Allgemeines zu Laser in General
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Indikationen
Liste von ausgewahlten verschiedenen Lasertypen
Einsatz verschiedener gepulster und gütegeschalteter Laser.
Zielstruktur (Chromophor) |
Bevorzugte Wellenlängen/mögliche
Lasertypen |
Typische Hautläsionen |
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(Gefässlaser) |
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Hämoglobin |
- 532
nm (fd Nd-YAG)
- 585 nm (Farbstoff)
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- Vaskuläre Läsionen
- (Feuermale, Hämangiome,
- Couperosen, Besenreiser)
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(Pigmentlaser) |
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Melanin |
- 694 nm (Rubin)
- 755 nm (Alexandrite)
- 810 nm (Diodenlaser)
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- Pigmentflecken/Altersflecken
- Vermehrte
Körperbehaarung
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Exogene Pigmente |
Q-switched Nd-YAG |
Tätowierungen |
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(Chirurgische/ablative Laser) |
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Wasser bzw. Gewebswasser |
10640 nm (CO2)
2940 nm (Er-YAG) |
- Gutartige Tumoren
- Narbige, faltige.
- lichtgeschädigte Haut
- Kondylome
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Indikation zur Lasertherapie
Laser/IPL als beste Therapie |
Vergleichbare Alternativmethoden vorhanden |
Laser nicht angezeigt |
- Vaskuläre Läsionen
- Feuermale,
- Hämangiome,
- Couperosen
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- Altersflecken/ Pigmentflecken
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- Virale Warzen palmoplantar
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- Vermehrte dunkle Körperbehaarung
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- Kondylome
- Vermehrte helle
Körperbehaarung
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Alternativen zur Lasertherapie
Hautveränderung |
Alternative oder ergänzende Methode |
| Besenreiser an den Beinen |
Verödungs- bzw. Sklerotherapie |
| Narbige, faltige, lichtgeschädigte
Gesichtshaut |
Dermabrasio, Implantate, Face-lifting,
Kryotherapie bzw. Kryopeeling, Vitamin-A-Säure, Fruchtsäuren,
chemische Peelings mit verschiedenen Substanzen, Photodynamische Therapie |
| Altersflecken/ Pigmentflecken |
Kryotherapie, Vitamin-A-Säure, Fruchtsäuren,
chemische Peelings |
| Gutartige Tumoren |
Elektrokoagulation, Cürettage, Kryotherapie,
Exzision (Vorteil der feingeweblichen Untersuchung) |
| Virale Warzen palmoplantar |
Kryotherapie, verschiedene Interna und
Externa, Bleomycin und Interferon sub- und intraläsionär |
| Spitze Kondylome |
Elektrokoagulation, Kryotherapie, Podophyllin,
Imiquimod |
| Vermehrte helle Körperbehaarung |
Elektrische Epilation, Wachsmethode,
Rasur, Vaniqa® (Eflornithin) Crème |
English
glossary concerning lasertechnology
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absorb - To take up matter or energy.
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absorption - Transformation of radiant energy to a different form of
energy by the passage through, or reflection from, matter.
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absorption coefficient - A measure of how strongly light is absorbed in
a particular material. A large number indicates strong absorption.
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active medium -
Collection of atoms or molecules capable of undergoing stimulated emission.
- amplitude - Magnitude or height of an electromagnetic wave.
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argon - A noble gas used as an active medium in some lasers. An argon
laser emits blue-green light.
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attenuation - The decreasing intensity (power) of light as it passes
through a medium, caused by the interaction of the photons with the medium.
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beam - A collection of electromagnetic rays that may be parallel,
Convergent, or divergent.
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chromophore - A colored material in tissue (generally melanin or
hemoglobin) that absorbs laser light.
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coherent radiation - Electromagnetic energy of the same wavelength and
phase.
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collimated -
Parallel. Laser light is collimated because all of the rays are parallel
to each other.
- continuous wave - A Constant delivery of laser energy without pulses.
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diode -
An electronic device that allows current to flow one direction but not
the reverse direction.
- divergence - Angle of spread on the outer edges of a laser beam.
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electromagnetic spectrum -
The entire spectrum of energies (wavelengths and frequencies) emitted
by atomic systems. The ETD spectrum ranges from long wavelength radio
waves and microwaves, through visible light, to the short wavelength,
high energy ionizing radiation of X-rays and cosmic rays.
- electron - Negatively charged part of an atom.
