Indwara ya rubagimpande ni yo mpamvu nyamukuru itera ubumuga, irangwa no kubabara kenshi guterwa no kubyimba mu ngingo imwe cyangwa nyinshi z'umubiri. Nubwo rubagimpande rufite imiterere itandukanye kandi akenshi rufitanye isano n'abageze mu zabukuru, mu by'ukuri ishobora kwibasira umuntu uwo ari we wese, hatitawe ku myaka cyangwa igitsina. Ikibazo tuzasubiza muri iyi nkuru ni iki - Ese urumuri rushobora gukoreshwa neza mu kuvura ubwoko bumwe cyangwa bwose bwa rubagimpande?
Intangiriro
Amwe mu masoko yahafi y'urumuri rwa infrared n'urumuri rutukuraMu by’ukuri yakoreshejwe mu buvuzi mu kuvura indwara ya rubagimpande kuva mu mpera za 1980. Mu mwaka wa 2000, hari ibimenyetso bihagije bya siyansi byasabaga abantu bose barwaye rubagimpande hatitawe ku mpamvu cyangwa uburemere bwayo. Kuva icyo gihe hakozwe ubushakashatsi bwinshi bw’ubuvuzi bugerageza kunoza ibipimo by’ingingo zose zishobora kwangirika.
Ubuvuzi bworoheje n'ikoreshwa ryabwo mu kuvura rubagimpande
Ikimenyetso cya mbere cy’ingenzi cya rubagimpande ni ububabare, akenshi bubabaza kandi bugatuma umuntu acika intege uko indwara ikomeza. Ubu ni bwo buryo bwa mbere butumaubuvuzi bworohejeikorerwa ubushakashatsi - binyuze mu kugabanya ububyimbirwe mu ngingo bityo bigabanye ububabare. Mu buryo bugaragara, ahantu hose hakorewe ubushakashatsi mu bushakashatsi ku bantu harimo ku mavi, ku bitugu, ku rwasaya, ku ntoki/amaboko/kuboko, mu mugongo, ku nkokora, ku ijosi no ku karenge/ku birenge/ku mano.
Amavi asa nkaho ari yo ngingo yigwa neza cyane mu bantu, ibyo bikaba byumvikana bitewe nuko ari yo ikunze kwibasirwa cyane. Ubwoko ubwo aribwo bwose bwa rubagimpande bugira ingaruka zikomeye nko kuba ubumuga no kudashobora kugenda. Ku bw'amahirwe, ubushakashatsi bwinshi bukoresha urumuri rutukura/IR ku ngingo y'ivi bugaragaza ingaruka zimwe na zimwe zishimishije, kandi ibi ni ukuri ku bwoko butandukanye bw'ubuvuzi. Intoki, amano, amaboko n'ibiganza bisa nkaho ari byo byoroshye gukemura mu bibazo byose bya rubagimpande, bitewe n'ingano yabyo ntoya n'ubujyakuzimu buto.
Osteoarthritis na rubagimpande ni byo bwoko bw'ingenzi bwa rubagimpande burimo kwigwaho, bitewe n'uko bikunze kugaragara, nubwo hari impamvu yo kwizera ko uburyo bumwe bushobora kuba bwiza ku bundi bwoko bwa rubagimpande (ndetse n'ibibazo bidafite aho bihuriye n'ingingo nk'imvune cyangwa nyuma yo kubagwa) nka psoriatic, goutte ndetse na rubagimpande y'abana. Ubuvuzi bwa rubagimpande bukunze kuba bukubiyemo gushyira urumuri mu gace kafashwe. Ubuvuzi bwiza bwa rubagimpande bushobora kuba bumwe ariko bumwe bunasaba gushyira urumuri mu maraso. Kubera ko rubagimpande ari indwara iterwa n'ubwiyongere bw'umubiri, ibi birumvikana - ingingo ni ikimenyetso gusa, ikibazo nyacyo kiri mu turemangingo tw'umubiri.
Uburyo - ikiurumuri rutukura/urumuri rwa infraredikora
Mbere yuko dusobanukirwa uburyo urumuri rutukura/urumuri rwa IR rukorana n'indwara ya rubagimpande, tugomba kumenya icyatera indwara ya rubagimpande.
Impamvu
Indwara ya rubagimpande ishobora guterwa no kubyimba ingingo igihe kirekire, ariko ishobora no kugaragara mu buryo butunguranye, nyuma y'igihe cy'imihangayiko cyangwa imvune (si ngombwa ko iba yakomeretse agace ka rubagimpande). Ubusanzwe umubiri ushobora gusana imyakura ya buri munsi ku ngingo, ariko ushobora gutakaza ubwo bushobozi, bigatera indwara ya rubagimpande.
