He aha ka Photodynamic Therapy? Ke Kumu, ke Kaʻina Hana & nā Hōʻike

ʻO ka photodynamic therapy (PDT) he lapaʻau lapaʻau e hoʻohana ana i nā lāʻau lapaʻau i hoʻāla ʻia e ka mālamalama e luku i nā pūnaewele maʻamau e like me nā pūnaewele maʻi ʻaʻai a i ʻole e mālama i kekahi mau maʻi ʻili. E noʻonoʻo iā ia he ala i manaʻo ʻia kahi e hana pū ai ka lāʻau lapaʻau a me ka mālamalama e mālama i nā wahi kikoʻī o kou kino me ka hoʻopilikia ʻole i nā ʻiʻo olakino a puni ia.

Ke kōkua nei kēia lapaʻau mālie akā maikaʻi i nā kānaka no nā makahiki he nui. He mea pono loa ia no kekahi mau ʻano maʻi ʻaʻai, nā maʻi ʻili, a me nā pilikia o ka maka. Aia ka nani o PDT i kona pololei - hiki iā ia ke kuhikuhi i nā wahi pilikia me ka waiho ʻana i kāu mau pūnaewele olakino me ka hoʻopā ʻole ʻia.

He aha ka photodynamic therapy?

Hoʻohui ka photodynamic therapy i ʻekolu mea nui: kahi lāʻau photosensitizing, oxygen i loko o kou mau ʻiʻo, a me nā nalu mālamalama kikoʻī. ʻO ka lāʻau photosensitizing he lāʻau lapaʻau kūikawā e lilo i mea hana wale nō ke hōʻike ʻia i nā ʻano mālamalama.

Eia ke ʻano o ka hana ʻana ma nā huaʻōlelo maʻalahi: ʻO ka mea mua, loaʻa iā ʻoe ka lāʻau photosensitizing ma o ka injection, ka noi topical, a i kekahi manawa ma ka waha. Hele kēia lāʻau i loko o kou kino a hōʻiliʻili nui i nā pūnaewele maʻamau ma mua o nā mea olakino. Ma hope o ka manawa kali, e hoʻomālamalama kāu kauka i kahi ʻano mālamalama kikoʻī ma ka wahi lapaʻau.

Ke paʻi ka mālamalama i ka lāʻau, hana ia i kahi ʻano oxygen e luku i nā pūnaewele i manaʻo ʻia. Kapa ʻia kēia hana he photochemical reaction. A laila make nā pūnaewele i hōʻino ʻia, a hoʻomaʻemaʻe kou kino iā lākou i ka manawa.

No ke aha e hana ʻia ai ka photodynamic therapy?

He nui nā kumu lapaʻau o PDT, a hiki i kāu kauka ke ʻōlelo iā ia no nā maʻi like ʻole. He mea maikaʻi loa ia no ka mālama ʻana i kekahi mau maʻi ʻaʻai, ʻo ia hoʻi nā mea ma luna a i ʻole kokoke i ka ʻili o kou kino kahi e hiki ai ke maʻalahi ka mālamalama.

ʻO nā kumu maʻamau e hoʻohana ai nā kauka i ka PDT, ʻo ia ka mālama ʻana i kekahi mau ʻano maʻi ʻaʻai ʻili, maʻi ʻaʻai māmā, maʻi ʻaʻai esophagus, a me ka maʻi ʻaʻai ʻōpū. He mea kōkua nō hoʻi ia no nā maʻi ma mua o ka maʻi ʻaʻai e like me ka actinic keratosis, he mau ʻāpana ʻinoʻino ma kou ʻili e hiki ke lilo i maʻi ʻaʻai.

Ma waho aʻe o ka mālama ʻana i ka maʻi ʻaʻai, hiki i ka PDT ke mālama i nā maʻi ʻili like ʻole. Aia kēia mau mea i kekahi mau ʻano o ka ʻāʻī, ka pōʻino o ka lā, a me kekahi mau maʻi. Hiki nō hoʻi i kāu kauka ke hoʻohana iā ia no ka degeneration macular e pili ana i ka makahiki, kahi maʻi e pili ana i kou ʻike.

ʻO kekahi o nā mea maikaʻi loa o ka PDT, hiki ke hana hou ʻia i nā manawa he nui ma ka wahi hoʻokahi inā pono. ʻAʻole like me kekahi mau lāʻau lapaʻau ʻē aʻe, ʻaʻole ia e hōʻino nui i kou ʻiʻo olakino, e lilo ia i koho mālie no nā kānaka he nui.

