Pamene kufunafuna kwa anthu khungu lathanzi ndi lokongola kukupitilirabe,laser lusoyakhala mphamvu yayikulu yaukadaulo pantchito ya cosmetic dermatology, ikusintha kwambiri mawonekedwe amankhwala obwezeretsa khungu. Kaya ndikuchotsa zipsera, makwinya, zipsera, kuwongolera khungu losagwirizana, kapena ma pores omwe akucheperachepera, zida zosiyanasiyana za laser zikudziwika pakati pa ogula, zipatala, ndi malo opangira zokongoletsera chifukwa cha kulondola kwake, kuchita bwino, komanso kusokoneza pang'ono.
Ndiye, kodi mukufuna kudziwa momwe ma lasers amakhalira ndi thanzi la khungu? Kodi matekinoloje apamwamba a laser pamsika ndi ati? Ndi mavuto ati akhungu omwe ali oyenera? Nkhaniyi ipereka chidziwitso chatsatanetsatane chamankhwala osiyanasiyana a laser kuchokera ku mfundo zawo zaukadaulo, zizindikiro zomwe zimagwira ntchito, ndi zabwino zake, komanso kupereka zipatala, malo opangira zokongoletsera, ndi mabungwe ena okongoletsa azachipatala chidziwitso chogula zida za laser.
Kuwunika kwa Mitundu ya Laser ndi Technologies Zowongolera Khungu
Mfundo yaikulu ya njira zodzikongoletsera za laser ndi kugwiritsa ntchito photothermal ndi chithunzi-zotsatira za ablation zomwe zimachitika chifukwa cha kuyanjana pakati pa kuwala kwa laser ndi minofu yapakhungu. Mwachidule, mafunde osiyanasiyana a kuwala kwa laser amatengedwa ndi ma chromophores osiyanasiyana pakhungu (monga melanin, hemoglobin, ndi madzi). Mwa kuwongolera bwino mphamvu, minofu yosadziwika bwino imawonongeka ndikuwononga pang'ono pakhungu lozungulira. Zimachokera pa mfundo iyi ya kusankha photothermolysis kuti laser luso akhoza ndendende ndi bwinobwino kuthana ndi mavuto osiyanasiyana khungu.
Fractional CO2 Laser
Chipangizo cha laser cha CO2 (wavelength 10600nm) ndiye chida choyimira kwambiri cha laser chagawo, chodziwika kwambiri m'mabungwe azachipatala ndi zokongoletsa.
Mfundo yake luso zachokeraFocal photothermal zotsatira: laser imayatsa khungu ndi micron-kakulidwe kakang'ono ka mtengo, kumapanga madera owonongeka kwambiri a epidermis ndi dermis. Kutentha kwanuko kumatha kufika madigiri 100 nthawi yomweyo, kutulutsa minyewa yomwe mukufuna ndikusunga minofu yapakhungu yathanzi, motero kumafupikitsa nthawi yochira pambuyo pa opaleshoni.
Kuzama ndi kutalikirana kwa madera owonongeka ndi kutentha kumatha kuwongoleredwa posintha zida, kupeza zotsatira zamankhwala amunthu payekha.
Ntchito Zachipatala za Fractional CO2 Laser
- Chithandizo cha zipsera:Fractional CO2 laser imakhudza kwambiri kuwongolera zipsera za hypertrophic pambuyo pakuwotcha, zipsera za opaleshoni, maenje a ziphuphu zakumaso, ndi zipsera zotambasula.
- Kuletsa{{0}makwinya ndi Kudana{1}}kukalamba:Amachepetsa makwinya, amachititsa kuti dermal collagen contraction and denaturation, komanso amathandizira kuti kolajeni ichuluke ndi kukonzanso, kumapangitsa kuti khungu- likhale lolimba.
- Kuwonjezera pigmentation:Ma lasers a Fractional CO2 amawonetsanso zotsatira zabwino kwambiri pochiza matenda a melasma, mawanga, mawanga amsinkhu, ndi zina zambiri, ndipo ndi othandiza kwambiri kuposa ma laser a Nd:YAG pochiza matenda ena akhungu. Komanso, angagwiritsidwe ntchito pa khungu photoaging kukonza, mankhwala ziphuphu zakumaso, ndi kuchotsa zophuka zosiyanasiyana khungu.
