Unyango Lokukhanya Olukufutshane ne-Infrared (NIR) lwe-940nm: Unyango Oluphambili Lwentlungu kunye Neenzuzo Zemithambo-luvo
Ukukhanya kwe-NIR okungu-940nm kuthathe indawo ekhethekileyo kwi-photobiomodulation, okubonelela ngokuguqulwa kwentlungu okuphuculweyo kunye nokuphuculwa kokujikeleza kwegazi xa kuthelekiswa namaza amafutshane e-NIR (umz., 810nm/850nm). Nantsi uhlalutyo oluneenkcukacha lwexabiso layo leklinikhi:
1. Iindlela eziphambili kunye neenzuzo ze-940nm
Iziphumo ezijolise kwiMithambo
- Ukufunxwa kweHemoglobin okufanelekileyo:
I-940nm ifunxwa ngamandla yi-deoxyhemoglobin (igazi lemithambo yegazi), nto leyo eyenza ukuba ibe ngcono kakhulu:- Ukungasebenzi kakuhle kwemithambo yegazi (imithambo ye-varicose, ukudumba okungapheliyo)
- Ukuphucula ukuhamba kwegazi emzimbeni (izilonda zeswekile, isifo sikaRaynaud)
- Ukukhupha amanzi emzimbeni (kunciphisa ukudumba emva kotyando)
Ukuguqulwa kwentlungu
- Ukuzola Kwemithambo-luvo Ekhethiweyo:
Ijolise kwi-C-fiber nociceptors (imithambo-luvo yentlungu) ngokuchanekileyo kune-810nm/850nm → Ingcono kwi:- Intlungu ye-neuropathic (i-sciatica, i-trigeminal neuralgia)
- I-post-herpetic neuralgia (iintlungu ze-shingles)
- Ukuthintela i-migraine (ukusetyenziswa ebunzini/esibelekweni)
Amandla eSeli kunye noLungiso
- Ukukhuthaza iMitochondrial:
Nangona i-810nm ingasebenzi kakuhle kangako kwimveliso ye-ATP, i-940nm:- Ingena kwi-4–7cm (phakathi kobunzulu obuyi-810nm kunye ne-850nm)
- Inciphisa uxinzelelo lwe-oxidative kwiiseli ze-endothelial (i-vascular lining)
2. Izicelo zeKlinikhi
| Imeko | Iprotokholi ye-940nm | Inqanaba loBungqina |
|---|---|---|
| Ukungasebenzi kakuhle kwemithambo yegazi okungapheliyo | Imizuzu eli-10–15/ngemini phezu kwemithambo echaphazelekayo | ★★★★☆ (Ixhaswa yi-RCT) |
| Izilonda zeenyawo zeswekile | Imizuzu engama-20 + 660nm yokuvala amanxeba | ★★★☆☆ |
| Intlungu ye-Neuropathic | I-pulsed 940nm (50Hz) kwiindlela zemithambo-luvo | ★★★★☆ |
| Ukudumba emva kotyando | Dibanisa ne-810nm yokuhamba kwe-lymphatic | ★★★☆☆ |
3. 940nm xa kuthelekiswa nezinye ii-NIR Wavelengths
| Ipharamitha | 810nm | 850nm | 940nm |
|---|---|---|---|
| Ukufunxwa Okuphezulu | I-cytochrome c oxidase | Amanzi/amafutha | I-Deoxyhemoglobin |
| Ukugxila kwiNhlungu | Imisipha yamathambo | Ilungu/ithambo elinzulu | Imithambo-luvo |
| I-Combo eBalaseleyo | 660nm (ulusu) | 810nm (izihlunu) | I-635nm (ukuhamba kwemithambo) |
Inqaku Elisebenzayo: Izixhobo ze-940nm zihlala zisebenzisa i-pulsed emission (umz., 50–100Hz) kwimiphumo yemithambo-luvo/yemithambo-luvo.
4. Iinkqubo zoNyango
- Intlungu ye-neuropathic: imizuzu eli-10 ibetha ngesantya esingama-940nm kwimigca yemithambo-luvo (umz., indlela ye-sciatic)
- Iingxaki zokujikeleza kwegazi: imizuzu eli-15 eqhubekayo kwimilenze (emithanjeni) + 635nm kwimithambo yegazi
- Iintlobo zezixhobo:
- Iiklinikhi: Iinkqubo zelaser ezininzi (umz., iLaser yeMLS)
- Ikhaya: Iiphaneli ze-LED/NIR zeHybrid ezinezicwangciso ze-940nm
5. Ukhuseleko kunye neMiqathango
- Isilumkiso malunga:
- I-Active thrombosis (umngcipheko we-DVT) - bonana no-MD kuqala
- Amayeza abangela ukurhawuzelelwa yifoto (iimpendulo ezingaqhelekanga)
- Akukho mngcipheko we-erythema (ngokungafaniyo nokukhanya kwe-UV/okwesibhakabhaka)
Eyona Nto Ibalulekileyo
I-940nm yeyona ndlela ikhethwayo yokufikelela kumanqanaba aphezulu:
✔ Iingxaki zemithambo yegazi (ukuma kwemithambo yegazi/i-lymphatic)
✔ Intlungu ye-neurogenic (intlungu engapheliyo ebangelwa yimithambo-luvo)
✔ Unyango oluchanekileyo xa i-810nm/850nm ibanzi kakhulu
Ukuze ufumane unyango olupheleleyo: Dibanisa ne-635nm (arterial) + 1064nm (ukungena nzulu) kwiindawo zonyango.