Uhlangabezana nobuchwepheshe obuthuthukisiwe lapho ukhetha okokusebenza kwe-laser ye-pulse nd yag yokwelashwa kwesikhumba sakho. Le divayisi isebenzisa ubude begagasi obuhlukile bokukhanya ukuze ikhombe izendlalelo ezijulile zesikhumba sakho kuyilapho inciphisa ubungozi endaweni. Ochwepheshe bavame ukuyincoma kumakhasimende anesikhumba esimnyama. Uyazuza esenzweni sayo esiqondile, okuyenza ibe yisixazululo esithembekile sezidingo ezahlukahlukene zesikhumba.
Isebenza Kanjani I-Long Pulsed Nd:YAG Laser?
Ubude be-Wavelength kanye Nobude be-Pulse
Uma usebenzisa okokusebenza kwe-laser ye-pulse nd yag, uyazuza kudivayisi esebenza kubude begagasi obungu-1064 nanometers (nm). Le wavelength igqamile ngoba ingena ijule esikhumbeni sakho uma iqhathaniswa namanye amalaser. Amandla e-laser aqondise izakhiwo ezithile ngaphansi kwendawo kuyilapho enciphisa ubungozi bokulimala kwezingqimba zangaphandle.
Uzoqaphela ukuthi ubude be-pulse, noma ubude besikhathi i-laser ikhipha amandla, singasukela ku-15 kuya ku-30 millisecond (ms) kuzilungiselelo eziningi zomtholampilo. Ngokwelashwa okuthile, okufana nokukhomba imithambo yegazi yosayizi abahlukene, ubude benhliziyo bungase buhluke ukusuka ku-1 kuye ku-10 ms. Ubude bokushaya kwenhliziyo okude busebenza kangcono emikhunjini emikhulu, kanti ubude besikhathi obufushane bufanelana nokuhlosiwe okuncane.
●1064 nm ubude beza bufinyelela izendlalelo zesikhumba ezijulile.
●Ubude be-Pulse ngokuvamile busukela ku-15–30 ms.
●Ngokwelashwa komkhumbi, ubude besikhathi bungahluka kusuka ku-1–10 ms kuye ngosayizi womkhumbi.
Le nhlanganisela yobude be-wavelength nobude be-pulse ikuvumela ukuthi uzuze imiphumela enembile ngokungakhululeki okuncane.
Indlela Yokwenza
Imishini ye-laser ye-pulse nd yag isebenzisa inqubo ebizwa nge-selective photothermolysis. Lapho welashwa, i-laser iqondisa ama-chromophore athile esikhumbeni sakho. Ama-Chromophore ama-molecule emvelo afana ne-melanin, amanzi, ne-oxyhemoglobin. La ma-molecule amunca ukukhanya kwe-laser futhi akuguqule kube ukushisa.
●Amandla e-laser ashisisa ama-chromophore aqondisiwe.
●Lokhu kushisa kubhidliza izakhiwo ezingafuneki, njengemicu yezinwele noma imithambo yegazi.
●Isikhumba esizungezile sihlala siphephile ngoba ubude begagasi be-laser nobude be-pulse kukhethwe ngokucophelela.
Uthola ukwelashwa okusebenzayo ngoba i-laser igxilisa amandla ayo kuphela lapho kudingeka khona. Le ndlela iqinisekisa ukuthi uthola imiphumela oyifunayo ngenkathi uvikela izicubu ezinempilo.
Yiziphi Izimo ezingase Ziphathe I-Long Pulse Nd Yag Laser Equipment?
Izilonda ze-Vascular
Ungathembela kumshini we-laser we-pulse nd yag ukuze welaphe izinhlobo eziningi zezilonda zemithambo. Lobu buchwepheshe buqondise imithambo yegazi engaphansi kwesikhumba sakho, okuhlanganisa imithambo yesicabucabu, i-hemangiomas, ne-telangiectasia. Ukungena okujulile kwe-laser nokukhomba okukhethiwe kuyenza isebenze kahle emikhunjini emincane nemikhulu.
●Ucwaningo olusebenzisa i-1064-nm ye-long-pulsed laser ye-Nd:YAG lubike ukuthi ama-80% eziguli athole ukukhululeka okukhulu kunokungu-75% kwemikhumbi enobubanzi obukhulu (kufika ku-4 mm) ngemva kokwelashwa okukodwa kuya kwemithathu.
●Uhlangabezana nesikhathi esincane sokuphumula kanye nengozi ephansi yokulimala kwesikhumba, ngisho noma unesikhumba esimnyama.
