Introduction pediatric rehabilitation

 

Establishment of modern rehabilitation abroad is only half a century old, of modernrehabilitation treatment in China later last more than 10 years has been the ChineseGovernment's attention and the attention of the medical community, particularly rehabilitation of children in recent years have been carried out. But from the level of advanced countries and regions, very remote from society of Pediatric rehabilitation requirements. Development and improvement of children's rehabilitation, making itnew opportunities and new problems in the field of pediatric medicine. With the development of the lives of our people, culture, the economy, and to increase the quality of life of the people, rehabilitation medicine "to improve functionality, comprehensive rehabilitation, reintegration," the three guiding principles, in line with the requirement of social medicine.

Our pediatric rehabilitation, development of

 

1. Rehabilitation of the family: related departments such as Pediatric Neurology, Ke,neonatology, orthopedics, Chinese medicine and acupuncture, physiotherapy and other established on the basis of or combined.
2. Named after rehabilitation: neurological rehabilitation, rehabilitation, Pediatric rehabilitation center.
3. Staffing: Professional source for Pediatric Neurology professional, medical professional, Ke, newborn professional, Chinese medicine, and so on.
4. Disadvantages: in rehabilitation assessment, rehabilitation, rehabilitation of basic theory knowledge of management.
5. Pediatric rehabilitation prospects: the Chinese Government attaches great importance to, the establishment of relevant organizations and academic groups, currentlythe professional magazines, and increasing rehabilitation books, academic conferences regularly held as China's economic development, ideals, the Pediatric rehabilitation new opportunities.

Second, the significance of Pediatric rehabilitation

1. The need for Pediatric rehabilitation:

1. high percentage of persons with disabilities in Pediatrics: have information to report the number of persons with disabilities in China reached 4.9%, which was less than 6 years old accounted for 66%, so development of Pediatric rehabilitation, aimed at improving the quality of children's groups.
2. spectrum of Pediatric diseases deaths: due to the development of medical technology, improved disease and
3. The survival rate of trauma and emergency medicine development, make critical child survival rates increase, neonatal medicine, decrease in perinatal mortality, developmental disabilities increased especially central nervous system infection in pediatric infectious disease pathogenesis is still more, to acquired neurological disability in children more; in addition, the chronicity of the disease, Pediatric rehabilitation servicesmore broadly.
4. the inevitable result of economic development: population growth; transport andinjuries, increased opportunities for recreational activity growing Pediatric rehabilitation objects increases.
5. health requirements of new ideas: new concept of health protection and promotion of children's health; reproductive policy requirements for Pediatric rehabilitationservices to improve.
6. response to major natural disasters and wars.

2. Social benefits: 

on the one hand through the rehabilitation, so that many childrenwith disabilities, especially children with disabilities recover motor function and ADLin varying degrees of further therapy helped many high-risk infants through early intervention (including newborns) to avoid, reduce the impairment and disability, andreduce the burden on community and family.

3. Economic benefits: 

promote the emergence, development and perfection of related, such as rehabilitation of children involved in addition to rehabilitation

Professional other than science, Neurology, and improved the neurophysiological assessment and examinations. Promoting the development of other professional, such as sports, job and language training, neurological and psychological professionals,promote the rehabilitation of other diseases, treatment improvement and diversification; additionally enhance the visibility required rehabilitation and intervention of children with long-term care and treatment in our hospital, changed from passive to active.

Third, the introduction of rehabilitation medicine (health prevention clinical rehabilitation)

