I-MelasmaYingxaki eqhelekileyo nenenkani yokutshintsha umbala webala, ingakumbi ebusweni, ebangela unxunguphalo olumandla kunye noxinzelelo ngokwasengqondweni kubantu abaninzi abanale ngxaki. Ukuba ujongene nalo mba kwaye ufuna iindlela ezisebenzayo zokuphuculai-melasma, ke eli nqaku lelakho.
Njengomvelisi wezixhobo zokuthambisa osoloko ejongana nezigulana ezifuna izisombululo zobuhle bezonyango ezisebenzayo, siyaqonda ukuba i-melasma inezizathu ezintsonkothileyo kunye nezinga eliphezulu lokuphindaphinda. Amanyathelo alula okuthintela imihla ngemihla ayanelanga ukuphucula le meko, yingakho izigulane ezininzi ziqhagamshelana nathi. Ngophuhliso oluqhubekayo lweteknoloji ye-laser, unyango lwe-laser luye lwaba yindlela ebalulekileyo yokuphucula i-melasma. Eyona mibuzo ixhaphakileyo kwizigulana zethu yile:Ngaba iilaser "ziyayiphelisa" ngokwenene i-melasma? Nguwuphi umahluko phakathi kweentlobo ezahlukeneyo zeelaser?Eli nqaku liza kunika uhlalutyo olucwangcisiweyo.
Yintoni i-melasma? Yenzeka njani?
I-Melasma yimeko yolusu ehlala ihleli ephawulwa ngokukhanya okungafaniyo okumdaka ukuya kumdaka omnyama okanye amabala angwevu{0}, aqhele ukufunyanwa kwi-cheekbones, ibunzi, umlebe ongentla, kunye nesilevu, kwaye ngamanye amaxesha kumaphambili. Ikwaziwa ngokuba "yimaski yokukhulelwa," imelasma asikosulela{2}}kukuphazamiseka kwepigmentation, edla ngokubangelwa lutshintsho lwehomoni ngexesha lokukhulelwa, ukuthatha iipilisi zokulawula ukuzala, ukuvezwa kwimitha yeultraviolet, okanye unyango lokubuyisela ihomoni.
Ngokusekwe kubunzulu bebala, ngokweklinikhi ihlelwa ngokweendidi ezintathu:
- Uhlobo lwe-epidermal:I-pigmentation ifakwe kwi-epidermis, ibonakala imdaka omnyama kunye{0}}nemida echazwe kakuhle, kwaye iphuculwe phantsi kwesibane sikaWood.
- Uhlobo lwedermal:I-Pigmentation ifakwe kwidermis, ibonakala imdaka ngokukhanyayo okanye luhlaza{0}}ngwevu kunye nemida engacacanga, kwaye ayibonisi tshintsho lubalulekileyo phantsi kwesibane sikaWood.
- Uhlobo oluxutyiweyo:I-Pigmentation ivela kwi-epidermis kunye ne-dermis; olu lolona hlobo luqhelekileyo.
Indlela yokwakheka kwe-melasma ayiqondwa ngokupheleleyo, kodwa oonobangela abaphambili abaziwayo babandakanya:
- Imitha ye-Ultraviolet:Le yeyona nto ibalulekileyo ebangela kunye neyonyusayo, njengoko imitha ye-ultraviolet ivuselela ukwanda komsebenzi we-melanocyte.
- Utshintsho lweHormonal:Ukukhulelwa, izicwangcisi ezithathwa ngomlomo, kunye nonyango lokubuyisela ihomoni lunokubangela okanye lube mbi ngakumbi imelasma.
- Imiba yemfuzo:Isiganeko siphezulu kubantu abanembali yosapho ye-melasma.
- Ukuvuvukala kunye nemithambo yegazi:Umqobo wolusu owonakeleyo, ukudumba okungapheliyo, kunye ne-angiogenesis nazo zinendima.
