Yini i-Photodynamic Therapy? Inhloso, Inqubo & Nemiphumela

I-Photodynamic therapy (PDT) yindlela yokwelapha yezokwelapha esebenzisa imithi ekhethekile esebenza ngokukhanya ukuqeda amaseli angajwayelekile njengamaseli omdlavuza noma ukwelapha izimo ezithile zesikhumba. Cabanga ngayo njengendlela eqondiwe lapho imithi nokukhanya kusebenzisana khona ukwelapha izindawo ezithile zomzimba wakho ngaphandle kokuthinta izicubu ezinempilo ezizungezile.

Lokhu kwelashwa okunobumnene kodwa okuphumelelayo kube kusiza abantu amashumi eminyaka. Ilusizo ikakhulukazi ezinhlotsheni ezithile zomdlavuza, izimo zesikhumba, nezinkinga zamehlo. Ubuhle be-PDT bulele ekunembeni kwayo - ingaqondisa izindawo ezinzima ngenkathi ishiya amaseli akho anempilo engathinteki kakhulu.

Yini i-photodynamic therapy?

I-Photodynamic therapy ihlanganisa izinto ezintathu ezibalulekile: umuthi okhuthaza ukukhanya, umoya-mpilo ezicutshini zakho, kanye nobude obuthile bokukhanya. Umuthi okhuthaza ukukhanya ngumuthi okhethekile oqala ukusebenza kuphela uma uvezwa ezinhlotsheni ezithile zokukhanya.

Nansi indlela esebenza ngayo ngamagama alula: Okokuqala, uthola umuthi okhuthaza ukukhanya ngomjovo, ukusetshenziswa kwendawo, noma ngezinye izikhathi ngomlomo. Lo muthi uhamba emzimbeni wakho futhi uqoqa kakhulu kumaseli angajwayelekile kunalawo anempilo. Ngemuva kwesikhathi sokulinda, udokotela wakho ukhanyisa uhlobo oluthile lokukhanya endaweni yokwelapha.

Lapho ukukhanya kushaya umuthi, kwakha uhlobo lomoya-mpilo oluqeda amaseli aqondiwe. Le nqubo ibizwa ngokuthi ukusabela kwamakhemikhali. Amaseli alimele abese efa ngokwemvelo, futhi umzimba wakho uwaqeda ngokuhamba kwesikhathi.

Kungani kwenziwa i-photodynamic therapy?

I-PDT isebenza ngezinhloso eziningi zezokwelapha, futhi udokotela wakho angase ayincomise ngezimo eziningi ezahlukene. Isebenza ikakhulukazi ekwelapheni imidlava ethile, ikakhulukazi leyo eseduze noma ngaphezulu komzimba wakho lapho ukukhanya kungafinyelela kalula.

Izizathu ezivame kakhulu odokotela abasebenzisa ngazo i-PDT zihlanganisa ukwelapha izinhlobo ezithile zomdlavuza wesikhumba, umdlavuza wamaphaphu, umdlavuza we-esophageal, nomdlavuza wesinye. Kuyasiza futhi ezimweni ezingaphambi komdlavuza njenge-actinic keratosis, okuyizindawo ezinzima esikhumbeni sakho ezingase zibe nomdlavuza.

Ngaphandle kokwelashwa komdlavuza, i-PDT ingabhekana nezimo ezihlukahlukene zesikhumba. Lokhu kuhlanganisa izinhlobo ezithile zama-acne, ukulimala kwelanga, ngisho nezifo ezithile. Udokotela wakho angase futhi akusebenzisele ukuguga okuhlobene ne-macular degeneration, isimo esithinta umbono wakho.

Enye yezinzuzo ezinkulu ze-PDT ukuthi ingaphindwa izikhathi eziningi endaweni efanayo uma kudingeka. Ngokungafani nokunye ukwelashwa, akulimazi izicubu zakho ezinempilo ngendlela enkulu, okwenza kube yindlela enobumnene kubantu abaningi.

Yini inqubo yokwelashwa nge-photodynamic?

