Txawv tus neeg Epidermal thiab Dermal pigmented txhab

 

Lub hauv paus rau phau ntawv

Pigmented qhov txhab yog ntawm cov kev txhawj xeeb zoo nkauj uas pom tau ntsib hauv dermatology thiab kev kho mob zoo nkauj. Kev nkag siab tias cov thanmentation tshwm sim hauv Epidermis lossis Dermis yog qhov tseem ceeb rau kev kuaj mob thiab xaiv cov qauv kev kho mob uas tsim nyog. Ntawm Newangie, peb tau cog lus tias yuav muab kev kho mob laser kho kom meej thiab qib siab rau cov kws khomob txhawb nqa kev nyab xeeb thiab ua tau txiaj ntsig.

 

Yuav ua li cas sib txawv epidermal thiab dermal txhab

1. Saib cov xim thiab ciam teb

• Epidermal txhab: Sib ntais hauv cov xim, feem ntau xim av lossis daj- xim av, xws li quav yeeb, sunspots, thiab cov hnub nyoog me ntsis.
• Dermal txhab: Darker hauv cov xim, tshwm sim grey - xiav, xws li} xiav, nrog ota nevus thiab nevus ntawm hori.

2. Khij Tshaj Tawm

• Epidermal txhab: feem ntau tshwm sim ntawm lub hnub -} cov cheeb tsam ntawm lub ntsej muag. Piv txwv li, quav hnav feem ntau pom ntawm tus choj ntawm lub qhov ntswg thiab sab plhu, thaum muaj hnub nyoog pob yuav tshwm sim ntawm lub ntsej muag thiab rov qab ntawm tes.
• Dermal txhab: feem ntau tshwm sim rau sab plhu thiab ncig lub qhov muag. Ota txoj kev lom zem feem ntau ua raws li cov kev faib tawm ntawm cov hlab ntsha trigeminal, thaum nws nevus ntawm hori feem ntau tshwm sim ntawm cov cheeb tsam zygomatic.

3. Nkag siab txog cov laj thawj

• Epidermal txhab: Feem ntau tshwm sim los ntawm kev tshav ntuj, thiab kev laus tawv nqaij. Piv txwv li, Sunspots daim ntawv tom qab lub hnub raug, thaum cov quav hnav muaj feem cuam tshuam nrog kev hais plaub.
• Dermal txhab: Muaj feem xyuam nrog noob caj noob ces, endocrine nta, cov teeb meem vascular, lossis ntev o ntawm subcutane nqaij. Ota tus Nevus yuav cuam tshuam txog kev hais plaub.

 

Epidermal txhab

(Quav hnav)

Ib tug pigmented tsis meej tawm los ntawm daj - xim av me ntsis uas tshwm rau ntawm lub hnub-}} cov chaw.
Tshwm sim los ntawm kev nce hauv tus naj npawb ntawm Melanocytes hauv Epidermis.

Soj ntsuam nta:

1. Feem ntau tshwm ntawm cov hnub nyoog 5-10, muaj kev loj hlob thaum muaj kev pehawm nkauj tiav nraug, thiab nce ntxiv nrog lub hnub nyoog.
2. Hais txog raws caij nyoog lub hnub ci: ua kom muaj kev cuam tshuam tom qab lub hnub, hnyav dua nyob rau lub caij ntuj sov, sib dua hauv lub caij ntuj no.
3. Tsis txhob tsa cov tawv nqaij saum npoo av, tsis muaj tsos mob dab tsi, tsis muaj tus kheej -} kho.
4. Pom zoo kev kho mob: 532nm wavelength, zog 150-300MJ, Hnov loj 3-4, zaus 1, ib zaug dhau los. Cov chaw kuaj tshuaj xaus: nplooj {{7} Zoo li cov kev tawm tsam, liab thiab o tom qab 10 feeb.
5. Cov neeg mob uas muaj cov tawv nqaij tsaus nti yuav tsum tsis txhob muaj 532nm laser; 755nm tuaj yeem siv dua los tiv thaiv hyperpigmentation.

 

(Hnub nyoog me ntsis / SeBorrheic keratosis)

Tus benign pigmented muaj tshwm sim feem ntau hauv cov laus, tseem hu ua tus neeg saib xyuas sebionic.
Tshwm sim los ntawm papillomatous proliferation ntawm cov khoom ua haujlwm hlwb, nrog tus melanocyte proliferation.

Soj ntsuam nta:

1. Feem ntau hauv cov neeg tshaj 50, tshwj xeeb tshaj yog nyob rau lub taub hau, ntsej muag, pob tw, thiab cov ceg tawv sab saud.
2. Maj mam nce nrog lub hnub nyoog, xim darkens rau xim av lossis xim dub, meej ciam teb, nto tej zaum yuav tsa me ntsis.
3. No symptoms, no self-healing, related to sun exposure, metabolism, and immunity.
4. Pom zoo kev kho mob: 532nm wavelength, zog 150-300MJ, Hnov loj 3-4, zaus 1, ib zaug dhau los. Cov chaw kuaj tshuaj xaus: nplooj {{7} Zoo li cov kev tawm tsam, liab thiab o tom qab 10 feeb.
5. Rau tsa ceg, tsaus, thiab qhov chaw loj dua, feem frensional co2 laser pom zoo.

 

(Café - Au - lute pob)

Tus pigmented tsis sib haum xeeb los ntawm ib txwm, café -} xim thaj ua rau thaj.
Tshwm sim los ntawm kev nce hauv ob qho tib si melanin thiab melanocyte tooj hauv lub epidermis.

