Kurapa ne laser kweCO2 microblative kwakawanikwa kuchishanda uye kwakachengeteka mukurapa vulvovaginal atrophy kwenguva pfupi, zvichienderana neongororo yakaitwa mujenari reMenopause.
Ongororo yechati yekuongorora kumashure yaive nevakadzi 139 vane zviratidzo zvekuora kwenhengo dzevaginal, avo vakapedza zvidzidzo zvitatu zve laser zvakaparadzana nemavhiki matanhatu pakiriniki yeVulvar and Sexual Health paProhealth, Waukesha Memorial Hospital, muWisconsin, kubva muna Ndira 2016 kusvika Zvita 2019.
Varwere vese vaive nemakore anopfuura gumi nemasere (avhareji yemakore makumi matanhatu nemaviri) uye vasina pamuviri.
Kuongororwa kweestrogen yemudumbu kwakaitwa panguva imwe chete mu53% yevarwere (n = 74). Kuongororwa kwekenza yemazamu kwakanyorwa mu27% (n = 38) uye sclerosus yemudumbu mu22% (n = 31).
Varwere vakaongororwa vasati vapihwa kurapwa kwekutanga nekwechitatu nelaser kuburikidza nemibvunzo miviri yakasimbiswa: Female Sexual Function Index (FSFI) uye Vulvovaginal Symptoms Questionnaire (VSQ). Chikero chekuona che analog (VAS) chakazadzwawo.
Kurapwa kwakatanga kwaitwa nenzira yechikadzi uchishandisa mushonga wekudzivirira ganda, kwozoteverwa nekurapa kweganda remurume nemukadzi neruoko rwakasiyana, uchishandisa patani yemativi mana. Lidocaine 2% yakaiswa paganda remurume nemukadzi maminetsi makumi maviri kurapwa kusati kwaitwa. Kurapwa kweganda nemukadzi nekushandisa laser kwakafanana nezvidzidzo zvekare.
Avhareji yekutevera yaive mavhiki 13.8.
Zvibodzwa zvese zveFSFI zvakawedzera: kurapwa kusati kwaitwa 12.7 zvichienzaniswa nekurapwa mushure mekuita 19.0 (P).
VSQ yakaratidzawo kuti mibvunzo gumi nemisere pamibvunzo makumi maviri nerimwe yakavandudzika zvikuru (P
Pamusoro pezvo, VAS yakaratidza kuvandudzika kukuru mukurwadziwa kwepabonde, kuoma kwenhengo dzepabonde uye dzevaginal: kurapwa kwekutanga 12.7 na 4.6, zvichiteerana zvichienzaniswa nekurapa mushure mekurapwa 2.4 na 1.5 (zvose P
Uyezve, vamwe vakadzi gumi nevanomwe vakatanga kuita zvepabonde mushure mekurapwa kechipiri nelaser. Hapana zviitiko zvikuru zvakashata zvakataurwa pakati pevapi nevapi vevatori vechikamu muchidzidzo.
"Takashamisika kuti varwere vakapora nekukurumidza mushure mekurapwa kamwe chete kana kaviri," akadaro mukuru wevanoongorora Sarit Aschkenazi MD, MS, mukuru wezvekurapa paProhealth Waukesha Memorial Hospital. "Kuvandudzwa kwakaitika kunyangwe kuvakadzi vane zviratidzo zvakakomba vasingapindure kurapwa kwakajairika, senge topical estrogen, kana avo vanotora aromatase inhibitors yekudzivirira kenza yemazamu. Takafara zvikuru kuona vakadzi vane lichen sclerosis vane ganda rakanyanya kuomarara vachiratidza zviratidzo zvekuvandudza."
Kurapa ne laser kunofungidzirwa kuti kunoshanda nekupa simba kunyama iri pasi peganda, pasina kukuvara kwakanyanya kune epithelium iri pamusoro. Kunokurudzira fibroblasts kuti igadzire collagen ne elastin fibers yakawanda, pamwe nekuwedzera huwandu hwemvura, mapete eganda, uye ukobvu hwe epithelial yeganda remukadzi neremurume, sekureva kwaAschkenazi.
"Izvi zvakafanana nemigumisiro inokonzerwa ne laser inoshandiswa paganda rechiso," akadaro. "Laser iyi yave ichishandiswa paganda rechiso kwemakore anopfuura gumi uye yakaratidzwa kuti yakachengeteka. Kuongororwa kweganda kwakaratidzawo migumisiro iyi. Shanduko idzi dzese dzakafanana neshanduko dzinoitika kana estrogen iripo munyama panguva yekuenda kumwedzi."
Laser iri kuratidza kuva imwe nzira yekurapa ine tariro yechirwere chakajairika chakadai se vulvovaginal atrophy. "Iyi isarudzo itsva kana estrogen isingashande, isingabvumidzwe kana kuti isingadiwe," akadaro Aschkenazi.
Zvisinei, zvidzidzo zvekudzora zvisina kurongeka zvinodiwa kuti zvionekwe zvakajeka kushanda kwekurapa ne laser, pamwe nekuona huwandu hwakakwana hwekurapa, nguva dzekurapa uye kuti booster inofanira kudzokorora kangani.
"Imwe nzira yekurapa yekuongorora ndeyekubatanidza laser therapy ne topical hormonal therapy, kana isina kurambidzwa, senge estrogen therapy kana topical dehydroepiandrosterone (DHEA) kuti iwedzere kuvandudzwa kwenyama uye kuwana simba rekubatana pamatanho akaderera," akadaro Aschkenazi.
Kunyangwe laser yakawanikwa yakachengeteka kune vese varwere vakaongororwa, Aschkenazi anokurudzira kushandisa nzira dzekurapa dzemazuva ano dzezviratidzo zve vulvovaginal atrophy kutanga usati waisa laser therapy, uye kutevedzera parameters dzekurapa kudzivirira chero migumisiro yakaipa. Avo vanotambura nezviratidzo zvakadaro vanofanirawo kuchengetedza ganda nekuderedza zvinogumbura ganda, mbatya dzemukati dzakasimba, sipo uye mapedhi evakadzi ane hwema. "Kuwedzera moisturizers isiri mahormone kunobatsira kudzivirira kuoma kunokonzerwa nezviratidzo zvekuenda kumwedzi," akadaro.
Kurapa ne laser kweCO2 fractional kwe vulvovaginal atrophy Vhidhiyo Inoenderana Nayo:
"Kutanga kwemhando yepamusoro, Kutendeseka sehwaro, Rutsigiro rwechokwadi uye purofiti yekubatana" ndiyo pfungwa yedu, kuitira kuti tirambe tichivaka uye titevere kunaka kwe Kubvisa Bvudzi Muzvitoro Zvinotengeswa Zvikuru , Muchina wekurapa weIpl , Laser ine Simba Rakawanda , Zvigadzirwa zvedu zvakanyanya kutumirwa kuSoutheast Asia Euro-America, uye kutengeswa kunyika yedu yese. Uye zvichienderana nemhando yepamusoro, mutengo unonzwisisika, sevhisi yakanakisisa, tine mhinduro dzakanaka kubva kune vatengi vari kunze kwenyika. Munogamuchirwa kuti mubatane nesu kuti muwane mikana yakawanda uye mabhenefiti. Tinogamuchira vatengi, masangano ebhizinesi neshamwari kubva kumativi ese epasi kuti vatibate uye vatsvage kushandira pamwe kuti tibatsire pamwe chete.