Psoriasis ke ntho e tloaelehileng, e mengata, e bonolo ho khutlela morao, e thata ho phekola maloetse a letlalo ao ho phaella ho phekolo ea meriana ea ka ntle, phekolo ea molomo, phekolo ea likokoana-hloko, ho na le phekolo e 'ngoe ke phekolo ea' mele. UVB phototherapy ke phekolo ea 'mele, Joale litla-morao tsa UVB phototherapy bakeng sa psoriasis ke life?
Phototherapy ea UVB ke eng? Ke mafu afe a ka phekolehang ka eona?
UVB phototherapysebelisa mohloli oa mabone a maiketsetso kapa matla a mahlaseli a letsatsi ho phekola maloetse, le tšebeliso ea mahlaseli a kotsi 'meleng oa motho oa phekolo ea lefu le bitsoang ultraviolet therapy. Molao-motheo oa UVB phototherapy ke ho thibela ho ata ha lisele tsa T letlalong, ho thibela epidermal hyperplasia le thickening, ho fokotsa ho ruruha ha letlalo, e le ho fokotsa tšenyo ea letlalo.
Phototherapy ea UVB e na le phello e ntle kalafong ea mafu a fapaneng a letlalo, joalo ka psoriasis, dermatitis e khethehileng, vitiligo, eczema, lefu le sa foleng la bryophyid pityriasis, joalo-joalo Har'a bona ha ho phekoloa psoriasis eo UVB (wavelength ea 280-320 nm) e bapalang. karolo e kholo, ts'ebetso ke ho pepesa letlalo holeseli la ultravioletka nako e nepahetseng; Phototherapy ea UVB e na le thepa e fapaneng joalo ka anti-inflammatory, immunosuppression le cytotoxicity.
Likarolo tsa phototherapy ke life?
Psoriasis optical therapy haholo-holo e na le mefuta e 4 ea lihlopha, ka ho latellana bakeng sa UVB, NB-UVB, PUVA, excimer laser treatment. Har'a bona, UVB e bonolo ebile e theko e tlaase ho feta mekhoa e meng ea phototherapy, hobane u ka khonasebelisa UVB phototherapy lapeng. Hangata, UVB phototherapy e khothalletsoa batho ba baholo le bana ba nang le psoriasis. Haeba liso tsa psoriasis li hlaha libakeng tse tšesaane, phello ea phototherapy e tla ba e hlakileng
Melemo eaUVB phototherapy bakeng sa psoriasis?
UVB phototherapy e kenyelelitsoe tlhahlobong ea psoriasis le tataiso ea kalafo (khatiso ea 2018), 'me phello ea eona ea phekolo e tiile. Lipalo-palo li bontša hore 70% ho 80% ea bakuli ba psoriasis ba ka finyella 70% ho 80% ea liphallelo tsa letlalo ka mor'a likhoeli tse 2-3 tsa phototherapy e tloaelehileng.
Leha ho le joalo, hase bakuli bohle ba loketseng phototherapy. Psoriasis e bonolo e phekoloa haholo-holo ka lithethefatsi tsa lihlooho, ha UVB phototherapy ke phekolo ea bohlokoa haholo ho bakuli ba itekanetseng le ba matla.
Phototherapy e ka lelefatsa nako ea ho khutla ha lefu lena. Haeba boemo ba mokuli bo le bobebe, ho pheta-pheta ho ka bolokoa ka likhoeli tse 'maloa. Haeba lefu lena le manganga 'me maqeba a letlalo a le thata ho a tlosa, kotsi ea ho khutlela morao e phahame,' me letlalo le lecha le ka hlaha likhoeli tse 2-3 ka mor'a ho emisa phototherapy. E le ho ba le phello e ntle ea phekolo le ho fokotsa ho ipheta, phototherapy e atisa ho sebelisoa hammoho le lithethefatsi tse ling tsa lihlooho tsa bongaka.
