Kodi chithandizo cha kuwala kofiira chimagwira ntchito bwanji pochepetsa ululu

Zingaoneke ngati zosatheka kuti kungokhala pansi pa nyali kupindulitse thupi lanu (kapena ubongo), koma chithandizo cha kuwala chingakhale ndi zotsatira zenizeni pa matenda ena.
Red Light Therapy (RLT), mtundu wa photomedicine, ndi njira yopezera thanzi yomwe imagwiritsa ntchito mafunde osiyanasiyana a kuwala pochiza matenda osiyanasiyana. Malinga ndi National Center for Atmospheric Research, kuwala kofiira kumakhala ndi mafunde pakati pa 620 nanometers (nm) ndi 750 nm. Malinga ndi American Society for Laser Medicine and Surgery, mafunde ena a kuwala angayambitse kusintha kwa maselo komwe kumakhudza momwe amagwirira ntchito.
Red Light Therapy imaonedwa ngati chithandizo chowonjezera, zomwe zikutanthauza kuti iyenera kugwiritsidwa ntchito limodzi ndi mankhwala achikhalidwe komanso mankhwala ovomerezeka ndi dokotala. Mwachitsanzo, ngati muli ndi mizere yopyapyala ndi makwinya, mutha kugwiritsa ntchito chithandizo cha kuwala kofiira ndi mankhwala apakhungu operekedwa ndi dokotala wa khungu (monga retinoids) kapena mankhwala operekedwa muofesi (monga jakisoni kapena lasers). Ngati muli ndi vuto la masewera, katswiri wa zamaganizo angakupatseninso chithandizo cha kuwala kofiira.
Vuto limodzi la chithandizo cha kuwala kofiira ndilakuti kafukufuku sakudziwika bwino momwe amafunikira komanso kuchuluka kwake, komanso momwe njirazi zimasiyanirana kutengera vuto la thanzi lomwe mukuyesera kuthana nalo. Mwanjira ina, kukhazikika kwathunthu ndikofunikira, ndipo FDA sinapange muyezo wotere. Komabe, malinga ndi kafukufuku ndi akatswiri ena, chithandizo cha kuwala kofiira chingakhale chithandizo chowonjezera chodalirika pazovuta zingapo zaumoyo ndi chisamaliro cha khungu. Onetsetsani, monga nthawi zonse, kuti mwafunsana ndi dokotala wanu musanayambe chithandizo chatsopano.
Nazi zina mwazabwino zomwe chithandizo cha kuwala kofiira chingabweretse paumoyo wanu wonse.
Chimodzi mwa zinthu zodziwika bwino zomwe zimagwiritsidwa ntchito pochiza matenda a pakhungu ndi pochiza matenda a pakhungu. Zipangizo zapakhomo zimapezeka paliponse ndipo motero ndizodziwika. Izi ndi matenda omwe kuwala kofiira kungachiritse (kapena sangachiritse).
Kafukufuku akupitilizabe kuonekera pa kuthekera kwa kuwala kofiira kuchepetsa ululu m'matenda osiyanasiyana osatha. "Ngati mugwiritsa ntchito mlingo woyenera komanso nthawi yoyenera, mutha kugwiritsa ntchito kuwala kofiira kuchepetsa ululu ndi kutupa," adatero Dr. Praveen Arani, pulofesa wothandizira ku Yunivesite ku Buffalo komanso director wa Sheppard University's Center of Excellence for Photobiomodulation. Shepherds, West Virginia.
bwanji? "Pali puloteni inayake pamwamba pa ma neuron yomwe, poyamwa kuwala, imachepetsa mphamvu ya selo yochitira kapena kumva ululu," adatero Dr. Arani. Kafukufuku wakale wasonyeza kuti LLLT ingathandize kuthana ndi ululu mwa anthu omwe ali ndi matenda a neuropathy (ululu wa mitsempha womwe nthawi zambiri umayamba chifukwa cha matenda a shuga, malinga ndi Cleveland Clinic).
Ponena za mavuto ena, monga kupweteka chifukwa cha kutupa, kafukufuku wambiri akuchitikabe mwa nyama, kotero sizikudziwika bwino momwe chithandizo cha kuwala kofiira chimagwirizanirana ndi dongosolo lothandizira anthu kuthana ndi ululu.
Komabe, malinga ndi kafukufuku wokhudza ululu wosatha wa msana mwa anthu wofalitsidwa mu magazini ya Laser Medical Science mu Okutobala. Chithandizo chopepuka chingakhale chothandiza pothana ndi ululu kuchokera kumbali ina, ndipo kafukufuku wowonjezereka ukufunika kuti timvetsetse bwino ubale womwe ulipo pakati pa RLT ndi mpumulo wa ululu.
Kafukufuku akuwonetsa kuti kuwala kofiira kumatha kuyambitsa mitochondria (nyumba ya mphamvu ya maselo) mwa kuyambitsa enzyme yomwe imawonjezera ATP ("ndalama yamphamvu" ya selo malinga ndi StatPearls), yomwe pamapeto pake imalimbikitsa kukula ndi kukonzanso minofu. 2020 Yofalitsidwa mu Epulo mu Frontiers in Sport and Active Living. Chifukwa chake, kafukufuku wofalitsidwa mu AIMS Biophysics mu 2017 akuwonetsa kuti chithandizo cha pre-workout photobiomodulation (PBM) pogwiritsa ntchito kuwala kofiira kapena pafupi ndi infrared chingawonjezere magwiridwe antchito a minofu, kuchiritsa kuwonongeka kwa minofu, ndikuchepetsa ululu ndi kupweteka pambuyo pa masewera olimbitsa thupi.
