PLLA vs Calcium Hydroxylapatite vs Hyaluronic Acid A Comparative Mid face Ntlafatso ea Sefahleho ka Liphetho tsa Likhoeli tse 6

Botaki le mahlale a ho nchafatsa sefahleho sa bohareng, ntle ho pelaelo ho khutlisa molumo ke molao oa khauta. Leha ho le joalo, ha u tobane le mefuta e mengata e makatsang ea likhetho tse fumanehang 'marakeng, na u kile ua ikutloa u ferekane: Ke lisebelisoa life tse ka fang bareki ba hau phello e ntle, e tšoarellang nako e telele le ea tlhaho?

Hyaluronic acid (HA), hydroxyapatite calcium (CaHA), le poly-L-lactic acid (PLLA) li etsa litšiea tse tharo tsa ho phahamisa sefahleho lefatšeng ka bophara ntle le ho buuoa. Empa liphapang tsa bona tsa mantlha li feta hole feela theko le ho tšoarella.

Sengoliloeng sena se tla u fa tataiso ea ho etsa liqeto tsa kliniki e tsamaisoang ke data le e susumetsang haholo ka ho arolelana nyeoe ea kliniki ea likhoeli tse tšeletseng ea moreki oa machabeng ea sebelisang lihlahisoa tsa rona tsa AOMA, ho bapisa le ho sekaseka mokhoa oa ts'ebetso le liphapang tsa katleho ea lisebelisoa tse tharo tse kholo tsa ho tlatsa sefahleho (poly-L-lactic acid, calcium apatite le hyaluronic acid).

Utloisisa mokhoa oa ts'ebetso ea li-fillers tse tharo

Hyaluronic acid e finyella liphello tsa hang-hang ka ho tlatsa 'mele

Joalo ka glycosaminoglycan e etsahalang ka tlhaho 'meleng oa motho, HA 'meleng e tlatsa molumo o lahlehileng ka phello ea eona e matla ea hydration. Phuputso ea 2019 ho Journal of Cosmetic Dermatology e netefalitse hore phello ea li-fillers tsa hyaluronic acid li nka likhoeli tse 6 ho isa ho tse 12 'me li ka senyeha ka ho feletseng ka ho kenya hyaluronidase.

CaHA e na le mekhoa e 'meli ea ts'ebetso

Boitsebiso bona bo entsoe ka 30% ea calcium apatite microspheres le 70% carboxymethyl cellulose gel. Ho kopanya liphello tse potlakileng ka nako e telele ea ho susumetsa le ho fana ka tšehetso e matla, hangata e sebelisoa libakeng tse hlokang tšehetso e matla ea sebopeho. Lithuto tsa histological li bonts'itse hore bongata ba collagen e sa tsoa thehoa bo eketsehile ka 64.5% likhoeli tse tharo ka mor'a ente.

PLA e nolofalletsa ntlafatso e tsoelang pele

Joalo ka polima ea maiketsetso e nang le biocompatibility e ntle, PLLA e kentsoe ka mokhoa o ts'oanang ka har'a dermis e tebileng ka lintlha tse nyane tsa ente, butle-butle e susumetsang fibroblasts ho hlahisa palo e kholo ea autologous collagen. Lintlha tsa bongaka li bonts'a hore potoloho ea collagen nchafatso e ka tšoarella ho feta likhoeli tse 24, ka litlamorao tse butle-butle le tsa tlhaho tse tšoarellang nako e telele haholo. Litholoana tse ntle ka ho fetisisa li etsahala likhoeli tse 3 ho isa ho tse 6 ka mor'a ente, ho ntlafatsa letlalo ka kakaretso le ho tiea.

Sehlooho se Ithutoang: Ho Latela Monahano oa Matlafatso ea Sefahleho nakong ea Likhoeli tse 6

E 'ngoe ea litleliniki tsa rona tsa nako e telele tsa tšebelisano' moho ho tsoa Europe e ile ea arolelana nyeoe e emelang haholo. Tleliniki ena esale e reka mefuta e fapaneng ea li-filler tsa maemo a holimo ho kenyelletsa AOMA PLLA ho tsoa k'hamphaning ea rona. E mong oa bareki ba bona ba basali ba lilemo li 42 o ile a tletleba ka ho lahleheloa ke molumo oa sefahleho, liapole tse bataletseng tsa marameng, le marama a lerootho a marameng, ka tšepo ea ho finyella phello ea tlhaho le ea nako e telele ea bocha.

