Niaj hnub no, di ncauj fillers yog ib qho ntawm cov kev kho kom zoo nkauj tshaj plaws nyob rau hauv ib tug kws kho mob lub chaw ua hauj lwm, tab sis daim di ncauj tuaj yeem yog qhov chaw txhaj tshuaj.Kuv tus kheej tau txhaj kuv daim di ncauj ob zaug - lub sijhawm kawg yog thaum ntxov 2017, ua ntej kuv tshoob.Txawm li cas los xij, thaum lub caij ntuj sov xyoo 2020, kuv tau mus ntsib kuv tus kws kho mob dermatologist thiab nws pom tias kuv daim di ncauj zoo li tsis sib xws, thiab kuv kuj pom qhov no, tab sis kuv xav tias kuv cov filling yuav kawg yaj, thaum kuv muaj ntau cov ntses loj yuav tsum tau kib.Kuv tsis tau xav txog kev txhaj tshuaj hyaluronidase vim tias kuv tsis tau ua nws ua ntej, tab sis nws tau muab tawm tias qhov no yog cov lus teb kom rov zoo li qub-txawm tias nws me dua li qhov kuv xav tau.Nov yog yam koj yuav tsum paub thaum lub di ncauj muab tshuaj txhuam tsis yaj nyob rau hauv lub sij hawm xav tau, thiab yuav ua li cas rov qab mus rau lub hauv paus zoo nkauj nrog kev pab los ntawm ib tug kws tshaj lij.
Fillers feem ntau kav ntev li 6 txog 24 lub hlis, nyob ntawm thaj chaw.New York dermatologist Melissa Levin, MD, tau hais tias nws tuaj yeem nyob ntev dua hauv thaj chaw xws li mandible, cheekbones, thiab tuam tsev, tab sis nyob rau hauv ntau qhov chaw xws li daim di ncauj lossis thaj chaw perioral, nws yuav yaj sai dua."Tsis tas li ntawd, kuv xav tias tib neeg nyiam xav tias qhov no tsuas yog lub neej ntawm kev muab tub lim, tab sis peb tau laus thiab hloov txhua hnub, yog li peb kuj yuav tsum tau xav txog qhov no."
David Hartman, MD, kws phais neeg lub ntsej muag hauv Dover, Ohio, tau piav qhia tias HA cov koob txhaj tshuaj feem ntau xaiv rau daim di ncauj zoo li smoother thiab softer, uas txhais tau hais tias nws kuj yaj dua cov fillers hauv lwm qhov chaw sai dua.Nws tau hais tias "Piv nrog qhov nyuaj, tsis tshua muaj kev hloov pauv HA fillers uas tej zaum yuav siv los ua kom lub ntsej muag ntawm lub puab tsaig, ntau hom softer yuav yaj sai dua," nws hais."Tsis tas li ntawd, cov khoom ntim hauv daim di ncauj tau raug yuav luag tas mus li 'sib tsoo' txav ntawm daim di ncauj thiab qhov ncauj, uas tseem ua rau cov khoom tawg sai sai.Vim li no, kuv xav kom kuv cov neeg muas zaub daim di ncauj sau, di ncauj sau Nws nyhav rau 6 mus rau 12 lub hlis. "
"HA fillers tsis yog hyaluronic acid xwb," said Dr. Levine."Qhov tseeb, yog tias peb txhaj HA ncaj qha rau ntawm daim tawv nqaij, nws yuav ploj mus sai heev.Lawv txuas ntxiv lub neej ntawm cov muab tub lim los ntawm kev sib txuas, yog li qhov no txhais tau tias tso cov ntawv cog lus ntawm HA cov khoom kom txo qis cov txheej txheem degradation., uas ua rau nws kav ntev.Qhov no yog qhov nthuav vim hais tias thaum peb biopsy ntawm daim tawv nqaij, koj yeej tseem yuav pom cov hyaluronic acid muab tso rau ob peb xyoos dhau los, thiab cov fillers no tsis muaj qhov tseem ceeb hauv kev kho mob.Qhov no txhais tau hais tias nws tsis moisturizing, tsis lifting, tab sis nws tseem nyob rau hauv daim tawv nqaij.Txhua leej txhua tus lub cev yog txawv nyob rau hauv degrading fillers.Qhov no yog vim li cas qee tus neeg siv lawv cov HA daim di ncauj nyob rau hauv rau lub hlis Rau lwm tus, qee zaum nws muaj ntau xyoo.Lub kua muag zawj yog ib qho chaw classic uas koj tuaj yeem pom qhov txhaws ntev ntev.Peb tsis tsuas yog siv hyaluronidase (ib yam ntuj tso rau hauv peb cov tawv nqaij).Cov enzymes uas twb muaj lawm) los rhuav tshem cov fillers, thiab peb kuj muaj phagocytosis.Peb lub cev tiv thaiv kab mob yog saib xyuas thiab tshem tawm cov txheej txheem no, thiab tom qab ntawd degrading hais nyob rau hauv ntau txoj kev. "
Yog tias muaj qhov txhaws ntawm daim di ncauj uas kav ntev tshaj li ob xyoos, Dr. Hartman pom zoo kom mus ntsib kws phais neeg yas lossis kws kho mob dermatologist tau lees paub los ntawm pawg neeg kom lawv tuaj yeem txiav txim siab seb nws yog dab tsi."Kuv xav paub yog tias tus muab tub lim siv tsis yog HA cov khoom, tab sis qee qhov lwm hom muab tub lim, lossis yog tias lub pob yog tshwm sim los ntawm tus neeg mob daim di ncauj ua rau lub cev."Feem ntau, cov tshuaj tiv thaiv no yuav tsim cov granulomas."Ib qho granuloma yuav tsim thaum ib feem ntawm lub cev raug txhawb rau lub sijhawm ntev, feem ntau yog los ntawm lub cev txawv teb chaws"-ib yam khoom faus rau hauv peb lub cev hauv qee txoj kev-los yog lwm yam uas tsis kho qhov txhab.Ua rau, ”Dr. Hartman ntxiv.“Txawm li cas los xij, kuv tsis tau pom qhov no hauv HA txhaj daim di ncauj.Kuv tau txhaj HA fillers rau hauv kuv daim di ncauj ntau txhiab zaus.Cov kev tshawb fawb tau pom tias granulomas feem ntau yuav raug txhaj nrog cov tshuaj uas tsis yog HA.tshwm sim."
