Hloov tshiab (Lub Kaum Hli 13, 2021): US Food and Drug Administration tau tshaj tawm tsab ntawv xov xwm kev nyab xeeb teb rau kev raug mob los ntawm kev txhaj tshuaj ntxiv nrog cov khoom siv xws li hyaluronic acid cwjmem.Daim ntawv tshaj tawm Lub Kaum Hli 8 tau hais rau cov neeg siv khoom thiab cov kws kho mob thiab ceeb toom lawv txog cov kev pheej hmoo cuam tshuam nrog cov cuab yeej tsis tau pom zoo, uas nyuam qhuav dhau los ua neeg nyiam hauv kev tshaj xov xwm, thiab tawm tswv yim txog dab tsi yuav tsum tau ua thiab tsis txhob ua nrog cov tshuaj dermal.Tswv yim yuav ua li cas.
"Lub US Food and Drug Administration (FDA) ceeb toom rau pej xeem thiab cov kws kho mob kom tsis txhob siv cov tshuaj tsis muaj koob xws li hyaluronic acid cwjmem los txhaj hyaluronic acid (HA) los yog lwm yam di ncauj thiab lub ntsej muag fillers, sib sau ua ke hu ua dermal fillers los yog Fillers. , ”cov cuab yeej no tau hais hauv nqe lus, thiab lub chaw haujlwm tau hais tias lawv siv lub zog siab los yuam cov khoom sau thiab lwm yam khoom rau hauv lub cev."FDA tau paub tias siv cov cuab yeej tsis muaj koob los txhaj tshuaj di ncauj thiab lub ntsej muag tuaj yeem ua rau raug mob hnyav thiab, qee zaum, kev puas tsuaj rau daim tawv nqaij, daim di ncauj, lossis qhov muag."
Ntawm cov lus pom zoo rau cov neeg siv khoom, FDA pom zoo kom tsis txhob siv cov cuab yeej tsis muaj koob rau cov txheej txheem sau, tsis txhob yuav lossis siv cov fillers muag ncaj qha rau pej xeem (vim lawv yog rau kev siv tshuaj nkaus xwb), thiab tsis txhob txhaj rau koj tus kheej lossis lwm tus neeg. siv cov txheej txheem filling.Cov cuab yeej ua daim di ncauj thiab lub ntsej muag filling.Rau cov kws tshaj lij kev noj qab haus huv, FDA pom zoo suav nrog tsis siv cov tshuaj txhaj tshuaj tsis muaj koob los ua cov txheej txheem tshuaj pleev ib ce, tsis hloov pauv FDA pom zoo dermal fillers rau cov tshuaj tsis muaj koob, thiab cov tshuaj txhaj tshuaj uas tsis siv cov tshuaj uas tsis yog FDA pom zoo dermal fillers.产品. Cov khoom muag.
"FDA tau paub tias cov khoom siv tsis muaj koob thiab daim di ncauj thiab lub ntsej muag muab cov khoom siv nrog cov khoom siv no tau muag ncaj qha rau cov pej xeem hauv online thiab txhawb lawv kev siv hauv kev tshaj xov xwm kom nce di ncauj ntim, txhim kho cov tsos ntawm wrinkles, thiab hloov lub qhov ntswg.Cov duab thiab lwm cov txheej txheem zoo sib xws, "cov lus hais tau nyeem, ntxiv tias FDA pom zoo dermal fillers tsuas yog siv nrog cov koob txhaj tshuaj nrog koob lossis cannulas."Cov cuab yeej txhaj tshuaj tsis muaj koob siv rau lub hom phiaj kho kom zoo nkauj tsis tuaj yeem muab kev tswj hwm txaus ntawm qhov tso cov khoom txhaj tshuaj.Daim di ncauj thiab lub ntsej muag sau cov khoom muag ncaj qha rau cov neeg siv khoom hauv online yuav kis tau cov tshuaj lom neeg lossis cov kab mob sib kis. "
FDA tau hais tias cov kev pheej hmoo suav nrog los ntshav lossis nqaij tawv;kab mob, fungal lossis kab mob kis los ntawm cov khoom siv los yog cov khoom siv tsis muaj koob;kab mob sib kis ntawm tib neeg siv tib yam tsis muaj koob;cov hlab ntsha txhaws ua rau cov nqaij mos tuag, dig muag lossis mob stroke;caws pliav;Lub siab ntawm rab koob tsis muaj cuab yeej ua rau lub qhov muag puas;tsim ntawm lumps ntawm daim tawv nqaij;daim tawv nqaij discoloration;thiab ua xua.Lub chaw haujlwm tab tom saib xyuas cov lus ceeb toom ntawm cov kev mob tshwm sim thiab ntxiv tias nws raug txwv tsis pub muag cov khoom siv kho mob yam tsis muaj daim ntawv tshuaj thiab tej zaum yuav raug nplua rau pej xeem lossis raug nplua.
