940nm Kokoke-Infrared (NIR) Light Therapy: Hoʻomaha ʻeha holomua a me nā pono o ke koko
Aia ke kukui NIR 940nm i kahi niche kūikawā i ka photobiomodulation, e hāʻawi ana i ka hoʻonui ʻana i ka modulation ʻeha a me nā hoʻomaikaʻi ʻana i ke kahe koko i hoʻohālikelike ʻia me nā nalu NIR pōkole (e laʻa, 810nm/850nm). Eia kahi loiloi kikoʻī o kona waiwai lapaʻau:
1. Nā ʻano hana koʻikoʻi a me nā pono o 940nm
Nā hopena i hoʻolālā ʻia e ke koko
- Ka Hoʻopili ʻana o ka Hemoglobin Kūpono Loa:
Hoʻopili ikaika ʻia ka 940nm e ka deoxyhemoglobin (ke koko venous), e ʻoi aku ka maikaʻi no:- Ka lawa ʻole o nā veins (varicose veins, edema mau)
- ka hoʻonui ʻana o ka microcirculation (nā ʻeha maʻi diabetes, ka maʻi Raynaud)
- Ka hoʻokahe ʻana o ka lymphatic (e hōʻemi i ka pehu ma hope o ke ʻoki ʻana)
Hoʻololi ʻeha
- Hoʻomālielie ʻana i ke aʻalolo koho:
Hoʻopili pololei i nā nociceptors C-fiber (nā aʻalolo ʻeha) ma mua o 810nm/850nm → ʻOi aku ka maikaʻi no:- ʻEha neuropathic (sciatica, neuralgia trigeminal)
- ʻO ka neuralgia post-herpetic (ʻeha shingles)
- Ka pale ʻana i ka migraine (ka hoʻopili ʻana i ka lae/cervical)
Ikehu Kelepona a me ka Hoʻoponopono
- Hoʻoulu ʻana o ka Mitochondrial:
ʻOiai ʻoi aku ka liʻiliʻi o ka maikaʻi ma mua o 810nm no ka hana ʻana o ATP, 940nm:- Komo i loko o 4–7cm (ma waena o 810nm a me 850nm hohonu)
- Hoʻemi i ke kaumaha oxidative i loko o nā pūnaewele endothelial (vascular lining)
2. Nā Noi Lapaʻau
| Kūlana | Palapala 940nm | Pae Hōʻike |
|---|---|---|
| Ka lawa ʻole o ka venous mau loa | 10-15 mau minuke/lā ma luna o nā aa koko i hoʻopilikia ʻia | ★★★★☆ (kākoʻo ʻia e RCT) |
| Nā ʻeha wāwae maʻi diabetes | 20 mins + 660nm no ka pani ʻana o ka ʻeha | ★★★☆☆ |
| ʻEha Neuropathic | Pulsed 940nm (50Hz) ma nā ala aʻalolo | ★★★★☆ |
| ʻEdema ma hope o ke ʻoki ʻana | E hui pū me 810nm no ke kahe lymphatic | ★★★☆☆ |
3. 940nm vs. Nā Nalu NIR ʻē aʻe
| Palena | 810nm | 850nm | 940nm |
|---|---|---|---|
| ʻO ka Omo Kiʻekiʻe | ʻO ka cytochrome c oxidase | Wai/lipids | Deoxyhemoglobin |
| Ka Nānā ʻana i ka ʻeha | ʻIwi ʻiʻo | Hono/iwi hohonu | ʻO ke koko lolo |
| ʻO ka Hui Maikaʻi Loa | 660nm (ʻili) | 810nm (ʻiʻo) | 635nm (kahe ʻana o ke aʻa) |
Hoʻomaopopo Kūpono: Hoʻohana pinepine nā polokalamu 940nm i ka hoʻokuʻu pulsed (e laʻa, 50–100Hz) no nā hopena aʻalolo/mīkini.
4. Nā Kaʻina Hana Lapaʻau
- ʻEha neuropathic: 10 mau minuke i pulsed 940nm ma nā ala aʻalolo (e laʻa, ke ala sciatic)
- Nā pilikia kahe koko: 15 mau minuke e hoʻomau ana ma nā lālā (nā aʻa koko) + 635nm no nā aʻa koko
- Nā ʻano hāmeʻa:
- Lapaʻau: Nā ʻōnaehana laser multi-diode (e laʻa, MLS Laser)
- Home: Nā panela Hybrid LED/NIR me nā hoʻonohonoho 940nm
5. Palekana a me nā Contraindications
- E akahele me:
- ʻO ka thrombosis ikaika (pilikia DVT) - e nīnau mua i ke kauka
- Nā lāʻau lapaʻau photosensitive (nā hopena kakaikahi)
- ʻAʻohe pilikia o ka erythema (ʻaʻole e like me ke kukui UV/uliuli)
ʻO ka laina lalo
ʻO 940nm ka nalu koho no:
✔ Nā maʻi vascular (venous/lymphatic stagnation)
✔ ʻEha neurogenic (ʻeha mau loa i hoʻopili ʻia e nā aʻalolo)
✔ Hoʻōla pololei i ka wā e ākea loa ai ka spectrum 810nm/850nm
No ka mālama piha: E hoʻohui me 635nm (arterial) + 1064nm (komo hohonu loa) i nā hoʻonohonoho lapaʻau.