Nigute 1927 nm Laser ya Thulium na 1550 nm Laser ya Erbium ikoreshwa muburyo bwo kuvura ubwiza bugezweho?

Mu rwego rwubuvuzi bwubuhanga bugezweho - aho gukurikirana uburinganire hagati ya - gutera no gukora neza cyane nibyo byingenzi - non - lazeri zivunagura zifite uruhare runini cyane. Muri ibyo,1927 nm Thulium laserna1550 nm Erbium laserbyagaragaye nkibintu bibiri byambere byambere - uburyo bwikoranabuhanga, butandukanijwe nubushobozi bwabo bwo kugena intego hamwe nigihe gito cyo gukira mugihe cyo kuvura amafoto, kutubahiriza pigmentary, no gukomeretsa. Izi tekinoroji zombi zirashobora gukoreshwa mu bwigenge cyangwa zigakoreshwa mu gikoresho kimwe kugira ngo zigere ku musaruro wo kuvura aho ingaruka zahujwe zirenze igiteranyo cyibice byacyo.

Aka gatabo gakemura byimazeyo ikibazo cyingenzi: uburyo bwogukoresha neza 1927nm Thulium na 1550nm ya Erbium laser tekinoroji mubijyanye nubuvuzi bwiza. Kugira ngo ibyo bishoboke, tuzacengera cyane ku mahame n’inyungu zombi za tekinoroji ya lazeri, dutange inama zisobanutse zagufasha guhitamo gahunda yo kuvura ijyanye nibyo ukeneye kugiti cyawe.

Niki 1927 nm Lazeri ya Thulium na 1550 nm Erbium?

Ubwo buryo bwombi buri mu cyiciro kitari - ablative fracal lazeri, ikora ishingiye ku nyigisho ya "Photothermolysis fraction." Iri hame ririmo gutandukanya urumuri rwa lazeri mumirasire myinshi ya microscopique kugirango habeho uduce twinshi two kuvura microscopique (MTZs) muruhu, bityo bigatera imbaraga kuvugurura ingirabuzimafatizo mugihe urinda uruhu rwiza ruzengurutse kugirango byihute gukira.

1927 nm Thulium Laser

Hamwe n'uburebure bwumurongo wegereye cyane kwinjiza amazi (hafi 1900nm), iyi lazeri yerekana kwinjiza cyane mumazi ya epidermis, bigatuma ishobora kwibasira epidermis hamwe na dermi zidasanzwe kandi neza. Ukoresheje uburyo bwo gutanga ibice, urumuri rwa Thulium rugabanijemo ibice byinshi bya micro - kugirango bikureho buhoro buhoro ingirabuzimafatizo zanduye kandi bitera imbaraga kuvugurura ingirabuzimafatizo, byose bikomeza uburinganire bwimiterere yinyama zifite ubuzima bwiza.

1550 nm Erbium Laser

Uburebure bwumurambararo wa 1550nm ya Erbium laser igwa mukarere kinjira cyane mumazi na hemoglobine. Kubera iyo mpamvu, igera ku bujyakuzimu bwimbitse, ikora cyane cyane muri dermis itabangamiye uruhu. Erbium - ibirahuri by'ibice by'ibirahure byibasira cyane molekile y'amazi iri mu ruhu, igafasha gushyuha neza ahantu hagenewe mugihe icyarimwe bigabanya ibyago byo gushyuha cyane mubice bikikije.

Ni ibihe bintu biranga ubwoko bubiri bwibikoresho bya laser?

Kuki 1927nm Lazeri ya Thulium na 1550nm ya Erbium yagaragaye nkibikoresho bidasanzwe byo kuvura uruhu rushya? Buri lazeri ifite inyungu zidasanzwe, bigatuma ikemura ibibazo bitandukanye byuruhu nibikenerwa byumurwayi.

