Ua loaʻa paha iā ʻoe kahi ʻeha ma kekahi wahi, a ma hope o kona ho'ōla ʻana, ua ʻōpuʻu iki ka ʻeha i koe, mānoanoa, a i kekahi manawa ʻulaʻula? I kekahi manawa e manaʻo paha ʻoe i kahi ʻeha iki a ʻeha paha ma muli o kēia ʻeha. He mea maʻamau i kekahi ke manaʻo iki i ka makaʻu a me ka hopohopo ke ʻike lākou i kahi mea e like me kēia. Manaʻo paha ʻoe, "Auē, he aha kēia?", "He mea weliweli anei kēia?" Akā, mai makaʻu. ʻO ka hapa nui o ka manawa, ʻo kēia ma muli o kahi kūlana i kapa ʻia ʻo Hypertrophic Scar . I kēia lā, e kamaʻilio mākou e pili ana i kēia me ka maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Hypertrophic Scar?
I mea e hoʻomaopopo ai i kēia, e nānā mua kākou i ke ʻano o ka ho'ōla ʻana o kahi ʻeha. Inā loaʻa kahi ʻōpala liʻiliʻi ma ka papa luna o ko kākou ʻili, e hoʻōla ia me ka waiho ʻole ʻana i kahi ʻeha nui. Akā inā ʻoi aku ka hohonu o ka ʻeha, ʻo ia hoʻi, inā e iho ana ia i lalo i ka papa "dermis" o ka ʻili, hoʻohana ko kākou kino i kahi mea kūikawā e ho'ōla ai i kēlā ʻeha. ʻO ia ka collagen .
He ʻano protein ka Collagen i loaʻa i loko o ko kākou ʻili. Hana ke kino i ka collagen hou e ho'ōla i kahi ʻeha. ʻOi aku ka mānoanoa o kēia ʻiʻo hou ma mua o ka ʻili maʻamau. ʻO ka hapa nui o ka manawa, ʻo nā ʻōpala e hana ʻia ma kēia ʻano he pālahalaha, like me ka ʻili.
Eia nō naʻe, i kekahi manawa, hele nui loa ke kaʻina hana ho'ōla ʻeha o ko mākou kino. A laila hana ke kino i ka collagen ma mua o ka mea e pono ai . Hōʻiliʻili kēia collagen keu ma kahi o ka ʻeha, e hoʻoulu ai i ka ʻeha e pehu i waho o ka ʻili a lilo i mānoanoa. ʻO kēia ka mea a mākou e kapa nei he ʻeha hypertrophic. ʻO ka mea nui, ʻo kēia ʻeha e hana wale ʻia i loko o ka ʻeha mua .
He aha ka ʻokoʻa ma waena o kahi Hypertrophic Scar a me kahi Keloid Scar?
He nui ka poʻe e huikau nei e pili ana i nā huaʻōlelo ʻelua o nā ʻōpala hypertrophic a me nā ʻōpala keloid. ʻOiai he mau ʻōpala i hāpai ʻia nā mea ʻelua, aia nā ʻokoʻa maopopo ma waena o nā mea ʻelua. E noʻonoʻo he ʻeha liʻiliʻi kou ma kou lima i ho'ōla ʻia.
- Inā he ʻeha hypertrophic ia, e hana wale ʻia ka ʻeha ma loko o kahi i loaʻa ai ka ʻeha. ʻAʻole ia e pālahalaha ma ʻō aku o ia wahi.
- Ua like ke ʻano o kahi ʻōpala keloid me kahi halo e ulu ana, e ulu ana ma ʻō aku o ka ʻeha mua a laha aku i ka ʻili olakino a puni.
E nānā i ka papa ma lalo nei e hoʻomaopopo pono i kēia ʻokoʻa.
| ʻAno | ʻO ka ʻeha Hypertrophic | ʻEha Keloid |
|---|---|---|
| Ka laha ʻana o nā ʻeha | Aia wale nō ia i loko o ka ʻāpana ʻeha mua. | Hohola ia ma ʻō aku o ka ʻeha mua a i loko o ka ʻili a puni. |
| Hanauna | ʻAʻohe ona hopena nui. Hiki i kekahi ke hoʻomohala iā ia. | Inā loaʻa i kekahi o ka ʻohana, ʻoi aku ka nui o ka manawa e loaʻa ai (aia kahi predisposition hoʻoilina). |
| Ka emi koke ʻana | Me ka hala ʻana o ka manawa (i kekahi mau mahina a i ʻole hoʻokahi makahiki), hiki loa ke palahalaha a emi iho kona nui ma ona iho. | Kākaʻikahi ia e nalowale wale. Noho mau ia pēlā me ka ʻole o ka lāʻau lapaʻau. |
| Ma hope o ke ʻoki kino | Inā wehe ʻia ma ke ʻoki ʻana, haʻahaʻa ka manawa e hoʻi hou mai ai. | ʻOiai inā e wehe ʻia ma ke ʻoki ʻana, kiʻekiʻe loa ka manawa e ulu hou mai ai. |
He mea weliweli anei kēia mau ʻeha?
