He mate kiri noa te psoriasis, he maha ngā mate, he ngāwari te hoki anō ki te mate, he uaua ki te rongoā, haunga te rongoā rongoā o waho, te rongoā ā-waha, te rongoā koiora, kei reira anō tētahi atu maimoatanga ko te rongoā tinana. He rongoā tinana te rongoā UVB phototherapy. Nā, he aha ngā pānga taha o te rongoā UVB phototherapy mō te psoriasis?
He aha te rongoā whakaahua UVB? He aha ngā mate ka taea te rongoā mā te whakamahi i tēnei rongoā?
Whakaora whakaahua UVBte whakamahi i te pūtake mārama horihori, i te pūngao hihi o te rā rānei hei rongoā i ngā mate, ā, ko te whakamahinga o te hihi ultraviolet ki te tinana tangata he tikanga rongoā mō te mate e kiia nei ko te rongoā ultraviolet. Ko te kaupapa matua o te rongoā UVB he aukati i te tipu o ngā pūtau-T i roto i te kiri, he aukati i te hyperplasia me te matotoru o te epidermal, he whakaiti i te mumura o te kiri, kia iti ai te kino o te kiri.
He pai te pānga o te UVB phototherapy ki te rongoā i ngā mate kiri maha, pērā i te psoriasis, te dermatitis motuhake, te vitiligo, te eczema, te bryophyid pityriasis mau tonu, me ētahi atu. I roto i te rongoā i te psoriasis, he mahi nui tā te UVB (roa ngaru o te 280-320 nm), ko te mahi he whakaatu i te kiri kite mārama ultravioleti tētahi wā motuhake; he rerekē ngā āhuatanga o te whakaahua UVB pērā i te ārai-mumura, te pehi i te pūnaha ārai mate me te paitini pūtau.
He aha ngā whakarōpūtanga o te phototherapy?
E whā ngā momo whakarōpūtanga o te rongoā whatu psoriasis, arā, ko te UVB, NB-UVB, PUVA, me te maimoatanga taiaho excimer. I roto i ēnei, he watea ake, he iti ake hoki te utu o te UVB i ētahi atu tikanga whakaora whakaahua, nā te mea ka taea e koe tete whakamahi i te rongoā whakaahua UVB ki te kāingaKo te tikanga, ko te whakamahi i te UVB phototherapy e taunakitia ana mō ngā pakeke me ngā tamariki e pangia ana e te psoriasis. Mena ka puta ngā whara psoriasis ki ngā wāhi angiangi, ka kitea te pānga o te phototherapy.
He aha ngā painga oTe rongoā whakaahua UVB mō te psoriasis?
Kua whakaurua te whakaora-ata UVB ki roto i ngā aratohu tātaritanga me te maimoatanga psoriasis (putanga 2018), ā, he tino pono tōna pānga whakaora. E whakaatu ana ngā tatauranga ka taea e te 70% ki te 80% o ngā tūroro psoriasis te whakatutuki i te 70% ki te 80% te whakaora i ngā whara kiri i muri i te 2-3 marama o te whakaora-ata auau.
Heoi, kāore e tika ana kia whakamahia te phototherapy mō ngā tūroro katoa. Ko te nuinga o te wā, ka rongoāhia te psoriasis ngawari ki ngā rongoā ā-kiri, engari he maimoatanga tino nui te phototherapy UVB mō ngā tūroro ngawari me ngā tūroro kino.
Ka taea e te rongoā whakaahua te whakaroa i te wā hokinga mai o te mate. Mena he ngawari te āhua o te tūroro, ka taea te pupuri i te hokinga mai mō ētahi marama. Mena he uaua te mate, ā, he uaua ki te tango i ngā whara kiri, ka nui ake te tūponotanga o te hokinga mai, ā, ka puta pea he whara kiri hou i roto i te 2-3 marama i muri i te whakamutu i te rongoā whakaahua. Hei whakapai ake i te pānga rongoā me te whakaiti i te hokinga mai, he maha ngā wā ka whakamahia te rongoā whakaahua me ētahi rongoā ā-papa i roto i te mahi haumanu.