Ibyiza bya 1927 nm Thulium Lasers

• Igikorwa Cyuzuye kuri Epidermis

Uburebure bwa 1927nm buhuza cyane nimpinga yo kwinjiza amazi; kubwibyo, imbaraga zayo yibanze cyane muri epidermis na dermis zidasanzwe. Iyi miterere yihariye irayiha guhitamo bidasanzwe kurwara ibikomere: irashobora guhungabanya kimwe melanine ikwirakwizwa bidasanzwe muri epidermis, igatezimbere neza imiterere nka melasma, ibibara byizuba, ibibyimba, uruhu rutaringaniye, hamwe na keratose ya actinic. Kugeza ubu ihagaze nkimwe mubikoresho bisobanutse neza muri las- ablative lazeri yo gukemura ibibazo bya pigmentation epidermal.

• Igihe Cyane Cyane cyo Kugarura

Bitewe n'ubujyakuzimu bwimbitse bwinjira hamwe n’ahantu hafite ingaruka z’ubushyuhe, ubuvuzi busanzwe butera gusa erythma yoroheje (umutuku), igabanuka mu masaha 24 kugeza 48. Ibi birashobora gukurikirwa na desquamation nziza cyane (peeling), bisa no gutonda byoroheje byabaye nyuma yizuba. Umubare munini w'abarwayi barashobora gusubira mubikorwa byabo bisanzwe byo kwisiga hamwe nibikorwa byimibereho kumunsi ukurikira, bigatuma ubu buvuzi bworoha cyane kubanyamwuga bahuze bashaka kuzamura ubuzima bwuruhu rwabo.

• Laser - Gufasha Gutanga Ibiyobyabwenge

Imiyoboro ya micro - yakozwe na lazeri ya 1927nm igaragaramo ubujyakuzimu bugenzurwa (hafi 100-200 mkm), bihagije bihagije kugirango ucike inzitizi ya epidermal utarinze kwangiza ingirangingo. Gukoresha ibi biranga, imiti ivura - nk'urumuri rwuruhu, ibimera bisubirana, hamwe nimpamvu zo gukura - birashobora guhita bitangizwa nyuma yo kuvurwa na lazeri, bityo bikazamura umuvuduko wabo winjira inshuro -, cyangwa nuburyo bukurikirana. Iyi "laser - hiyongereyeho - imiti" ingamba zo guhuza ni nziza cyane - ikwiranye no gucunga neza ibibazo by’indwara zidasanzwe, nka melasma no kugarura inzitizi y’uruhu yangiritse.

• Kubura Byoroheje no Guhumuriza Abarwayi Bakuru

Urebye ubujyakuzimu bwibikorwa byimbaraga nimbaraga zoroheje ugereranije, 1927nm yo kuvura lazeri mubisanzwe ntabwo isaba anesteziya - cyangwa byinshi, gusa anesteya yibanze. Ibyiyumvo byububabare biri hasi cyane ugereranije nibijyanye na lazeri 1550nm cyangwa lazeri ablative, bikaviramo kwihanganira abarwayi no kwemerwa.

Ibyiza bya 1550nm Erbium Lasers

• Ubushobozi bukomeye bwo guhindura ibintu

Uburebure bwa 1550nm bugaragaza kwinjiza amazi mu buryo butagereranywa n'amazi kandi bwinjira cyane muri dermisi (hafi mm2-2), bigatera neza synthesis ya de de novo * no kuvugurura imiterere ya fibre ya kolagen na elastique. Itanga ibisubizo byingenzi kandi birebire - ibisubizo birambye kubibazo bitandukanye byuruhu, harimo inkovu za acropique acne (pockmarks), inkovu zo kubaga, imyenge yagutse, imirongo myiza, hamwe n’iminkanyari.

• Mugari Mugari wo Kuvura Porogaramu

Usibye kuvugurura uruhu no kuvugurura inkovu, lazeri ya 1550nm ya erbium nayo ikoreshwa mu kuvura acne ikora (muguhagarika ibikorwa bya glande sebaceous gland), ibimenyetso birambuye, hamwe no kutagira uruhu rworoshye, bitanga ibimenyetso byinshi byerekana amavuriro.

