Pakhale kuwala — pa ululu wanu, khungu lanu, ndi kuvulala kwanu, ndiko kuti. Kuthekera kwa kuwala kofiira pochiza mavuto osiyanasiyana azaumoyo ndi kukongola kukungoyamba chifukwa cha chidwi cha ofufuza, mayunivesite, ndi zipatala, komanso zipangizo zomwe zimapezeka kunyumba zomwe zimapangitsa kuti zikhale zosavuta kuzipeza.
Chithandizo cha kuwala kofiira (RLT) ndi mtundu wa mankhwala opangidwa ndi kuwala, omwe ndi "kugwiritsa ntchito kuwala pochiza khungu ndi matenda ena," akutero Jared Jagdeo, MD, mkulu woyambitsa Center for Photomedicine ku SUNY Downstate Health Sciences University ku Brooklyn, New York.
Apa, phunzirani za mbiri ya chithandizochi, momwe chimagwirira ntchito, ubwino wake, zomwe mungayembekezere kuchokera ku chithandizochi, ndi zina zambiri.
Mbiri ya Chithandizo cha Red Light
Pali mawu ena otanthauza chithandizo cha kuwala, ndipo amenewo ndi photobiomodulation (kapena mwachidule PBM), akutero Praveen Arany, PhD, DDS, pulofesa wothandizira ku University of Buffalo komanso director wa Center of Excellence for Photobiomodulation ku Shepherd University ku Shepherdstown, West Virginia. Mawu ena otanthauza chinthu chomwecho ndi chithandizo cha laser chapamwamba (LLLT), photostimulation, ndi chithandizo cha laser yozizira, akutero.
Chithandizo cha kuwala chakhalapo kwa zaka zoposa 50. Chinapezeka ndi dokotala wa ku Hungary Endre Mester m'zaka za m'ma 1960 pamene kuyesa kwasayansi pogwiritsa ntchito laser yofiira pa makoswe kunapangitsa kuti tsitsi likule komanso kuti mabala apole, malinga ndi nkhani yofufuza yomwe inafalitsidwa mu Disembala 2017 mu Journal of Biophotonics. Kwa zaka zambiri, chithandizo cha kuwala chinkaonedwa ngati chabodza. Koma ndi kafukufuku watsopano (wina wotsutsana), gulu la asayansi layamba kuzindikira.
"Pakadali pano ku United States, chithandizo cha kuwala kofiira chimaonedwabe kuti si sayansi yodziwika bwino. Koma pali malo ophunzirira komanso azachipatala omwe akugwiritsa ntchito ukadaulowu ndikuupereka kwa odwala," akutero Dr. Arany.
Tsopano pali malo ophunzitsira, monga omwe ali ku Shepherd University, odzipereka kuphunzitsa akatswiri azaumoyo ndi asayansi za kuvomerezeka kwa PBM ngati chithandizo chamankhwala, komanso mabungwe aukadaulo, monga North American Association for Photobiomodulation Therapy (NAALT) ndi PBM Foundation. Chimodzi mwa zinthu zodziwika bwino zomwe zimagwiritsidwa ntchito pochiza kuwala kofiira ndi kusamalira khungu, ndipo kupezeka kwa zipangizo zotsika mtengo kunyumba kwawonjezera kutchuka kwake.
Momwe Chithandizo cha Kuwala Kofiira Chimagwirira Ntchito
Kusinthasintha kwa kuwala pogwiritsa ntchito kuwala mkati mwa mafunde enaake. Izi zili pakati pa 400 nanometers (nm) (buluu) mpaka 1,200 nm (pafupi ndi infrared), akutero Arany. Kuwala kofiira kumakhala ndi mafunde pakati pa 620 mpaka 750 nm, malinga ndi National Center for Atmospheric Research. Uku ndi kuwala kooneka.
Kuwala kwabuluu, kobiriwira, ndi kofiira kwagwiritsidwa ntchito bwino pochiza matenda a PBM, akutero. Kuwala kwapafupi ndi infrared, komwe ndi kuwala kwautali wa wavelength (mpaka 1,200 nm), kumagwiritsidwanso ntchito mu PBM ndipo kumapezeka m'ma sauna a infrared. Ngakhale kuwala kumeneku kungawoneke kofiira, kwenikweni, kuwala kwa infrared sikuoneka ndipo m'malo mwake kumatentha thupi kuchokera mkati kuti kusinthe thupi.
