Isibuyekezo (ngomhla ziyi-13 kuMfumfu 2021): I-US Food and Drug Administration ikhiphe i-newsletter yezokuphepha ngenxa yokulimala okudalwe ukujova okokugcwalisa ngamadivayisi afana namapeni e-hyaluronic acid.Isitatimende sika-Okthoba 8 sibhekiswe kubathengi nabasebenzi bezokwelapha futhi sabaxwayisa ngezingozi ezihlobene nalawa mathuluzi angavunyelwe, asanda kuthandwa kakhulu ezinkundleni zokuxhumana, futhi aphawule ngalokho okufanele nokungafanele kwenziwe ngama-dermal fillers.Uphakamise ukuthi wenzeni.
“I-US Food and Drug Administration (FDA) ixwayisa umphakathi kanye nabasebenzi bezempilo ukuthi bangasebenzisi izinto ezingenazinaliti ezifana namapeni e-hyaluronic acid ukuze bajove i-hyaluronic acid (HA) noma ezinye izigcwalisi ezindebeni nasebusweni, zihlangene ezibizwa ngokuthi ama-dermal fillers noma ama-Fillers. ,” lezi zixhobo zibalulwe esitatimendeni, kanti i-ejensi ithe zisebenzisa ingcindezi ephezulu ukuphoqa ama-fillers nezinye izinto emzimbeni."I-FDA iyaqaphela ukuthi ukusebenzisa umshini ongenanaliti ukujova izindebe zomlomo nobuso kungabangela ukulimala okukhulu futhi, kwezinye izimo, nokulimala unomphela esikhumbeni, ezindebeni, noma emehlweni."
Phakathi kwezincomo zabathengi, i-FDA incoma ukuthi bangasebenzisi amathuluzi angenanalithi kunoma yiziphi izinqubo zokugcwalisa, hhayi ukuthenga noma ukusebenzisa ama-fillers athengiswa ngqo emphakathini (ngoba asetshenziselwa ukusetshenziswa kadokotela kuphela), futhi ungazijovi wena noma abanye sebenzisa noma yiziphi izinqubo zokugcwalisa.Idivayisi igcwalisa izindebe nobuso.Kochwepheshe bezempilo, izincomo ze-FDA zihlanganisa ukungasebenzisi imishini yomjovo engenanaliti ukwenza noma yiziphi izinqubo zokugcwalisa izimonyo, ukungadlulisi izigcwalisi zesikhumba ezigunyazwe yi-FDA emishinini yomjovo engenanaliti, nokugcwaliswa komjovo okungasebenzisi izithasiselo ezingagunyaziwe ze-FDA剂产品。 Imikhiqizo yomenzeli.
“I-FDA iyazi ukuthi izinto ezingenanalithi nezigcwaliswa ezindebeni nasebusweni ezisetshenziswa nalezi zisetshenziswa zidayiswa ngqo emphakathini ku-inthanethi futhi zikhuthaza ukusetshenziswa kwazo ezinkundleni zokuxhumana ukuze kwandiswe izindebe zomlomo, kuthuthukiswe ukushwabana, nokushintsha ikhala.Umumo nezinye izinqubo ezifanayo, ”kufundeka isitatimende, sengeza ngokuthi ama-dermal fillers agunyazwe yi-FDA angasetshenziswa kuphela ngamasirinji anenaliti noma ama-cannula.“Izisetshenziswa ezingenanaliti ezisetshenziselwa izimonyo azikwazi ukunikeza ukulawula okwanele ekubekweni kwemikhiqizo ejovwe.Imikhiqizo yokugcwalisa izindebe nobuso ethengiswa ngokuqondile kubathengi ku-inthanethi ingase ingcoliswe amakhemikhali noma izinto ezithathelwanayo.”
I-FDA yathi izingozi zihlanganisa ukopha noma imihuzuko;izifo zebhaktheriya, fungal noma zegciwane ezivela kuma-fillers noma amadivaysi angenanaliti;ukudluliswa kwezifo phakathi kwabantu abasebenzisa umshini ofanayo ongenanaliti;imithambo yegazi evalekile eholela ekufeni kwezicubu, ubumpumputhe noma unhlangothi;izibazi;Ukucindezela kocingo olungenanaliti kubangela ukulimala kwamehlo;ukwakheka kwezigaxa esikhumbeni;ukuguga kwesikhumba;kanye nokungezwani komzimba.I-ejensi iqapha imibiko yemiphumela engemihle futhi yengeza ukuthi kunqatshelwe ukuthengisa izinto zokwelapha ezinikezwe udokotela ngaphandle kwencwadi kadokotela futhi ingase ibe ngaphansi kwezijeziso zomphakathi noma zobugebengu.
