Chii chinonzi Photodynamic Therapy? Chinangwa, Maitiro & Mhedzisiro

Photodynamic therapy (PDT) imishonga inoshandisa mishonga yakakosha inobatidzwa nechiedza kuparadza maseru asina kujairika sekenza kana kurapa mamwe mamiriro eganda. Fungidzira se nzira yakatarwa uko mushonga nechiedza zvinoshanda pamwechete kurapa nzvimbo dzakatarwa dzemuviri wako pasina kukanganisa tishu ine hutano yakatenderedza.

Uyu mushonga munyoro asi unoshanda wanga uchibatsira vanhu kwemakumi emakore. Inonyanya kubatsira kune mamwe marudzi ekenza, mamiriro eganda, uye matambudziko emaziso. Runako rwePDT runovanda mukururama kwayo - inogona kutarisisa nzvimbo dzine matambudziko ichisiya maseru ako ane hutano asina kubatwa zvakanyanya.

Chii chinonzi photodynamic therapy?

Photodynamic therapy inobatanidza zvinhu zvitatu zvakakosha: mushonga unowedzera chiedza, okisijeni mumativi ako, uye mafungu akatarwa echiedza. Mushonga unowedzera chiedza imishonga yakakosha inoshanda chete kana ichinge yaiswa kune marudzi akati wandei echiedza.

Hezvino maitiro ayo mumashoko akareruka: Kutanga, unogamuchira mushonga unowedzera chiedza kuburikidza nejekiseni, kushandiswa kwepamusoro, kana dzimwe nguva nemuromo. Mushonga uyu unofamba mumuviri wako uye unoungana zvakanyanya mumasero asina kujairika kupfuura ane hutano. Mushure memwaka wekumirira, chiremba wako anopenya rudzi rwakati wandei rwechiedza panzvimbo yekurapa.

Kana chiedza chichirova mushonga, chinogadzira rudzi rweokisijeni runoparadza maseru akatarwa. Iyi nzira inonzi photochemical reaction. Maseru akakuvadzwa anobva afa zvakasikwa, uye muviri wako unovabvisa nekufamba kwenguva.

Nei photodynamic therapy ichiitwa?

PDT inoshanda zvinangwa zvakawanda zvekurapa, uye chiremba wako angakurudzira kuti uite izvi kune mamiriro akati wandei. Inonyanya kubatsira kurapa mamwe marudzi ekenza, kunyanya iwo ari pamusoro kana padyo nepamusoro pemuviri wako uko chiedza chinogona kusvika nyore nyore.

Zvikonzero zvakajairika zvikuru zvinoshandisa vanachiremba PDT zvinosanganisira kurapa marudzi akati wandei ekenza yeganda, kenza yemumapapu, kenza ye esophagus, uye kenza yeguvhu. Zvinobatsirawo kune mamiriro ekutanga-kenza senge actinic keratosis, ayo ari mapundu akashata paganda rako anogona kuva nekenza.

Kunze kwekurapa kenza, PDT inogona kugadzirisa mamiriro akasiyana eganda. Izvi zvinosanganisira marudzi akati wandei e acne, kukuvadzwa nezuva, uye kunyange dzimwe hutachiona. Chiremba wako anogonawo kuishandisa kune age-related macular degeneration, mamiriro anokanganisa chiono chako.

Imwe yemabhenefiti makuru e PDT ndeyekuti inogona kudzokororwa kakawanda munzvimbo imwechete kana zvichidikanwa. Kusiyana nedzimwe nzira dzekurapa, haikuvadzi nyama yako ine hutano zvakanyanya, zvichiita kuti ive sarudzo yakapfava kune vanhu vazhinji.

Ndeipi nzira yekurapa photodynamic?

Maitiro e PDT anowanzoitika muzvikamu zviviri zvikuru, uye maitiro chaiwo anoenderana nekuti urikurapa chii. Chiremba wako achakufambisa nhanho imwe neimwe, asi hezvino zvaunogona kutarisira.

Munguva yekutanga, uchagamuchira mushonga we photosensitizing. Kune mamiriro eganda, izvi zvinogona kunge zviri kirimu kana gel inoiswa zvakananga kunzvimbo yakakanganiswa. Kune mamiriro emukati, unogona kugamuchira mushonga kuburikidza ne IV kana kuutora semushonga. Mushonga unoda nguva yekuunganidza mumasero anotarisirwa.

Nguva yekumirira pakati pekupa mushonga uye kurapwa kwechiedza inosiyana zvichienderana nemushonga chaiwo unoshandiswa. Kune zvikumbiro zve topical, izvi zvinogona kungova maawa mashoma. Kune zvinodhaka zve systemic zvinopihwa kuburikidza ne IV, unogona kumirira maawa makumi maviri nemana kusvika makumi manomwe nemaviri.

