Psoriasis yakajairika, yakawanda, iri nyore kudzoka, yakaoma kurapa zvirwere zveganda izvo mukuwedzera kune kunze kwemishonga kurapa, oral systemic therapy, biological kurapwa, kune kumwe kurapa kwemuviri kurapa. UVB phototherapy kurapwa kwemuviri, Saka ndeapi mhedzisiro yeUVB phototherapy ye psoriasis?
Chii chinonzi UVB phototherapy? Ndezvipi zvirwere zvinogona kurapwa nazvo?
UVB phototherapyshandisa artificial light source kana solar mwaranzi simba kurapa chirwere, uye kushandisa ultraviolet mwaranzi pamuviri womunhu kurapwa chirwere nzira inonzi ultraviolet therapy. Nheyo yeUVB phototherapy ndeyekudzivisa kuwanda kweT masero paganda, inhibit epidermal hyperplasia uye kukora, kuderedza kuzvimba kweganda, kuitira kuderedza kukuvara kweganda.
UVB phototherapy ine simba rakanaka mukurapa kwezvirwere zvakasiyana-siyana zveganda, zvakadai se psoriasis, dermatitis chaiyo, vitiligo, eczema, chronic bryophyid pityriasis, etc. Pakati pavo pakurapa psoriasis iyo UVB (wavelength ye280-320 nm) inotamba a basa guru, kuvhiyiwa kufumura gandaultraviolet chiedzapanguva yakatarwa; UVB phototherapy ine zvinhu zvakasiyana senge anti-inflammatory, immunosuppression uye cytotoxicity.
Ndezvipi zvikamu zve phototherapy?
Psoriasis optical therapy inonyanya kuve nemhando ina dzemhando, zvakateerana UVB, NB-UVB, PUVA, excimer laser kurapwa. Pakati pavo, UVB iri nyore uye yakachipa kupfuura dzimwe nzira dzephototherapy, nekuti unogonashandisa UVB phototherapy kumba. UVB phototherapy inowanzokurudzirwa kuvanhu vakuru nevana vane psoriasis. Kana psoriasis maronda akaitika munzvimbo dzakaonda, mhedzisiro yephototherapy ichave iri pachena
Ndezvipi zvakanakiraUVB phototherapy ye psoriasis?
UVB phototherapy yakabatanidzwa mune psoriasis kuongororwa uye nhungamiro yekurapa (2018 edition), uye maitiro ayo ekurapa ndeyechokwadi. Nhamba dzinoratidza kuti 70% kusvika 80% yevarwere vepsoriasis vanogona kuwana 70% kusvika 80% kusunungurwa kwemaronda eganda mushure memwedzi 2-3 yenguva dzose phototherapy.
Zvisinei, havasi varwere vose vakakodzera phototherapy. Mild psoriasis inonyanya kurapwa nemishonga yemusoro, nepo UVB phototherapy kurapwa kwakakosha kune vane mwero uye vakakomba varwere.
Phototherapy inogona kuwedzera nguva yekudzoka kwechirwere. Kana mamiriro emurwere ari munyoro, kudzokorora kunogona kuchengetwa kwemwedzi inoverengeka. Kana chirwere chacho chakasindimara uye zvipembenene zveganda zvakaoma kubvisa, njodzi yekudzoka zvakare yakakwirira, uye zvitsva zveganda zvinogona kuitika mwedzi 2-3 mushure mokumisa phototherapy. Kuti uve nekurapa kurinani uye kuderedza kudzokorora, phototherapy inowanzoshandiswa pamwe chete nemamwe madhiragi epamusoro mukuita kwekiriniki.
Muchidzidzo chekucherechedza kushanda kwetacathinol mafuta akasanganiswa nemwaranzi yakamanikana yeUVB mukurapa psoriasis vulgaris, varwere makumi masere vakaiswa kuboka rekutonga rakagamuchira UVB phototherapy yega uye boka rekurapa rakagamuchira tacalcitol topical (kaviri pazuva) rakasanganiswa. neUVB phototherapy, kuvheneka kwemuviri, kamwe chete mamwe mazuva.
Zvitsva zvekutsvaga zvinoratidza kuti pakanga pasina mutsauko wakakosha wemapoka maviri evarwere vane PASI mamaki uye nekubudirira kwekurapa kwevhiki yechina. Asi kana zvichienzaniswa nekurapa kwemavhiki masere, boka rekurapa rePASI chikamu (psoriasis skin lesion degree score) rakavandudzwa uye rakabudirira raive rakakwirira pane boka rekutonga, rinoratidza kuti tacalcitol yakabatana UVB phototherapy mukurapa psoriasis yakanaka mhedzisiro pane UVB phototherapy chete.
Chii chinonzi tacacitol?
Tacalcitol inobva kuvhitamini D3 inoshanda, uye mishonga yakafanana ine calcipotriol yakasimba inogumbura, iyo ine inhibitory effect pakupararira kwemasero epidermal. Psoriasis inokonzerwa nekuwanda kwekuwedzera kwemasero epidermal glial, zvichikonzera erythema uye silvery white desquamate paganda.
Tacalcitol ine unyoro uye isinganyanyi kunetseka mukurapa psoriasis (intravenous psoriasis inogonawo kuishandisa) uye inofanira kushandiswa 1-2 nguva pazuva zvichienderana nekuoma kwechirwere. Sei uchitaura zvinyoro? Kune zvikamu zvitete uye zvinyoro zveganda, kunze kwekonea uye conjunctiva, zvikamu zvose zvemuviri zvinogona kushandiswa, asi kutsamwa kwakasimba kwecalcipotriol hakugoni kushandiswa mumusoro uye chiso, nokuti panogona kunge kune itching, dermatitis, edema. zvakapoteredza maziso kana edema yechiso uye mamwe maitiro asina kunaka. Kana kurapwa kwakasanganiswa neUVB phototherapy iyo phototherapy ndeye katatu pasvondo, uye tacalcitol kaviri pazuva
Ndeipi mhedzisiro inogona kuve neUVB phototherapy? Chii chinofanira kuteerera panguva yekurapa?
Kazhinji kutaura, mazhinji emhedzisiro yekurapwa kweUVB ndeyechinguvana, senge kukwenya, kutsva kana mablisters. Naizvozvo, kune chikamu cheganda maronda, phototherapy inoda kuvhara ganda rine hutano zvakanaka. Hazvina kukodzera kushambidza pakarepo mushure me phototherapy, kuitira kuti urege kuderedza uv absorption uye phototoxicity.
Panguva yekurapa haifaniri kudya michero yephotosensitive nemiriwo: figi, coriander, lime, lettuce, nezvimwewo; Uyewo haugoni kutora photosensitive mushonga: tetracycline, sulfa mushonga, promethazine, chlorpromethazine hydrochloride.
Uye kune chikafu chinopisa chinogumbura chinogona kukonzera kuwedzera kwemamiriro ezvinhu, idya zvishoma sezvazvinogona kana kusadya, rudzi urwu rwechikafu rune chikafu chegungwa, fodya nedoro, nezvimwewo, kuburikidza nekutonga kwakanaka kwekudya kunogona kukurudzira kudzoreredza maronda eganda. , uye zvinobudirira kudzivirira kudzoka kwe psoriasis.
Mhedziso: Phototherapy mukurapa psoriasis, inogona kuderedza psoriasis maronda, zvine musoro kusanganiswa kwemishonga yemusoro inogona kuvandudza maitiro ekurapa uye kuderedza kudzokorora.
Nguva yekutumira: Jun-07-2022
