Ka Hili Keloid

He ʻōlelo maʻi keloid kahi ʻōlelo maʻi mānoanoa i hāpai ʻia. Hiki ke loaʻa ma nā wahi āpau āu i loaʻa ai kahi hōʻeha ʻili akā hana pinepine ʻia ma nā pepeiao, nā poʻohiwi, nā papalina a i ʻole ka umauma. Inā kūpono ʻoe i ka hoʻomohala ʻana i nā keloids, hiki paha iā ʻoe ke loaʻa ma mua o hoʻokahi wahi.

ʻAʻole pōʻino ka ʻōlelo maʻi keloid i kou olakino kino, akā hiki iā ia ke hoʻoulu i ka pilikia manaʻo. ʻO ka pale ʻana a i ʻole ka mālama mua ka mea nui.

Hiki ke mālama ʻia ka ʻōlelo maʻi keloid. Inā ʻaʻole ʻoe makemake i ke ʻano o kahi keloid a i ʻole ka manaʻo, e kamaʻilio me ke kauka e pili ana i ka hoʻopōʻino ʻana a i ʻole ka wehe ʻana. ʻOiai me ka mālama ʻana, hiki i kahi keloid ke mau no nā makahiki a i ʻole e hoʻi hou mai.

Hiki ke ulu kahi ʻōpala keloid i loko o nā mahina a i nā makahiki ma hope o ka hōʻeha mua. ʻO nā hōʻailona a me nā hōʻailona paha: ʻO ka ʻili mānoanoa, ʻano ʻole, maʻamau ma nā pepeiao, poʻohiwi, papalina a i ʻole ka umauma waena ʻili ʻālohilohi, lauoho ʻole, puʻupuʻu, kiʻekiʻe ʻAno nui, ma muli o ka nui o ka hōʻeha mua a me ka manawa e pau ai ka ulu ʻana o ka keloid ʻAno like ʻole, mai ka palupalu a i ka paʻa a me ka ʻano lāʻau ʻulaʻula, brown a purplish paha, ma muli o kou kala ʻili Ka palaho Ka ʻoluʻolu Hiki i ka mālama koke ke kōkua i ka hoʻemi ʻana i ka ulu ʻana o ka keloid. E kamaʻilio me ke kauka ma hope koke i kou ʻike ʻana i kahi keloid. Inā makemake ʻoe e mālama i kahi āu i loaʻa ai no kekahi manawa, e kamaʻilio me ke kauka loea i nā maʻi ʻili (dermatologist).

Hiki i ka mālama koke ke kōkua i ka ho'emi 'ana i ka ulu 'ana o ka keloid. E kama'ilio me ke kauka koke ma hope o kou 'ike 'ana i kahi keloid. Inā makemake 'oe e mālama i kahi āu i loa'a ai no kekahi manawa, e kama'ilio me ke kauka loea i nā ma'i 'ili (dermatologist).

ʻAʻole maopopo loa i nā loea ka mea e hoʻoulu ai i nā ʻōpala keloid. Akā, ua ʻae ka hapa nui he hana hemahema paha ia o ke kaʻina ho'ōla ʻeha. He pono ka kolagena—kahi protein i loaʻa ma ke kino holoʻokoʻa—i ka ho'ōla ʻeha, akā i ka wā e hoʻopuka nui ai ke kino, hiki ke hoʻokumu ʻia nā keloid.

Hiki ke hoʻoulu ʻia ka ulu ʻana o nā keloid e kekahi ʻano o ka ʻeha ʻili—ka nahu ʻana o nā mea kolo, ka acne, ka inikini, ka hoʻokomo kino, nā puhi, ka wehe lauoho, a me nā ʻōpala a me nā kīkī liʻiliʻi. I kekahi manawa, ulu nā keloid me ke kumu ʻike ʻole.

ʻAʻole maʻi ʻaʻai a contagious nā keloid.

He ʻokoʻa ka keloid mai kahi ʻōpala hypertrophic. Noho kahi ʻōpala hypertrophic i loko o nā palena o ka ʻeha mua a hiki ke palahalaha i ka manawa me ka ʻole o ka mālama.

