Ubushakashatsi bwakozwe mu kinyamakuru Menopause bugaragaza ko uburyo bwo kuvura hakoreshejwe laser ya CO2 hakoreshejwe ibice bito bya microblative bwagaragaje ko bufite akamaro kandi bufite umutekano mu kuvura indwara yo mu gitsina mu gihe gito.
Isuzuma ry’imbonerahamwe ryakozwe ku bagore 139 bafite ibimenyetso byo kugabanuka k’ububobere mu gitsina, bakoze isuzuma rya laser inshuro eshatu mu gihe cy’ibyumweru 6 mu ivuriro rya Vulvar na Sexual Health riri muri Prohealth, Waukesha Memorial Hospital, muri Wisconsin, kuva muri Mutarama 2016 kugeza Ukuboza 2019.
Abarwayi bose bari barengeje imyaka 18 (imyaka 62 y'amavuko) kandi batari batwite.
Indwara ya estrogen yo mu mubiri yagaragaye kuri 53% by'abarwayi (n = 74). Indwara ya kanseri y'ibere yagaragaye kuri 27% (n = 38) naho iy'ubururu (lichen sclerosus) kuri 22% (n = 31).
Abarwayi bakorewe ubushakashatsi mbere yo kuvurwa bwa mbere n'ubwa gatatu hakoreshejwe uburyo bwa laser bubiri bwemewe: Igipimo cy'imikorere y'igitsina gore (FSFI) n'Ikibazo cy'ibimenyetso by'imibonano mpuzabitsina (VSQ). Hanakozwe kandi ikigereranyo cy'amashusho (VAS).
Ubuvuzi bwabanje gutangwa mu gitsina hakoreshejwe agakoresho ko gupima imboro, hanyuma hagakurikiraho uburyo bwo kuvura igitsina hakoreshejwe agakoresho k'intoki gatandukanye, hakoreshejwe igishushanyo cy'impande. Lidocaine 2% yasizwe ku ngingo z'igitsina gabo iminota 20 mbere y'uko ubuvuzi butangira. Imiterere ya laser yo kuvura igitsina gabo n'igitsina gabo yakozwe nk'uko byakozwe mbere.
Impuzandengo y'ikurikiranabikorwa yari ibyumweru 13.8.
Amanota yose ya FSFI yazamutse: mbere yo kuvurwa 12.7 ugereranije na nyuma yo kuvurwa 19.0 (P)
VSQ kandi yagaragaje ko ibibazo 18 muri 21 byarushijeho kuba byiza (P
Byongeye kandi, VAS yagaragaje iterambere rigaragara mu kubabara mu mibonano mpuzabitsina no mu buryo bw'imyanya ndangagitsina no mu buryo bwumye: mbere yo kuvurwa 12.7 na 4.6, ugereranije na nyuma yo kuvurwa 2.4 na 1.5 (zombi P
Byongeye kandi, abandi bagore 17 batangiye gukora imibonano mpuzabitsina nyuma yo kuvurwa bwa kabiri hakoreshejwe laser. Nta ngaruka mbi zikomeye zagaragaye mu bagize ubushakashatsi.
“Twatunguwe no kubona abarwayi bakize vuba nyuma yo kuvurwa rimwe cyangwa abiri,” ibi byavuzwe n’umushakashatsi mukuru Sarit Aschkenazi MD, MS, umuyobozi wungirije w’ibitaro bya Prohealth Waukesha Memorial Hospital. “Iterambere ryabayeho ndetse no ku bagore bafite ibimenyetso bikomeye batitabira ubuvuzi busanzwe, nka estrogen yo mu bwoko bwa topical, cyangwa abafata imiti igabanya ubukana bwa aromatase mu kwirinda kanseri y’ibere. Twashimishijwe cyane no kubona abagore barwaye lichen sclerosis bafite uruhu rwangiritse cyane bagaragaza ibimenyetso byo kumera neza.”