Inqubo ye-PDT ngokuvamile yenzeka ezigabeni ezimbili eziyinhloko, futhi inqubo eqondile incike esimweni osilashayo. Udokotela wakho uzokuhambisa esinyathelweni ngasinye, kodwa nakhu ongakulindela ngokuvamile.

Ngesikhathi sesigaba sokuqala, uzothola umuthi okhanyisa isithombe. Ezimweni zesikhumba, lokhu kungase kube ukhilimu noma i-gel efakwa ngqo endaweni ethintekile. Ezimweni zangaphakathi, ungase uthole umuthi nge-IV noma uwuthathe njengepilisi. Umuthi udinga isikhathi sokuziqoqa emaseleni aqondiwe.

Isikhathi sokulinda phakathi kokuphathwa komuthi nokwelashwa ngokukhanya siyahlukahluka kuye ngomuthi othile osetshenziswayo. Ezinhlelweni zokusebenza zendawo, lokhu kungase kube amahora ambalwa nje. Ngemithi yesistimu enikezwa nge-IV, ungase ulinde amahora angu-24 kuya kwangu-72.

Ngesikhathi sesigaba sesibili, udokotela wakho usebenzisa ukukhanya okuthile endaweni yokwelashwa. Ekwelashweni kwesikhumba, lokhu kuhlanganisa ukukubeka ngaphansi kwephethini elikhethekile lokukhanya noma ukusebenzisa idivayisi ephathwayo. Ekwelashweni kwangaphakathi, udokotela wakho angase asebenzise ithumbu elincanyana, eliguquguqukayo elinokukhanya ekugcineni.

Ukuvezwa kokukhanya kuvame ukuthatha phakathi kwemizuzu eyi-15 kuya kwengama-45, kuye ngosayizi nendawo yendawo yokwelashwa. Ungase uzwe ukufudumala okuthile noma ukuluma ngalesi sikhathi, kodwa inqubo ngokuvamile ikhululekile.

Ungalungiselela kanjani ukwelashwa kwakho kwe-photodynamic?

Ukulungiselela i-PDT ngokuvamile kulula, kodwa kunezinye izinyathelo ezibalulekile okufanele uzilandele. Udokotela wakho uzokunikeza imiyalelo ethile esekelwe esimweni sakho ngasinye kanye nohlobo lwe-PDT olutholayo.

Ukulungiselela okubaluleke kakhulu kuhilela ukuzivikela ekuvezweni kokukhanya. Ngemva kokuthola umuthi okhuthaza ukukhanya, isikhumba namehlo akho kuyoba sensitive kakhulu ekukhanyeni kunokujwayelekile. Lokhu kuzwela kungahlala kusukela ezinsukwini ezimbalwa kuya emavikini ambalwa, kuye ngemithi esetshenzisiwe.

Nazi izinyathelo ezibalulekile zokulungiselela okudingeka uzilandele:

• Gwema ukukhanya kwelanga okuqondile nezibani eziqhakazile zangaphakathi isikhathi esishiwo
• Gqoka izingubo ezivikelayo, okuhlanganisa imikhono emide, amabhulukwe, nezikhwama ezibanzi uma ungaphandle
• Sebenzisa izibuko zelanga futhi ucabangele amawindi emoto anombala uma udinga ukuhamba
• Susa noma yikuphi ukwakheka, ama-lotion, noma amakha endaweni yokwelashwa
• Tshela udokotela wakho ngayo yonke imithi oyithathayo, ikakhulukazi lezo ezandisa ukuzwela ekukhanyeni

Udokotela wakho angase futhi akucele ukuba ugweme imithi ethile noma izithasiselo ezingaphazamisa ukwelashwa. Njalo landela le miyalelo ngokucophelela ukuze uqinisekise umphumela ongcono kakhulu.

Ungawafunda kanjani imiphumela yakho yokwelashwa kwe-photodynamic?

Ukuqonda imiphumela yakho ye-PDT kuhilela ukubheka izinguquko ezisheshayo nezesikhathi eside endaweni elashwayo. Udokotela wakho uzoqapha inqubekela phambili yakho ngokuqokwa okulandelayo njalo futhi ngezinye izikhathi izivivinyo ezengeziwe.

