Tiyeni tikambirane za Scar Revision, njira yothetsera mabala anu okhumudwitsa!

Ndizachilendo kuvulala pang'ono, ngozi, ndi opaleshoni pamene tikupita m'moyo. Zipsera ndi zinthu zomwe tasiya pambuyo poti zonsezi zachira. Mwina ndi bala lomwe tinapanga tili ana, kapena lingakhale bala lomwe linatsala titachita opaleshoni ya C-section. Kaya chifukwa chake ndi chiyani, zipsera zimenezi nthawi zina zingatipangitse kusasangalala komanso manyazi pang'ono. Mwina munaganizapo kuti, "O, zikanakhala bwino bwanji tikanakhala kuti sitinakhale nazo." Lero, tiyeni tikambirane za mankhwala omwe angachepetse kuwoneka kwa zipsera izi ndikuzipangitsa kuwoneka bwino. Mu zamankhwala, timatcha izi 'Scar Revision.'

Mwachidule, kodi chithandizo chochepetsa zipsera ichi (Scar Revision) ndi chiyani?

Mukamva mawu akuti 'Scar Revision', anthu ena angaganize kuti ikhoza kuchotsa chilonda chonse. Koma si zoona. Palibe chithandizo chomwe chingachotse chilonda chonse. Chomwe chimachita ndi kuchepetsa kwambiri mawonekedwe a chilonda. Izi zikutanthauza kuti mtundu, kapangidwe, ndi makulidwe a chilondacho azifanana momwe zingathere ndi khungu labwino lomwe likuzungulirani.

Nthawi zambiri, izi zimachitika chifukwa cha kukongola. Izi zikutanthauza kuti, kuti tiwonjezere kudzidalira pa maonekedwe athu. Koma nthawi zina zipsera zimatipangitsa kupweteka kapena kutilepheretsa kusuntha gawo limenelo la thupi lathu bwino. Tangoganizani kuti muli ndi chilonda cholimba, chotambasuka pa chigongono kapena bondo lanu. Ngati zikukuvutani kutambasula kapena kupinda mkono wanu, ndi vuto lachipatala lomwe limapitirira vuto la kukongola. Pazochitika zotere, chithandizochi chimakhala chofunikira.

Kodi pali mitundu yosiyanasiyana ya mabala?

Inde, ndithudi. Si mabala onse omwe ali ofanana. Kuti musankhe chithandizo choyenera, ndikofunikira kudziwa mtundu wa chilonda chomwe muli nacho.

Ndipotu, bala likachira, puloteni yomwe ili pakhungu lathu yotchedwa 'collagen' imadzaza mpata. Nthawi zina, kupanga kolajeni kumeneku kumawonjezeka pang'ono kuposa momwe kungafunikire. Pamenepo ndi pamene zipsera zokhuthala komanso zokwezeka zimapanga.

Pali mitundu ikuluikulu ingapo ya mabala:

• Zipsera za Hypertrophic: Izi ndi zipsera zomwe zimakhala pamalo a bala, koma zimakwezedwa pamwamba pa khungu, zimakhuthala, ndipo nthawi zina zimakhala zofiira.
• Zilonda za Keloid: Izi ndi zomwe zimakhala zovuta pang'ono. Zilondazi zimakula kupitirira bala ndikufalikira pakhungu lozungulira labwino, ndikupanga chotupa chachikulu. Zitha kuyabwa komanso kupweteka. Anthu ena ali ndi chibadwa choyambitsa matenda a keloid. Anthu ambiri mdziko lathu adakumana ndi mapangidwe a keloid ataboola makutu awo.
• Zilonda za atrophic: Izi ndi zipsera zomwe zalowa pakhungu ndipo zimaoneka ngati mabowo. Zipsera zambiri zomwe zimatsala pankhope pambuyo pa ziphuphu zimagwera m'gulu ili.
• Zilonda zotupa: Zilonda zamtunduwu zimatha kupangika, makamaka zikapsa. Zilondazi zikamachira, khungu limakhala lolimba ndipo limakhala ndi mawonekedwe otambasuka pang'ono. Izi zimatha kuchepetsa kuyenda m'derali.

