Tsab ntawv no muab kev qhia txog kev kho mob teeb liab rau cov neeg nyeem tshiab.

31 Saib

Cia muaj lub teeb - rau koj qhov mob, daim tawv nqaij, thiab kev raug mob, uas yog. Lub peev xwm ntawm lub teeb liab los kho ntau yam kev noj qab haus huv thiab kev zoo nkauj tsuas yog tshwm sim ua tsaug rau kev txaus siab los ntawm cov kws tshawb fawb, cov tsev kawm qib siab, thiab cov tsev kho mob, nrog rau cov khoom siv hauv tsev uas ua rau nws yooj yim dua.

Kev kho mob teeb liab (RLT) yog ib hom photomedicine, uas yog "kev siv lub teeb los kho daim tawv nqaij thiab lwm yam mob," Jared Jagdeo, MD, tus thawj coj ntawm Center for Photomedicine ntawm SUNY Downstate Health Sciences University hauv Brooklyn, New York hais.

Ntawm no, kawm txog keeb kwm ntawm kev kho mob, nws ua haujlwm li cas, nws cov txiaj ntsig, yuav xav li cas los ntawm kev kho mob, thiab ntau ntxiv.

Keeb Kwm ntawm Kev Kho Mob Teeb Liab

Muaj lwm lo lus rau kev kho mob lub teeb, thiab qhov ntawd yog photobiomodulation (lossis PBM luv luv), hais tias Praveen Arany, PhD, DDS, tus xibfwb pabcuam ntawm University of Buffalo thiab tus thawj coj ib ntus ntawm Center of Excellence for Photobiomodulation ntawm Shepherd University hauv Shepherdstown, West Virginia. Lwm cov lus rau tib yam yog kev kho mob laser qis (LLLT), photostimulation, thiab kev kho mob laser txias, nws hais.

Kev kho mob siv lub teeb tau muaj ntau tshaj 50 xyoo lawm. Nws tau raug tshawb pom los ntawm tus kws kho mob Hungarian Endre Mester hauv xyoo 1960 thaum kev sim tshuaj ntsuam xyuas nrog cov lasers liab ntawm cov nas ua rau cov plaub hau loj hlob thiab kho qhov txhab, raws li tsab xov xwm tshawb fawb luam tawm thaum Lub Kaum Ob Hlis 2017 hauv Journal of Biophotonics. Tau ntau xyoo, kev kho mob siv lub teeb feem ntau suav tias yog cuav. Tab sis nrog kev tshawb fawb tshiab (qee qhov tsis sib haum xeeb), lub zej zog kev tshawb fawb tau pib pom zoo.

"Tam sim no hauv Tebchaws Meskas, kev kho mob siv lub teeb liab tseem suav tias yog kev tshawb fawb tsis yog kev tshawb fawb tseem ceeb. Tab sis muaj cov chaw kawm thiab chaw kho mob uas tab tom siv cov thev naus laus zis no thiab muab rau cov neeg mob," Dr. Arany hais.

Tam sim no muaj cov chaw, zoo li qhov ntawm Shepherd University, mob siab rau kev qhia cov kws kho mob thiab cov kws tshawb fawb txog kev raug cai ntawm PBM ua kev kho mob, nrog rau cov koom haum tshaj lij, xws li North American Association for Photobiomodulation Therapy (NAALT) thiab PBM Foundation. Ib qho ntawm kev siv lub teeb liab nrov tshaj plaws yog hauv kev saib xyuas tawv nqaij, thiab kev muaj cov khoom siv pheej yig hauv tsev tau ua rau nws nrov dua.

Kev Kho Mob Liab Ua Haujlwm Li Cas

Photobiomodulation siv lub teeb nyob rau hauv cov wavelengths tshwj xeeb. Qhov no yog ntawm 400 nanometers (nm) (xiav) txog li 1,200 nm (ze-infrared), Arany hais. Lub teeb liab muaj wavelengths ntawm 620 txog 750 nm, raws li National Center for Atmospheric Research. Qhov no yog lub teeb pom kev.

