He aha te rongoā photodynamic? Te Whāinga, te Hātepe & ngā Hua

Ko te rongoā photodynamic (PDT) he rongoā rongoā e whakamahi ana i ngā rongoā motuhake e whakahohetia ana e te mārama hei whakangaro i ngā pūtau koretake pēnei i ngā pūtau mate pukupuku, hei rongoā rānei i ētahi āhuatanga kiri. Whakaarohia he huarahi whāinga e mahi tahi ana te rongoā me te mārama ki te rongoā i ngā wāhi motuhake o tō tinana me te kore e pā ki ngā kiko hauora a tawhio noa.

Nō ngā tau tekau kē tēnei rongoā ngawari engari whai hua e āwhina ana i te tangata. He tino whai hua mō ētahi momo mate pukupuku, āhuatanga kiri, me ngā raruraru o te kanohi. Ko te ataahua o te PDT kei roto i tōna tika - ka taea e ia te whāinga i ngā wāhi raruraru i te wā e waiho ana ō pūtau hauora kia kore e pā.

He aha te rongoā photodynamic?

E whakakotahi ana te rongoā photodynamic i ngā mea matua e toru: he rongoā whakaahua, te hāora i roto i ō kiko, me ngā ngaru mārama motuhake. Ko te rongoā whakaahua he rongoā motuhake ka kaha noa i te wā e whakaatuhia ana ki ngā momo mārama motuhake.

Anei te pēhea te mahi i roto i ngā kupu māmā: Tuatahi, ka whiwhi koe i te rongoā whakaahua mā te werohanga, te tono ā-roto, i ētahi wā rānei mā te waha. Ka haere tēnei rongoā i roto i tō tinana, ka kohikohi nui ake i roto i ngā pūtau koretake i ngā pūtau hauora. I muri i te wā tatari, ka whiti tō tākuta i tētahi momo mārama motuhake ki te wāhi rongoā.

I te wā e pā ana te mārama ki te rongoā, ka hangaia e ia tētahi momo hāora e whakangaro ana i ngā pūtau whāinga. Ko tēnei hātepe e kiia ana he tauhohenga matū whakaahua. Ka mate ngā pūtau kua pakaru i te wā, ā, ka whakawātea tō tinana i a rātou i te wā.

He aha te take e mahia ana te rongoā photodynamic?

He maha ngā whāinga rongoā o te PDT, ā, ka tūtohu pea tō tākuta i tēnei mō ētahi āhuatanga rerekē. He tino whai hua mō te rongoā i ētahi mate pukupuku, ina koa ko ēra i runga, tata rānei ki te mata o tō tinana i te wā e taea ai e te mārama te tae atu.

Ko ngā take tino nui e whakamahia ana e ngā tākuta te PDT ko te rongoā i ētahi momo mate pukupuku kiri, mate pukupuku pūkahukahu, mate pukupuku esophagus, me te mate pukupuku pūpū. He mea whai hua hoki mō ngā āhuatanga i mua i te mate pukupuku pēnei i te keratosis actinic, he pāti mōrearea i runga i tō kiri ka tūpono ka noho mate pukupuku.

I tua atu i te rongoā mate pukupuku, ka taea e te PDT te whakatika i ngā momo āhuatanga kiri. Kei roto i ēnei ko ētahi momo hakihaki, te kino o te rā, me ētahi mate. Ka whakamahia pea e tō tākuta mō te whakahekenga macular e pā ana ki te pakeke, he āhuatanga e pā ana ki tō tirohanga.

Ko tētahi o ngā painga nui o te PDT ko te mea ka taea te whakahoki anō i ngā wā maha i te wāhi kotahi ki te hiahiatia. Kāore i rite ki ētahi atu rongoā, kāore e nui te kino o tō kiko hauora, he mea ngawari ake mō te nuinga o te tangata.

He aha te tikanga mō te rongoā photodynamic?

Ko te tikanga PDT te nuinga ka puta i roto i ngā wāhanga e rua, ā, ko te tukanga tika ka whakawhirinaki ki te āhuatanga e rongoā ana koe. Ka whakamārama tō tākuta i ia taahiraa, engari anei te mea e tūmanako ana koe.

I te wāhanga tuatahi, ka whiwhi koe i te rongoā photosensitizing. Mō ngā āhuatanga kiri, he kirīmi, he hēra rānei tēnei ka whakamahia tika ki te wāhi e pā ana. Mō ngā āhuatanga o roto, ka whiwhi pea koe i te rongoā mā te IV, ka tango rānei hei pire. Me whai wā te rongoā ki te kohikohi i roto i ngā pūtau e whāia ana.