Dokotala wanu adzayang'ana chilonda chanu, adziwe mtundu wake weniweni, ndikukupatsani chithandizo chabwino kwambiri.

Ndani nthawi zambiri amafunikira chithandizochi?

Aliyense amene sakusangalala kapena wosasangalala ndi chilonda pathupi lake angaganizire za chithandizochi. Zina mwa zifukwa zofala za zipsera ndi izi:

• Zipsera za ziphuphu pankhope ndi thupi
• Kupsa (kuchoka ku ngozi kapena chithandizo cha radiation cha khansa)
• Zilonda zam'mimba pambuyo pa opaleshoni (C-section)
• Zipsera pambuyo pa opaleshoni ina iliyonse
• Kuvulala komwe kumachitika chifukwa cha ngozi (mabala, mikwingwirima)
• Pambuyo poboola khutu kapena mphuno (makamaka kwa iwo omwe ali ndi keloids)
• Pambuyo pa matenda aakulu a pakhungu

Kodi ndiyenera kukonzekera bwanji ndisanalandire chithandizo?

Momwe mungakonzekerere zimasiyana malinga ndi mtundu wa chithandizo chomwe mukuchita, koma kawirikawiri, dokotala wanu angakupatseni upangiri monga uwu:

• Zakudya zopatsa thanzi: Zakudya zabwino ndizofunikira kwambiri kuti mabala achire. Phatikizani zakudya zokhala ndi zinc, mavitamini A, C, ndi E, monga ndiwo zamasamba, zipatso, nyemba, ndi mtedza.
• Pewani kusuta: Ngati ndinu wosuta fodya, muyenera kusiya kusuta milungu ingapo musanalandire chithandizo. Kusuta fodya kumatsekereza mitsempha yamagazi, zomwe zimapangitsa kuti bala lipole msanga, komanso kumawonjezera chiopsezo cha matenda.
• Kusiya mankhwala ena: Ngati mukumwa mankhwala enaake, monga mankhwala oletsa magazi kutuluka m'magazi, muyenera kuuza dokotala wanu. Malinga ndi upangiri wa dokotala wanu, mungafunike kusiya kumwa mankhwala amenewa masiku angapo musanachite opaleshoni kapena chithandizo china.
• Matenda ena: Uzani dokotala wanu ngati muli ndi matenda a shuga kapena mukumwa mankhwala oletsa chitetezo chamthupi. Komanso, mankhwala ena a zipsera sangakhale oyenera mukamamwa mankhwala monga isotretinoin, omwe amagwiritsidwa ntchito pa ziphuphu zoopsa.

Kodi mankhwala a zipsera ndi otani?

Chabwino, tsopano tiyeni tiwone njira zazikulu zochepetsera kuwoneka kwa zipsera izi. Chinthu chimodzi choyenera kukumbukira ndichakuti mutha kupeza zotsatira zabwino pochiza chipsera chikatha nthawi yayitali (pafupifupi miyezi 12-18) kuposa pochiza chipsera chatsopano. Pofika nthawi imeneyo, chipseracho chimakhala 'chakhwima' kale.

Njira zochiritsira zitha kugawidwa m'magulu anayi akuluakulu.

Tsopano tiyeni tiwone njira iliyonse mwa izi mwatsatanetsatane.

1. Mankhwala Okhudza Kutupa Pakhungu

Awa ndi mankhwala osavuta komanso osaopsa kwambiri. Sagwiritsa ntchito singano kapena mabala. Ndi othandiza kwambiri pa zipsera zatsopano, zopepuka zomwe zikuchira kapena zomwe zikupangikabe.

• Mapepala a silicone gel/mapepala:Iyi ndi njira yothandiza kwambiri komanso yovomerezeka kwambiri m'gululi. Izi zimabwera ngati mapepala owonekera bwino kapena ma gels okhala ndi silicone gel wosanjikiza. Izi zimasiyidwa pa chilonda kwa maola angapo patsiku kwa miyezi ingapo. Izi zimathandiza kuchepetsa kufiira ndi kuyabwa kwa chilonda, kupewa kupangika kwa zipsera zokwezeka (keloids, hypertrophic scraps), komanso zimathandiza kupeta zipsera zomwe zilipo.
• Chithandizo cha kupanikizika: Makamaka akapsa, zovala zapadera zimavalidwa kuti ziume bwino komanso mofanana ndi chilonda. Kupanikizika kumeneku kumathandiza kuti chilondacho chisakwere.
• Vitamini E/A: Nthawi zina, anthu ena amalangiza kugwiritsa ntchito mafuta ndi mafuta a vitamini E kapena A. Komabe, palibe umboni womveka bwino wa sayansi wosonyeza momwe izi zimathandizira pa zipsera.

