He nui, he pupuhi hoki ō kōpura? Me ako tātou mō tēnei (Kōpura Keloid)!

Kua pāngia koe e tētahi patunga iti, e tētahi waru rānei, ā, i te wā e ora ana, he nui ake te koha e puta mai ana i te patunga, tata pupuhi? Tērā pea ka mākūkū, ka mamae, ka kore rānei e pai ahakoa ka miria ki ngā kākahu. Koinei te mea e kīia ana e mātou he koha keloid i roto i te rongoā. Ehara ēnei i te mea tino morearea, engari i ētahi wā ka pāngia iti pea tō tātou āhua me tō tātou hinengaro. Nō reira, me kōrero tātou mō tēnei (Koha Keloid) i roto i tētahi huarahi māmā.

He aha tēnei (Pakaru Keloid)?

He whakarāpopototanga noa iho, ko te kiri kiri he kiri e tipu nui haere ana, e kitea nuitia ana i muri i te ora o te patunga. Whakaarohia, ina whara tō kiri, ka hangaia e tō tātou tinana he pūmua e kiia nei ko te Collagen hei whakaora. Ko tēnei Collagen te mea e āwhina ana i te patunga kia ora, kia tupu ai he kiri hou. Engari i roto i ētahi tāngata, ka nui rawa te hanga o tēnei Collagen. Koinā te wā e tipu ai te patunga ki tua atu i tōna rahi taketake, ā, ka puta he kiri nui (Keloid Scar). Ka roa pea ēnei marama, tae atu ki ngā tau ki te puta.

Engari, kāore ngā koha keloid e memeha haere i roto i te wā. Mō ētahi, ka waiho pea tēnei hei take o te whakahāwea i a rātou anō me ngā raruraru o te whakaaro nui ki a rātou anō. Ko te rongo pai, ka taea e ngā maimoatanga hauora te āwhina ki te whakaiti i te āhua o ēnei koha.

Kei hea te nuinga o te wā e puta ai ngā kiriuhi keloid?

Ka taea e ngā koha keloid te puta ki ngā wāhi katoa o te tinana. Heoi, he iti noa ngā wāhi e kitea nuitia ana:

• I roto i te puku
• I te tuara
• I roto i te uma
• I roto i te taringa (ina koa i te taha o ngā taringa me ngā pū taringa kua werohia)
• I te rohe o Hakka
• I roto i ngā pakihiwi

He aha ngā tohu o te kiri mākūkū (Keloid scar)?

Mena he kiri keloid tōu, ka kitea pea e koe ngā tohu penei:

• He koha nui atu i te patunga, ā, he porowhita: koinei te mea nui.
• Mākūkū: Tērā pea ka tino mākūkū te wāhi kei reira te koha.
• Mamae me te pakari: I te tipu haere o te koha, ka rongo pea koe i te mamae, te wera, te ngawari rānei i te rohe.
• I ētahi wā, ki te nui rawa te koha, ka ngoikore pea te mahi a te kiri i taua wāhi, ki te mea rānei kei tētahi wāhi pērā i te hononga, ka whakaitihia pea te whānuitanga o te nekehanga.

He aha te āhua o te kiriuhi keloid?

He rerekē te āhua o ngā koha keloid mō te katoa. Ka rerekē te rahi, te āhua, te kakano, me te tae.

• Āhua: Ka taea te porowhita, te porotītaha, te tapawhā-porotītaha rānei.
• Mata: Te āhua nei kua ara ake, kua pupuhi hoki i runga ake i te kiri e karapoti ana.
• Tae: Tērā pea he māwhero, he whero, he papura, he parauri rānei. I ētahi wā, he pouri ake i tō kiri tūturu, he pouri ake rānei ngā taha o te koha, ā, he mārama ake te waenganui.
• Rahi: Ka taea te rerekē mai i te ira iti ki te rahi tino nui.
• Taiao: Ko ētahi he pakeke ki te pā, ko ētahi he ngawari.
• Āhua: He maeneene, he kanapa ētahi kōpura. Ko ētahi he āhua miro.

He mamae te (Keloid scar)?