Nws hais tias lub teeb xiav, ntsuab, thiab liab tau siv zoo rau kev kho mob PBM. Lub teeb ze-infrared, uas yog lub teeb ntev dua (txog li 1,200 nm), kuj siv rau hauv PBM thiab muaj nyob rau hauv infrared saunas. Txawm hais tias lub teeb no yuav zoo li liab, qhov tseeb, lub teeb infrared tsis pom thiab hloov chaw ua kom lub cev sov los ntawm sab hauv los tsav kev hloov pauv ntawm lub cev.

Kev kho mob teeb liab, tshwj xeeb, tau nrov zuj zus nyob rau xyoo tas los no thiab tej zaum yog qhov paub zoo tshaj plaws thiab yooj yim tshaj plaws rau kev nkag mus. "Cov khoom siv teeb liab yooj yim dua los tsim thiab muaj ntau," Arany hais.

Yog li nws ua haujlwm li cas? Thaum cov photons (cov khoom me me ntawm lub teeb) raug tso ze ntawm daim tawv nqaij lawv nkag mus rau hauv cov ntaub so ntswg thiab ua kom cov chromophores (ib feem ntawm cov molecule uas muab nws cov xim), uas ua rau muaj kev hloov pauv hauv cov cell, raws li American Society for Laser Medicine & Surgery. Tsis tas li ntawd, kev kho mob liab kuj cuam tshuam rau mitochondria (lub zog ntawm cov cell), tsim ATP (lub zog) los txhawb kev kho mob, sau tseg PBM Foundation.

Yuav kom kev kho mob teeb liab ua haujlwm tau zoo, yuav tsum siv cov txheej txheem thiab cov koob tshuaj tshwj xeeb, nyob ntawm koj qhov teeb meem kev noj qab haus huv, yog vim li cas tus kws kho mob paub txog thiaj li tseem ceeb heev, Arany hais. Yog tias ua tau, nrhiav kev kho mob no los ntawm tsev kho mob, tsev kawm qib siab, lossis chaw kho mob. Nws pom zoo kom tsis txhob kho teeb liab los ntawm cov khw txiav plaub hau lossis chaw kho mob spa.

Cov khoom siv teeb liab tuaj yeem yuav thiab siv tau hauv tsev rau kev saib xyuas tawv nqaij, thiab cov no feem ntau muaj kev nyab xeeb siv raws li tau qhia, Dr. Jagdeo hais.

Cov khoom siv kho mob siv lub teeb liab muaj cov teeb LED liab siv ua cov khoom siv tuav tes, cov vaj huam sib luag LED, lossis cov txaj pw tag nrho lub cev, nyob ntawm seb yog vim li cas thiaj kho. Qee cov khoom siv siv ob qho tib si teeb liab thiab teeb ze-infrared, tab sis feem ntau, tsis muaj ntau hom kev kho mob siv lub teeb liab sib txawv.

Hom Kev Kho Mob Liab

Cov khoom siv kho mob siv lub teeb liab muaj cov teeb LED liab siv ua cov khoom siv tuav tes, cov vaj huam sib luag LED, lossis cov txaj pw tag nrho lub cev, nyob ntawm seb yog vim li cas thiaj kho. Qee cov khoom siv siv ob qho tib si teeb liab thiab teeb ze-infrared, tab sis feem ntau, tsis muaj ntau hom kev kho mob siv lub teeb liab sib txawv.