Iindlela eziqhelekileyo zokunceda ukususa i-melasma
Ukhuseleko lweLanga olungqongqo
- Izinto eziluncedo:Iindleko eziphantsi, ukukhuselwa okusisiseko, kuthintela ngokufanelekileyo i-melasma ukuba ibe nzima
- Izinto ezingeloncedo:Ayisebenzi ekususeni umbala okhoyo
Iiarhente ezimhlophe ezimhlophe
- Izinto eziluncedo:Isebenza kwi-epidermal melasma, xa ikhuselekile
- Izinto ezingeloncedo:Ukuqala kancinci, kufuna ukusetyenziswa ixesha elide-, kunokubangela ukucaphuka kwesikhumba
Amayeza Omlomo
- Izinto eziluncedo:Isebenza kumxube-uhlobo lwe-melasma, inokunciphisa ukuvela kwakhona
- Izinto ezingeloncedo:Ifuna umyalelo kagqirha, ithwala umngcipheko wegazi
I-Chemical Peels
- Izinto eziluncedo:Inokukhawulezisa ukuchithwa kwe-epidermal pigment
- Izinto ezingeloncedo:Inokubangela ukucaphuka, i-hyperpigmentation, okanye i-hypopigmentation
Ezi ndlela, xa zisetyenziswa zodwa, zihlala zingasebenzi kakuhle, ngakumbi kwi-dermal okanye i-sbborn melasma.
Unyango lweLaser oluqhelekileyo lokususwa kweMelasma
Ngenxa yokuba i-melanocytes kwi-melasma isebenza kakhulu, iilaser zakwantu eziphezulu-zinokwenza lula ukuba{{1}i-inflammatory hyperpigmentation (PIH) ibe mandundu. Ke ngoko, isicwangciso selaser esicetyiswayo okwangoku sinamandla aphantsi, iiseshini ezininzi, ubungakanani bendawo enkulu, kunye nokukhethwa okukhethiweyo kobude obuthile.
Q-ILaser etshintshiweyo
Umgaqo:Ngokukhethekileyo uyonakalisa i-melanin granules ngeziphumo zefotoacoustic, esebenzayo kuzo zombini i-epidermal kunye ne-dermal pigmentation.
Iimbonakalo:Ngamandla asezantsi-enkulu,{1}}indlela yebala, ingenza lula i-melasma ngaphandle kokonakalisa i-epidermis.
Iziphumo:Iziphumo ezihle zexesha elifutshane{0}, kodwa ziqhele ukuphindaphinda; Ukusetyenziswa kwexesha elide-okanye{2}}eliphezulu lamandla kunokukhokelela kwi-hypopigmentation okanye i-punctate vitiligo.
I-Fractional CO2 Laser
Umgaqo:Ikhuthaza ukulungiswa kwakhona kwe-epidermal kunye ne-dermal ngokufaka umphunga kunye nokukhupha izicubu zesikhumba ze-microcolumnar, ngokususa ngokungathanga ngqo i-pigment.
Iimbonakalo:Ibonelela ngophuculo oluthile kukwakheka kwesikhumba kunye nefotoaging kudityaniswa ne-melasma, kodwa ihlasela kakhulu kwaye inexesha elide lokubuyisela.
Imingcipheko:Abantu abanolusu olumnyama (uhlobo lweFitzpatrick III{0}}IV nangaphezulu) banomngcipheko ophezulu wokuphuhlisa umbala webala -i-induced hemorrhage (PIH) kwaye kufuneka basebenzise olu nyango ngononophelo. Nangona kunjalo, izixhobo zala maxesha eziphezulu-zenqanaba eliphezulu zeCO2 zelaser zakhelwe-kwiisistim zokupholisa ezisebenzayo, ziqinisekisa ukusebenza kakuhle kunye namava onyango olutofotofo nolukhuselekileyo kwizigulana.
ILaser yePicosecond
Umgaqo:Ngobubanzi bepulse efikelela kumphakamo wepicosecond (10⁻¹² imizuzwana), isiphumo sefotomechanical sinamandla, sihluza iigranules zemelanin zibe luthuli olucolekileyo ukuze zisuswe lula.