Ukususwa Kwezinwele
Imishini ye-laser ye-pulse nd yag inikeza isisombululo esithembekile sokunciphisa izinwele zesikhathi eside. Uyazuza ekhonweni layo lokukhomba izimpande zezinwele ekujuleni kwesikhumba sakho, okuyenza ifaneleke kuzo zonke izinhlobo zesikhumba, kuhlanganise nalezo ezinamazinga aphezulu e-melanin.
Ucwaningo selukhombisile ukuthi i-Nd:YAG laser enamapulsed amade ingafinyelela ukuncipha kwezinwele okumaphakathi kuze kufike ku-80%, ngocwaningo olulodwa olubika ukwehla kwesibalo sezinwele ngo-79.4% ekulandeleni kwezinyanga eziyisithupha, okukhombisa ukusebenza kahle kwayo ekususeni izinwele.
| Uhlobo lweLaser | Ukuncishiswa Kwezinwele Okumaphakathi (%) |
|---|---|
| I-Long-Pulsed Nd:YAG | 42.4 |
| I-Alexandrite Edonswe Kade | 65.6 |
| I-Long-Pulsed Diode | 46.9 |
Izinduna kanye nezibazi
Ungasebenzisa imishini ye-laser ye-pulse nd yag ukuze ulungise izinduna kanye nezibazi zangemuva kwezinduna. Amandla e-laser angena esikhunjeni sakho, anciphise ukuvuvukala futhi akhuthaze ukukhiqizwa kwe-collagen. Le nqubo isiza ukushelela izibazi futhi ithuthukise ukuthungwa kwesikhumba sonke.
● Ucwaningo luhlole ukusebenza kahle komtholampilo, ukuphepha, kanye nemiphumela yesikhathi eside ye-Long Pulsed Nd:YAG lasers ekwelapheni izibazi zezinduna.
● Amaphesenti angu-86.6 eziguli abonise ukusabela okuhle, kwathi ama-26.6% athola imiphumela emihle kakhulu.
● Amaphesenti angu-60 eziguli abe nokusabela okumaphakathi kuya kokuhle, kuyilapho u-13.4% kuphela abe nokusabela okufanele.
● Ukwelashwa kubonwe kusebenza kahle futhi kuphephile, ikakhulukazi ezibazini ezimaphakathi kuya kwezimaphakathi zangemuva kwezinduna, okunesikhathi esincane sokuphumula kanye nemiphumela engemihle yesikhashana.
Ukuvuselela Isikhumba
Ungafinyelela ukuthuthuka okubonakalayo ekuthunjweni kwesikhumba sakho nethoni ngemishini ende ye-pulse nd yag laser. Lobu buchwepheshe bugqugquzela ukukhiqizwa kwe-collagen ekujuleni kwesikhumba sakho. Ngenxa yalokho, ubona isikhumba esibushelelezi, esiqinile, futhi esibukeka sisha ngokuhamba kwesikhathi. Iziguli eziningi zikhetha lokhu kwelashwa ukubhekana nemigqa emihle, izimbotshana ezikhulisiwe, nethoni yesikhumba engalingani.
Uzuza ekuphumuleni okuncane. Ungabuyela emisebenzini yakho yansuku zonke ngokushesha ngemva kweseshini ngayinye. Imiphumela iyaqhubeka nokuba ngcono njengoba isikhumba sakho sikhiqiza i-collagen eyengeziwe emasontweni alandela ukwelashwa.
Warts kanye Verrucae
Imishini ye-laser ye-pulse nd yag inikezela ngesixazululo esisebenzayo sama-warts anenkani nama-verrucae. I-laser ihlose ukunikezwa kwegazi okuphakela insumpa, ibangele ukuthi inciphe futhi igcine inyamalala. Ungathola lokhu kwelashwa kuwusizo ikakhulukazi uma ezinye izindlela zehlulekile.
Izifundo zomtholampilo eziningana zigqamisa ukusebenza kwale ndlela:
| Isihloko Sokufunda | Okutholakele | I-Treatment Protocol |
|---|---|---|
| Ukwelashwa kwama-warts endiza nge-pulse ende ND - YAG laser 532 nm | Iziguli ezingama-22 ziqede ucwaningo ngezilonda ezingama-478 ze-verruca plana zelashwe. Amaseshini amathathu ngezikhathi zamaviki angu-2 aholele ekuthuthukisweni okukhulu. | I-anesthetic yendawo, 532 nm wavelength, 20 ms pulse, 30 J/cm² fluence. Ngemuva kokunakekelwa: ama-antibiotics, i-sunscreen. |
| I-long-pulsed 1064 nm Nd: I-LAG laser ekwelapheni ama-warts e-palmoplantar | I-76.9% imvume ephelele kuma-warts ngesilinganiso samaseshini angu-2.2. Akukho ukuphindeka ezinyangeni eziyi-12. | 1064 nm Nd:YAG laser, 20 ms pulse, 200 J/cm² fluence, ukupholisa phakathi nenqubo. |
Ithiphu:Ngokuvamile udinga izikhathi ezimbalwa kuphela ukuze ubone imvume ephelele, futhi izilinganiso zokuphinda zihlale ziphansi.