Cov txiaj ntsig ntawm Kev Kho Mob Teeb Liab

Txawm hais tias kev tshawb fawb muaj kev cia siab rau kev kho mob teeb liab, tseem muaj kev tshawb fawb sib txawv - thiab qee qhov qhia tsis muaj txiaj ntsig rau qee yam mob. Feem ntau, kev tshawb fawb xav tau ntau tus qauv thoob plaws lub rooj tsavxwm (hauv cov koob tshuaj thiab lub sijhawm) nyob ntawm tus mob rau cov kws tshawb fawb thiab cov kws kho mob kom nkag siab tag nrho cov txiaj ntsig ntawm kev kho mob teeb liab. Hauv qab no yog cov kev siv tau zoo rau kev kho mob teeb liab, raws li cov kws tshaj lij.

Ua kom daim tawv nqaij zoo nkauj dua

Ib qho ntawm cov txiaj ntsig ntawm kev kho mob teeb liab uas feem ntau hais txog yog nws cov teebmeem rau ntawm daim tawv nqaij. Nws tuaj yeem siv los daws cov teeb meem no:

Pob txuv

Cov kab zoo thiab cov wrinkles

Kev loj hlob ntawm cov plaub hau

Liab

Kev kho mob teeb liab txo qhov o los kho qhov liab, pob txuv, thiab cov plaub hau loj hlob, kuj tso cai rau kev kho mob sab nraud lossis qhov ncauj rau cov mob no kom ua haujlwm zoo dua, Jagdeo hais. Tsis tas li ntawd, thaum nws los txog rau kev tshem tawm cov pob khaus, "kev kho mob teeb liab ua rau peb lub cev tiv thaiv kab mob tiv thaiv cov kab mob uas cuam tshuam nrog kev tsim pob txuv," nws hais ntxiv. Rau cov kab thiab cov pob khaus, cov kev kho mob no tsom mus rau cov enzymes uas cuam tshuam nrog kev tawg ntawm collagen thiab txhawb kev tsim collagen, raws li Cleveland Clinic.

Pab Kho Mob Raug Mob Los Ntawm Kev Ua Si

Kev raug mob tsis tuaj yeem ua rau koj lub cev tsis muaj zog yog qhov nyuaj heev rau koj lub siab thiab lub cev, tab sis kev kho mob siv lub teeb liab yuav pab koj rov qab sawv ntsug. "Lub teeb liab tuaj yeem siv los txhim kho kev ua haujlwm ntawm cov leeg pob txha, txo qhov mob, thiab txhim kho kev rov zoo los ntawm kev raug mob," Arany hais. Cov kws sau ntawv ntawm kev tshuaj xyuas luam tawm thaum Lub Kaum Ob Hlis 2021 hauv phau ntawv xov xwm Life tau sau tseg tias PBM yuav siv tau rau hauv kev kho mob ntawm kev raug mob kis las, thiab txhim kho kev ua si, txawm hais tias xav tau kev tshawb fawb ntxiv.

Pab Kho Cov Qhov Mob

Txawm koj muaj qhov txhab hauv koj lub qhov ncauj lossis qhov mob qhib ntawm koj txhais taw, cov khoom tiv thaiv kev o ntawm lub teeb liab tau pom tias ua rau lub cev muaj peev xwm kho tau zoo, Arany hais, uas tau luam tawm kev tshuaj xyuas thaum lub Plaub Hlis 2019 hauv Advances in Skin and Wound Care txog cov ncauj lus no. "Kev tshawb fawb hauv kuv lub chaw kuaj mob qhia tau tias PBM tuaj yeem ua kom muaj zog loj hlob uas txhawb nqa kev kho cov ntaub so ntswg thiab rov ua dua tshiab," nws piav qhia, qee yam uas yuav tseem ceeb rau cov qhov txhab hauv qhov ncauj, kev tshawb fawb tau pom.

Txo qhov mob

Qhov mob yeej nyuaj kho, tab sis kev kho mob siv lub teeb yuav yog ib qho cuab yeej pab tau. "Lub teeb liab ua haujlwm rau cov neurons uas xa qhov mob," Arany hais.

