Phototherapy thiab Tsev Phototherapy rau Vitiligo 2

Phototherapy thiab Tsev Phototherapy rau Vitiligo 2

30. Vim li cas cov neeg mob vitiligo yuav tsum noj "glucocorticoids" qhov ncauj?

Lub pathogenesis ntawm vitiligo tej zaum yuav cuam tshuam nrog kev tiv thaiv kab mob, thiab glucocorticoids yog cov tshuaj tiv thaiv kab mob ntau tshaj plaws. Kev siv cov glucocorticoids tuaj yeem tswj cov kab mob, txo qhov kev puas tsuaj ntawm cov kab mob autoimmune rau melanocytes, thiab txhim kho kev tiv thaiv melanocytes. Yog li, hauv kev kho mob, rau cov neeg mob uas muaj kev loj hlob lossis kev loj hlob ntawm vitiligo, tshwj xeeb tshaj yog cov neeg muaj kab mob autoimmune, cov kws kho mob feem ntau pom zoo kom siv cov glucocorticoids los tswj cov kab mob, uas yuav maj mam tshem tawm tom qab tus mob stabilizes.

31. Puas muaj tej yam tsis zoo rau qhov ncauj "glucocorticoids"?

Ntau tus neeg mob txhawj xeeb txog qhov tsis zoo ntawm cov tshuaj glucocorticoids, xws li qhov hnyav nce thiab rov qab muaj kab mob. Qhov tseeb, ntau npaum li cas ntawm qhov ncauj glucocorticoids siv hauv kev kho mob vitiligo yog qhov me me, kev kho mob ntev tsis ntev, thiab cov tshuaj raug tshem tawm maj mam. Xws li - koob tshuaj tsawg, luv - lub sij hawm qhov ncauj glucocorticoids muaj qhov tsis zoo tshwm sim tsawg. Qee tus neeg mob vitiligo tau ntsib kev tsis zoo vim yog kho qhov ncauj glucocorticoids. Nws yuav tsum tau muab sau tseg tias ntev -lub sij hawm thiab siab - siv cov tshuaj glucocorticoids tuaj yeem ua rau muaj kev phiv loj heev. Cov neeg mob yuav tsum ua raws li tus kws kho mob cov lus qhia thaum siv tshuaj, zam kev tsim txom tsis raug cai, thiab noj thiab tshem tawm cov tshuaj raws li tus kws kho mob saib xyuas tag nrho.

32. Puas yog vitiligo cuam tshuam rau lub cev tiv thaiv kab mob? Cov neeg mob puas yuav tsum tau txhaj tshuaj tiv thaiv kab mob - txhim kho tshuaj?

Cov kev tshawb fawb tau pom tias autoimmunity yuav cuam tshuam nrog qhov pib ntawm vitiligo, uas cuam tshuam nrog kev puas tsuaj lossis kev puas tsuaj ntawm melanocytes los ntawm kev tiv thaiv tshwj xeeb ntawm T lymphocytes hauv lub cev. Kev tiv thaiv kab mob-txhim kho tshuaj tsis tas yuav tsum tau ua. Hloov chaw, cov neeg mob yuav tsum tsom mus rau kev tswj hwm kev ua haujlwm tsis tu ncua thiab so, noj zaub mov kom zoo, lub siab xav, thiab kev tawm dag zog lub cev los tswj lawv tus kheej kev tiv thaiv.

33. Dab tsi yog cov tshuaj uas feem ntau siv rau cov neeg mob vitiligo?

Feem ntau siv tshuaj pleev rau vitiligo tuaj yeem muab faib ua pawg hauv qab no: (1) Glucocorticoid cov tshuaj pleev, xws li betamethasone, dexamethasone, mometasone furoate, halometasone, thiab fluticasone; (2) Calcineurin inhibitors, xws li tacrolimus thiab pimecrolimus; (3) Tsawg-cov yeeb yaj kiab ua kom pom tseeb, xws li psoralen tincture, methoxsalen tov, thiab compound kushen linzidan tincture; (4) Vitamin D₃ derivatives, xws li calcipotriol thiab tacalcitol. Cov no tuaj yeem ua tiav kev kho lub teeb rau ntawm daim tawv nqaij xws li vitiligo.

