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晶雕飛梭雷射〈SmartXide〉 治療簡介



皮膚老化可以從膚質和膚色看出來。膚質粗糙、細紋增加、膚色黯沉、色素斑和老斑的出現都是老化的現象。最新科技義大利進口「晶雕飛梭雷射」,改善膚質膚色減少正常皮膚的傷害,是您凍齡回春最佳的選擇。



▲晶雕飛梭雷射可改善膚質膚色,去除細紋、老斑和痘疤



治療對象
一、 青春痘凹疤、手術疤痕。
二、 角質肥厚、粗糙不平、淺層細紋、毛孔粗大。
三、 淺斑、膚色暗沉不均勻、凸斑、老人斑。
四、 痣、疣、瘜肉。
五、 肌膚老化鬆弛、換膚回春保養。



▲晶雕飛梭雷射以細小的光點穿透皮膚將老化的角質汽化,保留雷射光點之間的正常皮膚,最適合東方人的膚質



治療方法
一、 使用義大利原裝進口「晶雕飛梭雷射」〈SmartXide〉針對皮膚的問題,有效加以治療。
二、 徹底拋棄舊式換膚或舊式氣化雷射的缺點,利用飛梭〈fraxel〉技術,以近乎微米細小的雷射光點穿透皮膚將老化的角質汽化,保留雷射光點之間的正常皮膚,加速皮膚的修復。因此可以縮短術後恢復期,降低發炎後色素沉澱的風險。
三、 3~4週治療一次,建議治療3~4次為一個療程。



▲晶雕飛梭雷射治療效果顯著,為求最大的療效,建議治療3~4次,每次間隔3~4週



療效分析
一、 治療後3-4天皮膚上會出現許多小小的結痂,一週內脫落,膚質膚色就會開始改善。
二、 汽化後會生長出新的皮膚組織,讓皮膚光滑細緻,細紋減少,膚質變好。
三、 雷射光的熱效應會刺激真皮層產生膠原蛋白,使皮膚組織更有彈性、更飽滿。
四、 搭配自體活細胞生長因子療程,效果加倍。



▲雷射光的熱效應會刺激真皮層產生膠原蛋白,使皮膚組織更有彈性、更飽滿。搭配自體活細胞生長因子療程,效果加倍。




注意事項
治療前須知
一、 慢性病患者應事先告知,高血壓或糖尿病應控制到正常範圍,對光線敏感者〈如癲癇症〉應告知醫師。傷口有蟹足腫體質應事先告知。
二、 治療當天請勿塗抹化妝品,維他命C可加強傷口修復,建議治療前後每天服用500mg維他命C一天3次一次一顆。
三、 治療前後兩週內請暫停果酸換膚、鑽石微雕或微晶磨皮等護膚及去角質的治療。一個月內勿接受其他雷射或脈衝光療程。
治療後須知
一、 治療後皮膚會發紅並且會有灼熱感,這是正常現象,一般一兩天內就會消失。請冰敷臉部至少一小時,可以減少發紅發熱的時間。
二、 治療後3-4天皮膚會出現許多細小的結痂,加強治療的部位痂皮會比較明顯,一週內會自然脫落,請勿用外力強行將痂皮摳下,以免製造新的傷口。皮膚可能會有比較乾燥的情況,請加強保濕。
三、 治療後一定要加強防曬,以免返黑。請減少在陽光下曝曬,若要外出,一定要用SPF 40 以上的防曬乳液,並且使用遮陽帽或防紫外線的洋傘保護肌膚。
四、 治療後1週內是關鍵期,請使用溫和的潔膚乳液清洗臉部,再用毛巾將水分吸乾,不要用抹擦的方式,以減少對皮膚的刺激。
五、 治療後48小時內請勿化妝,48小時後可以上妝,但是請用水性的妝品,勿用油性的化妝品。一週後可恢復正常上妝。

 


【晶雕飛梭雷射常見問題 Q&A】



Q:什麼狀況的皮膚適合做晶雕飛梭的治療?
A:主要針對想要改善凹疤、痘疤以及皺紋的治療,另外還可淡化斑點、去除暗沉,使皮膚亮白、滑嫩。


Q:我有毛孔粗大的問題,可以用晶雕飛梭治療嗎?
A:可以的,利用晶雕飛梭兼顧內外療效,可去除毛孔周圍肥厚的角質,還可從內深層的刺激膠原蛋白更新,縮小淡化毛孔粗大問題。


Q:臉部皮膚粗糙,還有一粒一粒的角質凸出,晶雕飛梭可以改善嗎?
A:可以的,晶雕飛梭基本作用是剝離掉造成皮膚外觀粗糙的老廢角質,恢復平整光滑的肌膚。


Q:晶雕飛梭跟果酸換膚、鑽石微雕作用是一樣的嗎?
A:晶雕飛梭除了汽化磨皮的作用以外,雷射光還能夠對皮膚深層產生熱效應,加強深層的治療讓效果更明顯。果酸換膚和鑽石微雕只能去除淺層的皮膚,而且對皮膚的傷害性較大,容易返黑。


Q:晶雕飛梭治療時會很痛嗎?痛多久?
A:一般來說治療前會先塗抹表皮麻醉藥約40分鐘,可大大降低治療時的不適,術後會開始出現紅腫熱痛,建議採用間歇性冰敷約30分鐘,降低疼痛與縮短紅腫期。
 



▲本診所雷射中心備有多種雷射,無論是皮膚問題、全身問題都可以在這裡獲得滿意的改善方案,讓您外表美麗、身體健康!


