Mu picosecond laser cosmetic treatments, kusankha kwa kutalika kwa kutalika kumatsimikizira kulondola komanso zotsatira zomaliza za chithandizo. Mitundu yosiyanasiyana yamavuto amtundu wa pigmentation, chifukwa cha kuya kwake kosiyanasiyana mkati mwa minofu yapakhungu, imawonetsa kuyamwa kosiyana kosiyana kwa kutalika kwa kuwala kwa laser. Kumvetsetsa izi ndikofunikira pakukonza mapulani amunthu payekhapayekha.
532nm, 755nm, 1064nm: Kumvetsetsa Mwatsatanetsatane Magawo Atatu Akuluakulu a Picosecond Lasers
Pakali pano, mainstreamlaser picosecondkutalika kwa mafunde omwe amagwiritsidwa ntchito pochita zachipatala makamaka amaphatikizapo 532nm, 755nm, ndi 1064nm, iliyonse ili ndi mawonekedwe apadera komanso kuya kwa minofu.
Kutalika kwa 532nm ndi kwa kuwala kobiriwira mu mawonekedwe owoneka. Maonekedwe ake ndi osavuta kutengeka ndi melanin ndi ma pigment ofiira, koma chifukwa cha kutalika kwake kwaufupi, kuzama kwake kolowera kumakhala kochepa, makamaka kuchita pa epidermis. Izi zimapangitsa laser ya 532nm picosecond laser kukhala chisankho chabwino pochiza zovuta za epidermal pigmentation, komanso imakhala ndi zotsatira zabwino zochotsa pama tattoo ofiira ndi achikasu.
Laser ya 755nm alexandrite ili ndi kutalika kwatalitali, komwe imatha kulowa mpaka kumalire apakati pa epidermis ndi dermis. Imakhala ndi mayamwidwe apamwamba kwambiri a melanin pomwe imayambitsa kuwonongeka kochepa kwa minofu yozungulira yozungulira. Kutalika kwa mafunde amenewa kumagwiritsidwa ntchito kwambiri pochiza mtundu wa pigmentation, pochiza mtundu wa epidermal pigmentation ndi zotupa za dermal pigmentation.
Laser ya 1064nm Nd: YAG ili ndi malowedwe ozama kwambiri a mafunde atatu, kukafika ku dermis yakuya. Chifukwa melanin imayamwa pang'ono, chotchinga cha epidermal chimapikisana pang'ono ndi mphamvu ya laser, kotero mphamvuyo imatha kuperekedwa mosatetezeka ku minofu yakuya. Ndikoyenera makamaka kuchiza zotupa zakuya kwambiri komanso kuchotsa ma tattoo akuda kapena abuluu kwa anthu omwe ali ndi khungu lakuda.
Kusankha Wavelength Yoyenera Pochiza Matenda a Epidermal Pigmentation
Kwa matenda a pigmentation omwe ali mu epidermis, monga ma freckles, solar lentigines, ndi café-au-lait spots, 532nm ndi 755nm ndizo zosankha zazikulu.
Chithandizo cha ma freckles ndi solar lentigine chimakhala chothandiza, makamaka kwa odwala omwe ali ndi mtundu wa Fitzpatrick I-III khungu, zotupa zomwe zimasiyana bwino ndi khungu labwinobwino, komanso{1}}malire odziwika bwino. Zachipatala, 532nm kapena 755nm picosecond lasers amagwiritsidwa ntchito kawirikawiri, ndi mapeto a chithandizo nthawi zambiri amatanthauzidwa ndi maonekedwe a kuyera pang'ono.
Ku café-au-malo okhala ndi mawanga-monga nevi, ma picosecond lasers atha kugwiritsa ntchito ultra-short pulses kuti athetse bwino melanin, zomwe zimapatsa chithandizo chachangu kwambiri. Komabe, chonde dziwani kuti zotupa zamtundu uwu zikadali ndi kuthekera kobwerezabwereza, zomwe zimafuna kulumikizana mokwanira pakati pa dokotala ndi wodwala musanalandire chithandizo kuti akhazikitse ziyembekezo zomveka.
