Kalafo ea Leseli ea Near-Infrared (NIR) ea 940nm: Pholiso e Tsoetseng Pele ea Bohloko le Melemo ea Methapo ea Metsi
Leseli la NIR la 940nm le na le sebaka se ikhethang ho feto-fetoheng ha 'mele ka khanya ea letsatsi, le fana ka phetoho e ntlafalitsoeng ea bohloko le ntlafatso ea phallo ea mali ha e bapisoa le maqhubu a makhutšoane a NIR (mohlala, 810nm/850nm). Mona ke tlhahlobo e qaqileng ea boleng ba eona ba bongaka:
1. Mekhoa ea Bohlokoa le Melemo ea 940nm
Litlamorao tse shebaneng le methapo ea mali
- Ho Monya Hemoglobin ka ho Fetisisa:
940nm e monngoa ka matla ke deoxyhemoglobin (mali a methapo), e leng se etsang hore e be molemo bakeng sa:- Ho se sebetse hantle ha methapo ea mali (methapo ea varicose, edema e sa foleng)
- Ho ntlafatsa phallo ea mali ka har'a mali (liso tsa lefu la tsoekere, lefu la Raynaud)
- Ho ntša metsi ka har'a li-lymphatic (ho fokotsa ho ruruha ka mor'a opereishene)
Ho Fetola Bohloko
- Ho Imolla Methapo ka ho Ikhethela:
E shebana le li-nociceptor tsa C-fiber (methapo ea bohloko) ka nepo ho feta 810nm/850nm → E molemo bakeng sa:- Bohloko ba methapo ea kutlo (neuralgia ea trigeminal, sciatica)
- Bohloko ba shingles (post-herpetic neuralgia)
- Thibelo ea migraine (ho sebelisoa phatleng/popelong)
Matla le Tokiso ea Lisele
- Ho Hlohlelletsa ha Mitochondria:
Leha e le hore e sebetsa hantle hanyane ho feta 810nm bakeng sa tlhahiso ea ATP, 940nm:- E kenella botebong ba 4–7cm (pakeng tsa botebo ba 810nm le 850nm)
- E fokotsa khatello ea oxidative liseleng tsa endothelial (lesela la methapo ea mali)
2. Likopo tsa Bongaka
| Boemo | Protokhole ea 940nm | Boemo ba Bopaki |
|---|---|---|
| Ho se Sebe hantle ha Methapo ea Mali ho sa Feleng | Metsotso e 10–15/letsatsi hodima methapo e amehileng | ★★★★☆ (E tšehelitsoe ke RCT) |
| Liso tsa Maoto a Tsoekere | Metsotso e 20 + 660nm bakeng sa ho koaloa ha leqeba | ★★★☆☆ |
| Bohloko ba Methapo | Pulsed 940nm (50Hz) litseleng tsa methapo | ★★★★☆ |
| Edema ea Kamora ho Buuoa | Kopanya le 810nm bakeng sa phallo ea lymphatic | ★★★☆☆ |
3. 940nm khahlano le Maqhubu a Mang a NIR
| Paramethara | 810nm | 850nm | 940nm |
|---|---|---|---|
| Ho Monya ka Tlhōrō | Cytochrome c oxidase | Metsi/lipide | Deoxyhemoglobin |
| Ho tsepamisa maikutlo bohlokong | Mesifa ea masapo | Lenonyello/lesapo le tebileng | Methapo ea methapo ea kutlo |
| Motsoako o Molemohali | 660nm (letlalo) | 810nm (mesifa) | 635nm (phallo ea methapo) |
Tlhokomeliso e Sebetsang: Lisebelisoa tsa 940nm hangata li sebelisa mosi o pulsed (mohlala, 50–100Hz) bakeng sa litlamorao tsa methapo/sejana.
4. Mekhoa ea Kalafo
- Bohloko ba methapo ea kutlo: metsotso e 10 e otla ka lebelo la 940nm litseleng tsa methapo (mohlala, tsela ea sciatic)
- Mathata a ho potoloha ha mali: Metsotso e 15 e tswelang pele maotong (methapong) + 635nm bakeng sa methapo ea mali
- Mefuta ea lisebelisoa:
- Kliniki: Litsamaiso tsa laser tse nang le diode tse ngata (mohlala, Laser ea MLS)
- Lehae: Liphanele tsa LED/NIR tse kopantsoeng tse nang le litlhophiso tsa 940nm
5. Polokeho le Lithibelo
- Tlhokomeliso ka:
- Thrombosis e sebetsang (kotsi ea DVT) - buisana le MD pele
- Meriana e utloang khanya ea letsatsi (likarabelo tse sa tloaelehang)
- Ha ho kotsi ea erythema (ho fapana le khanya ea UV/e putsoa)
Ntlha ea Bohlokoa
Bolelele ba maqhubu a 940nm ke khetho ea:
✔ Mathata a methapo ea mali (ho ema ha methapo ea mali/lymphatic)
✔ Bohloko ba methapo (bohloko bo sa foleng bo bakoang ke methapo)
✔ Kalafo e nepahetseng ha 810nm/850nm e le bophara bo boholo haholo
Bakeng sa tlhokomelo e felletseng: Kopanya le 635nm (arterial) + 1064nm (ho kenella ka botebo) maemong a bongaka.