Ulukwaphi isifo se-Keloid Scar? Izimpawu, Izimbangela, & Ukwelashwa

Isifo se-keloid scar yindawo ebukhulu, ephakeme yesikhumba esikhula ngaphezu kwendawo yokuqala yokulimala noma ukulimala. Cabanga ngakho njengendlela yokululama yomzimba wakho eya ngokweqile, ikhiqiza i-collagen eningi kunokudingekayo ukulungisa umonakalo.

Lezi zibazi zingazizwa ziqinile noma zifana negum nethangi futhi zivame ukubonakala zimnyama kunesikhumba sakho esizungezile. Nakuba ama-keloids angonakali nhlobo ngokombono wezokwelapha, angabangela ukungakhululeki futhi athinte indlela ozizwa ngayo ngokubonakala kwakho.

Zithini izimpawu ze-keloid scars?

Ama-keloid scars anamakha ahlukile ambalwa awasetha ngaphandle kwezibazi eziqhelekile. Uphawu olucacile kakhulu ukuthi akhula amakhulu kunokulimala okuqala, ngezinye izikhathi asakazeka kakhulu ngaphezu kwendawo lapho ulimale khona ekuqaleni.

Nawa ama-symptom abalulekile ongawaqaphela:

• I-tissue ebukhulu, ephakeme ezizwa iqinile noma ifana negum nethangi
• Ubuso obuqabuqabu, obukhanyayo obungase bukhange luhlukile kunokubonakala kwesikhumba sakho esiqhelekile
• Umbala opinki, obomvu, noma omnyama uma kuqhathaniswa nesikhumba esizungezile
• Ukukhahlela noma ukungakhululeki, ikakhulukazi njengoba i-keloid ikhula
• Ukushisa noma ukushaya izinzwa kwezinye izimo
• Ukunciphisa ukunyakaza uma i-keloid yakhiwa phezu komxhuzu

Izimpawu zingase zihluke kakhulu kumuntu nomuntu. Abanye abantu bahlangabezana nokukhahlela okukhulu noma ukungakhululeki, kanti abanye bathola ukuthi ama-keloids abo ayikhathalelo enkulu yokuhlobisa.

Ama-Keloids avame ukukhula kancane ezinyangeni noma ngisho neminyaka ngemuva kokulimalala kwakho okuqala. Awavami ukubangela izinkinga ezinzima, kodwa ama-keloids amakhulu ngezinye izikhathi anganciphisa ubukhulu bomzimba wakho uma enziwa phezu kwamaxhuzu afana namagxalaba akho noma amadolo.

Zithini izimbangela ze-keloid scars?

Ama-keloid scars akhiwa lapho umzimba wakho ukhulisa i-collagen eningi ngesikhathi senqubo yokululama. I-Collagen iyipuroteni esiza ekulungiseni i-tissue elilimalile, kodwa ngezinye izikhathi i-immune system yakho ayitholi isignali yokumisa ukukhiqiza uma isifo siphulukile.

Izici eziningi zingase zibangele ukwakheka kwe-keloid:

• Ukuthungwa noma ukusika kwezokwelapha
• Ukugoqa, ikakhulukazi ukugoqa kwezindlebe
• Ama-acne scars noma amamaki e-chickenpox
• Ukushisa ngomlilo, amakhemikhali, noma ukukhanya kwelanga
• Ama-tattoos noma izinqubo zokuhlobisa
• Ukukhonjwa yizinambuzane noma ukukhahlela okuncane
• Izindawo zokugonywa

Okunomdla ngama-keloids ukuthi angakhula ekulimaleni okuncane kakhulu. Ngisho nokuthile okuncane njengokukhonjwa yimpisi noma ukukhahlela okuncane kungase kubangele ukwakheka kwe-keloid kubantu abathintekayo.

Isizathu esiqondile sokuthi kungani abanye abantu bakhiqiza ama-keloids kanti abanye abakwenzi luqondakali ngokuphelele. Noma kunjalo, abacwaningi bakholelwa ukuthi kuhilela ukuxubana kwezici ze-genetic, izimpendulo ze-immune system, nokuthi isikhumba sakho siyaphilisa kanjani.

Zithini izici ezingase zikubangele i-keloid scars?

