Psoriasis, yog ib yam kab mob ntawm daim tawv nqaij uas mob ntev, rov tshwm sim dua, o thiab thoob plaws lub cev uas tshwm sim los ntawm kev hloov pauv caj ces thiab ib puag ncig.Kab mob psoriasis ntxiv rau cov tsos mob ntawm daim tawv nqaij, kuj tseem yuav muaj cov kab mob plawv, metabolic, digestive thiab malignant thiab lwm yam kab mob ntawm ntau lub cev. Txawm hais tias nws tsis kis tau, nws feem ntau ua rau daim tawv nqaij mob thiab muaj kev cuam tshuam loj heev rau qhov tsos, uas coj kev nyuaj siab rau lub cev thiab lub hlwb rau cov neeg mob thiab cuam tshuam loj heev rau lub neej zoo.
Yog li, ultraviolet phototherapy kho psoriasis li cas?
1.Tkev kho mob psoriasis ib txwm muaj
Cov tshuaj pleev rau sab nraud yog cov kev kho mob tseem ceeb rau tus mob psoriasis me me mus rau nruab nrab. Kev kho cov tshuaj pleev rau sab nraud nyob ntawm tus neeg mob lub hnub nyoog, keeb kwm, hom mob psoriasis, kev mob thiab cov qhov txhab.
Cov tshuaj siv feem ntau yog glucocorticoids, vitamin D3 derivatives, retinoic acid thiab lwm yam. Kev siv tshuaj noj lossis tshuaj biologics xws li methotrexate, cyclosporine thiab retinoic acid yog qhov pom zoo rau cov neeg mob uas muaj psoriasis ntawm lub taub hau nrog rau qhov mob nruab nrab mus rau hnyav.
2.TCov yam ntxwv ntawm kev kho mob ultraviolet phototherapy
Kev kho mob los ntawm ultraviolet phototherapy yog ib txoj kev kho mob uas pom zoo dua rau cov neeg mob psoriasis ntxiv rau cov tshuaj. Kev kho mob los ntawm phototherapy feem ntau ua rau cov T cell tuag hauv cov mob psoriatic, yog li ntawd nws thiaj li tiv thaiv lub cev tiv thaiv kab mob uas ua haujlwm ntau dhau thiab ua rau cov mob rov qab zoo li qub.
Nws feem ntau suav nrog BB-UVB (> 280 ~ 320 nm), NB-UVB (311 ± 2 nm), PUVA (haus, da dej tshuaj thiab hauv zos) thiab lwm yam kev kho mob. Cov txiaj ntsig kho tau ntawm NB-UVB zoo dua BB-UVB thiab qaug zog dua PUVA hauv kev kho mob psoriasis los ntawm UV. Txawm li cas los xij, NB-UVB yog kev kho mob ultraviolet feem ntau siv nrog kev nyab xeeb siab thiab siv tau yooj yim. Kev kho mob UV sab nraud raug pom zoo thaum thaj chaw ntawm daim tawv nqaij tsawg dua 5% ntawm tag nrho thaj chaw ntawm lub cev. Thaum thaj chaw ntawm daim tawv nqaij ntau dua 5% ntawm thaj chaw ntawm lub cev, kev kho mob UV thoob plaws raug pom zoo.
3.Kev kho mob psoriasis nrog NB-UVB
Hauv kev kho mob psoriasis, qhov tseem ceeb tshaj plaws ntawm UVB yog nyob rau hauv qhov ntau ntawm 308 ~ 312 nm. Qhov zoo ntawm NB-UVB (311 ± 2 nm) hauv kev kho mob psoriasis yog ntshiab dua li ntawm BB-UVB (280 ~ 320 nm), thiab cov nyhuv zoo dua, ze rau cov nyhuv ntawm PUVA, thiab txo cov tshuaj tiv thaiv erythematous los ntawm qhov tsis zoo. Kev nyab xeeb zoo, tsis muaj kev sib raug zoo nrog mob qog nqaij hlav ntawm daim tawv nqaij. Tam sim no, NB-UVB yog daim ntawv thov kho mob nrov tshaj plaws hauv kev kho mob psoriasis.
Lub sijhawm tshaj tawm: Lub Ob Hlis-16-2023
