FDA inoyambira kusashandisa hyaluronic acid peni yekuzadza miromo

Kwidziridzo (Gumiguru 13, 2021): Iyo US Chikafu neDrug Administration yakaburitsa tsamba yekuchengetedza nekuda kwekukuvadzwa kwakakonzerwa nekubaya majekiseni nemidziyo yakaita sehyaluronic acid pen.Chirevo chaGumiguru 8 chakataurirwa kune vatengi nevashandi vezvokurapa uye chakavayambira nezvenjodzi dzine chekuita nemidziyo isina kutenderwa, ichangobva kuve yakakurumbira pasocial media, uye kutaura pamusoro pezvinofanira uye zvisingafanirwe kuitwa nedermal fillers.Yakakurudzirwa zvekuita.
“The US Food and Drug Administration (FDA) inoyambira veruzhinji nevashandi vezvehutano kuti vasashandise michina isina tsono senge hyaluronic acid zvinyoreso kubaya jekiseni rehyaluronic acid (HA) kana mamwe mafiro emuromo nepameso, pamwe chete anonzi madermal fillers kana Fillers. , "midziyo iyi yakataurwa muchirevo, uye sangano rakati rinoshandisa high pressure kumanikidzira mafirita nezvimwe zvinhu mumuviri."FDA inoziva kuti kushandisa mudziyo usina tsono kubaya miromo nemafuta kumeso kunogona kukonzera kukuvara kwakakomba uye, mune dzimwe nguva, kukuvara zvachose paganda, miromo, kana maziso."
Pakati pekurudziro yevatengi, iyo FDA inokurudzira kuti vasashandise midziyo isina tsono kune chero nzira dzekuzadza, kwete kutenga kana kushandisa mafirita anotengeswa zvakananga kuruzhinji (nekuti ndezvekushandiswa nemishonga chete), uye kuti usazvibaya iwe kana vamwe vanozviita. shandisa chero nzira dzekuzadza.Chigadzirwa chacho chinoita muromo uye kuzadza chiso.Kune vashandi vehutano, kurudziro dzeFDA dzinosanganisira kusashandisa jekiseni risina-tsono kuita chero maitiro ekuzadza zvizorwa, kusaendesa FDA-yakatenderwa dermal fillers kumidziyo isina jekiseni isina tsono, uye majekiseni asingashandisi asina-FDA akatenderwa dermal fillers 剂产品。 Agent products.
“FDA inoziva kuti midziyo isina tsono uye yemuromo neyekumeso inoshandiswa nemidziyo iyi inotengeswa yakananga kuruzhinji pamhepo uye inosimudzira kushandiswa kwayo pasocial media kuti iwedzere muromo, kutarisika kwemakwinya, uye kuchinja mhuno.Chimiro uye mamwe maitiro akafanana," chirevo chakaverenga, chichiwedzera kuti FDA-yakatenderwa dermal fillers inogona chete kushandiswa nemasirinji ane tsono kana cannulas.“Midziyo isina jekiseni isina tsono inoshandiswa kuzvinakisa haigone kupa kutonga kwakakwana pamusoro pekuiswa kwezvinhu zvinobayiwa.Zvigadzirwa zvekuzadza miromo nechiso zvinotengeswa zvakananga kune vatengi pamhepo zvinogona kunge zvakasvibiswa nemakemikari kana zvipenyu zvinotapukira. "
FDA yakataura kuti njodzi dzinosanganisira kubuda ropa kana maronda;bhakitiriya, fungal kana hutachiona hwehutachiona kubva kune mafiritsi kana masino asina-tsono;kutapurirana kwechirwere pakati pevanhu vachishandisa mudziyo mumwe chete usina tsono;tsinga dzakavharika dzinotungamirira kurufu rwenyama, upofu kana sitiroko;mavanga;Kudzvinyirirwa kwechigadzirwa chisina-tsono chinokonzera kukanganisa kwemaziso;kuumbwa kwemapundu paganda;kushanduka kweganda;uye allergic reactions.Sangano iri riri kuongorora mishumo yemhedzisiro uye rakawedzera kuti hazvibvumidzwe kutengesa michina yekurapa inonyorerwa pasina tsamba uye inogona kutongerwa chirango chehurumende kana mhosva.