1. Rehabilitation definition: application is integrated and coordinated measures to reduce social dysfunction handicapped physically and mentally ill, the reintegration ofdisabled. Rehabilitation, as an idea, guiding ideology, must permeate the entire medical system including prevention, early identification, clinic, hospital and discharged patients in health plans. Medical independence, improving the quality of life of the entire target.
2. Rehabilitation medicine: mostly due to injuries and acute and chronic diseases and aging caused by dysfunction, congenital developmental disorders with different causes all kinds of dysfunction, congenital, developmental disorders of the disabled. Its dysfunction is physical, psychology cannot function properly, this can be a potential or existing, reversible or irreversible, partially or completely, can coexist with disease, or sequelae. Rehabilitation medicine practice involving clinical subjects. Rehabilitation medicine focuses on holistic healing, fully reflect the biological, psychological,socio-medical model.
3. Goal of rehabilitation medicine: the rehabilitation of various means, prevent the occurrence of obstacles. Secondary disorders in particular, reduce the degree of barrier and improve the patient's ability to function and potential of disabled persons into the community.
4. Rehabilitation services: includes three rehabilitation institutions rehabilitation, home rehabilitation services and community rehabilitation.
5. Rehabilitation work: composed of multidisciplinary professionals, specializing in the form of joint operations and joint rehabilitation group. Leadership for rehabilitation physicians, members include physiotherapists, occupational therapists, speech therapists, psychotherapists, prosthetics and Orthotics Division, an audiologist, optometrists and social workers.
6. Rehabilitation evaluation: rehabilitation assessment is the basis of rehabilitation treatment, no regular treatment without assessment, evaluation, treatment,

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About Pediatric : Pediatric physical therapy

1. decline in physiological weight (physiological weight loss): newborns within a fewdays after birth, due to inadequate intake, meconium and water discharge, weight can be caused by a temporary decline. (3% ~ 9%, in 3 to 4 days after birth low, after rising 7 ~ 10th recovered to level at birth. ）

2. child care (Child health care): is the study of growth and development of childrenand its influencing factors and take effective measures to protect and promote children's physical and mental health and social development of a discipline.

3. Immunization (planned immunization): is based on the principles of Immunology,immunization of children characteristics and monitoring of the epidemic situation ofinfectious diseases to develop immunization program, is planned and purposeful biological inoculation to infants and young children, to ensure that children have access to reliable ability to resist disease, so as to achieve the purpose of the prevention,control and eradication of infectious diseases. 4. separation anxiety (separation anxiety): refers to the actual or expected and family separation, daily contact with people, things, caused by depression or even function. The General performance of the 3stages: cyclophosphamide against second disappointing ③ denies.

5. dehydration: refers to the water intake or total loss caused by too much body fluid, particularly reductions in the extracellular fluid, in addition to water loss, a loss ofelectrolytes such as sodium and potassium.

6. sleep apnea breathing stops for 15-20 seconds, or less than 15 seconds, but accompanied by bradycardia < 100 beats/min, cyanosis of the mouth and limbs, muscletension declined and apnea.

7. Zn (zinc deficiency): refers to the body due to a chronic lack of appetite caused byzinc reduction, growth retardation, pica and dermatitis of the clinical manifestations.

8. Eisenmenger Syndrome: when significant pulmonary hypertension, from right to left shunt is clinically persistent cyanosis occurs. 、

9. physiological and anemia: rapid growth, factors such as blood volume increases, volume of red blood cells and hemoglobin decreased to 2-3 months, red cell count dropped to 3.0x1012/us l, hemoglobin down to 100g/us l about mild anemia.

10. nutritional iron deficiency anemia (iron deficiency anemia,IDA): due to iron deficiency due to reduced hemoglobin synthesis in the body of a microcytic anemia anemia.

11. nutritional megaloblastic anemia (nutritional megaloblastic anemia, NMA): vitamin B12 and/or a large cell anemia due to folic acid deficiency.

12. status epilepticus (status epilepticus) epileptic seizure lasting more than 30 minutes at a time, or repeated interictal period can not be restored for up to 30 minutesmore. Clinical common tonic-clonic status epilepticus, Pediatric emergencies.

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Physical therapy of the cervical spine in yoga practice

Yoga cervical spine physical therapy

 

In here to reminded everyone of is, cervical bad of friends always used of turned neck, actually such is not of, only will increased on cervical of hurt, we as long as upper and lower around activities himself of neck on good, action must to slow, tie breathing to do, only will has effect. often activities himself of shoulder and arm is right of method, original ignored in following of articles in said, please everyone carefully of finished's, certainly followed practice about is on tension of neck best of reward and reward has:)

First, we look at how cervical spondylosis?

