Hauv kab lus, peb yuav xav txog yuav ua li cas cov txheej txheem tshem tawm keratoma nrog lub laser mus. Cov lus teb thiab qhov tshwm sim yuav raug piav qhia.
Kev tshem tawm ntawm daim tawv nqaij neoplasms nrog lub laser yog ib txoj kev nrov niaj hnub no. Yog li koj tuaj yeem tshem tawm moles, papillomas, warts, keratomas thiab lwm yam pathologies uas tau tshwm sim vim kev loj hlob atypical lossis kev loj hlob ntawm cov ntaub so ntswg. Piv txwv li, txhua hom keratomas raug tshem tawm nrog lub laser, thaum cryodestruction los yog cauterization nrog tam sim no tsuas yog tshem tawm keratomas ntawm ib tug me me thiab benign xwm. Laser raug tau zoo heev uas nws tshem tawm tag nrho cov hlwb uas cuam tshuam, yog li qhov yuav rov tshwm sim tau raug txo kom tsawg.
Kev tshuaj xyuas, qhov tshwm sim ntawm kev tshem tawm laser keratoma thiab cov duab yuav nthuav tawm nyob rau hauv qhov kawg ntawm tsab xov xwm.
Keratoma yog dab tsi?
Zoo hauvNyob rau hauv tib neeg epidermis, txheej txheej ntawm lub hlwb tas li tuag thiab exfoliates thiab ib tug tshiab yog tsim. Cov kab mob tuag sab saud ntawm cov epidermis poob tawm hauv kev ua haujlwm ntawm daim tawv nqaij. Tom qab ntawd, cov hlwb hluas raug nthuav tawm, lawv nyob hauv ib txheej hauv qab no. Nyob rau tib lub sijhawm, cov hlwb tshiab tshwm sim sib raug rau cov neeg tuag hauv tus lej.
Thaum qhov sib npaug ntawm cov txheej txheem ntuj raug cuam tshuam, cov qog tsim ntawm cov xwm txheej txawv. Yog li, ntau cov hlwb epidermal - keratocytes - ua rau cov tsos ntawm keratoma, tab sis tsis muaj kev hloov pauv hauv cov hlwb lawv tus kheej, uas yog, neoplasm tsis yog qhov phem.
Cov laj thawj tseeb ntawm kev tsim cov keratomas tseem tsis tau qhia meej. Nws tsuas yog tau ua pov thawj tias ultraviolet rays yog qhov hnyav heev thiab txawm tias oncogenic rau ntawm daim tawv nqaij, thiab lawv tuaj yeem ua kom cov txheej txheem ntawm neoplasms. Nws yuav tsum raug sau tseg xws li ntau yam xws li hnub ci keratoma. Txawm li cas los xij, nws yog qhov pom tseeb tias qhov no tsis yog tib qho thiab tsis txiav txim siab. Cov txheej txheem ntawm kev tsim cov tawv nqaij yog cuam tshuam los ntawm ntau yam pathologies, kev noj zaub mov zoo, kev ua neej nyob, nrog rau ntau yam tshuaj lom thiab carcinogenic uas ib tus yuav tsum cuam tshuam nrog thoob plaws lub neej.
Outwardly, ib tug keratoma zoo li ib tug wart los yog mole, nws tuaj yeem yog daj, xim av, grey los yog xim av xim av, thiab nws qhov chaw muaj cov yam ntxwv roughness thiab bulge. Ib tug horny keratoma muaj cov duab ntawm ib tug tsiaj horn, nws yog grey los yog xim av xim thiab protrudes ho saum daim tawv nqaij. Seborrheic keratoma tshwm sim hauv cov neeg lausYog vim li cas tus kab mob no tseem hu ua senile keratoma. Nws tshwm sim rau txiv neej thiab poj niam. Seborrheic keratoma zoo li tsis zoo. Laser tshem tawm, raws li kev tshuaj xyuas, yog qhov zoo heev.
Neoplasms tuaj yeem ua ib leeg lossis nyob hauv pab pawg, thaj chaw hauv cheeb tsam: ntsej muag, nraub qaum, hauv siab, caj npab, me ntsis qis dua - lub plab thiab qis qis.
About laser kho kab mob ntawm daim tawv nqaij
Nyob rau xyoo pua nees nkaum, Albert Einstein tau tsim ib txoj kev xav ntawm kev sib cuam tshuam ntawm cov teeb meem thiab hluav taws xob. Nws tau dhau los ua cov tshuab hluav taws xob hluav taws xob hluav taws xob thiab hluav taws xob hluav taws xob quantum amplifiers.