Ngaphezu kokufuna ukunakekelwa ngokushesha kumhlinzeki wezempilo onelayisensi esimweni lapho ukusetshenziswa kwezinto ezingenanaliti ezifana namapeni e-hyaluronic acid kubangela ukusabela okungekuhle, i-FDA iphinde inxuse ukuthi uxhumane ne-MedWatch, imininingwane yokuphepha ye-ejensi kanye nohlelo lokubika izenzakalo ezimbi ukubika. izindaba.
Ngentwasahlobo edlule, ezinsukwini ezimbalwa zokuqala zobhubhane, ukuhleleka kokuhlala ekhaya kwahlala kusebenza, izinsizakalo ezingabalulekile zamiswa, futhi i-DIY yaba nencazelo entsha.Uma imaski iyivelakancane, sisebenzisa amadenim asewathatha umhlalaphansi nezikhafu ezingagqokile ukuze senze ezethu.Kuthe uma kuvalwe isikole sashintsha izingubo zothisha sadlala ngobuhlakani nezinkundla eziningi zokufundisa abafundi bebanga lokuqala kosofa.Sizibhakela isinkwa sethu.Penda izindonga zethu.Sinakekele ingadi yethu.
Mhlawumbe ushintsho olukhulu kakhulu lwenzekile emkhakheni wobuhle ogxile ezinsizeni, ngoba abantu baye bafunda ukugunda izinwele zabo nokwenza izimonyo zokuzihlukanisa bodwa.Okudlulele kakhulu yilabo abenza ukwelapha kwesikhumba se-DIY, njengokususwa kwemvukuzane (okungalungile emazingeni amaningi), ngisho nemijovo yokugcwalisa ngendlela esabekayo-yize odokotela besikhumba nodokotela abahlinzayo bepulasitiki sebebuyele ebhizinisini , Kodwa lo mkhuba usekhona unyaka.
Iphromotha lo mnyakazo, i-TikTok ne-YouTube seziphenduke izikhungo zokusebenza ezingahlungiwe zabathanda ukuzilibazisa abafuna ukujova i-hyaluronic acid (HA) ezindebeni, emakhaleni, nasesilevini besebenzisa igajethi etholakala kalula ebizwa ngokuthi ipeni le-hyaluronic acid.
Le mishini engenayo inaliti iyatholakala nge-inthanethi futhi isebenzisa umfutho womoya ukuze iphushele i-hyaluronic acid esikhumbeni.Uma kuqhathaniswa nezinaliti nama-cannula asetshenziswa odokotela ukujova izigcwalisi, amapeni e-hyaluronic acid anokulawula okuncane ngesivinini nokujula kokulethwa kwe-HA."Lokhu ukucindezela okungalawuleki, okungalinganiselwe, ngakho-ke ungakwazi ngempela ukuthola amazinga ahlukene okucindezela kuye ngomshini wokunyathelisa," kusho u-Zaki Taher, MD, udokotela wesikhumba oqinisekisiwe webhodi e-Alberta, eCanada.
Futhi kukhona umehluko omkhulu phakathi kwemikhiqizo.Kumavidiyo e-YouTube ne-TikTok, amanye amapeni e-hyaluronic acid esiwaphenyile abonakale efaka umkhiqizo ezindebeni futhi abonakala ebuthakathaka kakhulu ukuthi angabhoboza isikhumba (kucatshangwa ukuthi asetshenziswe kahle).Abanye bathole ukubuyekezwa okuxwayiswa ngamandla abo futhi beluleka abathengi ukuthi bangazisebenzisi kunoma iyiphi indawo yobuso.
Ezimweni eziningi, lawa mapeni avame ukuvela ekubuyekezweni kwe-inthanethi-intengo isukela cishe ku-$50 kuya kumakhulu ambalwa amadola-isimangalo sokukwazi ukungena cishe ngamamilimitha angu-5 ukuya kwangu-18 ukushona, futhi ngezindleko ezilinganiselwa ku-1,000 kuya ku-5,000 wamaphawundi ngesikwele ngasinye sokukhipha amandla. amayintshi (PSI).UHema Sundaram, MD, udokotela wesikhumba ogunyazwe yibhodi eFairfax, eVirginia, wathi: “Ngokombono ofanele, isilinganiso sokucindezela kobuso silinganiselwa ku-65 kuya ku-80 PSI, futhi amandla enhlamvu angu-1 000 PSI nangaphezulu.”naseRockville, eMaryland.Nokho, iningi lala madivayisi liqinisekisa okuhlangenwe nakho okungenabuhlungu ngandlela-thile.
