Hanyoyi na Phototherapy, Abubuwa, da Dama
Phototherapy, wanda aka sani da farjin haske, yana daya daga cikin jiyya mafi kyau ga psoriasis . Ya shafi faɗakar da fata zuwa UV makamashi. An san shekaru da yawa cewa haskakawa ga hasken rana zai iya inganta yawancin cututtukan flammatory, ciki har da psoriasis, eczema , da kuma vitiligo. Amma kawai menene phototherapy? Ta yaya yake aiki? Menene sakamako masu illa mai yiwuwa?
Kuma zai iya kasancewa wani zaɓi mai kyau kyauta a gare ku?
Bayanin: Harkokin Kayan lantarki
Rashin rana yana ba da makamashi na lantarki a wasu siffofin. Wasu daga cikin wannan ya zo cikin nau'i na haske. Amma rana ta ba da wasu nau'o'in makamashi na lantarki. Ultraviolet (UV) makamashi yana nufin makamashin lantarki wanda yake da ƙananan ƙarfin aiki kuma mafi yawan makamashi fiye da hasken da ke gani wanda muke gani:
- Musamman, UVA radiation tana da matsayi mafi kusa da haske na bayyane.
- UVB radiation na gaba a kan bakan. Irin wannan radiation yana da maɗaukakin guntu. Yana da dan kadan fiye da makamashin UVA.
Matsaloli masu yiwuwa na UV Radiation
Dukkan hasken UVA da UVB sun shiga cikin yanayi. Yawancin yalwatawa ga waɗannan haskoki zai iya lalata fata. Musamman, UVB shine ainihin hanyar kunar rana a jiki, kuma duka UVA da UVB suna taka rawar gani a tsofaffi fata da ciwon daji . Abin da ya sa yana da muhimmanci a yi amfani da matakan kare fata, kamar sunscreen.
UV Far for Psoriasis
A psoriasis, ƙananan hasken rana zuwa hasken UV zai iya samun wasu tasiri mai kyau. Ƙararrakin UV tana da tasirin immunosuppressive da anti-inflammatory a kan sel a jikinka. Saboda psoriasis ya ƙunshi ƙananan ƙumburi na fata, haskakawa zuwa wadannan haskoki na iya taimakawa wajen rage alamar bayyanarku.
Masana kimiyya suna koyo game da sauran hanyoyi da wadannan haskoki zasu iya taimaka wajen magance psoriasis.
Phototherapy ya shafi faɗakar da yankin da ya shafa zuwa ƙananan hasken ultraviolet. Phototherapy yana da tasiri sosai ga mutanen da ke da matsanancin matsananciyar cuta wanda ke rinjayar babban ɓangaren jikinsu.
Irin Phototherapy
Da farko a farkon karni na 20, likitoci sun fara kirkiro iri-iri na phototherapy don taimaka wa mutane tare da psoriasis. A yau akwai nau'i daban-daban na phototherapy samuwa don bi da psoriasis. Abubuwa uku da suka fi amfani da ita a yau sune:
- Broadband ultraviolet B (BB-UVB)
- Narrowband ultraviolet B (NB-UVB)
- Psoralen da ultraviolet A (PUVA)
Hakika, hanyar da ta fi sauƙi da kuma mafi girma na phototherapy yana da sauƙin hasken rana don ɗan gajeren lokaci. Duk da haka, saboda mafi mahimmanci da mafi kyawun sakamakon, likitoci sun bada shawarar siffofin sarrafawa na phototherapy.
BB-UVB da NB-UVB
BB-UVB shine farkon nau'in phototherapy don bunkasa. Ya shafi faɗakar da fatar jiki zuwa matsanancin haske tsakanin 290 da 313nm.
Shekaru daga baya, masu bincike sun kirkiro irin wannan farfadowa na UVB da ke amfani da ƙananan raƙuman ruwa (tsakanin 308 da 313nm). Abin da ya sa aka kira shi "kungiya mai kunkuntar." NB-UVB yanzu shine mafi yawan amfani da irin wannan phototherapy a yau saboda dalilai da dama:
- Ya fi tasiri fiye da BB-UVB.