Pamusoro pekukasira kutsvaga rubatsiro kubva kune ane rezinesi mupi wehutano muchiitiko chekuti kushandiswa kwezvishandiso zvisina tsono senge hyaluronic acid zvinyoreso zvinokonzeresa kusawirirana, iyo FDA inokurudzirawo kubata MedWatch, ruzivo rwekuchengetedza agency uye chirongwa chakashata chekuzivisa chiitiko. nyaya.
Chirimo chapfuura, mumazuva mashoma ekutanga denda, kurongeka-pamba kwakaramba kuripo, masevhisi asina kukosha akamiswa, uye DIY yakatora chirevo chitsva.Kana masiki ari kushomeka, tinoshandisa denim rave pamudyandigere nemashavha asina kumbopfekwa kugadzira edu.Pakavharwa chikoro, takachinja hembe dzemudzidzisi ndokutamba zvine hungwaru tichishandisa mapuratifomu akawanda aidiwa kudzidzisa vana vegiredhi rekutanga pasofa.Tinobika chingwa chedu.Penda madziro edu.Tarisira bindu redu pachedu.
Zvichida shanduko inoshamisa yakaitika munharaunda yerunako inotungamirwa nesevhisi, nekuti vanhu vakadzidza kugera vhudzi ravo uye kuita manicure ega ega.Vakanyanya kunyanyisa ndevaya vanoita DIY marapirwo eganda, sekubvisa mole (zvisizvo pamatanho mazhinji), uye zvakatonyanya kutyisa majekiseni ekuzadza-kunyangwe madermatologists nemaplastic surgeons vanenge vadzoka mubhizinesi, Asi maitiro aya achiripo kwegore.
Kusimudzira kufamba uku, TikTok neYouTube dzave nzvimbo dzekuvhiya dzisina kusefa dzevanofarira vanoda kubaya hyaluronic acid (HA) mumiromo yavo, mhino, uye chirebvu vachishandisa gajeti inowanikwa nyore inonzi hyaluronic acid pen.
Iyi midziyo isina tsono inowanikwa kuburikidza neInternet uye inoshandisa air pressure kusundira hyaluronic acid muganda.Kuenzaniswa netsono uye cannulas anoshandiswa nanachiremba kubaya mafirita, mapeni e hyaluronic acid ane kudzora kushoma uye kudzika kweHA kuburitsa."Iyi idzvinyiriro isingadzoreki, isingaenzaniswi, saka unogona kuwana mwero wakasiyana-siyana wekumanikidza zvichienderana nenhepfenyuro," akadaro Zaki Taher, MD, nyanzvi yedermatologist yebhodhi muAlberta, Canada.
Uye pane misiyano mikuru pakati pema brand.MuYouTube neTikTok mavhidhiyo, mamwe mapeni e-hyaluronic acid atakaongorora airatidza kuisa chigadzirwa pamiromo uye aiita kunge asina kusimba kuboora ganda (sechifungidzira kuti akashandiswa nemazvo).Vamwe vakagamuchira ongororo yambiro pamusoro pesimba ravo uye vakayambira vatengi kuti vasashandise pane chero nzvimbo yechiso.
Kazhinji, zvinyoreso izvi zvinowanzoonekwa pa online wongororo-mitengo inotangira pamadhora makumi mashanu kusvika kumazana mashoma emadhora-inoti inokwanisa kupinda mukati me5 kusvika ku18 millimita kudzika, uye nemutengo we1,000 kusvika 5,000 pounds per square Intensity emission. masendimita (PSI).Hema Sundaram, MD, chiremba ane chiziviso chedermatologist muFairfax, kuVirginia, akati: “Nemaonero akanaka, avhareji yedzvinyiriro pachiso inofungidzirwa kuva 65 kusvika ku80 PSI, uye simba rebara 1 000 PSI zvichikwira.”uye Rockville, Maryland.Nekudaro, mazhinji ezvishandiso izvi anovimbisa chiitiko chisingarwadze neimwe nzira.
