E kamaʻilio kākou e pili ana iā Scar Revision, kahi hopena no kou mau ʻeha hoʻonāukiuki!

He mea maʻamau ka ʻike ʻana i nā ʻeha liʻiliʻi, nā ulia pōpilikia, a me nā ʻoki kino i ko kākou hele ʻana i ke ola. ʻO nā ʻōpala nā hoʻomanaʻo a kākou i waiho ai ma hope o ka ho'ōla ʻia ʻana o kēia mau mea a pau. Malia paha he ʻoki ia a kākou i hana ai i ka wā e pāʻani ana i ko kākou wā kamaliʻi, a i ʻole he ʻōpala paha i waiho ʻia ma hope o ka ʻoki ʻana o C-section. ʻOiai ke kumu, hiki i kēia mau ʻōpala ke hoʻoulu iki iā kākou i ka ʻoluʻolu ʻole a me ka hilahila. Ua manaʻo paha ʻoe, "Auē, ʻoi aku ka maikaʻi inā ʻaʻohe o kākou kēia." No laila i kēia lā, e kamaʻilio kākou e pili ana i nā lāʻau lapaʻau e hiki ke hōʻemi i ke ʻano o kēia mau ʻōpala a hoʻomaikaʻi iā lākou. I ka lāʻau lapaʻau, kapa mākou i kēia ʻo 'Scar Revision.'

I ka ʻōlelo maʻalahi, he aha kēia lāʻau hoʻēmi ʻeha (Scar Revision)?

Ke lohe ʻoe i ka huaʻōlelo 'Scar Revision', manaʻo paha kekahi poʻe hiki iā ia ke holoi loa i kahi ʻōpala. Akā, ʻaʻole ia ka ʻoiaʻiʻo. ʻAʻohe lāʻau lapaʻau e hiki ke hoʻopau loa i kahi ʻōpala. ʻO ka mea e hana ai, ʻo ia ka hoʻemi nui ʻana i ke ʻano o ka ʻōpala. ʻO ia hoʻi, e hana i ke kala, ke ʻano, a me ka mānoanoa o ka ʻōpala e like me ka hiki i ka ʻili olakino a puni ʻoe.

ʻO ka hapa nui o ka manawa, hana ʻia kēia no nā kumu hoʻonaninani. ʻO ia hoʻi, e hoʻonui i ka hilinaʻi i ko mākou helehelena. Akā aia kekahi mau manawa e hōʻeha ai nā ʻeha iā mākou a pale paha iā mākou mai ka hoʻoneʻe pono ʻana i kēlā ʻāpana o ko mākou kino. E noʻonoʻo he ʻeha paʻakikī kou ma kou kuʻekuʻe a kuli paha. Inā paʻakikī ke kīkoʻo a kūlou paha i kou lima, he pilikia olakino ia e ʻoi aku ana ma mua o kahi pilikia hoʻonaninani. I ia mau hihia, lilo kēia lāʻau i mea nui.

Aia kekahi mau ʻano ʻeha like ʻole?

ʻAe, ʻoiaʻiʻo nō. ʻAʻole like nā ʻōpala a pau. No ke koho ʻana i ka lāʻau kūpono nou, he mea nui e ʻike i ke ʻano o ka ʻōpala āu.

ʻO kaʻoiaʻiʻo, i ka wā e ho'ōla ai kahi ʻeha, hoʻopiha ka protein i loko o ko kākou ʻili i kapa ʻia ʻo 'collagen' i ka hakahaka. I kekahi manawa, hoʻonui iki kēia hana collagen ma mua o ka mea e pono ai. ʻO ia ka manawa e hana ʻia ai nā ʻeha mānoanoa a piʻi.