Nā kumu pilikia no nā keloid:

• ʻIli ʻeleʻele a ʻōmaʻomaʻo paha. ʻO nā keloid ka mea maʻamau i nā kānaka me ka ʻili ʻeleʻele a ʻōmaʻomaʻo paha. ʻAʻole maopopo ke kumu o kēia predisposition.
• Ke loaʻa nei kahi moʻolelo pilikino a ʻohana paha o nā keloid. Hiki i nā keloid ke holo i nā ʻohana, e hōʻike ana he mea hoʻoilina paha ka manaʻo. Inā loaʻa iā ʻoe kekahi keloid, aia ʻoe i ka pilikia o ka hoʻomohala ʻana i nā mea ʻē aʻe.
• Ma lalo o 30. ʻOi aku ka nui o kou hoʻomohala ʻana i kahi keloid inā ʻoe ma waena o 20 a me 30 mau makahiki.

Hiki i nā keloid ma kahi hui ke hoʻomōhala i ka ʻiʻo paʻakikī a paʻa e kaupalena ai i ka neʻe ʻana.

Inā maʻalahi ʻoe i ka ulu ʻana o nā keloid, e lawe i kēia mau ʻōlelo aʻo mālama ponoʻī palekana:

• E pale i kou ʻili mai ka hōʻeha. E ho'āʻo e pale aku i ka hōʻeha ʻana i kou ʻili. E noʻonoʻo e ʻole e kiʻi i nā mea hiolo kino, nā peʻa a me nā hana ʻoki koho. ʻO nā hōʻeha liʻiliʻi loa - e like me nā lauoho ulu i loko, nā ʻoki a me nā ʻāʻī - hiki ke hoʻoulu i ka ulu ʻana o kahi keloid. Inā hoʻoholo ʻoe e hele i kahi hana ʻoki, e kamaʻilio me kāu kauka e pili ana i kou ʻano e ulu ai nā keloid. Hiki i kāu kauka ke hoʻohana i nā ʻano hana ʻoki e hoʻemi i ka pilikia o ka ulu ʻana o nā keloid ma ka wahi hana ʻoki. Ma hope o ka hana ʻoki, e nīnau i kāu kauka e pili ana i ka mālama ma hope o ka hana ʻoki a hahai pono i nā ʻōlelo aʻo. E pale i kou ʻili mai ka hōʻeha. E ho'āʻo e pale aku i ka hōʻeha ʻana i kou ʻili. E noʻonoʻo e ʻole e kiʻi i nā mea hiolo kino, nā peʻa a me nā hana ʻoki koho. ʻO nā hōʻeha liʻiliʻi loa - e like me nā lauoho ulu i loko, nā ʻoki a me nā ʻāʻī - hiki ke hoʻoulu i ka ulu ʻana o kahi keloid. Inā hoʻoholo ʻoe e hele i kahi hana ʻoki, e kamaʻilio me kāu kauka e pili ana i kou ʻano e ulu ai nā keloid. Hiki i kāu kauka ke hoʻohana i nā ʻano hana ʻoki e hoʻemi i ka pilikia o ka ulu ʻana o nā keloid ma ka wahi hana ʻoki. Ma hope o ka hana ʻoki, e nīnau i kāu kauka e pili ana i ka mālama ma hope o ka hana ʻoki a hahai pono i nā ʻōlelo aʻo.

ʻO ka mea maʻamau, hiki i kāu kauka ke ʻike inā loaʻa iā ʻoe kahi keloid ma ke nānā ʻana i ka ʻili i pilikia. Pono paha ʻoe i kahi biopsy ʻili e kāpae i ka maʻi kanesa ʻili.

Hoʻopilikia ʻia nā hana hoʻōla ʻana i ka ʻili keloid e nā mea aʻe. Hiki paha ke kūpono loa kahi ala hoʻokahi a i ʻole ka hui ʻana o nā ala no kou kūlana. ʻOiai ma hope o ka hoʻopōʻino a i ʻole ka wehe ʻana, hiki i nā keloids ke ulu hou, i kekahi manawa nui aʻe ma mua. A i ʻole paha e loaʻa iā ʻoe nā mea hou.

