Psoriasis cuta ce da ta zama ruwan dare gama gari, mai sauƙin sake dawowa, mai wahalar warkar da cututtukan fata waɗanda ban da maganin waje, maganin ta baki, maganin halittu, akwai wani magani kuma shine maganin jiki. UVB phototherapy magani ne na jiki, To menene illar UVB phototherapy ga psoriasis?
Menene maganin UVB phototherapy? Wadanne cututtuka ne za a iya magance su?
Hasken UVBamfani da hasken wucin gadi ko makamashin hasken rana don magance cututtuka, da kuma amfani da hasken ultraviolet a jikin ɗan adam wajen magance cutar da ake kira maganin ultraviolet. Ka'idar hasken UVB shine hana yaduwar ƙwayoyin T a cikin fata, hana haɓakar epidermal hyperplasia da kauri, rage kumburin fata, don rage lalacewar fata.
Maganin hasken UVB yana da tasiri mai kyau wajen magance cututtukan fata daban-daban, kamar su psoriasis, takamaiman dermatitis, vitiligo, eczema, bryophyid pityriasis na yau da kullun, da sauransu. Daga cikin su a cikin maganin psoriasis, UVB (tsawon raƙuman ruwa na 280-320 nm) yana taka muhimmiyar rawa, aikin shine fallasa fata ga fata.hasken ultravioleta wani takamaiman lokaci; Maganin hasken UVB yana da halaye daban-daban kamar hana kumburi, rage garkuwar jiki da kuma gubar cytotoxicity.
Menene rarrabuwar hanyoyin phototherapy?
Maganin Psoriasis na gani galibi yana da nau'ikan rarrabuwa guda 4, bi da bi don maganin UVB, NB-UVB, PUVA, da laser na excimer. Daga cikinsu, UVB ya fi dacewa kuma ya fi araha fiye da sauran hanyoyin maganin phototherapy, saboda za ku iyaYi amfani da UVB phototherapy a gidaYawanci ana ba da shawarar yin amfani da hasken UVB ga manya da yara masu fama da cutar psoriasis. Idan raunukan psoriasis suka faru a wurare masu siriri, tasirin hasken phototherapy zai kasance a bayyane yake.
Menene fa'idodinUVB phototherapy don psoriasis?
An haɗa da hasken UVB a cikin jagororin ganewar cutar psoriasis da magani (bugun 2018), kuma tasirinsa na warkewa tabbas ne. Kididdiga ta nuna cewa kashi 70% zuwa 80% na masu fama da cutar psoriasis za su iya samun sauƙi daga kashi 70% zuwa 80% na raunukan fata bayan watanni 2-3 na hasken phototherapy akai-akai.
Duk da haka, ba dukkan marasa lafiya ne suka dace da yin amfani da na'urar daukar hoto ba. Ana amfani da magungunan da ke rage radadi wajen magance psoriasis, yayin da na'urar daukar hoto ta UVB magani ne mai matukar muhimmanci ga marasa lafiya masu matsakaicin hali da kuma masu tsanani.
Maganin daukar hoto zai iya tsawaita lokacin sake dawowar cutar. Idan yanayin mara lafiyar ya yi sauƙi, za a iya ci gaba da sake dawowar har tsawon watanni da dama. Idan cutar ta yi tsauri kuma raunukan fata suna da wahalar cirewa, haɗarin sake dawowar cutar ya fi yawa, kuma sabbin raunukan fata na iya faruwa watanni 2-3 bayan dakatar da maganin daukar hoto. Domin samun ingantaccen tasirin magani da rage sake dawowa, galibi ana amfani da maganin daukar hoto tare da wasu magungunan shafawa a aikin asibiti.
A wani bincike da aka gudanar kan ingancin man shafawa na tacatinol tare da hasken UVB mai kunkuntar a cikin maganin psoriasis vulgaris, an sanya marasa lafiya 80 zuwa ƙungiyar kulawa da ta sami hasken UVB kawai da kuma ƙungiyar magani da ta sami maganin tacalcitol (sau biyu a rana) tare da hasken UVB, hasken jiki, sau ɗaya a kowace rana.
Sakamakon bincike ya nuna cewa babu wani bambanci mai mahimmanci a kididdiga tsakanin ƙungiyoyin marasa lafiya guda biyu da ke da maki PASI da kuma ingancin maganin zuwa mako na huɗu. Amma idan aka kwatanta da magani na makonni 8, sakamakon PASI na rukunin jiyya (maki na digiri na cutar psoriasis) ya inganta kuma ya fi inganci fiye da na ƙungiyar kulawa, yana nuna cewa maganin UVB na haɗin gwiwa na tacalcitol yana da tasiri mai kyau fiye da maganin UVB kawai.
Menene tacacitol?
Tacalcitol wani sinadari ne da aka samo daga sinadarin bitamin D3 mai aiki, kuma irin waɗannan magunguna suna da ƙaƙƙarfan calcipotriol mai hana ƙwaya, wanda ke da tasiri mai hana yaɗuwar ƙwayoyin epidermal. Psoriasis yana faruwa ne sakamakon yawan yaɗuwar ƙwayoyin epidermal glial, wanda ke haifar da erythema da farin azurfa a fata.
Tacalcitol yana da sauƙi kuma ba shi da ɗan haushi wajen maganin psoriasis (psoriasis na cikin jijiya kuma ana iya amfani da shi) kuma ya kamata a yi amfani da shi sau 1-2 a rana dangane da tsananin cutar. Me yasa za a ce yana da laushi? Ga sassan fata masu siriri da taushi, ban da cornea da conjunctiva, ana iya amfani da dukkan sassan jiki, yayin da ba za a iya amfani da ƙaiƙayin calcipotriol a kai da fuska ba, saboda yana iya samun ƙaiƙayi, dermatitis, kumburi a kusa da idanu ko kumburin fuska da sauran mummunan sakamako. Idan aka haɗa magani da UVB phototherapy, phototherapy ana yin shi sau uku a mako, kuma tacalcitol sau biyu a rana.
Wane illa ne maganin UVB zai iya haifarwa? Me ya kamata a kula da shi yayin magani?
Gabaɗaya dai, yawancin illolin da maganin UVB ke haifarwa na ɗan lokaci ne, kamar ƙaiƙayi, ƙonewa ko ƙuraje. Saboda haka, ga wasu raunukan fata, maganin phototherapy yana buƙatar rufe fata mai lafiya sosai. Bai dace a yi wanka nan da nan bayan maganin phototherapy ba, don kada a rage shan UV da kuma gubar da ke cikinsa.
A lokacin jiyya, bai kamata a ci 'ya'yan itatuwa da kayan lambu masu saurin kamuwa da cutar ba: fig, coriander, lemun tsami, latas, da sauransu; Hakanan ba za a iya shan maganin rage tasirin cutar ba: tetracycline, maganin sulfa, promethazine, chlorpromethazine hydrochloride.
Kuma ga abincin da ke da ɗanɗano mai daɗi wanda zai iya haifar da ta'azzara yanayin, ko kuma kada a ci shi yadda zai yiwu ko kuma kada a ci, irin wannan abincin yana ɗauke da abincin teku, taba da barasa, da sauransu, ta hanyar sarrafa abinci mai kyau zai iya inganta murmurewa daga raunukan fata, kuma ya hana sake kamuwa da cutar psoriasis yadda ya kamata.
Kammalawa: Phototherapy a cikin maganin psoriasis, yana iya rage raunukan psoriasis, haɗa magunguna masu dacewa na iya inganta tasirin magani da rage sake dawowa.
Lokacin Saƙo: Yuni-07-2022