Cervical spondylosis is a strain of cervical degenerative disorders, and long neck flexion gestural. Serious oppressing to upper limb neural or vertebral arteries leading tothe brain and cause the arm to the acid attack pain or dizziness, or even the lower center-spinal cord nerve and resulting body weakness. Have a lot of friends have shoulder and neck pain problems, in fact, is the result of work and life, and require reasonable adjustment and exercises

Second, to look at what people cervical spondylotic myelopathy

The middle-aged and elderly population

With the increase of age, cervical disc deformation caused by excessive chronic strain, elastic weakens, edge of the vertebral bone Spurs formed, joint disorders, ligaments thickened, calcified and a series of degenerative pathology, so that more elderlypeople suffering from cervical spondylosis.

Poor posture

Some occupations, such as: office workers, computer operators, workers, teachers, accountants, researchers, typists, drivers, sportsmen, laboratory analyst, heavy manual labor, because long-term fixed position, keep the neck extensor muscles of neck inspasticity, long

A long time, so that neck flexion-extension muscular imbalance, causing spinal imbalance, and ultimately lead to cervical spondylosis.

Poor sleep posture

Person's life 1/3 of the time spent in bed, the height of the pillow to be scientific. Pillows too high will cause the neck muscles, ligaments and joints imbalance, accelerated degeneration of the cervical spine.

Bad habits

 

Long bow playing mahjong, playing cards, watching television, reading newspapers,these bad habits and making prolonged flexion of the cervical spine, neck muscles and ligaments overload, easily lead to strained

Have a history of trauma and congenital anomalies of the cervical spine

Cervical spine injury due to trauma caused, those with congenital abnormalities of the cervical spine, belong to the high risk of cervical spondylotic myelopathy.

See how to use Yoga therapy to adjust spondylosis?

1. Yoga therapy of cervical spondylotic myelopathy, Asana correctly is very important.

In yoga poses of practice process in the, followed from overall to local of practice principles, can first with removing wind series a, and cat stretch type, and simple of sun salutations type do for warm-up, then, again through spine of overall practice, strengthened spine of for blood and cycle, and strengthening waist back of muscle, to active cervical regional of blood cycle, as mountain type, and magic Chair type, and tree type, and Ferris type, and station type series, and triangle stretch type, and spine reverse type, and people surface lion body type, and low snake stretch,; last, will poses of gravity put in shoulder cervical regional, Gore to eliminate local swelling, coupled with the relaxation of the neck movement, such as flexion of the neck joint, back extension, left and right side bend, turn, shoulders and shoulder inside the outercollection, exhibition, surrounded by range of exercise, relax muscle spasm,

Improve the soreness and fatigue, so as to alleviate the symptoms. Meanwhile, stillhave to go through the shoulder and neck strengthening exercises, dispelling pathogenic wind in series two or three exercises, resistance to fatigue by strengthening itsability to improve the stability of the cervical spine, which exercises the effect to prevent recurrent attacks. Asana, breathing, slow. Not done in attack, cervical spondylotic myelopathy generally should not be done, cervical spondylosis patients at high risk should carefully practice, exercise, symptoms, or reduced to practice, or to stop the practice. Yoga cure, accurately complete style is very important. Best experienced in yoga therapy under the guidance of the teacher.

2, breathing and pranayama practice

In addition to yoga, a yoga breathing and pranayama practice of cervical disease treatment and prevention is very helpful but pranayama exercises are not suitable for independent practice at home, the vast majority of pranayama must be under the supervision of experienced yoga teachers to complete security. Recommended breathing exercises:

Spinal breathing

Lie on your back on the mat, mat towel roll under the neck, Chin, and stretching to relax the neck. In a pair of knee pads with a blanket, knees slightly bent, legs open and relaxed, back relax. Think of the spine into a hollow tube, with exhale, let the energy of the body starting from-the tail vertebrae at the bottom of the tube along the section of the wall section up until the head. As you exhale, let the energy of the body from the top down until the tail vertebrae. Practice 30-50 breathing. Complete relax. Spinal breathing full massage of internal organs, to mild stimulation of the entirespine, strengthening and balancing the nervous system, clean up the energy channels, increased physical energy.

