ʻO ka PUVA-therapy ka mea maʻamau no ka mālamaʻana i nā maʻi maʻi. ʻO kona kumu maoli ke waihoʻia ma ka hopena i kaʻili o nā mea lapaʻau i loaʻa kahi hua kanu (psoralenov (P) a me nā kukui ultraviolet mau lōʻihi.
Nā hōʻailona no ka PUVA āna
ʻO ka hapanui o ka manawa, hoʻohanaʻia ka PUVA kaohi no psoriasis o nā wāwae a me nā lāʻau. Hoʻomaopopo pono kēiaʻano o ka lāʻau hoʻomalu me kēia maʻi,ʻoiai ināʻaʻole i hoʻokō nā maʻi i ka papa o BUF-therapy. Hiki ke mālama i nā psoriasis me ka PUVA-therapy i nā mea i loaʻa i ke kanaka he'ōmole plaque o ka maʻi. I ka wā o nā kaʻina hana, ua hoʻopau loaʻia ka hoʻonuiʻia o nā pūnaewele e hana i ka mea'āpala.
ʻO nā mea e hōʻike ai no kēiaʻano o ka lāʻau hoʻomaluʻana i keʻano o ka dermatitis a me ka mushroom mycosis. Hoʻohāpaiʻiaʻo PUVA-therapy no ka vitiligo. He mea pono ia i kēlā poʻe maʻi i loaʻa i ka maʻi iʻoi aku i ka 20-30% o kaʻili.
ʻAʻole hōʻikeʻia ka PUVA hōʻailona ma ka home. Hoʻohanaʻia nā kaʻina hana wale nō ma kahi o waho (i loko o nā polyclinic maʻamau a mau kikowaena kūikawā no ka mālamaʻana i nā maʻi maʻi). ʻO nā lāʻau'apaʻau i lawe wahaʻia, aiʻole i hoʻohanaʻia ma luna, a ma hope o nā hola heʻeono e pāpāʻia e nā maʻi i kahi e kalaʻiʻia ai ka ultraviolet radiation. ʻO ka manawa irradiation he minuke i mau minuke, akā e hoʻonui i kēlā me kēia kau. ʻO ka hapa nui o ka hoʻoponopono PUVA he mau manawa he 10-30.
Nā kūkākūkā i ka PUVA hōʻailona
He mana kiʻekiʻe ka PUVA-therapy (85%), aʻikeʻia nā hōʻailona mua o ka hoʻoponoponoʻana i kaʻike o kaʻili ma hope o nā papahana 4-6. Ua mālama maikaʻiʻia kēiaʻano o ka lāʻau lapaʻau e nā poʻe maʻi aʻaʻole hiki ke hoʻomāmā. Eia naʻe,ʻaʻole hiki i nā kānaka a pau ke hoʻohana.
ʻO nā kuʻunaʻole i ka PUVA hōʻailona:
- ka pilau i ka psoralen;
- malicious melanoma;
- lupus erythematosus ;
- aphakia;
puaʻa xeroderma; - albinism;
- hihihihihi;
- 'ōpū.
Me ka nānā pono e hoʻohana i kēiaʻano no ka mālamaʻana i nā maʻi me kaʻiliʻili, ka hōʻailona, ka maʻi a me ke kīkī. Eia kekahi, mai hoʻohana i ka PUVA o ka maʻi no ka poʻe i hoʻopilikia i ka maʻi, a no ka mea i loaʻa i nā maʻi maʻiʻino. ʻO nā maʻi maʻamau a me nā maʻi'ē aʻe he nuiʻole ka lōʻihi e kū ai, keʻano pinepineʻole i ka heleʻana o keʻano o ka lāʻau.