Keloids nezibazi hypertrophic: incazelo, izinhlobo, izimbangela kanye nokwelashwa

Ngemva yikuphi ukulimala esikhunjeni lomuntu kuwuphawu yesikhumbuzo ngesimo isibanda, okuyinto elihunyushwe esuka German izindlela "sesibazi." Ngezinye izikhathi lezi zimpawu musa kubangele izinkinga ngoba noma akuzona endaweni egqamile, noma cishe izakhamuzi zaseBosnia zifana kusuka isikhumba eduze. Kodwa kunezimo lapho AMANXEBA bavelele kakhulu, convex, amnyama, ngezinye izikhathi nge ebusweni lukathayela kakhulu. Lawa hypertrophic kanye izibazi keloid. Yiqiniso, zingabantu isici esibalulekile yezimonyo, ikakhulukazi uma etholakala ebusweni, entanyeni, esifubeni. Lahla akulula njalo kubo, ngoba lolu hlobo isibanda has a isakhiwo ekhethekile ka endwangwini, kunzima ukulungiswa.

izinhlobo izibazi

Abanye abantu uya some ngokushesha futhi cishe nabuhlungu. Kwabanye, le nqubo ubabonisa kwesikhathi esingaphezu kwesonto, futhi uma, ekugcineni, amanxeba, endaweni yabo kukhona okumbi emamaki anolaka. "Ukuziphatha" Okuxubile kwezicubu kuxhomeke ezicini eziningi, isib, izifo ukulimaza, indawo yabo (isiteshi mobile noma cha), ubukhulu kanye umonakalo ku ikhono ngabanye somzimba yokuvuselela, uhlobo isikhumba nokunye ukujula. Isiqalo nesigcino zonke lezi zici kuholela yokuthi kwezinye izimo AMANXEBA etholwe sengathi lushone (okuthiwa atrophic), kanye neminye - kukhona ezingeni elifanayo ngesikhumba (normotroficheskie).

Oyinkinga kakhulu ngokombono Cosmetology kukhona izibazi hypertrophic. Bona kwenzeke lapho izicubu in ephulukisa amanxeba kakhulu fibroblasts ocushiwe futhi aqale zamagama sithuthukiswe collagen. Uma le enzayimu kuyinto collagenase, ukubhubhisa collagen eningi ngokweqile, akhiqizwa izinto eziningi enganele. Ngenxa yalokho, kwakhiwa nezicubu entsha kakhulu. Escape ukweqisa ndawo, futhi aphume ashone phezulu ukulimala zazhivshim. Ukuphakama nezibazi enjalo ongafinyelela 10 mm. umbala wabo ikakhulukazi mnyama ngaphezu kwesikhumba ezindaweni eziseduze, futhi ngokuvamile amaqabunga ezindaweni ezimbi.

keloids

Lezi zokwakheka abukeka afana kakhulu izibazi hypertrophic, kodwa ube eziningi umehluko edabukisayo. Into esemqoka ukuthi izibazi keloid, evele in isayithi isilonda, ukwandisa esikhunjeni njengoba yayinjalo. A inhlamvu ngabo bangaba njengoba ukuncishiselwa ezinkulu noma bashise, kanye kwabathinta okuncane, ngisho i-bite isinambuzane, okuyinto abaningi bamshaya indiva. isibanda Keloid uqala zikhule inyanga noma ngaphezulu ngesikhathi isilonda kukusindisile. Ukukhula kungase kuthathe isikhathi esingaba iminyaka emibili, kulandele isinyathelo njengoba sinjalo. izifundo histological zembula kakhulu asebenzayo keloids fibroblasts giant, collagen njalo esikhiqiza. Futhi uma izibazi hypertrophic, nakuba ugly kodwa kobuhlungu, le keloid kungabangela ukulunywa, ubuhlungu, kukhuphuke isikhumba ukuzwela. Hlukanisa keloids zamanga, avela ngesikhathi indawo yokulimala, futhi iqiniso ukuthi zenzeka lapho isikhumba alilinyaziwe ngaphandle.

