I-laser ye-fractional ayisona sixhobo esitsha se-laser, kodwa imodi yokusebenza ye-laser
I-lattice laser ayisona sixhobo esitsha se-laser, kodwa imodi yokusebenza ye-laser. Ngethuba nje ububanzi be-laser beam (indawo) ingaphantsi kwe-500um, kwaye i-laser beam ihlelwe rhoqo kwi-lattice shape, imo yokusebenza ye-laser ngeli xesha I-laser ye-fractional.
Umgaqo wonyango lwe-laser ye-fractional usengumgaqo wesenzo esikhethiweyo se-photothermal, ebizwa ngokuba ngumgaqo wesenzo se-photothermal ye-fractional: indlela yesenzo ye-laser enkulu ye-ablation iyahlengahlengiswa ukuze ububanzi be-laser beam (indawo) ibe ngaphantsi kwe-laser. I-500um, kunye ne-laser beam Ukulungiswa rhoqo kwi-lattice, inqaku ngalinye lidlala umphumo we-photothermal, kwaye kukho iiseli eziqhelekileyo zesikhumba phakathi kwamanqaku, adlala indima yokulungiswa kwezicubu kunye nokulungiswa kwakhona.
I-carbon dioxide laser fractional ukunyanga amanxeba
Ubude be-laser buhambelana ngokusondeleyo nomphumo wayo. ICO2 laserinokubonelela ngowona bude "bugqwesileyo". I-CO2 ye-laser ye-fractional inokubangela umonakalo onqabileyo kunye nokulawulwayo, ukususa inxalenye yezicubu ezibomvu, umonakalo kunye nokuthintela imithwalo yegazi kwi-scar tissue, kwaye ifake i-fibroblasts. I-Apoptosis, ikhuthaza uhlaziyo kunye nokwakhiwa ngokutsha kwe-collagen fibers, amandla ayo aphezulu makhulu, indawo yomonakalo owenziwe ngubushushu incinci, izicubu ezinomphunga zichanekile, umonakalo kwizicubu ezijikelezileyo ulula, kwaye inxeba lelaser linokuphiliswa Iintsuku ze-3-5, okubangelwa yi-hyperpigmentation okanye i-hypopigmentation kunye nezinye iingxaki Kunqabile ukuba kufunyanwe ukuba unesifo, kwaye kuphuculwe ukungahambi kakuhle kwemiphumo emibi enkulu (isiva, i-erythema, ixesha elide lokubuyisela, njl. njl.) kunye nesiphumo esingabalulekanga sonyango phantsi imo laser non-fractional, ebonisa ukuba isiphumo enyangekayo yonyango laser of scars iphuculwe kakhulu, kwaye umngcipheko wosulelo liphantsi. Inzuzo yonyango olulula emva kokuhlinzwa, ebonisa inkqubo yokubuyisela kwi "scar → isikhumba".
I-laser ye-Fractional inokhuseleko olukhawulezayo kunye nexesha elide kunye nokusebenza kakuhle kune-laser ye-Er ablative, i-laser engeyiyo i-ablative kunye ne-chemical peeling, ngoko ke i-carbon dioxide fractional laser ithathwa kakhulu kunyango lwe-scar.
Okwangoku, izibonakaliso ze-carbon dioxide fractional laser treatment of scars zandiswa kakhulu xa kuthelekiswa neendlela eziqhelekileyo.
Unyango lwakwangoko lwe-CO2 lwelaser lwezivubeko lulungele ikakhulu amanxeba asele ekhulile. Okwangoku, izibonakaliso zonyango lwe-carbon dioxide fractional laser yezibazi zezi: ① Unyango lweziva ezivele phezulu, i-hypertrophic scars kunye ne-brain contracture scars. ②Inkqubo yokupholisa inxeba kunye nokufakwa kwangethuba emva kokuphiliswa kunokutshintsha inkqubo ye-physiological yokupholisa inxeba kunye nokuthintela ukutshatyalaliswa kwenxeba. ③ Usulelo lwesilonda, isilonda kunye nesilonda esinganyangekiyo, inxeba lokutsha elishiyekileyo.
