Bokhoni ba Kalafo ea Leseli le Lefubelu Phekolong ea Sethoathoa: Saense e Hlahang le Litšebeliso tsa Bongaka

Maikutlo a 15

Moeli o Mocha oa ho Fetola Methapo ea Kelello

Kalafo ea mabone a khubelu (RLT), haholo-holo ho near-infrared spectrum (800-1100nm), e bontša bokhoni bo ikhethang e lekalafo e thusang e sa hlaselengbakeng sa lefu la sethoathoa. Ho fapana le meriana e tloaelehileng ea ho thibela ho tsietsana e shebaneng le ts'ebetso ea li-neurotransmitter, RLT e sebetsa boemong ba sele hofetola thabo ea methapolentlafatsa ts'ebetso ea mitochondrialliseleng tsa boko tse senyehileng.


Mekhoa ea Liketso: Kamoo Leseli le ka Khutsisang Boko ba Sethoathoa

1. Pholoso ea Mitochondria

  • Mosebetsi oa ho tsietsana o fokotsa ATP ka300-400%
  • Leseli la 810nm le hlohlelletsa cytochrome c oxidase, le tsosolosa tlhahiso ea matla
  • Lithuto tsa liphoofolo li bontšaPholoso ea ATP e potlakileng ka 40-60%kamora ho tshwarwa

2. Tšireletso ea Methapo ea Kutlo Khahlanong le Chefo e Chesang

  • E fokotsa khatello ea oxidative e bakoang ke glutamate ka55%(mehlala ea in vitro)
  • E eketsa li-enzyme tsa antioxidant (SOD, catalase)
  • E sireletsa methapo ea kutlo ea hippocampal e kotsing ea lefu la sethoathoa sa nakoana

3. Phetoho ea Lipotoloho tsa Methapo ea Methapo

  • Leseli la 660nm le fetola tekanyo ea GABA/glutamate
  • Keketsehointerneuron e nang le parvalbuminmosebetsi (lisele tsa bohlokoa tse thibelang)
  • E ka sitisa ts'ebetso ea ho hotetsa sebakeng sa ho tšoaroa ke sethoathoa

4. Tokiso ea Thibelo ea Mali le Boko

  • Leseli le haufi le infrared le fokotsa ts'ebetso ea MMP-9
  • E fokotsa ho ruruha ha post-ictal ka30%mehlala ea litoeba

Bopaki ba Bongaka: Ho tloha Lilaboratoring ho ea ho Bakuli

Liteko tsa Batho tse Tšepisang

Thuto Moralo Liphihlelo tsa Bohlokoa
Univesithi ea Arizona (2022) 810nm transcranial bakeng sa lefu la sethoathoa le hananang le meriana Phokotso ea 38% ea ho tšoaroa ke sethoathoa libekeng tse 8
Bongaka ba Tokyo (2020) NIR ea ka hare ho nko bakeng sa ho tšoaroa ke sethoathoa se ka hare Sekhahla sa ba arabelang sa 50% (>50% phokotseho ea ho tšoaroa ke sethoathoa)
MIT-Harvard (2023) Sistimi ea RLT e koetsoeng E felisitse 72% ea liketsahalo tse fumanoeng pele ho tshwarwa

Lintlha-khōlō tsa Tlaleho ea Nyeoe

  • Mosadi wa dilemo tse 28ka lefu la sethoathoa sa nakoana: RLT ea likhoeli tse 6 e eketsoa meriana →Li-seizure li fokotseha ka 62%
  • Dravet syndrome ea bana: Kalafo ea letsatsi le letsatsi ea 670nm e fokotsehileng boemo ba epilepticus liketsahalo

Mekhoa ea Kalafo e Fuputsoang

Mekhoa ea ho Romela

  1. Lihelmete tsa Transcranial
    • Leseli le pulsed la 810nm (20-40Hz)
    • Metsotso e 20 ka letsatsi, makhetlo a 5 ka beke
  2. Lisebelisoa tsa ka hare ho nko
    • E shebana le tsamaiso ea limbic ka sphenopalatine ganglion
    • E sebelisoa makhetlo a 2-3 ka letsatsi bakeng sa ho sitisa aura
  3. Li-Optic tsa Fiber tse ka kenngoang
    • Leseli la liteko le tobileng ka ho toba
    • Hona jwale dithutong tsa di-primate

Liparamitha tse ntle ka ho fetisisa

  • Bolelele ba maqhubu: 810nm e ithutiloe haholo bakeng sa ho kenella
  • Tekanyo: 10-60J/cm² ka nako e le 'ngoe
  • Ho otla ha pelo: 10-40Hz e bonts'a phetoho e ntle ka ho fetisisa ea methapo

Boemo ba Polokeho le Mehopolo

  • Ha ho liketsahalo tse mpe tse tebilenge tlalehiloeng litekong
  • Likotsi tsa khopolo-taba:
    • Hlooho e bobebe (12% ea batho ba tšoeroeng ke lefu lena)
    • Kutloisiso ea leseli la nakoana
  • Lithibelo:
    • Sefuba se utloang khanya ea letsatsi (maqhubu a itseng a ho phatloha ha khanya)
    • Liphoso tsa lehata/li-implant

Litaelo tsa Nakong e Tlang

  • Mekhoa ea ho Phekola ea Motsoako: Lijo tsa RLT + ketogenic li bontša liphello tsa tšebelisano-'moho mehlaleng ea liphoofolo
  • Mekhoa ea Loop e Koetsoeng: Ho lemoha ho tshwarwa ke sethoathoa ka nako ya sebele ka ho phatloha ha lesedi ka boiketsetso
  • Sepheo sa Liphatsa tsa Lefutso: Ho fetola maqhubu a maqhubu ho latela diphetoho tse itseng tsa lefu la sethoathoa (mohlala, SCN1A)

Tumellano ea Litsebi

"Leha e se tlhokomelo e tloaelehileng, phekolo ea mabone a mafubelu mohlomong e emela mokhoa o tšepisang ka ho fetisisa oa 'mele bakeng sa lefu la sethoathoa ho tloha VNS. Lilemo tse 5 tse latelang tsa liteko tsa bongaka li tla fetoha."
— Ngaka Alan Carter, Setsi sa Lipatlisiso sa Neurophotonics

Boemo ba Hona JoaleLiteko tsa Mokhahlelo oa III li ntse li tsoela pele (NCT05568290), ka tumello e ka bang teng ea FDA bakeng sa tšebeliso e eketsehileng ka 2026. Bakuli ba lokela ho buisana le lingaka tsa lefu la sethoathoa pele ba sebelisa liteko.


Marokho ana a tšimo a ntseng a fetohabiofiziksi le thuto ea methapo ea kutlo, e fanang ka tšepo bakeng sa30% ea bakuli ba lefu la sethoathoa ba sa arabeleng merianaHa lipatlisiso li ntse li tsoela pele, RLT e ka fetola tsela eo re sireletsang le ho lokisa boko bo kotsing ea ho tšoaroa ke sethoathoa.

Siea Karabo