Indlela yokuLahla iiScars zoLungileyo

Umxholo

• Indlela Yokulahla Uninzi lweZiva
• Indlela yokuLahla iSunken (Atrophic) Scars
• Indlela yokulahla iiKloid Scars
• Ungasusa njani isikhumba esikhulisiweyo (Hypertrophic)
• Uzisusa njani izikrweqe ze-Acne
• Uphengululo lwe

Ixesha lisenokuwapholisa onke amanxeba, kodwa akulunganga kangako ukuwacima. Amanxeba ayenzeka xa izilonda zokulimala zingaphezulu kolusu kwaye zingena kwi-dermis, utshilo uNeal Schultz, MD, ugqirha wesikhumba eNew York City. Yintoni eyenzekayo ngokulandelayo ixhomekeke ekuphenduleni komzimba wakho we-collagen. Ukuba ivelisa umlinganiselo ochanekileyo wale proteni yokulungisa ulusu, uya kushiyeka nesiva esithe tyaba, esifipheleyo. Ukuba umzimba wakho *awukwazi* ukukhupha icollagen eyaneleyo, uya kuphelela kwisiva esitshileyo. I-FYI: Akukaze kube kudala kakhulu ukuba uqale ukukhusela i-collagen kulusu lwakho. Unokugcwalisa iprotheni nge-collagen powders.

Kodwa ukuba umzimba wakho udla ngokukhawuleza kaninzi ikholajini? Ubambene nesiva esiphakamileyo. Oko akuthethi ukuba uya kuphuhlisa uhlobo olufanayo lwesiva ngalo lonke ixesha usenzakala, "kodwa abantu bathambekele ekubeni sengozini yokulimala ngendlela ethile," utshilo uDiane Madfes, MD, unjingalwazi oncedisayo weklinikhi kwisebe ledermatology. Iziko Lonyango laseNtaba iSinayi kwisiXeko saseNew York. Ngamanye amagama, ukuba ukhuphele isiva, kunokwenzeka ukuba ube nelinye kwixa elizayo.

Indawo yendawo yokwenzakala nayo. Amabala esifubeni nasentanyeni athambekele ekubeni acace gca kuba ulusu lucekeceke kakhulu, kwaye ukonzakala kolusu ngaphantsi kwesinqe kunokubola kakubi kuba ingeniso yeseli iyacotha kwaye igazi lihamba kancinci emzimbeni.

Ngokuphathelene nombuzo wakho osatshisa ukuba ungasusa njani iziva ukuba uyagula ngabo? Ngethamsanqa, kungakhathaliseki ukuba luhlobo luni lwesiva, kukho iindlela ezintsha nezisebenzayo zokususa izibazi kunye nokuthintela ukushiywa nophawu olusisigxina. (Kananjalo: Sukuziva ngathi u ufihlile / * ukufihla iziva zakho.

Indlela Yokulahla Uninzi lweZiva

Xa isithuko sokuqala senzekile, elona nyathelo libaluleke kakhulu (emva kokucoca, ewe) kukugcina ulusu luthambe kakuhle, utshilo u-Mona Gohara, MD, unjingalwazi wezonyango kwezonyango kwiYale School of Medicine. Indawo efumileyo ikhuthaza ukukhula okufunekayo kwinkqubo yokulungisa. Ngokuchasene nenkolelo edumileyo, ukhoko luyayilibazisa inkqubo yokuphilisa, utshilo. (Izinto eziNxulumeneyo: Ezona Mveliso ziTsha ziCocekileyo zokuKhathalela ulusu)

Izinto zokuthambisa ezisekwe kwioyile ziyasebenza, nazo-kwaye akukho sidingo sokutsiba kwii-antibiotics zokoqobo. Ngokophando, akukho mahluko kwizinga losulelo phakathi kwamanxeba aphathwa ngeVaseline kunye namanxeba aphathwa nge-antibacterial cream cream, utsho uGqirha Gohara. "Ukuba kukho umthungo okanye ulusu luvulekile: i-lube, i-lube, i-lube."

