Masithethe ngeScar Revision, isisombululo kwiinxeba zakho ezikucaphukisayo!

Kuqhelekile ukuba neengozi ezincinci, iingozi, kunye notyando njengoko siqhubeka nobomi. Amanxeba ziinkumbulo esizishiye ngasemva emva kokuba zonke ezi zinto zipholile. Mhlawumbi yayilinxeba esalifumana xa sasidlala sisengumntwana, okanye lisenokuba linxeba elishiyekileyo emva kotyando lwe-C-section. Nokuba siyintoni na isizathu, la manxeba ngamanye amaxesha angasibangela ukungakhululeki kunye neentloni. Usenokuba ukhe wacinga, "Hayi, bekuya kuba ngcono kangakanani ukuba besingenazo ezi." Ke namhlanje, masithethe ngonyango olunokunciphisa ukubonakala kwala manxeba kwaye luwenze abonakale engcono. Kwizonyango, oku sikubiza ngokuba yi-'Scar Revision.'

Ngamafutshane, yintoni le ndlela yokunciphisa amanxeba (Scar Revision)?

Xa usiva igama elithi 'Scar Revision', abanye abantu banokucinga ukuba lingayicima ngokupheleleyo inxeba. Kodwa oko akuyonyani. Akukho nyango lunokwenza inxeba linyamalale ngokupheleleyo. Oko likwenzayo kukunciphisa kakhulu ukubonakala kwenxeba. Oko kuthetha ukwenza umbala, ubume, kunye nobukhulu benxeba bufane kangangoko kunokwenzeka nolusu oluphilileyo olukujikelezileyo.

Ixesha elininzi, oku kwenziwa ngezizathu zobuhle. Oko kukuthi, ukwandisa ukuzithemba kwinkangeleko yethu. Kodwa kukho amaxesha apho amanxeba asibangela iintlungu okanye asithintele ekushukumiseni loo nxalenye yomzimba wethu ngokufanelekileyo. Khawuthelekelele ukuba unesilonda esiqinileyo, esoluliweyo engqinibeni okanye edolweni lakho. Ukuba kwenza kube nzima ukolula okanye ukugoba ingalo yakho, yingxaki yezonyango edlula ingxaki yobuhle. Kwiimeko ezinjalo, olu nyango luba yimfuneko.

Ngaba kukho iintlobo ezahlukeneyo zamanxeba?

Ewe, ngokuqinisekileyo. Ayizizo zonke izibazi ezifanayo. Ukuze ukhethe unyango olufanelekileyo kuwe, kubalulekile ukwazi ukuba loluphi uhlobo lwesibazi onaso.

Enyanisweni, xa inxeba liphola, iproteni eluswini lwethu ebizwa ngokuba yi -'collagen' iyazalisa isithuba. Ngamanye amaxesha, le mveliso ye-collagen iyanda kancinci kunokuba kuyimfuneko. Kulapho kuvela khona amanxeba amakhulu naphakanyisiweyo.

Kukho iintlobo ezininzi eziphambili zamanxeba:

• Amanxeba angaphezulu kwe-hypertrophic: La ngamanxeba ahlala kwindawo yenxeba, kodwa aphakanyiswe ngaphezulu kwesikhumba, atyebile, kwaye ngamanye amaxesha abomvu.
• Amanxeba eKeloid: La ngamanxeba abangela ingxaki ngakumbi. La manxeba akhula ngaphaya kwenxeba aze asasazeke eluswini oluphilileyo olujikelezileyo, enze iqhuma elikhulu. Anokuba lurhawuzelelo kwaye abe buhlungu. Abanye abantu bathambekele kwimfuza ukuba bavelise ii-keloid. Abantu abaninzi kwilizwe lethu baye bahlangabezana nokwakheka kwe-keloid emva kokugqobhoza iindlebe zabo.
• Amanxeba angapheliyo: La ngamanxeba atshone eluswini kwaye abonakala ngathi yimingxunya. Uninzi lwamanxeba ashiyekayo ebusweni emva kwe-acne awela kolu luhlu.
• Amanxeba okudumba: Olu hlobo lwamanxeba lunokuvela, ingakumbi emva kokutsha. Njengoko la manxeba ephola, ulusu luyaqina kwaye lube nolusu oluthambileyo. Oku kunokunciphisa intshukumo kuloo ndawo.

