Kab mob psoriasis yog ib yam kab mob uas tshwm sim ntau yam, yooj yim rov qab los, nyuaj kho cov kab mob ntawm daim tawv nqaij uas ntxiv rau kev kho mob sab nraud, kev kho mob hauv qhov ncauj, kev kho mob biological, muaj lwm txoj kev kho mob yog kev kho lub cev. UVB phototherapy yog kev kho lub cev, Yog li cov kev mob tshwm sim ntawm UVB phototherapy rau psoriasis yog dab tsi?
Kev kho mob UVB yog dab tsi? Cov kab mob twg tuaj yeem kho tau los ntawm nws?
Kev kho mob UVBSiv lub teeb dag lossis lub zog hnub ci los kho kab mob, thiab siv cov hluav taws xob ultraviolet rau tib neeg lub cev kho kab mob hu ua ultraviolet therapy. Lub hauv paus ntsiab lus ntawm UVB phototherapy yog los tiv thaiv kev loj hlob ntawm T cell hauv daim tawv nqaij, tiv thaiv epidermal hyperplasia thiab thickening, txo cov tawv nqaij o, yog li txo cov tawv nqaij puas tsuaj.
UVB phototherapy muaj cov txiaj ntsig zoo hauv kev kho mob ntawm ntau yam kab mob ntawm daim tawv nqaij, xws li psoriasis, dermatitis tshwj xeeb, vitiligo, eczema, mob bryophyid pityriasis, thiab lwm yam. Ntawm lawv hauv kev kho mob psoriasis uas UVB (wavelength ntawm 280-320 nm) ua lub luag haujlwm tseem ceeb, kev ua haujlwm yog kom nthuav tawm daim tawv nqaij raulub teeb ultravioletntawm lub sijhawm tshwj xeeb; UVB phototherapy muaj cov khoom sib txawv xws li tiv thaiv kev o, tiv thaiv kab mob thiab cytotoxicity.
Cov kev faib tawm ntawm phototherapy yog dab tsi?
Kev kho mob psoriasis feem ntau muaj 4 hom kev faib tawm, feem rau UVB, NB-UVB, PUVA, excimer laser kho. Ntawm lawv, UVB yooj yim dua thiab pheej yig dua li lwm txoj kev kho mob phototherapy, vim tias koj tuaj yeemsiv UVB phototherapy hauv tsevFeem ntau, kev kho mob UVB rau cov neeg laus thiab cov menyuam yaus uas muaj mob psoriasis feem ntau yog pom zoo. Yog tias cov qhov txhab ntawm daim tawv nqaij psoriasis tshwm sim hauv thaj chaw nyias nyias, cov txiaj ntsig ntawm kev kho mob phototherapy yuav pom tseeb heev.
Cov txiaj ntsig ntawmKev kho mob UVB rau psoriasis?
Kev kho mob UVB tau suav nrog rau hauv cov lus qhia txog kev kuaj mob thiab kev kho mob psoriasis (tsab ntawv xyoo 2018), thiab nws cov txiaj ntsig kho mob yog qhov tseeb. Cov ntaub ntawv qhia tias 70% txog 80% ntawm cov neeg mob psoriasis tuaj yeem ua tiav 70% txog 80% kev pab kho mob ntawm cov tawv nqaij tom qab 2-3 lub hlis ntawm kev kho mob phototherapy tsis tu ncua.
Txawm li cas los xij, tsis yog txhua tus neeg mob uas tsim nyog rau kev kho mob phototherapy. Psoriasis me me feem ntau yog kho nrog cov tshuaj pleev rau sab nraud, thaum UVB phototherapy yog kev kho mob tseem ceeb heev rau cov neeg mob nruab nrab thiab hnyav.
Kev kho mob los ntawm kev siv tshuaj phototherapy tuaj yeem ua rau lub sijhawm rov qab mob ntev dua. Yog tias tus neeg mob tus mob tsis hnyav heev, qhov rov qab mob tuaj yeem kav ntev li ob peb lub hlis. Yog tias tus kab mob tawv ncauj thiab cov qhov txhab ntawm daim tawv nqaij nyuaj rau tshem tawm, qhov kev pheej hmoo ntawm kev rov qab mob siab dua, thiab cov qhov txhab tshiab ntawm daim tawv nqaij yuav tshwm sim 2-3 lub hlis tom qab tso tseg kev kho mob los ntawm kev siv tshuaj phototherapy. Yuav kom muaj txiaj ntsig zoo dua rau kev kho mob thiab txo qhov rov qab mob dua, kev kho mob los ntawm kev siv tshuaj phototherapy feem ntau siv ua ke nrog qee cov tshuaj pleev rau sab nraud hauv kev kho mob.