Ukwelashwa nokuvikelwa keloids nezibazi hypertrophic

Izindlela ezilandelayo yokulungiswa izibazi anolaka asetshenziswa namuhla:

• kokucindezelwa;
• imikhiqizo abicah (amapuleti, ijeli);
• ukwelashwa Laser;
• ukuhlinzwa;
• ukwelashwa ngemisebe;
• ukwelashwa abandayo;
• ukwelashwa;
• corticosteroids.

Noma yimuphi omunye wabo kunezinzuzo zako kanye nebubi. Iyiphi indlela ukusebenzisa, esimweni ngasinye kufanele lihlukaniswe kudokotela. izibazi Hlanza hypertrophic futhi keloid nakakhulu, avamise okwatholakala dermatofibroma ngisho kancane umdlavuza, kwakudingeka emitholampilo ezikhethekile kuphela.

kokungenela kuhlinzwa

Hypertrophic nezibazi keloid kuyaqabukela isuswe surgically, ngoba ngemva ekulungisweni okunjalo cishe njalo kokushelela. Ngokwesibonelo, uma sikhuluma keloids, isici ukubuya yenzeka 80-90% azo zonke izigameko kanye kubonakala ekwakhekeni isibanda izicubu namanje kunangendlela kwaba ngaphambi kokususa. Endabeni hypertrophic nezibazi inkinga izinga kancane. ukulungiswa Surgical engcono yokwenza AMANXEBA akuzona ububanzi nge imiphetho ebukhali. Ngesikhathi kokuhlinzwa yabo, udokotela ohlinzayo excised, usike imiphetho eqhathanisa owenza Inseam ukuthi kancane obonakalayo. Lo msebenzi wenziwa ngaphansi izinzwa wendawo. Esibhedlela ayidingekile.

Uma indlela ukuhlinzwa isuswe nezibazi ebanzi, ezifana keloids, ukwenza zezindwangu lesikhumba plastic (ukufakelwa).

kokucindezelwa

izibazi Hypertrophic ngale ndlela kuyinto cishe ilungile, kodwa endabeni keloid inikeza imiphumela eyanelisayo. Indlela sisetshenziswa ukubeka yesibazi ngebhandeshi Friend, lapho Ogulayo ufaka, hhayi nokususa, kusukela ezinyangeni ezingu-3 kuya ngonyaka. Ngezinye izikhathi kungenzeka ukuthi abeke ngebhandeshi njalo ngemva kwamahora angu-12. Ngenxa izitsha kwengcindezi yesibazi eyeka amandla ako. Ngesikhathi esifanayo onomfutho futhi emaphethelweni isibanda izicubu, okuyinto kuvimbela yokukhuphuka wayo.

ukwelashwa ngemisebe

Le ndlela iyona ngempumelelo kakhulu futhi isetshenziswa emhlabeni wonke. Ukususwa kwezimiso izibazi hypertrophic, keloids, nezinye zokwakheka esikhumbeni wenziwa okuthiwa Bucky imisebe (X-ray esebenzisa ephezulu ukucacisa beta applicators). Ngenxa yalokho, baphule noma ayeke ukukhula fibroblasts zabo, i-collagen zamagama inqanyulwa. Lingasetshenziswa imisebe kwemibala ezahlukene.

Kunoma yikuphi, u-90% wabo amunca izingqimba engenhla kwesikhumba, kanye 10% kuwa in dermis. Ngokuvamile le ndlela isetshenziswa ngesikhathi esifanayo ne ukususwa kuhlinzwa sesibazi. Recurrences emva kokwelashwa okunjalo bhalisiwe e-50% amacala. Uma kucatshangelwa izici-X-ray ukuchayeka indlela isetshenziselwa ukukhipha izibazi ekhanda, entanyeni nasesifubeni. Izimo:

• Oncology;
• sikashukela;
• inhliziyo futhi semithambo izifo;
• exacerbation izifo ezihlukahlukene.