• Umwirondoro wo hejuru w’umutekano; Bikwiranye na Tone Yose Yuruhu

Bitewe no gukomeretsa epidermal ntoya no kuba idashingiye kuri melanin nkintego nyamukuru ya chromofore - bitandukanye na Q - yahinduwe na lazeri cyangwa urumuri rukomeye (IPL) - laser ya 1550nm yerekana ingaruka zishobora kugenzurwa na post - hyperpigmentation iyo ikoreshejwe kubantu bafite uruhu rwijimye. Mugihe ubushishozi bwamavuriro bugikenewe, umwirondoro wumutekano wemejwe cyane binyuze mubikorwa byubuvuzi.

• Igihe gito cyo gukira

Nyuma yo kuvurwa, abarwayi mubisanzwe bafite umutuku woroheje, kubyimba, no kumva ubushyuhe; abantu bamwe barashobora kwitegereza uruhu ruto rworoshye muminsi 1-3. Igihe cyo gukira muri rusange ni kigufi - kimara iminsi 1 kugeza kuri 3 - kandi ntikibangamira ibikorwa bisanzwe byimibereho cyangwa imihigo yakazi, bigatuma bigufi cyane ugereranije nibya lazeri.

• Gukomeza Kuringaniza Ubuvuzi

Sisitemu nyinshi zigezweho za 1550nm zifite ibikoresho byo gukonjesha. Iyo uhujwe na anesthesi yibanze, ikibazo cyose kijyanye nacyo kiguma ahanini murwego rwihanganirwa. Byongeye kandi, nkuko inzira idatera ibikomere bifunguye, ohereza {{3} care ubuvuzi bworoshye kandi bworoshye.

KumenyekanishaNewangie'Byambere Byibiri - Umuhengeri wa Laser

Ikoranabuhanga rigezweho ryinjije neza "uburebure bwa zahabu" bubiri muri sisitemu imwe (nka dual - uburebure bwikurikiranya butari - sisitemu yo gukuramo ibice bya laser). Newangiekabiri - lazeriikubiyemo ibice 1927nm na 1550nm byandikishijwe intoki - cyangwa igahindura uburebure bwumurambararo mugikoresho kimwe - cyemerera abaganga guhitamo byoroshye uburebure bumwe bwumuraba cyangwa gutanga imiti ikomatanya ijyanye nibibazo by’indwara by’umurwayi.

Ibi byerekana udushya twinshi muburyo butari - ablative fractional laser tekinoroji. Igikorwa cyo guhuza ubu burebure bwombi bworohereza uburyo bwo kuvura butandukanye kuva epidermis kugera kuri dermis, bityo bigatanga igisubizo cyuzuye kandi cyuzuye kumafoto - uruhu rwashaje, ibibazo bya pigmentation, no gusubiramo inkovu.

• Kuvura Byihuse

Igisubizo cyihuse cyane, hamwe no kuvura mumaso byuzuye muminota 6-8 gusa.

• Igipfukisho Cyinshi

Diameter nini (200μm & 350μm) hamwe nubunini bwa scan (4 x 10 mm & 6 x 10 mm) kugirango byongere ubuvuzi bwiza.

• Gukora Intiti

Byoroshye - kugeza - kugendana kwerekana hamwe nuburyo bwihariye bwo guhitamo igipimo, Ingufu zose, Ubucucike, nintera.

• Porogaramu yihariye

Shyigikira ururimi na software yihariye kugirango uhuze ibikenewe bitandukanye.

Porogaramu Yumwuga

Ibyingenzi Byakoreshejwe muri 1927nm Thulium Laser:

• Indwara ya pigment:Melasma yo mu maso, ibibara by'izuba (lentigine y'izuba), uduce, hamwe n'uruhu rutaringaniye (pigmentary irregularities).
• Keratose ya Actinic:Kuvura neza ibikomere byabanjirije, kugabanya ibyago byo kurwara kanseri y'uruhu.
• Gufasha Gutanga Ibiyobyabwenge:Koresha imiyoboro ya mikorobe yakozwe na lazeri mu ruhu kugirango yorohereze kwinjira no kwinjiza imiti ivura - nkuruhu - ibintu byangiza kandi byangiza - bityo bikazamura uburyo bwo kuvura.
• Ubundi Porogaramu Zishakisha:Keratose pilaris ("uruhu rwinkoko"), igitsina gore - guta umusatsi, nibindi.

