Keloids a hypertrophic scars: hōʻike, ano, kumu a me ka lapaʻau

Ma hope o kekahi 'eha nui a hiki i ka ili o ke kanaka mea i mea hoʻomanaʻo hōʻailona i loko o ka palapala o ka me ka makaʻu no, i unuhi mai Kelemāniaʻano "me ka makaʻu no." I kekahi manawa, i kēia mau kaha mai ole i pilikia no ka mea, i kekahi mea i loko o ke koʻikoʻi wahi, a aneane indistinguishable mai e pili ili. Akā, he mau wahi, i hiki i ka wa a na scars e nui koʻikoʻi, convex, pouli, i kekahi manawa, me ka hoomaikai corrugated ili. Mau mea hypertrophic a me ka keloid scars. O ka holo ana, ka mea, i kaʻiʻo mea hoʻonani kina, o ka oi aku ina aia ma luna o ka maka,'ā'ī, umauma. Pakele no ia mea,ʻaʻole no ka oluolu ma luna o ia mau mea, no ka mea, i kēiaʻano o ka me ka makaʻu no ka mea he kūikawā 'ole o na olona,, ia mea paakiki ia e? Ee.

'ano o nā scars

Kekahi kanaka ke hooeha puakai koke a aneane painlessly. No na mea e ae, i kēia kaʻina kŰlń ao ma luna o ka hebedoma, a me ka wā, ma hope, hoola eha, ma ko lakou wahi eʻinoʻino apuupuu kaha. Nā Mea Likeʻole "hana" o ka'aʻaʻa hilinaʻi nui ma luna o na mea he nui aʻe, e laʻa me, wahi iho la nā mea palahēhē, kā lākou wahi (lawe lima ku paha i), ka nui a me ka hohonu o ke poho ma luna o kanaka kino ka hiki e regenerate, ka iliʻano, a laila, ma luna o. Ke totality o nā mea a pau kēia mau kumumea hiki aku ai i ka mea i loko o kekahi mau hihia a pau o nā scars loaa like ina ke alanui (i kapaia o atrophic), a me kekahi poe e ae - e ma luna o ka hookahi 'ilikai a me ka ili (normotroficheskie).

Ka loa problematic mai ka oiai ua ike mai o cosmetology i hypertrophic scars. Ka mea, ana ka wā nā'aʻaʻa ma ka hoola ana i eha he nui fibroblasts i ho'ā 'ia paha, a hoʻomaka i ka hoʻokāʻoi' hoʻololi kemikala o collagen. A pau keia'ūhū ka collagenase, luku i ka oi collagen, hua mai la i ka lawa ole mea. E like me ka hopena, i ka hou'aʻaʻa ua hana he nui loa. Pakele excesses wahi, a me ka mea ma luna nei iluna zazhivshim poino. Ke kiekie o ka scarring hiki a hiki i 10 mm o. Lākou mau waihoʻoluʻu o ka hapanui uala eleele o ka ili i ka kokoke like, a me ka ili honua mea pinepine ino'āina.

keloids

Mau me ka ho okumu nana mea i like loa me hypertrophic scars, akā, i ka helu ana i kaʻawaʻawa loa oko ao. Ke kumu nui mea mea i keloid scars, hōʻike 'ia ma ka eha paena, hoʻonui i kōna ili. A kāhea no ia e lilo i ka oki nui a kuni i ka mea, a me ka hōʻemi iki mea oioi, oia he insect nahu, a he nui mai i hoʻolohe. Keloid me ka makaʻu no hoʻomaka e ulu i loko o ka mahina a oi ma hope o kaʻeha i hoolaia. Ka ulu ana e lawe mai ai i mau makahiki, i ukali ia e ka noaaeeecaoeeʻanuʻu. Histological haʻawina hōʻikeʻoi aku ko lākou hana keloids fibroblasts kanaka nunui, mau ka hana collagen. A ina hypertrophic scars, inaʻino akā, painless, ka keloid hiki i ka ohane, eha, mahuahua ili pā lonoaʻili. Hoomaopopo wahahee keloids, e hōʻike 'ia ma ke kahua o ka poino, a me ka oiaio i hana kahi ua ole poino externally i ka ili.

