Uhlangana neumshini we-lasernjengesisetshenziswa esinamandla esisebenzisa ubuchwepheshe besimo esiqinile esinobude beza beza obungu-1064nm. I-nd:yag laser igqama embonini ye-aesthetics ngokungena kwezicubu ezijulile kanye nokuguquguquka ekwelashweni kwesikhumba. Ukuduma kwayo kuyaqhubeka kukhula, okwenza ulwazi lokusebenza kwayo lubaluleke ukuze kube nemiphumela ephephile, ephumelelayo.
Nd YAG Laser Uhlolojikelele
Iyini i-Nd:YAG Laser
Uhlangana nengi: lasernjengedivayisi ekhethekile esebenzisa i-neodymium-doped yttrium aluminium garnet njengendlela yokuzuza. Lesi sakhiwo sekristalu sakha isisekelo se-solid-state lasers, esivumela ukuguqulwa kwamandla okusebenzayo kanye nekhwalithi ephezulu ye-beam. Umshini we-laser we-nd:yag usebenza ngokuyinhloko kubude begagasi obungu-1064 nm, ongena ujule esicutshini futhi unciphise umonakalo ezindaweni ezizungezile. Le wavelength yenza ubuchwepheshe busebenze kakhulu ezinhlelweni zezokwelapha, okuhlanganisa i-dermatology, i-ophthalmology, nokuhlinzwa nge-laser.
Uzuza kusistimu yamandla eleveli amane ye-nd:yag laser, enika amandla isasasa elisebenza kahle kanye nokuphumayo okuzinzile. Abakhiqizi bavamise ukusebenzisa ama-flashlamp noma ama-laser diode ukuze bampompe ikristalu, ngamasistimu ampompa ama-diode anikeza ukuzinza okukhulu nokuphila isikhathi eside. Idizayini yomshini we-nd:yag laser iqinisekisa ukusebenza kahle okuphezulu, ukunemba, nokuthembeka, okuwenza ulungele izinqubo eziningi zomtholampilo nezimonyo.
Izici Eziyinhloko Nobuchwepheshe
Lapho ukhetha iumshini we-laser, uthola ukufinyelela ezicini ezithuthukisiwe eziyenza ihluke kobunye ubuchwepheshe belaser. I-Apolomed HS-290A isebenza njengesibonelo esihle sokusungula izinto ezintsha kulo mkhakha. Uzwa izinzuzo zobuchwepheshe bokushintsha i-Q, obuletha ama-pulses amafushane, anamandla aphezulu ekwelapheni okusebenzayo kwezilonda ezinemibala, ukukhishwa kwe-tattoo, nokuvuselela isikhumba. Ucwaningo lwezokwelapha lubonisa ukuthi ama-laser we-Q-switched nd:yag afinyelela imiphumela emihle kakhulu, njengokulungiswa okuphelele kwama-macules anombala kanye namazinga aphezulu okuphendula ama-freckles kanye ne-Nevus yase-Ota.
Futhi uyazuza kuphrofayela ye-flat-top beam ye-HS-290A, eqinisekisa ngisho nokusatshalaliswa kwamandla futhi ithuthukise kokubili ukuphepha nokusebenza kahle. Umshini unikeza amandla okushaya kwenhliziyo aphezulu angu-2800mJ nezindlela zokusebenza eziningi, okuhlanganisa i-Q-switched ne-SPT, okukuvumela ukuthi uhlanganise ukwelashwa ngokwezidingo zomuntu ngamunye. Amazinga okuphindaphinda alungisekayo nosayizi bamabala (kusuka ku-2mm ukuya ku-18mm) ahlinzeka ngokuguquguquka kuzo zombili izindawo zokwelashwa ezinembayo nezibanzi.
Ukunethezeka kwesiguli kuhlala kuyinto ehamba phambili ngokuhlanganiswa kwezinhlelo zokupholisa ezithuthukisiwe. I-HS-290A ifaka ukupholisa komoya namanzi, enenketho yokupholisa kwe-TEC, okusiza ukugcina izinga lokushisa lesikhumba futhi kunciphise ukungakhululeki phakathi nezinqubo. Uthola ukuthi izindlela zokupholisa ezifana ne-cryogen spray, i-Zimmer cooling, ne-sapphire tip contact zivikela kahle i-epidermis, zinciphise ubuhlungu, futhi zivimbele ukulimala okushisayo.