Thawj ruby laser tau tsim los ntawm Asmeskas tus kws tshawb fawb Theodor Meiman hauv xyoo 1960. Laser wavelength yog 0.69 µm. Nyob rau tib lub sijhawm, cov khoom ntawm laser twb tau siv los rhuav tshem tib neeg cov plaub hau. Qhov no yog qhov pib ntawm keeb kwm ntawm kev phais laser, cosmetology, tshuaj.
Laser tshem tawm ntawm keratomas tuaj yeem suav tias yog kev kho mob thiab kho kom zoo nkauj. Cov cuab yeej tshwj xeeb nrog lub taub hau uas tsim cov kab hluav taws xob ncaj qha tam sim no muaj tsis yog hauv tsev kho mob thiab tsev kho mob ntiag tug nkaus xwb, tab sis kuj tseem nyob hauv chaw ua haujlwm ntawm cosmetologists thiab dermatologists.
Cov cuab yeej kho mob siv cov khoom ntawm lub teeb rays thiab lub kaw lus tshwj xeeb ntawm iav los tsim lub teeb laser. Yog tias nws raug coj mus rau thaj tsam cuam tshuam, nws tuaj yeem ua kom ntseeg tau tias cov hlwb ntawm neoplasm raug rhuav tshem los ntawm sab saum toj mus rau txheej tob tshaj plaws. Nyob rau tib lub sijhawm, cov hlab ntsha puas tsuaj hauv cov txheej txheem yog coagulated, vim qhov kev pheej hmoo ntawm kev qhiblos ntshav yuav tsawg heev.
Thaum cov qog tau kho li no, qhov caws pliav yuav tsis pom nyob hauv nws qhov chaw. Qhov no tau lees paub los ntawm kev txheeb xyuas qhov tshwm sim ntawm kev tshem tawm keratoma nrog lub laser. Lub sijhawm kho qhov txhab yog qhov siab tshaj 30 hnub. Kev kis kab mob thaum tus txheej txheem yuav luag ua tsis tau.
Hauv kev lag luam phais, lasers tau siv, uas muaj lub zog hluav taws xob ntau heev, vim tias cov ntaub so ntswg lom tau kub heev, uas ua rau nws evaporation lossis txiav. Xws li kev cuam tshuam yog qhov cuam tshuam tsawg, txawm hais tias nws hais txog kev phais.
Ua tsaug rau cov tshuab laser niaj hnub, nws tau muab thaum lub sijhawm tshem tawm seborrheic keratoma los ntawm laser:
- thaj chaw ua haujlwm qhuav;
- zoo tsis sib cuag thiab tiv thaiv vaporization thiab rhuav tshem cov ntaub so ntswg lom;
- ib puag ncig cov ntaub so ntswg puas me ntsis;
- lymphatic thiab cov hlab ntsha nres;
- hemostasis yuav ua tau zoo;
- siab sterility ntawm tus txheej txheem;
- txheej txheem tuaj yeem ua ke nrog cov txheej txheem laparoscopic thiab endoscopic.
Kev qhia
Ib qho tshwj xeeb ntawm keratomas ntawm cov qog nqaij hlav ntawm tib neeg feem ntau yog tias tsis yog txhua tus qog yuav tsum tau muab tshem tawm. Feem ntau, cov kws kho mob pom zoo tias yog tias tus neeg mob muaj neoplasms ntawm lub cev, mus ntsib kws kho mob dermatologist ib ntus txhawm rau tiv thaiv. Qhov kev ntsuas no yog qhov tsim nyog kom cov qog benign tsis dhau los ua malignant, lossis, yog tias cov txheej txheem tau pib, raws sijhawm.nrhiav pom.
Qhov taw qhia tseem ceeb rau kev tshem tawm laser yog lub xub ntiag ntawm keratoma, uas tau dhau los ua txaus ntshai, uas yog, nws tuaj yeem degenerate mus rau hauv cov qog nqaij hlav cancer. Xws li ib tug neoplasm yog yam ntxwv los ntawm:
- peeling;
- xav;
- mob hauv keratome;
- tsaus ntuj nti;
- ntog tawm ntawm keratoma thiab tsim ntawm qhov txhab los ntshav ntawm qhov chaw no.
Nyob rau hauv cov xwm txheej zoo li no, yuav tsum muaj kev sab laj ceev nrog kws kho hniav lossis tus kws kho mob oncologist.