Ndikofunikira kudziwa kuti kwa odwala-zotupa zamitundu yopepuka kapena melasma nthawi imodzi, mosasamala kanthu za kutalika kwake komwe asankhidwa, kuyenera kutsatiridwa mosamalitsa zochunira komanso nthawi yamankhwala kuti mupeze zotsatira zabwino komanso kukonzanso kotsatira.
Momwe Mungasankhire Kutalika Koyenera kwa Dermal Hyperpigmentation?
Pamene ectopic melanocytes alipo mu dermis, chikhalidwe cha vuto la pigmentation chimasinthidwa. Ota's nevus, blue nevus, ndi Ito's nevus ndi zitsanzo za dermal hyperpigmentation. Ma granules a pigment mu zotupazi amakhala pakati mpaka mkati mwa dermis yakuya, motero amafunikira mafunde amphamvu olowera mwamphamvu kuti akhale ogwira mtima.
Kutalika kwa 1064nm, ndi kuzama kwake kolowera, kwakhala mwala wapangodya wa chithandizo cha dermal hyperpigmentation. Mphamvu zake zimatha kulowa mu epidermis ndi dermis, kufika pamalo a ectopic melanocytes. Kafukufuku wasonyeza kuti mankhwala a laser a picosecond 1064nm a Ota's nevus ndi othandiza kwambiri, okhala ndi chiwongola dzanja chochuluka pa chithandizo chilichonse komanso magawo ochepa ofunikira.
Blue nevus ndi vuto lodziwika bwino la dermal pigmentation kwa anthu aku Asia, lomwe limawonekera pamasaya komanso mozungulira maso. Ma cell a pigment mu zilonda izi amakhala pamwamba mpaka pakati, onse 755nm ndi 1064nm ndi njira zothandizira.
- Kutalika kwa mafunde a 755nm kumakhala ndi mayamwidwe apamwamba a melanin, zomwe nthawi zambiri zimabweretsa kuzimiririka kowoneka bwino kwa mtundu pambuyo pa chithandizo chimodzi.
- Komabe, kutalika kwa mafunde a 1064nm kumapangitsa kuti epidermal melanocyte achepe kwambiri, zomwe zimapangitsa kuti pakhale chiopsezo chochepa cha post{1}}mankhwala hyperpigmentation.
Kwa odwala omwe ali ndi khungu lakuda kwambiri kapena omwe kale anali ndi mtundu wa pigmentation, 1064nm wavelength ndiyo njira yoyamba, pogwiritsa ntchito njira yotsika-yamphamvu, yambiri{2}}yothandizira machiritso kuti achotse khungu pang'onopang'ono ndikupeza zotsatira zabwino kwambiri za chithandizo.
Zosankha za Wavelength pa Chithandizo cha Melasma
Melasma ndizovuta kuchiritsa chifukwa cha zovuta zake komanso njira zamankhwala zosiyana kwambiri poyerekeza ndi matenda ena amtundu wa pigmentary. Pakadali pano, laser 1064nm picosecond laser nthawi zambiri imatengedwa ngati njira yabwino kwambiri yochizira melasma. Mafunde a 1064nm amalowera mkati mwa dermis, kulunjika kukuya kwa pigmentation komwe kumawonongeka pang'ono, motero kumachepetsa chiopsezo cha post{4}}inflammatory hyperpigmentation (PIH). Ndiwoyenera makamaka pakhungu lakuda (Mitundu ya Fitzpatrick IV-VI) ndipo imachepetsa kusintha kwa maonekedwe-pamankhwala.
Ngakhale laser ya 1064nm imakondedwa chifukwa chachitetezo chake komanso kugwiritsa ntchito mitundu yosiyanasiyana ya khungu, laser 755nm imatha kugwiritsidwanso ntchito, koma imafunika kuchitidwa mosamala kuti isayambitse PIH chifukwa imatengedwa mosavuta ndi melanin. Choncho, madokotala ayenera kumvetsera kwambiri kusintha magawo a mphamvu panthawi ya chithandizo.
