Kusintha (pa Okutobala 13, 2021): Bungwe la US Food and Drug Administration lapereka kalata yachitetezo poyankha kuvulala kobwera chifukwa cha kubaya ma fillers ndi zida monga zolembera za hyaluronic acid.Mawu a October 8 adatumizidwa kwa ogula ndi ogwira ntchito zachipatala ndipo adawachenjeza za zoopsa zomwe zimagwirizanitsidwa ndi zida zosavomerezeka izi, zomwe zakhala zikudziwika posachedwapa pamasewero ochezera a pa Intaneti, ndikufotokozera zomwe ziyenera kuchitidwa ndi dermal fillers.Anapereka chochita.
"US Food and Drug Administration (FDA) ichenjeza anthu ndi azaumoyo kuti asagwiritse ntchito zida zopanda singano monga zolembera za hyaluronic acid kuti azibaya hyaluronic acid (HA) kapena zodzaza milomo ndi kumaso, zomwe zimatchedwa dermal fillers kapena Fillers. , "zida izi zidatchulidwa m'mawuwo, ndipo bungweli lidati amagwiritsa ntchito kuthamanga kwambiri kukakamiza zodzaza ndi zinthu zina m'thupi."A FDA akudziwa kuti kugwiritsa ntchito jekeseni wopanda singano pobaya milomo ndi kumaso kumatha kuvulaza kwambiri ndipo, nthawi zina, kuwononga khungu, milomo, kapena maso kosatha."
Pakati pa malingaliro a ogula, a FDA amalimbikitsa kuti musagwiritse ntchito zida zopanda singano panjira iliyonse yodzaza, osati kugula kapena kugwiritsa ntchito zodzaza zomwe zimagulitsidwa mwachindunji kwa anthu (chifukwa ndizomwe zimagwiritsidwa ntchito ndi mankhwala okha), komanso kuti musadzibayire nokha kapena ena omwe gwiritsani ntchito njira zilizonse zodzaza.Chipangizochi chimapanga kudzaza milomo ndi nkhope.Kwa akatswiri azaumoyo, malingaliro a FDA akuphatikiza kusagwiritsa ntchito jakisoni wopanda singano kuti adzizire zodzikongoletsera, kusamutsa zodzaza zovomerezeka ndi FDA ku zida zopanda singano, ndi jekeseni wothira omwe sagwiritsa ntchito zofiyira zovomerezeka zosavomerezeka ndi FDA剂产品。 Zogulitsa za ma agent.
“A FDA akudziwa kuti zida zopanda singano komanso zodzaza milomo ndi kumaso zomwe zimagwiritsidwa ntchito ndi zidazi zimagulitsidwa mwachindunji kwa anthu pa intaneti ndikulimbikitsa kugwiritsa ntchito kwawo pawailesi yakanema kuti awonjezere kuchuluka kwa milomo, kuwongolera mawonekedwe a makwinya, komanso kusintha mphuno.Maonekedwe ndi njira zina zofananira, "chikalatacho chinawerenga, ndikuwonjezera kuti zodzaza ndi dermal zovomerezeka ndi FDA zitha kugwiritsidwa ntchito ndi ma syringe okhala ndi singano kapena cannulas.“Zida zopanda singano zomwe zimagwiritsidwa ntchito popanga zodzikongoletsera sizitha kupereka mphamvu zokwanira pakuyika kwa jekeseni.Zinthu zodzaza milomo ndi kumaso zomwe zimagulitsidwa mwachindunji kwa ogula pa intaneti zitha kukhala ndi mankhwala kapena tizilombo toyambitsa matenda. ”
A FDA adanena kuti zoopsazo zimaphatikizapo kutaya magazi kapena kuvulala;mabakiteriya, mafangasi kapena ma virus kuchokera ku fillers kapena zida zopanda singano;kufalitsa matenda pakati pa anthu pogwiritsa ntchito chipangizo chopanda singano;kutsekeka kwa mitsempha yamagazi kumabweretsa kufa kwa minofu, khungu kapena sitiroko;zipsera;Kuthamanga kwa chipangizo chopanda singano kumayambitsa kuwonongeka kwa maso;kupanga zotupa pakhungu;kusintha kwa khungu;ndi ziwengo.Bungweli likuyang'anira malipoti a zotsatirapo ndipo linawonjezera kuti ndizoletsedwa kugulitsa zipangizo zachipatala zoperekedwa ndi dokotala popanda chilolezo ndipo akhoza kupatsidwa chilango cha anthu kapena milandu.