Txoj kev nyiam tshaj plaws ntawm kev kho mob qog noj ntshav yog kev tshem tawm laser, nrog rau kev phais thiab xov tooj cua yoj tshem tawm. Tab sis cryodestruction lossis electrocoagulation tsis muab qhov ua tau zoo ntawm kev puas tsuaj ntawm cov qog nqaij hlav cancer.
Ntxiv rau, kev puas tsuaj laser kuj tuaj yeem ua tau nyob rau hauv rooj plaub uas lub keratoma tsis ua phem rau tus neeg mob txoj kev noj qab haus huv, tab sis yog qhov tsis zoo ntawm lub ntsej muag, uas yog, kev tshem tawm tuaj yeem ua tau raws li tus neeg mob thov.
YContraindications
Cov txheej txheem yog contraindicated rau:
- xeeb tub;
- mob hnyav ntawm tus neeg mob;
- mob kis kab mob lossis kab mob hauv lub cev;
- qee yam mob puas hlwb.
Yog tias ib tug neeg raug mob los ntawm qhov mob los yog kis kab mob hauv daim ntawv mob hnyav, koj yuav tsum xub tos qhov exacerbation, tom qab ntawd nws yuav muaj peev xwm tshem tawm cov keratoma.
Cov poj niam cev xeeb tub ib txwm yuav tsum txwv tsis pub muaj kev cuam tshuam hauv lawv lub cev thaum lawv tab tom xeeb menyuam. Tau kawg, yog qhov xwm txheej tseem ceeb thiabKev ncua tsis tuaj yeem lees txais, cov txheej txheem tshem tawm cov qog nrog lub laser tuaj yeem ua tau raws li qhov tshwj xeeb, txawm li cas los xij, yog tias ua tau, koj yuav tsum tos kom txog thaum xa khoom.
Kev npaj yog dab tsi?
Ua ntej hnub ntawm kev cuam tshuam laser txiav txim los ntawm tus kws kho mob, tus neeg mob yuav tsum dhau:
- ntshav thiab zis rau kev tsom xam;
- Ycoagulogram;
- PCR rau kab mob siab thiab HIV.
Qee zaum, yuav tsum tau electrocardiography, nrog rau ntshav biochemistry.
Yog hais tias ib tug poj niam nyob rau hauv thawj peb lub hlis twg ntawm cev xeeb tub, nws yuav tsum tau ceeb toom rau tus kws kho mob txog qhov no.
Laser tshem tawm ntawm keratoma yog qhov zoo tshaj plaws tsis ua thaum tshav kub kub, thaum muaj kev ua haujlwm siab hnub ci, tshwj tsis yog thaum muaj xwm txheej ceev. Yog tias tus neeg mob tshem tawm cov neoplasm nrog lub laser, nws yuav tsum tsis txhob nyob hauv lub hnub rau 14 hnub ua ntej kev ua haujlwm. Tsis tas li ntawd, tsis txhob mus saib lub solarium.
Laser tshem tawm tsuas yog ua tau raws li daim ntawv xaj ntawm tus kws kho mob dermatologist, qee zaum tus kws kho mob oncologist. Feem ntau, cov khoom tau txais thaum lub sij hawm tus txheej txheem yog xa mus rau histological tsom xam.
txheej txheem nce qib
Hnub no, ntau hom laser units tau siv hauv kev phais laser. Lawv ua haujlwm li cas? Lawv evaporate kua los ntawm lub cev ntawm qog hlwb, ua rau lawv tuag.
Carbon lossis CO2-laser tsim hluav taws xob infrared nrog qhov ntev ntawm 10,600 mn. Cov cuab yeej yuav tawm muscaws pliav vim nws muaj kev raug mob siab tshaj.
Lub erbium laser muaj qhov luv luv wavelength - 2940 mn, vim nws qhov ua tau zoo tshaj li thawj cov cuab yeej piav qhia los ntawm 12 zaug. Thaum tshem cov keratome, muaj kev raug mob tsawg dua rau cov ntaub so ntswg nyob ze.
Qhov cuam tshuam ntawm cov xim pleev xim laser yog qhov txawv me ntsis - nws xaiv ua rau oxyhemoglobin, uas ua rau kev puas tsuaj ntawm cov hlab ntsha hauv cov ntaub so ntswg. Cov txheej txheem nyob rau hauv cov ntaub ntawv no yog yuav luag tag tsis mob, kuj tsis muaj rough scars tom qab nws.
Kev kho mob feem ntau tsis tas yuav tsum tau, tab sis cov tshuaj loog hauv zos tuaj yeem raug qhia los ntawm tus kws kho mob kom txo qhov mob rau tus neeg mob.
