دانستنی های چامومیلز 1
صابون نرم بهدیس آرپی خرید پستی صابون نرم بهدیس خرید اینترنتی صابون بهدیسدانستنی های چامومیلز 1
صابون نرم بهدیس آرپی خرید پستی صابون نرم بهدیس خرید اینترنتی صابون بهدیسفانی بافت
سرگرمی فانی بافت
بهترین و پر فروش ترین سرگرمی دنیا در سال 2014
توسط این کش ها هر وسیله ای می توان ساخت
دستبند ، پابند ، گوشواره ، عروسک ، جاکلیدی
بهترین سرگرمی برای اوقات فراغت شما
برای کودکان و نوجوانان
اگر دوست دارید ابتکار به خرج دهید و هنر خود را به نمایش بگذارید
با فانی بافت می توانید این کار را انجام دهید و دستبند گردنبند
و گوشواره و انگشتر و خیلی مدل بافتنی های دیگه
به راحتی ببافید و حتی به خانواده و دوستان خود هدیه دهید.
بدون نیاز به آشنایی خاص در مورد بافت دستبند و غیره
فقط کافیست مطابق راهنما ، کش ها را داخل شابلون قرار داده
و در انتها مطابق دستور العمل ، یک دستبند زیبای کشی برای خود درست کنید .
کافیست چند بار مطابق الگو های آموزش داده شده کار کنید
و دستبند های متنوع را درست کنید ، بعد از آن که نحوه قرار دادن کش ها
در شابلون را به خوبی یاد گرفتید ، میتوانید خودتان طرح ها و الگو های جدیدی ایجاد کنید
وسایل داخل جعبه بازی فانی بافت :
۱ – شابلون مخصوص بافت دستبند
۲ – گیره مخصوص جا به جا کردن و در هم انداختن کش ها
۳ – دو بسته کامل کش فانی بافت در رنگ های متنوع
۴ – گیره های مخصوص بستن دستبند
۵ – دفترچه راهنمای بافت انواع دستبند به صورت تصویری
به راحتی این محصول را از فروشگاه اینترنتی جفت 6 سفارش داده و بعد از تحویل مبلغ را به مامور پست دهید
در صورتی که با کلیک روی دکمه زیر به سبد خرید منتقل نشدید موجودی محصول تمام شده است
قیمت کالا : 24.000 تومان
قلم لکه گیر لباس gonal
دیگر نگران رنگی شدن لباسهایتان نباشید
قلم لکه گیر لباس gonal
محصولی جدید و بی نظیر که صنعت پوشاک را دگرگون کرده است
با خرید قلم لکه گیر لباس gonal دیگر نگران لکه های کوچک و بزرگ لباس خود نباشید!
قلم لکه گیر لباس gonal تنها در عرض چند ثانیه به راحتی تمام
لکه های لباس شما را از بین خواهد برد!
قابل استفاده برای تمام لباس ها با هر جنس و هر رنگی و هر جنسی
فوق العاده آسان و سریع لباس خود را تمیز کنید
قلم لکه گیر لباس gonal محصول جدیدی می باشد که با عرضه خود توانست
یک دگرگونی در صنعت پوشاک دنیا ایجاد کند. این قلم قادر هست به راحتی
لکه هایی را که بر روی لباس شما قرار دارد به راحتی و در عرض چند ثانیه پاکسازی کند
و لباس شما را مانند روز اولش کند! با استفاده از این قلم دیگر برای هر لکه کوچک و بزرگی
نیاز به شستن لباس خود ندارید و در عرض چند ثانیه می توانید آنها را محو کنید! از دیگر ویژگی های
این محصول می توان به کارایی آن با تمام لباس ها با هر جنس و رنگی اشاره کرد.
روش استفاده از قلم لکه گیر لباس gonal :
ابتدا قلم را 10 الی 15 ثانیه خوب تکان دهید.
سپس قلم را بر روی لکه لباس خود قرار دهید و قلم را به گونه ای فشار دهید
که نوک قلم اندکی به داخل رفته و مایع داخل آن به اندازه کافی بر روی لباس شما ریخته شود.
سپس نوک قلم را به خوبی بر روی لکه لباس حرکت دهید تا لکه محو شود.
در نهایت حتما یک دستمال مرطوب بر روی آن قسمت هایی که از قلم استفاده کرده اید بکشید.
نکات مهم در مورد لکه گیر لباس :
استفاده این قلم برای هر نوع لباسی با هر جنس و رنگی و پوششی بلا مانع است.
حتما بلافاصله پس از استفاده از این قلم یک دستمال مرطوب بر روی آن قسمت هایی که از قلم استفاده کرده اید بکشید.
به راحتی این محصول را از فروشگاه اینترنتی جفت 6 سفارش داده و بعد از تحویل مبلغ را به مامور پست دهید
در صورتی که با کلیک روی دکمه زیر به سبد خرید منتقل نشدید موجودی محصول تمام شده است
قیمت کالا : 14.800 تومان-قیمت خرید نقدی 13.320 تومان
ساعت دیواری فانتزی
در فروشگاه ما از ساعت دیواری فانتزی پانا و ترنم و اشک و عشق دیدن نمایید
ساعت دیواری فانتزی پدیده و گل پر و ارغوان و شاهکار و .....
برای ورود به فروشگاه ساعت دیواری فانتزی اینجا کلیک کنید
ساعت دیواری فانتزی جدید ضامن زیبایی خانه شماست
ساعت دیواری های متنوع و زیبا در کلاس جهانی
خرید ساعت دیواری فانتزی در بیش از 50طرح متنوع
ارزانترین ترین ساعت دیواری های ایران
برای ورود به فروشگاه ساعت دیواری فانتزی اینجا کلیک کنید
امیدواریم که ساعت دیواری فانتزی ارزان ما را بپسندید
برای ورود به فروشگاه ساعت دیواری فانتزی اینجا کلیک کنید
افتخار ما این است که خرید ساعت دیواری فانتزی و شیک را برای شما آسان نموده ایم
برای ورود به فروشگاه ساعت دیواری فانتزی اینجا کلیک کنید
خرد کن پلین
خردکن پلین (نایسر دایسر)
تفاوت خردکن پلین با خرد کن نایسر دایسر چیست؟
خردکن پلین همان خرد کن نایسر دایسر است که به دلیل تبلیغات در شبکه های ماهواره ای مجبور شدیم نام نایسر دایسر را تغییر داده و پلین را جایگزین کنیم ولی در
اصل محصول یکی است این محصول دارای نمونه تقلبی نیز در بازار می باشد که تیغه های کمتر و کیفیت پایینتری دارد و قیمت آن پایینتر از قیمت جنس اصل می باشد
از خردکن پلین چه استفاده ای می شود؟
خرد کن پلین یک خرد کن و رنده فوق العاده است که با یک حرکت می تواند تمام میوه ها و سبزیجات را خرد کند.استفاده از خرد کن پلین نامحدود است و شما خیلی
راحت می توانید با سلیقه و ذوق خود از آن استفاده های گوناگون کنید.فقط کافیست خردکن پلین را در منزل داشته باشید تا از داشتن یک محصول خوب هیجان زده
شوید خرد کن پلین به خصوص در مهمانی خیلی به شما کمک می کند .هم سرعت عمل شما را بالا می برد و سبزیجات و میوه جات را بسیار منظم براتون خرد می کند
آیا خرد کن پلین توانایی خرد کردن سبزیجاتی مثل پیاز که سریع له می شوند را دارد؟
نگران خرد نشدن و یا له شدن مواد غذایی نباشید. اگر خرد کردن پیاز همیشه چشمهایتان را اذیت می کرد با خرد کن پلین به راحتی میتوانید این کار را انجام دهید.
