Ake sixoxe nge-Scar Revision, ikhambi lezibazi zakho ezicasulayo!

Kuvamile ukuzwa ukulimala okuncane, izingozi, kanye nokuhlinzwa njengoba sidlula empilweni. Izibazi yizinkumbulo esizishiyile ngemuva kokuba zonke lezi zinto sezipholile. Mhlawumbe kwakuyisilonda esasenza ngesikhathi sidlala ngiseyingane, noma kungaba yisilonda esisele ngemva kokuhlinzwa ngokuhlinzwa. Kungakhathaliseki ukuthi yisiphi isizathu, lezi zibazi ngezinye izikhathi zingasibangela ukungakhululeki nokuhlazeka. Kungenzeka ukuthi uke wacabanga, "O, bekuyoba ngcono kangakanani ukube besingenazo lezi zibazi." Ngakho-ke namuhla, ake sixoxe ngokwelashwa okunganciphisa ukubonakala kwalezi zibazi futhi kuzenze zibukeke zingcono. Kwezokwelapha, lokhu sikubiza ngokuthi 'i-Scar Revision.'

Kalula nje, iyini le ndlela yokwelapha ukunciphisa amanxeba (i-Scar Revision)?

Uma uzwa igama elithi 'Scar Revision', abanye abantu bangase bacabange ukuthi lingasusa ngokuphelele isibazi. Kodwa akulona iqiniso lelo. Akukho ukwelashwa okungenza isibazi sinyamalale ngokuphelele. Okukwenzayo ukunciphisa kakhulu ukubonakala kwesibazi. Lokho kusho ukwenza umbala, ukuthungwa, kanye nobukhulu besibazi kufane ngangokunokwenzeka nesikhumba esinempilo esikuzungezile.

Esikhathini esiningi, lokhu kwenziwa ngezizathu zobuhle. Okusho ukuthi, ukwandisa ukuzethemba ekubukekeni kwethu. Kodwa kunezikhathi lapho izibazi zisibangela ubuhlungu noma zisivimbele ekunyakazeni leyo ngxenye yomzimba wethu ngendlela efanele. Ake sithi unesibazi esiqinile, esinwetshiwe endololwaneni noma edolweni lakho. Uma kwenza kube nzima ukwelula noma ukugoba ingalo yakho, kuyinkinga yezokwelapha edlula inkinga yobuhle. Ezimweni ezinjalo, lokhu kwelashwa kuba yinto ebalulekile.

Ingabe kunezinhlobo ezahlukene zezibazi?

Yebo, impela. Akuzona zonke izibazi ezifanayo. Ukuze ukhethe ukwelashwa okufanele, kubalulekile ukwazi ukuthi hlobo luni lwesibazi onaso.

Eqinisweni, lapho inxeba liphola, iphrotheni esesikhumbeni sethu ebizwa ngokuthi 'i-collagen' igcwalisa isikhala. Ngezinye izikhathi, lokhu kukhiqizwa kwe-collagen kuyanda kancane kunokudingekile. Yilapho kwakheka khona izibazi ezinkulu neziphakanyisiwe.

Kunezinhlobo eziningana eziyinhloko zezibazi:

• Izibazi ze-Hypertrophic: Lezi izibazi ezihlala endaweni yesilonda, kodwa ziphakanyiswe ngaphezu kwesikhumba, zijiyile, futhi ngezinye izikhathi zibomvu.
• Izibazi ze-Keloid: Lezi yizo ezikhathazayo kancane. Lezi zibazi zikhula ngale kwesilonda futhi zisakazekele esikhumbeni esinempilo esizungezile, zakha iqhubu elikhulu. Zingaba lusizi futhi zibe buhlungu. Abanye abantu bathambekele ekuzalweni kwe-keloid. Abantu abaningi ezweni lethu baye babhekana nokwakheka kwe-keloid ngemva kokubhoboza izindlebe zabo.
• Izibazi ezingapheli: Lezi izibazi ezingene ebusweni besikhumba futhi zibukeka njengemigoqo. Iningi lezibazi ezisele ebusweni ngemva kwezinduna liwela kulesi sigaba.
• Izibazi zokuqunjelwa: Lezi zinhlobo zezibazi zingavela, ikakhulukazi ngemva kokusha. Njengoba lezi zibazi ziphola, isikhumba siyaqina futhi sibe nomuzwa wokwelula kancane. Lokhu kunganciphisa ukunyakaza endaweni.

