Fototerapi lanpan ye minɛn ye min be yeelen ka yɔrɔ kɛrɛnkɛrɛnninw bɔ walisa ka se ka furakɛli kɛ, ka kɛnɛya- ladon, wala ka ɲɛgɛnw kɛ yeelen farikolo wala kemikalifɛnw fɛ. A ka sariyakolo jɔnjɔn ye ko yeelen ka yɔrɔ minw tɛ kelen ye, u be se ka sama adamadenw ka farikolow fɛ (i n’a fɔ farikolo ni seliliw), o be farikolo ka koow kɛcogo dɔw lawuli walisa ka kɛnɛyako wala cɛɲako kɛrɛnkɛrɛnninw ɲɛnabɔ.
I. Fototherapi Lamps ka sɛgɛsɛgɛli ɲuman: Ka kɛɲɛ ni sira ye ani sanni ye .
Yeelen ka nɔɔ be yɛlɛma yɛlɛma kosɔbɛ n’a ka yeelen ye, o min be kɛ sababu ye ka fototerapi lanpanw tilan. Sisan, suguya minw be yen, olu be danfara ka kɛɲɛ n’u ka yɛlɛmayɔrɔw, u ka baarakɛcogo ani u ka baarakɛcogo ye, i n’a fɔ a fɔra cogo min na tablo kɔnɔ duguman:
| Sugu | O la, an ka ɲi ka jijalibaw kɛ | Baarakɛcogo | Aplikasiyɔn jɔnjɔnw |
|---|---|---|---|
| Ultraviolet (UV) Phototerapi Lamps | UVC (200-280nm), UVB (280-320nn), UVA (320-400nnn) | - UVC: A be fɛnɲɛnama misɛnninw ka ADN lɔn (banakisɛ, banakisɛw) walisa k’u bali ka baara kɛ; - UVB: A be witamini D sɛnɛ farikolo la ani a be farikolotangacogo labɛn; - UVA: A be don farikolo kɔnɔ ka don yɔrɔ min na, a be fotow lawuli, wala a be melanin bɔli lawuli. |
- UVC: Banakisɛdon furakɛli yɔrɔw la (i n’a fɔ, opereli kɛyɔrɔw, wards) ani fɛnw yɔrɔ sɛgɛsɛgɛli; - UVB: Farikolo banaw furakɛli i n’a fɔ sɔgɔsɔgɔninjɛ, vitiligo, ani muso ka joli; - UVA: Vitiligo furakɛli (ni furaw ye minw be se ka yɛlɛma, u be weele ko PUVA furakɛli) ani farigolobana. |
| Yeelen min be se ka ye, o be se ka ye | Yeelen wuleman (620-760nn), yeelen bulaman (400-480nn), yeelen wuleman (570-590nnn) | {{0} yeelen wuleman: A be don farikolo kɔnɔ ka don a kɔnɔ dɔɔni (a be se ka farikolo yɔrɔw sɔrɔ), a be seliliw yɛlɛmani ni kolajɛni sɛnɛ, ani a be funu dɔgɔya; {{0} yeelen bulaman: A be kɛ farikolo kan, a be mɔgɔ faga .Propionibaktɛri yɔrɔw(accen- ka banakisɛw), ani a be sebumu bɔli bali; {{0} Yellow Yellow: A be farigolo yɔrɔ dɔw fisaya, ka farikolo yɔrɔw nɔgɔya, ani ka farigolo ka sensitivite nɔgɔya. |
- Yeelen: Farikolo labɛnni (i n’a fɔ, acne tagamasiɲɛw, kurukuru ɲumanw), joli kɛnɛyali (i n’a fɔ, jeninin, post- opereli ɲuman), ani funu nɔgɔya; {{0} Yeelen bulaman: Acne ni tulu kɔlɔsili furakɛli; - Yellow yeelen: Koloasma yɛlɛmani, wulen farikolo la, ani farikolo ɲɛgɛn yeelen. |
| Infrarouge (IR) Phototerapi Lamps | A gɛrɛfɛ-inari (760{{2}1400nm), Mid-in min be se ka kɛ (1400-3000nn), Far-infrared (3000nm-1mm) | A be " funteni nɔɔ" bɔ ka ɲɛ: Ni yeelen be sama ka bɔ farikolo la, a be yɛlɛma ka kɛ funteni fanga ye, a be joli boliyɔrɔ lawuli, a be farikolo lafiya ani a be dimi nɔgɔya. | - gɛrɛfɛ -infrared: Tigɛli min ka ca (misali la, yɔrɔw, fasaw) ka dimi basigininw bɔ (misali la, sɔgɔsɔgɔninjɛ, lumbar fasaw sɛgɛsɛgɛli); - Far-infrared: Kɔgɔjidali ka funteni mara ani ka yɔrɔ ka joli bɔli sabati (misali la, denso nɛnɛ, bolo sumanin ani senw). |
| Kɛrɛnkɛrɛnnin/0}}Sɛbɛnni min be kɛ ka mɔgɔw dɛmɛ . | O yɔrɔ kelen kelenw (i n’a fɔ, UVB 311nm, LED ka bandi kɛrɛnkɛrɛnninw) | A sinsinnin be yɛlɛmani kelen ka nɔɔ tigitigi kan walisa ka dɔ bɔ yɔrɔ wɛrɛw ka nɔɔw la minw be sɔrɔ yɛlɛmani wɛrɛw fɛ. | - Narrowband UVB fitinɛw: Kɛrɛnkɛrɛnnin na, a be kɛ ka farikolo banaw furakɛ ni kɔlɔlɔw ye minw ka dɔgɔ ni UVB ye; - Photodinamiki furakɛli (PDT) fitinɛw: A be kɛ ni fotosensitizer ye ka farikolo kansɛri, kondloma akuminatiyɔmu furakɛ, ani fɛn wɛrɛw. |
