I-PLLA vs I-Calcium Hydroxylapatite vs I-Hyaluronic Acid A Ukuqhathanisa Indaba Yokuthuthukisa Ubuso Emaphakathi Nemiphumela Yezinyanga Eziyisi-6

Kubuciko nesayensi yokuvuselela ubuso obuphakathi, ukubuyiselwa kwevolumu ngokungangabazeki kuwumthetho wegolide. Kodwa-ke, lapho ubhekene nenqwaba yezinketho zokugcwalisa emakethe, ingabe wake wazizwa udidekile: Iyiphi impahla enganikeza amakhasimende akho umphumela ofaneleka kakhulu, ohlala isikhathi eside nowemvelo?

I-Hyaluronic acid (HA), i-hydroxyapatite calcium (CaHA), ne-poly-L-lactic acid (PLLA) yenza izinsika ezintathu zokuphakanyiswa kobuso okungahlinzwa emhlabeni jikelele. Kodwa umehluko wabo oyinhloko ungaphezu nje kwentengo nokuqina.

Lesi sihloko sizokunikeza umhlahlandlela wokuthatha izinqumo zomtholampilo oqhutshwa yidatha futhi okholisa kakhulu ngokwabelana ngecala lomtholampilo lezinyanga eziyisithupha leklayenti lamazwe ngamazwe lisebenzisa imikhiqizo yethu ye-AOMA, ukuqhathanisa nokuhlaziya indlela yokusebenza kanye nomehluko wokuphumelela wezinto ezintathu ezivamile zokugcwalisa ubuso (i-poly-L-lactic acid, i-calcium apatite ne-hyaluronic acid).

Qonda indlela yokusebenza kwezigcwalisi ezintathu

I-Hyaluronic acid ifinyelela imiphumela esheshayo ngokugcwaliswa ngokomzimba

Njenge-glycosaminoglycan eyenzeka ngokwemvelo emzimbeni womuntu, i-HA iphinda igcwalise umthamo olahlekile ngomphumela wayo onamandla we-hydration. Ucwaningo lwango-2019 ku-Journal of Cosmetic Dermatology luqinisekisile ukuthi umphumela we izigcwalisi ze-hyaluronic acid zihlala izinyanga eziyisi-6 kuye kweziyi-12 futhi zingonakaliswa ngokuphelele ngokujova i-hyaluronidase.

I-CaHA inendlela ezimbili zokwenza

Lezi zinto zakhiwe ngama-microspheres e-calcium apatite angu-30% kanye nejeli ye-carboxymethyl cellulose engu-70%. Ukuhlanganisa imiphumela esheshayo nokugqugquzela isikhathi eside nokuhlinzeka ngokusekela okuqinile, kuvame ukusetshenziswa ezindaweni ezidinga ukusekelwa okuqinile kwesakhiwo. Ucwaningo lwe-Histological lubonise ukuthi ukuminyana kwe-collagen esanda kwakhiwa kukhuphuke ngo-64.5% ezinyangeni ezintathu ngemuva komjovo.

I-PLA inika amandla ukuvuselelwa okuqhubekayo

Njenge-polymer yokwenziwa enokuhambisana okuhle kwe-biocompatibility, i-PLA ifakwa ngokufanayo ku-dermis ejulile ngokusebenzisa amaphuzu amancane omjovo, kancane kancane ivuselele ama-fibroblasts ukukhiqiza inani elikhulu le-autologous collagen. Idatha yomtholampilo ibonisa ukuthi umjikelezo wokuvuselela i-collagen ungahlala isikhathi esingaphezu kwezinyanga ezingu-24, nemiphumela ehamba kancane nengokwemvelo ehlala isikhathi eside kakhulu. Imiphumela emihle kakhulu ivela ezinyangeni ezi-3 kuya kweziyisi-6 ngemuva kokujova, ithuthukisa ukuthungwa nokuqina kwesikhumba sonke.

Indaba Eyinhloko: Ukulandelelwa Okumangalisayo Kwemithelela Yokuthuthukisa Ubuso Phakathi Nezinyanga Eziyisi-6

Omunye wemitholampilo yethu yokubambisana yesikhathi eside evela e-Europe wabelane ngendaba emele kakhulu. Lo mtholampilo kudala uthenge izinhlobo zokugcwalisa ezisezingeni eliphezulu ezihlanganisa i-AOMA PLLA enkampanini yethu. Elinye lamakhasimende abo esifazane elineminyaka engu-42 ubudala likhononde ngokuncipha komthamo wobuso, ama-apula ayisicaba ezihlathini, nokufiphala kwe-cheekbone contours, ngethemba lokuzuza umphumela wobusha ongokwemvelo nohlala isikhathi eside.

