Kuchotsa Tsitsi Latsopano Kwamuyaya Kwa Anthu Omwe Ali ndi Khungu Lakuda: Chitetezo ndi Kuchita Bwino

Kwa nthawi yayitali, anthu omwe ali ndi khungu lakuda akhala akukumana ndi vuto poganiziralaser tsitsi kuchotsa: mwina mugwiritse ntchito njira zachikale (zoledza, zopaka mafuta, zopaka phula) koma mukuyenera kupirira vuto lometa mobwerezabwereza, kapena kupsa ndi utoto poyesa zida zosayenera za laser.

Komabe, ndi kupita patsogolo kosalekeza kwaukadaulo wa laser komanso-kafukufuku wakuya wachipatala, chisankho chovutachi chathetsedwa pang'onopang'ono. Masiku ano, kuchotsa tsitsi kosatha kwa laser kwa anthu akhungu lakuda sikuletsedwanso-, koma ndi njira yabwino yochirikizidwa ndi mfundo zasayansi komanso umboni wachipatala.

Zovuta Zazikulu Zakuchotsa Tsitsi La Laser Kwa Khungu Lakuda Kwambiri

Maziko ongoyerekeza a kuchotsa tsitsi la laser ndi "kusankha photothermolysis"-mphamvu ya laser imatengedwa ndi melanin mu follicle ya tsitsi, kusandulika kukhala mphamvu ya kutentha, kuwononga maselo amtundu wa tsitsi, ndipo motero kulepheretsa kukula kwa tsitsi. Mfundoyi imagwira ntchito bwino kwa anthu omwe ali ndi khungu lowala komanso tsitsi lakuda chifukwa kusiyana kwa melanin pakhungu ndi tsitsi kumakhala kwakukulu, zomwe zimapangitsa kuti laser ikhale yolunjika bwino chandamale popanda kuwononga khungu.

Komabe, kwa anthu omwe ali ndi khungu lakuda (mtundu wa Fitzpatrick IV-VI), epidermis ili kale ndi melanin yambiri. Laser ikayatsa khungu, epidermal melanin imapikisana ndi follicle ya tsitsi la melanin kuti ipeze mphamvu yopepuka-zodabwitsa zomwe zimatchedwa "melanin competition." Izi zimachepetsa kwambiri zenera la chithandizo chotetezeka, kuonjezera chiopsezo cha kuwonongeka kwa kutentha kwa epidermal komanso ngakhalepost{{0}kutupa kwa pigmentation. Ichi ndiye chifukwa chachikulu chomwe zida zoyambilira za laser zidayambitsa kuyaka, matuza, komanso kusintha kwamitundu yokhazikika mwa anthu omwe ali ndi khungu lakuda.

Kusankhidwa kwa Wavelength: Chosinthika Chachikulu cha Chitetezo ndi Kuchita Bwino

Kwa anthu omwe ali ndi khungu lakuda, chinsinsi chowonetsetsa kuti chithandizo cha laser chochotsa tsitsi chili pakusankha kutalika koyenera kwa laser. Popeza kuyamwa bwino kwa melanin pamafunde osiyanasiyana a kuwala kumachepa ndi kuchuluka kwa kutalika kwa mafunde, ma laser atalitali amatengeka pang'ono ndi melanin akamalowa mu epidermis, motero amakhala otetezeka.

1064 nm Nd: YAG Laser ya Khungu Lakuda

Mwa mitundu yonse yayikulu ya laser wavelengths, ndi1064 nm Nd: YAG laserndiye njira yabwino yochotsera tsitsi la laser pakhungu lakuda (Fitzpatrick V-mtundu wa VI) chifukwa cha kutalika kwake kotalika komanso kutsika kwa melanin.

Kutalika kwa laser kumeneku kumatha kulowa mkatikati mwa epidermis yodzaza ndi melanin, kukafika mkati mwa follicle ya tsitsi, ndikuyika mphamvu pamalo omwe mukufuna ndikuchepetsa chiwopsezo cha kuyaka kapena kusinthika pakhungu lakuda. Mosakayikira uku ndikusintha kwakukulu kwa anthu omwe ali ndi khungu lakuda. Poyerekeza ndi mankhwala ena a laser, ND:YAG lasers amapereka zotsatira zokhazikika komanso zotetezeka pakhungu lonse.

808nm Diode Laser

Poyerekeza ndi 1064 nm Nd:YAG, laser ya 808 nm diode ili ndi kutalika kwafupikitsa komanso kuyamwa kwa melanin, chifukwa chake pamafunika kusamala kwambiri ikagwiritsidwa ntchito kwa anthu omwe ali ndi khungu lakuda. Komabe, zida zamakono-zochotsa tsitsi zaukadaulo zapamwamba za diode zili ndi makina ozizirira bwino. Ndi makonzedwe oyenera a parameter ndi chitetezo chokwanira cha kuzizira kwa epidermal,lasers diodeamatha kukwaniritsa kuchotsedwa kwa tsitsi kotetezeka komanso kothandiza.

