Melasmandi vuto lodziwika bwino komanso louma khosi la mtundu, makamaka lomwe limapezeka pankhope, lomwe limayambitsa kupsinjika kwakukulu ndi kupsinjika maganizo kwa odwala ambiri. Ngati mukukumana ndi vutoli ndipo mukufuna njira zabwino zowonjezereramelasma, ndiye kuti nkhaniyi ndi yanu.
Monga opanga zida zodzikongoletsera yemwe nthawi zambiri amachita ndi odwala omwe akufuna njira zodzikongoletsera zachipatala, timamvetsetsa kuti melasma ili ndi zoyambitsa zovuta komanso kuchuluka kwa kubwereza. Njira zosavuta zopewera tsiku ndi tsiku sizokwanira kuti izi zitheke, ndichifukwa chake odwala ambiri amalumikizana nafe. Ndi chitukuko chosalekeza chaukadaulo wa laser, chithandizo cha laser chakhala njira yofunika kwambiri yosinthira melasma. Mafunso omwe odwala athu amakhala nawo pafupipafupi ndi awa:Kodi ma laser "angathetse" melasma? Kodi pali kusiyana kotani pakati pa mitundu yosiyanasiyana ya lasers?Nkhaniyi ipereka kusanthula mwadongosolo.
Kodi melasma ndi chiyani? Zimapanga bwanji?
Melasma ndi matenda omwe nthawi zambiri amakhala akhungu pakhungu ndipo amakhala abulauni woderapo kapena abulauni woderapo-zotuwa, zomwe zimapezeka m'masaya, pamphumi, kumtunda kwa milomo, pachibwano, komanso nthawi zina zakutsogolo. Imadziwikanso kuti "maski oyembekezera," melasma ndi matenda omwe si -opatsirana a hyperpigmentation, omwe nthawi zambiri amayamba chifukwa cha kusintha kwa mahomoni pa nthawi yomwe ali ndi pakati, kumwa mapiritsi oletsa kubereka, ultraviolet radiation, kapena ma hormone replacement therapy.
Kutengera kuya kwa mtundu wa pigmentation, matendawa amagawidwa m'mitundu itatu:
- Mtundu wa Epidermal:Pigmentation imayikidwa mu epidermis, kuwoneka yoderapo ndi -malire odziwika bwino, ndipo imawonjezedwa pansi pa nyale ya Wood.
- Mtundu wa Dermal:Pigmentation imayikidwa mu dermis, kuwoneka yofiirira kapena yotuwira-imvi ndi malire osadziwika bwino, ndipo siziwonetsa kusintha kwakukulu pansi pa nyali ya Wood.
- Mtundu wosakanizidwa:Pigmentation imapezeka mu epidermis ndi dermis; uwu ndi mtundu wofala kwambiri.
Kapangidwe ka melasma sikudziwika bwino, koma zomwe zimadziwika kuti zimayambitsa khansa ndizo:
- Ma radiation a Ultraviolet:Ichi ndiye chinthu chofunikira kwambiri choyambitsa komanso chowonjezera, chifukwa cheza cha ultraviolet chimapangitsa kuchuluka kwa melanocyte.
- Kusintha kwa Hormonal:Mimba, njira zolerera zapakamwa, ndi machiritso a mahomoni zingayambitse kapena kukulitsa melasma.
- Genetic factor:Chiwerengerochi ndi chachikulu mwa anthu omwe ali ndi mbiri yabanja ya melasma.
- Zotupa ndi vascular factor:Kuwonongeka kwa khungu, kutupa kosatha, ndi angiogenesis zimathandizanso.
Njira zodziwika bwino zothandizira kuchotsa melasma
Chitetezo Cholimba cha Dzuwa
- Ubwino:Mtengo wotsika, chitetezo choyambirira, chimalepheretsa melasma kuti isapitirire
- Zoyipa:Zosathandiza pakuchotsa mtundu womwe ulipo
Topical Whitening Agents
- Ubwino:Zothandiza pa epidermal melasma, zotetezeka
- Zoyipa:Kuchita pang'onopang'ono, kumafuna-kugwiritsa ntchito nthawi yayitali, kungayambitse kuyabwa pakhungu
Mankhwala Omwa Mkamwa
- Ubwino:Kuthandiza-mtundu wa melasma, kumachepetsa kubwereza
- Zoyipa:Pamafunika malangizo a dokotala, ali ndi chiopsezo cha magazi kuundana
Chemical Peels
- Ubwino:Imathandizira kukhetsa kwa epidermal pigment
- Zoyipa:Zitha kuyambitsa kuyabwa, hyperpigmentation, kapena hypopigmentation
Njirazi, zikagwiritsidwa ntchito paokha, nthawi zambiri zimakhala ndi mphamvu zochepa, makamaka pakhungu kapena kuuma kwa melasma.