- Ana iya amfani dashi don yanayin yanayi daban-daban.
- Yana da sauki don amfani da wasu nau'o'in phototherapy.
- Yana da ƙananan sakamako masu illa idan aka kwatanta da BB-UVB ko PUVA.
Ana iya amfani da nau'i na UVB guda bayan an yi amfani da wani takarda na tarin. Wannan tsarin, wanda zai yiwu ya sa magani ya fi tasiri, an san shi da maganin Goeckerman.
PUVA
PUVA wani nau'i ne na yau da kullum na phototherapy, na biyu mafi yawan bayan NB-UVB. Yana da bangare guda biyu. Na farko zaka yi amfani da abu, wanda ake kira psoralen, wani ɗan gajeren lokaci kafin lokacin zamanka na phototherapy. Dangane da takamaiman nau'in PUVA farfadowa, kayi amfani da wannan zuwa fata ko ɗauka azaman kwaya.
Sa'an nan kuma ka karbi UV far, a cikin hanyar UVA haskoki. Psoralen yana jin ƙanshin ka don haka zai dace da kamfanonin UVA. Saboda UVA ba "ƙarfi" a matsayin UVB (radiation baya da makamashi mai yawa), kana buƙatar ƙarin ƙaruwa daga psoralen don inganta farfadowa.
Laser Far
Wata sabuwar hanyar da aka fi amfani da ita ta hanyar amfani da kwayar cutar ita ce farfadowa na laser . Ana iya la'akari da irin maganin UVB-NB. Ayyukan laser suna aiki ne bisa la'akari da farfadowa da haske a kan karamin ƙananan fata. Laser na iya yin amfani da isasshen radiation, wanda zai iya taimakawa fata ya warkar da sauri. A halin yanzu an yarda da shi ta Cibiyar Abincin Abincin Amurka da Drug a matsayin mai sauƙi ko matsakaici psoriasis.
Amfanin Amfani na Phototherapy
Akwai lokuta daban-daban hanyoyin maganin psoriasis, ciki har da maganin jiyya da tsofaffin kwayoyi. Duk da haka, phototherapy yana da wasu halayen da suka sa ya zama muhimmin zaɓi na warkewa. Wasu daga cikin waɗannan sune:
- Yana aiki da kyau sosai.
- Yana da kudin-tasiri.
- Ba shi da tasirin maganganun gargajiyar gargajiya da kuma hanyoyin maganin tsarin jiki, irin su kawar da tsarin rigakafi.
Bugu da ƙari, yana nuna ya zama mai lafiya don amfani a lokacin ciki, ba kamar wasu magunguna psoriasis ba.
Lokacin da za a yi la'akari da Phototherapy
Ba a yi amfani da magungunan ƙwayoyin magani a kan kansa ba. Magunguna masu mahimmanci (irin su corticosteroid creams) har yanzu sune mahimmancin magani ga mafi yawan mutane tare da psoriasis. Idan waɗannan nau'ikan rubutun ba su da tasiri a sarrafawa na psoriasis, likitanku na iya bada shawarar amfani da phototherapy a matsayin magani mai kara.
Ana amfani da samfurin Phototherapy a matsayin ƙarin magani ga wadannan maganin. Duk da haka ana iya amfani dashi a karkashin yanayin da ke faruwa:
- Tare da tsarin kwantar da hankali don psoriasis (kamar methotrexate ko cyclosporine)
- Tare da maganin halittu na psoriasis (kamar su etanercept ko infliximab)
A ina kuma ta yaya aka yi?
Phototherapy an yi yawanci ne a cikin ofishin likitan kwalliya a cikin akwatin haske. Duk da haka, tare da sababbin sababbin na'urori na hannu, ya zama sauƙi don ƙarin mutane su ba da kansu phototherapy a gida. Na'urorin hannu masu mahimmanci suna da wasu abũbuwan amfãni, saboda sun rage yawan adadin wanda ba a taɓa shafa ba wanda aka fallasa zuwa radiation. Fitilar jiki da kwalaye masu haske don kula da hannayensu da ƙafafunsu suna samuwa don farfadowa na gida.
