Ke ulu mau nei ka puni kuko. Eia nō naʻe, makemake ka 40% o ka poʻe Palani e kāpae iā ia. ʻO ka hemo ʻana o ka peʻa (na ka laser) i ʻōlelo ʻia he maʻalahi (akā 10 mau kau paha e koi ʻia ai), pipiʻi (akā hiki ke uku ʻia i hoʻokahi kau € 300), ʻaʻohe mea ʻeha (akā pono kahi kirimona anesthetic), palekana (akā ʻaʻole mākou e ʻike inā Inoculated nā pigment a laila hoʻopuehu ʻia he mea hōʻeha a hōʻeha ʻole paha).

Ma mua o ka hoʻokokoke ʻana i ka mokuna o ka hemo ʻana o ka peʻa, pono kākou e ʻike i ke ʻano o ka peʻa mau. No ka hoʻomau ʻana, pono e hana ʻia kahi peʻa i ka dermis, ka papa ʻelua o ka ʻili. ʻOiaʻiʻo, ua hoʻohou ka papa mua i kapa ʻia ʻo epidermis i 2 a 4 mau pule. Nalo i hoʻokahi miliona mau pūnaewele i kēlā me kēia lā. ʻO kahi hoʻolālā i hoʻāʻo ʻia i ka epidermis e nalo maikaʻi loa i hoʻokahi mahina. No laila he mea pono e hoʻopili ʻia nā nila liʻiliʻi me nā huna o ka holoholona a i ʻole ka inika mea ʻai e komo i ka dermis ma kahi o 0,6 a 4 mm mai ka papa, e hilinaʻi ana i ka wahi i koho ʻia (ʻaʻohe like o ka mānoanoa o ka epidermis ma nā wahi āpau). He kino paʻa loa ka dermis: noho nā pigment ma laila i nā pūʻolo i huli ʻia e nā nila. ʻAʻole hoʻi lākou e komo i ka hypodermis, ke kolu o ka papa, kahi e palahalaha ai ka inika ma nā wahi no ka loaʻa ʻole o ka momona.

Akā ʻo ka ʻili, e like me nā mea ʻē aʻe āpau, ʻaʻole makemake i nā ʻeha (mai nā nila) a i ʻole ka inika (he kino haole). Hele mai nā hunaola pale i ka pāʻani ma hope o kēia hoʻouka kaua ʻana ma o ka hoʻokumu ʻana i kahi mumū e hōʻoia ai i ka paʻa mau o ka peʻa.

Ke kāmau nei mākou i nā makahiki he 5000 a me ka 5000 mau makahiki o ka ʻole ʻana o ke kāoʻo. ʻO ka holomua o ka histology (ke aʻo ʻana o nā aʻa) a me nā hoʻokolohua holoholona (i kēia lā i pāpā ʻia ma ke kahua o nā mea hoʻonaninani) i hoʻopau i nā ʻano hana no ke kiʻi ʻana no kahi manawa lōʻihi ʻole a me / a ʻeha hoʻi me kā lākou corollaries. nā pilikia loea a me nā hopena unsightly. I ke kenekulia XNUMXth, ʻaʻohe mea i ʻike ʻia ma mua o ka luku ʻana i nā dermis me kahi lole emery, kahi maneuver e pili ana i nā maʻi a me nā kaha maka maikaʻi ʻole. I ka hoʻomaka ʻana o ke kenekulia XNUMXth, ua ʻike mākou ua hala nā peʻa i ka lā a ua hoʻāʻo mākou i kahi ʻano phototherapy (ke kukui a Finsen); he holo pono ʻole ia. ʻO kekahi ʻano hana (i kapa ʻia ʻo Dubreuilh) he decortication. E neʻe kāua ... Kūlike ʻole nā ​​ʻenehana o kēia manawa me ka liʻiliʻi o ka barbaric.