Munguva yechipiri, chiremba wako anoshandisa chiedza chakakosha kunzvimbo yekurapa. Kune kurapwa kweganda, izvi zvinosanganisira kukuisai pasi pechiedza chakakosha kana kushandisa mudziyo unobatwa nemaoko. Kune kurapwa kwemukati, chiremba wako anogona kushandisa chubhu yakatetepa, inochinjika ine chiedza kumagumo.

Kuwana chiedza kunowanzoita pakati pemaminitsi gumi nemashanu kusvika makumi mana nemashanu, zvichienderana nehukuru nenzvimbo yekurapa. Unogona kunzwa kudziya kana kunzwa kunyepedzera panguva ino, asi maitiro acho anowanzoita zvakanaka.

Nzira yekugadzirira kurapwa kwako kwe photodynamic?

Kugadzirira PDT kunowanzoita zvakananga, asi pane mamwe matanho akakosha ekutevera. Chiremba wako achakupa mirairo yakatarwa zvichienderana nemamiriro ako ega uye rudzi rwePDT yaunogamuchira.

Kugadzirira kwakanyanya kukosha kunosanganisira kuzvidzivirira kubva pakuona chiedza. Mushure mekuwana mushonga we photosensitizing, ganda rako nemaziso zvichave zvichinyanya kunzwisisa chiedza kupfuura zvakajairika. Kunzwisisa uku kunogona kugara kubva kumazuva mashoma kusvika kumavhiki akati wandei, zvichienderana nemushonga unoshandiswa.

Heano matanho makuru ekugadzirira aunozofanira kutevera:

• Dzivisa zuva rakananga uye mwenje wakajeka wemukati kwenguva yakatarwa
• Pfeka mbatya dzekudzivirira, kusanganisira maoko marefu, mabhurukwa, uye ngowani dzakafara kana uri panze
• Shandisa magirazi ezuva uye funga nezvemawindo emotokari akasviba kana uchida kufamba
• Bvisa chero makeup, lotions, kana mafuta anonhuwirira kubva kunzvimbo yekurapa
• Zivisa chiremba wako nezve mishonga yese yaunotora, kunyanya iyo inowedzera kunzwisiswa kwechiedza

Chiremba wako anogonawo kukukumbira kuti udzivise mishonga kana zvinowedzera zvinogona kukanganisa kurapwa. Nguva dzose tevera mirairo iyi nekuchenjerera kuti uve nechokwadi chekuwana mhedzisiro yakanaka.

Nzira yekuverenga mhedzisiro yako yekurapa photodynamic?

Kunzwisisa mhedzisiro yako yePDT kunosanganisira kutarisa shanduko dzenguva pfupi nepfupi munzvimbo yakarapiwa. Chiremba wako achatarisa kufambira mberi kwako kuburikidza nekugadzwa kwenguva dzose kutevera uye dzimwe nguva mamwe bvunzo.

Mumazuva mashoma ekutanga mushure mekurapwa, unogona kuona shanduko munzvimbo yakarapiwa. Kune kurapwa kweganda, unogona kuona kutsvuka, kuzvimba, kana kucheka zvishoma. Ichi chiratidzo chakanaka - zvinoreva kuti kurapwa kuri kushanda kubvisa maseru asina kujairika.

Mhedzisiro yakazara yePDT inowanzoonekwa mumavhiki akati wandei kusvika kumwedzi. Chiremba wako achaongorora kubudirira kwekurapwa nekuongorora nzvimbo yakarapiwa uye kuienzanisa nemamiriro ako asati arapwa. Kune kurapwa kwekenza, izvi zvinogona kusanganisira biopsies kana bvunzo dzekufungidzira.

Maitiro ekubudirira anosiyana zvichienderana nemamiriro ari kurapwa uye kuomarara kwayo. Kune mamiriro akawanda eganda uye mhando dzekutanga dzekenza, PDT inogona kushanda zvakanyanya. Chiremba wako achakurukura zvekutarisira zvichienderana nemamiriro ako chaiwo.

Ndezvipi zvinhu zvine njodzi zvekukomberedzwa nephotodynamic therapy?

Nepo PDT ichiwanzo chengeteka, zvimwe zvinhu zvinogona kuwedzera njodzi yako yekukomberedzwa kana kukanganisa mashandiro ekurapwa. Kunzwisisa izvi zvinhu zvine njodzi kunobatsira iwe nachiremba wako kuita sarudzo dzakanakisa dzekurapa.

Rudzi rweganda rako uye ruvara runogona kukanganisa maitiro ako kuPDT. Vanhu vane ganda rakapfava vangave vanonyanya kuziva kurapwa kwechiedza, nepo avo vane ganda rakasviba vangada kuyananiswa kwechiedza kuti vawane mhedzisiro yakanaka.