Lapaau ana o keloids a me hypertrophic scars

ʻO kēia hakakā o? Iaea o apuupuu scars i hoʻohana i keia la:

• mīkini'opihia;
• mea pīlali huahana (papa, tuko pīlali);
• Kukuna Inc;
• ʻoki kino;
• pāhawewe Inc;
• anu lapaʻau;
• lāʻau Inc;
• corticosteroids.

Kekahi i kekahi o ia i kona pono a me keakea. A hana i ka hana, ma kela a me keia hihia e e hooholoia e ke kauka. Clean hypertrophic a keloid scars nui, i mea pinepine diagnosed like dermatofibroma a hiki infiltrating Ka maʻi 'aʻai, wale e pono ai ma ka hana kūikawā nā keʻena lāʻau lapaʻau.

ʻoki lāʻau lapaʻau 'uao

Hypertrophic a keloid scars i kākaʻikahi wehe surgically, no ka mea, ma hope o ia? Iaea Ua kokoke mau ka relapse. No ka laʻana, ina ua kamailio e pili ana i keloids, kina hoʻi i wahi i loko o 80-90% o nā hihia hōʻike, a ua hoikeia mai ma ke kahua o ka me ka makaʻu no'aʻaʻa mea no nui ma mua o ka mea, ua mua hoopau ana. Ma ka hihia o hypertrophic scarring complication i kela mea iki emi. ʻoki lāʻau lapaʻau? Iaea mea pono e lawe i ka scars i ole akea me kaʻoi lua penei. Ma kā lākou mau hana, i ka surgeon excised, oki kihi a hoʻohālikeʻana i inseam mea uuku kekahi '. Keia hana ua hana ma lalo o kūloko anesthesia. Hospitalization ua i koi 'ia.

Inā i ke ano o keʻoki kino wehe nui scarring, e like me keloids, hana patchworkʻili ea (transplant).

mīkini'opihia

Hypertrophic scars ma keia aoao o kokoke pololei, akā, ma ka hihia o ka keloid ka mea, oia ke kupono hopena. Ka papa hana ua noi ia e kau i ka lole wili me ka makaʻu no pilipaa, a ke ahonui i kekahi,ʻaʻole wehe, mai ka 3 mahina a hiki i ka makahiki. I kekahi manawa ia e hoʻokō i ka lole wili kela 12 hola. Aie i ka ipu puʻe i loko o ka me ka makaʻu no aɃe kona mana. I ka Ia manawa'opihia a me nā kihi o ka me ka makaʻu no'aʻaʻa, a ua ālai 'kona hou escalation.

pāhawewe Inc

Kēia papa hana o ka loa pono, a ua hoʻohana 'ia a puni ka honua. Removal o hypertrophic scars, keloids, a me ka ho okumu ana ma luna o kaʻili ua hana ma ka ai-kapaia Bucky kukuna (X-kukuna ma ke kumu o ke kiʻekiʻe-miomio Hoʻokolohua applicators). E like me ka hopena, uhai a hooki aku i ko lakou ulu fibroblasts, collagen hoʻololi kemikala ua 'ōlelo. Hiki ke hoʻohana 'kukuna o kekahi intensities.

Ma kekahi hihia, 90% o ia ka mēkene ka luna papa o kaʻili, a me ka 10% hāʻule i loko o ka dermis. Pinepine ua hoʻohana 'ia kēia hana i loko o ka huipūʻana iʻoki lāʻau lapaʻau ana o ka me ka makaʻu no. Recurrences ma hope o Inc o ka helu i ka 50% o ka hihia. Ma nānaina o ka hiʻona o ka X-Ray waiū papa hana ua hoʻohana 'ia e wehe i scars ma luna o ke poʻo, ai a me ka umauma. Contraindications:

• oncology;
• mimikō;
• naau a me ka vascular maʻi;
• exacerbation o nā maʻi likeʻole.