I roto i tētahi rangahau tirotiro mō te whai huatanga o te hinu tacathinol i honoa ki te hihi UVB whāiti-whāiti i roto i te maimoatanga o te psoriasis vulgaris, 80 ngā tūroro i tohaina ki tētahi rōpū whakahaere i whiwhi i te whakaora-ā-UVB anake, me tētahi rōpū maimoatanga i whiwhi i te tacalcitol ā-waha (e rua i te rā) i honoa ki te whakaora-ā-UVB, te whakamahana tinana, kotahi i ia rua rā.
E whakaatu ana ngā hua rangahau kāore he rerekētanga nui i waenga i ngā rōpū e rua o ngā tūroro me te kaute PASI me te whai huatanga o te maimoatanga tae noa ki te wiki tuawhā. Engari ki te whakatauritea ki te maimoatanga 8 wiki, i pai ake te kaute PASI o te rōpū maimoatanga (kaute tohu lesion kiri psoriasis) me te whai huatanga i te rōpū whakahaere, e kī ana he pai ake te hua o te tacalcitol joint UVB phototherapy i te UVB phototherapy anake.
He aha te tacacitol?
He mea hanga mai i te huaora D3 kaha te Tacalcitol, ā, he kaha te whakararuraru o ngā rongoā rite ki te calcipotriol, he pānga aukati i te tipu haere o ngā pūtau epidermal. Ko te psoriasis te take o te tipu nui o ngā pūtau glial epidermal, ka hua ake te whero me te hiriwa mā te kiri.
He ngawari te Tacalcitol, ā, he iti ake te whakapataritari i roto i te rongoā mō te psoriasis (ka taea hoki te whakamahi i te psoriasis ā-uaua) ā, me whakamahi 1-2 ngā wā i te rā, i runga i te kaha o te mate. He aha i kīia ai he ngawari? Mō ngā wāhanga angiangi me te ngawari o te kiri, engari ko te cornea me te conjunctiva, ka taea te whakamahi i ngā wāhanga katoa o te tinana, engari ko te calcipotriol e tino whakapataritari ana kāore e taea te whakamahi i te mahunga me te mata, nā te mea ka puta pea te mākati, te dermatitis, te pupuhi huri noa i ngā kanohi, te pupuhi kanohi rānei me ētahi atu pānga kino. Mena ka honoa te rongoā ki te UVB phototherapy, ka toru ngā wā i te wiki te phototherapy, ā, ka rua ngā wā i te rā te tacalcitol.
He aha ngā pānga taha ka pā mai i te rongoā whakaahua UVB? He aha ngā mea me aro atu ki te wā e rongoatia ana?
Ko te tikanga whānui, ko te nuinga o ngā pānga taha o te maimoatanga UVB he rangitahi noa iho, pērā i te mākūkū, te wera, te pupuhi rānei. Nō reira, mō ētahi whara kiri, me kapi pai te kiri hauora i te phototherapy. Kāore e tika kia kaukau tonu i muri i te phototherapy, kia kore ai e whakaiti i te mimiti o te UV me te paitini o te phototherapy.
I te wā o te maimoatanga, kaua e kai i ngā hua me ngā huawhenua e pāngia ana e te hihi-ata: piki, korianara, raima, rētihi, me ētahi atu; kaua hoki e tango i ngā rongoā e pāngia ana e te hihi-ata: tetracycline, sulfa drug, promethazine, chlorpromethazine hydrochloride.
Ā, mō ngā kai kakara whakarihariha ka kino ake te āhua, me kai iti noa iho, me kai rānei i ngā kai moana, i te tupeka me te waipiro, me ētahi atu kai pēnei, mā te whakahaere tika i te kai ka taea te whakatairanga i te whakaora o ngā whara kiri, ā, ka ārai pai i te hokinga mai o te psoriasis.
Whakatau: Mā te whakamahi i te phototherapy hei rongoā i te psoriasis, ka taea te whakaiti i ngā whara o te psoriasis, mā te whakakotahitanga tika o ngā rongoā ā-waha ka taea te whakapai ake i te hua o te rongoā me te whakaiti i te hokinga mai.
Wā tuku: Pipiri-07-2022