He aha ke kaʻina hana no ka photodynamic therapy?

Hana ʻia ke kaʻina hana PDT i ʻelua mau ʻāpana nui, a pili ke kaʻina hana pololei i ke ʻano o ka maʻi āu e mālama nei. E hele kāu kauka iā ʻoe ma kēlā me kēia ʻanuʻu, akā eia ka mea āu e manaʻo ai.

I ka wā o ka ʻāpana mua, e loaʻa iā ʻoe ka lāʻau photosensitizing. No nā maʻi ʻili, he ʻaila a i ʻole gel paha kēia i hoʻopili pololei ʻia i ka wahi i hoʻopilikia ʻia. No nā maʻi o loko, hiki iā ʻoe ke loaʻa ka lāʻau ma o ka IV a i ʻole e lawe iā ia ma ke ʻano he pila. Pono ka lāʻau i ka manawa e hōʻiliʻili ai i nā cell i manaʻo ʻia.

ʻO ka manawa kali ma waena o ka lawelawe ʻana i ka lāʻau a me ka mālama ʻana i ka mālamalama e ʻokoʻa ana ma muli o ka lāʻau lapaʻau i hoʻohana ʻia. No nā noi topical, he mau hola wale nō kēia. No nā lāʻau lapaʻau systemic i hāʻawi ʻia ma o IV, hiki iā ʻoe ke kali i 24 a 72 mau hola.

I ka wā o ka ʻāpana ʻelua, hoʻopili kāu kauka i ka mālamalama kikoʻī i ka wahi lapaʻau. No nā lāʻau lapaʻau ʻili, pili kēia i ka waiho ʻana iā ʻoe ma lalo o kahi panela kukui kūikawā a i ʻole ka hoʻohana ʻana i kahi mea paʻa lima. No nā lāʻau lapaʻau o loko, hiki i kāu kauka ke hoʻohana i kahi paipu lahilahi a maʻalahi me ke kukui ma ka hopena.

ʻO ka hōʻike ʻana i ka mālamalama e mau ana ma waena o 15 a 45 mau minuke, ma muli o ka nui a me kahi o ka wahi lapaʻau. Hiki paha iā ʻoe ke ʻike i ka mehana a i ʻole ke ʻano o ka ʻūlū ʻana i kēia manawa, akā maʻamau ka ʻoluʻolu o ke kaʻina hana.

Pehea e hoʻomākaukau ai no kāu lāʻau photodynamic?

He maʻalahi ka hoʻomākaukau ʻana no ka PDT, akā aia kekahi mau ʻanuʻu nui e hahai ai. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i kāu kūlana pilikino a me ke ʻano o ka PDT āu e loaʻa nei.

ʻO ka hoʻomākaukau nui loa e pili ana i ka pale ʻana iā ʻoe iho mai ka hōʻike ʻana i ka mālamalama. Ma hope o ka loaʻa ʻana o ka lāʻau photosensitizing, e ʻoi aku ka maʻalahi o kou ʻili a me kou mau maka i ka mālamalama ma mua o ka maʻamau. Hiki ke mau kēia ʻano maʻalahi mai kekahi mau lā a i kekahi mau pule, ma muli o ka lāʻau i hoʻohana ʻia.

Eia nā ʻanuʻu hoʻomākaukau nui e pono ai ʻoe e hahai:

• E pale i ka lā pololei a me nā kukui ʻālohilohi i loko o ka hale no ka manawa i kuhikuhi ʻia
• E ʻaʻahu i nā lole pale, me nā lima lōʻihi, nā pālule, a me nā pāpale ākea ke waho
• E hoʻohana i nā aniani a noʻonoʻo i nā puka makani kaʻa tinted inā pono ʻoe e hele
• Wehe i nā mea hoʻonani, nā lotions, a i ʻole nā mea ʻala mai ka wahi lapaʻau
• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei, ʻoiai nā mea e hoʻonui ai i ka ʻike i ka mālamalama

Hiki nō hoʻi i kāu kauka ke noi iā ʻoe e pale i kekahi mau lāʻau lapaʻau a i ʻole nā mea hoʻohui i hiki ke hoʻopilikia i ka lāʻau. E hahai mau i kēia mau ʻōlelo aʻo me ka mālama pono e hōʻoia i ka hopena maikaʻi loa.

Pehea e heluhelu ai i kāu mau hopena lāʻau photodynamic?

