Ka hoʻomaopopo ʻana i ka Narrowband UVB Phototherapy

ʻO ka mālama ʻana i ke koho no psoriasis, vitiligo, a me eczema

Narrowband UVB Phototherapy – Nā Kumu

Ua lilo ʻo "Narrowband" UVB i ka phototherapy t no ka mea hāʻawi ʻo ia i nā huina nui loa o nā lōʻihi hawewe maikaʻi loa o ke kukui UV, ʻoiai e hōʻemi ana i nā lōʻihi hawewe hiki ke pōʻino. 

ʻike mau “Broadband” Hoʻopuka nā kukui UVB i ka mālamalama ma kahi ākea ma luna o ka spectrum UVB, me nā lōʻihi hawewe lapaʻau e pili ana i ka mālama ʻana i nā maʻi ʻili, a me nā lōʻihi hawewe pōkole e pili ana i ka puhi ʻana i ka lā (erythema). He pōmaikaʻi maikaʻi ʻole ka Sunburning, hoʻonui i ka pilikia o ka maʻi maʻi ʻili, hōʻeha i ka mea maʻi, a kaupalena i ka nui o ka UVB therapeutic hiki ke lawe.  

“Narrowband” ʻO nā kukui UVB, ma ka ʻaoʻao ʻē aʻe, e hoʻokuʻu i ka mālamalama ma luna o kahi pōkole loa o nā nalu nalu i hoʻopaʻa ʻia i ka pae therapeutic a me ka liʻiliʻi loa i ka laulā o ka lā, e hoʻohana ana i kahi "wahi momona" ma waena o nā mea ʻelua a puni 311 nm. No laila, ʻoi aku ka palekana a ʻoi aku ka maikaʻi o ka UVB-Narrowband ma mua o ka UVB-Broadband, akā koi ʻia nā manawa lapaʻau lōʻihi a i ʻole nā ​​​​mea hana me nā ʻōpuʻu hou aʻe e loaʻa ai ka nui o ka nui, aia ma ka hoʻomaka ʻana o ka ʻulaʻula o ka ʻili ma hope o ka mālama ʻana, i kapa ʻia ʻo "sub-erythema". . Loaʻa i nā hiʻohiʻona UVB-Narrowband o Solarc kahi suffix "UVB-NB" ma ka helu kumu hoʻohālike, e like me 1780UVB‑NB. ʻO nā hiʻohiʻona UVB-Broadband o Solarc he suffix "UVB" wale nō, e like me 1740UVB. Ua hoʻomohala ʻia ʻo "Narrowband UVB" e Philips Lighting of Holland a ʻike ʻia hoʻi ʻo: Narrow Band UVB, UVB Narrowband, UVB‑NB, NB‑UVB, TL/01, TL‑01, TL01, 311 nm, etc. ʻO "01" ke code phosphor Philips i hoʻokomo ʻia i nā helu ʻāpana ʻāpana UVB-Narrowband).

A no ka wehewehe kikoʻī hou aku: 

Ka hoʻomaopopo ʻana i ka Narrowband UVB Phototherapy

Ua lilo ʻo "Narrowband" UVB (UVB-NB) i mea lapaʻau phototherapy no ka psoriasis, vitiligo, atopic dermatitis (eczema), a me nā maʻi ʻili photoresponsive ʻē aʻe. ʻO ka hoʻomaopopo ʻana i nā pono o "Narrowband" UVB me ka "Broadband" UVB phototherapy maʻamau e pono ai ka hoʻomaopopo ʻana i ka mālamalama a me nā kaʻina hana e pili ana.

Hoʻokumu ʻia ka spectrum o ka radiation optical (māmā) i nā lōʻihi nalu like ʻole o ka "mālamalama" mai 100 nanometers (nm) ma ke ʻano ultraviolet (UV) a hiki i ka 1 millimeter (mm) ma ka laulā infrared (IR). ʻIke ʻia ke kukui ʻike ʻia mai kahi o 380 nm (violet) a i 780 nm (ʻulaʻula) a ʻike ʻia ʻo "nā kala" a mākou e ʻike nei me ko mākou mau maka. ʻAʻole ʻike ʻia ka Ultraviolet a mai 380 nm a hiki i 100 nm, a ua māhele hou ʻia i UVA (315-380 nm), UVB (280-315 nm), a me UVC (100-280 nm).