Ntxiv rau kev nrhiav kev saib xyuas tam sim ntawd los ntawm tus kws kho mob uas muaj ntawv tso cai nyob rau hauv qhov xwm txheej uas siv cov cuab yeej tsis muaj koob xws li hyaluronic acid cwjmem ua rau muaj kev cuam tshuam tsis zoo, FDA kuj hais kom hu rau MedWatch, lub koom haum cov ntaub ntawv kev nyab xeeb thiab cov xwm txheej tsis zoo rau kev tshaj tawm. teeb meem.
Lub caij nplooj ntoo hlav dhau los, thawj ob peb hnub ntawm kev kis tus kabmob kis thoob ntiaj teb, qhov kev txiav txim nyob hauv tsev tseem muaj txiaj ntsig, cov kev pabcuam tsis tseem ceeb tau raug ncua, thiab DIY tau coj lub ntsiab lus tshiab.Thaum lub qhov ncauj qhov ntswg tsis tshua muaj, peb siv cov nyiaj so koobtsheej denim thiab cov phuam qhwv caj dab los ua peb tus kheej.Thaum lub tsev kawm ntawv raug kaw, peb hloov khaub ncaws rau tus kws qhia ntawv thiab ntse ua si nrog ntau lub platform uas xav tau los qhia cov tub ntxhais kawm thawj zaug ntawm lub rooj zaum.Peb ci peb tus kheej mov ci.Xim peb tus kheej phab ntsa.Saib xyuas peb lub vaj.
Tej zaum qhov kev hloov pauv loj tshaj plaws tau tshwm sim nyob rau hauv ib txwm muaj kev pabcuam-taw qhia txog kev zoo nkauj, vim tias tib neeg tau kawm txiav lawv tus kheej cov plaub hau thiab ua kev cais manicures ntawm lawv tus kheej.Qhov loj tshaj plaws yog cov neeg uas ua DIY kev kho mob ntawm daim tawv nqaij, xws li tshem tawm mole (tsis ncaj ncees lawm ntau theem), thiab txawm ntau heinously muab tub lim-txawm hais tias dermatologists thiab yas kws phais yuav luag rov qab nyob rau hauv lub lag luam, Tab sis cov qauv no tseem muaj nyob rau ib xyoos.
Txhawb nqa qhov kev txav no, TikTok thiab YouTube tau dhau los ua qhov chaw ua haujlwm tsis muaj kev lim dej rau cov neeg nyiam nyiam uas xav txhaj tshuaj hyaluronic acid (HA) rau hauv lawv daim di ncauj, qhov ntswg, thiab puab tsaig siv cov khoom siv yooj yim hu ua hyaluronic acid cwj mem.
Cov cuab yeej tsis muaj koob no muaj nyob hauv Is Taws Nem thiab siv cua siab los thawb hyaluronic acid rau hauv daim tawv nqaij.Piv nrog rau cov koob thiab cannulas siv los ntawm cov kws kho mob los txhaj tshuaj, hyaluronic acid cwjmem muaj kev tswj xyuas tsawg dua qhov ceev thiab qhov tob ntawm HA tus me nyuam.Zaki Taher, MD, tus kws kho mob dermatologist hauv Alberta, Canada tau hais tias "Qhov no yog qhov tsis muaj kev tswj hwm, tsis muaj kev ntsuas siab, yog li koj tuaj yeem tau txais ntau theem ntawm qhov siab nyob ntawm cov xovxwm,".
Thiab muaj qhov sib txawv loj ntawm cov hom.Hauv YouTube thiab TikTok cov yeeb yaj kiab, qee qhov hyaluronic acid cwjmem peb tau tshawb xyuas tau tshwm sim los tso cov khoom ntawm daim di ncauj thiab zoo li tsis muaj zog los tho rau ntawm daim tawv nqaij (xav tias lawv tau siv zoo).Lwm tus tau txais kev tshuaj xyuas ceeb toom ntawm lawv lub zog thiab qhia cov neeg yuav khoom kom tsis txhob siv lawv ntawm txhua qhov chaw ntawm lub ntsej muag.
Feem ntau, cov cwj mem no feem ntau tshwm sim hauv kev tshuaj xyuas online-nqi li ntawm $ 50 mus rau ob peb puas duas las - thov kom muaj peev xwm nkag mus txog li 5 txog 18 millimeters tob, thiab ntawm tus nqi kwv yees li 1,000 txog 5,000 phaus ib square Intensity emission. ntiv tes (PSI).Hema Sundaram, MD, kws kho mob dermatologist hauv Fairfax, Virginia, tau hais tias: "Los ntawm txoj kev xav, qhov nruab nrab siab ntawm lub ntsej muag yog kwv yees li 65 txog 80 PSI, thiab lub zog ntawm cov mos txwv 1,000 PSI thiab siab dua."thiab Rockville, Maryland.Txawm li cas los xij, feem ntau ntawm cov cuab yeej no lav qhov kev paub tsis mob hauv qee txoj kev.
