Abanye besifazane basebenzise ama- botox injection iminyaka eminingi ukuze balondoloze ubuhle, kanti abanye beqaphele lezi zinqubo, ngemuva kokulalela ukubuyekezwa okungajabulisi. Mhlawumbe kungenxa yokuntuleka kolwazi, ngoba akubona wonke umuntu owazi ngokuningiliziwe ukuthi yiyiphi i-Botox, ukuthi isebenza kanjani, futhi yimiphi imiphumela yokwelashwa kwe-botulinum.
Botox - kuyini?
Uma sicabanga ukuthi yi-Botox, yikuphi uhlobo lwezidakamizwa, kuyakudingeka ukwazi ngokushelela umlando wokutholakala kwalesi remedy. Isikhathi sokuqala mayelana nayo siye safunda ngekhulu le-19, lapho sitholakala i-agent causative ye-botulism - ibteri I-Clostridium botulinum. Lezi zincane zemvelo zenza izinhlobo eziningana ze-neurotoxin, enye yazo, njenge-serotype A, yinkimbinkimbi ephikisayo eyenza umsebenzi omkhulu wezinto eziphilayo. Ukutadisha kwalesi sici kubonise ukuthi kungabi nje ubuhlungu, kepha futhi nemithi.
Ngo-1946, isimo se-crystalline se-neurotoxin A satholakala ngaphansi kwemibandela yebholabhuthi, futhi eminyakeni embalwa kamuva kwindlela eyasungulwa ngayo izicubu zomzimba womuntu. Lapho i-toxin A ehlanjululwe futhi ehlanjululwayo yaqala ukusetshenziselwa ukwelashwa kwezifo zamehlo, "umphumela ohlangothini" othakazelisayo watholakala: uma ujojowe esigulini, imibimbi yanyamalala. Kusukela ngaleso sikhathi, i-neurotoxin isetshenziswe emithi yokwelapha, futhi emakethe yezokwelapha ukulungiswa kokuqala kwelungelo lobunikazi ngesisekelo sayo kwakuwukuthuthukiswa kwenkampani yaseMelika i-Allergan-Botox.
Botox isebenza kanjani emva kokuphatha?
Kuze kube manje, ayikaqali ngokuphelele ukuthi i-Botox isebenza kanjani, kodwa izixhumanisi eziyinhloko kulolu chungechunge lwemiphumela ziyaziwa. Ngemuva kokuba isidakamizwa sijojowe emisipha, okulandelayo kwenzeka:
- ukubopha ama-molecule we-botulinum i-toxin ngamaseli we-nerve fiber ends, lapho ama-molecule afakwa ngaphakathi kwamangqamuzana omzimba;
- ukuvinjelwa kokukhululwa kwe-acetylcholine - i-neurotransmitter eyenza ukuhanjiswa kwe-neuromuscular of impulses motor;
- izicubu zomzimba ziyeke ukuthola umyalo wokuthola isivumelwano, ngakho-ke zihlala zingenasimo esimweni esihlelekile.
Imiphumela enjalo iyaphawulwa uma umuthi usungulwa kunoma iyiphi i-muscle group. Kufanele kuqaphele ukuthi ububanzi be-ejenti bunqunywa inani, futhi ezinyangeni ezincane i-Botox ayithinti ukusebenza jikelele komzimba. Ngaphezu kwalokho, ayikho i-atrophy ye-muscle fibers engenamaphutha, njengoba igazi lazo ngenxa yenqubo aliphuli, lesi sidakamizwa siphula ukuxhumana phakathi kwe-nervous and muscle.
Botox isebenza isikhathi esingakanani?
