I-keloid yicala elingavumelekanga elingaba lihle, libuhlungu kwaye lisasaze ngaphaya kwemida yangaphambili yengozi yesikhumba. Kukho iindlela ezininzi zokuphatha i-keloids kodwa ukuba uyazi ukuba unokwenza i-keloids, isicwangciso esona siphumelele kukuthintela ukwakheka kwe-keloid kwindawo yokuqala.
Ndinokuthintela njani ukubunjwa kwe-keloid?
Unokuthintela ukubunjwa kwe-keloid ngokuphepha ukulimala kwesikhumba
- kutyumba
- utyando
- ukubhoboza umzimba
- sulelo
- intsimbi
Ukuba uyakha i-keloids ekuphenduleni imvalo kubalulekile ukunyanga umgudu ngokukhawuleza kwaye isebenzise imishanguzo ukukhusela ukubuyela kwe-acne. Ukuba unayo intsimbi, thintela ukucheba intamo kunye nobuso njengoko ukwenza njalo kunokubangela ukucasula intsimbi yakho ngakumbi kwaye kukhuthaze ukubunjwa kwe-keloid. Endaweni yoko, sebenzisa isisi ukucoca iinwele zakho zobuso. Gcina iinwele ubuncinane ubunesibhozo sesine intshi ende.
Ukongezelela, unyango olufanelekileyo lwamanxeba lunokunceda ukunciphisa ukutyalwa kwesikratshi kwaye kwakhona, ukunciphisa ukwakheka kwe-keloid. Zama ukugcina amanxeba akho amanzi kunye ne-petroleum jelly kwaye ehlanganiswe ne-band-band. Gcina unqabile ukufihlakele ilanga ubuncinane kwiinyanga ezintathu zokuqala emva kokulimala ukwenzela ukuba ugweme ngokugqithiseleyo kobumnyama.
I-keloids yam ibuhlungu kunye / okanye i-cosmetic inconcili, ndingayiphatha njani?
Kukho unyango oluninzi:
- I-corralosteroids ye-Intralesional (injected)
- Ukucabangela
- I-silicone gel sheeting
- Cryosurgery
- Amacici okucindezela
- Ukunyanga kwamayeza
- I-intelon alpha
- Unyango lwe laser
- Ukungena kwe-fluorouracil
I- dermatologist inokuncoma enye okanye ukudibanisa kwezi zonyango. Kubalulekile ukuqaphela ukuba i-keloids ingabuya emva kokunyanga. Fumana i-keloids yakho iphathwe ngokukhawuleza njengoko kunokwenzeka ukuba oku kukhulisa ithuba lokuba baphendule unyango.
Ziziphi i-corticosteroids zangaphakathi?
I-intralesional (injected) i-corticosteroids yinto yokuqala yonyango olucetyiswayo kunyango lwe-keloids. Inaliti isetyenziselwa ukufaka i-steroid, ngokuqhelekileyo i-triamcinolone, ngqo kwi-keloid. I-nitrojeni yotywala ingasetyenziswa ngaphambi kokujova. Izigulane ziphindaphindiwe nyanga zonke kude kubekho i-keloid ephahlazekayo. Ukufikelela kwi-70% ye-keloids ephathwe ngolu hlobo. 1 Ngelishwa, ukuya kuma-50% we-keloids abuyele kwiminyaka emi-5. 1 Ukuba i-keloid ayiphenduli emva kwezonyango ezine, i-dermatologist yakho ingancoma unyango oluthile olunjenge-removal removal, mhlawumbi ngokubambisana nelinye unyango.
Kuyintoni ukuchonga?
Ngendlela yokugada, i-scalpel, iqhosha lokupakisha elibukhali, lisetyenziselwa ukususa i-keloid. I-Triamcinolone okanye enye imithi ebizwa ngokuba yi-interferon idla ngojoyi phambi, ngexesha, okanye emva kokugqithisa. Injecting triamcinolone malunga nexesha lotyando lunceda ukukhusela i-keloid ekubuyeni.
Yintoni i-silicone gel sheeting?