Ngaka ea tleliniki e entse moralo o felletseng oa kalafo:

Sefahleho se ka ho le letšehali se bohareng: Enta CaHA ho nka monyetla ka tšehetso ea eona e matla le khothatso ea collagen.

Sefahleho se ka ho le letona se bohareng: Enta hyaluronic acid (HA) ho fihlela ho tlatsa le ho phahamisa ka nepo.

Sefahleho se feletseng: Liente tsa subcutaneous tsa AOMA PLLA li tsamaisoa habeli (ka nako ea libeke tse 4) sefahlehong se feletseng, ka sepheo sa ho finyella ntlafatso ea boleng ba letlalo ka kakaretso le ho hlaphoheloa ha molumo.

Lintlha tsa nako ea ho latela: Pele ho ente, beke e le 'ngoe, likhoeli tse 3 le likhoeli tse 6 ka mor'a ente.

Tlhahlobo ea phello ea tlhahiso:

● Beke ka mor'a ente

Tlhokomeliso: Ka bobeli lehlakore le letšehali (CaHA) le lehlakoreng le letona (HA) li bonts'a ho hlaphoheloa ha molumo oa bohlokoa le ntlafatso, 'me lesapo la zygomatic bone le ntlafatsoa hang-hang. Lehlakore la HA le na le phello e matla ea hydration, e etsang hore letlalo la letlalo le bonahale le le bonolo. Kakaretso ea phello ea PLLA ha e so bonahale.

Bohlokoa ba bongaka: Mokhahlelo ona o tiisitse phello ea hang-hang ea HA le CaHA e le 'instant fillers', e ka finyellang litebello tsa pele tsa bareki bakeng sa liphello.

● Likhoeli tse tharo ka mor'a ente

Tlhokomeliso: Phello e ka lehlakoreng le letšehali (CaHA) e se e kopantsoe haholoanyane le ea tlhaho, e nang le maikutlo a tiileng a tšehetsang, a bontšang katleho ea pele ea ho susumetsa collagen. Ho na le metabolism e fokolang ka lehlakoreng le letona (HA), empa e ntse e boloka sebopeho se setle. Ka nako ena, phello ea AOMA PLLA e qala ho bontša haholo: letlalo la letlalo 'meleng oohle le fetoha le thata, 'me bohareng bo fana ka 'botlalo' ho tsoa ka hare.

Bohlokoa ba bongaka: Ena ke nako ea bohlokoa ha PLLA e qala ho ba le matla, 'me litlamorao tsa eona tsa tlhaho li qala ho ratoa.

● Likhoeli tse tšeletseng ka mor'a ente

Tlhokomeliso: Mothating ona, liphapang pakeng tsa tse tharo e ba tse fanang ka leseli haholo.

HA lehlakore: Ho na le phello e kholo ea metabolic le maikutlo a fokolang a molumo. Kalafo ea tlhokomelo e lokela ho nkoa.

Lehlakore la CaHA: Phello e lula e tsitsitse, ka lebaka la collagen e sa tsoa thehoa, 'me e ntse e e-na le tšehetso e ntle.

Kakaretso ea PLLA: Phello e fihla tlhorong ea eona. Li-tissue tsa sefahleho tse bohareng li teteaneng ebile li tiile, li na le li-contours tse boreleli le tsa tlhaho, joalokaha eka motho o khutletse boemong bo bocha. Moreki ka boeena o ne a khotsofetse haholo ka phello ea PLLA ka likhoeli tse tšeletseng.

Re ile ra mema ngaka e ka sehloohong tleliniking ena ea Europe ka ho khetheha hore e re bolelle phihlelo ea hae ea sebele:

Khethong ea nako e telele ea lisebelisoa, esale re batla sehlahisoa se ka fang bareki 'boiphihlelo bo khutsitseng bo khahlanong le botsofali'. AOMA PLLA e fetohile khetho ea rona ea boemo ba leano. Joalokaha nyeoe ena e bontša, HA le CaHA li ile tsa phetha karolo ea bohlokoa qalong, empa nakong ea bohlokoa ea likhoeli tse tšeletseng, boleng ba PLLA bo ile ba senyeha.