755 nm Alexandrite Laser: Gwiritsani Ntchito Mosamala

Laser ya 755 nm alexandrite ili ndi kutalika kwafupikitsa komanso kuyamwa kwakukulu kwa melanin, komwe kumagwiritsidwa ntchito makamaka kwa anthu omwe ali ndi khungu lopepuka. Zachikhalidwe755 nm alexandrite lasersnthawi zambiri sizovomerezeka kwa anthu akhungu lakuda (Fitzpatrick IV-mtundu wa VI). Chifukwa cha kuchuluka kwa mayamwidwe a melanin, "melanin chotchinga" chikhoza kupanga, chomwe chingayambitse kuyaka, hyperpigmentation, kapena hypopigmentation.

Poyerekeza, ma lasers a diode ndi Nd:YAG lasers amawonetsa zotsatira zabwino kwambiri zochotsa tsitsi komanso zoyipa zochepa mwa anthu omwe ali ndi khungu lakuda kwambiri poyerekeza ndi ma laser alexandrite.

Pakhungu la Fitzpatrick V-VI, chithandizo cha laser cha alexandrite chimangolimbikitsidwa kuti chigwiritsidwe ntchito mosamala ndi odziwa ntchito, mosintha mokhazikika komanso pogwiritsa ntchito kuziziritsa.

Kangapo-kuchotsa tsitsi kophatikiza kutalika kwa mafunde

M'zaka zaposachedwa, kuphatikiza kwa mafunde aatali ndi aafupi kwapereka mwayi watsopano wochotsa tsitsi la laser kwa anthu omwe ali ndi khungu lakuda. Mwachitsanzo,Newangieapanga mwaukadaulo mphamvu zinayi-zokwera mafunde{1}}, zapamwamba-zapamwambalaser tsitsi kuchotsa chipangizokuti agwirizane ndi zochitika za chitukuko cha msika wa aesthetics wachipatala, kupatsa odwala njira yothetsera kukongola kokwanira. Mafunde ambiri (755nm, 808nm, 940nm, 1064nm) zilipo kuti musankhepo, ndipo mutha kusankhanso kuphatikizika kwa kutalika koyenera kutengera zosowa zanu zochotsa tsitsi komanso momwe thupi lanu lilili.

Ngati simukutsimikiza za mtundu wa khungu lanu, mukhoza kuonana ndi dokotala poyamba. Adzawunika mwatsatanetsatane mtundu wa khungu lanu, kamvekedwe ka khungu, ndi mtundu wa tsitsi kuti asankhe kutalika koyenera kwa chithandizo ndikuwonetsetsa zotsatira zabwino zochotsa tsitsi.

Chithandizo cha Parameters ndi Epidermal Protection

Kupatula kusankha kwa kutalika kwa mafunde, kasinthidwe koyenera ka pulse wide, kuchuluka kwa mphamvu, ndi dongosolo lozizirira ndikofunikira chimodzimodzi. Kuchotsa tsitsi la laser kwa khungu lakuda kuyenera kutsatira njira ya "mphamvu yotsika, magawo angapo", kuyambira ndi kachulukidwe kakang'ono kakang'ono ka mphamvu komanso pang'onopang'ono kusintha mpaka kumapeto kwa edema wofatsa ndi erythema kuzungulira tsitsi, popanda zizindikiro zamoto. Kutalika kwamphamvu kwa makumi a ma milliseconds nthawi zambiri kumasankhidwa kuti athandizire kutentha kumadziunjikira mokwanira mu follicle ya tsitsi ndikulola kuzizirira kokwanira kwa epidermis. Kuziziritsa kwa epidermal, kuziziritsa kwa safiro kumateteza epidermis mosalekeza, panthawi, komanso pambuyo pa chithandizo.

Mfundo Zoyendetsera Ntchito ndi Machenjezo Pangozi

Kwa anthu omwe ali ndi khungu lakuda kwambiri, njira zochotsera tsitsi zotetezedwa ndi laser ziyenera kutsatira mfundo zotsatirazi: Onse omwe ali ndi Fitzpatrick type IV-Ophunzira a VI ayenera kuyezetsa khungu osachepera maola 72 asanalandire chithandizo kuti awone ngati khungu lawo siligwirizana. Kuteteza kwambiri dzuwa kumafunika kwa masabata 4-6 musanayambe chithandizo, kupewa kutentha kwamtundu uliwonse.