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▲小兒盲腸炎一定要開刀嗎?邱醫師查證的醫學文獻有不同的看法
昨天家人緊急通知我,我妹妹的小女兒生病住院。

住院的原因是從前一天開始上吐下瀉,肚子疼痛。隔天凌晨送到醫院急診室,做了電腦斷層和其他檢查,醫生懷疑是急性盲腸炎,建議開刀治療。

家人很擔心,打電話問我怎麼辦?

我有點懷疑盲腸炎的診斷,照說急性盲腸炎應該會發燒才對,而且如果是細菌性盲腸炎,甚至還會有發冷現象。所以我告訴家人,暫時不要開刀,先觀察看看。

昨晚我妹妹打電話告訴我說,醫生認為有九成的機會是盲腸炎,還是建議開刀。

我問了小朋友現在的狀況怎樣,回答是偶爾腹痛,開始有發燒現象了。白血球和發炎指數都相當高,可能有輕微的腹膜炎了。

這下我可兩難了,開刀?小朋友的肚子將永遠留下疤痕,不開刀,盲腸炎會好嗎?

經過和主治醫師討論,以及我查證醫學文獻的結果,結論是:小兒盲腸炎不一定要開刀。

我查證的醫學文獻在下面,有興趣的網友可以用翻譯軟體看看。

邱正宏醫師


發表日期:2011/1/28



J Pediatr Surg. 2010 Nov;45(11):2181-5.
Antibiotics and appendicitis in the pediatric population: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee systematic review.
Lee SL, Islam S, Cassidy LD, Abdullah F, Arca MJ; 2010 American Pediatric Surgical Association Outcomes and Clinical Trials Committee.
Division of Pediatric Surgery, David Geffen School of Medicine at UCLA and Harbor-UCLA Medical Center, Box 709818, Los Angeles, CA 90095, USA. slleemd@yahoo.com
Abstract
OBJECTIVE: The aim of the study was to review evidence-based data regarding the use of antibiotics for the treatment of appendicitis in children.
DATA SOURCE: Data were obtained from PubMed, MEDLINE, and citation review.
STUDY SELECTION: We conducted a literature search using "appendicitis" combined with "antibiotics" with children as the target patient population. Studies were selected based on relevance for the following questions: (1) What perioperative antibiotics should be used for pediatric patients with nonperforated appendicitis? (2) For patients with perforated appendicitis treated with appendectomy: a. What perioperative intravenous antibiotics should be used? b. How long should perioperative intravenous antibiotics be used? c. Should oral antibiotics be used? (3) For patients with perforated appendicitis treated with initial nonoperative management, what antibiotics should be used in the initial management?
RESULTS: Children with nonperforated appendicitis should receive preoperative, broad-spectrum antibiotics. In children with perforated appendicitis who had undergone appendectomy, intravenous antibiotic duration should be based on clinical criteria. Furthermore, broad-spectrum, single, or double agent therapy is as equally efficacious as but is more cost-effective than triple agent therapy. If intravenous antibiotics are administered for less than 5 days, oral antibiotics should be administered for a total antibiotic course of 7 days. For children with perforated appendicitis who did not initially undergo an appendectomy, the duration of broad-spectrum, intravenous antibiotics should be based on clinical symptoms.
CONCLUSIONS: Current evidence supports the use of guidelines as described above for antibiotic therapy in children with acute and perforated appendicitis.

Surg Infect (Larchmt). 2008 Aug;9(4):481-8.
Surgery for appendicitis: is it necessary?
Mason RJ.
Division of Emergency Surgery, Department of Surgery, Keck School of Medicine of the University of Southern California and Los Angeles County and USC Medical Center, Los Angeles, California, USA. rmason@surgery.usc.edu
Abstract
BACKGROUND: Appendectomy for acute appendicitis is an effective, universally accepted procedure performed more than 300,000 times annually in the United States. It is generally believed that appendicitis progresses invariably from early inflammation to later gangrene and perforation, and that appendectomy is required for surgical source control. Although non-operative management with antibiotics of uncomplicated diverticulitis, salpingitis, and neonatal enterocolitis is now established, the non-operative management of appendicitis remains largely unexplored.
METHODS: Systematic review of published literature and derived expert opinion.
RESULTS: Clinical, epidemiologic, radiologic, and pathologic evidence is presented for spontaneous resolution of uncomplicated acute appendicitis. The pathogenesis of appendicitis is reviewed with specific consideration of the role of bacterial infection in the pathogenesis. Evidence is also provided documenting the clinical success of non-operative management.
CONCLUSIONS: Appendectomy may not be necessary for the majority of patients with acute uncomplicated appendicitis, as many patients resolve spontaneously and others may be treatable with antibiotics alone. However, the supporting documentation is scant and of poor quality. A randomized, prospective trial of non-operative management versus early appendectomy of acute uncomplicated appendicitis corroborated by radiologic imaging is called for.


