PUVA-therapy ndiyo nzira yakasiyana yekurapa zvirwere zvakasiyana-siyana zveganda. Chinonyanya kukosha chiri muhutano huri pamwe chete paganda remishonga inoshandiswa nemiti yakabva (psoralenov (P) uye yakareba-wave inonzi ultraviolet rays.
Zviratidzo zvePUVA therapy
Kazhinji kacho chirwere chePUVA chinoshandiswa kwe psoriasis chetsoka nemichindwe. Iyi nzira yekurapa inobudirira inobata nechirwere ichi, kunyange kana varwere vakundikana kupinda muB BU-therapy. Kurapa kweporioriasis nePUVA-therapy inogona kuitwa mumamiriro ezvinhu apo munhu ane chimiro chakadzika kana chinoramba chiripo chechirwere ichi. Penguva yekugadzirisa, kuwedzera kwemasero anoumba chinhu chinoputika zvakadzivirirwa zvachose, uye pakupedzisira kugadzirwa kweplates kunomiswa, uye pakupedzisira vanonyangarika.
Zviratidzo zveyu nzira yekurapa ndeyewo atopic dermatitis uye mushroom mycosis. PUVA-therapy inokurudzirwawo vitiligo. Izvi zvichabatsira kunyange kune avo varwere vane chirwere chakakonzera zvinopfuura 20-30% zveganda.
PUVA therapy haina kuitwa kumba. Zvose zvinongororwa zvinongowanikwa kunze kwepasipo (mune imwe nguva polyclinic kana kuti nzvimbo dzakakosha dzokurapa zvirwere zveganda). Zvinodhaka zvakatorwa nemuromo, kana kushandiswa pamusoro, uye mushure meawa maviri maawa anokanganisa nehutachiona nzvimbo dzinotarirwa nemirairo ye ultraviolet. Nguva yekujekesa inotanga maminetsi mashomanana, asi inowedzera nechikamu chega chega. Zvizhinji zvePUVA therapy ine maawa 10-30.
Contraindications kune PUVA therapy
PUVA-therapy inonyanya kukosha (85%), uye zviratidzo zvokutanga zvekudzoka kweganda zvinoratidzika zvinoratidzika mushure mekuita maitiro 4-6. Iyi nzira yekurapa inobvumirwa zvakanaka nevarwere uye haisi kudhakwa. Zvisinei, havasi vose vanogona kuishandisa.
Contraindications kune PUVA therapy nde:
- hypersensitivity to psoralen;
- malignant melanoma;
- lupus erythematosus ;
- aphakia;
pigment xeroderma; - albinism;
- porphyria;
- pamuviri.
Nengwarira shandisa iyi nzira yekurapa varwere vane ganda rinopenya, cataract, uremia uye kushaya kwepvo. Uyewo, usashandisa chirwere chePUVA kune avo vakadzvinyirirwa, kana kune mumwe munhu ane zvirwere zvinotyisa. Zvirwere zvakakomba zvemyocardial nezvimwe zvirwere zvakawanda zvisingabvumiri kwenguva yakareba kuti zvimire, zvinowanzodzivirira kupera kwehupenyu hwose hwekurapa.