Clean Meridian pranayama

Exchange also known as nostril breathing, balance body energy, opening the meridians of the body, and the Meridian

Read Also :  Therapeutic Yoga as physical therapy

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Therapeutic Yoga as physical therapy

Yoga therapy is a method used in yoga therapy. According to the meridians of the human body, into, connecting law combined with yoga. When in position to maintain, and ideas leading to breathe, breathing the energy required to generate action. This energy, disease-free is not in addition to, no strong push.

Mei er physical precision of Iyengar Yoga was integrated into everyday practice. Of ideas running through the mountains all the asanas, combined with the knowledge of the anatomy and physiology as well as the meridians of Chinese medicine and acupuncture points. Activates the muscles and the muscles associated with lesions, with dedicated Yoga music and mantra chanting bring the human heart to calm, relax, pleasure, and thus activate the inner energies. Achieve the purpose of treating disease.

Mountain type concept: double feet big toe parallel, other toe natural expand, Center uniform distribution in two a feet of feet Palm and heel Shang, foot bow Shang mention, 10 root toe as to outside stretch, shank inside up forced, shank, and feet of outside side down forced, knee Shang mention, thigh Qian side muscle received to thigh of roots, Qian side Center points moderate Hou push, inside muscle backward spin to hip direction, to guarantee hip rear broad of space. Tailbone right adductor, suprapubic, on the opening of the chest, his arms to outreach (armpits open 30 °), under the external rotation of the shoulders

Sink, push them along toward (push along the inside, lateral spreading corner close to the hips), on the diaphragm, lumbar spine relax.

First part of throat breathing

Also called Wu Jiayi throat breathing pranayama. Light tongue against the palate, inhales, air passes through the nasal cavity reaches the lungs, ribs spread, expanding chest, breath, chest collection. Breathing the perineum, anus, throat, breathing natural recovery, rather than a specialized band has deadlocked, inhale will feel a needle in abdominal gas pumped in and the formation of natural recovery. Consciousness focused on the back of the throat and the formation of a habit.

Second split only, support and therapy

Supta virasana: put your knees together, external rotation of the leg muscles, protect your knees. Little toe edge, ten toes close to the ground, hands back support, use the block between the two shoulder blades, the other at the back, keep the neck relaxed. Feeling of pushing around the inside edges of the scapula.

Support: for knee ankle disease or disorder, knees slightly apart to reduce knee stress. Sliver in the knee pit can also be used to increase knee space, thus alleviating the discomfort in the knee.

Physical therapy: thoracic, enhanced lung function, stimulates the thyroid, treatment of disc herniation. Activate the pectoralis minor muscle, relieve chest tightness, shortness of breath.

Hero-flexion: the heroic posture, hands and body, supporting the ground, parallel to the two middle fingers, arms spinning open the chest, tailbone, and stretch waist, feet touch the big toe, the other toes affixed to, outreach with the heel.

Magic chairs-type: with your legs hip width apart, pushing calves tightening, your knees over the toes, tighten thigh muscles, suprapubic, coccyx inside, relaxed waist. Thorax opened, pushed along the inside of the shoulder blades shoulder sinks, arms raised.

Support: free Yoga with auxiliary experience shoulders sinking feeling. Warrior II: from a magic Chair jumped feet-foot edge parallel to the ground, feet, on the Arch of the foot, right foot and turn right 90 degrees (or any other point, the center of the knee line with second toe on the line for example) song right knee, keeping hips are on the front. Double

Read Also : Yoga therapy regimen set : womens health physical therapy

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Yoga therapy regimen set : womens health physical therapy

Body shaping Yoga:

 

"Yoga can help control weight," it's the Ornish doctor and Ian Mc Kellen for heart patients, the doctor come to an important conclusion in the research process. This fiber body Yoga course is for now people women most troubled of arm, belly, thigh and hip surrounding fat stacked, relaxation, lack muscle endurance of symptoms, design out set very rich targeted and scientific of yoga courses, through moderate of movement stimulus, accelerated body metabolism, completely burning and elimination skin Xia extra fat, strengthened muscle organization and power, makes skin and body keep due of tension and vitality, rendering out perfect of line. Good shape curve, and through scientific investigation to prove its effectiveness for a long time and can prevent various illnesses caused by obesity.

