Ububabare Bwa Keloid

Umurire uba ari ibikomere byuzuye kandi byihaguritse. Ushobora kuwubona aho wakomerekeye hose ku mubiri, ariko akenshi uboneka ku matwi, ku bitugu, ku masura cyangwa ku gituza. Niba uri mu bantu bakunda kurwara ibi bikomere, ushobora kubibona ahantu henshi.

Umurire ntabwo uba uteye akaga ku buzima bwawe, ariko ushobora gutera agahinda. Kwirinda cyangwa kuvura hakiri kare ni ingenzi.

Umurire ushobora kuvurwa. Niba utaishimiye uko umurire usa, cyangwa uko wumva, vugana na muganga uburyo wakwivura kugira ngo ugabanye ubunini bwawo cyangwa ukumukureho. Nubwo waba wavuwe, umurire ushobora kumara imyaka cyangwa ukagaruka.

Umuvumbagira wa keloid ushobora kuvuka mu mezi cyangwa imyaka nyuma y'ikomere cyateye. Ibimenyetso n'ibibonwa bishobora kuba birimo: Umuvumbagira ukomeye, udateranye, ubusanzwe uba ku matwi, ku bitugu, ku masura cyangwa ku gatuza hagati Uruhu rwirabura, rudafite umusatsi, rufite ibibyimba, rurerure Ubunini butandukanye, bitewe n'ubunini bw'ikomere cya mbere n'igihe keloid ihagaritse gukura Uburanga butandukanye, kuva ku buryo bworoshye kugeza ku buryo bukomeye kandi bumeze nk'igomyi Ibara ritukura, ry'umukara cyangwa ry'umutuku, bitewe n'irangi ry'uruhu rwawe Kuryaryata Kubabara Kuvurwa hakiri kare bishobora kugabanya gukura kwa keloid. Ganira na muganga vuba nyuma yo kubona keloid. Niba ushaka kuvura uwo umaze igihe ufite, ganira na muganga w'inzobere mu ndwara z'uruhu (dermatologue).

Kuvura hakiri kare bifasha kugabanya uburyo keloid ikura. Ganira na muganga vuba ubonye keloid. Niba ushaka kuvura iyo umaze igihe ufite, ganira na muganga w'inzobere mu ndwara z'uruhu (dermatologue).

Abahanga ntibarasobanukirwa neza icyateza inkovu z'ubwoko bwa keloid. Ariko abenshi bahuriza ku kuba bishobora guterwa no kudakora neza kw'uburyo umubiri ukira ibikomere. Collagen - poroteyine ishobora kuboneka mu mubiri wose - ifasha mu gukira ibikomere, ariko iyo umubiri wayo ukora cyane, keloids zishobora kuvuka.

Ukwaguka kwa keloid bishobora guterwa n'ikomere icyo ari cyo cyose ku ruhu - uruguma rw'udusimba, acne, inshinge, gutobora umubiri, gutwikwa, gukuramo umusatsi, ndetse n'ibikomere bito n'ibicupa. Rimwe na rimwe keloids zivuka nta mpamvu isobanutse.

Keloids ntabwo zandura cyangwa ngo ziba kanseri.

Keloid itandukanye n'inkovu ikura cyane. Inkovu ikura cyane igumana mu mpera y'ikomere cya mbere kanse ishobora kuzimira uko igihe gihita idakuweho.

Ibintu byongera ibyago byo kugira uburwayi bwa keloid birimo:

• Kugira uruhu rw'umukara cyangwa rw'umukara. Keloids ikunze kugaragara cyane mu bantu bafite uruhu rw'umukara cyangwa rw'umukara. Impamvu y'iyo kamere ntiiramenyekana.
• Kugira amateka y'uburwayi bwa keloids ku giti cyawe cyangwa mu muryango. Keloids ishobora kuba mu miryango, bigaragaza ko iyo miborere ishobora kuba yaraherwe. Niba warigeze kugira keloid imwe, uri mu kaga ko kwandura izindi.
• Kuba uri munsi y'imyaka 30. Ufite amahirwe menshi yo kwandura keloid niba uri hagati y'imyaka 20 na 30.

Keloids ziboneka ku kigingo zishobora gutera umubiri ukomeye kandi ukagira umwirondoro, bigatuma imitsi igorana.

Niba ufite ubushobozi bwo kwibasirwa na keloids, fata ibi bintu byo kwirinda:

• Kwirinda imvune ku ruhu. Gerageza kwirinda gukomeretsa uruhu rwawe. Tekereza kudakora ibikorwa byo kubora umubiri, gushushanya no kubagwa. Ndetse n'imvune nto - nko gukuramo ubwoya, ibikomere n'ibikomere - bishobora gutera keloid gukura. Niba uhisemo kubagwa, soma na muganga wawe ku bushobozi bwawe bwo kwibasirwa na keloids. Muganga wawe ashobora gukoresha uburyo bwo kubaga bugabanya ibyago byo kwibasirwa na keloids ahantu habagwa. Nyuma yo kubagwa, saba muganga wawe ubufasha nyuma yo kubagwa kandi ukore neza amabwiriza. Kwirinda imvune ku ruhu. Gerageza kwirinda gukomeretsa uruhu rwawe. Tekereza kudakora ibikorwa byo kubora umubiri, gushushanya no kubagwa. Ndetse n'imvune nto - nko gukuramo ubwoya, ibikomere n'ibikomere - bishobora gutera keloid gukura. Niba uhisemo kubagwa, soma na muganga wawe ku bushobozi bwawe bwo kwibasirwa na keloids. Muganga wawe ashobora gukoresha uburyo bwo kubaga bugabanya ibyago byo kwibasirwa na keloids ahantu habagwa. Nyuma yo kubagwa, saba muganga wawe ubufasha nyuma yo kubagwa kandi ukore neza amabwiriza.

