SIBONGA AMATHEKNOLOJI AHLUKENE NJENGE-ULTRASOUND (HIFU), IONOPHORESIS KANYE nokuningi
Ukuhlolwa kwesayensi ngokusetshenziswa kwe-HIFU ekwelashweni kwesikhumba esixegayo
Sikuqonda kahle ukuthi kusho ukuthini ukuguga.
Izici ezivame kakhulu zokuguga kwesikhumba ukuxegiswa nokulahleka kokuqina. Ngokuhamba kwesikhathi, i-elastic, bres, i-collagen nezicubu ezixhuma ku-dermis ziyancipha. Amafutha we-Hydration nama-subcutaneous nawo ancipha.
Ukuphakanyiswa kobuso bokuhlinza bekulokhu kuyindlela engcono kakhulu yokwelapha ukuxega kwesikhumba.
Eminyakeni yamuva nje, ngokunyuka okukhulu kwesidingo seziguli, kubhekwe kakhulu izinqubo ezingezona ezihlaselayo nezingezona ezika-ablative, ngenhloso yokuthola imiphumela yokuqinisa isikhumba eduze ngangokunokwenzeka kulezo zobuso bokuhlinzwa, ngaphandle kwezinkinga. ezihambisana nezikhathi zokululama ezinde.
I-radiofrequency ye-Fractional ne-bipolar, i-infrared lasers kanye nemithombo elula, kanye ne-bipolar RF ehlanganiswe ne-diode laser, ukukhanya okukhulu okushaywayo noma ukukhanya kwe-infrared, i-iontophoresis, kuvele njengezindlela ezahlukahlukene ekwelapheni okungenasidingo kokuyekelela kwesikhumba ngokushisa okuvela ngaphandle yesikhumba. dermis ejulile. Kodwa-ke, indinganiso yegolide yezindlela ezingangenisi ayikatholakali.
I-Ultrasound iyindlela yamagagasi adlidlizelayo futhi ingasatshalaliswa ngokungenabungozi ngezicubu eziphilayo. Isetshenziswe emithini yomdlavuza futhi eminyakeni yamuva nje ithole nesicelo kumuthi wobuhle.
I-Funzionamento
I-HIFU imele ukuqina okuphezulu okugxilwe ku-Ultrasound. Ugongolo lwe-ultrasound luqondiswe endaweni okugxilwe kuyo (i-TCP, iThermal Coagulation Point> I-Thermal Coagulation Point), lapho amandla egxila khona, ngaphandle kokulimaza izicubu ezizungezile.
Amagagasi e-ultrasound angena ezicutshini, abangele ukudlidlizela kuma-molecule. Ukungqubuzana phakathi kwama-molecule wezicubu kudala ukushisa nenxeba elishisayo lapho kugxilwe khona ngogongolo. Ukujula kokungena kunqunywa yimvamisa, ngakho-ke amagagasi aphakeme kakhulu akhiqiza isilonda esigxile phezulu kakhulu futhi amaza aphansi anokungena okukhulu ukukhiqiza amanxeba agxile ezingxenyeni ezijulile. Lokhu kuvumela i-HIFU ukuthi ifinyelele kuma-SMAS, Super fi cial Musculoaponeurotic System. I-SMAS, esondelene kakhulu nemisipha ethile yobuso, ithathwa njengesakhiwo esisebenza kahle kakhulu sokuphakamisa nokuqinisa isikhumba.
Lapho ukushisa kwenziwa endaweni okugxilwe kuyo, amazinga okushisa angaphezu kuka-65 ° C akhiqiza ukufinyezwa kwe-septa enemicu futhi kuvusa ama-ob broblasts ukuthi akhiqize i-collagen eningi. Lokhu kudala umphumela wokuphakamisa kanye nokwehliswa kwamafutha amaningi ezihlathini noma esilevini esiphindwe kabili. Eminye imiphumela engatholwa ukwelashwa kwamajwabu amehlo, ukubekwa kwamashiya, ukuqiniswa kwengxenye engezansi yobuso nentaba yobuso.
Njengoba i-melanin ingathinteki ngamandla okushisa abangelwa yi-ultrasound, i-HIFU ingasetshenziswa ezinhlotsheni eziningi zesikhumba.
Ucwaningo lwamuva luye lwabonisa nokuthi i-HIFU inciphisa usayizi wepore ngokunciphisa ukwakheka kwe-collagen kanye nokuncipha okulandelayo okuzungeze ama-pores akhulisiwe.