ICarbon dioxide fractional laser treatment of scars kufuneka inyangwe kanye qho kwiinyanga ezi-3 nangaphezulu
ICarbon dioxide fractional laser treatment of scars kufuneka yenziwe kanye qho kwiinyanga ezi-3 okanye ngaphezulu. Umgaqo ngulo: emva kwe-CO2 yonyango lwe-laser ye-fractional, kuthatha ixesha elithile ukuba inxeba liphole kwaye lilungiswe. Ngenyanga ye-3 emva konyango, ukwakheka kwezicubu zesilonda emva kokuba unyango lubuyele kwimeko ekufutshane nezicubu eziqhelekileyo. Ngokweklinikhi, kunokubonwa ukuba ukubonakala kwendawo yesilonda kuzinzile, ngaphandle kobomvu kunye nombala. Ngeli xesha, kungcono ukwenza isigqibo kwakhona ngokuhambelana nokubuyiswa kwendawo yesilonda. iiparamitha zonyango ukufumana iziphumo ezingcono. Abanye abaphengululi benza unyango kwakhona kwiinyanga ezi-1-2. Ngokombono wokuphulukiswa kwesilonda, akukho ngxaki ekuphulukiseni isilonda, kodwa ngokubhekiselele kuzinzo lokubuyiswa kwesilonda kunye nokwenzeka kokumisela iiparitha zokuphinda unyango, akulungile njengekhefu 3. Kungcono ukunyanga kanye ngenyanga. Enyanisweni, inkqubo yokulungiswa kwenxeba kunye nokulungiswa kwezicubu kuthatha ixesha elide, kwaye kungcono ukuphinda uphathe kwakhona kwithuba elingaphezu kweenyanga ezi-3.
Ukusebenza kwe-carbon dioxide fractional laser treatment of scars kuchatshazelwa zizinto ezininzi
Ukusebenza kwe-carbon dioxide laser unyango lwezibazi ngokuqinisekileyo, kodwa ukusebenza kwayo kuchatshazelwa zizinto ezininzi, kwaye ezinye iimeko zonyango olunganelisiyo zingenzeka, zikhokelela oogqirha kunye nezinye izigulane ukuba zithandabuze ukusebenza kwayo.
①Isiphumo sonyango lwe-laser kwiziva sixhomekeke kwimiba emibini: kwelinye icala, iteknoloji yonyango lukagqirha kunye nokwamkelwa kwesicwangciso sonyango esifanelekileyo; kwelinye icala, sisakhono sokuzilungisa somntu onesiva.
② Ngethuba lenkqubo yonyango, ukudibanisa kwee-lasers ezininzi kufuneka kukhethwe ngokuhambelana nokubonakala kwesilonda, okanye i-laser efanayo kufuneka itshintshelwe kwintloko yonyango kunye neeparitha zonyango zihlengahlengiswe njengoko zifunekayo.
③ Unyango lomphezulu wenxeba emva konyango lwelaser kufuneka lomelezwe, njengokusetyenziswa kwesiqhelo kwe-antibiotic yamehlo kunye netyhubhu yokukhula ukukhusela usulelo kunye nokukhuthaza ukuphiliswa kwenxeba.
④Kusekho imfuneko yokukhetha isicwangciso sonyango lomntu ngokwemeko yokuva, kunye nokudibanisa utyando, unyango olunyanzeliswayo, i-radiotherapy, inaliti ye-intra-scar yehomoni ze-steroid, iimveliso zejeli ye-silicone kunye nokusetyenziswa kwangaphandle kwamachiza ukuphucula umphumo wonyango, kunye nokuphumeza. uthintelo kunye nonyango lwesiva. phatha.