2. Majakisoni (Majakisoni)

Mu njira iyi, mankhwala apadera amabayidwa mwachindunji mu chilonda. Izi zimathandiza kwambiri pa zipsera zokwezeka komanso zokhuthala (keloids, hypertrophic scars). Kawirikawiri, jakisoni uyu amaperekedwa kangapo pa sabata kuti apeze zotsatira zabwino.

• Jakisoni wa Corticosteroid: Iyi ndi njira yodziwika bwino yochizira zipsera monga zipsera za keloid. Jakisoni wa steroid uyu amagwira ntchito pochepetsa kupanga kwa collagen, komwe ndi chifukwa chachikulu cha kupanga zipsera, ndikuletsa kutupa kwa chilonda. Izi zimachepetsa kukula, makulidwe, kufiira, ndi kuyabwa kwa chilonda.
• Jakisoni wa 5-FU kapena bleomycin: Awa ndi mankhwala omwe amaperekedwa ku khansa. Chifukwa amaletsa kukula kwa maselo, amagwiritsidwanso ntchito kuletsa kukula kwa minofu yolakwika m'mabala.
• Zodzaza khungu: Izi ndi zosiyana ndi zina. Izi zimagwiritsidwa ntchito pa zipsera zakuya, zofanana ndi dzenje. Izi ndi zothandiza kwambiri pa zipsera za ziphuphu. Chomwe chikuchitika pano ndikulowetsa chodzaza chapadera pamalo omwe amira ndikuchikweza kufika pamlingo wa khungu lozungulira. Komabe, zotsatira zake ndi zakanthawi kochepa. Muyenera kubwerezanso patatha miyezi ingapo kapena chaka chimodzi.

3. Kukonzanso Khungu

Cholinga chachikulu cha mankhwala amenewa ndikuchotsa pamwamba pa maselo akale, owonongeka pakhungu losweka ndikuwonetsa khungu labwino komanso losalala lomwe lili pansi pake.

• Chithandizo cha laser (Kuwala kapena chithandizo cha laser): Iyi ndi njira yotchuka kwambiri masiku ano. Pano, dokotala amagwiritsa ntchito chipangizo chapadera kuti atsogolere kuwala kwa laser kwamphamvu kwambiri ku chilonda. Miyezo imeneyi imaphwa pang'onopang'ono ndikuchotsa pamwamba pa khungu. Imathandizanso kupanga collagen yatsopano, yomwe imalowa mkati mwa khungu. Zotsatira zake, khungu latsopano lomwe lili pansi pake limakhala losalala komanso lowala. Lingathenso kukonza mtundu uliwonse wa chilondacho.
• Peel ya mankhwala:Apa, mankhwala apadera (nthawi zambiri asidi) amagwiritsidwa ntchito kuchotsa khungu lapamwamba m'njira yowongoka. Izi ndizoyenera mabala ang'onoang'ono, makamaka omwe ali pankhope.
• Dermabrasion: Iyi ndi njira yochepetsera khungu pang'onopang'ono. Chipangizo chapadera, monga burashi yozungulira mofulumira, chimachotsa zigawo zapamwamba za khungu. Izi zimatha kuchiza mabala omwe alowa komanso mabala okwera.
• Kuboola Minofu: Pogwiritsa ntchito chopukutira kapena chipangizo chokhala ndi singano zazing'ono kwambiri, timabowo tating'onoting'ono tosaoneka timapangidwa pakhungu. Izi zimapangitsa kuti khungu lidzikonzekere lokha ndikupanga collagen yatsopano. Izi zimapangitsa kuti pang'onopang'ono ziwonekere bwino.

4. Opaleshoni

Nthawi zina, makamaka pa zipsera za contraction zomwe ndi zazikulu, zopweteka, kapena zosokoneza kuyenda, opaleshoni ndiyo njira yabwino kwambiri yothetsera vutoli.

