Kua pāngia koe e tētahi whara i tētahi wāhi, ā, i muri i te ora, he paku puku te koha i toe, he matotoru, ā, he whero i ētahi wā? I ētahi wā ka mākūkū koe, ka mamae rānei nā tēnei koha. He mea noa ki te tangata te mataku me te manukanuka ina kite i tētahi mea pēnei. Tērā pea ka whakaaro koe, "Āe, he aha tēnei?", "He mea morearea tēnei?" Engari kaua e mataku. I te nuinga o te wā, ko te take o tēnei he mate e kiia nei ko te Hypertrophic Scar . I tēnei rā, ka kōrerohia e tātou tēnei mea mā te tino māmā, i roto i tētahi huarahi e mārama ai koe.
He aha te Hypertrophic Scar?
Hei mārama ki tēnei, me titiro tuatahi tātou ki te āhua o te whakaora o te patunga. Mēnā ka puta he karawarawa iti ki te paparanga o runga o tō tātou kiri, ka ora, kāore e waiho he koha nui. Engari, ki te hohonu ake te patunga, arā, ki te tae ki raro ki te paparanga "dermis" o te kiri, ka whakamahia e tō tātou tinana tētahi mea motuhake hei whakaora i taua patunga. Ko te collagen tēnā.
He momo pūmua te korarane e kitea ana i roto i tō tātou kiri. Ka hangaia e te tinana he korarane hou hei whakaora i te patunga. He matotoru ake tēnei kiko hou i te kiri noa. I te nuinga o te wā, he papatahi ngā korara e puta mai ana i tēnei ara, he ōrite ki te kiri.
Heoi, i ētahi wā ka nui rawa te tukanga whakaora patunga o te tinana. Kātahi ka nui ake te collagen e hangaia ana e te tinana i tana e hiahia ana . Ka kohia tēnei collagen tāpiri ki te wāhi o te patunga, ka pupuhi te koha i waho o te kiri, ka matotoru ake. Koinei te mea e kiia nei e tātou he koha hypertrophic. Ko te mea nui ko te puta noa o tēnei koha i roto i te patunga taketake .
He aha te rerekētanga i waenga i te Korowha Hypertrophic me te Korowha Keloid?
He tokomaha te hunga e pōhēhē ana ki ngā kupu e rua, arā, ngā koha hypertrophic me ngā koha keloid. Ahakoa he koha teitei ēnei e rua, he mārama ngā rerekētanga i waenganui i ngā kupu e rua. Whakaarohia he patunga iti kei tō ringa kua ora.
- Mena he koha nui rawa te āhua, ka puta noa te koha i roto i te wāhi i puta ai te patunga. Kāore e horapa ki tua atu i taua wāhi.
- He rite te koha keloid ki te harore e tipu ana, e tupu ana ki tua atu i te patunga taketake, ā, ka horapa ki te kiri hauora e karapoti ana.
Tirohia te ripanga i raro nei kia mārama ake ai koe ki tēnei rerekētanga.
| Huanga | Koha Hypertrophic | Koha Keloid |
|---|---|---|
| Te horapa o ngā whara | Kei roto noa i te wāhi patunga taketake. | Ka horapa atu ki tua atu i te patunga taketake, ā, ka horapa ki roto i te kiri e karapoti ana. |
| Whakatipuranga | Kāore he nui o ōna pānga. Ka taea e te tangata katoa te whakawhanake. | Mena kei tētahi o te whānau tēnei mate, he nui ake te tūponotanga ka pāngia e tēnei mate (he āhuatanga tuku iho tēnei). |
| Te hekenga ohorere | I roto i te wā (i roto i ētahi marama, i te tau rānei), tera pea ka papatahi, ka whakaiti hoki i tōna rahi. | Kāore e memeha noa iho. He maha tonu te noho pērā me te kore he rongoā. |
| I muri i te pokanga | Ki te tangohia mā te pokanga, he iti te tūponotanga ka hoki mai anō. | Ahakoa ka tangohia mā te pokanga, he tino teitei te tūponotanga ka tupu anō. |
He morearea ēnei koha?