Udokotela wakho uzohlola isilonda sakho, athole ukuthi siluhlobo luni, futhi ancome ukwelashwa okungcono kakhulu.

Ubani ovame ukudinga lokhu kwelashwa?

Noma ubani ongakhululekile noma ongajabule ngesibazi emzimbeni wakhe angacabangela lokhu kwelashwa. Ezinye zezimbangela ezivamile zezibazi zifaka:

• Izibazi zezinduna ebusweni nasemzimbeni
• Ukusha (okuvela ezingozini noma ekwelashweni ngemisebe yomdlavuza)
• Izibazi zesisu ngemva kokuhlinzwa (ukuhlinzwa kwesisu)
• Izibazi ngemva kwanoma yikuphi ukuhlinzwa okunye
• Ukulimala okubangelwa izingozi (ukusikeka, imihuzuko)
• Ngemva kokubhoboza indlebe noma impumulo (ikakhulukazi kulabo abathola ama-keloid)
• Ngemva kokutheleleka okukhulu kwesikhumba

Ngingalungiselela kanjani ngaphambi kokwelashwa?

Indlela ozilungiselela ngayo izohluka kuye ngohlobo lokwelashwa okwenziwayo, kodwa ngokuvamile, udokotela wakho cishe uzokunikeza iseluleko esinjengalesi:

• Ukudla okunomsoco: Ukudla okunempilo kubalulekile ekwelapheni amanxeba. Faka ukudla okucebile nge-zinc, amavithamini A, C, no-E, njengemifino, izithelo, ubhontshisi kanye namantongomane.
• Gwema ukubhema: Uma ubhema, kufanele uyeke ukubhema amasonto ambalwa ngaphambi kokwelashwa kwakho. Ukubhema kunciphisa imithambo yegazi, okunciphisa ukuphola kwenxeba, futhi kwandisa ingozi yokutheleleka.
• Ukuyeka imithi ethile: Uma uphuza imithi ethile, njengemithi yokuvimbela ukugabha kwegazi, kufanele wazise udokotela wakho. Kuye ngeseluleko sikadokotela wakho, kungadingeka uyeke ukuthatha le mithi ezinsukwini ezimbalwa ngaphambi kokuhlinzwa noma okunye ukwelashwa.
• Ezinye izimo zezokwelapha: Tshela udokotela wakho uma unesifo sikashukela noma uthatha imithi yokucindezela amasosha omzimba. Futhi, ezinye izindlela zokwelapha amanxeba zingase zingafaneleki ngenkathi uthatha imithi efana ne-isotretinoin, esetshenziselwa induna enzima.

Yiziphi izindlela zokwelapha izibazi?

Kulungile, manje ake sibheke izindlela zokwelapha eziyinhloko zokunciphisa ukubonakala kwalezi zibazi. Into eyodwa okufanele uyikhumbule ukuthi ungathola imiphumela engcono ngokwelapha isibazi ngemva kokuba sesithathe isikhathi eside (cishe izinyanga ezingu-12-18) kunokwelapha isibazi esisha. Ngaleso sikhathi, isibazi sesivele 'sivuthiwe'.

Izindlela zokwelapha zingahlukaniswa ngezigaba ezine eziyinhloko.

Manje ake sibheke ngayinye yalezi zindlela ngemininingwane ethe xaxa.

1. Ukwelashwa Ngesikhumba

Lezi izindlela zokwelapha ezilula nezingenangozi kakhulu. Azibandakanyi izinaliti noma ukusikwa. Zisebenza kahle kakhulu ezibazini ezintsha, ezithambile ezisaphola noma ezisakhula.

• Ijeli/amashidi e-silicone:Lena yindlela ephumelela kakhulu futhi enconywa kakhulu kulesi sigaba. Lezi ziza ngesimo samashidi noma amajeli abonakalayo anesendlalelo sejeli le-silicone. Lezi zishiywa esibayeni amahora amaningana ngosuku izinyanga eziningana. Lokhu kusiza ukunciphisa ukubomvu nokulunywa kwesibazi, kuvimbela ukwakheka kwezibazi eziphakanyisiwe (i-keloids, izibazi ze-hypertrophic), futhi kusiza ukuthobisa izibazi ezikhona.
• Ukwelashwa ngengcindezi: Ikakhulukazi ngemva kokusha, kugqokwa izingubo ezikhethekile ukuze kufakwe ingcindezi engaguquki, ngisho neyodwa esilondeni. Lokhu kucindezela kusiza ukulawula isilonda ukuthi singakhuphuki.
• I-Vitamin E/A: Ngezinye izikhathi, abanye abantu bayeluleka ukusebenzisa amafutha nama-cream e-vitamin E noma A. Kodwa-ke, asikho isiphetho esicacile sesayensi sokuthi lokhu kusebenza kangakanani ezibazini.