Lub teeb liab tej zaum yuav zoo dua rau qee hom mob dua li lwm yam, raws li ib qho kev tshuaj xyuas tsis ntev los no luam tawm thaum Lub Xya Hli 2022 hauv Journal of Pain. Cov kws sau ntawv tau sau tseg tias muaj qee qhov pov thawj ntawm qhov ua tau zoo ntawm lub teeb liab rau cov mob xws li fibromyalgia, ntshav siab qis, osteoarthritis, thiab neuropathy.

Txo Cov Kev Mob Tshwm Sim Los Ntawm Kev Kho Mob Cancer

Thaum siv ua ntej kev kho mob chemotherapy lossis kev kho mob hluav taws xob, kev kho mob siv lub teeb liab yuav pab txo cov kev mob tshwm sim, xws li mob, thiab lawv qhov hnyav, Arany hais, txawm hais tias xav tau kev tshawb fawb ntxiv rau tib neeg kom nkag siab txog qhov txiaj ntsig no.

Piv txwv li, ib txoj kev tshawb fawb txog nas, luam tawm thaum Lub Kaum Ob Hlis 2021 hauv phau ntawv xov xwm Photonics, pom tias lub teeb liab thiab kev kho mob ze-infrared txo qhov hnyav ntawm kev puas tsuaj ntawm daim tawv nqaij hauv kev siv hluav taws xob thiab txhim kho lub peev xwm kho ntawm daim tawv nqaij. Qhov no yog kev tshawb fawb txog tsiaj, txawm hais tias nws teeb tsa theem rau kev tshawb fawb tsim nyog ntxiv.

Lwm cov kev tshawb fawb yav dhau los kuj tau qhia tias PBM txo cov nqaij hauv qhov ncauj o thiab o ntawm cov neeg uas muaj mob qog noj ntshav taub hau thiab caj dab, txawm hais tias xav tau kev tshawb fawb ntxiv.

Kev Pheej Hmoo ntawm Kev Kho Mob Teeb Liab

Kev kho mob siv lub teeb liab tau pom zoo los ntawm US Food and Drug Administration (FDA), raws li PBM Foundation. Jagdeo hais tias nws suav tias muaj kev nyab xeeb heev, txawm hais tias muaj lub sijhawm rau tus neeg siv yuam kev yog tias koj siv lub cuab yeej hauv tsev. Piv txwv li, nws ua tau siv lub cuab yeej ntau dhau lossis siv nws ntau zaus dua li qhov chaw tsim khoom pom zoo. Xov xwm zoo yog tias ntau lub cuab yeej hauv tsev muaj lub sijhawm teem sijhawm thiab kaw tsis siv neeg, Jagdeo hais tias, uas ua rau nws yooj yim dua kom tsis txhob ua dhau. Ib txwm ua raws li cov lus qhia, thiab nco ntsoov tias kev tshuaj xyuas Journal of Pain tau sau tseg qhov kev pheej hmoo ntawm kev ua rau cov tsos mob migraine hnyav dua rau qee tus neeg siv. Nws tseem ceeb heev uas yuav tsum tau mus ntsib kws kho mob kom raug (piv txwv li koj tus kws kho mob tawv nqaij lossis PCP) kom lawv paub tias kev kho mob siv lub teeb liab yog nyob rau hauv koj txoj kev npaj kho mob. Thaum kawg, nrhiav kev kho mob los ntawm tus kws kho mob uas muaj npe nrov. "Lub teeb tuaj yeem ua rau puas tsuaj, tab sis yog tias siv cov txheej txheem raug, koj tsis pom muaj kev phiv," Jagdeo hais.

