ZIKOMO KWA ZIPANGIZO ZAMAKONO ZOFANANA NDI ULTRASOUND (HIFU), IONOPHORESIS NDI ZAMBIRI
Kafukufuku wasayansi wogwiritsa ntchito HIFU pochiza khungu
Timamvetsetsa bwino tanthauzo la ukalamba.
Zomwe zimafala pakukalamba pakhungu ndikulephera kuchita zinthu komanso kutha msinkhu. Popita nthawi, zotanuka, collagen ndi minofu yolumikizana mu dermis imachepa. Kutsekemera ndi mafuta ochepa amatha kuchepa.
Kukweza nkhope kumaso kwakhala njira yabwino kwambiri yochizira kufooka kwa khungu.
M'zaka zaposachedwa, ndikuwonjezeka kwakukulu pakufuna kwa odwala, chidwi chachikulu chaperekedwa kuzinthu zosasokoneza komanso zosasamba, ndi cholinga chokwaniritsa zolimba pakhungu pafupi kwambiri ndi zomwe zimachitika pakuchita opaleshoni, popanda zovuta. zogwirizana ndi nthawi yayitali yochira.
Fractional ndi bipolar radiofrequency, infrared lasers ndi magwero opepuka, komanso bipolar RF kuphatikiza ma diode laser, kuwala kwamphamvu kozungulira kapena kuwala kwa infrared ndi, iontophoresis, zatuluka ngati njira zingapo pakusamalira kosalekeza kwa khungu mosasamala kudzera mukutentha kuchokera kunja khungu lakuya. Komabe, mulingo wagolide wa njira zosalowerera sunapezekebe.
Ultrasound ndi mawonekedwe amanjenjemera ndipo amatha kufalikira mosavulaza kudzera munthupi zamoyo. Amagwiritsidwa ntchito ngati mankhwala a khansa ndipo mzaka zaposachedwa apezanso ntchito mu mankhwala okongoletsa.
Opaleshoni
HIFU imayimira High Intensity Focused Ultrasound. Mtengo wa ultrasound umaloza kumalo ozungulira (TCP, Thermal Coagulation Point> Thermal Coagulation Point), momwe mphamvuyo imakhazikika, osawononga minofu yoyandikana nayo.
Mafunde a ultrasound amalowa minofu, ndikupangitsa kuti ma molekyulu agwedezeke. Mkangano pakati pa mamolekyulu amtunduwu umatulutsa kutentha ndi bala lotenthetsa pakatikati pa mtengowo. Kulowera kwakatikati kumatsimikiziridwa ndimafupipafupi, motero mafunde othamanga kwambiri amatulutsa chilonda chapamwamba kwambiri ndipo mafupipafupi amakhala ndi malowedwe akulu kuti apange mabala olunjika m'malo ozama. Izi zimalola HIFU kufikira SMAS, Super odziwika Musculoaponeurotic System. SMAS, yomwe imagwirizana kwambiri ndi minofu ya nkhope, imadziwika kuti ndiyo njira yothandiza kwambiri pakukweza ndi kumangitsa khungu.
Kutentha kumapangidwa pachimake, kutentha pamwamba pa 65 ° C kumatulutsa kufupikitsa kwa septa yolimba ndikulimbikitsa fi broblasts kuti apange collagen yambiri. Izi zimapangitsa kukweza komanso kuchepetsa mafuta owonjezera m'masaya kapena chibwano. Zotsatira zina zomwe zingapezeke ndi chithandizo cha chikope, malo okhalapo nsidze, kulimbitsa gawo lakumunsi kwa nkhope ndi nkhope.
Popeza melanin siyimakhudzidwa ndimphamvu yamagetsi yopangidwa ndi ultrasound, HIFU itha kugwiritsidwa ntchito pamitundu yambiri ya khungu.
Kafukufuku waposachedwa awonetsanso kuti HIFU imachepetsa kukula kwa pore poyambitsa mapangidwe a collagen ndikuchepetsa komwe kumachitika pores.