ʻAʻole loa. ʻO kēia ka nūhou maikaʻi loa hiki iaʻu ke hāʻawi aku iā ʻoe.
E hoʻomanaʻo, ʻaʻole nā ʻeha hypertrophic he maʻi kanesa, a ʻaʻole lākou e hoʻoweliweli i ke ola.
ʻO kēia nā pilikia hoʻonaninani nui. Eia nō naʻe, i kekahi manawa hiki i kēia mau ʻeha ke hoʻoulu i kahi ʻeha iki a me ka maneʻo. Eia kekahi, inā ulu kahi ʻeha e like me kēia ma kahi hui e like me ke kuʻekuʻe lima a i ʻole ke kuli, hiki ke paʻakikī ke kulou a hoʻopololei i kēlā hui me ke kūpono, ʻo ia hoʻi hiki ke hoʻopilikia i ka neʻe ʻana . I ia mau hihia, he mea nui e loaʻa ka lāʻau lapaʻau.
He aha nā hōʻailona o kahi ʻōpala hypertrophic?
ʻAʻole paʻakikī ke ʻike i kēia mau ʻeha. E nānā i kēia mau hōʻailona ma hope o ka ho'ōla ʻana o kou ʻeha.
- Ua mānoanoa ka ʻili ma kahi o ka ʻeha a ke nānā aku nei ua hāpai ʻia .
- Hiki ke poni, ʻulaʻula, a poni paha ke kala o ka ʻōpala.
- Ua hala ka ʻeha.E hoʻomaka ana kēia ʻōpala e mae i loko o hoʻokahi a ʻelua paha mahina.
- Hiki ke maneʻo, ʻeha, a palupalu paha ka ʻili ke hoʻopā ʻia .
- ʻIke pinepine ʻia kēia ma ka umauma, ke kua, nā poʻohiwi, a me nā lima o luna . Hiki ke ʻike ʻia hoʻi a puni nā hono.
- Inā kū ia ma luna o kahi hono, hiki iā ia ke keakea i ka neʻe ʻana o kēlā hono .
He aha nā lāʻau lapaʻau no kēia?
ʻO nā pahuhopu nui o ka mālama ʻana i kahi ʻōpala hypertrophic, ʻo ia ka hoʻopālahalaha ʻana i ka ʻōpala, ka palupalu iā ia, ka hoʻēmi ʻana i kona nui, ka hoʻēmi ʻana i ke kala ʻana o ka ʻili, a me ka hoʻomaha ʻana i ka ʻoluʻolu ʻole e like me ka ʻeha a me ka maneʻo.
I nā hihia he nui, e kali kāu kauka, ʻoiai he kauka ʻili a kauka ʻokiʻoki paha, i kekahi mau mahina, malia paha he makahiki, ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau. ʻO kēia no ka mea e pālahalaha a emi iho nā ʻeha hypertrophic i ka hala ʻana o ka manawa. Inā ʻaʻole, ʻo ka lāʻau lapaʻau wale nō ke koho.
Eia kekahi o nā ʻano lapaʻau nui.
Nā Lapaʻau Lapaʻau
- Nā inikini Corticosteroid: ʻO kēia ka lāʻau lapaʻau nui. Hoʻokomo pololei ʻia kēia mau inikini i loko o ka ʻōpala. Hoʻopau kēia i nā ʻiʻo collagen keu i loko o ka ʻōpala, e hoʻopālahalaha ana a palupalu i ka ʻōpala. Hoʻemi pū ia i ka ʻeha a me ka maneʻo. Pono paha ʻoe e loaʻa i kekahi mau inikini, i kēlā me kēia mau pule.
- Lapaʻau Laser: Hoʻohana ʻia nā ʻano lasers kūikawā (`Pulsed dye lasers`, `Nd:YAG lasers`) e kuhikuhi i nā kīʻaha koko i loko o ka ʻeha. Hoʻōki kēia i ka ulu ʻana o ka ʻeha, hoʻemi i ka ʻulaʻula, a hoʻemi i kona mānoanoa. Hana kekahi mau ʻano laser i nā lua liʻiliʻi i loko o ka ʻeha, e palupalu ana a kōkua iā ia e hoʻololi hou.
- ʻO nā ʻano inikini ʻē aʻe: Hoʻokomo pololei ʻia nā lāʻau i kapa ʻia ʻo `(Bleomycin)` a i ʻole `(5-FU)` i loko o ka ʻōpala. Hoʻopālahalaha kēia i ka ʻōpala a hōʻemi i ka ʻeha a me ka maneʻo.
- Cryotherapy: He ʻano hana e hoʻopālahalaha ai i nā ʻōpala ma ka luku mālie ʻana i nā ʻiʻo ʻōpala me ka hoʻohana ʻana i ke anu nui (e like me ka naikokene wai).
- ʻOki kino: Inā ʻaʻole holomua nā lāʻau ʻē aʻe, hana ʻia ke ʻoki kino e wehe i ka ʻōpala. Eia nō naʻe, ua manaʻo ʻia kēia he hopena hope loa, no ka mea, hiki i ke ʻoki kino ke hoʻihoʻi hou i ka ʻōpala.