Hauv kev tshawb nrhiav txog qhov ua tau zoo ntawm cov tshuaj pleev tacathinol ua ke nrog cov hluav taws xob UVB nqaim hauv kev kho mob psoriasis vulgaris, 80 tus neeg mob tau raug xa mus rau ib pawg tswj uas tau txais UVB phototherapy ib leeg thiab ib pawg kho mob uas tau txais tacalcitol topical (ob zaug ib hnub) ua ke nrog UVB phototherapy, kev siv lub cev irradiation, ib zaug txhua ob hnub.
Cov txiaj ntsig tshawb fawb qhia tau tias tsis muaj qhov sib txawv tseem ceeb ntawm ob pawg neeg mob uas muaj PASI qhab nia thiab kev kho mob zoo rau lub lim tiam thib plaub. Tab sis piv rau 8 lub lis piam kev kho mob, pawg kho mob PASI qhab nia (psoriasis daim tawv nqaij raug mob degree qhab nia) tau zoo dua thiab ua haujlwm tau zoo dua pawg tswj, qhia tias tacalcitol sib koom ua ke UVB phototherapy hauv kev kho mob psoriasis muaj txiaj ntsig zoo dua li UVB phototherapy xwb.
Tacacitol yog dab tsi?
Tacalcitol yog ib qho derivative ntawm vitamin D3, thiab cov tshuaj zoo sib xws muaj calcipotriol khaus heev, uas muaj cov nyhuv inhibitory rau kev loj hlob ntawm cov hlwb epidermal. Psoriasis yog tshwm sim los ntawm kev loj hlob ntau dhau ntawm cov hlwb epidermal glial, ua rau muaj erythema thiab silvery dawb desquamate ntawm daim tawv nqaij.
Tacalcitol tsis hnyav thiab tsis khaus ntau thaum kho mob psoriasis (cov neeg mob psoriasis uas txhaj rau hauv cov hlab ntsha kuj siv tau) thiab yuav tsum siv 1-2 zaug hauv ib hnub nyob ntawm seb tus kab mob hnyav npaum li cas. Vim li cas ho hais tias nws mos? Rau cov tawv nqaij nyias thiab mos, tshwj tsis yog lub qhov muag thiab lub qhov muag conjunctiva, txhua qhov ntawm lub cev siv tau, thaum cov tshuaj calcipotriol uas khaus heev siv tsis tau rau lub taub hau thiab lub ntsej muag, vim tias tej zaum yuav khaus, dermatitis, o ntawm lub qhov muag lossis o ntawm lub ntsej muag thiab lwm yam kev tsis zoo. Yog tias kho mob ua ke nrog UVB phototherapy ces phototherapy yog peb zaug hauv ib lub lim tiam, thiab tacalcitol ob zaug hauv ib hnub.
Kev kho mob UVB muaj cov teebmeem dab tsi? Yuav tsum tau ceev faj dab tsi thaum kho mob?
Feem ntau hais lus, feem ntau ntawm cov kev phiv ntawm kev kho mob UVB yog ib ntus xwb, xws li khaus, kub hnyiab lossis ua pob liab. Yog li ntawd, rau qee qhov mob ntawm daim tawv nqaij, kev kho mob phototherapy yuav tsum npog cov tawv nqaij noj qab nyob zoo. Nws tsis tsim nyog da dej tam sim ntawd tom qab kev kho mob phototherapy, kom tsis txhob txo qhov nqus ntawm uv thiab phototoxicity.
Thaum lub sijhawm kho mob, yuav tsum tsis txhob noj cov txiv hmab txiv ntoo thiab zaub uas ua rau lub cev tsis ua haujlwm zoo li no: txiv tsawb, coriander, txiv qaub ntsuab, zaub xas lav, thiab lwm yam.; Tsis txhob noj cov tshuaj uas ua rau lub cev tsis ua haujlwm zoo li no: tetracycline, sulfa tshuaj, promethazine, chlorpromethazine hydrochloride.
Thiab rau cov khoom noj ntsim uas ua rau mob hnyav dua, noj tsawg li tsawg tau lossis tsis txhob noj, hom khoom noj no muaj cov khoom noj hiav txwv, luam yeeb thiab cawv, thiab lwm yam, los ntawm kev tswj hwm kev noj zaub mov kom zoo tuaj yeem txhawb kev rov zoo ntawm cov tawv nqaij, thiab tiv thaiv kom tsis txhob rov tshwm sim ntawm psoriasis.
Xaus Lus: Kev kho mob phototherapy hauv kev kho mob psoriasis, tuaj yeem txo cov teeb meem psoriasis, kev sib xyaw ua ke ntawm cov tshuaj pleev ib ce tuaj yeem txhim kho cov txiaj ntsig kho mob thiab txo qhov rov tshwm sim.
Lub sijhawm tshaj tawm: Lub Rau Hli-07-2022