Udokotela wasemtholampilo wenze uhlelo lokwelapha oluphelele:

Ubuso obumaphakathi kwesokunxele: Jova i-CaHA ukuze usebenzise ukusekelwa kwayo okunamandla nokukhuthazwa kwe-collagen.

Ubuso obumaphakathi kwesokudla: Jova i-hyaluronic acid (HA) ukuze uzuze ukugcwaliswa okunembayo nokuphakamisa.

Ubuso obugcwele: Imijovo engaphansi kwesikhumba ye-AOMA PLLA ifakwa kabili (ngesikhathi esingamaviki angu-4) ebusweni obugcwele, kuhloswe ngayo ukuzuza ukuthuthukiswa kwekhwalithi yesikhumba okuphelele nokululama kwevolumu.

Amaphuzu esikhathi sokulandelela: Ngaphambi komjovo, isonto elingu-1, izinyanga ezi-3, nezinyanga eziyisi-6 ngemva komjovo.

Ukuhlaziywa komthelela wesethulo:

● Isonto elilodwa ngemva kokujova

Ukubhekwa: Kokubili uhlangothi lwesobunxele (CaHA) kanye nohlangothi lwesokudla (HA) lubonisa ukubuyiswa kwevolumu ebalulekile kanye nokwenza ngcono, futhi i-zygomatic bone contour ithuthukiswa ngokushesha. Uhlangothi lwe-HA lunomphumela onamandla we-hydration, okwenza ukuthungwa kwesikhumba kubonakale kubushelelezi. Umphumela uwonke we-PLLA awukakabonakali.

Ukubaluleka komtholampilo: Lesi sigaba siqinisekise umphumela osheshayo we-HA ne-CaHA 'njengezigcwalisi ezisheshayo', ezingafinyelela ngokushesha okulindelwe ngamakhasimende kwemiphumela.

● Izinyanga ezintathu ngemva kokujova

Ukubuka: Umphumela ohlangothini lwesobunxele (i-CaHA) usuhlangene kakhulu futhi wemvelo, ngokuzwa okuqinile okusekelayo, okubonisa ukusebenza kahle kokuqala kokugqugquzela i-collagen. Kukhona i-metabolism encane ngakwesokunene (HA), kodwa igcina isimo esihle. Kuleli qophelo, umphumela we-AOMA PLLA uqala ukubonakala ngokuphawulekayo: ukuthungwa kwesikhumba kuwo wonke umzimba kuyaqina, futhi i-midface iveza 'ukugcwala' kusuka ngaphakathi nangaphandle.

Ukubaluleka komtholampilo: Lesi yisikhathi esibalulekile lapho i-PLA iqala ukuba nomfutho, futhi imiphumela yayo yemvelo iqala ukuthandwa.

● Izinyanga eziyisithupha ngemva kokujova

Ukubhekwa: Kuleli qophelo, umehluko phakathi kwalaba abathathu uba okhanyisela kakhulu.

Uhlangothi lwe-HA: Kunomphumela obalulekile we-metabolic kanye nomuzwa obuthakathaka wevolumu. Ukwelashwa kwesondlo kufanele kucatshangelwe.

Uhlangothi lwe-CaHA: Umphumela uhlala uzinzile, ngenxa ye-collagen esanda kwakhiwa, futhi usenokusekelwa okuhle.

I-PLLA Comprehensive: Umphumela ufinyelela umvuthwandaba wawo. Izicubu zobuso ezimaphakathi zigcwele futhi ziqinile, zinezingqimba ezibushelelezi nezemvelo, njengokungathi umuntu ubuyele esimweni esincane. Iklayenti ngokwalo laneliseke kakhulu ngomphumela we-PLLA ezinyangeni eziyisithupha.

Simeme ngokukhethekile udokotela omkhulu walo mtholampilo waseYurophu ukuba abelane ngolwazi lwakhe lwangempela:

Ekukhetheni izinto zesikhathi eside, besilokhu sifuna umkhiqizo onganikeza amakhasimende 'isimo esithulile sokulwa nokuguga'. I-AOMA PLLA isibe yisinqumo sethu sezinga lamasu. Njengoba leli cala libonisa, i-HA ne-CaHA yadlala indima ebalulekile ekuqaleni, kodwa ngesikhathi esibucayi sezinyanga eziyisithupha, inani le-PLLA lachotshozwa.

