Psoriasis nibisanzwe, byinshi, byoroshye gusubiramo, biragoye gukiza indwara zuruhu usibye kuvura imiti yo hanze, kuvura umunwa, kuvura biologiya, hariho ubundi buvuzi nubuvuzi bwumubiri. UVB Phototherapy nubuvuzi bwumubiri, None ni izihe ngaruka ziterwa na UVB Phototherapy kuri psoriasis?
UVB ifotora ni iki? Ni izihe ndwara zishobora kuvurwa na yo?
UVB gufotorakoresha urumuri rwumucyo cyangwa imirasire yizuba kugirango uvure indwara, no gukoresha imirasire ya ultraviolet kumubiri wumuntu uburyo bwo kuvura indwara bita ultraviolet therapy. Ihame rya Phototherapy ya UVB ni ukubuza ikwirakwizwa rya selile T mu ruhu, kubuza epidermal hyperplasia no kubyimba, kugabanya uburibwe bwuruhu, kugirango bigabanye kwangirika kwuruhu.
UVB Phototherapy ifite ingaruka nziza mukuvura indwara zinyuranye zuruhu, nka psoriasis, dermatite yihariye, vitiligo, eczema, pryriasis idakira, nibindi muri byo mukuvura psoriasis UVB (uburebure bwa 280-320 nm) ikina a uruhare runini, igikorwa nukugaragaza uruhu kuriurumuri ultravioletmu gihe runaka; UVB Phototherapy ifite imiterere itandukanye nka anti-inflammatory, immunosuppression na cytotoxicity.
Ni ubuhe buryo bwo gufotora?
Ubuvuzi bwa Psoriasis bufite ahanini ubwoko 4 bwo gutondekanya, kuri UVB, NB-UVB, PUVA, kuvura lazeri. Muri byo, UVB iroroshye kandi ihendutse kuruta ubundi buryo bwo gufotora, kuko urashoborakoresha UVB Phototherapy murugo. UVB Phototherapy isanzwe isabwa kubantu bakuru hamwe nabana barwaye psoriasis. Niba ibisebe bya psoriasis bibaye ahantu habi, ingaruka zo gufotora zizagaragara
Ni izihe nyungu zaUVB Phototherapy ya psoriasis?
UVB Phototherapy yashyizwe mumabwiriza yo gusuzuma no kuvura psoriasis (integuro ya 2018), kandi ingaruka zayo zo kuvura nizwi. Imibare irerekana ko 70% kugeza 80% byabarwayi ba psoriasis bashobora kugera kuri 70% kugeza 80% byorohereza ibikomere byuruhu nyuma y amezi 2-3 yo kwivuza bisanzwe
Ariko, abarwayi bose ntibakwiriye gufotora. Indwara ya psoriasis yoroheje ivurwa cyane cyane nibiyobyabwenge, mugihe UVB Phototherapy nubuvuzi bukomeye kubarwayi bashyira mu gaciro kandi bakomeye.
Phototherapy irashobora kongera igihe cyindwara. Niba umurwayi ameze neza, isubiramo rishobora gukomeza amezi menshi. Niba indwara yinangiye kandi ibikomere byuruhu bikaba bigoye kuvaho, ibyago byo kongera kubaho ni byinshi, kandi ibisebe bishya byuruhu bishobora kubaho amezi 2-3 nyuma yo guhagarika gufotora. Kugirango ugire ingaruka nziza zo kuvura no kugabanya inshuro nyinshi, fototerapi ikoreshwa kenshi hamwe nibiyobyabwenge byingenzi mubikorwa byubuvuzi.
Mu bushakashatsi bwakurikiranwe ku mikorere y’amavuta ya tacathinol afatanije n’imirasire mito ya UVB mu kuvura psoriasis vulgaris, abarwayi 80 boherejwe mu itsinda rishinzwe kugenzura kwakira imiti ya UVB yonyine hamwe n’itsinda ry’ubuvuzi ryakiriye tacalcitol yibanze (kabiri ku munsi) hamwe hamwe na UVB gufotora, kurasa umubiri, rimwe kumunsi.
Ibisubizo byubushakashatsi byerekana ko nta tandukanyirizo rishingiye ku mibare ry’amatsinda abiri y’abarwayi bafite amanota ya PASI kandi neza yo kuvura kugeza ku cyumweru cya kane. Ariko ugereranije nibyumweru 8 bivura, itsinda ryokuvura amanota PASI (amanota ya psoriasis yuruhu rwa psoriasis) ryateye imbere kandi neza ryarushije itsinda kugenzura, byerekana ko tacalcitol ihuriweho na UVB ifotora ivura psoriasis ari ingaruka nziza kuruta UVB ifotora gusa.
Tacacitol ni iki?
Tacalcitol ikomoka kuri vitamine D3 ikora, kandi imiti isa nayo ifite calcipotriol ikaze cyane, igira ingaruka mbi ku ikwirakwizwa ry'uturemangingo twa epidermal. Psoriasis iterwa no gukwirakwira cyane kwa selile epidermal glial selile, bikavamo erythema na silver silver desquamate kuruhu.
Tacalcitol yoroheje kandi ntigutera uburakari mu kuvura psoriasis (psoriasis yo mu nda nayo irashobora kuyikoresha) kandi igomba gukoreshwa inshuro 1-2 kumunsi bitewe n'uburemere bw'indwara. Kuki ubivuga neza? Kubice byoroheje kandi byoroshye byuruhu, usibye cornea na conjunctiva, ibice byose byumubiri birashobora gukoreshwa, mugihe uburakari bukabije bwa calcipotriol budashobora gukoreshwa mumutwe no mumaso, kuko hashobora kubaho kwandura, dermatite, edema. kuzenguruka amaso cyangwa kuribwa mumaso nibindi bitekerezo bibi. Niba ubuvuzi buvanze hamwe na UVB Phototherapy ko Phototherapy inshuro eshatu mucyumweru, na tacalcitol kabiri kumunsi
Ni izihe ngaruka UVB ifotora ishobora kugira? Ni iki gikwiye kwitondera mugihe cyo kwivuza?
Muri rusange, ingaruka nyinshi zo kuvura UVB ni izigihe gito, nko guhinda, gutwika cyangwa ibisebe. Kubwibyo, kubice bimwe byuruhu, fototerapi ikeneye gupfuka uruhu rwiza. Ntibikwiye koga ako kanya nyuma yo gufotora, kugirango utagabanya uv kwinjiza no gufotora.
Mugihe cyo kuvura ntugomba kurya imbuto n'imboga bifotora: umutini, coriandre, lime, salitusi, nibindi.; Ntushobora kandi gufata imiti yunvikana: tetracycline, ibiyobyabwenge bya sulfa, promethazine, chlorpromethazine hydrochloride.
Kandi kubiribwa birimo ibirungo byinshi bishobora gutera uburwayi, kurya bike bishoboka cyangwa kutarya, ubu bwoko bwibiryo bufite ibiryo byo mu nyanja, itabi n'inzoga, nibindi, binyuze mugucunga neza imirire bishobora guteza imbere gukira ibikomere byuruhu. , kandi wirinde neza ko psoriasis itazongera kubaho.
Umwanzuro: Phototherapie mukuvura psoriasis, irashobora kugabanya ibikomere bya psoriasis, guhuza neza imiti yibanze irashobora kunoza ingaruka zo kuvura no kugabanya ibisubiramo.
Igihe cyo kohereza: Jun-07-2022