Ipeni le-Hyaluron lenziwe imodeli yesirinji yejethi ephathwa ngesandla, engajova imithi ewuketshezi (njenge-insulin nezibulala-zinzwa) esikhumbeni ngaphandle kwenaliti."Cishe eminyakeni engu-20 edlule, ngaziswa ngalezi [zinhlobo] zamadivayisi," kusho u-L. Mike Nayak, MD, udokotela ohlinzayo wepulasitiki oqinisekisiwe webhodi eFrontenac, eMissouri, osanda kugxeka ipeni le-Instagram Hyaluronic acid.“Kunepeni lokubulala izinzwa endaweni [kuyi] into efanayo, idivayisi elayishwe entwasahlobo-ukhipha i-lidocaine, ucindezele i-trigger, futhi izokhipha amaconsi agelezayo ngokushesha.Angakwazi ukungena ngokushesha ebusweni besikhumba.”
Namuhla, i-US Food and Drug Administration (FDA) igunyaze idlanzana lamasirinji ejethi emithi ethile—ngokwesibonelo, eyodwa egunyazwe imijovo yemithi ethile yokugomela umkhuhlane—futhi ngokuthakazelisayo, amanye awo amapeni e-hyaluronic acid. ubufakazi balokho ochwepheshe bethu abakubiza ngezinkinga ezikhona ngalolu hlobo lwethuluzi.“Imibiko yocwaningo ngamasyringe e-intradermal yokugoma ibonisa ukuthi kunzima ukulawula ngokuqhubekayo ukujula nendawo yomjovo [futhi] indawo yomjovo ngokuvamile ibangela imihuzuko eyengeziwe nokuvuvukala ngesikhathi sokujova inaliti,” kusho u-Alex R. Thiersch.Ummeli omele imboni yobuhle kanye nomsunguli we-Med Spa Association of America.
Nakuba kunokufana phakathi kwamasirinji ejethi yezokwelapha namapeni e-cosmetic hyaluronic acid, umkhulumeli we-FDA uShirley Simson wasiqinisekisa ngokuthi “kuze kube manje, i-FDA ayikawagunyazi amasirinji angenanaliti ukuze ajovwe i-hyaluronic acid.”Ngaphezu kwalokho, uveze ukuthi “abahlinzeki bezempilo abanamalayisense kuphela abagunyaze ukusetshenziswa kwezinaliti noma i-cannula yokugcwalisa i-dermal kwezinye izimo.Ayikho imikhiqizo ye-dermal filler evunyelwe ukusetshenziswa yiziguli noma ekhaya. ”
Abalandeli bamapeni e-hyaluronic acid bangase baphikise ngokuthi uma izidakamizwa ezithile, njenge-epinephrine ne-insulin, zibhekwa njengephephile emijovo ye-DIY, kungani kungenjalo i-HA?Kodwa kulezo zimo ezamukelekayo ngokwezokwelapha, uDkt. Nayak wachaza, “Wanikezwa inaliti, wanikezwa umjovo, wanikezwa i-insulin—bese uthola isiqondiso sikachwepheshe wezokwelapha owayeqapha [inqubo ].”Nge-HA, ipeni le-hyaluronic acid alivunyelwe yi-FDA;ukugadwa zero;futhi uvame ukukhomba ubuso, ngenxa yesimiso sayo se-vascular, umjovo uyingozi kakhulu kunethanga noma ihlombe.Ngaphezu kwalokho, uDkt. Nayak wanezela ukuthi ngenxa yokuthi “abantu abasebenzisa lawa mapeni abakwazi [ngokomthetho] ukuthenga izigcwalisi ezigunyazwe i-FDA, bathenga izigcwalisi ezimakethe ezimnyama ku-inthanethi.”
Eqinisweni, ucwaningo lwakamuva olushicilelwe kumagazini i-Dermatologic Surgery luthole ukuthi izigcwalisi zomgunyathi ziyinkinga evamile, njengoba u-41.1% wodokotela abahlolwa bahlangabezane nemijovo engahloliwe futhi engaqinisekisiwe, kanti u-39.7% wodokotela Baye belaphe iziguli ezinezenzakalo ezimbi ezibangelwa imijovo.Elinye iphepha elishicilelwe ku-Journal of the American Academy of Dermatology ngo-2020 liphinde lasho ukwanda kwemijovo ye-inthanethi engalawulwa kanye “nomkhuba okhulayo wokuzijova ama-neurotoxins nama-filler angalawulwa ngaphansi kokuqondiswa kwezifundiswa ze-YouTube “.