34. Tib glucocorticoid puas tuaj yeem siv tshuaj pleev xim rau ntawm qhov sib txawv ntawm lub cev?

Glucocorticoids tshuaj pleev ib ce yog thawj - kab tshuaj rau kev kho vitiligo. Rau cov kab mob ntawm qhov kawg thiab lub cev, tib qhov nruab nrab - mus rau - cov tshuaj pleev zoo tshaj glucocorticoid tuaj yeem siv. Rau cov tawv nqaij nyias thiab tawv nqaij xws li lub ntsej muag, caj dab, caj dab, caj dab, thiab puab tais, tsis muaj zog - mus rau - cov tshuaj pleev nruab nrab muaj zog glucocorticoid yuav tsum tau xaiv. Ntev - siv cov tshuaj muaj zog lossis superpotent glucocorticoid tshuaj pleev rau ntawm cov chaw no yuav ua rau muaj kev phiv xws li tawv nqaij atrophy thiab telangiectasia.

35. Puas muaj tshuaj pleev tacrolimus thiab pimecrolimus cream kho vitiligo?

Yog lawm. Lub pathogenesis ntawm vitiligo yuav muaj feem xyuam rau autoimmunity. Tacrolimus thiab pimecrolimus yog ob qho tib si calcineurin inhibitors. Cov kev tshawb fawb tau pom tias cov tshuaj no tuaj yeem cuam tshuam zoo rau kev ua kom thiab loj hlob ntawm qhov txawv txav ntawm T lymphocytes, thiab tseem inhibit qhov kev sib txuas thiab tso tawm ntawm ntau yam pro-cov cytokines inflammatory, yog li tiv thaiv melanocytes los ntawm kev puas tsuaj los ntawm kev tiv thaiv tsis zoo. Vim lawv qhov hnyav molecular thiab zoo penetrability, lawv tuaj yeem kho vitiligo zoo.

36. Cov tshuaj calcipotriol puas tuaj yeem kho vitiligo?

Yog lawm. Calcipotriol yog vitamin D₃ derivative. Nws tuaj yeem cuam tshuam rau kev loj hlob, kev tsiv teb tsaws ntawm melanocytes, thiab kev ua haujlwm tyrosinase- txhawb nqa melanocyte proliferation, txhawb kev ua haujlwm tyrosinase, thiab txhawb kev tsim cov melanin synthesis, yog li txhawb kev rov ua dua ntawm thaj ua rau thaj dawb. Nws yog ib qho ntawm feem ntau siv tshuaj kho mob rau vitiligo.

37. Cov kab dawb puas tuaj yeem raug tshem tawm?

Kev phais yooj yim tshem tawm thaj ua rau thaj dawb tsis muaj txiaj ntsig zoo rau cov neeg mob. Nrog rau txoj kev loj hlob ntawm cov tshuaj, dermabrasion tau maj mam hloov los ntawm lwm yam kev kho mob thiab tsis pom zoo nyob rau hauv cov lus qhia tseeb. Kev kho phais tam sim no feem ntau yog kev hloov pauv, suav nrog autologous epidermal grafting, minigrafting, thiab autologous cultured melanocyte transplantation. Yog tias kev kho tshuaj thiab kev kho duab tsis zoo, kev hloov pauv tuaj yeem txiav txim siab thaum lub sijhawm ruaj khov ntawm tus kab mob.

38. Cov tshuaj pleev ib ce puas tuaj yeem siv los npog cov kab dawb rau ob tog?

Yog lawm. Concealers tuaj yeem ua rau cov xim dawb ib ntus raws li cov tawv nqaij ib puag ncig, kho cov tawv nqaij hauv zos, thiab feem ntau siv rau kev xav tau kev sib raug zoo los pab cov neeg mob kom muaj kev ntseeg siab. Lawv tuaj yeem siv tau ntev npaum li lawv tsis cuam tshuam rau kev kho vitiligo.

