Iziguli ze-COVID-19 Pneumonia Zibonisa Intuthuko Ephawulekayo Ngemva Kokwelashwa Nge-Laser eMassachusetts General Hospital

Isihloko esanyatheliswa kuyi-American Journal of Case Reports sibonisa amandla okwelashwa nge-photobiomodulation okugcinwa kweziguli ezine-COVID-19.
LOWELL, MA, Agasti 9, 2020 /PRNewswire/ — Umcwaningi Oyinhloko kanye noMbhali Oyinhloko uDkt. Scott Sigman namuhla ubike imiphumela emihle evela ekusetshenzisweni kokuqala kokwelashwa nge-laser ukwelapha isiguli esine-pneumonia ye-COVID-19. Isihloko esanyatheliswa kuyi-American Journal of Case Reports sibonisa ukuthi ngemuva kokwelashwa okusekelayo nge-photobiomodulation therapy (PBMT), inkomba yokuphefumula yesiguli, okutholakele nge-radiographic, isidingo se-oxygen, kanye nomphumela kuthuthuke zingakapheli izinsuku ngaphandle kwesidingo somshini wokuphefumula. 1 Iziguli ezifakwe kulo mbiko zihlanganyele esivivinyweni somtholampilo esingahleliwe seziguli eziyi-10 ezine-COVID-19 eqinisekisiwe.
Isiguli, um-Afrika waseMelika oneminyaka engu-57 ubudala otholakale ene-SARS-CoV-2, sangeniswa egunjini lokunakekelwa okujulile esine-respiratory distress syndrome futhi sasidinga umoya-mpilo. Sathola izikhathi ezine ze-PBMT zemizuzu engama-28 nsuku zonke sisebenzisa idivayisi yokwelapha nge-laser ye-Multiwave Locking System (MLS) evunyelwe yi-FDA (i-ASA Laser, e-Italy). I-laser yokwelapha ye-MLS esetshenziswe kulolu cwaningo isatshalaliswa eNyakatho Melika kuphela yi-Cutting Edge Laser Technologies yaseRochester, NY. Impendulo yesiguli ku-PBMT yahlolwa ngokuqhathanisa amathuluzi okuhlola ahlukene ngaphambi nangemva kokwelashwa nge-laser, konke okwathuthuka ngemva kokwelashwa. Imiphumela ikhombisa ukuthi:
Ngaphambi kokwelashwa, isiguli sasilele embhedeni ngenxa yokukhwehlela okukhulu futhi sasingakwazi ukunyakaza. Ngemva kokwelashwa, izimpawu zokukhwehlela zesiguli zanyamalala, futhi sakwazi ukwehla phansi ngosizo lokuzivocavoca nge-physiotherapy. Ngosuku olulandelayo sakhishwa sayiswa esikhungweni sokuvuselela ngokusekelwa okuncane komoya-mpilo. Ngemva kosuku olulodwa kuphela, isiguli sakwazi ukuqedela izivivinyo ezimbili zokunyuka izitebhisi nge-physiotherapy futhi sadluliselwa emoyeni wegumbi. Ekulandeleni, ukululama kwaso kwathatha amasonto amathathu, kanti isikhathi esimaphakathi ngokuvamile singamasonto ayisithupha kuya kwayisishiyagalombili.
“Ukwelashwa okwengeziwe kwe-photobiomodulation kuye kwabonakala kusebenza kahle ekwelapheni izimpawu zokuphefumula ezimweni ezimbi kakhulu ze-pneumonia ezibangelwa yi-COVID-19. Sikholelwa ukuthi le ndlela yokwelapha iyindlela yokulungisa ephumelelayo,” kusho uDkt. Sigman. “Kunesidingo esiqhubekayo sezokwelapha sezinketho zokwelapha eziphephile nezisebenza kahle ze-COVID-19. Sithemba ukuthi lo mbiko kanye nezifundo ezilandelayo kuzokhuthaza abanye ukuthi bacabangele izivivinyo ezengeziwe zemitholampilo besebenzisa i-PBMT engeziwe ekwelapheni i-pneumonia ye-COVID-19.”
Ku-PBMT, ukukhanya kukhanyiswa yizicubu ezonakele futhi amandla okukhanya amuncwa amaseli, okuqalisa uchungechunge lwezimo zama-molecule ezithuthukisa ukusebenza kwamaseli futhi zisheshise inqubo yokuphulukiswa komzimba. I-PBMT isibonakalise izakhiwo zokulwa nokuvuvukala futhi iyavela njengendlela ehlukile yokuqeda ubuhlungu, ukwelashwa kwe-lymphedema, ukuphulukiswa kwamanxeba kanye nokulimala kwemisipha. Ukusetshenziswa kwe-PBMT yokulungisa ukwelapha i-COVID-19 kusekelwe embonweni wokuthi ukukhanya kwe-laser kufinyelela ezicutshini zamaphaphu ukunciphisa ukuvuvukala nokukhuthaza ukuphulukiswa. Ngaphezu kwalokho, i-PBMT ayihlaseli, ayibizi kakhulu, futhi ayinayo imiphumela emibi eyaziwayo.
I-laser ye-MLS isebenzisa isithwebuli esiphathwayo esinama-diode amabili e-laser avumelanisiwe, elinye li-pulsed (elikwazi ukushintshwa kusuka ku-1 kuya ku-2000 Hz) likhipha ku-905 nm kanti elinye li-pulsed ku-808 nm. Womabili ama-wavelength e-laser asebenza ngasikhathi sinye futhi avumelanisiwe. I-laser ibekwa ngamasentimitha angama-20 ngaphezu kwesiguli esilele, ngaphesheya kwensimu yamaphaphu. Ama-laser awabuhlungu futhi iziguli zivame ukungazi ukuthi ukwelashwa nge-laser kuyenzeka. Le laser ivame ukusetshenziswa ezicutshini ezijulile njengezinqe kanye namalunga e-pelvic, azungezwe imisipha ejiyile. Umthamo wokwelapha osetshenziselwa ukufeza imigomo ejulile ye-pelvic wawungu-4.5 J/cm2. Umbhali osebenzisana nocwaningo uDkt. Soheila Mokmeli ubalile ukuthi i-7.2 J/cm2 isetshenziswe esikhumbeni, yaletha umthamo wokwelapha wamandla e-laser angaphezu kuka-0.01 J/cm2 emaphashini. Lo mthamo uyakwazi ukungena odongeni lwesifuba futhi ufinyelele ezicutshini zamaphaphu, ukhiqize umphumela wokulwa nokuvuvukala ongavimba imiphumela yesiphepho se-cytokine ku-pneumonia ye-COVID-19. Ukuze uthole ulwazi olwengeziwe mayelana nokwelashwa nge-laser kwe-MLS, sicela uthumele i-imeyili ku-Mark Mollenkof [email protected] noma ushayele ku-800-889-4184 ext. 102.
Ukuze uthole ulwazi olwengeziwe mayelana nalo msebenzi wokuqala kanye nohlelo locwaningo, sicela uxhumane noScott A. Sigman, MD ku-[email protected] noma ushayele ku-978-856-7676.
1 Sigman SA, Mokmeli S., Monich M., Vetrichi MA (2020). Indoda eneminyaka engu-57 ubudala yaseMelika enesifo esibi se-COVID-19 isabela ekwelashweni okusekelayo kwe-photobiomodulation (PBMT): ukusetshenziswa kokuqala kwe-PBMT ye-COVID-19. Am J Case Rep 2020; 21:e926779. I-DOI: 10.12659/AJCR.926779