Kugabanuka kwa oxidative metabolism, ubushobozi bwo guhindura glucose/carbohydrate mo ingufu bifitanye isano rikomeye na rubagimpande.
Indwara ya hypothyroidism ikunze kujyana na rubagimpande, byombi bikunze gupimwa mu gihe kimwe.
Ubushakashatsi buherutse gukorwa bwagaragaje ko ikibazo cy’imikorere mibi y’isukari mu mubiri gifitanye isano n’indwara ya rubagimpande
Hari isano ihamye hagati y'imisemburo n'ubwoko bwinshi bwa rubagimpande
Ibi bigaragazwa n'uburyo gutwita bishobora gukuraho burundu (cyangwa byibuze guhindura) ibimenyetso by'indwara ya rubagimpande ku bagore bamwe na bamwe.
Indwara ya rubagimpande nayo ikunze kugaragara ku bagore inshuro eshatu kurusha ku bagabo (kandi bigoye ku bagore kuyivura), ibyo bikaba byemeza neza isano iri hagati y’imisemburo.
Imisemburo y’intanga ngabo (cyangwa kubura kwayo) na yo imaze imyaka irenga 100 ifitanye isano n’indwara zose zo mu maraso.
Impinduka mu buzima bw'umwijima/imikorere yazo zifitanye isano rikomeye n'indwara ya rubagimpande
Kubura kalisiyumu nabyo bifitanye isano n'indwara ya rubagimpande, hamwe n'izindi ntungamubiri zitandukanye zibura.
Mu by’ukuri, imikorere idasanzwe ya kalisiyumu iboneka mu bwoko bwose bwa rubagimpande.
Urutonde rw'impamvu ruracyakomeza, hari ibintu byinshi bishobora kugira uruhare. Nubwo impamvu nyayo itera rubagimpande ikomeje kuganirwaho muri rusange (kandi itandukanye kuri osteo / rheumatoid n'ibindi), biragaragara ko hari isano iri hagati yo kugabanuka k'umusaruro w'ingufu n'ingaruka bigira ku mubiri, amaherezo bigatera kubyimba ingingo.
Kuvura indwara ya rubagimpande hakiri kare hakoreshejwe ATP (umuti ukoreshwa mu gutunganya ingufu z'uturemangingo) byagize ingaruka nziza, kandi iyi ni yo molekile y'ingufu ubuvuzi bw'urumuri rutukura/IR bufasha uturemangingo twacu gukora….
Uburyo
Igitekerezo cy'ingenzi kiri inyumaubuvuzi bworohejeni uko uburebure bw'urumuri rutukura n'urumuri ruri hagati ya 600nm na 1000nm rwinjizwa n'uturemangingo twacu, ibyo bigatuma ingufu karemano (ATP) ziyongera. Abashakashatsi bo muri urwo rwego bita 'photobiomodulation'. By'umwihariko tubona ubwiyongere bw'ibikomoka kuri mitochondrial nka ATP, NADH, ndetse na co2 - ingaruka zisanzwe z'imikorere myiza kandi idahangayikishije.
Ndetse bisa nkaho imibiri yacu yahindutse kugira ngo imenyererwe, kandi ikoreshe neza ubwo bwoko bw'urumuri. Igice kivugwaho rumwe muri ubwo buryo ni uruhererekane rw'ibintu byihariye ku rwego rwa molekile, aho hari ibitekerezo byinshi:
Okiside nitrike (NO) irekurwa mu turemangingo mu giheubuvuzi bworoheje. Iyi ni molekile y'umuvuduko ubuza guhumeka, bityo kuyisohora mu turemangingo ni ikintu cyiza. Igitekerezo cyihariye ni ukoitara ritukura/IRirimo gukura NO muri cytochrome c oxidase muri mitochondria, bityo bigatuma ogisijeni yongera gutunganywa.
Ubwoko bwa ogisijeni ikora neza (ROS) burekurwa mu rugero ruto nyuma yo kuvurwa n'urumuri.
Vasodilation ishobora guterwa imbaraga naubuvuzi bw'urumuri rutukura/urumuri rw'izuba– ikintu kijyanye na NO kandi gifite akamaro kanini ku kubyimba ingingo na rubagimpande.