Aia kekahi mau ʻano nui o nā ʻōpala:

• Nā ʻōpala Hypertrophic: He mau ʻōpala kēia i hoʻopaʻa ʻia i ka ʻāpana o ka ʻeha, akā ua hoʻokiʻekiʻe ʻia ma luna o ka ʻili, mānoanoa, a i kekahi manawa ʻulaʻula.
• Nā ʻōpala Keloid: ʻO kēia nā mea i ʻoi aku ka pilikia. Ulu kēia mau ʻōpala ma ʻō aku o ka ʻeha a laha i ka ʻili olakino a puni, e hana ana i kahi puʻupuʻu nui. Hiki iā lākou ke ʻeha a ʻeha. Loaʻa i kekahi poʻe ka maʻi genetic i ka hoʻomohala ʻana i nā keloids. Ua ʻike ka nui o ka poʻe ma ko mākou ʻāina i ka hoʻokumu ʻia ʻana o keloid ma hope o ke kī ʻana i ko lākou mau pepeiao.
• Nā ʻōpala atrophic: He mau ʻōpala kēia i piholo i loko o ka ʻili o ka ʻili a like me nā lua. ʻO ka hapa nui o nā ʻōpala i waiho ʻia ma ka maka ma hope o ka ʻākena e hāʻule i loko o kēia māhele.
• Nā ʻōpala ʻaelike: Hiki ke ulu aʻe kēia ʻano ʻōpala, ʻoiai ma hope o ke kuni ʻana. I ka wā e ho'ōla ai kēia mau ʻōpala, lilo ka ʻili i paʻa a loaʻa kahi manaʻo palupalu iki. Hiki i kēia ke kaupalena i ka neʻe ʻana ma ia wahi.

E nānā kāu kauka i kou ʻeha, e ʻike pono i ke ʻano o ia ʻeha, a e ʻōlelo aku i ka lāʻau lapaʻau maikaʻi loa.

ʻO wai ka mea maʻamau e pono ai kēia lāʻau lapaʻau?

Hiki i kekahi mea ʻoluʻolu ʻole a ʻoluʻolu ʻole paha me kahi ʻōpala ma ko lākou kino ke noʻonoʻo i kēia lāʻau lapaʻau. ʻO kekahi mau kumu maʻamau o nā ʻōpala:

• Nā ʻōpala ma ka maka a me ke kino
• Nā kuni (mai nā ulia a i ʻole ka radiation therapy no ka maʻi kanesa)
• Nā ʻeha o ka ʻōpū ma hope o ka ʻoki ʻana o ka ʻōpū (C-section)
• Nā ʻōpala ma hope o kekahi ʻoki kino ʻē aʻe
• Nā ʻeha i hana ʻia e nā ulia (ʻoki, ʻōpala)
• Ma hope o ke komo ʻana o ka pepeiao a i ʻole ka ihu (ʻoi aku hoʻi no ka poʻe i loaʻa nā keloids)
• Ma hope o nā maʻi ʻili koʻikoʻi

Pehea e hoʻomākaukau ai ma mua o ka mālama ʻana?

E ʻokoʻa ke ʻano o kāu hoʻomākaukau ʻana ma muli o ke ʻano o ka lāʻau āu e hana nei, akā ma ke ʻano laulā, e hāʻawi paha kāu kauka iā ʻoe i kekahi mau ʻōlelo aʻoaʻo e like me kēia:

• ʻAi momona: He mea nui ka meaʻai maikaʻi no ka ho'ōla ʻana i nā ʻeha. E hoʻokomo i nā meaʻai waiwai i ka zinc, nā wikamina A, C, a me E, e like me nā mea kanu, nā huaʻai, nā legumes, a me nā nati.
• Mai puhi paka: Inā he mea puhi paka ʻoe, pono ʻoe e hoʻōki i ka puhi paka i kekahi mau pule ma mua o kou lāʻau lapaʻau. Hoʻopaʻa ka puhi paka i nā kīʻaha koko, kahi e hoʻolohi ai i ka ho'ōla ʻana o ka ʻeha, a hoʻonui i ka pilikia o ka maʻi.
• Ke hoʻōki ʻana i kekahi mau lāʻau lapaʻau: Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau, e like me nā anticoagulants, pono ʻoe e hoʻomaopopo i kāu kauka. Ma muli o ka ʻōlelo aʻo a kāu kauka, pono paha ʻoe e hoʻōki i ka lawe ʻana i kēia mau lāʻau lapaʻau i kekahi mau lā ma mua o ke ʻoki kino a i ʻole kekahi lāʻau lapaʻau ʻē aʻe.
• Nā kūlana olakino ʻē aʻe: E haʻi i kāu kauka inā loaʻa iā ʻoe ka maʻi diabetes a i ʻole ke lawe nei ʻoe i nā immunosuppressants. Eia kekahi, ʻaʻole kūpono kekahi mau lāʻau lapaʻau ʻeha i kou wā e lawe ana i nā lāʻau lapaʻau e like me isotretinoin, kahi i hoʻohana ʻia no ka ʻākena koʻikoʻi.