II. Fototherapi Lamps ka baarakɛcogo ɲuman .
Fototherapi fitinɛw be baara kɛ ka caya ka bɔ furakɛli yɔrɔ la ka taga se kɛnɛyako n’a cɛɲumanya ma. Minɛnw dilan cogo n’u baarakɛcogo sariyaw be yɛlɛma yɛlɛma kosɔbɛ koo sifa caaman na:
1. Dɔgɔtɔrɔya sɛbɛw (min be baarakɛlaw ka baara ɲini)
Farikoloɲanagwɛ furakɛli: Nin ye fototerapi fitinɛw ka furakɛli ye. Ɲɛyirali fɛ, UVB lanpan minw be kɛ dɔgɔtɔrɔsow la, u be psoriasis furakɛ (ni farikolokisɛw ye minw be caya ka tɛmɛ) ani vitiligo (n’an be melanocytes ka yɛlɛmani lawuli). O la, a ka kan ka wagati min kɛ ani a ka kan ka kɛ ka kɛɲɛ ni dɔgɔtɔrɔ ka ɲɛminɛli ye walisa a kana jeni.
Banakisɛfagalanw ni sigiyɔrɔma .: UVC lanpanw (min be weele fana ko “banabagatɔw ka fitinɛw”) be kɛ ka fiɲɛ ni banakisɛfaga bana furakɛ (misali la, operelikɛyɔrɔw, ICUw) ani laboratuwariw, minw be se ka banakisɛw faga i n’a fɔ COVID-19 ani banakisɛ i n’a fɔ .E. coli. Ni mɔgɔ farikolo be se ka kɛ tiɲɛn na, o balila ka ɲɛ .(i n’a fɔ a be se ka farikolo n’a ɲɛɛw jɛni).
Denɲɛnin ka kaso: Fiɲɛ bulaman kɛrɛnkɛrɛnninw (ni 420-470nm ye) be se ka bilirubini toli latanga denɲɛninw na (bilirubini min be bɔ a la, o be kɛ sababu ye ka nɔgɔ bɔ). Furakɛli wagati la, denɲɛnin ɲɛɛw n’a ka cɛnimusoko ka kan ka latanga walisa yeelen bulaman ka tiɲɛ.
2. So kɛnɛyako ladonni n’a cɛya
Farikolo ladon: So fotow (i n’a fɔ, yeelen wulemanw, yeelen bulamanw) u be baara kɛ ni yeelen wuleman ye walisa ka yɔrɔw nɔgɔya ani ka yɔrɔw labɛn, ani yeelen bulaman ka se ka yɔrɔ dɔ furakɛ. O minɛnw latanganin lo dɔɔni nka u tɛ se ka baara kɛ ka tɛmɛ furakɛli minanw kan ani u be baara kɛ wagati jan kɔnɔ.
Diinan: Fiɲɛw minw be sɔrɔ so kɔnɔ (i n’a fɔ, "gɛn-infrarouterapi fitinɛw") be kɛ ka fasa dimi nɔgɔya (misali la, post-fari suguya) ani funu min be kɛ ɲɔgɔn fɛ (misali la, sɔgɔsɔgɔninjɛ). U be dɔ bɔ dimi la n’u be joli boliyɔrɔ lawuli ka tɛmɛ funteni nɔɔ fɛ. A ka ɲi ka yɔrɔ dɔ mara n’a be baara kɛ n’a ye (walisa an kana sɛgɛsɛgɛri kɛ).
