I kēia lā e ulu wikiwiki nei i nā lāʻau lapaʻau maikaʻi, ua hoʻololi ʻo Q-Nd: YAG lasers e paʻa i kahi kūlana koʻikoʻi. Ma muli o kā lākou hāʻawi ʻana i ka ikehu pololei, palekana mālama, a me nā hopena koʻikoʻi,Ua hoʻololi ʻo Q-Nd: YAG lasersua lilo i ʻenehana maʻamau no ka hoʻoponopono ʻana i nā pilikia pigmentation ʻili. E hāʻawi ana kēia ʻatikala i ka nānā ʻana o kēia ʻenehana a manaʻo ʻia nā mea kaulana Q-switch Nd: YAG laser ma ka mākeke.
He aha ka Q-hoololi Nd: YAG laser?
ʻO ka mua, Nd: YAG (neodymium-doped yttrium aluminum garnet) ka mea hana o ka laser, e hana ana i ke kukui laser ma nā lōʻihi nalu kikoʻī, ʻo 1064nm a me 532nm.
ʻO ka lua, a ʻo ka mea nui loa, ʻo ia ka ʻenehana "Q-switched". He ʻenehana kēia no ka loaʻa ʻana o ka ikehu kiʻekiʻe, haiki{3}}pulse laser pulse. ʻOiai e hoʻopuka mau ana nā lasers maʻamau i ka ikehu, hiki i nā kī Q- ke hoʻopaʻa a hoʻokuʻu i ka ikehu laser i loko o ka manawa pōkole loa (ʻo ka maʻamau he mau nanosekona wale nō, 1 nanokekona=hoʻokahi biliona o kekona), e hana ana i ka pulupulu ikaika me ka mana kiʻekiʻe loa. ʻO kēia hiʻohiʻona e hiki ai i ka laser ke wāwahi koke i nā ʻāpana puaʻa pahuhopu i loko o ka lepo me ka ʻole e hoʻopōʻino i ka wela i ka ʻili maʻamau a puni, e loaʻa ai kahi hui maikaʻi o ka "pili i ka photothermal decomposition" a me ka "photoacoustic effect." Manaʻo ʻia he hopena palekana a maikaʻi hoʻi no nā pilikia ʻili, me nā hopena maʻamau e ʻike ʻia ma hope o 3-6 mau lapaʻau.
No ke aha i kaulana loa ai ka ʻenehana laser Q-Nd:YAG?
ʻO ka kaulana mau loa o Q-switched Nd:YAG ʻenehana laser ma ke kahua o ka cosmetic dermatology ma muli o kāna mau mea maikaʻi ʻole:
Nā lōʻihi nalu ʻelua, ka hoʻohana ākea:
Hoʻohana ka mea hana i nā hawewe 1064nm a me 532nm. Hoʻopili maʻalahi ka nalu 532nm e nā puaʻa ʻulaʻula a me ka ʻulaʻula, e kuhikuhi pono ana i ka pigmentation epidermal e like me nā freckles a me nā kiko makahiki. ʻO ka nalu 1064nm, me kona komo hohonu ʻana, e kuhikuhi pono ana i ka uliuli a me ka melanin i loko o nā dermis, e like me ka nevus o Ota a me nā peʻa.
ʻIke pololei, pōʻino liʻiliʻi:
Ma muli o kona pōkole loa o ka laula pulse (<6ns), it can break down pigment particles before they can transmit heat to surrounding tissues after absorbing light energy, achieving truly "non-invasive" or minimally invasive treatment on normal skin.
Nā hopena koʻikoʻi, ka manawa hoʻihoʻi pōkole:
Ke hoʻohālikelike ʻia me nā peels kemika kahiko a i ʻole dermabrasion, ʻoi aku ka pololei o ka lapaʻau laser hoʻololi ʻia, ma muli o ka ʻulaʻula a me ka pehu ʻana ma hope o ka mālama ʻana, nā ʻōpala lahilahi a ʻike ʻole ʻia paha, a me ka hoʻopilikia liʻiliʻi i ka hana maʻamau a me ke ola, no laila e loaʻa ai ka inoa o ka "lāʻau nani i ka wā awakea."
Nā mea hoʻohana lapaʻau maʻamau:
Hiki ke hoʻohana ʻia kēia mea nani no ka wehe ʻana i ka peʻa, akā no ka hoʻomaikaʻi ʻana i ka pigmentation, wehe i ka melasma, nā sunspots, a me nā ʻāpana makahiki, mālama i nā ʻeleʻele, nā hōʻailona hānau, a me ka hoʻolalelale ʻana i ka ʻili. 'O ia ho'i, 'a'ole pono 'oe e kū'ai hou aku i nā mea hana ho'okahi-ho'okahi, e mālama nui ana i nā koina a me ka hakahaka.
Kūpono no nā ʻili ʻili like ʻole:
Q-hoololi Nd:YAG lapaau laser kupono no na kanaka o kela a me keia ano ili. No ka poʻe me nā ʻili ʻeleʻele, manaʻo ʻia ʻo ia kekahi o nā koho palekana.
