E halawai ana oe me kand yag mīkini laserma ke ʻano he mea mana ikaika e hoʻohana ana i ka ʻenehana paʻa me ka hawewe 1064nm. Kū ka laser nd:yag i loko o ka ʻoihana aesthetics no ke komo ʻana o ka ʻiʻo hohonu a me ka versatility i ka mālama ʻana i ka ʻili. Ke hoʻomau nei ka ulu ʻana o kona kaulana, e hana ana i ka ʻike o kāna hana i mea nui no nā hopena palekana a maikaʻi.
Nd YAG Laser Machine Overview
He aha ka Nd:YAG Laser
E halawai ana oe me kand:yag laserma ke ʻano he mea hana kūikawā e hoʻohana ana i ka neodymium-doped yttrium alumini garnet ma ke ʻano he mea waiwai. Hoʻokumu kēia ʻano aniani i ke kumu o nā lasers solid-state, e ʻae ana i ka hoʻololi ʻana i ka ikehu kūpono a me ka maikaʻi o ka beam kiʻekiʻe. Ke hana nui nei ka mīkini laser nd:yag ma ka nalu nalu o 1064 nm, e komo hohonu ana i loko o ka ʻiʻo a hoʻemi i ka pōʻino o nā wahi a puni. ʻO ka lōʻihi o kēia hawewe e hana maikaʻi loa i ka ʻenehana no nā noi lapaʻau, me ka dermatology, ophthalmology, a me ka hōʻoki laser.
Loaʻa iā ʻoe ka pōmaikaʻi mai ka ʻōnaehana ikehu pae ʻehā o ka laser nd:yag, kahi e hiki ai ke hoʻoulu maikaʻi a me ka hoʻopuka paʻa. Hoʻohana pinepine nā mea hana i nā kukui uila a i ʻole nā diodes laser e puhi i ke aniani, me nā ʻōnaehana diode-pumped e hāʻawi i ka paʻa a me ka lōʻihi. ʻO ka hoʻolālā ʻana o ka mīkini laser nd:yag e hōʻoiaʻiʻo i ka hana kiʻekiʻe, pololei, a me ka hilinaʻi, kūpono ia no nā ʻano hana lapaʻau a me ka hoʻonaninani.
Nā hiʻohiʻona nui a me ka ʻenehana
Ke koho ʻoe i kahind yag mīkini laser, loaʻa iā ʻoe ke komo i nā hiʻohiʻona holomua e hoʻokaʻawale iā ia mai nā ʻenehana laser ʻē aʻe. ʻO ka Apolomed HS-290A he kumu hoʻohālike o ka hana hou ma kēia kahua. Loaʻa iā ʻoe nā pōmaikaʻi o ka ʻenehana Q-switching, nāna e hāʻawi i nā pulupulu pōkole a me ka ikaika nui no ka mālama maikaʻi ʻana i nā ʻeha pigmented, ka wehe ʻana i ka peʻa, a me ka ʻili hou. Hōʻike nā haʻawina maʻi i ka loaʻa ʻana o nā lasers Q-switched nd:yag i nā hopena maikaʻi loa, e like me ka hoʻonā piha o nā macules pigmented a me nā helu pane kiʻekiʻe no nā freckles a me Nevus o Ota.
Loaʻa iā ʻoe ka pōmaikaʻi mai ka ʻaoʻao ʻaoʻao palahalaha o ka HS-290A, e hōʻoiaʻiʻo ana i ka hāʻawi ʻana i ka ikehu a hoʻonui i ka palekana a me ka pono. Hāʻawi ka mīkini i ka ikehu pulse kiʻekiʻe o 2800mJ a me nā ʻano hana he nui, me ka Q-switched a me SPT, e ʻae iā ʻoe e hoʻoponopono i nā lāʻau i nā pono pilikino. Hiki ke hoʻololi ʻia ka nui o ka hana hou ʻana a me ka nui kiko (mai 2mm a 18mm) i ka versatility no nā wahi lapaʻau pololei a ākea.
