Te Mātauranga Whakapipi mō ngā Mate Ongo: Te Penetrating i te Pāpā

Te mārama ki te Terāpi Māmāri mā te Mārama Whero me tōna Kaupapa Pūtaiao mō te Waiho hei Hauora mai i te Mate o ngā Tūbeni

He aha te terāpi māmāri mā te mārama whero, me pēhea e whai waewae ana ki te mate o ngā tūbeni?

Ko te mātauranga o te rā tērā e mahi ana mā te whakamahi i te rā i roto i te 600 ki te 850 nanometer hei āwhina i ngā selu kīato kua pakaru ki ō mātou pāpaku me ngā wāhi e pā mai ana. Ehara i te mea noa ka wera te mata o ngā mea, pērā i ngā mātauranga wera tūmatanui. Engari ko te rā anō e tae ana i te 5 ki te 10 mirimita i roto i ngā wāhi pērā i te whatukura, ngā karatini, me ngā aroha. Ka hāngai tēnei ki ētahi whakapāheketanga matua hāpai i roto i te tinana. Kua kitea e ngā rangahau tēnei e iti ana ngā tohu pānga pānga pērā i te IL-6 ki te haurua mō ngā tāngata e pāngia ana e ngā raru aratika e ai ki ngā ripoata i tāraiwa i te tau 2007 e Chow me ana hoa. Ko te mea motuhake ki te RLT ko tana whakahaere i te take o te mamae engari kāore i te whakakore pānoa i ngā tohu.

Te kaupapa pūtaiao mō te photobiomodulation me te whakaiti i te pānga

Ko te RLT e mahi ana trātāranga i te mātauranga o te waihanga, ka taea pea ngā rerehua o ngā selu me ngā huinga o te mātauranga e mōhiotia ana hei cytochrome c oxidase kei roto i ngā mitochondria. Ko te mea e hāngai nei ki te tikanga ko te whakapakari ake i ngā maru kaha o ngā selu i te wā e āki ai i ngā tohu huakita pērā i te TNF-alpha. Kua whakapaingia hoki ēnei take e ngā rangahau hou. I te titiro ki ngā raraunga mai i ngā whakamātau e waru tekau mā tahi i tūhuratia i te tau ki muri, kitea ana he mea tino whakahuahuatia mō ēnei ara e rua e mahi tahi ana. I pai ake te nekeneke o ngā tuarā o ngā nuinga o ngā rongoā pakuwaru tekau ōrite atu ki te matapae. Anō hoki, i kitea he iti ake te putanga monomono mō ngā tāngata e noho ana ki ngā raru huakita roa, he toronga hoki ake i te whakamahi anake i ngā rongoā purihoroi.

Te whakauru mitochondria me te hauora o ngā selu trātāranga i te mārama kākāriki

Ko te maimoatanga mā te ata whakapuaki kōmaru e tuku ana i tētahi piki ake ki ngā mitochondria kei roto i ngā selu tuarā, e hāngai ana ki te whakapakari ake i te whanaketanga ATP i anywhere from 150 ki te 200 percent e ai ki ngā rangahau a Hamblin me ana hoa i te 2017. Ki tēnei piki ake i te kaha, ka tīmata ngā rauropi ki te whakaora noa iho. Ko ngā chondrocytes kua pakaru e hāngai ana ki te hānganga ake i te 34% atu ake o Type II collagen, he mea matua nui rawa hei hanga anō i ngā hanganga karatia. I te wā e ū ana, ko ērā tohu kino o te stress oksikaitia kei roto i te hororita synovial e iti ake ana i te 41%. Ko te itinga o tēnei e waihangatia ana i ngā tikanga pai ake mō ngā tuarā kia ora anō i te wā roa engari kāore i te kiri noa iho.

Te Tūnga o te Maimoatanga mā te Ata Whakapuaki Kōmaru i te Whakahaere i ngā Tohu Arthritis me Osteoarthritis

Ngā Matakite Matua mō te Maimoatanga mā te Ata Whakapuaki Kōmaru mō te Osteoarthritis me te Hauhake Tuarā

I ngā rauemi e 10 mai i te tau 2024, i kitea e ngā kairangahau tētahi whakaiti i te 28 ki te 32 ōrau i te māuiui pūkana o te taraweti i ngā tāngata e pāngia ana e te mate taraweti, ina whakarerekīhia ki ngā tikanga whakaputanga e kīia nei ko Pain Research and Management. Ahakoa i ētahi raruraru ki te ara i whakahaeretia ai ēnei rangahau, i kitea e te nuinga o ngā kaimahi he pai ake te nekeneke me te iti ake te pūkaha i te ata. Ko te tāpiri i tēnei mātai ki te mātai takotoranga noa ka hangaia te takotoranga e mōhiotia ana e maha hei takotoranga toa mō te whakahaere i ngā raru roto i ngā wā roa, kāore hoki he hiahia ki ngā tikanga pāpaku, ki ngā rongoā rānei.

