Psoriasis yog ib hom, ntau yam, yooj yim rau relapse, nyuaj rau kho cov kab mob ntawm daim tawv nqaij uas ntxiv rau kev kho mob sab nraud, kho qhov ncauj, kev kho mob lom, muaj lwm txoj kev kho mob yog kev kho lub cev.UVB phototherapy yog kev kho lub cev, Yog li dab tsi cuam tshuam ntawm UVB phototherapy rau psoriasis?
UVB phototherapy yog dab tsi?Cov kab mob twg tuaj yeem kho tau los ntawm nws?
UVB phototherapysiv cov khoom siv hluav taws xob los yog lub hnub ci hluav taws xob los kho cov kab mob, thiab kev siv hluav taws xob ultraviolet rau tib neeg lub cev kho cov kab mob hu ua ultraviolet therapy.Lub hauv paus ntsiab lus ntawm UVB phototherapy yog inhibit qhov kev loj hlob ntawm T hlwb hauv daim tawv nqaij, inhibit epidermal hyperplasia thiab thickening, txo cov tawv nqaij o, thiaj li yuav txo tau ntawm daim tawv nqaij puas.
UVB phototherapy muaj txiaj ntsig zoo hauv kev kho mob ntawm ntau yam kab mob ntawm daim tawv nqaij, xws li psoriasis, dermatitis tshwj xeeb, vitiligo, eczema, bryophyid pityriasis, thiab lwm yam. Lub luag haujlwm tseem ceeb, kev ua haujlwm yog nthuav tawm daim tawv nqaijultraviolet lub teebntawm lub sijhawm tshwj xeeb;UVB phototherapy muaj cov khoom sib txawv xws li tshuaj tiv thaiv kab mob, tiv thaiv kab mob thiab cytotoxicity.
Dab tsi yog kev faib tawm ntawm phototherapy?
Psoriasis kho qhov muag 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 hauv kev kho duab, vim tias koj tuaj yeem ua tausiv UVB phototherapy tom tsev.UVB phototherapy feem ntau pom zoo rau cov neeg laus thiab cov menyuam yaus uas muaj psoriasis.Yog tias cov kab mob psoriasis tshwm sim hauv cov cheeb tsam nyias, cov nyhuv ntawm kev kho mob yuav pom tseeb
Dab tsi yog qhov zoo ntawmUVB phototherapy rau psoriasis?
UVB phototherapy tau suav nrog hauv kev kuaj mob psoriasis thiab cov txheej txheem kho mob (2018 tsab), thiab nws cov txiaj ntsig kho mob yog qhov tseeb.Kev txheeb xyuas qhia tau tias 70% mus rau 80% ntawm cov neeg mob psoriasis tuaj yeem ua tiav 70% mus rau 80% kev tshem tawm ntawm daim tawv nqaij tom qab 2-3 lub hlis ntawm kev kho mob tsis tu ncua
Txawm li cas los xij, tsis yog txhua tus neeg mob tsim nyog rau kev kho mob phototherapy.Mob psoriasis feem ntau yog kho nrog tshuaj pleev, thaum UVB phototherapy yog ib qho tseem ceeb heev rau cov neeg mob nruab nrab thiab hnyav.
Phototherapy tuaj yeem ncua lub sijhawm rov qab los ntawm tus kab mob.Yog tias tus neeg mob qhov mob me me, qhov rov tshwm sim tuaj yeem tswj tau ntau lub hlis.Yog tias tus kab mob tawv ncauj thiab cov tawv nqaij tawv tawv tsis yooj yim tshem tawm, qhov kev pheej hmoo ntawm kev rov ua dua yog siab dua, thiab cov tawv nqaij tshiab tuaj yeem tshwm sim 2-3 lub hlis tom qab tso tseg kev kho mob.Txhawm rau kom muaj kev kho mob zoo dua thiab txo qhov rov tshwm sim dua, kev kho mob phototherapy feem ntau siv ua ke nrog qee cov tshuaj pleev ib ce hauv kev kho mob.
Hauv kev soj ntsuam kev kawm txog kev ua tau zoo ntawm tacathinol ointment ua ke nrog nqaim-spectrum UVB hluav taws xob hauv kev kho mob psoriasis vulgaris, 80 tus neeg mob tau raug xa mus rau pawg tswj hwm uas tau txais UVB phototherapy ib leeg thiab pab pawg kho mob uas tau txais tacalcitol tshuaj pleev (ob zaug ib hnub) ua ke. nrog UVB phototherapy, lub cev irradiation, ib zaug txhua hnub.