He mea nui ka hōʻoluʻolu o ka poʻe maʻi me ka hoʻohui ʻana i nā ʻōnaehana hoʻoluʻu kiʻekiʻe. Hōʻike ka HS-290A i ka ea a me ka hoʻoluʻu wai, me ke koho no ka hoʻoluʻu TEC, e kōkua i ka mālama ʻana i ka mahana o ka ʻili a hōʻemi i ka ʻeha i ka wā o nā kaʻina hana. ʻIke ʻoe ʻo nā ʻano hoʻoluʻu e like me ka cryogen spray, Zimmer cooling, a me ka sapphire tip contact e pale pono i ka epidermis, hōʻemi i ka ʻeha, a pale i ka ʻeha wela.
Hoʻopili ʻoe me kahi pānaʻi hoʻohana ma ka HS-290A, e hōʻike ana i kahi pale paʻi kala maoli 9.7-inihi e hoʻomaʻamaʻa i ka hoʻokele a me ka hoʻoponopono ʻana. Hoʻokomo ka mīkini i waho a me ka hoʻihoʻi hou ʻana i ka ikehu calibration, e hōʻoia i ka hana mau a me ka palekana. ʻO ka hoʻolālā hoʻokele hoʻokele IC, hoʻohana ʻia e ka ARM-A9 CPU a me ka Android O/S 4.1, e hōʻoiaʻiʻo i ka hana maʻalahi.
Ke hoʻokomo nei ʻoe i kahi mīkini laser nd yag, loaʻa iā ʻoe kahi hāmeʻa e hāʻawi ana i ka maikaʻi o ka beam kiʻekiʻe, kūpono, a me nā kumukūʻai haʻahaʻa. Hāʻawi ka ʻenehana i ke kūpaʻa, palekana, a me ka pololei, kūpono ia no nā mea like ʻole me ka liʻiliʻi o ka thermal deformation. Loaʻa iā ʻoe ka pōmaikaʻi mai nā ʻae hoʻoponopono e like me ka FDA clearance a me ka mākaʻikaʻi CE, ka mea e hōʻoia i ka hoʻokō ʻana o ka mīkini me nā kūlana palekana honua a me nā kūlana hana.
ʻIke ʻoe ʻo ke kumukūʻai maʻamau o kahi mīkini laser nd yag ma kahi o $20,425, me nā kau lapaʻau ma nā keʻena mai $250 a i $300. ʻOiai ʻoi aku ka maikaʻi o kekahi mau lāʻau lapaʻau haʻahaʻa haʻahaʻa, koi pinepine lākou i nā kau he nui, e hopena i ka nui o nā lilo holoʻokoʻa.
Inā hoʻolālā ʻoe e hana i kahi laser nd:yag, pono ʻoe e hahai i ka hoʻomaʻamaʻa kūikawā a me ka hōʻoia. Hāʻawi nā haʻawina e like me ka Q-Switched YAG Laser Course a me ka hoʻomaʻamaʻa laser cosmetic i ka hana lima a me nā palapala hōʻoia i ʻike ʻia ma ke ao holoʻokoʻa, e hōʻoia ana ua mākaukau ʻoe i nā kaʻina hana palekana a me ka hana.
Pehea ka hana ʻana o Nd:YAG Laser
Hanana Laser a me Mechanism
Hoʻopili ʻoe me ka laser nd:yag ma ke ʻano he mea hana maʻalahi e hoʻololi i ka ikehu uila i ke kukui pololei. Hoʻohana ka mīkini i ka nalu o 1064 nm, e hiki ai iā ʻoe ke kuhikuhi i nā papa hohonu o ka ʻili me ka ʻole o ka pōʻino i ka ʻili. Hoʻohana ka laser i ka hāʻawi fiberoptic e hana i kahi kukuna pulsed, hoʻonui i ka komo ʻana o ka wela a ʻoi aku ka maikaʻi ma mua o nā laser diode no kekahi mau lapaʻau.
