Keloids da hypertrophic scars: description, iri, haddasawa da kuma magani

Bayan wani rauni a fata na da wani mutum ne mai tunawa ãyã a cikin nau'i na tabo, wanda aka fassara daga Jamus nufin "kufai." Wani lokaci wadannan alamomi ba sa matsaloli saboda ko dai ba su a cikin wani shahararren wuri, ko kusan indistinguishable daga m fata. Amma akwai yanayi a lokacin da scars ne ma shahararren, convex, duhu, wani lokaci tare da sosai corrugated surface. Wadannan su ne hypertrophic da keloid scars. Hakika, suna da wani gagarumin kwaskwarima aibi, musamman idan located a kan fuskarsa, wuyansa, kirji. Rabu da shi ba haka ba ne sauki a kan su, saboda irin wannan tabo yana da wani musamman tsarin da zaruruwa, shi ne wuya da za a gyara.

iri scars

Wasu mutane rauni tsaurara da sauri kuma kusan painlessly. Ga wasu, wannan tsari ya yalwaci a mako, da kuma a lokacin da, a karshe, warkar da raunuka, a inda suke ne mummuna m alamomi. Miscellaneous "halayyar" na nama dogara a kan al'amurra da dama, misali, rauni cututtuka, da location (mobile tashar ko ba), da size da kuma zurfin lalacewa a kan mutum jiki ta ikon regenerate, da fata irin da sauransu. A totality of duk wadannan dalilai take kaiwa zuwa da cewa a wasu lokuta da scars samu kamar yadda idan sunken (kira atrophic), da sauransu - su ne a kan wannan matakin tare da fata (normotroficheskie).

A mafi matsala daga mahangar cosmetology ne hypertrophic scars. Da suka faru a lokacin da kyallen takarda a warkar da raunuka ma fibroblasts aka kunna, kuma za a fara inganta kira na collagen. Lokacin da wannan enzyme ne collagenase, lalata da suka wuce haddi collagen, samar a cikin kasa yawa. A sakamakon haka, da sabon nama yana kafa da yawa. Tserewa ta'addi babu inda, kuma suka protrude sama zazhivshim rauni. A tsawo daga wannan scarring iya isa 10 mm. Su launi ne mafi yawa duhu fiye da fata a kan makwabtaka da yankunan, da kuma surface ne sau da yawa m ƙasa.

keloids

Wadannan tsarin duba sosai kama da hypertrophic scars, amma da yawan m bambance-bambance. Babban abu ne cewa keloid scars, bayyana a cikin rauni site, fadada a kan m fata. A jawo domin su iya zama a matsayin manyan yanke kõ, ku ƙõnã, kuma da kadan prick, ko da wani kwari da cizo, wanda mutane da yawa ba a kula. Keloid tabo fara girma a cikin wata daya ko fiye, daga bãyan mĩki ya warkar da su. Girmancin na iya daukar har zuwa shekaru biyu, bi da wani karfafawa mataki. Histological nazarin bayyanãwa ma aiki keloids fibroblasts giant, kullum samar da collagen. Kuma idan hypertrophic scars, ko mummuna amma m, da keloid zai iya sa itching, zafi, ta ƙara fata ji na ƙwarai. Bambanta da ƙarya keloids, bayyana a shafin na rauni, da kuma gaskiya cewa faruwa inda fata ba lalace azahiri.

Jiyya na keloids da hypertrophic scars

Wadannan hanyoyin gyara na kausasa scars ake amfani a yau:

• matsawa.
• silicone kayayyakin (faranti, gel).
• Laser far.
• tiyata.
• radiation far.
• sanyi magani.
• miyagun ƙwayoyi far.
• corticosteroids.

Wani daya daga cikinsu yana da nasa abũbuwan amfãni, kuma disadvantages. Wanne Hanyar yin amfani da, a cikin kowane hali ya kamata a yanke shawarar da likita. Tsabta hypertrophic da keloid scars ko fiye, wanda sukan kamu da dermatofibroma kuma ko da infiltrating ciwon daji, kawai ake bukata a cikin na musamman kananan dakunan shan magani.

m baki

Hypertrophic da keloid scars suna da wuya cire surgically, domin bayan wannan gyara ne kusan ko da yaushe a sake komowa. Alal misali, idan muka yi magana game da keloids, aibi samu faruwa a 80-90% na dukkan lokuta ya ruwaito da aka bayyana a cikin samuwar tabo nama ne har yanzu ya fi girma fiye da shi ya kafin kau. A cikin hali na hypertrophic scarring wahala kudi ne dan kadan m. M gyara ne mafi kyau don gudanar da scars ba m da kaifafan gefuna. A lokacin da aiki, Likita excised, yanke gefuna kwantanta ya aikata inseam cewa kadan m. Wannan aiki da aka yi a karkashin maganin sa barci. Arin ba a bukata.