Kuphatikiza pa kufunafuna chithandizo mwachangu kuchokera kwa wothandizira zaumoyo yemwe ali ndi chilolezo ngati kugwiritsa ntchito zida zopanda singano monga zolembera za hyaluronic acid kumayambitsa zovuta, a FDA amalimbikitsanso kulumikizana ndi MedWatch, zambiri zachitetezo cha bungweli komanso pulogalamu yopereka lipoti. nkhani.
Chakumapeto kwa masika, m'masiku ochepa oyambilira a mliri, lamulo loti azikhala kunyumba lidagwirabe ntchito, ntchito zosafunikira zidayimitsidwa, ndipo DIY idakhala ndi tanthauzo latsopano.Masks akasowa, timagwiritsa ntchito ma denim omwe adapuma pantchito komanso masikhafu osavala kuti tipange zathu.Sukulu itatsekedwa, tinasintha zovala za aphunzitsi ndipo mwanzeru tinasewera ndi nsanja zambiri zofunika kuphunzitsa ana asukulu yoyamba pa sofa.Timaphika tokha mkate.Lembani makoma athuathu.Samalirani dimba lathu.
Mwina kusintha kochititsa chidwi kwambiri kwachitika m’gawo la kukongola lachizoloŵezi la utumiki, chifukwa chakuti anthu aphunzira kumeta tsitsi lawo ndi kudzipangira okha manicure odzipatula.Oopsa kwambiri ndi omwe amapanga chithandizo cha khungu la DIY, monga kuchotsa mole (zolakwika pamagulu ambiri), komanso jakisoni wodzaza kwambiri-ngakhale kuti dermatologists ndi opaleshoni ya pulasitiki atsala pang'ono kubwerera kuntchito , Koma izi zidakalipo kwa chaka.
Kupititsa patsogolo kayendetsedwe kameneka, TikTok ndi YouTube zakhala malo osasefedwa a anthu ochita masewera olimbitsa thupi omwe akufuna kubaya hyaluronic acid (HA) m'milomo, mphuno, ndi chibwano pogwiritsa ntchito cholembera chosavuta chotchedwa hyaluronic acid pen.
Zida zopanda singanozi zimapezeka kudzera pa intaneti ndipo zimagwiritsa ntchito mphamvu ya mpweya kukankhira asidi wa hyaluronic pakhungu.Poyerekeza ndi singano ndi cannulas zomwe madokotala amagwiritsa ntchito kubaya zodzaza, zolembera za hyaluronic acid sizimawongolera kuthamanga ndi kuya kwa HA kubereka."Ichi ndi chitsenderezo chosalamulirika, chopanda malire, kotero mutha kupeza milingo yosiyana mosiyanasiyana malinga ndi makina osindikizira," anatero Zaki Taher, MD, katswiri wa dermatologist wovomerezeka ndi bungwe ku Alberta, Canada.
Ndipo pali kusiyana kwakukulu pakati pa mitundu.M'makanema a YouTube ndi TikTok, zolembera zina za hyaluronic acid zomwe tidafufuza zidawoneka kuti zidayika pamilomo ndipo zimawoneka zofooka kwambiri kuti zisaboole khungu (poganiza kuti zidagwiritsidwa ntchito moyenera).Ena adalandira ndemanga zochenjeza za mphamvu zawo ndipo adalangiza ogula kuti asamagwiritse ntchito mbali iliyonse ya nkhope.
Nthawi zambiri, zolembera izi nthawi zambiri zimawonekera pazowunikira pa intaneti-mitengo imachokera ku $50 mpaka madola mazana angapo-amati amatha kulowa mkati mwa 5 mpaka 18 millimeter kuya, ndipo pamtengo wa mapaundi 1,000 mpaka 5,000 pa lalikulu Kuchuluka kwamphamvu. mainchesi (PSI).Hema Sundaram, MD, dokotala wa khungu wotsimikiziridwa ndi bungwe ku Fairfax, Virginia, anati: “Kuona moyenera, kupsinjika kwa nkhope kumayerekezeredwa kukhala 65 mpaka 80 PSI, ndipo mphamvu ya chipolopolo 1,000 PSI ndi kupitirira apo.”ndi Rockville, Maryland.Komabe, zambiri mwa zidazi zimatsimikizira zokumana nazo zosapweteka mwanjira ina.