He aha nā lāʻau lapaʻau no nā ʻōpala?

ʻAe, e nānā kākou i nā lāʻau lapaʻau nui no ka hōʻemi ʻana i ke ʻano o kēia mau ʻeha. ʻO kahi mea e hoʻomanaʻo ai, hiki iā ʻoe ke loaʻa nā hopena maikaʻi aʻe ma ka mālama ʻana i kahi ʻeha ma hope o ka lōʻihi iki (ma kahi o 12-18 mau mahina) ma mua o ka mālama ʻana i kahi ʻeha hou. I kēlā manawa, ua 'oʻo' mua ka ʻeha.

Hiki ke hoʻokaʻawale ʻia nā ʻano lapaʻau i ʻehā mau ʻano nui.

I kēia manawa, e nānā kākou i kēlā me kēia o kēia mau ʻano hana me nā kikoʻī hou aku.

1. Nā Lapaʻau Topical

ʻO kēia nā lāʻau lapaʻau maʻalahi a liʻiliʻi loa ka pilikia. ʻAʻole lākou e pili ana i nā nila a i ʻole nā ​​​​ʻoki. ʻOi aku ka maikaʻi o lākou no nā ʻeha hou a palupalu e ho'ōla mau nei a i ʻole e ulu ana.

• ʻO ka gel/pepa silicone:ʻO kēia ke ʻano hana kūpono loa a ʻōlelo pinepine ʻia ma kēia māhele. Loaʻa kēia mau mea ma ke ʻano o nā pepa moakaka a i ʻole nā ​​gels me kahi papa gel silicone. Waiho ʻia kēia mau mea ma ka ʻōpala no kekahi mau hola i ka lā no kekahi mau mahina. Kōkua kēia i ka hōʻemi ʻana i ka ʻulaʻula a me ka maneʻo o ka ʻōpala, pale i ka hoʻokumu ʻia ʻana o nā ʻōpala i hāpai ʻia (keloids, hypertrophic scars), a kōkua i ka hoʻopālahalaha ʻana i nā ʻōpala e kū nei.
• Lapaʻau kaomi: ʻOi loa ma hope o ke kuni ʻana, e ʻaʻahu ʻia nā lole kūikawā e kau i ke kaomi mau a kaulike i ka ʻōpala. Kōkua kēia kaomi i ka kaohi ʻana i ka piʻi ʻana o ka ʻōpala.
• Wikamina E/A: I kekahi manawa, ʻōlelo aʻo kekahi poʻe e hoʻohana i nā aila a me nā kirīmi wikamina E a i ʻole A. Eia nō naʻe, ʻaʻohe hopena ʻepekema maopopo e pili ana i ka hopena o kēia mau mea no nā ʻeha.

2. Nā inikini (Nā mea hiki ke inikini ʻia)

Ma kēia ʻano hana, hoʻokomo pololei ʻia nā lāʻau lapaʻau kūikawā i loko o ka ʻōpala. He kūpono loa kēia no nā ʻōpala i piʻi a mānoanoa (keloids, hypertrophic scars). ʻO ka maʻamau, hāʻawi ʻia kēia mau inikini i nā manawa he nui i ka pule no nā hopena maikaʻi loa.