Hyaluron cwjmem yog ua qauv tom qab ib tug hand-held jet syringe, uas muaj peev xwm txhaj tshuaj kua (xws li insulin thiab tshuaj loog) rau hauv daim tawv nqaij yam tsis muaj koob."Txog 20 xyoo dhau los, kuv tau qhia txog cov khoom siv no," hais L. Mike Nayak, MD, tus kws kho mob lub ntsej muag uas tau lees paub hauv Frontenac, Missouri, uas nyuam qhuav tawm ntawm Instagram Hyaluronic acid cwj mem."Muaj ib tug cwj mem rau tshuaj loog hauv zos [nws yog] tib yam, lub caij nplooj ntoos hlav-loaded ntaus ntawv-koj rub tawm lidocaine, nias lub trigger, thiab nws yuav tsim cov tee ntws ceev heev.Lawv tuaj yeem nkag mus rau ntawm daim tawv nqaij sai sai. "
Niaj hnub no, US Food and Drug Administration (FDA) tau pom zoo ib tug puv tes ntawm dav hlau syringes rau cov tshuaj tshwj xeeb - piv txwv li, ib qho kev pom zoo rau txhaj tshuaj tiv thaiv kab mob khaub thuas tshwj xeeb - thiab nthuav, ib co ntawm lawv yog hyaluronic acid-pens Cov thawj coj tau muab thaum ntxov. pov thawj ntawm qhov peb cov kws tshaj lij hu ua cov teeb meem tshwm sim nrog hom cuab yeej no."Kev tshawb fawb qhia txog cov tshuaj tiv thaiv intradermal syringes qhia tau hais tias nws yog ib qho nyuaj rau kev tswj qhov tob thiab qhov chaw ntawm kev txhaj tshuaj [thiab] qhov chaw txhaj tshuaj feem ntau ua rau mob ntxiv thiab o thaum txhaj koob," said Alex R. Thiersch.Tus kws lij choj sawv cev rau kev lag luam kev zoo nkauj thiab tus tsim ntawm Med Spa Association of America.
Txawm hais tias muaj qhov zoo sib xws ntawm cov koob txhaj tshuaj kho mob thiab cov cwj mem pleev xim hyaluronic acid, FDA tus cev lus Shirley Simson tau lees paub peb tias "txog hnub no, FDA tsis tau pom zoo koob txhaj tshuaj tsis muaj koob txhaj tshuaj rau kev txhaj tshuaj hyaluronic acid."Tsis tas li ntawd, nws tau taw qhia tias "tsuas yog cov kws kho mob muaj ntawv tso cai tau pom zoo siv cov koob lossis cannula rau cov tshuaj pleev ib ce hauv qee kis.Tsis muaj cov khoom siv tshuaj dermal raug tso cai siv los ntawm cov neeg mob lossis hauv tsev. "
Cov kiv cua ntawm hyaluronic acid cwjmem tuaj yeem sib cav tias yog tias qee yam tshuaj, xws li epinephrine thiab insulin, raug txiav txim siab zoo rau DIY txhaj, vim li cas ho tsis HA?Tab sis nyob rau hauv cov xwm txheej zoo li no, Dr. Nayak tau piav qhia tias, "Koj tau txais koob, koj tau txais koob txhaj tshuaj, koj tau txais cov tshuaj insulin- thiab tom qab ntawd koj tau txais kev taw qhia ntawm tus kws kho mob uas tau saib xyuas [txhim kho]."Nrog HA, hyaluronic acid cwj mem tsis pom zoo los ntawm FDA;xoom saib xyuas;thiab koj feem ntau yog tsom rau lub ntsej muag, vim nws cov hlab ntsha, qhov kev txhaj tshuaj yog qhov txaus ntshai dua li tus ncej puab lossis lub xub pwg nyom.Tsis tas li ntawd, Dr. Nayak tau hais ntxiv tias vim tias "cov neeg siv cov cwj mem no tsis tuaj yeem yuav [raws li kev cai] yuav FDA-pom zoo, lawv tab tom yuav cov khw muag khoom dub hauv online."
Qhov tseeb, ib txoj kev tshawb fawb tsis ntev los no tau luam tawm nyob rau hauv phau ntawv Journal Dermatologic Surgery pom tias cov khoom siv dag siv dag zog yog ib qho teeb meem tshwm sim, nrog 41.1% ntawm cov kws kho mob tau soj ntsuam tau ntsib cov tshuaj uas tsis tau kuaj thiab tsis tau lees paub, thiab 39.7% ntawm cov kws kho mob tau kho cov neeg mob uas muaj cov xwm txheej tsis zoo tshwm sim los ntawm kev txhaj tshuaj.Lwm daim ntawv luam tawm nyob rau hauv Phau Ntawv Xov Xwm ntawm American Academy of Dermatology hauv 2020 kuj tau hais txog qhov nce hauv kev txhaj tshuaj hauv Internet tsis raug cai thiab "kev nce ntxiv ntawm kev txhaj tshuaj rau tus kheej ntawm cov tshuaj tsis muaj zog neurotoxins thiab cov khoom ua kom zoo raws li kev taw qhia ntawm YouTube tutorials".