Cholembera cha Hyaluron chimapangidwa motengera syringe ya jet yogwira pamanja, yomwe imatha kubaya mankhwala amadzimadzi (monga insulin ndi mankhwala opha ululu) pakhungu popanda singano."Pafupifupi zaka 20 zapitazo, ndinadziwitsidwa ku [mtundu] wa zipangizo izi," anatero L. Mike Nayak, MD, dokotala wa opaleshoni ya pulasitiki yotsimikiziridwa ndi bolodi ku Frontenac, Missouri, yemwe posachedwapa adatsutsa cholembera cha Instagram Hyaluronic acid."Pali cholembera chamankhwala am'deralo [ndi] chinthu chomwecho, chipangizo chodzaza masika-mumatulutsa lidocaine, kukanikiza choyambitsa, ndipo chidzatulutsa madontho othamanga kwambiri.Amatha kulowa mwachangu pakhungu. ”
Masiku ano, bungwe la US Food and Drug Administration (FDA) lavomereza ma syringe angapo a jet mankhwala enieni-mwachitsanzo, imodzi yovomerezeka kuti ibayidwe katemera wa chimfine - ndipo chochititsa chidwi n'chakuti, ena mwa iwo ndi hyaluronic acid-pens. umboni wa zomwe akatswiri athu amachitcha mavuto omwe amabwera ndi chida chamtunduwu."Malipoti ofufuza pa jekeseni wa katemera wa intradermal amasonyeza kuti n'zovuta kulamulira nthawi zonse kuya ndi malo a jakisoni [ndi] malo opangira jakisoni nthawi zambiri amachititsa mabala owonjezera ndi kutupa panthawi yobaya singano," anatero Alex R. Thiersch.Loya woimira bizinesi yokongola komanso woyambitsa Med Spa Association of America.
Ngakhale pali kufanana pakati pa majakisoni a jeti achipatala ndi zolembera za cosmetic hyaluronic acid, mneneri wa FDA Shirley Simson adatitsimikizira kuti “mpaka pano, a FDA sanavomereze majekeseni opanda singano a hyaluronic acid.”Kuphatikiza apo, adanenanso kuti "othandizira azaumoyo omwe ali ndi zilolezo okha ndi omwe avomereza kugwiritsa ntchito singano kapena cannula pazodzaza dermal nthawi zina.Palibe mankhwala opangira dermal omwe amavomerezedwa kuti agwiritsidwe ntchito ndi odwala kapena kunyumba. ”
Okonda zolembera za hyaluronic acid angatsutse kuti ngati mankhwala ena, monga epinephrine ndi insulin, amaonedwa kuti ndi otetezeka ku jakisoni wa DIY, bwanji osakhala HA?Koma pamikhalidwe yovomerezeka yachipatala imeneyo, Dr. Nayak anafotokoza kuti: “Anakupangirani singano, kukupatsirani jakisoni, kukupatsirani insulini—kenako munalandira chitsogozo kwa dokotala amene anali kuyang’anira [ntchito ].”Ndi HA, cholembera cha hyaluronic acid sichivomerezedwa ndi FDA;kuyang'anira ziro;ndipo nthawi zambiri mumayang'ana nkhope, chifukwa cha mitsempha yake, jekeseni imakhala yoopsa kwambiri kuposa ntchafu kapena phewa.Kuphatikiza apo, Dr. Nayak anawonjezera kuti chifukwa “anthu amene amagwiritsa ntchito zolemberazi sangathe [mwalamulo] kugula zodzaza zovomerezedwa ndi FDA, akugula zodzaza zakuda pamsika pa intaneti.”
