?? ?????? peeling (????????? ? ???????????) ????? ? ???????? ???? ? ???????????? ?????? ??? ????? ?? ?????????? ??? ?????????? ??? ??? ?????????? ??? ??????????? ??? ?????? ??? ??????. ? ??????? ???? ???????? ?????????? ?????, ??????????? ??? ??? ???????? ??? ??????????? ?? ????????? ?????????????? , ??????????, ????? ????? ??? ???????.
?????????? ?? ?????? peeling ?????? ???????????? ??????? ?? ?? ????? ??? ????????????, ??? ?????????? ????? ?? ??? ?????? ?????????, ??? ??????????? ??? ??? ???????? ??? ?????????. (??????? ??? ??? ??????? ???????? ? ???????, ??? ????????? ??? ????????, ???????????? ?????, ??? ???????? ??? ???????? ??? ??? ????????? ???????)
?/. ???? ??????????? (??????????) Alpha hydroxy acids (AHA) 30-50% (1-2 ?????) Jessners solution (1-3coats/???????????) Resorcinol 20 - 30% (1-10 ?????) TCA 10% (1coat) ????? : ???? (????????? ??? ???? ??? 2????? ??? ????)
?/. ??????????? (?????????? ??? ??????? ??????) AHA 50-70% (2-10?????) Jessners solution (4-10coats) Resorcinol 40 - 50% (30-60 ?????) TCA 10-30%
????? : ???????????, ????????? ??????????????, ????? ????? (????????? ??? ???? ??? 6 ????? ????? ?????? ????? ?? ?????)
?/. ????? ?????? (?????????? ??????? ?????? ???????) AHA 70% (3-30 ?????) TCA 35 -45% Jessners solution + TCA 35% glycolic acid 70% + TCA 35%
?/. ?????? (?????????? ??????? ?????? ??????? ?????) TCA 45-70% ??????? 89% (?????????? ??? ?????? ????? ??????????? ??????????) Jessners solution + TCA 35% (?????????? ?? TCA 45-50% )
??????? ??????? PEELING ?????? ??????? ???????? ?????????????????? ??????????? ?????????? ????? ??????????? ???? ??????? ?????????? ?????????? (?? 2 ?????)
???????: ?? PEELING ??????? ??????? ??? 10 ????????? ????? 10??????? ???? ???????????.
????????? 1. ??????? (TCA 35-40%) 2. ???????? ???????????? 3. ??????? (TCA 35% ? TCA 20-25% ?????? ?????) 4. ????? ????? (TCA 35% + Jessners solution) 5. ?????????????? ??????? (TCA 45% ? TCA 45% + Jessners )
???????????? 1. ????? ???????? IV-VI ???? Fitzpatrick 2. ???????? ??????????????? ??????? ????? 3. ?????????? 4. ??????????? ????????????? ???????? 5. ????????? ????????????? 6. ??????? 7. ???? ??????????? ????????? 8. ???????? ?????????????? ????? (??? ???????) 9. ???????? ???????? ??? ???????? ????? (??? ???????) 10. ???????? ???????????? ??????????????? 11. ???????? Ehlers Danlos 12. ??????? HIV+ (??????? ??? ????????????) 13. ???????? ???? Isotretinoin (Roaccutan) ? ??????????????? ? ??????????? (??? ???????) 14. ?? ??????????? ??????????
??????? ?/. ???????????? 1. Tretinoin 0,05-0,1% ?? ????? ??? 15 ????? ???-peel 2. ???? ????????? ??? 6??? ??? 24???? ???? ??? ???????? 3. ??????? ???????? ?????? 48???? ???? ?? peeling 4. ????? ?????????? 5. ???? ??????????? ??????????? ??? ??????? ??????????
?/. ???? ??? ???????? 1. ???? ??????????? ???? 2. ??????? ???????? ?? ??????????? ??? ?? ??????? (????) 3. ?????????? ??? 2 ????? 4. ????????? Jessners solution ?? ???????? ????, ??? ???? ???? (??? ?????? ???. ?? ????? ??? ?????? ????????) 5. ??? ???? ????? ?? ????? ?????????? ???? ??? ???????? 6. ?????? ??? 3-4 ????? 6. TCA 25 -45% ?? cotton tip ? ??????? ????? ????????, ?? ???????? ???? ?? ??????????? ?????? ?? ????? peeling 7. ????????? ?? ???? 3-6????? ??? ???????????? ? ??????? (???????) 8. ??????? ?????
???????? (????????? ?? ??????? ???? ??? ???? ??? ??????? ??? ????????) ?????? ????????? ??????? ??????? ????????????? ???? ????? (???????)
?????????????? ????????? ?? ??????? ?????? ????? 25% ?? ???? (3-4 ????? ??? 2 ??????, ???????? 1 ???? :3 ????) ??????? ????? ???? ??? ????????? 3-4 ????? ???????? cream fucidin, ??????????? ?????? ??? ?????? ???? ???? ???? ??????? ?????????? ??? ???????? ?????????? ?????
?????? ????????? 1. ???????? 10-30 ????? (?????) 2. ??? ??????? 20-60 ????? ( ???????? 1-2?????) 3. ?????? 60 ????? (???????? 1-2?????) 4. ????????? 3-4 ???? (???????? 7-12 ?????) 5. ????? ??????? 10-12 ???? (???????? 30-60 ?????) 6. ?????? (?? ???????? ???? ??? ????? ???????? ??? ??????????)
???????????? ????????? ?/. ?????? : 1. ??????? 2. ?????? 3. ????????? ?/. ??????? 1. ???????????? ??????? 2. ?????????? 3. ????? (?? ??????? ??????????) 4. ???????????? 5. ???????? 6. ??????? 7. ????????? ? ?????? ??????? (???????)
??????? 1. ??? ???? ???????? ????????? TCA 2. ??????? ???? ????? 3. ????????? ?????, ?????? ?? ??????? ??? ?????? peeling 4. ?? ?????? ?? ???? 30?????? 5. ??????? ???????????? ?? ??? ????? ??????? 6. ??? ??? ????? ??????? ????? 7. ??? ???? ????? ??????? ????? 8. ??? ?????? ?????????????? ?? ??? 9. ????????? ??????????? TCA 20% ?????????? ??????????? ??? ????? ???????? ?????? 2 peeling ??? ???? ??? 2 ????? Re-peeling ???? ??? 6 ????? ???????? 3????? ???? ??? isotretinoin ??????? ????????? ???? ???????? ?????? ??? ???????? ? ?? ???????????? ?????? ? ???????
??????? ???? ????? ?????? ???? ??????????? ???????? ??? ????? ??? 15 ????? ?? ???????? ?????????? ??? ?? ?????? (?????? ????) ?? ?????? ?????? ??? ????? Jessners solution formula Resorcinol 14gr Salicylic acid 14gr Lactic acid 14cc QS Ethanol 100cc? ???????????: ????????? ???? ???? ??? ?? ???, ?????? ?? ?????????? ?? ?????? ??????, ??????????? ??? 2 ??????. |