Kia mārama - mō ō mamae, kiri, me ō whara. Kei te puta ake ngā āheinga o te rama whero ki te rongoā i ngā momo āwangawanga hauora me te ataahua nā te hiahia o ngā kairangahau, ngā whare wānanga, me ngā hōhipera, tae atu ki ngā taputapu kāinga e māmā ake ai te uru atu.
Ko te whakaora rama whero (RLT) he momo rongoā whakaahua, arā, "te whakamahinga o te rama hei rongoā i te kiri me ētahi atu mate hauora," te kī a Jared Jagdeo, MD, te kaiwhakahaere whakatū o te Center for Photomedicine i te SUNY Downstate Health Sciences University i Brooklyn, New York.
I konei, akohia te hītori o te rongoā, tōna mahi, ōna painga pea, ngā mea hei tumanakohia mai i te rongoā, me ētahi atu.
Hītori o te Whakaora Rama Whero
Tērā tētahi atu kupu mō te whakaora mārama, arā, ko te photobiomodulation (PBM rānei mō te poto), e kī ana a Praveen Arany, PhD, DDS, he ahorangi hono i te Whare Wānanga o Buffalo me te kaiwhakahaere wā poto o te Center of Excellence for Photobiomodulation i te Whare Wānanga o Shepherd i Shepherdstown, West Virginia. Ko ētahi atu kupu mō taua mea ko te maimoatanga laser taumata-iti (LLLT), te whakaoho whakaahua, me te maimoatanga laser makariri, e ai ki a ia.
Neke atu i te 50 tau te roa o te whakaora mārama. I kitea e te rata o Hungary, a Endre Mester, i ngā tau 1960 i te wā i puta ai te tupu o te huruhuru me te whakaora patunga i ngā whakamātautau pūtaiao me ngā taiaho whero ki ngā kiore, e ai ki tētahi tuhinga rangahau i whakaputaina i te Hakihea 2017 i roto i te Journal of Biophotonics. I roto i ngā tau, i kiia te whakaora mārama he rūpahu. Engari nā ngā rangahau hou (ko ētahi he taupatupatu), kua tīmata te hapori pūtaiao ki te aro atu.
"I tēnei wā tonu i te Hononga o Amerika, kei te kiia tonu te whakaora rama whero he pūtaiao ehara i te mea matua. Engari kei te tipu haere ngā pokapū mātauranga me ngā pokapū haumanu e whakamahi ana i te hangarau me te tuku atu ki ngā tūroro," te kī a Tākuta Arany.
He pokapū kei reira ināianei, pērā i te mea kei Te Whare Wānanga o Shepherd, e whakatapua ana ki te whakaako i ngā tohunga hauora me ngā kaipūtaiao mō te tika o te PBM hei maimoatanga haumanu, tae atu ki ngā whakahaere ngaio, pērā i te North American Association for Photobiomodulation Therapy (NAALT) me te PBM Foundation. Ko tētahi o ngā whakamahinga rongonui o te whakaora rama whero ko te tiaki kiri, ā, ko te wātea mai o ngā taputapu utu iti i te kāinga kua whakanui ake i tōna rongonui.
Te Mahi a te Whakaora Marama Whero
E ai ki a Arany, ka whakamahia e te photobiomodulation te mārama i roto i ngā roangaru motuhake. Kei waenganui i te 400 nanometer (nm) (kikorangi) ki te 1,200 nm (tata-infrared). Ko ngā roangaru o te mārama whero kei waenganui i te 620 ki te 750 nm, e ai ki te National Center for Atmospheric Research. Koinei te mārama e kitea ana.
E ai ki tāna, kua whakamahia pai te mārama kikorangi, te kakariki, me te whero mō te maimoatanga PBM. E whakamahia ana hoki te mārama tata-infrared, he mārama roa ake te roanga ngaru (tae atu ki te 1,200 nm), i roto i te PBM, ā, e wātea ana i roto i ngā sauna infrared. Ahakoa he whero te āhua o tēnei mārama, ko te mea pono, kāore te mārama infrared e kitea, engari ka whakamahana i te tinana mai i roto hei akiaki i ngā huringa ā-tinana.