Ndipotu, kafukufuku waposachedwapa wofalitsidwa m'magazini yotchedwa Dermatologic Surgery anapeza kuti zodzaza zabodza ndizovuta kwambiri, ndi 41.1% ya madokotala omwe anafunsidwa adakumana ndi jekeseni wosayesedwa ndi wosatsimikizirika, ndipo 39.7% ya madokotala Athandizira odwala omwe ali ndi zochitika zovuta zomwe zimachitika chifukwa cha jekeseni.Pepala lina lofalitsidwa mu Journal of the American Academy of Dermatology mu 2020 linanenanso za kuchuluka kwa jakisoni wapaintaneti wosayendetsedwa komanso "kuchulukirachulukira kwa kudzibaya jekeseni ma neurotoxins osalamuliridwa motsogozedwa ndi maphunziro a YouTube".
Katie Beleznay, MD, dokotala wa khungu wotsimikiziridwa ndi bungwe ku Vancouver, British Columbia, anati: “Anthu akuda nkhaŵa kwambiri ndi zimene anthu amaika m’zolemberazi.”"Pankhani ya kusabereka komanso kukhazikika kwa [zodzaza pa intaneti] Pali zovuta zambiri zautali wa moyo."Mosiyana ndi HA yomwe nthawi zonse imalowetsedwa ndi dermatologists ndi opaleshoni ya pulasitiki yotsimikiziridwa ndi komiti, "Zogulitsazi sizinayesedwe kuwunikira mosamala zachitetezo ndi FDA, kotero ogula sangathe kudziwa zomwe akubaya," komitiyo idatero.Sarmela Sunder, MD, adawonjezera.-Dokotala wamapulasitiki wamapulasitiki ovomerezeka ku Beverly Hills.Ndipo chifukwa odwala wamba sangagwirizane ndi kusiyana komwe kulipo pakati pa ma HAs osiyanasiyana-momwe kukhuthala kwawo ndi kukhuthala kwawo kumatsimikizira kugwiritsiridwa ntchito moyenera ndi kuyika, kapena momwe kulumikizana kwawo kwapadera kumakhudzira kutupa ndi kulimba - angadziwe bwanji kuti ma gels alidi Kodi padzakhala cholembera kapena milomo yowoneka bwino kwambiri kapena misozi kapena masaya?
M'miyezi ingapo yapitayi, madokotala ambiri odziwika bwino a dermatologists ndi maopaleshoni apulasitiki achenjeza otsatira awo pawailesi yakanema za zoopsa zambiri zomwe zimakhudzana ndi zolembera za hyaluronic acid ndi jakisoni wa DIY filler ambiri..
Amene akutsogola ndi bungwe la American Society of Dermatological Surgery (ASDS).Mu February, bungweli lidapereka chenjezo lachitetezo cha odwala ndipo linanena m'mawu ake kuti adalumikizana ndi FDA zokhudzana ndi chitetezo cha cholembera cha hyaluronic acid.M’mwezi wa Marichi chaka chino, bungwe la American Academy of Dermatology linanenanso mawu ofanana ndi amenewa, n’kuchenjeza kuti “ngakhale zingakhale zokopa kubaya jekeseni wa hyaluronic acid wogulidwa kumaso kapena m’milomo pogwiritsa ntchito chipangizo chopanda singano. koma kutero Kungakhale ndi zotsatirapo zoipa pa thanzi.”
Ngakhale zovuta zodzaza zimatha kuchitika ngakhale kwa ojambulira odziwa zambiri, zodzaza ndi hyaluronic acid zovomerezeka ndi FDA, monga Juvéderm, Restylane, ndi Belotero, zimatsimikiziridwa ndi gulu loyenerera la dermatologists ndikumvetsetsa anatomy ndi opaleshoni ya pulasitiki. otetezeka jekeseni.Ngati zovuta zikuchitika, zimatha kudziwika ndikusinthidwa."Bulkers ndi mankhwala abwino kwambiri - ndi otchuka kwambiri ndipo [ali] okhutitsidwa kwambiri - koma muyenera kudziwa zomwe mukuchita," pulezidenti wa ASDS ndi katswiri wa dermatologist wa Boston Mathew Avram The MD anabwerezabwereza, "Ndizowopsa amabayidwa m’malo olakwika—pamakhala malipoti a khungu, sitiroko ndi zilonda [zapakhungu] zimene zingawononge maonekedwe.”
