Nyob rau hauv qhov tawm tsam rau kev zoo nkauj, ntau yam txhais tau tias yog siv, piv txwv li, cov duab photothermolysis. Cov tshuab no yog nrov heev. Nws tso cai rau ib lub sijhawm luv luv thiab mob tsis zoo kom tshem tau cov teeb meem ntawm cov khoom kom zoo nkauj. Ua ntej nkag mus rau txheej txheem, koj yuav tsum nyeem cov contraindications.
Fractional photothermolysis - nws yog dab tsi?
Txoj kev siv no siv lub laser. Nws, thaum lub sij hawm cua sov ntawm daim tawv nqaij, ua rau focal puas ntsoog ntawm lub hlwb. Thaum nws raug, cov tawv nqaij tau lub cua sov. Qhov lub cheeb ntawm xws li puas tsuaj yuav txawv los ntawm 0.1 mus rau 0.4 mm, thiab qhov tob yog 0.5 hli. Kub nyhav yog qhov ua cim taw qhia. Xws li kev puas tsuaj rau cov kab mob ua rau cov kua nplaum txhaws thiab cov kua hluav taws xob cog.
Laser kev sib tsoo ntawm lub pob txha tsis rhuav tshem ntawm melanocytes. Vim li no, swarthy neeg tsis muaj hypopigmented me ntsis tom qab photothermolysis. Lub laser, on qhov tsis tooj, txhawb nqa lub redistribution ntawm melanin, uas smooths lub complexion. Fractional photothermolysis muaj qhov zoo li hauv qab no:
- yuav siv tau rau ob leeg hluas (tom qab 16 xyoo) thiab nqaij tawv;
- muaj ntau daim ntawv ntawm daim ntawv (qhov muag, qhov ntsej muag, cheeb tsam chaw thiab lwm yam);
- kev kav ntev ntev;
- yuav tuaj yeem tuav lub sijhawm twg los tau ntawm lub xyoo, nrog rau lub caij ntuj so;
- tuaj yeem thov rau txhua hom tawv nqaij.
Ablation fractional photothermolysis
Erbium thiab CO2 lasers yog siv rau txoj kev ua no. Thaum twg lawv tau thov rau ntawm daim tawv nqaij, cov kua hauv cov kab mob epidermis ua kom sov li 300 tawm C Vim li ntawd, thaj chaw zoo li no evaporate, thiab nyob rau hauv lawv qhov chaw me me qhov txhab raug tsim, nyob puag ncig cov thermally coagulated hlwb. Tus txheej txheem ntawm kev ua kom cov "zones" rov qab ua ntev. Xws li cov laser resurfacing fractional yog ua los ntawm cov kev kawm, txhua yam uas kav los ntawm 2 mus rau 6 zaug. Nws muab cov nyhav nyhav nyhav nyhav. Txawm li cas los xij, thaum ua tau, qhov kev pheej hmoo ntawm cov kab mob ntawm dermal yog qhov siab.
Non-ablative fractional photothermolysis
Nyob rau hauv kev sib piv nrog ablation tus txheej txheem, qhov kev ntxias no yog xav tau ntau dua sparing. Xws li lub laser tawv resurfacing rau ib lub laser feem pa roj carbon monoxide CO2 tsis txhaum qhov kev ncaj ncees ntawm cov epidermis: tsis muaj qhov qhib qhov txhab. Cov nyhuv ntawm cov txheej txheem no tsis tshua pom tseeb tshaj rau ntawm ablation, hauv ib feem no yog vim qhov tseeb tias cov khoom lwj tawm tsis tawm sab nraud, tab sis nyob hauv cov tawv nqaij. Laser fractional photothermolysis yog pom zoo kom siv los ntawm cov kev kawm, lub sijhawm ntev li ntawm 4 mus rau 10 cov txheej txheem. Thaum lawv ua tiav, qhov kev pheej hmoo ntawm daim tawv nqaij raug txo mus xoom.
