Ama-wrinkles ayenzeka. Njengoba sikhula, ithoni yemisipha ebusweni yethu iyanda. Lokhu kwanda ithoni kanye nokwehla kokugaya umzimba kwe-collagen kubangela imibimbi. Ama-wrinkles enza umonakalo ngokubhema nokushisa kwelanga.
Abantu abaningi abajabuli imibimbi bese bazama ukulungisa umsebenzi woMama Wendalo ngokulandela izinqubo ezifana nejozi le-Botox nomjovo we-dermal filler.
Ukujula kweBotox (ubuthi lwe-botulinum) ngokuyinhloko kusebenza ukukhubaza imisipha ebusweni nokunciphisa ithoni yabo ye-muscle ngaleyo ndlela kuphefumulela okwesikhashana imibimbi. Ukujula neBotox, noma kunjalo, ngokuvamile kuyisinyathelo sokuqala sokuvuselelwa ebusweni, futhi imibimbi ejulile nayo idinga ukugcwaliswa nge-fillermer. Inothi, izigcwalisi ze-dermal nazo zisetshenziselwa ukunikeza izindebe, impumulo, umhlathi kanye nezinye izingxenye zobuso ukubukeka okugcwele.
Umjovo ofanele weBotox kanye ne-dermal filler udinga amakhono amaningi nokuzikhandla futhi kufanele ukwenziwa ngugqirha wezokwelapha njenge-dermatologist noma udokotela ohlinzayo we-plastic. Ngokufana nokubunjwa okuhlukile kwe-toxin ye-botulinum, izigcawu ze-dermal nazo ziza ngokuhlukahluka okuhlukile. Ukwengeza, nakuba izitshalo ezingavamile, ukujola izidakamizwa zingabangela imiphumela emibi. Ngaphambi kokukhethwa ukuba ube nokugcwaliswa kwezidakamizwa, nansi ezinye izinto okufanele wazi.
Izinhlobo
Akuwona wonke ama-fillers adalwe alinganayo.
Ukugcwalisa okuhlukeneyo kunokusetshenziswa okuhlukile futhi kusetshenziswa ngezinhlobo ezahlukene zemibimbi.
Nazi ezinye izigcawu ezijwayelekile zedermal:
- Ama-Hyaluronic acid derivatives afana no-Juvederm no-Restalyne yi-bilyollyglycan biopolymers futhi afana kakhulu nezidakamizwa ezitholakala ku- dermis noma ungqimba oluphansi kunesikhumba. I-Hyaluronic acid derivatives isetshenziselwa ukugcwalisa imibimbi emihle kanye nokwehlisa izindebe. Umphumela walesi sigcwalisi ngokuvamile uhlala phakathi kwezinyanga ezine nezinyanga eziyisithupha. Ngaphandle kokuphumela emiphumeleni embalwa kakhulu emibi, ama-hyaluronic acid derivatives amnandi ngoba injection ngokweqile ingaguqulwa nge-enzyme hyaluronidase.
- I-calcium hydroxylapatite (Ukudumaza kwe-FN) iyingxenye yethambo elingasetshenziswa ngaphandle kwelebuli yokukhulisa izicubu ezithambile ebusweni kufaka hlangana ama-nasolabial folds (AKA imigqa yemisindo noma imigqa yokuhleka). Uma injected kakhulu, i-calcium hydroxylapatite ingabangela izimpukane noma ama-nodules; ngakho-ke, lezi zigcwalisi kufanele zijojowe ngokujulile (ngaphansi kwesimo) ebusweni.
- Amafutha e-Autologous amanoni athathwa emzimbeni womuntu bese ejova ebusweni bakhe. Amagciwane e-Autologous asetshenziselwa ukubuyisa ubuso futhi anikeze ivolumu engaphezulu. Nakuba idatha elinganiselwe ikhona mayelana nokuthi umjovo omude namafutha e-autologous uhlala kanjani, abanye bacabanga ukuthi ukwelashwa nalokhu kugcwalisa kungadla isikhathi sokuphila.
- I-collagen eyenziwe ngabantu (iCosmoderm neCosoplast) isetshenziselwa ukugcwalisa imibimbi yobuso futhi igwebe izindebe. Ngenxa yokuthi lolu hlobo lwe-collagen luyisintu, ukusabalalisa kokuphendula kwe-allergenic (hypersensitivity) kuphansi.
- I-bovine collagen (isifuba sisho inkomo) isetshenziselwa ukunyusa izindebe kanye namahlumela we-nasolabial. Izibonelo ze-cowgen zezinkomo ziyiZyderm neZyplast. Amaphesenti angaba ngu-3 weziguli aphikisana ne-collagen ye-bovine; Ngakho-ke, ukuvivinya isikhumba ngaphambi kokuba isicelo sibe umbono omuhle. Imiphumela ye-bovine collagen iphela ezinyangeni ezimbili kuya kwezine.
Imiphumela emibi
Ngokuvamile, imiphumela emibi ephumela kumjovo we-dermal filler unomusa futhi uhlala isikhathi esifushane.
Kodwa-ke, ukuze kunciphise ukutholakala kwemiphumela emibi kakhulu, kubalulekile ukuthi uchwepheshe aqonde ngokujulile ama-anatomy ebusweni, amasayithi okujola, izindawo zokugcwalisa ezahlukene kanye nokuphathwa kwemiphumela emibi.