He aha nā pilikia ili hiki iā ʻoe ke mālama me Q-switched Nd: YAG ʻenehana laser?
Mahalo i kāna mau hiʻohiʻona ʻelua -ʻano lōʻihi nalu, ua hoʻololi ka Q-Nd: YAG laser i ka hapa nui o nā pilikia ʻili pigmented:
- ʻO nā maʻi pigmentation epidermal:ʻo ia hoʻi nā ʻeleʻele maʻamau, nā lā, nā kiko -au{1}}lait, nā kiko makahiki, a me nā ʻano keratosis seborrheic like ʻole. ʻO kēia mau kiko maʻamau ka wehewehe maikaʻi-a me ka ʻeleʻele i ka waihoʻoluʻu, a hiki ke hoʻoneʻe ʻia me ka hoʻohana ʻana i ka lōʻihi hawewe 532nm.
- Nā maʻi pigmentation dermal:No ka nevus congenital o Ota a me nevus o Ito, hiki i ka nalu 1064nm ke komo i loko o ka epidermis a hiki i ka dermis, e wāwahi ana a wehe i nā pūpū puaʻa hohonu.
- ʻO ka pigmentation exogenous:nā peʻa like ʻole, nā peʻa kuʻemaka, a me nā peʻa eyeliner. Inā he hoʻolālā peʻa ʻoihana a i ʻole nā waiho pahū lepo i kū ʻole ʻia, ʻo nā lasers hoʻololi Q{1}}ʻo ia ka hopena makemake no ka wehe ʻana i ka peʻa.
Ma waho aʻe o ka wehe ʻana i nā kīnā a me nā peʻa, Q-switched Nd:YAG lasers hiki ke mālama i nā pilikia ʻili he nui:
- Hoʻoulu hou i ka ʻili:Hoʻomaikaʻi i ke ʻano o ka ʻili, hoʻoikaika i ka hana collagen, a hoʻemi i nā laina maikaʻi, wrinkles, a me nā pores i hoʻonui ʻia.
- Hoʻoponopono i ka ʻāʻī:Mālama i nā ʻeleʻele, hōʻemi i ka ʻeleʻele ʻeleu, a hoʻonā i -aʻe erythema.
- ʻO nā maʻi vascular:Kuhi ʻia ka spider angiomas, telangiectasia, a me kekahi mau hōʻailona hānau vascular.
- Wehe lauoho:ʻOiai ʻaʻole ia he lapaʻau mua me nā lasers hoʻololi Q-, ʻoi aku ka maikaʻi o kekahi mau lasers lōʻihi -Nd:YAG no ka wehe ʻana i ka lauoho mau.
He aha nā mea e mālama ai ma mua a ma hope o ka mālama ʻana?
No ka hōʻoia ʻana i ka palekana a me ka maikaʻi o ka mālama ʻana, he mea koʻikoʻi ka hoʻomākaukau pono a me ka mālama hope.
Mamua o ka -hoomakaukau:
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Kūkākūkā ʻoihana:
Pono ka loiloi e ka dermatologist akamai e hoʻoholo i ke ʻano o ka pigmentation a kāpae i nā contraindications.
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Palena lā:
Hōʻalo i ka ʻike nui ʻana i ka lā no kekahi mau pule ma mua o ka mālama ʻana i mea e pale ai i ka hana melanin i loko o ka ʻili, hiki ke hoʻonui i ka pilikia o ka hyperpigmentation ma hope o ka mālama ʻana.
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Hoʻopau i nā lāʻau photosensitizing:
E hahai i nā ʻōlelo aʻoaʻo a kāu kauka e hoʻopau i nā lāʻau lapaʻau a i ʻole nā huahana mālama ʻili e hoʻoulu ai i nā hopena photosensitivity.
ʻO ka mālama ʻana i ka wā mālama:
He mea maʻamau a maʻa mau ke kani ʻana a me ka ʻā ʻana, e like me ke kāʻei paʻa i ka ʻili. Na ke kauka e hoʻoponopono i nā ʻāpana lapaʻau e pili ana i kou ʻili a me nā loli i ka pigmentation. No nā hihia paʻakikī e like me ka wehe ʻana i ka peʻa, pono paha nā hoʻolālā lapaʻau kūikawā, e like me ka hoʻoulu mua ʻana i kahi -i kapa ʻia "photoacoustic effect" me ka ikaika haʻahaʻa a me ka nānā pono ʻana i ka hopena o ka ʻili no ka pale ʻana i ka hoʻōla ʻole.
Pehea e hoonui ai i ka -hopena lapaau?
Hiki i ka ʻenehana laser hoʻololi Q{0}}kiʻekiʻe ke hāʻawi iā ʻoe i nā hopena lapaʻau maikaʻi loa, akā ʻaʻole lawa ka hilinaʻi wale ʻana i kēia e loaʻa ai nā hopena mau loa. Hoʻoholo pololei ka mālama ʻana ma hope o ka mālama ʻana i ka hopena hope loa a me ka loaʻa ʻana o nā pilikia, e lilo ia i ʻāpana koʻikoʻi o ke kaʻina hana holoʻokoʻa.