cryotherapy

Lena ngenye yezindlela ephephile futhi ngempumelelo. Keloids ngaphandle lokubuya kwesifo nge abandayo zinyamalale 51% amacala ngokuphelele. Futhi 76% of amacala ziyasuswa hypertrophic izibazi. Ukwelashwa kufanele kube eziyinkimbinkimbi (cryotherapy namanye amacebo - ukusetshenziswa yokugcoba, abicah), khona-ke kunengqondo ukuba nethemba cishe ngokuphelele (90%) ukunyamalala izibazi, ngaphandle yezinkinga ngangibuye ngihluleke. Indlela liqukethe bazithobisa yesibazi liquid nitrogen (lokushisa elingaba ngu--196 ° C). Wasebenzisa a nokokuyifaka pad ekhethekile. Ngenxa yalokho, amangqamuzana kwakhiwa ice zinhlayiya, cytoplasm futhi organelles afe. Ngakho aphule fibroblasts, collagen zamagama inqanyulwa. Ukuchayeka nitrogen Luthatha esiphezulu amasekhondi angu-30, kodwa njalo ngokwanele, namasekhondi 5. Ukuze ususe ngokugcwele sesibazi, kuba izinqubo eziningana okwanele. Okumbi:

• ubuhlungu inqubo;
• kungenzeka ukwakha ibhamuza endaweni wesibazi;
• hyperpigmentation ngemva kokwelashwa.

ukwelashwa abicah

Manje weenhlahla ziye zasungula gel equkethe i-silicon abicah ipuleti ekhethekile. Umgomo we operation cishe imithi efanayo - bekhonza ukukhulisa ogelezayo nokumanzisa futhi akuthanjiswanga babugcwele izisihla umzimba, agqagqene ukufinyelela-mpilo ukuze unciphise Imicu yotshani yayo collagen zamagama.

Le ndlela kususa atrophic nezibazi hypertrophic. ke asifanele ekwelapheni keloids. Lezi zingqimba ekhiqizwa nge ezihlukile nobukhulu. Ngakolunye uhlangothi banalo enamathela okunamathelayo ukunikeza adhesion esiphezulu yesibazi obukhulu. Ukwakheka kwazo ngokwama-kangangokuthi emoyeni isikhumba badlula, ngokuba ngenxa yalokho, enecala. Izinzuzo indlela akhathazeke ku lula ukusetshenziswa, izindleko iphansana, ngaphandle kobuhlungu futhi ngaphandle yezinkinga, komzimba, okuba nemiphumela engemihle. Okumbi: isikhathi inqubo (kwezinyanga ezimbalwa) kanye nomthelela ongaphakeme.

corticosteroids

Abantu abaningi buza, indlela ukususa yesibazi hypertrophic ngokushesha futhi sibe nomthelela obonakalayo. Depot umjovo (nge isikhathi eside yesenzo) corticosteroids enze lezi zifiso kweziguli imiphumela emihle siyithola ekwelapheni keloids. Namuhla esetshenziswa corticosteroids "Kenalog" futhi "Diprosan". indlela izenzo zaso cishe okufanayo futhi siqukethe ekunciphiseni isibalo egazi amhlophe bese cytokine ezivimbela ukukhula factor necrosis futhi ayanda, ukusebenza fibroblast unyathela amabhuleki, ukususwa komzimba nezinto, ukwehla kwamazinga kuyi-collagen. Inqubo wenziwa isikhathi esingu-1 ezinsukwini 10-14. Imiphumela engemihle:

• hypopigmentation;
• opha-ngokusebenzisa anezikhala of capillary esikhumbeni;
• ukubukeka induna steroid;
• thinning kwesikhumba;
• umphumela jikelele omubi emzimbeni.