39. Yog hais tias yuav luag tag nrho lub cev yog xim dawb, puas muaj txoj hauv kev los ua kom cov xim tawv nqaij uas tseem tshuav?

Cov neeg mob uas muaj cov kab mob vitiligo dav tuaj yeem siv kev kho depigmentation. Txoj kev kho no siv cov tshuaj depigmenting los ua kom pom kev tshaj -pigmented ntawm daim tawv nqaij nyob ib ncig ntawm thaj ua rau thaj dawb, txo cov xim sib txawv rau lub hom phiaj kho kom zoo nkauj. Kev kho depigmentation yog tsim rau cov neeg mob uas muaj thaj ua rau thaj dawb uas muaj ntau dua 95% ntawm thaj tsam ntawm lub cev. Nws suav nrog kev siv cov tshuaj depigmenting thiab laser depigmentation.

40. Puas yuav vitiligo rov qab zoo dua?

Vitiligo muaj ib tug nyiam rov tshwm sim, tab sis tus nqi rov tshwm sim tseem tsis tau txiav txim siab. Feem ntau, nws muaj li ntawm 20% mus rau 40%, thiab qee cov ntaub ntawv qhia txog qhov rov muaj dua li 60%. Vim lub complex etiology ntawm vitiligo, cov kws kho mob tseem pom tias nws nyuaj rau kwv yees seb, thaum twg, los yog qhov twg vitiligo yuav rov zoo dua rau cov neeg mob. Cov neeg mob yuav tsum xyuam xim rau kev ua raws li niaj zaus- mus ntsib. Kev kho tsis tu ncua thiab tsis tu ncua tuaj yeem txo qhov kev pheej hmoo ntawm kev rov tshwm sim dua. Tsis txhob raug mob, raug tshav ntuj ntau dhau, ua kom lub siab zoo, thiab tsis txhob nyob lig lossis haus cawv kom txo qis yam uas yuav ua rau rov tshwm sim dua.

41. Cov neeg mob vitiligo twg tsim nyog tau txais kev kho mob phototherapy?

Ob leeg cov neeg mob nyob rau theem ruaj khov thiab qib zuj zus ntawm vitiligo tuaj yeem raug kho phototherapy. Rau cov neeg mob nyob rau theem zuj zus, kev saib xyuas tshwj xeeb yuav tsum tau them rau kev tswj cov koob tshuaj phototherapy. Thawj koob tshuaj thiab koob tshuaj nce ntxiv yuav tsum tsis txhob loj dhau kom tsis txhob hlawv thiab qhov tshwm sim ntawm Koebner. Phototherapy yuav tsum tau siv nrog ceev faj thaum lub sij hawm sai heev. Txhua phototherapy yuav tsum tau ua raws li kev qhia ntawm tus kws kho mob. Tsis tas li ntawd, cov neeg mob tsim nyog tuaj yeem siv kev kho mob hauv tsev, xws li uvb lub teeb kho hauv tsev.

42. Cov neeg mob twg zoo dua rau kev kho mob hauv tsev?

Vitiligo cov neeg mob ntsib cov xwm txheej hauv qab no yog qhov tsim nyog rau kev kho mob hauv tsev: (1) Tus kab mob nyob rau theem ruaj khov; (2) Tus neeg mob lossis lawv tus neeg saib xyuas tuaj yeem nkag siab tag nrho yuav kho cov koob yees duab kho mob li cas thiab siv cov cuab yeej phototherapy kom raug; (3) Cov neeg mob uas muaj kev paub txog kev kho mob hauv tsev kho mob yav dhau los- leej twg paub txog kev tiv thaiv kev tiv thaiv yees duab- yog thawj qhov kev xaiv rau kev kho duab hauv tsev; (4) Cov neeg mob uas tuaj yeem tuaj koom tsis tu ncua - mus ntsib tom tsev kho mob. Cov kev xaiv xws li coj phototherapy tuaj yeem yooj yim rau kev teeb tsa.