E waiho kāua, nā kūpono kūpono ʻelua o ka hemo ʻana o kāu peʻa e ʻike ʻia i ka lā (nā peʻa kūmau āpau a pau i ka liʻiliʻi iki i loko o kekahi mau makahiki) a me ka hoʻōla ʻia ʻana e kahi peʻa ʻē aʻe, a he hopena kēia inā he ke "kiʻi" a mākou e makemake ai e holoi. E noʻonoʻo i nā ʻano hana 3 e hoʻohana ʻia nei:

• ʻO ka luku mechanical e dermabrasion: hoʻoliʻiliʻi o nā mea e hoʻoneʻe ʻia i kahi lole a i ʻole i loko o ke koko a i ʻole nā ​​hui lymphatic;
• Ka luku kemikal: ʻo kēia ka ʻiliʻili;
• ʻO ka hoʻopau ʻana a i ʻole ka luku ʻana o ke kino i nā mea ʻāpana e ka laser. ʻO ia ke ʻano hana hou loa, ka ʻehaʻeha liʻiliʻi a me nā mea luku liʻiliʻi loa no ka ʻili. Hele ka laser i loko o ka ʻili, ʻāpana i nā mole pigment me nā nalu like ʻole, ʻo ia hoʻi, e liʻiliʻi ia no lākou e hoʻopau ʻia i ke koko a i ʻole ka lymph.

Pono e hoʻomaopopo ʻia he ʻoi aku ka paʻakikī o ka huki ʻana o kekahi mau peʻa ma muli o kā lākou nui, kahi, ka mānoanoa a me nā kala (keʻokeʻo melemele keʻokeʻo i hoʻopili ʻia).

Aia he 3 ʻano kukuna:

• Hoʻohana ʻia ka kukuna Q-Switch Nanosecond no 20 mau makahiki. He lohi a ʻeha hoʻi ia, ʻaʻole maikaʻi i nā kala;
• ʻO ka laser Picosure Picosecond, pono ma ka ʻeleʻele a me ka ʻulaʻula nui.
• ʻO ka kukuna Picoway Picosecond i hoʻolako ʻia me ʻekolu mau nalu like ʻole a no laila ke hana nei i nā kala aʻe: ʻeleʻele, ʻulaʻula, poni, ʻōmaʻomaʻo a me ka uliuli. "ʻO ka maikaʻi loa, ʻo ka wikiwiki loa - nā kau liʻiliʻi - waiho i nā scars.

He ʻōlelo aʻoaʻo e hoʻohana i ka holika anesthetic hapalua hola ma mua o ke kau.

Lawe ʻia nā papa he 6 a 10, a he 150 a 300 € i kēlā me kēia kau.

Nānā: e like me kahi kākau Kelemania e pili ana i ka hemo ʻana o ka peʻa i paʻi ʻia ma The Lancet (puke moʻolelo lapaʻau Pelekane kaulana): "ʻaʻohe hōʻike o ka hōʻeha ʻole o nā mea i hoʻohana ʻia".

ʻO nā contraindications i ka hemo ʻana o ka peʻa:

• ka hāpai keiki;
• he maʻi maʻi;
• lawe i nā anti-coagulants;
• he tan i kahaia.
  

Mai ka 1970, ua lilo ka peʻa i mea kaulana. Ma mua o 35 ka poʻe makemake iā ia, akā hōʻike ʻia nā papa kaiapili āpau. E pili ana i ka neʻe ʻana o "individualization o ka manaʻo a me ke kino" (David Le Breton) i kahi lāhui o ka helehelena a me ke kiʻi. "Makemake wau e kū hoʻokahi". ʻO Paradoxically, "komo wau i ka jeans" e like me ke koena o ka honua. Akā, hiki i kēia māka pau ʻole ke lilo i mea paʻakikī i ka hanana o kahi loli ʻoihana a i ʻole ke ʻano ʻoihana, kahi hālāwai aloha, kahi haki me ka mea i hala (ka hale paʻahao, ka pūʻali, ka hui). Hiki paha iā ʻoe ke holoi i kahi peʻa i kūleʻa a hoʻopaʻa hou ʻole paha i ka manaʻomanaʻo a i ʻole ka hoʻomana i hāpai ʻia.

Kekahi mau helu:

• 40% o ka poʻe Palani e mihi i kā lākou peʻa;
• 1 i ka 6 poʻe Palani e inaina iā ia;
• 1 he 10 mau kānaka Farani he peʻa ko lākou;
• Ma waena o nā mea ma lalo o 35: 20% o ka poʻe Palani he peʻa ko lākou;
• I nā makahiki he 20, ua hala nā hale kūpeʻe mai 400 a 4000.