• Nā inikini Corticosteroid: ʻO kēia ka lāʻau lapaʻau maʻamau no nā ʻōpala e like me nā ʻōpala keloid. Hana kēia inikini steroid ma ka hōʻemi ʻana i ka hana ʻana o ka collagen, ʻo ia ke kumu nui o ka hoʻokumu ʻia ʻana o nā ʻōpala, a me ke kāohi ʻana i ka pehu ʻana o ka ʻōpala. Hoʻemi kēia i ka nui, ka mānoanoa, ka ʻulaʻula, a me ka maneʻo o ka ʻōpala.
• Nā inikini 5-FU a i ʻole bleomycin: He mau lāʻau lapaʻau kēia i hāʻawi ʻia no ka maʻi kanesa. Ma muli o ko lākou hoʻōki ʻana i ka ulu ʻana o nā cell, hoʻohana ʻia nō hoʻi lākou e hoʻōki i ka ulu ʻana o nā ʻiʻo ʻē i loko o nā ʻeha.
• Nā mea hoʻopihapiha ʻili: He ʻokoʻa kēia mai nā mea ʻē aʻe. Hoʻohana ʻia kēia no nā ʻeha hohonu e like me ka lua. He mea kūpono loa kēia no nā ʻeha ʻākea. ʻO ka mea i hana ʻia ma ʻaneʻi, ʻo ia ke hoʻokomo i kahi mea hoʻopihapiha kūikawā i loko o ka wahi i piholo a hoʻokiʻekiʻe iā ia i ka pae o ka ʻili a puni. Eia nō naʻe, he manawa pōkole nā ​​​​hopena o kēia. Pono ʻoe e hana hou ma hope o kekahi mau mahina a i ʻole hoʻokahi makahiki.

3. Hoʻoponopono hou ʻana i ka ʻili

ʻO ka pahuhopu nui o kēia mau lāʻau lapaʻau, ʻo ia ka wehe ʻana i ka papa luna o nā pūnaewele kahiko a hōʻino ʻia mai ka ʻili ʻeha a hōʻike i ka ʻili olakino a laumania ma lalo.

• Lapaʻau Laser (Light a i ʻole laser therapy): He ʻano hana kaulana loa kēia i kēia manawa. Maanei, hoʻohana ke kauka i kahi mea hana kūikawā e kuhikuhi i kahi kukuna laser ikehu kiʻekiʻe i ka ʻōpala. Hoʻomāhu mālie kēia mau kukuna a wehe i ka papa luna o ka ʻili. Hoʻoulu pū lākou i ka hana ʻana o ka collagen hou, e komo hohonu ana i loko o ka ʻili. ʻO ka hopena, lilo ka ʻili hou ma lalo i laumania a ʻālohilohi. Hiki iā ia ke hoʻoponopono i ke kala ʻole o ka ʻōpala.
• ʻIli kemika:Maanei, hoʻohana ʻia kahi hopena kemika kūikawā (ʻo ka waikawa maʻamau) e wehe i ka papa luna o ka ʻili ma ke ʻano i kāohi ʻia. He kūpono kēia no nā ʻeha maʻalahi a ʻoluʻolu hoʻi, ʻoiai nā mea ma ka maka.
• Dermabrasion: He exfoliation mālie kēia o ka ʻili. ʻO kahi mea hana kūikawā, e like me kahi palaki e wili wikiwiki ana, e wehe i nā papa luna o ka ʻili. Hiki i kēia ke mālama i nā ʻeha i piholo a me nā ʻeha i piʻi.
• Microneedling: Me ka hoʻohana ʻana i kahi wili a i ʻole kahi mea hana me nā nila lahilahi loa, hana ʻia nā tausani o nā punctures liʻiliʻi a ʻike ʻole ʻia i loko o ka ʻili. Hoʻoulu kēia i ka ʻili e hoʻoponopono iā ia iho a hana i ka collagen hou. Hoʻomaikaʻi mālie kēia i ke ʻano o nā ʻōpala.

4. ʻoki kino

I kekahi manawa, ʻoi aku hoʻi no nā ʻeha contracture i nui, ʻeha, a i ʻole ke hoʻopilikia nei i ka neʻe ʻana, ʻo ke ʻoki ʻana ka hopena maikaʻi loa.

Maanei, ʻoki loa ke kauka ʻoki plastik a wehe i ka ʻeha kahiko, a laila pani i ka ʻeha me nā humuhumu lahilahi loa, e waiho ana i kahi ʻeha i ʻike ʻole ʻia e like me ka hiki, e like me kahi laina lahilahi.