Fractional photothermolysis - indications
Txoj kev kho kom zoo nkauj no muaj ntau hom kev siv. Fractional photothermolysis kev kho mob ntawm cov nti siv, tab sis qhov no tsis yog nws lub hom phiaj nkaus xwb. Cov txheej txheem no yuav pab daws cov teeb meem nram qab no:
- ua kom lub suab nrov thiab elasticity ntawm daim tawv nqaij;
- tawm tsam nrog hyperpigmentation ;
- tshem tawm hnub ci keratosis ;
- tshem tawm wrinkles;
- txo cov pores;
- pab kom tshem ntawm cov qhab nia ntawm lub cev;
- tshem tawm tom qab pob txuv .
Fractional photothermolysis - contraindications
Tsis yog txhua tus neeg muaj peev xwm tau txais kev sib tw ntawm txoj kev zoo li no. Dermal kho qhov muag thermolysis muaj cov nram qab no contraindications:
- oncological kab mob;
- cov kab mob ntev nyob hauv cov mob ceev;
- kab mob ntawm daim tawv nqaij;
- cov txheej txheem inflammatory tshwm sim hauv lub cev;
- mob hlwb;
- hormonal tsis txaus ;
- cev xeeb tub;
- lub sijhawm lactation;
- lub plawv tsis ua haujlwm;
- cov kab mob ntshav;
- ntshav qab zib mellitus;
- kis kab mob.
Tsis tas li ntawd, feem ntau cov duab thaij duab (photothermolysis) txwv tsis pub, yog tias tsis ntev los no (tsawg dua ob lub vas thiv dhau los) txhua yam kev ua hauj lwm dermabrasion tau ua tiav. Tom qab lub hnub ci thiab hnub ci, cov txheej txheem xws li tsis tuaj yeem ua tiav. Kev kub taub hau thiab kub yog qhov sib thooj rau photothermolysis. Nws tsis tuaj yeem nqa tawm txawm hais tias lub meej mom ntawm daim tawv nqaij yog cuam tshuam hauv cheeb tsam kho mob.
Kev tsis haum xeeb rau qhov kev ua tau zoo ntawm cov kws yees duab thaij duab (fractional photothermolysis) yog suav tias yog kev siv cov tshuaj xws li:
- Roaccutane, Sospet thiab lwm yam tshuaj uas muaj vitamin A;
- cytostatics;
- glucocorticoids;
- immunosuppressants.
Tus txheej txheem ntawm cov pob txha
Txhim kho cov thermolysis yuav tsum muaj cov kws kho kaus mom, uas muaj kev kawm kho mob. Ntawm qhov kev txais tos, tus kws tshaj tawm yuav ntsuam xyuas qhov tawv nqaij thiab xyuas kom tseeb tias tsis muaj kev tsis sib haum xeeb rau txoj haujlwm. Tsis tas li ntawd, ua ntej lub ntsej muag laser kho ntawm lub ntsej muag tawv nqaij, tus cosmetologist yuav ceeb toom rau tus neeg mob txog tej teeb meem uas tshwm sim tom qab photothermolysis. Tsis tas li ntawd, tus kws kho mob tshwj xeeb yuav qhia koj txog kev tu tus neeg los yog lub cev thaum lub sij hawm rov ua hauj lwm.
Fractional photothermolysis - kev npaj
Nws pib 2 lub lis piam ua ntej kev tawm tswv yim. Koj tuaj yeem faib rau cov theem hauv qab no:
- Tsis kam siv cov tshuaj pleev plhu-raug tshuaj pleev. Cov no muaj xws li cov nplauv thiab tev. Ntxiv rau, kev siv salicylic thiab glycolic acids thiab retinol yuav tsum zam. Xws li kev txwv siv tau li ntawm ib hlis ib zaug ua ntej cov duab photothermolysis.