Iindlela zokuphucula isiphumo sokunyanga i-carbon dioxide fractional laser unyango lwezibazi
Iimpawu ze-morphological of scars zihlukeneyo, kwaye iindlela ezifanelekileyo zonyango kufuneka zikhethwe ngokweempawu zemivalo.
①Imowudi yelaser eneqhezu engaphezulu isetyenziselwa izivubeko ezisicaba, kwaye imowudi yelaser enzulu isetyenziselwa iziva ezitshone kancinci.
②Izikrweqe eziphuma kancinci kumphezulu wolusu okanye ulusu olunyusiweyo malunga nemingxuma kufuneka zidityaniswe nemowudi ye-hyperpulse kunye ne-lattice mode.
③ Kwiziva eziphakanyisiweyo ngokucacileyo, kusetyenziswa itekhnoloji yelaser eyenziweyo, kwaye ubunzulu bokungena kwelaser kufuneka buhambelane nobukhulu besiva.
④Izikrweqe ekucacileyo ukuba zitshone okanye zinyukile, kunye nezibonda ezinokukhubazeka kwikontraka kufuneka zilungiswe ngokutsha okanye zicuthwe ngokusikwa ngotyando kuqala, emva koko zinyangwe nge-laser yefractional emva kotyando.
⑤Inaliti ye-Intra-scar okanye ukusetyenziswa kwangaphandle kwe-triamcinolone acetonide okanye i-Deprosone (i-laser-introduction drug therapy) kufuneka yongezwe ngexesha elifanayo lonyango lwe-laser kwizibazi eziphakanyisiweyo ngokucacileyo okanye iindawo ezinobunzima.
⑥ Ukuthintela kwangaphambili i-scarplasia ye-scarplasia inokudibaniswa ne-PDL, i-560 nmOPT, i-570 nmOPT, i-590 nmOPT, njl njl. Idityaniswe nonyango olubanzi olufana neziyobisi ezikhuthaza ukuphilisa, unyango lwe-elastic compression therapy, unyango lweradiation yomzimba, iimveliso zejeli ye-silicone kunye nokusetyenziswa kwangaphandle kweziyobisi, unyango oluguquguqukayo olubanzi lokuthintela isiva kunye nonyango luphunyezwa ukuphucula umphumo wonyango.
I-Carbon dioxide fractional laser inefuthe elimangalisayo lokunyanga izibazi, kwaye ikhuthaza ukuguqulwa kolusu olubomvu kwisikhumba esiqhelekileyo kunye neengxaki ezimbalwa.
Unyango lwe-carbon dioxide laser lwezibazi lunokuphucula kakhulu iimpawu kunye neempawu zemivalo, kwaye iphucule ngokubonakalayo inkangeleko yeziva. Kwiimeko eziqhelekileyo, umsebenzi wesiva unokuphuculwa kwiiyure ezimbalwa emva kokunyanga, ukuvakalelwa kwesilonda kunokuphuculwa phakathi kweentsuku ezimbalwa, kwaye umbala kunye nokuthungwa kwesiva kunokuphuculwa emva kweenyanga ezi-1-2. Emva konyango oluphindaphindiweyo, kulindeleke ukuba ubuyele eluswini oluqhelekileyo okanye Ukusondela kwimeko yesikhumba esiqhelekileyo, unyango lwangethuba, umphumo ungcono.
Iingxaki eziphambili ze-carbon dioxide laser fractional kuthintelo kunye nonyango lwezibazi ziquka i-erythema yexesha elifutshane, usulelo, i-hyperpigmentation, i-hypopigmentation, i-skin necrosis yesikhumba.
Ngokubanzi, i-carbon dioxide fractional laser ikhuselekile kwaye iyasebenza kuthintelo kunye nonyango lwezibazi, kunye neengxaki ezincinci okanye ezincinci.
Ixesha lokuposa: Apr-20-2022