Poyerekeza ndi ma lasers achikhalidwe osalekeza a CO2, ma lasers a CO2 ang'onoang'ono sasokoneza, amayambitsa magazi ochepa, ndipo amachira mwachangu, kupewa kuipa kwa kuwononga minofu yozungulira, kupanga ma eschars, ndikuchira pang'onopang'ono kwa bala.
Nthawi yochira ya 1-masabata awiri ndiyofunika. Komanso, kutetezedwa ku dzuwa ndi{3}}kulandira chithandizo pambuyo pa chithandizo n'kofunika kwambiri mukalandira chithandizo kuti muchepetse chiopsezo cha post-inflammatory hyperpigmentation (PIH) kapena kuyambiranso melasma.
Picosecond Lasers
Ma laser a Picosecond atenga chidwi kwambiri pantchito zodzikongoletsera za laser m'zaka zaposachedwa. Mosiyana ndi zachikhalidwe za Q-zosintha za nanosecond pulse widths, ma laser a picosecond amapeza picosecond-level pulse widths, zomwe zimapangitsa kuti mphamvu ya laser ichuluke. Izi zimawalola kupanga amphamvu "photomechanical zotsatira" m'kanthawi kochepa kwambiri, ndikuphwanya tinthu tating'ono ta pigment kukhala tizidutswa tating'onoting'ono tomwe timachotsedwa mwachilengedwe kudzera muchitetezo cha mthupi komanso metabolism.
Panthawi imodzimodziyo, amalimbikitsa kupanga kolajeni ndi elastin, zomwe zimathandiza kubwezeretsa khungu, kusalala, komanso khungu. Mwachidule, ma lasers a picosecond awonetsa kuchita bwino pamapulogalamu mongakuchotsa mtundu, kubwezeretsa khungu, ndi kuchotsa tattoo.
Mwachitsanzo, chipangizo cha Newangie cha picosecond laser treatment chimagwiritsa ntchito ukadaulo wa 350 picosecond (350 ps) ultra-short pulse width. Kupyolera mu mphamvu ya photomechanical, imachotsa bwino melanin pakhungu la pigmented ndi kuwonongeka kochepa kwa kutentha.
Kwa mabungwe akuluakulu azachipatala, ubwino wa chipangizochi ndi chodziwika bwino: chimabwera muyeso ndi mafunde awiri1064nm ndi 532nm, kuzipangitsa osati kungochotsa tattoo ndi chithandizo cha mtundu wa pigmentation komanso kukondoweza munthawi imodzi ya kolajeni ndi elastin kusinthika, kukwaniritsa kutsitsimuka kwa khungu komanso kulimbitsa. Zosankha585nm ndi 650nmzopaka utoto pamanja zimalola kuwongolera molondola kwa ma tattoo amitundu yamakani.
Poyerekeza ndi ma laser achikhalidwe omwe amadalira mphamvu ya kutentha, ukadaulo uwu umagwiritsa ntchito mafunde opanikizika kuti alondole minofu, kukhala ofatsa pakhungu lozungulira, motero amachepetsa kwambiri kusapeza bwino kwa odwala ndikufupikitsa nthawi yochira.
Zizindikiro za Chithandizo cha Pico Laser:
Ma laser a Pico amatha kuthana ndi kuchotsedwa kwa ma tattoo mosamala komanso moyenera, kuyika kwa dermal pigmentation, ma epidermal pigmentation (mawanga, mawanga, melasma, mawanga azaka), komanso zipsera, makwinya, ma pores okulitsidwa, khungu losagwirizana, komanso kuyera kwa khungu komanso kutsitsimuka.
Ubwino waukulu wa pico lasers
Kuwonongeka kochepa kwa kutentha, makamaka kotetezeka kwa anthu omwe ali ndi khungu lakuda; positi-kuchira msanga-kawirikawiri, nkhanambo zimatuluka m'masiku 3-5 okha, pamene zida zamakono zimafuna masiku 7-10; ndikutha kuthana ndi vuto la mtundu wa pigmentation ndi kapangidwe ka khungu nthawi imodzi, ndikupeza mapindu angapo pamankhwala amodzi.