Qhov chaw rau kis yuav tsum tau kho nrog tshuaj tua kab mob, thiab tsis muaj cawv. Cov plaub hau yuav tsum tau muab tshem tawm nyob rau hauv ib tug tshwj xeeb tiv thaiv npog yog laser keratoma tshem tawm ntawm lub ntsej muag dhau.
Nrog kev pab los ntawm lub nozzle ntawm lub cuab yeej, tus kws phais coj tus nqaj mus rau cov qog, yog li ua kom nws puas. Hauv qhov no, tsuas yog kev tsim nyog ntawm tus kws kho mob tuaj yeem cuam tshuam seb txhua lub hlwb puas yuav raug tshem tawm.
Cov txheej txheem yuav siv sijhawm li 10-15 feeb, yog tias tus neeg mob muaj ob peb lub neoplasms, ces ntev me ntsis.
Txhawm rau kom tshem tau cov qog ua tiav, ib zaug txaus - rov ua dua tshiab tsis tshua muaj, qhov tshwm sim yog 8-10%. Txawm li cas los xij, yog tias nws tshwm sim dua, ces qhov kev tshem tawm yuav tsum rov ua dua.
Nws yog qhov zoo dua los nyeem cov tshuaj xyuas txog qhov tshwm sim ntawm laser keratoma tshem tawm ua ntej.
Yuav tsum muaj kev saib xyuas zoo li casqhov txhab nto
Tom qab lub keratoma tau raug rhuav tshem los ntawm laser, ib qho xim av xim av tshwm nyob rau hauv nws qhov chaw. Nws npog qhov chaw ntawm lub qhov txhab, thiab nyob rau hauv nws cov ntaub so ntswg nquag kho. Nws yog ib qho tsim nyog kom tshem tawm qhov ua tau ntawm combing lub crust, nws yuav tsum tsis txhob raug torn, vim hais tias cov kab mob tuaj yeem nkag mus rau hauv lub qhov txhab. Thaum nws tsis xav tau, nws ploj ntawm nws tus kheej. Thawj ob hnub, tsis pom zoo kom ntub lub qhov txhab.
Kev saib xyuas tom qab laser keratoma tshem tawm yog dab tsi? Nws suav hais tias yog cov hauv qab no: 1-2 zaug hauv ib hnub, qhov chaw kho mob yog ntxuav nrog dej siv xab npum me nyuam, tom qab ntawd lub ntsej muag tau kho nrog tshuaj tua kab mob thiab tshuaj pleev kom zoo. Tom ntej no, ib tug sterile gauze bandage yog siv rau lub qhov txhab. Yog tias ua tau, nws yog qhov zoo dua tsis txhob siv cov nplaum nplaum, vim nws txwv kev nkag mus rau hauv huab cua, yog li ua kom qeeb ntawm kev kho.
Kev saib xyuas tom qab tshem tawm ntawm keratoma nrog lub laser yuav tsum tau ua. Nws yuav siv li 4-6 lub lis piam rau daim tawv nqaij kom rov zoo tag nrho. Txhua lub sijhawm no, da dej, sauna, ua luam dej hauv pas dej lossis pas dej yog txwv. Sunbathing kuj yog qhov tsis xav tau, thiab tsis yog nyob rau lub sijhawm tom qab phais nkaus xwb, tab sis kuj tseem nyob rau rau lub hlis tom ntej kom tsis txhob rov mob dua.
tshwm sim ntawm cov teeb meem thiab qhov tshwm sim ntawm kev cuam tshuam laser
Raws li kev tshuaj xyuas, qhov tshwm sim ntawm kev tshem tawm keratoma nrog lub laser (scars yog pom hauv daim duab) tsis tas li tshwm sim.
Yog tias muaj cov cim ntawm daim tawv nqaij, lawv me me thiab tsis tshua pom. Tab sis yog tias thawj zaug keratoma yog qhov loj, cescov hneev taw yuav loj dua. Tsis tas li ntawd, cov neeg mob qee zaum hnov loog ntawm cov ntaub so ntswg ntawm qhov chaw ntawm cov qog tshem tawm.
Cov kev tshwm sim no yog qhov tshwm sim ntawm kev tshem tawm keratoma nrog lub laser. Raws li kev txheeb xyuas, tag nrho cov no yog qhov zam tau thiab tsis ua rau tsis xis nyob ntau.