Bivugwa ko uburyo bwa laser butanga ingufu mu bice biri munsi y’umubiri, ariko bugatuma epithelium igaragara hejuru y’umubiri irushaho kwangirika. Butuma fibroblasts zikora collagen na elastin nyinshi, ndetse bukongera amazi, imikurire y’uruhu, n’ubugari bw’uruhu rw’igitsina gore n’urw’igitsina gabo, nk’uko Aschkenazi abivuga.
Yagize ati: “Ibi bisa n’ingaruka ziterwa na laser ikoreshejwe ku ruhu rwo mu maso. Laser imaze imyaka irenga icumi ikoreshwa ku ruhu rwo mu maso kandi byagaragaye ko ari nziza. Ibipimo by’uruhu byagaragaje kandi izi ngaruka. Izi mpinduka zose zigereranywa n’impinduka zibaho iyo estrogen iri mu mubiri mbere yo gucura.”
Aschkenazi yagize ati: “Ubu buryo bushya bwo kuvura iyo estrogen idakora neza, idakora neza cyangwa idakenewe.”
Ariko, hakenewe inyigo ku buryo butaziguye kugira ngo hamenyekane neza akamaro k'ubuvuzi bwa laser, ndetse hamenyekane umubare ukwiye w'imyitozo yo kuvura, igihe n'inshuro zo kongeramo ubuvuzi.
Aschkenazi yagize ati: “Uburyo bumwe bwo kuvura ni uguhuza uburyo bwa laser therapy n’uburyo bwo kuvura hakoreshejwe imisemburo, mu gihe bitabujijwe, nko gukoresha estrogen therapy cyangwa topical dehydroepiandrosterone (DHEA) kugira ngo hakongere igihe cyo kunoza ingirabuzima fatizo no kugera ku ngaruka nziza ku rugero ruto.”
Nubwo laser yabonetse ko nta kibazo ifite ku barwayi bose bakoreweho ubushakashatsi, Aschkenazi atanga inama yo gukoresha uburyo busanzwe bwo kuvura ibimenyetso byo gucika kw'imitsi yo mu gitsina mbere yo kongeramo ubuvuzi bwa laser, no gukurikiza ibipimo byo kuvura kugira ngo hirindwe ingaruka mbi. Abafite ibibazo nk'ibyo bagomba kandi kwita ku ruhu rwabo bagabanya ibintu bibabaza uruhu, imyenda y'imbere ifunze neza, isabune n'udupira tw'abagore duhumura neza. Yagize ati: “Kongeramo utunyangingo tutari imisemburo bifasha kwirinda ubwumye buterwa n'ibimenyetso byo gucura.”
Videwo ijyanye n'ibi bikurikira: Ubuvuzi bwa CO2 bwa laser bwo kugabanya ubukana bw'imitsi yo mu gitsina.
"Ishingiro ry'ireme, Ubunyangamugayo nk'ishingiro, Gushyigikirana inyangamugayo n'inyungu rusange" ni igitekerezo cyacu, kugira ngo twubake kenshi kandi dukomeze gukora neza Kugurisha imisatsi mu buryo bugurishwa , Imashini ya Ipl yo mu buvuzi , Laser Ifite Ingufu Nyinshi , Ibicuruzwa byacu byoherejwe cyane cyane mu majyepfo y'uburasirazuba bwa Aziya Euro-Amerika, ndetse no kugurisha mu gihugu cyacu cyose. Kandi bitewe n'ubwiza bwiza, igiciro cyiza, serivisi nziza, dufite ibitekerezo byiza bivuye ku bakiriya bo mu mahanga. Murakaza neza kwifatanya natwe kugira ngo mubone amahirwe menshi n'inyungu. Twakira abakiriya, amashyirahamwe y'ubucuruzi n'inshuti ziturutse impande zose z'isi kugira ngo badusange kandi bashake ubufatanye kugira ngo twungukire hamwe.