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emission - Any radiation of energy by means of particles or
electromagnetic waves.
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energy - A measurement of the capacity to do work. The energy (in
joules) produced by a laser is defined as the amount of power (in watts)
multiplied by the duration (in seconds) of the pulse.
- excited state - An atom with an electron in a higher energy level
than the ground state.
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fiberoptics - Thin, flexible devices used to carry light or other
optical energy.
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focal length - The distance between the focusing lens and the point at
which the smallest spot size of the light beam is achieved.
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focus - The point at which light rays converge to form the smallest
possible beam diameter, thus achieving the greatest power density.
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frequency - The number of waves that pass a fixed point per unit time.
The frequency of a wave is the inverse of its wavelength.
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ground state - The lowest energy level of an atom, also known as the
resting state.
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intensity - The power transmitted by a light wave across a unit area
perpendicular to the wave.
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laser plume - Smoke, water vapor, and airborne particles that are the
byproducts of laser vaporization.
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melanin - The pigment that gives color to the skin. It is located at the
junction between the epidermis and the dermis and in hair follicles.
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micron - A measurement of distance representing one one-millionth of a
meter or 1,000 manometers.
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monochromatic -
Literally, "of one color." Laser light is
monochromatic because it consists of electromagnetic radiation having
very small range of wavelengths.
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optical cavity - The space between the mirrors in which lasing occurs;
also known as the resonator.
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optically pumped laser - A laser in which the medium is excited by
absorption of light from an external source (often xenon flash-lamps).
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oxyhemoglobin - The oxygenated form of hemoglobin in the blood.
- photon - A small discrete
packet of light energy.
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population inversion - A state in which an active medium has been
excited so that more of its atoms or molecules are in excited states compared to
the number in the ground or resting state.
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Power density, - The power of a laser beam er unit area. It is measured
in watts per square centimeter.
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Besmirching - A method of switching a laser on and off in which energy
is stored within the lasing medium and then suddenly released in a short, single
burst (approximately 30 nanoseconds) resulting in extremely high peak power
output.
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radiation - The emission and/or propagation of energy through space or
through a medium in the form of either waves or particle emission.
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semiconductor - a material that will not conduct electricity below a
certain threshold voltage but become a conductor of electricity at higher
voltages
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spontaneous emission -
Spontaneous decay of an excited atom to a ground or resting state causing
the emission of one photon.
- spot size - Diameter of the laser beam spot.
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stimulated emission - Emission of a photon from an excited atom
triggered by the proximity of the atom to another photon of similar energy.
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thermal relaxation time - The time it takes heat energy to diffuse out
of a tissue. If the thermal relaxation time of a tissue is longer than the
duration of a laser pulse, thermal damage will be limited to the tissue treated
and will not spread to adjacent tissues.
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wave - A progressive disturbance propagated from
point to point in space or in a medium.
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wavelength - The distance from one wave peak to the next. The wavelength
of an electromagnetic wave is the inverse of the wave's frequency.
Deutschsprachiges
Glossar bezuglich Lasertechnologie
- CW : Die
Laserrohre produziert eine
vorgewahlte, kontinuierliche Intensitat mit lediglich kleiner oder
fehlender Variabilitat im sogenannten Dauerstrichbetrieb. CO2-Laser.
- Laser : Es
wird in einem Gerat eine koharente gerichtete elektromagnetische Welle
durch einen Ubergang eines stimulierten Elektrons oder Molekuls in
energetisch tiefer liegende Zustande erzeugt.
- Energiedichte: Energie pro
bestrahlter Flache, Zusammenhang mit
der Ausgangsleistung des Lasergerats und dem Fokusdurchmesser [W/cm2].
- Pumpen: Transport von Energie
in ein aktives Lasermedium, zum Beispiel in Form von Licht, elektrischer
Spannung oder Laserenergie eines vorgeschalteten Lasers. Dabei wird
nur ein Teil der zugefuhrten Energie in
Laserenergie umgewandelt, der Rest geht meist in Form von Abwarme verloren
[Wirkungsgrad].
- SP : Die
Laserrohre generiert
elektronisch gesteuert in rascher Folge Impulse, die energetisch zwei-bis
zehnmal hoher liegen, als die mit der gleichen Rohre produzierbare Energie
im CW moglich ware. SP ist durch die kurzen Impulse (< l ms) wesentlich
gewebsschonender als . Zwischenstellung zwischen Dauerstrich und gepulsten
Lasern.
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