43. Cov neeg mob nyob rau theem zuj zus tuaj yeem tau txais kev kho mob hauv tsev?

Cov neeg mob nyob rau theem zuj zus ntawm vitiligo feem ntau xav tau tshuaj noj qhov ncauj. Yog xav tau kev kho mob phototherapy, nws feem ntau yog ua nyob rau hauv lub tsev kho mob raws li kev saib xyuas thoob plaws hauv cov txheej txheem los tswj cov koob tshuaj irradiation. Cov koob tshuaj uas yuav tsum tau ua rau phototherapy nyob rau theem zuj zus yog nruj, thiab nws yog qhov nyuaj rau cov neeg mob kho cov tshuaj kom zoo raws li kev hloov pauv hauv lawv cov mob zoo li kws kho mob. Yog li ntawd, nws raug pom zoo tias cov neeg mob thawj zaug ua kom lawv tus mob zoo ua ntej tau txais kev kho mob hauv tsev.

44. phototherapy kho vitiligo nrog tus kab mob ntev tshaj 15 xyoo?

Cov neeg mob uas muaj tus kab mob ntev ntev yuav muaj kev ua haujlwm tsis zoo. Tsis muaj kev lav phib xaub ntawm kev kho, tab sis phototherapy tseem tuaj yeem sim.

45. Phototherapy puas tuaj yeem txhim kho cov plaub hau dawb los ntawm vitiligo?

Cov tsos ntawm cov plaub hau dawb ntawm thaj ua rau thaj dawb qhia tau hais tias melanocytes khaws cia hauv cov hauv paus plaub hau kuj raug puas tsuaj, ua rau muaj kev nyuaj ntawm kev kho mob. Rau qee tus neeg mob, cov plaub hau dawb tuaj yeem txhim kho nrog kev kho mob; rau lwm tus, cov plaub hau dawb tuaj yeem nyob txawm tias daim tawv nqaij rov zoo li qub. Phototherapy tuaj yeem txhawb kev tsiv teb tsaws ntawm melanocyte qia hlwb hauv cov hauv paus plaub hau, yog li pab nrog cov plaub hau dawb, yog li muaj peev xwm txhim kho cov plaub hau dawb. Tsis tas li ntawd, cov neeg mob uas kuaj pom ntxov thiab kho thaum ntxov muaj qhov ua tau zoo ntawm cov plaub hau dawb rov qab dua li lwm tus neeg mob. Yog li ntawd, ib zaug thaj ua rau thaj dawb muaj cov plaub hau- cov kab mob thiab cov plaub hau dawb tshwm, yuav tsum pib kho mob hnyav dua.

46. ​​Phototherapy puas tuaj yeem txhim kho cov plaub muag dawb?

Phototherapy tsis pom zoo rau thaj tsam plaub muag. Qhov chaw no nyob ze rau ntawm qhov muag, thiab kev kho mob phototherapy tsis zoo tshwj xeeb ntawm no. Nws raug nquahu kom siv tshuaj pleev los tswj tus mob. Yog tias qhov xwm txheej ruaj khov, kev hloov cov plaub hau tuaj yeem txiav txim siab. Kev sab laj nrog tsev kho mob yog qhia.

47. Yuav ua li cas yog tias pob muag dawb tsis txhim kho tom qab -lub sij hawm phototherapy?

Yog tias pob muag dawb tsis txhim kho tom qab ntev - lub sij hawm phototherapy, nws raug nquahu kom siv cov tshuaj pleev ib ce thiab kev kho kom zoo nkauj, lossis kev kho duab ua ke nrog laser- pab xa cov tshuaj, uas yog qhov zoo dua rau cov plaub hau rov ua dua. Yog tias kev rov ua dua tshiab tseem tsis txaus ntseeg thiab thaj ua rau thaj dawb tsis zoo zuj zus tuaj hauv ib xyoos, qhov no qhia tau tias tus kab mob tau nkag mus rau theem ruaj khov. Lub sijhawm no, kev hloov ntawm daim tawv nqaij lossis kev hloov cov plaub hau tuaj yeem txiav txim siab.

