I scars tibuaitu te chinfelna tur Scar Revision chungchang hi han sawi ila!

Nun kan paltlang lai hian hliam tenau te, accident te, surgery te kan tawk hi thil pangngai tak a ni. Heng zawng zawng hi a dam hnua kan hriatrengna kan hnutchhiah chu hliam hi a ni. Naupan laia kan inkhelh laia kan cut a ni mai thei, C-section hnua hliam la awm a ni thei bawk. A chhan chu eng pawh ni se, heng hliamte hian a chang chuan kan rilru hahna leh mualphona tlem a thlen thei a ni. "Aw, hengte hi kan neih loh chuan a va tha zawk ang," tiin i ngaihtuah tawh mai thei. Chuvangin vawiinah hian heng hliam te hi a lan dan tiziaawm thei tur leh a hmeltha thei tur enkawlna tur kan sawi dawn a ni. Damdawi lamah chuan hei hi ‘Scar Revision’ kan ti thin.

A awlsam zawngin, he scar reduction treatment (Scar Revision) hi eng nge ni?

‘Scar Revision’ tih thumal i hriat hian mi thenkhat chuan hliam chu a thai bo vek thei niin an ngai mai thei. Mahse chu chu thudik a ni lo. Eng enkawlna pawhin hliam chu a bo vek thei lo. A tih chu a hliam lan dan chu nasa takin a tihtlem a ni. Chu chu i chhehvêla vun hrisel tak nêna a inang thei ang bera siam tûr a ni.

A tam zawkah chuan cosmetic lam thila tih a ni. Chu chu kan hmel lan danah inrintawkna tihpun nan a ni. Mahse, hliam hian natna min thlen emaw, kan taksa peng chu uluk taka kan sawn theih lohna emaw a awm fo thin. I elbow emaw, i khup emaw-ah hliam khauh tak, inzawm tlat i nei ang tih han ngaihtuah teh. I kut chu tihzauh emaw, ben emaw a tiharsa a nih chuan cosmetic issue aiin medical problem a ni. Chutiang hunah chuan he enkawlna hi a pawimawh ta hle a ni.

Scar chi hrang hrang a awm em?

Ni e, a dik tak zet. Scar zawng zawng hi a inang vek lo. I tana enkawlna dik thlang tur chuan eng chi hliam nge i neih tih hriat a pawimawh.

Dik tak chuan hliam a dam chuan kan vunah protein ‘collagen’ an tih hian chu hmun ruak chu a luah khat thin. A chang chuan, he collagen siamchhuah hi a tul aia tlemin a pung thin. Chutah chuan hliam thuk tak, sang tak tak a lo awm ta a ni.

Scar hi chi hrang hrang a awm a, chungte chu:

• Hypertrophic scars: Hei hi hliam awmna hmunah chauh awm mahse vun chungah a sang a, a thim a, a then chu a sen bawk.
• Keloid scars: Hengte hi a buaithlak deuh a ni. Heng hliamte hi hliam piah lamah a thang lian a, a chhehvel vun hrisel takah a darh a, hnah lian tak a siam a ni. An itchy thei a, an na thei bawk. Mi thenkhat chu genetically predisposed an ni a, keloids an nei thei bawk. Kan ramah hian mi tam tak chuan an beng an hrual hnuah keloid formation an nei tawh a.
• Atrophic scars: Hei hi vun chunglam a pil tawh, khur ang maia lang a ni. Acne hnua hmaiah hliam awm tam zawk hi he category-ah hian a tel a ni.
• Contracture scars: Heng chi hrang hrangte hi a lo awm thei a, a bik takin kang hnuah a lo awm thei. Heng hliamte hi a dam chhoh zel chuan vun chu a tight a, stretchy feel tlem a nei bawk. Hei hian chu lai hmuna inkalpawhna a tikhawtlai thei a ni.

I doctor chuan i hliam chu a enfiah ang a, eng chi nge a nih tih chiang takin a hre ang a, enkawlna tha ber tur a rawt ang.

He enkawlna hi tute nge mamawh tlangpui?

Tu pawhin an taksaa hliam a awm avanga lungawi lo emaw, lungawi lo emaw chuan he enkawlna hi an ngaihtuah thei a ni. Scars awm chhan tlangpui thenkhat chu:

• Hmai leh taksaah acne hliam a awm
• Kangmei (accidence emaw cancer natna avanga radiation therapy emaw avanga) .
• Cesarean section (C-section) hnua pum chhunga hliam awm .
• Surgery dang eng pawh tih hnua hliam
• Accident avanga hliam (cut, scrapes) .
• Beng emaw hnar emaw hliam hnuah (a bik takin keloid nei tan) .
• Vun natna nasa tak a neih hnuah

Engtin nge enkawl hmain ka inbuatsaih ang?