Izici ezithile zenza kube lula ukuthi uthuthukise ama-keloid scars. Ukuqonda lezi zici ezingase zikubangele kungakusiza ukuthi uthathe izinyathelo zokuvikela futhi wazi ukuthi nini kufanele uqaphele kakhulu ngokunakekelwa kwezindawo ezolimalile.

Izici ezingase zikubangele ezibaluleke kakhulu zihlanganisa:

• Umlando womndeni wama-keloids (i-genetics idlala indima enkulu)
• I-tones yesikhumba esimnyama, ikakhulukazi kubantu base-Afrika, base-Hispanic, noma base-Asia
• Iminyaka phakathi kwengu-10 no-30
• Ama-keloid scars adlule noma kuphi emzimbeni wakho
• Izindawo ezithile zomzimba njengesibeletho, amahlombe, ama-earlobes, nohlangothi oluphezulu lomhlane
• Ukushintsha kwe-hormonal ngesikhathi sokukhulelwa noma ebusheni

Kuthiwa kanjalo, ama-keloids angathinta noma ubani kungakhathaliseki iminyaka, ubulili, noma umbala wesikhumba. Ingozi nje iphakeme emaqenjini athile.

Uma unomlando womndeni wama-keloids, kungenzeka kakhulu ukuthi uzowathuthukisa wena. Le ngxenye ye-genetic ingenye yezibikezelo ezinamandla kakhulu, ngakho-ke kufanele ubuze izihlobo zakho ngamava azo ngokubazi.

Nini kufanele ubheke udokotela ngama-keloid scars?

Kufanele ucabangele ukubona umhlinzeki wezempilo uma uqaphela isiba esikhula ngaphezu kwemingcele yaso yokuqala noma uma sikubangela ukungakhululeki komzimba. Ukungenelela kwangaphambili kuvame ukubangela imiphumela emihle yokwelashwa.

Nawa amahlandla lapho kunconywa khona ukunakekelwa kwezokwelapha:

• Isiba siyaqhubeka sikhula ezinyangeni ngemuva kokuba isifo sakho siphulukile
• Uhlangabezana nokukhahlela okuqhubekayo, ubuhlungu, noma ukungakhululeki
• I-keloid iyanciphisa ukunyakaza kwakho noma iphazamisa imisebenzi yansuku zonke
• Ukubonakala kuthinta kakhulu ukuzethemba kwakho noma ikhwalithi yokuphila
• Uthuthukisa izimpawu zokutheleleka njengokwanda kobomvu, ukufudumeka, noma ukukhishwa
• Uhlela ukuhlinzwa futhi unomlando wokwakheka kwe-keloid

Ungalindi uma ukhathazekile ngokuthi isiba siyaphilisa kanjani. Odokotela bezikhumba kanye nochwepheshe bokuhlinzwa beplastiki banemikhakha eminingi yokwelapha etholakalayo, futhi ukuqala ukwelashwa kwangaphambili kuvame ukuletha imiphumela emihle.

Uma unamandla ama-keloids futhi udinga ukuhlinzwa noma inqubo yezokwelapha, ukuxoxa ngamasu okuvimbela nodokotela wakho ngaphambi kwesikhathi kungasiza ekuqedeni ingozi yakho yokuthuthukisa ama-keloid scars amasha.

Isifo se-keloid scar sihlonzwa kanjani?

Ukuxilonga ama-keloid scars kuvame ukuba lula ngoba anamakha ahlukile. Udokotela wakho ngokuvamile angawabona nje ngokubuka nokubamba indawo ethintekile.

Ngesikhathi sokuqokwa kwakho, umhlinzeki wakho wezempilo uzohlola isiba futhi abuze ngomlando wakho wezokwelapha. Bazofuna ukwazi ukuthi ukulimala okuqala kwenzeke nini, isiba sishintshe kanjani ngokuhamba kwesikhathi, nokuthi unomlando womndeni wama-keloids yini.

Ezimweni eziningi, azikho izivivinyo ezikhethekile ezidingekayo zokuxilonga. Noma kunjalo, uma kunokungabaza, udokotela wakho angase enze i-skin biopsy ukuze akhiphe ezinye izimo ezingabangela izibazi eziphakamile.

Udokotela wakho uzohlukanisa ama-keloids ezi-hypertrophic scars, ezifana kodwa azikhulumi ngaphezu kwemingcele yokulimala okuqala. Lokhu kuhlukaniswa kubalulekile ngoba izindlela zokwelapha zingase zihluke phakathi kwezinhlobo ezimbili zezibazi eziphakamile.