Course schedule: 30-40 minutes

 

1. Warming up (ROM): the increase in joint activities, increased lubrication, reducing the friction of movement joints; in a dormant body, slightly exciting, up heart contraction accelerated, increased stroke volume, accelerate blood circulation, muscles work to prepare high body temperature, increase muscle flexibility, strong muscle injury prevention.
2. Meditation, pranayama (belly breathing): this breathing method can clean the respiratory system and blood, ridding your body of toxins, you can exercise abdominal muscles, eliminating irritating stomach, stimulate the functioning of the organs and glands of the body, speed up the body's metabolism
3. Prompting choreography: tree-style--riding--magic-chairs--the other side (tree riding magic)-latch-type--cat attack--full-locust--bicycle
   
   
    
   
   
   
   
   
4. Poses: slimming Yoga avoids the overburdened local sport and could not get exercise all parts so that the body's ills, which make it easier for some parts of fat can also be effective stimulus, such as a woman's waist, hips and thighs, so as to avoid some "fat" formation. In addition, it makes the muscles stretch vertically as much as possible, cut around so that fat from cells, improve material circulation, promotes cell division and updated, adjusted continuously with age slow metabolism. Maintain body metabolism will burn excess body fat, thereby reducing the body fat weight, lower body mass index, weight loss and weight control purposes
5. Nidra: help relax the mind, tension and fatigue, control high blood pressure, improve respiratory problems, breathing much easier to improve sleep quality and sleep problems, physical and mental pleasure, body full of energy.

Breast health Yoga

 

Yoga is a fashion movement that we enjoy life to the full, dominate the lives of capital, its graceful movements, and strange effect, is the most reasonable interpretation of its soft and refreshed is every woman's best gift to give yourself. Practicing yoga body breast blood will be more carefree, adequate blood supply to the breasts, balance the mammary glands, breast diseases prevention, as a woman should be able to prevent important. United States University of Southern California study showed that women under 40 years of age, if over 3-8 hours a week, and reduced risk of breast cancer by about 42%. Yoga in the breast at the same time you can also achieve the effect of breast diseases prevention, expanded chest, correct sagging breasts, beautification of the chest curve, making women more head "upright". Is breast best time from menstruation to the 11th, 12, 13 days, in addition to 7 days 18-24 days for the second-best time, because it affected breast fullness in 10 days is a 24-hour equivalent of ovarian hormones secretion, stimulate breast fat the best time, and thus make the chest full of women should increase in the 10 days of Yoga

"Love the breasts" first liver! This Yoga will not only lift the thymus breast, sexy breasts, but also through massage the internal organs, leading liver, breast more healthy!

Warm Tip: do not wear Bras exercise

Note: wearing a bra can also increase the incidence of breast cancer. Is likely to be due to the oppression of the chest for a long time, will affect the circulation of nutrients in the chest, hamper the body's self-regulating.

Course schedule: 30-40 minutes

A warm-up: a brief joint warm-up prepares an exercise can be very good for the body, active arms and shoulders and chest muscles.

Read Also : About physical therapy : Development of rehabilitation medicine

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about physical therapy : Development of rehabilitation medicine

Physical therapy during the first phase (1880-1919).

 

Physical therapy during the first phase (1880-1919). This phase by means of physical factors, simple treatments, such as massage, adaptive sports, direct current, induction, insolation, solar lamp, UV, etc. Learn names for massage therapists Association. Rehabilitation agencies were established in 1910. For example, during the first world war, United States was founded in New York in 1917, "International Centre for persons with disabilities", United States Army established the body recovery and rehabilitation, rehabilitation treatment for wounded soldiers; 1917 society of occupational therapy have also been established.

During the second stage of physical medicine (1920~1945).