Ko te wā tatari i waenga i te whakahaere rongoā me te rongoā mā te mārama ka rerekē i runga i te rongoā motuhake e whakamahia ana. Mō ngā whakamahinga ā-rohe, he torutoru noa ngā hāora. Mō ngā rongoā pūnaha e hoatu ana mā te IV, ka tatari pea koe i te 24 ki te 72 hāora.

I te wāhanga tuarua, ka whakamahia e tō tākuta te mārama motuhake ki te wāhi rongoā. Mō ngā rongoā kiri, kei roto i tēnei te whakatakoto i a koe i raro i tētahi panui mārama motuhake, te whakamahi rānei i tētahi pūrere e mau ana i te ringa. Mō ngā rongoā o roto, ka whakamahia pea e tō tākuta tētahi ngongo angiangi, ngawari me te mārama i te pito.

Ko te whiti o te marama e 15 ki te 45 meneti te roa, i runga i te rahi me te wāhi o te maimoatanga. Ka paku mahana pea koe, ka ngau rānei i tēnei wā, engari he pai te āhua o te tukanga.

Me pēhea te whakarite mō tō rongoā photodynamic?

He ngāwari te whakarite mō te PDT, engari he mea nui hei whai. Ka hoatu e tō tākuta ngā tohutohu motuhake i runga i tō āhuatanga takitahi me te momo PDT e whiwhi ana koe.

Ko te whakarite tino nui ko te tiaki i a koe i te whiti o te marama. I muri i te whiwhinga i te rongoā photosensitizing, ka nui ake te tairongo o tō kiri me ō kanohi ki te marama i te tikanga. Ka roa pea tēnei tairongo i te rā, i ngā wiki rānei, i runga i te rongoā e whakamahia ana.

Anei ngā mahi whakarite nui hei whai māu:

• Kaua e noho ki te rā tika me ngā rama mārama o roto mō te wā kua tohua
• Mau i ngā kākahu tiaki, tae atu ki ngā ringaringa roroa, ngā pūkau, me ngā pōtae whānui ina kei waho koe
• Whakamahia ngā mōhiti, me te whakaaro ki ngā matapihi motokā tae mēnā e hiahia ana koe ki te haere
• Tangohia ngā whakapaipai, ngā hinu, ngā hāpara rānei i te wāhi maimoatanga
• Whakamōhio atu ki tō tākuta mō ngā rongoā katoa e tango ana koe, ina koa ko ērā e whakanui ana i te tairongo ki te marama

Ka tono pea tō tākuta ki a koe kia karo i ētahi rongoā, taapiri rānei ka raru pea i te maimoatanga. Me whai tonu i ēnei tohutohu kia pai ai te hua.

Me pēhea te pānui i ngā hua o tō rongoā photodynamic?

Ko te māramatanga ki ngā hua o tō PDT ko te titiro ki ngā huringa o te wā tonu me te wā roa i te wāhi i rongoāhia. Ka aroturuki tō tākuta i tō ahunga whakamua mā ngā tūhono whai-muri auau me ētahi whakamātautau anō.

I ngā rā tuatahi i muri i te rongoā, ka kite pea koe i ētahi huringa i te wāhi i rongoāhia. Mō ngā rongoā kiri, ka kite pea koe i te whero, te pūpū, te tihore ngawari rānei. He tohu pai tēnei – ko te tikanga kei te mahi te rongoā ki te whakawātea i ngā pūtau hē.

Ko ngā hua katoa o te PDT ka kitea i roto i ngā wiki ki ngā marama. Ka arotakehia e tō tākuta te angitu o te rongoā mā te tirotiro i te wāhi i rongoāhia me te whakataurite ki tō āhua i mua i te rongoā. Mō ngā rongoā mate pukupuku, ka uru pea tēnei ki ngā tātaritanga, ki ngā whakamātautau whakaahua rānei.

He rerekē ngā reiti angitu i runga i te āhua e rongoāhia ana me tōna kaha. Mō te maha o ngā āhua kiri me ngā mate pukupuku i te wāhanga tuatahi, ka tino whai hua te PDT. Ka kōrero tō tākuta ki a koe mō te aha e tūmanakohia ana i runga i tō āhuatanga motuhake.

He aha ngā āhuatanga tūpono mō ngā raruraru ki te rongoā photodynamic?

Ahakoa te PDT he haumaru tonu, ka taea e ētahi āhuatanga te whakanui i tō tūponotanga ki ngā raruraru, te pā rānei ki te pai o te mahi o te rongoā. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe me tō tākuta ki te whakatau i ngā whakatau rongoā pai.

