Odwala a COVID-19 Pneumonia Awonetsa Kuyenda Kwakukulu Pambuyo pa Chithandizo cha Laser ku Massachusetts General Hospital

Nkhani yomwe idasindikizidwa mu American Journal of Case Reports ikuwonetsa kuthekera kokonza chithandizo cha photobiomodulation kwa odwala omwe ali ndi COVID-19.
LOWELL, MA, Aug. 9, 2020 /PRNewswire/ - Wofufuza Wotsogola komanso Wolemba Wotsogola Dr. Scott Sigman lero adanenanso zotsatira zabwino kuchokera kukugwiritsa ntchito koyamba kwa laser therapy kuchiza wodwala chibayo cha COVID-19.Nkhani yomwe inafalitsidwa mu American Journal of Case Reports imasonyeza kuti pambuyo pa chithandizo chothandizira ndi photobiomodulation therapy (PBMT), ndondomeko ya kupuma kwa wodwalayo, kufufuza kwa radiographic, kufunikira kwa okosijeni, ndi zotsatira zake zimakhala bwino m'masiku ochepa popanda kufunikira kwa mpweya wabwino.1 Odwala omwe adaphatikizidwa mu lipotili adatenga nawo gawo pakuyesa kosasinthika kwa odwala 10 omwe adatsimikiziridwa ndi COVID-19.
Wodwalayo, wazaka 57 waku America waku America yemwe adapezeka ndi SARS-CoV-2, adalowetsedwa m'chipinda cha odwala omwe ali ndi vuto la kupuma ndipo amafunikira mpweya.Anakhala ndi magawo anayi a PBMT a mphindi 28 tsiku lililonse pogwiritsa ntchito chipangizo cha laser chovomerezeka ndi FDA chovomerezeka cha Multiwave Locking System (MLS) (ASA Laser, Italy).Laser mankhwala a MLS omwe amagwiritsidwa ntchito mu kafukufukuyu amagawidwa ku North America kokha ndi Cutting Edge Laser Technologies of Rochester, NY.Kuyankha kwa odwala ku PBMT kunayesedwa poyerekezera zida zowunikira zosiyana zisanayambe komanso pambuyo pa chithandizo cha laser, zonse zomwe zinasintha pambuyo pa chithandizo.Zotsatira zikuwonetsa kuti:
Asanayambe kulandira chithandizo, wodwalayo anali chigonere chifukwa cha chifuwa chachikulu ndipo sankatha kusuntha.Pambuyo pa chithandizo, zizindikiro za chifuwa cha wodwalayo zinazimiririka, ndipo adatha kutsika pansi mothandizidwa ndi physiotherapy.Tsiku lotsatira adatulutsidwa kupita kuchipinda chothandizira anthu omwe ali ndi oxygen yochepa.Pambuyo pa tsiku limodzi lokha, wodwalayo adatha kukwaniritsa mayesero awiri okwera masitepe ndi physiotherapy ndipo adasamutsidwa ku chipinda cha mpweya.Zotsatira zake, kuchira kwake kudatenga milungu itatu, pomwe nthawi yapakati nthawi zambiri imakhala masabata asanu ndi limodzi mpaka asanu ndi atatu.
"Zowonjezera za photobiomodulation therapy zakhala zothandiza pochiza zizindikiro za kupuma pazifukwa zazikulu za chibayo chifukwa cha COVID-19.Tikukhulupirira kuti njira yochizirayi ndi njira yabwino yosamalira, "adatero Dr. Sigman."Pali kufunikira kwachipatala kopitilira njira zotetezeka komanso zogwira mtima kwambiri za COVID-19.Tikukhulupirira kuti lipotili ndi maphunziro omwe adzatsatidwe alimbikitsa ena kuti aganizire mayeso owonjezera azachipatala pogwiritsa ntchito adjuvant PBMT pochiza chibayo cha COVID-19. "
Mu PBMT, kuwala kumawunikiridwa ndi minofu yowonongeka ndipo mphamvu yowunikira imalowa m'maselo, zomwe zimayambitsa zochitika zamagulu zomwe zimapangitsa kuti ma cell agwire bwino ntchito ndikufulumizitsa machiritso a thupi.PBMT yatsimikizira zotsutsana ndi zotupa ndipo ikuwoneka ngati njira ina yothandizira kupweteka, chithandizo cha lymphedema, machiritso a bala ndi kuvulala kwa minofu ndi mafupa.Kugwiritsa ntchito PBMT yokonza pochiza COVID-19 kutengera chiphunzitso chakuti kuwala kwa laser kumafika m'mapapo kuti muchepetse kutupa ndikulimbikitsa machiritso.Kuphatikiza apo, PBMT ndiyosawononga, ndiyotsika mtengo, ndipo ilibe zotsatirapo zodziwika.
Laser ya MLS imagwiritsa ntchito sikani yam'manja yokhala ndi ma diode awiri olumikizidwa a laser, imodzi yosunthika (yosinthika kuchokera ku 1 mpaka 2000 Hz) imatulutsa pa 905 nm ndipo inayo imagunda pa 808 nm.Mafunde a laser onse amagwira ntchito nthawi imodzi ndipo amalumikizidwa.Laser imayikidwa 20 cm pamwamba pa wodwala wabodza, kudutsa m'mapapo.Ma laser sakhala opweteka ndipo odwala nthawi zambiri sadziwa kuti chithandizo cha laser chikuchitika.Laser iyi nthawi zambiri imagwiritsidwa ntchito pamatenda akuya monga chiuno ndi mafupa a chiuno, omwe amazunguliridwa ndi minofu yokhuthala.Mlingo wochiritsira womwe umagwiritsidwa ntchito kukwaniritsa zolinga zakuya za m'chiuno unali 4.5 J / cm2.Wolemba nawo kafukufuku Dr. Soheila Mokmeli anawerengera kuti 7.2 J / cm2 idagwiritsidwa ntchito pakhungu, ndikupereka chithandizo chamankhwala cha laser mphamvu yopitilira 0.01 J / cm2 kupita kumapapu.Mlingowu umatha kulowa pakhoma la pachifuwa ndikufika m'mapapo, ndikupanga anti-yotupa yomwe imatha kuletsa mkuntho wa cytokine mu chibayo cha COVID-19.Kuti mudziwe zambiri za chithandizo cha laser cha MLS, chonde imelo Mark Mollenkopf [imelo yotetezedwa] kapena imbani 800-889-4184 ext.102.
Kuti mudziwe zambiri za ntchito yoyambirirayi ndi kafukufukuyu, chonde lemberani Scott A. Sigman, MD pa [imelo yotetezedwa] kapena imbani 978-856-7676.
1 Sigman SA, Mokmeli S., Monich M., Vetrichi MA (2020).Mwamuna wazaka 57 waku America waku America yemwe ali ndi chibayo choopsa cha COVID-19 adayankha chithandizo chothandizira cha photobiomodulation (PBMT): kugwiritsa ntchito koyamba kwa PBMT kwa COVID-19.Am J Case Rep 2020;21:e926779.DOI: 10.12659/AJCR.926779