Ezinsukwini ezimbalwa zokuqala ngemva kokwelashwa, cishe uzoqaphela izinguquko endaweni elashwayo. Ngokwelashwa kwesikhumba, ungase ubone ububomvu, ukuvuvukala, noma ukuxebuka okuncane. Lokhu empeleni kuyisibonakaliso esihle - kusho ukuthi ukwelashwa kuyasebenza ukuqeda amaseli angajwayelekile.

Imiphumela ephelele ye-PDT ngokuvamile iba sobala emasontweni amaningana kuya ezinyangeni. Udokotela wakho uzohlola impumelelo yokwelashwa ngokuhlola indawo elashwayo futhi ayiqhathanise nesimo sakho ngaphambi kokwelashwa. Ngokwelashwa komdlavuza, lokhu kungase kuhlanganise ama-biopsies noma izivivinyo zokucabanga.

Amanani empumelelo ayahlukahluka ngokuya ngesimo esilashwayo nobukhulu baso. Ezimweni eziningi zesikhumba kanye nomdlavuza wesigaba sokuqala, i-PDT ingasebenza kahle kakhulu. Udokotela wakho uzoxoxa ngalokho ongakulindela ngokuya ngesimo sakho esithile.

Yiziphi izici eziyingozi zezinkinga nge-photodynamic therapy?

Ngenkathi i-PDT ivikelekile ngokuvamile, izici ezithile zingakhuphula ingozi yakho yezinkinga noma zithinte ukuthi ukwelashwa kusebenza kahle kangakanani. Ukuqonda lezi zici eziyingozi kukusiza wena nodokotela wakho ukuthi nenze izinqumo ezingcono kakhulu zokwelashwa.

Uhlobo nesikhumba sakho kungathonya indlela ozosabela ngayo ku-PDT. Abantu abanesikhumba esikhanyayo kakhulu bangase bazwele kakhulu ekwelashweni kokukhanya, kanti labo abanezikhumba ezimnyama bangase badinge umthamo wokukhanya olungisiwe ukuze bathole imiphumela engcono kakhulu.

Izimo eziningana zezokwelapha zingakhuphula ingozi yakho yezinkinga:

• Izimo zesikhumba ezikhona njenge-eczema noma i-psoriasis endaweni yokwelashwa
• Izifo ze-Autoimmune ezithinta ukuphulukiswa
• Izifo zokuqina kwegazi
• Izinkinga zesibindi noma izinso ezingase zithinte ukucutshungulwa kwemithi
• Ukwelashwa ngemisebe yangaphambilini endaweni yokwelashwa

Imithi ethile nayo ingakhuphula ukuzwela kwakho ekukhanyeni noma iphazamise ukwelashwa. Lokhu kufaka phakathi ama-antibiotics athile, ama-diuretics, kanye nemithi elwa nokuvuvukala. Nqamula unikeze udokotela wakho uhlu oluphelele lwemithi yakho.

Ziziphi izinkinga ezingase zibe khona ze-photodynamic therapy?

Abantu abaningi bayayithola kahle i-PDT, kodwa njenganoma yikuphi ukwelashwa kwezokwelapha, kungaba nemiphumela emibi. Izindaba ezinhle ukuthi izinkinga ezinzima azivamile, futhi imiphumela eminingi emibi yesikhashana futhi iyaphathwa.

Imiphumela emibi evame kakhulu ihlobene nokuzwela ekukhanyeni okuhambisana nomuthi okhuthaza ukukhanya. Ngesikhathi lapho uzwela khona ekukhanyeni, ukuchayeka ngengozi ekukhanyeni okukhanyayo kungabangela ukusabela okufana nokusha yilanga, ngisho nokukhanya kwangaphakathi noma ukuchayeka okufushane elangeni.