Yawancin lokaci, mutane suna karɓar kusan uku zuwa biyar a cikin mako guda na makonni masu yawa a cikin hanyar kulawa. Bayan haka, zaku iya buƙatar zaman gyare-gyare na lokaci lokaci ko maimaitawar magani. Yawanci yana ɗaukan akalla 'yan zaman kafin fata fara farawa.
Hanyoyin Yanayin Tsarin Hoto na Phototherapy
Yawancin mutane suna da kyau sosai tare da phototherapy. Duk da haka, yana da wasu tasiri masu tasiri. Sakamakon sakamako mafi rinjaye ya shafi yankin da aka nuna a phototherapy kuma ya haɗa da:
- Gashin wuta
- Itching
- Redness
Mafi yawancin, mutane da ke dauke da PUVA phototherapy zasu iya shawo kan motsa jiki.
Ciwon Kankara Kan Cutar
Phototherapy kuma yana nuna karamin haɗarin samun ciwon daji, musamman ma da ake kira ciwon sikila na squamous . Wannan haɗari ya fi girma ga mutanen da suke samun farfadowa na PUVA na tsawon lokaci, amma yana yiwuwa wannan farfadowa na UVB zai kara haɓakar mutum. Daidai yadda phototherapy ya ƙaru hadarin ba a sani ba.
Bai kamata ku yi amfani da hasken rana a lokacin phototherapy, tun da wannan tubalan UV ya haskaka kuma ya sa rashin lafiya ya yi tasiri. Duk da haka, don kasancewa a gefen lafiya, likitoci sun ba da shawarar cewa kwarewar fata ta hanyar likita mai horar da likita don bincika duk wata cuta da za a iya yin rigakafi. Idan kana da damuwa, kada ka yi shakka don tattauna batun tare da mai bada lafiyar ku.
Abubuwa
Phototherapy bazai zama kyakkyawan zaɓi ba idan kun:
- Shin tarihin rikice-rikicen hoto
- Ɗauki magungunan photosensitizing
- Yi tarihin melanoma
- Yi wasu yanayi na likita, kamar lupus
- An immunosuppressed (kamar daga wani organ dashi)
Mutanen da suke da kyawawan fata suna iya buƙatar yin hankali tare da phototherapy, kamar yadda zasu iya fuskanci fushi.
Rage Availability of Phototherapy
Mutane da yawa masu binciken cututtuka suna son samar da kyamarar ƙwayoyin cuta a matsayin wani zaɓi ga marasa lafiya, gano shi wani zaɓi mai magani mai mahimmanci. Duk da haka, mutane da yawa suna karɓar magani na phototherapy a cikin 'yan shekarun nan. Wannan yana yiwuwa saboda wasu dalilai masu yawa, irin su:
- Ƙananan jaddadawa a kan ilimin phototherapy a lokacin horo horo
- Rahotan kuɗi kaɗan na wasu kamfanonin inshora
- Ƙara yawan farashin maganin phototherapy
- Mafi yawan samun maganin wutan lantarki
Kalma Daga
Phototherapy ne d ¯ a magani, amma wanda har yanzu yana da warkewa m ga mutane da yawa tare da psoriasis. Idan psoriasis ba shi da iko tare da magani ne kawai, zaka iya so ya gwada phototherapy. Kamar kowane magani, ya zo tare da tasiri mai tasiri. Duk da haka, ga mutane da yawa zai iya samar da wani zaɓi mai inganci wanda ya zo ba tare da kuskuren wasu magunguna psoriasis ba.
> Menter A, Korman NJ, Elmets CA, et al. Sharuɗɗa na kulawa da gudanar da psoriasis da psthritic arthritis: Sashe na 5. Sharuɗɗa na kula da magani na psoriasis tare da phototherapy da photochemotherapy. J Am Acad Dermatol . 2010; 62 (1): 114-35.
> Nakamura M, Farahnik B, Bhutani T. An cigaba da ci gaba a cikin phototherapy don psoriasis. F1000Research . 2016; 5: F1000 Faculty Rev-1684. Doi: 10.12688 / f1000research.8846.1.