Photodynamic therapy no ka maʻi ʻaʻai

Hoʻohana ka Photodynamic therapy (PDT) i kahi lāʻau me kahi ʻano kukui e hoʻomake i nā hunaola maʻi ʻaʻai.

ʻO ka mea mua, injhes ke kauka i kahi lāʻau i lawe ʻia e nā hunaola ma ke kino holoʻokoʻa. Noho ka lāʻau i loko o nā hunaola maʻi ʻoi aku ka lōʻihi ma mua o ka noho mau ʻana i nā hunaola olakino.

Ma hope o 1 a 3 mau lā, ua hala ka lāʻau mai nā hunaola olakino, akā noho mau i nā hunaola maʻi ʻaʻai. A laila, kuhikuhi ke kauka i ka mālamalama ma nā hunaola maʻi ʻaʻai e hoʻohana ana i kahi kukuna a i ʻole kumu kukui ʻē aʻe. Hoʻokumu ke kukui i ka lāʻau e hana i kekahi ʻano oxygen e mālama i ka maʻi ʻaʻai e:

• Pepehi kanaka ʻana i nā hunaola maʻi ʻaʻai
• Hoʻopilikia i nā hunaola koko i ka tum tum
• Ke kōkua nei i ka ʻōnaehana pale kaua o ke kino e hoʻouka i ka tumo

Hiki ke kukui mai kahi kukuna a i ʻole kumu ʻē aʻe. Hoʻokomo pinepine ʻia ke kukui ma o ka paipu lahilahi, i hoʻomālamalama ʻia i hoʻokomo ʻia i loko o ke kino. ʻO nā olonā liʻiliʻi ma ka hope o ka pahu e kuhikuhi i ke kukui i nā hunaola maʻi ʻaʻai. Mālama ʻo PDT i ka maʻi ʻaʻai i loko o ka:

• Nā puʻupuʻu, e hoʻohana ana i ka bronchoscope
• ʻO Esophagus, e hoʻohana ana i ka endoscopy luna

Hoʻohana nā kauka i nā diode emitting māmā (LED) e mālama i nā maʻi ʻili o ka ʻili. Kau ʻia ka lāʻau i ka ʻili, a hoʻomālamalama ke kukui i ka ʻili.

Hoʻohana kekahi ʻano o PDT i kahi mīkini e hōʻiliʻili i ke koko o ke kanaka, a laila mālama ʻia me kahi lāʻau a hōʻike i ke kukui. A laila, hoʻihoʻi ʻia ke koko i ke kanaka. Hoʻohana ʻia kēia e mālama i nā hōʻailona o kekahi ʻano lymphoma.

He nui nā pono o PDT. ʻO kahi laʻana, ʻo ia:

• ʻO nā pahuhopu wale nō nā hunaola maʻi ʻaʻai, ʻaʻole nā ​​hunaola maʻamau
• Hiki ke hana hou i nā manawa he nui i ka wahi like, ʻokoʻa ka radiation radiation
• ʻOi aku ka makaʻu ma mua o ke kahakaha
• Lawe ka liʻiliʻi i ka manawa a me nā kumukūʻai ma mua o nā ʻano maʻi ʻaʻai ʻē aʻe

Akā he drawbacks kā PDT. Hiki iā ia ke mālama wale i nā wahi kahi e hiki ai ka malamalama. ʻO ia ka mea hiki ke hoʻohana wale ʻia e mālama i ka maʻi ʻaʻai ma lalo a i ʻole ma lalo o ka ʻili, a i ʻole nā ​​linings o kekahi o nā meaola. Eia kekahi, ʻaʻole hiki ke hoʻohana ʻia i ka poʻe me kekahi ʻano maʻi maʻi koko.

Aia nā hopena ʻelua nui o PDT. Hoʻokahi ka hopena i alakaʻi ʻia e ka mālamalama nāna e hoʻāhū ka ʻili, ʻā ʻana i ka lā, a i ʻole bl bla ma hope o kekahi mau minuke wale nō i ka lā a i ʻole ma kahi kokoke i nā kukui ʻōlinolino. Hiki ke lōʻihi kēia hopena ma kahi o 3 mau mahina ma hope o ka mālama ʻana. E hōʻalo iā ia:

• Pani i nā aka a me nā pale ma nā puka aniani a me nā skylights i kou home ma mua o kou mālama ʻana.
• E lawe mai i nā aniani ʻeleʻele, nā mīkina lima, kahi pāpale ākea ākea, a komo i nā lole e uhi i ka nui o kou ʻili i hiki i kāu lapaʻau ʻana.
• No hoʻokahi mahina ma hope o ka mālama ʻana, e noho i loko e like me ka hiki, keu hoʻi ma waena o 10 am a 4 pm.
• Uhi i kou ʻili ke hele ʻoe i waho, ʻoiai i nā lā ʻōpua a me ke kaʻa. Mai helu i ka pale o ka lā, ʻaʻole ia e pale i ka hopena.
• Mai hoʻohana i nā kukui heluhelu a pale i nā kukui hoʻāʻo, e like me ke ʻano o ka dentist e hoʻohana ai.
• Mai hoʻohana i nā mea maloʻo lauoho lauoho e like me nā mea i nā salona lauoho. E hoʻohana wale i ka hoʻonohonoho wela haʻahaʻa ke hoʻohana nei i kahi mea maloʻo lauoho paʻa lima.

ʻO ka hopena ʻē aʻe nui ka pehu, a he mea paha ia e ʻeha ai a pilikia paha i ka hanu ʻana a me ka ale ʻana. Pili kēia i ka wahi i mālama ʻia. Kūlohelohe nā hopena ʻaoʻao.

Phototherapy; ʻO Photochemotherapy; Hoʻoikaika Photoradiation; Ka maʻi ʻaʻai o ka esophagus - photodynamic; Maʻi ʻaʻai Esophageal - photodynamic; Kanesa maʻi ʻaʻai - photodynamic

Pūnaewele ʻAmelika Hui Pū ʻIa ʻAmelika. Ke kiʻi nei i ka photodynamic therapy. www.cancer.org/treatment/treatments-and-side-effects/treatment-types/radiation/photodynamic-therapy.html. Hoʻohou i Kēkēmapa 27, 2019. Loaʻa iā Malaki 20, 2020.

Lui H, Richer V. Hoʻōla lāʻau Photodynamic. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 135.

Pūnaewele ʻo National Cancer Institute. Photodynamic therapy no ka maʻi ʻaʻai. www.cancer.gov/about-cancer/treatment/types/surgery/photodynamic-fact-sheet. Hoʻohou ʻia Kepakemapa 6, 2011. Loaʻa iā Nowemapa 11, 2019.

• Kanesa