Yikuphi ukwelashwa kwama-keloid scars?

Ukwelapha ama-keloid scars kudinga ukuzeka kade umsindo futhi ngokuvamile kuhilela ukuxubana kwezindlela. Umgomo ngokuvamile ukulinganisa isiba, ukunciphisa izimpawu njengokukhahlela, nokuvimbela ukukhula kwalo.

Izinketho zokwelapha eziqhelekile zihlanganisa:

• Ukugoqa kwe-corticosteroid ukunciphisa ukuvuvukala nokulinganisa isiba
• Ama-silicone gel sheets noma ama-gels afakwe ngqo kwi-keloid
• I-Cryotherapy (ukwelashwa ngokupholisa) ukunciphisa i-scar tissue
• I-Laser therapy ukuthuthukisa ukubonakala nokunciphisa ubukhulu
• Ukususa ngokuhlinzwa, ngokuvamile kuhlanganiswe nezinye izindlela zokwelapha
• I-Radiation therapy ezimweni ezinzima
• I-Pressure therapy usebenzisa izingubo noma amadivayisi akhethekile

Ukugoqa kwe-corticosteroid ngokuvamile kuyilokho okuqala kokwelapha. Lezi zibazi zingasiza ekuqedeni ama-keloids nokunciphisa ukukhahlela, nakuba izikhathi eziningi zivame ukudingeka ezinyangeni eziningi.

Kubalulekile ukuqonda ukuthi ama-keloids angaba nzima futhi angase abuyele ngisho nangemuva kokwelashwa okuphumelelayo. Udokotela wakho cishe uzoncoma indlela ehlanganisiwe nokulandelela okuqhubekayo ukuze afinyelele imiphumela emihle.

Indlela yokwelapha ekhaya yama-keloid scars?

Nakuba ukwelashwa kwezokwelapha ngokuvamile kudingeka kuma-keloids asethwe, kunezinto eziningi ongazenza ekhaya ukuze usekele ukululama kwakho futhi mhlawumbe uvikele ama-keloids amasha ukuba angakhiqizi.

Ama-silicone gel sheets ingenye yezindlela zokwelapha ekhaya eziphumelelayo ongazizama. Lezi zitsha ezicacile, ezinamathelayo zisiza ekuqedeni izibazi futhi zingagqokwa amahora amaningi nsuku zonke. Zitholakala ngaphandle kokubhalwa futhi ngokuvamile ziphephile ukusetshenziswa isikhathi eside.

Ezinye izindlela zokunakekelwa ekhaya zihlanganisa:

• Ukugcina izilonda ezintsha zicocekile futhi zihlanganiswe kahle
• Ukugwema ukukhetha izibazi noma isikhumba esiphulukayo
• Ukusebenzisa ama-moisturizers abuthakathaka, angenamphunga esikhumbeni esiphulukayo
• Ukuvikela izibazi ekukhanyeni kwelanga ngezingubo noma i-sunscreen
• Ukucindezela izibazi ezindala kancane ukuthuthukisa ukuguquguquka
• Ukufaka uxinzelelo ezilondeni eziphulukayo uma kunconywa udokotela wakho

Khumbula ukuthi ukwelashwa ekhaya kusebenza kangcono ukuvimbela noma ukwakheka kwe-keloid kusenesikhathi. Uma usuvele une-keloid esethwe, kufanele ukhulumisane nomhlinzeki wezempilo mayelana nezinketho zokwelapha ezinzima.

Zithini izinkinga ezingase zenzeke ngama-keloid scars?

Ama-keloid scars ngokuvamile awonakali ngokombono wezokwelapha, kodwa angabangela izinkinga eziningi ezihlasela impilo yakho yansuku zonke nokuzwela kwakho. Ukuqonda lezi zinkinga ezingase zenzeke kungakusiza ukuthi wenze izinqumo ezilwemi mayelana nokwelashwa.