Isiguli esikahle sokuqiniswa kwezicubu ezingezona ukuhlinzwa sinobuthakathaka obumaphakathi / obulinganiselayo besikhumba nezicubu ezithambile. Iziguli ezisencane kakhulu kungenzeka zithole imiphumela emihle nge-HIFU, njengoba impendulo yokuphulukisa ekulimaleni okushisayo inamandla. Ngakolunye uhlangothi, iziguli ezinesikhumba esonakaliswe kakhulu isithombe noma ababhemayo zingabantu abangenele ukhetho, njengoba ikhono labo lokwenza i-collagen ekuphenduleni ukulimala kokushisa lingahle linganele.
Metodo
Ukwelashwa akufanele kwenziwe ekhaleni, ngaphakathi kwe-orbit nasendaweni evelele yegilo. Gwema uqwanga lwama-laryngeal. Futhi gwema ukuvela kwezindebe.
Njengolungiselela ukwelashwa, ubuso kufanele buhlanzwe nge-cleanser emnene futhi ungqimba lwe-gel ye-ultrasound lusetshenziswe ezindaweni okufanele zilashwe.
Ngemuva komlando wezokwelapha ocophelela, kukhethwa indawo efaneleke kakhulu yokwelashwa, kunciphise indawo ngepensela yesikhumba emhlophe (ukumaka nokushiywa kwezindawo zokwelashwa ezingavunyelwe).
Okwenziwe ngesandla kufanele kubekwe ngokuqinile esikhunjeni ngaphandle kwengcindezi.
Amandla azonikezwa ngebanga ngalinye le-ultrasound pulse kusuka ku-0.2 kuye ku-1.0 J (ezindaweni ezithile kuphakanyiswa amaphasi amabili ane-HIFU), ekujuleni okugxile ku-3.0 kuye ku-4.5 mm.
Amaphuzu okugxila ahlelwe emigqeni: imigqa engama-600-800 imboza bonke ubuso ngokusebenza okuphezulu.
Ezenye
I-Histology, emasontweni ayisishiyagalombili ngemuva kokwelashwa, ikhombisa ukwanda nokuqina kwe-collagen ku-dermis ebonakalayo. Ngisho nangaphandle kokuvuvukala noma i-necrosis yamaseli anonile, ukwanda kwe-fibrosis kwenzeka phakathi kwezingqimba zamafutha. Azikho izinguquko eziphawulekayo ku-epidermis.
Ezifundweni ezahlukahlukene, ukwenziwa ngcono kwemitholampilo okubikiwe bekuphakathi kuka-58.1% no-91%. Ukuthuthuka kokuqonde kwenhloso kukalwe ngesikolo esiphakathi kuka-1 no-2 (esikalini sika -1 kuye ku-3 -1> kuya ngokuya kuba kubi; 0> akukho ukuthuthuka; 1> ukuthuthuka okuncane; 2> ukuthuthuka okulingene; 3> ukuthuthuka okuqinile).
Ukwaneliseka kweziguli
Ngokwezifundo, ukwaneliseka kweziguli kusuka ku-65.5% kuya ku-90%.
Ukuthuthuka okumaphakathi okumaphakathi kukalwe ngesikolo esiphakathi kuka-1 no-2 (esikalini sika -1 kuye ku-3 -1> siba sibi; 0> akukho ukuthuthuka; 1> ukuthuthuka okuncane; 2> ukuthuthuka okulingene; 3> ukuthuthuka okuqinile).
Okuqhamuka uma udla imishanguzo
Iziguli ezingaphansi kuka-15% zibike imiphumela emibi eyodwa noma eminingi, yonke imnene futhi iyisikhashana, ixazululwe ngokuzenzekelayo (iningi lingakapheli amasonto ama-4, konke kungakapheli amasonto ayi-12), kufaka phakathi ubuhlungu besikhathi eside ngemuva kokwelashwa, i-edema, isigaxa esithintekayo, ukulimaza (okuvame kakhulu), okubalulekile ubuhlungu ngesikhathi sokwelashwa, ukubomvu kuphela emahoreni okuqala ngemuva kokwelashwa kepha okunyamalala ngokuphelele.
I-Controindicazioni
- isifo sikashukela esibi
- umdlavuza
- i-hernia
- izifo ezizimele
- izinhlelo ezinamadivayisi kagesi
- izinkinga ze-coagulation noma i-anticoagulant therapy ngesikhathi sokukhulelwa
- izifo ezaziwayo noma ezingalapheki zesistimu noma ezingalapheki
iziphetho
I-HIFU iyisinqumo esihle sokuphakamisa ubuso nokuncipha kwemibimbi ngendlela engeyona eyokuhlasela ngokuphelele.