Izinto eziluncedo:Xa kuthelekiswa no-Q-iilaser ezitshintshiweyo, yenza umonakalo omncinci wobushushu kwizihlunu ezingqongileyo, ngokwethiyori yehlisa umngcipheko we-PIH.
Isicelo soNyango:Uphando lwangoku luxhasa ukusebenza kunye nokhuseleko lwe-lasecond lasers (ingakumbi i-1064nm okanye i-755nm) ekuphatheni i-melasma, kunye neziphumo ezingcono kune-nanosecond lasers. Nangona kunjalo, ukuphindaphinda kusenokwenzeka.
1927nm iThulium Laser
Umgaqo:Ilaser enga-engumphunga yefractional ejolise kwiimolekyuli zamanzi, ibangela ukurhawuka kancinci kwe-epidermis kunye nokukhuthaza ilahleko yebala.
Iimbonakalo:Ubunzulu obunzulu, bufanelekile kwi-epidermal kunye neentlobo ezidibeneyo ze-melasma. Inqanaba eliphezulu lokuthuthuzela, ixesha elifutshane lokuphumla.
Iziphumo:Ukudibanisa kunye namayeza amhlophe okucoca kunokuphucula ukusebenza, kodwa unyango oluninzi luyafuneka.
Ngaba unyango lwe-laser luyasebenza kwi-melasma?
Unyango lweLaser lunokuphucula kakhulu i-melasma, kodwa kunzima ukuyisusa ngokupheleleyo. Injongo yonyango lwe-laser ayiko "ukucima," kodwa kunokunciphisa umbala, ukunciphisa ubukhulu bayo, kunye nombala wayo, kunye nokulawula umsebenzi wayo.
Ngaphaya koko, inkqubo yonyango ekhuselekileyo kunye neziphumo ezibalulekileyo zonyango lwelaser zixhomekeke: -isiphelo esiphezulu,isixhobo laser professional, iugqirha onamava, kwaye iintsebenziswano epheleleyo yesigulanakuyo yonke le nkqubo.
Izinto ezichaphazela ukusebenza konyango ziquka:
- Uhlobo lwesikhumba:Izikhumba ezimnyama (uhlobo IV{{0}VI) zinomngcipheko ophezulu kwaye zifuna amanqanaba asezantsi amandla.
- Uhlobo lweMelasma:I-epidermal melasma iphendula ngcono, i-dermal melasma iphendula kakubi.
- Iiparamitha zonyango:Amandla, ubungakanani bendawo, ububanzi be-pulse, ixesha lonyango, njl.
- Thumela-ukhathalelo lonyango:Ukhuseleko olungqongqo elangeni kunye nokusetyenziswa kweemveliso zokukhathalela emva kwexesha.
- Ubukho bezinto ezibangelayo:IiHormones, ukukhanya kwelanga, ukuvuvukala, njl.
Indlela yokunciphisa ukuphindaphinda kwe-melasma emva konyango lwe-laser?
- Ukhuseleko olungqongqo lobomi bonke:
Sebenzisa -isikhuseli selanga esibanzi kunye ne-SPF30+ kunye ne-PA+++ yonke imihla, kwaye usidibanise nokhuseleko lwelanga oluphathekayo olufana neminqwazi, iimaski, kunye neendondo zelanga. Imitha ye-ultraviolet yenye yezona zinto zibangela ukuba i-melasma ibuyele kwakhona.
- Unyango lwesondlo:
Emva konyango lwelaser, fumana unyango olusezantsi-lonyango "logcino" rhoqo emva kweeveki ezi-2 ukuya kwezi-4, okanye sebenzisa ii-ejenti zokuthambisa.
- Lungisa iimeko zangaphakathi:
Yeka amayeza angafunekiyo e-hormonal kwaye uphathe ukuvuvukala okungapheliyo (okufana ne-acne, i-rosacea).