Chikoka cha Mtundu wa Khungu pa Wavelength Selection
Kupatula kuzama kwa mtundu, khungu la wodwala ndilofunikanso kwambiri posankha kutalika kwa mafunde. Gulu la khungu la Fitzpatrick limawonetsa kusiyana kwa kuyankhidwa kwa khungu ku radiation ya ultraviolet ndi chizolowezi cha mtundu wa pigmentation, zomwe zimakhudza mwachindunji chitetezo chamankhwala a laser.
Pamitundu ya Fitzpatrick I-III (khungu lopepuka), mafunde onse atatu atha kugwiritsidwa ntchito mosamala. Erythema kwakanthawi komanso zowonda zowonda pambuyo pa chithandizo cha 532nm wavelength nthawi zambiri zimachepa mkati mwa sabata imodzi, ndikuchepa kwa mtundu. Odwalawa amathanso kulandira chithandizo cha 755nm kapena 1064nm mosatetezeka, posankha momasuka potengera kuya kwa mtundu.
Pamitundu ya Fitzpatrick IV-VI (khungu lakuda), chigawo chapakati cha epidermis chimakhala ndi ma melanin ambiri. Izi endogenous pigments amapikisana ndi laser mphamvu. Pogwiritsa ntchito 532nm wavelength, kuyamwa mopikisana kwa mphamvu ndi epidermal melanin kungayambitse kuwonongeka kwa epidermal ndi post{{4}inflammatory hyperpigmentation, kapena hypopigmentation. Choncho, odwala khungu lakuda ayenera kusankha 1064nm wavelength wavelength, amene ali otsika mayamwidwe melanin koyenera, bwino kuchepetsa chiwopsezo cha epidermal kuwonongeka. Ngati 755nm iyenera kugwiritsidwa ntchito, mphamvu yamagetsi iyenera kuchepetsedwa moyenera, ndipo chithandizo chiyenera kuyimitsidwa ngati erythema yocheperako ichitika.
Zomwe zimachitika mwachangu pambuyo pa chithandizo cha laser cha picosecond ndi chizindikiro chofunikira kwambiri kuti mphamvu ndi kutalika kwa mafunde ndizoyenera. Kuwoneka kotuwa kofanana-kuyera pambuyo pochiritsa epidermal pigmentation kumawonetsa kuwonongeka kwa mtundu; ngati erythema yokha ikuwoneka popanda kuyera, mphamvu yapamwamba kapena kutalika kosiyana kungakhale kofunikira. Chithandizo cha mtundu wa khungu nthawi zambiri sichitulutsa zomwe zimawonekera nthawi yomweyo; Kuwona kagayidwe ka pigment kwa miyezi 1-3 ndikofunikira.
Komanso, kufunsa za mbiri yamankhwala ndikofunikira kwambiri. Odwala omwe analandirapo kale chithandizo cha laser, makamaka omwe anali ndi mbiri ya post{1}inflammatory hyperpigmentation, ayenera kuonana ndi dokotala pasadakhale kuti asankhe utali wotalikirapo komanso magawo ake kuti apewe zovuta zomwe zingachitike.
Muzochitika zenizeni zachipatala, kusankha kwa kutalika kwa kutalika kumayenera kuganizira mozama za mtundu wa khungu la wodwalayo, mawonekedwe a kuwonongeka kwa khungu, ndi mbiri ya chithandizo. Kwa odwala omwe ali ndi khungu lakuda, kutalika kwa 1064nm, ndi kulowa kwake kozama, kuyenera kuyikidwa patsogolo kuti achepetse chiopsezo cha hypopigmentation chifukwa champikisano mayamwidwe ndi epidermal pigment.
Komanso, kukhazikitsa magawo a chithandizo ndikofunikira. Kutalika kofananako kudzatulutsa zochizira zosiyanasiyana pamphamvu zosiyanasiyana, kukula kwa malo, ndi ma frequency. Madokotala akuyenera kusintha magawo munthawi yeniyeni poyang'ana kumapeto kwa njirayi (monga kuchuluka kwa kuyera), m'malo mogwiritsa ntchito mwakhungu magawo omwe akulimbikitsidwa.
