ʻO ka ʻāʻī ke kumu nui o ke kīnā, i hōʻike ʻia e ka ʻeha hou mai ka mumū ma kekahi a ʻoi aku paha o nā hono o ke kino. ʻOiai he ʻano like ʻole ka ʻāʻī a pili pinepine ia me ka poʻe ʻelemakule, hiki iā ia ke hoʻopilikia i kekahi, me ka nānā ʻole i ka makahiki a i ʻole ke kāne. ʻO ka nīnau a mākou e pane ai ma kēia ʻatikala - Hiki ke hoʻohana pono ʻia ke kukui no ka mālama ʻana i kekahi a i ʻole nā ʻano ʻāʻī āpau?
Hoʻolauna
Kekahi mau kumu okukui infrared kokoke a me ka ʻulaʻulaua hoʻohana maoli ʻia no ka mālama ʻana i ka maʻi arthritis mai ka hopena o nā makahiki 1980. I ka makahiki 2000, ua lawa nā hōʻike ʻepekema e ʻōlelo aku ai no nā mea maʻi arthritis āpau me ka nānā ʻole i ke kumu a i ʻole ke koʻikoʻi. Mai ia manawa, ua nui nā haʻawina lapaʻau maikaʻi e hoʻāʻo nei e hoʻomaʻemaʻe i nā palena no nā hono āpau i hiki ke hoʻopilikia ʻia.
ʻO ka Light therapy a me kona hoʻohana ʻana i ka arthritis
ʻO ka hōʻailona nui mua o ka rumatika ka ʻeha, pinepine e ʻeha a hoʻonāwaliwali i ka holomua ʻana o ke kūlana. ʻO kēia ke ala mua e hana ailāʻau lapaʻau kukuiua aʻo ʻia - ma ka hiki ke hōʻemi i ka mumū i loko o ke hono a pēlā e hōʻemi ai i ka ʻeha. Ua aʻo ʻia ma kahi o nā wahi āpau i nā hoʻokolohua lapaʻau kanaka e komo pū ana me; nā kuli, nā poʻohiwi, nā ʻauwae, nā manamana lima/lima/pulima lima, ke kua, nā kuʻekuʻe lima, ka ʻāʻī a me nā kuʻekuʻe wāwae/wāwae/manamana wāwae.
ʻO nā kuli ka mea i aʻo nui ʻia i loko o ke kanaka, he mea maopopo ia no ka mea ʻo ia paha ka wahi i hoʻopilikia pinepine ʻia. ʻO ka ʻāʻī o kēlā me kēia ʻano ma aneʻi he mau hopena koʻikoʻi e like me ke kīnā a me ka hiki ʻole ke hele. ʻO ka mea pōmaikaʻi, ʻo ka hapa nui o nā haʻawina e hoʻohana ana i ke kukui ʻulaʻula/IR ma ka hui kuli e hōʻike ana i kekahi mau hopena hoihoi, a he ʻoiaʻiʻo kēia ma luna o nā ʻano lapaʻau like ʻole. ʻO nā manamana lima, nā manamana wāwae, nā lima a me nā pulima lima ka mea maʻalahi loa e hoʻoponopono i nā pilikia ʻāʻī āpau, ma muli o ko lākou liʻiliʻi a me ka hohonu pāpaʻu.
ʻO ka Osteoarthritis a me ka rheumatoid arthritis nā ʻano nui o ka arthritis e aʻo ʻia nei, ma muli o ko lākou laha ʻana, ʻoiai aia ke kumu e manaʻoʻiʻo ai he mea hoihoi paha ka lāʻau like no nā ʻano arthritis ʻē aʻe (a me nā pilikia hui pili ʻole e like me ka ʻeha a i ʻole ke ʻoki ʻana) e like me ka psoriatic, gout a me ka ʻāʻī ʻōpiopio. ʻO nā lāʻau lapaʻau no ka osteoarthritis e pili ana i ka hoʻopili pololei ʻana o ke kukui ma luna o ka wahi i hoʻopilikia ʻia. Hiki ke like nā lāʻau lapaʻau holomua no ka rheumatoid arthritis akā pili pū kekahi i ka hoʻopili ʻana o ke kukui i ke koko. ʻOiai he maʻi autoimmune ka rheumatoid arthritis, he mea kūpono kēia - ʻo nā hono wale nō ka hōʻailona, aia ka pilikia kumu maoli i loko o nā cell immune.
ʻO ke ʻano hana - he ahakukui ʻulaʻula/infraredhana
Ma mua o ko mākou hoʻomaopopo ʻana i ka pilina o ke kukui ʻulaʻula/IR me ka maʻi ʻaʻai, pono mākou e ʻike i ke kumu o ka maʻi ʻaʻai.
