Wake waba nokulimala ndawana thize, kwathi ngemva kokuba kupholile, isilonda esasisele saba namaqhubu, sikhulu, futhi ngezinye izikhathi sibomvu? Ngezinye izikhathi ungase uzizwe ulunywa noma ubuhlungu ngenxa yalesi silonda. Kuvamile ukuthi noma ubani azizwe esaba futhi ekhathazekile kancane uma ebona into efana nale. Ungase ucabange, "O, kuyini lokhu?", "Ingabe lokhu kuyinto eyingozi?" Kodwa ungesabi. Esikhathini esiningi, lokhu kungenxa yesimo esibizwa ngokuthi i-Hypertrophic Scar . Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Kalula nje, iyini i-Hypertrophic Scar?
Ukuze siqonde lokhu, ake siqale sibheke ukuthi inxeba liphola kanjani. Uma kuvela umkrwelo omncane esikhumbeni sethu, uzophola ngaphandle kokushiya isilonda esikhulu. Kodwa uma inxeba lijule kancane, okungukuthi, uma lehla liye ongqimbeni lwesikhumba "lwe-dermis", umzimba wethu usebenzisa okuthile okukhethekile ukuphulukisa lelo nxeba. Lokho kuyi -collagen .
I-Collagen uhlobo lweprotheni olutholakala esikhumbeni sethu. Umzimba wenza i-collagen entsha ukuze welaphe isilonda. Lesi zicubu ezintsha zijiyile kancane kunesikhumba esivamile. Isikhathi esiningi, izibazi ezakha ngale ndlela ziyisicaba, zilingana nesikhumba.
Kodwa-ke, ngezinye izikhathi inqubo yokuphulukiswa kwenxeba emzimbeni wethu idlula kakhulu. Bese umzimba ukhiqiza i-collagen eningi kunalokho okudingayo . Le collagen eyengeziwe iqoqana endaweni yenxeba, okwenza isibazi siqhume esikhumbeni futhi sibe sikhulu. Lokhu yilokho esikubiza ngokuthi isibazi se-hypertrophic. Into ebalulekile ukuthi lesi sibazi sakheka kuphela ngaphakathi kwenxeba lokuqala .
Uyini umehluko phakathi kwe-Hypertrophic Scar kanye ne-Keloid Scar?
Abantu abaningi bayadideka ngamagama amabili athi izibazi ze-hypertrophic kanye nezibazi ze-keloid. Nakuba zombili ziyizibazi eziphakanyisiwe, kunomehluko ocacile phakathi kwalawa amabili. Ake sithi unenxeba elincane esandleni sakho eselipholile.
- Uma kuyisibazi esingavamile, isibazi sakheka kuphela endaweni lapho inxeba lalikhona. Asisabalali ngale kwaleyo ndawo.
- Isibazi se-keloid sifana ne-mushroom ekhula, ikhula ngale kwesilonda sokuqala futhi isakazekela esikhumbeni esinempilo esizungezile.
Bheka ithebula elingezansi ukuze uqonde lo mehluko ngokucacile.
| Isici | Isibazi Esiphezulu | Isibazi se-Keloid |
|---|---|---|
| Ukusabalala kwezibazi | Kungaphakathi kwendawo yenxeba yokuqala kuphela. | Isakazeka ngale kwesilonda sokuqala iye esikhumbeni esizungezile. |
| Okwesizukulwane | Akunamthelela omkhulu. Noma ubani angakuthuthukisa. | Uma othile emndenini enayo, kunethuba elikhulu lokuba nayo (kukhona ukuthambekela kwefa). |
| Ukwehla okuzenzakalelayo | Ngokuhamba kwesikhathi (izinyanga ezimbalwa noma unyaka), kungenzeka kakhulu ukuthi ithambe futhi yehle ngobukhulu ngokwayo. | Akuvamile ukuthi iphele yodwa. Ngokuvamile ihlala injalo ngaphandle kokwelashwa. |
| Ngemva kokuhlinzwa | Uma isuswa ngokuhlinzwa, amathuba okuthi iphinde ivele mancane. | Ngisho noma isusiwe ngokuhlinzwa, amathuba okuthi ikhule futhi aphezulu kakhulu. |
Ingabe lezi zibazi ziyingozi?