Kawirikawiri, "malo olakwika" ndi ovuta kusiyanitsa ndi malo oyenera.Dr. Nayak anati: “Kagawo kakang’ono kolowera koyenera kapena kolakwika ndiko kusiyana pakati pa mbali yaikulu ya milomo yanu ndi mphuno yokhala ndi malupu kapena opanda malupu.”Ananenanso kuti poganizira kusakwanira kwa malipoti olembera, "ngakhale nditakhala ndi [imodzi], ndipo sindidzaganiziranso kuigwiritsa ntchito kubaya jekeseni chifukwa ndikuwopa kuti sindingathe kuwongolera komwe kuli chinthucho."(Kulephera kwaposachedwa kwa cholembera cha hyaluronic acid chochitidwa ndi gulu la Dr. Nayak ndi chomwe adachitcha " Chitsanzo cha "zochitika zabwino kwambiri", zomwe zingayambitsidwe ndi kuperekedwa kwa mankhwala osakhazikika a chipangizocho: chodzaza chodziwikiratu BB. imafalikira pamwamba pa milomo ya wodwalayo.)
Ngakhale makampani osawerengeka amapanga zolembera za hyaluronic acid, ndipo zikuwoneka kuti pali kusiyana kobisika pakati pa zitsanzo-makamaka zokhudzana ndi kuya kwa kubereka ndi kuthamanga ndi kuyeza kwa liwiro mu malonda-akatswiri athu amaumirira kuti akugwiritsidwa ntchito ndi njira zomwezo ndikubweretsa. zoopsa zofanana."Zolembera izi ndi zodetsa nkhawa, ndipo sindikuganiza kuti ndinanenapo kuti [imodzi] mwa zolembera izi ndiyabwino kuposa inayo, ndipo sizovomerezeka kwa anthu omwe sanaphunzire zachipatala komanso odziwa bwino mawonekedwe a nkhope," Dr. Sander Nenani.
Ndi chifukwa cha izi kuti chikhalidwe choyambirira cha DIY cha zipangizozi chimapangitsa kuti zikhale zoopsa kwambiri-kwenikweni, "zimagulitsidwa kwa anthu omwe sali oyenerera jekeseni wa filler ndi kuyambitsa kudzipangira," Dr. Sundaram anawonjezera.
Nyamboyo idafunsa Dr. Sunder, Dr. Sundaram, ndi Dr. Kavita Mariwalla, MD kuti aunikire zolembera za hyaluronic acid zomwe zimawonedwa pamasamba ochezera.Monga momwe zimayembekezeredwa, kusowa kwa singano sikukutanthauza kuti palibe mavuto: zolembera za asidi za hyaluronic zingawononge thanzi lathu ndi maonekedwe athu m'njira zingapo zofunika.
Gelisiyo ikalowa kapena kukanikiza mitsempha, imalepheretsa kutuluka kwa magazi ndipo imatha kuyambitsa khungu, khungu kapena sitiroko, kutsekeka kwa mitsempha kumachitika - vuto lalikulu kwambiri lodzaza."Kuwonongeka kwa mitsempha nthawi zonse kumakhala vuto ndi jekeseni iliyonse yodzaza, mosasamala kanthu kuti chodzazacho chimalowetsedwa bwanji m'thupi," anatero Dr. Sander."Ngakhale kuti ena ochirikiza cholembera [pa social media] amakhulupirira kuti cholembera sichingalowe m'mitsempha yamagazi ngati singano, kotero [sizingatheke] kuyambitsa vuto la mitsempha, pali chiopsezo chachikulu cha kuwonongeka kwa mitsempha chifukwa cha kukanikiza kwa chodzaza. pafupi ndi kontena.”
Dr. Taher adawona kutsekeka kwa mitsempha chifukwa cha jakisoni wa DIY wokhala ndi cholembera cha hyaluronic acid."Zomwe ndidakumana nazo - anali vuto lenileni la mitsempha," adatero.“Ndinaona chithunzi ndipo ndinati, ‘Uyenera kubwera nthawi yomweyo.’” Pa mlomo wapamwamba wa wodwalayo, anazindikira mtundu wofiirira wa kutsekeka kwa mitsempha ya m’mitsempha imene inafunikira kusinthidwa (mutha kuziwona apa, mu PSA. Post pa YouTube pambuyo pa chithandizo).Kupyolera mu mizere iwiri ya jekeseni ya hyaluronidase, adatha kusungunula magaziwo ndikupulumutsa khungu la wodwalayo.