Te Whāinga i te Māuiui Taraweti mā te Rama Whero me te Rama Infraruri: Te Putoro me te Hua

Ina te kōrero mō te whakaora i ngā take o ngā huinga, e rua ngā tūranga e takirua ana—te kōmaruri katoa i ngā roa whatiwhati i waenganui i te 630 ki te 660 nm, me te kōmaruiri e pā ana i te 810 ki te 850 nm. Ka taea e te wāhanga kōmaruiri te whakauru atu ki ngā papaaraihi e 5 ngaia mita te rahi, arā ka tae noa ki ngā wāhanga morearea o te huinga pērā i ngā mema huinga. Ko te taha kōmaruri pea e paingia ai ngā wāhi mata, ā, ina neke atu anō ki ngā karatine e pātata ana ki te kiri. I whakaatu tētahi rangahau i tāpirihia e te Journal of Clinical Rheumatology i te tau 2014 he mea hoki. Ina whakamahia ngā kōmaruiri nei tahi, kaitekae pea ngā taumata o PGE2, ko ia tētahi o ngā tohu matua mō te pānga i te maruru, e te 19 ōrau i ngā takotoranga whakamātau rereke. Ko tēnei ara tuarua e hāungi ana i te ahuatanga a-tinana ki te muru i te maruru.

Te Whakarāpopoto i ngā Kaituku Maruru me ngā Cytokines Trātata Mā te Phototherapy

Kāwari te RLT i ngā tukanga pā ki te mā:

• Whakaroa i te mahi o te hōuna COX-2 umanga 22% (RCT, 2017)
• Hei whakaiti i ngā rahi o TNF-α me IL-6 umanga 18–24%
• Whakanui i te whakaputanga o te anti-inflammatory IL-10

Ko ēnei panonitanga e hāngai ana ki ngā heke haumanu e ripoata ana e ngā pacipera, 35–50%, i te mate kiriaki roto i ngā urewerenga o te tarau, e tohu ana i ngā painga punahiko atu anō i ngā horopaki whakarongo.

Te whakautu ki te takotoranga rerekētanga o ngā tikanga whakarongo me ngā putanga arotake

Ko te rerekētanga o ngā putanga i te rangahau RLT e hāngai ana ki ngā aronga e kore nei e ū:

Ngā tūhuratanga e whakamahi ana i ngā kaupapa here rite e heke mai ana i te 73% te tau ake o ngā kaipānui e pai ake ana te pikinga o te mahi o ngā tūpuna (tūhuratanga meta 2023), e tohu ana he hiahiatia te tōaitanga i te whakamahi.

Te Pēhea e Māmā ai te Mate Māruru mā te Rātoru Kura me te Tautoko i te Hauora o ngā Tūpuna

Te Whakatāwhai i te Tohu Mate mā te Mārurutanga o te Rā Kura

Ko te RLT e whakarere ana i te mate ki te rongoā ā selula mā te heke i ngā cytokine pro-māruru pērā i te IL-6 me te TNF-α e 27% pea (Hamblin, 2017). Ko tēnei heke e heke ai te mataara o te anuanu me te whakapakari i te hānga o te serotonin—kia rua ngā pānga e māmā ai te kino kaua ko ngā rongoā.

Infrared vs. Mā Light: Te Whakanui i te Tōkeke o Ngā Rauropi mō ngā Koneki Hohonu

Ahakoa ko te mā (630–700 nm) e whakaora ana i ngā rauropi mata, ko te infrared (800–850 nm) e taea ana te tōkeke ki te hohonu o te 4–5 cm, ka taea ai te uru atu ki te wai kotare me te karatini ki ngā kapa me ngā pūkio. Ko te whakakotahi i ēnei rua roa-waerangi e whakapai ake ana i ngā inenga maimoaitanga umanga 40% mō te whakamahinga takitahi-iho, e tuku ana i te whakaora whānui mō te maimoaitanga o ngā koneki hohonu.