ʻO ka hoʻomaopopo ʻana i kāu mau hopena PDT e pili ana i ka nānā ʻana i nā loli koke a me ka wā lōʻihi i ka wahi i mālama ʻia. E nānā kāu kauka i kāu holomua ma o nā manawa hālāwai maʻamau a i kekahi manawa nā hoʻokolohua hou.

I nā lā mua ma hope o ka mālama ʻana, e ʻike paha ʻoe i kekahi mau loli i ka wahi i mālama ʻia. No nā mālama ʻili, e ʻike paha ʻoe i ka ʻulaʻula, ka pehu, a i ʻole ka ʻili māmā. He hōʻailona maikaʻi kēia - ʻo ia hoʻi ke hana nei ka mālama ʻana e hoʻomaʻemaʻe i nā cell abnormal.

ʻO nā hopena piha o PDT e ʻike pinepine ʻia ma luna o kekahi mau pule a i ʻole mau mahina. E loiloi kāu kauka i ka holomua o ka mālama ʻana ma ka nānā ʻana i ka wahi i mālama ʻia a me ka hoʻohālikelike ʻana me kou kūlana ma mua o ka mālama ʻana. No nā mālama maʻi maʻi, hiki i kēia ke komo i nā biopsies a i ʻole nā hoʻokolohua kiʻi.

He ʻokoʻa nā helu holomua ma muli o ke kūlana e mālama ʻia nei a me kona koʻikoʻi. No nā maʻi ʻili he nui a me nā maʻi maʻi mua, hiki i ka PDT ke maikaʻi loa. E kūkākūkā kāu kauka i ka mea e manaʻo ai ma muli o kou kūlana kikoʻī.

He aha nā mea pilikia no nā pilikia me ka photodynamic therapy?

ʻOiai palekana ka PDT, hiki i kekahi mau mea ke hoʻonui i kou pilikia o nā pilikia a i ʻole e pili i ka maikaʻi o ka hana ʻana o ka mālama ʻana. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua iā ʻoe a me kāu kauka e hana i nā hoʻoholo lapaʻau maikaʻi loa.

Hiki i kou ʻano ʻili a me ke kala ke hoʻopili i ke ʻano o kou pane ʻana i ka PDT. ʻO ka poʻe me ka ʻili maikaʻi loa e ʻoi aku ka maʻalahi i ka mālama ʻana i ka mālamalama, ʻoiai ʻo ka poʻe me nā leo ʻili ʻeleʻele e pono paha i nā ʻano kukui i hoʻoponopono ʻia no nā hopena maikaʻi loa.

Hiki i kekahi mau maʻi lapaʻau ke hoʻonui i kou pilikia o nā pilikia:

• Nā maʻi ʻili e like me ka eczema a i ʻole psoriasis ma ka wahi lapaʻau
• Nā maʻi autoimmune e pili ana i ka hoʻōla
• Nā maʻi koko
• Nā pilikia o ke ake a i ʻole nā puʻupaʻa e pili ana i ka hana ʻana i ka lāʻau
• ʻO ka lāʻau lapaʻau radiation mua i ka wahi lapaʻau

Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i kou ʻike i ka mālamalama a i ʻole ke keakea i ka mālama ʻana. Aia kēia mau mea i kekahi mau antibiotics, diuretics, a me nā lāʻau anti-inflammatory. Hāʻawi mau i kāu kauka i kahi papa inoa piha o kāu mau lāʻau lapaʻau.

He aha nā pilikia e hiki ke loaʻa mai ka photodynamic therapy?

Hoʻomanawanui ka hapa nui o nā kānaka i ka PDT, akā e like me nā lāʻau lapaʻau ʻē aʻe, hiki iā ia ke loaʻa nā hopena ʻaoʻao. ʻO ka mea maikaʻi, he kakaikahi nā pilikia koʻikoʻi, a he manawa pōkole a hiki ke mālama ʻia ka hapa nui o nā hopena ʻaoʻao.

ʻO nā hopena ʻaoʻao maʻamau e pili ana i ka ʻike ʻana i ka mālamalama e hele mai ana me ka lāʻau photosensitizing. I ka wā e ʻike ai ʻoe i ka mālamalama, hiki i ka ʻike ʻana i ka mālamalama ʻālohilohi ke hana i nā hopena e like me ka lā, ʻoiai mai ka mālamalama o loko a i ʻole ka ʻike pōkole ʻana i ka lā.

