Kev Nyab Xeeb Ua Ntej: Muaj peev xwm txaus ntshai ntawm Microneedling Thiab Mitigation Strategies

https://en.wikipedia.org/wiki/Microneedles

Thaum debating "Yogmicroneedlingtsim nyog nws?", kev nyab xeeb yog qhov tseem ceeb tshaj plaws rau kev txiav txim siab. Tag nrho cov txheej txheem invasive muaj kev pheej hmoo; thaum microneedling muaj kev cuam tshuam me me, nws tsis muaj kev pheej hmoo -dawb. Kev nkag siab txog cov kev pheej hmoo no thiab kev txo qis yog qhov yuav tsum tau txiav txim siab- ua.

Qhov teeb meem feem ntau yogkab mob. Microneedles tsim ntau pua microchannels; yog tias cov cuab yeej tsis ua kom tsis muaj menyuam lossis ib puag ncig tsis yog - tsis muaj menyuam, cov kab mob (tshwj xeeb tshaj yogStaphylococcus aureuslos yogPseudomonas aeruginosa) tuaj yeem cuam tshuam, ua rau folliculitis, cellulitis, lossis impetigo. Kev tshawb fawb South Kauslim xyoo 2019 pom txog 15% ntawm cov neeg siv tau ntsib tus kab mob me.Kev txo qis:​ Hais rau ib leeg - siv cov khoom siv tsis muaj menyuam; tsis lees txais cov menyuam rov siv tau. Xyuas kom cov tshuaj tua kab mob nruj ntawm daim tawv nqaij ua ntej- txheej txheem thiab tsis txhob kais dej / tshuaj pleev ib ce rau 24 teev tom qab- txheej txheem.

Kev ua xuayog lwm qhov kev txhawj xeeb. Microneedling feem ntau ua ke nrog cov khoom siv (Vitamin C, hyaluronic acid, botulinum toxin); Yog tias ua xua, microchannels nrawm nrawm nkag mus rau qhov ua xua, uas ua rau muaj kev sib cuag dermatitis.Kev txo qis:Ua qhov ntsuas patch ua ntej kev kho mob. Pib txoj kev kho mob uas tsis tshua muaj siab thiab thaj chaw me me.

Tom qab -inflammatory hyperpigmentation (PIH)warrants vigilance, tshwj xeeb tshaj yog nyob rau hauv cov tawv nqaij tones. Micro-kev raug mob tuaj yeem ua rau PIH, tshwm sim raws li cov macules xim av. Qhov tshwm sim yog siab dua (~ 5-10%) hauv Fitzpatrick Skin Types IV-VI (Asian, Latino, African qhovntsej thiaj tsis mob).Kev txo qis:​ Ua ntej- kho nrog hydroquinone lossis azelaic acid rau 2-4 lub lis piam. Tswj nruj tshaj tawm-op tiv thaiv hnub ci (SPF 50+/PA+++). Xyuas kom cov kws paub txog kev tswj xyuas qhov tob thiab siab.

Cov txheej txheem tsis raug yuav ua raumechanical raug mob. Cov koob ntev ntev lossis siab dhau tuaj yeem ua rau cov hlab ntsha / cov hlab ntsha puas ntsoog, ua rau mob erythema, mob, lossis caws pliav -ib qho kev pheej hmoo tshwj xeeb nrog kev siv hauv tsev tsis muaj kev saib xyuas.Kev txo qis:​ Kev kho mob- qib kev kho mob yuav tsum siv tus kws kho mob- xaiv qhov tob (feem ntau yog 0.5–1.0mm rau lub ntsej muag, mus txog 1.5–2.0mm rau lub cev). Cov neeg siv hauv tsev yuav tsum xaiv cov khoom siv ntse nrog qhov tob txwv.

Tsis tshua muaj tab sis muaj teeb meem lojkeloid tsimnyob rau hauv cov tib neeg predisposed,kis kab mob(eg, herpes simplex), thiabsystemic toxicitylos ntawm kev nqus ntau dhau ntawm cov tshuaj pleev ib ce (piv txwv li, lidocaine-induced cardiotoxicity).

Zuag qhia tag nrho, microneedling muaj kev nyab xeeb nyob rau hauv kev saib xyuas kev tshaj lij, nrog rau cov xwm txheej tsis zoo hauv qab 0.1%. Txawm li cas los xij, nws yog contraindicated rau cov neeg uas muaj kab mob ntawm daim tawv nqaij (eczema, psoriasis), autoimmune ntshawv siab, coagulation tsis xws luag, los yog cev xeeb tub. Nws qhov tsim nyog kawg yog nyob ntawm kev nkag mus rau cov kws kho mob tsim nyog thiab ua raws li cov txheej txheem kev nyab xeeb nruj.