Te Heke i te Ahi-o-te-tinana ki ngā Rauropi Koneki Trātataia e te Photobiomodulation

Mā te whakapakari i te mahi-mitochondrial, ka whakapai ake te RLT i te whanonga ATP ki ngā sel koneki kua pakaru, āwhina ana i te whakaoranga me te whakamoe i ngā parirau noa e huritau ai te pakaru o te karatini. Ko ngā mōrehu e pa ana ki ngā wāhanga noa ka kitea he hekenga 35% i ngā tohu ahi-o-te-tinana, e hāngai ana ki te whakapai ake i te maroke me te heke i te putake.

Te Āhua Whaihua ki te Ao Tūmatanui: Ngā Tuhinga Tauira me te Whakauru ki te Tiaki Tinana

Tauānga Tuhinga: Te Whakapai ake o te Arthritis Osteoarthritis Kaupeka Mā Te Whakamahi I Te Mā Noa

I tētahi rangahau whakarāpopototia i te tau 2023, i kitea e ngā kairangahau ko te paku o te māmā o te taraweti i te 62% i muri i te whai i ngā wātatau RLT 10 meneti ia rā mō te waru wiki ki te roimata 660 nm. Mō ērā e noho ana ki te mate taraweti matato (tūmau 2-3), i whakaatu hoki ngā pekata MRI i ētahi mea hihiri – ko te takotoranga karatini he 14% neke atu te taumaha i te aronga i te rōpū whakamātau. E hāngai pū ana tēnei ki tētahi atu rangahau i tūhuratia tau kua pahure ake ki te Pukapuka mō te Rheumatology Hauora. I whakaatu hoki tēnei rangahau ko te nuinga o ngā kaimahi i paku ake te whakamahi moniwhānui NSAID ki te haurua pea i te wā i tāpiria ai te mātauranga RLT ki tō rātou tikanga hauora.

Ngā Putanga e Ripengia ana e ngā Tūroro me ngā Whakanui ake i te Neke haere o ngā Tū

Whakaatu ana ngā tirohanga mōhio ko te 76% o ngā māuiui mate pūkenga māuiui e hiahiatia ana i te whai pānga pai ki te āhua o te pikinga piki rēka i roto i ngā wiki e ono i muri i te tīmatatanga o te photobiomodulation. Ko ngā ine goniometer e whakaatu ana i te whiwhinga ake o te 22° i te kowhiringa pūkenga, e āwhina ana i te 58% o ngā kaiwhilkilki ki te hoki anō ki ngā mahi iti-ātaahua i waiho ai i mua nā te mamae.

Te Whanaketanga o te Maimoatanga Rama Whero i te Rongoā Hākinakina me te Whakamaru

Nō reira heke mai i te 90% o ngā kaupapa hākinakina NCAA Division I e whakamahi ana i te RLT mō te hoki ake mai i ngā māuiui pūkenga marino, e ripoata ana ko te wā hoki anō ki te tākaro e 41% tere ake i ngā tikanga arataki. Kei te honohono haere ngā kairongoā tinana i ngā waerua 630 nm whero me ngā 850 nm inaparā ki te whakatika i ngā pānga mata māuiui me te whakatika i ngā whatukuhā pōturi i ngā pūkenga e uta ana i te taumaha.

Ko tēnei wāhanga kua nohoia kia kore ngā hononga waho nā te kore pūrākau mana e ōrite ana ki te aronga ihirangi mō ngā whakamātau rongoā rama whero.

Te Whakauru i te Maimoatanga Rama Whero ki ngā Kaupapa Arataki Mamae Kāore i te Rongoā

Te Hoahoa Whakamātautau Māwhitiwhiti hei Ratonga Koremate mō te Mate Ongo-ongo

Ko te Hoahoa Whakamātautau Māwhitiwhiti e āwhina ana i te kaihau mate, he kōwhiringa tōna ki ngā rīhi mō ngā tāngata e noho ana me te mate ogo-ongo tonu. I tētahi rangahau hou i whakaatuia ki te Pukapuka Rangahau Mate i te tau 2023, i kitea he mea hāpai: neke atu i te rua tuatoru o rātou e pāngia ana e te mate arthiriti osteoarthritis i iti ake te kai i ngā NSAID, neke atu i te haurua i muri i te waru wiki o tēnei hoahoa mā te māwhitiwhiti (photobiomodulation). Ko te tikanga o te hoahoa he iti ake ngā taumata o PGE-2 me IL-6, ēnei hoki he kaiwhara e pā ana ki te pakaru haere o ngā tūpuna i te wā roa. Ko te mea e tū ake ai te RLT ko tana whai wāhi ki te tapa o ngā tohu, kāore hoki i ngā raru kiko, ngā raru manawa rānei e hua mai ana i te kai maha i ngā rongoā puta noa i te tinana. Mō te katoa e ngākau nui ana kia mau te hauora o ō rātou wāhi tinana i te wā roa, ā, e ngākau whakawhitinga atu ana i ngā rongoā matātoko, ka taea pea tēnei e tino whakamārama.