Kua tino rongonui haere te rongoā rama whero i ngā tau tata nei, ā, koinei pea te mea tino mōhiotia, tino māmā hoki te uru atu. "He māmā ake te hanga i ngā taputapu rama whero, ā, he whānui te wātea," te kī a Arany.
Nā, me pēhea te mahi? Ina whakanohoia ngā photon (ngā matūriki mārama) ki te taha o te kiri, ka uru ki roto i ngā kiko ka whakahohe i ngā chromophores (he wāhanga o te ngota e homai ana tōna tae), ka puta ai ngā huringa ki roto i ngā pūtau, e ai ki te American Society for Laser Medicine & Surgery. Hei tāpiri, ka pā anō hoki te rongoā rama whero ki te mitochondria (te pūngao o ngā pūtau), ka whakaputa i te ATP (pūngao) hei whakatairanga i te whakaora, e ai ki te PBM Foundation.
Kia whai hua ai te rongoā rama whero, me whakamahi i ngā tikanga me ngā horopeta motuhake, i runga i tō raruraru hauora, koia te mea nui o te tohunga mohio, e ai ki a Arany. Ki te taea, rapua tēnei maimoatanga mai i te hōhipera, i te whare wānanga, i te wāhi haumanu rānei. E taunaki ana ia kia kaua e whakamahia te rongoā rama whero mai i ngā whare ataahua, i ngā wāhi mirimiri rānei.
E ai ki a Tākuta Jagdeo, ka taea te hoko me te whakamahi i ngā taputapu rama whero i te kāinga mō te tiaki kiri, ā, he haumaru te whakamahi i ēnei e ai ki ngā tohutohu.
Kei roto i ngā taputapu whakaora rama whero ngā rama whero LED e whakamahia ana hei taputapu ringaringa, hei papa LED, hei moenga tinana katoa rānei, i runga i te take o te maimoatanga. Ko ētahi taputapu e whakamahi ana i ngā rama whero me ngā rama tata-whero, engari i te nuinga o te wā, kāore he momo rerekē o te whakaora rama whero.
Ngā momo rongoā rama whero
Kei roto i ngā taputapu whakaora rama whero ngā rama whero LED e whakamahia ana hei taputapu ringaringa, hei papa LED, hei moenga tinana katoa rānei, i runga i te take o te maimoatanga. Ko ētahi taputapu e whakamahi ana i ngā rama whero me ngā rama tata-whero, engari i te nuinga o te wā, kāore he momo rerekē o te whakaora rama whero.
Ngā Hua Pea o te Whakaora Marama Whero
Ahakoa he pai ngā rangahau mō te whakaora rama whero, kei te taupatupatu tonu ngā rangahau - ā, kāore ētahi e whakaatu ana i ngā painga mō ētahi āhuatanga hauora. I te nuinga o te wā, me nui ake te paerewa o ngā rangahau puta noa i te poari (i roto i te horopeta me te wā) i runga i te āhuatanga kia mārama ai ngā kaipūtaiao me ngā kaimahi ki ngā whānuitanga o ngā painga o te whakaora rama whero. Kei raro nei ngā whakamahinga pai pea mō te whakaora rama whero, e ai ki ngā tohunga.
Ka whakarei ake i te āhua taitamariki o te kiri
Ko tētahi o ngā painga e whakahuatia whānuitia ana o te whakaora rama whero ko ōna pānga ki te kiri. Ka taea te whakamahi hei aro atu ki:
hakihaki
Ngā raina angiangi me ngā kita
Te tipu o te makawe
Whero
Ka whakaitihia e te rongoā rama whero te mumura hei whakatika i te whero, te hakihaki, me te tipu o te makawe, ā, ka taea hoki e ngā maimoatanga ā-waha, ā-waha rānei mō ēnei āhuatanga te mahi pai ake, e ai ki a Jagdeo. Hei tāpiri, ina tae ki te whakakore i ngā pakaru, "ka whakanuia e te rongoā rama whero ō tātou parenga ārai mate ki ngā huakita e pā ana ki te hanganga o te hakihaki," tāna tāpiri. Mō ngā raina me ngā kita, ka aro atu ēnei maimoatanga ki ngā whākōkī e pā ana ki te pakaru o te collagen me te whakaoho i te hanga collagen, e ai ki te Cleveland Clinic.
