōpala. No laila, no ka hapa ʻili o ka ʻili, pono ka phototherapy e uhi pono i ka ʻili olakino. ʻAʻole kūpono ka ʻauʻau ma hope koke o ka phototherapy, i ʻole e hōʻemi i ka absorption uv a me ka phototoxicity.
I ka wā o ka mālama ʻana, ʻaʻole pono e ʻai i nā hua a me nā mea kanu photosensitive: fig, coriander, lime, letus, etc.; ʻAʻole hiki ke lawe i ka lāʻau photosensitive: tetracycline, sulfa drug, promethazine, chlorpromethazine hydrochloride.
A no ka meaʻai hoʻonanea i hiki ke hoʻonui i ka maʻi, e ʻai liʻiliʻi a ʻaʻole ʻai paha, aia kēia ʻano meaʻai i ka iʻa, ka paka a me ka waiʻona, etc. , a pale pono i ka hoʻi hou ʻana o psoriasis.
Ka hopena: Phototherapy i ka mālama ʻana i nā psoriasis, hiki ke hoʻohaʻahaʻa i nā ʻeha psoriasis, hiki i ka hui kūpono o nā lāʻau lapaʻau ke hoʻomaikaʻi i ka hopena lapaʻau a hōʻemi i ka hoʻi hou ʻana.
Ka manawa hoʻouna: Jun-07-2022