cryotherapy

'O kēia kekahi o ka safest pono a me epekema. Keloids ole relapse Via anu loa nalo i ka 51% o ka hihia. A i loko o 76% o ka hihia i wehe hypertrophic scars. Lapaʻau E e eiiieaena (cryotherapy a me ka 'ē aʻe' ana i kūpono - i ka hoʻohana 'ana o ka mea poni, mea pīlali), a laila ka mea i pono, e manaolana no ka mea kokoke loa (90%) o ka nalowaleʻana o nā scars, me ka complications a me relapses. Ke iaoiaeii ninoieo o ka hookauwa ana'ku i ka me ka makaʻu no wai naikokene (mahana o ma kahi o -196 ° C). He pili i ka kūikawā applicator pale. E like me ka hopena, aeee i hana hau nā pōaka, cytoplasm a me organelles make. No laila, e wāwahi fibroblasts, collagen hoʻololi kemikala ua 'ōlelo. Waiū e naikokene mau kekahi i kā mākou o 30 kekona, akā, pinepine lawa, a me ka 5 kekona. E hoopau ai i ke wehe i ka me ka makaʻu no, ka mea, Ua lawa mau kaʻina hana. keakea:

• ke kaʻina hana no eha;
• i ka manawa kūpono o ka ho okumu i kekahi blister ma ke kahua o ka me ka makaʻu no;
• hyperpigmentation ma hope lapaau.

mea pīlali lapaʻau

Ano, ua ulu mea lāʻau lapaʻau poʻe i ka tuko pīlali i loaʻa ka silikone, a me kona mea pīlali una honua. Rula o ka hana i ka hola o ka ia ai '- ka mea, e hoʻokauwā aku, e hoʻonui loa wetting a me ka i hoopalupaluia, o ka scars kino, overlapping komo o ka o oxygen e ho'ēmi i kona olona, a me ka collagen hoʻololi kemikala.

Kēia hana e lawe aku oe atrophic a me hypertrophic scars. ia mea i pono no ka iapaau ana o keloids. i hua mai la i na papa a me kekahi mau kinona a me ka nui like 'ole. Ma ka kekahi lima ka mea, i ka Padfolio ka penaʻana, e hōʻike i kā mākou mea pīlali i ke anuanu me ka makaʻu no. Lākou 'ole o ia i ka lewa i ka ili a lakou i hele ai, i pela watertight. Pono o ka iaoia komo i loko o ka nanea o ka pono, kŘpa a haʻahaʻa kāki, painless, a me ka complications, allergies,ʻaoʻao 'ole. Keakea: ke kaʻina hana lōʻihi like 'ole (he mau mahina) a me ka haahaa hopena.

corticosteroids

He nui nā kanaka noi, pehea e wehe i ka hypertrophic me ka makaʻu no koke, a me kekahi 'hopena. Nei ka pahu kui (me ka lōʻihi lōʻihi o ka hana) corticosteroids hana kēia mau makemake o nā mea maʻi me ka maikaʻi i nā hualoaʻa i loaʻa i loko o ka iapaau ana o keloids. I kēia lā hoʻohana corticosteroids "Kenalog" a me ka "Diprosan". Lākouʻano papa hana o ka 'ana i ka hola o ka ia, a he i ka hoemi i ka helu o ke keʻokeʻo keena, a cytokine koko inhibiting ulu ololi necrosis a me ka hoʻonuiʻana, fibroblast ke peleki pāʻana hana, ana o allergic reactions, he emi ma ka collagen pae. Ke hana ua hana 1 manawa i 10-14 lā. ʻaoʻao 'ole:

• hypopigmentation;
• kahe mau-ma hei o capillaries i loko o kaʻili;
• i ka helehelena o steroid huehue;
• thinning o kaʻili;
• nohona ma hopena maikaʻi ia ma luna o ke kino.