Porogaramu Nkuru ya 1550nm Erbium Laser:

• Kuvugurura uruhu:Imirongo myiza yo mumaso, iminkanyari, ubunebwe bwuruhu, hamwe nuduce twagutse.
• Kuvugurura inkovu:Inkovu za Atrophique (pockmarks) n'inkovu zo kubaga.
• Acne ifatika:Kurwanya glande sebaceous no kunoza acne inflammatory.

Ikomatanyirijwe hamwe - Uburebure bwumurongo:

Ku barwayi bagaragaza ibibazo bigoye byo gufotora - nko guhuza icyarimwe icyarimwe cyuruhu rutaringaniye, ibibara bya pigmentation, iminkanyari, hamwe nuduce twagutse - sisitemu ebyiri - sisitemu yuburebure itanga uburyo bwo kuvura cyangwa gutondekwa. Uburebure bwa 1927nm bukoreshwa mbere kugirango bukemure pigmentation yimbere, hanyuma hakurikiraho uburebure bwa 1550nm kugirango butere imbaraga - layer collagen ivugurura, bityo bigere ku bushobozi bwuzuye mubice byose byuruhu.

 https://pmc.ncbi.nlm.nih.gov/articles/PMC12997386/

1927nm vs . 1550 nm: Niki Ukwiye Guhitamo?

Uburebure bwihariye ugomba guhitamo kuvura bivana nibibazo byawe byibanze.

• Hitamo laser ya 1927nm Thulium niba ibibazo byibanze aribyo:

Ibibara byo mumaso, ibara ryuruhu rwijimye cyangwa rutaringaniye, cyangwa keratose ya actinic (bisaba kwisuzumisha kwa muganga) - kandi niba wifuza igihe cyo gukira kigufi mugihe gishoboka, hamwe nuguhungabana gukabije kumurimo wawe no mubuzima bwawe.

• Hitamo laser ya 1550nm Erbium niba ibibazo byibanze aribyo:

inkovu zigaragara mu maso, imyenge yagutse, imirongo myiza, cyangwa ubunebwe bwuruhu - kandi niba wishimiye igihe cyo gukira cyiminsi 2-33 kirimo gukuramo uruhu rworoheje.

• Reba ibintu bibiri - kuvura uburebure bwumurongo niba ibibazo byibanze birimo:

icyifuzo cyo kunoza icyarimwe kunoza pigmentation hamwe nijwi ryuruhu rutaringaniye mugihe hanakemuwe iminkanyari, imyenge, hamwe ninkovu za acne - bigamije kurwanya ibisubizo - gusaza.

Uburebure bwa 1550nm bwinjira cyane muri dermis kugirango butezimbere neza iminkanyari n'inkovu, mugihe uburebure bwa 1927nm bwibasiye epidermis na dermis zidasanzwe kugirango bakemure ibibazo nka pigmentation hamwe nuruhu rutaringaniye. Byinjijwemo hifashishijwe ikoranabuhanga rigezweho - tekinoroji yuburebure, ubu burebure bwombi butanga umurima wubuvuzi bwuburanga hamwe nigisubizo cyuzuye, cyihariye - gikemura buri kintu cyose uhereye kumiterere kugeza kumurongo wimbitse, no kuva pigmentation kugeza kumiterere yuruhu - bityo bigatuma abakiriya bagera kubintu byinshi byogutezimbere hamwe nigihe gito. Birasabwa ko wagisha inama inzobere mubuvuzi mbere yo kuvurwa kugirango umenye uburebure bukwiye bwumurongo cyangwa gahunda yo kuvura ikomatanya ukurikije uko uruhu rwawe rukenewe kandi ukeneye.