Katie Beleznay, MD, kws kho mob dermatologist hauv Vancouver, British Columbia, tau hais tias: "Tib neeg txhawj xeeb txog qhov uas tib neeg muab tso rau hauv cov cwj mem no.""Hais txog kev tsis muaj menyuam thiab kev ruaj ntseg ntawm [online fillers] Muaj ntau yam teeb meem nrog lub neej expectancy."Tsis zoo li HA uas niaj hnub txhaj tshuaj los ntawm cov kws kho mob dermatologist thiab cov kws phais yas uas tau lees paub los ntawm pawg neeg saib xyuas, "Cov khoom no tsis tau raug tshuaj xyuas nruj heev los ntawm FDA, yog li cov neeg siv khoom tsis tuaj yeem paub tias lawv txhaj tshuaj dab tsi," pawg neeg hais.Sarmela Sunder, MD, ntxiv.-Certified kws phais neeg lub ntsej muag nyob rau hauv Beverly Hills.Thiab vim tias cov neeg mob zoo tib yam tsis zoo li hloov mus rau qhov sib txawv ntawm qhov sib txawv ntawm HAs-yuav ua li cas lawv cov viscosity thiab elasticity txiav txim siab siv thiab tso, los yog yuav ua li cas lawv cov kev sib txuas tshwj xeeb cuam tshuam rau qhov o thiab kav ntev - lawv paub li cas cov gels tiag tiag puas yuav muaj. cwj mem los yog daim di ncauj zoo nkauj tshaj plaws los yog kua muag lossis lub puab tsaig?
Ob peb lub hlis dhau los, ntau tus kws kho mob dermatologists thiab kws phais yas tau ceeb toom lawv cov thwjtim hauv kev tshaj xov xwm txog ntau yam kev pheej hmoo cuam tshuam nrog hyaluronic acid cwjmem thiab DIY muab tub lim feem ntau..
Thawj tus nqi yog American Society of Dermatological Surgery (ASDS).Thaum Lub Ob Hlis, lub koom haum tau tshaj tawm tsab ntawv ceeb toom kev nyab xeeb rau tus neeg mob thiab tau hais hauv nqe lus tias lawv tau hu rau FDA hais txog kev nyab xeeb ntawm hyaluronic acid cwj mem tshwm sim.Thaum Lub Peb Hlis Ntuj xyoo no, American Academy of Dermatology tau tshaj tawm cov lus zoo sib xws, ceeb toom tias "txawm hais tias nws yuav raug ntxias kom txhaj tshuaj hyaluronic acid fillers yuav online rau hauv lub ntsej muag lossis daim di ncauj siv rab koob-dawb'do-nws-koj tus kheej' ntaus ntawv, tab sis ua li ntawd Nws yuav ua rau muaj mob hnyav. "
Txawm hais tias cov teeb meem muab tub lim tuaj yeem tshwm sim txawm tias cov neeg siv tshuaj ntau tshaj plaws, FDA pom zoo hyaluronic acid fillers, xws li Juvéderm, Restylane, thiab Belotero, tau ntawv pov thawj los ntawm pawg kws kho mob tsim nyog ntawm cov kws kho mob dermatologist thiab nkag siab txog lub cev thiab kev phais yas. nyab xeeb rau kev txhaj tshuaj.Yog tias muaj teeb meem tshwm sim, lawv tuaj yeem txheeb xyuas thiab thim rov qab."Bulkers yog ib qho kev kho mob zoo heev-lawv tau nrov heev thiab [muaj] txaus siab heev-tab sis koj yuav tsum paub tias koj ua dab tsi," ASDS tus thawj tswj hwm thiab tus thawj coj-certified Boston dermatologist Mathew Avram Tus MD rov hais dua, "Lawv yuav txaus ntshai yog tias lawv. raug txhaj rau hauv qhov chaw tsis ncaj ncees lawm - muaj cov lus ceeb toom ntawm qhov muag tsis pom kev, mob stroke thiab [daim tawv nqaij] rwj uas tuaj yeem ua rau lub ntsej muag tsis zoo. "
Feem ntau, "qhov chaw tsis raug" yog qhov nyuaj rau kev paub qhov txawv ntawm qhov raug.Dr. Nayak tau hais tias: "Ib feem me me ntawm kev coj ncaj ncees lossis kev coj tsis ncaj yog qhov sib txawv ntawm ib feem loj ntawm koj daim di ncauj thiab qhov ntswg nrog lub voj lossis tsis muaj voj."Nws hais ntxiv tias muab qhov tsis txaus ntawm cov ntawv qhia cwj mem, "txawm tias kuv muaj [ib], thiab kuv yuav tsis xav siv nws los txhaj tshuaj ntxiv vim kuv ntshai tsam kuv tswj tsis tau qhov tseeb ntawm qhov khoom."(Qhov tsis ntev los no ntawm hyaluronic acid cwj mem kho los ntawm Dr. Nayak pab pawg yog qhov nws hu ua "Ib qho piv txwv ntawm "qhov xwm txheej zoo tshaj plaws", uas tej zaum yuav tshwm sim los ntawm kev xa khoom tsis ruaj khov ntawm lub cuab yeej: qhov pom tseeb muab tub lim BB yog kis rau ntawm tus neeg mob daim di ncauj.)