Common Laser Chithandizo Chochotsa Melasma
Chifukwa ma melanocyte mu melasma amagwira ntchito kwambiri, -magalasi opangira mphamvu amatha kuyambitsa{{1}inflammatory hyperpigmentation (PIH), motero amawonjezera kuoneka kwa mtundu. Chifukwa chake, njira ya laser yomwe ikulimbikitsidwa pakali pano ndi mphamvu yochepa, magawo angapo, kukula kwa malo akulu, komanso kusankha mwamakonda mafunde enaake.
Q-Laser yosinthika
Mfundo Yofunika:Kusankha kumawononga ma melanin granules kudzera mu photoacoustic zotsatira, zothandiza pa epidermal ndi dermal pigmentation.
Mawonekedwe:Mochepa-yamphamvu,-yambiri, imatha kuchepetsa melasma pang'onopang'ono popanda kuwononga epidermis.
Zotsatira:Zotsatira zabwino zazifupi-koma zomwe sizimakonda kubweranso; Kugwiritsa ntchito mphamvu kwanthawi yayitali-kapena -kwambiri kungayambitse kuchepa kwa pigmentation kapena punctate vitiligo.
Fractional CO2 Laser
Mfundo Yofunika:Imalimbikitsa epidermal ndi dermal remodeling mwa vaporizing ndi ablating microcolumnar khungu minofu, mwachindunji kuchotsa pigment.
Mawonekedwe:Amapereka kusintha kwa khungu ndi kujambula zithunzi pamodzi ndi melasma, koma ndizovuta kwambiri ndipo zimakhala ndi nthawi yayitali yochira.
Zowopsa:Anthu okhala ndi khungu lakuda (mtundu wa Fitzpatrick III-IV ndi kupitilira apo) ali ndi chiopsezo chachikulu chokhala ndi mtundu wa pigmentation-induced hemorrhage (PIH) ndipo akuyenera kugwiritsa ntchito mankhwalawa mosamala. Komabe, zida zamakono-zomaliza za CO2 laser zapanga-zizizirizirizire bwino, zomwe zimawonetsetsa kuti odwala azitha kugwira bwino ntchito komanso amalandila chithandizo chotetezeka.
Picosecond Laser
Mfundo Yofunika:Ndi kuchuluka kwa kugunda kwa mtima kumafika pamlingo wa picosecond (masekondi 10⁻¹²), mphamvu ya Photomechanical imakhala yamphamvu, imaphwanya ma melanin kukhala fumbi labwino kwambiri kuti achotsedwe mosavuta.
Ubwino:Poyerekeza ndi Q-malaza osinthika, amachepetsa kuwonongeka kwamafuta ozungulira, kumachepetsa chiopsezo cha PIH.
Ntchito Yachipatala:Kafukufuku wamakono amathandizira kugwira ntchito ndi chitetezo cha ma lasers a picosecond (makamaka 1064nm kapena 755nm) pochiza melasma, ndi zotsatira zabwinoko kuposa nanosecond lasers. Komabe, kubwereranso kumakhala kotheka.
1927nm Thulium Laser
Mfundo Yofunika:Lala wosakhala-yomwe amalowera m'madzi, kuchititsa kuti khungu - liphuke komanso kuchititsa kuti pigment iwonongeke.
Mawonekedwe:Kuzama kozama, koyenera kwa epidermal ndi mitundu yosakanikirana ya melasma. Chitonthozo chachikulu, nthawi yochepa yopuma.
Zotsatira:Kuphatikizana ndi mankhwala amtundu wa whitening kumatha kukhala kothandiza, koma chithandizo chambiri chimafunika.
Kodi chithandizo cha laser chothandiza pa melasma?
Chithandizo cha laser chimatha kusintha kwambiri melasma, koma ndizovuta kuyichotsa. Cholinga cha chithandizo cha laser si "kufufuta," koma kupeputsa mtundu, kuchepetsa kukula kwake, ngakhale mtundu wake, ndikuwongolera ntchito yake.
Kuphatikiza apo, njira yochiritsira yotetezeka komanso zotsatira zazikulu zochokera ku chithandizo cha laser zimadalira: -mapeto apamwamba,akatswiri laser chipangizo, ndidokotala wodziwa zambiri, ndimgwirizano wathunthu wa wodwalanthawi yonseyi.
Zomwe zimakhudza mphamvu ya chithandizo ndi izi:
- Mtundu wa khungu:Khungu lakuda (mitundu IV-VI) lili ndi zoopsa zambiri ndipo limafuna mphamvu zochepa.
- Mtundu wa Melasma:Epidermal melasma imayankha bwino, dermal melasma imayankha moyipitsitsa.
- Zigawo za chithandizo:Mphamvu, kukula kwa malo, kugunda m'lifupi, nthawi yamankhwala, etc.
- Post-zachithandizo:Kuteteza kwambiri dzuwa ndi kugwiritsa ntchito mankhwala osamalira ana.