Te Whakakotahi i te Mātauranga Tuarā me te Mātauranga Tinana me Ētahi Atu Rongoā Tiaki

Ko ngā ara hou e whakakotahi ana i te mātauranga RLT me te mātauranga takotoranga me ngā māia whakamātautau motuhake kia āwhina i te tangata kia hoki ki te āhua pai ake. I kitea e tētahi rangahau i te tau 2022 i te pukapuka Rheumatology International ētahi mea hāpai i te wā i rātou whakamātauria te aiwhā atarau ki te 660 nm tūmataiti i ngā wā pānui mātauranga tinana ārahi. Kua kitea e ngā mōrehu tō rātou nekeneke o te taraweti e te 22% i te nuinga i ērā i te mōhiotia anake i te mātauranga tinana. Ko te mea e pai ai tēnei ara he aha, ko te āwhina a RLT i te pakanga ki te pāpāhoro, arā, he iti ake te parurenga me te iti ake ngā pānga kino i muri i te mahi tinana. Ka taea ai e te tangata te urupare ki ō rātou kaupapa whakaora i te āhua tino whai hua. Kua timata ētahi o ngā piriti matatau ki te whakamahi i te mātauranga aiwhā hei wāhanga o rātou tikanga noa inaianei. Ka tuanui rātou i ngā rama tūtata i mua i te whakamahi i ngā nekeneke taraweti, kātahi ka hoki anō i muri i ngā mātauranga hukapapa kia homai ki ngā whatumanawa ngā whakaurunga katoa kia ora tonu.

Te Whakawātea i ngā Wāwāhi ki te Whanonga Kāinga me te Whakanui ake i te Arataki a te Tūroro

Kei te mahi tino pai te RLT hōhipera, engari kei te uaua tonu te whakapā atu ki ngā taputapu kāinga nā ngā take e pā ana ki te whanonga tātai me ngā utu. E ai ki tētahi rangahau hou i tākarotia e Patient Preference and Adherence i te 2024, ko ngā tāngata i arataki mai ki ngā taputapu takotoranga FDA i āwhina i a rātou ki te arataki i ō rātou mātai e waru ki te tekau pea i ia wā i te noho poto ake i te 15 meneti te wā o ia wānanga. Kua timata ngā kamupene e whakamāmā ai i te whakamahinga o ēnei taputapu, ka tāpiri i ngā āhuatanga pērā i ngā panonitanga hono-īpini me ngā arataki tāruarua mō ngā wāhanga rerehua rerekē. Marautia ana e ngā rongoā ngā tūroro ki te arataki ma te whakauru i te RLT ki ngā arataki ā-rā anō, pērā i te mātai aroha ki te aroha i muri i tō rātou tikanga taraiwa ina hao ai, i te ata, i te takutai i te pō.

FAQ

He aha te Hangarau Rōrahi Whero?

Ko te mātai aroha ki te aroha he whakamahinga i te aroha i te 600 ki te 850 nanometara hei whakatenatena i te ora me te whakaiti i te pānga ki ngā whatukuhā o ngā whatukuhā.

Pēhea te āwhina a te mātauranga whakapuaki kura kōhatu ki te mate o ngā wāhi hono?

Ka tūhono ia ki roto rawa ki ngā rauropi hei timata i ngā arotake pūtaiao e heke iho ai te pānga pāpāki, ka hōhonu ake te hoki, ka tuku whakaora mai i te mate o ngā wāhi hono.

Hei whea ngā taipitopito paraihe e tautoko ana i te mātauranga whakapuaki kura kōhatu mō te mate hono?

Āe, i whakaatu tahi nei te nuinga o ngā akoako ko ngā heketanga matua o te mate, me ngā whakapai ake i te mahi o ngā wāhi hono mō ngā mōrearea e pāngia ana e te osteoarthritis, me te pānga o ngā wāhi hono.

Ka taea te whakamahi i te mātauranga whakapuaki kura kōhatu ki te kāinga?

Āe, kei te waatea ngā taputapu mō te whakamahi ki te kāinga, engari he uaua pea te arataki. Ka āwhina ngā taputapu pūkoro e hāngai ana ki ngā tohu, me ngā arataki tūmatanui kia mau tonu te whakamahi.