Ugqirha wakho uza kuhlola isilonda sakho, achaze ukuba siluhlobo luni kanye, aze acebise unyango olungcono.

Ngubani odla ngokufuna olu nyango?

Nabani na ongakhululekanga okanye ongonwabanga sisilonda emzimbeni wakhe angacinga ngolu nyango. Ezinye zezizathu eziqhelekileyo zezi:

• Amanxeba eempundu ebusweni nasemzimbeni
• Ukutsha (okuvela kwiingozi okanye unyango lwemitha yomhlaza)
• Amanxeba esiswini emva kotyando (utyando lwe-C)
• Amanxeba emva kotyando olunye
• Ukwenzakala okubangelwe ziingozi (ukusikwa, imikrwelo)
• Emva kokugqobhoza indlebe okanye impumlo (ingakumbi kwabo baphuhlisa ii-keloids)
• Emva kokosuleleka kakhulu lusu

Ndingazilungiselela njani ngaphambi konyango?

Indlela ozilungiselela ngayo iya kwahluka ngokuxhomekeke kuhlobo lonyango olufumanayo, kodwa ngokubanzi, ugqirha wakho unokukunika iingcebiso ezifana nale:

• Ukutya okunesondlo: Ukutya okunesondlo kubalulekile ekuphilisweni kwamanxeba. Faka ukutya okutyebileyo kwi-zinc, iivithamini A, C, kunye no-E, njengemifuno, iziqhamo, iimbotyi kunye namandongomane.
• Kuphephe ukutshaya: Ukuba utshaya, ngokuqinisekileyo kufuneka uyeke ukutshaya kwiiveki ezimbalwa ngaphambi konyango lwakho. Ukutshaya kunciphisa imithambo yegazi, nto leyo enciphisa ukuphola kwenxeba, kwaye kwandisa umngcipheko wosulelo.
• Ukuyeka amayeza athile: Ukuba usebenzisa amayeza athile, afana ne-anticoagulants, kufuneka wazise ugqirha wakho. Ngokuxhomekeke kwingcebiso kagqirha wakho, kunokufuneka uyeke ukusebenzisa la mayeza kwiintsuku ezimbalwa ngaphambi kotyando okanye olunye unyango.
• Ezinye iimeko zempilo: Xelela ugqirha wakho ukuba unesifo seswekile okanye usebenzisa amayeza okunciphisa amasosha omzimba. Kwakhona, ezinye iindlela zonyango zisenokungafaneleki xa usebenzisa amayeza anjenge-isotretinoin, esetyenziselwa i-acne enzima.

Zithini iindlela zonyango zamanxeba?

Kulungile, ngoku makhe sijonge unyango oluphambili lokunciphisa ukubonakala kwezi zilonda. Into enye ekufuneka uyikhumbule kukuba ungafumana iziphumo ezingcono ngokunyanga isilonda emva kokuba sidlule ixesha elide (malunga neenyanga ezili-12-18) kunokunyanga isilonda esitsha. Ngelo xesha, isilonda sele 'sivuthiwe'.

Iindlela zonyango zinokwahlulwa zibe ziindidi ezine eziphambili.

Ngoku makhe sijonge nganye kwezi ndlela ngokweenkcukacha ezithe vetshe.

1. Unyango lwe-Topical

Ezi zezona ndlela zonyango zilula kwaye azinabungozi kangako. Azibandakanyi iinaliti okanye ukunqunyulwa. Zisebenza kakhulu kumanxeba amatsha, athambileyo asaphola okanye asakhulayo.

• Ijeli/amaphepha e-silicone:Le yeyona ndlela isebenzayo neyona icetyiswayo kakhulu kolu didi. Ezi ziza ngendlela yamaphepha acacileyo okanye iijeli ezinomaleko wejeli ye-silicone. Ezi zishiywa kwinxeba iiyure ezininzi ngosuku kangangeenyanga ezininzi. Oku kunceda ukunciphisa ukubomvu nokurhawuzelela kwenxeba, kuthintela ukwakheka kwamanxeba aphakanyisiweyo (i-keloids, amanxeba e-hypertrophic), kwaye kunceda ukuthambisa amanxeba akhoyo.
• Unyango loxinzelelo: Ingakumbi emva kokutsha, kunxitywa iimpahla ezikhethekileyo ukuze kufakwe uxinzelelo olungaguqukiyo, olulinganayo kwinxeba. Olu xinzelelo lunceda ukulawula inxeba ukuba linganyuki.
• IVithamini E/A: Ngamanye amaxesha, abanye abantu bacebisa ukusebenzisa iioyile kunye neekhrimu zeVithamini E okanye A. Nangona kunjalo, akukabikho sigqibo sicacileyo sesayensi malunga nokuba ezi zinto zisebenza kangakanani kumanxeba.