Umucyo utukura/IR ugira ingaruka ku mazi (mu turemangingo), wongera intera iri hagati ya buri molekile y'amazi. Ibi bivuze ko imiterere y'impinduka mu turemangingo iba nziza kurushaho, enzymes na poroteyine bigira ubudahangarwa buke, gukwirakwira kw'amajwi ni byiza kurushaho. Ibi biba mu turemangingo ariko no mu maraso n'ahandi hantu hahurira uturemangingo.
Ibyinshi mu binyabuzima (ku rwego rw'uturemangingo) ntibirasobanuka neza kandi urumuri rutukura/IR rusa nkaho ari ingenzi ku buzima mu buryo runaka, kurusha andi mabara menshi/uburebure bw'urumuri. Dukurikije ibimenyetso, bisa nkaho ibitekerezo byombi byavuzwe haruguru birimo kubaho, ndetse wenda n'izindi nzira zitaramenyekana.
Hari ibimenyetso byinshi byerekana ingaruka zikomeye ku mikorere y’umubiri zituruka ku gukaraba imitsi n’imitsi aho ari ho hose ku mubiri, hamwe no kwiyongera kw’amaraso atembera neza/imitsi mito ndetse no kugabanuka k’ububyimbirwe mu gace k’umubiri. Ikintu cy’ingenzi ni uko urumuri rutukura/urumuri rwa IR rugabanya stress yo mu gace k’umubiri bityo bigafasha uturemangingo twawe kongera gukora neza - kandi uturemangingo tw’ingingo ntabwo dutandukanye muri ibi.
Umutuku cyangwa Infrared?
Itandukaniro rikomeye hagati y'urumuri rutukura (600-700nm) n'urumuri rwa infrared (700-100nm) risa nkaho ari uburebure bw'urumuri rushobora kwinjiramo, aho uburebure bw'urumuri burenga 740nm bwinjira neza kurusha uburebure bw'urumuri buri munsi ya 740nm - kandi ibi bigira ingaruka ku ndwara ya rubagimpande. Urumuri rutukura rufite imbaraga nke rushobora kuba rwiza ku ndwara ya rubagimpande yo mu biganza no mu birenge, ariko rushobora kugabanuka ku ndwara ya rubagimpande yo mu mavi, mu bitugu no mu ngingo nini. Inyinshi mu bushakashatsi ku bijyanye n'urumuri rwa rubagimpande bukoresha uburebure bw'urumuri rwa infrared kubera iyo mpamvu, kandi ubushakashatsi bugereranya uburebure bw'urumuri rutukura n'urwa infrared bugaragaza umusaruro mwiza uva kuri infrared.
Kwemeza ko ingingo zinjira mu ngingo
Ibintu bibiri by'ingenzi bigira ingaruka ku kwinjira kw'uturemangingo ni uburebure bw'urumuri n'imbaraga z'urumuri rugera ku ruhu. Mu buryo bufatika, ikintu cyose kiri munsi y'uburebure bwa 600nm cyangwa hejuru y'uburebure bwa 950nm ntikigera cyinjira cyane. Urwego rwa 740-850nm rusa nkaho ari rwo rwiza rwo kwinjira neza no hafi 820nm kugira ngo rugire ingaruka nziza ku turemangingo. Ingufu z'urumuri (aka power density / mW / cm²) nazo zigira ingaruka ku kwinjira aho 50mW / cm² ku buso bwa cm² nke ari ntoya cyane. Bityo rero, ibi biva ku gikoresho gifite uburebure bw'urumuri buri hagati ya 800-850nm kandi burenga 50mW / cm².
Incamake
Ubuvuzi bworoheje bwakozweho ubushakashatsi ku bijyanye n'indwara ya rubagimpande n'ubundi bwoko bw'ububabare mu myaka ibarirwa muri za mirongo.
Ubushakashatsi bworoheje bureba ubwoko bwose bwa rubagimpande; osteoporosis, rheumatoid, psoriatic, juvenile, nibindi.
Ubuvuzi bworohejebivugwa ko bikora mu kunoza umusaruro w'ingufu mu turemangingo tw'ingingo, ibi bikaba bishobora gufasha kugabanya ububyimbirwe no gutuma imikorere igenda neza.
LED na laser ni byo bikoresho byonyine byigwa neza.
Uburebure bw'urumuri buri hagati ya 600nm na 1000nm burasuzumwa.
Urumuri rwa infrared ruri hafi ya 825nm ruragaragara ko ari rwiza cyane mu kwinjira.