Zida zapamwamba-zomaliza za picosecond laser zokhala ndi mafunde angapo otalikirapo
Kutalika kwa mafunde amodzi kumatha kuthana ndi zovuta zingapo zapakhungu. Izi zapangitsa kuti msika uchuluke komanso kuvomerezedwa kuti agwiritsidwe ntchito limodzi ndi mafunde angapo. Izi sizimangopulumutsa mtengo ndi malo ogwiritsira ntchito pogula zida zingapo komanso zimakulitsa luso la ntchito zanu. Kupatula apo, chida chotsogola-chikhoza kupititsa patsogolo kupikisana ndi kutchuka kwa chipatala chanu kapena saluni yanu.
Newangieali ndi zaka pafupifupi makumi awiri zakufufuza, chitukuko, ndi kutumiza kunja kwazida za laser za picosecond, ndi makasitomala m'mayiko ambiri padziko lonse lapansi. Zotsatira za chithandizo cha zipangizo zake zalandira chitamando chachikulu kuchokera kwa makasitomala (zipatala, salons zokongola, spas, ogawa, etc.) padziko lonse lapansi.
Chipangizo chimodzi chimakhala ndi mitu yambiri yogwirira ntchito, yomwe imapereka mayankho osiyanasiyana pakhungu ndi mitundu ya ma tattoo.
- 532 nm: Imagwira ntchito ngati inki yofiira, yalalanje, ndi yachikasu ya tattoo, komanso mtundu wamtundu.
- 585 nm: Yoyenera kupaka ma tatoo ofiira, zotupa m'mitsempha, ndi madontho a ma port{1}}vinyo.
- 650 nm: Imawongolera kuchotsedwa kwa pigment zobiriwira zobiriwira ndi zachikasu.
- 755 nm: Nthawi zambiri amagwiritsidwa ntchito pochiza zotupa zamtundu, kuchotsa mawanga owoneka bwino, ndikuwongolera khungu.
- 1064 nm: Yoyenera kuchiza zotupa zakuya kwambiri, khungu lakuda, ndikuchotsa ma tattoo akuda kapena abuluu.
Zapadera za Newangie 350ps TruePico Laser Machine
- Kukula kwa Malo Osinthika:Othandizira amatha kusintha kukula kwa malo mwachindunji pamanja pa 350Ps TruePico pico laser yathu, kupereka chithandizo cholondola kwa odwala omwe ali ndi ntchito yosavuta komanso yosavuta.
- Zolimba komanso Zokhalitsa:Dzanja lowongolera kuwala la laser yathu ya 350Ps TruePico imatumizidwa kuchokera ku South Korea ndipo imapangidwa ndi chitsulo chosapanga dzimbiri, kukulitsa kukana kwa dzimbiri ndikutalikitsa moyo wake wantchito. Itha kutembenuzanso madigiri a 360, kupatsa ogwiritsa ntchito mosavuta komanso kusinthasintha.
- Kulondola Kwambiri:Dongosolo lathu lowongolera la laser la picosecond limatsimikizira kufalikira kwamphamvu kwa laser ndikuchepetsa kutayika kwa kuwala, kupatsa odwala chithandizo cholondola komanso choyenera.
- Zosiyanasiyana Mapulogalamu: Kaya mukufuna kuchotsa ma tattoo, zilema, mtundu, kapena kutsitsimutsa khungu lanu ndikuchedwetsa kukalamba kwa khungu, laser yathu ya picosecond imatha kukwaniritsa zosowa zosiyanasiyana za makasitomala athu.
Kusankhidwa kwa mafunde atatu a ma lasers a picosecond ndiko njira yofananira-kusankha utali wotalikirapo ndi mphamvu yolowera yolowera molingana ndi kuya kwa mtundu wa pigmentation kuti mupeze kusamala koyenera pakati pa chitetezo ndi mphamvu.
Ngati mukufuna kuphunzira zaukadaulo ndi zida za multi-wavelength picosecond laser, chondeLumikizanani nafe. Tikupatsirani kabuku kambiri ka zida za laser ya picosecond ndikuthandizani kuyankha mafunso anu okhudza chithandizo cha picosecond ndi njira zodzitetezera pambuyo pa opaleshoni.