Apanso, mfundo izi sizolondola. Mafunso akadali okhudza momwe mungagwiritsire ntchito kutalika kwa nthawi yoyenera komanso nthawi yoyenera ya chithandizo cha kuwalachi, kutengera masewerawa, momwe mungawagwiritsire ntchito pa minofu iliyonse, komanso momwe mungawagwiritsire ntchito, malinga ndi ndemanga ya magazini ya Life ya Disembala 2021. Izi zikutanthauza kuti magwiridwe antchito abwino.
Phindu lomwe likubwera la chithandizo cha kuwala kofiira - thanzi la ubongo - inde, likawala pamutu kudzera mu chisoti.
"Pali maphunziro ochititsa chidwi omwe akusonyeza kuti chithandizo cha photobiomodulation [chili ndi kuthekera] kokweza ntchito ya ubongo," adatero Arani. Malinga ndi nkhani yofalitsidwa mu Journal of Neuroscience, PBM sikuti imangochepetsa kutupa, komanso imapangitsa kuti magazi aziyenda bwino komanso mpweya wabwino upange ma neuron ndi ma synapses atsopano muubongo, zomwe zingakhale zothandiza kwa anthu omwe adavulalapo muubongo kapena sitiroko. Kafukufuku mu Epulo 2018 adathandiza.
Malinga ndi kafukufuku wofalitsidwa mu BBA Clinical mu Disembala 2016, asayansi akufufuzabe nthawi yoti apereke chithandizo cha PBM komanso ngati chingagwiritsidwe ntchito nthawi yomweyo atavulala ubongo kapena patatha zaka zambiri; komabe, ichi ndi chinthu choyenera kusamalidwa.
Chinanso chabwino? Malinga ndi Concussion Alliance, kafukufuku wopitilira wokhudza kugwiritsa ntchito kuwala kofiira ndi pafupifupi infrared pochiza zizindikiro za kupweteka kwa mutu pambuyo pa kugwedezeka kwa mutu kungakhale kopindulitsa.
Kuyambira pakhungu mpaka pakamwa, kuwala kofiira kungagwiritsidwe ntchito polimbikitsa kuchira. Pazochitika izi, kuwala kofiira kumayikidwa pamalo a bala mpaka litachira kwathunthu, akutero Alani. Kafukufuku wochepa wochokera ku Malaysia wofalitsidwa mu Meyi 2021 mu International Journal of Lower Extremity Wounds akuwonetsa kuti PBM ingagwiritsidwe ntchito ndi miyezo yokhazikika yotseka zilonda za mapazi a odwala matenda ashuga; Julayi 2021 mu Photobiomodulation, Photomedicine ndi Lasers. Kafukufuku woyambirira wa nyama mu Journal of Surgery akuwonetsa kuti ingakhale yothandiza pa kuvulala kopsa; kafukufuku wowonjezera wofalitsidwa mu BMC Oral Health mu Meyi 2022 akuwonetsa kuti PBM ikhoza kulimbikitsa kuchira kwa zilonda pambuyo pa opaleshoni ya pakamwa.
Kuphatikiza apo, kafukufuku wofalitsidwa mu International Journal of Molecular Sciences mu Okutobala 2021 akuti PBM imatha kukonza magwiridwe antchito a maselo, kuchepetsa kutupa ndi ululu, kulimbikitsa kubwezeretsedwa kwa minofu, kumasula zinthu zomwe zimakula, ndi zina zambiri, zomwe zimapangitsa kuti machiritso azitha msanga komanso kafukufuku wa anthu.
Malinga ndi MedlinePlus, chimodzi mwa zotsatira zoyipa zomwe zingachitike chifukwa cha mankhwala a chemotherapy kapena radiation ndi oral mucositis, zomwe zimabweretsa ululu, zilonda, matenda, komanso kutuluka magazi mkamwa. PBM imadziwika kuti imaletsa kapena kuchiza vutoli, malinga ndi ndemanga yokonzedwa yomwe idasindikizidwa mu Frontiers in Oncology mu Ogasiti 2022.
Kuphatikiza apo, malinga ndi ndemanga yofalitsidwa mu magazini ya Oral Oncology ya June 2019, PBM yagwiritsidwa ntchito bwino pochiza zilonda za pakhungu zomwe zimayambitsidwa ndi kuwala kwa dzuwa komanso lymphedema ya post-mastectomy popanda phototherapy yomwe imayambitsa zotsatira zina zoyipa.
PBM yokha ikuonedwa ngati njira yochiritsira khansa mtsogolo chifukwa ingathandize chitetezo cha mthupi kapena kulimbitsa njira zina zochiritsira khansa kuti zithandize kupha maselo a khansa. Kafukufuku wowonjezereka akufunika.
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