Melasmanikibazo gikunze kandi cyinangiye pigmentation, cyane cyane cyiganje mumaso, gitera umubabaro mwinshi nububabare bwo mumitekerereze kubantu benshi bababaye. Niba uhuye niki kibazo ukaba ushaka inzira zifatika zo kunozamelasma, noneho iyi ngingo ni iyanyu.
Nkumuntu ukora ibikoresho byo kwisiga bikunze gukorana nabarwayi bashaka ibisubizo byiza byubuvuzi bwiza, twumva ko melasma ifite impamvu zikomeye kandi nigipimo kinini. Ingamba zoroshye zo gukumira buri munsi ntizihagije kugirango iki kibazo gikosorwe, niyo mpamvu abarwayi benshi batwandikira. Hamwe niterambere ryiterambere rya tekinoroji ya laser, kuvura laser byabaye inzira yingenzi yo kuzamura melasma. Ibibazo abarwayi bacu bakunze kubaza ni:Laser irashobora rwose "kurandura" melasma? Ni irihe tandukaniro riri hagati yubwoko butandukanye bwa laseri?Iyi ngingo izatanga isesengura rifatika.
Melasma ni iki? Bikora gute?
Melasma ni indwara isanzwe y'uruhu irangwa no gukwirakwiza ibara ryijimye ryijimye cyangwa umukara wijimye - ibara ryijimye, rikunze kuboneka ku matama, ku gahanga, ku munwa wo hejuru, no ku matama, kandi rimwe na rimwe ku kuboko. Bizwi kandi nka "mask yo gutwita," melasma ni indwara ya - yandura hyperpigmentation yanduye, ubusanzwe iterwa no guhindura imisemburo mugihe utwite, gufata ibinini byo kuboneza urubyaro, imishwarara ya ultraviolet, cyangwa kuvura imisemburo ya hormone.
Ukurikije ubujyakuzimu bwa pigmentation, yashyizwe mubuvuzi muburyo butatu:
- Ubwoko bw'icyorezo:Pigmentation ishyirwa muri epidermis, igaragara nkumukara wijimye hamwe neza - imipaka isobanuwe, kandi ikazamurwa munsi y itara rya Wood.
- Ubwoko bwa Dermal:Pigmentation ishyirwa muri dermis, igaragara yijimye cyangwa yijimye - imvi zifite imipaka itamenyekanye, kandi ntagaragaza impinduka nini munsi y itara rya Wood.
- Ubwoko buvanze:Pigmentation ibaho muri epidermis na dermis; ubu ni ubwoko busanzwe.
Uburyo bwo gushiraho melasma ntabwo bwumvikana neza, ariko ibintu byingenzi bizwi harimo:
- Imirasire ya Ultraviolet:Iki nikintu gikomeye cyane gikurura kandi cyongera, kuko imirasire ya ultraviolet itera ibikorwa bya melanocyte.
- Guhindura imisemburo:Inda, uburyo bwo kuringaniza imbyaro, hamwe no kuvura imisemburo ya hormone birashobora gutera cyangwa kwangiza melasma.
- Ibintu bikomokaho:Indwara ni nyinshi kubantu bafite amateka yumuryango wa melasma.
- Gutwika n'impamvu z'amaraso:Inzitizi yuruhu yangiritse, gutwika karande, na angiogenezi nayo igira uruhare.
Uburyo busanzwe bwo gufasha gukuraho melasma
Kurinda izuba
- Ibyiza:Igiciro gito, kurinda shingiro, birinda neza melasma gukomera
- Ibibi:Ntibishobora gukuraho pigmentation iriho
Ibintu byera byera
- Ibyiza:Nibyiza kuri epidermal melasma, ugereranije umutekano
- Ibibi:Buhoro buhoro gutangira ibikorwa, bisaba gukoresha - gukoresha igihe kirekire, bishobora gutera uburibwe bwuruhu
Imiti yo mu kanwa
- Ibyiza:Nibyiza kuvanga - ubwoko bwa melasma, birashobora kugabanya kugaruka
- Ibibi:Irasaba kwandikirwa kwa muganga, itwara ibyago byo gutembera kw'amaraso
Ibishishwa bya shimi
- Ibyiza:Irashobora kwihuta epidermal pigment kumeneka
- Ibibi:Birashobora gutera uburakari, hyperpigmentation, cyangwa hypopigmentation
Ubu buryo, iyo bukoreshejwe wenyine, akenshi bugira ingaruka nke, cyane cyane kuri melasma idakira cyangwa yinangiye.