HELU A hōʻike i ka ikaika pili o ka "mālamalama" maoli i hiki i ka ʻili honua ma hope o ke kānana ʻana e ka lewa o ka honua. Ua ulu nā kānaka i ka ʻike ʻana i kēia mau nalu nalu, no laila ua hoʻomohala ko mākou ʻili i nā pane e hoʻohana pono i ke kukui (Vitamin D) a me ka pale ʻana iā mākou mai ka ʻike nui ʻana (ka hoʻoilina ʻili a me ka tanning). Hōʻike ʻia ʻo "UVB Narrowband" ma 311 nm a kū maoli i ka lā, akā ʻaʻole i ka nui. Hoʻopili ka lewa o ka honua i nā kukui āpau ma lalo o 300 nm paha.
ka hoʻomaopopo ʻana i ka narrowband uvb phototherapy
narrawband uvb phototherapy

ʻO nā lōʻihi nalu like ʻole o ka "māmā" e hana i nā hopena like ʻole ma nā mea. Nui nā kaʻina hana koʻikoʻi i aʻo ʻia i ka ʻepekema no ka hoʻoholo ʻana i ka hāʻawi pili o kēlā me kēia hawewe i ke kaʻina hana i aʻo ʻia. Hoʻohana ʻia nā kiʻi i kapa ʻia ʻo "action spectrum" e wehewehe i kēia mau pilina. ʻOi aku ka nui o ka "action spectrum sensitivity", ʻoi aku ka pane o ke kaʻina hana i kēlā lōʻihi nalu.

Ua aʻo ʻia ka spectrum hana no psoriasis1,2 e hoʻoholo ai ʻo ka lōʻihi o ka nalu therapeutic he 296 a 313 nm. E like me ka mea i hoikeia ma HELU B, nā kukui UVB-Broadband maʻamau e uhi i kēia laulā a ua hoʻohana maikaʻi ʻia no nā makahiki he 60.

Ua aʻo pū ʻia ka spectrum hana no ka "sunburning" o ka ʻili kanaka, i ʻike ʻia ʻo "erythema".11 Hoʻomalu ʻia ka Erythema e nā lōʻihi haʻahaʻa haʻahaʻa (ma lalo o 300 nm) o ka laulā UVB. ʻO ka mea pōʻino, hoʻopuka nā kukui UVB-Broadband maʻamau i ka nui o ka "mālamalama" i kēia pae erythemogenic. Hoʻopuka kēia mau nalu nalu i ke ahi a emi ka waiwai therapeutic. ʻO ka mea hou aʻe, ʻo ka hoʻomaka ʻana o ka puhi ʻana e kaupalena i ka nui o UVB3 a ʻo ka erythema kekahi kumu pilikia no ka maʻi kanesa ʻili. Hoʻopilikia pū ka Erythema i ka poʻe maʻi, hiki ke hoʻonāwaliwali i kekahi mau maʻi mai ka lawe ʻana i nā lāʻau lapaʻau. ʻO ka ʻāpana ʻāhinahina i loko HELU C hāʻawi i kahi hōʻike kiʻi o ka maʻiʻo erythemogenic nui o UVB-Broadband.

uvbbroadband erythema hoʻomaopopo i ka narrowband uvb phototherapy

"No laila, no ke aha e hoʻomohala ʻole ai i kahi kumu kukui e hoʻopuka i ka hapa nui o kāna huahana i ka spectrum hana psoriasis a hoʻemi i ka mālamalama i ka spectrum hana erythema?"

