Kutalika kwamphamvu kwa 1064 ND: Yag Laser ikutsimikizira kuti hemangioma ndi vuto laukadaulo wa pakhungu lotetezeka, moyenera mtengo ndi zovuta zochepa.
Mitsempha ya laser ya ma superficial ndi mitsempha yozama komanso zotupa zina zamitsempha zina zimakhalapo chimodzi mwazomwe zimapezekanso zofala kwambiri za lasers ku dermatology ndi phlebulogy. M'malo mwake, a Lasers akhala chithandizo chosankha cha kubadwa kwa vascular monga hemajamas ndi madontho a padore-vinyo komanso mankhwala a rosacea. Mitundu ya zophatikizika za zophatikizika ndi zophatikizika zomwe zimathandizidwa ndi a Lasers zikupitilizabe kukula ndipo zimafotokozedwa ndi mfundo za kusankha proprothermulysis. Pankhani ya ma vascular a laser a laser, chomwe mukufuna ndi intravascloglobin.
Polimbana ndi oxyhemoglobin, mphamvu imasinthidwa ku khoma lozungulira. Pakadali pano, 1064-NM NM: yag laser ndi yowoneka / pafupi ndi mawonekedwe (IR) zida (IPL) zonse zimapereka zotsatira zabwino. Kusiyana kwakukulu, komabe, ndiye kuti ND: Lasers ya yag imatha kulowa mwakuya kwambiri ndipo motero ndioyenera kwambiri kuchitira mitsempha yayikulu, yozama kwambiri monga mitsempha yamagazi. Ubwino wina wa ND: YAG LASSE ndiye kuyamwa kwake kokwanira kwa melanin. Ndi kuyamwa kokwanira kwa melanin, palibe nkhawa zochepa pazowonongeka za spilagemal kuti zitha kugwiritsidwa ntchito mosamala kuchiza odwala akuda. Chiwopsezo cha positi yotupa hyper amatha kuchepetsedwa ndi zida za epidermal. Kuzizira kwa epidermal ndikofunikira kuteteza kuwonongeka kwa tsankho kuchokera kwa melanin mayamwidwe.
Mzere wa miyendo yamankhwala ndi imodzi mwazomwe zimafunsidwa njira zodzikongoletsera. Magawo osangalatsa omwe amapezeka pafupifupi 40% ya azimayi ndi 15% ya amuna. Opitilira 70% ali ndi mbiri yabanja. Nthawi zambiri, mimba kapena zinthu zina za mahomoni zimachitika. Ngakhale vuto lodzikongoletsera, kupitirira theka la ziwiya izi zitha kukhala chizindikiro. Newcular Network ndi dongosolo lovuta la ziwiya zingapo zamankhwala osiyanasiyana ndi kuya. Kukhetsa kwamiyendo kwa mwendo kumakhala ndi njira ziwiri zoyambirira, kutalika kwa minofu yakuya komanso kopatsa chidwi. Mayendedwe awiriwa amalumikizidwa ndi zombo zakuya. Zombo zazing'onoting'ono zocheperako, zomwe zimakhala ku Dristillary dermis, kukhetsa mitsempha yozama. Mitsempha yayikulu yokulirapo imakhala munthawi yopuma komanso mafuta osokoneza bongo. Mitsempha yapamwamba kwambiri ikhoza kukhala yayikulu ngati 1 mpaka 1 mm. Mitsempha ya reseicular ikhoza kukhala 4 mpaka 6 mm kukula. Mitsempha yayikulu ili ndi makoma owuma, khalani ndi magazi ochulukirapo, ndipo imatha kukhala yopitilira 4 mm. Kusintha kwa Vessel kukula, kuya, ndi mpweya wabwino kumathandizira mawonekedwe ndi momwe thanzi limakhalira. Zipangizo zowoneka bwino zozungulira mayamwidwe a oxyhemogloglobin zitha kukhala zovomerezeka pochiza telangiectasias telangiection kwambiri pamiyendo. Lasers-Highleghth, pafupi-i IR-IR amalola kulowerera kwakuya kwa minofu ndipo kungagwiritsidwe ntchito kuloza mitsempha yakumbuyo. Miyezi yayitali imatenthanso mosafanana kwambiri kuposa momwe zimaperewera ndi mayamwidwe apamwamba.
Mankhwala a laser mitsempha yomaliza ndi cholembera chambiri kapena chotupa cha intravascular kapena chotupa cha intravosis kapena chotupa. Microthromeb itha kukhala yoyamikiridwa mu chotengera chambiri. Momwemonso, zopinga za m'magazi zitha kuonekera kuchokera ku chotengera chotchinga. Nthawi zina, mwina pali mwayi wokhazikika ndi chotupa. Nthawi yayifupi kwambiri, mamiliyoni 20 mamiliti, amagwiritsidwa ntchito, mphamvu zowoneka bwino zimatha kuchitika. Izi ndizothekanso kwachiwiri ku kutentha kwa microvascular yolimba ndi kutumphuka.
The ND: Zosintha za Yag ndi zingwe zosinthika (1-6 mm) ndi mafomu apamwamba amalola kuti azitha kuchepetsedwa ndi minofu yambiri. Kufufuza kwamankhwala kukuwonetsa kuti nthawi yamiyala yokwana 40 ndi 60 mamiliti amapereka chithandizo chokwanira chamitsempha mwendo.
Chithandizo chofala kwambiri cha matenda a laser mitsempha ndi positi yotupa. Izi zimawonedwa makamaka ndi mitundu ya khungu lakuda, kupatsidwa kwa dzuwa, nthawi yayitali kwambiri (<20 millisecond), ziwiya zowonongeka, ndi ziwiya za thrombos. Zimakhala ndi nthawi, koma izi zitha kukhala chaka kapena kupitirira nthawi zina. Ngati kutentha kwambiri kumaperekedwa chifukwa cha kuchuluka kapena kutaya nthawi yayitali, chithokomiro komanso kuwonongeka pambuyo pake.
Post Nthawi: Oct-31-2022