Mankhwala ochizira kuwala kofiira, makamaka, atchuka kwambiri m'zaka zaposachedwa ndipo mwina ndi njira yodziwika bwino komanso yosavuta kupeza. "Zipangizo zochizira kuwala kofiira n'zosavuta kupanga ndipo zimapezeka kwambiri," akutero Arany.
Ndiye zimagwira ntchito bwanji? Pamene ma photon (tinthu ta kuwala) tiyikidwa pafupi ndi khungu timalowa m'thupi ndi kuyambitsa ma chromophores (gawo la molekyulu yomwe imapatsa mtundu wake), zomwe zimayambitsa kusintha kwa maselo, malinga ndi American Society for Laser Medicine & Surgery. Kuphatikiza apo, chithandizo cha kuwala kofiira chimakhudzanso mitochondria (mphamvu ya maselo), ndikupanga ATP (mphamvu) kuti ipititse patsogolo machiritso, akutero PBM Foundation.
Kuti chithandizo cha kuwala kofiira chigwire ntchito, njira ndi mlingo wake ziyenera kugwiritsidwa ntchito, kutengera vuto lanu la thanzi, ndichifukwa chake katswiri wodziwa bwino ntchito ndi wofunikira kwambiri, akutero Arany. Ngati n'kotheka, funani chithandizochi kuchipatala, ku yunivesite, kapena kuchipatala. Iye akulangiza kuti musagwiritse ntchito chithandizo cha kuwala kofiira kuchokera ku malo osungiramo mankhwala kapena ma spa.
Zipangizo zofiira zitha kugulidwa ndikugwiritsidwa ntchito kunyumba posamalira khungu, ndipo nthawi zambiri izi zimakhala zotetezeka kugwiritsa ntchito monga momwe zalangizidwira, akutero Dr. Jagdeo.
Zipangizo zochizira kuwala kofiira zimakhala ndi magetsi ofiira a LED omwe amagwiritsidwa ntchito ngati zipangizo zonyamulidwa m'manja, mapanelo a LED, kapena mabedi a thupi lonse, kutengera chifukwa cha chithandizocho. Zipangizo zina zimagwiritsa ntchito magetsi ofiira ndi apafupi ndi infrared, koma kawirikawiri, palibe mitundu yosiyanasiyana ya chithandizo cha kuwala kofiira.
Mitundu ya Chithandizo cha Kuwala Kofiira
Zipangizo zochizira kuwala kofiira zimakhala ndi magetsi ofiira a LED omwe amagwiritsidwa ntchito ngati zipangizo zonyamulidwa m'manja, mapanelo a LED, kapena mabedi a thupi lonse, kutengera chifukwa cha chithandizocho. Zipangizo zina zimagwiritsa ntchito magetsi ofiira ndi apafupi ndi infrared, koma kawirikawiri, palibe mitundu yosiyanasiyana ya chithandizo cha kuwala kofiira.
Ubwino Wotheka wa Chithandizo cha Red Light
Ngakhale kafukufuku akupereka chiyembekezo pa chithandizo cha kuwala kofiira, pali maphunziro otsutsanabe - ndipo ena sakusonyeza phindu lililonse pa matenda ena. Kawirikawiri, maphunziro amafunika kusinthidwa mosiyanasiyana (mu mlingo ndi nthawi) kutengera momwe asayansi ndi akatswiri amakhalira kuti amvetsetse bwino ubwino wa chithandizo cha kuwala kofiira. Pansipa pali njira zabwino zogwiritsira ntchito chithandizo cha kuwala kofiira, malinga ndi akatswiri.