ویژگی های اصلی خرد کن پلین اصل چیست؟
ظرف این خرد کن بسیار با کیفیت است و از پلی کربنیک ساخته شده که ضد خش، لکه و ضربه است و مزیت دیگر آن این است که برخلاف محصولات رنده ای به
راحتی تمیز می شود. به راحتی می توانید آن را آبکشی کنید یا کل آن را در داخل ماشین ظرفشویی بگذارید و به آسانی در چند دقیقه آنرا تمیز و خشک نمایید
تفاوت خرد کن پلین با سایر محصولات چیست؟
شستشوی بسیار آسان
خرد کردن با یک ضربه کوچک
عدم له شدن میوه و سبزیجات
کارکردن با آن بسیار راحت است
یک پوست کن بسیار تیز به عنوان هدیه
دارای درپوشی برای نگهداری مواد و جلوگیری از خروج مواد
توانایی رنده ریز و درشت مواد
توانایی خرد کردن کوچک و متوسط و بزرگ مواد
دارای دفترچه راهنما که یک کتاب آشپزی نیز می باشد
هم اکنون می توانید این محصول را سفارش دهید و درب منزل تحویل بگیرید و سپس مبلغ را به مامور پست دهید
قیمت خرد کن پلین
در صورتی که با کلیک روی دکمه زیر به سبد خرید منتقل نشدید موجودی محصول تمام شده است
خرید خرد کن پلین ( سایز متوسط ) خرید خردکن پلین ( سایز بزرگ )
قیمت کالا : ۴۹٫۰۰۰ تومان قیمت کالا : ۷۸٫۰۰۰ تومان
پکیج جایزه کودکان
بهترین جایزه ای که می توانید برای کودک دلبندتان بخرید
پکیج جایزه کودکان 80 درصد تخفیف در مدت محدود
تقدیم به همه کودکان عزیز ایرانی
10 محصول بی نظیر در یک بسته با قیمت استثنایی و بسیار ارزان
جایزه برای کودکان شامل محصولات آموزشی و سرگرمی
+
جدیدترین کارتون ها و انیمشن ها با زیر نویس فارسی
اگر میخواهید کودک دلبندتان را خوشحال کنید حتما این پکیج را تهیه نمایید
ارزش هر پکیج جایزه کودکان در بازار بیش از 50 هزار تومان می باشد
ولی به مناسبت جشنواره فروشگاه اینترنتی جفت 6
این بسته بی نظیر با قیمت استثنایی و 80 % تخفیف ارائه می گردد
بهترین جایزه برای کودکان شامل هدایای زیر می باشد:
پکیج جایزه کودکان شامل : مجموعه بسیار پرطرفدار و پرفروش 48 داستان موزیکال ویژه کودکان و بزرگسالان : به ارزش 6000 تومان (مشاهده)
پکیج جایزه کودکان شامل : بهترین و کاربردی ترین مجموعه آموزش ایروبیک کودکان مناسب برای هر رده سنی : به ارزش 6000 تومان (مشاهده)
پکیج جایزه کودکان شامل : مجموعه ارزشمند آموزش کامپیوتر و الفبای کودکان به صورت کاملا تصویری : به ارزش 6000 تومان (مشاهده)
پکیج جایزه کودکان شامل : پکیج بی نظیر آموزش زبان کودکان پرفروش ترین آموزش زبان کودکان در ایران : به ارزش 6000 تومان
پکیج جایزه کودکان شامل : مجموعه بسیار مفرح و شاد جدیدترین و بروز ترین کارتون هاو انیمیشن های 2012 : به ارزش 6000 تومان (جدید)
پکیج جایزه کودکان شامل : برای اولین بار در ایران مجموعه بی نظیر لالایی های کودکانه برای کودکان ایران : به ارزش 6000 تومان(مشاهده)
پکیج جایزه کودکان شامل : مجموعه بسیار شاد و سرگرم کننده ترانه های شاد کودکانه مناسب جشن و تولد: به ارزش 6500 تومان (مشاهده)
پکیج جایزه کودکان شامل : مجموعه تمامی بازی های پرطرفدار Angry Birds : به ارزش 6000 تومان (مشاهده)
پکیج جایزه کودکان شامل : جدیدترین قسمت از انیمیشن بسیار پرطرفدار Ben 10 سال 2012 با زیرنویس : به ارزش 3500 تومان (جدید)
پکیج جایزه کودکان شامل : کالکشنی از ده ها بازی پرطرفدار فلش : به ارزش 5500 تومان (جدید)
جایزه کودکان هدیه ای نفیس و ارزشمند برای تمام کودکان ایرانی
مجموعه ای بی نظیر که هم مناسب آموزش و هم مناسب سرگرمی می باشد
10 محصول پرفروش با قیمت استثنایی و بسیار پایین
هر محصول در این پکیج 1000 تومان می باشد
بهترین انتخاب برای هدیه به کودک دلبندتان
به راحتی این محصول را از فروشگاه اینترنتی جفت 6 سفارش داده و بعد از تحویل مبلغ را به مامور پست دهید
در صورتی که با کلیک روی دکمه زیر به سبد خرید منتقل نشدید موجودی محصول تمام شده است
قیمت کالا : 10.000 تومان
کفشوی پلین
براحتی محیط زندگی خود را تمیز کنید
کف شوی چرخشی پلین اصل
چرخش 360 درجه ای به همراه سری اضافه
شستشو و خشک کردن سری طی بدون دخالت دست و به آسانی
قابل استفاده برای گرد گیری وسیع , شستن انواع کف و یا دیوار و ….
طراحی استثنایی و بی نظیر محصولی از پلین و ساخت ایران
کفشوی پلین وسیله فوق العاده کاربردی و چندکاره جهت شستشو
و تمیز کردن و نظافت و گردگیری منزل و محل کار و تنها برای سهولت استفاده شما طراحی شده است.
کفشوی چرخشی پلین دارای دو عدد سری میکروفایبر که این نمونه با نمونه قبلی در بازار متفاوت است
میکروفایبر از جنس نانو میباشد بوی نا مطبوع نمیده بعداز هر بار استفاده
وبه راحتی تمیز میشود .حتی میتوانید آنرا در ماشین لباسشویی بشویید!!!
دارای سری مخصوص گردگیری لوازم که کار پرزحمت گردگیری را برایتان آسان میکند.
بدون نیاز به پدال دارای دسته تلسکوپی که همان کار پدال زدن را انجام میدهد
فقط با تفاوت اینکه از فولاد میباشد و هیچ گاه نمیشکند که باعث میشود
کفشوی پلین یک وسیله کارامد برای شما باشد .
ویژگیهای اصلی کفشوی پلین :
طی سطلی و کفشوی پلین چه خیس و چه خشک ، تمیز می کند ، گردگیری می کند و هیچ اثری باقی نمی گذارد.
الیاف میکروفیبر قسمت سر طی سطلی و کفشوی پلین قابلیت جذب بالایی داشته
و در مقابل چرک ، کثیفی ، لکه و مو بسیار مقاوم هستند.
برای تمیز کردن هر نوع کف و سطح سفتی مناسب است.
هنگامی که الیاف طی و کفشوی پلین خشک هستند،
جنس میکرو فیبر آنها بسیار لطیف و نرم است
و برای گردگیری مبلمان و سطوح بسیار ایده آل و بی نقص است.
طراحی مهندسی ویژه کفشوی چرخشی پلین :
جنس سبک و دسته باریک آلومینیومی و قابلیت تنظیم زاویه دسته کف شوی پلین ، از آن وسیله ی پاک کننده ویژه ای می سازد.
بدون نیاز به پدال و صرف انرژی مضاعف میتوانید این کفشوی و تی را شسته و آبگیری نمایید.
دسته تلسکوپی این محصول که کار پدال را انجام میدهد
امکان شست و شوی تی در سطل
دارای دسته از جنس آلومینیوم فوق العاده محکم و خوش دست
با طراحی کاملا متفاوت و شکیل
با یک سیستم چرخشی خشک کن
بدون نیاز به آبگیری و خشک کردن به روش سنتی…
جنس میکرو فیبر بسیار لطیف و نرم
گردگیری آسان مبلمان و سطوح
بسیار ایده آل و بی نقص
کفشوی چرخشی پلین
قابل استفاده برای گرد گیری , شستن انواع کف و یا دیوار
طراحی استثنایی و بی نظیر …
برای اولین بار در ایران
کفشوی چرخشی پلین
به راحتی این محصول را از فروشگاه اینترنتی جفت 6 سفارش داده و بعد از تحویل مبلغ را به مامور پست دهید
در صورتی که با کلیک روی دکمه زیر به سبد خرید منتقل نشدید موجودی محصول تمام شده است
قیمت کالا : 110.000 تومان-قیمت خرید نقدی 99.000
لیزر حرارتی
Laser treatment of connective tissue tube-shaped structure lesions has progressed considerably over the past twenty years. supported the pioneering work of Anderson and Maxfield Frederick Parrish within the early Eighties, many vascular-specific optical device systems are developed victimisation principles of selective photothermolysis.Laser irradiation will by selection destroy specific targets (chromophores) among the skin by victimisation AN acceptable wavelength and pulse period. Pulse period should be but or capable the targeted thermal time constant of the radical, ie, the time necessary for the target to chill by 1/2 its peak temperature when optical device irradiation. as a result of the energy deposited within the tissue is proscribed to targeted sites, vital thermal diffusion to adjacent skin is prevented. additionally, as a result of wavelengths adore absorption peaks for varied skin chromophores area unit acknowledged, absorption of optical device energy is localized while not damaging neighboring structures. The targeted radical for tube-shaped structure lesions is intravascular oxyhemoglobin; so, thermal injury is basically restricted to connective tissue blood vessels.
Early optical device technology used continuous-wave (CW) mode lasers for treating connective tissue tube-shaped structure lesions. These lasers didn't prohibit injury to the targeted tube-shaped structure structures, and, consequently, their use resulted in an exceedingly high prevalence of scarring. periodical optical device systems, like the 585-nm periodical dye optical device (PDL), afterward were developed and became the mainstays of medical aid for each innate and purchased tube-shaped structure lesions. These lasers provide glorious clinical improvement with a coffee risk of adverse sequelae. Transient blood disorder is that the commonest adverse result of poundal treatment. Current technologic enhancements embrace dynamic surface cooling and extended pulse period, that enhance clinical results and minimize adverse effects.
CLASSIFICATION OF connective tissue tube-shaped structure LESIONS
Cutaneous tube-shaped structure lesions area unit classified in keeping with mode and age of onset. innate lesions begin in infancy and embrace port-wine stains, hemangiomas, blood vessel malformations, and lymphangiomas. innate lesions area unit found most typically on the top or neck and should be isolated or found as a part of a innate syndrome like Sturge-Weber syndrome. noninheritable lesions develop in persons of any age and embrace telangiectasias, cherry angiomas, pathology granulomas, blood vessel lakes, poikiloderma, and Kaposi malignant neoplastic disease. noninheritable lesions might occur ad lib, or they will be caused by trauma, ultraviolet exposure, or secretion changes.
Congenital lesions:
Port-wine stains
Port-wine stains, additionally called nevus or capillary malformations, area unit gift at birth and occur equally in each sexes. The prevalence rate within the general population is zero.3-0.5%. Lesions tend to grow with the patient, while not a bent towards regression. they're typically set on the face, and also the V2 surgical instrument is affected most typically. at first showing as light-pink macules, port-wine stains will darken over time as a results of progressive vessel ectasis. superjacent soft tissue or bony hypertrophy could also be related to these lesions. Use of the poundal is that the most popular treatment owing to its superior efficaciousness and low prevalence of adverse effects.
Hemangiomas
Hemangiomas area unit benign proliferations of blood vessels occurring in one0-12% of all youngsters by age 1 year. just one third of hemangiomas area unit gift at birth, and most area unit solitary lesions that occur on the top or neck. They generally bear a rapid climb part before involuting when AN undetermined quantity of your time. though some involution typically begins by the top of the primary year, several hemangiomas don't fully involute till the kid is aged 10-12 years.
Associated complications embrace ulceration, bleeding, infection, and scarring. ulcerous hemangiomas is terribly painful and frequently occur in association with chop-chop proliferating lesions. chop-chop proliferating hemangiomas of the face area unit significantly regarding as a result of they will compromise important structures or obscure vision. giant hemangiomas could also be related to Kasabach-Merritt syndrome, that contains a constellation of findings that features living substance destruction, anaemia, and coagulopathy. Hemangiomas are with success treated with lasers (ie, CW, PDL), excisional surgery, general corticosteroids, interferon, imiquimod, and surgical procedure.