He mea maʻamau nō hoʻi nā hopena kūloko ma kahi o ka mālama ʻana a ua manaʻo ʻia. Hiki i kēia ke komo:

• ʻUlaʻula a me ka pehu e hiki ke mau no kekahi mau lā
• ʻEha māmā a i ʻole ka ʻeha wela
• Ka ʻili a i ʻole ka ʻili ʻana o ka ʻili
• ʻEleʻele a i ʻole ka māmā ʻana o ka wahi i mālama ʻia
• He koko liʻiliʻi a i ʻole ka wai ʻana i kekahi mau hihia

Hiki i nā pilikia koʻikoʻi akā kakaikahi ke komo i nā hopena ʻili koʻikoʻi, ka ʻili ʻana, a i ʻole nā loli i ka pigmentation ʻili ʻaʻole e mae i ka manawa. Hiki i kekahi poʻe ke loaʻa nā hopena maʻi i ka lāʻau photosensitizing.

No nā lāʻau lapaʻau e pili ana i nā ʻōkana o loko, aia paha nā pilikia kikoʻī e pili ana i kahi o ka lāʻau lapaʻau. E kūkākūkā kāu kauka i kēia mau pilikia me ʻoe ma mua o ka mālama ʻana.

I ka manawa hea wau e ʻike ai i ke kauka no nā pilikia photodynamic therapy?

ʻOiai he maʻamau a manaʻo ʻia ka hapa nui o nā hopena ʻaoʻao PDT, aia kekahi mau kūlana e pono ai ʻoe e hoʻokaʻaʻike koke i kāu kauka. ʻO ka ʻike ʻana i ka manawa e ʻimi ai i ke kōkua e hōʻoiaʻiʻo ai e loaʻa iā ʻoe ke kākoʻo āu e pono ai i ka wā o kou ola hou ʻana.

Pono ʻoe e hoʻokaʻaʻike koke i kāu kauka inā loaʻa iā ʻoe ka ʻeha nui ʻaʻole e hoʻomaikaʻi me ka lāʻau lapaʻau i kuhikuhi ʻia. Pēlā nō, inā ʻike ʻoe i nā hōʻailona o ka maʻi e like me ka hoʻonui ʻana i ka ʻulaʻula, ka mahana, ka wai, a i ʻole ka ʻulaʻula mai kahi o ka mālama ʻana, pono kēia i ka lāʻau lapaʻau wikiwiki.

ʻO nā hōʻailona ʻē aʻe e hopohopo nei e pono ai ke kelepona koke ʻana i ke kauka, ʻo ia:

• Ka pehu nui e keakea ana i nā hana maʻamau
• Ka ʻōhū a i ʻole ka haki ʻana o ka ʻili
• Nā hōʻailona o ka hopena maʻi e like me ka pilikia o ka hanu ʻana, ka ʻōpala ākea, a i ʻole ka pehu ʻana o ka maka a me ka ʻāʻī
• Ka fiva a i ʻole nā anu e ulu ana ma hope o ka mālama ʻana
• Ke kahe koko i manaʻo ʻole ʻia ʻaʻole e pau me ke kaomi mālie

ʻOiai inā ʻaʻole ʻoe maopopo inā he maʻamau kāu mau hōʻailona, ​​ʻoi aku ka maikaʻi o ka nānā ʻana me kāu hui mālama ola. Hiki iā lākou ke hōʻoluʻolu a i ʻole e kamaʻilio i nā pilikia ma mua o ka lilo ʻana i mea koʻikoʻi.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka photodynamic therapy

Q.1 He maikaʻi anei ka photodynamic therapy no ka ʻāʻā?

ʻAe, hiki i ka PDT ke maikaʻi loa no kekahi mau ʻano ʻāʻā, ʻo ia hoʻi ka ʻāʻā nui ʻaʻole i pane maikaʻi i nā lāʻau lapaʻau ʻē aʻe. Hana ka lāʻau lapaʻau ma ka ʻimi ʻana i ka bacteria e kōkua ana i ka ʻāʻā a me ka hoʻemi ʻana i ka hana ʻaila i kou ʻili.

No ka mālama ʻana i ka ʻāʻā, hoʻohana maʻamau nā kauka i kahi mea photosensitizing topical i hoʻopili ʻia i kou ʻili, a ukali ʻia e ka ʻike ʻana i ka mālamalama. Nui ka poʻe e ʻike i ka hoʻomaikaʻi nui ʻana i kā lākou ʻāʻā ma hope o ka moʻo o nā lāʻau lapaʻau. Eia naʻe, hiki i ka PDT no ka ʻāʻā ke hoʻoulu i ka ʻulaʻula a me ka ʻili ʻana, no laila e kōkua kāu kauka iā ʻoe e kaupaona i nā pōmaikaʻi e kūʻē i nā hopena ʻaoʻao manawa.