Zimawonjezera Maonekedwe Achinyamata Pakhungu
Chimodzi mwa ubwino wodziwika bwino wa chithandizo cha kuwala kofiira ndi momwe chimakhudzira khungu. Chingagwiritsidwe ntchito pochiza:
Ziphuphu
Mizere yopyapyala ndi makwinya
Kukula kwa tsitsi
Kufiira
Chithandizo cha kuwala kofiira chimachepetsa kutupa kuti chithetse kufiira, ziphuphu, ndi kukula kwa tsitsi, komanso kulola mankhwala opangidwa ndi nkhope kapena pakamwa pa matenda awa kuti agwire bwino ntchito, akutero Jagdeo. Kuphatikiza apo, pankhani yothetsa ziphuphu, "chithandizo cha kuwala kofiira chimawonjezera chitetezo chathu cha mthupi ku mabakiteriya okhudzana ndi kupangika kwa ziphuphu," akuwonjezera. Pa mizere ndi makwinya, mankhwalawa amayang'ana ma enzymes okhudzana ndi kusweka kwa collagen ndikulimbikitsa kupanga collagen, malinga ndi Cleveland Clinic.
Amathandiza Kubwezeretsa Kuvulala kwa Masewera
Kusagwiritsidwa ntchito ndi munthu amene wavulala n’kovuta kwambiri m’maganizo ndi m’thupi, koma chithandizo cha kuwala kofiira chingakuthandizeni kuyambiranso kuimirira. “Kuwala kofiira kungagwiritsidwe ntchito kupititsa patsogolo kugwira ntchito kwa minofu ya mafupa, kuchepetsa ululu, komanso kupititsa patsogolo kuchira kuvulala,” akutero Arany. Olemba ndemanga yomwe inafalitsidwa mu Disembala 2021 mu magazini ya Life adazindikira kuti PBM ingagwiritsidwe ntchito pochiza mabala amasewera, komanso kupititsa patsogolo magwiridwe antchito amasewera, ngakhale kuti kafukufuku wowonjezereka akufunika.
Amathandiza Kuchiritsa Mabala
Kaya muli ndi chilonda mkamwa mwanu kapena chilonda chotseguka pa phazi lanu, mphamvu zotsutsana ndi kutupa za kuwala kofiira zawonetsedwa kuti zimathandizira thupi kuchira, akutero Arany, yemwe adafalitsa ndemanga mu Epulo 2019 mu Advances in Skin and Wound Care pankhaniyi. "Kafukufuku m'labu yanga akuwonetsa kuti PBM imatha kuyambitsa chinthu champhamvu chokulitsa chomwe chimalimbikitsa kuchira ndi kukonzanso minofu," akufotokoza, chinthu chomwe chingakhale chofunikira kwambiri pa mabala akamwa, kafukufuku wasonyeza.
Amachepetsa Ululu
Ululu ndi wovuta kwambiri kuchiza, koma chithandizo cha kuwala chingakhale chida chothandiza. "Kuwala kofiira kumagwira ntchito pa ma neuron omwe amafalitsa ululu," akutero Arany.
Kuwala kofiira kungakhale bwino pa mitundu ina ya ululu kuposa ina, malinga ndi ndemanga yaposachedwa yomwe idasindikizidwa mu Julayi 2022 mu Journal of Pain. Olembawo adawona kuti pali umboni wina wosonyeza kuti kuwala kofiira kumagwira ntchito bwino pa matenda opweteka monga fibromyalgia, kuthamanga kwa magazi kosatha, osteoarthritis, ndi neuropathy.
Amachepetsa Zotsatirapo za Chithandizo cha Khansa
Arany akutero, ngakhale kuti kafukufuku wochuluka wa anthu amafunika kuti amvetsetse bwino ubwino wa mankhwalawa.
Mwachitsanzo, kafukufuku wina wokhudza mbewa, wofalitsidwa mu Disembala 2021 mu magazini ya Photonics, adapeza kuti kuwala kofiira ndi chithandizo chapafupi ndi infrared zimachepetsa kuopsa kwa kuwonongeka kwa khungu chifukwa cha kuwala kwa dzuwa komanso kukonza mphamvu ya khungu kuti lichiritse. Uwu ndi kafukufuku wa nyama, ngakhale kuti ukukhazikitsa njira yoti kafukufuku wofunikira achitike.
Kafukufuku wina wakale wasonyezanso kuti PBM inachepetsa kutupa ndi kutupa kwa minofu ya mkamwa mwa anthu omwe ali ndi khansa ya mutu ndi khosi, ngakhale kuti maphunziro ambiri akufunika.