Nā kumu
Hiki i ka ʻāʻī ke hopena o ka mumū mau o kahi hui, akā hiki nō hoʻi ke ulu koke, ma hope o nā manawa o ke kaumaha a i ʻole ka ʻeha (ʻaʻole pono ka ʻeha i ka ʻāpana ʻāʻī). ʻO ka maʻamau, hiki i ke kino ke hoʻoponopono i ka ʻaʻahu a me ka haehae o kēlā me kēia lā ma nā hui, akā hiki ke nalowale kēia hiki, e alakaʻi ana i ka hoʻomaka ʻana o ka ʻāʻī.
ʻO ka emi ʻana o ka metabolism oxidative, ʻo ka hiki ke hoʻololi i ka glucose / carbohydrates i ka ikehu e pili pono ana i ka arthritis.
Hoʻopili pinepine ʻia ka hypothyroidism lapaʻau me ka maʻi arthritis, a ʻike pinepine ʻia nā mea ʻelua i ka manawa like.
Ua hōʻike ʻia nā haʻawina hou aku nei i nā kikoʻī hou aku o ka hemahema metabolic i ka metabolism glucose e pili ana i ka rheumatoid arthritis.
Aia kahi pilina hormonal maopopo i ka hapa nui o nā ʻano arthritis
Hōʻike ʻia kēia ma ke ʻano e hiki ai i ka hāpai ʻana ke hoʻomaʻemaʻe loa (a i ʻole e hoʻololi paha) i nā hōʻailona o ka rumatika i kekahi mau wahine.
ʻOi aku ka pinepine o ka Rheumatoid arthritis i nā wahine ma mua o nā kāne (a paʻakikī hoʻi i nā wahine ke ho'ōla), e hōʻoia hou ana i ka pilina hormonal.
Ua pili pū ʻia nā hormones adrenal (a i ʻole ka nele o ia mea) i nā maʻi āpau no nā makahiki he 100 a ʻoi aku.
Ua pili pono nā loli i ke olakino/hana o ke akepaʻa i ka maʻi rheumatoid
Ua pili pū ʻia ka hemahema o ka calcium me ka maʻi ʻaʻai, me nā hemahema meaola ʻē aʻe.
ʻO kaʻoiaʻiʻo, aia ka metabolism calcium maʻamau i nā ʻano arthritis āpau.
Ke hoʻomau nei ka papa inoa o nā kumu, me nā kumu he nui e pāʻani ana i kahi kuleana. ʻOiai ke kūkākūkā ʻia nei ke kumu kikoʻī o ka arthritis ma ke ʻano laulā (a ʻokoʻa no ka osteo / rheumatoid etc.), ua maopopo he pilina kekahi me ka hoʻemi ʻia ʻana o ka hana ikehu a me ka hopena ma hope o ke kino, e alakaʻi ana i ka mumū o nā hono.
Ua loaʻa nā hopena maikaʻi i ka mālama mua ʻana i ka maʻi ʻaʻai me ka ATP (ka huahana metabolism ikehu cellular), a ʻo ia ka molekole ikehu like e kōkua ai ka lāʻau lapaʻau kukui ʻulaʻula/IR i kā mākou mau cell e hana….
ʻAno hana
ʻO ke kuhiakau nui ma hopelāʻau lapaʻau kukuiʻo ia hoʻi, ua omo ʻia nā nalu ʻulaʻula a kokoke i ka infrared o ke kukui ma waena o 600nm a me 1000nm e kā mākou mau cell, e hoʻonui ana i ka hana ikehu kūlohelohe (ATP). Ua kapa ʻia kēia kaʻina hana ʻo 'photobiomodulation' e nā mea noiʻi ma ke kahua. ʻIke mākou i ka hoʻonui ʻia ʻana o nā huahana mitochondrial e like me ATP, NADH, a me co2 - ka hopena maʻamau o kahi metabolism olakino a me ke kaumaha ʻole.
Me he mea lā ua ulu aʻe ko kākou mau kino e komo i loko, a omo pono i kēia ʻano mālamalama. ʻO ka ʻāpana hoʻopaʻapaʻa o ke ʻano hana, ʻo ia ke kaulahao kikoʻī o nā hanana ma ka pae molekala, nona kekahi mau kuhiakau:
Hoʻokuʻu ʻia ka Nitric oxide (NO) mai nā pūnaewele i ka wālāʻau lapaʻau kukuiHe molekole koʻikoʻi kēia e kāohi ana i ka hanu ʻana, no laila he mea maikaʻi ka hoʻouna ʻana aku i waho o nā pūnaewele. ʻO ka manaʻo kikoʻī, ʻo iakukui ʻulaʻula/IRke hoʻokaʻawale nei i ka NO mai ka cytochrome c oxidase i loko o ka mitochondria, no laila e ʻae ana i ka oxygen e hana hou ʻia.
Hoʻokuʻu ʻia nā ʻano oxygen reactive (ROS) i nā ʻāpana liʻiliʻi ma hope o ka hoʻōla kukui.
Hiki ke hoʻoulu ʻia ka vasodilation elāʻau lapaʻau kukui ʻulaʻula/IR- kekahi mea e pili ana i ka NO a he mea nui loa no ka mumū o nā hono a me ka rumatika.
