Zvipfeko zvinoitika. Apo patinenge takura, mutinhiro wemisungo muchiso chedu inowedzera. Iko kukura kwekutaurirana pamwe nekuderera kwe collagen metabolism kunokonzera kukanganisika. Wrinkles anowedzera kuipa nekusvuta uye kubuda kwezuva.
Vanhu vazhinji havafari nemakaka uye vanoedza kubvisa basa raamai vaMweya kuburikidza nemitemo yakadai seBotox injection uye injection ye dermal filler.
Kuvharwa kweBotox (botulinum toxin) inonyanya kushanda kuita kuti maziso echitarisiko zvive zvishoma uye kuderedza inzwi ravo remanzwi kuitira kuti zvishoma nezvishoma zvive nyore kumira. Kusagadzikana neBotox, zvisinei, kazhinji, danho rokutanga pakuderedzwa kwemaziso, uye kumira kwakadzika kunodawo kuzadzwa nedermal filler. Nemaziso, madhimoni anozadza anoshandiswawo kupa miromo, mhino, jaya uye zvimwe zvikamu zvechiso kutarisa zvakakwana.
Mujenya wakakodzera weBotox uye dermal filler unoda unyanzvi hwakawanda uye hutsika uye zvinofanirwa kuitirwe nechiremba chiremba semharapistologist kana chiremba wepurasitiki. Zvakawanda sehutano hwakasiyana hwehuputi hwehuputi, dermal fillers inouyawo mumitauro yakasiyana-siyana. Uyezve, kunyange zvazvo zvisingawanzoitiki, injection dermal fillers inogona kukonzera zvinetso zvakashata. Usati wasarudzwa kuti uve nemhedziso yekuzadzwa yakaiswa, hezvino zvimwe zvinhu zvaunofanira kuziva.
Aina
Haasi yose yekuzadza yakasikwa yakaenzana.
Zvinyorwa zvakasiyana zvakashandiswa zvakasiyana uye zvinoshandiswa nemhando dzakasiyana dzemakwenzi.
Heano mamwe maitiro anozivikanwa evharasi:
- Hyaluronic acid yakagadzirwa saJuvederm uye Restalyne ndeye glycosaminoglycan biopolymers uye yakafanana zvikuru nemidziyo inowanikwa mudermisi kana pasi pepakati peganda. Hyaluronic acid yakagadzirirwa inoshandiswa kuzadza makwenzi akanaka uye kuwedzera kana kurira kwemiromo. Mhedzisiro yezadza iyi inowanzoguma pakati pemwedzi mina nematanhatu. Mukuwedzera kune zvinokonzerwa nemigumisiro shoma shoma, hyaluronic acid yakagadzirwa zvakanaka nokuti injini yakawanda inogona kuchinjwa ne enzyme hyaluronidase.
- Calcium hydroxylapatite (Radiance FN) inoshandiswa pfupa rinogona kushandiswa kubva kunetirairi kuti iwedzere mhando dzakanyanyisa mumeso kusanganisira nasolabial folds (AKA mitsetse yemitsetse kana mitambo yekuseka). Kana yakakonzerwa zvikuru, calcium hydroxylapatite inogona kukonzera mashizha kana mazinga; saka, izvi zvinogadziriswa zvinofanira kunge zvakakonzerwa zvakadzama (subdermally) mumeso.
- Autologous mafuta mafuta anotorwa kubva mumuviri womunhu pachake ndokubva avharwa mukati make. Autologous mafuta inoshandiswa kudzokorora chiso uye kuipa yakawanda. Kunyange zvazvo dambudziko rakanyanyisa riripo pamusoro pokuti inguva yakareba sei mujena nemafuta e-autologous anoguma, vamwe vanofunga kuti kurapwa nezvinozadza kunogona kupedza hupenyu hwose.
- Kubatana kwevanhu-yakagadzirwa neCormoderm neCosmoplast inoshandiswa kuzadza hukama hwemaziso uye kuvhara miromo. Nemhaka yekuti urudzi urwu rwek collagen nderwomunhu, kupararira kwemagetsi ose (hypersensitivity) maitiro akaderera.
- Bovine collagen (mhou inoreva mhou) inowanzoshandiswa kuwedzera miromo uye nasolabial mapanga. Mienzaniso yehavha yegorogen ndiyo Zyderm uye Zyplast. Inenge 3 kubva muzana yevarwere inokonzerwa nehavha yegorogen; nokudaro, ganda rinoshandiswa pamberi pekushandiswa ibasa rakanaka. Migumisiro yeboka rehavha rinopedza makore maviri kusvika mana.
Migumisiro yakaipa
Kazhinji, migumisiro yakaipa iyo inokonzerwa nemvura inogadziriswa yakazara uye inorarama kwenguva pfupi.
Zvisinei, kuitira kuti kugadzirisa kuitika kwezviito zvakakomba zvakakomba, zvakakosha kuti muongorori ane kunzwisisa kwakadzama kwemaziso anonzi chiso, injection sites, nzvimbo yezvinyorwa zvakasiyana uye kurapwa kwemigumisiro yakaipa.