Hyaluronidase yog ib qho enzyme hauv peb lub cev uas tuaj yeem degrade hyaluronic acid."Hauv daim ntawv hluavtaws, muaj ob lub npe FDA pom zoo uas yooj yim muaj nyob hauv Tebchaws Meskas: ib qho yog Hylenex thiab lwm yam yog Vitrase," said Dr. Levine.Cov tshuaj no tuaj yeem txhaj rau hauv thaj chaw HA kom yaj lawv sai heev."Nws tsuas yog siv ob peb feeb xwb," Dr. Hartman piav qhia."Qhov dav dav, qhov no yog kev kho txhua yam lossis tsis muaj dab tsi.Kuv ntseeg tias daim di ncauj yuav zoo nkauj dua thiab zoo nkauj dua, yog li kuv tsis ua rau lawv ntau dhau.Kuv tsuas yog siv lawv ib zaug hauv rau xyoo dhau los.Hyaluronidase.
Dr. Levine tau hais tias tus nqi ntawm kev txhaj tshuaj hyaluronidase nyob ntawm seb yuav tsum tau muab cov filler npaum li cas, tab sis tus nqi ntawm US $ 200 txog US $ 1,000."Tsis tas li, tsis yog txhua tus kws kho mob txaus siab txhaj tshuaj hyaluronidase, vim tias nws zoo li koj tab tom cuam tshuam nrog lwm tus neeg qhov teeb meem yam tsis paub tias muaj dab tsi hauv nws," nws hais ntxiv."Kuv paub tias ntau lub chaw ua haujlwm tsis txawm nqa nws thaum ua tiav, tab sis rau kuv, qhov no yog qhov tsis txaus ntseeg."
Dr. Levine hais tias "Kuv tsis xav tias leej twg tau tshawb fawb hauv cheeb tsam no, tab sis tam sim no kuv tau ua kom raug thiab tshem tawm ntau cov fillers," said Dr."Kuv xav tias qhov no yog vim ntau thiab ntau tus neeg tau txais cov khoom ntim, thiab peb muaj kev nkag siab ntau dua thiab hloov zuj zus ntawm kev laus thiab kev zoo nkauj.Kuv xav tias peb muaj ntau yam kev kawm.Kuv ib txwm hais rau cov neeg nyob hauv kom muag muag thiab tshem tawm cov fillers.Nws yog ib qho kev siv tshuab ntau dua li sau daim di ncauj.Kuv xav tias peb yuav pom qhov xwm txheej no ntau ntxiv.Muaj lwm cov hyaluronic acid fillers nyob rau hauv kev ua lag luam nyob rau hauv lwm lub teb chaws, thiab peb tsis paub hais tias tej zaum lawv yuav tsis tshua paub rau peb muaj feem xyuam rau lwm hom fillers. "
"Kuv ua tiav nws nyob rau hauv ib lub sij hawm, tab sis nws tsis yog zoo tagnrho vim hais tias nws yuav siv sij hawm ib tug tag nrho 48 teev kom pom cov txiaj ntsig ntawm hyaluronidase," piav qhia Dr. Levine, uas nyiam txhaj tshuaj, thiab hais kom cov neeg mob rov qab los rau ob peb hnub lossis tom qab. ob peb hnub thiab ib lub lim tiam, tom qab ntawd xyuas cov txiaj ntsig, thiab tom qab ntawd rov ua dua."Thaum koj tshem tawm qhov txhaws, nws kuj zoo siab heev, vim tias ib tus neeg dhau los ntawm tus txheej txheem kom tau txais nws thiab xav tias lawv zoo dua, tab sis tom qab ntawd lawv paub tias lawv zoo li txawv me ntsis.Rau kuv, Qhov no yuav tsum muaj kev sib tham ntau rau cov neeg mob thiab nkag siab tias tus neeg nyob rau hauv pem hauv ntej ntawm koj xav tias zoo nkauj thiab lawv lub ntsej muag feem ntau zoo li cas.Cov tswv yim zoo nkauj vwm, tag nrho cov xwm txheej selfie thiab cov ntxaij lim dej ua rau qee tus neeg saib txawv txav.Qhov no tshwm sim ntau dua li cov neeg paub. "
"Tsis tas li," Dr. Levine hais."Qee qhov muab tub lim muaj ntau qhov sib txuas, uas tuaj yeem ua rau lawv nyob ntev dua.Yog hais tias tus neeg mob muaj qhov peb hu ua qeeb hypersensitivity rau nws, kuv yuav tsis siv cov muab tub lim vim lawv yuav tsis pob tshab.Cov kua qaub reacts, tab sis nws reacts rau cross-linking. "
Post lub sij hawm: Sep-02-2021