Kua titiro koe ki tētahi koha tawhito i tō tinana, ā, ka whakaaro koe, "Ka ngaro atu rānei tēnei?" He toenga pea nō tētahi aituā i tō tamarikitanga, nō tētahi pokanga, nō tētahi pītiti kino rānei. Ka taea e ēnei koha te whakapouri i a tātou, te whakamā hoki. Nō reira, i tēnei rā ka kōrero tātou mō ngā maimoatanga hei āwhina i te whakaiti i te āhua o ēnei koha whakarihariha, e kiia nei ko te 'Scar Revision'.
He aha te tikanga o tēnei maimoatanga whakaiti i te koha (Scar Revision)?
Ko ngā maimoatanga whakaiti i te koha, ko te Whakatikatika Koha rānei, he maimoatanga e whai ana kia kore e kitea te koha, te tohu i mahue i muri i te ora o te patunga i tō kiri. Ka taea tēnei mai i te paninga o te kirīmi ki te pokanga.
Ko te mea nui me mārama tātou katoa ki konei, kāore e taea e ēnei maimoatanga te tango katoa i te koha. Heoi, ka taea e rātou te whakaiti i tōna āhua, me te hanga kia rite ki te tae me te kakano o te toenga o tō kiri.
I te nuinga o te wā, ka mahia tēnei maimoatanga hei whakapai ake i te āhua o te kiri. Heoi anō, tera ētahi koha kino e mamae ai, e whakararuraru ana hoki i ngā mahi o ia rā. I roto i ēnei āhuatanga, ka waiho tēnei hei maimoatanga hauora nui.
He rerekē ngā momo koha?
Āe, tino pono. Kāore e ōrite katoa ngā koha e kitea ana e tātou. He maha ngā momo koha matua.
- Ngā koha hypertrophic: Ko ēnei koha he kiri matotoru , he kiri teitei ake i muri i te ora o te patunga.
- Ngā koha keloid: He koha nunui, he pūngāwerewere ēnei e tupu ana ki tua atu i te patunga, ā, ki roto i te kiri e karapoti ana. He ira tā ētahi tāngata ki te whakawhanake i ēnei koha.
- Ngā koha papatahi, kua kore te tae, kua totohu rānei: Ko ētahi koha he papatahi, ā, he rerekē te tae i te kiri (parauri, whero, mā rānei). Ko ētahi atu koha, inā koa ko ērā i puta mai i te hakihaki, he rite ki ngā rua kua totohu ki te mata o te kiri.
Ko te momo kōhatu kei a koe, te wāhi e takoto ana, me te āhua o tōna hanganga ka whakatau i te maimoatanga e pai ana mōu.
Ngā take noa o ngā koha
- Te hakihaki (ina koa te hakihaki kino)
- Ngā wera (nā ngā aituā, ngā maimoatanga irahiko rānei mō te mate pukupuku)
- Te pokanga whakawhānau (C-section)
- Te pokanga whakatikatika ngutu ngatata
- Ētahi atu pokanga whakapaipai, pokanga whānui rānei
- Ngā werohanga (taringa, ihu, me ētahi atu)
- Ngā mate kiri
- Ngā whara i puta mai i ngā aituā rerekē
Me pēhea tāu whakarite mō te maimoatanga?
Mena kei te whakaaro koe ki tētahi maimoatanga whakaiti i te koha, ka tohutohu tō tākuta i a koe me pēhea te whakarite mōna. Tērā pea ka pātai atu rātou ki a koe kia mōhio koe ki ngā mea e whai ake nei:
- He kai totika: Kainga ngā kai e nui ana te konutea, ngā huaora A, C, me te E, e āwhina ana i te tere o te whakaora o ngā patunga.
- Kaua e kai paipa: Ki te kai paipa koe, me mutu, nā te mea ka whakaroa te kai paipa i te tukanga whakaora o ngā patunga.
- Te whakamutu i ētahi rongoā: Ko ētahi rongoā, pērā i ngā rongoā ārai toto, me whakamutu mō te wā poto.
Me whai pea ngā tohutohu motuhake mō te hunga mate huka, te hunga e tango ana i ngā rongoā ārai mate, me te hunga e tango ana i ngā rongoā pēnei i te Isotretinoin mō te hakihaki kino. He mea nui kia kōrerohia tēnei ki tō tākuta.
He aha ngā maimoatanga mō ngā kōpura?
E 12-18 marama pea te roa o te pakari o te koha, arā, kia tae ki tōna āhua whakamutunga. Nō reira, ka tīmata te maimoatanga i muri i te tawhito haere o te koha. Ka whakaarohia e tō tākuta ētahi āhuatanga hei whiriwhiri i te maimoatanga e tika ana māu.