Ka taea e tō momo kiri me tō tae te pā ki te pēhea tō urupare ki te PDT. Ko ngā tāngata he kiri mā rawa pea ka nui ake te tairongo ki te rongoā mā te mārama, i te wā e hiahia ana ngā tāngata he kiri pouri ake ngā horopeta mārama kua whakatikatikahia mō ngā hua pai.

He maha ngā āhua hauora ka taea te whakanui i tō tūponotanga ki ngā raruraru:

• Ngā āhua kiri o mua pēnei i te eczema, te psoriasis rānei i te wāhi rongoā
• Ngā mate autoimmune e pā ana ki te whakaora
• Ngā mate toto
• Ngā raruraru ate, tākihi rānei e pā ana ki te tukatuka rongoā
• Te rongoā iraruke o mua ki te wāhi rongoā

Ka taea e ētahi rongoā te whakanui i tō tairongo ki te mārama, te whakararu rānei i te rongoā. Kei roto i ēnei ētahi paturopi, diuretics, me ngā rongoā anti-inflammatory. Me tuku tonu e koe ki tō tākuta te rārangi katoa o āu rongoā.

He aha ngā raruraru ka puta mai i te rongoā photodynamic?

He pai te nuinga o te tāngata ki te PDT, engari pērā i ētahi atu rongoā, ka pānga ētahi taha. Ko te rongo pai he uaua te puta mai o ngā raruraru nui, ā, he wā poto noa iho te nuinga o ngā taha, ā, ka taea te whakahaere.

Ko ngā taha e pā ana ki te tairongo ki te mārama e puta mai ana i te rongoā photosensitizing. I te wā e tairongo ana koe ki te mārama, ka puta mai ngā pānga pērā i te pānga o te rā, ahakoa nō te mārama o roto, i te pōti rānei.

He mea noa hoki ngā pānga i te wāhi rongoā, ā, e tika ana te tūmanako. Ko ēnei pea:

• Te whero me te pūhihi ka roa pea te rā
• He mamae, he wera rānei
• Te kirinuku, te kiri rānei e ngāueue ana
• Te pōuri, te mārama rānei o te wāhi i rongoā ai
• He iti te toto, te wai rānei i ētahi wā

Ko ngā raruraru nui engari he uaua te puta mai, ko ngā pānga nui ki te kiri, te kiko, te huringa rānei o te tae o te kiri e kore e ngaro i te wā. Ka pā pea ētahi tāngata i ngā pānga mate pāwera ki te rongoā photosensitizing.

Mō ngā rongoā e pā ana ki ngā okana o roto, ka puta pea ētahi raruraru e pā ana ki te wāhi rongoā. Mā tō tākuta e kōrero ēnei raruraru ki a koe i mua i te rongoā.

Āhea au e kite ai i te tākuta mō ngā āwangawanga rongoā photodynamic?

Ahakoa he mea noa, ā, e tika ana te tūmanako o te nuinga o ngā taha o te PDT, he wāhi e tika ana kia whakapā atu koe ki tō tākuta. Mā te mōhio ki te wā ki te rapu awhina e whakarite ana kia whiwhi koe i te tautoko e hiahia ana koe i te wā o tō whakaora.

Me whakapā atu koe ki tō tākuta tonu mēnā ka pā koe i te mamae nui e kore e pai ake i te rongoā mamae i whakaritea. Pērā anō, mēnā ka kite koe i ngā tohu o te mate, pērā i te whero haere, te mahana, te pūhihi, te rānei i te wāhi rongoā, me whai whakaaro tonu tēnei.

Ko ētahi atu tohu e pā ana me whakapā tonu atu ki te tākuta ko:

• Te pōhū nui e pā ana ki ngā mahi o ia rā
• Te pupuhi, te pakaru rānei o te kiri
• Ngā tohu o te pānga mate pāwera pērā i te uaua ki te hā, te pūhiwhiwhi whānui, te pōhū rānei o te mata me te korokoro
• Te kirika, te mākākā rānei ka puta i muri i te rongoā
• Te whakaheke toto e kore e mutu ahakoa te pēhi marie

Ahakoa kāore koe i te mōhio he mea noa ō tohu, he pai tonu te whakapā atu ki tō rōpū hauora. Ka taea e rātou te whakamārie, te whakatika rānei i ngā take i mua i te pōrohirohi.

Ngā pātai e pātai pinepine ana mō te rongoā photodynamic

Q.1 He pai te rongoā photodynamic mō te hakihaki?