U-Katie Beleznay, MD, udokotela wesikhumba ogunyazwe yibhodi eVancouver, eBritish Columbia, wathi: “Abantu bakhathazeke kakhulu ngokuthi abantu bafaka ini kula mapeni.”“Mayelana nobunyumba nokuzinza [kokugcwalisa i-inthanethi] Kunezinkinga eziningi neminyaka yokuphila.”Ngokungafani ne-HA ejojowe njalo ngodokotela besikhumba kanye nodokotela abahlinzayo bepulasitiki abagunyazwe yikomidi, "Le mikhiqizo ayizange ihlolwe ngokuqinile yi-FDA, ngakho abathengi abakwazi ukwazi ukuthi bajova ini," kusho ikomidi.USarmela Sunder, MD, wanezela.- Udokotela ohlinzayo wepulasitiki wobuso oqinisekisiwe eBeverly Hills.Futhi ngenxa yokuthi iziguli ezivamile azikwazi ukuzivumelanisa nomehluko phakathi kwama-HA ahlukene—indlela i-viscosity yabo nokunwebeka kwayo okunquma ngayo ukusetshenziswa nokubekwa okufanele, noma ukuthi ukuxhumanisa kwabo okuhlukile kuthinta kanjani ukuvuvukala nokuqina—bazi kanjani ukuthi yimaphi ama-gel ngempela? ipeni noma izindebe ezibukeka ngokwemvelo noma izinyembezi noma izihlathi?
Ezinyangeni ezimbalwa ezedlule, inqwaba yodokotela besikhumba abagunyazwe yibhodi kanye nodokotela abahlinzayo bepulasitiki baye baxwayisa abalandeli babo ezinkundleni zokuxhumana mayelana nenqwaba yezingozi ezihlobene namapeni e-hyaluronic acid kanye nemijovo ye-DIY filler ngokuvamile..
Ehamba phambili kuleli cala yi-American Society of Dermatological Surgery (ASDS).NgoFebhuwari, inhlangano yakhipha isexwayiso sokuphepha kwesiguli yasho esitatimendeni ukuthi ixhumane ne-FDA mayelana nokuphepha kwephenomenon yepeni le-hyaluronic acid.NgoMashi walo nyaka, i-American Academy of Dermatology yakhipha isitatimende esifanayo, ixwayisa ngokuthi “nakuba kungase kulinge ukujova izithako ze-hyaluronic acid ezithengwe ku-inthanethi ebusweni noma ezindebeni kusetshenziswa umshini ongenanaliti othi, 'do-it-yourself', kodwa ukwenza kanjalo Kungase kube nemiphumela emibi kakhulu yezempilo.”
Nakuba izinkinga zokugcwalisa zingase zenzeke nakubajove abanolwazi kakhulu, izigcwalisi ze-hyaluronic acid ezigunyazwe yi-FDA, njenge-Juvéderm, Restylane, ne-Belotero, zigunyazwa ibhodi eliqeqeshiwe lodokotela besikhumba futhi baqonde ukuhlinzwa kwe-anatomy nokuhlinzwa kwepulasitiki Inalithi kadokotela noma i-cannula ibhekwa kakhulu. iphephile ngomjovo.Uma izinkinga zenzeka, zingabonakala futhi zihlehliswe.“Ama-Bulkers ayindlela yokwelapha enhle kakhulu—athandwa kakhulu futhi [a]neliseka kakhulu-kodwa kufanele wazi ukuthi wenzani,” kusho umongameli we-ASDS kanye nodokotela wesikhumba wase-Boston oqinisekisiwe uMathew Avram The MD uphinde wathi, “Ziyingozi uma bajovelwa endaweni engafanele—kunemibiko yobumpumputhe, unhlangothi kanye nezilonda [zesikhumba] ezingalimaza ukubukeka.”