Idan Hanyar tiyata cire m scarring, kamar keloids, yi patchwork fata roba (dashi).

matsawa

Hypertrophic scars a cikin wannan hanya ne kusan daidai, amma a yanayin saukan keloid shi ya ba m sakamakon. A Hanyar da aka yi amfani da su sanya tabo m bandeji, wanda da haƙuri sa, ba cire, daga watanni 3 zuwa shekara guda. Wani lokaci yana iya gabatar da wani bandeji a kowace 12 hours. Saboda matsin tasoshin a cikin tabo tsaya a nan ba da iko. A lokaci guda matsa da gefuna da tabo nama, wanda ya hana ta kara Ɗaukaka.

radiation far

Wannan hanya shi ne mafi inganci da kuma ake amfani da duniya. Kau da hypertrophic scars, keloids, da sauran tsarin a kan fata da aka yi da ake kira Bucky haskoki (X-haskoki ta wajen high-daidaici beta applicators). A sakamakon haka, karya ko dakatar da ci gaban fibroblasts, collagen kira da aka kare. Za a iya amfani haskoki daban-daban intensities.

A cikin wani hali, 90% na su sha babba yadudduka na fata, da kuma wani 10% fall a cikin dermis. Sau da yawa wannan hanya ake amfani a tare da m kau da tabo. Recurrences bayan far irin rijista a 50% na lokuta. A ra'ayi na fasali na X-ray daukan hotuna Hanyar da aka yi amfani da su cire scars a kai, wuyansa, kuma kirji. contraindications:

• Oncology.
• ciwon sukari.
• zuciya da kuma jijiyoyin bugun gini cututtuka.
• exacerbation na cututtuka daban-daban.

cryotherapy

Wannan shi ne daya daga cikin safest kuma tasiri hanyoyin. Keloids ba tare da komowa via sanyi gaba daya bace a 51% na lokuta. Kuma a 76% na lokuta ana cire hypertrophic scars. Jiyya ya zama hadaddun (cryotherapy da sauran dabaru - da yin amfani da man shafawa, silicone), to, shi ya sa hankalta to fatan da kusan cikakkiyar (90%) daga cikin bacewar scars, ba tare da rikitarwa da kuma dakwai, komowan cutar. A Hanyar kunshi biyayya da tabo ruwa nitrogen (zafin jiki na game da -196 ° C). Ya yi amfani da wani musamman applicator kushin. A sakamakon haka, Kwayoyin kafa kankara lu'ulu'u, cytoplasm da wasu gabbansa mutu. Saboda haka karya fibroblasts, collagen kira da aka kare. Exposure zuwa nitrogen yana a kalla 30 seconds, amma sau da yawa isa ba, da kuma 5 seconds. Don cikakken cire tabo, shi ya ishe dama hanyoyin. disadvantages:

• hanya zafi.
• da yiwuwar kafa wani bororo a shafin na tabo.
• hyperpigmentation bayan magani.

silicone magani

Yanzu pharmaceutical kamfanonin sun ɓullo da wani gel dauke da silicon, da kuma musamman silicone farantin. Manufa na aiki a} alla guda kwayoyi - suka bauta wa kara wetting da softening na scars jiki, overlapping damar da oxygen rage zaruruwa da collagen kira.

Wannan hanya ta kawar atrophic da hypertrophic scars. shi ne ba su dace domin lura da keloids. A faranti ake samar da daban-daban siffofi da kuma masu girma dabam. A daya hannun da suke da wata m shafi don samar da matsakaicin mannewa ga m tabo. Kila shi ne irin abin da iska zuwa cikin fata da suka wuce, kasancewa haka watertight. Abũbuwan amfãni daga cikin Hanyar kunshi a cikin sauƙi na amfani, in mun gwada low cost, m kuma ba tare da rikitarwa, allergies, illa. Disadvantages: hanya duration ( 'yan watanni) da kuma low tasiri.