E hōʻemi aiʻaoʻao hopena o corticosteroids mea oioi pu me lidocaine (1: 5), Saline, pentoxifylline. An maikaʻi hopena haawi keia ina hana i loko o ka huipūʻana me ka cryotherapy.

kukuna Inc

Wili hypertrophic me ka makaʻu no paha keloid kukuna hoʻolako i kā mākou hopena. Ke pā like ana o ke kaʻina hana ka loa pololei a me ka kūlike loa ana o ka luna, ahu iho o ka ili a me ka me ka makaʻu no'aʻaʻa. Ua hōʻano keʻili,ʻo ia wahi i hana i ka hou elastin a me ka collagen emi me ka makaʻu no convexity, ia mea aneane like me ka puni poi. Hope ana keia iaoia hypertrophic scars loa iʻa i loko o 80-95%, a keloid - i loko o 60-70% o ka hihia. Complications ma hope o ka kaʻina hana:

• haanou ana;
• flushing;
• mahuahua ili pā lonoaʻili i ka Map;
• erythema;
• Hyperpigmentation (holo me ka lapaʻau);
• huehue;
• cyst ho okumu.

Kukuna waiū mea amblyatsionnoe (ʻoi) a me ka neamblyatsionnoe (oi akahai). I ka lua o ka hihia o complications, IeAUPIIe, IAa IO emi, akā, hou lōʻihi like 'ole o ka nohoʻana.

lāʻau Inc

Aia i waho a me ka hana ma ka lawelawe ana lāʻau i loko o ke kino o ka mea me ka makaʻu no. No ka pahu kui hoʻohana 'ana i mea haʻilula keimikala ka nānā' ana ma luna o hyaluronidase (he'ūhū e hiki ai hypertrophic scars e emi pehu, palupalu, flattened lākou ke ola). Mau nā "Lidaza", "Alidaza", "Longidaza", "Vilidaza" a me na mea e ae. Injections E e hana kela lā a me kēlā 2 lā no 1-2 pule. keakea:

• instability o ka'ūhū;
• adverse reactions;
• allergenicity.

No ka topical lapaʻau a me ka hinu, lotions, paipu. Nā keʻena kūʻai lāʻau lapaʻau i ka laulāʻano o ka ai ', e lawe aku oe scars. Ka loa Popular "Kontraktubeks", "Dermatiks", "Kelo-Côte", "Kelobibraza". Pono o ka hana i kona he lauwili anei, i ka manawa kūpono o ka lapaʻau ma ka hale, i ka wa e kaawale aku o kaʻaoʻao loa. Keakea - i haʻahaʻa ka hoʻokōʻana.

Ku e keloids liilii kōkua a me ka hinu, a me injections, a me ka hana i luna 'wale.

Pehea e pale i keʻano o ka apuupuu scars

Inā kaʻeha, he nui, o ka me ka makaʻu no, kekahi aoao ai kekahi, e noho. Akā, ma kekahi hihia ia mea hiki ke ho'āʻo e kń kona helehelena. No laila, hypertrophic me ka makaʻu no ma hope o kameleona ana ua aneane loa e hana ina ke kaʻina hana e hana cryotherapy, electrocautery, kukuna-kōkua. Ai iho la i ke kameleona wehe 'ia ma kaʻoki kino, ka me ka makaʻu no mau koe. A i ka wā e hemo ia oe, ma ka hale, ka mea hiki ke hoʻomaka i ka hoʻoʻino kaʻina hana, a e no hoi exacerbate i ke kulana.

No kekahi poino o ka ili, kaʻeha hoolaia maikaʻi a me ka wikiwiki, e pono e hahai i kekahi mau rula:

• Mai ae lepo i ka poino ili hopena;
• pale kū'ē, a hoopa aku i kaʻeha 'ilikai (e laʻa me, kapa);
• I ole hihia e ole kaka aku i ka pńpa hana;
• uhi i ka eha, mai pololei Map;
• hana i kekahi hana holika, e kōkua wikiwiki hoola a me ka hoemi i ka pilikia o ka scarring (kekahi o ka maikaʻi i waena o ia mau ai 'o "Kontraktubeks").