Lymphangiomas
Lymphangiomas area unit slow-growing body fluid malformations which will be noninheritable when body fluid drain obstruction, chronic inflammation, infections, trauma, or surgical procedures. However, most area unit innate and certain arise from a mixture of abnormal budding of body fluid structures, failure of blood vessel vasculature to unite with the lymphatics, and atypical lymphoid tissue sequestration throughout embryogenic development. Most of those lesions area unit diagnosed by age two years, with nearly 0.5 diagnosed at birth.
Lymphangiomas area unit generally found as soft tissue lots within the axillae or neck regions, however they will occur in different locations like the tongue, esophagus, and higher airways. These lesions is classified as either superficial or deep. AN example of a superficial lesion is angioma circumscriptum, whereas the cystic hygroma may be a deep body fluid malformation generally found within the neck. Lymphangiomas is found in patients with bound body abnormalities like Turner syndrome.
If the patient is well, a angioma might need no treatment; up to fifteen of cystic hygromas might ad lib regress. Surgical excision is usually the well-liked treatment modality; but, owing to the situation and doable involvement of significant structures, complete excision might not invariably be doable. different choices embrace sclerosing agents and optical device medical aid. roaring treatment with lasers (ie, argon beam, Nd:YAG, PDL, carbon dioxide) has been reportable. they need been used for ablation, debulking, and complete excision. However, several lesions recur and treatment might need varied sessions.
Acquired lesions
Telangiectasias
Telangiectasias area unit little, expanded vessels that area unit zero.1-1.5 millimeter in diameter. Telangiectasias usually occur on the face and lower extremities and area unit because of a spread of causes. Facial telangiectasias will occur ad lib, or they will be caused by excessive ultraviolet exposure, collagen-vascular sickness, acne, pregnancy, alcohol or oestrogen bodily process, or topical steroid hormone application. youngsters oft develop little facial telangiectasias that persist into adulthood. Lower extremity telangiectasias area unit a lot of common in ladies {and might|and should|and will} be genetic or may develop when gestation.
Treatment choices area unit varied and embrace sclerotherapy, electrodesiccation, and intense pulsed-light or optical device medical aid. Shorter optical device wavelengths are found to be more practical for treating redder, a lot of superficial vessels, however these parameters don't seem to be as roaring for deeper blue venulectasia and interlaced veins. The 1064-nm Nd:YAG optical device has been shown to with success improve lower extremity leg veins, particularly blue venulectasia and interlaced veins up to four millimeter in diameter. In one study, nearly 2 thirds of the patients achieved 75-100% clearing when just one optical device treatment; another study achieved vital clearing in eightieth with up to three irradiations. Transient physiological condition was the foremost common adverse result. Smaller leg telangiectasias might clear quicker and with less pain throughout treatment compared with larger vessels.
When sclerotherapy with zero.25% metallic element tetradecyl salt was compared with 1064-nm Nd:YAG optical device medical aid for lower extremity telangiectasias (0.1-1.5 mm), vital clinical improvement was seen altogether sites with either modality. However, earlier clearing and better average improvement scores were seen with sclerotherapy. each modalities were related to pain and localized tissue erythroderma and dropsy. Temporary postinflammatory physiological condition was seen solely with sclerotherapy.
Despite recent advances in optical device technology and also the effectiveness of lasers for facial telangiectasias, treatment of lower extremity telangiectasias with vascular-specific lasers is ineffective. Treatment failures area unit typically attributed to the larger size and deeper website of lower extremity vessels and their association with deeper, feeding blood vessel plexuses. For these reasons, sclerotherapy is taken into account first-line treatment for many telangiectatic leg veins.
Cherry angiomas
Cherry angiomas area unit little, well-circumscribed, bright-red tube-shaped structure proliferations that originally seem in early adulthood and increase in range with age. though benign, growths area unit simply treated with vascular-specific lasers to boost cosmesis.
Pyogenic granulomas
A pathology tumour is AN noninheritable , benign, tube-shaped structure connective tissue tumour which will additionally have an effect on secretion membranes. These lesions area unit usually found in infants and youngsters, accounting for roughly zero.5% of all skin nodules in youngsters. Clinically, pathology granulomas typically manifest as onerous, red papules on the top and neck that area unit chop-chop enlarging; they regularly bleed or ulcerate. Treatment choices embrace surgical excision, shave excision with concomitant electrodesiccation to the bottom, thermocautery alone, PDLs, and copper optical device systems.
Poikiloderma
Poikiloderma of Civatte clinically seems as a networklike, brown pigmentation of the neck, anterior chest, and lower face with distinguished telangiectasias caused by chronic sun exposure. Poikiloderma could also be with success treated with either the poundal or AN intense pulsed-light supply. the extreme pulsed-light supply might prove a lot of useful in eliminating associated physiological condition owing to its further result on dermal melanin; but, it's tougher to use, significantly in huffy areas like the neck and ches.
THE optical device SYSTEMS
Argon optical device
The CW chemical element optical device was the primary optical device system wont to treat telangiectasias. It emits blue-green lightweight, and eightieth of its emission falls among the 488- to 514-nm portion of the spectrum. optical device energy is delivered in an exceedingly continuous beam, with spot sizes starting from zero.1-1 mm, reaching tissue penetration depths of 1-2 millimeter. though argon's energy is preponderantly absorbed by oxyhaemoglobin, it's additionally absorbed to some extent by dermal and dermal animal pigment owing to its shorter wavelength. additionally, the laser's continuous mode of operation exceeds the thermal time constant of the tube-shaped structure target. Therefore, the chemical element optical device is related to a better prevalence of operative pigmentary alteration and pathology, and it typically isn't thought of helpful in darker-skinned people.
The {argon|Ar|atomic number one8|chemical element|element|noble gas|inert gas|argonon} laser's little spot size (up to 1 millimeter, compared with ten millimeter for the PDL) additionally limits effective dermal penetration, any contributory to clinical ineffectuality. Despite the very fact that the chemical element optical device is extremely operator-dependent and needs nice talent to by selection trace ectatic vessels while not destroying traditional tissue, it's the foremost roaring treatment sure enough noninheritable tube-shaped structure lesions, as well as telangiectasias, cherry angiomas, and angiokeratomas. However, the recognition of the chemical element optical device has markedly declined over the past decade owing to its associated limitations and also the development of the poundal.
Argon-pumped tunable dye optical device
The argon-pumped tunable dye optical device (APTDL) may be a quasi-CW mode optical device with high specificity for connective tissue tube-shaped structure structures. This optical device produces lightweight with wavelengths starting from 488-638 nm and might be operated within the yellow 577- to 585-nm vary for improved absorption by hemoprotein. though the optical device is closed to deliver pulse periods as short as twenty milliseconds, most clinical applications need a minimum of a 100-millisecond period, that is way longer than the thermal time constant of telangiectatic vessels. Individual vessels area unit generally copied employing a 100-mm spot size and power settings of zero.1-0.4 W.
Adverse effects embrace symptom scarring, hypertrophic scarring, and permanent pigmentary alteration. a better prevalence of scarring is seen with the APTDL compared with the poundal owing to the quasicontinuous nature of the previous system; but, as a result of the APTDL ends up in less operative blood disorder and physiological condition than the poundal, some patients might like the APTDL.
Potassium titanyl phosphate crystal optical device
The atomic number 19 titanyl phosphate (KTP) optical device uses a 1064-nm Nd:YAG supply skilled a KTP crystal to emit lightweight that's frequency-doubled with a wavelength of 532 nm. This quasi-CW optical device system uses unit of time pulses to destroy tube-shaped structure targets. The KTP laser's 532-nm wavelength corresponds with the 542-nm absorption peak of oxyhaemoglobin, that makes it comparatively specific for connective tissue blood vessels. though the short wavelength doesn't provide deep tissue penetration, extended pulse periods up to fifty milliseconds improve its effectiveness. The KTP optical device is commonly wont to treat telangiectasias, and multiple treatments area unit necessary for larger-caliber vessels. almost like the quasi-CW chemical element system, less blood disorder, swelling, and pain area unit related to KTP optical device irradiation, however clinical results area unit systematically superior with the poundal.
Copper vapor and copper bromide lasers
Copper vapor and copper bromide lasers emit traffic signal with a wavelength of 578 nm. These quasi-CW mode lasers deliver fast, 20-nanosecond pulses at a repetition rate of half dozen,000-15,000 pulses per second. Therefore, they're higher fitted to the treatment of larger-caliber vessels with longer thermal relaxation times as a result of they need a bent to supply raised thermal gangrene in tissue. Facial telangiectasias, cherry angiomas, and pathology granulomas are eradicated with success with copper vapor and copper bromide systems. Absorption of energy by dermal and dermal animal pigment additionally happens, creating operative pigmentary alterations common. Thus, as a result of darker-skinned people area unit a lot of probably to expertise vital postinflammatory pigmentary changes, the utilization of either optical device ought to be restricted to patients with Fitzpatrick skin phototypes I-II. different posttreatment adverse effects embrace fine crusting and blistering that typically resolve over a 2-week amount.
Krypton optical device
The atomic number 36 optical device may be a quasi-CW mode optical device that emits inexperienced lightweight at 520-530 nm and traffic signal at 568 nm. The 568-nm atomic number 36 optical device has been advocated for the treatment of facial telangiectasias. Vessels area unit copied employing a 1-mm handpiece with pulse period of zero.2 seconds and power settings starting from zero.5-0.75 W till the vessel disappears fully. like different quasi-CW optical device systems, multiple treatment sessions at 3- to 4-week intervals area unit typically necessary. the foremost common adverse effects embrace erythroderma, edema, and delicate blistering or crusting.
Flashlamp-pumped poundal
Light energy emitted by the flashlamp-pumped poundal is primarily absorbed by oxyhaemoglobin contained among tube-shaped structure lumina, so minimizing thermal injury to different structures. The poundal was originally on the market at a wavelength of 577 nm, corresponding directly with the third absorption peak of oxyhaemoglobin, and a pulse period of 450 microseconds.