- Kukhalapo kwa zinthu zoyambitsa:Mahomoni, kutuluka kwa dzuwa, kutupa, etc.
Kodi mungachepetse bwanji kuyambiranso kwa melasma pambuyo pa chithandizo cha laser?
- Chitetezo cha dzuwa kwa moyo wonse:
Gwiritsani ntchito mafuta oteteza ku dzuwa omwe ali ndi SPF30+ ndi PA+++ tsiku lililonse, ndikuphatikiza ndi zoteteza ku dzuwa monga zipewa, masks, ndi magalasi. Ma radiation a ultraviolet ndi chimodzi mwazinthu zazikulu zoyambitsa melasma.
- Kusamalira:
Mukalandira chithandizo cha laser, muzilandira chithandizo chochepa-chochepetsa mphamvu ya "kusamalira" milungu iwiri kapena inayi iliyonse, kapena gwiritsani ntchito ma topical bleaching agents.
- Zolondola zamkati:
Siyani mankhwala osafunikira a mahomoni ndikuchiza kutupa kosatha (monga ziphuphu zakumaso, rosacea).
- Konzani chotchinga pakhungu:
Gwiritsani ntchito zoyeretsera mofatsa, zonyowetsa, ndi kukonza zinthu zosamalira khungu, ndipo pewani kukangana kwambiri kapena kuyabwa pakhungu.
- Nthawi zonse -maudindo otsatila:
Ngati mtundu wa pigment udadetsedwa kapena ukukulirakulira, lowanipo mwachangu; musadikire mpaka zitakula kwambiri musanalandire chithandizo.
Pezani Njira Yatsatanetsatane ndi Yolondola ya Melasma
Timakhazikika pakupanga zida za laser zochizira zovuta zosiyanasiyana zapakhungu, kuphatikiza Q-malaza osinthika, ma lasers a CO2, picosecond lasers, ndi 1927nm thulium lasers. Kodi mukufuna kuchotsa bwino komanso mosamala zipsera kumaso kapena zina zapakhungu? Kodi mukuyang'ana kuyambitsa matekinoloje atsopano kuti muthe kuthana ndi zovuta zapakhungu za odwala anu? Lumikizanani nafe kuti mupeze mayankho aukadaulo komanso okonda makonda anu kukongola.
FAQ
Q1: Kodi chithandizo cha laser chidzakulitsa melasma?
A: Mwina. Ngati mphamvuyo ndi yochuluka kwambiri, nthawiyo imakhala yosayenera, kapena chitetezo cha dzuwa sichimagwiritsidwa ntchito pambuyo pa ndondomekoyi, chithandizo cha laser chingayambitse-inflammatory hyperpigmentation (PIH), kuchititsa kuti melasma ikhale yovuta kwambiri kuposa kale. Chifukwa chake, ndikofunikira kusankha dokotala wodziwa zambiri ndikutengera mfundo ya "mphamvu zochepa, magawo angapo".
Q2: Kodi picosecond laser ndiyabwino kuposa Q-laser yosinthika?
A: Poona kuchepetsa kuwonongeka kwa kutentha, ma lasers a picosecond ali ndi mwayi. Kafukufuku wina akuwonetsa kuti ma laser a picosecond ndi othandiza kwambiri ndipo amakhala ndi chiopsezo chochepa cha PIH, koma palibe chomwe chingatsimikizire kuti sichingachitikenso. Chisankho chenichenicho chimadalira mtundu wa khungu la munthu ndi zikhalidwe za zida.
Q3: Kodi ndingawone zotsatira pambuyo pa chithandizo chimodzi cha laser?
A: Nthawi zambiri, chithandizo cha 3-6 (chilichonse chotalikirana ndi milungu 4-6) chimafunika kuti muwone kusintha kwakukulu. Zotsatira za chithandizo chimodzi ndizochepa; musayembekezere "kuchotsa" kwathunthu mawangawo mu gawo limodzi.
Q4: Kodi mankhwala a laser ndi opweteka? Kodi ndiyenera kusiya chithandizo?
A: Ma lasers otsika-amatulutsa mphamvu pang'ono chabe ndipo nthawi zambiri safuna kukomoka; mankhwala ochepetsa mphamvu ya laser kapena -owonjezera mphamvu amatha kukhala opweteka kwambiri ndipo amafunikira opaleshoni yapakhungu. Kuchiza kwa laser-kopanda ablative sikufuna nthawi yocheperako, pomwe ma ablative laser amatenga masiku 3-7 kuti achire.
Q5: Kodi ndingavale zodzoladzola pambuyo pa chithandizo cha laser?
A: Ndibwino kupewa zodzoladzola kwa maola 24-48. Pambuyo pake, gwiritsani ntchito zodzoladzola zofatsa,{3}}zopanda zokwiyitsa za mchere ndi kulimbikitsa chitetezo ku dzuwa.
