Njengoko ukufuna kwabantu ulusu olusempilweni noluhle luqhubeka nokuvela,iteknoloji laseriye yaba yeyona nto iphambili yetekhnoloji kwinkalo ye-cosmetic dermatology, itshintsha ngokusisiseko imbonakalo yonyango lokuvuselela ulusu. Nokuba isusa amabala, imibimbi, imibimbi, iphucula ithoni yesikhumba engalinganiyo, okanye imingxuma ecuthekayo, izixhobo ezahlukeneyo zelaser zifumana ukuthandwa phakathi kwabathengi, iikliniki, kunye neesaluni zobuhle ngenxa yokuchaneka kwazo, ukusebenza kakuhle, kunye nendalo ehlaselayo kancinane.
Ke, ngaba unomdla wokuba iilaser ziyigcina njani impilo yolusu? Zeziphi iitekhnoloji ze-laser eziphambili kwimarike? Ziziphi iingxaki zolusu ezifanelekileyo? Eli nqaku liza kubonelela ngentshayelelo eneenkcukacha ezahlukeneyo zonyango lwelaser ukusuka kwimigaqo yabo yobugcisa, iimpawu ezisebenzayo, kunye noncedo, kwaye likwabonelela ngeekliniki, iisaluni zobuhle, kunye namanye amaziko obuhle bonyango ngolwazi lokuthenga izixhobo zelaser.
Uhlalutyo lweentlobo zeLaser kunye neTekhnoloji yokuphucula imeko yolusu
Umgaqo ongundoqo welaser yeenkqubo zokuthambisa kukusetyenziswa kwefotothermal kunye nefoto-iziphumo zokukhupha eziveliswa lunxibelelwano phakathi kokukhanya kwelaser kunye nethagethi yethishu yolusu. Ngamafutshane, amaza ahlukeneyo okukhanya kwelaser athatyathwa ngokukhethiweyo ziichromophores ekujoliswe kuzo esikhumbeni (ezifana nemelanin, ihemoglobin, kunye namanzi). Ngokulawula amandla ngokuchanekileyo, izicubu ezingaqhelekanga zitshatyalaliswa ngokukhethiweyo ngelixa zibangela umonakalo omncinci kwisikhumba esiqhelekileyo. Isekelwe kulo mgaqo wokukhetha i-photothermolysis ukuba iteknoloji ye-laser inokusingatha ngokuchanekileyo nangokukhuselekileyo iingxaki ezahlukeneyo zesikhumba.
I-Fractional CO2 Laser
Isixhobo se-laser ye-CO2 esiqhekekileyo (i-wavelength 10600nm) sesona sixhobo simela i-laser ye-ablative fractional, ethandwa kakhulu kwidermatology kunye namaziko amayeza obuhle.
Umgaqo wayo wobugcisa usekelweiziphumo zefocal photothermal: I-laser ihlanza ulusu nge-micron -ubungakanani be-matrix ye-matrix, yenza i-microscopic columnar imimandla yomonakalo we-thermal kwi-epidermis kunye ne-dermis. Ubushushu bendawo bunokufikelela ngokukhawuleza kwi-100 degree, ukufunxa ngokupheleleyo izicubu ekujoliswe kuzo ngelixa ugcina izicubu ezijikeleze ulusu olusempilweni, ngaloo ndlela unciphisa kakhulu ixesha lokubuyisela emva kokuhlinzwa.
Ubunzulu kunye nesithuba semimandla yomonakalo we-thermal inokulawulwa ngokulungelelanisa iiparitha zesixhobo, ukufezekisa iziphumo zonyango lomntu.
Izicelo zeklinikhi ye-Fractional CO2 Laser
- Unyango lwesiva:I-laser ye-Fractional CO2 inefuthe elibalulekileyo ekuphuculeni izivubeko ze-hypertrophic emva kokutsha, izibonda zotyando, imingxuma yamaqhakuva, kunye namanqaku alula.