Ae, i ētahi wā ka mamae te koha keloid i a ia e tipu haere ana. Ka rite ki te mea kei te mura tetahi mea i raro i te kiri, ka mamae rānei ina pā atu. Ina koa mēnā kei runga ake te koha i te hononga, ka piki ake te mamae ina nekehia, ina pikohia rānei taua hononga. Ka memeha pea te mamae ina mutu te tipu o te koha. Heoi, ki te pēhia kaha te koha, ka mamae anō.

He aha ngā take o ngā kiriuhi keloid?

E ai ki te kōrero i mua ake nei, ko te take matua mō te hanganga o te (Keloid Scar) ko te nui ake o te collagen e hangaia ana e te tinana i te mea e hiahiatia ana hei whakaora i te patunga. He pūmua te Collagen e homai ana i te kaha me te ngāwari o tō tātou kiri. Ina puta he patunga, ka āwhina tēnei collagen ki te whakaora wawe me te hanga kiri hou. Heoi, ki te nui rawa te hanga o tēnei collagen, koinei te wāhi e hangaia ai te (Keloid Scar). Kāore anō kia tino mārama ngā tākuta he aha tēnei e puta ai.

Me pēhea te hanga o te kiriuhi keloid?

Ka puta he koha keloid i muri i tētahi momo whara kiri. Anei ētahi tauira:

• I muri i te ora o te hakihaki.
• Ina ngaua e te pepeke.
• Ina ora koe i te rewharewha.
• Ina he wera, he motu rānei.
• Ngā mea pēnei i te wero taringa me te moko.
• Ahakoa ngā karawarawa iti i te wā e heu ana.
• I te wāhi kua oti te pokanga, hei tauira, i te wāhi kua oti te mahi pokanga cesarean (C-section).

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te kiriuhi keloid?

He nui ake te tūponotanga o ētahi tāngata ki te pāngia e ngā koha keloid i ētahi atu. He maha ngā take mō tēnei:

• Mena he hītori tō tētahi o tō whānau mō te whakawhanake i ngā kiriuhi keloid: Arā, ki te pāngia tō whaea, tō pāpā, ō tuākana/teina rānei e tēnei mate, he nui ake te tūponotanga ka pāngia koe e tēnei mate.
• Mō te hunga he kiri mangu: Ko te hunga he kiri mangu te nuinga o te wā ka nui ake te tūponotanga ki te whakawhanake i ngā koha keloid.
• Mō te hunga nō Āwherika, Āhia, Hispanika rānei.
• Mō te hunga i waenga i te 10 me te 30 tau te pakeke: Ko tēnei rōpū tau te mea e tino pāngia ana.
• I te wā e hapu ana, e pakeke ana rānei: Ka pāngia anō hoki koe e ngā huringa homoni i ēnei wā.
• Mō te hunga whai mate ira: Hei tauira, ngā mate pēnei i te mate Rubinstein-Taybi.

He āhua ira kei ētahi tāngata ki te whakaputa i te nui ake o te collagen ina whara ō rātou kiri. Ka kiia hoki tēnei ko te "kiri he ngawari ki te kiri ki te keloid". Heoi, kāore anō kia tautuhia te ira tuturu e puta ai tēnei.

He aha ngā raruraru ka pā mai i te Keloid Scar?

Ka taea e ngā kiri keloid te whakaputa i ngā raruraru pēnei i:

• Ki te pā te koha ki te rā, ka pōuri ake pea te kiri o taua wāhi mō ake tonu atu.
• Ahakoa kua mutu te tupu o te koha, ka haere tonu pea te mamae.
• Mā te whakarerekē i tō āhua ka ngaro pea te whakapono ki a koe anō, ka noho mokemoke hoki koe i te hapori.

Me pēhea te mohio ki te kiri keloid?

I te nuinga o te wā, ka taea e te tākuta te mōhio mēnā he koha keloid mā te tirotiro noa i a koe me te titiro ki te koha. Kāore e hiahiatia he whakamātautau whānui. Heoi, ki te whakapae te tākuta kei te puta tētahi atu mate, ki te hiahia rānei kia tino mōhio ehara i te mea kē atu, ka taea e rātou te mahi i tētahi koiora kiri, arā, ko te tango i tētahi wahi iti o te kiri ka whakamātautau.

He aha ngā maimoatanga mō ngā kiriuhi keloid?