Izinkinga eziqhelekile zihlanganisa:

• Ukunciphisa ukunyakaza uma ama-keloids enziwa phezu kwamaxhuzu
• Ukukhahlela okuqhubekayo noma ukungakhululeki okuhlasela ubuthongo
• Usizi lwengqondo noma ukunciphisa ukuzethemba
• Ukuqwasha kwezingubo ezivela ezibazini eziphakamile, ezinokubonakala okungafani
• Ukuncipha kokuzwa ukushisa okushintshayo
• Amathuba okukhula okuqhubekayo ngokuhamba kwesikhathi

Ezimeni ezingavamile, ama-keloids amakhulu kakhulu angaphazanyiswa umsebenzi ojwayelekile. Isibonelo, ama-keloids esifubeni angase aphazamise ukuthula kokuphefumula, noma lawo phezu kwamaxhuzu angase anciphise ubukhulu bomzimba wakho kakhulu.

Umphumela wezingqondo awufanele ucatshangelwe. Abantu abaningi abana-keloids ebonakalayo babika ukuzizwa benesizungu noma bagwema imisebenzi ethile noma ukukhetha izingubo. Lokhu kuqondakala ngokuphelele futhi kuyisizathu esifanele sokuthola ukwelashwa.

Ama-keloid scars angavikeleka kanjani?

Ukuvimbela ama-keloid scars ngokuvamile kuphumelela kakhulu kunokwelapha ngemuva kokuba esekhiqizwe, ikakhulukazi uma wazi ukuthi unamandla okuwakhiqiza. Ikhona ukulinda isikhumba sakho ekulimaleni nokwenza ukululama kwezindawo ezolimalile kube ngcono uma ukulimala kwenzeka.

Uma unesongo eliphezulu lama-keloids, cabanga ngalezi zindlela zokuvikela:

• Gwema ukugoqa okukhethwayo nama-tattoos
• Sebenzisa ukunakekelwa okuqondile kwezindawo ezolimalile zokusika nokukhahlela
• Gcina izilonda eziphulukayo zimanzi ngezembatho ezifanele
• Gwema ukukhetha i-acne noma ezinye izilonda zesikhumba
• Xoxa ngezinketho zokuvikela ngaphambi kwanoma yiluphi ukuhlinzwa oluhleliwe
• Cabanga ngama-silicone gel sheets ezilondeni ezintsha
• Vikela isikhumba ekukhanyeni kwelanga okukhulu

Uma kufanele ube nokuhlinzwa noma inqubo yezokwelapha, xoxa nodokotela wakho ngokuvikela i-keloid ngaphambi kwesikhathi. Bangase bancome i-pressure therapy, ukwelashwa kwe-silicone, noma ezinye izinyathelo zokuvikela ukunciphisa ingozi yakho.

Ngokulimala okuncane, ukunakekelwa okuqondile kwezindawo ezolimalile kubalulekile. Gcina izikhafu zicocekile, gwema ukukhetha izibazi, futhi cabanga ngokusebenzisa imikhiqizo ye-silicone gel uma isifo siphulukile ekuqaleni.

Kufanele uzilungiselele kanjani ukuya kudokotela?

Ukulungiselela ukuya kwakho kudokotela kuzokusiza ukuba usebenzise kahle isikhathi sakho nomhlinzeki wezempilo futhi uqinisekise ukuthi uthola ulwazi nokwelashwa okudingayo. Ukulungiselela okuncane kuhamba ibanga elide ekunakekeleni ukukhathazeka kwakho ngokuphumelelayo.

Ngaphambi kokuya kwakho, buza ngolwazi mayelana nomlando wakho wezokwelapha, ikakhulukazi noma yimaphi amava adlule ngokubazi okungavamile. Bhala phansi ukuthi i-keloid yakho yamanje ivele nini futhi ishintshe kanjani ngokuhamba kwesikhathi.

Cabanga ngokulungiselela le mininingwane:

• Isikhathi lapho ukulimala okuqala kwenzeke khona nokuthi isiba sikhule kanjani
• Umlando womndeni wama-keloids noma ukubazi okungavamile
• Uhlu lwemithi yamanje kanye nezinsiza
• Ukwelashwa okudlule okuye wazizama nemiphumela yalo
• Izimpawu ezithile njengokukhahlela, ubuhlungu, noma ukunciphisa ukunyakaza
• Imibuzo mayelana nezinketho zokwelapha nemiphumela okulindelekile

Cabanga ngalokho okukukhathazayo kakhulu nge-keloid. Ingabe ikakhulukazi ukubonakala, ukungakhululeki komzimba, noma ukulinganiselwa kokusebenza? Lolu lwazi lusiza udokotela wakho ukuthi aqonde izinto ozikhathalelayo futhi ancome indlela yokwelapha efanele kakhulu.