Ngokuvamile, “indawo engalungile” kunzima ukuyihlukanisa endaweni efanele.UDkt. Nayak wathi: “Ingxenye encane eya lapho iqonde khona noma lapho ibheke khona umehluko phakathi kwengxenye enkulu yezindebe zakho nekhala enezihibe noma ezingenalo izihibe.”Wengeze ngokuthi uma kubhekwa ukunemba okwanele kwemibiko yepeni, “ngisho noma nginayo [eyodwa], futhi angisoze ngacabanga ukuyisebenzisela ukujova ama-fillers ngoba ngesaba ukuthi ngeke ngikwazi ukulawula ukuthi ukuphi kwangempela komkhiqizo.”(Ukwehluleka kwakamuva kwepeni le-hyaluronic acid eliphathwe ithimba likaDkt. Nayak yilokho akubiza ngokuthi " Isibonelo "sesimo esibi kakhulu", esingase sibangelwa ukulethwa komkhiqizo ongazinzile wedivayisi: i-filler esobala BB isakazwa ebusweni bezindebe zesiguli.)
Nakuba izinkampani ezingenakubalwa zikhiqiza amapeni e-hyaluronic acid, futhi kubonakala kunomehluko ocashile phakathi kwamamodeli-ikakhulukazi ahlobene nokujula kokulethwa kanye nengcindezi kanye nesivinini esilinganisweni esikhangisweni-ochwepheshe bethu baphikelela ngokuthi ikakhulukazi asetshenziswa ngendlela efanayo yemishini Futhi alethe. izingozi ezifanayo.“Lawa mapeni ayakhathaza, futhi angicabangi ukuthi ngiphawule ukuthi noma yiliphi [elilodwa] kulawa mapeni nakanjani lingcono kunelinye, futhi akulungile kubantu abangaqeqeshwanga kwezokwelashwa futhi abajwayelene kakhulu nokwakheka kobuso,” uDkt. Sander Say.
Kungenxa yalokhu ukuthi imvelo ye-DIY eyisisekelo yalezi zixhobo izenza zibe yingozi kakhulu—empeleni, “zithengiswa kubantu abangakufanelekeli ukujova ama-filler futhi bagqugquzele ukuzelapha,” kwengeza uDkt. Sundaram.
Ukuheha kwacela uDkt. Sunder, uDkt. Sundaram, kanye noDkt. Kavita Mariwalla, MD ukuthi bahlole amanye amapeni e-hyaluronic acid abonwa ezinkundleni zokuxhumana.Njengoba kulindelekile, ukungabi khona kwezinaliti akusho ukuthi azikho izinkinga: amapeni e-hyaluronic acid angasongela impilo yethu nokubukeka ngezindlela eziningana ezibalulekile.
Lapho ijeli ihlasela noma icindezela imithambo yegazi, ivimbe ukugeleza kwegazi futhi ingase ibangele ukuxebuka kwesikhumba, ubumpumputhe noma unhlangothi, ukuvaleka kwemithambo kwenzeka-inkinga yokugcwalisa embi kakhulu."Ukulimala kwe-Vascular kuhlale kuyinkinga nganoma yimuphi umjovo wokugcwalisa, kungakhathaliseki ukuthi i-filler yethulwa kanjani emzimbeni," kusho uDkt. Sander.“Nakuba abanye abasekeli bepeni [ezinkundleni zokuxhumana] bekholelwa ukuthi ipeni alikwazi ukungena emithanjeni yegazi njengenaliti, ngakho [akunakwenzeka] ukuthi libangele isenzakalo semithambo, kusenengozi enkulu yokulimala kwemithambo ngenxa yokucindezelwa kwesithako. ngasebhokisini.”
UDkt. Taher wabona ukuvaleka kwemithambo okubangelwa umjovo we-DIY ngepeni le-hyaluronic acid.“Isimo engahlangabezana naso—wayeyinkinga yangempela yemithambo yegazi,” esho.“Ngibone isithombe ngathi, 'Kumelwe ungene ngokushesha.'” Odebeni olungaphezulu lwesiguli, sabona ukuguquguquka okububende okuphawulekayo kokuvaleka kwemithambo okwakudingeka kushintshwe (ungakubona lapha, ku-PSA. Thumela ku-YouTube ngemva kokwelashwa).Ngemizuliswano emibili ye-enzyme ejovwayo ebizwa ngokuthi i-hyaluronidase, wakwazi ukuncibilikisa ihlule futhi asindise isikhumba sesiguli.
