Nsí botulinum: ntuziaka maka ojiji, na usoro nke edinam

Nsí botulinum - nsí na-emepụta site na bacteria Clostridium Nsí, popularly na-akpọ Botox. Ọ na-eji ọ bụghị nanị na ị gwara na nkà mmụta ọgwụ, ma, karịsịa na neurology. Nsi bụ ike zuru ezu, ọ dị, ẹkenam obere obere, bụ kpamkpam mma.

Gịnị bụ Nsí botulinum?

Nsí botulinum - a umi na-emepụta site anaerobic bacteria Clostridium Nsí. Ọ na-emepụta na ala, sedimenti, nakwa dị ka na-ekwesịghị ekwesị kwadebere ma echekwara anụ na akwukwo nri Mkpọ. Iri a Mkpọ pụrụ iduga botulism. Ọ nwere mmetụta dị njọ n'ahụ ndị neuro-muscular anụ ahụ na-emetụta uru ahụ. Nke a na umi bụ mwute na elu okpomọkụ mmetụta (rere na okpomọkụ n'elu ^banyere 60).

E nwere ọtụtụ ụdị nke a nsí, nke na-kpọrọ akwụkwọ ozi A na G. Iji melite ọdịdị ya na-eji na nnọọ obere doses na-adịghị eme ka mmetụta. Na aesthetic na nkà mmụta ọgwụ na-eji Nsí botulinum ụdị A.

Nsi na a umi bụ ihe ugboro ugboro karịa n'oge gara aga. Nke a bụ n'ihi na eziokwu na ihe oriri na-echekwara na nke kacha mma na ọnọdụ. Mgbe e nwere a-ekwe omume nke nsí na a nsi, igosi gastric lavage ma na-a laxative wepụ dị ka ọtụtụ toxins si eriri afọ tract. N'ihe banyere nsí onye ọrịa na-ndinọ antiotoksin (antibotulinovuyu ọbara). Ọ dị ezigbo mkpa ịnọgide na-enwe kwesịrị ekwesị hydration nke ahụ, na-eri n'oge ọgwụgwọ.

E nwekwara ikpe nke nsi abanye ọnya, e.g., site na ala. N'ọnọdụ dị otú ahụ, ndị dị mkpa edinam bụ ịwa ahụ ọnya ọcha ma ọgwụ nje.

The usoro nke ihe nke Nsí botulinum

The usoro nke ihe nke umi eji ibido na ọgwụgwọ nke akwara ozi na ophthalmic ọrịa. The nsí na-eji na akpan akpan n'ihi mwepụ nke oké muscle erughị ala na ụmụ na ọrịa ụbụrụ, ma ọ bụ ndị ọrịa strok. Mgbe ha malitere na-emeso strabismus, e chọpụtara na ọ bụghị nanị mma na ọnọdụ nke anya, ma na-ebelata wrinkles. Site nnwale, ndị dọkịta mepụtara metering, nakwa dị ka ụzọ nke ịgbanye ọgwụ. Na 80s nke ikpeazụ nke narị afọ ọgwụ malitere ga-eji na aesthetic Dermatology. Ọ bụ a na-ewu ewu mgbagwoju.

Nsí botulinum ụdị A na-akpata mgbochi nke acetylcholine ntọhapụ - ọgụgụ akwara mbufe ozi maka guzobe pulses n'etiti irighiri akwara na uru. Ọ na-eme site igbochi njikọ dị n'etiti muscle na akwara endings, i.e.-akpọ igbochi neuromuscular synapses. Nsí botulinum ejikọ na presynaptic akpụkpọ ahụ anabata na nkanka ntọhapụ nke acetylcholine. Nke a na-eduga ná eziokwu na uru zuru ike na wrinkles na-larịị maka a mgbe. Usoro a na-eji na nkà mmụta ọgwụ.

Na ọrịa ndị dị ka strabismus, akwara ozi pathologies aa na oké muscle erughị ala, hyperhidrosis, wrinkles, ojiji nke Nsí botulinum. Nkwadebe nke a umi na-agba ọsọ na mpaghara, ma ebe ọ bụ na akwara ozi nwere a-ekwe omume ike ọhụrụ ogige, na ọgwụgwọ mmetụta mbelata na kpamkpam mgbe 4-6 ọnwa mgbe nsí ogwu ogbugba. Ya mere, usoro kwesịrị ka a ugboro ugboro.