Zoopsa za Chithandizo cha Kuwala Kofiira
Chithandizo cha kuwala kofiira chavomerezedwa ndi US Food and Drug Administration (FDA), malinga ndi PBM Foundation. Malinga ndi Jagdeo, chimaonedwa kuti ndi chotetezeka kwambiri, akutero Jagdeo, ngakhale kuti pali mwayi woti wogwiritsa ntchito alakwitsa ngati mukugwiritsa ntchito chipangizo cha kunyumba. Mwachitsanzo, n'zotheka kugwiritsa ntchito chipangizocho mopitirira muyeso kapena kuchigwiritsa ntchito mobwerezabwereza kuposa momwe wopanga amalangizira. Nkhani yabwino ndiyakuti zipangizo zambiri zapakhomo zimakhala ndi nthawi yodziwikiratu komanso yozimitsa, akutero Jagdeo, zomwe zimapangitsa kuti zikhale zosavuta kuti musachite mopitirira muyeso. Nthawi zonse tsatirani malangizo, ndipo dziwani kuti Journal of Pain review idawonetsa chiopsezo chowonjezera zizindikiro za mutu waching'alang'ala kwa ogwiritsa ntchito ena. Ndikofunikanso kufunsa dokotala woyenera (monga dermatologist kapena PCP) kuti awadziwitse kuti chithandizo cha kuwala kofiira chili mu dongosolo lanu la chithandizo. Pomaliza, funani chithandizo kuchokera kwa dokotala wodziwika bwino. "Kuwala kungayambitse kuwonongeka, koma ngati njira yoyenera ikugwiritsidwa ntchito, simuwona zotsatirapo zilizonse," akutero Jagdeo.
Ndani Angafune Kuyesa (ndi Kupewa) Chithandizo cha Red Light
Chithandizo cha kuwala kofiira chapangidwa ngati chithandizo chothandizira. Tanthauzo: Sizokayikitsa kuti chithandizo cha kuwala kofiira chidzakhala chithandizo chokhacho chomwe mungagwiritse ntchito pothana ndi vuto la thanzi kapena chisamaliro cha khungu. Mwachitsanzo, pamodzi ndi kuwala kofiira, mungagwiritsenso ntchito mankhwala opaka pakhungu (monga retinoid) pa ziphuphu kapena mizere yaying'ono, akutero Jagdeo. Ngati muli ndi pakati, muyenera kupewa chithandizo cha kuwala kofiira, akutero Arany. Ndipo ngati mukuchiza matenda enaake, funsani dokotala wanu kaye.
Kuyamba ndi Chithandizo cha Red Light
Izi ndi zomwe mungafune kudziwa musanayesere chithandizo cha kuwala kofiira motsogozedwa ndi katswiri wanu wazachipatala. Nthawi zambiri, chithandizo cha kuwala kofiira chimachitika m'magawo angapo kwa nthawi inayake. Mwachitsanzo, akutero Jagdeo, pankhani ya nkhawa za khungu, amalimbikitsa kuyesa chithandizo cha kuwala kofiira katatu pa sabata kwa mphindi 10 nthawi iliyonse kwa mwezi umodzi. "Odwala ena amawona zotsatira zake pakatha mwezi umodzi, koma nthawi zambiri zotsatira zake zimapitirirabe kukhala bwino pakapita nthawi," akutero. Ngakhale kuti zipangizo zambiri zochizira kuwala kofiira kunyumba zilipo kuti mugule, nthawi zonse ndibwino kulankhula ndi dokotala wa khungu kapena katswiri wa ululu musanayesere nokha chithandizo cha kuwala kofiira. Kukambirana ndi dokotala wodziwa bwino ntchito kudzakuthandizani osati kungokhazikitsa zolinga zanu zaumoyo ndikudziwa ngati chithandizo cha kuwala kofiira chili choyenera kwa inu komanso kupeza chipangizo chapadera cha kunyumba chomwe chili choyenera mtengo wake.