Uzwa ukungakhululeki okuncane phakathi nenqubo. Amasu okupholisa nama-anesthetics asiza ukukugcina ukhululekile kukho konke ukwelashwa kwakho.
I-Pigment Irregularities
Ungathembela kumishini ye-laser ye-pulse nd yag ukuze welaphe izinhlobonhlobo zokungalungi kwe-pigment, okuhlanganisa amabala amnyama kanye ne-benign hyperpigmentation. Amandla e-laser aphula i-melanin eyengeziwe esikhumbeni sakho, okuholela ekubeni nebala elikhudlwana.
Izivivinyo zemitholampilo ziqinisekisa ukuphepha nokusebenza kwalobu buchwepheshe ezigulini ezinezinhlobo zesikhumba ezimnyama. Ithebula elilandelayo lifinyeza okutholakele okubalulekile:
| Isihloko Sokufunda | Okutholakele |
|---|---|
| Ukususwa kwezinwele okunamapulsed amade Nd:YAG okusizwa nge-laser esikhumbeni esinemibala | Iphephile futhi isebenza ngempumelelo ekuncishisweni kwezinwele zesikhathi eside ezigulini ezinesikhumba esimnyama. |
| Ukusebenza Nokuphepha Kwe-Q-Switched 1064/532 nm Nd:YAG Lasers ku-Benign Hypermelanosis kubantu abanesikhumba esimnyama | Isebenza kahle futhi iphephile ekwelapheni izilonda zesikhumba ezinemibala kubantu abanesikhumba esimnyama. |
Ungalindela ukufiphala kancane kancane kombala ongadingeki onengozi encane yokushintsha kwesibazi noma emva kokuvuvukala.
Ungase udinge izikhathi ezimbalwa ukuze uthole imiphumela emihle. Umhlinzeki wakho uzofanelanisa uhlelo lokwelapha ngohlobo lwesikhumba sakho kanye nezinto ezikukhathazayo.
Spider Veins
Ungakwazi ukubhekana nemithambo yesicabucabu ngempumelelo ngemishini ende ye-pulse nd yag laser. Lobu buchwepheshe buqondise emithanjeni yegazi emincane, ebonakalayo engaphansi kwesikhumba sakho. Amandla e-laser ayashisa futhi abhidlize le mikhumbi, umzimba wakho ube usuyibamba ngokwemvelo ngokuhamba kwesikhathi. Iziguli eziningi zikhetha lokhu kwelashwa ngoba kunikeza isisombululo esingahlaseli isikhumba esicacile.
Ucwaningo lukhombisa ukuthi ungalindela imiphumela encomekayo ngemuva kwamaseshini ambalwa nje.
●Kokubili ukwelashwa okude kwe-pulse Nd:YAG laser kanye ne-foam sclerotherapy kufinyelela ukukhululeka okungaphezulu kwama-70% emithanjeni yesicabucabu.
●Kokunye ukuhlola, abesifazane abangu-57 bathola izikhathi ezimbili ngezikhathi zamasonto angu-6 futhi babona ukuthuthukiswa okuphawulekayo.
●Ezinye iziguli zibika umbono obuhlungu ophakeme ngokwelashwa kwe-laser uma kuqhathaniswa ne-sclerotherapy, kodwa imiphumela ihlala igculisa kakhulu.
Ithiphu:Ungase ubone ukufiphala okubonakalayo kwemithambo yesicabucabu phakathi namasonto ngemva kweseshini yakho. Abantu abaningi babuyela emisebenzini yansuku zonke ngokushesha, okwenza lokhu kube inketho elula.
I-Keloids kanye nezibazi ze-Hypertrophic
Ungathembela kumshini we-laser we-pulse nd yag ukuze uthuthukise ukubukeka kwama-keloid nezibazi ze-hypertrophic. Le laser isebenza ngokunciphisa ukutholakala kwegazi esicutshini esibazi. Lapho i-vascularity iyancipha, umzimba wakho ukhiqiza ama-cytokines ambalwa kanye nezici zokukhula ezibangela i-collagen eyengeziwe. Ngenxa yalokho, isibazi siba flat futhi singabonakali ngokuhamba kwesikhathi.