2. Imijovo (Ejovwayo)

Ngale ndlela, imithi ekhethekile ifakwa ngqo esibazini. Lokhu kusebenza kakhulu ezibazini eziphakanyisiwe nezijiyile (ama-keloid, ama-hypertrophic scabs). Ngokuvamile, le mijovo inikezwa izikhathi eziningana ngesonto ukuze kube nemiphumela emihle kakhulu.

• Imijovo ye-Corticosteroid: Lena yindlela yokwelapha evame kakhulu yezibazi ezifana nezibazi ze-keloid. Lo mjovo we-steroid usebenza ngokunciphisa ukukhiqizwa kwe-collagen, okuyimbangela eyinhloko yokwakheka kwezibazi, nokulawula ukuvuvukala kwesibazi. Lokhu kunciphisa usayizi, ukujiya, ukubomvu, kanye nokulunywa kwesibazi.
• Imijovo ye-5-FU noma i-bleomycin: Empeleni lena imithi enikezwa umdlavuza. Ngenxa yokuthi iyamisa ukukhula kwamaseli, isetshenziselwa futhi ukuvimba ukukhula kwezicubu ezingavamile ezibazini.
• Ama-dermal fillers: Lokhu kuhlukile kwezinye. Lokhu kusetshenziselwa amanxeba ajulile, afana nemigodi. Lokhu kusebenza kakhulu kumanxeba e-acne. Okwenziwa lapha ukufaka i-filler ekhethekile endaweni eshonile bese uyiphakamisa ifinyelele ezingeni lesikhumba esizungezile. Kodwa-ke, imiphumela yalokhu ingeyesikhashana. Kufanele uyiphinde ngemva kwezinyanga ezimbalwa noma unyaka.

3. Ukuvuselela Isikhumba

Umgomo oyinhloko walezi zindlela zokwelapha ukususa ungqimba oluphezulu lwamaseli amadala, alimele esikhumbeni esinamanxeba bese kwembulwa isikhumba esinempilo nesibushelelezi ngaphansi.

• Ukwelashwa nge-laser (Ukwelashwa ngokukhanya noma nge-laser): Lena indlela ethandwa kakhulu manje. Lapha, udokotela usebenzisa idivayisi ekhethekile ukuqondisa umsebe we-laser onamandla aphezulu esibazini. Le misebe iyahwamuka kancane futhi isuse ungqimba oluphezulu lwesikhumba. Iphinde ivuselele ukukhiqizwa kwe-collagen entsha, engenela esikhumbeni. Ngenxa yalokho, isikhumba esisha esingaphansi siba bushelelezi futhi sikhanye. Kungalungisa nanoma yikuphi ukushintsha kombala kwesibazi.
• Isikhumba samakhemikhali:Lapha, kusetshenziswa ikhambi elikhethekile lamakhemikhali (ngokuvamile i-asidi) ukususa ungqimba olungaphezulu lwesikhumba ngendlela elawulwayo. Lokhu kufanelekile ezibazini ezingajulile, ikakhulukazi lezo ezisebusweni.
• I-Dermabrasion: Lokhu kuwukususa isikhumba kalula. Idivayisi ekhethekile, njengebhulashi elijikelezayo ngokushesha, isusa izingqimba eziphezulu zesikhumba. Lokhu kungalapha kokubili izibazi ezicwile kanye nezibazi eziphakanyisiwe.
• I-Microneedling: Kusetshenziswa i-roller noma idivayisi enezinaliti ezincane kakhulu, kwakheka izinkulungwane zezimbobo ezincane, ezingabonakali esikhumbeni. Lokhu kukhuthaza isikhumba ukuba sizilungise futhi sikhiqize i-collagen entsha. Lokhu kuthuthukisa kancane kancane ukubukeka kwezibazi.

