Fractional laser si chida chatsopano cha laser, koma njira yogwirira ntchito ya laser
Lattice laser si chida chatsopano cha laser, koma njira yogwirira ntchito ya laser. Bola kutalika kwa mtengo wa laser (malo) ndi ochepera 500um, ndipo mtengo wa laser umakonzedwa pafupipafupi mu mawonekedwe a lattice, mawonekedwe ogwirira ntchito a laser panthawiyi Ndi laser yagawo.
Mfundo ya fractional laser chithandizo akadali mfundo ya kusankha photothermal kanthu, amene amatchedwa mfundo ya fractional photothermal kanthu: chikhalidwe chachikulu laser ablation kanthu njira kusinthidwa kuti awiri a laser mtengo (malo) ndi zosakwana. 500um, ndi laser mtengo Nthawi zonse anakonza mu latisi, mfundo iliyonse amasewera photothermal zotsatira, ndipo pali yachibadwa maselo khungu pakati pa mfundo, amene amagwira ntchito yokonza minofu ndi kukonzanso.
Carbon dioxide fractional laser kuti athetse zipsera
Kutalika kwa laser kumagwirizana kwambiri ndi zotsatira zake. TheCO2 laserakhoza kupereka "zabwino" wavelength. CO2 laser fractional laser ingayambitse kuwonongeka kwa zipsera zocheperako komanso zosinthika, kuchotsa gawo lachiwopsezo, kuwononga ndikulepheretsa mitsempha yamagazi mumtundu wa chipsera, ndikupangitsa ma fibroblasts. Apoptosis, kulimbikitsa kusinthika ndi kumangidwanso kwa ulusi wa collagen, mphamvu yake yapamwamba ndi yayikulu, malo owonongeka omwe amawotchedwa ndi kutentha ndi ochepa, minofu ya vaporized ndiyolondola, kuwonongeka kwa minofu yozungulira ndikopepuka, ndipo bala la laser likhoza kuchiritsidwa. Masiku 3-5, chifukwa cha hyperpigmentation kapena hypopigmentation ndi zovuta zina Sizovuta kuti adziwike ndi matendawa, ndipo amawongolera kuipa kwa zovuta zazikulu (chipsyera, erythema, nthawi yayitali yochira, etc.) laser nonfractional mode, kusonyeza kuti machiritso zotsatira laser mankhwala zipsera kwambiri bwino, ndipo chiopsezo cha matenda ndi otsika. Ubwino wa chithandizo chosavuta cha postoperative, kuwonetsa kuchira kuchokera ku "chilonda → khungu".
Fractional laser imakhala ndi chitetezo chokwanira komanso chanthawi yayitali kuposa ablative Er laser, laser non-ablative ndi peeling yamankhwala, kotero kuti laser ya carbon dioxide fractional laser imalemekezedwa kwambiri pochiza zipsera.
Pakali pano, zizindikiro za carbon dioxide fractional laser chithandizo cha zipsera kwambiri kukodzedwa poyerekeza ndi chikhalidwe njira.
Kuchiza koyambirira kwa CO2 laser kwa zipsera kumakhala koyenera kumabala okhwima owoneka bwino. Pakali pano, zizindikiro za carbon dioxide fractional laser chithandizo cha zipsera ndi izi: ① Chithandizo cha zipsera zowoneka pamwamba, zipsera za hypertrophic ndi zipsera zocheperako. ②Kuchira kwa chilonda ndikugwiritsa ntchito koyambirira pambuyo pochira kumatha kusintha momwe thupi limachiritsira mabala ndikuletsa mabala a bala. ③ Matenda a chilonda, zilonda zam'mimba ndi chilonda chosatha, bala lotsalira.
Carbon dioxide fractional laser chithandizo cha zipsera kuyenera kuchitidwa kamodzi pa miyezi itatu iliyonse kapena kupitilira apo
Carbon dioxide fractional laser chithandizo cha zipsera ziyenera kuchitidwa kamodzi pa miyezi itatu iliyonse kapena kupitirira. Mfundo yake ndi yakuti: mutatha chithandizo cha laser cha CO2, zimatenga nthawi kuti chilonda chichiritse ndi kukonzanso. M`mwezi 3 pambuyo mankhwala, bala minofu dongosolo pambuyo mankhwala anabwerera ku boma pafupi yachibadwa minofu. Zachipatala, zitha kuwoneka kuti mawonekedwe a chilondacho amakhala okhazikika, opanda redness ndi ma discoloration. Panthawi imeneyi, ndi bwino kusankha kachiwiri malinga ndi kuchira kwa bala pamwamba. magawo a mankhwala kuti tikwaniritse zotsatira zabwino. Akatswiri ena amachitanso chithandizo pakapita miyezi 1-2. Kuchokera pakuwona machiritso a zilonda, palibe vuto pa machiritso a zilonda, koma ponena za kukhazikika kwa kuchira kwa zilonda komanso kuthekera kwa kudziwa magawo ochiritsiranso, sizili bwino ngati nthawi 3. Ndi bwino kuchiza. kamodzi pamwezi. M'malo mwake, kukonza mabala ndi kukonzanso minofu kumatenga nthawi yayitali, ndipo ndi bwino kuchiritsanso pakadutsa miyezi itatu.