Over the past decade, the wavelength was extended to 585 nm and also the pulse period was raised to one.5 milliseconds to result deeper tissue penetration while not compromising absorption by hemoprotein. Also, a more moderen 595-nm ultralong-PDL is adjusted for pulse durations from one.5-40 milliseconds. it's a cryogen-cooling device to decrease pain and adverse effects (eg, purpura). The longer-wavelength optical device will result even deeper penetration than the 585-nm optical device and should be favorable for treating bound telangiectasias. Typically, larger-caliber vessels need longer pulse durations to be effective, and also the 595-nm poundal is adjusted to correspond to the different-sized vessels being treated.
The poundal is taken into account the criterion customary treatment for port-wine stains, and it is wont to treat infants aged solely a number of weeks. The poundal is beneficial within the treatment of superficial hemangiomas and in an exceedingly type of noninheritable connective tissue tube-shaped structure lesions, as well as telangiectasias, cherry angiomas, pathology granulomas, and poikiloderma of Civatte. pathology granulomas have additionally been with success treated with the 585-nm poundal. However, some thicker lesions might not reply to medical aid as a result of they're too deep. Some advocate multiple, overlapping pulses to treat these lesions; but, others compress the superficial vessels with a glass slide so administer the optical device. when the deeper portion has been treated, the slide is removed and also the superficial portion is treated. poundal treatment is particularly effective for reducing diffuse erythroderma and matted telangiectasias related to acne, property injury, and semipermanent steroid hormone use.
Laser treatment parameters area unit supported many factors, as well as lesion location, lesion morphology, and patient skin kind. Spot sizes starting from 2-10 millimeter area unit wont to deliver a fluence averaging 5-10 J/cm2. the utilization of larger spot sizes and a better fluence permits deeper dermal penetration and destruction of larger-caliber vessels. Lower energy densities area unit necessary in ANatomic locations with an raised risk of scarring, like the anterior chest, neck, and periorbital space. The doc ought to additionally apply optical device pulses in an exceedingly nonoverlapping manner to stop excessive thermal injury that would end in organic process and pathology.
In general, expect port-wine stains to fade by eightieth when 8-10 treatments. Lesions on the face or neck tend to retort a lot of quickly than those on the lower extremities. Superficial and ulcerous hemangiomas additionally respond favourably to the PDL; but, hemangiomas with a deeper element tend to be a lot of immune to optical device medical aid, typically requiring concomitant corticosteroids. Port-wine stains treated with the poundal and a cryogen-cooling device are shown to possess a considerably higher response at 585 nm than at 595 nm. Another study compared the consequences of employing a 595-nm poundal for port-wine stains that were refractory to treatment at 585 nm. No applied mathematics advantage was found for victimisation the longer wavelength for treatment. However, {it might|it's going to|it should} be advantageous to try a check spot at 595 nm to see if any further profit may occur with this wavelength.
The most common adverse effects embrace transient dropsy and blood disorder, which can last up to 7-14 days. As a consequence, patients might like treatment with a 532-nm KTP optical device despite the superior efficaciousness of the poundal so as to eradicate telangiectasias with fewer treatments. though the utilization of smaller spot sizes and lower energy densities reduces the degree of blood disorder, these measures additionally decrease clinical efficaciousness. different potential posttreatment adverse effects embrace transient physiological state or physiological condition, significantly in dark-skinned or tanned people.
The use of a dynamic cooling device, that serves to chill the cuticle throughout optical device irradiation, permits safe application of a better fluence, even in patients with dark skin tones. The cooling device additionally reduces the intensity and period of operative blood disorder.
Intense periodical noncoherent lightweight
A noncoherent pulsed-light supply that emits Christ Within the 500- to 1200-nm portion of the spectrum also can be wont to treat a spread of connective tissue tube-shaped structure disorders. reckoning on lesion kind and size, cutoff filters of variable wavelengths (515 nm, 550 nm, 570 nm, 590 nm) area unit wont to eliminate shorter wavelengths. lightweight is delivered in an exceedingly train of single, double, or triple pulses (2-25 milliseconds each) with variable time intervals between pulses (10-500 milliseconds). this method is extremely operator-dependent and permits treatment parameters (ie, wavelength, pulse duration, delays between pulses) to be tailored for every use.
The noncoherent pulsed-light supply has been wont to treat port-wine stains, hemangiomas, and facial or lower extremity telangiectasias. Smaller-caliber vessels respond best to treatment with lower cutoff filters (515 or 550 nm); larger-caliber vessels need longer-wavelength filters to result deeper tissue penetration. as a result of shorter-wavelength filters move a lot of without delay with dermal and dermal animal pigment, these filters ought to be reserved for treating fair-skinned people (Fitzpatrick skin phototypes I-II). Smaller vessels area unit typically treated with single two.5- to 5-millisecond pulses and a fluence starting from 25-45 J/cm2.
Higher energy densities (50-75 J/cm2) area unit used on larger vessels as a result of the energy is run as a train of pulses with long (40-60 milliseconds) delays between pulses. Higher energy densities allow adequate action whereas at the same time protective the superjacent cuticle and periadnexal structures from excessive thermal injury. This mechanism of additive heating permits treatment of a lot of deeply located vessels gift in hypertrophic port-wine stains or cavernous tube-shaped structure lesions. The 515-nm filter is employed for initial treatment, followed by the 550-nm filter to higher target larger, a lot of deeply located telangiectasias. Adverse effects area unit delicate and embrace transient erythroderma and blood disorder.
CONCLUSIONS
Congenital and purchased connective tissue tube-shaped structure lesions is treated effectively with a spread of quasi-CW and periodical lasers. though the quasi-CW mode lasers (ie, APTDL, KTP, copper vapor, krypton) will treat facial telangiectasias and different tube-shaped structure growths, the poundal has become the criterion customary of treatment owing to its superior clinical efficaciousness and low complication rate. However, patients with darker skin varieties UN agency want treatment ought to be properly knowledgeable of the potential pigmentation changes and different adverse effects which will occur when poundal treatment.
Quasi-CW optical device systems is used for treating larger-caliber vessels, that need delivery of a better fluence. additionally, some patients like quasi-CW lasers owing to the weakened incidence of operative blood disorder. when poundal treatment, most patients expertise some extent of erythroderma or blood disorder, which might last 7-14 days. Despite these transient adverse effects, the poundal produces the foremost fast vessel clearance, with fewer overall treatments needed to eradicate lesions.
Laser medical aid continues to advance within the treatment of unsought veins and telangiectasias. Shorter wavelengths are more practical for a lot of superficial, red telangiectasias; whereas, longer wavelengths are a lot of roaring for treating deeper blue venulectasia and interlaced veins up to four millimeter in diameter. as a result of lower extremity telangiectasias is immune to vascular-specific optical device irradiation, sclerotherapy is that the initial treatment of alternative for many patients. a mixture approach victimisation sclerotherapy to treat the feeding interlaced veins and optical device irradiation to focus on the superficial telangiectasias might enhance vessel clearance. the extreme pulsed-light supply has additionally been roaring within the treatment of lower leg veins. Patients with matted telangiectasias, distinguished veins below the articulatio plana, or veins immune to sclerotherapy area unit ideal candidates for optical device treatment.
Importantly, bear in mind that patients ought to avoid reserve sun exposure before, during, and when optical device treatment as a result of sun exposure might decrease the efficaciousness of the procedure and should contribute to adverse events like operative pigmentation changes. As analysis within the field continues, lasers capable of removing ectatic tube-shaped structure growths, in spite of size or location, with least risk and low morbidity can probably become on the market. any analysis is required to optimize these treatments.
بر گرفته از emedicine -education -کتاب لیزر پوست و زیبایی
Laser treatment of connective tissue tube-shaped structure lesions has progressed considerably over the past twenty years. supported the pioneering work of Anderson and Maxfield Frederick Parrish within the early Eighties, many vascular-specific optical device systems are developed victimisation principles of selective photothermolysis.
Laser irradiation will by selection destroy specific targets (chromophores) among the skin by victimisation AN acceptable wavelength and pulse period. Pulse period should be but or capable the targeted thermal time constant of the radical, ie, the time necessary for the target to chill by 1/2 its peak temperature when optical device irradiation. as a result of the energy deposited within the tissue is proscribed to targeted sites, vital thermal diffusion to adjacent skin is prevented. additionally, as a result of wavelengths adore absorption peaks for varied skin chromophores area unit acknowledged, absorption of optical device energy is localized while not damaging neighboring structures. The targeted radical for tube-shaped structure lesions is intravascular oxyhemoglobin; so, thermal injury is basically restricted to connective tissue blood vessels.
Early optical device technology used continuous-wave (CW) mode lasers for treating connective tissue tube-shaped structure lesions. These lasers didn't prohibit injury to the targeted tube-shaped structure structures, and, consequently, their use resulted in an exceedingly high prevalence of scarring. periodical optical device systems, like the 585-nm periodical dye optical device (PDL), afterward were developed and became the mainstays of medical aid for each innate and purchased tube-shaped structure lesions. These lasers provide glorious clinical improvement with a coffee risk of adverse sequelae. Transient blood disorder is that the commonest adverse result of poundal treatment. Current technologic enhancements embrace dynamic surface cooling and extended pulse period, that enhance clinical results and minimize adverse effects.
CLASSIFICATION OF connective tissue tube-shaped structure LESIONS
Cutaneous tube-shaped structure lesions area unit classified in keeping with mode and age of onset. innate lesions begin in infancy and embrace port-wine stains, hemangiomas, blood vessel malformations, and lymphangiomas. innate lesions area unit found most typically on the top or neck and should be isolated or found as a part of a innate syndrome like Sturge-Weber syndrome. noninheritable lesions develop in persons of any age and embrace telangiectasias, cherry angiomas, pathology granulomas, blood vessel lakes, poikiloderma, and Kaposi malignant neoplastic disease. noninheritable lesions might occur ad lib, or they will be caused by trauma, ultraviolet exposure, or secretion changes.