uvbnarrowband erythema hoʻomaopopo i ka narrowband uvb phototherapy

I ka hopena o nā makahiki 1980, ua hoʻomohala ʻo Philips Lighting of Holland i ke kukui like ʻole, i kapa ʻia ʻo "TL-01" a i ʻole "UVB Narrowband". ʻO ka ʻāpana liʻiliʻi ʻeleʻele hina i loko HELU D e hōʻike ana i nā kukui UVB-Narrowband he emi loa ka erythemogenic (ke hiki ke puhi i ka lā) ma mua o nā kukui UVB-Broadband maʻamau. ʻO ia hoʻi, hiki ke hāʻawi ʻia ka UVB therapeutic hou aku ma mua o ka hiki ʻana mai o ka erythema, a no ka mea he mea pilikia ka erythema no ka maʻi maʻi ʻili, pono e emi iki kēia mau kukui hou i ka carcinogenic no nā hopena therapeutic like.4,5,6,7. Eia kekahi, a koʻikoʻi i ka kūleʻa i ʻike ʻia e ka home UVB-Narrowband phototherapy, ʻoi aku ka hiki ke hoʻomalu ʻia ka maʻi me ka hiki ʻole i ka paepae erythemogenic.9,10, he pilikia mau me nā lāʻau lapaʻau UVB-Broadband. He meaʻoluʻolu ke hoʻomaopopo i ka piko o ka pale UVB-Narrowband ma kahi o ʻumi mau manawa kiʻekiʻe ma mua o ka pale UVB-Broadband, no laila ke kumu o ka inoa "Narrowband".

Ua hōʻoia ʻia nā noiʻi hou aʻe i kēia mau ʻike a ua hoʻoholo pū ʻo UVB-Narrowband i ka liʻiliʻi o nā hanana wela a me nā manawa kala ʻoi aku ma mua o UVB-Broadband. Ke hoʻohālikelike ʻia me PUVA (Psoralen + UVA-1 kukui), ʻoi aku ka liʻiliʻi o nā hopena ʻaoʻao o UVB-Narrowband a ua hoʻololi ʻia i nā hihia he nui.8.

ʻO kekahi hemahema o ka UVB-Narrowband ʻo ia, no ka mea, ua kaupalena ʻia ka nui o ka nui e ka hoʻomaka ʻana o ka erythema liʻiliʻi, a ʻo ka UVB-Narrowband ʻoi aku ka erythemogenic ma mua o ka UVB-Broadband, pono nā manawa mālama lōʻihi. Hiki ke uku ʻia kēia ma ka hoʻonui ʻana i ka nui o nā puʻupuʻu i loko o ka hāmeʻa4,5,6,7. No ka laʻana, e pili ana i ka phototherapy home o Solarc ma hope o ke kūʻai aku ʻana no ka UVB-Broadband, hāʻawi ka 4-bulb 1740UVB i nā manawa mālama kūpono; ʻoiai no ka UVB-Narrowband, he koho maʻamau ka 8-bulb 1780UVB-NB. ʻO ka lākiō theoretical o ka hiki erythemogenic o UVB-Broadband i ka UVB-Narrowband aia ma ka laulā o 4:1 a 5:1.

ʻO nā maʻi ʻē aʻe e like me vitiligo, eczema, mycosis fungoides (CTCL), a me nā mea ʻē aʻe he nui i mālama maikaʻi ʻia me UVB-Narrowband, maʻamau no nā kumu like e like me ka mea i hōʻike ʻia ma luna nei no psoriasis.

ʻO kekahi pōmaikaʻi ʻē aʻe o UVB-Narrowband ʻo ia paha ke ʻano kukui fluorescent maikaʻi loa no ka hana ʻana i ka Vitamin D (HELU E) in human skin, for use instead of natural sunlight (which includes harmful UVA), or for those that cannot absorb adequate oral Vitamin D (tablets) due to problems in the gut. The subject of Vitamin D has received tremendous media attention lately, and for good reason. Vitamin D is essential to human health, yet many people are deficient, especially those who live at higher latitudes, far away from the earth’s equator. There is increasing evidence that Vitamin D protects against the development of many chronic diseases, including cancer (breast, colorectal, prostate), cardiovascular disease, multiple sclerosis, osteomalacia, osteoporosis, type 1 diabetes mellitus, rheumatoid arthritis, hypertension, and depression. For much more information, please visit these webpages: FAQ o ka Vitamin D Phototherapy & Nā kukui no ka Vitamin D.

uvbnarrowband vitamind ike narrowband uvb phototherapy

ʻO ka manaʻo nui i loko o ke kaiāulu dermatology ʻo ia ka UVB-Narrowband e hoʻololi i ka UVB-Broadband ma ke ʻano he koho lapaʻau, ʻoi loa no ka phototherapy home. Kākoʻo maopopo ʻia kēia e ka ʻano o Solarc Systems i ke kūʻai ʻana i nā lako phototherapy home, me ke kūʻai aku ʻana o nā polokalamu UVB-NB i kēia manawa ma mua o nā kūʻai UVB‑BB ma kahi o 100:1. Loaʻa i nā hiʻohiʻona UVB-Narrowband o Solarc kahi suffix “UVB‑NB” ma ka helu kumu hoʻohālike, e like me 1780UVB‑NB. ʻO nā hiʻohiʻona UVB-Broadband o Solarc he suffix "UVB" wale nō, e like me 1740UVB.

