He maʻi maʻamau ka psoriasis, he nui, maʻalahi ke hoʻi hou, paʻakikī ke ho'ōla i nā maʻi ʻili ma waho aʻe o ka lāʻau lapaʻau waho, ka lāʻau lapaʻau waha, ka lāʻau lapaʻau olaola, aia kekahi lāʻau lapaʻau ʻē aʻe he lāʻau lapaʻau kino. He lāʻau lapaʻau kino ka UVB phototherapy, No laila he aha nā hopena ʻaoʻao o ka UVB phototherapy no ka psoriasis?
He aha ka UVB phototherapy? He aha nā maʻi e hiki ke mālama ʻia e ia?
ʻO ke kiʻi UVBHoʻohana i ke kumu kukui hana a i ʻole ka ikehu kukuna lā e mālama ai i nā maʻi, a me ka hoʻohana ʻana i ka kukuna ultraviolet ma ke kino o ke kanaka e mālama ai i ka maʻi i kapa ʻia ʻo ultraviolet therapy. ʻO ke kumumanaʻo o ka UVB phototherapy ka kāohi ʻana i ka hoʻolaha ʻana o nā cell T i loko o ka ʻili, kāohi i ka hyperplasia epidermal a me ka mānoanoa, hoʻemi i ka mumū o ka ʻili, i mea e hōʻemi ai i ka pōʻino o ka ʻili.
He hopena maikaʻi ka phototherapy UVB i ka mālama ʻana i nā maʻi ʻili like ʻole, e like me ka psoriasis, dermatitis kikoʻī, vitiligo, eczema, bryophyid pityriasis maʻi, a pēlā aku. I waena o lākou i ka mālama ʻana i ka psoriasis ʻo UVB (wavelength o 280-320 nm) ke kuleana nui, ʻo ka hana ke hōʻike i ka ʻili ikukui ultravioleti kahi manawa kikoʻī; Loaʻa i ka phototherapy UVB nā ʻano like ʻole e like me ka anti-inflammatory, immunosuppression a me cytotoxicity.
He aha nā papa inoa o ka phototherapy?
ʻO ka lāʻau lapaʻau optical psoriasis he 4 mau ʻano hoʻokaʻawale, ʻo ia hoʻi no ka lāʻau UVB, NB-UVB, PUVA, excimer laser. I waena o lākou, ʻoi aku ka maʻalahi o ka UVB a ʻoi aku ka maʻalahi o ke kumukūʻai ma mua o nā ʻano hana phototherapy ʻē aʻe, no ka mea hiki iā ʻoe kee hoʻohana i ka phototherapy UVB ma ka homeʻO ka maʻamau, ʻōlelo ʻia ka phototherapy UVB no nā pākeke a me nā keiki me ka psoriasis. Inā loaʻa nā ʻeha psoriasis ma nā wahi lahilahi, e ʻike maopopo ʻia ka hopena o ka phototherapy.
He aha nā pono oʻO ka lāʻau lapaʻau UVB no ka psoriasis?
Ua hoʻokomo ʻia ka phototherapy UVB i loko o nā alakaʻi no ka hōʻailona a me ka mālama ʻana i ka psoriasis (paʻi 2018), a he mea maopopo kona hopena therapeutic. Hōʻike nā helu helu e hiki i ka 70% a i ka 80% o nā maʻi psoriasis ke hoʻokō i ka 70% a i ka 80% o ka hōʻoluʻolu o nā ʻeha ʻili ma hope o 2-3 mau mahina o ka phototherapy maʻamau.
Eia nō naʻe, ʻaʻole kūpono nā maʻi āpau no ka phototherapy. Hoʻōla nui ʻia ka psoriasis ʻoluʻolu me nā lāʻau lapaʻau topical, ʻoiai ʻo ka UVB phototherapy kahi lāʻau koʻikoʻi loa no nā maʻi kaulike a koʻikoʻi.
Hiki i ka Phototherapy ke hoʻolōʻihi i ka manawa hoʻi hou o ka maʻi. Inā he akahai ke kūlana o ka mea maʻi, hiki ke mālama ʻia ka hoʻi hou ʻana no kekahi mau mahina. Inā paʻakikī ka maʻi a paʻakikī ke wehe i nā ʻeha ʻili, ʻoi aku ka nui o ka pilikia o ka hoʻi hou ʻana, a hiki ke loaʻa nā ʻeha ʻili hou i 2-3 mau mahina ma hope o ka hoʻōki ʻana i ka phototherapy. I mea e loaʻa ai ka hopena therapeutic maikaʻi a hōʻemi i ka hoʻi hou ʻana, hoʻohana pinepine ʻia ka phototherapy me kekahi mau lāʻau lapaʻau topical i ka hana lapaʻau.
