Ama-scars akhulumi nje ngokungahambi ngokomzimba, kepha futhi nokukhathazeka kwengqondo, ikakhulukazi uma bekhona ebusweni noma ezindaweni ezimakwe kahle zomzimba. Ukwelapha i-Laser kubhekwa njengendlela ephumelela kakhulu yokuqeda lezi zinsalela. Ukuphumelela kwalo kanye nokugcina kokusebenza kuncike ekugulweni, ubukhulu kanye nohlobo lweziphambeko.
Ingabe laser upfacing usizo ukuvikela ngokumelene scarring?
Ukuqedwa kwezibazi ngendlela esetshenziselwa ngayo kubonisa ukuthi:
- ukulungiswa kwesipiliyoni sesikhumba;
- ukujwayelekile kombala wezicubu ezonakalisiwe;
- ukunciphisa ubunzima bokuntuleka.
Ukususwa ngokuphelele kwezibazi nge-laser kuyindabakwane. Umphumela omuhle kakhulu ufinyelela lapho uboya obushukela ku-80-90% kanti i-hue yesikhumba esithintekile ibuyiselwa. Ukuqeda ngokuphelele ukukhubazeka akunakwenzeka, ngoba ayitholakali engxenyeni yangaphandle (i-epidermis), kodwa ezinhlakeni ze-dermis. Amaseli ayo avamile angeniswa ngokungaqondakali ngamangqamuzana axhunyiwe.
Ngingayenza nini isikebhe se-laser?
Ukwelashwa okuchazweyo kunconywa ukuthi kwenziwe ezikhathini ezibandayo. Ngemuva kwezinqubo, kubalulekile ukuvikela isikhumba esiphathwa ngokucophelela emisebeni ye-ultraviolet, engabangela ukuguqulwa kwegazi, ngakho-ke i-laser scar scarfacing ishicilelwe ikakhulu ekwindla noma ebusika. Phakathi nalezi zinsuku, umsebenzi welanga uncishisiwe, futhi ingozi yamabala amnyama ezindaweni ezinezinhlamvu akuncane.
Ngaphezu kwalokho, kubalulekile ukubonana nodokotela ohlinzayo, emva kokungakanani ongakwenza ukuvuselela izikali zamapayipi. Ochwepheshe bacebisa ukuthi baqale ukwelapha izinyanga ezingu-4-6 emva kokuguqulwa kwezinguquko ezithinta izicubu ezinhlobonhlobo kanye ne-suturing. Kwezinye izimo, ukusheshisa ukwelashwa kuvunyelwe, kuxhomeke kuhlobo lwesici futhi ikhono lesikhumba lokuvuselela.
I-Laser abrasion of scars atrophic
Lezi zinhlayiya zakhiwa ngenxa yomshini wokulimala, ukulimala kwamakhemikhali noma ukulula okuqinile kwesidumbu (striae). Ngokuvamile banemibala ehlukile embala wesikhumba esiphephile. Ukugaya i-laser ye-scar atrophic kunikeza ukulinganisela okunye kwephutha futhi kunciphise ekujuleni kokugqoka kwawo. Ukususa ngokuphelele leso sikhumba asisebenzi, kodwa ngemuva kokuhamba, kuzobonakala kubuncane.
Ukuvuthwa kwe-Laser kwesikhala se-keloid
Leli fomu lesiphambeko lifana nesisu, kungukusabalala kwezicubu ezihlanganisayo. Umbala ochazwe ngenhla uhamba phezu kwesikhumba sonke futhi unombala ohlukile njalo. Ukususwa kocingo lwe-keloid nge-laser kuqinisekisa ukuthi ushintsho lwawo lube uhlobo olujwayelekile futhi kulungele ukulungiswa kwe-epidermal relief. Inkambo yonke yokwelapha izosiza ukwenza ithoni yesikhumba yesikhumba.
