Melasma yog dab tsi?
Melasma yog ib qho mob ntawm daim tawv nqaij. Yog tias koj muaj melasma, koj yuav pom xim av lossis xiav - grey thaj ua rau thaj lossis freckle - zoo li pob ntawm koj daim tawv nqaij. Nws tseem yog feem ntau hu ua "pob ntseg cev xeeb tub." Nws tsis muaj mob thiab tsis sib kis.
Feem ntau qhov chaw: Cov pob no feem ntau tshwm sim nyob rau hauv qee qhov chaw ntawm lub ntsej muag (cheeks, hauv pliaj, hauv pliaj, qhov ntswg, puab tsaig, daim di ncauj), thiab tsawg zaus ntawm caj dab, caj npab, lossis lwm qhov chaw. Melasma tuaj yeem loj hlob ntawm txhua qhov chaw uas nquag raug tshav ntuj, uas yog vim li cas cov tsos mob feem ntau ua rau lub caij ntuj sov.
Hom Melasma:
- Epidermal Melasma: Raws li lub npe qhia, qhov no yog hais txog qhov zoo -txhais tau tias, cov xim av tsaus nti nyob rau hauv txheej txheej ntawm daim tawv nqaij. Hom melasma no feem ntau muaj xim av pigmentation, ib qho kev faib tawm, thiab kho tau yooj yim dua.
- Dermal Melasma: Qhov no cuam tshuam rau cov txheej txheej ntxaum ntawm daim tawv nqaij (dermis), tshwm sim li xiav - grey lossis lub teeb xim av thaj ua rau thaj uas muaj ciam teb tsis sib xws. Vim hais tias cov pigmentation nyob tob rau hauv daim tawv nqaij, hom melasma no feem ntau yog tawv tawv thiab nyuaj rau kev kho mob, feem ntau yuav tsum tau laser lossis microneedling.
- Mixed Melasma: Qhov no yog hom melasma tshaj plaws, ua ke ntawm epidermal thiab dermal melasma, feem ntau nthuav tawm raws li xim av lossis xiav - grey thaj ua rau thaj. Vim hais tias sib xyaw melasma nthuav tawm cov yam ntxwv ntawm ob qho tib si epidermis thiab dermis, kev kho mob yuav xav tau kev qhia dav dav rau lub hom phiaj thiab txhim kho cov tsos mob.
Melasmas tsim li cas?
Melasma feem ntau tshwm sim los ntawm peb yam: raug tshav ntuj, hloov hormonal, thiab noob caj noob ces.
Sun Exposure:
Ultraviolet thiab infrared hluav taws xob los ntawm lub hnub yog qhov loj tshaj aggravating yam rau melasma tsim. Tsis tas li ntawd, txawm tias tshav kub (infrared) lub teeb, LED cov ntxaij vab tshaus, thiab cov xov tooj ntawm tes tuaj yeem ua rau melasma. Cov kab hluav taws xob ultraviolet los ntawm lub txaj tanning tsuas yog ua rau cov tawv nqaij ua rau lub hnub ci; Yog li ntawd, kev tiv thaiv lub hnub zoo ib yam yog qhov tseem ceeb rau kev tswj melasma.
Hormonal hloov:
Cov tshuaj estrogen thiab progesterone ntseeg tau hais tias muaj feem xyuam rau kev tsim ntawm melasma, uas piav qhia vim li cas nws muaj ntau dua hauv cov poj niam cev xeeb tub. Tsis tas li ntawd, cov neeg noj cov tshuaj tiv thaiv qhov ncauj uas muaj estrogen thiab progesterone kuj tuaj yeem tsim melasma. Txawm tias qee cov khoom siv tawv nqaij tuaj yeem ua rau muaj kev hloov pauv hormonal.
Genetic Factors:
Tsev neeg keeb kwm ua rau muaj kev pheej hmoo ntawm kev tsim melasma; ntau tus ntxaib zoo ib yam raug cuam tshuam.
Leej twg ua rau melasma?