Mitsempha ingapo yapakhungu imathamanga mamilimita ochepa chabe pamwamba pa khungu.Dr. Sundaram adanenanso kuti ogwiritsa ntchito TikToker omwe amagwiritsa ntchito zolembera zambiri za hyaluronic acid kuti akweze milomo sangazindikire kuti "mitsempha ya milomo yakumtunda ndi yakumunsi" imatha kukhala pafupi kwambiri ndi khungu," makamaka pakhungu lokhwima kwambiri, monga. amakalamba Ndi kukhala oonda."Pazigawo zina za mlomo wapansi, kujambula kwa ultrasound kunawonetsa kuti kuya kwa mitsempha pansi pa khungu kunali pakati pa 1.8 mpaka 5.8 mm," anawonjezera.Mu phunziro lomwelo, kuya kwa mtsempha womwe umadyetsa mlomo wapamwamba umachokera ku 3.1 mpaka 5.1 mm."Choncho, ndege yoponderezedwa ya HA kuchokera ku cholembera cha hyaluronic acid iyenera kugwirizanitsa ndi mitsempha yapamwamba ya milomo, mitsempha yapansi ya milomo ndi zina zofunika," anamaliza Dr. Sundaram.
Powona phunziro la cholembera la HA pa YouTube, Dr. Sundaram adakhumudwa kuona yankho la kampaniyo likuuza wowunikirayo "Inde, mutha kugwiritsa ntchito cholembera kuchiza akachisi," koma ndi bwino kukaonana ndi dokotala kuti mupeze njira yoyenera.Malinga ndi Dr. Sundaram, "Ponena za khungu lomwe limadza chifukwa cha jekeseni wa filler, kachisi ndi malo owopsa a nkhope chifukwa mitsempha ya m'kachisi imagwirizanitsidwa ndi mitsempha ya magazi yomwe imapereka maso.Mtsempha waukulu wa kachisi, mtsempha wamagazi wowoneka bwino, ukuthamanga mkati mwa minofu ya fibrous pansi pa khungu, mafuta osanjikiza m'derali ndi ochepa kwambiri," zomwe zimapangitsa kuti zikhale zosavuta kutsekereza, makamaka ngati syringe sadziwa komwe ili.
"Jakisoni wopanikizika ndi zero kumaso," adatero Mariwalla.Pofuna kuchepetsa zovuta monga kutsekeka kwa mitsempha ndi mikwingwirima wamba, "Nthawi zonse timaphunzitsa adokotala kubaya jekeseni pang'onopang'ono pakapanikizika kwambiri."
Komabe, cholembera cha hyaluronic acid chimadalira mphamvu yamphamvu ndi liwiro kuti apereke cholembera pakhungu.Dr. Sander anati:Pankhani ya jakisoni wa milomo, "nthawi iliyonse ikagwiritsidwa ntchito mwamphamvu pamphuno yovuta kwambiri, imayambitsa kupwetekedwa mtima ndi kuphwanya kuvulala kwinakwake - osati pakhungu lokha, komanso mitsempha ya pansi, monga yambiri [ Cholembera cha Hyaluronic acid] Mikwingwirima muvidiyo ya opareshoni imatsimikizira izi.Chifukwa cha kuwonongeka kwa mucosal, kupanikizika kwakukulu komwe kumayambitsidwa kungayambitse kupangika kwa zipsera kwa nthawi yayitali. ”
Dr. Sundaram akuyerekeza jekeseni wa HA ndi zolembera za hyaluronic acid ndi "zipolopolo zodzaza" ndikufanizira zowawa zomwe zimapanga ndi zowonongeka zomwe zimachitika pamene zipolopolo zenizeni zimawombera muzinthu zaumunthu.“Kuganiza bwino kumatiuza kuti ngati mutakankhira chipolopolo chothamanga kwambiri pakhungu chifukwa cha kupsyinjika kwakukulu kwa mpweya, izi zingayambitse vuto la minofu.”
Dr. Sundaram anati: "Zolemberazi sizingapereke chithandizo chodziwikiratu komanso chodziwikiratu, chifukwa kukakamiza kudzaza pakhungu chifukwa chopanikizika kwambiri kungayambitse kufalikira mosadziwika bwino komanso mosagwirizana."Kuonjezera apo, adanenanso kuti khungu likakhala mu Kutupa kunayamba panthawi ya chithandizo, "Kutupa kudzabisa mawonekedwe enieni a milomo - momwe mumayika zinthu izi, mulibenso zolondola."
