EA201500493A1 - A METHOD FOR DETERMINING THE INDICATOR OF THE EFFICIENCY OF PHOTOTHERAPE IMPACT AT THE BELLS OF THE NEWBORN - Google Patents

A METHOD FOR DETERMINING THE INDICATOR OF THE EFFICIENCY OF PHOTOTHERAPE IMPACT AT THE BELLS OF THE NEWBORN

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Publication number
EA201500493A1
EA201500493A1 EA201500493A EA201500493A EA201500493A1 EA 201500493 A1 EA201500493 A1 EA 201500493A1 EA 201500493 A EA201500493 A EA 201500493A EA 201500493 A EA201500493 A EA 201500493A EA 201500493 A1 EA201500493 A1 EA 201500493A1
Authority
EA
Eurasian Patent Office
Prior art keywords
skin
radiation
bilirubin
phototherapy
newborn
Prior art date
Application number
EA201500493A
Other languages
Russian (ru)
Other versions
EA031413B1 (en
Inventor
Сергей Александрович Лысенко
Михаил Михайлович Кугейко
Original Assignee
Белорусский Государственный Университет (Бгу)
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Application filed by Белорусский Государственный Университет (Бгу) filed Critical Белорусский Государственный Университет (Бгу)
Priority to EA201500493A priority Critical patent/EA031413B1/en
Publication of EA201500493A1 publication Critical patent/EA201500493A1/en
Publication of EA031413B1 publication Critical patent/EA031413B1/en

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Abstract

Предлагаемое изобретение относится к области медицины, в частности к области неонатологии, и может быть использовано при проведении фототерапевтического лечения желтухи новорожденных. Направлено на решение задачи непосредственно определения скорости фотоизомеризации билирубина в любой момент времени при фототерапии неонатальной желтухи. Поставленная задача достигается тем, что устанавливают спектральную характеристику источника фототерапевтического излучения D(λ), в любой момент фототерапии измеряют спектр диффузного отражения света от кожи новорожденного, путем минимизации невязки между спектрами диффузного отражения кожи, измеренным и рассчитанным в рамках модели переноса излучения в коже, определяют оптические и геометрические параметры кожи, влияющие на перенос в ней излучения, рассчитывают распределение плотности излучения E(z, λ) по глубине кожи z в спектральном диапазоне фототерапевтического воздействия [λ, λ] при единичной освещенности поверхности кожи в соответствии с определенными для нее оптическими и геометрическими параметрами, а скорость трансформации токсичного ZZ-билирубина в нетоксичный и водорастворимый фотоизомер люмирубин LR определяют на основе выражениягде εи ε(см/мкМ) - молярные коэффициенты поглощения фотоизомеров билирубина ZZ и ZE; φ, φ, φ- квантовые выходы процессов фотоизомеризации ZZ → ZE, ZE → ZZ, и ZZ → LR соответственно, h = 6.63∙10Дж∙с - постоянная пПланка, с = 3-10см/с - скорость света, Nμ = 6.02∙10моль- число Авогадро, Lи L- геометрические толщины эпидермиса и дермы, z= L, z= L+ L.The present invention relates to the field of medicine, in particular to the field of neonatology, and can be used when conducting phototherapeutic treatment of neonatal jaundice. Aimed at solving the problem of directly determining the rate of photoisomerization of bilirubin at any time during phototherapy of neonatal jaundice. The task is achieved by establishing the spectral characteristic of the source of phototherapeutic radiation D (λ), at any time phototherapy measure the diffuse reflection of light from the skin of the newborn, by minimizing the discrepancy between the diffuse reflection spectra of the skin, measured and calculated in the model of radiation transfer in the skin, determine the optical and geometric parameters of the skin, affecting the transfer of radiation in it, calculate the distribution of radiation density E (z, λ) over the depth of the skin z in the spectral the range of phototherapy effects [λ, λ] with a single illumination of the skin surface in accordance with the optical and geometric parameters determined for it, and the rate of transformation of toxic ZZ-bilirubin into a non-toxic and water-soluble photoisomer Lumirubin LR is determined on the basis of the expression ε and ε (cm / μM) - molar absorption coefficients of the photo isomers of bilirubin ZZ and ZE; φ, φ, φ - quantum outputs of photoisomerization processes ZZ → ZE, ZE → ZZ, and ZZ → LR, respectively, h = 6.63 10J ∙ s - constant p Plank, c = 3-10cm / s - speed of light, Nμ = 6.02 10 mol is Avogadro's number, L and L are the geometric thicknesses of the epidermis and dermis, z = L, z = L + L.

EA201500493A 2015-04-16 2015-04-16 Method for determination of toxic bilirubin transformation speed into non-toxic, and water-soluble photoisomer lumirubin EA031413B1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EA201500493A EA031413B1 (en) 2015-04-16 2015-04-16 Method for determination of toxic bilirubin transformation speed into non-toxic, and water-soluble photoisomer lumirubin

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
EA201500493A EA031413B1 (en) 2015-04-16 2015-04-16 Method for determination of toxic bilirubin transformation speed into non-toxic, and water-soluble photoisomer lumirubin

Publications (2)

Publication Number Publication Date
EA201500493A1 true EA201500493A1 (en) 2016-10-31
EA031413B1 EA031413B1 (en) 2018-12-28

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EA201500493A EA031413B1 (en) 2015-04-16 2015-04-16 Method for determination of toxic bilirubin transformation speed into non-toxic, and water-soluble photoisomer lumirubin

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Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5353790A (en) * 1992-01-17 1994-10-11 Board Of Regents, The University Of Texas System Method and apparatus for optical measurement of bilirubin in tissue
RU2054181C1 (en) * 1993-07-30 1996-02-10 Акционерное общество закрытого типа "Научно-производственное предприятие "Техномедика" Method for determining effectiveness index of phototherapeutic treatment in cases of neonatal jaundice
US6353226B1 (en) * 1998-11-23 2002-03-05 Abbott Laboratories Non-invasive sensor capable of determining optical parameters in a sample having multiple layers
RU2511747C2 (en) * 2012-03-07 2014-04-10 Белорусский Государственный Университет (Бгу) Method for determining bilirubin concentration
RU2506567C1 (en) * 2012-08-01 2014-02-10 Белорусский Государственный Университет (Бгу) Method to determine concentrations of biological tissue chromophores

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Designated state(s): AM AZ BY KZ KG TJ TM RU