Ukusabela kwendawo endaweni yokwelashwa nakho kuvamile futhi kuvamile. Lokhu kungabandakanya:

• Ububomvu nokuvuvukala okungahlala izinsuku eziningana
• Ubuhlungu obuncane kuya obumaphakathi noma ukuzwa ukusha
• Ukuba yizicubu noma ukuxebuka kwesikhumba
• Ubumnyama besikhashana noma ukukhanya kwendawo ewelashwayo
• Ukuphuma igazi okuncane noma ukuvuza kwezinye izimo

Izinkinga ezingathi sína kodwa ezingavamile zingabandakanya ukusabela okukhulu kwesikhumba, ukulimala, noma izinguquko ekubunjweni kwesikhumba ezingapheli ngokuhamba kwesikhathi. Abanye abantu bangase babe nokusabela komzimba emuthini okhuthaza ukukhanya ngokwawo.

Ukwelashwa okubandakanya izitho zangaphakathi, kungase kube khona izingozi ezithile ezihlobene nendawo yokwelashwa. Udokotela wakho uzoxoxa ngalezi zinkinga ezingaba khona nawe ngaphambi kokwelashwa.

Kufanele ngibone nini udokotela ngezinkinga ze-photodynamic therapy?

Ngenkathi imiphumela eminingi emibi ye-PDT ijwayelekile futhi ilindelekile, kunezimo ezithile lapho kufanele uxhumane nodokotela wakho ngokushesha. Ukwazi ukuthi nini okufanele ufune usizo kuqinisekisa ukuthi uthola ukwesekwa okudingayo ngesikhathi sokululama kwakho.

Kufanele uthinte udokotela wakho ngokushesha uma uba nobuhlungu obukhulu obungathuthuki ngemithi ebhalwe ukuthi idambise ubuhlungu. Ngokufanayo, uma uqaphela izimpawu zokutheleleka njengokwanda kobubomvu, ukufudumala, i-pus, noma imigqa ebomvu evela endaweni yokwelashwa, lokhu kudinga ukunakekelwa kwezokwelapha ngokushesha.

Ezinye izimpawu ezikhathazayo ezidinga ukuxhumana ngokushesha nodokotela zihlanganisa:

• Ukuvuvukala okukhulu okuphazamisa imisebenzi ejwayelekile
• Ukuqhekeka kwesikhumba noma ukulimala kwesikhumba okukhulu
• Izimpawu zokungezwani komzimba nezinto ezithile njengokuphefumula kanzima, ukuqubuka okubanzi, noma ukuvuvukala kobuso nomphimbo
• Umkhuhlane noma amaqhafuza avela ngemva kokwelashwa
• Ukuphuma kwegazi okungalindelekile okungami ngomfutho omnene

Noma ngabe awuqiniseki ukuthi izimpawu zakho zijwayelekile yini, ngaso sonke isikhathi kungcono ukuxhumana nethimba lakho lezempilo. Bangakunikeza ukuqinisekiswa noma babhekane nanoma yiziphi izinkinga ngaphambi kokuba zibe zimbi kakhulu.

Imibuzo evame ukubuzwa mayelana nokwelashwa nge-photodynamic

Q.1 Ingabe ukwelashwa nge-photodynamic kulungele izinduna?

Yebo, i-PDT ingasebenza kahle ezinhlotsheni ezithile zezinduna, ikakhulukazi izinduna ezinzima ezingaphendulanga kahle kwezinye izindlela zokwelapha. Ukwelashwa kusebenza ngokugxila emabhaktheriya abamba iqhaza ezinduneni nokunciphisa ukukhiqizwa kwamafutha esikhumbeni sakho.

Ukwelashwa kwezinduna, odokotela bavame ukusebenzisa i-ejenti ye-topical photosensitizing elinake isikhumba sakho, kulandelwe ukukhanya. Abantu abaningi babona ukuthuthuka okukhulu ezinduneni zabo ngemva kochungechunge lokwelashwa. Nokho, i-PDT yezinduna ingase ibangele ububomvu besikhashana nokuxebuka, ngakho udokotela wakho uzokusiza ukuthi ulinganise izinzuzo ngokumelene nemiphumela emibi yesikhashana.