• ʻO Z-Plasty a me W-Plasty: He mau hana ʻoki kūikawā kēia. E noʻonoʻo i kahi ʻeha paʻakikī a kīkoʻo e like me ka laina pololei. Ma Z-plasty, hana ʻia nā ʻoki liʻiliʻi ma waenakonu o ka ʻeha ma ke ʻano o ka leka 'Z', a hoʻoneʻe ʻia ka ʻili i mua a i mua a humuhumu ʻia i hope. Hoʻopau kēia i ke koʻikoʻi ma ka laina pololei, e ʻae ana i ka ʻili e kīkoʻo a kūlou maikaʻi ma kahi o ka ʻeha. Hoʻemi pū kēia i ke ʻano o ka ʻeha.
• Nā kāpili ʻili: I kekahi manawa, ʻoiai i nā kuni nui, ʻaʻole lawa ka ʻili i koe e uhi i ka ʻōpala ma hope o ka wehe ʻia ʻana. I kēia hihia, lawe ʻia kahi papa lahilahi o ka ʻili mai kahi ʻāpana ʻē aʻe o ke kino (no ka laʻana, ka ʻūhā) a hoʻopili ʻia i loko o ia wahi.

Ma hope o ke ʻoki ʻana, hiki i kāu kauka ke ʻōlelo aku i nā inikini a i ʻole nā ​​​​​​kirimi topical e hōʻemi i ka ʻeha hou.

He aha nā pilikia o kēia mau lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, aia kekahi mau pilikia e pili ana. Eia nō naʻe, hiki ke hoʻēmi ʻia kēia mau pilikia inā hana pono ʻia, ma lalo o ka nānā ʻana a ke kauka kūpono.

• ʻŌhūhū ʻili: Haʻahaʻa ka pilikia o kēia. Hiki i kekahi poʻe ke ʻike i ka maneʻo iki, ka ʻulaʻula, a i ʻole nā ​​hopena maʻi (contact dermatitis).
• Nā inikini a me nā lāʻau hoʻoponopono hou ʻili: Hiki ke ʻulaʻula, pehu, pehu, a me ka hoʻonui ʻia o ka ʻike i ka lā ma kahi i mālama ʻia ai. I kekahi manawa, hiki ke loli ke kala o ka wahi i mālama ʻia (lilo i ʻeleʻele a māmā paha ma mua o ka ʻili a puni).
• ʻOki kino: Aia ma ʻaneʻi nā pilikia maʻamau o ke ʻoki kino, e like me ka maʻi a me ke kahe ʻana o ke koko. Eia kekahi, aia kahi manawa liʻiliʻi e ulu ai kahi ʻeha hou i ʻoi aku ka ʻino ma mua o ka mea kahiko.

He aha ka mea e manaʻo ai ma hope o ka mālama ʻana?

He mea nui loa kēia. He mea nui ke ahonui ma ʻaneʻi.

• Hiki ke hala i nā mahina e ʻike i nā hopena mai nā huahana mālama ʻili topical.
• I mea e loaʻa ai nā hopena maikaʻi mai nā lāʻau lapaʻau e like me nā inikini a me nā lasers, pono ʻoe e hana i nā kau he nui.
• Ma hope o ke ʻoki ʻana, hiki ke hala i kekahi mau pule a i kekahi mau mahina no ka ho'ōla piha ʻana o ka ʻōpala hou a loaʻa i kona helehelena hope loa.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei i loko a puni paha o kou ʻili ma hope o ka hana ʻana i kekahi lāʻau lapaʻau, e hoʻomaopopo koke i kāu kauka:

• Inā he kahe koko
• Inā loaʻa iā ʻoe nā pehu
• Inā he mau hōʻailona o ka maʻi (e like me ka pus, ka ʻulaʻula nui, ka pehu, a i ʻole ka mehana ke pā aku)
• Inā he pehu ʻē a nui paha

Ma mua o ka hoʻoholo ʻana i kēia lāʻau lapaʻau, e hālāwai me kahi dermatologist akamai a i ʻole ke kauka ʻoki plastik e nānā i kou ʻeha a kūkākūkā i kāu mau koho, ko lākou mau pono a me nā pōʻino, a me nā kumukūʻai.