- Lungisa umqobo wolusu:
Sebenzisa izicoci ezithambileyo, izinto zokuthambisa, kunye nokulungisa iimveliso zokhathalelo lwesikhumba, kwaye unqande ukukhuhlana okugqithisileyo okanye ukucaphuka kolusu.
- Ukulandela{0}}amaqendu arhoqo:
Ukuba i-pigmentation iba mnyama okanye iyanda, ngenelela ngokukhawuleza; musa ukulinda de kube nzima phambi kokuba unyango.
Fumana iSicombululo esineenkcukacha kunye nesichanekileyo seMelasma
Sisebenza ngokukhethekileyo ekuphuhliseni izixhobo zelaser zokunyanga iingxaki zolusu ezohlukeneyo, kuquka Q-iilaser ezitshintshiweyo, iilaser ze-CO2 eziqhekekileyo, iilaser zepicosecond, kunye ne1927nm thulium lasers. Ngaba ufuna ukususa ngokufanelekileyo nangokukhuselekileyo amabala obuso okanye ezinye iimeko zolusu? Ngaba ujonge ukwazisa itekhnoloji entsha ukusombulula iinkxalabo zolusu zezigulana zakho? Qhagamshelana nathi ngezona zisombululo zobuhle zobuchwephesha nezenzelwe wena.
FAQ
I-Q1: Ngaba unyango lwe-laser luya kuyenza ibe mandundu i-melasma?
A: Mhlawumbi. Ukuba amandla aphezulu kakhulu, ukuphindaphindeka akulunganga, okanye ukhuselo lwelanga alusetyenziswanga emva kwenkqubo, unyango lwe-laser lunokubangela i-post{1}}i-inflammatory hyperpigmentation (PIH), ibangele ukuba i-melasma ibenzima kakhulu kunangaphambili. Ngoko ke, kubalulekile ukukhetha ugqirha onamava kwaye wamkele umgaqo othi "amandla aphantsi, iiseshoni ezininzi".
I-Q2: Ngaba i-picosecond laser ingcono kune-Q{1}}etshintshiweyo yelaser?
A: Ukusuka kwimbono yokunciphisa umonakalo we-thermal, i-picosecond lasers ngokwethiyori inenzuzo. Olunye uphononongo lucebisa ukuba iilaser zepicosecond zisebenza ngakumbi kwaye zinomngcipheko osezantsi kancinane we-PIH, kodwa akukho namnye unokuqinisekisa ngokuchasene nokuphinda. Ukhetho oluthile luxhomekeke kuhlobo lwesikhumba somntu ngamnye kunye neemeko zezixhobo.
I-Q3: Ngaba ndingazibona iziphumo emva konyango olulodwa lwe-laser?
A: Ngokuqhelekileyo, unyango lwe-3-6 (nganye ihlukaniswe iiveki ezi-4-6 ngaphandle) ziyafuneka ukuze ubone ukuphuculwa okubalulekileyo. Isiphumo sonyango olulodwa silinganiselwe; ungalindeli "ukususa" ngokupheleleyo amabala kwiseshoni enye.
I-Q4: Ngaba unyango lwe-laser lubuhlungu? Ngaba kufuneka ndiyeke unyango?
A: Iilaser{0}}eziphantsi zamandla zibangela kuphela ukurhawuzelela okuncinci kwaye azifuni zintlungu; iilaser eziqhekekileyo okanye{1}}unyango oluphezulu lwamandla lunokuba buhlungu kakhulu kwaye lufune i-anesthesia yendawo. -Unyango lwelaser olungelulo alufuni ixesha lokuphumla, ngelixa unyango lwe-laser lufuna iintsuku ezi-3-7 ukululama.
I-Q5: Ngaba ndinganxiba i-makeup emva konyango lwe-laser?
A: Kuyacetyiswa ukuba uphephe ukwenza ii-makeup iiyure ezingama-24-48. Emva koko, sebenzisa izithambiso ezithambileyo, ezingathukutheziyo{3}ezisekwe kwiminerali kwaye womeleze ukhuseleko elangeni.