Makemake ʻo Solarc Systems e hoʻomaikaʻi i ka poʻe maikaʻi ma Philips Lighting no ka hoʻomohala ʻana i ka laina huahana UVB-Narrowband, a me ke kōkua ʻana i nā mea he nui o mākou ma ka honua holoʻokoʻa e mālama i nā pilikia o ka ʻili me ka palekana a me ka maikaʻi. 'Ōlelo Aʻo: ʻO nā kiʻi i hoʻohana ʻia ma kēia palapala he mau hōʻike maʻalahi. Loaʻa ka pale UVB-Broadband mai ka Solarc/SolRx 1740UVB a ʻo ka pale UVB-Narrowband i loaʻa mai ka Solarc/SolRx 1760UVB‑NB.

Paipai mākou iā ʻoe e noiʻi hou i kēia kumuhana koʻikoʻi.

E hoʻomaopopo ':

1 PARISH JA, JAENICKE KF (1981) Spectrum hana no ka phototherapy o psoriasis. J Invest Dermatol. 76 359
2 FISCHER T, ALSINS J, BERNE B (1984) Ultraviolet-action spectrum a me ka loiloi o nā kukui ultraviolet no ka ho'ōla psoriasis. Int. J. Dermatol. 23 633
3 BOER I, SCHOTHORST AA, SUURMOND D (1980) UVB phototherapy o psoriasis. Dermatologica 161 250
4 VAN WEELDEN H, BAART DE LA FAILLE H, YOUNG E, VAN DER LEUN JC, (1988) He hana hou i ka phototherapy UVB o psoriasis. Ka Nupepa Pelekania o Dermatology 119
5 KARVONEN J, KOKKONEN E, RUOTSALAINEN E (1989) 311nm UVB kukui i ka mālama ʻana o psoriasis me ka regimen Ingram. Acta Derm Venereol (Stockh) 69
6 JOHNSON B, GREEN C, LAKSHMIPATHI T, FERGUSON J (1988) Ultraviolet radiation phototherapy no psoriasis. ʻO ka hoʻohana ʻana i kahi kukui uila uila UVB hou. ʻO Proc. ʻEur 2. Photobiol. Congr., Padua, Italia
7 GREEN C, FERGUSON J, LAKSHMIPATHI T, JOHNSON B 311 UV phototherapy - He lapaʻau maikaʻi no psoriasis. Keʻena o Dermatology, Kulanui o Dundee
8 TANEW A, RADAKOVIC-FIJAN S, SC
HEMPER M, HONIGSMANN H (1999) Narrowband UV-B phototherapy vs photochemotherapy i ka mālama ʻana i ka psoriasis type plaque. Arch Dermatol 1999;135:519-524
9 WALTERS I, (1999) ʻOi aku ka maikaʻi o ka UVB suberythematogenic narrow-band ma mua o ka UVB maʻamau i ka mālama ʻana i ka psoriasis vulgaris. J Am Acad Dermatol 1999;40:893-900
10 HAYKAL KA, DESGROSEILLIERS JP (2006) He koho kūpono anei nā ʻāpana ʻāpana ʻo Ultraviolet B Home no ka lāʻau lapaʻau hoʻomau a mālama ʻia paha o nā maʻi ʻili kiʻi? Ka Nūpepa o nā lāʻau lapaʻau a me nā ʻoki ʻoki kino, Volume 10, Issue 5 : 234-240
11 Erythema kuhikuhi hana spectrum a me ka maʻamau erythema dose ISO-17166: 1999 (E) | CIE S 007/E-1998
12 Spectrum hana no ka hana ʻana o Previtamin D3 ma ka ʻili kanaka CIE 174:2006