Phetoho ena ea butle-butle le e sa bonahaleng ea tlhaho e matlafalitse khotsofalo le botšepehi ba bareki haholo. Ho sutumetsa habonolo le mamello e ntle ea bareki ea AOMA PLA le tsona li re tlatsa ka kholiseho ts'ebetsong. E fetohile sehlahisoa sa mantlha setsing sa tleliniki sa rona sa ho nchafatsa sefahleho.

Tšehetso ea Boitsebiso ba Bolaoli: Hobaneng ha Likhoeli tse Tšeletseng e le Pontšo ea Khauta bakeng sa PLA?

Maikutlo a rona a lumellana haholo le liqeto tsa lingoliloeng tsa bongaka tse nang le matla. Phuputso e phatlalalitsoeng ho Aesthetic Plastic Surgery e nang le sehlooho se reng 'Poly-L-lactic Acid for Midface Volume Restoration: Thuto' 'A Retrospective Case Series with 12-Month Follow-Up' e bontša ka ho hlaka hore phello ea PLLA e qala ho iponahatsa likhoeli tse 1-3 ka mor'a ente, e fihla sehlohlolong sa eona likhoeling tse 6, 'me e ka bolokoa ka mokhoa o tsitsitseng likhoeli tse 1 kapa esita le ho boloka mocheso o tlaase. hantle-ntle lebaka le ka sehloohong le etsang hore phello ea eona e be ea tlhaho haholo 'me e tšoana le tsosoloso ea lisele tsa eona.

Tataiso ea ho Etsa Liqeto: U ka Khetha Filler e Loketseng Ka ho Fetisisa bakeng sa Bareki ba Hao?

Boemo ba tlhoko ea bareki	Morero o khothalelitsoeng	Boleng ba mantlha
Ho batla liphetho hanghang kapa ho etsa teko ea pele ea ho tlatsa	Asiti ea Hyaluronic	Phello e nepahetse ebile e ka khutlisoa, e kopana le tlhoko ea ntlafatso e potlakileng ea botle.
Ke hloka tšehetso e matla le tšepo ea ho ntlafatsa boleng ba letlalo la ka	CaHA	Liphello tse peli tsa 'ho tlatsa + stimulation' li kopantsoe, ho fana ka tšehetso e ikhethang.
Batla tsosoloso ea nako e telele le ea tlhaho ka kakaretso ho loantša tahlehelo ea molumo le ho phomola	PLLA	Phello e tšoarella nako e telele 'me ka tlhaho e nchafatsa, e etsa hore e be letsete la nako e telele le eketsang boleng.

Joalo ka ha tleliniki molemong oa rona e entse, ho kopanya liphekolo hangata ke leano le sebetsang ka ho fetisisa. Ka ho sebelisa AOMA HA kapa CaHA ho rarolla mathata a hang-hang a sebopeho le li-contour mme ka nako e ts'oanang ho qala lenaneo la nako e telele la nchafatso ea AOMA PLLA, o ka fa bareki ba hau liphetho tsa kalafo tse ntlafalitsoeng ka mokhoa o tsoelang pele, ho ntlafatsa boleng ba bophelo ba bareki ba hau haholo.

Qetello

Likhoeli tse tšeletseng tsa tlhahlobo ea bongaka li netefalitse hore e 'ngoe le e' ngoe ea lisebelisoa tse tharo tsa ho tlatsa e na le matšoao a hlakileng. Hyaluronic acid e loketse linyeoe tse phehellang liphello tse potlakileng. Calcium apatite e fana ka tharollo e loketseng bakeng sa atrophy ea lisele tse itekanetseng ho isa ho tse matla, athe poly-L-lactic acid (AOMA PLLA) e na le melemo e meholo ntlafatsong ea nako e telele. Ho khothalletsoa hore lingaka li etse khetho e felletseng ho latela litlhoko tsa bareki, motheo oa mokhatlo le liphetho tse lebelletsoeng.