Mamiriro akati wandei ekurapa anogona kuwedzera njodzi yako yekukomberedzwa:

• Mamiriro eganda aripo senge eczema kana psoriasis munzvimbo yekurapa
• Zvirwere zve autoimmune zvinokanganisa kupora
• Zvirwere zvekubuda ropa
• Matambudziko echiropa kana itsvo anogona kukanganisa kugadzirisa zvinodhaka
• Kurapa kwemwaranzi kwakapfuura kunzvimbo yekurapa

Mishonga yakati wandei inogona zvakare kuwedzera kunzwisiswa kwako kwechiedza kana kukanganisa kurapwa. Izvi zvinosanganisira mamwe maantibiotics, diuretics, uye zvinorwisa-kuzvimba zvinodhaka. Nguva dzose paunopa chiremba wako runyorwa rwakakwana rwemishonga yako.

Ndezvipi zvingaitika zvinogona kukonzerwa ne photodynamic therapy?

Vanhu vazhinji vanoshivirira PDT zvakanaka, asi semamwe marapirwo echiremba, inogona kuva nemigumisiro. Mashoko akanaka ndewekuti matambudziko akakomba haawanzoitiki, uye migumisiro yakawanda inguva pfupi uye inogona kutarisirwa.

Migumisiro yakajairika inobatana nekunzwa kwechiedza kunouya nemushonga we photosensitizing. Munguva yaunonzwa chiedza, kusangana netsaona nechiedza chakajeka kunogona kukonzera mhinduro dzakaita sezuva, kunyangwe kubva mukuvhenekera kwemukati kana kusangana nezuva kwenguva pfupi.

Mhinduro dzemuno panzvimbo yekurapa dzakajairikawo uye dzinowanzo tarisirwa. Izvi zvinogona kusanganisira:

• Kutsvuka nekuzvimba kunogona kugara mazuva akati wandei
• Kurwadziwa kudiki kusvika pakati nepakati kana kunzwa kupisa
• Kugwamba kana kupenya kweganda
• Kusviba kwenguva pfupi kana kuvhenekera kwenzvimbo yakarapiwa
• Kubuda ropa kudiki kana kubuda mumamwe mamiriro

Matambudziko akakomba asi asingawanzoitiki anogona kusanganisira mhinduro dzeganda dzakakomba, mavanga, kana shanduko mumavara eganda asingaperi nekufamba kwenguva. Vamwe vanhu vanogona kuona mhinduro dzekurwara kumushonga we photosensitizing pachayo.

Kuti urapwe hunobatanidza nhengo dzemukati, panogona kuva nenjodzi dzakakosha dzine chekuita nenzvimbo yekurapa. Chiremba wako achakurukura izvi zvinogona kuitika newe usati warapwa.

Ndinofanira kuona chiremba rini nekuda kwe photodynamic therapy?

Nepo migumisiro yakawanda yePDT yakajairika uye inotarisirwa, pane mamiriro akati wandei aunofanira kubata chiremba wako nekukurumidza. Kuziva kuti ungatsvaga rubatsiro rini kunovimbisa kuti unowana rutsigiro rwaunoda panguva yekupora kwako.

Unofanira kubata chiremba wako nekukurumidza kana ukaona kurwadziwa kwakanyanya kusingavandudzi nemishonga yekurwadziwa yakarairwa. Saizvozvowo, kana ukaona zviratidzo zvehutachiona sekutsvuka kuri kuwedzera, kudziya, pus, kana kutsvuka kubva kunzvimbo yekurapa, izvi zvinoda kutariswa kwechiremba nekukurumidza.

Zvimwe zviratidzo zvinonetesa zvinoda kuti utaure nachiremba nekukasira zvinosanganisira:

• Kuzvimba kwakanyanya kunokanganisa mabasa ako emazuva ese
• Mabhururu kana kuora kweganda kwakanyanya
• Zviratidzo zvekuita allergic semuenzaniso kuoma kufema, kuputika kweganda kwakapararira, kana kuzvimba kwechiso nehuro
• Fivha kana kutonhora kunomuka mushure mekurapwa
• Kubuda ropa kusingatarisirwi kusingamire nekudzvanya zvinyoro nyoro

Kunyange kana usina chokwadi kana zviratidzo zvako zvakajairika, zviri nani nguva dzose kuti utaure nechikwata chako chehutano. Vanogona kupa chivimbo kana kugadzirisa chero nyaya nekukasira vasati vava dzakakomba.

Mibvunzo inowanzo bvunzwa nezve photodynamic therapy

Q.1 Ko photodynamic therapy yakanaka here kurapa mburwa?