Ngemuva kokujola kwe-Botox, ukuqala kokusebenza kwayo kugcinwa emva kwezinsuku ezingu-2-3, ukuphakama kubonakala ngemva kwamasonto amabili, futhi emva kwezinyanga ezingu-1.5, umphumela uyanyamalala kancane kancane. Uma i-Botox ingenwa ebunzini, umphumela ungabonakala zingakapheli amahora angu-24. Esikhathini esithile ukulungiswa kugxila endaweni yesingeniso, bese kuthi kungene emgodleni wegazi bese kuqedwa ngesikhathi sezinqubo zemvelo. Ukuvinjelwa kokudluliselwa kwemizwa ye-nervous to muscle fibers ngokusebenzisa amalungiselelo e-botulinum amakhemikhali kuyindlela eguquguqukayo.
Ngemuva kwezinyanga ezingu-4-6, ukubuyisana kwemisipha kuvuselelwe ngokugcwele, okufezwa ngezinqubo ezilandelayo:
- ukuvela kwezinqubo ezintsha ze-lateral ku-terminal ye-nerve evinjiwe;
- ukudala ukuxhumana phakathi kwezinqubo ezintsha ze-neural kanye nama-muscle tisses;
- ukuhlanganiswa kwezidakamizwa ezibhekene nokudluliselwa kwemizwa yezinzwa.
Ubude bezenzo ze-neurotoxin A izidakamizwa zithonywa yizici eziningana, phakathi kwazo:
- ukutholakala komuntu ngamunye komzimba ku-agent;
- ikhwalithi yemithi;
- ukulungisa kwenqubo;
- ukukhathazeka kokuqaliswa kwesiguli kwezincomo emva kokujola.
Botox - izinkomba zokusetshenziswa
Uma sicabanga ukuthi yi-Botox, yiziphi izici ezisetshenziswayo, izinkomba zokuphathwa kwalesi sidakamizwa zingahlukaniswa ngezidakamizwa nasezicathulweni. Ake sibhale ukuthi yiziphi izibonakaliso zeBotox ensimini yezokwelapha:
- hyperhidrosis yendawo;
- blepharospasm;
- i-hemispasm ebusweni;
- i- strabismus ekhubazekile ;
- i-dysphonia spastic;
- i-bruxism;
- i-spasm ye-sphincter ye-rectum;
- isisu esincane;
- i-tics;
- ikhanda lokuhlukunyezwa ;
- i-vaginismus ;
- i-dystonia emaphethelweni kanye nabanye.
Emkhakheni wezithokozi, umphumela weBotox usebenza ekubhebhethekeni kwemibuso yobuso:
- imibimbi ephikisanayo ephakathi;
- amaphuphu angemuva ebunzini;
- izinhlanzi ze-nasolabial;
- " Izinyawo Crow sika ";
- imibimbi ngemuva kwempumu, impuphu njalonjalo.
Ngaphezu kwalokho, ukuze kuvuselelwe izidakamizwa kusetshenziselwa ukulungisa iziphambeko ezinjalo:
- Umomotheka "Gingival";
- ukunqwabelana kwamajwabu angaphezulu;
- ehlisa izingxenyana zezindebe;
- imibimbi entanyeni nase-decollete.
Ukusetshenziswa kwe-toxin ye-botulinum
Ngokokuqala ngqa, ukusetshenziswa kwe-toxin ye-botulinum ekwelashweni kwaqalwa (i-Botox yasetshenziselwa ngokumelene ne-strabismus), futhi izifundo zisenziwa kuze kube yilolu suku ukuze kutholakale lesi sifo ngezifo ezihlukahlukene, ngokuvamile zihambisane nokungahambisani nomzimba okungavamile. Ngenxa yokwethulwa kwesidakamizwa emisipha ethintekile, ubuhlungu buyancipha, ukuhamba kwamalunga kuyahliswa, ngaleyo ndlela kuthuthukiswe izinga lokuphila kweziguli.