Hyaluron pen inofananidzwa nejeti yejeti inobatwa nemaoko, iyo inogona kubaya mishonga yemvura (yakadai se insulin neanesthetics) muganda pasina tsono."Anenge makore makumi maviri apfuura, ndakaziviswa kune idzi [mhando] zvishandiso," akadaro L. Mike Nayak, MD, chiremba-anopupurirwa epurasitiki anovhiya muFrontinac, Missouri, uyo achangobva kubuda pa Instagram Hyaluronic acid pen."Kune chinyoreso cheanesthesia yemunharaunda [ndicho] chinhu chimwe chete, chitubu-chakaremerwa mudziyo-unoburitsa lidocaine, wodzvanya chibatiso, uye chinoburitsa madonhwe anokurumidza kuyerera.Vanogona Kurumidza kupinda mukati meganda. "
Nhasi, iyo US Food and Drug Administration (FDA) yakabvumidza mashoma emajeti ejeti emishonga chaiyo-semuenzaniso, imwe yakatenderwa majekiseni emamwe majekiseni ekudzivirira furu-uye zvinofadza, mamwe acho hyaluronic acid-peni Iwo akafanopihwa kare. humbowo hwezvinonzi nenyanzvi dzedu matambudziko ariko nerudzi urwu rwechishandiso."Mishumo yetsvakurudzo pamusoro pejekiseni intradermal syringe inoratidza kuti zvakaoma kugara uchidzora kudzika uye nzvimbo yejekiseni [uye] nzvimbo yejekiseni inowanzokonzera mamwe mavanga uye kuzvimba panguva yejekiseni retsono," akadaro Alex R. Thiersch.Gweta rinomiririra indasitiri yerunako uye muvambi weMed Spa Association yeAmerica.
Kunyange zvazvo paine kufanana kuri pakati pemajekiseni ejeti ekurapa nemapeni ecosmetic hyaluronic acid, mutauriri weFDA Shirley Simson akativimbisa kuti “kusvika pari zvino, FDA haisati yabvumidza majekiseni asina tsono kuti abaye jekiseni rehyaluronic acid.”Pamusoro pezvo, akataura kuti "vanopa hutano vane marezenisi chete ndivo vakabvumidza kushandiswa kwetsono kana cannula kune dermal fillers mune dzimwe nguva.Hapana dermal filler zvigadzirwa zvinotenderwa kushandiswa nevarwere kana kumba. "
Vafudzi ve hyaluronic acid pens vanogona kukakavara kuti kana mamwe madhiragi, akadai se epinephrine uye insulin, achionekwa seakachengeteka kune DIY jekiseni, sei kwete HA?Asi mumamiriro ezvinhu iwayo aibvumirwa mune zvokurapa, Dr. Nayak akatsanangura kuti, “Wakapiwa tsono, wakapiwa jekiseni, wakapiwa insulin—uye wakabva wapiwa mazano nachiremba aiongorora [maitiro].”NeHA, iyo hyaluronic acid peni haina kutenderwa neFDA;zero supervision;uye iwe unowanzo tarisa chiso, nekuda kweiyo vascular system, jekiseni rine njodzi kupfuura chidya kana pfudzi.Pamusoro pezvo, Dr. Nayak akawedzera kuti nekuti "vanhu vanoshandisa zvinyoreso izvi havagone [zviri pamutemo] kutenga mafiller akatenderwa neFDA, vari kutenga mafiritsi emusika mutema online."
Muchokwadi, chidzidzo chechangobva kuitika chakabudiswa mupepanhau Dermatologic Surgery chakawana kuti manyepo ekuzadza idambudziko rakajairika, ne41.1% yevanachiremba vakaongororwa vakawana majekiseni asina kuongororwa uye asina kusimbiswa, uye 39.7% yevanachiremba Vakabata varwere vane zviitiko zvakashata zvinokonzerwa nemajekiseni.Rimwe bepa rakaburitswa muJournal yeAmerican Academy yeDermatology muna 2020 rakataurawo nezvekuwedzera kwemajekiseni asina kurongeka eInternet uye "kuwedzera kwemaitiro ekuzvibaya majekiseni asina kunyoreswa neurotoxins uye mafiritsi pasi pekutungamirwa kweYouTube tutorials".
