Psoriasis chirwere chinowanzoitika, chakawanda, chiri nyore kudzoka, chakaoma kurapa ganda, icho pamusoro pekurapa nemishonga yekunze, kurapa nemuromo, kurapwa nemuviri, kune imwe nzira yekurapa ndeye physiotherapy. UVB phototherapy ikurapa kwemuviri, Saka ndeapi mhedzisiro yeUVB phototherapy kune psoriasis?
Chii chinonzi UVB phototherapy? Ndezvipi zvirwere zvinogona kurapwa nayo?
Kurapa neUVB phototherapyShandisa chiedza chekugadzira kana simba remwaranzi yezuva kurapa chirwere, uye shandisa mwaranzi ye ultraviolet mumuviri wemunhu kurapa chirwere nenzira inonzi ultraviolet therapy. Nheyo yeUVB phototherapy ndeyekudzivirira kuwanda kwemasero eT muganda, kudzivirira epidermal hyperplasia uye kukora, kuderedza kuzvimba kweganda, kuitira kuderedza kukuvara kweganda.
Kurapa neUVB phototherapy kune simba rakanaka pakurapa zvirwere zvakasiyana-siyana zveganda, zvakaita sepsoriasis, dermatitis chaiyo, vitiligo, eczema, chronic bryophyid pityriasis, nezvimwewo. Pakati pavo pakurapa psoriasis iyo UVB (wavelength ye280-320 nm) inoita basa guru, kuvhiya uku ndekwekuisa ganda pachena.chiedza che ultravioletpanguva yakatarwa; UVB phototherapy ine zvinhu zvakasiyana zvakaita sekudzivirira kuzvimba, kudzvinyirira immune system uye cytotoxicity.
Ndezvipi zvikamu zve phototherapy?
Kurapa kwemaziso kwePsoriasis kune mhando ina dzekupatsanura, zvichiteerana dzekurapa kweUVB, NB-UVB, PUVA, uye excimer laser. Pakati padzo, UVB iri nyore uye yakachipa kupfuura dzimwe nzira dzekurapa nephototherapy, nekuti unogonakushandisa UVB phototherapy kumba. UVB phototherapy inowanzo kurudzirwa kuvanhu vakuru nevana vane psoriasis. Kana maronda e psoriasis akaitika munzvimbo dzakatetepa, mhedzisiro ye phototherapy ichave yakajeka.
Ndezvipi zvakanakira zveUVB phototherapy ye psoriasis?
Kurapa neUVB kwakabatanidzwa mugwara rekuongorora nekurapa psoriasis (chinyorwa cha2018), uye mhedzisiro yayo yekurapa ndeyechokwadi. Nhamba dzinoratidza kuti 70% kusvika 80% yevarwere vane psoriasis vanogona kuwana 70% kusvika 80% yekuderedza maronda eganda mushure memwedzi miviri kusvika mitatu yekurapa nephototherapy nguva dzose.
Zvisinei, havasi varwere vese vakakodzera kurapwa nechiedza chezuva. Psoriasis isina kusimba inonyanya kurapwa nemishonga yemudumbu, nepo UVB phototherapy iri mushonga unokosha zvikuru kune varwere vane mwero uye vane chirwere chakanyanya.
Kurapa nePhototherapy kunogona kuwedzera nguva yekudzoka kwechirwere. Kana mamiriro emurwere ari madiki, kudzoka kwechirwere kunogona kuramba kuripo kwemwedzi yakati wandei. Kana chirwere chacho chakaoma uye maronda eganda akaoma kubvisa, njodzi yekudzoka kwechirwere inowedzera, uye maronda matsva eganda anogona kuitika mwedzi 2-3 mushure mekumira kurapwa nePhototherapy. Kuti pave nemhedzisiro iri nani yekurapa uye kuderedza kudzoka kwechirwere, phototherapy inowanzo shandiswa pamwe chete nemimwe mishonga yekurapa mukiriniki.