Lutho neze. Lezi yizindaba ezinhle kakhulu engingakunika zona.
Khumbula, izibazi ze-hypertrophic aziwona umdlavuza, futhi azisongeli impilo.
Lezi yizinkinga zobuhle ikakhulukazi. Kodwa-ke, ngezinye izikhathi lezi zibazi zingabangela ubuhlungu nokulunywa okuncane. Futhi, uma kuvela isibazi esinjengalesi esijoyintini njengendololwane noma idolo, kungaba nzima ukugoba nokuqondisa lelo lungu kahle, okusho ukuthi lingaphazamisa ukunyakaza . Ezimweni ezinjalo, kubalulekile ukuthola ukwelashwa.
Yiziphi izici zesibazi esiyingozi?
Akunzima kangako ukubona lezi zibazi. Bheka lezi zimpawu ngemva kokuba inxeba lakho selipholile.
- Isikhumba lapho inxeba lalikhona sijiyile futhi sibukeka siphakeme .
- Umbala wesibazi ungaba pink, red, noma purple .
- Inxeba seliphelile.Lesi sibazi sizoqala ukunyamalala phakathi nenyanga noma ezimbili.
- Isilonda singase sibe sibi, sibe buhlungu, noma sibe mnene uma usithinta .
- Lezi zivame ukubonakala esifubeni, emhlane, emahlombe nasezingalweni ezingaphezulu . Zingabonakala nasezingonweni.
- Uma yakheka phezu kwelunga, ingaphazamisa ukunyakaza kwalelo lunga .
Yiziphi izindlela zokwelapha lokhu?
Izinhloso eziyinhloko zokwelapha isilonda esibangela i-hypertrophic ukusenza sibe bushelelezi, sisithambise, sinciphise usayizi waso, sinciphise ukushintsha kombala, futhi sinciphise ukungakhululeki okufana nobuhlungu nokulunywa.
Ezimweni eziningi, udokotela wakho, ikakhulukazi udokotela wesikhumba noma udokotela ohlinzayo we-plastic surgeon, uzolinda izinyanga eziningana, mhlawumbe ngisho nonyaka, ngaphambi kokuqala ukwelashwa. Lokhu kungenxa yokuthi izibazi ze-hypertrophic zivame ukuthamba futhi zinciphe ngokuhamba kwesikhathi. Uma kungenjalo, ukwelashwa ukuphela kwendlela.
Nazi ezinye zezindlela zokwelapha eziyinhloko.
Ukwelashwa Kwezokwelapha
- Imijovo ye-Corticosteroid: Lena yindlela yokwelapha eyinhloko. Le mijovo ifakwa ngqo esibayeni. Lokhu kuphula izicubu ezengeziwe ze-collagen esibayeni, kunciphise futhi kuthambise isibazi. Kuphinde kunciphise ubuhlungu nokulunywa. Kungadingeka ukuthi uthole imijovo eminingana, njalo emavikini ambalwa.
- Ukwelashwa nge-laser: Izinhlobo ezikhethekile zama-laser (`Pulsed dye lasers`, `Nd:YAG lasers`) zisetshenziselwa ukuqondisa imithambo yegazi enxebeni. Lokhu kumisa ukukhula kwesibazi, kunciphisa ukubomvu, futhi kunciphisa ukujiya kwaso. Ezinye izindlela ze-laser zakha izimbobo ezincane enxebeni, zisithambise futhi zisize ukuthi siphinde sibe nesimo.
- Ezinye izinhlobo zokujova: Imithi ebizwa ngokuthi `(Bleomycin)` noma `(5-FU)` ijovwa ngqo esilondeni. Lokhu kuyanciphisa isilonda futhi kunciphise ubuhlungu nokulunywa.
- Ukwelashwa nge-cryotherapy: Indlela yokuthobisa izibazi ngokubhubhisa kancane kancane izicubu zezibazi kusetshenziswa umkhuhlane omkhulu (njenge-nitrogen ewuketshezi).
- Ukuhlinzwa: Kuphela uma ezinye izindlela zokwelapha zingaphumeleli, ukuhlinzwa kwenziwa ukuze kususwe isibazi. Kodwa-ke, lokhu kubhekwa njengendlela yokugcina, njengoba ukuhlinzwa kungabangela ukuba isibazi siphinde sivele.
