Yu de sɔfa wit sɔm sik dɛn na yu skin, lɛk psoriasis ɔ ɛkzema? Sɔntɛnde, i nɔ kin izi fɔ kɔntrol dɛn tin ya ivin afta yu dɔn yuz bɔku mɛrɛsin, nɔto so? Tide wi go tɔk bɔt wan tritmɛnt we rili fayn we dɛn kin yuz pan dɛn kayn tin ya. Dat na layt tɛrapi, ɔ fototɛrapi.
Fɔ tɔk am simpul wan, wetin na fototɛrapi?
Fɔtotɛrapi, ɔ layt tɛrapi, na tritmɛnt we yu kin yuz spɛshal kɔntrol ɔltra vayolɛt (UV) layt fɔ tɔch di say dɛn we yu skin de. Fɔ tɔk di kɔrɛkt tin, i min se yu fɔ put yu skin pan layt we spɛshal mashin de mek ɔnda dɔktɔ we de kia fɔ yu. Na wan tritmɛnt we rili fayn fɔ bɔku sik dɛn na di skin, lɛk psoriasis ɛn ɛkzema.
Wetin dɛn kin yuz dis UV layt fɔ?
Yu no se UV layt na natura l pat pan san layt? UV layt de ɛp wi bɔdi fɔ mek di vaytamɛn D we wi nid. Bɔt if wi de na UV layt tumɔs, dat nɔ kin fayn fɔ wi skin.
Fɔtotɛrapi de yuz di sem UV rayt we de na di san layt. Bɔt nɔ wɔri, yu dɔktɔ go tek tɛm kɔntrol aw di layt de blo ɛn aw lɔng yu skin go de pan am. Dis go mek yu skin nɔ pwɛl.
Lɛ wi si us kayn UV rayt dɛn de.
| Tayp fɔ di UV rayt dɛn | Wan simpul ɛksplen bɔt am |
|---|---|
| UVB (Ɔltravayolɛt B) . | Dis na rayt we gɛt midul wevlɛnj. Dɛn kin jɔs rich di ɔp layt na yu skin. We yu de na di san, na we yu gɛt tumɔs pan dɛn UVB rayt ya yu kin bɔn na di san. |
| UVA (Ɔltravayolɛt A) . | Dɛn wan ya gɛt lɔng wevlɛnj, so dɛn kin go insay tu layers na di skin. Dɛn kin yuse dɛn fɔ trit di sik dɛn we de dip dip wan na di skin. If yu gɛt UVA rayt pasmak, dat kin mek yu skin bɔn ɛn rɔtin. |
Difrɛn kɔlɔ dɛn fɔ layt we dɛn kin yuz fɔ trit
Dɛn kin yuz difrɛn kɔlɔ dɛn fɔ layt fɔ mɛn difrɛn sik dɛn we pɔsin kin gɛt.
- Blu layt tɛrapi: Dis tan lɛk di layt we de kɔmɔt na yu fon. Bɔku tɛm dɛn kin yuz dis blu layt fɔ mɛn janda na pikin dɛn we dɛn jɔs bɔn.
- Rɛd layt tɛrapi: Laser na wan kayn rɛd layt. Dɛn kin yuse am fɔ trit sik dɛn na di skin lɛk wrinkles, rɛd, akni, ɛn skata.
Udat kin gɛt dis tritmɛnt? Yu tink se i sef fɔ ɔlman?
If dɔktɔ tɛl yu dis tritmɛnt fɔ yu sik, ɛnibɔdi, ivin yɔŋ pikin ɛn big pipul, kin gɛt dis tritmɛnt.
Bɔt pan ɔl we fototɛrapi na tritmɛnt we nɔ bad, i kin gɛt smɔl prɔblɛm fɔ sɔm pipul dɛn. Yu dɔktɔ go disayd if dis tritmɛnt fayn fɔ yu. Dis tritmɛnt nɔ kin fayn if yu gɛt dɛn tin ya:
- If yu gɛt alɛji fɔ di san: Dis nɔto rili alɛji. Bɔt if yu skin de fil lɛk di san, dis tritmɛnt nɔ fayn.
- If yu gɛt histri fɔ sɔm kayn kansa na yu skin: Dɛn nɔ kin fayn fɔ yuz UVA tritmɛnt.
- If yu gɛt bɛlɛ ɔ yu de gi pikin in bɛlɛ.
- If yu gɛt liva sik.
- If yu gɛt wan sik lɛk lupus.