corticosteroids

Mutane da yawa tambaya, yadda za a cire hypertrophic tabo da sauri kuma tare da wani m sakamako. Daffo allura (tare da wani dogon duration na aikin) corticosteroids yi wannan marmarin da marasa lafiya da kyau sakamakon da aka samu a lura da keloids. Yau amfani corticosteroids "Kenalog" da "Diprosan". Su inji na mataki ne kamar guda kuma kunshi a rage yawan farin jini Kwayoyin da cytokine inhibiting girma factor necrosis da yaduwa, fibroblast braking aiki, kau na rashin lafiyan halayen, da rage a collagen matakan. A hanya aka yi 1 lokaci a 10-14 kwanaki. Side effects:

• hypopigmentation.
• jinni-ta hanyar raga na capillaries a cikin fata.
• bayyanar steroid kuraje.
• thinning na fata;
• overall mummunan tasiri a jiki.

Don rage illa na corticosteroids prick tare da lidocaine (1: 5), Saline, pentoxifylline. An kyau kwarai sakamakon bada wannan hanya a tare da cryotherapy.

Laser far

Nika hypertrophic tabo ko keloid Laser samar da matsakaicin sakamako. Jigon da hanya ne mai cikakken ne kuma daidai kau daga cikin manya Layer na fata da kuma tabo nama. A fata da aka wallafa, bi da yankuna samar da wata sabuwar Elastin da collagen rage-rage tabo convexity, shi ne kusan m tare da kewaye inuwõyi. Bayan ake ji wannan hanya hypertrophic scars gaba daya bace a 80-95%, da kuma keloid - a 60-70% na lokuta. Matsalolin bayan hanya:

• ƙaruwa.
• yankin Flushing.
• ƙara fata ji na ƙwarai zuwa ga hasken rana.
• erythema.
• Hyperpigmentation (gudu ba tare da magani).
• kuraje.
• mafitsara samuwar.

Laser daukan hotuna ne amblyatsionnoe (zurfi) da kuma neamblyatsionnoe (mafi m). A karo na biyu idan na rikitarwa, yawanci kasa, amma ƙara tsawon magani.

miyagun ƙwayoyi far

Akwai m da kuma lura da bayar da miyagun ƙwayoyi a jikin tabo. Domin allura ta amfani da formulations dangane hyaluronidase (wani enzyme inda hypertrophic scars zama kasa kumbura, taushi, mĩƙe su taimako). Wadannan sun hada da "Lidaza", "Alidaza", "Longidaza", "Vilidaza" da sauransu. Injections ya kamata a yi kowace rana, ko kuma kowane 2 kwanaki for 1-2 makonni. disadvantages:

• rashin zaman lafiya na enzyme.
• m halayen.
• allergenicity.

Domin Topical jiyya na man shafawa, lotions, sprays. A Pharmacy da fadi da dama da kwayoyi, ta kawar da scars. Mafi mashahuri "Kontraktubeks", "Dermatiks", "Kelo-Cote", "Kelobibraza". Abũbuwan amfãni daga cikin Hanyar ne ta lightness, da yiwuwar jiyya a gida, babu illa. Disadvantages - a low yadda ya dace.

Da keloids kadan taimako da man shafawa, da kuma injections, da kuma magani ne kawai hadaddun.

Ta yaya za a kauce wa bayyanar m scars

Idan ciwo ne ma manyan, da tabo, ko ta wani hanya, zai kasance. Amma a wasu lokuta yana yiwuwa a yi kokarin rage ta bayyanar. Saboda haka, hypertrophic tabo bayan mole kau da aka kusan taba kafa idan hanya zuwa yi cryotherapy, electrocautery, Laser-taimaka. Ci da mole cire ta tiyata, da tabo ko da yaushe ya kasance. Kuma a lokacin da ka cire shi da kanka, a gida, da shi za a iya fara da kumburi tsari, wanda za su kara exacerbate halin da ake ciki.

Ga wani rauni na fata, da rauni warkar da mafi alheri, kuma sauri, dole ne ka bi wasu sharudda:

• Kada ka yarda da datti da suka ji rauni fata rabo.
• kauce wa gogayya da ya taɓa rauni surface (msl, tufafi);
• A wani hali ba sata ɓawon burodi kafa.
• rufe da rauni daga hasken rana kai tsaye.
• amfani na musamman cream don taimaka sauri waraka da kuma rage hadarin scarring (daya daga cikin mafi kyau daga gare irin kwayoyi ne "Kontraktubeks").