Ukusetshenziswa kwe-botulinum toxin ku-cosmetology
Abesifazane abaningi abaqaphela imibimbi ngaphezulu ebusweni babo baqala ukuzibuza ukuthi yiyiphi i-Botox, nokuthi ngabe bayisebenzisa yini lesi sidakamizwa sokuvuselelwa. Ukushisa kwe-botulinum ku-cosmetology kusetshenziselwa ukuzithokozisa imisipha yomzimba, ukuze isihluthulelo sesikhumba siqale ngokushesha. Kuzuzisa ukuqonda ukuthi lezo zibopho zesikhumba kuphela, ezakhiwe ngenxa yobuso obubonakalayo, ziyakwazi ukulungisa lokho. I-Botox kusuka kumibhikane ehambisana nokunciphisa iminyaka yobukhiqizi be-collagen ku-dermis, ayikwazi ukuqeda.
Ukusetshenziswa kwe-botulinum toxin ku-neurology
Inamba enkulu yezifo zezinzwa zihlotshaniswa nokukhushulwa kwe-muscular, contractionary muscle contractions noma spasms. Ngakho-ke, i-botulinum ye-botulinum ye-neurology inikeza amathuba amaningi okwelashwa kweziguli eziphethwe yizifo ezinjalo, lapho ezinye izindlela zokwelapha zingasebenzi noma ziphikisana.
I-Botox iphumelela kusuka ku-hyperhidrosis - ukujuluka okukhulu ngokweqile endaweni yama-axillary amabhasi, izintende zezandla, izinyawo. Njengoba kuvele, le nto ingakwazi ukuphazamisa ukuxhuma hhayi nje kwe-nervous ne-muscle, kodwa futhi phakathi kwe-nerve ne-sweat gland. Ngenxa yalokho, i-sweat gland empeleni ivinjelwe. Kuyaqondakala ukuthi ukwelashwa kwe-botulinum kungaphathwa kuphela ngokuthuthumela okukhulayo kwemvelaphi yezinzwa, okuvame ukuqala kusukela ebuntwaneni noma ekufikeni kwentsha futhi kuphelile.
I-Botox iyasiza kusuka ku- bruxism- i-pathology lapho, ngenxa ye-hypertonicity yemisipha yokuhlafuna, iziqephu zokugaya amazinyo zivela njalo. Iziguli zingase zihlwithwe ubuhlungu endaweni ephansi yomhlathi, ukulimala ku-coil koqweqwe lwezinyo kuyabonakala, futhi izinguquko ezishintshayo kamuva zomhlangano we-temporomandibular zingakhula. I-toxin ye-botulin isebenza kahle uma i-bruxism inezimbangela zengqondo noma zezinzwa, kuyilapho ijojowe ekuhloleni futhi ngezikhathi ezithile imisipha yesikhashana.
Ukufakelwa kanjani kwe-Botox?
Kufanele wazi ukuthi into enjalo njengeBotox inelungelo lokufaka izicelo ezigulini kuphela ochwepheshe abaqeqeshiwe kakhulu - i-cosmetologist, i-dermatologist, i-neurologist, udokotela ohlinzayo weplastiki. Izinsuku ezimbalwa ngaphambi kokuba inqubo udinga ukuyeka ukusebenzisa utshwala, ukuzikhandla ngokomzimba okukhulu. Ngaphezu kwalokho, kungadingeka ukuthi ukhansele imithi ethile, okufanele ixoxwe nodokotela wakho. Kuye ngokuthi i-Botox izosetshenziselwa yini endaweni, izilinganiso zezidakamizwa zikhethiwe ngabanye. Inqubo yonke ithatha imizuzu engu-20-30.
Kulungile ukwenza noma ukwenza izijovo ze-Botox?
Ake sicabangele izigaba eziyinhloko, njengoba ama-Botox injection enza:
- Ngaphambi komjovo, izindawo zokulawulwa kwezidakamizwa zizinqunywe, ukwelashwa kwe-antiseptic yesikhumba kwenziwa, futhi ngezinye izikhathi ukuhlinzekwa kwezidakamizwa zendawo kuyasetshenziswa.
- I-Electromyography yenziwa - isifundo esivumela ukuthi kulinganiswe umsebenzi wezinto eziphilayo zezinhlanzi, lapho amaphuzu lapho imijovo yenziwe khona iyokhethwa ngokunembile futhi ichazwe.