- Uchasa {{0}umbimbi kunye nokuchasa{1}}ukuguga:Inciphisa ngokufanelekileyo imibimbi emihle, ibangela ukucutheka kwe-dermal collagen kunye ne-denaturation, kwaye ivuselela ukwanda kwe-collagen kunye nohlengahlengiso, ukuphumeza ulusu-lokuqina.
- Ukuphuculwa kombala:I-Fractional CO2 lasers ikwabonisa iziphumo ezigqwesileyo ekunyangeni i-melasma, i-freckles, amabala eminyaka, njl., kwaye isebenza ngakumbi kune-Nd: YAG lasers kunyango lweemeko ezithile zolusu. Ukongeza, ingasetyenziselwa ukulungisa ukufota kwesikhumba, unyango lwamaqhakuva, kunye nokususwa kweentlobo ezahlukeneyo zolusu.
Xa kuthelekiswa ne-laser ye-CO2 eqhubekayo, ii-lasers ze-CO2 eziqhekekileyo azihlaseli kancinci, zibangela ukopha okuncinci, kwaye zichache ngokukhawuleza, zithintele izinto ezingeloncedo ezonakalisa izicubu eziqhelekileyo ezijikelezileyo, ukwenza i-eschars, kunye nokuphola kwenxeba okucothayo.
Ixesha lokubuyisela le-1{2}}iiveki ezi-2 liyafuneka ngokubanzi. Ngaphaya koko, ukhuseleko olungqongqo lwelanga kunye{3}}nokhathalelo lwasemva konyango lubalulekile emva konyango ukunceda ukunciphisa umngcipheko we-post-inflammatory hyperpigmentation (PIH) okanye ukuphinda kwe melasma.
IiLaser zePicosecond
Iilaser zePicosecond ziye zafumana ingqwalasela ebalulekileyo kwicandelo leenkqubo zokuthambisa zelaser kwiminyaka yakutshanje. Ngokungafaniyo ne-Q-etshintshiweyo yobubanzi be-nanosecond pulse, iilaser zepicosecond zifikelela kwipicosecond{2}}inqanaba lobubanzi be-pulse, okukhokelela kuxinano lwamandla elaser aphezulu. Oku kubavumela ukuba bavelise amandla "isiphumo photomechanical"Ngexesha elifutshane kakhulu, ukuqhekeza amasuntswana ebala abe ngamaqhekeza amancinci athi ke apheliswe ngokwendalo kukhuselo lomzimba kunye nemetabolism.
Kwangaxeshanye, zikhuthaza ukuveliswa kwe-collagen kunye ne-elastin, zinceda ukubuyisela ukunyameka kolusu, ukuguda, kunye nethoni yesikhumba. Ngamafutshane, ii-lasecond lasers zibonise ukusebenza okubalulekileyo kwizicelo ezifanaukususwa kwebala, ukuvuselelwa kolusu, kunye nokususwa komvambo.
Umzekelo, isixhobo sonyango se-laser sika-Newangie se-picosecond sisebenzisa i-350 picosecond (350 ps) ultra-iteknoloji yobubanzi obufutshane be-pulse. Ngempembelelo enamandla ye-photomechanical, isusa ngokufanelekileyo i-melanin kwi-pigmented skin kunye nomonakalo omncinci we-thermal.
Kumaziko amakhulu obuhle bezonyango, iingenelo zesi sixhobo zibalasele ngakumbi: sifika umgangatho kunye namaza amaza amabini.1064nm kunye ne-532nm, eyenza ukuba kungekuphela nje ukususwa kwe-tattoo kunye nonyango lwe-pigmentation kodwa kunye nokuvuselela ngaxeshanye kwe-collagen kunye nokuvuselelwa kwe-elastin, ukufezekisa zombini ukuvuselelwa kwesikhumba kunye nemiphumo yokuqina. Ukhetho585nm kunye ne-650nmiintambo zedayi zivumela unyango oluchanekileyo lwetattoos ezinombala onenkani.