Imithambo eminingana eyinhloko yobuso igijima ngamamilimitha ambalwa ngaphansi kwesikhumba.UDkt. Sundaram uveze ukuthi abasebenzisi be-TikToker abasebenzisa amapeni amaningi e-hyaluronic acid ukuthuthukisa izindebe bangase bangaboni ukuthi “[ukunikeza izindebe ezingenhla neziphansi] imithambo yomlomo ingase ibe seduze kakhulu nesikhumba,” ikakhulukazi esikhumbeni esivuthwe kakhudlwana, njengoba bayaguga Futhi babe bancane."Emaphuzwini athile odebe olungezansi, imaging ye-ultrasound yembula ukuthi ukujula kwemithambo engaphansi kwesikhumba kwakuphakathi kuka-1.8 kuya ku-5.8 mm," wanezela.Kulolu cwaningo olufanayo, ukujula komthambo womzimba owondla udebe olungenhla kwakusukela ku-3.1 kuya ku-5.1 mm."Ngakho-ke, i-HA i-pressurized jet evela epeni le-hyaluronic acid kumele ikwazi ukuxhumana nomthambo ongaphezulu wezindebe, umthambo ophansi wezindebe nezinye izakhiwo ezibalulekile," kuphetha uDkt. Sundaram.
Lapho ebuka okokufundisa ngepeni le-HA ku-YouTube, uDkt. Sundaram wayekhungathekile ukubona impendulo yenkampani itshela umbuyekezi ukuthi “Yebo, ungasebenzisa ipeni ukwelapha amathempeli,” kodwa kungcono kakhulu ukubonana nodokotela ukuze uthole indlela efanele.NgokukaDkt. Sundaram, “Mayelana nobumpumputhe obubangelwa umjovo wokugcwalisa, ithempeli liyindawo ebalulekile engozini yobuso ngoba imithambo yegazi ethempelini ixhunywe emithanjeni yegazi enikeza amehlo.Umthambo oyinhloko wethempeli, umthambo wesikhashana ongaphezulu, Ugijima ngaphakathi kwezicubu ezine-fibrous ngaphansi kwesikhumba, ungqimba lwamafutha kule ndawo luncane,” okwenza kube lula ukuvimba, ikakhulukazi uma isipetu singazi ukuthi sikuphi.
"Umjovo wengcindezi empeleni unguziro ebusweni," kusho uMarwalla.Ukuze kuncishiswe izinkinga ezinjengokuvalwa kwemithambo kanye nemihuzuko evamile, “Sihlala sifundisa udokotela ukuthi ajove kancane ngomfutho ophansi.”
Kodwa-ke, ipeni le-hyaluronic acid lincike emandleni anamandla kanye nesivinini ukuletha isigcwalisi esikhumbeni.“Lapho idivayisi ingenayo inaliti njengendawo yokungena, ngokuyisisekelo umkhiqizo udinga ukuphushwa ngaphansi kokucindezela okukhulu kangangokuthi ungadabula noma uklebhule isikhumba,” kusho uDkt. Sander.Endabeni yokujova izindebe, “ngaso sonke isikhathi lapho kufakwa ukucindezela okukhulu kulwelwesi oluzwelayo, luzobangela ukuhlukumezeka nokulimala kokuchotshozwa ngezinga elithile - futhi hhayi isikhumba kuphela, kodwa nemithambo yegazi engaphansi, njengeminingi [ Ipeni le-hyaluronic acid] Imivimbo kuvidiyo yokuhlinzwa ifakazela lokhu.Ngenxa yokulimala kolwelwesi lwamafinyila, ukucindezela okukhulu okwethulwa emkhiqizo kungaholela ekwakhekeni kwezibazi zesikhathi eside. ”
UDkt. Sundaram uqhathanisa imijovo ye-HA namapeni e-hyaluronic acid "nezinhlamvu ezigcwele" futhi uqhathanisa ukuhlukumezeka abakukhiqizayo nomonakalo owenziwe ngesibambiso obangelwa lapho izinhlamvu zangempela zidutshulwa ezicutshini zomuntu.“Ingqondo evamile isitshela ukuthi uma uphusha inhlamvu yesivinini esikhulu esikhumbeni ngaphansi komfutho womoya omkhulu, izobangela ukuhlukumezeka kwezicubu.”
“Lawa mapeni awakwazi ukunikeza ukwelashwa okulawulwayo nokubikezelwayo,” kusho uDkt.Ukwengeza, waveza ukuthi uma isikhumba sesiku Ukuvuvukala kuqale ngesikhathi sokwelashwa, "Ukuvuvukala kuzofihla isimo sangempela sezindebe-lapho ubeka khona lezi zinto, awusenakho ukunemba."
