The efficiency of the intravenous laser therapy in patients with hypothyroidism combined with nonalcoholic fatty liver disease

  • Dariya Zhaldak Сумський державний університет
  • Oksana Melekhovets Сумський державний університет
  • Yurii Melekhovets Сумський державний університет
Keywords: Intravenous laser therapy, hypothyroidism, nonalcoholic fatty liver disease, polymorphism of CYP7A1 gene.

Abstract

To asses the efficiency of intravenous laser therapy (IVLT) in the treatment of patients with hypothyroidism combined with nonalcoholic fatty liver disease was studied 180 people with dyslipidemia. The I group included 60 patients who didn’t have any complaints, but had dyslipidemia. The II group included 60 patients with nonalcoholic fatty liver disease, the III group included 60 patients with hypothyroidism combined with nonalcoholic fatty liver disease. Based on the genetic research polymorphic variants of gene CYP7A1 patients were divided into subgroups: I AA — 52 people, I CC — 8 people; II AA — 50 people, II CC — 10 people; III AA — 48 people, III CC — 12 people. Treatment was conducted by Omega-3 acid ethyl esterscapsules and by IVLT with a radiation wavelength of 635 nm and the power of1,5 mW (device “Lazmik”).

A lipid profile of the blood was tested to determine total cholesterol, triglycerides, low-density lipoproteins, high-density lipoproteins, and an atherogenic index. To assess the functional state of the liver, the parameters of biochemical hepatic samples and sonographic dynamics of structural changes were studied..

Statistical processing of the results of the study was carried out using the software «Statistica 10».

The most pronounced effect was achieved in II CC and III CC groups by reducing the levels of total cholesterol, low density lipoproteins, triglycerides and atherogenic index. Patients of II AA and III AA groups had the fastest increase dynamics of high density lipoproteins level. Given the fact that the most atherogenic lipid profile at the time of enrollment in the study observed in genotype CC in groups II and III, the resulting dynamics demonstrated the significant impact of laser radiation on the functional activity of hepatocytes. The dynamics of normalization of cytolysis syndrome wasn’t caused by genetic differences and prevailed in group II compared to group III, in which the presence of hormonal imbalance prevented activation of reparative mechanisms of damaged liver cells.

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Author Biographies

Dariya Zhaldak, Сумський державний університет

PhD student, Medical Institute Sumy State University, Rimsky-Korsakov Street, 2, Sumy, Ukraine, 40007; melekhovets.oksana@gmail.com

Oksana Melekhovets, Сумський державний університет

PhD in Medical sciences, Assoc. Prof, Medical Institute Sumy State University, Rimsky-Korsakov Street, 2, Sumy, Ukraine, 40007;  melekhovets.oksana@gmail.com

Yurii Melekhovets, Сумський державний університет

PhD in Medical sciences, Medical Institute Sumy State University, Rimsky-Korsakov Street, 2, Sumy, Ukraine, 40007;  melekhovets.oksana@gmail.com

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Published
2018-02-23
How to Cite
Zhaldak, D., Melekhovets, O., & Melekhovets, Y. (2018). The efficiency of the intravenous laser therapy in patients with hypothyroidism combined with nonalcoholic fatty liver disease. Photobiology and Photomedicine, 14(1, 2), 15-22. Retrieved from https://periodicals.karazin.ua/photomedicine/article/view/10252
Section
Clinical photomedicine