Vitamini D farankan: UVB lanpan dɔw be se ka dɛmɛ don ka witamini D sɛnɛ (o be se ka kɛ mɔgɔ minw ka tile tɛ bɔ, i n’a fɔ minw be worodugu fan fɛ wala boon kɔnɔ baarakɛlaw fɛ). Nka, yeelen wagati ka kan ka kɔlɔsi ka ɲɛ (o be farikolo kansɛri bana bila mɔgɔ la cogo min na, o be dɔ fara a kan), ani ka dɔgɔtɔrɔ ɲininga.
III. Fɛɛrɛ jɔnjɔn minw be se ka kɛ ka baara kɛ ni fotow ye .
Hali ni fototerapi lanpanw be nɔɔ gwɛnin to fototerapi lanpanw kan, n’u be baara kɛ cogo bɛnbali la, o be se ka kɛ farati ye kɛnɛyako la. O koo nunu ka ɲi ka kɛ kosɔbɛ:
I yɛrɛ tanga ka yɔrɔ ɲumanw yira .:
UVC lanpanw, lanpan bulamanw, ani UVB lanpanw man kan ka ɲɛɛ sɔrɔ (minw be se ka kɛ sababu ye ka nɔgɔ, keratiti wala hali fiyentɔw bila mɔgɔ la), ani lunɛti kɛrɛnkɛrɛnninw ka kan ka don;
Denɲɛnin furakɛli wagati la, denɲɛnin ɲɛɛw n’a ka cɛnimusoko ka kan ka datugu ni yeelen-}shiili ye.
Kɔlɔsili yɛlɛmani wagati ani yɔrɔ .:
Furakɛli fototerapi (i n’a fɔ, psoriasis furakɛli), dɔgɔtɔrɔw ka ladilikanw labatoli ka kan ka kɛ walisa ka se ka yɛlɛma ka caya, o be se ka kɛ sababu ye ka farigolo jeni, ka ɲɛgɛn, walima hali ka farikolo kansɛri bana bila mɔgɔ la;
O la, an ka kan ka baara kɛ ni lanpanw ye minw be se ka kɛ 15-30cm ye, ani yeelenbɔlan kelen kelen bɛɛ tɛ tɛmɛ miniti 20 kan, walisa ka farikolo yɔrɔw bali.
A ka ɲi ka kɛ wala ka baara kɛ ni mɔgɔ kɛrɛnkɛrɛnninw ye .:
Muso kɔnɔmaw, muso minw be makkan, ani denɲɛniw bali ka baara kɛ ni UVC lanpanw ani UVB lanpanw ye;
Banabagatɔ minw farikolo kansɛri be yen wala farikolo bana minw be mɔgɔ farikolo la (i n’a fɔ, lupus erythematosus) olu be bali ka baara kɛ ni UVB fitinɛw ye ani lanpan bulamanw ye;
Mɔgɔ minw be furaw ta (i n’a fɔ, banakisɛfagalan dɔw, farifaga furaw) ka kan ka ban ni fototerapi fitinɛw ye (n’u be dɔ fara farikolo ka yeelen kan, o b’a to a be se ka jeni).
Dintiwisi ni "Medical-Grade" ni "Home-Use" Minɛnw .:
Furakɛli fototerapi fitinɛw (i n’a fɔ, UVB lanpanw ka ɲɛsin farikolo bana furakɛli ma, denɲɛniw ka lanpanw) ka kan ka kɛ furakɛlikɛyɔrɔw la ani u tɛ se ka san walisa ka baara kɛ n’u ye soo;
O la, a be se ka kɛ ko a ka mɔgɔw be ɲɔgɔn minɛ ({0}}}. 2/2}}insfrared figure fitinɛw),/{4}} filifɛnw ka kan ka sugandi walisa u kana “yɔrɔ saba-no fɛnw san” (min be se ka kɛ ni yɛlɛmafɛnw ye minw tɛ basigi ani faratiw be caya).
Fɔkasurunya
Fototherapi lanpan ye minɛn ye min basiginin be sariyakolo kan min b’a yira ko “yeelen ka yɔrɔw be farikolo yɔrɔw lawuli.” A ka nafa jɔnjɔn be sɔrɔ "na mako be min na tiɲɛn na"-, ka bɔ farikolo banaw furakɛli la ani banakisɛfaga furakɛli la ka taga a bila cɛɲa ni dimi furakɛli la a ka soo. Nka, a kɔrɔtanin lo an k’a lɔn ko .furakɛli fototerapi ka kan ka kɛ dɔgɔtɔrɔ ka ɲɛminɛli kɔrɔ, ani ka fototerapi kɛ a ka soo, a ka kan ka kɛ ni lakanali sariyaw labatoli ye .ka se ka kɛnɛyako faratiw bali minw be sɔrɔ baarakɛcogo jugu fɛ.