Usanda kwelapha umuntu osebenzisa ipeni le-hyaluronic acid “owayenodebe olungaphezulu lulukhulu kakhulu kunodebe olungezansi, bese kuthi olunye uhlangothi lodebe olungaphezulu lube lukhulu kakhulu kunolunye uhlangothi, futhi lwalulimele futhi linezigaxa,” esho.
UDkt. Sundaram uphinde waveza ukuthi ipeni elinokujula okukhulu kokukhangisa lingathinta izicubu ezithile, njengemisipha enyakazisa umlomo."Izindebe ze-Ultrasound zezindebe zomzimba ophilayo-ezinembe kakhulu kunezifundo ze-cadaver-zibonisa ukuthi i-orbicularis oris icishe ibe ngamamilimitha angu-4 ngaphansi kwesikhumba," echaza.Uma ipeni le-hyaluronic acid lifaka okokugcwalisa emisipheni, “uketshezi lwalo kungase kubangele ingozi eyengeziwe yezigaxa zokugcwalisa nezigaxa, kanye nokugudluzwa okwengeziwe kwesigcwalisi-okuvame ukubizwa ngephutha ngokuthi 'ukufuduka',” usho kanje.
Ngakolunye uhlangothi, uma ama-HAs athile—izinhlobo eziqinile nezivundile—ejovwe kancane kakhulu ngamapeni angenakubikezelwa, angabangela izinkinga, njengamaqhubu abonakalayo nama-tints aluhlaza.“Ezinye zezinto zokugcwalisa okunikezwa [amapeni] empeleni ziminyene futhi zixhumene kakhulu,” kusho uDkt. Sundaram.Uma ujova phezulu, uzothola umphumela we-Tyndall, [lokhu] ukushintsha kombala okuhlaza okwesibhakabhaka okubangelwa ukuhlakazeka kokukhanya.”
Ukwengeza ekujuleni okuyinkinga kwepeni kanye nephethini yokuhlakazeka, “iqiniso lokuthi [bafake] imikhiqizo njengephilisi elilodwa noma indawo yokugcina impahla, esikhundleni sokubeka umugqa wokunyakaza okuqhubekayo, kuyinkinga ngokombono wokuphepha nobuhle.“UDkt.Kusho uSand.“Isirinji enolwazi ayiwugcini umkhiqizo, ikakhulukazi ezindebeni.”
U-Mariwalla wasayina naye: “Angilokothi [ngisebenzise] indlela yokujova i-bolus eqhubekayo ukuze ngijove izindebe zomlomo—akubukeki nje okungezona ezemvelo, kodwa isiguli sizwa amaqhubu namaqhubu.”UDkt. Sunder waveza ukuthi umjovo we-bolus wandisa “imithambo Ingozi yokulimala noma ukulimala kwezicubu.
Ingozi lapha ivela emithonjeni emibili-into engaqinisekile ejovwe kanye nepeni le-hyaluronic acid ngokwalo.
Njengoba kushiwo ngaphambili, “mhlawumbe okukhathaza kakhulu kuzo zonke izinkinga ukugcwalisa ngokwako,” kusho uDkt. Sander.Ngaphezu kwamathuba okungcola noma ukuphinga, “Ngiyakhathazeka futhi ngokuthi abanye abantu abavamile bangase bangawaqondi ama-nuances phakathi kwe-hyaluronic acid esetshenziselwa ukusetshenziswa kwezihloko [njenge-serum] kanye nesigcwalisi sangempela se-hyaluronic esisetshenziselwa umjovo.Ingabe Ukwethulwa kwemikhiqizo ye-topical esikhumbeni noma kulwelwesi lwamafinyila kulawa mapeni kungase kubangele izinkinga zesikhathi eside njengokusabela komzimba wangaphandle noma ukwakheka kwe-granuloma,” okungase kube nzima ukukulungisa.
Noma ngabe umuntu ngandlela thize ekwazile ukuthola isigcwalisi se-HA esimsulwa, esisemthethweni, ukusifaka esibayeni kuzovula elinye ithini lezikelemu.“[Badinga] ukudlulisa okokugcwalisa isuka kwisirinji yabo yasekuqaleni baye ku-ampoule esesibayeni,” kusho uDkt. Sundaram.“Lena yinqubo enezinyathelo eziningi—xhuma isirinji yokudlulisela enalithini, dweba okokugcwalisa, bese uyifafaza ku-ampoule—njalo uma kwenziwa, kuba nengozi yokutheleleka.”
UDkt. Sunder wanezela, “Ngisho noma lokhu kuhlinzwa kwenziwa endaweni yezokwelapha, ukudluliswa ngeke kube yinyumba.Kodwa ukwenza lokhu kuhlinzwa emzini womuntu kuwukulungiselela ukutheleleka.”