Ke hoʻā ʻoe i ka laser nd:yag, hele ka ikehu ma ka ʻili a komo ʻia e nā puaʻa e like me ka melanin a me ka hemoglobin. Ke alakaʻi nei kēia absorption i ka stasis vascular a hoʻoulu i ka coagulation cascade, he mea nui ia no ka mālama ʻana i nā ʻeha vascular a me nā wahi pigmented. Hoʻokomo ka laser a hiki i 4 mm i loko o ka ʻiʻo, e hana ana i kahi ʻāpana o ka hōʻeha wela i kūpono no ka coagulation akā ʻaʻole ʻoki i ke kino. ʻIke ʻoe ʻaʻole i komo maikaʻi ʻia ka lōʻihi hawewe e ka wai, ʻo ia hoʻi ke kuhikuhi ʻana o ka laser i nā puaʻa ma mua o ka hoʻopōʻino ʻana i ke kino.
Hiki iā ʻoe ke koho ma waena o nā ʻano hana like ʻole e pili ana i kāu mau pahuhopu lapaʻau:
● Hāʻawi ke ʻano Q-switched i nā puʻupuʻu pōkole loa (e pili ana i 5 nanoseconds), i mea kūpono no ka wāwahi ʻana i ka ʻīnika peʻa a me ka mālama ʻana i nā ʻeha pigmented.
● Long pulsed nd:yag laser mode hoʻohana i nā pulse lōʻihi (ma kahi o 300 microseconds), hiki ke komo hohonu i loko o ka dermis a hoʻonui i ka hoʻoponopono hou ʻana i ka ʻili.
● Hōʻike nā ʻano ʻelua i nā hopena like i ka hōʻemi ʻana i ka nui o ka pore a me nā pae sebum, no laila hiki iā ʻoe ke koho i ke ʻano i kūpono i nā pono o kāu mea maʻi.
Palekana a me ka pololei
Ke hilinaʻi nei ʻoe i ka laser nd:yag no kāna mau hiʻohiʻona palekana holomua, nāna e pale iā ʻoe a me kāu mau maʻi i ka wā o nā kaʻina hana. Loaʻa i nā mīkini o kēia wā kekahi mau palekana:
| Hiʻona palekana | wehewehe |
|---|---|
| Huli Ki | Kāohi i ka hoʻohana ʻole ʻia ma ke koi ʻana i kahi kī e hana i ka laser. |
| Palekana Interlock Dongle | E hōʻoia i ka hiki ʻole ke hana ke ʻole ke hoʻopili pono ʻia. |
| Hōʻike mana | Hāʻawi i kahi ʻike maka ke hoʻāla ʻia ka laser. |
| Pani Puka | Hoʻopaʻa i ke kukui ke hoʻohana ʻole ʻia, pale i ka ʻike ʻole ʻia. |
| Hoʻopaneʻe hoʻokuʻu | Hoʻolauna i kahi lohi ma mua o ka hoʻāla ʻana, hāʻawi iā ʻoe i manawa e hoʻomākaukau ai. |
Loaʻa iā ʻoe ka pōmaikaʻi mai nā ʻōnaehana calibration ikehu pololei. No ka laʻana, hoʻohana kekahi mau mea hoʻohana i ka calibration maʻalahi me nā manaʻo mai kahi mākaʻikaʻi ikehu, e hoʻoponopono i ka hopena no ka hana paʻa. Hiki iā ʻoe ke hoʻoponopono maikaʻi i nā ʻāpana i nā hoʻonui liʻiliʻi, e like me 0.1 mJ, e hōʻoia i nā hopena pololei. ʻO nā ʻano hana ʻelua kikoʻī me nā hoʻomanawanui paʻa e kōkua iā ʻoe e hāʻawi i ka ikehu ma kahi e pono ai. ʻO ka hoʻoponopono mau ʻana i ke kūlana o ka pōpō plasma e hoʻonui i ka pololei.