He maha ngā maimoatanga hei rongoā i te koha keloid. Ko te maimoatanga tino noa ko te whakangawari i te koha, kātahi ka rongoā i ngā oko toto hei aukati i te hanganga anō. Ka taea tēnei te mahi tahi me tētahi, neke atu rānei o ngā maimoatanga e whai ake nei:

• Ngā rongoā:
• Ngā werohanga corticosteroid, ngā kirīmi rānei.
• 5- Werohanga Fluorouracil .
• Te Whakahou Kiri Taiaho: Ko te tikanga tēnei he tuku hihi taiaho ki te koha hei whakaiti i tōna āhua.

Ka rite ki ētahi atu maimoatanga:

• Whakaora-kākā: He maimoatanga tēnei e whakamahi ana i te makariri rawa hei whakatio i te koha, hei whakaiti hoki i tōna matotoru.
• Kākahu pēhanga: Ka mauria he kākahu motuhake hei pēhi i te koha. Mā tēnei ka āwhina ki te whakawhāiti i te koha.
• Herea: Ko te here i te pūtake o te koha ki te miro pokanga. Ka taka te koha i roto i te wā, ka marere noa iho.

Mā tō tākuta e whakatau te maimoatanga pai rawa atu māu i runga i te rahi, te āhua, te hohonu o tō kōpura, tō tau, me tō hauora whānui. He uaua te rongoā i ngā kōpura keloid mā te kotahi maimoatanga anake. Tērā pea e hiahiatia he maha ngā maimoatanga.

Ko te mea nui kia kaua e whakamātau i tētahi maimoatanga māu ake me te kore he tohutohu a te taote. Mā te pera ka kino ake te āhua.

Ka taea te tango i te kiriuhi keloid mā te pokanga?

Ae, ka taea te tango i te kiri mā te pokanga. Engari he pānga taha anō hoki tērā. Kāore ngā tākuta e taunaki ana i te pokanga anake. Nā te mea, ina whara te kiri i te pokanga, tera pea ka puta anō te kiri, i ētahi wā ka nui ake i mua. Nō reira, ka werohia pea koe e te tākuta ki te corticosteroid i mua i te pokanga, ā, me kakahu koe i ngā kākahu pēhi i muri i te pokanga hei whakaiti i te tūponotanga o te kiri mā te whara.

E whakamahia ana te rongoā irahiko mō ngā koha keloid?

He maimoatanga tēnei kāore i te tino whakamahia. I te nuinga o te wā ka mahia i muri i te tangohanga o te koha mā te pokanga hei ārai i te hokinga mai. Heoi, tera pea ka nui ake ngā pānga taha o tēnei i ngā painga, nō reira ka tūtohu noa tō tākuta i tēnei mēnā he haumaru te mahi pēnā i muri i te tirotiro mārire i tō āhua.

He pānga taha kei te rongoā?

Āe, pērā i ngā maimoatanga katoa, tera pea ētahi pānga taha o te maimoatanga mō te Keloid Scar. Mā tō tākuta tēnei e whakamārama ki a koe i mua i te tīmatanga o te maimoatanga. Māna anō hoki koe e tohutohu me pēhea te tiaki i tō kiri kia angitu ai te maimoatanga.

• I muri i ngā werohanga corticosteroid, ka mimiti pea ngā kōpura, ā, ka iti haere te kitea. Heoi, ka hoki mai anō ngā kōpura i ētahi wā i muri i te whakamutua o te maimoatanga. Tērā pea ka rerekē te tae o te kiri (pēnei i ngā ira mārama) i te wāhi i werohangahia ai.
• Ka taea te mau i ngā kākahu pēhanga mō te 20 hāora i te rā, mō ngā wiki, tae noa ki ngā marama. He maha ngā tāngata e uaua ana ki te mau i ēnei kākahu. Nō reira, he uaua pea te mau i a rātou mō te roanga o te wā e taunaki ana tō tākuta. Mena he uaua ki a koe te mahi pēnā, kōrero ki tō tākuta.

He aha ngā mea ka tumanakohia e au mēnā he (Keloid Scar) tōku?

Ka taea e ngā koha keloid te whakarerekē i tō āhua. Tērā pea ka whakama koe, ka whakama, ā, ka iti haere te hiahia ki te haere ki ngā huihuinga pāpori, ki te whakahoahoa rānei ki te tangata. Mēnā kei te pāngia koe e tēnei, mā te kōrero ki tētahi kaitohutohu hauora hinengaro koe e āwhina ki te hanga anō i tō whakapono ki a koe anō.