Lolu shintsho lwemvelo oluhamba kancane futhi olungabonakali luthuthukise kakhulu ukwaneliseka nokwethembeka kwamakhasimende. Ukusunduza okulula nokubekezelela okuhle kwamakhasimende kwe-AOMA PLA nakho kusigcwalisa ngokuzethemba ekusebenzeni. Sekuwumkhiqizo oyinhloko ephaketheni lomtholampilo wethu lokuvuselela ubuso.

Ukwesekwa Kwedatha Okugunyaziwe: Kungani Izinyanga Eziyisithupha Zingumbukiso Wegolide we-PLA?

Ukubhekwa kwethu kwecala kuhambisana kakhulu neziphetho zezincwadi zezokwelapha ezigunyaziwe. Ucwaningo olushicilelwe ku-Aesthetic Plastic Surgery olunesihloko esithi 'Poly-L-lactic Acid for Midface Volume Restoration: Ucwaningo 'A Retrospective Case Series With 12-Month Follow-Up' lubonisa ngokusobala ukuthi umthelela we-PLLA uqala ukubonakala ezinyangeni ezingu-1-3 ngemva komjovo, ufinyelela umvuthwandaba wawo ezinyangeni ezingu-6, futhi ungagcinwa ngokuzinzile izinyanga ezingu-1 noma uhlamvu olu-1 oluphansi. ngokuqondile isizathu esiyisisekelo sokuthi kungani umphumela wawo ungokwemvelo ngokwedlulele futhi ufana nokuvuselelwa kwezicubu zayo.

Umhlahlandlela Wokwenza Izinqumo: Ungasikhetha Kanjani Isigcwalisi Esiwafanele Kakhulu Amakhasimende Akho?

Iphrofayili yokufunwa kwekhasimende	Uhlelo olunconyiwe	Inani eliyinhloko
Ukufuna imiphumela esheshayo noma ukwenza umzamo wokuqala wokugcwalisa	I-hyaluronic acid	Umphumela unembile futhi uyabuyiseleka emuva, uhlangabezana nesidingo sokuthuthuka kobuhle ngokushesha.
Ngidinga ukwesekwa okuqinile nethemba lokuthuthukisa ikhwalithi yesikhumba sami	I-CaHA	Umthelela okabili 'wokugcwalisa + ukuvuselela' uhlanganisiwe, unikeza ukusekelwa okuvelele.
Funa ukuvuselelwa okuphelele kwesikhathi eside nemvelo ukuze ulwe nokulahlekelwa kwevolumu nokuphumula	I-PLLA	Umphumela uhlala isikhathi eside futhi uvuselela ngokwemvelo, okwenza kube ukutshalwa kwezimali kwesikhathi eside okukhulisa inani.

Njengoba nje umtholampilo esimeni sethu wenza, ukuhlanganisa imithi ngokuvamile kuyisu elisebenza kahle kakhulu. Ngokusebenzisa i-AOMA HA noma i-CaHA ukuze uxazulule izinkinga ezisheshayo zesakhiwo kanye ne-contour futhi kanyekanye uqalise uhlelo lwesikhathi eside lokuvuselela i-AOMA PLLA, unganikeza amakhasimende akho imiphumela yokwelapha engenamthungo nethuthukisiwe ngokuqhubekayo, okulithuthukisa ngokuphawulekayo inani lempilo yonke yamaklayenti akho.

Isiphetho

Izinyanga eziyisithupha zokubhekwa komtholampilo ziqinisekisile ukuthi ngayinye yezinto ezintathu zokugcwalisa zinezinkomba ezicacile. I-Hyaluronic acid ilungele amacala aphishekela imiphumela esheshayo. I-calcium apatite inikeza isixazululo esikahle se-atrophy yezicubu ezimaphakathi kuya ezinzima, kuyilapho i-poly-L-lactic acid (AOMA PLA) inezinzuzo ezibalulekile ekuthuthukisweni kwesikhathi eside. Kunconywa ukuthi odokotela benze ukukhetha okuphelele ngokusekelwe ezidingweni zeklayenti, isisekelo senhlangano kanye nemiphumela elindelekile.