Congenital lesions:
Port-wine stains
Port-wine stains, additionally called nevus or capillary malformations, area unit gift at birth and occur equally in each sexes. The prevalence rate within the general population is zero.3-0.5%. Lesions tend to grow with the patient, while not a bent towards regression. they're typically set on the face, and also the V2 surgical instrument is affected most typically. at first showing as light-pink macules, port-wine stains will darken over time as a results of progressive vessel ectasis. superjacent soft tissue or bony hypertrophy could also be related to these lesions. Use of the poundal is that the most popular treatment owing to its superior efficaciousness and low prevalence of adverse effects.
Hemangiomas
Hemangiomas area unit benign proliferations of blood vessels occurring in one0-12% of all youngsters by age 1 year. just one third of hemangiomas area unit gift at birth, and most area unit solitary lesions that occur on the top or neck. They generally bear a rapid climb part before involuting when AN undetermined quantity of your time. though some involution typically begins by the top of the primary year, several hemangiomas don't fully involute till the kid is aged 10-12 years.
Associated complications embrace ulceration, bleeding, infection, and scarring. ulcerous hemangiomas is terribly painful and frequently occur in association with chop-chop proliferating lesions. chop-chop proliferating hemangiomas of the face area unit significantly regarding as a result of they will compromise important structures or obscure vision. giant hemangiomas could also be related to Kasabach-Merritt syndrome, that contains a constellation of findings that features living substance destruction, anaemia, and coagulopathy. Hemangiomas are with success treated with lasers (ie, CW, PDL), excisional surgery, general corticosteroids, interferon, imiquimod, and surgical procedure.
Lymphangiomas
Lymphangiomas area unit slow-growing body fluid malformations which will be noninheritable when body fluid drain obstruction, chronic inflammation, infections, trauma, or surgical procedures. However, most area unit innate and certain arise from a mixture of abnormal budding of body fluid structures, failure of blood vessel vasculature to unite with the lymphatics, and atypical lymphoid tissue sequestration throughout embryogenic development. Most of those lesions area unit diagnosed by age two years, with nearly 0.5 diagnosed at birth.
Lymphangiomas area unit generally found as soft tissue lots within the axillae or neck regions, however they will occur in different locations like the tongue, esophagus, and higher airways. These lesions is classified as either superficial or deep. AN example of a superficial lesion is angioma circumscriptum, whereas the cystic hygroma may be a deep body fluid malformation generally found within the neck. Lymphangiomas is found in patients with bound body abnormalities like Turner syndrome.
If the patient is well, a angioma might need no treatment; up to fifteen of cystic hygromas might ad lib regress. Surgical excision is usually the well-liked treatment modality; but, owing to the situation and doable involvement of significant structures, complete excision might not invariably be doable. different choices embrace sclerosing agents and optical device medical aid. roaring treatment with lasers (ie, argon beam, Nd:YAG, PDL, carbon dioxide) has been reportable. they need been used for ablation, debulking, and complete excision. However, several lesions recur and treatment might need varied sessions.
Acquired lesions
Telangiectasias
Telangiectasias area unit little, expanded vessels that area unit zero.1-1.5 millimeter in diameter. Telangiectasias usually occur on the face and lower extremities and area unit because of a spread of causes. Facial telangiectasias will occur ad lib, or they will be caused by excessive ultraviolet exposure, collagen-vascular sickness, acne, pregnancy, alcohol or oestrogen bodily process, or topical steroid hormone application. youngsters oft develop little facial telangiectasias that persist into adulthood. Lower extremity telangiectasias area unit a lot of common in ladies {and might|and should|and will} be genetic or may develop when gestation.
Treatment choices area unit varied and embrace sclerotherapy, electrodesiccation, and intense pulsed-light or optical device medical aid. Shorter optical device wavelengths are found to be more practical for treating redder, a lot of superficial vessels, however these parameters don't seem to be as roaring for deeper blue venulectasia and interlaced veins. The 1064-nm Nd:YAG optical device has been shown to with success improve lower extremity leg veins, particularly blue venulectasia and interlaced veins up to four millimeter in diameter. In one study, nearly 2 thirds of the patients achieved 75-100% clearing when just one optical device treatment; another study achieved vital clearing in eightieth with up to three irradiations. Transient physiological condition was the foremost common adverse result. Smaller leg telangiectasias might clear quicker and with less pain throughout treatment compared with larger vessels.
When sclerotherapy with zero.25% metallic element tetradecyl salt was compared with 1064-nm Nd:YAG optical device medical aid for lower extremity telangiectasias (0.1-1.5 mm), vital clinical improvement was seen altogether sites with either modality. However, earlier clearing and better average improvement scores were seen with sclerotherapy. each modalities were related to pain and localized tissue erythroderma and dropsy. Temporary postinflammatory physiological condition was seen solely with sclerotherapy.
Despite recent advances in optical device technology and also the effectiveness of lasers for facial telangiectasias, treatment of lower extremity telangiectasias with vascular-specific lasers is ineffective. Treatment failures area unit typically attributed to the larger size and deeper website of lower extremity vessels and their association with deeper, feeding blood vessel plexuses. For these reasons, sclerotherapy is taken into account first-line treatment for many telangiectatic leg veins.
Cherry angiomas
Cherry angiomas area unit little, well-circumscribed, bright-red tube-shaped structure proliferations that originally seem in early adulthood and increase in range with age. though benign, growths area unit simply treated with vascular-specific lasers to boost cosmesis.
Pyogenic granulomas
A pathology tumour is AN noninheritable , benign, tube-shaped structure connective tissue tumour which will additionally have an effect on secretion membranes. These lesions area unit usually found in infants and youngsters, accounting for roughly zero.5% of all skin nodules in youngsters. Clinically, pathology granulomas typically manifest as onerous, red papules on the top and neck that area unit chop-chop enlarging; they regularly bleed or ulcerate. Treatment choices embrace surgical excision, shave excision with concomitant electrodesiccation to the bottom, thermocautery alone, PDLs, and copper optical device systems.
Poikiloderma
Poikiloderma of Civatte clinically seems as a networklike, brown pigmentation of the neck, anterior chest, and lower face with distinguished telangiectasias caused by chronic sun exposure. Poikiloderma could also be with success treated with either the poundal or AN intense pulsed-light supply. the extreme pulsed-light supply might prove a lot of useful in eliminating associated physiological condition owing to its further result on dermal melanin; but, it's tougher to use, significantly in huffy areas like the neck and ches.
THE optical device SYSTEMS
Argon optical device
The CW chemical element optical device was the primary optical device system wont to treat telangiectasias. It emits blue-green lightweight, and eightieth of its emission falls among the 488- to 514-nm portion of the spectrum. optical device energy is delivered in an exceedingly continuous beam, with spot sizes starting from zero.1-1 mm, reaching tissue penetration depths of 1-2 millimeter. though argon's energy is preponderantly absorbed by oxyhaemoglobin, it's additionally absorbed to some extent by dermal and dermal animal pigment owing to its shorter wavelength. additionally, the laser's continuous mode of operation exceeds the thermal time constant of the tube-shaped structure target. Therefore, the chemical element optical device is related to a better prevalence of operative pigmentary alteration and pathology, and it typically isn't thought of helpful in darker-skinned people.
The {argon|Ar|atomic number one8|chemical element|element|noble gas|inert gas|argonon} laser's little spot size (up to 1 millimeter, compared with ten millimeter for the PDL) additionally limits effective dermal penetration, any contributory to clinical ineffectuality. Despite the very fact that the chemical element optical device is extremely operator-dependent and needs nice talent to by selection trace ectatic vessels while not destroying traditional tissue, it's the foremost roaring treatment sure enough noninheritable tube-shaped structure lesions, as well as telangiectasias, cherry angiomas, and angiokeratomas. However, the recognition of the chemical element optical device has markedly declined over the past decade owing to its associated limitations and also the development of the poundal.
Argon-pumped tunable dye optical device
The argon-pumped tunable dye optical device (APTDL) may be a quasi-CW mode optical device with high specificity for connective tissue tube-shaped structure structures. This optical device produces lightweight with wavelengths starting from 488-638 nm and might be operated within the yellow 577- to 585-nm vary for improved absorption by hemoprotein. though the optical device is closed to deliver pulse durations as short as twenty milliseconds, most clinical applications need a minimum of a 100-millisecond period, that is way longer than the thermal time constant of telangiectatic vessels. Individual vessels area unit generally copied employing a 100-mm spot size and power settings of zero.1-0.4 W.
Adverse effects embrace symptom scarring, hypertrophic scarring, and permanent pigmentary alteration. a better prevalence of scarring is seen with the APTDL compared with the poundal owing to the quasicontinuous nature of the previous system; but, as a result of the APTDL ends up in less operative blood disorder and physiological condition than the poundal, some patients might like the APTDL.
Potassium titanyl phosphate crystal optical device
The atomic number 19 titanyl phosphate (KTP) optical device uses a 1064-nm Nd:YAG supply skilled a KTP crystal to emit lightweight that's frequency-doubled with a wavelength of 532 nm. This quasi-CW optical device system uses unit of time pulses to destroy tube-shaped structure targets. The KTP laser's 532-nm wavelength corresponds with the 542-nm absorption peak of oxyhaemoglobin, that makes it comparatively specific for connective tissue blood vessels. though the short wavelength doesn't provide deep tissue penetration, extended pulse durations up to fifty milliseconds improve its effectiveness. The KTP optical device is commonly wont to treat telangiectasias, and multiple treatments area unit necessary for larger-caliber vessels. almost like the quasi-CW chemical element system, less blood disorder, swelling, and pain area unit related to KTP optical device irradiation, however clinical results area unit systematically superior with the poundal.
Copper vapor and copper bromide lasers
Copper vapor and copper bromide lasers emit traffic signal with a wavelength of 578 nm. These quasi-CW mode lasers deliver fast, 20-nanosecond pulses at a repetition rate of half dozen,000-15,000 pulses per second. Therefore, they're higher fitted to the treatment of larger-caliber vessels with longer thermal relaxation times as a result of they need a bent to supply raised thermal gangrene in tissue. Facial telangiectasias, cherry angiomas, and pathology granulomas are eradicated with success with copper vapor and copper bromide systems. Absorption of energy by dermal and dermal animal pigment additionally happens, creating operative pigmentary alterations common. Thus, as a result of darker-skinned people area unit a lot of probably to expertise vital postinflammatory pigmentary changes, the utilization of either optical device ought to be restricted to patients with Fitzpatrick skin phototypes I-II. different posttreatment adverse effects embrace fine crusting and blistering that typically resolve over a 2-week amount.