Posachedwapa adachiritsa munthu wogwiritsa ntchito cholembera cha hyaluronic acid yemwe anali ndi "mlomo wakumtunda ndi waukulu kwambiri kuposa wapansi, ndiyeno mbali imodzi ya mlomo wapamwamba inali yayikulu kwambiri kuposa ina, ndipo inali yosweka ndi mphuno," adatero.
Dr. Sundaram adanenanso kuti cholembera chokhala ndi kuzama kwakukulu kotsatsa chingakhudze minofu ina, monga minofu yomwe imasuntha pakamwa."Ultrasound scans ya milomo ya thupi lamoyo-yolondola kwambiri kuposa maphunziro a cadaver-imasonyeza kuti orbicularis oris ili pafupi mamilimita 4 pansi pa khungu," adatero.Ngati cholembera cha hyaluronic acid chiyika zolembera mu minofu, "kusungunuka kwake kungayambitse chiwopsezo cha zodzaza zodzaza ndi zotupa, komanso kusuntha kwina kwa chodzazacho chomwe nthawi zambiri chimatchedwa 'kusamuka'," akutero.
Kumbali ina, ngati ma HAs ena—amphamvu, onenepa—abayidwa mozama kwambiri ndi zolembera zosadziŵika bwino, angayambitsenso mavuto, monga ngati mabampu ooneka ndi buluu.Dr. Sundaram adati:"Mukabaya awa pamwamba, mupeza mphamvu ya Tyndall, [uku ndi] kusinthika kwabuluu komwe kumachitika chifukwa cha kubalalika."
Kuphatikiza pa kuzama kwa zovuta za cholembera ndi njira yobalalika, "choti [anayika] katundu ngati piritsi limodzi kapena nyumba yosungiramo katundu, m'malo moyika mzere woyenda mosalekeza, ndi vuto kuchokera kuchitetezo komanso kukongola.“Dr.Mchenga anatero."Sirinji yodziwa zambiri sasunga mankhwala, makamaka pamilomo."
Mariwalla anasainanso kuti: “Sindimagwiritsa ntchito [njira] yopititsira patsogolo jekeseni wa bolus kubaya milomo—imaoneka yosakhala yachibadwa kokha, koma wodwalayo amamva zotupa ndi totupa.”Dr. Sunder adanena kuti jakisoni wa bolus amawonjezeranso "mitsempha Kuopsa kwa kuwonongeka kapena kuwonongeka kwa minofu.
Choopsa apa chimachokera ku magwero awiri - chinthu chosadziwika bwino chomwe chabayidwa ndi cholembera cha hyaluronic acid chomwe.
Monga tanenera poyamba paja, “mwinamwake chodetsa nkhaŵa kwambiri pamavuto onse ndicho kudzaza kwenikweni,” anatero Dr. Sander.Kuphatikiza pa kuthekera kwa kuipitsidwa kapena chigololo, "Ndikudanso kuti anthu wamba ena sangamvetse kusiyana pakati pa asidi a hyaluronic omwe amagwiritsidwa ntchito pamutu [monga seramu] ndi chodzaza chenicheni cha hyaluronic acid chomwe chimagwiritsidwa ntchito pobaya.Kulowetsedwa kwa zinthu zam'mutu pakhungu kapena mucous nembanemba za zolemberazi kungayambitse zovuta zanthawi yayitali monga momwe thupi limayendera kapena mapangidwe a granuloma," zomwe zingakhale zovuta kukonza.
Ngakhale wina atakwanitsa kupeza chodzaza chovomerezeka, chovomerezeka cha HA, kuyiyika mu cholembera kumatsegula chitini china cha mphutsi."[Ayenera] kusamutsa chodzaza kuchokera ku syringe yawo yoyambirira kupita ku ampoule mu cholembera," adatero Dr. Sundaram."Izi ndi njira zambiri - kulumikiza syringe yosinthira ku singano, jambulani chodzaza, ndikupopera mu ampoule - nthawi iliyonse ikatha, pamakhala chiwopsezo chotenga matenda."
