Fractional laser haisi itsva laser chiridzwa, asi inoshanda maitiro e laser
Iyo lattice laser haisi itsva laser chiridzwa, asi inoshanda maitiro eiyo laser.Chero bedzi iyo dhayamita yelaser beam (nzvimbo) iri pasi pe500um, uye danda relaser rinogara rakarongedzwa mune retice chimiro, iyo laser inoshanda modhi panguva ino Iri chikamu chelaser.
Iyo musimboti wechikamu chelaser kurapwa ichiri musimboti wekusarudza photothermal chiito, iyo inonzi musimboti wechikamu chephotothermal chiito: yechinyakare yakakura-scale laser ablation chiito nzira inogadziriswa kuti dhayamita yelaser beam (nzvimbo) ishoma pane. 500um, uye laser danda Inogara yakarongedzwa mune retisi, imwe neimwe poindi inotamba photothermal mhedzisiro, uye kune akajairwa masero eganda pakati pemapoinzi, ayo anoita basa rekugadzirisa tishu uye kugadzirisa.
Carbon dioxide fractional laser kurapa mavanga
Iyo wavelength yelaser inowirirana zvakanyanya nemhedzisiro yayo.TheCO2 laserinogona kupa "yakanakisa" wavelength.Iyo CO2 fractional laser inogona kukonzera kushomeka uye kudzoreka kukuvara kwevanga, kubvisa chikamu chevanga matishu, kukuvara uye kuvharira tsinga dzeropa mumavanga mavanga, uye induce fibroblasts.Apoptosis, inosimudzira kuvandudzwa uye kuvakwazve kwe collagen fibers, simba rayo repamusoro rakakura, iyo inopisa-induced side kukuvara nzvimbo idiki, iyo vaporized tishu ndeyechokwadi, kukuvadzwa kwenyama yakatenderedza kwakareruka, uye ronda re laser rinogona kuporeswa mukati. Mazuva 3-5, zvichikonzera hyperpigmentation kana hypopigmentation uye mamwe matambudziko. Hazvisi zvishoma kuti zviongororwe kuti une chirwere chacho, uye inovandudza zvipingamupinyi zvehutano hwakakura (vanga, erythema, nguva yakareba yekupora, nezvimwewo) uye zvisingakoshi kuporesa pasi pe laser isiri-fractional mode, inoratidza kuti kurapa kwelaser kurapwa kwemavanga kwakagadziridzwa zvakanyanya, uye njodzi yehutachiona yakaderera.Kubatsira kwekureruka kwepashure kurapwa, kuratidza nzira yekudzorera kubva "vanga → ganda".
Fractional laser ine zvirinani nekukurumidza uye kwenguva refu kuchengetedzeka uye kushanda pane ablative Er laser, isiri-ablative laser uye kemikari peeling, saka carbon dioxide fractional laser inoremekedzwa zvakanyanya pakurapa vanga.
Parizvino, zviratidzo zvecarbon dioxide fractional laser kurapwa kwemavanga zvakawedzera zvakanyanya kana zvichienzaniswa nemaitiro echinyakare.
Kwekutanga CO2 laser kurapwa kwemavanga inonyanya kukodzera mavanga epamusoro.Parizvino, zviratidzo zvecarbon dioxide fractional laser kurapwa kwemavanga ndezvi: ① Kurapwa kweakaumbwa mavanga epamusoro, mavanga e hypertrophic uye mavanga akapfava echibvumirano.②Kuporeswa kweronda uye kutanga kunyorera mushure mekuporeswa kunogona kushandura maitiro emuviri wekuporeswa kweronda uye kudzivirira mavanga eronda.③Chirwere chevanga, ronda reronda, ronda rekutsva rasara.
Carbon dioxide fractional laser kurapwa kwemavanga kunofanirwa kurapwa kamwe chete pamwedzi mitatu kana kupfuura
Carbon dioxide fractional laser kurapwa kwemavanga kunofanirwa kuitwa kamwe chete pamwedzi mitatu kana kupfuura.Nheyo yacho ndeyekuti: mushure me CO2 fractional laser kurapwa, zvinotora imwe nguva kuti ronda ripore uye kugadzirisa.Mumwedzi we3 mushure mekurapwa, chimiro chenyama yeronda mushure mekurapwa chakadzokera kunharaunda iri pedyo neyakajairwa tishu.Kuchipatara, zvinogona kuonekwa kuti kuonekwa kwechironda chepamusoro kwakagadzikana, pasina tsvuku uye kushanduka.Panguva ino, zviri nani kusarudza zvakare maererano nekudzorerwa kwepamusoro peronda.parameters yekurapa kuti uwane mhedzisiro iri nani.Dzimwe nyanzvi dzinoita kurapazve panguva dzemwedzi 1-2.Kubva pakuona kwekuporeswa kwemaronda, hapana dambudziko mukupora kweronda, asi maererano nekugadzikana kwekupora kweronda uye kugona kwekugadzirisa maparameter ekurapazve, hazvina kunaka senge nguva 3. Zviri nani kurapa kamwe chete pamwedzi.Muchokwadi, maitiro ekugadzirisa maronda uye kugadziridza matishu anotora nguva yakareba, uye zviri nani kurapa zvakare panguva inodarika mwedzi mitatu.