Loaʻa i ke kukui ʻulaʻula/IR ka hopena ma ka wai (cellular), e hoʻonui ana i ka mamao ma waena o kēlā me kēia molekole wai. ʻO ke ʻano o kēia, ʻo ia nā ʻano kino o kahi loli cell - hana mālie nā hopena, emi ka pale ʻana o nā enzymes a me nā protein, ʻoi aku ka maikaʻi o ka hoʻolaha ʻana. Aia kēia i loko o nā cell akā i loko nō hoʻi o ke koko a me nā wahi intercellular ʻē aʻe.
ʻAʻole i maopopo ka hapa nui o ke ola (ma ka pae cellular) a me he mea lā he kumu nui ke kukui ʻulaʻula/IR i ke ola ma kekahi ʻano, ʻoi aku ma mua o nā kala/nā nalu ʻē aʻe o ke kukui. Ma muli o nā hōʻike, me he mea lā e hana ʻia ana nā kuhiakau ʻelua i luna, a malia paha he mau ʻano hana ʻē aʻe i ʻike ʻole ʻia.
Nui nā hōʻike e pili ana i ka hopena ʻōnaehana ākea mai ka hoʻomālamalama ʻana i nā aʻa koko a me nā aʻa ma nā wahi āpau o ke kino, a me ka hoʻonui ʻana i ke kahe koko/microcirculation a me ka hoʻemi ʻana i ka mumū ma kahi kūloko. ʻO ka hopena, ʻo ka mālamalama ʻulaʻula/IR e hoʻemi ana i ke kaumaha kūloko a no laila e kōkua i kāu mau cell e hana pono hou - a ʻaʻole ʻokoʻa nā cell o nā hono i kēia.
ʻUlaʻula a i ʻole Infrared?
ʻO ka ʻokoʻa nui ma waena o ke kukui ʻulaʻula (600-700nm) a me ka infrared (700-100nm) me he mea lā ʻo ia ka hohonu e hiki ai iā lākou ke komo, me nā nalu kiʻekiʻe ma mua o 740nm e komo maikaʻi ana ma mua o nā nalu ma lalo o 740nm - a he hopena kūpono kēia no ka arthritis. Hiki ke kūpono kahi kukui ʻulaʻula mana haʻahaʻa no ka arthritis o nā lima a me nā wāwae, akā hiki ke hāʻule i lalo no ka arthritis o nā kuli, nā poʻohiwi a me nā hono nui. ʻO ka hapa nui o nā haʻawina hoʻōla kukui arthritis e hoʻohana i nā nalu infrared no kēia kumu a ʻo nā haʻawina e hoʻohālikelike ana i nā nalu ʻulaʻula a me ka infrared e hōʻike ana i nā hopena maikaʻi aʻe mai ka infrared.
Ke hōʻoia nei i ke komo ʻana i nā hono
ʻO nā mea nui ʻelua e hoʻopilikia ana i ke komo ʻana o nā ʻiʻo, ʻo ia nā nalu a me ka ikaika o ke kukui e pā ana i ka ʻili. Ma ke ʻano maoli, ʻo kekahi mea ma lalo o ka nalu o 600nm a i ʻole ma luna o ka nalu o 950nm ʻaʻole ia e komo hohonu. ʻO ka pae 740-850nm ka mea kūpono no ke komo ʻana ma kahi kūpono a ma kahi o 820nm no nā hopena kiʻekiʻe loa ma ke kelepona. Hoʻopilikia pū ka ikaika o ke kukui (ʻo ia hoʻi ka nui o ka mana / mW/cm²) i ke komo ʻana me 50mW/cm² ma luna o kekahi mau wahi cm² kahi palena iki maikaʻi. No laila, ma ke ʻano nui, e hilinaʻi kēia i kahi mea hana me nā nalu ma ka pae 800-850nm a ʻoi aku ka nui o ka mana ma mua o 50mW/cm².
Hōʻuluʻulu manaʻo
Ua aʻo ʻia ka light therapy e pili ana i ka maʻi ʻaʻai a me nā ʻano ʻeha ʻē aʻe no nā makahiki he ʻumi.
Nānā nā haʻawina māmā i nā ʻano arthritis āpau; osteo, rheumatoid, psoriatic, juvenile, a pēlā aku.
Hoʻōla kukuihana ʻia ma ka hoʻomaikaʻi ʻana i ka hana ikehu i nā ʻāpana hono, hiki ke kōkua i ka hoʻohaʻahaʻa ʻana i ka mumū a me ka hana maʻamau.
ʻO nā LED a me nā lasers wale nō nā mea hana i aʻo maikaʻi ʻia.
Ua aʻo ʻia kekahi nalu ma waena o 600nm a me 1000nm.
ʻO ke kukui infrared a puni ka pae 825nm ka mea maikaʻi loa no ke komo ʻana.