Wodwala woyenera wolimbitsa minofu osachita opaleshoni amakhala ndi khungu lochepa / lochepa pakhungu ndi khungu lofewa. Odwala achichepere amatha kukhala ndi zotsatira zabwino ndi HIFU, chifukwa yankho la machiritso pakuwononga kwamphamvu ndilamphamvu. Komanso, odwala omwe ali ndi khungu lowonongeka kwambiri kapena omwe amasuta samakonda kwambiri, chifukwa kuthekera kwawo kupanga collagen chifukwa cha kuwonongeka kwa kutentha sikungakhale kokwanira.
Metodo
Chithandizo sayenera kuchitidwa pamphuno, mkati mwa mphambano ndi malo owonekera a chithokomiro. Pewani khungu la laryngeal. Komanso pewani milomo.
Pokonzekera chithandizo, nkhope iyenera kutsukidwa ndi choyeretsera pang'ono ndipo gel osakaniza ya ultrasound iyenera kugwiritsidwa ntchito m'malo omwe muyenera kulandira.
Pambuyo pa mbiri yolondola ya zamankhwala, malo oyenera kwambiri ochiritsira amasankhidwa, ndikuchepetsa malowa ndi pensulo yoyera ya dermatological (kuyika ndikuchotsa madera oletsedwa).
Choduliracho chiyenera kukhazikika pakhungu ndi kupanikizika.
Mphamvu zotumizidwa kugunda kwa ultrasound iliyonse kuyambira 0.2 mpaka 1.0 J (m'malo ena awiri amapita ndi HIFU), pakatikati pa 3.0 mpaka 4.5 mm.
Malo otsogola amapangidwa m'mizere: Mizere 600-800 imaphimba nkhope yonse moyenera.
zotsatira
Histology, pakatha masabata asanu ndi atatu atalandira chithandizo, akuwonetsa kuwonjezeka ndi kukulitsa kwa kolajeni m'matumbo. Ngakhale popanda kutupa kapena necrosis yamafuta amafuta, kuwonjezeka kwa fibrosis kumachitika pakati pa magawo amafuta. Palibe zosintha zazikulu mu epidermis.
M'maphunziro osiyanasiyana, kusintha kwachipatala komwe kunanenedwa kunali pakati pa 58.1% ndi 91%. Kutanthauza kusintha kwamalingaliro kudavoteledwa ndi mphambu pakati pa 1 ndi 2 (pamlingo wa -1 mpaka 3 -1> kukulira; 0> palibe kusintha; 1> kusintha pang'ono; 2> kusintha pang'ono; 3> kusintha kwamphamvu).
Wodwala wokhutira
Malinga ndi kafukufuku, kukhutira ndi odwala kumakhala pakati pa 65.5% mpaka 90%.
Avereji ya kusintha kwamalingaliro adavotera ndi mphambu pakati pa 1 ndi 2 (pamlingo wa -1 mpaka 3 -1> kukulira; 0> palibe kusintha; 1> kusintha pang'ono; 2> kusintha pang'ono; 3> kusintha kwamphamvu).
Zotsatira zoyipa
Ochepera 15% a odwala amafotokoza chimodzi kapena zingapo zoyipa, zonse zofatsa komanso zosakhalitsa, zothetsera zokha (makamaka mkati mwa masabata 4, mkati mwa masabata 12), kuphatikizapo kupweteka kwakanthawi atalandira chithandizo, edema, chotupa chomenyedwa, kuvulaza (kofala kwambiri), kwakukulu kupweteka pakumwedwa, kufiira kokha m'maola oyamba atalandira chithandizo koma chomwe chimasowa kwathunthu.
Zotsutsana
- matenda a shuga
- khansa
- chophukacho
- Matenda osokoneza bongo
- machitidwe okhala ndi zida zamagetsi
- mavuto a coagulation kapena mankhwala a anticoagulant panthawi yapakati
- odziwika kapena okayikira matenda amachitidwe kapena matenda
Mawuwo
HIFU ndi chisankho chabwino kukweza nkhope ndi kuchepetsa khwinya m'njira yosasokoneza konse.