Txawm hais tias suav tsis txheeb cov tuam txhab tsim cov cwj mem hyaluronic acid, thiab zoo li muaj qhov sib txawv me me ntawm cov qauv - feem ntau cuam tshuam nrog qhov tob ntawm kev xa khoom thiab kev ntsuas siab thiab ceev hauv kev tshaj tawm - peb cov kws tshaj lij tau hais tias lawv tsuas yog ua haujlwm los ntawm tib lub tshuab txhais tau tias thiab nqa. zoo sib xws txaus ntshai."Cov cwj mem no txhawj xeeb, thiab kuv tsis xav tias kuv tau hais tias ib qho [ib] ntawm cov cwj mem no yeej zoo dua li lwm tus, thiab nws tsis ncaj ncees rau cov neeg uas tsis muaj kev cob qhia kho mob thiab paub txog lub ntsej muag lub cev," Dr. . Sander Hais.
Nws yog rau qhov no tias qhov yooj yim DIY yam ntawm cov cuab yeej no ua rau lawv txaus ntshai heev - qhov tseeb, lawv tau "muag rau cov tib neeg uas tsis tsim nyog rau kev txhaj tshuaj thiab ua rau kev kho tus kheej," Dr. Sundaram ntxiv.
Lub lure tau nug Dr. Sunder, Dr. Sundaram, thiab Dr. Kavita Mariwalla, MD los soj ntsuam qee cov cwj mem hyaluronic acid uas pom hauv social media.Raws li qhov xav tau, qhov tsis muaj koob tsis tau txhais hais tias tsis muaj teeb meem: hyaluronic acid cwjmem tuaj yeem cuam tshuam peb txoj kev noj qab haus huv thiab zoo li hauv ntau txoj hauv kev tseem ceeb.
Thaum cov gel invades los yog compresses cov hlab ntsha, blocks ntshav txaus thiab tej zaum yuav ua rau daim tawv nqaij tev, dig muag los yog mob stroke, vascular occlusion tshwm sim - qhov txaus ntshai sau cov teeb meem.Dr. Sander hais tias "Kev puas tsuaj ntawm cov hlab ntsha yog ib txwm muaj teeb meem nrog kev txhaj tshuaj ib leeg, txawm hais tias qhov muab tub lim nkag mus rau hauv lub cev li cas," said Dr."Txawm hais tias qee tus cwj mem proponents [hauv social media] ntseeg tias tus cwj mem tsis tuaj yeem nkag mus rau cov hlab ntsha zoo li rab koob, yog li [nws] tsis zoo li yuav ua rau muaj qhov tshwm sim ntawm cov hlab ntsha, tseem muaj kev pheej hmoo loj ntawm vascular puas tsuaj vim yog compression ntawm lub filler. ntawm lub thawv.”
Dr. Taher pom vascular occlusion tshwm sim los ntawm DIY txhaj nrog hyaluronic acid cwj mem.Nws tau hais tias "Qhov xwm txheej kuv tau ntsib-nws yog qhov teebmeem ntawm vascular tiag tiag," nws hais."Kuv pom ib daim duab thiab hais tias, 'Koj yuav tsum tuaj tam sim ntawd.'" Ntawm tus neeg mob daim di ncauj sab sauv, nws pom lub cim liab liab ntawm lub vascular occlusion uas yuav tsum tau thim rov qab (koj tuaj yeem pom ntawm no, hauv PSA. Post hauv YouTube tom qab kho).Los ntawm ob puag ncig ntawm ib qho enzyme txhaj tshuaj hu ua hyaluronidase, nws muaj peev xwm yaj cov hlab ntsha thiab cawm tus neeg mob daim tawv nqaij.
Ob peb lub ntsej muag cov hlab ntsha tseem ceeb tsuas yog khiav ob peb millimeters hauv qab ntawm daim tawv nqaij.Dr. Sundaram tau taw qhia tias cov neeg siv TikToker uas siv ntau tus cwj mem hyaluronic acid rau kev txhim kho daim di ncauj yuav tsis paub tias "[siv daim di ncauj sab sauv thiab sab qis] daim di ncauj cov hlab ntsha yuav nyob ze rau ntawm daim tawv nqaij," tshwj xeeb tshaj yog nyob rau hauv daim tawv nqaij laus, raws li lawv laus thiab ua nyias."Ntawm qee cov ntsiab lus ntawm daim di ncauj qis, kev kuaj xyuas ultrasound qhia tias qhov tob ntawm cov hlab ntsha hauv qab ntawm daim tawv nqaij yog nyob rau hauv thaj tsam ntawm 1.8 txog 5.8 hli," nws hais ntxiv.Nyob rau hauv tib txoj kev tshawb no, qhov tob ntawm cov hlab ntsha uas nourishes lub sab sauv di ncauj ranges ntawm 3.1 mus rau 5.1 hli."Yog li ntawd, HA lub dav hlau pressurized los ntawm tus cwj mem hyaluronic acid yuav tsum muaj peev xwm tiv tau rau cov hlab ntsha ntawm daim di ncauj, cov hlab ntsha hauv qab thiab lwm cov qauv tseem ceeb," Dr. Sundaram xaus lus.
