Uma unezinhlayiya ze- fungus , ukwelashwa kwelaser kungaba impendulo. I-FDA ivume izinhlobo ezimbalwa zamadivayisi laser ukuze ukwelashwa kwe- onychomycosis , okuwukutheleleka kwe-nail fungal eyenza ushintsho ekubukeni nasekubunjweni kwe-nail. Izinguquko ezenzekayo, ngokuvamile ezihamba kancane futhi zivame ukwedlula isikhathi, zingabandakanya:
- Ukuqhekeka, ngokuvamile ophuzi, omhlophe, noma obomvu
- Ama-debris avulekile ngaphansi noma esikhwameni
- Inqola ye-nail evela embhedeni we-nail ngezansi (onycholysis)
- Ukuqiniswa kwesipikili noma ukuguqulwa kokuthungwa
- Izinguquko esimweni se-nail, njengokunyuka kwesikhumba
I-standard yegolide yokuphatha izipikili ezifungayo ibe yimithi ye-anti-oral antifungal yemithi ngoba yasebenza ngokusemtholampilo ekuqedeni ukutheleleka kunezokwelapha ze-antifungal. Kodwa imithi ye-antifungal yomlomo ngokuvamile ayiyona inketho kubantu abaningi ngenxa yemiphumela yabo emibi kanye nokusebenzisana okungenzeka nezinye imithi. Njengoba kunikezwa ukuthi ukutheleleka kwe-fungal yinkinga ebonakalayo engenakho ukwelashwa okulula, ukhetho olusha lwe-laser lwezokwelapha luye lwafaka inzalo eningi. Manje ukuthi izinsizakalo zokwelapha i-laser ze-nail ukhunta ziyakhula futhi zitholakala emahhovisi amaningi e-podiatry, abantu bayazibuza ukuthi lokhu ukhetho ukwelashwa kanjani kuqhathaniswa nemilomo yomlomo kanye nesimo somzimba.
Izinhlobo ezahlukene zamadivayisi laser ziye zahlulwa yi-FDA, njengePlasPointe ™ Footlaser, GenesisPlus, ne-Noveon®.
Njengamanje, amadivaysi laser ayenziwa i-FDA "ukunyuka okwesikhashana kwezipikili ezicacile", okusho ukuthi izifundo zokuqala zibonise ubufakazi bokuhlanzwa okuncane noma okuphelele kwezimpawu zezinyosi ze-nail - kodwa kungenzeka ukuthi ukutheleleka kungase kwenzeke futhi. Kodwa-ke, nganoma yikuphi ukwelashwa okuphumelelayo kwe-onychomycosis - kungakhathaliseki ukuthi imithi yomlomo, imithi yokwelapha , noma imilasi - kuhlale kungengozini yokuthi ukutheleleka kungabuya.
Kuze kube manje kuye kwaba nemiphumela ethembisa nge ukwelapha laser. Isibonelo, i-laser Pinpointe ™ ibhekisela ekutadisheni komtholampilo lapho 80% yazo zonke iziguli ziphathwa ngokuhlanzwa kwe-nail ezinyangeni ezingu-12 ngemuva kokwelashwa okulodwa. Njengoba ukwelashwa kwe-laser ye-toenail fungus kuyindlela entsha enhle, kunezifundo ezengeziwe ezidingekayo ukuze uthole umqondo wokuthi uqhathanisa kanjani nezinye izifo.
I Laser Iphatha Kanjani i-Onychomycosis?
Amadivayisi we-Laser akhipha amandla okushisa afaka ukushisa ngezicubu ezithintana nazo. I-laser ihlelwe ukuthi isebenze umsebenzi ongenamaphutha lapho amangqamuzana noma isikhunta noma inhlanzi ifaka lokhu kushisa, okubulala i-microbe. Kungase kube nezinye, kodwa izici ezibonakalayo ezedlala ezibangelwa ukuhlanzwa kwe-nail.
I-laser energy igxila emzimbeni, kumbhede wezinsipho ngaphansi kwe-fungus kungenzeka ukuthi ikhona. Lekhono lokungenelela ukuqina okugcwele kwe-toenail cishe okuholela emiphumeleni ethembisayo ebonwe kuze kube manje nge ukwelashwa kwelasi.
Umshini ngamunye we-laser uhlukile endleleni esetshenziselwa ukwelapha izipikili, kodwa ngokujwayelekile, umphumela ukusebenzisa amandla okushisa ukuqeda ukutheleleka. Ukuxosha i-laser noma ukusebenzisa ama-wavelengths athile kusiza ekunciphiseni ukushisa kwesiguli sesiguli, ngokuvamile ukwenza inqubo ingenabuhlungu.
Ukwaziswa kwesineke olunikezwa izinkampani ezithile ze-laser kuzosho ukuthi ukuzwa okuncane kokushisa kuzovame ukuzwa.
Yini Ongayilindela Nge-Laser Treatment of Onychomycosis
Ukubonisana kokuqala nge-laser onychomycosis ukwelashwa kuzobandakanya ukuhlolwa kwezimpawu ze-nail futhi mhlawumbe ukufaka phansi kwe-nail (debridement). I-laser izokhishwa phezu kwezipikili ezithintekile, futhi ingasetshenziswa nakwezinye izipikili ezingathintekile. Isikhathi esisodwa ngokuvamile sihlala amaminithi angu-30 noma ngaphansi.
Ngenkathi ezinye iziguli ziphumelela ngokuphathwa okulodwa, ukwelashwa okwengeziwe kungenziwa kunqunywe kuye ngemiphumela. Ukwelashwa ngeke kusule isikhali ngokushesha - kungathatha izinyanga ezingu-6 kuya kwezingu-12 kuze kube yilapho isikhumba sikhula ukuze sithole ukuthi ukwelashwa kuphumelele yini.
Idivayisi yomshini we-laser isetshenziselwa ukufaka inani lezinhlelo zokwelapha ezidingekayo.
Izindleko zokwelapha i-laser onychomycosis ngokuvamile zihlaselwa. Izindleko zihluke kumhlinzeki oyedwa kuya ezilandelayo kodwa ezilinganisweni ezingaba ngu-R100. Thatha isikhathi sokuqhathanisa amanani nezinhlelo zokwelapha. Ukwelashwa kwendabuko kwe-onychomycosis ukusebenzisa imithi yomlomo noma ye- topic cishe kuyoba ngaphansi kwelasi, ikakhulukazi ngoba lezi zinsizakalo zizobe zinezinkampani ezithile noma zomshuwalense ophelele. Noma kunjalo, ukwelashwa kwama-laser kubonakala sengathi kuphazamisa imithi yomlomo kanye nomlomo futhi kunomuthi owodwa owenziwe ngamathambo amaningi.
Imithombo
Aditya K. Gupta, MD, Ph.D., MBA, FAAD, FRCPC, Fiona Simpson, HBSc. Ukwelapha okusekelwe kwedivayisi ye-Onychomycosis Treatment. Incwadi Yokwelapha Isikhumba. 2012; 17 (9). I-Medscape ifinyelelwe ngo-10/2/2013.
I-Pinpointe Laser Treatment. Ifinyelele ngo-10/3 ku-2013.