Kāore rawa. Koinei te rongo pai rawa atu ka taea e au te tuku atu ki a koe.
Kia maumahara, ehara ngā koha hypertrophic i te mate pukupuku, ā, ehara i te mea morearea ki te ora.
He raruraru āhua noa iho ēnei. Heoi, i ētahi wā ka pā mai he mamae me te mākūkū i ēnei kōhatu. Waihoki, ki te puta he kōhatu pēnei i runga i tētahi hononga pēnei i te tuke, i te turi rānei, ka uaua ki te piko me te whakatika i taua hononga, ko te tikanga ka whakararuraru i te nekehanga . I roto i ēnei āhuatanga, he mea nui kia whiwhi maimoatanga.
He aha ngā āhuatanga o te koha hypertrophic?
Ehara i te mea uaua ki te tautuhi i ēnei kōpura. Rapua ēnei tohu i muri i te ora o tō patunga.
- Kua matotoru te kiri i te patunga, ā, te āhua nei kua ara ake .
- Tērā pea he māwhero, he whero, he papura rānei te tae o te koha.
- Kua kore te patunga.Ka tīmata te memeha o tēnei koha i roto i te kotahi, i ngā marama e rua rānei.
- Tērā pea ka mākūkū te koha, ka mamae, ka ngawari rānei ki te pā atu .
- Ka kitea nuitia ēnei i te uma, i te tuara, i ngā pakihiwi, me ngā ringa o runga . Ka kitea hoki i ngā hononga.
- Ki te hanga ki runga i tētahi hononga, ka taea e ia te whakararuraru i te nekehanga o taua hononga .
He aha ngā maimoatanga mō tēnei?
Ko ngā whāinga matua o te rongoā i tētahi koha hypertrophic ko te whakawhāiti i te koha, te whakangawari, te whakaiti i tōna rahi, te whakaiti i te rerekētanga o te tae, me te whakamamae i ngā mamae pērā i te mamae me te mākati.
I ngā wā maha, ka tatari tō tākuta, inā koa he tākuta kiri, he taote kirihou rānei, mō ētahi marama, tae atu ki te tau, i mua i te tīmatanga o te maimoatanga. Nā te mea ka papatahi, ka mimiti haere ngā koha hypertrophic i roto i te wā. Ki te kore, ko te maimoatanga anake te huarahi.
Anei ētahi o ngā tikanga maimoatanga matua.
Ngā Maimoatanga Hauora
- Werohanga corticosteroid: Koinei te maimoatanga matua. Ka werohia tika ēnei werohanga ki roto i te koha. Ka pakaruhia te kiko collagen tāpiri i roto i te koha, ka whakatārewatia, ka whakangawaritia hoki te koha. Ka whakaitihia hoki te mamae me te mākūkū. Me werohanga pea koe i ētahi wā, i ia wiki torutoru.
- Whakaora taiaho: Ka whakamahia ngā momo taiaho motuhake ('Pulsed dye lasers', 'Nd:YAG lasers') hei aro ki ngā oko toto i roto i te koha. Ka mutu te tipu o te koha, ka whakaiti i te whero, ka whakaiti hoki i tōna matotoru. Ka hangaia e ētahi tikanga taiaho he kōhao iti i roto i te koha, ka whakangawari, ka āwhina hoki i a ia ki te hanga anō i tōna āhua.
- Ētahi atu momo werohanga: Ka werohia tika ngā rongoā e kīia ana ko te `(Bleomycin)` me te `(5-FU)` ki roto i te koha. Ka whakawhāitihia te koha, ka whakaiti i te mamae me te mākūkū.
- Te Whakaora-kiri: He tikanga hei whakawhāiti i ngā koha mā te whakangaro āta i ngā kiko koha mā te whakamahi i te makariri rawa (pērā i te hauota wai).
- Pokanga: Mēnā kāore ētahi atu maimoatanga e angitu, ka mahia te pokanga hei tango i te koha. Heoi, koinei te huarahi whakamutunga, nā te mea ka taea e te pokanga te whakahoki mai i te koha.