- Nws yog txwv tsis pub mus xyuas cov solarium thiab lub puam ib lub lim tiam ua ntej txoj kev.
- 2-3 hnub ua ntej kev ntxias koj yuav tsum pib noj cov tshuaj tua kab mob thiab tshuaj tua kab mob uas tus kws kho kaus hniav sau tseg. Xws li cov tshuaj noj yuav txo cov kev muaj mob los yog raug tus kab mob ntawm cov kab mob.
- Muaj ib hnub ua ntej ntawm cov tawv nqaij ua kom zoo dua, koj yuav tsum tso sijhawm thiab lwm yam kev ua haujlwm ntawm lub cev. Thaum tsaus ntuj, txwv tsis pub haus dej haus cawv.
Fractional laser ntsej muag polishing
Cov txheej txheem kav ntev li ib teev. Qhov kev siv yog ua tiav nyob rau hauv ntau theem. Fractional photothermolysis ntawm lub ntsej muag yog raws li nram no:
- Lub cosmetologist ntxuav tus neeg mob lub cev nrog ib lub teeb tev.
- Nyob rau saum npoo tsev kho mob, tus kws kho mob siv cov tshuaj loog. Feem ntau siv Anestol lossis Emla.
- Tom qab 40 feeb, cosmetologist pib kho lub ntsej muag nrog ib tug tshwj xeeb nozzle. Nyob rau ntawm qhov no, tus neeg mob yuav hnov me ntsis tingling. Thaum lub sij hawm tus txheej txheem, daim tawv nqaij yog txias los ntawm ib tug kwj ntawm huab cua, uas txo tsis xis nyob. Qhov teeb meem feem ntau ntawm lub ntsej muag yog ua tiav ob peb zaug.
- Daim tawv nqaij yog siv nrog ib co qab qab zib.
Fractional photothermolysis ntawm ob lub qhov muag
Vim tias daim tawv nqaij nyob ib ncig ntawm ob lub qhov muag muaj kev sib tw thiab rhiab heev, ib lub laser nrog lub hwj chim tsawg kawg yog siv los kho nws. Tus ntaus nrog ib tus pas nrig erbium ntau dua. Qhov siab tshaj plaws wavelength permissible yog 1420 nm. Ua ntej pib ua cov duab photothermolysis ntawm qhov muag, cosmetologist txo nws hwj rau tus neeg mob tshwj xeeb tiv thaiv lo ntsiab muag. Txoj kev cai qub yog ua kom zoo ib yam li thaum kho cov tawv nqaij ntawm lub ntsej muag lossis lub cev.
Fractional photothermolysis - phiv tshuaj
Cov txheej txheem no yog suav tias yog kev cais. Yog tias tus neeg mob tau txais tshuaj tua kab mob thiab tshuaj tua kab mob los ntawm ib tus kws kho mob tshwj xeeb, thiab ua raws li tag nrho cov lus pom zoo, qhov kev pheej hmoo ntawm cov kev mob tshwm sim tsawg heev. Tsis tas li ntawd, seb qhov rejuvenation ntawm tus fractal yuav nrog cov teeb meem, cov kev txawj ntawm cov cosmetologist nyob ntawm. Qhov ntau tshaj qhov nws yog, qhov kev paub ntau tus txheej txheem yuav tsum tau ua, yog li ntawd, qhov kev pheej hmoo ntawm qhov tsis zoo yog me me.
Fractional laser photothermolysis feem ntau yog nrog los ntawm tej teeb meem no:
- o thiab liab liab rau ntawm thaj chaw kho (dej khov nab kuab yuav pab tu);
- tev daim tawv (tshem tawm nrog lub tshuab moisturizer);
- cov nyhuv ntawm bronach (khaws cia rau 1-2 lub lim tiam).
