Barte, Anne Bernadette B.
INDICATIONS, CONTRAINDICATIONS & DANGERS TO ULTRAVIOLET RADIATIONS
INDICATIONS
Acne Using UVR is aiming to produce desquamation to open the blocked pores and hair follicles. Erythema produced will improve the condition of the skin, stimulate the growth of healthy epithelium, and stimulate the antibiotic effect to destroy the infecting organisms. The ideal dose may be given to the acne of the shoulders and back is E3. E2 is given to the face, chest and neck. Psoriasis The aims of the treatment with UVR are to decrease the DNA synthesis in the cells of the skin and to improve the skin condition. E1 used for large area and progressed daily. E2 used for small areas every second day and progressed each treatment. Insipient Pressure Areas UVR may be used to prevent the skin over an incipient pressure areas from breaking down and producing an open and infected wound to stimulate the growth of epithelial cells and to destroy the surface bacteria. E1 dose progressed daily using the Kromayer lamp. In areas such as the heels or the elbows where the skin is thicker, an E2 may be used. Non-infected Open Wounds UVR may be used to promote healing in surgical incisions, pressure areas, venous and arterial ulcers. Infected Open Wounds UVR may be used in the treatment of infected surgical incisions, pressure areas, venous and arterial ulcers. The aims of the treatment with UVR are to distort and remove the slough (infected materials), stimulate the growth of healthy granulation tissues and promote healing by stimulate growth of epithelium. E3 dose is sufficient, the dose is may be given daily and is not being applied to normal skin. Counter Irritation UVR may be used for its counter-irritant effect in the relief of pain. E4 dose is given to cause discomfort and producing mask of pain caused by deep structures.
CONTRAINDICATIONS
Dermatologic Conditions: Certain conditions such as acute eczema, lupus erthematosis (auto-immune disease), and herpes simplex may be exacerbated by UVR. Hypersensitivity To Sunlight Patients who react adversely to even minimal exposure to sunlight. Febrile Disorders Patient with high temperature. Deep X-Ray Therapy Never apply UVR before three months pass after X-ray therapy to avoid hypersensitivity. Infrared Therapy
If the erythema due to IR therapy is still present this will increase the effect and absorption of UVR. Photo-allergy If the patient is known to develop a rash after exposure to sunlight, treatment with UVR should be avoided. Tuberculosis or Tumours May be exacerbated by the effect of UVR.
DANGERS
Shock Is a danger for both patient and therapist. The machine should be earthed and the main power cord insulation intact. Damage Of The Eyes UVR may produce conjunctivitis, iritis or cataract. The eyes of both therapist and patient must be protected by wear Goggles made of glass absorb all UVR and offer maximum protection. Over Dosage There is a risk of producing an ultraviolet burn if care is not taken to prevent the overlap of doses. Sensitizing Drugs Number of drugs and some food in a few patients are known too sensitive patient to the effect of UVR.