- Lezi zijovo zenziwa ngeziringane ezinezinaliti ezincane kakhulu, ezifakwe ku-7-10 mm ejulile engeni lika 45 noma 90 degrees.
- Isikhumba siphinde siphathwe nge-antiseptic.
- Emva kwenqubo, kuyadingeka ukuthi isiguli sihlale ngaphansi kokulawulwa kwezokwelapha ngehora. Kubalulekile, ukuthi ekufinyeleleni kwemiphumela engathandeki ngesikhathi esisodwa usizo lwenziwa.
Khona-ke ungakwazi ngokushesha ukuqala ibhizinisi lansuku zonke, kodwa njalo ngezinye izincomo nemingcele:
- indawo yomjovo kufanele ivinjelwe amahora angu-4-5 ngangokunokwenzeka;
- Ngemuva kokujola kufanele okungenani amahora angu-5 ukuhlala endaweni eqondile;
- Ungagcoki indawo yokuphathwa ngodokotela;
- ezinsukwini ezimbalwa, gwema ukuvakashela i-sauna, ukugeza, i-solarium, ibhishi, ama-tubs ashisayo.
Ngingafaka kaningi kangakanani ukujova i-Botox?
Ngemuva kokusebenzisa izidakamizwa eziqukethe i-Botox, izithombe ngaphambi nangemva zibonisa izinguquko eziphawulekayo: isikhumba sishisiwe, siba ngaphezulu, sibonakala sincane kakhulu. Uma umphumela wenqubo uqala ukuphela, isifiso semvelo sowesifazane ukuwuphinda. Kufanelekile ukwazi ukuthi imijovo emisha ye-Botox ingenziwa uma imicu ye-muscle ibuyisela umsebenzi okungenani ngama-50%. Lesi sikhathi singumuntu ngamunye kuwo wonke umuntu, lokho udokotela anganquma. Ngokuvamile, amaseshini anconywa izikhathi ezingu-1-2 ngonyaka.
I-Botox - imiphumela emibi
Uma sicabanga ukuthi yi-Botox, umsebenzi wayo ophakeme, kufanele ulungele ukuthi izijovo ze-botulinum i-toxin zingabangela ukusabela kwesikhashana kwesikhashana, phakathi kwazo:
- ukubonakaliswa kwe-allergen;
- ukukhipha isisu;
- ukuvuvukala;
- ukuhlunga;
- ukuzwa kobunzima besikhumba;
- ikhanda;
- ukwephula ukuzwela kwesikhumba nabanye.
I-Botox injection - ukuphikisana
Ama-contraindications e-Botox analokhu okulandelayo:
- ukuxhunywa komuntu kwizingxenye ze-ejenti;
- izifo ezithathelwanayo ezithathelwanayo;
- izifo ze-neuromuscular;
- i-endocrine pathologies;
- izifo ezizimele;
- izifo zegazi, ukwephulwa kwe-coagulability yayo;
- izinqubo zokuvuvukala endaweni yomjovo;
- ukuqhuma ukwakha izibazi ze-keloid;
- i-myopia eqinile;
- i-glaucoma;
- ukukhulelwa, i-lactation;
- i-ptosis yezicubu zobuso, i-hernia yamahlombe aphansi;
- isidingo sokuthatha imithi ethile (ama-antibiotics, anticoagulants, antipyretics nabanye).
Imiphumela ye-Botox Stabs
Ngenxa yezenzo ezingafaneleki zabasebenzi bezokwelapha, ukungayinaki izincomo zesidokotela ngesiguli, ukusabela komuntu ngamunye, izinkinga ezinjalo kanye nemiphumela yeBotox ingase ibonwe:
- ushintsho oluphelele kanye nokwephulwa kwesimo sobuso;
- I-Atony ye-device ye-muscular facial;
- ukuphahlazeka nokuvuthwa kwamajwabu amehlo;
- umbono kabili emehlweni;
- ukulinganisa ubuso;
- ukwephulwa kwemisebenzi yokukhuluma.