ʻO ka hōʻoluʻolu maʻi ka mea nui. ʻO nā ʻōnaehana hoʻoluʻu kiʻekiʻe, e like me ka ea a me ka hoʻoluʻu wai a i ʻole ka hoʻoluʻu TEC, mālama i ka mahana o ka ʻili a hōʻemi i ka ʻeha. Hana kēia mau mea hou i nā kaʻina hana me ka ʻeha ʻole a hoʻemi i ka pilikia o ka ʻeha wela.
Ua hoʻomaikaʻi ka holomua o ka ʻenehana laser nd:yag i ka palekana a me nā hopena. ʻO nā laser fractional fractional a hybrid e ʻae iā ʻoe e kuhikuhi i nā hemahema me ka liʻiliʻi o ka downtime. Hoʻopili ka hoʻohui AI i ka pololei a me ka ho'ōla. I kēia manawa hiki iā ʻoe ke mālama i kahi ākea ākea o nā ʻili ʻili, me nā ʻili ʻeleʻele, me ka hilinaʻi.
Pono ʻoe e noʻonoʻo i ka heluna kanaka maʻi i ka wā e hoʻolālā ai i nā lāʻau lapaʻau. ʻO ka hapa nui o nā maʻi e hāʻule i loko o nā makahiki 24 a hiki i 78 a loaʻa iā Fitzpatrick nā ʻili ʻili II a III paha. Hiki ke ʻokoʻa nā hopena ma muli o ka makahiki, ke ʻano ʻili, a me ke ʻano kikoʻī e mālama ʻia. No ka laʻana, pane pinepine ka poʻe maʻi me ka erythematotelangiectatic rosacea ma mua o ka poʻe me ka papulopustular rosacea.
ʻIke ʻoe ua hui pū ka laser nd:yag i ka ʻenehana ʻokiʻoki, nā hiʻohiʻona palekana ikaika, a me ka hāʻawi ʻana i ka ikehu pololei e hāʻawi i nā hopena hilinaʻi no nā ʻano lapaʻau ʻili.
Nd:YAG Laser Applications
Ke hilinaʻi nei ʻoe i ka mīkini laser nd yag no kahi ākea o ka hoʻohana lāʻau lapaʻau a me ka hoʻohana hoʻonaninani. ʻO nā noi maʻamau ka wehe ʻana i ka peʻa, ka hoʻoponopono ʻana i ka puaʻa, ka hoʻomaʻamaʻa ʻana i ka ʻili, ka mālama ʻana i nā lesion vascular, a me ka wehe ʻana i ka lauoho. ʻO ka maʻalahi o ka nd:yag laser ka mea i koho maikaʻi ʻia no ka poʻe hoʻomaʻamaʻa makemake e hoʻoponopono i nā pilikia ʻili he nui me ka mea hoʻokahi.
Wehe ʻia ka Tattoo a me ka Pigment
Loaʻa iā ʻoe nā hopena kupaianaha me ka laser nd:yag no ka wehe ʻana i ka peʻa a me ka wehe ʻana i ka puaʻa. Hōʻike nā haʻawina haukaʻi e hāʻawi kēia ʻenehana i nā uku hoʻomaʻemaʻe kiʻekiʻe me ka liʻiliʻi liʻiliʻi o ka hypopigmentation a i ʻole scarring. Hoʻohālikelike ka papa ma lalo i nā hopena mai kekahi mau haʻawina:
| Haʻawina | ʻAno Laser | Nā hualoaʻa | Nā memo |
|---|---|---|---|
| Leuenberger et al. | QS ruby, QS Nd:YAG, QS alexandrite | Ua hoʻomaʻemaʻe ʻo QS ruby i nā peʻa hou aʻe, akā ua loaʻa iā QS Nd:YAG he 0% hypopigmentation | QS Nd:YAG palekana no ka ʻili |
| Jones et al. | QS Nd:YAG | 75-95% ka hoʻomaʻemaʻe ʻana i 8 o 15 mau peʻa ma hope o 3-4 mau lāʻau | Māmā ʻili liʻiliʻi |
| Lapidoth et al. | QS Nd:YAG, QS ruby | 75-100% hoʻomaʻemaʻe ma 92% o nā maʻi ma hope o 3-6 mau lāʻau | ʻAʻohe ʻili a i ʻole nā loli mau |
Loaʻa iā ʻoe ka pōmaikaʻi mai ka liʻiliʻi o nā hopena ʻaoʻao. Ma kahi noiʻi nui, ʻo 0.28% wale nō o nā mea maʻi i ʻike i ka maʻi maʻi hypertrophic, a ʻo kēia mau hihia he maʻalahi a ʻaʻole hōʻino.