I inbuatsaih dan tur chu i enkawlna chi hrang hrang a zirin a inang lo ang a, mahse a tlangpuiin i doctor hian hetiang hian thurawn engemaw zat a pe mai thei che a ni:

• Ei leh in tha tak: Hliam dam nan ei leh in tha hi a pawimawh hle. Zinc, vitamin A, C, leh E tamna ei tur, thlai, thei, legumes, leh nut te pawh telh bawk ang che.
• Meizial zuk loh tur: Meizial zu mi i nih chuan i enkawl hma kar engemaw zat chhungin meizuk kha i bansan ngei ngei tur a ni. Meizial zuk hian thisen kalna kawng a tikhawlo a, chu chuan hliam damna a tikhawtlai a, natna kai theihna a tipung bawk.
• Damdawi thenkhat chawlhsan: Damdawi thenkhat, anticoagulants ang chi i ei a nih chuan doctor hnenah i hriattir tur a ni. I doctor thurawn azirin, operation emaw, enkawlna dang emaw i neih hma ni engemaw zatah heng damdawi te hi i ei tawh loh a ngai mai thei.
• Damdawi lam thil dang: Zunthlum i neih emaw, immunosuppressant i ei emaw chuan i doctor hnenah hrilh rawh. Tin, scar treatment thenkhat chu isotretinoin ang chi damdawi i ei laiin a tha lo thei bawk a, hei hi acne na tak tan pawh a ni.

Scars enkawlna tur engte nge ni?

Okay, tunah chuan heng hliam te hi a lan dan tihziaawmna tur enkawlna bulpui te hi han thlir ila. Thil pakhat hriat reng tur chu hliam thar enkawl aiin a rei deuh hnu (thla 12-18 vel) enkawl hian result tha zawk i hmu thei a ni. Chutih lai chuan a hliam chu a ‘puitling’ tawh a ni.

Enkawl dan hi chi paliah then theih a ni.

Tunah chuan heng hmanrua tinte hi chipchiar deuhin han thlir ila.

1. Topical Treatment hmanga enkawl dan tur

Hengte hi enkawlna awlsam ber leh hlauhawm lo ber berte an ni. Anni hian needle emaw incision emaw an nei lo. Anni hi hliam thar, na lo tak tak, la dam emaw, la lo awm mek emaw tan chuan an tangkai ber.

• Silicone gel/sheet te chu:Hei hi he category-a hmanraw tangkai ber leh rawt ber a ni. Chungte chu transparent sheet emaw silicone gel layer nei gel emaw angin an lo awm thin. Chungte chu ni khatah darkar engemaw zat thla engemaw zat chhung chu hliam chungah an dah a ni. Hei hian scar sen leh itching a tihziaawm a, raised scars (keloids, hypertrophic scars) siam a veng a, scar awmsa te chu a flatten thei bawk.
• Pressure therapy: A bik takin kangmei hnuah chuan thawmhnaw bik bun a ni a, chu chuan a hliam chu pressure awm reng, chutiang bawkin pressure a pe thin. He pressure hian scar a san loh nan a control thei a ni.
• Vitamin E/A: A chang chuan, mi thenkhat chuan vitamin E emaw A emaw oil leh cream hmang turin an fuih thin. Mahse, hengte hian hliamte tan eng angin nge a thawh hlawk tih erawh scientific thutlukna chiang tak a la awm lo.

2. Injection (Injectable) 1.1.

Hetiang hmang hian damdawi bikte chu a hliam chhungah direct-in an inject thin. Hengte hi a bik takin hliam sang, thickened (keloids, hypertrophic scars) tan chuan a tangkai hle. A tlangpuiin heng injection te hi kar khatah vawi tam tak pek thin a ni a, result tha ber a awm thin.

• Corticosteroid injection: Hei hi keloid scar ang chi hliam enkawlna atana hman tlanglawn ber a ni. He steroid injection hian scar siam chhan ber collagen siam chhuah a tihtlem bakah scar-a swelling awm chu a control thei a ni. Hei hian hliam lian tham, a thuk zawng, a sen leh a hring (itching) te a ti tlem a ni.
• 5-FU emaw bleomycin injection: Hengte hi a takah chuan cancer damdawi pek a ni. Cell thanna an tihtawp avangin scars-a tissue pangngai lo thanglian tur tihtawp nan an hmang bawk.
• Dermal fillers: Hei hi a dang nen a danglam. Hei hi hliam thuk tak, khur ang maia awmte tan hman a ni. Hei hi acne scars tan a tangkai hle. Heta tih tur chu a pilna hmunah hian special filler inject a, a chhehvel vun level thlenga tihsan a ni. Mahse, hei hi a rah chhuah chu hun eng emaw chen chauh a ni. Thla engemaw zat emaw kum khat emaw hnuah i tih leh a ngai a ni.

3. Vun Resurfacing

Heng enkawlnate hian a tum ber chu vun hliam atanga cell hlui, chhe tawh, a chung lam layer te chu paih chhuakin, a hnuaia vun hrisel leh nem tak chu pholan a ni.

