Mafuta amapezeka. Tikamakalamba, tanthauzo la minofu pamaso yathu likuwonjezeka. Kuwonjezeka kwa mawu ndi kuchepa kwa collagen kagayidwe kake kumabweretsa makwinya. Mafinya amaipiraipira ndi kusuta ndi dzuwa.
Anthu ambiri sasangalala ndi makwinya ndikuyesera kuthetsa ntchito ya amayi ndi chikhalidwe pochita zinthu monga jekeseni wa Botox ndi jekeseni wa kudzaza.
Kuwonongeka kwa Botox (botulinum poizoni) kumagwirira ntchito kumachepetsa minofu ya nkhope ndi kuchepetsa kuthamanga kwa minofu yawo kotero kuyesa makwinya. Kupweteka ndi Botox, komabe, kaŵirikaŵiri, ndilo njira yoyamba kutsitsimutsira nkhope, ndipo makwinya ozama amafunikanso kudzazidwa ndi kudzaza. Zindikirani, zowonjezera zamadzimadzi zimagwiritsidwanso ntchito kupereka milomo, mphuno, mthunzi ndi mbali zina za nkhope kuyang'ana kwakukulu.
Kuloledwa koyenera kwa Botox ndi kudzala kwadontho kumafuna luso ndi ntchito zambiri ndipo makamaka ziyenera kuchitidwa ndi dokotala wodziwa dokotala kapena dokotala wa opaleshoni ya pulasitiki. Mofanana ndi maonekedwe osiyana a poizoni ya botulinum, kudzaza madontho kumabwera mosiyanasiyana. Kuonjezerapo, ngakhale kuti sizowoneka, jekeseni wothandizira mchere umatha kuwononga zotsatira. Musanasankhe kuti mukhale ndi kudzoza kochepa, apa pali zinthu zina zomwe muyenera kuzidziwa.
Mitundu
Osati zonse zodzaza zimalengedwa zofanana.
Mafuta osiyanasiyana amakhala ndi ntchito zosiyanasiyana ndipo amagwiritsidwa ntchito ndi mitundu yosiyanasiyana ya makwinya.
Nawa ena odzaza mazira:
- Mavitamini a Hyaluronic monga Juvederm ndi Restalyne ndi glycosaminoglycan biopolymers ndi ofanana kwambiri ndi zinthu zomwe zimapezeka m'matumbo kapena pakhungu. Mankhwala a Hyaluronic acid amagwiritsidwa ntchito kudzaza makwinya abwino ndi kuwonjezera milomo. Zotsatira za kukhutazi nthawi zambiri zimakhala pakati pa miyezi inayi ndi isanu ndi umodzi. Kuphatikiza pa zotsatira zochepa zovuta, hyaluronic acid derivatives ndi zabwino chifukwa jekeseni wambiri akhoza kusinthidwa ndi enzyme hyaluronidase.
- Calcium hydroxylapatite (Kuchokera Phokoso FN) ndi mafupa omwe angagwiritsidwe ntchito pamagulu kuti aziwonjezera minofu yofewa pamaso kuphatikizapo mapepala a nasolabial (AKA mitsempha kapena kuseka). Ngati jekeseni wochuluka, calcium hydroxylapatite ikhoza kuyambitsa zilonda kapena mitsempha; Choncho, zowonjezerazi ziyenera kuyesedwa kwambiri (subdermally) mu nkhope.
- Mafuta ovomerezeka ndi mafuta omwe amachotsedwa mumtundu wa munthu ndiyeno atayikidwa mu nkhope yake. Mafuta otchedwa Autologous amagwiritsiridwa ntchito kubwereza nkhope ndikupatsani voliyumu. Ngakhale kuti pali deta yocheperapo yokhudza momwe jekeseni ndi mafuta otchedwa autologous amatha, ena amaganiza kuti mankhwala odzaza ndi mankhwalawa akhoza kukhala moyo wonse.
- Colgogeniceni yotengedwa ndi anthu (Cosmoderm ndi Cosmoplast) imagwiritsidwa ntchito kudzaza makwinya a nkhope ndi milomo yambiri. Chifukwa chakuti collagen ya mtundu umenewu ndi yaumunthu, kuchuluka kwa zomwe zimachitika (hypersensitivity) ndizochepa.
- Gulu la collagen (bovine amatanthauza ng'ombe) amagwiritsidwa ntchito kuwonjezera milomo ndi nsolabial. Zitsanzo za collagen ya nkhumba ndi Zyderm ndi Zyplast. Pafupifupi oposa 3 peresenti ya odwala amatsutsana ndi collagen ya bovine; Choncho, kuyezetsa khungu musanayambe kugwiritsa ntchito ndi lingaliro labwino. Zotsatira za bovine collagen zimatenga miyezi iwiri kapena inayi.
Zotsatira Zoipa
Kawirikawiri, zotsatira zovulaza zomwe zimabwera chifukwa cha jekeseni wodzala ndizodzichepetsa ndizakhalitsa.
Komabe, pofuna kuchepetsa kuchitika kwa zotsatira zoopsa kwambiri, nkofunika kuti dokotala amvetse bwino kwambiri nkhope ya diso, jekeseni, malo odzaza ndi zovuta zosiyanasiyana.
