PUVA-mankhwala ndi njira yapadera yochizira matenda osiyanasiyana a khungu. Chokhazikikacho chimakhala pamodzi ndi khungu la mankhwala omwe ali ndi chilengedwe (psoralenov (P) ndi mazira otalika kwambiri a ultraviolet.
Zisonyezo za mankhwala a PUVA
Kawirikawiri mankhwala a PUVA amagwiritsidwa ntchito pa psoriasis wa mapazi ndi kanjedza. Njira imeneyi ya mankhwala imayesetsa kuthana ndi matendawa, ngakhale odwala alephera kuyenda mu BUF -rapy. Kuchiza kwa psoriasis ndi PUVA-mankhwala akhoza kuchitika pa nthawi pamene munthuyo ali ndi mawonekedwe ofala kapena opitirirabe a chiphaso cha matendawa. Pakati pa njirayi, kuchulukitsa kwa maselo omwe amapanga ziphuphu kumatsekedwa kwathunthu, ndipo pamapeto pake mapangidwe a pulasitiki amaimitsidwa, ndipo pamapeto pake amatha.
Zizindikiro za njira iyi ya chithandizo ndi atopic dermatitis ndi bowa mycosis. PUVA-mankhwala akulimbikitsanso vitiligo. Zidzakhalanso zothandiza ngakhale odwala omwe ali ndi matenda oposa 20-30% a khungu.
Thandizo la PUVA silikuchitidwa pakhomo. Njira zonse zimagwiritsidwa ntchito pokhapokha pokhapokha (poyambira polyclinic kapena malo apadera ochizira matenda a khungu). Mankhwalawa amatengedwa pamlomo, kapena amagwiritsidwa ntchito pamutu, ndipo atatha maola awiri omwe amakhudzidwa ndi malo odwala matendawa amapezeka poizoni wa ultraviolet. Nthawi yowonjezereka ili koyamba maminiti angapo, koma ikuwonjezeka pa gawo lililonse. Ambiri mwa PUVA mankhwalawa ali ndi magawo 10-30.
Kusintha kwa PUVA mankhwala
PUVA-mankhwala amathandiza kwambiri (85%), ndipo zizindikiro zoyamba zowonongeka kwa khungu zimawoneka pambuyo pa njira 4-6. Njira iyi ya chithandizo imalekerera ndi odwala ndipo saledzera. Komabe, si aliyense amene angagwiritse ntchito.
Zovuta za PUVA mankhwala ndizo:
- chithandizo;
- khansa yoopsa;
- lupus erythematosus ;
- awa;
pigment xeroderma; - albinism;
- porphyria;
- mimba.
Samalani kugwiritsa ntchito njirayi kuti muzitha kuchiza odwala omwe ali ndi khungu loyera, matenda a cataracts, uremia ndi kuperewera kwa impso. Komanso musagwiritse ntchito mankhwala a PUVA kwa omwe adziletsa chitetezo cha thupi, kapena munthu amene ali ndi zotupa zoipa. Matenda oopsa a myocardial ndi matenda ena ambiri omwe salola kuti nthawi yayitali kuima, nthawi zambiri amalephera kuchipatala.