• Laser therapy (Light or laser therapy): Tunah chuan hei hi hmanraw lar tak a ni. Hetah hian doctor chuan hmanraw bik hmangin high-energy laser beam chu scar-ah a hruai a ni. Heng rays te hian zawi zawiin a vaporize a, vun chunglam layer chu a paih chhuak thin. Tin, collagen thar siam chhuahna an tichak bawk a, chu chu vun chhung thuk takah a lut a ni. Chumi avang chuan a hnuai vun thar chu a hrual a, a eng zawk bawk. Scar rawng danglam apiang a siam tha thei bawk.
• Chemical peel hmanga siam: 1.1.Hetah hian chemical solution bik (a tlangpuiin acid) hmangin vun chunglam layer chu controlled takin an paih chhuak thin. Hei hi superficial, mild scars tan a tha hle a, a bik takin hmaiah chuan a tha hle.
• Dermabrasion: Hei hi vun atanga zawi zawia tihthianghlimna a ni. Thil hmanraw bik, brush rang taka inher ang chi chuan vun chunglam layer te chu a paih chhuak thin. Hei hian sunken scars leh raised scars te pawh a tidam thei a ni.
• Microneedling: Roller emaw, needle na tak tak nei device emaw hmangin vunah hian puncture te tak te, hmuh theih loh sang tam tak siam a ni. Hei hian vun chu a insiamthat theih nan a tichak a, collagen thar a siam chhuak thin. Hei hian zawi zawiin hliam lan dan a titha a ni.

4. Surgery tih a ni

A châng chuan, a bik takin contracture scar lian tak, na tak, emaw, chetna tibuaitu tan chuan operation hi a solution ṭha ber a ni.

Hetah hian plastic surgeon chuan a hliam hlui chu a tikehsawm vek a, a la chhuak a, chutah chuan hliam chu hliam na tak tak hmangin a khar a, a theih ang anga hmuh theih loh, line te tak te ang maia hliam chauh a awm ta a ni.

• Z-Plasty leh W-Plasty: Hengte hi surgical procedure bik a ni. Line dinglam ang maia lang, hliam khauh tak, inzawm tlat chu han mitthla teh. Z-plasty-ah chuan a hliam laiah hian ‘Z’ letter angin incision te te an siam a, a vun chu hma leh hnung lamah an sawn a, an sewn leh thin. Hei hian straight line-a tension awm chu a ti bo a, vun chu a hrualna hmunah a inzawm tha zawk a, a ben tha zawk bawk. Hei hian hliam lan dan pawh a ti tlem bawk.
• Skin grafts: A chang chuan, a bik takin kangmei lian tak takah chuan, a vun chu lakchhuah a nih hnuah khuh turin vun a la awm lo thei. Chutiang a nih chuan taksa peng dang (entir nan, kekawr) atanga vun te tak te chu lakchhuah a ni a, chu hmunah chuan grafted a ni.

Operation hnuah i doctor chuan injection emaw topical cream emaw hmangin hliam thar a awm loh nan a rawt thei ang.

Heng enkawlnate hian eng hlauhawmna nge a neih?

Damdawi zawng zawng ang bawkin, hlauhawmna engemaw zat a awm a ni. Mahse, heng hlauhawmnate hi uluk taka tih a nih chuan, doctor thiam tak enkawlna hnuaiah a tlem thei hle.

• Skin rash: Hei hi a hlauhawmna a tlem hle. Mi thenkhat chuan natna tenau te, sen hring emaw, allergy (contact dermatitis) emaw an nei thei.
• Injection leh vun rawn lang lehna enkawlna: Enkawlna hmunah hian a sen, a hring, a hring, leh ni êng laka invenna a sang thei. A châng chuan, enkawlna hmun chu a rawng a danglam thei (a chhehvêla vun aiin a dum emaw, a eng emaw a ni thei).
• Surgery: Surgery avanga hlauhawm tlangpui, natna hrik leh thisen chhuah te hi hetah hian a awm a ni. Tin, a hlui aiin hliam thar a lo awm theihna chance tlemte a awm bawk.

Enkawlna hnuah eng nge beisei tur?

Hei hi thil pawimawh tak a ni. Hetah hian dawhtheihna a pawimawh hle.

• Topical skin care products atanga result hmuh nan thla tam tak a ngai thei.
• Injection leh laser ang chi treatment atanga result tha tak hmuh tur chuan session tam tak neih a ngai a ni.
• Operation hnuah chuan hliam thar hi a dam kim theih nan leh a hnuhnung ber a lan theih nan kar engemaw zat atanga thla engemaw zat a ngai thei a ni.

Engtik hunah nge Doctor ka hmuh ang?

Enkawlna eng emaw i neih hnua i hliam chhungah emaw, a chhehvelah emaw a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal rawh:

• Thisen chhuak a awm chuan
• Blisters i neih chuan
• Infection chhinchhiahna a awm chuan (i.e. pus, a sen lutuk, a hring, a khawih chuan a lum) .
• A danglam bik emaw, nasa taka a hring emaw a nih chuan

He enkawlna hi i rel hmain, dermatologist emaw plastic surgeon thiam tak nen inhmu la, i hliam chu enfiah la, i duhthlan tur te, an thatna leh that lohna te, leh a senso te sawipui rawh.