Nakhu eminye imiphumela emibi engenzeka ngemuva komjovo nge-fillermermer:
- Ukusabela okwenziwe nge-allergenic (hypersensitivity) kungenzeka ngemva komjovo ngamagcwalisa ama-dermal ngoba izitshalo zokudumisa zizinto ezingaphandle. Ukusabela okwe-allergen kubonakala njengobomvu, ukuvuvukala (i-edema), ubuhlungu nobubele. Ngezinye izikhathi ukusabela kwemizwa kuthatha isikhathi sokwethulwa futhi ekugcineni kube khona njengamaqhuqhuva obuhlungu noma izimpumputhe. Ngezinye izikhathi, ukugcwalisa izidakamizwa kubangele imiphumela ephelele yomzimba (ohlelweni) njengokwesabisa kwe-anaphylactic (cabanga ngengozi ephansi yegazi, ukuvuvukala okukhulu, ukulahlekelwa yimiqondo, ngisho nokufa). Ukusabela okuncane kwe-allergenic kuphathwa ngemithi yokuhlunguphazwa okungaphezu kwamandla (cabanga ibuprofen noma i-acetaminophen), i-antihistamines, ne-compress ebandayo. Ukuphazamiseka kwe-Anaphylactic kuphathwa ngendlela ye-ICU ngezinyathelo zokuvuselela kanye nemithi efana ne-pressors ephakamisa ukucindezelwa kwegazi.
- Noma nini isikhumba siphukile, ama-pathogens afana namabhaktheriya angenza indlela yawo emzimbeni futhi abangele ukutheleleka. Ukutheleleka kuphumela ekubomvu, ukuvuvukala, ubuhlungu nokuningi. Ngokuvamile ukutheleleka okuyisigqila kumjovo wama-dermal fillers kungaphathwa ngama-antibiotic. Ukutheleleka okukhulu okuholela ekutheni ama-abscesses angadinga amanzi okugqoka.
- Ama-neodules nama-granulomas yizinkomba nama-bumps okubangelwa ukutheleleka, ukusabela okweqile, ukusabela kwamagciwane noma ukugcwalisa ngokweqile. Ukwelashwa kwama-nodules kuyinkimbinkimbi futhi kuncike ekubambeni. Imithi ekhona kungenzeka ihlanganisa ukusikhipha, ukucindezela, i-hyaluronidase, ama-antibiotics, ama-steroids, ama-laser kanye nama-chemotherapeutic agents afana no-5-fluorouracil ne-allopurinol.
- Uma umfutho ujova ngengozi emkhunjini wegazi, ukufakwa kwamagciwane noma ukuvinjelwa kungenzeka. Ukutholakala kwe-Vascular nge-dermal filler kubangela ubuhlungu obukhulu nokushintsha kombala wesikhumba. Ukutholakala kwe-Vascular kunesabekayo uma kuhilela umjovo we-dermal filler ibe umthambo uma kuqhathaniswa nomjovo we-dermal filler umvini. Ukutholakala kwamagciwane kubangela ukuchithwa kwezicubu, isikhumba se-necrosis (ukufa) nesischemia noma ukuncipha kwegazi. Ngokuvamile, lapho ukugcwalisa i-dermal ijojelwa kuba yi-arteries eduze kweso, i-clot (i-embolus) ingaphonswa okuyinto efaka umthambo we-retinal obangela ukungaboni. Ukutholakala kwamagciwane nge-dermal filler yisimo esiphuthumayo sezokwelapha esidinga ukuqashelwa ngokushesha nokwelapha. Ukwelashwa kokutholakala kwamathambo kuyahlukahluka kuye ngokuthi uhlobo lokugcwalisa lusetshenzisiwe, indawo yomjovo kanye nokutheleleka okuhambisanayo; lezi zokwelapha zingabandakanya massage, anticoagulants, injection saline, injection of hyaluronidase kanye thrombolysis.
Isiphetho
Nakuba umjovo we-dermal filler ebusweni ungase ubonakale ulula, akunjalo. Ngaphandle kokuqeqeshwa okufanele, udokotela angenza umonakalo omkhulu ngokusebenzisa isondo eligcwele i-filler. Ngenxa yokuthi ukwelashwa nge-dermal filler kunamazinga angcono, cishe kungcono kakhulu ukuba nomdokotela wezinambuzane noma udokotela ohlinzayo we-plastic enze inqubo ngisho noma abanye abahlinzeki bempilo (abaqeqeshi bezempilo, odokotela bemithi yomndeni kanye nabahlengikazi) banikeza le nkonzo ngamanani aphansi.
> Imithombo:
> De Boulle, K. noHee, I. "Izimbangela zesineke ezithonya ukucindezelwa kwe-Dermal Filler: Ukuvimbela, Ukuhlola nokuPhatha." I-Clinical, Cosmetic, ne-Investigational Dermatology. 2015.
> Funt, D. kanye nePavicic, T. "Ama-Dermal Fillers ku-Aesthetics: Ngokuningiliziwe Kwezenzakalo Ezimbi Nezokwelapha." Ubuhlengikazi bokuhlinza ngePlastiki . 2015.
> Shah AR, Wise JB, uConstantinides M. "Amafayili Okubukeka Nezimpande." Ukuqaphela KULUNGILE & Ukwelashwa ku- Otolaryngology-Inhloko > Nokuhlinzwa Kwegazi, 3e . Lalwani AK. ama-eds. ENew York, NY: McGraw-Hill; 2012.