Ubuvuzi busanzwe bwa Laser yo gukuraho Melasma
Kuberako melanocytes muri melasma ikora cyane, gakondo yo hejuru - laseri yingufu zirashobora gutera byoroshye post - hyperpigmentation (PIH), bityo bikarushaho kwiyongera. Kubwibyo, ingamba zasabwe muri iki gihe ni ingufu nkeya, amasomo menshi, ingano nini nini, hamwe no guhitamo guhitamo uburebure bwihariye.
Q - Lazeri yahinduwe
Ihame:Guhitamo gusenya melanin granules ikoresheje ingaruka zifotora, bigira ingaruka kuri epidermal na dermal pigmentation.
Ibiranga:Mu mbaraga nke -, nini - uburyo bwerekana, irashobora koroshya melasma bitonze epidermis.
Ingaruka:Ibyiza bigufi - ibisubizo byigihe, ariko bikunda kugaruka; maremare - manda cyangwa hejuru {{2} use gukoresha ingufu bishobora gutera hypopigmentation cyangwa vitiligo.
Igice cya CO2
Ihame:Itera epidermal na dermal kuvugurura muguhumeka no gukuraho tissue yuruhu rwa microcolumnar, ikuraho pigment itaziguye.
Ibiranga:Tanga kunonosora imiterere yuruhu no gufotora hamwe na melasma, ariko biratera cyane kandi bifite igihe kirekire cyo gukira.
Ingaruka:Abantu bafite uruhu rwijimye (Ubwoko bwa Fitzpatrick III - IV no hejuru) bafite ibyago byinshi byo kwandura pigmentation - biterwa no kuva amaraso (PIH) kandi bagomba gukoresha ubu buvuzi babyitondeye. Nyamara, ibikoresho bigezweho - amaherezo ya CO2 ya laser yamashanyarazi yubatse - muri sisitemu yo gukonjesha neza, itanga umusaruro kandi nuburambe bwiza kandi bwiza bwo kuvura abarwayi.
Picosekond Laser
Ihame:Hamwe n'ubugari bwa pulse bugera kurwego rwa picosekond (amasegonda 10⁻¹²), ingaruka ya fotokome irakomera, igahindura granules ya melanin mukungugu rwiza kugirango ikurweho byoroshye.
Ibyiza:Ugereranije na Q - yahinduye laseri, itera kwangirika kwubushyuhe buke kumyenda ikikije, mubyukuri bigabanya ibyago bya PIH.
Gusaba ivuriro:Ubushakashatsi bugezweho bushigikira imikorere n'umutekano bya lazeri ya picosekond (cyane cyane 1064nm cyangwa 755nm) mukuvura melasma, hamwe nibisubizo byiza kuruta lazeri ya nanosekond. Ariko, kwisubiramo biracyashoboka.
1927nm Thulium Laser
Ihame:Non - ihumeka lazeri yibice byibasira molekile zamazi, bigatera micro - gukuramo epidermis no guteza imbere gutakaza pigment.
Ibiranga:Kugabanya ubujyakuzimu, bubereye epidermal hamwe nubwoko bwa melasma. Urwego rwohejuru rwo hejuru, igihe gito.
Ingaruka:Gukomatanya n'imiti yera yera irashobora kunoza imikorere, ariko birakenewe kuvurwa byinshi.
Ese kuvura lazeri bifite akamaro kuri melasma?
Kuvura lazeri birashobora kunoza cyane melasma, ariko biragoye kuyikuraho burundu. Intego yo kuvura lazeri ntabwo "gusiba," ahubwo ni koroshya pigmentation, kugabanya ubunini bwayo, ndetse no hanze yamabara, no kugenzura ibikorwa byayo.
Byongeye kandi, inzira yo kuvura itekanye nibisubizo byingenzi bivuye mubuvuzi bwa laser biterwa na: - iherezo,ibikoresho bya laser byumwuga, anumuganga w'inararibonye, naubufatanye bwuzuye bwumurwayiinzira yose.
Ibintu bigira ingaruka nziza mubuvuzi harimo:
- Ubwoko bwuruhu:Uruhu rwijimye (ubwoko bwa IV - VI) bifite ibyago byinshi kandi bisaba imbaraga nke.
- Ubwoko bwa Melasma:Epidermal melasma isubiza neza, melasma ya dermal isubiza nabi.
