Psoriasis yog ib lub dermatoses mob hnyav uas cuam tshuam txog 2% ntawm lub ntiaj teb cov pejxeem. Teeb liab khaus liab khaus nyob rau hauv daim ntawv ntawm plaques, them nrog cov nyiaj nplai, tshwm sim nrog tus kab mob no, tuaj yeem ntaus txhua qhov ntawm lub cev. Hauv no hais txog, cov neeg mob ua rau lub cev tsis zoo thiab puas siab puas ntsws tsis zoo, hampering lub neej niaj hnub thiab kev ua ub ua no.
Kev kho plab psoriasis yog ua los ntawm txoj hauv kev nrog kev siv cov tshuaj hauv zos thiab kev ua haujlwm. Tsis tas li ntawd, txoj kev siv physiotherapy siv dav txaus rau txhua theem ntawm tus kab mob, qee yam uas tso cai rau ua kom muaj kev phais nyhuv. Ib tug ntawm lawv yog cov kev kho mob ntawm psoriasis los ntawm ultraviolet, uas tau paub thiab siv tau ntau xyoo.
Ultraviolet nrog psoriasis
Thaum kho mob ntawm daim tawv nqaij los ntawm ultraviolet, ib nqaj ntawm rays ntawm ib lub tsho ntev thiab qhov siv los ntawm cov roj fluorescent, ib lub laser lossis lub teeb-emitting diodes yog vim raug rau cov cheeb tsam. Lub mechanisms ntawm kev txiav txim ntawm cov txheej txheem ultraviolet tsis meej kiag li, txawm li ntawd los, nws ntseeg tias UV rays inhibit cov kev ua si ntawm cev tsis tiv thaiv hlwb tua epidermal hlwb nyob rau hauv psoriasis thiab ua inflammatory kev xyuam nrog tus tsim ntawm tus yam ntxwv pob.
Muaj ntau txoj kev kho ultraviolet ntawm psoriasis, uas tau muab faib ua ob pawg:
- Txoj kev ntawm phototherapy - raws li daim ntawv thov ntawm ntau ntau yam ntawm vuag ntawm ultraviolet hluav taws xob tsis muaj sib txuas nrog lwm yam kev txhais tau tias. Nrog rau cov kab mob dermatosis, xim phototherapy, nqaim-band nruab nrab-yawm suab ultraviolet kho thiab siv cov excimer ultraviolet lub teeb yog feem ntau qhia.
- Cov yees duab thaij duab yog raws ntau yam txawv ntawm kev sib xyaw ua ke siv ntev ntev ultraviolet hluav taws xob thiab psoralen photosensitizers (tshuaj muaj peev xwm ntawm absorbing lub teeb tsis). Qhov tseem ceeb ntawm cov kev no yog cov txheej txheem nrog kev siv lub qhov ncauj los yog sab nrauv siv kev yoog, nrog rau PUVA da dej.
Rau kev siv txoj kev kho ultraviolet, ntau cov khoom siv: cabins rau tag nrho lub cev irradiation, apparatus rau irradiating tej qhov chaw, thiab cov khoom siv rau cov kev raug mob ntawm thaj chaw tsuas yog rau cov cheeb tsam. Lub sijhawm thawj zaug ntawm hluav taws xob, ntev npaum li cas thiab cov sijhawm ntawm cov txheej txheem yuav raug xaiv raws li hom nqaij tawv, tawv nqaij, qhov mob ntawm cov neeg mob kom tawg thiab lwm yam.
Nws yuav tsum raug sau tseg tias niaj hnub nim no muaj UV nta tshwj xeeb rau kev siv hauv psoriasis, tiam sis muaj ntau tus kws kho mob tshwj xeeb tsis tuaj yeem txais tej kev kho nyob tom tsev. Qhov no yog vim muaj qhov tseeb uas vim yog tsis ua raws li kev siv tshuaj thiab lub sij hawm ntawm raug hluav taws xob, muaj teeb meem ntau zaus tsim. Yog li ntawd, cov txheej txheem yuav tsum tau ua nyob rau hauv cov chaw kho mob hauv kev saib xyuas ntawm cov neeg ua haujlwm.
Contraindications mus rau kev kho mob ntawm psoriasis nrog ultraviolet
Ua ntej pib txoj kev kho, cov neeg mob yuav tsum mus kuaj cov kab mob kom pom cov kev tsis haum xeeb rau txoj kev kho mob no. Rau lub hom phiaj no, cov hauv qab no raug tsa:
- kev ntsuam xyuas ntshav thiab zis;
- biochemical ntshav kuaj ;
- kev sib tham ntawm ib tug gynecologist, endocrinologist, ophthalmologist, thiab lwm yam.
Cov txheej txheem raug txwv nyob rau hauv cov rooj plaub hauv qab no:
- tsis pom zoo rau ultraviolet hluav taws xob;
- Malignant daim tawv nqaij kab mob thiab cov nqaij ntshiv uas muaj nqis;
- dermatomyositis;
- Gorlin's syndrome;
- porphyria ;
- kev mob lupus erythematosus, thiab lwm tus.
Tsis tas li ntawd, ua ke ntawm UV-irradiation thiab psoralens yog contraindicated thaum:
- cev xeeb tub thiab lactation;
- cataract;
- tsis muaj lub lens;
- tseem ceeb siab thiab mob raum tsis zoo;
- kev kho mob nrog rau cov hluav taws xob arsenic thiab ionizing yav dhau los.