After the first world war, war injuries and increase polio remains endemic to enable such persons, stimulated the rapid development of physics, such as diagnostics, radiotherapy, used not only to treat, also used for diagnosis and prevention of disabilities, development of physical medicine. Association of physical therapists was established in 1920, United States Government laws, guarantee payment of AIDS to persons with physical disabilities, career. Founded in 1923 the United States Association of physical medicine and rehabilitation. United Kingdom and Canada has also set up training institutions, various training for the sick and wounded, so that the war can return to work. Some functional assessment methods (such as freehand method for determination of muscle strength) and many rehabilitation tools (such as muscle strength treatment of hyperthermia therapy, improving orthosis therapy for paralysis, muscle function and so on) appear during this period. But this period of rehabilitation medicine has not yet formed a complete and independent specialists.

In second times world war during wounded more, for makes wounded as soon as possible returns front, rehabilitation medical of parent, United States of Howard A.Rusk, in physical medical of based Shang used more subject integrated application rehabilitation treatment, as physical treatment, and psychological treatment, and job treatment, and language treatment, and prosthetic and the orthopaedic support with Assembly,, for large wounded for function recovery of practice, greatly improve rehabilitation effect, powerful to promoted has rehabilitation medical of development. Howard A.Rusk, put forward the theories, principles and methods of rehabilitation medicine, greatly promoting the development of the modern concept of rehabilitation medicine and technology. Also during the clarify of principles on rehabilitation, such as functional training for patients, clarify the purpose of treatment and training not only physical function recovery of wounded, spirit will be rehabilitated.

In the United Kingdom, renowned orthopaedic surgeon Robert Jones in the United Kingdom set up rehabilitation centres in the air force, after treatment to the wounded and training, the 77% of the wounded returned to combat duties. Rehabilitation of some influential ideas also formed during this period, for example, in 1938 by Le-ithauser, who advocated early off-bed activity after major surgery, is considered to be one of the major changes in the practice of medicine in this century. 1938 United States society of physiotherapy was established in 1943, United Kingdom established physical medicine.

The third period

Physical medicine and rehabilitation phase (since 1946). After World War two, States the war rehabilitation organizations have been converted to peacetime rehabilitation centre for wounded soldiers, Rusk, strong proponent of rehabilitation medicine, battle damage assessment and rehabilitation experience in times of peace, promoting the progress of some major diseases treatment.

• In the 1940 of the 20th century, for example, Levine and Lown bedridden after myocardial infarction are not considered wise to Goldwater limited quantitative exercise, 60%~70% myocardial infarction patients can return to work, now lay the practice of exercise rehabilitation for coronary heart disease.
• 1947 United States previous physical medicine will be renamed as the physical medicine and Rehabilitation Institute, and the establishment of the system of rehabilitation specialists.
• 1948 Professor Rusk in the United States created Institute of rehabilitation medicine at New York University. 50 after Rusk and others efforts, rehabilitation medicine became an independent medical discipline.
• 1950 establishment of the international society of physical medicine and rehabilitation,
• In 1952, France held its first International Conference on rehabilitation medicine in Paris.
• 1969 Sykney Licht initiated the establishment of the "International Association of rehabilitation medicine", and in 1970
• Years in Italy held the first General Assembly, which marks the maturation of rehabilitation medicine. In order to facilitate rehabilitation work carried out all over the world, who also has rehabilitation and rehabilitation experiences relative to apply it in time of peace.

With medical health career of development, people life conditions improved, potent infectious diseases to control and eradication, human average expects life value extended, population aging, chronic diseases and Geriatrics proportion greatly increased, coupled with traffic accident and other accident hurt event increased, community of disability population also corresponding increased, patients and medical personnel also are cannot just meet Yu simple of cure, and requirements function also can get save and recovery, desire get high of life quality. All of these provide social impetus for rapid development of rehabilitation medicine, basic medicine and clinical development also lay a solid foundation for the development of rehabilitation medicine.

Concluding remarks

Rehabilitation medicine in China started late, but our unique combination of TCM and Western medicine rehabilitation medicine and modern rehabilitation medicine in the world trend toward convergence, active in academic exchange abroad, develop more quickly. Currently has been building up around a number of rehabilitation centers, rehabilitation hospitals, outpatient rehabilitation medicine, planned and carried out multiple layers of rehabilitation medicine education, cultivate a large number of rehabilitation professionals.

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About physical therapy: After the laser when to do moisturizing mask and import?