48. Yuav siv phototherapy rau vitiligo ntawm kaum ntawm lub qhov muag?

Yog lawm. Rau vitiligo ntawm lub ces kaum ntawm lub qhov muag, tag nrho lub teeb -shielding tiv thaiv rau lub qhov muag yog yuav tsum tau-xws li thov daim kab xev rau lub qhov muag slits- ua ntej phototherapy. Yog tias thaj tsam ntawm vitiligo ntawm lub ces kaum ntawm lub qhov muag me me, cov tshuaj pleev tuaj yeem sim ua ntej; Yog tias nws tsis ua haujlwm, phototherapy tuaj yeem ua ke.

49. Puas yog phototherapy zoo rau perioral vitiligo?

Phototherapy tuaj yeem siv rau perioral vitiligo, tab sis nws cov kev ua tau zoo yuav ua rau lub ntsej muag thiab caj dab. Qhov no yog vim lub qhov ncauj mucosa thiab mucocutaneous junctions tsis tshua nkag siab rau phototherapy. Tsis tas li ntawd, kev saib xyuas yuav tsum tau them rau thaj chaw perioral-tshwj xeeb yog thaj chaw mucosal- qhov twg koob tshuaj phototherapy yuav tsum tsis txhob loj dhau. Ib koob tshuaj qis dua uas siv rau lub ntsej muag yog kev nyab xeeb dua.

50. Yuav siv phototherapy rau vitiligo ntawm tus poj niam areola?

Cov poj niam areola yog qhov rhiab heev, thiab qhov ua tau zoo ntawm kev kho mob hauv cheeb tsam no tsis paub meej. Yog li ntawd, phototherapy tsis pom zoo rau cov areola. Rau vitiligo ntawm lub areola, tshuaj pleev ib leeg yog pom zoo. Yog xav tau kev kho mob rau vitiligo nyob ib ncig ntawm lub areola, lub txiv mis thiab areola yuav tsum tau them nrog cov khaub ncaws.

51. Yuav siv phototherapy rau vitiligo ntawm tus poj niam qhov chaw mos?

Phototherapy siv tau rau cov poj niam qhov chaw mos, tab sis daim tawv nqaij ntawm no yog nyias thiab kev sib tw, yog li cov koob tshuaj phototherapy yuav tsum me me - feem ntau yog ib nrab ntawm cov tshuaj siv rau lub cev. Hauv kev xyaum, cov neeg mob yuav tsum maj mam nce cov koob tshuaj raws li tus kws kho mob cov lus qhia raws li lawv tus kheej cov xwm txheej los tiv thaiv kev kub nyhiab. Tsis tas li ntawd, nws yuav tsum tau nco ntsoov tias vulvar vitiligo yuav tsum sib txawv los ntawm lwm yam kab mob ntawm qhov chaw mos dawb. Kev kuaj pom tseeb ntawm vitiligo los ntawm lub tsev kho mob tsis tu ncua yuav tsum tau ua ua ntej kev kho yees duab ua raws li tus kws kho mob cov lus qhia.

52. Puas tuaj yeem siv phototherapy rau vitiligo ntawm cov txiv neej qhov chaw mos?

Phototherapy tsis pom zoo rau cov txiv neej qhov chaw mos. Muaj cov lus ceeb toom ntawm cov qog nqaij hlav hauv qhov chaw mos ntawm cov txiv neej psoriasis cov neeg mob tom qab PUVA kho. Txawm hais tias PUVA tau hloov pauv los ntawm txoj kab nqaim UVB (NB-UVB), kev kho duab thaij duab tseem tsis pom zoo rau cov txiv neej qhov chaw mos-tshwj xeeb tshaj yog rau thaj tsam dawb ntawm lub scrotum- rau kev nyab xeeb. Cov tshuaj pleev xim feem ntau yog siv rau qhov mob ntawm tus txiv neej qhov chaw mos.