Izinketho Zokuzinakekela
Okubalulekile: Ngaphambi kokuthi uzame noma yikuphi kwalokhu, qiniseka ukuthi ukhuluma nodokotela wakho ukuze akunike iseluleko.
- Amashidi e-silicone gel:Uma inxeba selipholile, lawa mashidi ejeli e-silicone noma ama-patches angasetshenziswa nsuku zonke esibazini. Lokhu kufanele kusetshenziswe njalo usuku lonke izinyanga eziningana. Kuthiwa lokhu kusiza ekunciphiseni usayizi, ukubomvu, ukujiya, kanye nokulunywa kwesibazi.
- Faka umswakama kanye nengcindezi: Faka iphedi elinganamatheli, njenge-petroleum jelly, esilondeni bese ubopha ngetheyiphu. Bese ufaka ingcindezi encane nge-elastic wrap noma i-ACE bandage, okuye kwaboniswa kwezinye izifundo ukunciphisa amanxeba.
Ungakuvimbela kanjani ukubola nokunakekela kahle ukulimala?
Indlela engcono kakhulu yokuvimbela izibazi ze-hypertrophic ukunakekela inxeba kahle kusukela ekuqaleni. Uma unesilonda ngemva kokuhlinzwa noma esinye isilonda, landela imiyalelo kadokotela wakho ngokucophelela.
Nazi ezinye izinto ezijwayelekile okufanele uzikhumbule:
- Gcina inxeba lihlanzekile: Geza inxeba ngensipho namanzi. Ungalokothi usebenzise i-hydrogen peroxide. Kungalimaza isikhumba kakhulu.
- Gcina inxeba limanzi: Ungavumeli inxeba lome lize liphole. Faka i-petroleum jelly (njenge-Vaseline) noma amafutha afanayo. Lokhu kuzonciphisa kakhulu ingozi yokuba nezibazi.
- Shintsha ibhandishi nsuku zonke: Shintsha ibhandishi nsuku zonke noma kaningi ngangokunokwenzeka, njengoba kuqondiswe udokotela.
- Zivikele elangeni: Ngemva kokuba inxeba selipholile, qiniseka ukuthi ugqoka isivikelo selanga esihle esine-SPF engama-30 noma ngaphezulu uma uphuma ngaphandle ngenxa yesibazi. Ukuchayeka elangeni kungabangela isibazi ukuba sibe mnyama nakakhulu.
- Tshela udokotela wakho ngokuthambekela kokuba nesibazi: Uma uke waba nokulimala okubangele lezi zinhlobo zezibazi ngaphambilini, tshela udokotela wakho ngakho ngaphambi kwanoma yikuphi ukuhlinzwa ukuze akwazi ukukunaka ngokukhethekile.
Ekuphetheni, isibazi esibuhlungu kakhulu asiyona into okufanele uyesabe. Kodwa-ke, uma sithinta ukubukeka kwakho noma siphazamisa imisebenzi yakho yansuku zonke, kufanele nakanjani ubonane nodokotela ukuze uxoxe ngendlela engcono kakhulu yokwelapha lesi silonda.
Umlayezo Wokuya Nawe Ekhaya
- Izibazi ze-hypertrophic ziyimpendulo evamile, kodwa engavamile, yokuphulukiswa kwenxeba. Aziwona umdlavuza noma ingozi empilweni.
- Lezi zibazi zakheka kuphela ngaphakathi kwenxeba lokuqala. Azisabalali ngale kwenxeba njengezibazi ze-keloid.
- Iningi lezibazi ze-hypertrophic lizothamba futhi linyamalale ngokwalo ngokuhamba kwesikhathi (izinyanga ezingu-6-12).
- Kunezindlela eziningi zokwelapha ezisebenzayo ezitholakalayo, okuhlanganisa imijovo, ukwelashwa nge-laser, kanye nejeli ye-silicone. Khuluma nodokotela wakho ukuze uthole ukuthi yikuphi okungcono kakhulu kuwe.
- Uma unenxeba, ukuligcina lihlanzekile futhi limanzi kuyindlela engcono kakhulu yokuvimbela amanxeba.
- Uma isilonda sikubangela ukungakhululeki, sivimbela ukunyakaza kwelunga, noma sishintsha ukubukeka kwalo, funa iseluleko sezokwelapha.
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