Ukuhlaziywa kweScar

Uhlaziyo lweScar lutyando ukuphucula okanye ukunciphisa ukubonakala kwezikrelemnqa. Ikwabuyisela ukusebenza, kwaye ilungise utshintsho lolusu (ukonakala) okubangelwa kukwenzakala, inxeba, ukuphilisa kakubi, okanye utyando lwangaphambili.

Iifom ze-Scar tissue njengezikhumba eziphilisa emva kokulimala (njengengozi) okanye ukuhlinzwa.

Ukunqongophala okungakanani okukhoyo ku:

• Ubungakanani, ubunzulu, kunye nendawo enenxeba
• Iminyaka yakho
• Iimpawu zolusu, ezinje ngombala (umbala)

Kuxhomekeke kubungakanani botyando, uhlaziyo olunokwenziwa lunokwenziwa ngelixa uvukile (i-anesthesia yendawo), ulele (ulele), okanye ulele ubuthongo obunzulu kwaye awunazintlungu (i-anesthesia ngokubanzi).

Xa kufuneka kwenziwe uhlaziyo lwesibonda akusoloko kucacile. Amabala ayancipha aze angabonakali kangako njengoko bekhula. Unokwazi ukulinda ukuba uqhutywe kude kube lula ukukhanya kwibala. Oku kunokuba ziinyanga ezininzi okanye unyaka emva kokuba inxeba lipholile. Kwezinye iziva, kungcono ukuphinda uhlaziye utyando kwiintsuku ezingama-60 ukuya kuma-90 emva kokuvuthwa. Inxeba ngalinye lahlukile.

Kukho iindlela ezininzi zokuphucula ukubonakala kwamanxeba:

• Isiva sinokususwa ngokupheleleyo kwaye inxeba elitsha livalwe ngononophelo olukhulu.
• I-Scar massage kunye nonyango loxinzelelo, njengemicu yesilicone.
• Ukudakumba kubandakanya ukususa iindawo ezingaphezulu kwesikhumba ngebrashi ekhethekileyo yocingo ebizwa ngokuba yi-burr okanye buthathaka. Ulusu olutsha luyakhula kule ndawo. I-Dermabrasion ingasetyenziselwa ukuthambisa umphezulu wolusu okanye ukunciphisa izitenxo.
• I-laser inokusetyenziselwa ukuthoba umphezulu wesibetho, kunye nokukhuthaza ukukhula kwe-collagen entsha ngaphakathi kwesiva.
• Ukulimala okukhulu kakhulu (njengokutshisa) kunokubangela ukulahleka kwendawo enkulu yesikhumba kwaye kunokubangela izibazi ze-hypertrophic. Ezi ntlobo zemikhwa zinokuthintela ukuhamba kwezihlunu, amalungu kunye neetoni (ikhontrakthi). Utyando lususa izicwili ezibomvu. Inokubandakanya uthotho lokusikwa okuncinci (ukusikwa) kumacala omabini endawo enesikrelemnqa, esenza i-V-ezimile kwesikhumba (i-Z-plasty). Isiphumo sinobunqabileyo obunqabileyo, obunqabileyo, kuba i-Z-plasty inokuphinda ilungelelanise isikhumba ukuze ilandele ngokusondeleyo ulusu lwendalo kwaye ikhuphe ukuqina kwisikhafu, kodwa isolule isikhumba ngexesha lenkqubo.
• Ukumiliselwa kwesikhumba kubandakanya ukuthatha ungqimba olucekeceke lolusu kwelinye ilungu lomzimba kwaye ulubeke ngaphezulu kwendawo eyenzakeleyo. Utyando olwenziwe ngesikhumba kubandakanya ukuhambisa ulusu ngokupheleleyo, ukutyeba, imithambo, imithambo yegazi kunye nemisipha ukusuka kwindawo esempilweni yomzimba uye kwindawo eyenzakeleyo. Obu buchule busetyenziswa xa inani elikhulu lolusu lilahlekile kumonzakalo wokuqala, xa inxeba elibhityileyo linganyangeki, kwaye xa eyona nto iphambili ikukuphucula ukusebenza kunokubonakala okuphuculweyo.
• Ukwandiswa kweethambo kusetyenziselwa ukwakhiwa kwakhona kwebele. Isetyenziselwa ulusu olonakalisiweyo ngenxa yeziphene zokuzalwa kunye nokulimala. Ibhaluni yesilicone ifakwe phantsi kolusu kwaye ngokuthe ngcembe izaliswe ngamanzi anetyuwa. Oku kolula ulusu, olukhula ngokuhamba kwexesha.