Katie Beleznay, MD, chiremba wedermatologist ane chitupa muVancouver, British Columbia, akati: “Vanhu vari kunetseka zvikuru pamusoro pezvinoiswa nevanhu mumapeni aya.”"Nezve kusabereka uye kugadzikana kwe [mafirita epamhepo] Kune matambudziko mazhinji ane tarisiro yehupenyu."Kusiyana neHA iyo inogara ichijairwa nedermatologists uye mapurasitiki ekuvhiya anopupurirwa nekomiti, "Zvigadzirwa izvi hazvina kuongororwa zvakanyanya kuchengetedza neFDA, saka vatengi havagone kuziva zvavari kubaya," komiti yakadaro.Sarmela Sunder, MD, akawedzera.- Certified face plastic surgeon muBeverly Hills.Uye nekuti varwerewo zvavo havagone kuchinjika kune misiyano pakati peHAs dzakasiyana-kuti viscosity yavo uye elasticity inosarudza sei kushandiswa kwakakodzera uye kuiswa, kana kuti kusanganisa kwavo kwakasiyana-siyana kunokanganisa kuzvimba nekugara kwenguva refu-vanoziva sei kuti ndeapi gels chaizvo. chinyoreso kana miromo inotaridzika chaizvo kana misodzi kana matama?
Mumwedzi mishoma yadarika, gumi nevaviri vebhodhi-vakasimbiswa dermatologists uye vepurasitiki vanovhiya vakayambira vateveri vavo pasocial media nezve njodzi dzakawanda dzine chekuita nehyaluronic acid peni uye DIY filler jekiseni zvakajairika..
Vari kutungamira mhosva iyi iAmerican Society of Dermatological Surgery (ASDS).Muna Kukadzi, sangano rakapa yambiro yekuchengetedzwa kwevarwere uye vakataura mukutaura kuti vakanga vabata FDA maererano nekuchengetedzwa kweiyo hyaluronic acid pen phenomenon.Muna Kurume wegore rino, American Academy of Dermatology yakabudisa chirevo chakafanana, ichiyambira kuti “kunyangwe zvingave zvichikwezva kubaya majekiseni ehyaluronic acid anotengwa pamhepo kumeso kana pamiromo uchishandisa mudziyo usingapike tsono ‘do-it-yourself’, asi kuita kudaro Kunogona kuva nemigumisiro yakakomba yehutano. "
Kunyangwe matambudziko ekuzadza achigona kuitika kunyangwe kune ane ruzivo majekiseni, FDA-yakatenderwa hyaluronic acid mafirita, akadai saJuvéderm, Restylane, uye Belotero, anosimbiswa nebhodhi rinokwanisa redermatologists uye anonzwisisa anatomy uye kuvhiyiwa kwepurasitiki. yakachengeteka kune jekiseni.Kana matambudziko akaitika, anogona kuzivikanwa uye kuchinjwa."Bulkers mushonga wakanaka-unozivikanwa zvikuru uye [une] kugutsikana kwakanyanya-asi unofanirwa kuziva zvauri kuita," mutungamiri weASDS uye chiremba weBoston dermatologist Mathew Avram The MD akadzokorora, "Dzine njodzi kana zvinobayirwa munzvimbo isiri iyo—kune mishumo youpofu, sitiroko uye maronda [eganda] anogona kukanganisa chitarisiko.”