Problem : After the laser when to do moisturizing mask and import?  Laser mask replenishment when to do it?   

 

Import hospital amine tranexamic acid, arbutin, B3And LC,When  

Reply : After the laser is usually traumatic, and not immediately apply mask is recommended, unless some of the special favor of wound healing.We recommend laser scab off after doing the import.and also,Laser can be done before tranexamic acid import, Advantageously bleeding prevention color Shen Production or reduce the risk of pigmentation.   

Consider laser resurfacing preoperative and postoperative external use or cosmetics
Cosmeceuticals Used in Conjunction with Laser Resurfacing Seminars in Cutaneous Medicine and Surgery, September 2011 Author:Mary Lupo MD(U.S.)  

1. Vitamin A  

effect:Stimulating dermal collagen,Promote wound healing,Thickening of the skin,Promote the proliferation of fibroblasts,Inhibition of metall oproteinases,Inhibiting the transfer of melanin to the stratum corneum⋯⋯ In order to achieve reduction of fine lines, pigmentation abnormalities, improve the skin effect.  

Considerations: 

1. Topical vitamin A Derivatives, usually recommended before laser resurfacing were, in theory, can accelerate healing after surgery, and then the table Leather chemicals, reduce whiteheads,PIH Incidence, and can facilitate the laser penetrate the stratum corneum. 
2. The idea that the erbium laser collagen synthesis decreased, this time using Accutane promote collagen synthesis even more important.
3. Topical vitamin A Derivatives have become a routine practice of laser resurfacing, the total effect of promoting wound healing and collagen formation The body is more accurate, but there is still space for further study confirmed. 
4. About preoperative topical vitamin A Duration derivatives, typically ranging from a few weeks to a few months (most doctors choose 2-4 Weeks, studies have recommended that in3Weeks or more).
5. Ablative laser surgery should stop topical vitamin A Derivatives, and then until the beginning of the epidermis, also with a view to be stopped With at least3Months (to facilitate the re-skin and moisturizing).  

2. Vitamin C   

Role: to promote collagen synthesis, improve the appearance of fine lines, pigmentation calm transition, anti-inflammatory, photoprotection after less inflammation.  

you're currently reading : About physical therapy: After the laser when to do moisturizing mask and import?

Considerations: 

1. For vitamin C (L-Ascorbic acid) effect, there are a lot of scientific evidence to support. 
2. Erythema is laser resurfacing (ablative or non-ablative matter) after check-side reaction, topical vitamin C Auxiliary products to Help reduce postoperative erythema and inflammation.
3. Ablative laser and micro-grinding (weakened skin barrier function) can promote topical vitamin C Connor reflections effect.
4. Topical vitamin laser surgery C Can assist sunscreen.   

3. Vitamin E   

Role: to reduce theUVInduced erythema, scar prevention, improve pigmentation abnormalities and photoaging.  

Considerations: 

1. Topical vitamin E Need vitamin C Into a stable. 
2. Although vitamin E Product claims to help wound healing, less postoperative scarring, but studies often appear contradictory conclusions.One study showed that topical vitamin E Burn wounds not only had no significant effect, and increase the probability of contact dermatitis.
3. While topical vitamin E It may prove effective in the future, but in view of contradictory research data, contact dermatitis potential Risk and the lack of well-designed studies generally confirm its effectiveness,We do not recommend laser resurfacing joint topical vitamin E.   

4. Vitamin K  

Role: reduce postoperative bruising after fractional laser resurfacing delayed purpura.  

Considerations: 

1. A double-blind randomized controlled studies have shown that half of the face, before laser surgery topical vitamin K There was no significant effect, but after topical vitamin Vegetarian K Significantly reduce the severity of bruising - although not shorten the overall duration of purpura, But can reduce its severity(especially At the beginning of the topical 10 Days). 
2. In short, laser resurfacing after topical vitamin K It can accelerate the digestion bruising, but the mechanism is still largely unknown or chest Measurement.    

Growth factor  

Role: Acceleration of acute and chronic wound healing, anti-light aging, reduce fine lines and wrinkles, promote dermal collagen synthesis.  

