Psoriasis ni indwara ikunze kugaragara, nyinshi, yoroshye kongera kugaruka, iragoye kuvura indwara z'uruhu, uretse kuvura imiti yo hanze, kuvura umubiri, kuvura indwara za kijyambere, hari ubundi buryo bwo kuvura ni physiotherapy. UVB phototherapy ni physiotherapy, None se ni izihe ngaruka mbi za UVB phototherapy kuri psoriasis?
Ubuvuzi bwa UVB ni iki? Ni izihe ndwara zishobora kuvurwa na bwo?
Ubuvuzi bw'izuba (UVB phototherapy)Koresha urumuri rw'ubukorano cyangwa ingufu z'imirasire y'izuba mu kuvura indwara, kandi ukoreshe imirasire ya ultraviolet ku mubiri w'umuntu mu kuvura indwara witwa ultraviolet therapy. Ihame rya UVB phototherapy ni ukubuza ikwirakwira ry'uturemangingo twa T mu ruhu, gukumira hyperplasia ya epidermal no kwiyongera, kugabanya ububyimbirwe bw'uruhu, kugira ngo ugabanye kwangirika k'uruhu.
Ubuvuzi bwa UVB bugira ingaruka nziza mu kuvura indwara zitandukanye z'uruhu, nka psoriasis, dermatitis yihariye, vitiligo, eczema, chronic bryophyid pityriasis, n'izindi. Muri zo mu kuvura psoriasis, UVB (uburebure bwa 280-320 nm) igira uruhare runini, igikorwa ni ukugaragaza uruhu kuurumuri rwa ultravioletmu gihe runaka; UVB phototherapy ifite imiterere itandukanye nko kurwanya ububyimbirwe, gukumira ubudahangarwa bw'umubiri no kuvura indwara zikomoka ku bidukikije.
Ni izihe nzego za phototherapy?
Ubuvuzi bwa Psoriasis optique bufite ubwoko bune bw'uburyo, butandukanye bwa UVB, NB-UVB, PUVA, na excimer laser treatment. Muri bwo, UVB yoroshye kandi ihendutse kurusha ubundi buryo bwa phototherapy, kuko ushoborakoresha UVB phototherapy mu rugoUbusanzwe, ubuvuzi bwa UVB bugirwa inama ku bantu bakuru n'abana bafite psoriasis. Iyo ibisebe bya psoriasis bigaragaye ahantu hato, ingaruka za psoriasis zizagaragara cyane.
Ni izihe nyungu zaUburyo bwo kuvura indwara ya UVB mu gihe cy'ihungabana ry'umubiri (psoriasis)?
Ubuvuzi bwa UVB bwashyizwe mu mabwiriza yo gusuzuma no kuvura psoriasis (igitabo cya 2018), kandi ingaruka zabwo zirahari. Imibare igaragaza ko 70% kugeza kuri 80% by'abarwayi ba psoriasis bashobora kugabanya ibisebe by'uruhu ku kigero cya 70% kugeza kuri 80% nyuma y'amezi 2-3 yo kuvurwa buri gihe.
Ariko, si abarwayi bose bakwiriye kuvurwa hakoreshejwe fototherapi. Psoriasis yoroheje ivurwa ahanini n'imiti yo mu bwoko bwa UVB, mu gihe fototherapi ya UVB ari ingenzi cyane ku barwayi bari hagati kandi bakomeye.
Gukoresha phototherapy bishobora kongera igihe cyo kongera kurwara. Iyo umurwayi afite ikibazo cyoroheje, kongera kurwara bishobora gukomeza mu gihe cy'amezi menshi. Iyo indwara ikomeye kandi ibisebe by'uruhu bikagorana kubikuraho, ibyago byo kongera kurwara biba byinshi, kandi ibisebe bishya by'uruhu bishobora kubaho nyuma y'amezi 2-3 nyuma yo guhagarika phototherapy. Kugira ngo bigire ingaruka nziza ku kuvura no kugabanya kongera kurwara, phototherapy ikunze gukoreshwa hamwe n'imiti imwe n'imwe yo mu bwoko bwa topical mu buvuzi.