Ka taea e ngā maimoatanga te whakaiti i te rahi me te āhua o te koha keloid. Kāore e taea e ngā maimoatanga katoa te whakakore katoa i te koha keloid, engari ka taea e rātou te whakarerekē nui i tōna āhua. Kia maumahara, ki te whara anō tō kiri, tera pea ka puta he koha keloid hou, ka hoki mai rānei he koha kua rongoatia.

Ka ngaro koinā ngā māka keloid?

Kāo, e kore te koha keloid e memeha noa iho. Heoi, mā te āwhina a te tākuta kiri, ka taea te whakaiti i te rahi me te āhua o te koha keloid mā te maimoatanga.

Ka taea te ārai i ngā kiri keloid?

Kāore e taea te ārai katoa i te whanaketanga o ngā koha keloid. Heoi, ki te mōhio koe he nui te tūponotanga o te whanaketanga o ngā koha keloid, ka taea e koe te mahi i ēnei hei whakaiti i tō tūponotanga:

• Tiakina tō kiri, ā, mauria he taputapu tiaki ina hiahiatia.
• Āta karohia ngā mea pēnei i te wero taringa me te moko mēnā kāore e tino tika.
• Mena he patunga tōu, whakamahia he pākete kiri silicone, he takai rānei i tūtohutia e te tākuta kia ora rā anō.
• Tāpirihia he rehu pepeke ina haere ki waho.

Kei runga i tō āhuatanga, ka taea e koe te ako atu i ngā tikanga ārai mai i tō tākuta.

Āhea ahau me toro atu ki te tākuta?

Mena he kiri keloid tōu, tirohia he tākuta mēnā:

• Mena he pānga ki tō āhua me/ranei ki tō whakapono ki a koe anō.
• Mena he mamae.
• Mena he arai kei te nekenekehanga i taua wāhi.
• Mena kāore he whakapainga ahakoa te maimoatanga.
• Mena ka hoki mai anō i muri i te maimoatanga.

He aha ngā pātai me pātai atu e au ki taku tākuta?

• "He aha te rongoā e tika ana mōku?"
• "He pānga taha kei te rongoā?"
• "He aha te take o tēnei koha?"
• "Me aha ahau hei ārai i ngā whara me ngā kōhatu a muri ake nei?"
• "He haumaru te wero i ōku taringa, me te tā moko?"

Ehara i te mea kino ngā koha keloid. Engari ka pā ki ō whakaaro mō tō tinana. Ka puta pea i muri i ngā marama, i ngā tau rānei i te whara, nō reira ka wareware pea koe ki te take o aua koha. I runga i te urupare a tō tinana ki te whara, tera pea ka nui ake te tūponotanga ka puta ēnei koha. Ahakoa kāore e taea te ārai i ngā koha keloid i ngā wā katoa, kei reira ngā maimoatanga hei āwhina i te whakaiti i te mamae me te āhua o ēnei koha. Kōrero ki tō tākuta mō te mea pai mōu.

## Ngā mea tino nui hei maumahara māu

Ko te koha keloid he koha e ara ake ana, e nui ake ana i te patunga taketake. Ahakoa ehara i te mea morearea, ka pā pea ki tō āhua me tō wairua.

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Ko te tino take o ēnei ka puta ko te nui ake o te collagen e whakaputaina ana e te tinana i te mea e tika ana hei whakaora i te patunga.

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Kāore ngā koha keloid e memeha noa iho, engari mā ngā maimoatanga hauora (hei tauira, ngā werohanga, ngā taiaho, te cryotherapy) ka taea te whakaiti i tōna āhua me te mamae.

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Kaua rawa e rapu maimoatanga ko koe anake me te kore he tohutohu hauora.

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Mena kei te mōrearea koe ki te whakawhanake i ngā koha keloid, ka taea e koe te whakahaere i tō rātou hanganga mā te tupato kei whara tō kiri, me te karo i ngā moko me ngā wero taringa kāore e hiahiatia.

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Mena he pātai, he āwangawanga rānei āu mō tō kiri keloid, me toro atu ki te tākuta mō ētahi tohutohu.

` Ngā keloid, ngā koha, ngā mate kiri, ngā koha patunga, te rongoā kiri, ngā maimoatanga kiri, ngā koha pupuhi