Thaum saib HA tus cwj mem qhia hauv YouTube, Dr. Sundaram ntxhov siab thaum pom lub tuam txhab cov lus teb qhia rau tus neeg tshuaj xyuas "Yog lawm, koj tuaj yeem siv tus cwj mem los kho cov tuam tsev," tab sis nws yog qhov zoo tshaj plaws mus ntsib kws kho mob rau cov txheej txheem raug.Raws li Dr. Sundaram hais tias, “Hais txog qhov muag tsis pom los ntawm kev txhaj tshuaj, lub tuam tsev yog qhov chaw tseem ceeb ntawm lub ntsej muag vim tias cov hlab ntsha hauv lub tuam tsev txuas nrog cov hlab ntsha uas muab lub qhov muag.Cov hlab ntsha tseem ceeb ntawm lub tuam tsev, cov hlab ntsha ntawm lub cev sab nraud, yog Khiav hauv cov ntaub so ntswg hauv qab ntawm daim tawv nqaij, cov rog txheej hauv cheeb tsam no yog thinner, "ua kom yooj yim los thaiv, tshwj xeeb tshaj yog tias lub syringe tsis paub tias nws nyob qhov twg.
Mariwalla tau hais tias "Qhov kev txhaj tshuaj siab tiag tiag yog xoom ntawm lub ntsej muag," Mariwalla tau hais.Txhawm rau txo qis cov teeb meem xws li vascular occlusion thiab bruises ib txwm, "Peb ib txwm qhia tus kws kho mob kom txhaj tshuaj maj mam qis qis."
Txawm li cas los xij, hyaluronic acid cwj mem tso siab rau lub zog muaj zog thiab ceev kom xa cov muab tub lim rau hauv daim tawv nqaij."Thaum lub cuab yeej tsis muaj rab koob los ua qhov chaw nkag, cov khoom lag luam hauv paus yuav tsum tau thawb nyob rau hauv lub zog siab uas nws tuaj yeem tsim kua muag lossis ua rau daim tawv nqaij," said Dr. Sander.Nyob rau hauv cov ntaub ntawv ntawm kev txhaj tshuaj di ncauj, "txhua lub sij hawm tseem ceeb yog siv rau lub rhiab mucosa, nws yuav ua rau raug mob thiab tsoo raug mob rau ib tug npaum li cas-[thiab] tsis tau tsuas yog daim tawv nqaij, tab sis kuj lub hauv paus hlab ntsha, xws li ntau [ Hyaluronic acid cwj mem] Bruises hauv video ntawm kev ua haujlwm ua pov thawj qhov no.Vim muaj kev puas tsuaj rau mucosal, lub siab siab nkag mus rau hauv cov khoom yuav ua rau lub caws pliav mus ntev. "
Dr. Sundaram piv HA txhaj tshuaj nrog hyaluronic acid cwjmem rau "cov mos txwv puv" thiab piv cov kev raug mob uas lawv tsim nrog cov khoom puas tsuaj tshwm sim thaum cov mos txwv tiag tiag raug tua rau hauv tib neeg cov ntaub so ntswg."Kev nkag siab zoo qhia peb tias yog tias koj thawb lub mos txwv ceev mus rau hauv daim tawv nqaij nyob rau hauv huab cua siab, nws yuav ua rau cov ntaub so ntswg raug mob."
Dr. Sundaram tau hais tias, "Cov cwjmem no tsis tuaj yeem muab kev kho mob uas tswj tau thiab kwv yees tau," "vim hais tias kev quab yuam cov muab tub lim rau hauv daim tawv nqaij thaum muaj kev kub ntxhov tuaj yeem ua rau nws kis tsis tau zoo thiab tsis sib xws."Tsis tas li ntawd, nws tau taw qhia tias thaum daim tawv nqaij nyob hauv qhov o pib thaum kho, "Qhov o yuav ua rau pom qhov tseeb ntawm daim di ncauj-txog qhov uas koj tso cov khoom no, koj tsis muaj qhov tseeb lawm."
Tsis ntev los no nws tau kho tus neeg siv hyaluronic acid tus cwj mem uas muaj "lub di ncauj sab sauv loj dua li daim di ncauj qis, thiab tom qab ntawd ib sab ntawm daim di ncauj sab sauv loj dua li lwm sab, thiab nws tau nqaij thiab pob," nws hais.
