Izibazi ziwumkhiqizo wenqubo yesikhumba yokuzilungisa, kodwa ngezinye izikhathi zingabangela izinkinga zobuhle noma ukusebenza. Ngokuthuthuka kwezobuchwepheshe bezokwelapha, ukwelashwa nge-laser sekuyindlela ebalulekile yokuthuthukisa ukubukeka kwezibazi. Kodwa-ke, ngaphambi kokwelashwa, kubalulekile ukuqonda ngokugcwele ulwazi olufanele mayelanaukususwa kwezibazi ze-laserukuze kuzuzwe imiphumela ekahle yokususa isibazi futhi ugweme imiphumela emibi kakhulu. Funda lesi sihloko ukuze ufunde izinto eziyishumi ezibalulekile okufanele uzicabangele ngaphambi kokwelashwa kokukhipha isibazi nge-laser, okukuvumela ukuthi wenze isinqumo unolwazi.
Ama-laser azisusa kanjani izibazi ngempumelelo?
Ukwelashwa kwezibazi nge-laser kusebenzisa ubude beza obuthile bokukhanya kwe-laser ukuze kungene endaweni yesikhumba futhi kuqondiswe esibazini. Ngomphumela we-photothermal, ikhuthaza ukuguqulwa kwe-collagen ne-elastin, ngaleyo ndlela ithuthukise umbala wesibazi, ukuthungwa, nokuphakama, futhi ikhuthaze ukwakhiwa kabusha kwesikhumba okuhlelekile nokujwayelekile.
Izinhlobo ezahlukene zezibazi zidinga imishini ye-laser ehlukene kanye nezinhlelo zokwelapha. Isibonelo, ama-laser{1}}e-vascular specific asetshenziselwa ikakhulukazi izibazi ze-erythematous, kuyilaphoizingxenye ze-CO2 lasers, okukhuthaza ukuvuselelwa kwe-collagen, kuyadingeka ezibazini ze-atrophic.
Akuzona zonke izibazi ezifanele ukwelashwa nge-laser
Ukwelashwa nge-laser kuphumelela kakhulu ezinhlotsheni ezithile zezibazi, kodwa akuyona i-panacea. Ngokuvamile, ama-laser asebenza kangcono kulezi zinhlobo ezilandelayo zezibazi:
- Izibazi ze-hypertrophic (ezibomvu, izibazi eziphakanyisiwe)
- Izibazi ze-Atrophic noma ezicindezelekile (njengezibazi zezinduna)
- Izibazi zokuhlinza nezibuhlungu
- Izibazi ezikha phezulu
- Ukushintsha umbala kwesibazi (okubomvu noma oku-hyperpigmented)
Nokho, ukwelashwa nge-laser kungase kube nokusebenza okulinganiselwe kulezi zimo ezilandelayo:
- Izibazi ezikhulile, eziguga (ngaphezulu kweminyaka emi-2)
- I-keloids enamandla (imvamisa iphathwa nge-laser ngokuhlangana nezinye izindlela zokwelapha)
- Izibazi ezinkulu kakhulu noma ezijulile
Ngaphambi kokucabangela ukwelashwa nge-laser, kubalulekile ukuthi uhlobo lwesibazi sakho nokufaneleka kwakho kuhlolwe udokotela oqeqeshiwe ukuze ukhethe uhlobo olufanele lwe-laser.
Ukukhetha udokotela nesikhungo esifanele kubalulekile
Ukusebenza kokwelashwa kokukhipha isibazi nge-laser kuncike kakhulu ezingeni lekhono lomsebenzisi. Lapho ukhetha udokotela, naka lokhu okulandelayo:
- Isitifiketi:Qinisekisa ukuthi udokotela unesizinda se-dermatology noma ukuhlinzwa kwepulasitiki kanye neziqu ezifanele zokuhlinza nge-laser. Phela, udokotela wesikhumba oqinisekisiwe kuphela ongaqinisekisa ukwelashwa okuphephile kwezinhlobo ezahlukene zezibazi.
- Isipiliyoni:Buza udokotela mayelana nolwazi lwabo oluthile kanye nezifundo zecala ekwelashweni kwesibazi nge-laser.
- Izisetshenziswa ezithuthukile:Imishini ye-laser esetshenziswa ezikhungweni zezokwelapha ezihlonishwayo kufanele iqinisekiswe ngamazinga okuphepha kazwelonke. Uma usebenzisa umtholampilo noma isikhungo sesikhumba, qiniseka ukuthi uthenga{1}}ikhwalithi ephezulu, okokusebenza kwe-laser ephephile kubakhiqizi abathembekile (abafana ne-Newangie).
Kubalulekile ukuthi ungahehwa ukukhangisa okweqile noma{0}}amaphromoshini amanani aphansi; ukuphepha nokusebenza kufanele kube yizinto ezicatshangelwayo.