Yog tias daim tawv raug mob, thaum siv cov tshuaj photothermolysis los ntawm ib qho laser eraser, cov kev mob tshwm sim nram qab no yuav tshwm sim:
- streptoderma ;
- erythema;
- vesicles (raws li tom qab hlawv);
- hyperpigmentation;
- pob.
Fraksel - kev ncaj ncees
Tom qab txoj kev, cov tawv nqaij xav tau kev pab tshwj xeeb. Kev soj ntsuam ntawm cov kws kho lub cosmetologist nyob rau lub sij hawm no nyob ntawm seb lub sij hawm rov qab los thiab qhov tshwm sim zaum kawg. Thaum ua ntawv thov qhov fractal, tom qab ua tiav txoj cai koj yuav tsum ua raws li cov lus qhia ntawm kev tu tawv nqaij:
- Mus noj tshuaj tua kab mob thiab tshuaj tua kab mob ntxiv rau hauv cov tshuaj uas tau muab rau ib lub sijhawm.
- Yog hais tias tus txheej txheem tau ua los ntawm ib tug txiv neej, koj tuaj yeem tsuas chais hnub thib peb, thiab koj yuav tsum ua qhov no kom zoo zoo.
- Tsis pub dhau 48-72 teev tom qab kev tswjhwm, ib tus neeg yuav tsum tsis txhob ua si lossis xyaum ua kom lub cev muaj zog ntawm lub cev.
- Nws yog tsim nyog yuav tsum tsis txhob haus dej haus cawv (qhov kev txwv no yog rau 2-3 hnub).
- Lub hli, koj tuaj yeem tsis tuaj yeem mus ntsib lub solarium thiab lub puam. Ntawm thaj chaw kho mob ntawm daim tawv nqaij ua ntej yuav tawm mus rau hauv txoj kev, nws yog ib qhov tsim nyog yuav tau thov ib lub qab zib nrog ib lub hnub muaj hnub nyoog siab.
- Koj tsis tuaj yeem tawm ntawm cov tawv ntoo uas nyob ntawm daim tawv nqaij! Nws yuav tsum poob.
- Thaum lub asthiv thawj lub lis piam tom qab tus txheej txheem, kom kho qhov chaw kho ntawm daim tawv nqaij, koj yuav tsum siv kev npaj rau kev siv sab nraud, uas tau sau tseg rau cua sov. Humidifying sprays tseem yuav haum rau lub sijhawm no.
- Rau ib lub hlis yuav tsum raug tso pov tseg tshuaj chem thiab siv cov nplauv.
Fractional photothermolysis - effect
Thawj hnub ntawm daim tawv nqaij yuav zoo li nws yog scorched nyob rau hauv lub hnub. Fractional photothermolysis ntawm cov duab tam sim ntawd tom qab tus txheej txheem tsis impressive. Kev rov qab nrog cov hom tsis yog ablative kev tswj yuav siv li 3-4 hnub. Tom qab cov txheej txheem ablation, lub sijhawm no kav ntev li ib lub lim tiam. Txawm hais tias ib qho kev sib kho tseem pab tau qhov mob ntawm daim tawv nqaij, nws yuav tsum tsis txhob pub tsawg. Koj yuav tsum ua kom tiav tag nrho cov hoob kawm: tus duab photothermolysis ua ntej thiab tom qab cov duab txaus ntseeg.
Lub sijhawm ua kev kho nyob rau hauv txhua kis yog txiav txim los ntawm cosmetologist. Lub sijhawm ua haujlwm ntawm tus txiv neej yog 4-5 lub lim tiam. Txoj kev kho ntawm lub cev yog nyob ntawm cov teeb meem uas yuav tsum tau hais:
- nws yog qhov pom zoo kom siv mus rau 3-4 zaug rau rejuvenation;
- fractional photothermolysis ntawm cov nti yog sawv cev ntawm 6-8 cov txheej txheem;
- kom paub daws qhov teeb meem ntawm daim tawv nqaij, muab sau rau 5-6 zaug ntawm cov thermolysis.