Ukuphelisa amanxeba, zama ukunciphisa ubunzima, naye, uyaphawula. Ngokukodwa kwimeko ye-sutures, ubunzima obuncinci buthetha ukuncipha. Thatha umqolo wakho umzekelo: Xa oogqirha besusa umhlaza wolusu apho, bacebisa abaguli ukuba bagcine iingalo zabo phantsi kangangoko ukuze izihlunu zangasemva zingahambi. "Xa izihlunu zihamba, inxeba liyakwazi ukwanda kwaye landa (igama elibizwa ngokuba" ngumlomo weentlanzi "), utshilo. Imisebenzi yemihla ngemihla enjengokungena ekhabhathini, ukuqhuba nokuxubha amazinyo kuvelisa uxinzelelo olwaneleyo, ke ngoko nayiphi na into eyongezelelweyo kufuneka incitshiswe. Kubalulekile ukufumanisa amanqaku oxinzelelo kwaye uwaphephe kangangoko kunokwenzeka. ”

Kwaye ngelixa amanxeba anokupholisa kwithoni ekhaphukhaphu, emnyama, okanye ebomvu kunolusu, akukho nto *ininzi* onokuyenza kwimeko ye-hypopigmentation (ukukhanya). Ukuze ugweme i-hyperpigmentation (ubumnyama), sebenzisa i-SPF 30 okanye ngaphezulu kwe-spectrum yomzimba wonke, kwaye uphinde uyifake rhoqo kwiiyure ezimbini, ucebisa. (Kukwabalulekile ukuqaphela ukuba i-sunscreen *isoloko* inganeli ukukhusela ulusu lwakho elangeni.) Iikhrimu eziphelayo ezine-hydroquinone, ivithamin C, i-kojic acid, i-retinol, i-soy, ingcambu ye-licorice, kunye nencindi yequnu nazo zinokuphela. amanqaku amnyama, utsho.

Ngaphandle koko, indlela yokususa isiva inokuxhomekeka kuhlobo luni lwesiva ofuna ukulususa kwindawo yokuqala. Apha, iintlobo ezine eziqhelekileyo zeziva, kunye neendlela ezilungileyo (ngethemba) zokususa nganye.

Indlela yokuLahla iSunken (Atrophic) Scars

Amanxeba e-atrophic ayenzeka xa uphulukana nethishu lolusu kwaye umzimba wakho awunakuwuhlaziya, kungoko ushiyeke noxinzelelo. Bahlala bevela kwimeko embi yamabala okanye inkuku-okanye ekubeni kususwe imole engaqhelekanga. Ukususa ezi ziva kuxhomekeke kuhlobo uphawu lwe-atrophic onalo.

Izivubeko zomkhenkce: Zincinci, zinzulu, kwaye zimxinwa, kwaye ziphathwa ngokuzisika. UDennis Gross, MD, ugqirha wesikhumba kwisiXeko saseNew York uthi: Ugqirha wakho uya kuyinqanda indawo leyo, anqumle kwaye asuse isiva, kwaye uvale i-incision nge-stitch enye. Kodwa nantsi into yokubamba: Le nkqubo iya kushiya isiva. UGqr.

Unako kwakhona ukutofa isiva ngesizaliso, ezifana Juvéderm okanye Belotero Balance. "Oku kuyakunceda ukugcwalisa 'umhadi,'" utshilo ugqirha weplastikhi uSachin M. Shridharani, MD, umseki weLuxurgery kwisiXeko saseNew York. "Kodwa le filler iza kuhlala iinyanga ezintandathu ukuya kwezili-12 kuphela."

I-Boxcar scars: Banemiqolo, imida echaziweyo kunye nomgangatho osicaba. Enye indlela yokususa isiva kukuthotywa, okubandakanya ukukhupha ulusu olunesiva umva ngenaliti ukuze indawo leyo ingabi sadakumba. Unokuba nokugruzuka malunga neveki.

Olunye ukhetho: i-lasl ablative (ethetha ukuba ibangela ukonakala kumphezulu wolusu) obizwa ngokuba yi-CO2 okanye i-erbium, "enokukunika iziphumo ezintle, utshilo uGqirha Gross. Zombini zisebenza ngokwenza imingxunya kwizihlunu ezibomvu ukwenza ukwakheka kwe-collagen entsha. Uninzi lwabantu lufuna unyango ezintathu. I-Lasers inokulimaza, kodwa i-cream ye-numbing isusa. "Kwaye uya kuba nokubomvu kunye ne-crusting ukuya kwiintsuku ezili-10 ukuba unayo unyango lwe-CO2 okanye ukuya kwi sixhenxe kwimeko ye-erbium," kusho uDkt Madfes.

Ukuqengqa amanxeba: Isiva sokugqibela esine-atrophic scar, isibanda esiqengqelekayo, sibanzi kwaye sinjengomqolo onemiphetho eqengqelekayo. "I-CO2 okanye i-erbium lasers zihlala zisetyenziswa xa uqhushumbo lukhulu, kodwa ukuba ulusu lukhona ngaphezulu, i-Fraxel okanye i-picosecond lasers inokusebenza," utshilo uGqirha Shridharani. Ezi lasers nonnablative zisusa amanxeba ngokuqinisa ulusu kunye nokukhuthaza ukukhula kwecollagen. Kuba azigqobhozi ulusu, uya kuba bomvu okwethutyana.