Ukuhlolwa Okuphelele Kwezempilo
Ngaphambi kokuthola ukwelashwa, udinga ukuchaza kabanzi ngesimo sakho kudokotela wakho. Udokotela oqeqeshiwe uyobe esehlola ukuthi ingabe ungumuntu ofanele yini ukwelashwa nge-laser. Ungalashwa ngokungaboni.
- Uhlobo Lwesikhumba: Izinhlobo ezahlukene zesikhumba ziphendula ngendlela ehlukile kuma-laser. Isikhumba esinemibala singase sithambekele kakhulu ekubeni nebala.
- Ingabe unomkhuba wokuthuthukisa ama-keloid?
- Ingabe okwamanje usebenzisa i-retinoic acid, ama-anticoagulants, njll.?
- Ingabe unesifo sikashukela, ukuphazamiseka kwamasosha omzimba, njll.?
- Ingabe une-photosensitized noma awuzwani nezidakamizwa ezibulala izinzwa?
- Ingabe usanda kuthola okunye ukwelashwa kwezibazi?
Lolu lwazi luzosiza udokotela wakho ukuthi enze uhlelo lokwelapha lomuntu siqu, oluphephile, nolusebenzayo, kugwenywe ubungozi bezinkinga. Ngaphezu kwalokho, kubalulekile ukwazisa udokotela wesikhumba wakho ngemiphumela yokwelashwa okulindelekile. Ungafihli lutho; hlala uthembekile kudokotela wakho.
Ukuqonda Izinhlobo Ezihlukene Zama-Lasers kanye Nezicelo Zawo
Izinhlobo ezijwayelekile zokwelapha izibazi nge-laser zihlanganisa:
- Ama-Ablative Lasers (CO2 kanyeEr: YAG): Susa ungqimba lwangaphandle lwesikhumba, olusebenza kahle kakhulu ezibazini ezijulile, kodwa ludinga isikhathi eside sokululama (izinsuku ukuya emavikini).
- I-Fractional Lasers (Ablative noma -engeyona i-ablative): Khuthaza ukukhiqizwa kwe-collagen ngokudala umonakalo omncane olawulwayo-, uthuthukise ukuthungwa kwesikhumba, futhi ubangele umonakalo omncane esikhumbeni kunama-laser ablative ngokugcwele; ilungele ukwelapha izibazi zezinduna.
- Ama-Lasers-angewona ablative (Pulsed Dye Lasers, Nd:YAG Lasers): Ukushisa ngaphansi kwesikhumba ukuze kukhuthazwe ukukhiqizwa kwe-collagen, ukuthuthukisa ukubomvu nokuthungwa kwesikhumba ngaphandle kokukhipha ungqimba lwesikhumba; isikhathi sokululama sifushane kakhulu.
I-laser ngayinye inezinkomba zayo ezithile. Udokotela wakho uzokhetha ithuluzi elifaneleka kakhulu noma inhlanganisela yokwelashwa ngokusekelwe ohlotsheni lwesibazi sakho (i-atrophic, hypertrophic, keloid) kanye nesikhumba.
Ukwelashwa nge-laser akukwazi ukususa ngokuphelele izibazi
Ngokuthuthuka okuqhubekayo kwemakethe yobuhle bezokwelapha, ukwelashwa nge-laser sekuyisinqumo esikhethwayo sokususwa kwezibazi. Ikhiqiza ukushisa okulawulwayo, okuthi:
- Ikhuthaza isikhumba ukuthi sikhiqize i-collagen entsha ne-elastin, ngaleyo ndlela isuse ukudangala
- Ithuthukisa ukubukeka nokuthungwa kwezibazi
- Ilungisa kabusha izicubu zezibazi, inciphise ukujiya, ubuhlungu, nokuluma
Ukwelashwa nge-laser kungenza izibazi zibonakale zingabonakali, kodwa akukwazi ukuzisusa ngokuphelele. Umgomo ngokuvamile uwukudala isibazi esisha esingabonakali ukuze singene esikhundleni sesibazi sokuqala, ukusivumela ukuthi sihlangane kangcono nesikhumba esizungezile. Lokhu kudinga izikhathi eziningi kanye nendlela eyenziwe ngokwezifiso ukuze kuzuzwe imiphumela engcono kakhulu.
Ukwazi Izingozi Ezingenzeka kanye Nemiphumela Emibi
Nakuba ukwelashwa nge-laser kuphephile uma kuqhathaniswa, ezinye izingozi zisekhona:
- Imiphumela{0}}yesikhathi esifushane:Ububomvu, ukuzwa ukushisa, nobuhlungu obuncane kungase kwenzeke ngemva kokwelashwa, kodwa lokhu kungokwesikhashana futhi ngokuvamile kuyancipha ngokwazo phakathi nezinsuku ezimbalwa.
- Izinguquko ze-pigmentation:I-hyperpigmentation yesikhashana noma engunaphakade noma i-hypopigmentation ingase yenzeke.