Krypton optical device
The atomic number 36 optical device may be a quasi-CW mode optical device that emits inexperienced lightweight at 520-530 nm and traffic signal at 568 nm. The 568-nm atomic number 36 optical device has been advocated for the treatment of facial telangiectasias. Vessels area unit copied employing a 1-mm handpiece with pulse period of zero.2 seconds and power settings starting from zero.5-0.75 W till the vessel disappears fully. like different quasi-CW optical device systems, multiple treatment sessions at 3- to 4-week intervals area unit typically necessary. the foremost common adverse effects embrace erythroderma, edema, and delicate blistering or crusting.
Flashlamp-pumped poundal
Light energy emitted by the flashlamp-pumped poundal is primarily absorbed by oxyhaemoglobin contained among tube-shaped structure lumina, so minimizing thermal injury to different structures. The poundal was originally on the market at a wavelength of 577 nm, corresponding directly with the third absorption peak of oxyhaemoglobin, and a pulse period of 450 microseconds.
Over the past decade, the wavelength was extended to 585 nm and also the pulse period was raised to one.5 milliseconds to result deeper tissue penetration while not compromising absorption by hemoprotein. Also, a more moderen 595-nm ultralong-PDL is adjusted for pulse durations from one.5-40 milliseconds. it's a cryogen-cooling device to decrease pain and adverse effects (eg, purpura). The longer-wavelength optical device will result even deeper penetration than the 585-nm optical device and should be favorable for treating bound telangiectasias. Typically, larger-caliber vessels need longer pulse durations to be effective, and also the 595-nm poundal is adjusted to correspond to the different-sized vessels being treated.
The poundal is taken into account the criterion customary treatment for port-wine stains, and it is wont to treat infants aged solely a number of weeks. The poundal is beneficial within the treatment of superficial hemangiomas and in an exceedingly type of noninheritable connective tissue tube-shaped structure lesions, as well as telangiectasias, cherry angiomas, pathology granulomas, and poikiloderma of Civatte. pathology granulomas have additionally been with success treated with the 585-nm poundal. However, some thicker lesions might not reply to medical aid as a result of they're too deep. Some advocate multiple, overlapping pulses to treat these lesions; but, others compress the superficial vessels with a glass slide so administer the optical device. when the deeper portion has been treated, the slide is removed and also the superficial portion is treated. poundal treatment is particularly effective for reducing diffuse erythroderma and matted telangiectasias related to acne, property injury, and semipermanent steroid hormone use.
Laser treatment parameters area unit supported many factors, as well as lesion location, lesion morphology, and patient skin kind. Spot sizes starting from 2-10 millimeter area unit wont to deliver a fluence averaging 5-10 J/cm2. the utilization of larger spot sizes and a better fluence permits deeper dermal penetration and destruction of larger-caliber vessels. Lower energy densities area unit necessary in ANatomic locations with an raised risk of scarring, like the anterior chest, neck, and periorbital space. The doc ought to additionally apply optical device pulses in an exceedingly nonoverlapping manner to stop excessive thermal injury that would end in organic process and pathology.
In general, expect port-wine stains to fade by eightieth when 8-10 treatments. Lesions on the face or neck tend to retort a lot of quickly than those on the lower extremities. Superficial and ulcerous hemangiomas additionally respond favourably to the PDL; but, hemangiomas with a deeper element tend to be a lot of immune to optical device medical aid, typically requiring concomitant corticosteroids. Port-wine stains treated with the poundal and a cryogen-cooling device are shown to possess a considerably higher response at 585 nm than at 595 nm. Another study compared the consequences of employing a 595-nm poundal for port-wine stains that were refractory to treatment at 585 nm. No applied mathematics advantage was found for victimisation the longer wavelength for treatment. However, {it might|it's going to|it should} be advantageous to try a check spot at 595 nm to see if any further profit may occur with this wavelength.
The most common adverse effects embrace transient dropsy and blood disorder, which can last up to 7-14 days. As a consequence, patients might like treatment with a 532-nm KTP optical device despite the superior efficaciousness of the poundal so as to eradicate telangiectasias with fewer treatments. though the utilization of smaller spot sizes and lower energy densities reduces the degree of blood disorder, these measures additionally decrease clinical efficaciousness. different potential posttreatment adverse effects embrace transient physiological state or physiological condition, significantly in dark-skinned or tanned people.
The use of a dynamic cooling device, that serves to chill the cuticle throughout optical device irradiation, permits safe application of a better fluence, even in patients with dark skin tones. The cooling device additionally reduces the intensity and period of operative blood disorder.
Intense periodical noncoherent lightweight = لیزر حرارتی
A noncoherent pulsed-light supply that emits Christ Within the 500- to 1200-nm portion of the spectrum also can be wont to treat a spread of connective tissue tube-shaped structure disorders. reckoning on lesion kind and size, cutoff filters of variable wavelengths (515 nm, 550 nm, 570 nm, 590 nm) area unit wont to eliminate shorter wavelengths. lightweight is delivered in an exceedingly train of single, double, or triple pulses (2-25 milliseconds each) with variable time intervals between pulses (10-500 milliseconds). this method is extremely operator-dependent and permits treatment parameters (ie, wavelength, pulse duration, delays between pulses) to be tailored for every use.
The noncoherent pulsed-light supply has been wont to treat port-wine stains, hemangiomas, and facial or lower extremity telangiectasias. Smaller-caliber vessels respond best to treatment with lower cutoff filters (515 or 550 nm); larger-caliber vessels need longer-wavelength filters to result deeper tissue penetration. as a result of shorter-wavelength filters move a lot of without delay with dermal and dermal animal pigment, these filters ought to be reserved for treating fair-skinned people (Fitzpatrick skin phototypes I-II). Smaller vessels area unit typically treated with single two.5- to 5-millisecond pulses and a fluence starting from 25-45 J/cm2.
Higher energy densities (50-75 J/cm2) area unit used on larger vessels as a result of the energy is run as a train of pulses with long (40-60 milliseconds) delays between pulses. Higher energy densities allow adequate action whereas at the same time protective the superjacent cuticle and periadnexal structures from excessive thermal injury. This mechanism of additive heating permits treatment of a lot of deeply located vessels gift in hypertrophic port-wine stains or cavernous tube-shaped structure lesions. The 515-nm filter is employed for initial treatment, followed by the 550-nm filter to higher target larger, a lot of deeply located telangiectasias. Adverse effects area unit delicate and embrace transient erythroderma and blood disorder.
CONCLUSIONS
Congenital and purchased connective tissue tube-shaped structure lesions is treated effectively with a spread of quasi-CW and periodical lasers. though the quasi-CW mode lasers (ie, APTDL, KTP, copper vapor, krypton) will treat facial telangiectasias and different tube-shaped structure growths, the poundal has become the criterion customary of treatment owing to its superior clinical efficaciousness and low complication rate. However, patients with darker skin varieties UN agency want treatment ought to be properly knowledgeable of the potential pigmentation changes and different adverse effects which will occur when poundal treatment.
Quasi-CW optical device systems is used for treating larger-caliber vessels, that need delivery of a better fluence. additionally, some patients like quasi-CW lasers owing to the weakened incidence of operative blood disorder. when poundal treatment, most patients expertise some extent of erythroderma or blood disorder, which might last 7-14 days. Despite these transient adverse effects, the poundal produces the foremost fast vessel clearance, with fewer overall treatments needed to eradicate lesions.
Laser medical aid continues to advance within the treatment of unsought veins and telangiectasias. Shorter wavelengths are more practical for a lot of superficial, red telangiectasias; whereas, longer wavelengths are a lot of roaring for treating deeper blue venulectasia and interlaced veins up to four millimeter in diameter. as a result of lower extremity telangiectasias is immune to vascular-specific optical device irradiation, sclerotherapy is that the initial treatment of alternative for many patients. a mixture approach victimisation sclerotherapy to treat the feeding interlaced veins and optical device irradiation to focus on the superficial telangiectasias might enhance vessel clearance. the extreme pulsed-light supply has additionally been roaring within the treatment of lower leg veins. Patients with matted telangiectasias, distinguished veins below the articulatio plana, or veins immune to sclerotherapy area unit ideal candidates for optical device treatment.
Importantly, bear in mind that patients ought to avoid reserve sun exposure before, during, and when optical device treatment as a result of sun exposure might decrease the efficaciousness of the procedure and should contribute to adverse events like operative pigmentation changes. As analysis within the field continues, lasers capable of removing ectatic tube-shaped structure growths, in spite of size or location, with least risk and low morbidity can probably become on the market. any analysis is required to optimize these treatments.
لیزر حرارتی
لیزر حرارتی سبز اصل
این لیزر حرارتی بسیار قدرتمند می باشد و کاغذ و حتی کارتن را آتش می زند
لیزر پرقدرت حرارتی سبز با برد 12 کیلومتر واقعی و قطر پرتو بالا
لیزر سبز حرارتی ابزاری برای حرفه ای ها
لیزر حرارتی بسیار قدرتمند است و پرتو سبز خطی و جلوه های ویژه ایجاد می کند و کاربردهای حرارتی نیز دارا می باشد
و قدرت حرارتی که در نوک لیزر ایجاد می شود بسیار قوی می باشد و به راحتی می تواند کاغذ و مقوا و چوب و کبریت و ….
