Ni gute ubuvuzi bw'urumuri rutukura bukora mu kugabanya ububabare

Bishobora gusa nkaho bidashoboka ko kwicara munsi y'itara byagirira akamaro umubiri wawe (cyangwa ubwonko), ariko uburyo bwo kuvura bushobora kugira ingaruka zikomeye ku ndwara zimwe na zimwe.
Ubuvuzi bw'urumuri rutukura (RLT), ubwoko bwa photomedicine, ni uburyo bwo kuvura indwara zitandukanye bukoresha uburebure butandukanye bw'urumuri mu kuvura indwara zitandukanye. Nk'uko Ikigo cy'Igihugu cy'Ubushakashatsi ku Myuka kibitangaza, urumuri rutukura rufite uburebure buri hagati ya nanometero 620 (nm) na 750 nm. Nk'uko Ikigo cy'Abanyamerika gishinzwe Ubuvuzi n'Ubuvuzi bwa Laser kibitangaza, uburebure bumwe na bumwe bw'urumuri bushobora gutera impinduka mu turemangingo bigira ingaruka ku mikorere yatwo.
Ubuvuzi bw'urumuri rutukura bufatwa nk'ubuvuzi bwuzuzanya, bivuze ko bugomba gukoreshwa hamwe n'ubuvuzi gakondo n'ubuvuzi bwemewe na muganga. Urugero, niba ufite imirongo mito n'iminkanyari, ushobora gukoresha uburyo bwo kuvura urumuri rutukura hamwe n'imiti yo mu bwoko bwa red light yanditswe na muganga w'uruhu (nka retinoids) cyangwa uburyo bwo kuvura mu biro (nk'inshinge cyangwa lasers). Niba ufite imvune mu mikino, umuvuzi w'umubiri ashobora no kuguvura akoresheje uburyo bwo kuvura urumuri rutukura.
Kimwe mu bibazo bivuka mu kuvura urumuri rutukura ni uko ubushakashatsi butagaragaza neza uburyo n'ingano yarwo bikenewe, n'uburyo izi gahunda zitandukanye bitewe n'ikibazo cy'ubuzima ugerageza gukemura. Mu yandi magambo, hakenewe gushyiraho amabwiriza ahamye, kandi FDA ntabwo irashyiraho ayo mahame. Ariko, nk'uko ubushakashatsi n'inzobere bimwe na bimwe bibigaragaza, kuvura urumuri rutukura bishobora kuba uburyo bwiza bwo kuvura ibibazo byinshi by'ubuzima n'ubuvuzi bw'uruhu. Menya neza, nkuko bisanzwe, ko ugiye kugisha inama muganga wawe mbere yo gutangira kuvura bushya.
Dore zimwe mu nyungu zishobora kuboneka ku buzima busanzwe ku buvuzi bw'urumuri rutukura.
Imwe mu mikoreshereze ikunzwe cyane y’ubuvuzi bw’urumuri rutukura ni mu kuvura indwara z’uruhu. Ibikoresho byo mu rugo birazwi cyane bityo bikaba bikunzwe. Izi ni indwara urumuri rutukura rushobora kuvura (cyangwa ntiruvure).
Ubushakashatsi bukomeje kugaragara ku bushobozi bw'urumuri rutukura mu kugabanya ububabare mu ndwara zitandukanye zidakira. “Niba ukoresheje igipimo gikwiye n'uburyo bukwiye bwo kuvura, ushobora gukoresha urumuri rutukura mu kugabanya ububabare n'ububyimbirwe,” ibi ni ibyatangajwe na Dr. Praveen Arani, umwarimu wungirije muri Kaminuza ya Buffalo akaba n'umuyobozi w'agateganyo wa Ikigo cy'Ubuhanga mu Gutunganya Imiti muri Kaminuza ya Sheppard, Shepherds, muri Virijiniya y'Iburengerazuba.
Bite se? Dr. Arani yasobanuye ati: “Hari poroteyine yihariye ku buso bwa neuron, iyo yinjije urumuri, igabanya ubushobozi bw'uturemangingo bwo gukora cyangwa kumva ububabare.” Ubushakashatsi bwakozwe mbere bwagaragaje ko LLLT ishobora gufasha mu gucunga ububabare ku bantu bafite indwara ya neuropathy (ububabare bw'imitsi akenshi buterwa na diyabete, nk'uko Cleveland Clinic ibivuga).
Ku bijyanye n'ibindi bibazo, nko kubabara bitewe no kubyimba, ubushakashatsi bwinshi buracyakorwa ku nyamaswa, bityo ntibiramenyekana neza uburyo ubuvuzi bw'urumuri rutukura buhura na gahunda yo kuvura ububabare ku bantu.
Ariko, nk'uko inyigo ku bubabare bw'umugongo budakira ku bantu yasohotse mu kinyamakuru Laser Medical Science mu Ukwakira ibigaragaza, ubu buryo bwo kuvura bushobora kuba ingirakamaro mu kuvura ububabare mu buryo bw'inyongera, kandi hakenewe ubushakashatsi bw'inyongera kugira ngo dusobanukirwe neza isano iri hagati ya RLT n'ubutabazi.