Q.2 Hoʻoulu ka photodynamic therapy i ka pōʻino mau i ka ʻili?

Hoʻolālā ʻia ka PDT e hōʻemi i ka pōʻino i ka ʻiʻo olakino, akā e like me nā lāʻau lapaʻau, hiki i kekahi manawa ke hoʻololi mau. ʻO ka hapa nui o ka poʻe e ʻike wale i nā hopena ʻaoʻao manawa e mae ana ma hope o kekahi mau pule a i ʻole mau mahina.

ʻAʻole maʻamau nā loli mau, akā hiki ke komo i nā loli liʻiliʻi i ke kala a i ʻole ke ʻano o ka ʻili ma kahi i mālama ʻia. He mea maʻamau ʻole ka ʻeha ke hana pono ʻia ka lapaʻau a e hahai ʻoe i nā ʻōlelo aʻo ma hope o ka mālama ʻana. E kūkākūkā kāu kauka i nā mea pilikia pilikino a kōkua iā ʻoe e hoʻomaopopo i ka mea e manaʻo ai e pili ana i kāu kūlana.

Q.3 Pehea ka lōʻihi e ʻike ai i nā hopena mai ka photodynamic therapy?

He ʻokoʻa ka manawa no ka ʻike ʻana i nā hopena e pili ana i ke ʻano āu e mālama nei a pehea ka pane ʻana o kou kino i ka lapaʻau. No nā maʻi ʻili, hiki iā ʻoe ke ʻike i nā loli mua i loko o kekahi mau lā, akā e ulu maʻamau nā hopena piha ma luna o 4 a 6 mau pule.

No nā lapaʻau maʻi maʻi, e hoʻonohonoho maʻamau kāu kauka i nā manawa hahai e nānā i kāu holomua. Pono kekahi poʻe i nā kau PDT he nui i hoʻokaʻawale ʻia i kekahi mau pule e loaʻa ai nā hopena maikaʻi loa. E hāʻawi kāu kauka iā ʻoe i kahi manawa kikoʻī e pili ana i kāu hoʻolālā lapaʻau pilikino.

Q.4 Hiki iaʻu ke hoʻohana i ka make-up ma hope o ka photodynamic therapy?

Pono ʻoe e pale i ka make-up a me nā huahana cosmetic ʻē aʻe ma kahi i mālama ʻia no ka liʻiliʻi o nā lā mua ma hope o ka PDT. E ʻike ʻia kou ʻili a e hoʻōla ana, a ʻo ka hoʻopili ʻana i ka make-up i ka wā mua e hoʻonāukiuki i ka wahi a i ʻole e keakea i ke kaʻina hana hoʻōla.

E haʻi kāu kauka iā ʻoe i ka wā e palekana ai ke hoʻomau i ka hoʻohana ʻana i ka make-up a me nā huahana mālama ʻili ʻē aʻe. ʻO ka maʻamau kēia i ka wā i hoʻoponopono ʻia ai ka ʻulaʻula mua a me ka ʻili ʻana. Ke hoʻomaka ʻoe e hoʻohana hou i ka make-up, e koho i nā huahana maʻalahi, ʻaʻole hoʻonāukiuki a e hoʻopili mau i ka pale lā ma lalo.

Q.5 Uhi ʻia ka photodynamic therapy e ka ʻinikua?

Aia ka uhi ʻinikua no PDT i kāu hoʻolālā ʻinikua kikoʻī a me ke kūlana e mālama ʻia nei. Nui nā hui ʻinikua e uhi i ka PDT ke hoʻohana ʻia no nā maʻi lapaʻau i ʻae ʻia e like me kekahi mau maʻi maʻi a i ʻole nā ​​ʻeha ʻili precancerous.

ʻAʻole maopopo paha ka uhi ʻana no nā hoʻohana cosmetic o PDT, e like me ka mālama ʻana i ka pōʻino o ka lā a i ʻole kekahi mau ʻano o ka ʻāʻī. ʻOi aku ka maikaʻi e nānā me kāu mea hoʻolako ʻinikua ma mua o ka mālama ʻana e hoʻomaopopo i kāu uhi ʻana a me nā kumukūʻai mai kāu ʻeke e manaʻo ai. Hiki i ke keʻena o kāu kauka ke kōkua pinepine iā ʻoe e hoʻokele i nā nīnau ʻinikua a hāʻawi i nā palapala e pono ai no nā noi uhi.