Ọgwụ ọjọọ eme ihe na nkà mmụta ọgwụ na-mere si laabu ụdị nje bacteria dịpụrụ adịpụ, ọcha na enịm ke a agụụ-juru n'ọnụ ke nditịm metered doses. Ha n'enweghị na n'ụzọ dị irè na-eji na ọtụtụ ubi nke na nkà mmụta ọgwụ.

Na aesthetic Dermatology maka larịị wrinkles doses bụ nke iji nke 20-60 nkeji n'oge a otu usoro. Ha toxicity nwere ike-atụle, n'ihi na-egbu egbu dose maka a mmadụ nke si 2,5 3 puku. Units.

Ngwa Dermatology

Nsí botulinum ụdị A-hemagglutinin mgbagwoju (Nsí botulinum ụdị A - hemagglutinin mgbagwoju) na aesthetic na nkà mmụta ọgwụ mara site na aha ọgwụ ọjọọ "BOTOX" "Dysport" "Kseomin".

Ka a ọgwụ na a umi malitere ịdị irè, ọ ga-agbara n'ime kpọmkwem uru. Ọgwụ nke Nsí botulinum igbochi neuromuscular conduction, gbochie muscle spasm na-eme ka ha zuru ike. The pụta bụ a ọma ịchọ mma mmetụta, ie, mgbe ezumike nke uru ahụ ezi edoghi na-aba na-ahụ anya. Ọzọkwa, ẹdude wrinkles gaghị miri, na bụ ụdị mgbochi, ikwe ịgbatị na-eto eto. Ọzọkwa, ndị mmadụ nwere wrinkles abụghị ma anya, nwere ike iji Nsí botulinum. Ya adọ ngwa ga-anọ na ọdịdị ihu akpụkpọ maka a ogologo oge na-eto eto na-eji ire ụtọ. Nke a apụtaghị na usoro ga-aga site na-eto eto. Iwebata Nsí botulinum bụ rụrụ nanị mgbe oge na a ọkachamara aesthetic na nkà mmụta ọgwụ. The dibịa kwesịrị ịkọwara onye ọrịa otú usoro, na-ekwu banyere ihe na-ekwe omume mmetụta. The ikpeazụ mkpebi nwere ịwa ahụ ka consciously site ndidi.

egosi

A ọgwụ a na-eji na ọrịa na ihu ndọlị ke ọkpọiso na gburugburu anya. Ha nwere ike ime ọbụna nnọọ na-eto eto na na-metụtara ejikarịkwa ọdịdị ihu. Ọ bụrụ na wrinkles bụ miri nnọọ emi, mgbe ụfọdụ, na-achọ ndị ọzọ na usoro - ha ndochi nke hyaluronic acid (e.g., Dethail, Juvederm). Ọ nwere ike na-achọkwa na ụzọ ndị ọzọ nke facelift.

The ọgwụ na-eji na mwepụ nke:

• wrinkles n'etiti nku anya (ọkpọiso mpaghara);
• gburugburu anya (okwukwa ụkwụ);
• ọzọ: ala mkpuchi, ebe gburugburu ọnụ, agba, n'olu.

Na Dermatology, ọ na-eji maka ọgwụgwọ nke hyperhidrosis nke n'ọbụ aka, ụkwụ na armpits. The injections na-atụ aro na ọgwụgwọ nke ọrịa metụtara na muscle cramps na ụjọ tics, na ọgwụgwọ nke spasticity na ụmụ na ọrịa ụbụrụ, na ophthalmology maka ọgwụgwọ nke strabismus. Okwu Mmalite nke Botox n'ime ihe kwesịrị ekwesị nke ebe ọkpọiso na n'olu gwọọkwa isi ọwụwa.

Development nke usoro

Nsí botulinum agbara ndi mmadu n'ime muscle iji ntụtụ a pụrụ iche disposable agịga. A obere ego nke ọgwụ na-ndinọ kpọmkwem ole na ole ebe na ihu. The usoro dịruru ogologo. Dabere na ọnụ ọgụgụ nke injection ihe na-ewe ihe 15-20 nkeji. Pain metụtara na iwebata ntakiri. Ọtụtụ ndị ọrịa ya tụnyere na aru nke a anwụnta ma ọ bụ ndanda. The usoro na-adịghị achọ obodo Nkụnwụ. N'ihi na ọrịa obi na-mgbe ụfọdụ anestetiiki ude (e.g., EMLA) mkpokọta 1 awa tupu usoro.

postoperatively

Wrinkles kpamkpam ma ọ bụ ikpe na-tutu amama, ọdịdị ihu na-aghọ softer, anya eke, nkịtị ọdịdị ihu ẹnịm. The dose eji n'ihi ịchọ mma nzube, ọtụtụ ugboro ala karịa ọgwụgwọ dose, na bụ kpam kpam nchebe. Họrọ n'otu n'otu dabere na gị mkpa.