Nazi zotsatira zovuta zomwe zingachitike pambuyo pa jekeseni ndi kudzaza kwadzidzidzi:
- Zomwe zimayambitsa matenda (hypersensitivity) zimatha kuchitika pambuyo pa jekeseni ndi zowonjezera zowonjezera chifukwa zotsekemera zowonjezera ndizochokera kunja. Zomwe zimawoneka kuti zimawoneka ngati redness, kutupa (edema), ululu ndi chifundo. Nthawi zina zimakhala zovuta kuti ziwonongeke komanso zimakhala zowawa kwambiri. Nthaŵi zina, kudzaza kwadzidzidzi kumachititsa kuti thupi lonse liwonongeke (kuganiza moopsa kwa magazi, kupweteka kwakukulu, kutaya chidziwitso, ngakhale imfa). Mankhwala osakanikirana amatha kupatsidwa mankhwala opweteka kwambiri (aganizirani ibuprofen kapena acetaminophen), antihistamines, ndi cold compress. Kusokonezeka kwa anaphylactic kumachiritsidwa mu ICU yokhala ndi njira zotsitsimutsa ndi mankhwala monga opanikiza omwe amachititsa kuti magazi aziponderezeka.
- Nthawi iliyonse khungu lathyoka, tizilombo toyambitsa matenda monga mabakiteriya amatha kulowa m'thupi ndikuyambitsa matenda. Kutenga kumayambitsa kufiira, kutupa, kupweteka ndi zina zambiri. Kawirikawiri matenda opatsirana kumapeto kwa jekeseni wa mankhwala ochepetsetsa amatha kuchizidwa ndi maantibayotiki. Mavuto akuluakulu omwe amachititsa kuti abambo asapitirire kufunikira opaleshoni.
- Manodoma ndi granulomas ndi mitsempha ndi maphuphu omwe amayamba chifukwa cha matenda, zotsatira zolakwika, chitetezo cha mthupi kapena kukhuta kwambiri. Kuchiza kwa mitsempha kumakhala kovuta ndipo kumadalira chifukwa. Mankhwala otheka amatha kupaka misala, compresses, hyaluronidase, antibiotics, steroids, laser ndi chemotherapeutic wothandizira monga 5-fluorouracil ndi allopurinol.
- Pakadzaza jekeseni mumagazi amagazi, kutuluka kwa mitsempha kapena kutsekedwa kwa mitsempha kumatha. Kuchotsa mitsempha mwa kukhuta kwadzala kumabweretsa ululu wopweteka komanso kusintha kwa mtundu wa khungu. Kuchuluka kwa mitsempha kumakhala koopsa kwambiri pamene kumaphatikizapo jekeseni wa kudzaza madontho mu mitsempha poyerekeza ndi jekeseni wa kudzaza mchere. Zomwe zimachitika m'mimba zimatulutsa kuwonongeka kwa minofu, khungu la necrosis (imfa) ndi ischemia kapena kuchepa. Kawirikawiri, pamene mankhwala otsekemera amalowa mu mitsempha pamaso, diso limatha kuponyedwa lomwe limapangitsa kuti mitsempha ya retinal iwonongeke. Kuwoneka kwaubweya ndi kudzaza kwadzidzidzi ndi vuto lachipatala lomwe limafuna kuzindikira mwamsanga ndi chithandizo. Mankhwala opatsirana amitundu amasiyana malinga ndi mtundu wa kudzaza ntchito, malo a jekeseni ndi matenda opatsirana; Mankhwalawa angaphatikizepo misala, anticoagulants, jekeseni wa saline, jekeseni wa hyaluronidase ndi thrombolysis.
Kutsiliza
Ngakhale jekeseni wa kudzaza kwadontho kumaso kungaoneke ngati kosavuta, si. Popanda kuphunzitsidwa bwino, dokotala akhoza kuwononga kwambiri pogwiritsira ntchito sitiroti yokhala ndi kudzaza. Chifukwa mankhwala opatsirana ndi mchere amakhala osakwanira, mwina ndi bwino kukhala ndi dermatologist kapena opaleshoni ya opaleshoni ya pulasitiki ngakhale ngati ena othandizira zaumoyo (internists, madokotala a zamankhwala, ndi azamwino) amapereka ntchitoyi pamtengo wotsika.
> Zotsatira:
> De Boulle, K. ndi Hey, I. "Zovuta Zopatsira Matenda Okhudzana ndi Matenda a Dermal Filler: Kupewa, Kuyeza, ndi Kuchiza." Mankhwala, Zodzoladzola, ndi Zofufuzira za Dokotala. 2015.
> Funt, D. ndi Pavicic, T. "Zodzoladzola Zowonongeka mu Zochita Zokongola: Zowona za Zovuta ndi Zochiritsira Njira." Kupanga Chipatala cha Plastic . 2015.
> Shah AR, Wise JB, Constantinides M. "Zojambula Zojambula ndi Implants." Kufufuza Koyamba ndi Kuchiritsidwa > Otolaryngology-Head > & Surgery, 3e . Lalwani AK. eds. New York, NY: Hill ya McGraw; 2012.