Bese kuba nodaba lwe-DIY disinfection.“Ipeni ngalinye linezingxenye ezikhishwayo.Umbuzo uwukuthi, ihlanzeke kangakanani le divayisi ngokwayo?”Kusho uMariwala.“Lezi zinkampani zifuna ukuthi ufake esikhumbeni sakho impahla ephuma emithonjeni engaziwa futhi eqinile.Kuthiwani ngedivayisi ene-ridge nengxenye okufanele ihlanzwe?Sebenzisa insipho namanzi futhi uyomise kumshini wokuwasha izitsha?Akubonakali kunjalo.Ukuphepha kimina."
UDkt. Sundaram uthe njengoba abantu abaningi ngaphandle kwezisebenzi zezokwelapha bengayazi inkimbinkimbi yendlela yokuqeda izinambuzane, “kungenzeka ukuthi iziguli ekugcineni zisebenzise i-HA engeyona inzalo futhi ziyiphushele esikhumbeni.”
UDkt. Beleznay uthe iziphathimandla zezempilo zaseCanada zikhiphe isexwayiso sokuphepha komphakathi kulawa mapeni ngo-2019. Njengesibonelo sezinyathelo ezingenzeka zokuvikela umphakathi ekuzilimazini, usitshele ukuthi ukuthengiswa kwamapeni e-hyaluronic acid kukhawulelwe eYurophu. .Ngokwesixwayiso sezokuphepha sale nhlangano, ngaphezu kokuxwayisa izakhamuzi ngezingozi ezihilelekile, i-Health Canada idinga nabangenisa kwamanye amazwe, abasabalalisi nabakhiqizi bamapeni e-hyaluronic acid ukuba “bayeke ukudayisa lezi mishini futhi idinga zonke izinkampani ezifanele ukuba zikhumbule lezo ezisemakethe.imishini”.
Lapho sibuza u-Simson ukuthi ingabe i-FDA yase-US ithatha izinyathelo zokuhoxisa lawa madivayisi emakethe noma ivimbele abakhiqizi ukuthi bawakhangise ngezimonyo, waphendula: “Ngokwenqubomgomo, i-FDA ayixoxi ngesimo sokulawula semikhiqizo ethile ngaphandle uma Izinkampani ezinomthwalo wemfanelo ngemikhiqizo enjalo ziyasebenzisana.Kodwa-ke, kuze kube manje, asikho isipetu esingenanaliti esivunyelwe ukuthi sijovwe nge-hyaluronic acid ngezinjongo zezimonyo.”
Uma kubhekwa uchungechunge lwezingozi ezivezwe ochwepheshe bethu bezokwelapha kanye nokuntuleka kwamanje kwedatha emishinini ye-DIY, kunzima ukucabanga ukuthi ipeni le-hyaluronic acid lizogunyazwa yi-FDA.“Uma othile efuna ukwenza lawa mapeni abe semthethweni, kufanele senze umjovo olawulwayo wenaliti yekhanda kuya ekhanda ukuze [sihlole] ukuphepha, ukusebenza kahle, ukwethembeka, kanye nemiphumela yesikhashana neyesikhathi eside,” kusho udokotela.USundaram ukhombe.
Ngenkathi silindele ngethemba umthetho wepeni le-hyaluronic acid yase-US, thina kwa-Allure siyakunxusa ukuthi ulalele izixwayiso zochwepheshe bethu futhi unganqotshwa imibono yakamuva emibi ezinkundleni zokuxhumana.Umbiko owengeziwe ka-Marci Robin.
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© 2021 Condé Nast.wonke Amalungelo Agodliwe.Ngokusebenzisa le webhusayithi, wamukela isivumelwano sethu somsebenzisi nenqubomgomo yobumfihlo kanye nesitatimende sekhukhi, kanye namalungelo akho obumfihlo e-California.Njengengxenye yokubambisana kwethu nabathengisi, i-Allure ingase ithole ingxenye yokuthengisa emikhiqizweni ethengwe ngewebhusayithi yethu.Ngaphandle kwemvume ebhaliwe yangaphambili ka-Condé Nast, okokusebenza kule webhusayithi akumele kukopishwe, kusatshalaliswe, kudluliswe, kugcinwe kunqolobane noma kusetshenziswe ngenye indlela.Ukukhetha isikhangiso
Isikhathi sokuthumela: Dec-14-2021