Uhlanganyela nesixhumi esibonakalayo esisebenziseka kalula ku-HS-290A, efaka isikrini sokuthinta sangempela esingu-9.7-intshi esenza kube lula ukuzulazula nokulungiswa kokwelashwa. Umshini uhlanganisa ukulinganiswa kwamandla kwangaphandle nokuzibuyisela ngokwakho, ukuqinisekisa ukusebenza okungaguquki nokuphepha. Idizayini yokulawula ukuphathwa kwe-IC, enikwa amandla yi-ARM-A9 CPU ne-Android O/S 4.1, iqinisekisa ukusebenza kahle.
Uma utshala imali emshinini we-laser we-nd yag, uthola idivayisi enikeza ikhwalithi ephezulu ye-beam, ukusebenza kahle, kanye nezindleko eziphansi zokusebenza. Ubuchwepheshe buhlinzeka ngokuzinza, ukuphepha, kanye nokunemba, okwenza bufanele izinto ezihlukahlukene ezinokuwohloka okuncane kokushisa. Futhi uyazuza ekugunyazweni okulawulwayo okufana nokuvunyelwa kwe-FDA kanye nokumaka i-CE, okuqinisekisa ukuthobela komshini amazinga okuphepha nokusebenza kwamazwe ngamazwe.
Uthola ukuthi izindleko ezimaphakathi zomshini we-nd yag laser zilinganiselwa ku-$20,425, nezikhathi zokwelashwa emitholampilo zisukela ku-$250 kuya ku-$300. Nakuba ezinye izindlela zokwelapha ezinezindleko eziphansi zingase zibonakale zikhanga, ngokuvamile zidinga izikhathi eziningi, okuholela ezindlekweni eziphakeme zizonke.
Uma uhlela ukusebenzisa i-nd:yag laser, kufanele uphishekele ukuqeqeshwa okukhethekile kanye nesitifiketi. Izifundo ezifana ne-Q-Switched YAG Laser Course kanye nokuqeqeshwa kwe-cosmetic laser kuhlinzeka ngokuzijwayeza kanye nezitifiketi eziqashelwa umhlaba wonke, ziqinisekisa ukuthi wazi kahle izinqubo zokuphepha nokusebenza.
Isebenza kanjani i-Nd: YAG Laser
I-Laser Generation kanye neMechanism
Usebenzisana ne-nd:yag laser njengethuluzi eliyinkimbinkimbi elishintsha amandla kagesi abe yi-beam yokukhanya enembile. Umshini usebenza ku-wavelength engu-1064 nm, okuvumela ukuthi uqondise izingqimba ezijulile zesikhumba ngaphandle kokulimaza indawo engaphezulu. I-laser isebenzisa ukulethwa kwe-fiberoptic ukukhiqiza i-pulsed beam, ithuthukisa ukungena kokushisa futhi iyenze isebenze kakhulu kune-diode lasers ekwelapheni okuthile.
Uma usebenzisa i-nd:yag laser, amandla ahamba esikhumbeni futhi amuncwa izimibalabala ezifana ne-melanin ne-hemoglobin. Lokhu kumunca kuholela ekuqineni kwemithambo futhi kubangele ukubola kwe-coagulation, okubalulekile ekwelapheni izilonda zemithambo nezindawo ezinombala. I-laser ingena kufika ku-4 mm esicutshini, idale indawo yokulimala okushisayo esebenza kahle ekuhlanganeni kodwa engasiki izicubu. Uthola ukuthi i-wavelength ayimuncwe kahle amanzi, okusho ukuthi i-laser iqondise kumbala kunokuba ibangele ukulimala kwezicubu ezisabalele.
Ungakhetha phakathi kwezindlela zokusebenza ezihlukene kuye ngezinhloso zakho zokwelashwa:
● Imodi yokushintsha i-Q iletha amapulse amafushane kakhulu (cishe ama-nanoseconds angu-5), okuyenza ifaneleke ukuhlephula uyinki we-tattoo nokwelapha izilonda ezinemibala.
● Imodi ye-laser ene-pulsed nd:yag isebenzisa ama-pulses amade (cishe ama-microseconds angu-300), angase angene ajule ku-dermis futhi athuthukise ukulungiswa kabusha kwesikhumba.
● Zombili izindlela zibonisa imiphumela efanayo ekwehliseni usayizi wembotshana namazinga e-sebum, ukuze ukwazi ukukhetha imodi evumelana kangcono nezidingo zesiguli sakho.