Qee cov tsos mob tuaj yeem ua rau muaj kev phom sij vim kev puas tsuaj ntawm neoplasm tsis zoo. Tej zaum yuav muaj liab liab nyob ib ncig ntawm lub pob zeb uas tau tsim tom qab tshem tawm, thiab khaus khaus hnyav los yog pob liab liab kuj tuaj yeem ua tau. Tus kws kho mob yuav tsum qhia txog qhov tshwm sim ntawm kev tshem tawm keratome nrog lub laser.
Yog tias cov pob zeb poob ntawm nws tus kheej, thiab hauv qab nws mob nyob rau hauv daim ntawv ntawm qhov chaw liab nrog rau qhov chaw sib txawv uas tsis zoo rau lub sijhawm ntev, koj yuav tsum mus ntsib kws kho hniav sai sai. li ua tau.
Tseem yog tias muaj stains tom qab keratome laser tshem tawm.
Ntxiv rau, nws muaj peev xwm tsim cov tshuaj tiv thaiv kab mob lossis kab mob dermatitis vim kev siv cov ntaub qhwv tas li, qhov no kuj tshwm sim los ntawm kev siv ntau yam tshuaj pleev. Yog tias cov tsos mob tsis zoo tshwm sim, kev kho mob ntawm qhov chaw nrog cov tshuaj yuav tsum raug tso tseg. Yuav tsum muaj tus kws kho mob tham.
txiaj ntsig ntawm kev phais laser rau kev tshem tawm keratoma
Raws li kws kho mob tshuaj xyuas ntawm laser keratoma tshem tawm, kev puas tsuaj muaj ntau qhov txiaj ntsig zoo dua li lwm txoj kev kho. Nws yog nqa tawm los ntawm txoj kev tsis sib cuag, yog li tsis muaj kev pheej hmoo ntawm kev kis kab mob ntawm lub qhov txhab thaum lub sij hawm tshem tawm neoplasm. Vim muaj kev tswj cov nyhuv ntawm biotissues ntawm laser beam nyob rau hauvFeem ntau, cov caws pliav me me thiab tsis pom tseeb tseem nyob. Cov txheej txheem rov qab yog ceev heev, tsis xis nyob yog tsawg. Tom qab tag nrho, cov txheej txheem yuav luag tsis mob rau tus neeg mob.
Cov teeb meem tom qab phais tsis tshua muaj, nrog rau kev rov ua dua tshiab, tsuas yog hauv 8-10% ntawm txhua kis. Kev tshuaj xyuas txog laser tshem tawm ntawm keratomas ntawm lub ntsej muag thiab lub cev paub meej tias qhov no. Cov kws kho mob feem ntau sau cov kev tshem tawm ntawm daim tawv nqaij neoplasms. Vim muaj kev ua haujlwm siab thiab tsis tshua muaj kev raug mob rau tib neeg, cov txheej txheem tso cai tsis yog rau cov neeg laus, tab sis kuj rau cov menyuam yaus. Yuav kom tau txais kev xa mus, koj yuav tsum mus ntsib kws kho mob. Qhov no yuav yog tus kws kho mob oncologist, tom qab ntawd koj yuav tsum xeem dhau qee qhov kev sim. Kev tshem tawm ntawm keratoma los ntawm txoj kev laser yog ua nyob rau hauv ib qho chaw kho mob sab nraud, nrog rau cov chaw ua haujlwm ntiag tug ntawm cov kws kho hniav thiab cov kws kho hniav cosmetologist.
Kev tshuaj xyuas ntawm laser keratoma tshem tawm
Muaj ntau cov lus hais txog cov txheej txheem no hauv Web. Cov neeg qhia tias feem ntau ntawm cov sij hawm txhua yam mus smoothly. Kev kho mob yog tsis mob, nws yuav siv sij hawm 5-10 feeb ntawm feem ntau. Tsis tas yuav muaj kev cob qhia tshwj xeeb. Tab sis kuj tseem muaj kev tshuaj xyuas tsis zoo, lawv, txawm li cas los xij, tsawg dua. Qee cov neeg mob yws txog qhov pom ntawm qhov caws pliav tom qab laser raug, me ntsis. Nws tshwm sim tias qhov txhab tsis zoo rau lub sijhawm ntev los yog cov ntaub ntawv redness nyob rau hauv lub crust. Tab sis qhov no feem ntau tshwm sim yog tias keratoma loj lossis cov txheej txheem saib xyuas raug cuam tshuam.
Peb tau tshuaj xyuas cov kev tshuaj xyuas thiab qhov tshwm sim ntawm laser keratoma tshem tawm.