Xa kuthelekiswa neelaser zemveli ezixhomekeke kumandla obushushu, obu buchwepheshe busebenzisa amaza oxinzelelo ukujolisa ngokuchanekileyo izicubu, ukuba thambileyo kulusu olujikelezileyo, ngaloo ndlela kunciphisa kakhulu ukungonwabi kwesigulana kunye nokunciphisa ixesha lokubuyisela.
Iimpawu zoNyango lwePico Laser:
I-Pico lasers inokujongana ngokukhuselekileyo nangempumelelo nokususwa kwe-tattoo, umbala wesikhumba, umbala ohlukeneyo we-epidermal (amabala, amabala elanga, i-melasma, amabala obudala), kunye namaqhakuva, imibimbi, imibimbi eyandisiweyo, ithoni yesikhumba engalinganiyo, kunye nokuqaqamba kolusu kunye nokuvuselelwa.
Iinzuzo eziphambili ze-pico lasers
Umonakalo omncinci we-thermal, ngokukodwa ukhuselekile kubantu abanesikhumba esimnyama; isithuba esikhawulezayo-ukuchacha kunyango{1}kaninzi, ukhwekhwe luyawa ngeentsuku ezi-3-5 kuphela, ngelixa iilaser zesintu zifuna iintsuku ezisi-7-10; kunye nokukwazi ukujongana ngaxeshanye ne-pigmentation kunye nemiba yokuthungwa kwesikhumba, ukufezekisa iinzuzo ezininzi kunyango olulodwa.
Q-IiLaser ezitshintshwayo
Njengobuchwephesha obuphezulu bokunyanga izifo zolusu phambi kokufika kweelaser zepicosecond, Q-iilaser ezitshintshiweyo zihlala zilolona khetho luyimfuneko kwidermatology. Q-ukutshintsha ubuchwephesha kugxininise amandla e-laser kwisantya esifutshane kakhulu, esikwinqanaba le-nanosecond{3}}, ngokukhetha ukutshabalalisa amasuntswana ebala ngelixa ushiya iiseli ezimeleneyo zesiqhelo zingonakaliswa. Okwangoku yenye yezona ndlela zisebenzayo zokunyanga izifo zolusu ezineempembelelo ezincinci.
Esona sixhobo sixhaphakileyo sisetyenziswayo -sesixhobo selaser siNd:YAG laserinkqubo yonyango, efana ne-Newangie's 350ps picosecond laser, enokuthi ikhuphe i-wavelengths ezimbini: 1064nm kunye ne-532nm.
- I1064nmI-wavelength inamandla okungena anamandla, afikelela nzulu eluswini, kwaye ifanelekile ukunyanga iitattoos ezimnyama kunye nezilonda ezinombala obomvu njenge-nevus ye-Ota.
- I532nmUbude bamaza bufunxwa ngamandla yi-epidermal melanin kwaye iyasebenza kakhulu ekunyangeni iindawo ezinombala oqaqambileyo onje ngefreckles, café au lait spots, kunye namabala obudala.
Uqheliselo lwezonyango luqinisekisile ukuba i-Q{0}}itshintshe i-Nd: YAG lasers ineziphumo ezilungileyo zokuphela kwe-nevus ye-Ota kunye namabala, kwaye ziyasebenza kwizifo zolusu ezinemibala engaphezulu.
Uncedo lwe-Q{0}}ezitshintshiweyo zelasesi zilele ekuthelekisweni kwazoixabiso lezixhobo eziphantsikwayeukukhula okuphezulu kwezobuchwepheshe, ibenze ukuba babe -ukhetho olusebenzayo kunyango lwebala kumaziko okhathalelo lwempilo lokuqala kunye neekliniki zokuthambisa. Nangona kunjalo, xa kuthelekiswa neepicosecond lasers, zenza umonakalo othe kratya wobushushu kwaye azisebenzi kangako kwizilonda ezinemibala enzulu. Ngokonyango, zidla ngokusetyenziswa njengokungena{3}}njengezixhobo zelaser zokuthambisa.