Āe, he tino whai hua te PDT mō ētahi momo hakihaki, ina koa te hakihaki kaha kāore i pai ki ētahi atu rongoā. E mahi ana te rongoā mā te whai i ngā huakita e whai wāhi ana ki te hakihaki me te whakaiti i te hanga hinu i tō kiri.

Mō te rongoā hakihaki, ka whakamahi ngā tākuta i tētahi rongoā photosensitizing topical ka pania ki tō kiri, ka whai i te whiti o te marama. He maha ngā tāngata e kite ana i te whakapai ake i tō rātou hakihaki i muri i te maha o ngā rongoā. Heoi, ka puta pea te whero me te tihore o te kiri i te PDT mō te hakihaki, nō reira ka āwhina tō tākuta i a koe ki te whakatau i ngā painga ki ngā pānga taha rangitahi.

Q.2 Ka pā te rongoā photodynamic i te kino tūturu o te kiri?

Ko te PDT te tikanga i hangaia hei whakaiti i te kino ki te kiko hauora, engari pērā i ētahi atu rongoā, i ētahi wā ka puta ngā huringa pumau. Ko te nuinga o ngā tāngata ka pā ki ngā pānga taha rangitahi ka memeha i roto i ngā wiki, i ngā marama rānei.

He mea noa ngā huringa pūmau engari ka uru pea ngā huringa iti i te tae kiri, i te āhua rānei i te wāhi i rongoatia. He mea onge te kiko ina tika te whakahaere i te rongoā, ā, ka whai koe i ngā tohutohu i muri i te rongoā. Ka kōrero tō tākuta i ō āhuatanga tūpono takitahi, ā, ka āwhina i a koe ki te mārama ki ngā mea e tūmanakohia ana i runga i tō āhuatanga motuhake.

Q.3 Kia pēhea te roa ki te kite i ngā hua mai i te rongoā photodynamic?

He rerekē te wā e kite ai i ngā hua i runga i te āhuatanga e rongoatia ana e koe, me te pēhea te urupare o tō tinana ki te rongoā. Mō ngā āhuatanga kiri, ka kite pea koe i ngā huringa tuatahi i roto i ngā rā torutoru, engari ka puta katoa ngā hua i roto i te 4 ki te 6 wiki.

Mō ngā rongoā mate pukupuku, ka whakarite tō tākuta i ngā hui whai muri ki te aroturuki i ō mahi. E hiahia ana ētahi tāngata i ngā wāhanga PDT maha e wehea ana e ngā wiki maha kia whakatutuki i ngā hua pai. Ka hoatu e tō tākuta ki a koe tētahi wā tika ake i runga i tō mahere rongoā takitahi.

Q.4 Ka taea e au te whakakākahu i te whakapaipai i muri i te rongoā photodynamic?

Me karo koe i te whakapaipai me ētahi atu hua whakapaipai i te wāhi i rongoatia mō te iti rawa i ngā rā tuatahi i muri i te PDT. Ka tairongo tō kiri, ā, kei te ora, ā, ko te tono whakapaipai i te wā wawe rawa ka riri pea i te wāhi, ka raru rānei i te tukanga whakaora.

Ka kōrero tō tākuta ki a koe i te wā e haumaru ana ki te tīmata anō i te whakamahi i te whakapaipai me ētahi atu hua tiaki kiri. Ko te tikanga tēnei i te wā kua tau te whero tuatahi me te kiri kiri. Ina tīmata anō koe ki te whakamahi i te whakapaipai, whiriwhiria ngā hua ngawari, kāore i te riri, me te tono tonu i te rā-ārai i raro.

Q.5 Ka hipokina te rongoā photodynamic e te inihua?

Kei runga i tō mahere inihua motuhake me te āhuatanga e rongoatia ana te hipoki inihua mō te PDT. He maha ngā kamupene inihua e hipoki ana i te PDT ina whakamahia ana mō ngā āhuatanga rongoā kua whakaaetia pēnei i ētahi mate pukupuku, i ngā whara kiri i mua i te mate pukupuku rānei.

He iti ake pea te inihua mō ngā whakamahinga whakapaipai o te PDT, pēnei i te rongoā i te kino o te rā, ētahi momo hakihaki rānei. He pai ki te whakapā atu ki tō kaiwhakarato inihua i mua i te rongoā kia mōhio ki tō inihua me ngā utu ka puta pea i a koe. Ka taea e te tari o tō tākuta te āwhina i a koe ki te whakatere i ngā pātai inihua me te whakarato i ngā tuhinga e tika ana mō ngā tono inihua.