را بسوزاند و شاید باورتان نشود که این لیزر می تواند صفحات سربی را ذوب نماید و به دلیل قدرت سوزانندگی این لیزر به قفل
امنیتی و کلید مربوطه مجهز است و برای سلامت کودکان و اطفال با زدن قفل دیگر لیزر کار نمی کند. لیزر سبز حرارتی
پرتویی ایجاد می کند که در خط راست حرکت می کند و تا 12 کیلومتر در خط صاف می باشد و بسیار قدرتمند و با کیفیت است
لیزر سبز حرارتی دارای بدنه بسیار محکمی است از آلیاژی ضد رنگ و محکم بوده و از چند قسمت مجزا تشکیل شده و
به همدیگر متصل می گردند.این لیزر حرارتی از باطری قدرتمند شارژی 4200 میلی آمپری تغذیه می شود و بوسیله ی
شارژر لیزر حرارتی سبز تغذیه می شود. لیزر حرارتی همچنین دارای سر مخصوص لیزر شو می باشد که شما را قادر
می سازد تا با پراکنده کردن پرتو لیزر سبز ،لیزر شو جالبی را بر روی ساختمان یا هر فضای دیگر که می خواهید ایجاد کنید
نکته مهم در مورد لیزر حرارتی اصل :
در مدل های قبلی لیزر که قدرت شان کمتر بود در صورتی که لیزر را روی دست متمرکز می کردید بعد از گذشت 5 ثانیه سوزش
احساس می شد ولی در مدل لیزر حرارتی سبز به محض تماس سوزش احساس می شود و با افزایش فاصله نیز تداوم می یابد
ویژگی های لیزر حرارتی سبز jd-303 :
دارای قابلیت افزایش یا کاهش قطر پرتو اشعه
دارای محافظ امنیتی است برای ایمنی کودکان
دارای سر ویژه لیزر شوبرای ایجاد جلوه های ویژه
دارای قاب بسیار خوب جهت قرارگیری در مواقع استفاده نکردن
دارای باطری شارژی 4200 میلی آمپری
دارای برد 12 کیلومتر واقعی
دارای خاصیت حرارتی بالا
در تصویر زیر کلید امنیتی برای خاموش و روشن کردن را می توانید مشاهده نمایید
لیزر حرارتی قوی سبز کجاها کاربرد دارد؟
صنایع جاده سازی
صنایع تاسیسات
نجوم آماتور
کشتی رانی در ناحیه بنادر
کوهنوردی
صخره نوردی
به راحتی این محصول را از فروشگاه اینترنتی جفت 6 سفارش داده و بعد از تحویل مبلغ را به مامور پست دهید
در صورتی که با کلیک روی دکمه زیر به سبد خرید منتقل نشدید موجودی محصول تمام شده است
قیمت کالا : 110.000 تومان - قیمت خرید نقدی 99.000 تومان
پتوی اسناگی
پتوی همراه اسناگی با کیفیت بالا و درجه یک
با خرید این پتوی جادویی دیگر احتیاجی نیست لباس های بیشتری بپوشید و دوباره بعد از اینکه گرمتان شد
لباسهایتان را کمتر کنید و دوباره سرما و دوباره لباس بیشتر….. این پتوی بی نظیر و درجه یک
که همانند لباسی قابل پوشیدن است تمام حرارت بدن شما را به خوبی نگه می دارد.
قبل از خرید پتوی اسناگی بسیار مشاهده شده است که هنگام استفاده از لپ تاپ و یا خواندن کتاب و دیدن تلویزیون،
حتی هنگام صحبت با تلفن، ممکن است به علت ساکن بودن و عدم تحرک، احساس سرما بر شما غلبه کند.
در این صورت هرچقدر بیشتر لباس بپوشید، امکان تحرک و فعالیتتان قطعا کمتر خواهد شد
اگر هم پتو را بر روی پاهایتان بکشید، دستها و بازوهایتان سرد می ماند و یا مدام پتوی لیز می خورد و
از روی پاهایتان می افتد.شما می توانید یک پتو اسناگی را به راحتی به تن کرده و با اندازه بزرگ
و گشادی که دارد به راحتی در آن به فعالیتهای روزانه خود بپردازید.
ویژگی های منحصر به فرد لباس پتویی اسناگی چیست؟
پتوی اسناگی شما را کاملا گرم نگه می دارد و به شما این اجازه را می دهد که از دستانتان به
راحتی استفاده کنید.چرا که آستین های بزرگ آن اجازه هر کاری را به شما می دهد.
پتوی اسناگی را می شود با ماشین لباسشویی شست.
با پتوی اسناگی می توانید هم سرما را از خود دور کنید و هم به تمام کارهایتان برسید.
ویژگی های پتو اسناگی تکی :
پتوی اسناگی از جنس پلی استلر اصل و باکیفیت می باشد
این پتو تک سایز می باشد،و سایز بزرگ آن برای راحتی بیشتر است
پتوی اسناگی را براحتی می توانید در ماشین لباسشویی بشویید
پتوی اسناگی قابل استفاده حتی هنگام ورزش و فعالیتهای زیاد
پتوی اسناگی دارای دو رنگ آبی و قرمز پر رنگ می باشد
پتوی اسناگی دارای آستینهای بلند و گشاد می باشد
پتوی اسناگی در سایز 180*137 ارائه می شود
به راحتی این محصول را از فروشگاه اینترنتی جفت 6 سفارش داده و بعد از تحویل مبلغ را به مامور پست دهید
پتوی اسناگی,پتو اسناگی,لباس پتویی اسناگی,پتو اسناگی تکی,خرید پتوی اسناگی,خرید اینترنتی پتو اسناگی,پتوی آستین دار اسناگی,قیمت پتو اسناگی,خرید پتو اسناگی,خرید اینترنتی پتوی اسناگی,خرید پتو اسناگی,خرید لباس پتویی اسناگی,خرید اینترنتی لباس پتویی اسناگی,
در صورتی که با کلیک روی دکمه زیر به سبد خرید منتقل نشدید موجودی محصول تمام شده است
قیمت کالا : 29.500 تومان-قیمت خرید نقدی 26.550 تومان
Effective ways in which to extend height
What factors have a control on human height growth?
Height is decided by a posh set of genetic and environmental factors.
the most rule is outlined as follows:
(Genetics + Hormones + Nutrition) - Stress
2. What length of your time we are going to stop smoking?
We square measure genetically programmed to prevent smoking when time of life height
At this time, the complicated interaction of genes, nutrients and hormones reaches its peak.
once the body of genes work along to achieve a degree
Capable of replica, the expansion target is finished.
this happens on the average at age sixteen for ladies and eighteen for boys falls.
3. is that the Qadaman taller when time of life is?
Very little proof of growth tall when time of life is seen.
individuals typically have the quickest growth in childhood.
conjointly in adulthood owing to the expansion spurt, rising.
4. what's a growth spurt?
Growth spurts tall and weight of a term that's accustomed increase speed
that typically happens in adulthood.
youngsters in their adolescence to adulthood square measure peak height.
the many growth of the foreign body started
and also the additional interior components continues.
Hands and feet square measure the primary places that will be nice.
want new shoes to expertise the primary signs of a growth spurt.
The second space of the body, the feet and hands which may louder.
Finally, we tend to grow a backbone.
Recent growth of the chest and shoulders square measure broader than in boys
And widening of the hips and thighs in women.
5. What sort of diet helps to extend height?
A diet wealthy in nutrients that embrace fruits and vegetables, dairy,
Cereals, meat and many of water is
Enhances the action of skyrocketing height.
6. will sleep have an effect on human growth?
Benefit of adequate sleep is crucial permanently performance growth hormones.
Not obtaining enough sleep will increase the body's secretion levels decrease.
7. what's growth hormone?
Human STH could be a substance made by a pea like structure
The depth of the brain simply behind the eyes is made.
it's typically made throughout the first hours of sleep and exercise.
This secretion stimulates the expansion of the figure till time of life.
8. does one use Human STH taller stature will not?
Growth hormones square measure effective solely throughout the youth
.
Excessive consumption of unnaturally induced abnormal growth and unfavorable.
This term is employed by completely different makers
And exploited to sell product that claim to spice up their growth
Is located.
the actual fact that sales STH medicine square measure tightly controlled
and might solely be prescribed by specialists
9. square measure there medicines to extend height when time of life help?
There aren't any medicine that increase the peak when time of life
.
There square measure several product on the market nowadays conjointly claim
however all of them haven't any documents and no credit.
10. Do stretching exercises to assist increase height?
Some stretching exercises to extend height throughout time of life will facilitate.
After time of life, this exercise is simply to change the shape
And body form helps adults
.
In several cases shortens the peak of the hump back
Such issues is corrected the least bit ages and heights of up to many centimeters higher.
11. Is it correct respiratory is laid low with the rise in height?
Proper respiratory helps to extend the body's element
.
simply breathe deep respiratory is effective.
12. however will the operation be taller stature?
Cosmetic surgery will increase height in feet
Up to many centimeters taller stature that course terribly complicated, valuable and painful
.
Which requires an extended recovery time. In some centers, first off evaluated
The patient tolerated the recovery amount when the operation pay or not.
13. what's the typical height for men and women?
The average length of lifetime of completely different individuals.
A person of average height within the The Netherlands could also be thought-about tall in Japan.
14. Is it true that this generation is taller than previous generations?
It appears that there's a right away relationship between economic process and human height
.
Once upon a time it had been thought that Asians square measure short
But nowadays it appears that the typical height of Chinese and different Asians have gone up considerably
.
Human growth medical facilities, higher nutrition and health care response
.
within the table below you'll see the last one hundred fifty years the typical height increase.
15. the perfect weight in step with height, what proportion ought to it be?
A rule of thumb for men ideal weight is calculated as follows
:
For the primary 152 cm weight ought to be forty eight metric weight unit
.
And for every further a pair of.5 cm a pair of kilos and 700 grams square measure extra.
Ideal weight girls also are calculated during this approach
:
For the primary 152 cm Weight: forty five metric weight unit ought to be extra for every a pair of.5 cm a pair of kilos and two hundred grams square measure extra
16. Is physical exertion helps forestall the expansion of height?
There is no proof to substantiate this claim
.
People like David Robinson, shock, O'Neal, Arnold Schwarzenegger and lots of others square measure
He began physical exertion at associate early age and nevertheless were on top of average height.
17. however am i able to realize my favorite Celebrity height?
By looking out on the net history of your favorite stars
You can conjointly realize her height and weight.