Muongororo yekuongorora kushanda kwemafuta etacathinol pamwe chete nemwaranzi yeUVB yakamanikana mukurapa psoriasis vulgaris, varwere makumi masere vakaiswa muboka rekuongorora rakawana UVB phototherapy chete uye boka rekurapa rakawana tacalcitol topical (kaviri pazuva) pamwe chete neUVB phototherapy, body radiation, kamwe chete mazuva maviri.
Zvakabuda muongororo zvinoratidza kuti hapana musiyano wakakosha pakati pemapoka maviri evarwere vane PASI score uye kushanda zvakanaka kwekurapa kusvika vhiki rechina. Asi zvichienzaniswa nekurapa kwemavhiki masere, PASI score yeboka rekurapa (psoriasis skin lesion degree score) yakawedzera uye inoshanda zvakanaka kupfuura boka rekutonga, zvinoratidza kuti tacalcitol joint UVB phototherapy mukurapa psoriasis inobatsira zvikuru pane UVB phototherapy chete.
Chii chinonzi tacacitol?
Tacalcitol inobva muvhitamini D3 inoshanda, uye mishonga yakafanana ine calcipotriol yakasimba inotsamwisa, iyo ine mhedzisiro inodzivirira kuwanda kwemasero eganda. Psoriasis inokonzerwa nekuwanda kwakanyanya kwemasero eganda eganda, zvichikonzera erythema uye silvery white desquamate paganda.
Tacalcitol haina kunyanya kurwadza mukurapa psoriasis (psoriasis inoiswa mutsinga inogonawo kuishandisa) uye inofanira kushandiswa kamwe chete kana kaviri pazuva zvichienderana nekuoma kwechirwere. Sei uchiti yakapfava? Kune zvikamu zvakatetepa uye zvakapfava zveganda, kunze kwe cornea ne conjunctiva, zvikamu zvese zvemuviri zvinogona kushandiswa, nepo calcipotriol yakanyanya kutsamwisa haigone kushandiswa mumusoro nekumeso, nekuti panogona kunge paine kuvaviwa, dermatitis, kuzvimba kwakakomberedza maziso kana kuzvimba kwechiso nezvimwe zvinokanganisa. Kana kurapwa kwakabatana ne UVB phototherapy, iyo phototherapy inotorwa katatu pasvondo, uye tacalcitol kaviri pazuva.
Ndezvipi zvimwe zvinogona kukonzera UVB phototherapy? Chii chinofanira kutariswa panguva yekurapwa?
Kazhinji, migumisiro yakawanda yekurapwa kweUVB inguva pfupi, yakadai sekurumwa, kutsva kana maronda. Saka, kune mamwe maronda eganda, phototherapy inofanira kufukidza ganda rakanaka zvakanaka. Hazvina kukodzera kugeza nekukurumidza mushure me phototherapy, kuitira kuti usaderedze kunyudzwa kweUV uye chepfu yephototoxicity.
Panguva yekurapwa, haufaniri kudya michero nemiriwo zvinonzwa chiedza: maonde, coriander, lime, lettuce, nezvimwewo; Uyewo haufaniri kutorwa semushonga unonzwa chiedza: tetracycline, sulfa drug, promethazine, chlorpromethazine hydrochloride.
Uye kana chikafu chinonhuhwirira chinokanganisa chinogona kukonzera kushata kwechirwere ichi, idya zvishoma sezvinobvira kana kuti usadye, rudzi urwu rwechikafu rune hove, fodya nedoro, nezvimwewo, kuburikidza nekudzora kudya zvine mwero kunogona kukurudzira kupora kwemaronda eganda, uye kudzivirira kudzoka kwe psoriasis.
Mhedziso: Kurapa ne phototherapy pakurapa psoriasis, kunogona kuderedza maronda e psoriasis, kusanganiswa kwemishonga inotorwa nemaoko kunogona kuvandudza mhedzisiro yekurapa uye kuderedza kudzoka kwechirwere.
Nguva yekutumira: Chikumi-07-2022