Ukuze wehlise imiphumela engemihle corticosteroids kwabathinta kanye lidocaine (1: 5), nosawoti, pentoxifylline. Kuvele yi kakhulu ukunika le nqubo ngokuhlanganyela cryotherapy.

ukwelashwa laser

Ukugaya isibanda hypertrophic noma laser keloid inikeza umphumela esiphezulu. Ingqikithi yalo inqubo silungile kakhulu nokususwa okunembile kwezindikimba ungqimba engenhla zesikhumba isibanda izicubu. Isikhumba is olusha, izifunda iphathwa akha mithambo ine-elastin entsha okuthiwa i-collagen incipha isibanda convexity, kuba pheze efana ne izembozo ezizungezile. Ngemuva kokufaka isicelo le ndlela izibazi hypertrophic zinyamalale ngokuphelele 80-95%, futhi keloid - e 60-70% azo amacala. Izinkinga emva inqubo:

• ukuvuvukala;
• ngamanzi;
• anda isikhumba luvelo kwelanga;
• erythema;
• Hyperpigmentation (ugijima ngaphandle kokwelashwa);
• induna;
• simila kumiswa.

Laser luwuphawu amblyatsionnoe (ezijulile) kanye neamblyatsionnoe (kahle). Esimeni sesibili izinkinga ngemva kokuhlinzwa, ngokuvamile kancane, kodwa isikhathi eside yokwelashwa.

ukwelashwa

Kukhona yangaphandle kanye nokwelashwa ngu esasikhipha izidakamizwa emzimbeni sesibazi. Ukuze umjovo usebenzisa ukwakhiwa ngokusekelwe hyaluronidase (i-enzyme lapho izibazi hypertrophic ziphelelwa avuvukele elithambile, isicaba impumuzo zabo). Lezi zihlanganisa "Lidaza", "Alidaza", "Longidaza", "Vilidaza" nabanye. Imijovo kufanele kwenziwe nsuku zonke noma masonto 2 izinsuku amasonto 1-2. Okumbi:

• Ukungazinzi of enzyme;
• ukusabela ezingezinhle;
• allergenicity.

Ukuze ukwelashwa ngezihloko ezihlukene yokugcoba, lotions, izifutho. I Pharmacy babe ezihlukahlukene izidakamizwa, kususa izibazi. Ethandwa kakhulu "Kontraktubeks", "Dermatiks", "Kelo--Cote", "Kelobibraza". Izinzuzo indlela kukhona ukudlala yayo, kungenzeka ukwelashwa ekhaya, ukungabi amathuba okuba nemiphumela engemihle. Okumbi - e kahle ongaphakeme.

Against keloids usizo oluncane namafutha, futhi imijovo, futhi welashwe eziyinkimbinkimbi kuphela.

Indlela yokugwema ukubukeka izibazi anolaka

Uma isilonda likhulu kakhulu, sesibazi, ngandlela-thile, uzohlala. Kodwa kwezinye izimo kungenzeka ukuze sizame ukunciphisa amathuba ukubukeka kwayo. Ngakho, isibanda hypertrophic emva ukususwa imvukuzane cishe ungalokothi kwakhiwa uma inqubo ukwenza cryotherapy, electrocautery, laser-basiza. Badla imvukuzane isuswe ngu ukuhlinzwa, yesibazi njalo uhlala. Futhi uma ukhipha ngokwakho, ekhaya, kungaba ukuqala ukuvuvukala, okuzokwenza eminye babhebhethekisa lesi simo.

Ukuze noma yikuphi ukulimala kwe-isikhumba, isilonda saphola kangcono kanye nangesivinini, kuzomele ulandele imithetho:

• Ungavumeli ukungcola abalimele isikhumba isiphetho;
• ukugwema ukuhilizisana ngokunyenya futhi ethinta isilonda ebusweni (isib izingubo);
• Akunakusetshenziswa musa rip off the uqweqwe kwakhiwa;
• ukumboza isilonda elangeni;
• sebenzisa ukhilimu ekhethekile ukusiza ukuphulukisa ngokushesha futhi unciphise amathuba nezibazi (omunye the best phakathi kwemithi enjalo kuyinto "Kontraktubeks").