Āwhina i te Whakaora i ngā Whara Hākinakina
He tino uaua te taha o te tinana me te hinengaro te noho tahaetia e te whara, engari mā te rongoā rama whero koe e āwhina ki te tū anō. "Ka taea te whakamahi i te rama whero hei whakapai ake i te mahi uaua angaanga, hei whakaiti i te mamae, hei whakapai ake i te whakaoranga mai i te whara," te kī a Arany. I kī ngā kaituhi o tētahi arotake i whakaputaina i te Hakihea 2021 i roto i te puka Life, tera pea ka whakamahia te PBM i roto i te whakaora i ngā whara hākinakina, me te whakarei ake i te mahi hākinakina, ahakoa me nui ake ngā rangahau e hiahiatia ana.
Āwhina ki te whakaora i ngā patunga
Ahakoa he mate pukupuku kei roto i tō waha, he mate tuwhera rānei kei tō waewae, kua whakaatuhia e ngā āhuatanga ārai-mumura o te rama whero ka whakapai ake i te kaha o te tinana ki te whakaora, e ai ki a Arany, nāna i whakaputa he arotake i te Paenga-whāwhā 2019 i roto i te Advances in Skin and Wound Care mō te kaupapa. "E whakaatu ana ngā rangahau i roto i taku taiwhanga ka taea e te PBM te whakahohe i tētahi matū tipu kaha e whakatairanga ana i te whakaora me te whakahoutanga o te kiko," tana whakamārama, he mea tino nui pea mō ngā patunga o te waha, e ai ki ngā rangahau.
Whakaiti i te mamae
He uaua te rongoā i te mamae, engari he taputapu whai hua pea te rongoā mārama hei āwhina. "Ka mahi te mārama whero ki ngā pūtau io e tuku ana i te mamae," te kī a Arany.
E ai ki tētahi arotake tata nei i whakaputaina i te Hōngongoi 2022 i roto i te Journal of Pain, tera pea he pai ake te rama whero mō ētahi momo mamae i ētahi atu. I kī ngā kaituhi he taunakitanga kei reira ētahi o ngā āhuatanga whai hua o te rama whero mō ngā mate mamae pēnei i te fibromyalgia, te toto toto iti mau tonu, te osteoarthritis, me te neuropathy.
Ka Whakaiti i ngā Pānga Taha o te Maimoatanga Matepukupuku
Ina whakamahia hei ārai i mua i te rongoā chemotherapy, i te rongoā irahiko rānei, ka āwhina pea te rongoā rama whero ki te whakaiti i ngā pānga taha, pērā i te mamae, me tōna kaha, e ai ki a Arany, ahakoa me nui ake ngā rangahau tangata kia tino mārama ai ki tēnei painga.
Hei tauira, i roto i tētahi rangahau mō ngā kiore, i whakaputaina i te Hakihea 2021 i roto i te puka Photonics, i kitea ai ko te mārama whero me te rongoā tata-infrared i whakaiti i te kaha o te kino o te kiri i roto i te irahiko, ā, i whakapai ake i te kaha o te kiri ki te whakaora. He rangahau kararehe tēnei, ahakoa e whakatakoto ana i te huarahi mō ētahi atu rangahau e tika ana kia mahia.
Kua whakaatuhia hoki e ētahi atu rangahau o mua ka whakaitihia e te PBM te pupuhi me te mumura o te kiko waha i roto i te hunga he mate pukupuku o te mahunga me te kaki, ahakoa me nui ake ngā rangahau e hiahiatia ana.