Soj ntsuam nta:

1. Tej zaum yuav tshwm sim thaum yau los yog nyob rau thaum yug los, nthuav dav thiab nce ntxiv hauv tus naj npawb nrog lub hnub nyoog; suav ib hom ntawm lub vas sab.
2. Tuaj yeem tshwm sim nyob txhua qhov chaw ntawm lub cev, xim yog café - xim av.
3. Ca nrog cov tawv nqaij saum npoo av, tsis muaj cov tsos mob, tsis cuam tshuam nrog caij lossis hnub kis tau.

Pom zoo kev kho:

532nm nthwv dej, Zog 150-300MJ, chaw loj 3-5, Zaus 2-3 (tawg ntom, ib kis). Clinical endpoint: frost-like reaction, redness and swelling after 10 minutes. 3–5 sessions may show results but not suitable for darker-skinned patients.

Xwb, 1064nm wavelength, zog 300-500MJ, chaw loj 6-8, tsis muaj kev puas tsuaj scan Cov kev tshawb fawb soj ntsuam qhia txog 20-40 kev kho mob yuav xav tau; Haum rau kev ua kom tsaus nti-}} cov nqaij siav.

 

Dermal txhab

(Melasma)

A chronic, difficult-to-treat pigmented disorder common in women of childbearing age. Tsiag ntawv los ntawm cov xim av uas muaj xim av lossis thaj ua rau thaj rau sab plhu lossis hauv pliaj, hu ua "King of pirmentation."

Melanin yog synthesized thiab zais los ntawm Melanocytes hauv Epidermis. Tsuas yog thaum lub hauv paus ntawm lub hauv qab daus ntawm cov dermycis thiab epidermis yog puas tuaj yeem ua rau Melanin poob mus rau hauv dermis. Yog li, cov melasma tuaj yeem faib ua kab mob epidermal lossis hom sib xyaw ua ke nyob ntawm lub vev xaib xa mus.

Soj ntsuam nta:

1. Muaj feem xyuam nrog cov endocrine nta, cov tshuaj hormones, pw tsaug zog, thiab noob caj noob ces. Yooj yim pom zoo, suav hais tias yog "nquag" pigmentation.
2. Pom zoo kev kho mob: 1064nm wavelength, uniform scan hom, zog 300-500, chaw loj 6-8, zaus 6-8, 2-3 hla. Cov chaw kuaj xyuas qhov tseeb: liab liab.

Kev kho mob tuaj yeem maj mam pom cov xim tab sis tsis tuaj yeem tshem nws. Kev kho kom zoo yog qhia, xws li Mesotherapy nrog kev daws teeb meem, txhim kho kev pw tsaug zog, cov ntsiab lus hydroquinone cream, thiab lub hnub tiv thaiv nruj.

Ceeb toom: Laser / cov kev kho teeb tsis pom zoo thaum lub sijhawm rhiab.
(Lub sij hawm rhiab=Thaum cov tawv nqaij tawv nqaij yog qhov tsaus ntuj nti, ua kom tsaus ntuj nti, lossis kev ua kom nruj me ntsis yuav tsum ua ua ntej kev kho laser.)

 

(Nevus ntawm Hori - Zygomatic Cheeb Tsam)

Cov yam ntxwv zoo li grey symmetrical ...- dub, tsaus xim av, lossis grey {{} xim av me ntsis ntawm thaj chaw zygomatic.

Ua rau thaum muaj embryonic kev loj hlob thaum melanocytes los ntawm cov neeb nrees tsis tuaj yeem tsiv mus nyob rau Epidermal - kev sib tshuam dermal} kev sib tshuam dermal} kev sib tshuam dermal thiab nyob twj ywm hauv dermis.

Soj ntsuam nta:

1. Tshwm sim feem ntau hauv cov poj niam, nrog tus poj niam -- txiv neej piv ntawm 13-18: 1. ONSET feem ntau ntawm cov hnub nyoog 16-40, qee zaum muaj keeb kwm tsev neeg.
2. Symmetrical faib rau ntawm cov cheekbones, nruab nrab ntawm 10-20 txhab, grey- dub lossis tsaus xim av hauv xim.
3. Qhov txhab muaj oval, 1-5mm hauv lub cheeb, nrog cov kab mob meej, nrog cov nqaij tawv, tsis muaj cov tsos mob, tsis muaj kev cuam tshuam nrog lub caij lossis lub hnub kis.
4. Pom zoo kev kho mob: 1064nm wavelength, chaw loj 4-6, zog 400-800mJ, zaus 1-3, 1-2 hla. Cov kev soj ntsuam qhov xaus: erythema lossis pinpoint los ntshav.

 

Tag

Qhov sib txawv ntawm cov kab mob kab mob epidermal thiab dermal pigmented qhov txhab yog qhov tseem ceeb rau kev siv kev nyab xeeb thiab kev kho kom zoo. Los ntawm kev sib txuas ua ke pom cov tshuaj tiv thaiv kev ua haujlwm nrog cov thev naus laus zis zoo dua, cov neeg ua haujlwm tuaj yeem zoo dua rau cov neeg mob xav tau.

NtawmNeankam, peb txuas ntxiv txhawb tsev kho mob, tsev kho mob, thiab thaj chaw pw thoob ntiaj teb thoob ntiaj teb nrog cov cuab yeej tshaj lij, thiab kev txawj ntse. Yog xav paub ntxiv txog peb cov kev kho kom muaj kev kho mob pigmentation lossis thov kev sib tham, thov hu rau peb pab pawg.