I-Laser resurfacing of scars - ukuchasisa
Inhloso yalokhu kuqhutshwa kwenziwa kuphela yi-dermatologist ngokuhambisana nohlobo nobukhulu bezinhlamvu, izici zomuntu ngamunye zesiguli. Ukugcoba izibazi nge-laser akukhuthazwa okwesikhashana ngaphansi kwezimo ezilandelayo:
- ukukhulelwa;
- pathologies ezinzima ukuvuvukala;
- Ukubuyiselwa kwezifo ezingapheli;
- i-lactation;
- izifo ezithathelwanayo;
- izilonda zesikhumba ezivulekile ezindaweni zokuchayeka;
- ukuthatha imithi ethile.
Ukukhishwa kwama-laser okungafani nakwezinye izibazi ezimweni ezinjalo:
- i-psoriasis;
- izicubu eziphilayo, izimo ezinqanda;
- i-dermatitis;
- isikhumba esinzima sesikhumba;
- ukuthambekela okuvelele ukwakha i-keloids;
- isifo sikashukela mellitus;
- isithuthwane;
- izifo zesimiso se-dermis nezicubu ezixhunyiwe.
I-laser ivuselela kanjani izibazi?
Kunezinhlobo ezimbili zamadivayisi wokwenza ukwelashwa. Amadivaysi e-Erbium asusa ukukhuphuka kobumswakama emangqamuzaneni, okwenza ukuba ome ngokuphelele futhi aphephe. Ngesizo salo, izingqimba eziningana zesikhumba kancane kancane "zisuswe", ukuze ukukhululeka kwe-epidermis kusulwe. Lokhu kususwa kocingo ngumshini womshini kulungele kangcono ukwelashwa kwezibazi ze-keloid.
Idivaysi yefractional ishiya umonakalo omkhulu wesikhumba - amashubhu ngamanzi amancane angama-1500. Lokhu kukhishwa kwama-laser kwesikhumba kwenziwa kuphela endaweni yezibazi ezikhona, akuthinti ama-tissue aphilile. Ngenxa yokuvezwa kwesidumbu, i-fibroblasts iyasebenza, ukukhiqizwa okusebenzayo kwe-elastin ne-collagen kuqala. Ukucindezeleka kwe-Atrophic kuhlanganiswe ne-crust futhi kamuva igcwele isikhumba.
Ukuvuthwa kwe-Laser kwezibazi ebusweni
Izikhwama ezindaweni eziqakatheke kakhulu kunzima ukuzifihla izimonyo, zilimaza ngokuphawulekayo ukubukeka futhi zibuhlungu kakhulu isimo somzwelo, ikakhulukazi kwabesifazane. Ukuvuvukala kwe-Laser ebusweni bezinhlamvu ngemva kwe-acne noma ukuxhaphazwa kokuhlinzwa kusiza ukuqeda izingqinamba ezingokwengqondo. Njengoba ukwelashwa okwanele kwezibazi nge inhlanganisela ye-hardware, umjovo nezindlela zokwelapha zokwelapha, kungenzeka ukufezekisa ukunyamalala kwe-85-95%.
Ukuvuthwa kwe-Laser yezibazi ze-post-acne
Ngemuva kokuqeda u- acne, ubuso ngokuvamile bunemibala enemibala emnyama. Ngokuhamba kwesikhathi, umbala walezi zibazi uvame futhi awufani nesikhumba sempilweni, kepha ukukhululeka kugcinwa futhi kuqiniswe. I-Laser resurfacing of scars ngemuva kwe-acne iqhutshwa ngamadivaysi ama-fractional. Kuye ngenani kanye nobukhulu beziphambeko, kudingeke ukuthi kudingeke ukuthi kuqhutshekwe izifundo ezingu-4-12.
Ukuvuthwa kwe-Laser kwe-scars emva kwe-blepharoplasty
Ukuphakanyiswa kwejwabu lezokwelapha kuhambisana nokuhlanganiswa okuncane, okuphilisa ngaphakathi kwamasonto amane. Phakathi nalesi sikhathi, kukhona amacembe angama-pink ezindaweni zokuhlinzwa kwepulasitiki, kuzodingeka zigcotshwe ngezindlela zokuziqhenya. Ngemuva kwezinyanga ezingu-2-3, izingxenye zesikhumba zikhanya, ziphephe ngaphezu kwe-epidermis, futhi cishe azibonakali.