Kushanda kwecarbon dioxide fractional laser kurapwa kwemavanga kunokanganiswa nezvakawanda zvinhu
Kushanda kwecarbon dioxide laser kurapwa kwemavanga ndeyechokwadi, asi kushanda kwayo kunokonzerwa nezvinhu zvakawanda, uye dzimwe nyaya dzekurapa kusingagutsi dzinogona kuitika, zvichiita kuti vamwe vanachiremba uye vamwe varwere vasava nechokwadi nekushanda kwayo.
①Kuitwa kwelaser kurapwa pamavanga kunoenderana nezvinhu zviviri: kune rumwe rutivi, tekinoroji yekurapa kwachiremba uye kutorwa kwechirongwa chekurapa chine musoro;nerumwe rutivi, ndiko kugona kugadzirisa kwemunhu ane vanga.
② Munguva yekurapa, musanganiswa weakawanda lasers unofanirwa kusarudzwa zvichienderana nekuonekwa kwevanga, kana iyo imwechete laser inofanira kuchinjirwa kumusoro wekurapa uye maparamendi ekurapa anogadziriswa sezvinodiwa.
③Marapirwo epamusoro peronda mushure mekurapwa kwelaser kunofanirwa kusimbiswa, senge nguva dzose kushandiswa kwemishonga inorwisa maronda yeziso uye kukura kwechubhu kudzivirira kutapukira uye kukurudzira kuporeswa kweronda.
④Zvichiri kudikanwa kusarudza chirongwa chekurapa chemunhu zvinoenderana nemamiriro evanga, uye kusanganisa kuvhiyiwa, elastic compression therapy, radiotherapy, intra-scar jekiseni remahomoni esteroid, zvigadzirwa zvesilicone gel uye kushandiswa kwekunze kwemishonga kuvandudza maitiro ekurapa, uye kushandisa. dynamic comprehensive scar kudzivirira uye kurapwa.kubata.
Nzira dzekuvandudza kurapa kwekabhoni dioxide fractional laser kurapwa kwemavanga
Iyo morphological maitiro emavanga akasiyana, uye nzira dzakakodzera dzekurapa dzinoda kusarudzwa zvinoenderana nehunhu hwemavanga.
①Iyo yepamusoro-soro ye-laser modhi inoshandiswa kune akati sandara mavanga, uye yakadzama ye-laser modhi inoshandiswa kune mavanga akanyura zvishoma.
②Mavanga anobuda zvishoma pamusoro peganda kana ganda rakasimudzwa rakatenderedza makomba anofanirwa kusanganiswa neiyo hyperpulse modhi uye lattice mode.
③ Kune mavanga ari pachena akasimudzwa, artificial fractional laser tekinoroji inoshandiswa, uye kudzika kwelaser kupinda kunofanirwa kuenderana nekukora kwevanga.
④Mavanga ari pachena akanyura kana kusimudzwa, uye mavanga ane contracture deformity anofanirwa kuumbwa patsva kana kutetepa nekuvhiyiwa kutanga, uye ozorapwa nefractional laser mushure mekuvhiyiwa.
⑤Intra-scar jekiseni kana kushandiswa kwekunze kwe triamcinolone acetonide kana Deprosone (laser-introduction drug therapy) inofanira kuwedzerwa panguva imwechete yelaser kurapwa kune mavanga akasimudzwa zviri pachena kana nzvimbo dzine mavanga.
⑥ Kudzivirirwa kwekutanga kwevanga hyperplasia kunogona kusanganiswa nePDL, 560 nmOPT, 570 nmOPT, 590 nmOPT, nezvimwewo kuti inhibit vascular hyperplasia mumavanga maererano nemamiriro evanga.Yakasanganiswa nemishonga yakazara senge kurapa-inosimudzira zvinodhaka, elastic compression therapy, body radiation therapy, silicone gel zvigadzirwa uye kushandiswa kwekunze kwemishonga, ine simba yakazara kurapa kwekudzivirira mavanga uye kurapwa kunoitwa kuvandudza kurapa.
Carbon dioxide fractional laser ine inoshamisa kurapa mhedzisiro pamavanga, uye inosimudzira shanduko yeganda rine mavanga kune rakajairika ganda rine mashoma matambudziko.
Carbon dioxide laser kurapwa kwemavanga kunogona kuvandudza zvakanyanya zviratidzo uye zviratidzo zvemavanga, uye zvakanyanya kunatsiridza kutaridzika kwemavanga.Mumamiriro ezvinhu akajairwa, basa revanga rinogona kuvandudzwa mukati memaawa mashoma mushure mekurapwa, kunzwa kwekunzwa kwevanga kunogona kuvandudzwa mukati memazuva mashoma, uye ruvara uye kugadzirwa kwevanga kunogona kuvandudzwa mushure memwedzi 1-2.Mushure mekudzokororwa kurapwa, zvinotarisirwa kudzokera kune yakajairika ganda kana Pedyo nemamiriro emazuva ese eganda, kurapwa kwekutanga, mhedzisiro iri nani.
Matambudziko makuru ecarbon dioxide fractional laser mukudzivirira uye kurapwa kwemavanga anosanganisira yenguva pfupi erythema, kutapukira, hyperpigmentation, hypopigmentation, ganda ganda itching, uye ganda necrosis.
Kazhinji, carbon dioxide fractional laser yakachengeteka uye inobudirira mukudzivirira uye kurapwa kwemavanga, ane zvishoma kana zvishoma zvinetso.
Nguva yekutumira: Kubvumbi-20-2022