Dr. Sunder anawonjezera kuti, "Ngakhale opaleshoniyi itachitidwa kuchipatala, kusamutsidwa sikungakhale kosabala.Koma kuchita opaleshoni imeneyi m’nyumba mwa munthu n’kokonzekera kudwala.”
Ndiye pali nkhani ya DIY disinfection.“Cholembera chilichonse chimakhala ndi zigawo zochotseka.Funso ndilakuti, chipangizocho ndi choyera bwanji?"Anatero Mariwala."Makampaniwa akufuna kuti muyike pakhungu lanu zinthu zosadziwika komanso zokhazikika.Nanga bwanji chipangizo chokhala ndi chitunda ndi gawo lomwe liyenera kutsukidwa?Gwiritsani ntchito sopo ndi madzi ndikuwumitsa pa chotsukira mbale?Izo sizikuwoneka kukhala.Chitetezo kwa ine."
Dr. Sundaram ananena kuti popeza kuti anthu ambiri kupatulapo ogwira ntchito zachipatala sadziwa zovuta za njira ya mankhwala ophera tizilombo toyambitsa matenda, “n’zosakayikitsa kuti odwala amatha kugwiritsa ntchito HA osabala ndi kukankhira pakhungu.”
Dr. Beleznay adanena kuti akuluakulu a zaumoyo ku Canada adapereka chenjezo la chitetezo cha anthu pa zolemberazi mu 2019. Monga chitsanzo cha njira zomwe zingatheke kuteteza anthu kuti asadzivulaze, adatiuza kuti malonda a zolembera za hyaluronic acid ndizoletsedwa ku Ulaya. .Malinga ndi chenjezo lachitetezo cha bungweli, kuwonjezera pa kuchenjeza nzika zakuwopsa zomwe zingachitike, Health Canada ikufunanso ogulitsa kunja, ogawa, ndi opanga zolembera za asidi wa hyaluronic “kuti asiye kugulitsa zidazi ndipo amafuna makampani onse oyenerera kuti akumbukire zomwe zili pamsika.zida”.
Titafunsa Simson ngati US FDA ikuchitapo kanthu kuti achotse zidazi pamsika kapena kuletsa opanga kuti azigulitsa zodzoladzola, adayankha kuti: "Monga mfundo, a FDA sakambirana za kayendetsedwe kazinthu zina pokhapokha ngati ndi Makampani omwe amayang'anira zinthu zotere amagwirizana.Komabe, mpaka pano, palibe syringe yopanda singano yomwe yavomerezedwa kuti ibayidwe hyaluronic acid kuti ikhale yodzikongoletsera.
Poganizira za zoopsa zomwe akatswiri athu azachipatala amafotokoza komanso kusowa kwa data pazida za DIY, ndizovuta kuganiza kuti cholembera cha hyaluronic acid chidzavomerezedwa ndi FDA."Ngati wina akufuna kulembetsa zolembera izi mwalamulo, tiyenera kuchita jekeseni yoyang'anira singano yapamutu pamutu-kuti [tiwunikire] chitetezo, mphamvu, kudalirika, ndi zotsatira zazifupi komanso zazitali," adatero dokotala.Sundaram adanena.
Pamene tikuyembekezera mwachidwi malamulo a pensulo a hyaluronic acid ku US, ife a Allure tikukulimbikitsani kuti mumvere machenjezo a akatswiri athu ndipo musagonjere malingaliro oipa aposachedwa kwambiri pazama TV.Malipoti owonjezera a Marci Robin.
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© 2021 Condé Nast.maumwini onse ndi otetezedwa.Pogwiritsa ntchito tsamba ili, mumavomereza mgwirizano wathu wa ogwiritsa ntchito ndi mfundo zachinsinsi ndi mawu akukuke, komanso ufulu wanu wachinsinsi waku California.Monga gawo la mgwirizano wathu ndi ogulitsa, Allure atha kulandira gawo lazogulitsa kuchokera kuzinthu zogulidwa kudzera patsamba lathu.Popanda chilolezo cholembedwa ndi Condé Nast, zomwe zili patsamba lino sizingakoperedwe, kugawidwa, kutumizidwa, kusungidwa kapena kugwiritsidwa ntchito mwanjira ina.Kusankha malonda
Nthawi yotumiza: Dec-14-2021