Bayani:Kodayake an cire gashin laser a cikin 'yan shekarun nan don cirewa ko rage gashin duhu maras so, fasaha, ciki har da hanyoyin da suka dace don nau'in fata daban-daban da sassan jiki, ba a inganta su ba.
Manufar:Mun sake nazarin ka'idodin cire gashin laser da kuma bayar da rahoto game da binciken da aka yi a baya na 322 marasa lafiya da suka yi 3 ko fiye da dogon lokaci na cire gashin laser alexandrite tsakanin Janairu 2000 da Disamba 2002. nazari na baya-bayan nan.
Hanyoyin:Kafin jiyya, likita ya kimanta marasa lafiya kuma an sanar da su game da tsarin, inganci da yiwuwar tasirin maganin.Dangane da rarrabuwar Fitzpatrick, ana rarraba marasa lafiya ta nau'in fata.Wadanda ke da cututtuka na tsarin jiki, tarihin hankalin rana, ko amfani da magungunan da aka sani don haifar da hotuna an cire su daga maganin laser.Dukkanin jiyya an yi su ne ta amfani da laser alexandrite mai tsayi mai tsayi tare da girman tabo akai-akai (18 mm) da faɗin bugun bugun 3 ms, wanda ya yi amfani da nanometer 755 na kuzari.Ana maimaita maganin a lokuta daban-daban dangane da sashin jikin da za a bi da shi.
Sakamako:An kiyasta yawan asarar gashi zuwa kashi 80.8% a duk marasa lafiya ba tare da la'akari da nau'in fata ba.Bayan jiyya, akwai lokuta 2 na hypopigmentation da kuma lokuta 8 na hyperpigmentation.Ba a sami rahoton wasu matsaloli ba.KAMMALAWA: Long-pulse alexandrite Laser magani zai iya saduwa da tsammanin marasa lafiya da suke so su sami gashin gashi na dindindin.Binciken haƙuri mai hankali da cikakken ilimin haƙuri kafin magani yana da mahimmanci ga yarda da haƙuri da nasarar wannan fasaha.
A halin yanzu, ana amfani da laser na tsawon raƙuman ruwa daban-daban don cire gashi, daga 695nm ruby Laser a gajeriyar ƙarshen 1064 nm Nd: YAG Laser a ƙarshen ƙarshen.10 Ko da yake guntun raƙuman raƙuman ruwa ba su kai ga cire gashin da ake so na dogon lokaci ba, tsayin raƙuman raƙuman raƙuman raƙuman raƙuman ruwa sun yi kusa da ƙimar ɗaukar haske na haemoglobin da melanin da ke da iskar oxygen don yin cikakken tasiri.Laser alexandrite, wanda yake kusan tsakiyar bakan, zaɓi ne mai kyau tare da tsayin tsayin 755 nm.
Ana siffanta makamashin na'urar laser ta adadin photon da aka kawo wa manufa, a cikin joules (J).Ƙarfin na'urar Laser ana bayyana shi ta yawan adadin kuzarin da aka bayar akan lokaci, a watts.Flux shine adadin kuzari (J/cm 2) da ake amfani da shi a kowane yanki.An bayyana girman tabo ta hanyar diamita na katako na Laser;Girman girma yana ba da damar ingantaccen canja wurin makamashi ta hanyar dermis.
Domin maganin Laser ya zama lafiya, dole ne makamashin Laser ya lalata gashin gashi yayin da yake adana nama da ke kewaye.Ana samun wannan ta hanyar amfani da ka'idar lokacin shakatawa na thermal (TRT).Kalmar tana nufin lokacin sanyaya na manufa;Zaɓaɓɓen lalacewar zafi yana faruwa lokacin da makamashin da ake bayarwa ya fi tsayin TRT na tsarin da ke kusa amma ya fi guntu TRT na ƙashin gashi, don haka baya barin abin da ake nufi ya yi sanyi kuma ta haka yana lalata burbushin gashi.11, 12 Ko da yake TRT na epidermis ana aunawa a 3 ms, yana ɗaukar kusan 40 zuwa 100 ms don gashin gashin ya yi sanyi.Baya ga wannan ka'ida, Hakanan zaka iya amfani da na'urar sanyaya a kan fata.Na'urar duka tana kare fata daga yuwuwar lalacewar yanayin zafi kuma tana rage jin zafi ga majiyyaci, ƙyale ma'aikaci ya isar da ƙarin kuzari cikin aminci.
Lokacin aikawa: Agusta-12-2022