Ma kahi noiʻi nānā ʻana i ka pono o ka ʻaila tacathinol i hui pū ʻia me ka radiation UVB spectrum haiki i ka mālama ʻana i ka psoriasis vulgaris, ua hoʻokaʻawale ʻia he 80 mau maʻi i kahi hui kaohi i loaʻa ka phototherapy UVB wale nō a me kahi hui lapaʻau i loaʻa ka tacalcitol topical (ʻelua i ka lā) i hui pū ʻia me ka phototherapy UVB, ka irradiation kino, hoʻokahi manawa i kēlā me kēia lā.
Ua hōʻike nā hopena noiʻi ʻaʻohe ʻokoʻa koʻikoʻi o ka helu helu ma waena o nā hui ʻelua o nā maʻi me ka helu PASI a me ka pono o ka lāʻau lapaʻau a hiki i ka pule ʻehā. Akā i ka hoʻohālikelike ʻia me ka lāʻau lapaʻau 8 pule, ua hoʻomaikaʻi ʻia ka helu PASI o ka hui lapaʻau (psoriasis skin lesion degree score) a ʻoi aku ka maikaʻi ma mua o ka hui kaohi, e hōʻike ana he hopena maikaʻi ka tacalcitol joint UVB phototherapy i ka mālama ʻana i ka psoriasis ma mua o ka UVB phototherapy wale nō.
He aha ka tacacitol?
He hua o ka huaora D3 ikaika ʻo Tacalcitol, a he calcipotriol hoʻonāukiuki ikaika ko nā lāʻau like, nona ka hopena pale i ka hoʻonui ʻana o nā pūnaewele epidermal. Hoʻokumu ʻia ka psoriasis e ka hoʻonui nui ʻana o nā pūnaewele glial epidermal, e hopena ana i ka erythema a me ka desquamate keʻokeʻo kālā ma ka ʻili.
He ʻoluʻolu a emi iki ka hoʻonāukiuki ʻana o Tacalcitol i ka mālama ʻana i ka psoriasis (hiki i ka psoriasis intravenous ke hoʻohana pū) a pono e hoʻohana ʻia 1-2 mau manawa i ka lā ma muli o ke koʻikoʻi o ka maʻi. No ke aha e ʻōlelo ai he akahai? No nā ʻāpana lahilahi a palupalu o ka ʻili, koe wale nō 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 calcipotriol ma ke poʻo a me ka maka, no ka mea, aia paha ka ʻeha, 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 ka phototherapy UVB ʻo ia phototherapy ʻekolu manawa i ka pule, a ʻo tacalcitol ʻelua i ka lā
He aha ka hopena ʻaoʻao e hiki ai i ka phototherapy UVB ke loaʻa? He aha nā mea e pono e makaʻala ai i ka wā o ka mālama ʻana?
Ma ke ʻano laulā, ʻo ka hapa nui o nā hopena ʻaoʻao o ka mālama ʻana iā UVB he manawa pōkole wale nō, e like me ka maneʻo, ke kuni a i ʻole nā pehu. No laila, no nā ʻeha ʻili hapa, pono ka phototherapy e uhi pono i ka ʻili olakino. ʻAʻole kūpono ke ʻauʻau koke ma hope o ka phototherapy, i ʻole e hōʻemi i ka omo ʻana o ka uv a me ka phototoxicity.
I ka wā o ka mālama ʻana, ʻaʻole pono e ʻai i nā huaʻai a me nā mea kanu photosensitive: fiku, coriander, lime, lettuce, a pēlā aku; ʻAʻole hiki ke lawe pū ʻia me nā lāʻau lapaʻau photosensitive: tetracycline, sulfa drug, promethazine, chlorpromethazine hydrochloride.
A no ka meaʻai ʻala a hoʻonāukiuki paha e hoʻonui ai i ke ʻano, e ʻai iki i ka hiki a ʻaʻole paha e ʻai, ʻo kēia ʻano meaʻai he meaʻai kai, paka a me ka waiʻona, a pēlā aku, ma o ka kaohi kūpono ʻana i ka ʻai hiki ke hoʻoulu i ka hoʻōla ʻana o nā ʻeha ʻili, a pale pono i ka hoʻi hou ʻana o ka psoriasis.
Hopena: ʻO ka Phototherapy i ka mālama ʻana i ka psoriasis, hiki ke hōʻoluʻolu i nā lesions psoriasis, ʻo ka hui kūpono o nā lāʻau topical hiki ke hoʻomaikaʻi i ka hopena lapaʻau a hōʻemi i ka hoʻi hou ʻana.
Ka manawa hoʻouna: Iune-07-2022
