Kafukufuku wina mu magazini ya Menopause anasonyeza kuti chithandizo cha laser cha CO2 chogwiritsa ntchito microblative chinapezeka kuti n’chothandiza komanso chotetezeka pochiza vulvovaginal atrophy kwa kanthawi kochepa.
Kuwunikanso kwa tchati chobwerera m'mbuyo kunali akazi 139 omwe anali ndi zizindikiro za kufooka kwa vulvovaginal, omwe adamaliza maphunziro atatu a laser omwe anali ndi masabata 6 osiyana ku chipatala cha Vulvar and Sexual Health ku Prohealth, Waukesha Memorial Hospital, ku Wisconsin, kuyambira Januwale 2016 mpaka Disembala 2019.
Odwala onse anali ndi zaka zoposa 18 (avereji ya zaka 62) komanso sanali ndi pakati.
Kupezeka kwa estrogen m'thupi komwe kunachitika nthawi imodzi kunanenedwa mwa odwala 53% (n = 74). Kupezeka kwa khansa ya m'mawere kunalembedwa mwa 27% (n = 38) ndi lichen sclerosus mu 22% (n = 31).
Odwala adafunsidwa asanalandire chithandizo choyamba ndi chachitatu cha laser kudzera m'mafunso awiri ovomerezeka: Female Sexual Function Index (FSFI) ndi Vulvovaginal Symptoms Questionnaire (VSQ). Visual analog scale (VAS) idadzazidwanso.
Chithandizo chinaperekedwa koyamba kudzera mu nyini pogwiritsa ntchito choyezera cha nyini kenako chithandizo cha vulvar chinachitidwa ndi chogwirira china chamanja, pogwiritsa ntchito mawonekedwe a sikweya. Lidocaine 2% inagwiritsidwa ntchito pa minofu ya vulvar mphindi 20 chithandizo chisanachitike. Makonzedwe a laser a chithandizo cha nyini ndi vulvar anali ofanana ndi maphunziro am'mbuyomu.
Kutsatira kwapakati kunali masabata 13.8.
Zigoli zonse za FSFI zakwera: chithandizo chisanachitike 12.7 poyerekeza ndi chithandizo chitatha 19.0 (P)
VSQ inasonyezanso kuti mafunso 18 mwa 21 adasintha kwambiri (P)
Kuphatikiza apo, VAS inawonetsa kusintha kwakukulu pakugonana kowawa komanso kuuma kwa mbolo ndi mbolo: chithandizo chisanachitike 12.7 ndi 4.6, motsatana poyerekeza ndi chithandizo cha pambuyo pa 2.4 ndi 1.5 (zonse ziwiri P
Kuphatikiza apo, akazi ena 17 anayamba kugonana atalandira chithandizo chachiwiri cha laser. Palibe zovuta zazikulu zomwe zinanenedwa pakati pa ophunzira onse omwe adachita nawo kafukufukuyu.
“Tinadabwa kuti odwala anayamba bwino atangolandira chithandizo chimodzi kapena ziwiri,” anatero wofufuza wamkulu Sarit Aschkenazi MD, MS, mkulu wa zachipatala ku Prohealth Waukesha Memorial Hospital. “Kukhala bwino kunachitika ngakhale mwa akazi omwe ali ndi zizindikiro zoopsa zomwe sankalandira chithandizo chamankhwala, monga estrogen, kapena omwe amamwa mankhwala oletsa khansa ya m’mawere. Tinasangalala kwambiri kuona akazi omwe ali ndi lichen sclerosis omwe ali ndi khungu lofooka kwambiri akusonyeza zizindikiro za kusintha.”
Akuganiza kuti chithandizo cha laser chimagwira ntchito popereka mphamvu ku minofu ya pansi pa khungu, popanda kuwonongeka kwakukulu kwa epithelium yomwe ili pamwamba pake. Chimalimbikitsa ma fibroblasts kupanga ulusi wambiri wa collagen ndi elastin, komanso chimawonjezera kuchuluka kwa madzi, mapindidwe a khungu, ndi makulidwe a epithelial a khungu la nyini ndi la vulvar, malinga ndi Aschkenazi.
"Izi zikufanana ndi zotsatira zomwe zimachitika pamene laser imagwiritsidwa ntchito pakhungu," adatero. "Laser yakhala ikugwiritsidwa ntchito pakhungu la nkhope kwa zaka zoposa khumi ndipo yalembedwa kuti ndi yotetezeka. Kufufuza za khungu kwawonetsanso zotsatira izi. Kusintha konseku kukufanana ndi kusintha komwe kumachitika pamene estrogen ilipo m'minofu pamlingo wa premenopausal."
Laser ikuwoneka kuti ndi njira ina yabwino yothandizira matenda omwe ali ofala monga vulvovaginal atrophy. "Iyi ndi njira yatsopano pamene estrogen sigwira ntchito, siiloledwa kapena siikufunidwa," adatero Aschkenazi.
Komabe, maphunziro owongolera mwachisawawa amafunika kuti adziwe bwino momwe chithandizo cha laser chimagwirira ntchito, komanso kudziwa kuchuluka kwa nthawi yochizira, nthawi yopuma komanso kangati kobwerezabwereza booster.
"Njira imodzi yochizira yomwe mungayesere ndikuphatikiza chithandizo cha laser ndi chithandizo cha mahomoni, ngati sichinaletsedwe, monga chithandizo cha estrogen kapena topical dehydroepiandrosterone (DHEA) kuti muwonjezere kupititsa patsogolo kwa minofu ndikupeza mphamvu yogwirizana pamlingo wocheperako," adatero Aschkenazi.
Ngakhale kuti laser inali yotetezeka kwa odwala onse omwe adaphunzira, Aschkenazi akulangiza kugwiritsa ntchito njira zochiritsira zachikhalidwe pa zizindikiro za vulvovaginal atrophy kaye musanawonjezere chithandizo cha laser, ndikutsatira njira zochiritsira kuti mupewe zotsatirapo zoyipa zilizonse. Omwe akukumana ndi zizindikiro zotere ayeneranso kusamalira khungu mwa kuchepetsa zokwiyitsa pakhungu, zovala zamkati zolimba, sopo ndi zodzoladzola zachikazi zonunkhiritsa. "Kuwonjezera zonyowetsa osati mahomoni kumathandiza kupewa kuuma komwe kumayenderana ndi zizindikiro za kusamba," adatero.
Kanema Wokhudzana ndi Laser wa CO2 Fractional wa Vulvovaginal Atrophy:
"Chiyambi cha khalidwe, Kuona mtima ngati maziko, Thandizo lenileni ndi phindu logwirizana" ndi lingaliro lathu, kuti tipange mobwerezabwereza ndikutsatira ubwino wa Kuchotsa Tsitsi Kogulitsa , Makina a Ipl azachipatala , Laser Yamphamvu Kwambiri , Zogulitsa zathu zatumizidwa makamaka kum'mwera chakum'mawa kwa Asia Euro-America, ndipo zagulitsidwa kudziko lathu lonse. Ndipo kutengera mtundu wabwino kwambiri, mtengo wabwino, ndi ntchito yabwino kwambiri, talandira mayankho abwino kuchokera kwa makasitomala akunja. Mwalandiridwa kuti mudzatigwirizane nafe kuti mupeze mwayi ndi maubwino ambiri. Timalandira makasitomala, mabungwe amalonda ndi abwenzi ochokera mbali zonse za dziko lapansi kuti atilankhule ndikupempha mgwirizano kuti tipindule tonse.