- If yu gɛt jɛnɛtik sik we de mek yu skin sɛnsitiv to san layt (e.g. xeroderma pigmentosa).
- If yu de yuz sɔm mɛrɛsin dɛn we de mek yu skin fil bad fɔ di san.
Dis sef fɔ pikin dɛn we dɛn jɔs bɔn?
Yɛs, na fɔ tru. Fɔtotɛrapi na tritmɛnt we rili sef fɔ pikin dɛn we dɛn jɔs bɔn. Jandis kin apin to pikin dɛn we dɛn jɔs bɔn we dɛn gɛt tumɔs bilirubin na dɛn bɔdi. dis na wetin de mek di pikin in skin εn in yay luk yכlכ. di blu UV layt de εp fכ pul dis εkstra bilirubin na di pikin in bכdi. If dɛn nɔ trit am, dis bilirubin we pasmak kin ambɔg di pikin.
Sɔntɛnde, we yu kam wit yu pikin na os frɔm ɔspitul, dɛn kin gi yu spɛshal lamp ɔ ivin blankit we gɛt layt fɔ du dis tritmɛnt na os. Dɔktɔ dɛn kin tek tɛm wach di pikin we dɛn de trit am.
Wetin na di men tin dɛm wae dɛn kin trit wit fototɛrapi?
- Psoriasis we dɛn kɔl Psoriasis
- Ekzima we de mek pɔsin gɛt sik
- I de it
- Nyu bɔn pikin dɛn we gɛt janda
- Vitiligo we gɛt di sik
- Mycosis fungoides (wan kayn kansa na yu skin) .
- Morphea (na wan sik we di skin kin tik ɛn at) .
Aw di tritmɛnt kin wok?
Dis prɔses kin sheb to difrɛn pat dɛn.
Bifo dɛn trit am
Yu dɔktɔ go sɛt di tin dɛn we yu nid na di ɔspitul ɔ di tritmɛnt sɛnta. Dɛn go gi yu wan aywe we go protɛkt yu fɔ protɛkt yu yay. Dipen pan di say we dɛn de trit yu, yu kin nid bak fɔ gɛt fes mask ɔ blankit fɔ kɔba di pat dɛn na yu bɔdi we dɛn nɔ de trit. Dɛn go gi yu sanskrin fɔ put am na yu skin bifo di tritmɛnt. If na wan pat nɔmɔ na yu bɔdi dɛn de trit, dɛn go gi yu instrɔkshɔn bɔt aw ɛn usay fɔ put di sanskrin. Dipen pan di say we dɛn de trit yu, yu go nid fɔ pul sɔm ɔ ɔl yu klos dɛn.
We dɛn de du tritmɛnt
Bifo yu on di layt, yu dɔktɔ go mek shɔ se yu wɛr di rayt tin dɛn fɔ mek yu nɔ gɛt prɔblɛm, lɛk gɔgl. Di we aw di layt de hit di skin kin difrɛn difrɛn wan bay di kayn tritmɛnt.
- UVB layt: Dɛn kin put yu insay bɔks (lɛk tan bed) usay yu kin tinap, ɛn dɛn kin ɔn di layt dɛn we de insay. Di layt de go to yu skin di tɛm we yu dɔktɔ tɛl yu. If na smɔl say nɔmɔ dɛn trit yu na di skin, dɛn go put yu pan tebul ɔ ledɔm, ɛn di layt go de na da say de wit smɔl tin (wand).
- UVA layt: Dis tan lɛk UVB tritmɛnt. Bɔt sɔntɛnde, dɛn kin yuz mɛrɛsin fɔ mek di tritmɛnt wok fayn. Psoralen na kemikal we kɔmɔt frɔm plant. Dis kin mek yu skin fil fayn to UVA layt. If yu de gɛt UVA tritmɛnt wit Psoralen, yu dɔktɔ kin advays yu fɔ sok insay wan tub we gɛt wata wit Psoralen, tek wan pil, ɔ put krim bifo di tritmɛnt.
- Excimer laser light: Dis de gi UV layt to sכm sכm pat dεm na di bכdi insay wan mכr tכgεt.
Aw lɔng di tritmɛnt kin tek?
Di lɔng we fɔ trit yu kin difrɛn difrɛn wan bay di sayz fɔ di say we yu skin de trit ɛn di trɛnk we di UV layt we yu yuz gɛt. Fɔ mek yu gɛt di bɛst rizɔlt, yu go nid fɔ gɛt bɔku tritmɛnt dɛn. Di fɔs tritmɛnt kin las fɔ sɔm sɛkɔn, we di las tritmɛnt kin las fɔ sɔm minit fɔ UVB ɛn wan awa fɔ UVA. Yu dɔktɔ go disayd di tritmɛnt plan we go fayn fɔ yu.