Zomwe zimachitika nthawi zambiri zimawonekera ngati erythema kwakanthawi komanso edema pang'ono, zomwe zambiri zimangochitika pakangotha ​​maola angapo kapena masiku angapo. Chiwopsezo chachikulu cha anthu omwe ali ndi khungu lakuda ndi post-inflammatory hyperpigmentation-kuchuluka kwa pigmentation komwe kumachitika chifukwa cha kuyamwa kwamphamvu kwa laser ndi epidermal melanin.

Komabe, m'pofunika kutsindika kuti post{0}kutupa kwa pigmentation nthawi zambiri kumakhala kwakanthawi ndipo pang'onopang'ono kumatha pakadutsa milungu kapena miyezi pamene khungu likudzikonza lokha.

Ndi magawo angati ochotsa tsitsi la laser omwe amafunikira kuti mukwaniritse zomwe mukufuna?

Anthu ambiri amafunikira magawo 6 mpaka 8 kuti achotse tsitsi kwambiri, pomwe ena angafunikire magawo 10-12, makamaka m'malo omwe timadzi tambiri timadzi timeneti timakhala. Ngakhale zotsatira zowoneka bwino zimawonedwa pakatha 2-magawo atatu-tsitsi limakhala lowoneka bwino komanso limakula pang'onopang'ono-njira yathunthu ndiyofunikira kuti muthane ndi makutu atsitsi mu gawo lakukula (anagen).

Zomwe zimakhudza kuchuluka kwa magawo:

• Tsitsi ndi khungu:

Tsitsi lakuda, lofiirira limasiyana bwino ndi khungu lopepuka, zomwe zimapangitsa kuti chithandizo cha laser chikhale chogwira mtima. Tsitsi lopepuka (blonde, imvi, lofiira) kapena khungu lakuda lingafunike magawo ambiri.

• Zinthu za Hormonal:

• Kusasinthasintha:

Kutsatira mosamalitsa nthawi yokhazikika yamankhwala ndikofunikira; kusowa mankhwala kungachepetse mphamvu.

• Kusiyana kwa anthu:

Metabolism ndi ma genetic zinthu zimasiyanasiyana, zomwe zimakhudza kuchuluka kwa tsitsi.

Kodi anthu omwe ali ndi khungu lakuda ayenera kudzisamalira bwanji atachotsa tsitsi la laser?

Post-chisamaliro chochotsa tsitsi ndi laser ndichofunika kwambiri kwa anthu omwe ali ndi khungu lakuda (mtundu wa Fitzpatrick IV-VI) kuposa omwe ali ndi khungu lopepuka. Chifukwa cha kuchuluka kwa melanin komanso zochitika pakhungu lawo, chiopsezo chokhala ndi{{3}kutupa pigmentation chotupa chimakhala chokulirapo, ndipo njira zochiritsira zosayenera-zingayambitse ngoziyi. Komabe, izi sizikutanthauza kuti anthu omwe ali ndi khungu lakuda sangathe kupeza zotsatira zabwino pochotsa tsitsi ndi laser-ndipo atalandira chithandizo choyenera-ndi chithandizo chamankhwala, odwala ambiri angathe kumaliza bwinobwino chithandizochi ndi kuchepetsa tsitsi kwa nthawi yaitali{8}.

Kuchotsa tsitsi ndi laser kwa anthu a khungu lakuda kwasintha kuchokera ku "malo owopsa-oletsedwa" kupita ku njira yochiritsira yotheka mwasayansi komanso yotsimikizirika ndi matenda. Laser ya 1064 nm Nd: YAG, yokhala ndi mawonekedwe apamwamba kwambiri olowera mwakuya komanso kuyamwa kochepa kwa epidermal, yakhala "muyezo wagolide" wochotsa tsitsi la laser pakhungu lakuda. Laser ya 808 nm diode, pansi pa kasamalidwe kokhazikika ndi kuziziritsa kokwanira, imaperekanso njira yodalirika yothandizira anthu omwe ali ndi khungu lakuda. Kuphatikiza apo,-zaukadaulo zam'badwo wotsatira monga-zophatikizira za kutalika kwa mafunde ali ndi lonjezo lakukhathamiritsa zochotsa tsitsi ndikuwonetsetsa chitetezo.

Mapulani amunthu payekhapayekha potengera kusiyana kwa wodwala, kamvekedwe ka khungu, mawonekedwe a tsitsi, ndi malo okhala ndizomwe zimatsimikizira kuti mukwaniritse bwino pakati pa chitetezo ndi mphamvu pakuchotsa tsitsi la laser kwa anthu omwe ali ndi khungu lakuda.