Ngaphandle kwezi ntlobo zintathu zeelaser ezikhankanywe ngasentla, uninzi lwabantu kwishishini lobuhle baqhelene nokuKhanya okuNcincisayo (IPL), itekhnoloji yamandla okukhanya ihlala ithathwa njengelaser ngempazamo. Nangona ingeyiyo i-laser, ikwaqhayisa ngokusebenza okumangalisayo ekuvuseleleni ulusu lobuso kunye nokunyangwa kwezifo zolusu.
UkuKhanya okuNcinciweyo (IPL)
I-Intense Pulsed Light (IPL), eyaziwa ngokuba yi "photorejuvenation," iye yaba yenye yezona projekthi zisetyenziswa kakhulu kwi-phototherapy kumaziko obuhle bezonyango kwihlabathi liphela ngenxa yonyango olubanzi, ukuhlasela okuncinci, kunye nokungabikho kwexesha lokubuyisela.
Kubalulekile ukuba uqaphele ukuba i-IPL ayikho i-laser, kodwa kunokukhanya okuhlanganisiweyo kwe-broadband (i-wavelength 400-1200nm). Nangona kunjalo, yeyetekhnoloji yamandla okukhanya afanayo njengee-laser kwaye ihlala yaziswa kwaye iphathwa kunye "nobuhle belaser" kuqeqesho lwemihla ngemihla lwezonyango.
Isebenza njani iTekhnoloji ye-IPL?
IPL isekelwe kumgaqo othi "selective photothermolysis." Ngokusebenzisa izihluzi ezahlukeneyo ukukhetha ubude bamaza obuthile, inokufunxwa ziichromophores ekujoliswe kuzo eluswini njengemelanin, ihemoglobin, kunye namanzi, iphumeza iziphumo ezininzi kwisixhobo esinye{1}kubandakanya ukususwa kwamabala, ubumhlophe, ukuncitshiswa kwerosacea, ukuvuselelwa kolusu, kunye nokususwa kweenwele.
Zeziphi iimeko zolusu ezinokunyanga i-IPL?
- Imiba ye-pigmentation : amabala, amabala elanga, i-melasma, ithoni yesikhumba esithambileyo
- Imiba yemithambo: ukugungxulwa kobuso, i-rosacea, irhinophyma, amanqaku{0} abomvu e-acne
- Ukuphucula ukuthungwa kwesikhumba: i-pores eyandisiweyo, imigca emihle, ulusu olubi
- I-Anti{0}}ukuguga kunye nokuzinzisa: ivuselela ukuvuselelwa kwe-collagen, ilibazisa ukuguga kolusu, inciphisa ubuntununtunu.
Unyango lwe-IPL (Intense Pulsed Light) lufanelekile ngakumbi njengenkqubo yokuthambisa "yokungena{0}}yenqanaba" ngenxa yokhuseleko oluphezulu,ukunyamezelana okuphezulu, isantya sonyango olukhawulezayo, kwaye phantseakukho xesha lokubuyisela, okwenza kube lukhetho lokuqala kubo bonke abafuna iinkqubo zokuthambisa okokuqala.
Kutheni unyango lwelaser luthandwa kangaka namhlanje?
Isizathu esisisiseko sokuba kutheni iinkqubo zokuthambisa zelaser ziye zaguquka ngokuthe chu ukusuka "{0}}kubuchwepheshe obuphezulu" ukuya "kwimfuno yobunzima" kuxhomekeke kwizinto ezimbini zokuqhubela phambili kobuchwepheshe kunye nemfuno yentengiso.