Hongu, PDT inogona kushanda zvakanyanya kune mamwe marudzi emburwa, kunyanya mburwa yakakomba isina kupindura zvakanaka kune dzimwe nzira dzekurapa. Kurapa kunoshanda nekunangana nebhakitiriya rinobatsira kumburwa uye kuderedza kugadzirwa kwemafuta paganda rako.

Pakurapa mburwa, vanachiremba vanowanzo shandisa topical photosensitizing agent inoiswa paganda rako, ichiteverwa nekuiswa kwechiedza. Vanhu vazhinji vanoona kuvandudzwa kukuru mumburwa dzavo mushure mekurapwa kwakatevedzana. Zvisinei, PDT yekurapa mburwa inogona kukonzera kutsvuka kwenguva pfupi uye kupepuka, saka chiremba wako achakubatsira kuyera mabhenefiti achipesana nemigumisiro yenguva pfupi.

Q.2 Ko photodynamic therapy inokonzera kukuvadzwa kweganda zvachose here?

PDT inowanzoitirwa kuderedza kukuvadzwa kwetishu ine hutano, asi semamwe marapirwo echiremba, dzimwe nguva inogona kukonzera shanduko dzinogara. Vanhu vazhinji vanongowana migumisiro yenguva pfupi inopera mushure memavhiki akati wandei kusvika kumwedzi.

Shanduko dzechigarire hadziwanzoitiki asi dzinogona kusanganisira shanduko diki mumavara eganda kana chimiro munzvimbo yakabatwa. Kukuvadzwa kweganda hakusi kwakajairika kana kurapwa kwacho kwakaitwa nemazvo uye iwe unotevera mirairo yekuchengetedza mushure mekurapa. Chiremba wako achakurukura njodzi dzako dzega uye achakubatsira kunzwisisa zvaunofanira kutarisira zvichienderana nemamiriro ako chaiwo.

Mubvunzo 3. Zvinotora nguva yakareba sei kuona mhedzisiro kubva kurapwa kwe photodynamic?

Nguva yekuti uone mhedzisiro inosiyana zvichienderana nekuti uri kurapa chii uye kuti muviri wako unopindura sei kurapwa. Kune mamiriro eganda, unogona kuona shanduko yekutanga mukati memazuva mashoma, asi mhedzisiro yakazara inowanzoitika pamusoro pe4 kusvika ku6 mavhiki.

Kune kurapwa kwekenza, chiremba wako anowanzo kuronga misangano yekutevera kuti aongorore kufambira mberi kwako. Vamwe vanhu vanoda akawanda PDT zvikamu akaparadzaniswa mavhiki akati wandei kuti vawane mhedzisiro yakanaka. Chiremba wako achakupa nguva yakajeka zvichienderana nechirongwa chako chekurapa.

Mubvunzo 4. Ndingashandisa makeup mushure me photodynamic therapy here?

Unofanirwa kudzivisa makeup nezvimwe zvigadzirwa zvekunaka munzvimbo yakabatwa kwemazuva mashoma ekutanga mushure mePDT. Ganda rako richave richinzwa uye richipora, uye kushandisa makeup nekukurumidza kunogona kutsamwisa nzvimbo yacho kana kukanganisa kupora.

Chiremba wako achakuudza kana zvakachengeteka kutangazve kushandisa makeup nezvimwe zvigadzirwa zvekuchengetedza ganda. Izvi zvinowanzoitika kana kutsvuka kwekutanga uye kupenya zvagadziriswa. Paunotanga kushandisa makeup zvakare, sarudza zvigadzirwa zvinyoro, zvisingatsamwise uye nguva dzose shandisa sunscreen pasi.

Mubvunzo 5. Photodynamic therapy inovharwa neinishuwarenzi here?

Kuvharwa kweinishuwarenzi yePDT kunoenderana nechirongwa chako cheinishuwarenzi uye mamiriro ari kurapwa. Makambani mazhinji einishuwarenzi anovhara PDT kana ichishandiswa kune mamiriro ekurapa akatenderwa senge mamwe marudzi ekenza kana maronda eganda asati aita kenza.

Kuvharirwa kungave kusingafanirwi kufanotaurwa kushandiswa kwePDT kwezvizoro, sekurapa kukuvadzwa nezuva kana mamwe marudzi eakane. Zvakanaka kuti uongorore nemupi wako weinishuwarenzi usati warapwa kuti unzwisise kuvharirwa kwako uye chero mari yaungatarisira kubuda muhomwe. Hofisi yachiremba wako inogona kukubatsira kazhinji kufamba mibvunzo yeinishuwarenzi uye kupa zvinyorwa zvinodiwa zvekukumbira kuvharirwa.