Odokotela besikhumba bavame ukutusa lokhu kwelashwa ezigulini ezifuna ukunciphisa izibazi ezikhulisiwe noma ezijiyile. Ungase ubone ukuthuthuka kancane kancane kokuthungwa nombala ngemva kwamaseshini ambalwa. Inqubo iphephile kuzo zonke izinhlobo zesikhumba, okuhlanganisa nesikhumba esimnyama, ngenxa yobude obuhlukile be-laser nokukhomba okukhethekile.
Qaphela:Kufanele ulandele imiyalelo yokunakekelwa kwangemva komhlinzeki wakho ukuze uzuze imiphumela engcono kakhulu futhi ugcine isikhumba esinempilo.
Okufanele Ukulindele Phakathi Nangemuva Kokwelashwa
Ukulungiselela
Uqala uhambo lwakho ngokubonisana. Umhlinzeki wakho uzobuyekeza umlando wakho wezokwelapha futhi ahlole isikhumba sakho. Kufanele ugweme ukuchayeka elangeni kanye nemikhiqizo yokushukwa kwesikhumba okungenani amasonto amabili ngaphambi kweseshini yakho. Geza indawo yokwelapha ngayizolo, kodwa ungawakhisi noma uyikha. Hlanza isikhumba sakho futhi ususe noma yiziphi izimonyo, izinto zokugcoba, noma isiqedaphunga ngaphambi kokuba ufike. Umhlinzeki wakho angasebenzisa i-topical anesthetic ukuze andise ukunethezeka kwakho.
Inqubo
Uzogqoka izingubo zamehlo ezivikelayo phakathi neseshini. Umhlinzeki wakho uzolungisa izilungiselelo ze-laser ngokusekelwe ohlotsheni lwesikhumba sakho nezinjongo zokwelashwa. Ucezu lwesandla lwe-laser luthinta isikhumba sakho futhi lulethe amandla asheshayo. Ungase uzwe umuzwa ofudumele noma ohlabayo. Abantu abaningi bachaza umuzwa njengobekezeleleka.
Iseshini yakho ingase ithathe emaminithini ambalwa ukuya ehoreni, kuye ngendawo ephathwe ngayo.
Ukunakekelwa kwangemuva
Ungabuyela emisebenzini yakho yansuku zonke ngemva nje kokwelashwa. Abantu abaningi baba nemiphumela engemihle kuphela, efana nale:
●Ukuvuvukala kwesikhashana noma ububomvu
●Ukunwaya okuncane noma uqweqwe
●Akukho ukuphazamiseka endleleni yakho evamile
Le miphumela ivamise ukunyamalala phakathi namahora ambalwa kuya ezinsukwini ezimbalwa. Kufanele ugweme ukuchayeka elangeni futhi usebenzise i-sunscreen ukuvikela isikhumba sakho. Gcoba okokuthambisa uma isikhumba sakho somile. Umhlinzeki wakho angakunikeza imiyalelo ethile yokunakekelwa ngemva kohlobo lwesikhumba sakho nendawo yokwelapha.
Ithiphu:Landela iseluleko somhlinzeki wakho ukuze uthole imiphumela engcono kakhulu futhi ugcine isikhumba sakho sinempilo.
Imiphumela Ejwayelekile
Uma ukhetha ukwelashwa kwe-laser ye-pulse Nd:YAG, ungalindela ukuthuthuka okubonakalayo okuvela ngokuhamba kwesikhathi. Iziguli eziningi zibona izinguquko ngokushesha ngemva kweseshini yazo yokuqala. Isikhumba sakho ngokuvamile sibukeka sicace kakhudlwana futhi sizwakala sishelela phakathi nezinsuku ezimbalwa. Imiphumela incike esimweni osiphathayo, uhlobo lwesikhumba sakho, kanye nenani lezikhathi oziqedileyo.
Nakhu ongakulindela ngokujwayelekile:
● Ukususwa Kwezinwele:Ubona ukukhula kwezinwele kancane kancane. Ngemuva kokwelashwa okuphelele, ungafinyelela ekuncipheni kwezinwele okufika ku-80% unomphela. Ukukhula kabusha kubonakala kucolekile futhi kulula.
● Izilonda zeMithambo kanye Nemithambo Yesicabucabu:Imikhumbi eselashiwe iyanyamalala noma iphele phakathi namasonto amabili kuya kwayisithupha. Isikhumba sakho siyalingana.