Dr. Sundaram kuj tau taw qhia tias tus cwj mem nrog qhov tob tshaj tawm tuaj yeem kov qee cov leeg, xws li cov leeg nqaij uas txav lub qhov ncauj."Kev kuaj ultrasound ntawm daim di ncauj ntawm lub cev muaj sia-ntau dua li kev tshawb fawb cadaver-qhia tias orbicularis oris yog li 4 millimeters hauv qab ntawm daim tawv nqaij," nws piav qhia.Yog hais tias tus cwj mem hyaluronic acid tso cov fillers rau hauv cov leeg, "nws cov dej ntws tuaj yeem ua rau muaj kev pheej hmoo siab ntawm cov kab mob thiab cov pob, thiab txawm tias qhov hloov pauv ntawm cov muab tub lim ntxiv-feem ntau yuam kev hu ua 'migration'," nws hais.
Ntawm qhov tod tes, yog tias qee yam HAs - qhov muaj zog, ntau hom plump - raug txhaj nrog cov cwj mem uas tsis tuaj yeem pom, lawv tuaj yeem ua rau muaj teeb meem, xws li pom pob thiab xiav tints.Dr. Sundaram tau hais tias "Ib txhia ntawm cov khoom uas tau hais rau [tus cwj mem] yog qhov tuab dua thiab sib txuas ntxiv," said Dr. Sundaram."Yog tias koj txhaj cov tshuaj no rau ntawm qhov chaw, koj yuav tau txais cov nyhuv Tyndall, [qhov no yog] xiav discoloration tshwm sim los ntawm lub teeb tawg."
Ntxiv nrog rau tus cwj mem qhov teeb meem qhov tob thiab cov qauv dispersion, "qhov tseeb tias [lawv implanted] cov khoom ua ib ntsiav tshuaj lossis warehouse, es tsis yog ib qho kev tso tawm ntawm kev txav mus tas li, yog qhov teeb meem los ntawm kev nyab xeeb thiab zoo nkauj ntawm qhov pom.“Dr.Sand hais tias."Lub koob txhaj tshuaj uas muaj kev paub dhau los yeej tsis khaws cov khoom, tshwj xeeb ntawm daim di ncauj."
Mariwalla tau kos npe: "Kuv yeej tsis [siv] cov txheej txheem txhaj tshuaj txuas ntxiv mus txhaj rau daim di ncauj-nws tsis tsuas yog zoo li tsis zoo li qub, tab sis tus neeg mob xav tias pob thiab pob."Dr. Sunder tau taw qhia tias kev txhaj tshuaj bolus kuj tseem ua rau "txoj hlab ntsha Qhov kev pheej hmoo ntawm kev puas tsuaj lossis cov ntaub so ntswg puas.
Qhov txaus ntshai ntawm no los ntawm ob qhov chaw - cov tshuaj tsis paub meej txhaj tshuaj thiab hyaluronic acid cwj mem nws tus kheej.
Raws li tau hais ua ntej, "tej zaum qhov kev txhawj xeeb tshaj plaws ntawm txhua qhov teeb meem yog qhov muab tub lim nws tus kheej," said Dr. Sander.Ntxiv rau qhov muaj peev xwm kis tau los yog kev deev luag poj luag txiv, "Kuv kuj txhawj xeeb tias qee tus neeg ua haujlwm yuav tsis nkag siab txog cov nuances ntawm hyaluronic acid siv rau kev siv tshuaj pleev ib ce [xws li ntshav] thiab cov hyaluronic acid tiag tiag siv rau kev txhaj tshuaj.Yuav Qhov kev taw qhia ntawm cov khoom siv tshuaj pleev ib ce rau hauv daim tawv nqaij lossis cov mucous daim nyias nyias ntawm cov cwj mem no yuav ua rau muaj teeb meem mus sij hawm ntev xws li kev cuam tshuam lub cev txawv teb chaws lossis kev tsim granuloma, "uas yuav nyuaj rau kho.
Txawm hais tias ib tus neeg tswj hwm kom tau txais ib qho ntshiab, raug cai HA muab tub lim, muab tso rau hauv tus cwj mem yuav qhib lwm lub kaus poom."[Lawv] yuav tsum tau hloov lub muab tub lim los ntawm lawv thawj koob txhaj tshuaj mus rau lub ampoule hauv tus cwj mem," Dr. Sundaram tau taw qhia."Qhov no yog txheej txheem ntau-kauj ruam-txuas cov koob txhaj tshuaj mus rau lub koob, kos cov muab tub lim, thiab tshuaj tsuag rau hauv ampoule - txhua zaus nws ua tiav, muaj kev pheej hmoo ntawm kev kis kab mob."