Ngā Kōwhiringa Manaaki-ā-Iho
He mea nui: I mua i te whakamātau i tētahi o ēnei, me kōrero koe ki tō tākuta mō ētahi tohutohu.
- Ngā pepa tiēre silicone:Kia ora te patunga, ka taea te whakamahi i ēnei pepa tiēre silicone, i ngā pāti rānei i ia rā ki te koha. Me whakamahi tonu ēnei i te roanga o te rā mō ētahi marama. E kiia ana ka āwhina tēnei ki te whakaiti i te rahi, te whero, te matotoru, me te mākūkū o te koha.
- Tāpirihia te makuku me te pēhi: Tāpirihia he papa kore-piri, pērā i te hinu hinu, ki te koha, ka herea ki te rīpene. Kātahi ka tāpirihia he pēhi mārire ki te takai rapa, ki te takai ACE rānei, kua whakaatuhia i roto i ētahi rangahau ka taea te whakaiti i te koha.
Me pēhea te ārai i te koha me te tiaki tika i te whara?
Ko te huarahi pai hei ārai i ngā koha hypertrophic ko te tiaki tika i te patunga mai i te tīmatanga. Mena he motu tōu i muri i te pokanga, i tētahi atu patunga rānei, me ata whai i ngā tohutohu a tō tākuta.
Anei ētahi mea whānui hei maumahara māu:
- Kia ma te patunga: Horoia te patunga ki te hopi me te wai. Kaua rawa e whakamahia te hauwai waikura. Ka kino pea te kiri.
- Kia makuku te patunga: Kaua e tukua kia maroke te patunga kia ora rā anō. Pania he hinu hinu (pēnei i te Vaseline) he hinu rite rānei. Mā tēnei ka tino whakaiti i te tūponotanga o te whara.
- Whakarerekētia te takai i ia rā: Whakarerekētia te takai i ia rā, i ngā wā katoa rānei e hiahiatia ana, e ai ki te tohutohu a te tākuta.
- Tiakina koe i te rā: Kia ora te patunga, kia mau i tētahi paninga rā pai me te SPF o te 30, neke atu rānei, ina haere koe ki waho ki te kiri i te patunga. Ka taea e te pānga o te rā te whakapouri ake i te patunga.
- Kōrero ki tō tākuta mō te āhua o te koha: Mena kua pāngia koe e ēnei momo koha i mua, kōrero ki tō tākuta i mua i tētahi pokanga kia taea ai e ia te aro nui ki tēnei.
Hei whakamutunga, kāore he mea e wehi ai te koha hypertrophic. Heoi, ki te pāngia tō āhua, e whakararuraru rānei i ō mahi o ia rā, me toro atu koe ki te tākuta kia matapakihia ai te maimoatanga pai rawa atu mōna.
Karere Tangohia ki te Kāinga
- He tauhohenga noa ngā koha hypertrophic ki te whakaora patunga, engari he rerekē. Kāore i te mate pukupuku, kāore hoki i te morearea ki te ora.
- Ka puta noa ēnei kōhatu i roto i te patunga taketake. Kāore e horapa ki tua atu i te patunga pērā i ngā kōhatu keloid.
- Ko te nuinga o ngā koha hypertrophic ka papatahi, ka memeha haere i roto i te wā (6-12 marama).
- He maha ngā maimoatanga whai hua e wātea ana, tae atu ki ngā werohanga, ngā maimoatanga taiaho, me te kirikiri silicone. Kōrero ki tō tākuta kia mōhio ai koe ko tēhea te mea pai rawa atu māu.
- Mēnā he patunga tōu, ko te pupuri kia ma, kia makuku te huarahi pai hei ārai i te hanga kōhatu.
- Mena kei te whakararuraru te koha i a koe, kei te whakawhāiti i te nekehanga o te hononga, kei te whakarerekē rānei i tōna āhua, rapua he tohutohu hauora.











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