Considerations: 

1. There have been sporadic literature supports the benefits of laser resurfacing before and after surgery for external growth factors. 
2. Theoretically, laser resurfacing combined with external growth factors can enhance the overall effect, speed up the recovery, but the relevant place bo-controlled Study scarce. 
3. Dermal collagen remodeling is one of the main mechanisms of laser resurfacing, and external growth factors may assist stimulate new collagen, so Theoretically external growth factors may enhance the effect of rejuvenation after laser resurfacing,Accelerate wound healing.Due to its large molecular and band Charge,Topical normal probability penetrate the stratum corneum growth factors is limited,The ablative laser resurfacing can weaken the epidermal barrier Retention forces, thereby facilitating better penetration of the active ingredient. 
4. Since the performance of keratinocyte growth factor receptor, non-ablative resurfacing after topical treatment is also useful in promoting growth factor Growth factor agency communication between the epidermis and dermis. 
5. Although laser resurfacing topical growth factor for further study, but its enticing.

Dye dilution agent  

Role: prevention or treatment of postoperative inflammatory hyper pigmentation (PIH).   Considerations: 

1. Many doctors suggest that before treatment using the agent to dilute the pigment to reduce postoperative PIH Probability. 
2. An American Society for Laser Medicine and Surgery (ASLMS) Member survey, 69% Of respondents report before resurfacing Hydroquinone to reduce postoperative PIH. 
3. In addition to hydroquinone, other common prevention before surgery PIH The ingredients also include kojic acid, and azelaic acid. 
4. Hydroquinone general usage: preoperative 3-4 Weeks, daily 1-2 Times. Some doctors only in light skin type3Or more of patients with typeuse. 
5. It is worth noting that more than one study showed that preoperative use of pigment dilution agent does not actually reduce postoperative PIH. Nevertheless, preoperative use of hydroquinone pigment dilution agent is still a common practice. 
6. When postoperative PIH,Can be combined with the use of topical agents to the pigment,Mild chemical peel agents to promote regression of sunscreen agents.among them, Hydroquinone with vitamin A Derivatives, azelaic acid or kojic acid, glycolic acid, etc. used in combination to enhance the effect.
7. Postoperative use of pigment dilution agent, usually in the skin and then complete (or after2-6Weeks) after start using it immediately.
8. For abnormal pigment, spectral strict sunscreen is very important. 
9. Fortunately, after PIH Usually a temporary (weeks or months later subsided).

Moisturizer  

Role: to promote and re-skin of the wound healing, prevent scabs.  

Considerations: 

1. Using isolation-type ointment(occlusive ointment) of "Open" The method of isolating or semi-dressing "Closed" The method, which is more conducive to wound healing, which is currently in dispute.
2. Such as using open approach(Barrier ointment),It should be taken to limit the barrier ointment,Avoid acne-like pustules or small Miliary rash (reported in the literature, type non-ablative fractional laser change after deputy 83.5% The patients with acne like whitehead or pustule small,Type non-ablative fractional laser change after deputy83.5%Of patients with small pustules or acne-like rash miliary).
3. It has been reported after the use of Vaseline laser resurfacing can occur contact dermatitis. 
4. Many dermatologists use Eucerin-purpose repair cream (AHO, Aquaphor healing ointment, Beiersdorf) As postoperative repair products. Recent studies show: Compare Eucerin-purpose repair cream (AHO) And topical milk Biafineliquid (BTE, Orthoneutrogena) In the opening weeks of the dotCO2After laser resurfacing wound healing effect, the results show,AHO excellentin BTE; BTE Laser wound healing better than white petrolatum;AHOLaser resurfacing excellent wound healing effect Antibiotic ointment.(See also: superficial wound care products Compare: emollients vs. Biafine vs. Antibiotic ointment).
5. For a large number of commercially available after moisturizing products, it is necessary to compare the effect of further research. 
6. Whichever you choose, moisturizer, patients should pay attention to adjust the recipe according to the needs at different stages of rehabilitation after surgery.   

Sunscreens  

Role: Prevention UV For damage after peeling of the skin, reduce inflammation after pigmentation calm transition risk.

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