4. Ukuhlinzwa

Ngezinye izikhathi, ikakhulukazi ngezibazi zokuqunjelwa ezinkulu, ezibuhlungu, noma eziphazamisa ukunyakaza, ukuhlinzwa kuyisisombululo esingcono kakhulu.

Lapha, udokotela ohlinzayo ohlinzayo usika ngokuphelele futhi asuse isibazi esidala, bese evala inxeba ngokuthunga okuncane kakhulu, eshiya isibazi esingabonakali ngangokunokwenzeka, njengomugqa omncane.

• I-Z-Plasty kanye ne-W-Plasty: Lezi yizinqubo ezikhethekile zokuhlinzwa. Cabanga ngesibazi esiqinile, esinwebekayo esibukeka njengomugqa oqondile. Ku-Z-plasty, kwenziwa imivimbo emincane phakathi kwesibazi ngesimo sohlamvu 'Z', bese isikhumba sishukunyiswa emuva naphambili bese sithungwa ndawonye. Lokhu kususa ukucindezeleka emgqeni oqondile, okuvumela isikhumba ukuba seluleke futhi sigobe kangcono endaweni yesibazi. Lokhu kunciphisa nokubukeka kwesibazi.
• Ukufakelwa kwesikhumba: Ngezinye izikhathi, ikakhulukazi ekushiseni okukhulu, kungase kungabi nesikhumba esanele esisele ukuvala isilonda ngemva kokuba sisusiwe. Kulesi simo, ungqimba oluncane lwesikhumba luthathwa kwenye ingxenye yomzimba (isibonelo, ithanga) bese luxhunyelelwa kuleyo ndawo.

Ngemva kokuhlinzwa, udokotela wakho angase akuncomele imijovo noma ukhilimu wokugcoba ukuze kuncishiswe izibazi ezintsha.

Ziyini izingozi zalezi zindlela zokwelapha?

Njengakuzo zonke izindlela zokwelapha, kunezingozi ezithile ezihilelekile. Kodwa-ke, lezi zingozi zingancishiswa uma zenziwa kahle, ngaphansi kokuqondisa kukadokotela oqeqeshiwe.

• Ukuqubuka kwesikhumba: Ingozi yalokhu iphansi. Abanye abantu bangase babe nokulunywa okuncane, ukubomvu, noma ukusabela kokungezwani komzimba (contact dermatitis).
• Imijovo kanye nokwelashwa kokulungisa isikhumba: Ubomvu, ukuvuvukala, ukuqhakaza, kanye nokuzwela okukhulu ekukhanyeni kwelanga kungase kwenzeke endaweni yokwelashwa. Ngezinye izikhathi, indawo elashwe ingashintsha umbala (ibe mnyama noma ikhanye kunesikhumba esizungezile).
• Ukuhlinzwa: Izingozi ezivamile zokuhlinzwa, njengokutheleleka kanye nokopha, zikhona lapha. Futhi, kunethuba elincane lokuthi kungase kuvele isilonda esisha esibi kakhulu kunesidala.

Yini ongayilindela ngemva kokwelashwa?

Lena indaba ebaluleke kakhulu. Ukubekezela kubalulekile lapha.

• Kungathatha izinyanga ukubona imiphumela yemikhiqizo yokunakekelwa kwesikhumba esetshenziswa esikhumbeni.
• Ukuze uthole imiphumela emihle ngokwelashwa okufana nemijovo kanye ne-laser, udinga ukuba nezikhathi eziningi.
• Ngemva kokuhlinzwa, kungathatha amasonto amaningana kuya ezinyangeni eziningana ukuthi isilonda esisha siphole ngokuphelele futhi sibonakale ekugcineni.

Ngingambona nini udokotela?

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngaphakathi noma eduze kwesibazi sakho ngemva kokuthola noma yikuphi ukwelashwa, yazisa udokotela wakho ngokushesha:

• Uma kukhona ukopha
• Uma uthola amabhamuza
• Uma kunezimpawu zokutheleleka (okungukuthi ubomvu, ukubomvu okweqile, ukuvuvukala, noma ukufudumala uma kuthintwa)
• Uma ivuvukele ngendlela engavamile noma ebukhali

Ngaphambi kokuthatha isinqumo ngalolu hlobo lokwelashwa, hlangana nodokotela wesikhumba onolwazi noma udokotela ohlinzayo ukuze uhlole isilonda sakho bese uxoxa ngezinketho zakho, izinzuzo nezinkinga zaso, kanye nezindleko.