Melasma ni iki?
Melasma ni indwara isanzwe y'uruhu. Niba ufite melasma, uzabona igikara cyangwa ubururu - ibara ryijimye cyangwa igikonjo - nkibibara kuruhu rwawe. Bikunze kandi kwitwa "mask yo gutwita." Ntabwo ari bibi kandi ntabwo yandura.
Ahantu henshi hakunze kugaragara: Iyi myanya ikunze kugaragara mubice bimwe na bimwe byo mumaso (umusaya, uruhanga, izuru, umunwa, umunwa wo hejuru), kandi ntibikunze kugaragara ku ijosi, amaboko, cyangwa ahandi. Melasma irashobora gukura ahantu hose hakunze kugaragaramo izuba, niyo mpamvu ibimenyetso bikunze kwiyongera mugihe cyizuba.
Ubwoko bwa Melasma:
- Epidermal Melasma: Nkuko izina ribigaragaza, ibi bivuga neza - bisobanuwe, ibara ryijimye ryijimye riri murwego rwinyuma rwa epidermis. Ubu bwoko bwa melasma mubusanzwe bufite ibara ryijimye, ugereranije no gukwirakwiza, kandi byoroshye kuvura.
- Dermal Melasma: Ibi bigira ingaruka mubice byimbitse byuruhu (dermis), bigaragara nkubururu - ibara ryijimye cyangwa ryijimye ryijimye rifite imipaka itamenyekana. Kubera ko pigmentation iherereye muruhu, ubu bwoko bwa melasma mubusanzwe binangira kandi bigoye kuvurwa, akenshi bisaba laser cyangwa microneedling.
- Melasma ivanze. Kuberako melasma ivanze yerekana ibiranga epidermis na dermis, kuvura birashobora gusaba uburyo bwuzuye bwo kumenya no kunoza ibimenyetso.
Nigute Melasmas yashizweho?
Melasma iterwa ahanini nimpamvu eshatu: izuba, ihinduka rya hormone, na genetique.
Izuba Rirashe:
Ultraviolet hamwe nimirasire yizuba bituruka ku zuba nimpamvu zikomeye zitera melasma. Byongeye kandi, nubushyuhe (infrared) urumuri, ecran ya LED, na terefone zigendanwa birashobora gutera melasma. Imirasire ya ultraviolet iva ku buriri bwangiza, yangiza uruhu kimwe n’izuba; kubwibyo, kurinda izuba guhoraho ni ngombwa mu kurwanya melasma.
Guhindura imisemburo:
Estrogene na progesterone bemeza ko bifitanye isano no gukora melasma, isobanura impamvu ikunze kugaragara ku bagore batwite. Byongeye kandi, abantu bafata imiti yo kuboneza urubyaro irimo estrogene na progesterone nabo bashobora kurwara melasma. Ndetse bimwe mubicuruzwa byuruhu birashobora gutera ihindagurika rya hormone.
Ibintu bikomokaho:
Amateka yumuryango yongerera cyane ibyago byo kurwara melasma; impanga nyinshi zisa.
Ninde ukunda kurwara melasma?
Melasma ni indwara isanzwe y'uruhu, yibasira cyane cyane abagore, cyane cyane abafite uruhu rworoheje cyangwa rwijimye.Abagore batwitebyoroshye cyane ugereranije nandi matsinda. Abagore benshi bahura nuburyo bwa mbere bwijimye cyangwa ibibara mumaso mugihe batwite cyangwa mugihe batangiye ibinini byo kuboneza urubyaro; bityo, melasma izwi kandi nka "mask yo gutwita." Gufata imiti yo kuboneza urubyaro n'imiti ya hormone birashobora kandi kongera ibyago byo kurwara melasma.
Tekinoroji eshatu zateye imbere zo kwisiga zikuraho melasma neza
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Igice cya CO2
Ibi ni mubyiciro bya ablative fractional lasers. Urumuri rwa lazeri rugabanyijemo uduce duto tutabarika, tugakora micro - zangiza ubushyuhe bwuruhu kuruhu. Iyangirika ryumuriro winkingi igera kuri dermis, guhumeka no gukuraho ingirangingo zibyorezo byimyororokere mugihe bitera gusana no gukiza mubice bikikije, gutera imbaraga za kolagen nshya, no guteza imbere icyorezo cya epidermal. Kuri pigmentation, ikora cyane cyane "gukuraho byimazeyo epidermis" no "guteza imbere icyorezo gishya cya epidermal."
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Q - yahinduye Nd: YAG Laser
Nanosekond - urwego rutari - ablative Q - laseri zahinduwe zerekana lazeri gakondo zo gukuraho pigmentation. Ihame ryibanze ryabo ni uguhitamo Photothermolysis. Lazeri ya 1064nm cyangwa 532nm yasohotse byumwihariko kandi yakiriwe cyane na melanin. Ingufu zirekurwa mugihe gito cyane (nanosekonds), bigatuma granules ya melanin ihita iturika mo uduce duto kubera ubushyuhe bwihuse. Ibyo bice noneho bigizwe na fagocytose na macrophage hanyuma bigasohoka mumubiri binyuze muri metabolism naturel. Inzira zose zo kuvura ntizangiza ibice byuruhu bisanzwe.