Melasma yog ib qho mob ntawm daim tawv nqaij, feem ntau cuam tshuam rau cov poj niam, tshwj xeeb tshaj yog cov neeg uas muaj cov tawv nqaij nruab nrab mus rau qhov tsaus ntuj.Cov poj niam cev xeeb tubtshwj xeeb yog raug piv rau lwm pab pawg. Ntau tus poj niam tau ntsib thawj qhov pom ntawm thaj tsam tsaus ntuj lossis qhov chaw ntawm lawv lub ntsej muag thaum cev xeeb tub lossis thaum pib noj tshuaj tiv thaiv kab mob; Yog li ntawd, melasma tseem hu ua "pob ntseg cev xeeb tub." Kev noj cov tshuaj tiv thaiv qhov ncauj thiab tshuaj hormonal tuaj yeem ua rau muaj kev pheej hmoo ntawm kev tsim melasma.
Peb advanced laser cosmetic technologies zoo tshem melasma
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Fractional CO2 Laser
Qhov no belongs rau qeb ntawm ablative fractional lasers. Lub teeb laser tau muab faib ua cov kab me me uas suav tsis txheeb, tsim kom tswj tau micro- thaj chaw ua kom sov ntawm daim tawv nqaij. Cov kab mob thermal puas tuaj yeem ncav cuag lub dermis, vaporizing thiab tshem tawm cov pigmented epidermal cov ntaub so ntswg thaum ua kom kho thiab kho cov lus teb nyob rau hauv cov ntaub so ntswg ib puag ncig, stimulating tshiab collagen remodeling, thiab txhawb epidermal renewal. Rau pigmentation, nws feem ntau ua haujlwm los ntawm "qhib ablating cov pigmented epidermis" thiab "txhim kho qhov hloov tshiab epidermal."
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Q- hloov Nd:YAG Laser
Nanosecond-theem tsis yog-ablative Q-hloov lasers yog tus sawv cev ntawm ib txwm lasers rau kev tshem tawm pigmentation. Lawv lub hauv paus ntsiab lus yog xaiv photothermolysis. Lub 1064nm lossis 532nm wavelength laser emitted yog tshwj xeeb thiab muaj zog absorbed los ntawm melanin. Lub zog tso tawm nyob rau hauv ib lub sij hawm luv luv (nanoseconds), ua rau melanin granules tam sim ntawd tawg mus rau hauv me me fragments vim cua kub ceev. Cov fragments no ces phagocytosed los ntawm macrophages thiab tawm ntawm lub cev los ntawm tej yam ntuj tso metabolism. Tag nrho cov txheej txheem kev kho mob tsis ua puas tsuaj ib puag ncig ntawm daim tawv nqaij.
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Picosecond Laser
Peb tuaj yeem xav txog picosecond lasers raws li qib siab dua ntawm Q-hloov lasers, nrog rau lawv cov tub ntxhais yog cov nyhuv photomechanical. Nws shortens lub laser mem tes dav ntawm nanoseconds (10⁻⁹ vib nas this) rau picoseconds (10⁻¹² vib nas this). Lub ultra- luv pulse dav txhais tau hais tias lub zog raug tso tawm ntawm lub zog siab dua hauv lub sijhawm luv. Qhov no ua rau melanin granules "splated" rau hauv cov hmoov av zoo heev -zoo li cov khoom tsis yog "thermally exploded." Cov txheej txheem no ua kom muaj cua sov me me, ua rau muaj kev puas tsuaj rau cov ntaub so ntswg nyob ib puag ncig thiab ua rau muaj kev tshem tawm cov xim ntau dua.
| Yam ntxwv | Fractional CO2 laser | Q- hloov Nd:YAG laser | Picosecond laser |
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| Lub ntsiab zoo |
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| Lub ntsiab tsis zoo |
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| xwm txheej | Tsis yog thawj qhov kev xaiv; ceev faj heev yog qhia. | Classic Xaiv | Txiav - xaiv ntug |
Kev ceev faj ua ntej thiab tom qab kev kho mob
Ua ntej-Kev Npaj Kho Mob:
- Kev Ntsuam Xyuas Kev Ua Haujlwm thiab Kev Sib Txuas Lus:
Nrog rau tus kws kho mob dermatologist los txiav txim seb hom melasma (epidermal, dermal, lossis sib xyaw), nws ruaj khov, thiab qhov xwm txheej ntawm daim tawv nqaij barrier. Ua tib zoo sib tham nrog tus kws kho mob txog cov txiaj ntsig xav tau thiab muaj peev xwm txaus ntshai.