World J Surg. 2006 Jun;30(6):1033-7.
Appendectomy versus antibiotic treatment in acute appendicitis. a prospective multicenter randomized controlled trial.
Styrud J, Eriksson S, Nilsson I, Ahlberg G, Haapaniemi S, Neovius G, Rex L, Badume I, Granström L.
Department of Surgery, Karolinska Institutet at Danderyd Hospital, S-182 88, Stockholm, Sweden. johan.styrud@ds.se
Comment in:
• World J Surg. 2007 Mar;31(3):615; author reply 616.
• World J Surg. 2007 Apr;31(4):871-2.
Abstract
BACKGROUND: Appendectomy has been the treatment for acute appendicitis for over 120 years. Antibiotic treatment has occasionally been used in small uncontrolled studies, instead of operation, but this alternative has never before been tried in a multicenter randomized trial.
PATIENTS AND METHODS: Male patients, 18-50 years of age, admitted to six different hospitals in Sweden between 1996 and 1999 were enrolled in the study. No women were enrolled by decision of the local ethics committee. If appendectomy was planned, patients were asked to participate, and those who agreed were randomized either to surgery or to antibiotic therapy. Patients randomized to surgery were operated on with open surgery or laparoscopically. Those randomized to antibiotic therapy were treated intravenously for 2 days, followed by oral treatment for 10 days. If symptoms did not resolve within 24 hours, an appendectomy was performed. Participants were monitored at the end of 1 week, 6 weeks, and 1 year.
RESULTS: During the study period 252 men participated, 124 in the surgery group and 128 in the antibiotic group. The frequency of appendicitis was 97% in the surgery group and 5% had a perforated appendix. The complication rate was 14% in the surgery group. In the antibiotic group 86% improved without surgery; 18 patients were operated on within 24 hours, and the diagnosis of acute appendicitis was confirmed in all but one patient, and he was suffering from terminal ileitis. There were seven patients (5%) with a perforated appendix in this group. The rate of recurrence of symptoms of appendicitis among the 111 patients treated with antibiotics was 14% during the 1-year follow-up.
CONCLUSIONS: Acute non-perforated appendicitis can be treated successfully with antibiotics. However, there is a risk of recurrence in cases of acute appendicitis, and this risk should be compared with the risk of complications after appendectomy.


J Chir (Paris). 2009 Oct;146 Spec No 1:17-21. Epub 2009 Oct 28.
[Can acute appendicitis be treated by antibiotics and in what conditions?].
[Article in French]
Vons C.
Service de chirurgie digestive, hôpital Jean-Verdier, avenue du 14-Juillet, 93140 Bondy cedex, France. corinne.vons@jvr.aphp.fr
Abstract
The current treatment for acute appendicitis is an appendectomy. Several studies have, however, assessed the efficacy of an antibiotic for treating acute appendicitis that is either uncomplicated or complicated by local peritonitis. A meta-analysis in 2007 that collected the results of 44 prospective studies showed that antibiotics were efficacious in 92.8% of cases of appendicitis complicated by local peritonitis, with percutaneous drainage of an abscess when necessary. No predictive factor for failure was identified. The failure of antibiotic treatment did not increase morbidity. Over time and on the whole, the recurrence rate was only 8.9%. The risk of cancer of the appendix (1.5%) nonetheless led to the recommendation of an interval appendectomy for adults. Four randomized controlled trials have compared antibiotic treatment with an appendectomy for the treatment of uncomplicated acute appendicitis. The efficacy of the antibiotic treatment ranged from 86 to 100% and the recurrence rate from 10.4 to 35%. These studies have had various methodological impediments; however, too few patients were included (40 and 80 patients), or only a clinical diagnosis was made before inclusion, or important protocol violations occurred, in particular for almost half the patient in the antibiotic therapy group in the 2009 study. These problems prevent us from relying on these authors' findings. Antibiotics have a role in the initial treatment of acute appendicitis complicated by local peritonitis. In uncomplicated acute appendicitis, the methodological inadequacy of the currently available randomized trials makes it impossible to reach a definitive conclusion about the efficacy of antibiotics.


 




 


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