Kazhinji, "nzvimbo isina kururama" yakaoma kusiyanisa kubva panzvimbo yakarurama.Dr. Nayak vakati: “Chikamu chiduku chiri munzira yakarurama kana kuti chisiri icho musiyano uri pakati pechikamu chikuru chemiromo yako nemhino zvine zvishwe kana kuti zvisina zvishwe.Akawedzera kuti nekupa humbowo hwakakwana hwemishumo yepeni, "kunyangwe ndiine [imwe], uye handifi ndakafunga kuishandisa kubaya majekiseni nekuti ndinotya kuti handikwanise kudzora iko chaiko kwechigadzirwa."(Kukundikana kwemazuva ano kwe hyaluronic acid pen yakabatwa neboka raDr. Nayak ndiyo yaakadana " Muenzaniso we "yakanakisisa-yakaipisisa mamiriro ezvinhu", izvo zvingave zvakakonzerwa nekusagadzikana kwechigadzirwa kuendeswa kwechigadzirwa: iyo yakajeka filler BB inowaridzwa pamusoro pemiromo yemurwere.)
Kunyangwe makambani asingaverengeki achigadzira hyaluronic acid zvinyoreso, uye panoratidzika kunge paine misiyano isinganzwisisike pakati pemamodheru-zvikuru zvine chekuita nekudzika kwekutumira uye kudzvanywa uye kuyerwa kwekumhanya mukushambadza-nyanzvi dzedu dzinosimbirira kuti dzinoshandiswa nenzira imwechete yemuchina Uye kuunza. njodzi dzakafanana."Mapeni aya ari kunetsa, uye handifunge kuti ndakataura kuti chero [chimwe] chezvinyoreso ichi chiri nani pane chimwe, uye hazvina kunaka kune vanhu vasina kudzidziswa zvekurapa uye vanonyatsoziva chimiro chechiso," Dr. Sander Iti.
Izvo ndezveizvi izvo izvo zvakakosha zveDIY zvezvishandiso izvi zvinoita kuti zvive nengozi - kutaura zvazviri, "zvinotengeswa kune vanhu vasingakodzere kupihwa majekiseni ekuzadza uye kukurudzira kuzvirapa," Dr. Sundaram akawedzera.
Chirevo chakakumbira Dr. Sunder, Dr. Sundaram, uye Dr. Kavita Mariwalla, MD kuti vaongorore mamwe mapeni e-hyaluronic acid anoonekwa pamagariro evanhu.Sezvinotarisirwa, kusavapo kwetsono hakurevi kuti hapana matambudziko: hyaluronic acid peni inogona kutyisidzira hutano hwedu uye chitarisiko munzira dzinoverengeka dzakakosha.
Kana iyo gel ikapinda kana kudzvanya tsinga, inovhara kuyerera kweropa uye inogona kukonzera kusvuuka kweganda, kupofumadza kana sitiroko, vascular occlusion inoitika-yakanyanya kuzadza complication."Kukuvadzwa kwetsinga nguva dzose kune dambudziko nechero jekiseni rekuzadza, pasinei nokuti iyo inozadza inopinzwa sei mumuviri," akadaro Dr. Sander."Kunyange zvazvo vamwe vanotsigira peni [pasocial media] vachitenda kuti peni haigoni kupinda mutsinga dzeropa setsono, saka [hazvigoneke] kukonzera chiitiko chevascular, pachine njodzi huru yekukuvara kwevascular nekuda kwekudzvanywa kwechizadziso. nepamudziyo."
Dr. Taher akaona vascular occlusion yakakonzerwa nejekiseni reDIY ne hyaluronic acid pen."Mamiriro andakasangana nawo - raive dambudziko revascular," akadaro.“Ndakaona pikicha ndikati, ‘Unofanira kukurumidza kupinda.’” Pamuromo wemurwere wepamusoro, akaziva ruvara rwepepuru rweruvara rwepepuru rwekuvharika kwetsinga kwaida kuchinjwa (unogona kuzviona pano, muPSA. Post paYouTube mushure mekurapwa).Kuburikidza nemaraundi maviri ejekiseni rinobaiwa rinonzi hyaluronidase, akakwanisa kunyungudutsa gwapa racho ndokuchengetedza ganda remurwere.