53. Yuav siv phototherapy rau halo nevi?

Halo nevi yog hom tshwj xeeb ntawm vitiligo. Qee tus neeg mob tuaj yeem tsim thaj tsam dawb nyob ze lossis deb ntawm lub halo nevus. Rau kev kho mob, nws raug pom zoo kom ua ntej excise lub halo nevus, thiab phototherapy yuav ua tau tom qab tshem tawm suture (saib daim duab 3-6).Daim duab 3-6 Halo NevusA. Ib tus ntsia thawv- qhov loj me me ntawm thaj tsam ntawm lub plab, nrog rau mov- qhov loj me me xim av nevus nyob hauv nruab nrab ntawm thaj chaw dawb; B. Ib tus neeg mob uas muaj halo nevus ntawm lub hauv pliaj: photosensitizer thov rau thaj chaw ntws mus rau ntawm ntug ntawm thaj chaw dawb, ua rau thaj tsam hypopigmentation ntawm thawj ntug ntawm thaj chaw dawb.

54. Dab tsi yog qhov zoo thiab qhov tsis zoo ntawm kev kho mob rau cov menyuam yaus? Yuav txiav txim siab seb puas siv phototherapy rau cov menyuam yaus?

Phototherapy rau cov menyuam yaus muaj qhov zoo thiab qhov tsis zoo. (1) Qhov zoo: Nws yuav siv tau sai, muaj txiaj ntsig zoo, ua rau mob me me, thiab tuaj yeem txo kev siv tshuaj thiab kev pheej hmoo ntawm cov tshuaj tsis zoo. (2) Qhov tsis zoo: Qee cov menyuam yaus yuav ua tsis tau raws li qhov tsis zoo, ntshai kev kho duab kho mob, tsis ua haujlwm nrog kev kho mob, lossis tsis kam kaw lawv lub qhov muag. Hauv cov xwm txheej zoo li no, lwm txoj kev kho mob tuaj yeem txiav txim siab. Tshuaj pleev ib ce yog thawj - kab kev kho mob rau menyuam yaus vitiligo. Yog tias cov tshuaj pleev ib ce tsis zoo tom qab 3-6 lub hlis, lossis yog tias thaj chaw dawb nyob rau qhov nyuaj-- kho thaj chaw xws li tawv taub hau, tes, thiab taw, kev kho mob nrog tshuaj thiab kev kho mob yog pom zoo. Tsuav tus me nyuam muaj kev ua tau zoo, kev sib koom ua ke phototherapy feem ntau ua tau zoo dua. Blue light phototherapy tej zaum yuav raug tshawb nrhiav ua ib qho ntxiv hauv kev kho lub teeb rau ntawm daim tawv nqaij.

55. Puas tuaj yeem siv phototherapy ib leeg los kho vitiligo yam tsis muaj tshuaj rau qhov ncauj?

Yog tias qhov txhab me me thiab qhov mob yog qhov ruaj khov, kev siv tshuaj kho mob ib leeg tuaj yeem siv tau. Txawm li cas los xij, phototherapy ib leeg muaj qhov cuam tshuam qeeb, yog li kev sib txuas nrog lwm cov kev kho mob tau pom zoo los txhim kho kev ua tau zoo. Yog hais tias qhov txhab loj los yog tus kab mob nyob rau theem zuj zus, phototherapy ib leeg tsis pom zoo. Kev kho mob dav dav suav nrog cov tshuaj noj qhov ncauj thiab tshuaj pleev ib ce yuav tsum tau muab ua ke kom tsis txhob ncua tus mob. Yog tias tus mob tsis tswj tau raws sijhawm thiab qhov txhab nthuav dav, kev kho mob nyuaj thiab tus nqi yuav nce ntxiv. Yog li ntawd, cov neeg mob yuav tsum tau txais kev kho mob raws li tus kws kho mob cov lus qhia.