Hoʻohou i ka ʻili a me ka wehe ʻana i ka lauoho
Hoʻohana ʻoe i ka laser nd:yag e hoʻolaʻa hou i ka ʻili, hōʻemi i nā wrinkles, a hoʻomaikaʻi i ke ʻano. Hōʻike nā haʻawina i ka hoʻomaikaʻi nui ʻana i ka nui o ka pore, ka hana collagen, a me ka maikaʻi o ka ʻili holoʻokoʻa. Hōʻike ka papa ma lalo nei i nā ʻike nui:
| Haʻawina | Nā ʻike |
|---|---|
| Roh et al. | Hoʻemi ʻia nā pores i hoʻonui ʻia i nā maʻi āpau |
| ʻO Urdiales-Gálvez et al. | Hoʻomaikaʻi maikaʻi i ka maka a me ka ʻāʻī rejuvenation |
| Akerman et al. | Hoʻoulu ʻia ka collagen a me ka hoʻoponopono hou ʻana i ka ʻili i ka ʻili ʻili |
| ʻO Wu et al. | Hoʻomaikaʻi ʻia ke ʻano a me ke kiʻi ʻana me nā manawa hoʻōla pōkole |
No ka wehe ʻana i ka lauoho, hāʻawi ka laser nd:yag i kahi koho palekana no nā ʻano ʻili āpau. ʻOiai he 42.4% ka emi ʻana o ka lauoho, ʻoi aku ka kiʻekiʻe o ka ʻoluʻolu o ka maʻi. Hiki iā ʻoe ke ʻike i ka hoʻohālikelike ma lalo nei:
Nd Pulsed lōʻihi: YAG Laser Pōmaikaʻi
Loaʻa iā ʻoe nā pōmaikaʻi kūʻokoʻa ke hoʻohana ʻoe i ka laser pulsed lōʻihi nd:yag. ʻO ka nalu lōʻihi e komo i ka hohonu a hōʻemi i ka lūlū ʻana, kūpono ia no ka mālama ʻana i nā ʻano ʻili ʻeleʻele a me nā wahi nui. Ua hōʻoia ka noiʻi maʻi ʻoi aku ka maikaʻi o kēia ala no ka wehe ʻana i ka lauoho i nā poʻe me ka ʻili ʻeleʻele ke hoʻohālikelike ʻia me ka kukui pulsed ikaika. Hiki iā ʻoe ke mālama pono i ka heluna kanaka maʻi like ʻole me nā hopena hilinaʻi.
Pomaikai oe mai kand:yag laser'O ka 'enehana ki'eki'e a me ka 'ike palekana, i mea kūpono no ka 'oihana lapa'au 'ili.
| Wahi noi | wehewehe |
|---|---|
| Wehe ʻAi ʻAla | Pono no nā kala ʻīnika like ʻole |
| Wehe lauoho | He kūpono no nā ʻili ʻeleʻele |
| Hoʻohou ʻili | Hoʻomaikaʻi i ke ʻano a hoʻemi i ka manawa hoʻomaha |
| Ka mālama ʻana i nā maʻi ʻeha | ʻO ka huli pololei ʻana no ka mālama pono |
ʻO kaApolomed HS-290Ahāʻawi i nā mana intuitive a me nā lōʻihi nalu, e hoʻonui ana i kāu mau hopena.
Ka manawa hoʻouna: Nov-21-2025