- Strengthened Sun Protection:
Kev siv lub hnub ci tiv thaiv lub cev (cov kaus mom, kaus mom, lub ntsej muag) ua ke nrog dav -spectrum siab-SPF tshuaj tiv thaiv tshav ntuj (SPF50+, PA++++) kom txo qis kev ua xua ntawm UV.
- Kho tawv nqaij Barrier:
Tsis txhob siv txhua yam khoom tu tawv nqaij (xws li glycolic acid, salicylic acid, thiab retinoic acid). Siv cov khoom kho thiab moisturizing uas muaj cov khoom xyaw xws li ceramides thiab hyaluronic acid kom ntxiv dag zog rau daim tawv nqaij.
Tom qab-Kev Kho Mob:
- Tam sim ntawd Soothing:
Tom qab kev kho mob, daim tawv nqaij yuav hnov mob me ntsis thiab liab. Siv cov compresses txias los yog cov tshuaj tsuag txias tam sim ntawd, thiab siv kev kho mob - qib kho cov khaub ncaws kom txo tau qhov mob.
- Strict Sun Protection:
Qhov no yog qhov tseem ceeb heev los tiv thaiv hyperpigmentation. Hauv thawj zaug tshaj tawm- lub sijhawm kho, tsom ntsoov rau lub hnub tiv thaiv lub cev thiab zam kev tshav ntuj ncaj qha. Tom qab daim tawv nqaij tau zoo lawm, thov siab -SPF tshuaj pleev thaiv hnub txhua hnub.
- Gentle Cleansing thiab Moisturizing:
Rau thawj lub lim tiam tom qab cov txheej txheem, maj mam ntxuav koj lub ntsej muag nrog dej sov, tsis txhob muaj kev sib txhuam. Siv yooj yim, kho mob- qib kho thiab moisturizing cov khoom los txhawb cov tawv nqaij rov qab.
- Tsis txhob Irritation:
Cia cov pob khaus poob tawm ib txwm; tsis txhob xaiv lossis khawb. Tsis txhob siv cov tshuaj pleev ib ce (xws li ntxuav hniav dawb lossis los tiv thaiv- cov khoom lag luam), saunas, dej kub, thiab kev tawm dag zog kom tsawg li ob lub lis piam tom qab ua tiav.
- Cov tshuaj ua ke:
Txuas ntxiv siv tom qab- kho cov khoom kho mob thiab/los yog cov tshuaj noj hauv qhov ncauj raws li koj tus kws kho mob tau sau tseg kom sib sau ua ke cov txiaj ntsig kev kho mob thiab tiv thaiv kev rov tshwm sim dua.
Yuav tiv thaiv melasma li cas?
Yog hais tias melasma yog tshwm sim los ntawm caj ces, nws tsis tuaj yeem tiv thaiv. Melasma tshwm sim los ntawm kev nce qib estrogen thiab progesterone thaum cev xeeb tub kuj nyuaj rau kev tiv thaiv ua ntej. Txawm li cas los xij, koj tuaj yeem sim zam cov yam uas ua rau melasma phem. Dhau li ntawm ob yam no, koj tuaj yeem tiv thaiv kev tiv thaiv rau lwm yam ua tau.
Ua tib zoo saib xyuas lub hnub tiv thaiv:
Siv dav - tshuaj tiv thaiv tshav ntuj nrog SPF 30 lossis siab dua txhua hnub, txawm nyob hauv tsev lossis hnub huab cua. Yog tias sab nraum zoov, rov thov dua txhua ob peb teev thiab hnav lub kaus mom, daim npog qhov ncauj, thiab cov khaub ncaws tiv thaiv lub cev tiv thaiv lub hnub. Koj tuaj yeem siv cov khoom uas muaj vitamin C lossis vitamin E los pab tiv thaiv lub hnub puas tsuaj.
Kev tu tawv nqaij mos:
Siv cov tshuaj tsw qab -dawb, hypoallergenic khoom tu tawv nqaij. Tsis txhob siv cov tshuaj txhuam hniav hnyav, cov tshuaj lom neeg muaj zog, thiab cov khoom ua rau khaus khaus.
Moisturize zoo: Ua kom koj cov tawv nqaij zoo -hydrated kom ntxiv dag zog rau nws txoj kev tiv thaiv.
Tsis txhob kub siab thiab tawm hws:
Tsis txhob saunas, da dej kub, thiab raug rau qhov kub siab sab nraum zoov ntev.