- Hoʻoluʻu koke:Ma hope koke o ka mālama ʻana, e hoʻopili i nā ʻeke hau a i ʻole nā maka hoʻoluʻu i ka wahi i mālama ʻia e hōʻemi i ka pōʻino wela a me ka ʻulaʻula.
- Malama ʻeha:Ma hope o ka lapaʻau ʻana, ʻike ʻia ka ʻili a hinahinahina -keʻokeʻo a ʻulaʻula iki paha. E mālama i ka maʻemaʻe a maloʻo ka ʻeha, a e hoʻopili i ka hamo lāʻau antibiotic a i ʻole -ʻaila hoʻōla e like me ka ʻōlelo a kāu kauka. Inā ʻike ʻia nā pehu, mai uhaʻi; e ʻae iā lākou e komo maoli a mālama ʻia paha e ke kauka.
- Palena Lā Koʻikoʻi:ʻO kēia ka mea koʻikoʻi o ka mālama ʻana ma hope o ka -mālama. ʻO ka hoʻoheheʻe Ultraviolet kahi kumu nui o ka pigmentation; no laila, pono ka ho'ohana 'ana i ka pale kino kino o ka lā (nā papale, nā parasol) a me -SPF ākea-ki'eki'e ma hope o ka mālama 'ana.
- Mālama ʻili mālie:E hōʻalo i ka hoʻohana ʻana i nā huahana mālama ʻili i loaʻa nā mea hoʻonāukiuki e like me ka waiʻona, nā huaʻakika, a me ka waikawa salicylic. E koho i nā huahana mālama ʻili maʻalahi, -mākaʻikaʻi me nā waiwai hoʻihoʻi.
- E hoʻomanawanui:E hāʻule maoli nā ʻōpala i nā lā 5-7. Mai ʻohi a ʻohi paha iā lākou. ʻO ka mae ʻana o nā kiko pigmentation kahi kaʻina lohi a koi pinepine i nā lāʻau lapaʻau (ma waena o 1-3 mau mahina) e hoʻokō i ka hopena i makemake ʻia.
Ke koho 'ana i ka Q-Kūpono Nd: YAG Laser mai ka Mea Hana Pono
No nā keʻena lapaʻau a i ʻole nā keʻena uʻi, ke koho ʻana i ka hana kiʻekiʻe, paʻa, amea hilinaʻiʻo ia ka pōhaku kihi o kā lākou ʻoihana. Ke koho ʻana i kahi mea hana, pono e noʻonoʻo pono ʻia nā ʻano aʻe:
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Nā palena ʻenehana:
E noʻonoʻo i ka laulā pulse o ka hāmeʻa, ka paʻa o ka ikehu, inā hiki ke hoʻololi ʻia ka nui o ka wahi, a inā loaʻa nā hawewe 1064nm a me 532nm.
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Brand a me nā palapala hōʻoia:
E koho i -mea kaulana loa me nā palapala hōʻoia mana honua e like meCE/FDA/NMPA, a me nā mea hana kaulana me nā mea kūʻai aku ma ka mākeke honua, e like me Newangie. Hōʻoia ka palapala hōʻoia i ka maikaʻi o ka mea hana, ka pono lapaʻau, a me ka palekana o ka mea kūʻai aku.
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Nā hihia lapaʻau:
E nīnau me ka mea hana hana inā loaʻa iā lākouwikiō lapaʻau maolia me nā noiʻi hihia mea kūʻai aku e kākoʻo i ka pono a me ka palekana o ka mea hana.
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Ma hope o -lawelawe kuai:
Pono ka mea hana hilinaʻi e hāʻawi i nā lawelawe kākoʻo hoʻonohonoho piha, hoʻomaʻamaʻa, mālama, a me nā lawelawe kākoʻo ʻenehana. Loaʻa pinepine nā mea kūʻai me ka -manawa lōʻihi ma hope o-kūʻai hōʻoia; no laila, he mea koʻikoʻi ke koho ʻana i kahi mea hoʻolako kaulana a mākaukau.
I ka hopena, ua hoʻololi ʻo Q-Nd: YAG lasers, me kā lākou pololei, kūpono, a me ka palekana, ua lilo i mea ikaika nui i ka hoʻoponopono ʻana i nā pilikia ʻili pigmented. Inā he maʻi ʻoe e ʻimi nei e wehe i nā kīnā a i ʻole kahi keʻena lapaʻau e nānā ana e hoʻolauna i ka ʻenehana holomua, hiki i ka Q-switched Nd: YAG lako laser hiki ke hāʻawi i nā hopena i makemake ʻia.
Inā ʻoe e noʻonoʻo nei e hoʻolauna i kēia mea hana laser e hoʻoponopono i nā pilikia ʻili a i ʻole e hoʻonui i kāu ʻoihana, hiki iā mākou ke hāʻawi iā ʻoe i ka ʻike huahana kikoʻī, ka hoʻomaʻamaʻa hana, a me ke kākoʻo kūʻai aku, lilo i hoa pili pono.
