Ukubuyekezwa okwenziwe ngo-2014 kuhlole izifundo ezingu-17 ngemiphumela yokwelashwa kokukhanya okubomvu ekulungiseni imisipha yamathambo ekwelapheni ukulimala kwemisipha.
Ukubuyekezwa kuphethe ngokuthi izinzuzo eziyinhloko ze-LLLT zifaka phakathi ukwehla kokuvuvukala, ukuguqulwa kwezici zokukhula kanye nezici zokulawula i-myogenic, kanye nokuthuthukiswa kwe-angiogenesis.
Izifundo ezihlaziyiwe zibonisa imiphumela emihle yokukhanya okubomvu enkambisweni yokulungisa imisipha.
Kuyini Ukwelashwa Kokukhanya Okubomvu?
Ukwelashwa kokukhanya okubomvu (RLT), okwaziwa nangokuthi i-photobiomodulation, kuye kwabonakala kusheshisa ukuphulukiswa kokulimala ezimweni ezahlukene.
Indlela esebenza ngayo lokhu kusheshisa ihilela izinqubo eziningana zezinto eziphilayo ezivuselelwa ubude besikhathi bokukhanya obusetshenziswa ku-RLT, ikakhulukazi ubude besikhathi obubomvu (630-660 nm) kanye nobude besikhathi obuseduze ne-infrared (850 nm).
Izinzuzo Zokwelashwa Ngezibani Ezibomvu Ukwelashwa ngezibani ezibomvu kubalulekile, futhi kunezinzuzo eziningi kithi. Nazi ezinye zezindlela ukwelashwa ngezibani ezibomvu okungasiza ngazo ekwelapheni.
1. Ukukhiqizwa Okwandayo kwe-ATP Ukwelashwa kokukhanya okubomvu kuye kwabonakala kukhuthaza ukukhiqizwa kwe-adenosine triphosphate (ATP), umthwali wamandla oyinhloko emaseli. Lokhu kukhiqizwa kwamandla okwandisiwe kuthuthukisa ukusebenza kwamaseli kanye nezinqubo zokulungisa.
2. Ukuvuvukala Okuncishisiwe
I-RLT inganciphisa ukuvuvukala ngokuguqula ama-cytokine okuvuvukala nokukhuthaza ukuxazululwa kokuvuvukala. Lokhu kuzuzisa kakhulu ezigabeni zokuqala zokuphulukiswa, lapho ukunciphisa ukuvuvukala kungavimbela umonakalo wesibili futhi kukhuthaze ukuqhubekela esigabeni sokulungisa sokuphulukiswa.
3. Ukukhiqizwa Kwe-Collagen EthuthukisiweI-Collagen iyisici esibalulekile sezicubu ezixhumene, okuhlanganisa imisipha, ama-ligaments, kanye ne-extracellular matrix yesikhumba. Ukwelashwa kokukhanya okubomvu kuye kwabonakala kukhuthaza ama-fibroblast, amaseli anesibopho sokukhiqiza i-collagen, okuholela ekulungisweni nasekuqineni kwezicubu.
4. Ukujikeleza Kwegazi Okuthuthukisiwe
I-RLT ingakhuphula ukugeleza kwegazi endaweni, okusiza ukuletha umoya-mpilo omningi kanye nezakhamzimba endaweni elimele. Lokhu kujikeleza kwegazi okuthuthukisiwe kusiza nasekususweni kwemfucuza kanye nobuthi, okudala indawo efanelekile yokuphulukiswa.
5. Ukulungiswa Nokuvuselelwa Kwamaseli Okusheshisiwe Ukwelashwa kokukhanya okubomvu kungakhuthaza ukukhiqizwa kwamandla amaseli futhi kunciphise ukucindezeleka kwe-oxidative, kusheshiswe ukulungiswa nokuvuselelwa kwamaseli alimele. Lokhu kuzuzisa kakhulu ukulimala kwezicubu ezithambile, amanxeba, ngisho nomonakalo wezinzwa.
6. Ukuqeda UbuhlunguUcwaningo lubonise imiphumela yokunciphisa ubuhlungu ye-RLT, engaba yinzuzo ekuphatheni ubuhlungu obuhambisana nokulimala. Lokhu kungasekela ngokungaqondile inqubo yokuphulukisa ngokuvumela ukuhamba okungcono nokunciphisa isidingo semithi yobuhlungu engaba nemiphumela emibi.
Umphumela ohlangene walezi zici unegalelo ekusebenzeni kahle kwe-RLT ekwelapheni ukulimala kwemisipha yamathambo. Ukwelashwa kungasiza ekunciphiseni ubuhlungu, ukuvuvukala, kanye nesikhathi sokululama, okuholela ekwelapheni okusheshayo kanye nemiphumela ethuthukisiwe.
Ukudla okudlela endlini
Okutholakele okuphakamisa ukuthi i-RLT iyindlela enhle kakhulu yokwelapha ukulimala kwemisipha yamathambo kusekelwa ubufakazi obandayo obuvela ezifundweni zomtholampilo kanye nocwaningo.
Kubalulekile ukuqaphela ukuthi nakuba i-RLT ibonisa ithemba, izindlela zokwelapha ezifanele (kufaka phakathi ubude besikhathi, ukuqina, ubude besikhathi, kanye nemvamisa yokwelashwa) zingahluka kuye ngohlobo oluthile kanye nobunzima bokulimala.
Ngakho-ke, kuyalulekwa ukubonisana nochwepheshe wezempilo noma uchwepheshe we-photobiomodulation ukuze kutholakale uhlelo lokwelapha olufanele kakhulu.