Nā Koho Mālama Ponoʻī
Mea nui: Ma mua o ka hoʻāʻo ʻana i kekahi o kēia mau mea, e ʻoluʻolu e kamaʻilio me kāu kauka no ka ʻōlelo aʻo.
- Nā pepa gel silicone:Ke ho'ōla ʻia ka ʻeha, hiki ke hoʻohana ʻia kēia mau pepa gel silicone a i ʻole nā ʻāpana i kēlā me kēia lā ma ka ʻōpala. Pono e hoʻohana mau ʻia kēia mau mea i ka lā a pau no kekahi mau mahina. Ua ʻōlelo ʻia e kōkua kēia i ka hōʻemi ʻana i ka nui, ka ʻulaʻula, ka mānoanoa, a me ka maneʻo o ka ʻōpala.
- E hoʻopili i ka makū a me ke kaomi: E hoʻopili i kahi pāpili ʻaʻole e pipili, e like me ka petroleum jelly, i ka ʻeha a hoʻopaʻa me ka lipine. A laila e kaomi iki me kahi ʻōwili elastic a i ʻole ka bandage ACE, ka mea i hōʻike ʻia ma kekahi mau noiʻi e hōʻemi i ka ʻeha.
Pehea e pale ai i ka ʻeha a mālama pono i kahi ʻeha?
ʻO ke ala maikaʻi loa e pale aku ai i nā ʻeha hypertrophic, ʻo ia ka mālama pono ʻana i ka ʻeha mai ka hoʻomaka ʻana. Inā he ʻoki kou ma hope o ke ʻoki ʻana a i ʻole kekahi ʻeha ʻē aʻe, e hahai pono i nā ʻōlelo a kāu kauka.
Eia kekahi mau mea maʻamau e hoʻomanaʻo ai:
- E mālama i ka ʻeha maʻemaʻe: E holoi i ka ʻeha me ke kopa a me ka wai. Mai hoʻohana i ka hydrogen peroxide. Hiki iā ia ke hōʻino hou aku i ka ʻili.
- E mālama i ka ʻeha i pulu: Mai hoʻomaloʻo i ka ʻeha a hiki i ka wā e ho'ōla ai. E hoʻopili i ka petroleum jelly (e like me Vaseline) a i ʻole kahi poni like. E hōʻemi nui kēia i ka pilikia o ka ʻeha.
- E hoʻololi i ke kāʻei i kēlā me kēia lā: E hoʻololi i ke kāʻei i kēlā me kēia lā a i ʻole e like me ka mea e pono ai, e like me ke kuhikuhi a ke kauka.
- E pale iā ʻoe iho mai ka lā: Ma hope o ka ho'ōla ʻana o ka ʻeha, e hōʻoia e kau i kahi sunscreen maikaʻi me ka SPF o 30 a ʻoi aku paha i ka wā e hele ai i waho ma ka ʻōpala. Hiki i ka lā ke hoʻolilo i ka ʻōpala i ʻeleʻele hou aku.
- E haʻi i kāu kauka e pili ana i kahi ʻano maʻamau o ka ʻeha: Inā ua loaʻa iā ʻoe nā ʻeha ma mua i hoʻokumu i kēia ʻano ʻeha, e haʻi i kāu kauka e pili ana i ia mea ma mua o kekahi ʻoki ʻana i hiki iā ia ke nānā pono iā ia.
I ka hopena, ʻaʻohe mea e makaʻu ai i kahi ʻeha hypertrophic. Eia nō naʻe, inā e hoʻopilikia ana i kou helehelena a i ʻole e hoʻopilikia nei i kāu mau hana o kēlā me kēia lā, pono ʻoe e ʻike i ke kauka e kūkākūkā i ka lāʻau lapaʻau maikaʻi loa no ia.
Leka Lawe-Home
- He pane maʻamau nā ʻeha hypertrophic, akā he mea ʻē, i ka ho'ōla ʻana o ka ʻeha. ʻAʻole lākou he maʻi kanesa a hoʻoweliweli paha i ke ola.
- Hoʻokumu wale ʻia kēia mau ʻeha i loko o ka ʻeha mua. ʻAʻole lākou e pālahalaha ma ʻō aku o ka ʻeha e like me nā ʻeha keloid.
- ʻO ka hapa nui o nā ʻōpala hypertrophic e palahalaha a mae wale iā lākou iho i ka hala ʻana o ka manawa (6-12 mau mahina).
- Nui nā lāʻau lapaʻau kūpono i loaʻa, me nā inikini, nā lāʻau lapaʻau laser, a me ka gel silicone. E kamaʻilio me kāu kauka e hoʻoholo i ka mea kūpono loa iā ʻoe.
- Ke loaʻa iā ʻoe kahi ʻeha, ʻo ka mālama ʻana i ka maʻemaʻe a me ka pulu ke ala maikaʻi loa e pale aku ai i ka ʻeha.
- Inā ʻeha kou ʻeha ma muli o ka ʻōpala, ke kāohi nei i ka neʻe ʻana o kahi hono, a i ʻole ke hoʻololi nei i kona helehelena, e ʻimi i ke kōkua lapaʻau.











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