● Ukungahambi kahle Kwebala:Amabala amnyama akhanya ngeseshini ngayinye. Ubona ibala elifana kakhulu ngemva kokwelashwa okuningana.
● Izinduna nezibazi:Ukuvuvukala kuyancipha, futhi izibazi ziba zingabonakali. Ukwakheka kwesikhumba sakho kuyathuthuka, kukwenze ubukeke bushelelezi.
● Ukuvuselela Isikhumba:Imigqa emihle iyathamba, izimbotshana zibukeka zizincane, futhi isikhumba sakho sibukeka siqinile futhi sikhanya.
Qaphela:Ungase udinge izikhathi eziningi ukuze uthole imiphumela emihle. Umhlinzeki wakho uzokwakha uhlelo oluhambisana nezidingo zakho.
| Ukwelashwa Kwesimo | Umugqa Wesikhathi Wokuthuthukiswa Okubonakalayo | Izinga Lokwaneliseka Elijwayelekile |
|---|---|---|
| Ukususwa Kwezinwele | 2-4 amasonto | 80–90% |
| Izilonda ze-Vascular | 2-6 amasonto | 85–95% |
| I-Pigment Irregularities | 3-6 amasonto | 80–90% |
| Izinduna/ Izibazi | 4-8 amasonto | 75–85% |
| Ukuvuselela Isikhumba | 2-4 amasonto | 80–90% |
Ujabulela isikhathi esincane sokuphumula. Iningi labantu libuyela ezindleleni zansuku zonke ngaso leso sikhathi. Isikhumba sakho siyaqhubeka nokuba ngcono amasonto ngemva kweseshini ngayinye njengoba i-collagen yakha futhi umbala webala uyafiphala. Uzuza ukuzethemba njengoba ubona isikhumba esicacile, esinempilo.
Ukusebenza kanye Nokuphepha Kwezisetshenziswa ze-Laser Pulse Nd Yag
Imiphumela Yokwelashwa
Ungalindela imiphumela ethembekile uma ukhetha imishini ye-laser ye-pulse nd yag ngokukhathazeka kwakho kwesikhumba. Iziguli eziningi zibona okuhle ekuthuthukisweni okuhle kakhulu, ikakhulukazi lezo ezinezilonda zemithambo nezivuvukalayo njenge-rosacea. Ucwaningo lubonisa ukuthi kufika kuhhafu weziguli ezine-erythematotelangiectatic kanye ne-papulopustular rosacea zithola ukuthuthuka okukhulu. Iziguli ze-Erythematotelangiectatic zivame ukuthola ukuthuthuka kwamaphesenti aphezulu kubunzima bomhlaba wonke uma kuqhathaniswa namacala we-papulopustular. Abantu abaningi babika izinguquko eziphawulekayo ezilonda zabo ngemva kokwelashwa.
●Kuhle kuya ekuthuthukisweni okuhle kakhulu kufika ku-50% weziguli ze-rosacea
●Amazinga aphezulu okuthuthukisa amacala e-erythematotelangiectatic
●Ukwehliswa kwezilonda eziphawulekayo ezigulini eziningi
Uzuza ukuzethemba njengoba isikhumba sakho sicaca futhi sinempilo ngemva kweseshini ngayinye.
Iphrofayela Yokuphepha
Imishini ye-laser ye-pulse nd yag inikezela ngerekhodi eliqinile lokuphepha ekusebenzeni komtholampilo. Abahlinzeki babona ubuhlungu obuncane nobubomvu kuzo zonke iziguli, kodwa le miphumela ixazulula ngokushesha. Izibazi kanye nokusabela okubi okuphawulekayo akwenzeki ezifundweni ezibhaliwe. Uqweqwe olunsundu olukha phezulu luvela ngephesenti elincane lezimo futhi luyaphola phakathi nezinsuku kusetshenziswa ama-topical steroids.
| I-Side Effect | Ukuvama | Amanothi |
|---|---|---|
| Ubuhlungu obuncane ngesikhathi se-laser | 100% | Kubonwa yizo zonke iziguli kodwa kuyalawuleka. |
| Ububomvu kanye ne-perifollicular edema | 100% | Okuvamile ngemva kweseshini, ngokuvamile ixazulula ngokushesha. |
| Ama-brown crusts angaphezulu | 2% | Kwelapheka ngama-topical steroids ezinsukwini ezingu-7-10, okubangelwa imihuzuko emincane. |
| Ukubamba | 0% | Awekho amacala okulimala abikiwe. |
| I-post-inflammatory hyperpigmentation | 0% | Akekho obonwe ngesikhathi socwaningo. |
| Ukusabela okubi okuphawulekayo | 0% | Akukho ukusabela okubi okuphawulekayo kulo lonke ucwaningo. |
Uyazuza ekwelashweni okubeka phambili ukuphepha kwakho futhi enciphisa izingozi.