Indlela yokulahla iiKloid Scars

IiKeloids aziphakanyiswanga nje kuphela kodwa zikwathatha indawo yokuhlala engaphezulu kwesiqhelo ehlala ibanzi kwaye inde kunenxeba lokuqala. UGqr. Gross uthi: “I-Keloids inokuba ziziva ekunzima ukuzisusa, ngoko ngamanye amaxesha abantu baphosa yonke into kuzo.” UGqr. Umaleko ngaphezulu kwesiva (zama iMererma Scar Cream Plus SPF30: Yithenge, $ 10, amazon.com) .Kwiveki ezisibhozo ungabona ukuphucula.

Amaphepha e-silicone kunye ne-laser nazo zinokusebenza, utsho uGqr. Gross, kodwa i-cortisone shots ivame ukusebenza ngcono. Unokufaka i-keloids ngazo zombini i-cortisone kunye ne-5-fluorouracil (5-FU), ichiza lomhlaza elithintela ukwanda kweeseli ezibizwa ngokuba zii-fibroblasts, ezivelisa icollagen, utshilo uGqirha Madfes.

Ukhetho lokugqibela lokususa iziva: Zisike. Kuba uhlala ususa indawo enkulu kangaka, uyakushiyeka enye, ngethemba, incinci, inqabileyo.

Ungasusa njani isikhumba esikhulisiweyo (Hypertrophic)

Ukuphakanyiswa kwezikrakra ziyi-hypertrophic scars. Umzimba wakho kufuneka ucime imveliso ye-collagen xa ukwenzakala kuphola, kodwa ngamanye amaxesha awufumani memo kwaye uqhubeka nokumpompa i-collagen de ube ushiywe unophawu oluphakanyisiweyo. Iindaba ezimnandi zezokuba izivubeko ze-hypertrophic ziyayazi imida yazo—azinwebeli ngaphaya konyawo lokuqala lwesilonda. Zingaba zipinki (okuthetha ukuba isiva sihlaziyekile kwaye sitsha) okanye utshatise umbala wakho wolusu.

Iimpawu ze-OTC zesilicone ezinje ngeScarAway Silicone Scar Sheets ($ 22, walgreens.com) zinokunceda ukuthambisa isiva "ngokufaka uxinzelelo kwindawo kwaye siyifakele nge-hydration, utshilo uGqirha Schultz. Ukulahla isiva, kuya kufuneka ushiye iphepha lokuncamathela kwisikere ubusuku bonke, ubusuku ngabunye, kangangeenyanga ezintathu.

Unako nokuba nederm yakho itofe i-cortisone ngqo kwisibetho. "I-Cortisone ibonakala inciphisa ukuveliswa kwe-collagen kwaye inyibilikise i-collagen engaphezulu," kusho uDkt Schultz. I-CO2 kunye ne-erbium lasers zinokuba luncedo kuba nangona zinyusa i-collagen, ziyayilungisa kwakhona, enciphisa ukukhukhumala. “Kufana nokuqalisa kwakhona ikhompyutha-iqala ukuphilisa ngokufanelekileyo,” utsho uGqr. Schultz.

Uzisusa njani izikrweqe ze-Acne

Amaqhakuva ayacaphukisa ngokwaneleyo xa esenzeka. Kodwa ke ukubandezeleka sisipho esiqhubeka nokunikezela ngohlobo lwesibazi? Hayi enkosi. Ngombulelo kukho iindlela zokulahla amabala amabala, nawo. I-Bellafill yindawo yokugcwalisa ulusu evunyiweyo yokulungiswa komndilili ukuya kubukhali, i-atrophic, ibala lobuso obususekayo esidleleni kwizigulana ezingaphezulu kweminyaka engama-21, utshilo uGqirha Gohara. "Ingasetyenziswa yodwa okanye idityaniswe neelaser ezifana neFraxel encedisa ukubuyisela ulusu kwakhona."

I-Microneedling-iinaliti ezincinci ezincinci zenza i-punctctures encinci kulusu ukuze i-collagen ikwazi ukubumba kunye nokuba ibonakale-lolunye uhlobo olunokubakho lokususa amabala amabala, utshilo.

Ufuna ukuyigcina ilula? I-Microdermabrasion okanye iimveliso ze-retinol ze-topical (nazi ezona zilungileyo kulo lonke uhlobo lwesikhumba) zinokunciphisa i-divots kunye nokudandatheka okuvela kumabala angaphambili, uphawula uGqr Gohara. (Ezinxulumeneyo: Ezi Mveliso ze-7 ziya kuFaka i-Acne Sscars ngexesha lokurekhoda)

Uphengululo lwe