Zimene Mungayembekezere Musanayambe, Panthawi, ndi Pambuyo pa Chithandizo cha Red Light
Mwina sizingavulaze. Chithandizo cha kuwala kofiira sichivulaza ndipo sichipweteka kwa anthu ambiri. Chipangizo chogwiritsidwa ntchito m'manja chingakanikizidwe pakhungu pamalo omwe pavulala kapena ululu wachitika. Ngati mukugona pabedi kapena pod yokhala ndi thupi lonse yomwe imagwiritsa ntchito kuwala kofiira komanso kozungulira, mutha kumva kutentha kuchokera ku mababu apafupi ndi infrared. Simuyenera kuyembekezera kuti mukumane ndi zotsatirapo zoyipa kuchokera ku chithandizo, akutero Arany. Yang'anirani maso anu. Funsani dokotala ngati ndikofunikira kuvala zoteteza maso panthawi ya chithandizo. Mutha kumva bwino. Chimodzi mwazabwino zazikulu za chithandizo cha kuwala kofiira ndi momwe anthu amamvera omasuka atatha kulandira chithandizo, akutero Jagdeo. Ganizirani nthawi yanu ino ndikutsatira zotsatira zotonthoza. Mungafunike chithandizo choposa chimodzi. Lankhulani ndi dokotala wanu pasadakhale kuti mumvetse kuchuluka kwa magawo omwe mungafunike (ndi kangati), kuti mumvetsetse bwino kuchuluka kwa chithandizo. Izi zidzasiyana kwambiri kutengera nkhawa yathanzi yomwe mukukumana nayo. “Muzochitika zina, ngakhale chithandizo chimodzi chawonetsedwa kuti chikugwira ntchito bwino, pomwe chithandizo champhamvu kwambiri cha PBM chimakhala katatu pa sabata kwa milungu inayi, osachepera, kuti chikhale ndi zotsatirapo zabwino,” akutero Arany. Ndi zonsezi, kumbukirani kuti dziko la phototherapy likusintha, ndipo kafukufuku wowonjezereka akufunika kuti adziwe momwe mungagwiritsire ntchito bwino mafunde osiyanasiyana, milingo, ndi zida pa matenda enaake. Ndi bwino kufunsa dokotala wa khungu, katswiri wa ululu, kapena dokotala wanu ngati muli ndi mafunso kapena musanapereke chithandizo chilichonse chokwera mtengo. Malangizo azachipatala adzakuthandizani kuyeza ubwino ndi zoopsa za chithandizo cha kuwala kofiira pa zolinga zanu zaumoyo.
Zinthu Zothandiza pa Red Light Therapy Zomwe Timakonda
Mabungwe Abwino Kwambiri
PBM FoundationKuti mudziwe zambiri zokhudza PBM, momwe imagwirira ntchito, komanso matenda omwe ingagwiritsidwe ntchito pochiza, maziko awa ndi abwino kwambiri. Mudzathanso kuonera makanema okhala ndi maumboni ochokera kwa odwala omwe amalankhula za momwe chithandizo cha kuwala kofiira chawathandizira. American Academy of DermatologyBungwe lalikulu la dermatology limaphunzitsa mitu yosiyanasiyana yosamalira khungu, kuphatikizapo kugwiritsa ntchito chithandizo cha kuwala pa matenda osiyanasiyana, monga rosacea, ziphuphu, ndi psoriasis, kupereka malingaliro osakondera, ochirikizidwa ndi sayansi pa komwe kafukufukuyu ali.
Malo Abwino Kwambiri Ophunzirira
Yunivesite ya Shepherd Posachedwapa, Yunivesite ya Shepherd yatsegula Center for Excellence in Photobiomodulation kuti ithandize kumvetsetsa sayansi ndi kupita patsogolo pa photobiomodulation (yomwe ikuphatikizapo chithandizo cha kuwala kofiira).
Zida Zabwino Kwambiri Zasayansi
Kukonza Photobiomodulation, Photomedicine, ndi Laser Surgery Mukufuna kudziwa zambiri za mabuku asayansi okhudza phototherapy? Onani magazini yowunikidwa ndi anzawo ya Photobiomodulation, Photomedicine, ndi Laser Surgery kuti mudziwe nkhani zamakono komanso zakale zokhudza phototherapy, laser therapy yotsika mtengo, photobiomodulation, ndi laser surgery. National Center for Complementary and Integrative Health NCCIH ndi chida chabwino kwambiri chopezera chidziwitso chapamwamba cha momwe mgwirizano wa sayansi umakhalira kumbuyo kwa mankhwala othandizira. Mutha kusaka ndi mutu kapena nkhawa zaumoyo mu database yawo ndikuwerenga za mankhwala omwe amathandizidwa (kapena osathandizidwa) ndi kafukufuku.