Heano zvimwe zvipingamupinyi zvinogona kuitika mushure mejisi ne dermal filler:
- Allergic reactions (hypersensitivity) inogona kuitika mushure mejisi nemvura inogutsa nokuti dermal fillers kune dzimwe nyika. Kurwisa kweAirgic kunoratidzika sehutsvuku, kuzvimba (edema), kurwadziwa uye unyoro. Dzimwe nguva zvinokonzerwa nehutachiona zvinotora nguva yekuratidza uye pakupedzisira zvinowedzera sezvinyorwa zvinorwadza kana mavhinga. Dzimwe nguva, zvirwere zvinopisa zvinokonzera muviri wose (systemic) zvinokonzera kufanana nevanaphylactic kushungurudza (funga zvinotyisa pasi pesimba reropa, kupfugama kukuru, kurasikirwa kwekuziva, uye kunyange rufu). Kusava nemanzwiro ekugadzirisa zvinokonzerwa nemarwadzo ekurwadza (funga ibuprofen kana acetaminophen), antihistamines, uye cold compress. Kuvhiringidza kweAnaphylactic kunobatwa muI ICU nekugadzirisa matanho uye mishonga semakwikidzi anoita kuti ropa riwedzere.
- Chero nguva apo ganda rinoputsika, zvirwere zvinokonzerwa nemakemikari zvinogona kuita nzira yawo mumuviri uye zvinokonzera utachiona. Utachiona hunoguma nekugwinya, kuputika, kurwadziwa nezvimwe. Kazhinji kazhinji zvirwere zvinotapukira kusvika kune jekisi yezvokudya zvinodhaka zvinogona kurapwa nemishonga inorwisa mabhakitiriya. Zvimwe zvirwere zvakanyanya zvinokonzera kuti vascess vangave vachida mvura yekuvhiya.
- Nodules uye granulomas zviputi uye zviputi zvinokonzerwa nehutachiona, kushandiswa kwemagetsi, zvirwere zvekuzvidzivirira kana kuwedzera zvakakwana. Kurapa kwevhundukete kunonyangadza uye kunoenderana nechikonzero. Mishonga inokwanisika inosanganisira kushambadza, compresses, hyaluronidase, antibiotics, steroids, laser uye chemotherapeutic agents se 5-fluorouracil uye allopurinol.
- Kana chizadziro chinoputirwa nenzira yechirwere muropa remudziyo, kusvibiswa kwemasumbu kana kuvhara kunogona kuitika. Vascular occlusion nedermal filler inoguma nekurwadziwa zvakanyanya uye kuchinja kweganda reganda. Vascular occlusion inonyanya kutyisa kana ichibatanidza kujowa kwemaermerm fill fill in artery kana ichienzaniswa nekujowa kwemaermerm fill fill a vein. Arterial occlusion inokonzera kusvibiswa kwemavara, ganda necrosis (rufu) uye ischemia kana kuderera kupararira. Kakawanda, apo dermal filler inorohwa mumaritiro akavhara ziso, jira (embolus) rinogona kukandwa pane izvo zvinowanzoita arteri retinal zvichiita kupofu. Arterial occlusion ne dermal filler chirwere chekurapa chinoda kukurumidza kuziva uye kurapwa. Mishonga yevascular occlusion inopesana zvichienderana nemhando yekuzadza inoshandiswa, nzvimbo yejojo uye hutachiona hunokonzera; idzi mishonga inogona kusanganisira kuisa massage, anticoagulants, injection ye saline, injection ye hyaluronidase uye thrombolysis.
Mhedziso
Kunyange zvazvo kuvharwa kwemaermerm fill fill muziso kunogona kuita sezviri nyore, hazvisi. Pasina kudzidziswa kwakakodzera, chiremba anogona kuita zvinokuvadza zvakakomba achishandisa sirasi yakatakurwa nemafuta. Nemhaka yokuti kurapa nedermal filler hakuna kufanana, zvichida zvakanakisisa kuva nedermatologist kana chiremba wepurasitiki achiita chirongwa kunyange kana vamwe vanopa utano hwehutano (internists, vanachiremba vemhuri, uye vanamukoti) vanopa basa iri pamutengo wakaderera.
> Sources:
> De Boulle, K. naHee, I. "Mwoyo Murefu Chinokanganisa Dermal Filler Matambudziko: Kudzivirira, Kuongorora, uye Kurapwa." Clinical, Cosmetic, uye Investigational Dermatology. 2015.
> Funt, D. uye Pavicic, T. "Dermal Fillers muAesthetics: Chirongwa Chezviitiko Zvakaipa uye Zvokurapa Zviripo." Plastic Surgical Nursing . 2015.
> Shah AR, Wise JB, Constantinides M. "Facial Fillers & Implants." KUTAURWA KUNYANYA & Kurapa mu > Otolaryngology-Musoro > & Neck Surgery, 3e . Lalwani AK. eds. New York, NY: McGraw-Hill; 2012.