Q.2 Ingabe ukwelashwa nge-photodynamic kubangela ukulimala kwesikhumba unomphela?

I-PDT ngokuvamile yakhelwe ukunciphisa ukulimala ezicutshini ezinempilo, kodwa njenganoma yikuphi ukwelashwa kwezokwelapha, ngezinye izikhathi kungabangela izinguquko eziqhubekayo. Abantu abaningi bathola kuphela imiphumela emibi yesikhashana enyamalalayo emasontweni ambalwa kuya ezinyangeni.

Ushintsho oluhlala njalo alivamile kodwa lungabandakanya izinguquko ezincane embala wesikhumba noma ukuthungwa endaweni ewelashiwe. Ukulimala kwesikhumba akuvamile uma ukwelashwa kwenziwa ngendlela efanele futhi ulandela imiyalelo yokunakekela ngemuva kokwelashwa. Udokotela wakho uzoxoxa ngezinto eziyingozi zakho ngamanye futhi akusize uqonde okulindelekile ngokuya ngesimo sakho esithile.

Q.3 Kuthatha isikhathi esingakanani ukubona imiphumela evela ekwelashweni nge-photodynamic?

Isikhathi sokubona imiphumela siyahluka ngokuya ngesimo osilashayo nokuthi umzimba wakho usabela kanjani ekwelashweni. Ezimweni zesikhumba, ungase uqaphele izinguquko zokuqala ezinsukwini ezimbalwa, kodwa imiphumela ephelele ivame ukuthuthuka emasontweni angu-4 kuya kwangu-6.

Ukwelashwa komdlavuza, udokotela wakho uvame ukuhlela ama-aphoyintimenti okulandelayo ukuze aqaphe inqubekela phambili yakho. Abanye abantu badinga izikhathi eziningi ze-PDT ezihlukaniswe amasonto amaningana ukuze bathole imiphumela engcono kakhulu. Udokotela wakho uzokunikeza uhlu lwesikhathi oluqondile ngokusekelwe ohlelweni lwakho lokwelashwa.

Q.4 Ngingakwazi yini ukugqoka izimonyo ngemuva kokwelashwa nge-photodynamic?

Kuzodingeka ukuthi ugweme izimonyo neminye imikhiqizo yezimonyo endaweni ewelashiwe okungenani izinsuku ezimbalwa zokuqala ngemuva kwe-PDT. Isikhumba sakho sizoba sezwelayo futhi selapheka, futhi ukusebenzisa izimonyo ngokushesha kungase kulimaze indawo noma kuphazamise inqubo yokwelapha.

Udokotela wakho uzokutshela ukuthi kuphephile nini ukuqala ukusebenzisa izimonyo neminye imikhiqizo yokunakekela isikhumba. Lokhu kuvame ukuba lapho ububomvu bokuqala nokuxebuka sekuzinzile. Uma uqala ukusebenzisa izimonyo futhi, khetha imikhiqizo emnene, engacasuli futhi uhlale usebenzisa i-sunscreen ngaphansi.

Q.5 Ingabe ukwelashwa nge-photodynamic kukhokhelwa ngumshwalense?

Ukukhokhelwa komshwalense we-PDT kuncike ohlelweni lwakho lomshwalense oluthile kanye nesimo esilashwayo. Izinkampani eziningi zomshwalense zikhokhela i-PDT uma isetshenziselwa izimo zezokwelapha ezigunyaziwe njengomdlavuza othile noma izilonda zesikhumba ezingaphambi komdlavuza.

Ukumbozwa kungase kungabi njalo uma kulungiswa izinto zokuzihlobisa ze-PDT, njengokwelapha ukulimala kwelanga noma ezinye izinhlobo zama-acne. Kungcono ukuxhumana nomhlinzeki wakho womshuwalense ngaphambi kokwelashwa ukuze uqonde ukumbozwa kwakho kanye nanoma yiziphi izindleko ongase uzilindele. Ihhovisi likadokotela wakho lingakusiza ngokuvamile ukuthi uhambe ngemibuzo yomshuwalense futhi linikeze imibhalo edingekayo yezicelo zokumbozwa.