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Picosekond Laser
Turashobora gufata lazeri ya picosekond nkurwego rwohejuru rwa Q - zahinduwe, hamwe nintangiriro yazo ni ingaruka zifotora. Igabanya laser pulse ubugari kuva nanosekondi (amasegonda 10⁻⁹) kugeza picosekondi (amasegonda 10⁻¹²). Ultra - ubugari bwa pulse bugufi bivuze ko ingufu zirekurwa hejuru yingufu zo hejuru mugihe gito. Ibi bitera granules ya melanin "kumeneka" mu mukungugu mwiza cyane - nkibice aho "guturika cyane." Ubu buryo butanga ubushyuhe buke cyane, butera kwangirika kwinshi kwubushyuhe bwimitsi ikikije kandi bikavamo uburyo bwiza bwo gukuraho pigment.
| Ibiranga | Igice cya CO2 | Q - yahinduye Nd: YAG laser | Picosekond laser |
|---|---|---|---|
| Ibyiza byingenzi |
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| Ingaruka nyamukuru |
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| Imiterere | Ntabwo ari amahitamo ya mbere; birasabwa kwitonda cyane. | Guhitamo bisanzwe | Gukata - guhitamo |
Kwirinda mbere na nyuma yo kuvurwa
Mbere - kwivuza Gutegura:
- Isuzuma ry'umwuga n'itumanaho:
Menyesha inzobere mu kuvura dermatologue kugirango umenye ubwoko bwa melasma (epidermal, dermal, cyangwa ivanze), ituze, hamwe nuburyo inzitizi y'uruhu imeze. Vugana neza na muganga kubyerekeye ibisubizo biteganijwe hamwe ningaruka zishobora kubaho.
- Kongera izuba rirengera:
Koresha cyane kurinda izuba kumubiri (ingofero, umutaka, masike) uhujwe na - spekure ndende - SPF izuba ryinshi (SPF 50+, PA ++++) kugirango ugabanye uburakari bwa UV.
- Gusana inzitizi y'uruhu:
Hagarika ikoreshwa ryibintu byose bitera uruhu (nka aside glycolike, aside salicylic, na aside retinoque). Koresha gusana no kuvomera ibicuruzwa birimo ibintu nka ceramide na aside hyaluronic kugirango ushimangire inzitizi yuruhu.
Kohereza - Kuvura:
- Guhumuriza ako kanya:
Nyuma yo kuvurwa, uruhu rushobora kugira umuriro mwinshi no gutukura. Koresha compresses ikonje cyangwa spray ikonje ako kanya, hanyuma ukoreshe ubuvuzi - bwo gusana ibyiciro kugirango ugabanye umuriro.
- Kurinda izuba bikabije:
Ibi nibyingenzi rwose kugirango wirinde hyperpigmentation. Mu nyandiko ibanza period- igihe cyo kuvura, wibande kurinda izuba ryumubiri kandi wirinde izuba ryinshi. Uruhu rumaze gukira, shyira hejuru - izuba rya SPF buri munsi.
- Kwiyoroshya no Korohereza:
Icyumweru cya mbere nyuma yuburyo, kwoza mu maso witonze amazi y'akazuyazi, wirinde guterana amagambo. Koresha ibintu byoroheje, ubuvuzi - gusana ibyiciro hamwe nubushuhe kugirango uteze imbere inzitizi zuruhu.
- Irinde kurakara:
Emerera ibisebe kugwa bisanzwe; ntutore cyangwa ushushanye. Irinde gukoresha amavuta yo kwisiga akora (nko kwera cyangwa kurwanya {{1} products ibicuruzwa bishaje), sauna, amasoko ashyushye, hamwe nimyitozo ikaze byibuze ibyumweru bibiri nyuma yuburyo bukurikira.
- Imiti ikomatanyije:
Komeza ukoreshe inyandiko - imiti yo gusana no / cyangwa imiti yo mu kanwa nkuko byateganijwe na muganga wawe kugirango ushimangire ingaruka zo kuvura no kwirinda ko bitazongera kubaho.
Nigute ushobora kwirinda melasma?
Niba melasma iterwa nibintu bikomokaho, ntibishobora kwirindwa. Melasma iterwa no kuzamuka kwa estrogene na progesterone mugihe utwite nabyo biragoye kubyirinda hakiri kare. Ariko, urashobora kugerageza kwirinda ibintu byangiza melasma. Usibye ibi bintu byombi, urashobora gufata ingamba zo gukumira izindi mpamvu zishoboka.
Witondere kurinda izuba:
Koresha ubugari - izuba ryinshi hamwe na SPF 30 cyangwa irenga buri munsi, ndetse no murugo cyangwa muminsi yibicu. Niba hanze, ongera usabe buri masaha make hanyuma wambare ingofero, mask, n imyenda irinda izuba ryumubiri. Urashobora gukoresha ibicuruzwa birimo vitamine C cyangwa vitamine E kugirango ufashe kurwanya kwangirika kwizuba.
Kuvura uruhu rworoheje:
Koresha impumuro nziza - kubuntu, hypoallergenic ibicuruzwa bivura uruhu. Irinde gukoresha scrubs ikaze, ibishishwa bikomeye bya chimique, nibindi bintu bitera uburakari.
Koresha neza: Komeza uruhu rwawe neza - rwuzuye kugirango ukomeze inzitizi yo kurinda.
Irinde ubushyuhe bwinshi no kubira ibyuya:
Irinde sauna, kwiyuhagira bishyushye, no kumara igihe kinini uhura nubushyuhe bwo hanze.