The nsí na-ewe mmetụta mgbe 2-3 ụbọchị site n'oge ogwu ogbugba. A zuru ọgwụgwọ mmetụta ọ ga-ahụ anya nanị mgbe 7-10 ụbọchị. Mmetụta mgbe usoro na-echekwara na nkezi nke 6 ọnwa. Ọ na-adabere n'otu n'otu.

Mgbe a oge okwu na-eji nwayọọ nwayọọ na-aghọ otu. Mgbe zuru Mmebi injection ọgwụgwọ a ga-ugboro ugboro. Face mgbe naanị otu ọgwụgwọ - ya bụ, banyere a ọnwa isii nke injections - anya obere, ihe zuru ike.

Agwọ na Nsí botulinum maka aesthetic nzube bụ dịtụ mfe, a rụrụ na ihe outpatient ndabere na-adịghị achọ ka ọ bụla pụrụ iche na-achọpụta ọrịa ọmụmụ. Ozugbo mgbe ọgwụgwụ nke onye ọrịa nwere ike laghachi ya eme kwa ụbọchị.

contraindications

zuru:

• ọrịa nke neuromuscular conduction;
• hypersensitivity ọgwụ (mmadụ albumin);
• mbufụt nke anụ;
• afọ ime, lactation oge.
• na ojiji nke ọgwụ ndị ọzọ: aminoglycosides (streptomycin, gentamicin), aminoquinolines (chloroquine, hydroxychloroquine), D-penicillamine, "Cyclosporin" "Tubocurarine", lincomycin, tetracycline, polymyxins.

ikwu:

• coagulation ọrịa;
• ojiji nke anticoagulants (e.g., aspirin).

The ọgwụgwọ na-adịghị eme na ụmụ n'okpuru 12 afọ (ma e wezụga n'ihi na ụfọdụ akwara ozi na ophthalmologic egosi).

Enweghị na-egosi na ọrụ na-a contraindication, dị ka ọ ga-eti. Ọ bụghị onye ọ bụla kwesịrị ngwa nke ịma mma agwọ ọrịa na a ọgwụ maka Mbelata wrinkles, na ọrụ nke eru dọkịta - ịkọwa eziokwu a na ndidi.

mmetụta

N'oge na mgbe usoro pụrụ iyi:

• mgbu n'oge injection;
• obere hematoma na injection saịtị mgbe agịga abatakwa arịa;
• oké Mbelata nkuanya larịị ma ọ bụ kwa elu nke ya ịrị elu;
• obere ọzịza na biakwa obibia nke ìhè tingling ke injection saịtị;
• oké sagging uru (mgbe ẹsụhọde afọ, akụkụ ọnụ);
• isi mgbu mgbe iji mgbu ọgwụ.

Cheta na: a Jeremaya mere na-emekarị na-apụ n'anya mgbe a ụbọchị ole na ole. E nweghị ihe ize ndụ nke ọ bụla n'ichihịa ma ọ bụ mmebi, na ọgwụ na saịtị ahụ bụ adịghị ahụ anya. Ihe ize ndụ nke mmetụta na-adabere na nke akwara agbara ndi mmadu na ọgwụ, otú ahụ usoro a ga-atụle n'isiokwu na-zuru ezu na dọkịta gị tupu ya na-gburu.

Omume mgbe a wasịrị

Mgbe ntụtụ Nsí botulinum:

• i nwere ike na-hour ụgbọ okporo ígwè ọdịdị ihu uru;
• zere ịhịa aka n'ahụ injection saịtị n'ime 4 h.;
• mgbe usoro adịghị awụfu gị isi ala (n'ihi na ihe atụ, mgbe etinye akpụkpọ ụkwụ ma ọ bụ n'oge na-ehi ụra).

ugboro ugboro, nke usoro

Ọgwụ nwere ike ugboro ugboro kwa 6-8 ọnwa, ma ọ bụghị ihe karịrị otu ugboro ọ bụla 3 ọnwa. Nke a bụ otu n'ime ndị na usoro nke ọrịa laghachi na ọṅụ, n'ihi na ọ na-enye a dị nnọọ ngwa ngwa na ogologo okwu results, kwesiri ngosi nile. N'otu oge ahụ, a na usoro bụ ndị na-abụghị invasive na mfe ịrụ.