- Ibipimo byo kuvura:Ingufu, ingano yikibanza, ubugari bwa pulse, intera yo kuvura, nibindi
- Kohereza {{0} care ubuvuzi:Kurinda izuba no gukoresha ibicuruzwa byitaweho.
- Kuba hari ibintu bitera:Hormone, izuba, izuba, nibindi.

Nigute wagabanya kugaruka kwa melasma nyuma yo kuvura laser?
- Ubuzima bwawe bwose burinda izuba:
Koresha ubugari - izuba ryerekana izuba hamwe na SPF 30+ na PA +++ burimunsi, hanyuma ubihuze no kurinda izuba kumubiri nkingofero, masike, hamwe nizuba. Imirasire ya Ultraviolet nimwe mubitera melasma kwisubiramo.
- Kuvura neza:
Nyuma yo kuvura lazeri, koresha imiti - imbaraga "kubungabunga" buri byumweru 2-4, cyangwa ukoreshe ibintu byangiza.
- Kosora ibintu by'imbere:
Hagarika imiti ya hormone idakenewe kandi uvure umuriro udakira (nka acne, rosacea).
- Sana inzitizi y'uruhu:
Koresha isuku yoroheje, moisurizeri, no gusana ibicuruzwa bivura uruhu, kandi wirinde guterana amagambo cyangwa kurwara uruhu.
- Kurikiza bisanzwe - hejuru gahunda:
Niba pigmentation yijimye cyangwa yagutse, fata vuba bishoboka; ntutegereze kugeza igihe bizaba bikomeye mbere yo kuvurwa.

Shaka Igisubizo Cyuzuye kandi Cyuzuye kuri Melasma
Dufite ubuhanga mu guteza imbere ibikoresho bya laser byo kuvura ibibazo bitandukanye byuruhu, harimo Q - byahinduwe, lazeri ya CO2 igabanije, picosekond, na 1927nm thulium. Urashaka gukuraho neza kandi neza neza inenge zo mumaso cyangwa izindi ndwara zuruhu? Urashaka kuzana tekinolojiya mishya yo gukemura ibibazo byuruhu rwabarwayi bawe? Twandikire kubisubizo byubwiza bwumwuga kandi bwihariye.
Ibibazo
Q1: Kuvura laser bizarushaho gukomera melasma?
Igisubizo: Birashoboka. Niba ingufu ari nyinshi, inshuro ntizikwiye, cyangwa kurinda izuba ntibikoreshwa nyuma yuburyo bukoreshwa, kuvura lazeri birashobora gutuma post - inflammatory hyperpigmentation (PIH), bigatuma melasma ikomera cyane kuruta mbere. Niyo mpamvu, ni ngombwa guhitamo umuganga w'inararibonye no kwemeza ihame "imbaraga nke, amasomo menshi".
Q2: Ese laser ya picosekond iruta Q - yahinduwe?
Igisubizo: Urebye kugabanya ibyangiritse byubushyuhe, laseri ya picosekond mubyukuri bifite inyungu. Ubushakashatsi bumwe bwerekana ko laseri ya picosekond ikora neza kandi ifite ibyago bike byo kwandura PIH, ariko ntanubwo bishobora kwemeza ko bitazongera kubaho. Guhitamo byihariye biterwa nubwoko bwuruhu hamwe nibikoresho.
Q3: Nshobora kubona ibisubizo nyuma yo kuvura laser?
Igisubizo: Mubisanzwe, kuvura 3-6 (buri mwanya hagati y'ibyumweru 4-6 bitandukanye) birakenewe kugirango tubone iterambere ryinshi. Ingaruka zo kuvura imwe ni nke; ntutegereze "gukuraho" rwose ibibanza mugice kimwe.
Q4: Kuvura laser birababaza? Nkeneye guhagarika kwivuza?
Igisubizo: Hasi - laseri yingufu zitera gusa gutitira gato kandi mubisanzwe ntibisaba anesthesia; uduce duto duto cyangwa hejuru - kuvura ingufu birashobora kubabaza cyane kandi bisaba anesteya yibanze. Kudavura - kuvura lazeri mubisanzwe ntibisaba igihe gito, mugihe kuvura lazeri bisaba iminsi 3-7 kugirango ukire.
Q5: Nshobora kwambara maquillage nyuma yo kuvura laser?
Igisubizo: Birasabwa kwirinda kwisiga amasaha 24 - 48. Nyuma, koresha ubwitonzi, butari - butera amavuta yo kwisiga kandi ushimangire izuba.