56. Cov neeg mob vitiligo twg yuav ua tau zoo dua nrog kev kho mob phototherapy?

Cov nyhuv kho ntawm phototherapy muaj feem xyuam rau tus neeg mob lub hnub nyoog, kab mob ntev, qhov chaw ntawm qhov txhab, hom kab mob, thiab kev ua raws li phototherapy. Feem ntau, cov neeg mob uas muaj hnub nyoog yau, muaj kab mob luv luv, lossis muaj qhov txhab ntawm lub taub hau, ntsej muag, lossis caj dab yuav ua tau zoo dua. Tsis tas li ntawd, cov neeg mob uas ua raws li qhov zoo feem ntau muaj kev ua tau zoo dua.

57. Nws yuav siv sij hawm ntev npaum li cas kom pom cov nyhuv ntawm kev kho mob rau vitiligo?

Lub sijhawm pib ntawm phototherapy yog cuam tshuam nrog tus neeg mob lub hnub nyoog, kab mob ntev, qhov chaw mob, hom kab mob, thiab kev ua raws li phototherapy. Feem ntau, feem ntau cov kab mob vitiligo qhia tau hais tias ua tau zoo tom qab 2-3 lub hlis ntawm kev kho mob phototherapy. Cov cim qhia ntawm kev ua tau zoo muaj xws li cov tsos ntawm cov me me dub pigment Islands tuaj nyob rau hauv cov kab mob, darkening ntawm cov npoo npoo, los yog txo qhov luaj li cas ntawm dawb thaj ua rau thaj. Yog tias tsis pom qhov tshwm sim tom qab 3-4 lub hlis ntawm kev kho mob phototherapy, cov neeg mob raug qhia kom nres kev kho mob, mus ntsib tsev kho mob raws sijhawm, thiab txais kev kho mob sib xyaw lossis hloov mus rau lwm yam kev kho mob raws li kws kho mob cov lus qhia.

58. Qhov txiaj ntsig zoo ntawm tsev kho mob rau vitiligo yog dab tsi?

Qhov txiaj ntsig zoo yog cuam tshuam rau tus neeg mob lub hnub nyoog, lub sijhawm ntawm tus kab mob, qhov chaw ntawm qhov txhab, hom kab mob, thiab kev ua raws li phototherapy. Kev tshawb fawb los ntawm Shan Xiaofeng et al. [6] pom tias 22.6% ntawm cov neeg mob tau ua tiav ntau dua 75% rov ua dua tom qab 6 lub hlis ntawm tsev NB-Kev kho UVB, thiab qhov kev faib ua feem no tau nce mus rau 37.6% tom qab kev kho mob ib xyoos. Rau me me - cheeb tsam vitiligo (piv txwv li, ntawm lub ntsej muag thiab caj dab), cov txiaj ntsig zoo feem ntau ua tiav tom qab 3-6 lub hlis ntawm kev kho mob phototherapy.

59. Cov neeg mob vitiligo yuav tsum tau ceev faj dab tsi thaum lub sij hawm kho mob hauv tsev?

Cov neeg mob Vitiligo yuav tsum tau xyuam xim rau cov hauv qab no thaum lub sij hawm phototherapy hauv tsev: (1) Tiv thaiv lub qhov muag thaum lub sij hawm irradiation - looj tsom iav los yog npog qhov muag nrog ntaub los yog lwm yam ntaub ntawv; (2) Cov txiv neej yuav tsum npog qhov chaw mos; (3) Yog tias daim tawv nqaij qhuav tom qab phototherapy, siv cov moisturizers kom tsim nyog los txo qhov dryness; (4) Thaum lub sij hawm yees duab kho mob, yog koom nrog kev ua ub no sab nraum zoov, ua tib zoo saib xyuas lub hnub tiv thaiv- siv tshuaj pleev thaiv hnub, hnav lub kaus mom hnub ci, lossis looj tsom iav dub raws li xav tau; (5) Yog tias muaj kev hloov pauv ntawm kev siv tshuaj, mus ntsib lub tsev kho mob kom raws sijhawm los sab laj tus kws kho mob seb puas yuav kho cov phiaj xwm kev kho mob phototherapy; (6) Tsis txhob noj ntau dhau ntawm cov zaub mov photosensitive. Uvb lub teeb kho hauv tsev yuav tsum tau ua raws li cov kauj ruam no kom muaj kev nyab xeeb.