Uma emva kwamasonto angu-20-25 ngemuva kokusebenza izibazi zihlala zibonakala kakhulu, noma udinga ukulungisa umbala wazo nokukhululeka, ungadlula inkambo emfushane ye-hardware ukukhishwa kwephutha. Ukubomvu emva kokukhishwa kwe-laser kwamacembe ngeke kudlule isikhathi esingaphezu kweviki, futhi umphumela omuhle uzozibonakalisa ezinsukwini ezingu-3-4. Ngezikhathi ezingu-3-5, ukujula nokusayizi kobuchopho kuzoncishiswa kakhulu.
Ukuvuthwa kwe-Laser ye-scars ngemva kokushisa komlilo
Lolu hlobo lomonakalo lukhuni kakhulu ukuqeda ngenxa yemvelo yezinguquko emathisini asondelene. Ngokumelene nesizinda kwanoma yikuphi ukushisa, ukukhishwa kwe- keloid enemingcele engavamile. Ukwesaba okunjalo kunomthelela ngokweqile, ukwandisa usayizi nokujula. Ngisho noma ususa isikebhe nge-laser, ingozi yokuvuselelwa kabusha kwamathiski angama-keloid ahlala ephakeme, ngakho-ke odokotela abahlinzayo abahlinzeki ngokuqinisekisa ukususwa okuphelele kwesici esichaziwe.
Ukuze kuthuthukiswe imiphumela yenqubo futhi kuncishiswe amathuba okuphindaphinda kwesibalo noma ukusabalala kwayo, indlela edidiyelwe inconywa. Ukushisa i-Laser yezibazi ezishisayo ngokuvamile kuvunyelwe ngokuhlanganiswa ne-irradiation yeziphene kanye nokwelapha izidakamizwa. Izindlela zokwengeza ezengeziwe zinikeza ukucindezelwa kokukhula kwamangqamuzana angenalutho nokuvimbela ukubukeka kabusha kwesibalo.
Ukulahla izibazi ezincane noma ukunciphisa kakhulu ukuqina kwawo kungenziwa ngezikhathi ezingu-3-4 ngekhefu lamasonto onke. Uma indawo ye-lesion ikhulu, kuzothatha izinqubo ezifika ku-11-12, futhi ukwelashwa okugcwele ngokuvuselelwa kuzothatha cishe izinyanga ezingu-4-5. Ngakho-ke ukwelashwa kwesikhumba kuyabuhlungu, ngakho-ke, indawo (ngamacici amancane) noma i-anesthesia jikelele isetshenziswa ngesikhathi sokuxhaphazwa.
Ukuvuthwa kwe-Laser yezinhlamvu zangemva kokusebenza
Ukungenelela okuhlinzekwayo kuhambisane nezinkomba zezicubu futhi suturing, ngemuva kokususwa kwezinto eziqhubekayo ezingathandeki. Inkambiso ethandwa kakhulu phakathi kwabesifazane i-laser resurfacing of the scar after afterarean section . Ngenxa yokuphikisana nokwelapha, okubandakanya ukuncelisa, ukulungisa uhlamvu olusha ngeke lusebenze. Ukuvimbela ukwakha inani elikhulu lezicubu ezixhunyiwe esikhundleni se-seam, ochwepheshe bayeluleka ukulungiselela ukuphathwa kabi kwemithi. Esikhathini sokuqala, kunconywa ukuthi ufake amafutha nama-gel ngokumelene nokulahleka.
Uma ufuna ukuqeda ukukhubazeka emva kwezinhlobo zezinqubo zokuhlinzwa, ungaqala ukwelashwa emva kwezinyanga ezingu-4-5.5 kusukela ngesikhathi sokuhlinzwa. Ngokushesha ukwelashwa kwesikhumba esithintekile nge-radiation laser kwenziwa, ngcono imiphumela yokwelapha kuyoba. Amacembe amasha kulula ukululaza futhi abushelelezi, abuyisele umbala wenyama. Ukukhubazeka okudala kokuthunyelwa komsebenzi kunzima kakhulu ukususa ngenxa yokujula nokuqina okukhulu.