Ubushakashatsi bwerekana ko urumuri rutukura rushobora gukangura mitochondria (urugo rw'ingufu z'uturemangingo) binyuze mu gutera enzyme yongera ATP ("ifaranga ry'ingufu" ry'uturemangingo nk'uko StatPearls ibivuga), amaherezo igatera imikurire n'isana ry'imitsi. 2020 Byasohotse muri Mata muri Frontiers muri Sport and Active Living. Bityo, ubushakashatsi bwasohotse muri AIMS Biophysics mu 2017 bwerekana ko uburyo bwo kuvura mbere yo gukora imyitozo ngororamubiri hakoreshejwe urumuri rutukura cyangwa hafi ya infrared bushobora kongera imikorere y'imitsi, bugakiza kwangirika kw'imitsi, kandi bukagabanya ububabare n'ububabare nyuma yo gukora imyitozo ngororamubiri.
Na none, iyi myanzuro ntabwo ifite ishingiro. Haracyari ibibazo ku buryo bwo gukoresha uburebure bw'umuvuduko n'igihe cy'ubu buryo bwo kuvura urumuri, bitewe n'imikino, uburyo bwo kubukoresha kuri buri mitsi, n'uburyo bwo kubukoresha, nk'uko byagaragajwe n'isuzuma rya Life magazine ryo mu Kuboza 2021. Ibi bivamo kunoza imikorere.
Inyungu igaragara yo kuvura urumuri rutukura - ubuzima bw'ubwonko - yego, iyo irabagirana ku mutwe unyuze ku ngofero.
Arani yagize ati: “Hari ubushakashatsi bufatika bwerekana ko uburyo bwo kuvura hakoreshejwe photobiomodulation bushobora kunoza imikorere y’ubwonko.” Nk’uko inkuru yasohotse mu kinyamakuru Journal of Neuroscience ibivuga, PBM ntigabanya gusa ububyimbirwe, ahubwo inanoza urujya n’uruza rw’amaraso na ogisijeni kugira ngo habeho uturemangingo dushya tw’ubwonko na synapses mu bwonko, bishobora kuba ingirakamaro ku bantu bakomeretse mu bwonko cyangwa barwaye indwara yo gucika intege mu bwonko. Ubushakashatsi bwakozwe muri Mata 2018 bwarafashije.
Nk’uko ubushakashatsi bwasohotse muri BBA Clinical mu Kuboza 2016 bubigaragaza, abahanga mu bya siyansi baracyakora iperereza ku gihe cyo gutanga ubuvuzi bwa PBM n’uko bushobora gukoreshwa ako kanya nyuma y’imvune yo mu bwonko cyangwa nyuma y’imyaka myinshi; icyakora, iki ni ikintu gikwiye kwitabwaho.
Indi nyungu nziza? Nk’uko bivugwa n’Umuryango w’Ubumwe bw’Abarwaye Ibicurane (Concussion Alliance), ubushakashatsi bukomeje gukorwa ku ikoreshwa ry’urumuri rutukura n’urumuri rurerure mu kuvura ibimenyetso byo kubabara nyuma yo kubabara bishobora kuba ingirakamaro.
Kuva ku bikomere by'uruhu kugeza ku munwa, urumuri rutukura rushobora gukoreshwa mu gukira. Muri ibi bihe, urumuri rutukura rushyirwa ku gice cy'igikomere kugeza gikize neza, nk'uko Alani abivuga. Ubushakashatsi buto bwakozwe muri Maleziya bwasohotse muri Gicurasi 2021 mu kinyamakuru Mpuzamahanga cy'Ibikomere byo mu Burengerazuba bw'Iburengerazuba bwerekana ko PBM ishobora gukoreshwa hamwe n'ibipimo bisanzwe byo gufunga ibisebe by'ibirenge bya diyabete; Nyakanga 2021 mu kinyamakuru Photobiomodulation, Photomedicine na Lasers. Ubushakashatsi bw'ibanze ku nyamaswa mu kinyamakuru cy'Ubuvuzi bwerekana ko ishobora kuba ingirakamaro mu bikomere byo gutwika; ubushakashatsi bw'inyongera bwasohotse mu kinyamakuru BMC Oral Health muri Gicurasi 2022 bwerekana ko PBM ishobora gufasha gukira ibikomere nyuma yo kubagwa mu kanwa.
Byongeye kandi, ubushakashatsi bwasohotse mu kinyamakuru Mpuzamahanga cy’Ubumenyi bw’Ibinyabutabire mu Kwakira 2021 buvuga ko PBM ishobora kunoza imikorere y’uturemangingo, kugabanya ububabare n’ububyimba, gushishikariza ivugururwa ry’uturemangingo, kurekura ibintu bikura, n’ibindi, biganisha ku gukira vuba. n’ubushakashatsi ku bantu.
Nk’uko MedlinePlus ibivuga, imwe mu ngaruka mbi zishobora guterwa na chimiotherapie cyangwa radiation therapy ni oral mucositis, igaragaramo ububabare, ibisebe, ubwandu, no kuva amaraso mu kanwa. PBM izwiho gukumira cyangwa kuvura iyi ngaruka mbi, nk’uko bigaragara mu isuzuma ryakozwe ryasohotse mu kinyamakuru Frontiers in Oncology muri Kanama 2022.
Byongeye kandi, nk'uko isuzuma ryasohotse mu kinyamakuru Oral Oncology cyo muri Kamena 2019 ribivuga, PBM yakoreshejwe neza mu kuvura ibisebe by'uruhu biterwa n'imirasire ndetse n'indwara ya lymphedema nyuma yo gucibwa amabere nta buvuzi butanga izindi ngaruka mbi.
PBM ubwayo ifatwa nk'uburyo bwo kuvura kanseri mu gihe kizaza kuko ishobora gukangura ubudahangarwa bw'umubiri cyangwa ikazamura ubundi buryo bwo kuvura kanseri kugira ngo ifashe mu kwica uturemangingo twa kanseri. Hakenewe ubushakashatsi bwinshi.
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