Mphamvu ya carbon dioxide fractional laser chithandizo cha zipsera zimakhudzidwa ndi zinthu zambiri
Mphamvu ya carbon dioxide laser chithandizo cha zipsera ndi yotsimikizika, koma mphamvu yake imakhudzidwa ndi zinthu zambiri, ndipo zochitika zina za chithandizo chosagwira ntchito zimatha kuchitika, zomwe zimachititsa madokotala ena ndi odwala ena kukayika kuti akugwira ntchito.
①Zotsatira za chithandizo cha laser pa zipsera zimatengera mbali ziwiri: mbali imodzi, ukadaulo wamankhwala adotolo ndikutengera dongosolo loyenera la chithandizo; Komano, ndi luso lokonza munthu wodwala chipsera.
② Panthawi ya chithandizo, kuphatikiza kwa ma lasers angapo kuyenera kusankhidwa malinga ndi mawonekedwe a chilonda, kapena laser yomweyi iyenera kusinthidwa kupita kumutu wamankhwala ndikuwongolera magawo omwe akufunika.
③Kuchiza pachilonda pambuyo pa chithandizo cha laser kuyenera kulimbikitsidwa, monga kugwiritsa ntchito nthawi zonse mafuta ophatikizika m'maso ndi kukula kwa chubu kuteteza matenda ndikulimbikitsa machiritso a bala.
④Pakadali kofunikira kusankha dongosolo lachidziwitso lamunthu malinga ndi momwe chilondacho chikukulira, ndikuphatikiza opaleshoni, zotanuka compression therapy, radiotherapy, jakisoni wamkati mwachiwopsezo cha mahomoni a steroid, mankhwala a silikoni a gel ndi kugwiritsa ntchito kunja kwa mankhwala kuti apititse patsogolo machiritso, ndikukhazikitsa. Kupewa ndi kuchiza kwa zipsera. chithandizo.
Njira kusintha machiritso zotsatira za carbon dioxide fractional laser mankhwala zipsera
Makhalidwe a morphological a zipsera ndi osiyanasiyana, ndipo njira zochiritsira zoyenera ziyenera kusankhidwa malinga ndi makhalidwe a zipsera.
①Mawonekedwe apamwamba kwambiri a laser amagwiritsidwa ntchito ngati zipsera zocheperako, ndipo njira yakuzama ya laser imagwiritsidwa ntchito pazipsera zomira pang'ono.
②Zipsera zomwe zimatuluka pang'ono pakhungu kapena kukweza khungu kuzungulira maenje ziyenera kuphatikizidwa ndi hyperpulse mode ndi lattice mode.
③ Kwa zipsera zowoneka bwino, ukadaulo wa laser wochita kupanga umagwiritsidwa ntchito, ndipo kuya kwa laser kulowa kuyenera kukhala kogwirizana ndi makulidwe a chipsera.
④Zipsera zomwe mwachiwonekere zamira kapena zokwezeka, ndi zipsera zopunduka ziyenera kusinthidwanso kapena kupanikizidwa ndi kudulidwa kochitidwa opaleshoni kaye, kenako ndikuchizidwa ndi laser yapang'onopang'ono pambuyo pa opaleshoni.
⑤Jakisoni wapakati pa chilonda kapena kugwiritsa ntchito kunja kwa triamcinolone acetonide kapena Deprosone (mankhwala oyambitsa mankhwala a laser) ayenera kuwonjezeredwa panthawi imodzi ya chithandizo cha laser chifukwa cha zipsera zowonekera bwino kapena malo omwe amakhala ndi zipsera.
⑥ Kupewa koyambirira kwa chiwopsezo cha hyperplasia kumatha kuphatikizidwa ndi PDL, 560 nmOPT, 570 nmOPT, 590 nmOPT, ndi zina zambiri. Kuphatikizidwa ndi chithandizo chokwanira monga mankhwala ochiritsira machiritso, zotanuka compression therapy, thupi la radiation therapy, mankhwala a silicone gel ndi kugwiritsa ntchito kunja kwa mankhwala, chithandizo champhamvu chopewera zipsera ndi chithandizo chimakhazikitsidwa kuti chichiritse.
Carbon dioxide fractional laser imakhala ndi mphamvu yochiritsa zipsera, ndipo imalimbikitsa kusintha kwa khungu lachipsera kukhala khungu labwinobwino ndi zovuta zochepa.
Carbon dioxide laser chithandizo cha zipsera amatha kwambiri kusintha zizindikiro ndi zizindikiro za zipsera, ndi bwino kwambiri maonekedwe a zipsera. Nthawi zonse, ntchito ya chipsera imatha kusintha pakangotha maola angapo mutalandira chithandizo, kuyabwa kwa chilonda kumatha kusintha pakangopita masiku angapo, ndipo mtundu ndi mawonekedwe ake amatha kusintha pakadutsa miyezi 1-2. Pambuyo pochiza mobwerezabwereza, akuyembekezeka kubwerera ku khungu labwinobwino kapena Pafupi ndi mkhalidwe wakhungu, chithandizo choyambirira, zotsatira zake zimakhala bwino.
Zovuta zazikulu za carbon dioxide fractional laser popewa ndi kuchiza zipsera zimaphatikizapo erythema yaifupi, matenda, hyperpigmentation, hypopigmentation, kuyabwa kwapakhungu, ndi necrosis yapakhungu.
Nthawi zambiri, carbon dioxide fractional laser ndi yotetezeka komanso yothandiza popewa komanso kuchiza zipsera, zokhala ndi zovuta zochepa kapena zocheperako.
Nthawi yotumiza: Apr-20-2022