Apa, dokotala wa opaleshoni amadula bwino chilonda chakalecho ndikuchichotsa, kenako amatseka bala ndi ma stitches osalala kwambiri, ndikusiya chilonda chomwe sichikuwoneka momwe zingathere, ngati mzere woonda.

• Z-Plasty ndi W-Plasty: Izi ndi njira zapadera zochitira opaleshoni. Tangoganizirani chilonda cholimba komanso chotambasuka chomwe chimawoneka ngati mzere wowongoka. Mu Z-plasty, mabala ang'onoang'ono amapangidwa pakati pa chilondacho ngati chilembo 'Z', ndipo khungu limasunthidwa kumbuyo ndi kutsogolo ndikusokedwa pamodzi. Izi zimachotsa kupsinjika kwa mzere wowongoka, zomwe zimathandiza khungu kutambasuka ndikupindika bwino m'dera la chilondacho. Izi zimachepetsanso mawonekedwe a chilondacho.
• Kuika khungu m'malo ovulala: Nthawi zina, makamaka pakakhala kupsa kwakukulu, khungu silingakhale lokwanira kuphimba chilondacho litachotsedwa. Pankhaniyi, khungu lochepa limatengedwa kuchokera mbali ina ya thupi (monga ntchafu) ndikulowetsedwa m'malo amenewo.

Pambuyo pa opaleshoni, dokotala wanu angakulangizeni jakisoni kapena mafuta odzola kuti muchepetse zipsera zatsopano.

Kodi zoopsa za mankhwala awa ndi ziti?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zoopsa zina zomwe zingachitike. Komabe, zoopsazi zitha kuchepetsedwa ngati zitachitika bwino, moyang'aniridwa ndi dokotala wodziwa bwino ntchito.

• Matuza pakhungu: Chiwopsezo cha izi ndi chochepa. Anthu ena amatha kuyabwa pang'ono, kufiira, kapena kukhala ndi vuto la ziwengo (contact dermatitis).
• Jakisoni ndi njira zochiritsira khungu: Kufiira, kutupa, kutupa, komanso kukhudzidwa kwambiri ndi kuwala kwa dzuwa kungachitike pamalo ochizira. Nthawi zina, malo ochizira amatha kusintha mtundu (kukhala wakuda kapena wopepuka kuposa khungu lozungulira).
• Opaleshoni: Zoopsa zomwe zimachitika nthawi zambiri chifukwa cha opaleshoni, monga matenda opatsirana komanso kutuluka magazi, zimapezeka pano. Komanso, pali mwayi wochepa woti chilonda chatsopano chingakule chomwe chili choipa kuposa chakale.

Kodi mungayembekezere chiyani mutalandira chithandizo?

Nkhaniyi ndi yofunika kwambiri. Kuleza mtima n'kofunika kwambiri pano.

• Zingatenge miyezi kuti muwone zotsatira za mankhwala osamalira khungu.
• Kuti mupeze zotsatira zabwino kuchokera ku mankhwala monga jakisoni ndi laser, muyenera kuchita masewero angapo.
• Pambuyo pa opaleshoni, zingatenge milungu ingapo mpaka miyezi ingapo kuti chilonda chatsopano chichiritse bwino ndikuyamba kuoneka komaliza.

Ndiyenera kupita kwa dokotala nthawi yanji?

Ngati mukumva zizindikiro zotsatirazi mkati kapena pafupi ndi chilonda chanu mutalandira chithandizo chilichonse, dziwitsani dokotala wanu nthawi yomweyo:

• Ngati pali kutuluka magazi
• Ngati mukumva matuza
• Ngati pali zizindikiro za matenda (monga mafinya, kufiira kwambiri, kutupa, kapena kutentha pamene mukhudza)
• Ngati chatupa kwambiri kapena modabwitsa

Musanasankhe chithandizo ichi, kambiranani ndi dokotala wa khungu wodziwa bwino ntchito kapena dokotala wa opaleshoni ya pulasitiki kuti akaone chilonda chanu ndikukambirana zomwe mungachite, zabwino ndi zoyipa zake, komanso mtengo wake.