Matsinga akati wandei ekumeso anomhanya mamirimita mashoma pazasi peganda.Dr. Sundaram akataura kuti vashandisi veTikToker vanoshandisa akawanda ma hyaluronic acid mapeni ekunatsiridza miromo vanogona kusaziva kuti [inopa miromo yekumusoro neyezasi] miromo inogona kunge iri padyo nepamusoro peganda, ”kunyanya muganda rakakura, se vanochembera vova vatete."Pane dzimwe nzvimbo dzepazasi muromo, ultrasound imaging yakaratidza kuti kudzika kwetsinga pasi peganda repamusoro kwaive muhuwandu hwe1.8 kusvika 5.8 mm," akawedzera.Muchidzidzo chimwechete, kudzika kwetsinga inodyisa muromo wepamusoro kubva pa3.1 kusvika ku5.1 mm."Saka, iyo HA inomanikidzika jet kubva ku hyaluronic acid pen inofanira kukwanisa kutarisana nepamusoro pemuromo wepamusoro, mutsara wezasi uye zvimwe zvivako zvakakosha," Dr. Sundaram akapedzisa.
Pakuona chinyoreso cheHA paYouTube, Dr. Sundaram akashungurudzika kuona mhinduro yekambani ichiudza muongorori kuti “Hongu, unogona kushandisa peni kurapa matemberi,” asi zvakanaka kubvunza chiremba kuti uwane nzira chaiyo.Sekureva kwaDr. Sundaram, "Panyaya yehupofu hunokonzerwa nejekiseni rekuzadza, tembere inzvimbo yakakosha yengozi yechiso nekuti tsinga dzeropa mutembere dzakabatana nemidziyo yeropa inopa maziso.Iyo tsinga huru yetemberi, iyo yepamusoro-soro yenguva tsinga, iri Kumhanya mukati menyama ine fibrous pasi peganda, iyo mafuta layer iri munzvimbo iyi yakatetepa,” zvichiita kuti zvive nyore kuvhara, kunyanya kana sirinji isingazive pairi.
"Jekiseni rekumanikidza ndeye zero pachiso," Mariwalla akadaro.Kuti uderedze matambudziko akadai sevhavha yevhavha uye mavanga akajairika, "Tinogara tichidzidzisa chiremba kupinza zvishoma nezvishoma pakumanikidzwa kwakaderera."
Nekudaro, iyo hyaluronic acid peni inovimba nesimba rine simba uye nekumhanyisa kuendesa iyo yekuzadza muganda.“Kana mudziyo wacho usina tsono sepokupinda napo, chigadzirwa chacho chinotoda kusundidzirwa pasi pekumanikidzwa kukuru zvekuti chinogona kubvarura kana kubvarura ganda,” akadaro Dr. Sander.Panyaya yejekiseni remuromo, "nguva imwe neimwe kudzvinyirirwa kukuru kunoshandiswa kune mucosa inonzwisisika, inokonzera kushungurudzika uye kupwanya kukuvara kune imwe nhanho - uye kwete ganda chete, asiwo tsinga dzeropa dziri pasi, dzakadai sezvizhinji [ Hyaluronic acid peni] Mabhururu muvhidhiyo yekuvhiya anoratidza izvi.Nekuda kwekukuvadzwa kwemucosal, kudzvinyirirwa kwakanyanya kunounzwa muchigadzirwa kunogona kutungamira mukuumbwa kwenguva refu. "
Dr. Sundaram anofananidza majekiseni eHA ne hyaluronic acid pens kune "mabhuru akazadzwa" uye anoenzanisa kushungurudzika kwavanoita nekukuvara kwechibvumirano kunokonzerwa apo mabara chaiwo anopfurwa mumatumbu evanhu."Kunzwisisa kunotiudza kuti kana ukasunda bara rinomhanya zvakanyanya muganda pasi pekumanikidzwa kwemhepo kwakanyanya, zvinokonzeresa kukuvara kwenyama."