Q-Ma laser osinthika
Monga ukadaulo wapamwamba kwambiri wochizira matenda amtundu wa pigment lasers isanayambike, Q-malaza osinthika amakhalabe chisankho chofunikira kwambiri pakhungu. Q-Kusintha ukadaulo kumapangitsa mphamvu ya laser kukhala yaifupi kwambiri,{3}}kugunda kwamtundu wa nanosecond, mwa kusankha kuwononga tinthu ting'onoting'ono ta pigment ndikusiya ma cell oyandikana nawo osawonongeka. Pakali pano ndi imodzi mwa njira zothandiza kwambiri zochizira matenda a khungu a pigmented ndi zotsatira zochepa.
Chida chogwiritsiridwa ntchito kwambiri cha Q-chida chosinthika cha laser ndiNdi: YAG lasernjira yochizira, yofanana ndi laser ya Newangie's 350ps picosecond laser, yomwe imatha kutulutsa mafunde awiri: 1064nm ndi 532nm.
- The1064nmkutalika kwa mafunde ali ndi mphamvu zolowera mkati, zofikira mkati mwa khungu, ndipo ndizoyenera kuchiza ma tatoo akuda ndi zotupa zamtundu wa dermal pigmented monga nevus of Ota.
- The532nm pawavelength imatengedwa kwambiri ndi epidermal melanin ndipo imakhala yothandiza kwambiri pochiza mawanga owoneka ngati ma freckles, café au lait spots, ndi mawanga azaka.
Zochita zachipatala zatsimikizira kuti Q-malaza osinthika a Nd:YAG ali ndi zotsatira zabwino zakuzirala pa nevus ya Ota ndi mawanga, ndipo amagwira ntchito ku matenda apakhungu opaka utoto.
Ubwino wa Q-ma laser osinthika ali munjira zakemtengo wotsika wa zidandikukhwima kwaukadaulo wapamwamba, kuwapangitsa kukhala otchipa-chisankho choyenera pa chithandizo cha mtundu wa mtundu m'mabungwe achipatala ndi zipatala zodzikongoletsera. Komabe, poyerekeza ndi ma laser a picosecond, amawononga kwambiri kutentha ndipo sathandiza pang'ono zilonda zakuya zamtundu. Kachipatala, amagwiritsidwa ntchito ngati zida zolowera{3}}zodzikongoletsera za laser.
Kupatula mitundu itatu ya ma lasers omwe tawatchulawa, anthu ambiri opanga kukongola amadziwa Intense Pulsed Light (IPL), ukadaulo wamagetsi opepuka nthawi zambiri umatengedwa molakwika ngati laser. Ngakhale si laser, imakhalanso ndi mphamvu yodabwitsa pakukonzanso khungu la nkhope komanso kuchiza matenda a khungu.
Kuwala Kwambiri Kwambiri (IPL)
Intense Pulsed Light (IPL), yomwe imadziwika kuti "photorejuvenation," yakhala imodzi mwamapulojekiti omwe amagwiritsidwa ntchito kwambiri ndi Phototherapy m'mabungwe okongoletsa azachipatala padziko lonse lapansi chifukwa cha kuchuluka kwake kwamankhwala, kuwononga pang'ono, komanso kusowa kwa nthawi yochira.
Ndikofunika kuzindikira kuti IPL si laser, koma ndi kuwala kophatikizana kwa Broadband (wavelength 400-1200nm). Komabe, ndi yaukadaulo wofananira wamagetsi monga ma lasers ndipo nthawi zambiri imayambitsidwa ndikuthandizidwa limodzi ndi "kukongola kwa laser" pamachitidwe azachipatala tsiku ndi tsiku.
Kodi IPL Technology Imagwira Ntchito Motani?
IPL imachokera pa mfundo ya "selective photothermolysis." Pogwiritsa ntchito zosefera zosiyanasiyana kuti musankhe kutalika kwa mafunde, imatha kuyamwa ndi ma chromophore pakhungu monga melanin, hemoglobini, ndi madzi, ndikukhala ndi zotsatira zambiri pa chipangizo chimodzi{1}kuphatikiza kuchotsa mawanga, kuyera, kuchepetsa rosacea, kutsitsimuka kwa khungu, ndi kuchotsa tsitsi.
Kodi IPL ingachiritse bwanji khungu?