Dr. Sunder hais ntxiv tias, “Txawm tias qhov haujlwm no tau ua nyob rau hauv ib puag ncig kev kho mob, kev hloov pauv yuav tsis muaj menyuam.Tab sis kev ua haujlwm no hauv ib tus neeg lub tsev yog kev npaj rau kev kis kab mob. "
Tom qab ntawd muaj qhov teeb meem ntawm DIY tshuaj tua kab mob.“Txhua tus cwj mem muaj qhov tshem tau.Cov lus nug yog, qhov huv ntawm lub cuab yeej nws tus kheej li cas?Mariwala hais tias.“Cov tuam txhab no xav kom koj txhaj tshuaj los ntawm cov chaw tsis paub thiab ruaj khov rau hauv koj daim tawv nqaij.Yuav ua li cas yog ib tug ntaus ntawv nrog ib tug ridge thiab ib feem uas yuav tsum tau ntxuav?Siv xab npum thiab dej thiab ziab nws ntawm lub tshuab ntxuav tais diav?Nws tsis zoo li.Kev ruaj ntseg rau kuv. "
Dr. Sundaram tau hais tias txij li thaum tib neeg feem ntau tsuas yog cov neeg ua haujlwm kho mob tsis paub txog qhov nyuaj ntawm cov txheej txheem aseptic, "nws muaj feem ntau tias cov neeg mob yuav siv cov HA uas tsis muaj menyuam thiab thawb nws mus rau hauv daim tawv nqaij."
Dr. Beleznay tau hais tias Canadian cov neeg saib xyuas kev noj qab haus huv tau tshaj tawm cov lus ceeb toom rau pej xeem kev nyab xeeb rau cov cwj mem no hauv 2019. Raws li ib qho piv txwv ntawm kev ntsuas muaj peev xwm los tiv thaiv pej xeem los ntawm kev ua phem rau tus kheej, nws tau hais rau peb tias kev muag khoom ntawm hyaluronic acid cwj mem kuj raug txwv hauv Tebchaws Europe. .Raws li lub koom haum ceeb toom kev nyab xeeb, ntxiv rau kev ceeb toom rau pej xeem txog kev phom sij cuam tshuam, Health Canada tseem xav kom cov neeg xa khoom, cov neeg muag khoom, thiab cov tuam txhab cov cwj mem hyaluronic acid kom "tso tseg cov khoom siv no thiab xav kom txhua lub tuam txhab cuam tshuam rov qab cov neeg nyob hauv khw.khoom siv".
Thaum peb nug Simson yog tias US FDA tab tom ua cov kauj ruam los thim cov cuab yeej no los ntawm kev ua lag luam lossis txwv cov tuam txhab lag luam los ntawm kev lag luam rau lawv cov tshuaj pleev ib ce, nws teb tias: "Raws li txoj cai, FDA tsis tham txog kev tswj hwm ntawm cov khoom tshwj xeeb tshwj tsis yog nws. yog Cov tuam txhab muaj lub luag haujlwm rau cov khoom zoo li no koom tes.Txawm li cas los xij, txog niaj hnub no, tsis muaj koob txhaj tshuaj tsis muaj koob txhaj tshuaj tau pom zoo rau kev txhaj tshuaj hyaluronic acid rau lub hom phiaj kho kom zoo nkauj. "
Xav txog cov kev pheej hmoo uas tau teev tseg los ntawm peb cov kws kho mob thiab tam sim no tsis muaj cov ntaub ntawv ntawm cov khoom siv DIY, nws nyuaj rau xav txog tias tus cwj mem hyaluronic acid yuav raug pom zoo los ntawm FDA."Yog tias ib tus neeg xav ua kom raug cai rau cov cwj mem no, peb yuav tsum ua txoj kev tshawb fawb tswj-lub taub hau-rau-lub taub hau koob txhaj tshuaj-rau [kuaj] kev nyab xeeb, kev ua tau zoo, kev ntseeg siab, thiab lub sijhawm luv thiab ntev," tus kws kho mob hais.Sundaram tau taw qhia.
Thaum lub sijhawm zoo tos rau US hyaluronic acid cwj mem txoj cai, peb ntawm Allure xav kom koj ua raws li cov lus ceeb toom ntawm peb cov kws tshaj lij thiab tsis txhob ua rau cov tswv yim phem kawg ntawm kev tshaj xov xwm.Kev qhia ntxiv los ntawm Marci Robin.
Ua raws li Allure ntawm Instagram thiab Twitter, lossis sau npe rau peb cov ntawv xov xwm kom xa cov dab neeg zoo nkauj txhua hnub ncaj qha rau koj lub inbox.
© 2021 Condé Nast.tag nrho cov cai.Los ntawm kev siv lub vev xaib no, koj lees txais peb cov neeg siv kev pom zoo thiab tsab cai tswjfwm ntiag tug thiab cov lus qhia ua kua nplaum, nrog rau koj cov cai ntiag tug hauv California.Raws li ib feem ntawm peb cov koom tes koom tes nrog cov khw muag khoom, Allure tuaj yeem tau txais ib feem ntawm kev muag khoom los ntawm cov khoom yuav los ntawm peb lub vev xaib.Yog tias tsis muaj kev tso cai ua ntej ntawm Condé Nast, cov ntaub ntawv hauv lub vev xaib no yuav tsis raug luam, faib, xa tawm, cached lossis siv lwm yam.Ad xaiv
Post lub sij hawm: Dec-14-2021