Odwala Chibayo a COVID-19 Ayamba Kupita Patsogolo Kwambiri Atalandira Chithandizo cha Laser ku Massachusetts General Hospital

Nkhani yofalitsidwa mu American Journal of Case Reports ikuwonetsa kuthekera kwa chithandizo chowongolera ma photobiomodulation kwa odwala omwe ali ndi COVID-19.
LOWELL, MA, Ogasiti 9, 2020 /PRNewswire/ — Wofufuza Wamkulu komanso Wolemba Wamkulu Dr. Scott Sigman lero wanena za zotsatira zabwino kuchokera ku kugwiritsa ntchito koyamba kwa laser therapy pochiza wodwala yemwe ali ndi chibayo cha COVID-19. Nkhani yofalitsidwa mu American Journal of Case Reports ikuwonetsa kuti pambuyo pa chithandizo chothandizira ndi photobiomodulation therapy (PBMT), chiwerengero cha kupuma kwa wodwalayo, zomwe zapezeka pa x-ray, kufunikira kwa mpweya, ndi zotsatira zake zinakula mkati mwa masiku angapo popanda kufunikira chopumulira. 1 Odwala omwe aphatikizidwa mu lipotili adatenga nawo gawo mu mayeso azachipatala mwachisawawa a odwala 10 omwe adatsimikizika kuti ali ndi COVID-19.
Wodwalayo, wazaka 57 waku Africa-America yemwe adapezeka ndi SARS-CoV-2, adalowetsedwa m'chipinda chosamalira odwala kwambiri chifukwa cha matenda opuma ndipo amafunikira mpweya. Anachitidwa maphunziro anayi a PBMT tsiku lililonse kwa mphindi 28 pogwiritsa ntchito chipangizo chothandizira laser cha Multiwave Locking System (MLS) (ASA Laser, Italy). Laser yothandizira ya MLS yomwe imagwiritsidwa ntchito mu kafukufukuyu imagawidwa ku North America kokha ndi Cutting Edge Laser Technologies ya ku Rochester, NY. Yankho la wodwala ku PBMT linayesedwa poyerekeza zida zosiyanasiyana zowunikira asanayambe komanso atalandira chithandizo cha laser, zomwe zonse zinasintha pambuyo pa chithandizo. Zotsatira zake zikusonyeza kuti:
Asanalandire chithandizo, wodwalayo anali pabedi chifukwa cha chifuwa chachikulu ndipo sankatha kuyenda. Atalandira chithandizo, zizindikiro za chifuwa cha wodwalayo zinatha, ndipo adatha kutsika pansi mothandizidwa ndi masewera olimbitsa thupi. Tsiku lotsatira adatulutsidwa ku chipatala chothandizira odwala popanda thandizo la mpweya wokwanira. Patatha tsiku limodzi lokha, wodwalayo adatha kumaliza mayeso awiri okwera masitepe ndi physiotherapy ndipo adasamutsidwira ku mpweya wa m'chipinda. Pambuyo potsatira, kuchira kwake kunatenga milungu itatu, ndipo nthawi yapakati nthawi zambiri imakhala milungu isanu ndi umodzi mpaka isanu ndi itatu.
"Njira yowonjezera yowongolera mpweya yakhala yothandiza pochiza zizindikiro za kupuma m'matenda oopsa a chibayo omwe amayamba chifukwa cha COVID-19. Tikukhulupirira kuti njira iyi yochiritsira ndi njira yabwino yosamalira," adatero Dr. Sigman. "Pali kufunikira kwachipatala kosalekeza kwa njira zotetezeka komanso zothandiza kwambiri zochiritsira COVID-19. Tikukhulupirira kuti lipotili ndi maphunziro otsatirawa zilimbikitsa ena kuganizira zoyeserera zina zachipatala pogwiritsa ntchito adjuvant PBMT pochiza chibayo cha COVID-19."
Mu PBMT, kuwala kumaunikiridwa ndi minofu yowonongeka ndipo mphamvu ya kuwala imatengedwa ndi maselo, zomwe zimayambitsa machitidwe angapo a mamolekyu omwe amasintha magwiridwe antchito a maselo ndikufulumizitsa njira yochiritsira thupi. PBMT yatsimikizira kuti ndi yotsutsana ndi kutupa ndipo ikubwera ngati njira ina yochepetsera ululu, kuchiza lymphedema, kuchiritsa mabala ndi kuvulala kwa minofu ndi mafupa. Kugwiritsa ntchito PBMT yosamalira pochiza COVID-19 kumachokera ku chiphunzitso chakuti kuwala kwa laser kumafikira minofu ya m'mapapo kuti kuchepetse kutupa ndikulimbikitsa kuchira. Kuphatikiza apo, PBMT si yovulaza, yotsika mtengo, ndipo ilibe zotsatirapo zoyipa zodziwika.
Laser ya MLS imagwiritsa ntchito sikirini yoyenda ndi ma diode awiri a laser ogwirizana, imodzi yoyendetsedwa (yosinthika kuyambira 1 mpaka 2000 Hz) yotulutsa pa 905 nm ndipo inayo yoyendetsedwa pa 808 nm. Mafunde onse a laser amagwira ntchito nthawi imodzi ndipo amagwirizanitsidwa. Laser imayikidwa 20 cm pamwamba pa wodwala wogona, kudutsa m'mapapo. Ma laser sapweteka ndipo odwala nthawi zambiri sadziwa kuti chithandizo cha laser chikuchitika. Laser iyi nthawi zambiri imagwiritsidwa ntchito pa minofu yozama monga chiuno ndi mafupa a m'chiuno, omwe ali ozunguliridwa ndi minofu yokhuthala. Mlingo wochiritsira womwe umagwiritsidwa ntchito kukwaniritsa zolinga zakuzama za m'chiuno unali 4.5 J/cm2. Wolemba nawo kafukufukuyu Dr. Soheila Mokmeli adawerengera kuti 7.2 J/cm2 idagwiritsidwa ntchito pakhungu, zomwe zimapereka mlingo wochiritsira wa mphamvu ya laser yoposa 0.01 J/cm2 m'mapapo. Mlingo uwu umatha kulowa mkati mwa khoma la chifuwa ndikufika m'minofu ya m'mapapo, ndikupanga mphamvu yotsutsa kutupa yomwe ingalepheretse zotsatira za mphepo ya cytokine mu chibayo cha COVID-19. Kuti mudziwe zambiri zokhudza chithandizo cha laser cha MLS, chonde tumizani imelo kwa Mark Mollenkopf [email protected] kapena imbani 800-889-4184 ext. 102.
Kuti mudziwe zambiri zokhudza ntchito yoyambirira iyi ndi pulogalamu yofufuza, chonde funsani Scott A. Sigman, MD pa [email protected] kapena imbani 978-856-7676.
1 Sigman SA, Mokmeli S., Monich M., Vetrichi MA (2020). Mwamuna wazaka 57 waku Africa America yemwe ali ndi chibayo chachikulu cha COVID-19 amayankha chithandizo chothandizira pa photobiomodulation therapy (PBMT): kugwiritsa ntchito koyamba kwa PBMT pa COVID-19. Am J Case Rep 2020; 21:e926779. DOI: 10.12659/AJCR.926779