Phuputsong ea tlhokomeliso ea katleho ea mafura a tacathinol a kopantsoeng le mahlaseli a mahlaseli a UVB a moqotetsane ha a phekoloa psoriasis vulgaris, bakuli ba 80 ba ile ba abeloa sehlopha sa taolo se ileng sa amohela UVB phototherapy feela le sehlopha sa phekolo se ileng sa amohela tacalcitol topical (habeli ka letsatsi) se kopantsoe. ka UVB phototherapy, mahlaseli a 'mele, hang ka letsatsi le leng le le leng.
Liphetho tsa lipatlisiso li bontša hore ho ne ho se na phapang e kholo ea lipalo-palo ea lihlopha tse peli tsa bakuli ba nang le lintlha tsa PASI le phekolo e sebetsang hantle ho fihlela bekeng ea bone. Empa ha ho bapisoa le phekolo ea libeke tsa 8, sehlopha sa phekolo PASI palo (psoriasis skin lesion degree score) e ntlafetse ebile e sebetsa hantle ho feta sehlopha sa taolo, e fana ka maikutlo a hore tacalcitol joint UVB phototherapy kalafo ea psoriasis ke phello e ntle ho feta UVB phototherapy feela.
Tacacitol ke eng?
Tacalcitol e tsoa ho vithamine D3 e sebetsang, 'me lithethefatsi tse tšoanang li na le calcipotriol e halefisang, e nang le phello e thibelang ho ata ha lisele tsa epidermal. Psoriasis e bakoa ke ho ata ho feteletseng ha lisele tsa epidermal glial, tse bakang erythema le silvery white desquamate letlalong.
Tacalcitol e bonolo ebile ha e halefise ha ho phekoloa psoriasis (intravenous psoriasis e ka boela ea e sebelisa) 'me e lokela ho sebelisoa ka makhetlo a 1-2 ka letsatsi ho itšetlehile ka boima ba lefu lena. Ke hobane'ng ha e bua ka bonolo? Bakeng sa likarolo tse tšesaane le tse bonolo tsa letlalo, ntle le cornea le conjunctiva, likarolo tsohle tsa 'mele li ka sebelisoa, ha ho halefa ho matla ha calcipotriol ho ke ke ha sebelisoa hloohong le sefahlehong, hobane ho ka' na ha e-ba le ho hlohlona, dermatitis, edema. ho pota-pota mahlo kapa edema sefahlehong le ketso tse ding tse mpe. Haeba phekolo e kopantsoe le phototherapy ea UVB, phototherapy ke makhetlo a mararo ka beke, le tacalcitol habeli ka letsatsi
UVB phototherapy e ka ba le litlamorao life? Ke eng e lokelang ho ela hloko nakong ea phekolo?
Ka kakaretso, litla-morao tse ngata tsa kalafo ea UVB ke tsa nakoana, joalo ka ho hlohlona, ho chesa kapa machache. Ka hona, bakeng sa likarolo tsa letlalo la letlalo, phototherapy e hloka ho koahela letlalo le phetseng hantle. Ha hoa lokela ho hlatsoa hang ka mor'a phototherapy, e le hore u se ke ua fokotsa ho kenngoa ha UV le phototoxicity.
Nakong ea phekolo ha ea lokela ho ja litholoana le meroho e nang le lifoto: feiga, coriander, lime, lettuce, joalo-joalo; Hape e ke ke ea nka meriana e nang le li-photosensitive: tetracycline, lithethefatsi tsa sulfa, promethazine, chlorpromethazine hydrochloride.
'Me bakeng sa lijo tse halefisang tse nang le linoko tse ka' nang tsa etsa hore boemo bo mpefale, ja hanyenyane ka hohle kamoo ho ka khonehang kapa u se ke ua ja, mofuta ona oa lijo o na le lijo tsa leoatleng, koae le joala, joalo-joalo, ka taolo e utloahalang ea lijo li ka khothalletsa ho hlaphoheloa ha letlalo la letlalo. , le ho thibela ka katleho ho khutla ha psoriasis.
Qetello: Phototherapy kalafong ea psoriasis, e ka kokobetsa maqeba a psoriasis, motsoako o utloahalang oa lithethefatsi tsa lihlooho li ka ntlafatsa phello ea phekolo le ho fokotsa ho khutla hape.
Nako ea poso: Jun-07-2022