Leej Twg Yuav Xav Sim (thiab Tsis Txhob) Kev Kho Mob Teeb Liab

Kev kho mob siv lub teeb liab yog tsim los ua kev kho mob txhawb nqa. Lub ntsiab lus: Nws tsis zoo li tias kev kho mob siv lub teeb liab yuav yog tib txoj kev kho mob uas koj siv los daws teeb meem kev noj qab haus huv lossis kev saib xyuas tawv nqaij. Piv txwv li, nrog rau lub teeb liab, koj kuj tseem siv tau cov tshuaj pleev ib ce (xws li retinoid) rau pob txuv lossis cov kab zoo, Jagdeo sau tseg. Yog tias koj cev xeeb tub, koj yuav tsum zam kev kho mob siv lub teeb liab, Arany hais. Thiab yog tias koj tab tom kho ib qho mob tshwj xeeb, nrhiav kev pom zoo los ntawm koj tus kws kho mob ua ntej.

Pib Siv Kev Kho Mob Liab

Nov yog yam koj yuav xav paub ua ntej koj sim siv lub teeb liab raws li kev qhia ntawm koj tus kws kho mob. Feem ntau, kev kho lub teeb liab yuav ua tiav hauv ntau qhov kev sib tham dhau lub sijhawm. Piv txwv li, Jagdeo hais tias, thaum nws los txog rau kev txhawj xeeb ntawm daim tawv nqaij, nws pom zoo kom sim siv lub teeb liab peb zaug hauv ib lub lis piam rau 10 feeb txhua zaus rau tsawg kawg ib hlis. "Qee tus neeg mob yuav pom cov txiaj ntsig hauv ib hlis, tab sis feem ntau cov txiaj ntsig no txuas ntxiv mus zoo dua nrog lub sijhawm," nws hais. Txawm hais tias muaj ntau yam khoom siv kho lub teeb liab hauv tsev muaj rau kev yuav khoom, nws ib txwm zoo tshaj plaws los tham nrog tus kws kho mob tawv nqaij lossis kws kho mob tshwj xeeb ua ntej koj sim siv lub teeb liab ntawm koj tus kheej. Kev sib tham nrog tus kws kho mob tsim nyog yuav pab koj tsis tsuas yog tsim koj lub hom phiaj kev noj qab haus huv thiab txiav txim siab seb kev kho lub teeb liab puas yog rau koj tab sis kuj nrhiav tau lub cuab yeej tshwj xeeb hauv tsev uas tsim nyog tus nqi.

Yuav Tsum Xav Li Cas Ua Ntej, Thaum Lub Sijhawm, thiab Tom Qab Kev Kho Mob Teeb Liab

Nws yuav tsis mob. Kev kho mob siv lub teeb liab tsis yog kev phais thiab tsis mob rau cov neeg feem coob. Ib lub cuab yeej tuav tes yuav raug nias rau ntawm daim tawv nqaij ntawm qhov chaw raug mob lossis mob. Yog tias koj pw hauv lub txaj lossis lub plhaub uas siv ob lub teeb liab thiab ze-infrared, koj yuav hnov ​​​​​​qhov sov los ntawm cov teeb ze-infrared. Koj yuav tsum tsis txhob xav tias yuav muaj kev phiv los ntawm kev kho mob, Arany hais. Saib xyuas koj ob lub qhov muag. Nug tus kws kho mob yog tias nws tsim nyog hnav lub qhov muag tiv thaiv thaum kho mob. Koj yuav xav tias xis nyob. Ib qho ntawm cov txiaj ntsig loj ntawm kev kho mob siv lub teeb liab yog tias cov neeg hais tias lawv so li cas tom qab kho mob, Jagdeo hais. Xav txog lub sijhawm no koj lub sijhawm thiab lean rau hauv cov teebmeem so. Koj yuav xav tau ntau dua ib qho kev kho mob. Tham nrog koj tus kws kho mob ua ntej lub sijhawm kom nkag siab tias koj yuav tsum tau muaj pes tsawg zaug (thiab ntau npaum li cas), yog li koj tuaj yeem nkag siab tag nrho qhov kev kho mob. Qhov no yuav txawv ntau nyob ntawm qhov kev txhawj xeeb txog kev noj qab haus huv uas koj tab tom hais txog. "Hauv qee qhov xwm txheej, txawm tias ib qho kev kho mob tau pom tias muaj txiaj ntsig zoo, thaum kev kho mob PBM hnyav tshaj plaws yog peb zaug hauv ib lub lis piam rau plaub lub lis piam, yam tsawg kawg nkaus, kom pom qhov cuam tshuam tseem ceeb," Arany hais. Nrog rau txhua yam no tau hais, nco ntsoov tias lub ntiaj teb ntawm kev kho mob phototherapy tab tom hloov pauv, thiab xav tau kev tshawb fawb ntxiv kom txiav txim siab qhov kev siv zoo tshaj plaws rau ntau yam wavelengths, koob tshuaj, thiab cov khoom siv rau cov mob tshwj xeeb. Nws yog qhov zoo tshaj plaws los sab laj nrog kws kho mob tawv nqaij, kws kho mob tshwj xeeb, lossis koj tus kws kho mob yog tias koj muaj lus nug lossis ua ntej koj cog lus rau kev kho mob kim heev. Kev taw qhia kho mob yuav pab koj ntsuas qhov zoo thiab kev pheej hmoo ntawm kev kho mob teeb liab rau koj lub hom phiaj kev noj qab haus huv tshwj xeeb.