Iipilisi ze-gelisi ze-silicone zineemakhishithi ezicacileyo ezibekwe phezu kwezikram. Zivumela i-oksijini ukuba idlule kwaye ikuncede ukugcina indawo enomanzi ukuphucula ukuphulukiswa. Banganceda ukunciphisa intlungu okanye ukukhupha kwi-keloids nokukhusela ukukhula kwee-keloids ezintsha okanye ezikhoyo.
Okwangoku, akucaci ukuba i-gellic i-gel ifake kangakanani i-keloids. Nangona kunjalo, i-silicone i-gel sheets ingazama ukufikelela kwiinyanga ezi-6. Zifumaneka ngumrhumo okanye ngaphezulu kwe-counter kwaye kufuneka zinqunywe ubukhulu be-keloid, zibekwa kwaye zifakwe kwindawo. Ishidi kufuneka lihlanjwe imihla ngemihla kwaye litshintshwe nganye iintsuku ezili-10 ukuya kwe-14.
Yintoni i-cryosurgery?
Oku kubhekisela ekusebenziseni i-nitrojeni yamanzi, ifakelwe kwi-keloid yakho imizuzwana engama-10 ukuya kwimizuzu emithathu. Iiseshoni ezinjalo zonyango zinokuphinda ziphindiwe nyanga zonke ukusa impendulo. Olu unyango luvame ukuhlanganiswa namanye amachiza.
Kubalulekile ukuba uqaphele ukuba kwizigulane ezinobumba obumnyama, isikhumba esiphathwa nge-nitrojeni ye-liquide sinokukhanya okanye sibe mnyama.
Ziziphi iingcinezelo zamacici?
Ezi zizithengiso ezizithengiweyo ezikhethiweyo zakho ezicwangcisa i-earlobe yakho. Zithwele i-earlobe yakho ngokukhawuleza emva kokubhoboza ukukhusela i-keloid ekuquluneni.
Ziyintoni unyango lwe-radiation?
Ikhonkco yangaphandle ye-X isetyenziswe kwi-keloid. Ukunyangwa kwamayeza kunokuthintela i-keloid ukuba iphinde ikhule emva kokuba igqithwe ngokugqithiseleyo kwisigidi sezigulane. Nangona kunjalo, nayiphi na i-radiation ikwandisa umngcipheko womhlaza kwaye ngenxa yoko ayikho into enconywayo njengonyango lwe-keloids, ingxaki yokugula.
Yintoni i-intelon-alpha?
I-intelon-alpha iiprotheni ezikhishwe ngamaseli ukuze zenze i-activist system isebenze. Zingaba zijojo emva kokuba i-keloid ikhutshwe ngokukhawuleza ukwenzela ukukhusela ukuphinda kwakhona. Nangona kunjalo, akucaci ukuba kusebenza njani le nonyango ngokubhekisele kubungqina benzululwazi obukhoyo, kwaye ngoko ke akunakuthi kukhuthazwe.
Yintoni i-intralesional fluorouracil?
Esi sisitofu se-chemotherapeutic esiliswe kwi-keloids. Iyakhathalela i-keloids ngokukhusela ukuphindaphinda kwe-DNA. Oku kumisa i-fibroblasts, iiseli ezigqithiseleyo kwi-keloid, ukusuka ekuveliseni. Ingabangela isilonda kunye nesigamu sezigulane ziphindaphinda ngonyaka omnye. Olu unyango lunokudibaniswa neenjini zangaphandle ze-corticosteroid.
Yintoni ilaysi ye-pulsed dye?
Laser laser i-pulsed i-laser eye iboniswe ukuphucula i-keloids kwaye inceda ngokukhethekileyo kwi-keloids nebomvu. Amanye ama-lasers afana nama-lasers aqhekezayo asetyenziswe ukuphatha i-keloids. Unyango lwama-Laser lungenziwa ngokudibanisa ne-intralesional injection ye-corticosteroids okanye i-fluorouracil.
> Imithombo:
> 1. Shaffer JJ, Taylor SC, Cook-Bolden F. I-Keloidal imiba yokuhlaziywa ngokubaluleka ngokukhethekileyo kwindlela yokwelapha. J Am Acad Dermatol. 2002 Feb; 46 (2 Suppl > Ukuqonda): S63-97.