Ukuphepha Nokunemba
Uthembele ku-nd:yag laser ngezici zayo zokuphepha ezithuthukisiwe, ezivikela nobabili wena neziguli zakho phakathi nezinqubo. Imishini yesimanje ihlanganisa izivikelo eziningana:
| Isici Sokuphepha | Incazelo |
|---|---|
| Ukushintsha Ukhiye | Ivimbela ukusetshenziswa okungagunyaziwe ngokudinga ukhiye ukuze usebenzise i-laser. |
| Ukuphepha kwe-Interlock Dongle | Iqinisekisa ukuthi idivayisi ayikwazi ukusebenza ngaphandle uma ixhumeke kahle. |
| Inkomba Yamandla | Inikeza inkomba ebonakalayo lapho i-laser ivuliwe. |
| I-Aperture Shutter | Ivimba i-beam uma ingasetshenziswa, ivimbela ukuchayeka ngengozi. |
| Ukulibaziseka kokukhishwa | Yethula ukubambezeleka ngaphambi kokwenza kusebenze, ikunikeza isikhathi sokulungiselela. |
Uzuza ezinhlelweni zokulinganisa amandla ezinembayo. Isibonelo, amanye amadivayisi asebenzisa ukulinganisa okuzenzakalelayo ngempendulo evela kusiqapha samandla, esilungisa okukhiphayo ukuze kusebenze okuzinzile. Ungakwazi ukulungisa kahle amapharamitha ngokukhuphuka okuncane, okufana no-0.1 mJ, ukuze uqinisekise imiphumela enembile. Izindlela zokugxila ezinamaphoyinti amabili ezinokubekezelelana okuqinile zikusiza ukuthi ulethe amandla lapho kudingeka khona. Ukulungiswa okuqhubekayo kokuma kwebhola le-plasma kuthuthukisa ngokwengeziwe ukunemba.
Ukunethezeka kwesiguli kuhlala kuyinto ehamba phambili. Amasistimu okupholisa athuthukile, njengokupholisa komoya namanzi noma ukupholisa kwe-TEC, agcina izinga lokushisa lesikhumba futhi anciphise ukungakhululeki. Lezi zinto ezintsha zenza izinqubo zingabi nabuhlungu futhi zinciphise ubungozi bokulimala okushisayo.
Intuthuko yakamuva kubuchwepheshe be-laser ye-nd:yag ithuthukise ukuphepha nemiphumela. Ama-lasers amafractional kanye ne-hybrid akuvumela ukuthi uqondise ukungapheleli ngesikhathi sokuphumula esincane. Ukuhlanganiswa kwe-AI kuthuthukisa ukunemba komtholampilo kanye nokuphulukiswa. Manje usungaphatha i-spectrum ebanzi yamathoni esikhumba, okuhlanganisa nebala elimnyama ngokuzethemba.
Kufanele ucabangele izibalo zesiguli lapho uhlela ukwelashwa. Iningi leziguli liwela phakathi kwebanga leminyaka engu-24 kuya kwengama-78 futhi linezinhlobo zesikhumba ze-Fitzpatrick II noma III. Imiphumela ingahluka ngokuya ngeminyaka, uhlobo lwesikhumba, kanye nesimo esithile esilashwayo. Isibonelo, iziguli ezine-erythematotelangiectatic rosacea zivame ukusabela kangcono kunalezo ezine-papulopustular rosacea.
Uthola ukuthi i-nd:yag laser ihlanganisa ubuchwepheshe obuphambili, izici zokuphepha eziqinile, nokulethwa kwamandla okunembayo ukuze kunikeze imiphumela ethembekile yokwelashwa kwesikhumba okubanzi.
Nd:Izicelo zeLaser ye-YAG
Uthembele emshinini we-laser we-nd yag ukuze uthole izinhlobonhlobo zokusetshenziswa komtholampilo nezimonyo. Izicelo ezivame kakhulu zihlanganisa ukukhishwa kwe-tattoo, ukulungiswa kwe-pigment, ukuvuselela isikhumba, ukwelashwa kwezilonda zemithambo, nokususwa kwezinwele. Ukuguquguquka kwe-nd:yag laser kwenza kube ukukhetha okuncanyelwayo kodokotela abafuna ukubhekana nokukhathazeka okuningi kwesikhumba ngomshini owodwa.