Umuganga wawe ashobora kumenya niba ufite uburwayi bwa keloid gusa abona uruhu rwahuye n'uburwayi. Ushobora kuba ukeneye igipimo cyo kubaga uruhu kugira ngo habeho gukuraho kanseri y'uruhu.

Ubuvuzi bw'ibibyimba bya keloid burimo ibi bikurikira. Uburyo bumwe cyangwa uruvange rw'uburyo bushobora kuba ari bwo bukwiriye mubihe byawe. Nubwo byaba byarakize neza cyangwa bikakuweho, ibibyimba bya keloid bishobora kongera gukura, rimwe na rimwe bikaba binini kurusha mbere. Cyangwa ushobora kubona ibindi bishya.

• Amavuta ya corticosteroid. Gusiga amavuta ya corticosteroid y'umuganga bishobora gufasha kugabanya gukorora.
• Imiti iterwa. Niba ufite ikibyimba cya keloid gito, muganga wawe ashobora kugerageza kugabanya uburebure bwayo atera muri yo cortisone cyangwa izindi steroids. Uzaba ukeneye guterwa inshuro buri kwezi mu gihe kigera ku mezi atandatu mbere yo kubona inkovu igabanuka. Ingaruka zishoboka zo guterwa corticosteroid ni ukurwara uruhu, imiyoboro y'amaraso, ndetse no guhinduka burundu kw'irangi ry'uruhu (hypopigmentation cyangwa hyperpigmentation).
• Gukonjesha inkovu. Ibibyimba bito bya keloid bishobora kugabanuka cyangwa bikakuweho bikonjeshejwe na azote liquide (cryotherapy). Bishobora kuba ngombwa gukora ubuvuzi bundi bushya. Ingaruka zishoboka za cryotherapy ni udukoko, ububabare no kubura ibara ry'uruhu (hypopigmentation).
• Ubuvuzi bwa laser. Ibibyimba binini bya keloid bishobora kugabanuka hakoreshejwe imashini ya laser (pulsed-dye laser sessions). Ubu buryo kandi bwagaragaye ko bufasha kugabanya gukorora no gutuma ibibyimba bya keloid byihindura. Ubuvuzi bwa laser bukorwa mu byiciro byinshi, hagati y'icyiciro n'ikindi hakaba ibyumweru 4 kugeza kuri 8. Muganga wawe ashobora kugusaba guhuza ubuvuzi bwa laser no guterwa cortisone. Ingaruka zishoboka, zisanzwe cyane mu bantu bafite uruhu rwirabura, harimo hypopigmentation cyangwa hyperpigmentation, udukoko no gukomera.
• Ubuvuzi bwa radiation. Gukoresha imirasire ya X-ray yoroheje wenyine cyangwa nyuma yo gukuraho ikibyimba cya keloid bishobora gufasha kugabanya cyangwa kugabanya ubukana bw'inkovu. Bishobora kuba ngombwa gukora ubuvuzi bundi bushya. Ingaruka zishoboka zo kuvurwa kwa radiation ni ingaruka ku ruhu, kandi mu gihe kirekire, kanseri.
• Gukuraho imiti. Niba ikibyimba cyawe cya keloid kitagize icyo kivura, muganga wawe ashobora kugusaba kukikuraho hakoreshejwe ubuvuzi bujyanye n'ubundi buryo. Ubuvuzi bwonyine bufite umubare w'abagarutseho ugera kuri 45% kugeza kuri 100%.

Nta buryo bwemewe bwo gukuraho inkovu za keloid mu buryo bw'umwimerere. Ubushakashatsi bumwe bwagaragaje ko imbuto y'ibitunguru ikoreshwa mu kanwa cyangwa ku ruhu ishobora kuba ifite akamaro mu kunoza isura y'inkovu za keloid no kugabanya gukorora no kubabara.

Ubushakashatsi ku bibazo byo gukira ibikomere, harimo no gukura kw'ibibyimba bya keloid, buragaragaza icyizere. Urugero, ubushakashatsi burimo:

• Amavuta yo kwisiga n'imiti iterwa mu buryo bw'igerageza kugira ngo bigabanye kandi bihagarike gukura kw'ibibyimba bya keloid
• Botulinum toxin type A (Botox) kugira ngo yorohereze gukira ibikomere
• Kumenya ibimenyetso bya gene mu mubiri wa keloid
• Ubuvuzi bw'uturemangingo