2. Iinaliti (Iinaliti)

Ngale ndlela, amayeza akhethekileyo afakwa ngqo kwinxeba. La asebenza ngakumbi kwiinxeba eziphakanyisiweyo nezityebileyo (ii-keloids, ii-hypertrophic scars). Ngokwesiqhelo, ezi naliti zinikwa amaxesha amaninzi ngeveki ukuze kubekho iziphumo ezilungileyo.

• Inaliti zeCorticosteroid: Olu lolona nyango luqhelekileyo lwezilonda ezifana nezilonda ze-keloid. Olu nyango lwe-steroid lusebenza ngokunciphisa ukuveliswa kwe-collagen, eyona nto ibangela ukwakheka kwezilonda, nokulawula ukudumba kwesilonda. Oku kunciphisa ubungakanani, ubukhulu, ukubomvu, kunye nokurhawuzelelwa kwesilonda.
• I-5-FU okanye i-bleomycin injections: Ezi ziimithi ezinikwa umhlaza. Ngenxa yokuba zithintela ukukhula kweeseli, zikwasetyenziselwa ukunqanda ukukhula kwezicubu ezingaqhelekanga kumanxeba.
• Izithambisi zesikhumba: Oku kwahlukile kwezinye. Oku kusetyenziswa kwizibazi ezinzulu, ezifana nemingxuma. Oku kusebenza kakhulu kwizibazi ze-acne. Okwenziwayo apha kukufaka isithambisi esikhethekileyo kwindawo etshonileyo kwaye sinyuse umgangatho wolusu olujikelezileyo. Nangona kunjalo, iziphumo zoku zizezexeshana. Kuya kufuneka uphinde emva kweenyanga ezimbalwa okanye unyaka.

3. Ukuhlaziya ulusu

Injongo ephambili yale mithi kukususa umaleko ophezulu weeseli ezindala, ezonakeleyo kulusu olunamabala kwaye kubonakale ulusu olusempilweni noluthambileyo ngaphantsi.

• Unyango nge-laser (Unyango olukhanyayo okanye lwe-laser): Le yindlela ethandwayo kakhulu ngoku. Apha, ugqirha usebenzisa isixhobo esikhethekileyo ukuqondisa umqadi we-laser onamandla aphezulu kwisilonda. Le mitha iyanyibilika kancinci kwaye isuse umaleko ophezulu wolusu. Ikwakhuthaza ukuveliswa kwe-collagen entsha, engene nzulu eluswini. Ngenxa yoko, ulusu olutsha olungaphantsi luba bushelelezi kwaye lukhanya ngakumbi. Ingalungisa naluphi na utshintsho lombala wesilonda.
• Ixolo leekhemikhali:Apha, isisombululo esikhethekileyo sekhemikhali (esidla ngokuba yi-asidi) sisetyenziswa ukususa umaleko ophezulu wolusu ngendlela elawulwayo. Oku kufanelekile kumanxeba angaphezulu, ingakumbi lawo asebusweni.
• I-Dermabrasion: Oku kukukhuhla ulusu kancinci. Isixhobo esikhethekileyo, esifana nebrashi ejikelezayo ngokukhawuleza, sisusa iileya eziphezulu zolusu. Oku kunokunyangela zombini amanxeba atshonileyo kunye namanxeba aphakanyisiweyo.
• Ukuhlaba inaliti: Ngokusebenzisa i-roller okanye isixhobo esineenaliti ezincinci kakhulu, amawaka eembobo ezincinci nezingabonakaliyo ziyadalwa eluswini. Oku kukhuthaza ulusu ukuba luzilungise kwaye luvelise i-collagen entsha. Oku kuphucula kancinci kancinci ukubonakala kwamanxeba.

4. Utyando

Ngamanye amaxesha, ingakumbi kumanxeba okudumba amakhulu, abuhlungu, okanye aphazamisana nokuhamba, utyando lolona sisombululo silungileyo.