Zotsatira zabwino kwambiri zimawoneka pakulekerera pang'ono / pang'ono, komwe kukonza nkhope sikunaganiziridwe kapena sikufulumira.
Zinthu zofunika kwambiri, poyerekeza ndi njira zofananira, ndi njira yachitetezo cha njirayi, chifukwa sichidalira mtundu wa khungu la wodwalayo komanso kupweteka kwake. Kuphatikiza apo, palibe kuwonongeka kwa epidermal kapena nthawi yochira ndipo odwala safuna njira zapadera zochizira.
Dziwani chida chathu cham'badwo waposachedwa cha HIFU: MUSANORIN profLift ndi MUSALOVE -520 homelift
Zipangizo ziwirizi HIFU - dzina loti High Intensity Focused Ultrasound, mwachitsanzo, amapanga ma Ultrasound ozungulira mwamphamvu kwambiri kumaso ndi thupi ndipo ndimatha kuchita ndi Kukweza kosagwira.
Malonda atsopanowa Mwandondomeko mkulu ndi luso, imapeza ntchito zosiyanasiyana m'zamankhwala. Amagwiritsidwa ntchito kuphatikiza pa khungu, pakuwononga mitundu ina ya khansa, Popanda kufunikira kuchitidwa opaleshoni kapena kuyika singano kapena ma catheters.
Kufotokozera mwachidule momwe HIFU imagwiritsidwira ntchito popanga mankhwala?
Ma ultrasound opatsa chidwi amapereka zotsatira zofananira ndi kukonzanso kwenikweni kosachita opaleshoni, kupeza kusintha kwaminyewa pang'onopang'ono popanda kugwiritsa ntchito opaleshoni ngakhale zitakhala kuti zotsatira zake zikuwonekera kale kuchokera kuchipatala choyamba.
Kodi microfocused ultrasound imagwira ntchito bwanji?
Ma ultrasound opangidwa mozama mozama mosiyanasiyana amakhala ndi ntchito ziwiri, kuyambitsa ma collagen res bres ndikuchepetsa mafuta am'deralo.
Mafuta omwe amamasulidwa amachotsedwa mwathupi mwathupi.
Ubwino wamtunduwu wa ultrasound umaimiridwa ndi kuthekera kwawo kutero kusintha kamvekedwe ndi kusinthasintha kwa khungu khungu ndi magazi ndi mitsempha yodutsitsa magazi aziyenda, ndikuwoneka bwino kwa nsalu.
Ndi magawo angati amachiritso a HIFU omwe amafunikira?
Mutha kuwona zotsatira zake atangomaliza gawo loyamba.
Chotsatira chomaliza, kukweza kwenikweni, kumatha kuwonedwa pamtunda wake patatha milungu iwiri kuchokera pagawoli.
Njira yake yothandizira kukongoletsa mankhwala ndi chipangizo cha MUSANORIN pro-ift imapereka magawo awiri mpaka atatu kutalikirana masiku 2/3.
Ndi MUSANORIN pro-ift ndizotheka kusintha kapangidwe, kamvekedwe ndi kuwala kwa khungu, zolimbikitsa chilengedwe kukonza makina limagwirira e kukonzanso minofu.
Ndi madera ati omwe amatha kuchiritsidwa ndi microfocused ultrasound?
Ndiukadaulo wa HIFU madera omwe akuyenera kuthandizidwa ndi osiyana, ndi MUSANORIN pro-ift, chifukwa cha magulu ake osiyanasiyana, ndizotheka kugwira ntchito pankhope, m'khosi ndi chibwano, ndikugwira ntchito pa SMAS ndikugwira ntchito yopanga collagen yatsopano.
Ponena za thupi titha kuchita matako, ntchafu, ntchafu ndi m'mimba.
Chithandizo cha HIFU chitha kuphatikizidwa ndi njira zosiyanasiyana zamankhwala zokongoletsa, monga carboxytherapy, mesotherapy kapena post lipoemulsion application, kuti zithandizire zotsatira.