Okuqhamuka uma udla imishanguzo
Ungase ubone imiphumela engemihle neyesikhashana ngemva kweseshini yakho. Ukusabela okuvame kakhulu kuhlanganisa i-erythema yesikhashana kanye ne-perifollicular edema, okwenzeka cishe kuzo zonke iziguli. Izinhlungu zokwelashwa nazo zivamile kodwa zihlala zibekezeleleka. Imiphumela engavamile kakhulu ihlanganisa i-folliculitis, i-hyperpigmentation, i-hypopigmentation, i-crusting, i-purpura, nokuguguleka.
| Umthelela oseceleni | Ukwenzeka sekukonke |
|---|---|
| I-erythema yesikhashana | 97% |
| I-edema ye-Perifollicular | 97% |
| Ubuhlungu bokwelapha | 81% |
| I-Folliculitis | 14% |
| I-hyperpigmentation | 10% |
| I-Hypopigmentation | 10% |
| I-crusting | 9% |
| I-Purpura | 7% |
| Ukuguguleka | 1% |
Imiphumela eminingi engemihle ixazulula ngokushesha, ikuvumela ukuthi ubuyele esimisweni sakho sansuku zonke ngaphandle kokuphazamiseka okuncane.
Inombolo Yeseshini Edingekayo
Lapho uqala ukwelashwa kwe-Long Pulsed Nd:YAG Laser, ungase uzibuze ukuthi zingaki izikhathi ozidingayo ukuze ufeze izinhloso zakho. Impendulo incike ezintweni ezimbalwa ezihlukile kuwe kanye nendawo ofuna ukuyelapha. Umhlinzeki wakho uzokwakha uhlelo olusekelwe ohlotsheni lwesikhumba sakho, umbala wezinwele, nesimo ofisa ukusisingatha.
Ezigulini eziningi, ubona imiphumela ephawulekayo ngemva kweseshini yokuqala. Nokho, imiphumela emihle ngokuvamile idinga ukuvakashelwa okuningi. Nazi izinto eziyinhloko ezithonya inani lamaseshini:
1.Uhlobo Lwezinwele Nombala:Izinwele ezimnyama, ezimahhadlahhadla zimunca amandla e-laser ngokuphumelelayo. Ungase udinge izikhathi ezimbalwa uma unalolu hlobo lwezinwele. Izinwele ezilula noma ezicolekile ngokuvamile zidinga ukwelashwa okwengeziwe.
2. Ithoni yesikhumba:Isikhumba esilula sivumela i-laser ukuthi iqondise ama-follicles ezinwele ngempumelelo. Uma unesikhumba esimnyama, amalaser akhethekile afana no-Nd:YAG aqinisekisa ukuphepha nokusebenza kahle, kodwa ungase udinge izikhathi ezengeziwe.
3.Indawo yokwelapha:Izindawo ezinkulu njengemilenze noma ngemuva ziqukethe imicu yezinwele eziningi. Cishe uzodinga izikhathi eziningi zalezi zifunda uma kuqhathaniswa nezindawo ezincane njengodebe olungenhla noma isilevu.
4.Ukungalingani kweHormonal:Uma uhlangabezana nezinguquko zehomoni ngenxa yezimo ezifana ne-PCOS noma ukukhulelwa, ungase udinge ukuthintana kaningi ukuze ugcine imiphumela.
5.Ukungaguquguquki:Ukunamathela kushejuli evamile, ngokuvamile njalo emavikini amane kuya kwayisithupha, kukusiza ukuthi uthole imiphumela esheshayo nehlala isikhathi eside.
6. Ubuchwepheshe beLaser obusetshenzisiwe:Amasistimu athuthukisiwe afana ne-Long Pulsed Nd:YAG aletha amandla ngokuyimpumelelo. Uzuza kumaseshini ambalwa uma kuqhathaniswa nobuchwepheshe obudala.
| Ukwelashwa Kwesimo | Inombolo Ejwayelekile Yeseshini | Isikhawu Phakathi Kweseshini |
|---|---|---|
| Ukususwa Kwezinwele | 6–8 | 4-6 amasonto |
| Izilonda ze-Vascular | 2–4 | 6-8 amasonto |
| I-Pigment Irregularities | 3–5 | 4-6 amasonto |
| Izinduna/ Izibazi | 3–6 | 4-8 amasonto |
| Ukuvuselela Isikhumba | 2–4 | 4-6 amasonto |
Ithiphu:Uthola imiphumela engcono kakhulu uma ulandela ishejuli enconyiwe yomhlinzeki wakho futhi uqeda inkambo ephelele yokwelashwa.