Imiphumela emihle ibonakala ekuthambekeni okulingene / okulingene, lapho ukuphakama kobuso bokuhlinzwa kungakacatshangelwa noma kungaphuthumi.
Izici ezibaluleke kakhulu, uma ziqhathaniswa namasu ahlobene nazo, yizinga lokuphepha lale ndlela, iqiniso lokuthi alincikile kumbala wesikhumba sesiguli kanye nezinga laso eliphansi lobuhlungu. Ngaphezu kwalokho, akukho monakalo we-epidermal noma isikhathi sokutakula futhi iziguli azidingi izinqubo ezikhethekile zangemva kokwelashwa.
Thola idivaysi yethu yesizukulwane sakamuva se-HIFU: I-MUSANORIN profLift ne-MUSALOVE -520 homelift
Lezi zinsiza zobuchwepheshe ezimbili I-HIFU - isichazamazwi se-High Intensity Focused Ultrasound, okusho ukuthi bakhiqiza ama-Ultrasounds Wokuqina Okuphezulu Okugxile ebusweni nasemzimbeni futhi ngiyakwazi ukwenza nge Ukuphakamisa okungangenisi.
Lesi sikhangiso samasu amasha ngokunemba high kanye nekhono, ithola izicelo emikhakheni eminingi yezokwelapha. Isetshenziswa ngaphezu kwesikhumba, ekubhujisweni okukhethiwe kwezinye izinhlobo zomdlavuza, ngaphandle kwesidingo sokuqhekeka kokuhlinzwa noma ukufakwa kwezinaliti noma ama-catheters.
Kufinyeta kutsi i-HIFU isetjentiswa kanjani kumutsi wobuhle?
Ama-ultrasound agxilile anika imiphumela efana nokwakhiwa kwangempela okungekhona okokuhlinzwa, ukuthola ukwakheka kancane kancane kwezicubu ngaphandle kokusebenzisa ukuhlinzwa noma ngabe imiphumela isivele ibonakala ekwelashweni kokuqala.
Isebenza kanjani i-microfocused ultrasound?
Ama-ultrasound agxile kokukhiqizwa ekujuleni okuhlukile anemisebenzi emibili, ukuvuselela ama-collagen res kanye nokunciphisa amafutha asendaweni.
Amafutha akhishiwe bese ekhishwa ngokwemvelo emzimbeni wethu.
Inzuzo yalolu hlobo oluthile lwe-ultrasound imelwe yikhono labo loku ukuthuthukisa ithoni nokunwebeka kwezicubu zesikhumba negazi nokujikeleza kwe-lymphatic, ngokuthuthuka okuphawulekayo ekubukekeni kwezindwangu.
Zingaki izikhathi zokwelashwa kwe-HIFU ezidingekayo?
Uyawubona umphumela ngokushesha ngemuva kweseshini yokuqala.
Umphumela wokugcina, umphumela wangempela wokuphakamisa, ungabonakala kubuningi bawo ngemuva kwamasonto angaba ngu-2 kusuka esimisweni.
Iphrothokholi ye-ITS yokwelashwa kwemithi yobuhle nedivayisi ye-MUSANORIN pro-ift inikeza kusuka kumaseshini ama-2 kuye kwayi-3 izinsuku ezingama-30/45 zihlukanisiwe.
Nge-MUSANORIN pro pro ift kungenzeka ukuthi uthuthuke ukuthungwa, iphimbo nokukhanya kwesikhumba, ukuvuselela indlela yokulungisa amaselula yemvelo e ukulungiswa kwezicubu.
Yiziphi izindawo ezingelashwa nge-microfocused ultrasound enamandla?
Ngobuchwepheshe be-HIFU izindawo okufanele zilashwe zehlukile, nge-MUSANORIN pro-ift, ngenxa yesethi yayo ekhethekile yamakhadibhodi ahlukahlukene, kungenzeka ukuthi isebenze ebusweni, entanyeni nasesilevini, isebenze kuma-SMAS futhi isebenze ekukhiqizweni i-collagen entsha.
Mayelana nomzimba, singasebenza ezinqeni, emathangeni, ezinqeni nasesiswini.
Ukwelashwa kwe-HIFU kungahlotshaniswa nezindlela ezahlukahlukene zemithi yobuhle, njenge-carboxytherapy, i-mesotherapy noma i-post lipoemulsion application, ukuthuthukisa imiphumela.
