DOES RED LIGHT DO FOR SCARS?

I-S car umqondo ojwayelekile obhekisela ekubukekeni okuvamile kanye nezinguquko ze-histopathological zezicubu zesikhumba ezibangelwa ukulimala okuhlukahlukene , njengezinduna nezinye izifo zesikhumba, ukuhlinzwa, ukukhula ngokushesha kwezicubu, izingozi, nokunye.

         Akuthinti kuphela ukubonakala kwenhlangano, kodwa futhi nengqondo yakho kanye nezinga lempilo elingaba khona. Uma unezibazi muva nje, zingabangela nokuphazamiseka njengobuhlungu, ukushisa, ukulunywa, njll .

Esimweni esihle, ungakwazi ukulungisa kalula izicubu ezibomvu futhi uzenze zinyamalale. Nokho, izibazi ziyingxenye yendlela yokuphola komzimba ngemva kokulungiswa kwesilonda. Isibazi sokugcina sine-fibrous eyengeziwe. Kunezinhlobo eziningi zokwelapha izibazi, njengejeli, umjovo, i-laser, ukuhlinzwa, ama-steroid, njll. Nokho, zonke lezi zindlela zokwelapha aziphelele.

        Okokuqala, sidinga ukuqonda indlela yokusebenza yokwelapha ukukhanya okubomvu.

I-Red Light Therapy (RLT) isebenza esikhumbeni ngokusebenzisa ubude beza obuthile bokukhanya okubomvu (600-700nm) nokukhanya okuseduze kwe-infrared (700-1000nm), ngezindlela eziyinhloko ezihlanganisa:

1. Thuthukisa umsebenzi weselula: yenza kusebenze ukuhlanganiswa kwe-ATP ye-mitochondrial futhi uthuthukise umsebenzi we-fibroblast.

2. Umphumela wokulwa nokuvuvukala: Phansi lawula ukubonakaliswa kwezici ezivuthayo ezifana ne-IL-6 ne-TNF - α.

3. Ukulungiswa kabusha kwe-collagen: kukhuthaza ukuhlanganiswa kohlobo I kanye nohlobo lwe-collagen III, kuthuthukisa ukuthungwa kwesibazi.

        Ucwaningo oluningi luye lwabonisa ukuthi ukwelapha ukukhanya okubomvu kunezinzuzo ezibalulekile zokuphulukiswa kwezibazi. Isibonelo, izibazi zokusha ezinganeni kanye ne-neck thyroidectomy ingaba nemiphumela emihle ngemva kwezinyanga ezimbalwa zokwelashwa. Ucwaningo luhlole ukusebenza kahle ngokusekelwe esikalini esithembeke kakhulu nesisebenzayo sokulinganisa ubukhona besibazi, i-Vancouver Scar Scale (VSS). Ezifundweni eziningi, amaphuzu e-VSS abantu abe ngcono ngokuhamba kwesikhathi uma kuqhathaniswa nokusebenzisa i-placebo.

Ngaphezu kwalokho, ukwelapha ngezibazi ezibomvu kubonakala kuphephile futhi akunayo imiphumela emibi. Kodwa-ke, ezifundweni eziningi, i-phototherapy isetshenziswa ezigabeni zokuqala zenqubo yokuphulukisa, njengangemuva kokuhlinzwa, kuneminyaka eminingana ngemuva kokwakheka kwezibazi.

Ubuhlungu, uma bukhona, ngokuvamile buyathuthuka. Nokho, kwezinye izifundo, ingqungquthela eyodwa nje isivele ilethe intuthuko.

Ungathola okwengeziwe kule Artical:

https://pubmed.ncbi.nlm.nih.gov/26031491/

Ngaphezu kwalokho, ithimba labacwaningi abavela eSouth Korea lakhetha iziguli eziyi-120 ukuze zelashwe ukukhanya okubomvu ngo-2023 futhi ekugcineni lathola ukuthi ngemva kokwelashwa, ukuqina kwezibazi zesiguli kwehle ngo-27%. Ithimba laseBrazil liphinde lenza ucwaningo olufanayo ngo-2022, lakhetha iziguli ezingama-85 futhi lathola ukuthi ngemva kokwelashwa ngokukhanya okubomvu, ukuthamba kwezibazi kwaba ngcono ngo-68%.  