Ubona ukuthuthuka kancane kancane ngeseshini ngayinye. Isikhumba sakho siyacaca, sibe bushelelezi, futhi sibe nethoni elinganayo njengoba uthuthukela ohlelweni lwakho lokwelapha lomuntu siqu.
Ukuqhathaniswa Nobunye Ubuchwepheshe Be-Laser
I-Nd:YAG vs. Alexandrite
Uma uqhathanisa amalaser e-Long Pulsed Nd:YAG namalaser e-Alexandrite, ubona umehluko ocacile ekusebenzeni nokuphepha. Ama-lasers e-Alexandrite avame ukuletha ukuncishiswa kwezinwele okuphezulu nokunethezeka okukhulu kubasebenzisi abaningi. Ocwaningweni olulodwa lomtholampilo:
●Ama-lasers e-Alexandrite athole ukuncishiswa kwezinwele okumaphakathi okungama-59.3%.
●Nd:Amalaser e-YAG athole ukuncishiswa kwezinwele okumaphakathi okungama-31.9%.
●Iziguli zibike ukwaneliseka okuphezulu nokunethezeka ngokwelashwa kwe-Alexandrite.
Kodwa-ke, amaphrofayili okuphepha ahlukanisa lawa ma-lasers, ikakhulukazi amathoni esikhumba amnyama. Ithebula elingezansi ligqamisa umehluko obalulekile:
| Isici | I-Alexandrite Laser | Nd: YAG Laser |
|---|---|---|
| Imiphumela Esheshayo | Ububomvu, ukuvuvukala, ukuluma | Ukuvuvukala okuncane, ubuhlungu obuncane |
| Ingozi Yezinguquko Ze-Pigment | Ingozi emaphakathi, ayilungele isikhumba esimnyama | Ingozi ephansi, ifanele isikhumba esimnyama |
| Isikhathi Sokubuyisela | Amahora angama-24 kuye kwangama-48 | Amahora ayi-12 kuye kwangama-36 |
| Ukunakekelwa Kwangemva Kokwelashwa | Ijeli yokupholisa, gwema ukuchayeka elangeni | I-compress ebandayo, i-probiotic spray |
Uma unohlobo lwesikhumba esimnyama, uyazuza kungcuphe ephansi ye-laser ye-Nd:YAG yokushintsha umbala kanye nokululama ngokushesha.
Nd:YAG vs. Diode Lasers
Ungase uzibuze ukuthi ama-laser e-Nd:YAG aqhathaniswa kanjani namalaser e-diode, ikakhulukazi izilonda emithanjeni. Ithebula elilandelayo lifingqa ukusebenza kwazo:
| Uhlobo lweLaser | Ukusebenza Ngezilonda Zemithambo | Izinga Lobuhlungu | Izikhathi Zokwelapha | Izinkinga |
|---|---|---|---|---|
| I-Long Pulsed Nd:YAG | Ukusebenza okuphezulu, ikakhulukazi izilonda ezijulile | Kuphakathi | 2 kuya ku-12 amaseshini | Okuncane |
| I-Diode Laser | Ukusebenza okuphansi, izinga eliphezulu lobuhlungu ngenxa ye-melanin affinity | Phezulu | N/A | N/A |
Ukuze ukhiphe izinwele, ungase uzwe ubuhlungu obusheshayo kanye nezikhathi zokwelashwa ezinde ngamalaser e-Nd:YAG, kodwa zombili izinketho zibonisa imiphumela emibi emincane. Izinga lokukhula kabusha emavikini angama-36 liyafana.
| Uhlobo lweLaser | Ubuhlungu obusheshayo | Isikhathi Sokwelapha | Imiphumela Emibi Ebalulekile | Izinga Lokukhula Kabusha Ngeviki 36 |
|---|---|---|---|---|
| I-Long Pulsed Nd:YAG | Okukhulu | Mude | I-erythema encane, yesikhashana | 91% |
| I-Diode Laser | Ngaphansi | Kafushane | I-erythema encane, yesikhashana | 91% |
Nd:Amalaser e-YAG ahlinzeka ngokusebenza okuphezulu kwezilonda ezijulile zemithambo futhi anikezela ngephrofayili eqinile yokuphepha.