60. Yuav tsum xaiv 308nm lossis 311nm phototherapy device?

Ob leeg UVB nrog lub ncov wavelength ntawm 308nm lossis 311nm tuaj yeem kho vitiligo zoo. Cov kev tshawb fawb tau pom tias tsis muaj qhov sib txawv tseem ceeb hauv kev ua tau zoo ntawm ob qho tib si thaum cov koob tshuaj sib xyaw ua ke zoo ib yam. Tam sim no, 311nm fluorescent raj thiab 308nm LED teeb qhov chaw muaj rau kev kho mob hauv tsev. Led phototherapy pab kiag li lawm nyob rau hauv cov wavelengths muab kev yooj yim niaj hnub.

61. Qhov chaw irradiation twg yuav tsum raug xaiv los kho cov kab dawb hauv zos?

Cov cuab yeej phototherapy yuav tsum raug xaiv raws li qhov loj thiab qhov chaw ntawm qhov txhab. Rau vitiligo ntawm lub cev feem ntau, xaiv cov khoom siv kho mob nrog rau thaj chaw irradiation tsim nyog raws li qhov mob loj. Rau cov kab mob ntawm lub taub hau, cov cuab yeej siv kho kom zoo nkauj nruab nrog kev kho mob combs tuaj yeem siv tau, uas muaj kev nyab xeeb dua thiab yooj yim dua rau kev kho cov tawv taub hau. Qee cov cuab yeej siv tes tuav tes yog ntse, compact, thiab tseem tuaj yeem rov qab tau, ua rau lawv yooj yim nqa thaum mus ncig ua lag luam lossis mus ncig (saib daim duab 2-5 hauv Tshooj 2).

62. Yam khoom siv kho mob hauv tsev twg yuav tsum tau xaiv rau ntau qhov chaw thiab nthuav dav dawb?

Rau ntau qhov chaw thiab ntau qhov txhab, ib nrab-lub cev lossis tag nrho- lub cev cov khoom siv kho mob tau pom zoo. Cov khoom siv no muaj thaj tsam loj irradiation, txuag lub sijhawm, thiab feem ntau siv cov kev tswj xyuas ntse kom ua haujlwm yooj yim. Txawm li cas los xij, lawv cov nqi kuj siab dua.

63. Dab tsi thawj koob yuav tsum tau siv rau 311nm UVB? Puas muaj qhov sib txawv ntawm cov neeg sib txawv?

Thawj koob tshuaj ntawm kev kho mob rau cov kab mob vitiligo yuav tsum yog me me dua li loj; thawj koob tshuaj loj yuav ua rau kub hnyiab tau yooj yim. Qhov tseeb Suav cov lus qhia rau kev kho mob vitiligo pom zoo kom pib koob tshuaj 200mJ / cm². Vitiligo Working Group (VWG) Vitiligo NB-UVB Phototherapy Consensus pom zoo tias thawj koob tshuaj kho mob rau vitiligo yog 200mJ/cm² rau txhua hom tawv nqaij [7]. Kev hloov pauv epidermal tuaj yeem raug txiav txim siab. Blue light phototherapy, thaum tsis yog tus qauv rau vitiligo, qee zaum tham hauv kev kho lub teeb dav dav rau cov ntsiab lus ntawm daim tawv nqaij.