Afta dɛn dɔn trit am
Di dɔktɔ go advays yu bɔt aw fɔ protɛkt yu skin afta yu dɔn gɛt tritmɛnt.
- Put tin we de protɛkt yu frɔm di san ɛn/ɔ kɔba di say dɛn we yu dɔn trit wit klos.
- Wear ay protɛkshɔn we yu de go na do.
- Put mɔstizayza ɛvride fɔ mek yu skin nɔ dray.
- Nɔ put yusɛf na di san ɛn nɔ go na bed fɔ tan.
Wetin na di bɛnifit dɛn we dis tritmɛnt de gi?
- I de ridyus di inflamɛns na di skin.
- I de mek di sayn dɛm lɛk ɛkzema nɔ kam bak.
- I de mek di it nɔ bɔku.
Ɛni sayd ɛfɛkt ɔ risk de?
Yɛs, lɛk ɔl di tritmɛnt dɛn, sɔm prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm. Yu dɔktɔ go ɛksplen ɔl dis to yu bifo di tritmɛnt.
| Sayd ɛfɛkt/risk | Wetin yu nid fɔ no |
|---|---|
| Skin kin rɛd | Dis kin go insay 24 awa. |
| Bɔn ɔ blista | I kin tan lɛk se yu de bɔn yu na di san. |
| Dray skin | Yu kin kɔntrol am bay we yu yuz mɔstizayza. |
| Vɔmit | Dis kin apin nɔmɔ if yu yuz di mɛrɛsin we dɛn kɔl Psoralen. |
| Di skin we de ol bifo tɛm (wrinkles) . | Dis kin apin nɔmɔ if yu tek tritmɛnt fɔ lɔng tɛm. |
| Risk fɔ gɛt kansa na yu skin | Na smɔl risk de fɔ gɛt kansa na yu skin (basal cell carcinoma, squamous cell carcinoma, melanoma) nɔmɔ if yu gɛt UVA tritmɛnt fɔ lɔng tɛm . |
Aw lɔng i kin tek fɔ si di rizɔlt?
Afta di tritmɛnt, yu kin go bak to yu nɔmal tin dɛn. Bɔt fɔ si di tin dɛn we go apin na yu skin, yu go nid fɔ du bɔku tritmɛnt dɛn. Bɔrku tɛm, yu go si big impɔtant improvement na yu skin afta 6-8 tritmɛnt. Bɔt i kin tek 15-25 tritmɛnt fɔ si ful rizɔlt. Sɔm tin dɛn kin tek lɔng tɛm.
Afta tritmɛnt, yu skin kin rɛd smɔl ɔ dak pas aw i bin de bifo (hyperpigmentation). Dis go dɔn insay lɛk 24 awa so. Bɔt if yu skin fil lɛk se i de bɔn fɔ pas tu dez, mek shɔ se yu tɔk to yu dɔktɔ.
If sɔntin lɛk dis apin, go to dɔktɔ wantɛm wantɛm.
- If yu skin stil fil lɛk se i de bɔn 24 awa afta yu dɔn trit am.
- If yu gɛt sɔm sayn dɛm lɛk fiva, vɔmit, ɛn kol.
- If yu gɛt blista na yu skin.
- If sayn dεm de fכ infεkshכn (if di wund swεla εn di pus de drayn).
- If vishɔn prɔblɛm apin we nɔ bin de bifo tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- Fɔtotɛrapi na fayn tritmɛnt fɔ sik dɛn na di skin we yu de yuz spɛshal UV layt ɔnda dɔktɔ in sɔpɔtishɔn.
- Dis kin wok mɔ fɔ psoriasis, ɛkzema, ɛn janda na pikin dɛn we dɛn jɔs bɔn.
- Pan ɔl we dis kin bi sef tritmɛnt, i nɔ fayn fɔ ɔlman, so i impɔtant fɔ tɔk to yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi istri.
- Fɔ mek yu gɛt di bɛst rizɔlt, dɛn nid fɔ tek bɔku tritmɛnt dɛn. I rili impɔtant bak fɔ protɛkt yu skin frɔm di san afta yu dɔn trit yu.
- If yu gɛt ɛni bad bad sayd ɛfɛkt, lɛk fɔ de irita yu skin ɔltɛm ɔ yu gɛt blista, tɛl yu dɔktɔ wantɛm wantɛm.
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