Ukususwa kweTattoo kanye Nebala
Uthola imiphumela encomekayo nge-nd:yag laser yokukhishwa kwe-tattoo kanye ne-pigment. Ucwaningo lwezokwelapha lubonisa ukuthi lobu buchwepheshe buletha amazinga aphezulu okuvunyelwa ngengozi encane ye-hypopigmentation noma izibazi. Ithebula elingezansi liqhathanisa imiphumela evela ezifundweni ezimbalwa:
| Funda | Uhlobo lweLaser | Imiphumela | Amanothi |
|---|---|---|---|
| Leuenberger et al. | QS irubi, QS Nd:YAG, QS alexandrite | Irubi le-QS lisule ama-tattoos engeziwe, kodwa i-QS Nd:YAG yayino-0% hypopigmentation | QS Nd:YAG iphephe kakhudlwana kuthoni yesikhumba |
| Jones et al. | QS Nd:YAG | 75-95% imvume kuma-tattoos angu-8 kwangu-15 ngemva kokwelashwa oku-3-4 | Ukukhanya okuncane kwesikhumba |
| Lapidoth et al. | QS Nd:YAG, QS ruby | 75-100% imvume ku-92% yeziguli ngemva 3-6 ukwelashwa | Azikho izibazi noma izinguquko ezihlala njalo |
Futhi uyazuza ezenzakalweni eziphansi zemiphumela emibi. Ocwaningweni olukhulu, amaphesenti angu-0.28 kuphela eziguli athola izibazi ze-hypertrophic, futhi lezi zimo zazithambile futhi zingakhiqizi.
Ukuvuselela Isikhumba Nokususwa Kwezinwele
Usebenzisa i-nd:yag laser ukuze uvuselele isikhumba, unciphise imibimbi, futhi uthuthukise ukuthungwa. Ucwaningo lubika ukuthuthuka okuphawulekayo kusayizi wezimbotshana, ukukhiqizwa kwe-collagen, kanye nekhwalithi yesikhumba iyonke. Ithebula elingezansi ligqamisa okutholakele okubalulekile:
| Funda | Okutholakele |
|---|---|
| Roh et al. | Ukunciphisa ama-pores akhulisiwe kuzo zonke iziguli |
| U-Urdiales-Gálvez et al. | Ukuthuthuka okumakiwe ekuvuseleleni ubuso nentamo |
| U-Akerman et al. | I-collagen evuselelwe kanye nokulungiswa kabusha kwesikhumba esikhumbeni esinezibazi |
| Wu et al. | Ukuthungwa okuthuthukisiwe nokuthwebula izithombe ngezikhathi zokuphulukisa ezimfushane |
Ngokususa izinwele, i-nd:yag laser inikeza inketho ephephile yazo zonke izinhlobo zesikhumba. Nakuba ukuncishiswa kwezinwele okumaphakathi kungu-42.4%, ukwaneliseka kwesiguli kuhlala kuphezulu. Ungabona isiqhathaniso ngezansi:
I-Long Pulsed Nd:Izinzuzo zeLaser YAG
Uthola izinzuzo ezihlukile uma usebenzisa i-laser nd:yag laser. Ubude begagasi bude bungena bujule futhi bunciphise ukuhlakazeka, buyenze ilungele ukwelapha izinhlobo zesikhumba ezimnyama nezindawo ezinkulu. Ucwaningo lwezokwelapha luqinisekisa ukuthi le ndlela iphumelela kakhulu ekususeni izinwele kubantu abanesikhumba esimnyama uma kuqhathaniswa nokukhanya okushubile kwe-pulsed. Ungakwazi ukwelapha ngokuzethemba isibalo sabantu abahlukahlukene ngemiphumela enokwethenjelwa.
Uyazuza ku-ngi: laserUbuchwepheshe obuthuthukisiwe kanye nephrofayili yokuphepha, okuyenza ilungele ukwelashwa kwesikhumba okuqeqeshiwe.
| Indawo Yesicelo | Incazelo |
|---|---|
| Ukususwa kweTattoo | Isebenza ngemibala ye-inki ehlukahlukene |
| Ukususwa Kwezinwele | Ifanele amathoni esikhumba amnyama |
| Ukuvuselela Isikhumba | Ithuthukisa ukuthungwa futhi inciphise isikhathi sokuphumula |
| Ukunakekelwa Kwezilonda Zemithambo | Ukuqondisa okunembayo kokwelashwa okuthembekile |
II-Apolomed HS-290Ainikeza izilawuli ezinembile namaza amaza ahlukahlukene, athuthukisa imiphumela yakho.
Isikhathi sokuthumela: Nov-21-2025