Iingxaki ezinokuthi zibonise isidingo sokuhlaziywa kwesikhumba kubandakanya:

• I-keloid, sisibetho esingaqhelekanga esijiyileyo esinombala owahlukileyo kunye noburhabaxa kunesikhumba sonke. IiKeloids zigqitha ngaphaya komphetho wenxeba kwaye zinokubuya. Bahlala bedala isiphumo esityebileyo, esinepuckered esibonakala ngathi sisisu. Iikeloids ziyasuswa kwindawo apho zidibana khona nezicubu eziqhelekileyo.
• Isikreko esikwi-engile kwimigca yokuxinana kwesikhumba.
• Isiva esijiyileyo.
• Isikrelemnqa esibangela ukugqabhuka kwezinye izinto okanye kubangele iingxaki ngokuhamba okanye umsebenzi oqhelekileyo.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi, usulelo

Imingcipheko yoqhaqho oluhlaziyiweyo lwezixhobo zezi:

• Ukuvela kwakhona kwe-Scar
• Ukwenziwa kwe-Keloid (okanye ukuphindaphinda)
• Ukwahlulahlula (dehiscence) kwenxeba

Ukuveza isibanda kwilanga elininzi kunokubangela ukuba kube mnyama, okunokuphazamisana nohlaziyo lwexesha elizayo.

Ukuphinda uhlaziye i-keloid, uxinzelelo okanye isinxibo se-elastic singabekwa ngaphezulu kommandla emva kotyando ukunqanda i-keloid ukuba ingabuyi.

Kwezinye iintlobo zokuhlaziywa kwesikrelemnqa, kusetyenziswe ilokhwe elula. Ukuthunga kuhlala kususwa emva kweentsuku ezi-3 ukuya kwezi-4 zobuso, nasemva kweentsuku ezi-5 ukuya kwezi-7 zokucolwa kwamanye amalungu omzimba.

Xa ubuyela kwimisebenzi yesiqhelo kwaye umsebenzi uxhomekeke kuhlobo, isidanga, kunye nendawo yotyando. Uninzi lwabantu lunokuqhubeka nemisebenzi yesiqhelo kwakamsinya emva kotyando. Ugqirha wakho uya kukuxelela ukuba ugweme imisebenzi eyolulayo kwaye unokuyandisa inqabileyo entsha.

Ukuba unexesha elide lokuqina kwendibaniselwano, unokufuna unyango ngokwasemzimbeni emva kotyando.

Faka i-sunscreen ukugcina ukukhanya kwelanga kungatshisi ngokusisigxina isikhumba esiphilisayo.

Uhlaziyo lwe Keloid; Ukuhlaziywa kwesibambo sehypertrophic; Ukulungiswa kwebala; Ubume be-Z

• Iifayile ezingaphezulu kwendlebe
• Keloid - ibala
• Keloid - ngeenyawo
• Isibanda seKeloid
• Uhlaziyo lweScar-uthotho

Hu MS, Zielins ER, Longaker MT, Lorenz HP. Uthintelo lweScar, unyango, kunye nohlaziyo. Ku: Gurtner GC, Neligan PC, ii-eds. Utyando lweplastikhi, Umqulu 1: Imigaqo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 14.

ILeitenberger JJ, Isenhath SN, Swanson NA, Lee KK. Ukuhlaziywa kweScar. Ku: URobinson JK, uHanke CW, uSiegel DM, uFratila A, uBhatia AC, uRohrer TE, ii-eds. Utyando lolusu: Inkqubo yeDermatology. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; 2015: isahluko 21.