Mu bushakashatsi bwakorewe ku buryo amavuta ya tacathinol avanze n'imirasire ya UVB ivura psoriasis vulgaris, abarwayi 80 bashyizwe mu itsinda ry’abagenzuzi ryahawe UVB phototherapy gusa n’itsinda ry’abavuzi ryahawe tacalcitol (inshuro ebyiri ku munsi) hamwe na UVB phototherapy, imirasire y’umubiri, rimwe mu minsi ibiri.
Ibisubizo by’ubushakashatsi bigaragaza ko nta tandukaniro rigaragara mu mibare hagati y’amatsinda abiri y’abarwayi bafite amanota ya PASI n’uburyo ubuvuzi bwabo bwagenze neza kugeza ku cyumweru cya kane. Ariko ugereranije n’ubuvuzi bw’ibyumweru 8, amanota ya PASI yo mu itsinda ry’ubuvuzi (amanota y’ibisebe by’uruhu bya psoriasis) yarushijeho kuba meza kandi akagira akamaro kurusha itsinda ry’abashinzwe kugenzura, bigaragaza ko uburyo bwo kuvura bwa tacalcitol mu matsinda ya UVB mu kuvura psoriasis ari bwiza kuruta uburyo bwo kuvura bwa UVB gusa.
Tacacitol ni iki?
Tacalcitol ni ikomoka kuri vitamine D3 ikora, kandi imiti nk'iyo ifite calcipotriol ikomeye itera ubukana, igira ingaruka ku kwiyongera kw'uturemangingo tw'uruhu. Psoriasis iterwa no kwiyongera cyane kw'uturemangingo tw'uruhu rw'uruhu, bigatuma habaho erythema n'umweru w'ifeza ku ruhu.
Tacalcitol ni yoroshye kandi ntitera ububabare bwinshi mu kuvura psoriasis (psoriasis yo mu mitsi nayo ishobora kuyikoresha) kandi igomba gukoreshwa inshuro 1-2 ku munsi bitewe n'uburemere bw'indwara. Kuki wavuga ko yoroshye? Ku bice by'uruhu byoroshye kandi byoroshye, uretse cornea na conjunctiva, ibice byose by'umubiri birashobora gukoreshwa, mu gihe ububabare bukomeye bwa calcipotriol budashobora gukoreshwa mu mutwe no mu maso, kuko hashobora kubaho kuribwa, dermatitis, kubyimba hirya no hino mu maso cyangwa kubyimba mu maso n'izindi ngaruka mbi. Iyo uvuwe hamwe na UVB phototherapy, phototherapy ni gatatu mu cyumweru, na tacalcitol kabiri ku munsi.
Ni izihe ngaruka mbi UVB phototherapy ishobora kugira? Ni iki kigomba kwitabwaho mu gihe cyo kuvurwa?
Muri rusange, ingaruka nyinshi zo kuvura UVB ni iz'igihe gito, nko kuribwa, gushya cyangwa uduheri. Kubwibyo, ku ruhu, phototherapy igomba gutwikira neza uruhu rwiza. Ntabwo bikwiye kwiyuhagira ako kanya nyuma yo gukoresha phototherapy, kugira ngo bitagabanya kwinjiza imirasire y'izuba no kugabanya uburozi bw'imirasire y'izuba.
Mu gihe cyo kuvura, ntugomba kurya imbuto n'imboga bishobora gushyuha: imbuto, coriandre, indimu, salade, nibindi; ntugomba kandi gufata imiti ishobora gushyuha: tetracycline, sulfa drug, promethazine, chlorpromethazine hydrochloride.
Kandi ku biribwa birimo ibirungo bishobora gutera ubukana bw'iyi ndwara, kurya bike bishoboka cyangwa kutarya, ubwo bwoko bw'ibiryo bufite amafi yo mu nyanja, itabi n'inzoga, nibindi, binyuze mu kugenzura neza indyo bishobora gutuma ibisebe by'uruhu bikira, kandi bikarinda ko psoriasis yongera kugaruka.
Umwanzuro: Gukoresha phototherapy mu kuvura psoriasis, bishobora kugabanya ibisebe bya psoriasis, guhuza imiti ikoreshwa mu buryo bukwiye bishobora kunoza ingaruka zo kuvura no kugabanya kongera kugaragara kw'indwara.
Igihe cyo kohereza: Kamena-07-2022