Ngo-2021, olunye ucwaningo lwakhetha isamba seziguli ezingama-30 ukuze zelashwe emaqenjini amathathu. Ngesikhathi sokwelashwa kwezinyanga ze-6, kwakungekho umehluko omkhulu ekuguquguqukeni kwezibazi phakathi kweqembu lokwelapha kanye neqembu lokulawula. Ngaphansi kwezici ezithile, uma kuqhathaniswa nezibazi zeqembu lokulawula, izibazi eziphathwayo zibonise ukuthuthukiswa okukhulu kwamaphuzu okubuka kanye nokuguquguquka kwesibazi, ngokunciphisa ukuqina. Izehlakalo ezimbi endaweni yokwelapha zihlanganisa amabhamuza nokuvuvukala, okuthambile futhi okungenayo i-sequelae. Lokhu kuqinisekisa futhi ukuthi i-LED-RL phototherapy iphephile ezigabeni zokuqala.

thola okwengeziwe lapha:

https://onlinelibrary.wiley.com/doi/10.1002/jbio.202100073

Ngakho-ke, izibazi okungasebenza kuzo ilambu elibomvu ngokuvamile yilezi:

1) Izibazi ezingandile ezakheka phakathi nezinyanga ezi-3 ngemuva kokulimala;

2) Izibazi ezingaphezulu njengokushiswa/ukusikwa ngokuhlinzwa;

3) Iziguli ezingenawo umlando wezifo ze-photosensitive.

Ukukhanya okubomvu kubonise imiphumela ebalulekile ekwelapheni izinduna kanye nezibazi zakuqala ezithambile. Ngokungafani nama-lasers, ayihlaseli futhi ithwala ingozi encane Kodwa-ke, ayisebenzi kuzo zonke izibazi namanxeba, ngakho-ke sicela uthintane nodokotela wakho ngaphambi kokwelashwa, ikakhulukazi uma kunezimo ezilandelayo, ukwelashwa kokukhanya okubomvu akunconywa.

1 ) Izigaxa noma izibazi ze-hypertrophic (zingase zibe zimbi kakhulu)

2 ） Inxeba lokutheleleka elisebenzayo

3 ） Iziguli ezinezifo zesikhumba ezizwelayo

Ukwelashwa ngesibani esibomvu akunamhlaseli, futhi akunazidakamizwa. Njenge-Sunsred '   iphaneli, icwebezela amaza okukhanya emvelo aphephile futhi agxilile esikhumbeni sakho nasemangqamuzaneni, lapho kunganciphisa khona ukucindezeleka kwe-oxidative futhi kushukumise ukukhiqizwa kwamandla eselula (i-adenosine triphosphate noma i-ATP). Lokhu kusiza umzimba wakho ukuthi uzigcwalise kabusha, uvuselele futhi uphulukise ngokushesha, futhi unciphise ubuhlungu nokuvuvukala.

Ukunciphisa ukuvuvukala kuwumgogodla wokuphumelela kokwelashwa kokukhanya okubomvu. Ukuvuvukala nokuvuvukala kuvamile ngemva kokulimala nokuhlinzwa, okungabangela ubuhlungu, ukunciphisa umsebenzi, nokunciphisa inqubo yokuphulukisa. Ukuhlola okuningi kubonise ukuthi ukwelashwa kokukhanya okubomvu kunganciphisa ukuvuvukala okunamandla nokungapheli. Ucwaningo ngokwelashwa kokukhanya okubomvu nokuphulukiswa kwesilonda luye lwabonisa nendlela amangqamuzana achayeke ekukhanyeni kwemvelo akhiqiza ngayo imithambo yegazi emisha, ama-fibroblasts amasha (akhiqiza i-collagen nezicubu ezixhumene ukuze apholise amanxeba), nokwakheka kwezicubu ezintsha - konke okuholela emiphumeleni yokuphulukisa ngokushesha nanamandla kuyilapho kunciphisa ubuhlungu besiguli.

I-FDA igunyaza amaza okukhanya okubomvu okuthize (635nm) ukuze kulawuleke izibazi ngo-2022 (kukhawulelwe kumishini yezokwelapha ye-Class II)

Ikhomishini Yezempilo Kazwelonke YaseShayina: Imihlahlandlela ka-2023 Yokuvimbela Okuphelele Nokwelashwa Kwezibazi incoma ukuthi kusetshenziswe ilambu elibomvu njengokwelashwa kwe-adjuvant