18. In what ways in which will Qdblndtr appear to induce dressed?
Tall and lean appearance of art which will be achieved by following many techniques
.
Related articles on this website you'll see within the fashion business
.
19. what's Qdgrayy?
Qdgrayy a distinction that's supported human height
He entailed anyone to be long or short limbs
20. Do Qdblndtr astronauts square measure in space?
Since there's no gravity in area, the astronauts' bones square measure less pressing
And so the peak as a result of the actual fact they're slightly taller.
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ماسازور کف پای فوت ماساژور دمپایی افزایش قد 6 کاره فوت ماساژور اصل دو دستگاه در یک دستگاه + کتاب و سی دی معجزه افزایش قد به راحتی و با جدیدترین روش ها قطعا قد شما بلند می شود افزایش قد شما با جدیدترین و علمی ترین متد روز در دنیا در 10 هفته 5 تا 10 سانتی متر بلند شوید نکته : قیمت این دستگاه 66 هزار تومان بود که با 20درصد تخفیف 55 هزار تومان عرضه می شود.این دستگاه به صورت تقلبی در بازار وجود دارد با قیمت 55 هزار تومان که تقلبی می باشد و کارایی آن بسیار پایین است عرضه می شود.لطفا در هنگام خرید دقت نمایید چرا که فروشگاه ما مسئول اجناس خودش است نه اجناس تقلبی موجود در بازار.در پناه خدا باشید ماساژور پا کاملترین روش آموزش تضمینی افزایش قد در دنیا و خاورمیانه بدون استفاده از داروهای شیمیایی بلند قد شوید حرکات ورزشی خاص و 100در صد علمی تایید شده اگر دنبال روش واقعی و تضمینی افزایش قد بدون عوارض هستید ما به شما دمپایی افزایش قد 6 کاره فوت ماساژور اصل را پیشنهاد می کنیم فرمول جادویی افزایش قد مناسب برای تمام سنین برای اولین بار در ایران شما با این تمرین ها و نرمش ها بعد از مدت کوتاهی قد بلند می شوید اهداف ماساژور کف پا : 1 – افزایش قد حداکثر 5 الی 8 سانتی متر در طول دوره استفاده 2 – ماساژ پا و رفع خستگی و کوفتگی پا در مدت زمان کوتاه 3 – رفع خستگی و کوفتگی سایر نقاط بدن بدون محدودیت 4- جلوگیری از پیری زودرس کلیه اندام های بدن در اثر تحریک آنها یک محصول بخرید 3 تا ببرید!!!!!! نکته : قیمت این دستگاه 66 هزار تومان بود که با 20درصد تخفیف 55 هزار تومان عرضه می شود.این دستگاه به صورت تقلبی در بازار وجود دارد با قیمت 55 هزار تومان که تقلبی می باشد و کارایی آن بسیار پایین است عرضه می شود.لطفا در هنگام خرید دقت نمایید چرا که فروشگاه ما مسئول اجناس خودش است نه اجناس تقلبی موجود در بازار.در پناه خدا باشید در این پکیج علاوه بر ماساژور کف پای فوت ماساژ داخل جعبه دو عدد قطعه دیگر نیز مخصوص سایر نقاط بدن را در خود جای داده است . روش کار با دمپایی افزایش قد 6 کاره فوت ماساژور اصل : این دستگاه با ایجاد پالس های الکتریکی ضعیفی مانند طب سوزنی نوین جهانی اقدام به تحریک اعصاب حساس و مورد نظر محل قرار گرفتن ( اعم از کف پا یا سایر نقاط بدن ) نموده و به این ترتیب باعث از بین رفتن سریع خستگی و کوفتگی و احساس آرامش بسیار قابل ملاحظه ای در بدن فرد ایجادمی کند. دمپایی افزایش قد فوت ماساژور با ایجاد پالس های الکتریکی و تحریک اعصاب کف پا در چند حالت مختلف که کاربر می تواند به دلخواه منطقه تحریک را تغییر دهد باعث افزایش قد کاربر تا حداکثر 5 الی 8 سانتی متر می شود .عمل این دستگاه نوعی فیزیوتراپی برای استخوان های بدن می باشد و با تحریک اعصاب بدن از تنبلی عضلات جلوگیری نموده با تحریک عصبی باعث افزایش طبیعی قد می گردد .این دستگاه دارای دوقطعه جداگانه نیز می باشد که
درصورت درد یکی از عضلات بدن با قرارد دادن آنها بر روی ناحیه دردناک عمل
کاستن درد و ماساژ موضعی را بصورت بسیار کاملی انجام دهید علاوه بر دستگاه فوت ماساژور ، این پکیج دارای دو عدد برچسب ویژه قرار دادن در سایر نقاط بدن نیز می باشد که برای افزایش راحتی و آرامش و رفع خستگی و کوفتگی بدن و ریلاکسیشن مورد استفاده قرار می گیرد . طریقه مصرف: استفاده از دستگاه های داخل جعبه بسیار آسان است و نیاز به داشتن دانش فنی زیادی ندارد .دستگاه های محتوی جعبه را در هر حالتی می توانید استفاده کنید . در هنگام تماشای تلویزیون ، مطالعه و … .دوره مصرف روزی حداکثر 30 دقیقه در روز در طول مدت 3 ماهه می باشد . در طول دوره حتما از غذاهای کلسیم دار استفاده فراوان نمائید . دمپایی افزایش قد 6 کاره فوت ماساژور نکته : قیمت این دستگاه 66 هزار تومان بود که با 20درصد تخفیف 55 هزار تومان عرضه می شود.این دستگاه به صورت تقلبی در بازار وجود دارد با قیمت 55 هزار تومان که تقلبی می باشد و کارایی آن بسیار پایین است عرضه می شود.لطفا در هنگام خرید دقت نمایید چرا که فروشگاه ما مسئول اجناس خودش است نه اجناس تقلبی موجود در بازار.در پناه خدا باشید به راحتی این محصول را از فروشگاه اینترنتی جفت 6 سفارش داده و بعد از تحویل مبلغ را به مامور پست دهید در صورتی که با کلیک روی دکمه زیر به سبد خرید منتقل نشدید موجودی محصول تمام شده است قیمت با 20 درصد تخفیف : 55.000 دمپایی افزایش قد اصل در ده هفته 5 الی 10 سانتیمتر بلند شوید دمپایی افزایش قد 6 کاره فوت ماساژور اصل معجزه ی 2 دستگاه در یک دستگاه + کتاب و سی دی معجزه افزایش قد (رایگان) مطمئن باشید به راحتی و با جدیدترین روش ها قد شما بلند می شود افزایش قد شما با جدیدترین و علمی ترین متد روز دنیا روشهای ویژه ی چگونگی افزایش واقعی قد از 5 تا 10 سانتیمتر در 10 هفته کارکردن کاملترین و به روزترین روش آموزش تضمینی افزایش قد در دنیا بدون استفاده از هیچ کدام از داروهای شیمیایی و هورمونی زیان آور حرکات ورزشی خاص و 100در صد علمی اثبات شده معجزه ای در افزایش قد شما آیا واقعا به دنبال روش های واقعی و تضمینی برای افزایش قد خود هستید ؟ فرمول جادویی افزایش قد واقعی مناسب برای تمام سنین برای اولین بار در ایران شما با این تمرین ها و نرمش ها بعد از مدت کوتاهی تمرین قدتان بلندتر می شوید مزایای دمپایی افزایش قد چند کاره فوت ماساژور محصولی بسیار عالی و کاربردی : افزایش قد حداکثر 5 الی 8 سانتی متر در طول دوره مصرف ماساژ پا و رفع خستگی و کوفتگی پا به سرعت رفع خستگی و کوفتگی سایر نقاط بدن به سهولت جلوگیری از پیری زودرس کلیه اندام های بدن بوسیله ماساژعلمی یک محصول بخرید 3 تا ببرید!!!!!! دمپایی افزایش قد اصل علاوه دمپایی های داخل جعبه دو عدد قطعه دیگر نیز مخصوص سایر نقاط بدن را در خود جای داده است . روش کار با دمپایی افزایش قد : این دستگاه با ایجاد پالس های الکتریکی ضعیفی مانند طب سوزنی نوین اقدام به تحریک اعصاب حساس و مورد نظر محل قرار گرفتن ( اعم از کف پا یا سایر نقاط بدن ) نموده و به این ترتیب باعث از بین رفتن خستگی و کوفتگی و احساس آرامش بسیار قابل ملاحظه ای در بدن فرد ایجاد می کند. با خرید این محصول 3 محصول تحویل خواهید گرفت دمپایی افزایش قد+اصل قد چگونه عمل می کند؟ ایجاد پالس الکتریکی و تحریک اعصاب عمل فیزیوتراپی را انجام می دهد با تحریک عضلات بدن از تنبلی جلوگیری می کند همچنین دارای دو قطعه جداگانه است که هرجایتان درد می کرد می توانید با این ماساژور پیشرفته درد را کاهش دهید علاوه بر دمپایی ،پکیج دمپایی افزایش قد اورجینال دارای دو عدد برچسب ویژه قرار دادن در سایر نقاط بدن نیز می باشد که برای افزایش راحتی و آرامش و رفع خستگی و کوفتگی بدن و ریلاکسیشن مورد استفاده قرار می گیرد . طریقه استفاده : استفاده از دستگاه های داخل جعبه بسیار آسان است و نیاز به داشتن دانش فنی زیادی ندارد . دستگاه های محتوی جعبه را در هر حالتی می توانید استفاده کنید . در هنگام تماشای تلویزیون ، مطالعه و … . دوره مصرف روزی حداکثر 30 دقیقه در روز در طول مدت 3 ماهه می باشد . در طول دوره حتما از غذاهای کلسیم دار استفاده فراوان نمائید . یک محصول بخرید به راحتی این محصول را از فروشگاه اینترنتی جفت 6 سفارش داده و بعد از تحویل مبلغ را به مامور پست دهید در صورتی که با کلیک روی دکمه زیر به سبد خرید منتقل نشدید موجودی محصول تمام شده است قیمت کالا : 55.000 تومان
قیمت قبلی کالا : 66.000 تومان