Apha, ugqirha wezonyango usika ngokupheleleyo aze asuse isilonda esidala, aze avale inxeba ngemithungo emincinci kakhulu, eshiya kuphela isilonda esingabonakaliyo kangangoko, njengomgca omncinci.

• I-Z-Plasty kunye ne-W-Plasty: Ezi ziinkqubo ezikhethekileyo zotyando. Khawucinge ngesilonda esiqinileyo, esolulekileyo esibonakala ngathi ngumgca othe tye. Kwi-Z-plasty, kwenziwa imingxunya emincinci embindini wesilonda ngesimo soonobumba u-'Z', kwaye ulusu lushukunyiswa ngasemva nangaphambili luze luthungwe ngasemva. Oku kususa uxinzelelo kumgca othe tye, okuvumela ulusu ukuba loluleke kwaye lugobe ngcono kwindawo yesilonda. Oku kunciphisa ukubonakala kwesilonda.
• Ukufakelwa kwesikhumba: Ngamanye amaxesha, ingakumbi xa kutshiswe kakhulu, kusenokungabikho ulusu olwaneleyo oluza kugquma isilonda emva kokuba sisusiwe. Kwimeko enjalo, umaleko omncinci wesikhumba uthathwa kwenye indawo yomzimba (umzekelo, ethangeni) uze ufakwe kuloo ndawo.

Emva kotyando, ugqirha wakho unokucebisa ukuba ufake iinaliti okanye iikhrimu ezisetyenziswa eluswini ukuze kuncitshiswe amanxeba amatsha.

Zithini iingozi zale mithi?

Njengakwezinye iindlela zonyango, kukho iingozi ezithile ezibandakanyekayo. Nangona kunjalo, ezi ngozi zingancitshiswa ukuba zenziwe ngokufanelekileyo, phantsi kweliso likagqirha ofanelekileyo.

• Ukurhawuzelela kwesikhumba: Umngcipheko woku kurhawuzelela oku uphantsi. Abanye abantu banokuba nokurhawuzelela okuncinci, ukuba bomvu, okanye ukuba ne-allergy (i-contact dermatitis).
• Unyango lokufaka inaliti kunye nokulungisa umphezulu wesikhumba: Ukuba bomvu, ukudumba, ukudumba, kunye nokwanda kokuziva ukukhanya kwelanga kunokwenzeka kwindawo yonyango. Ngamanye amaxesha, indawo enyangiweyo inokutshintsha umbala (ibe mnyama okanye ikhanye kunolusu olujikelezileyo).
• Utyando: Iingozi eziqhelekileyo zotyando, ezinje ngosulelo nokopha, zikhona apha. Kwakhona, kukho ithuba elincinci lokuba kuvele isilonda esitsha esibi kunesidala.

Yintoni onokuyilindela emva konyango?

Le yingxaki ebaluleke kakhulu. Umonde ubalulekile apha.

• Kungathatha iinyanga ukubona iziphumo ezivela kwiimveliso zokhathalelo lolusu ezisetyenziswa ethanjeni.
• Ukuze ufumane iziphumo ezilungileyo kunyango olufana neenaliti kunye ne-laser, kufuneka ube neeseshoni ezininzi.
• Emva kotyando, kunokuthatha iiveki eziliqela ukuya kwiinyanga ezininzi ukuba inxeba elitsha liphole ngokupheleleyo kwaye libonakale ekugqibeleni.

Ndifanele ndibonane nogqirha nini?

Ukuba ufumanisa naziphi na ezi mpawu zilandelayo ngaphakathi okanye ezijikeleze isilonda sakho emva kokufumana naluphi na unyango, yazisa ugqirha wakho ngoko nangoko:

• Ukuba kukho ukopha
• Ukuba ufumana amadyungudyungu
• Ukuba kukho iimpawu zosulelo (umz. ubomvu, ukubomvu okugqithisileyo, ukudumba, okanye ukufudumala xa uchukumisa)
• Ukuba idumbile ngokungaqhelekanga okanye kakhulu

Ngaphambi kokuba uthathe isigqibo ngolu hlobo lonyango, dibana nogqirha wesikhumba onamava okanye ugqirha wotyando lweplastiki ukuze uhlole isilonda sakho kwaye uxoxe ngeendlela onokukhetha kuzo, izinto ezilungileyo nezingalunganga, kunye neendleko.