Cov Kev Pab Cuam Kho Mob Teeb Liab Peb Nyiam

Cov Koom Haum Zoo Tshaj Plaws

Lub Koom Haum PBM Yog xav paub ntxiv txog PBM yog dab tsi, nws ua haujlwm li cas, thiab tej yam mob twg uas nws siv tau los daws, lub koom haum no yog ib qho chaw zoo heev. Koj tseem yuav saib tau cov yeeb yaj kiab uas muaj cov lus pov thawj los ntawm cov neeg mob uas tham txog kev kho mob liab tau pab lawv li cas. American Academy of DermatologyLub koom haum kho mob tawv nqaij tseem ceeb qhia txog ntau yam kev kho mob tawv nqaij, suav nrog kev siv kev kho mob teeb rau ntau yam mob, xws li rosacea, pob txuv, thiab psoriasis, muab kev pom tseeb, kev tshawb fawb txhawb nqa txog qhov chaw tshawb fawb sawv.

Chaw Kawm Zoo Tshaj Plaws

Shepherd UniversityShepherd University nyuam qhuav qhib lub Chaw Tshiab rau Kev Ua Tau Zoo hauv Photobiomodulation los pab txhawb kev nkag siab txog kev tshawb fawb thiab kev nce qib mus tom ntej ntawm photobiomodulation (uas suav nrog kev kho mob liab).

Cov Kev Pab Cuam Tshawb Fawb Zoo Tshaj Plaws

Kev Kho Mob Photobiomodulation, Kev Kho Mob Photomedicine, thiab Kev Phais Mob LaserKoj puas xav paub txog cov ntaub ntawv tshawb fawb txog kev kho mob phototherapy? Mus saib phau ntawv xov xwm Photobiomodulation, Photomedicine, thiab Laser Surgery uas tau tshuaj xyuas los ntawm cov kws tshaj lij kom paub txog cov teeb meem tam sim no thiab yav dhau los txog kev kho mob phototherapy, kev kho mob laser qis, kev kho mob photobiomodulation, thiab kev phais mob laser. Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Tebchaws NCCIH yog ib qho chaw zoo heev rau kev saib xyuas qhov twg kev pom zoo ntawm kev tshawb fawb sawv tom qab kev kho mob sib xyaw. Koj tuaj yeem tshawb nrhiav los ntawm lub ncauj lus lossis kev txhawj xeeb txog kev noj qab haus huv hauv lawv lub ntaub ntawv thiab nyeem txog kev kho mob uas tau txhawb nqa (lossis tsis txhawb nqa) los ntawm kev tshawb fawb.

Sau ib qho lus teb