Cov txiaj ntsig kev tshawb fawb pom tau tias tsis muaj qhov sib txawv tseem ceeb ntawm ob pawg ntawm cov neeg mob uas tau qhab nia PASI thiab muaj txiaj ntsig ntawm kev kho mob mus rau plaub lub lis piam.Tab sis piv rau 8 lub lis piam kev kho mob, pab pawg kho mob PASI cov qhab nia (psoriasis daim tawv nqaij daim tawv nqaij qhov qhab nia) tau txhim kho thiab ua haujlwm tau zoo dua rau pawg tswj hwm, qhia tias tacalcitol sib koom ua ke UVB phototherapy hauv kev kho mob psoriasis yog qhov zoo dua li UVB phototherapy nkaus xwb.
tacacitol yog dab tsi?
Tacalcitol yog ib tug derivative ntawm active vitamin D3, thiab cov tshuaj zoo sib xws muaj zog irritant calcipotriol, uas muaj ib tug inhibitory nyhuv ntawm proliferation ntawm epidermal hlwb.Psoriasis yog tshwm sim los ntawm kev loj hlob ntawm epidermal glial hlwb, ua rau erythema thiab silvery dawb desquamate ntawm daim tawv nqaij.
Tacalcitol yog ib qho mob me me thiab tsis tshua khaus khaus hauv kev kho mob psoriasis (kab mob psoriasis tuaj yeem siv tau) thiab yuav tsum siv 1-2 zaug hauv ib hnub nyob ntawm qhov hnyav ntawm tus kab mob.Vim li cas thiaj hais maj?Rau qhov nyias thiab nyias ntawm daim tawv nqaij, tshwj tsis yog lub cornea thiab conjunctiva, txhua qhov chaw ntawm lub cev tuaj yeem siv tau, thaum lub zog ntawm calcipotriol tsis tuaj yeem siv rau hauv lub taub hau thiab lub ntsej muag, vim tias tej zaum yuav khaus, dermatitis, edema. nyob ib ncig ntawm lub qhov muag los yog lub ntsej muag edema thiab lwm yam kev phiv tshwm sim.Yog tias kho nrog UVB phototherapy, phototherapy yog peb zaug hauv ib lub lis piam, thiab tacalcitol ob zaug ib hnub.
Dab tsi cuam tshuam UVB phototherapy muaj?Dab tsi yuav tsum xyuam xim rau thaum kho?
Feem ntau hais lus, feem ntau ntawm cov kev mob tshwm sim ntawm kev kho UVB yog ib ntus, xws li khaus, kub hnyiab lossis hlwv.Yog li ntawd, rau ib feem ntawm daim tawv nqaij lesions, phototherapy yuav tsum tau npog cov tawv nqaij noj qab nyob zoo.Nws tsis tsim nyog rau da dej tam sim ntawd tom qab phototherapy, yog li tsis txhob txo uv nqus thiab phototoxicity.
Thaum lub sij hawm kho yuav tsum tsis txhob noj photosensitive txiv hmab txiv ntoo thiab zaub: fig, coriander, txiv qaub, lettuce, thiab lwm yam.;Tsis tas li ntawd tsis tuaj yeem coj mus rau cov tshuaj photosensitive: tetracycline, sulfa tshuaj, promethazine, chlorpromethazine hydrochloride.
Thiab rau cov khoom noj ntsim ntsim uas yuav ua rau mob hnyav, noj tsawg li tsawg tau lossis tsis noj, cov khoom noj no muaj nqaij nruab deg, haus luam yeeb thiab cawv, thiab lwm yam, los ntawm kev tswj hwm kev noj zaub mov kom tsim nyog tuaj yeem txhawb kev rov qab ntawm daim tawv nqaij. , thiab zoo tiv thaiv qhov rov tshwm sim ntawm psoriasis.
Xaus: Phototherapy nyob rau hauv kev kho mob ntawm psoriasis, yuav alleviate psoriasis lesions, tsim nyog ua ke ntawm cov tshuaj pleev ib ce tuaj yeem txhim kho cov kev kho mob thiab txo qhov rov tshwm sim.
Post lub sij hawm: Jun-07-2022