- Mavuto a pigmentation: mawanga, mawanga a dzuwa, melasma, khungu losawoneka bwino
- Matenda a mitsempha: kutupa kumaso, rosacea, rhinophyma, post-ziphuphu zofiira
- Kusintha kwa khungu: ma pores okulirapo, mizere yabwino, khungu loyipa
- Kuletsa-kukalamba ndi kukhazikika: kumalimbikitsa kupanga kolajeni, kuchedwetsa kukalamba, kumachepetsa kukhudzika
IPL (Intense Pulsed Light) therapy ndiyoyenera makamaka ngati njira yodzikongoletsera ya "entry-level" chifukwa chachitetezo chake chambiri,kulolerana kwakukulu, kufulumira kwa chithandizo, ndipo pafupifupipalibe nthawi yochira, kupanga chisankho choyamba kwa onse omwe akufunafuna njira zodzikongoletsera kwa nthawi yoyamba.
N'chifukwa chiyani chithandizo cha laser chatchuka kwambiri masiku ano?
Chifukwa chachikulu chomwe njira zodzikongoletsera za laser zasintha pang'onopang'ono kuchoka ku "ukadaulo-wokwera kwambiri" kupita "zofunika kwambiri" zagona pazida ziwiri za kupita patsogolo kwaukadaulo komanso kufunikira kwa msika.
Makhalidwe a anthu akusintha, ndipo kugwiritsidwa ntchito kukukulirakulira.
Kuletsa nkhope-kukalamba ndi kusamala khungu kwakhala mbali zofunika kwambiri za anthu masiku ano kufuna kukhala ndi moyo wapamwamba-. Kuchiza kwa laser, ndi chitetezo chake, kuchita bwino, komanso kuchira msanga, kumakwaniritsa zofunikira zamaganizo za anthu amasiku ano "kukongola kwachangu ndi kusintha kosabala."
Kukweza kwaukadaulo kwachepetsa kwambiri chithandizo chamankhwala.
Kuchokera pachitsanzo chosavuta cha "ablation" mpaka kuwongolera kwamasiku ano kwa magawo, picosecond, ndi makonda amunthu, zida za laser zikupitilirabe "kupweteka pang'ono, kuchira mwachangu, komanso kusawonongeka kwa epidermis."
Zowawa za ma laser CO2 oyambilira-zilonda zazikulu ndi kuchira kwanthawi yayitali-zagonjetsedwa ndi osagwiritsa ntchito-malaser aablative komanso ultra{4}}short pulse technologies. Mankhwala ophatikizika a laser ndi mankhwala amatha kukulitsa malire amankhwala ndikuwongolera magwiridwe antchito onse.
Mapulani amunthu payekha akuchulukirachulukira m'zachipatala.
Pokhala ndi chidziwitso chokwanira chachipatala, madokotala tsopano akhoza kusankha ndendende mitundu ya laser ndi magawo ochizira kutengera mitundu yosiyanasiyana ya khungu la odwala (monga mtundu wa khungu la Fitzpatrick) ndi zovuta zapakhungu, kukulitsa mphamvu yamankhwala ndikuchepetsa zotsatira zoyipa. Kupititsa patsogolo chitetezo, makamaka kwa omwe ali ndi khungu lakuda, amalola ngakhale omwe poyamba ankakayikira kuyesa chithandizo cha laser kuti alandire chisamaliro chotetezeka.
Kufunika kopanda "nthawi yochira" kumayankhidwanso.
Masiku ano, anthu ambiri safuna kuthera sabata imodzi "kupumula" kunyumba kuti azidzikongoletsa. Njira zochizira matenda amtundu wa "chitani mukaweruka, bwererani kuntchito tsiku lotsatira" monga ma lasers a picosecond ndi IPL rejuvenation amathandizira-kuthamanga,{2}}kuthamanga kwambiri,{2}}moyo wamakono wa anthu.
Kodi zipatala ndi malo okongoletsa malo azipeza kuti zida zodalirika za laser zodzikongoletsera?
Kugula kuchokera kwa ogulitsa odziwika bwino kumakupatsani mwayi kuti muwone nokha mawonekedwe a chipangizocho, momwe chimagwirira ntchito, komanso momwe chimathandizira.
Kugula kuchokera ku-mapulatifomu ena, monga Amazon ndi Alibaba, ndizothekanso kuchita.
Kugula mwachindunji kuchokera ku sitolo ya opanga (mwachitsanzo, Newangieshop) ndi njira ina; ngati kuli kotheka, pitani ku fakitale ya wopangayo nokha.
Kupita ku ziwonetsero za kukongola m'magawo osiyanasiyana kumakupatsani mwayi wofananizira mitundu ingapo nthawi imodzi ndikuwona kusiyana pakati pa zida zawo.