Ngā Mōrearea o te Whakaora Rama Whero
E ai ki te PBM Foundation, kua whakaaetia te rongoā rama whero e te US Food and Drug Administration (FDA). E kiia ana he tino haumaru, e ai ki a Jagdeo, ahakoa he tūponotanga pea ka hē te kaiwhakamahi mēnā kei te whakamahi koe i tētahi taputapu kāinga. Hei tauira, ka taea te whakamahi nui rawa i te taputapu, te whakamahi pinepine rānei i te mea i tūtohutia e te kaihanga. Ko te rongo pai ko te maha o ngā taputapu kāinga he taima aunoa me te whakaweto, e ai ki a Jagdeo, e māmā ake ai te kore e whakamahi nui rawa. Me whai tonu i ngā tohutohu, ā, kia mōhio kei te arotakehia e te Journal of Pain te mōrearea o te kino haere o ngā tohu o te migraine mō ētahi kaiwhakamahi. He mea nui hoki kia tirohia e koe te tākuta tika (hei tauira, tō tākuta kiri, tō tākuta PCP rānei) kia mōhio ai rātou kei roto i tō mahere maimoatanga te rongoā rama whero. Hei whakamutunga, rapua he rongoā mai i tētahi tohunga rongonui. "Ka taea e te mārama te whakararu, engari ki te whakamahia te tikanga tika, kāore koe e kite i ngā pānga taha," e ai ki a Jagdeo.
Ko wai ka hiahia pea ki te whakamātau (me te karo) i te rongoā rama whero
He maimoatanga tautoko te whakaora rama whero. Te tikanga: Kāore pea ko te whakaora rama whero anake te maimoatanga e whakamahia ana e koe hei whakatika i tētahi raruraru hauora, tiaki kiri rānei. Hei tauira, me te rama whero, ka taea hoki e koe te whakamahi i tētahi rongoā ā-waha (pērā i te retinoid) mō te hakihaki, ngā raina angiangi rānei, e ai ki a Jagdeo. Mena kei te hapu koe, me karo koe i te whakaora rama whero, e ai ki a Arany. Ā, ki te mea kei te rongoa koe i tētahi mate hauora motuhake, me rapu whakaaetanga mai i tō tākuta i te tuatahi.
Te Tīmatanga ki te Whakaora Marama Whero
Anei ngā mea e hiahia ana koe ki te mōhio i mua i tō whakamātau i te rongoā rama whero i raro i te arataki a tō kaiwhakarato hauora ngaio. I te nuinga o te wā, ka mahia te rongoā rama whero i roto i tētahi raupapa o ngā wā i roto i tētahi wā kua whakaritea. Hei tauira, e ai ki a Jagdeo, mō ngā raruraru kiri, ka tūtohu ia kia whakamātauria te rongoā rama whero e toru ngā wā i te wiki mō te 10 meneti i ia wā mō te iti rawa o te kotahi marama. "Ka kite ētahi tūroro i ngā hua i roto i te kotahi marama noa iho, engari he maha ngā wā ka haere tonu ēnei hua ki te whakapai ake i te wā," e kī ana ia. Ahakoa he maha ngā taputapu rongoā rama whero e wātea ana hei hoko i te kāinga, he pai tonu te kōrero ki te tākuta kiri, ki te tohunga mamae rānei i mua i tō whakamātau i te rongoā rama whero māu ake. Mā te kōrero ki tētahi kaiwhakarato hauora whai tohu ka āwhina koe, ehara i te mea ko te whakatū i ō whāinga oranga me te whakatau mēnā he tika te rongoā rama whero māu, engari ka kitea hoki te taputapu motuhake i te kāinga e tika ana te utu.