E whā ngā momo tikanga maimoatanga e taea te wehewehe. Tirohia te ripanga i raro nei kia mārama ai koe ki ēnei.
| Kāwai maimoatanga | He whakamārama māmā |
|---|---|
| Ngā Maimoatanga ā-Whānui | He kirīmi, he kirikiri, he pāti rānei ēnei e pania ana ki te kiri, kāore he ngira, he tapahi rānei. He pai rawa atu ēnei mō ngā koha hou, kāore i te tino kino. Tauira: Ngā pāti kirikiri silicone, Ngā pāti polyurethane, Te rongoā pēhanga. |
| Ngā werohanga | He maha ngā rongoā ka werohia tika ki roto i te koha. He tino whai hua ēnei mō ngā koha hypertrophic me ngā koha keloid. Ka whakaitihia te rahi o te koha, te mamae, me te mākūkū. Hei tauira: Ngā werohanga corticosteroid, te cryotherapy (te whakatio), ngā whakakī kiri (hei whakakī i ngā koha totohu). |
| Te Whakahou Kiri | Ka tangohia e ēnei tikanga ngā paparanga o runga o te kiri, ka kitea te kiri hauora, maeneene i raro. Ka whakapai ake tēnei i te tae me te kakano o te koha. Tauira: Te kiri matū, te dermabrasion, te whakaora laser, te microneedling. |
| Pokanga | He mea tika tēnei mō ngā kōpura nui, kino, mamae, e whakararuraru ana rānei i te nekehanga. I konei, ka tapahia e te taote pokanga te kōpura, ā, ka tuitui āta i te patunga kia hono anō. He tikanga pokanga motuhake te Z-plasty me te W-plasty mō tēnei. I ētahi wā, ka hiahiatia pea he tākai kiri. |
He aha ngā mōrearea me ngā painga o ēnei maimoatanga?
Ngā tūponotanga pea
Pērā i ngā maimoatanga hauora katoa, he tūponotanga kei reira. Ka rerekē ēnei i runga i te tikanga maimoatanga e whiriwhiria ana e koe.
- Pānga kiri: Tērā pea ka pāngia te kiri e te mamae iti, te whero, te mate kiri pā rānei.
- Ngā Werohanga me te Whakahoutanga o te Kiri: Tērā pea ka whero, ka pupuhi, ka pupuhi, ka pāwera hoki te kiri i te wāhi i rongoatia. I ētahi wā, ka pouri ake te kiri i te kiri e karapoti ana.
- Pokanga: He tūponotanga kei roto i te pokanga, pērā i te mate urutā me te toto. He iti noa te tūponotanga ka hoki mai te koha, ka puta mai rānei he koha hou.
Ngā Painga
Mā te maimoatanga tika ka taea te whakaiti i te āhua o te koha me ōna mamae. Ko ngā painga matua ko:
- He rite te tae o te koha ki te tae o te kiri e karapoti ana.
- He iti te rahi o te koha.
- Te whakaiti i te matotoru o te koha.
- Ka māeneene te kakano o te koha.
- Te whakaiti i te pakari me te piri o te kiri nā te whara.
He aha ngā mea hei tumanakohia i muri i te maimoatanga?
Ka rerekē te wā whakaora i muri i te maimoatanga i runga i te momo maimoatanga. E hia pea ngā marama ka kitea ngā hua o ngā tikanga whakapaipai. Me maha ngā maimoatanga mō ngā werohanga me ngā maimoatanga whakahou kiri kia pai ai ngā hua. E hia pea ngā wiki, ngā marama rānei ka ora ai i te pokanga.
Ko te mea nui kaua e tumanako ka ngaro katoa te koha.Ko te whāinga o te maimoatanga ehara i te 'tango' i te koha, engari he 'whakapai ake i te āhua.' Mā te kōrero tuwhera ki tō tākuta mō ō tumanakohanga i mua i te maimoatanga ka āwhina i a koe ki te whai whakaaro pono mō te putanga.
Āhea te wā tika kia kite tonu i te tākuta
I muri i te maimoatanga, ki te kite koe i tētahi o ngā tohu e whai ake nei i runga i te koha, i te kiri rānei e karapoti ana, me whakamōhio tonu atu ki tō tākuta:
- Te toto
- Te pupuhi
- Ngā tohu o te mate (pupuhi, whero nui, wera)
- Pupuhi nui
Karere Tangohia ki te Kāinga
- Ko te whāinga matua o ngā maimoatanga whakaiti i te koha (Scar Revision) ehara i te ūkui katoa i te koha, engari ko te whakapai ake i tōna āhua.
- Ko te maimoatanga e tika ana māu ka whakawhirinaki ki te momo koha kei a koe, tōna wāhi, tōna rahi, me tōna pakeke.
- He roa te wā e kitea ai ngā hua. Ko te manawanui te mea nui. Ka roa pea ētahi maimoatanga mō ngā marama.
- I mua i te tīmatanga o tētahi maimoatanga, kōrero ki tētahi tākuta tohunga, ki tētahi kiri rānei, kia mārama ai koe ki ngā kōwhiringa e taea ana e koe me ō rātou painga me ō rātou huakore.
- He mea nui kia ata whai i ngā tohutohu tiaki a te tākuta i muri i te pokanga kia tutuki ai ngā hua pai rawa atu.
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