Izimo zengqondo zentlalo ziyatshintsha, kwaye ukusetyenziswa kuyaphuculwa.
Ukuchasa ubuso-ukuguga kunye nokhathalelo lwesikhumba olusulungekileyo lube yinxalenye ebalulekileyo yabantu bale mihla yokusukela{1}ubomi obuphezulu. Unyango lweLaser, kunye nokhuseleko lwalo, ukusebenza kakuhle, kunye nokuchacha ngokukhawuleza, luhlangabezana ngokuchanekileyo neemfuno zengqondo zabantu banamhlanje "ngobuhle obukhawulezayo kunye nokuphuculwa okungenamabala."
Uphuculo lwetekhnoloji luwuthobe kakhulu umda wonyango.
Ukususela kwimodeli yokuqala elula "yokukhupha" ukuya kwi-fractional yanamhlanje, i-piccosecond, kunye nolawulo lomntu siqu, izixhobo ze-laser ziqhubeka zibhekisa "kwiintlungu ezisezantsi, ukuchacha ngokukhawuleza, kwaye akukho monakalo kwi-epidermis."
Iindawo ezibuhlungu zeCO2 lasers-amanxeba amakhulu kunye namaxesha amade okuchacha{2}}zoyiswe{3}}zingezo laser ablative kunye ne-ultra{4}}short pulse technologies. I-laser edibeneyo yonyango kunye nonyango lwamachiza lunokwandisa ngakumbi imida yonyango kunye nokuphucula ukusebenza kakuhle.
Izicwangciso zonyango lomntu ngamnye ziya zixhaphake kakhulu kwiinkqubo zonyango.
Ngamava amaninzi ekliniki, oogqirha ngoku banokukhetha ngokuchanekileyo iintlobo ze-laser kunye neeparamitha zonyango ngokusekelwe kwiintlobo ezahlukeneyo zesikhumba zezigulane (ezifana nohlobo lwesikhumba lwe-Fitzpatrick) kunye neengxaki zolusu, ukwandisa ukusebenza konyango kunye nokunciphisa iziphumo ebezingalindelekanga. Ukuphuculwa kokhuseleko, ngakumbi kwabo banesikhumba esimnyama, kuvumela nabo babethandabuza ngaphambili ukuba bazame unyango lwelaser ukuze bafumane ukhathalelo olukhuselekileyo.
Imfuneko yokungabikho "kwixesha lokubuyisela" nayo iyaqwalaselwa.
Kuluntu lwanamhlanje, uninzi lwabantu alufuni ukuchitha ngaphezulu kweveki "luphumle" ekhaya kunyango lwezithambiso. "Yenze emva kokuba uphumile emsebenzini, ubuyele emsebenzini ngosuku olulandelayo" imodeli yonyango olufana ne-picosecond lasers kunye nokuvuselelwa kolusu lwe-IPL ibonelela -okukhawulezayo,{2}}ukuphila ngendlela efanelekileyo yabantu banamhlanje.
Ingaba iikliniki kunye neesaluni zobuhle kufuneka zifumane phi izixhobo zelaser zokuthambisa ezithembekileyo?
Ukuthenga kubathengisi abathembekileyo bendawo kukuvumela ukuba uhlole inkangeleko yesixhobo, ukusebenza, kunye neziphumo zonyango.
Ukuthenga kumaqonga omntu wesithathu, anje ngeAmazon kunye neAlibaba, nazo ziyindlela esebenzayo.
Ukuthenga ngokuthe ngqo kwivenkile yomenzi (umz., Newangieshop) yenye indlela; ukuba kunokwenzeka, tyelela umzi-mveliso womenzi ngokobuqu.
Ukuya kwimiboniso yobuhle kwimimandla eyahlukeneyo kukuvumela ukuba uthelekise iibrendi ezininzi ngaxeshanye kwaye ube namava ngokuthe ngqo umahluko phakathi kwezixhobo zabo.