"Izvi zvinyoreso hazvigoni kupa kurapa kunodzorwa uye kunofanotaurwa," Dr. Sundaram akadaro, "nokuti kumanikidzira kuzadza mukati meganda pasi pekumanikidzwa kwakanyanya kunogona kuita kuti ripararire zvisingatarisirwi uye zvisingaenderani."Pamusoro pezvo, akataura kuti kana ganda rave mukati Kuzvimba kwakatanga panguva yekurapa, "Kuzvimba kuchavhara chimiro chechokwadi chemiromo-kusvika kwaunoisa zvinhu izvi, iwe hausisina chokwadi."
Achangobva kurapa hyaluronic acid mushandisi wepeni aive ne "muromo wepamusoro wakakurisa kupfuura wepazasi, uyezve rimwe divi rekumusoro muromo raive rakakura zvakanyanya kupfuura rimwe divi, uye rakanga rakapwanyika uye nemapundu," akadaro.
Dr. Sundaram akataurawo kuti chinyoreso chine hudzamu hukuru hwekushambadzira chinogona kubata dzimwe tsandanyama, semhasuru dzinofambisa muromo."Ultrasound scans yemiromo yemuviri mupenyu-yakanyanya kupfuura zvidzidzo zvecadaver-inoratidza kuti orbicularis oris inenge 4 millimeters pazasi peganda," akatsanangura kudaro.Kana iyo hyaluronic acid peni ikaisa mafiritsi mumamhasuru, "kunyorova kwayo kunogona kukonzera njodzi yakawedzera yezviputi zvekuzadza nemapundu, uye kutowedzera kutamiswa kwekuzadza-kunowanzo kunzi 'kutama' zvisizvo," anodaro.
Ukuwo, kana mamwe maHA—marudzi akasimba, akakora—akaiswa majekiseni asinganyanyi kudzika nemapeni asingafungidziriki, anogonawo kukonzera zvinetso, zvakadai semapundu anooneka uye matinji ebhuruu."Mamwe emafiller anotemerwa [mapeni] akakora uye akabatana," akadaro Dr. Sundaram."Kana ukabaya majekiseni aya pamusoro, unowana mhedzisiro yeTyndall, [uku] kupenya kwebhuruu kunokonzerwa nekupararira kwechiedza."
Pamusoro pedambudziko rekudzika kwepeni uye nzira yekuparadzira, "nyaya yekuti [vakadyara] zvigadzirwa sepiritsi rimwechete kana dura, pane kuisa mutsara wekuenderera mberi kwekufamba, idambudziko kubva pakuchengetedza uye kunaka kwemaonero.“Dr.Sand akadaro."Sirinji ine ruzivo haimbochengete chigadzirwa, kunyanya pamiromo."
Mariwalla akasaina: "Handimbo[ndishandise] nzira yejekiseni yebolus inoenderera mberi kubaya miromo-haingoratidziki kunge isiri yemusikirwo chete, asi murwere anonzwa mapundu nemapundu."Dr. Sunder akataura kuti jekiseni rebolus rinowedzerawo “vascular Ngozi yekukuvadzwa kana kukuvara kwetishu.
Ngozi pano inobva kune maviri masosi-chinhu chisina chokwadi chakabayiwa uye hyaluronic acid peni pachayo.
Sezvambotaurwa, “zvichida chinonyanyonetsa pazvinetso zvose chizadziso chaichoicho,” akadaro Dr. Sander.Pamusoro pekugona kusvibiswa kana kuita hupombwe, “Ndinonetsekawo kuti vamwe vanhuwo zvavo vangasanzwisisa misiyano iri pakati pehyaluronic acid inoshandiswa pakushandisa topical [serum] uye chaiyo hyaluronic acid filler inoshandiswa kubaya jekiseni.Will Kuunzwa kwezvigadzirwa zvemusoro muganda kana mucous membranes ezvinyoreso izvi zvinogona kukonzera matambudziko enguva refu sekuita kwekunze kwemuviri kana kuumbwa kwegranuloma, "izvo zvingave zvakaoma kugadzirisa.