- Ukutheleleka:Okungavamile kodwa kungenzeka, ikakhulukazi ngokunakekelwa okungafanele.
- Ukwanda kwezibazi:Ukusebenza okungalungile kungenza izibazi zibonakale kakhulu.
Ukuqonda ngokugcwele lezi zingozi kuzokusiza uzilungiselele ngokwengqondo ukwelashwa futhi uthathe izinyathelo ezifanele zokuzinciphisa.
Ukunakekelwa kwangaphambili- nokuthunyelwe{1}}kokwelashwa nge-laser kubalulekile
Uma ungazilungiseleli kahle ngaphambi nangemva kokwelashwa, kuzothinta kakhulu imiphumela yakho yokwelashwa oyifunayo. Ngibhale izinyathelo zokuphepha zereferensi yakho. Uma usenokungabaza, thintana nodokotela onguchwepheshe, uchaze izidingo zakho, futhi uthole iseluleko sokwelashwa komuntu siqu.
Ukulungiselela{0}}ngaphambi kokwelashwa:
- Gwema ukuchayeka elangeni okungenani amaviki ama-2 futhi usebenzise i-sunscreen.
- Yeka ukusetshenziswa kwemikhiqizo ye-retinoid amaviki angu-1-2.
- Yazisa udokotela wakho ngayo yonke imikhiqizo ye-skincare nemithi oyisebenzisayo.
- Gcina isikhumba sakho sihlanzekile ngosuku lokwelashwa, ugweme noma yikuphi ukwakheka noma izinsalela zikawoyela.
Thumela-ukunakekelwa kokwelashwa:
- Sivikele ngokuqinile isikhumba sakho elangeni usebenzisa i-sunscreen ene-SPF 30 noma ngaphezulu.
- Gcina indawo ephathwayo ihlanzekile futhi yomile.
- Sebenzisa ama-ointments okulungisa noma ukugqoka njengoba kushiwo.
- Gwema ukunwaya noma ukuxebula utwayi.
- Gwema ukujima okukhandlayo kanye{0}}nezindawo zokushisa eziphezulu isikhathi esifushane.
- Ukunakekelwa okuhle kukhuthaza ukuphulukiswa, kunciphisa izinkinga, futhi kuthuthukisa imiphumela yokwelashwa.
Misa okulindelekile okungokoqobo
Ukwelashwa kwe-laser kungathuthukisa kakhulu ukubukeka kwezibazi, kodwa ngokuvamile akukwazi ukuziqeda ngokuphelele. Imigomo engokoqobo ihlanganisa:
- Ukunciphisa ububomvu noma ukufiphala kwezibazi
- Ukushelela izibazi eziphakanyisiwe
- Ukuthuthukisa i-contour yezibazi ezicindezelekile
- Ukwenza ukuthungwa kwezibazi kufane nesikhumba esivamile
- Ukunciphisa ukulunywa noma ukungakhululeki okubangelwa izibazi
Ngaphambi kokwelashwa, ungakwazi ukuxhumana ngokugcwele nodokotela wakho ngalokho okulindele, ozokunikeza ukubuka kuqala kwemiphumela engenzeka ngokusekelwe esimweni sakho sesibazi.
Ungase udinge ukwelashwa okuningi
Izibazi zezinduna ezimaphakathi zingadinga ukwelashwa okumbalwa, kuyilapho izibazi ezijulile noma ezibanzi ngokuvamile zidinga okwengeziwe.
Uma uthola ukwelashwa nge-laser ablative (okunesikhathi sokululama eside uma kuqhathaniswa), ngokuvamile uzodinga ukwelashwa okwengeziwe kunokwelashwa nge-laser -okungeyona i-ablative laser (okunesikhathi esifushane sokululama).
Izibazi ezindala zingadinga ukwelashwa okwengeziwe, futhi impendulo yesikhumba sakho ekwelashweni izophinde ibe nomthelela ohlelweni lokwelapha.
Ukwelashwa kwezibazi nge-laser ubuchwepheshe bezokwelapha obuyindida obunikeza abantu abaningi ithuba lokuthuthukisa ukubukeka kwabo nokuthuthukisa ukuzethemba kwabo. Nokho, isihluthulelo sempumelelo sisekuqondeni okuphelele, ukukhetha unolwazi, nokubambisana ngenkuthalo.
Uma ucabangela ukususwa kwesibazi nge-laser, indlela engcono kakhulu yokunquma ukuthi ikulungele yini ukuthintana nodokotela onguchwepheshe ukuze uthole ukuhlolwa okuphelele kwesimo sakho esithile kanye nokuqonda yonke imininingwane efanele. Ngokwelashwa okuqeqeshiwe nokunembayo kanye nokulindela okunengqondo, maningi amathuba okuba uthole imiphumela egculisayo.
Kubalulekile ukukhumbula ukuthi isikhumba nezibazi zawo wonke umuntu kuhlukile, futhi izinhlelo zokwelapha kufanele zifanelane nomuntu ngamunye.