• ʻAiʻai corticosteroid. Hiki i ka hoʻopili ʻana i kahi ʻaiʻai corticosteroid i kauoha ʻia ke kōkua i ka hoʻomaha ʻana i ka huhū.
• Lāʻau lapaʻau i hoʻokomo ʻia. Inā loaʻa iā ʻoe kahi keloid liʻiliʻi, hiki i kāu kauka ke ho'āʻo e ho'ēmi i kona mānoanoa ma ka hoʻokomo ʻana iā ia me ka cortisone a i ʻole nā ​​steroids ʻē aʻe. E pono paha iā ʻoe nā inikini mahina a hiki i ʻeono mahina ma mua o ka ʻike ʻana i ka palahalaha ʻana o ka ʻili. ʻO nā hopena ʻaoʻao o nā inikini corticosteroid he lahilahi ʻana o ka ʻili, nā veins spider a me ka loli mau loa i ke kala o ka ʻili (hypopigmentation a i ʻole hyperpigmentation).
• Ke hoʻoheheʻe ʻana i ka ʻili. Hiki ke hoʻemi a wehe paha i nā keloids liʻiliʻi ma ka hoʻoheheʻe ʻana iā lākou me ka wai nitrogen (cryotherapy). Hiki ke pono nā hana hou. ʻO nā hopena ʻaoʻao o ka cryotherapy he blistering, ʻeha a me ka nalowale o ke kala o ka ʻili (hypopigmentation).
• Lapaʻau laser. Hiki ke hoʻopōʻino ʻia nā keloids nui ma nā papa hana pulsed-dye laser. He pono kēia ʻano i ka hoʻomaha ʻana i ka huhū a me ka hoʻohaʻahaʻa ʻana i nā keloids. Hoʻolako ʻia ka pulsed-dye laser therapy ma luna o nā papa hana he nui me 4 a 8 mau pule ma waena o nā papa hana. Hiki i kāu kauka ke kuhikuhi i ka hui ʻana i ka laser therapy me nā inikini cortisone. ʻO nā hopena ʻaoʻao, ʻoi aku ka maʻamau i nā poʻe me ka ʻili ʻeleʻele, e komo pū ana me ka hypopigmentation a i ʻole hyperpigmentation, blistering a me ka crusting.
• Lapaʻau radiation. Hiki i ka radiation X-ray haʻahaʻa wale nō a ma hope paha o ka wehe ʻana i ka ʻoki ʻana o kahi keloid ke kōkua i ka hoʻemi ʻana a i ʻole ka hoʻemi ʻana i ka ʻili ʻili. Hiki ke pono nā hana hou. ʻO nā hopena ʻaoʻao o ka radiation therapy he pilikia o ka ʻili a, i ka lōʻihi, ka maʻi kanesa.
• Wehe ʻana i ka ʻoki ʻana. Inā ʻaʻole i pane kāu keloid i nā lāʻau lapaʻau ʻē aʻe, hiki i kāu kauka ke kuhikuhi i ka wehe ʻana me ka ʻoki ʻana i ka hui pū ʻana me nā ʻano ʻē aʻe. Loaʻa i ka ʻoki ʻana wale nō ka helu hoʻi hou ʻana o 45% a 100%.

ʻAʻohe mau ala i hōʻoia ʻia e wehe i nā ʻili keloid ma ke ʻano kūlohelohe. Ua hōʻike kekahi mau haʻawina lapaʻau ua hiki ke kūpono ka ʻai onion i hoʻohana ʻia ma waha a i ʻole ma ka ʻili i ka hoʻomaikaʻi ʻana i ke ʻano o nā ʻili keloid a me ka hoʻemi ʻana i ka huhū a me ka ʻoluʻolu ʻole.

Hōʻike ka noiʻi i nā pilikia hoʻōla ʻana o ka ʻeha, me ka hoʻokumu ʻana o keloid, he manaʻo maikaʻi. No ka laʻana, komo nā haʻawina:

• Nā ʻaiʻai topical a me nā injectables hoʻokolohua e hoʻemi a hoʻopau i ka ulu ʻana o nā keloids
• Botulinum toxin type A (Botox) e hoʻomaikaʻi i ka hoʻōla ʻana o ka ʻeha
• Ke ʻike ʻana i nā māka genetic i ka keloid tissue
• Lapaʻau stem cell