Kunyangwe kana mumwe munhu neimwe nzira akakwanisa kuwana yakachena, yepamutemo HA filler, kuiisa mupeni kunovhura rimwe gaba rehonye."[Ivo] vanoda kuendesa filler kubva kune sirinji yavo yepakutanga kuenda kune ampoule mupeni," Dr. Sundaram akadaro."Iyi inhanho ine nhanho dzakawanda - batanidza sirinji yekuendesa kune tsono, dhirowa yekuzadza, uye kupfapfaidza muampoule - pese pazvinenge zvaitwa, pane njodzi yekusvibiswa."
Dr. Sunder akawedzera kuti, “Kunyangwe kuvhiyiwa uku kuchiitwa munzvimbo yezvokurapa, kutamiswa hakuzove mbereko.Asi kuita oparesheni iyi mumba memunhu kugadzirira kutapukirwa.”
Ipapo pane nyaya ye DIY disinfection.“Peni imwe neimwe ine zvikamu zvinobviswa.Mubvunzo ndewokuti, mudziyo chaiwo wakachena zvakadii?"Akadaro Mariwala.“Makambani aya anoda kuti ubaye majekiseni kubva kunzvimbo dzisingazivikanwe uye dzakagadzikana muganda rako.Zvakadini nemudziyo une ruzhowa uye chikamu chinofanira kucheneswa?Kushandisa sipo nemvura wozviomesa pamudziyo wokusuka ndiro?Zvinoita sezvisina kudaro.Security kwandiri."
Dr. Sundaram vakati sezvo vanhu vazhinji kunze kwevashandi vezvokurapa vasingazivi kuoma kwemaitiro ekurapa, "zvine mukana mukuru wekuti varwere vanozopedzisira vashandisa isina sterile HA voisundira muganda."
Dr. Beleznay akataura kuti vakuru vehutano veCanada vakapa yambiro yekuchengetedzwa kwevanhu kune mapeni aya muna 2019. Semuenzaniso wematanho anogoneka ekudzivirira veruzhinji kubva mukuzvikuvadza, akatiudza kuti kutengeswa kwemapeni ehyaluronic acid kunorambidzwawo muEurope. .Maererano nechenjedzo yezvekuchengetedzwa kwesangano iri, kunze kwekunyevera vagari nezvengozi dziripo, Health Canada inodawo vanotenga kunze kwenyika, vanogovera, uye vanogadzira zvinyoreso zvehyaluronic acid kuti “varege kutengesa michina iyi uye inoda kuti makambani ese akakodzera arangarire ari pamusika.midziyo”.
Patakabvunza Simson kana US FDA iri kutora matanho ekubvisa midziyo iyi pamusika kana kurambidza vagadziri kuti vazvitengese zvezvizoro, akapindura kuti: “Senyaya yemutemo, FDA haikurukure nezvemamiriro ekudzora ezvigadzirwa kunze kwekunge is Makambani ane basa rezvigadzirwa zvakadaro anoshandira pamwe.Nekudaro, kusvika parizvino, hapana sirinji isina tsono yakabvumidzwa jekiseni rehyaluronic acid nechinangwa chekuzora.
Tichitarisa nhevedzano yenjodzi dzakatsanangurwa nenyanzvi dzedu dzekurapa uye kushomeka kwazvino kwedata pamidziyo yeDIY, zvakaoma kufungidzira kuti hyaluronic acid pen ichabvumidzwa neFDA.“Kana mumwe munhu achida kunyoresa zvinyoreso izvi zviri pamutemo, tinofanira kuitisa chidzidzo chinodzorwa-musoro-kune-musoro jekiseni retsono-ku[ongorora] kuchengeteka, kubudirira, kuvimbika, uye migumisiro yenguva pfupi uye yenguva refu,” akadaro chiremba wacho.Sundaram akadaro.
Tichiri kumirira netarisiro mutemo wepeni yeUS hyaluronic acid, isu veAllure tinokukurudzira kuti uteerere yambiro yenyanzvi dzedu uye usakundwa nemazano achangoburwa pasocial media.Kuwedzera kutaurwa naMarci Robin.
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Nguva yekutumira: Zvita-14-2021