Ungangabazi ukubuza ngezindleko zokwelapha, isikhathi esilindelekile semiphumela, nemiphumela emibi engenzeka. Ukuqonda lezi zici kusengaphambili kuzokusiza ukuba wenze izinqumo ezilwemi mayelana nokunakekelwa kwakho.

Yini eyinhloko mayelana nama-keloid scars?

Ama-keloid scars yisimo esiqhelekile futhi esingenakulimaza lapho umzimba wakho ukhulisa i-scar tissue eningi ngesikhathi sokululama. Nakuba angase abe yinkinga futhi ngezinye izikhathi angakhululeki, ukwelashwa okuphumelelayo kutholakala.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ama-keloids aphatheka kalula, ikakhulukazi uma aqale kusenesikhathi. Uma unamandla okuthuthukisa i-keloid, amasu okuvimbela anganciphisa kakhulu ingozi yakho yokuthuthukisa amasha.

Ungavumeli ukukhathazeka ngokubonakala noma ukungakhululeki kungaphathwa. Odokotela bezikhumba kanye nezinye izinsiza zezempilo banemikhakha eminingi yokwelapha etholakalayo, kusukela ekugoqeni okulula kuya ezindleleni zokwelapha eziphambili. Ngokuzeka kade umsindo nendlela efanele, abantu abaningi bangafinyelela ekuthuthukiseni okukhulu kokubonakala nezimpawu ze-keloid scars yabo.

Imibuzo evamile ebuzwa ngama-keloid scars

Ingabe ama-keloid scars angaguquka abe yikanseri?

Cha, ama-keloid scars awanawo amandla okuthuthukisa ikanseri. Yizikhulu ezilungile ze-scar tissue futhi azinawo umngcipheko wekansa. Noma kunjalo, uma uqaphela noma yikuphi ukushintsha okungavamile kwi-keloid, njengokopha, ukukhula okusheshayo, noma ukushintsha kombala, kufanele uyibuke udokotela ukuze akhiphe ezinye izimo.

Ingabe ama-keloid scars ayahamba wedwa?

Ama-keloid scars awapheli ngokuphelele ngaphandle kokwelashwa. Nakuba angase abe ngaphansi ngokuhamba kwesikhathi, ngokuvamile ahlala eqinile noma aqhubeka ekhula kancane. Amanye ama-keloids angase ahlwe kancane ngokuya eminyakeni, kodwa ukuthuthuka okukhulu ngokuvamile kudinga ukungenelela kwezokwelapha.

Ingabe ama-keloid scars ayizinto eziwela ezizukulwaneni?

Yebo, kunengxenye enkulu ye-genetic ekwakhekeni kwe-keloid. Uma abazali bakho noma abafowenu bakhiqize ama-keloids, kungenzeka kakhulu ukuthi uzowathuthukisa wena. Noma kunjalo, ukuba nomlando womndeni akusho ukuthi uzowathuthukisa ama-keloids, futhi abantu abangenayo imlando yomndeni bangase bathinteke.

Ungavimbela kanjani ama-keloids ngemuva kokuhlinzwa?

Yebo, izinyathelo eziningi zokuvikela zinganciphisa ingozi ye-keloid ngemuva kokuhlinzwa. Lokhu kuhlanganisa ukusebenzisa ama-silicone gel sheets, i-pressure therapy, ukugoqa kwe-steroid, nokugcinwa okuqondile kwezindawo ezolimalile. Uma unamandla ama-keloids, xoxa ngamasu okuvimbela nochwepheshe wakho ngaphambi kwanoma yiluphi uhlelo oluhleliwe.

Ukwelashwa kwe-keloid kuthatha isikhathi esingakanani ukusebenza?

Ukwelashwa kwe-keloid kudinga ukuzeka kade umsindo, njengoba imiphumela ngokuvamile ikhula ezinyangeni eziningi. Ukugoqa kwe-steroid kungase kubonise ukuthuthuka okuqala phakathi kwamasonto angu-4-6, kodwa izikhathi eziningi ngaphezu kwamasonto angu-6-12 ngokuvamile zidingeka. Ezinye izindlela zokwelapha njenge-laser therapy noma ama-silicone gel sheets zingase zithathe izinyanga ezingu-3-6 ukuze zibonise imiphumela ebalulekile.