Nd:YAG vs. IPL
Uma uqhathanisa amalaser e-Nd:YAG namadivayisi e-IPL (Intense Pulsed Light), ubona umehluko kukho kokubili ukusebenza kahle nokwaneliseka. Ngokususa izinwele nokuvuselela isikhumba, amalaser e-Nd:YAG aletha imiphumela engashintshi futhi ehlala njalo, ikakhulukazi ezinhlotsheni zesikhumba ezimnyama.
| Ukwelashwa | Ukunciphisa Ukubalwa Kwezinwele | Amaphuzu Obuhlungu | Ukwaneliseka |
|---|---|---|---|
| Nd: YAG | 79.4% | Phezulu | Phezulu |
| IPL | 54.4% | Phansi | Phansi |
Ezivivinyweni zomtholampilo, uthola ukwaneliseka okuphezulu ngokwelashwa kwe-Nd:YAG. Amadivayisi e-IPL angabangela imiphumela emibi eminingi futhi anikeze ukuthuthukiswa kwesikhashana kuphela. Ezinhlotsheni zesikhumba IV–VI, Nd:YAG lasers zibonisa ukusebenza kahle okukhulu kanye nezinkinga ezimbalwa.
Uzuza imiphumela engcono yesikhathi eside nokwaneliseka okuphezulu ngamalaser e-Nd:YAG, ikakhulukazi uma unebala elimnyama.
Uzuza izinzuzo ezimbalwa lapho ukhetha ukwelashwa kweLaser ye-Long Pulsed Nd:YAG:
●Ukungena kwezicubu ezijulile ezinomonakalo omncane esikhumbeni esizungezile
●I-coagulation ephumelelayo nokunciphisa ubuhlungu be-postoperative
●Ukuvuvukala okuncane kanye nenkundla engenalo igazi uma kuqhathaniswa nezinqubo
| Zuza | Incazelo |
|---|---|
| Isebenza Ngezilonda Zemithambo | Iqondise emithanjeni yegazi ejulile yesikhumba esicacile |
| Ukususwa kweTattoo | Ibhidliza ama-pigments amnyama ukuze kususwe i-tattoo |
| Isikhathi Sokuphumula Esincane | Ukululama ngokushesha ngemiphumela engemihle, yesikhashana |
| Iphephile Emathoni Esikhumba Amnyama | Ingozi ephansi yokushintsha umbala, ngisho nebala elimnyama |
Ungathembela lobu buchwepheshe ngokuphepha kwesikhathi eside nemiphumela ethembekile. Amashumi eminyaka okusetshenziswa emtholampilo abonisa ukuthi uhlangabezana nemiphumela engemihle emincane kanye nemiphumela emihle kakhulu ezinhlobonhlobo zezinkinga zesikhumba.
FAQ
Ngizoyibona ngokushesha kangakanani imiphumela ngemva kokwelashwa kweLaser ye-Long Pulsed Nd:YAG?
Ngokuvamile ubona ukuthuthuka kokuqala phakathi nezinsuku ezimbalwa. Imiphumela egcwele ivela emavikini ambalwa njengoba isikhumba sakho silulama futhi sikhula kabusha. Umugqa wesikhathi uncike esimweni sokwelashwa kanye nempendulo yakho ngayinye.
Ingabe i-Long Pulsed Nd: YAG Laser iphephile kuzo zonke izinhlobo zesikhumba?
Yebo, ungasebenzisa ngokuphepha le laser kuzo zonke izinhlobo zesikhumba, okuhlanganisa nebala elimnyama. I-1064 nm wavelength inciphisa ubungozi boshintsho lwe-pigment kanye nokulimala kwesikhumba.
Ingabe ukwelashwa kubuhlungu?
Ungase uzwe umuzwa ofudumele noma ohlabayo phakathi nenqubo. Iziguli eziningi zichaza ukungakhululeki njengokuthambile nokubekezelelekayo. Umhlinzeki wakho angasebenzisa ukupholisa noma izinzwa zokubulala izinzwa ukuze andise ukunethezeka.
Ngingakwazi yini ukubuyela emisebenzini evamile ngemva kweseshini yami?
Ungakwazi ukuqalisa kabusha imisebenzi eminingi ngokushesha. Ububomvu obuncane noma ukuvuvukala kungase kwenzeke kodwa ngokuvamile kuxazulula ngokushesha. Abantu abaningi babuyela emsebenzini noma esikoleni ngalo lolo suku.
Isikhathi sokuthumela: Sep-18-2025