Ngā mea hei tumanako atu i mua, i te wā, me muri i te rongoā rama whero
Kāore pea e mamae. Kāore he pokanga ki te rongoā rama whero, ā, kāore he mamae mō te nuinga o te tangata. Tērā pea ka pēhia he taputapu ringaringa ki te kiri i te wāhi i whara ai, i mamae ai rānei. Mēnā kei te takoto koe i roto i tētahi moenga tinana katoa, i tētahi pouaka rānei e whakamahi ana i te rama whero me te rama tata-whero, tērā pea ka rongo koe i te mahana mai i ngā rama tata-whero. Kaua e tumanako ka pāngia koe e ngā pānga taha o te maimoatanga, e ai ki a Arany. Kia mataara ki ō kanohi. Pātai atu ki te rata mēnā he mea tika kia mau i te tiaki kanohi i te wā e maimoatanga ana. Tērā pea ka marino koe. Ko tētahi o ngā painga nui o te rongoā rama whero ko te āhua o te marino o te tangata i muri i te maimoatanga, e ai ki a Jagdeo. Whakaarohia tēnei wā hei wā mōu, ā, kia whai whakaaro ki ngā pānga whakamarie. Tērā pea me neke atu i te kotahi te maimoatanga e hiahiatia ana e koe. Kōrero ki tō rata i mua i te wā kia mārama ai koe ki te maha o ngā wā e hiahiatia ana e koe (me te auau), kia tino mārama ai koe ki te whānuitanga o te maimoatanga. Ka rerekē tēnei i runga i te āwangawanga hauora e arohia ana e koe. "I ētahi wā, kua whakaatuhia he whai hua te maimoatanga kotahi, ko te maimoatanga PBM tino kaha ko te toru ngā wā i te wiki mō ngā wiki e whā, te iti rawa, kia kitea ai he pānga nui," te kī a Arany. Ahakoa ēnei mea katoa, kia maumahara kei te whanake haere te ao o te whakaora whakaahua, ā, me nui ake ngā rangahau hei whakatau i ngā whakamahinga pai rawa atu mō ngā momo roangaru, ngā horopeta, me ngā taputapu mō ngā āhuatanga hauora motuhake. He pai ake te kōrero ki te tākuta kiri, ki te tohunga mamae, ki tō tākuta rānei mēnā he pātai āu, i mua rānei i tō whakaae ki tētahi maimoatanga utu nui. Mā te aratohu hauora koe e āwhina ki te paunatia ngā painga me ngā mōrearea o te whakaora rama whero mō ō whāinga hauora motuhake.
Ngā Rauemi Whakaora Rama Whero e Arohaina Ana e Mātou
Ngā Whakahaere Pai rawa atu
PBM FoundationMō ngā mōhiohio e pā ana ki te PBM, me pēhea te mahi, me ngā āhuatanga hauora ka taea te whakamahi hei whakatika, he rauemi pai tēnei turanga. Ka taea hoki e koe te mātaki i ngā ataata e whakaatu ana i ngā whakaaturanga a ngā tūroro e kōrero ana mō te āwhina a te rongoā rama whero i a rātou. American Academy of DermatologyKo te rōpū kiri matua e whakaako ana i te whānuitanga o ngā kaupapa tiaki kiri, tae atu ki te whakamahinga o te rongoā rama mō ngā āhuatanga rerekē, pērā i te rosacea, te hakihaki, me te psoriasis, e tuku ana i tētahi tirohanga kore whakaaro, tautokona e te pūtaiao mō te tūnga o te rangahau.
Te Pokapū Mātauranga Pai rawa atu
Te Whare Wānanga o ShepherdNō nā tata nei i whakatuwherahia ai e Te Whare Wānanga o Shepherd tētahi Pokapū Hiranga hou mō te Photobiomodulation hei āwhina i te whakatairanga i te māramatanga pūtaiao me ngā whanaketanga whakamua mō te photobiomodulation (tae atu ki ngā maimoatanga rama whero).
Ngā Rauemi Pūtaiao Pai rawa atu
Te Whakarerekētanga Whakaahua-koiora, Te Rongoā-whakaahua, me te Pokanga Reera Kei te hiahia koe ki te noho tonu ki ngā tuhinga pūtaiao mō te whakaora whakaahua? Tirohia te puka arotake-a-hoa Photobiomodulation, Photomedicine, and Laser Surgery mō ngā take o nāianei me ngā take o mua mō te whakaora whakaahua, te whakaora reera taumata-iti, te whakaora reera-whakaahua, me te pokanga reera. He rauemi pai te National Center for Complementary and Integrative Health NCCIH mō te titiro matatau ki te tūnga o te whakaae pūtaiao i muri i ngā whakaora whakaahua. Ka taea e koe te rapu mā te kaupapa, mā te āwangawanga hauora rānei i roto i tā rātou pātengi raraunga, me te pānui mō ngā whakaora e tautokona ana (e kore rānei e tautokona) e te rangahau.