I-keloid iyisiko esingavamile esingase sibe sihle, sibuhlungu futhi sisakaze ngaphesheya kwemingcele yasekuqaleni yokulimala kesikhumba. Kunezindlela eziningi zokwelapha i-keloids kodwa uma wazi ukuthi kungenzeka ukwakha i-keloids, isu eliphumelelayo kakhulu ukuvimbela ukwakheka kwe-keloid kuqala.
Ngingakuvimbela kanjani ukwakheka kwe-keloid?
Ungavimbela ukwakheka kwe-keloid ngokugwema ukulimala kesikhumba njenge
- ukusikeka
- ukuhlinzwa
- ukubhoboza umzimba
- ukutheleleka
- i-acne
Uma udala ama-keloids ekuphenduleni induna kubalulekile ukwelapha i-acne ngokushesha futhi usebenzise imithi ukusiza ukuvimbela ukubuyela kwe-acne. Uma une-acne, gwema ukugcoba intamo nobuso bakho njengoba ukwenza njalo kungacasula imicu yakho futhi kuvuselele ukwakheka okungaphezulu kwe-keloid. Esikhundleni salokho, sebenzisa izikhali ukuze unciphise izinwele zakho zobuso. Gcina izinwele okungenani eyodwa-yesishiyagalombili inch eside.
Ukwengeza, ukwelashwa okufanele kwamanxeba kungasiza ukunciphisa ukubunjwa kobunzima futhi futhi, kunciphise ukwakheka kwama-keloid. Zama ukugcina amanxeba akho enomsoco nge-petroleum jelly futhi ehlanganiswe ne-bandage engekho. Gcina unecala elifihlekile elangeni okungenani izinyanga ezintathu zokuqala ngemuva kokulimala ukuze ugweme ukugqama okukhulu kwesibalo.
I-keloids yami iyabuhlungu futhi / noma ayizinhle ngokwedlulele, ngingabathinta kanjani?
Kunezinhlobo eziningi zokwelapha:
- I-corticosteroids ye-Intralesional (injected)
- Ukuziqhenya
- Ukukhishwa kwegelisi ye-gel
- Cryosurgery
- Amacici okucindezela
- Ukwelashwa kwamafutha
- I-Interferon alpha
- Ukwelashwa kwe-Laser
- Inject of fluorouracil
I- dermatologist ingancoma eyodwa noma inhlanganisela yalezi zonyango. Kubalulekile ukuqaphela ukuthi i-keloids ingabuya ngemuva kokwelashwa. Thola ama-keloids akho aphethwe ngokushesha ngangokunokwenzeka ngoba lokhu kwandisa ithuba lokuthi bazosabela ekwelapheni.
Iyini i-corticosteroids yangaphakathi?
I-corticosteroids ye-intralesional (injected) ngokuvamile iyindlela yokwelapha yokuqala ephakanyiswayo yokwelashwa kwama-keloids. Inaliti isetshenziselwa ukujova i-steroid, ngokuvamile i-triamcinolone, ngqo kwi-keloid. I-nitrogen yamanzi ingasetshenziswa ngaphambi kokujova. Ama-injection aphindaphindiwe nyanga zonke kuze kube yilapho i-keloid iba yinto epholile futhi elula. Kufika kuma-70% wama-keloids aphethwe ngalolu cwaningo. Ngeshwa, ama-keloids angama-50% abuyele eminyakeni engama-5. 1 Uma i-keloid ingaphenduli ngemva kwemithi emine, i-dermatologist yakho ingancoma ukwelapha okunye njengokususwa kokuhlinzwa, mhlawumbe ngokubambisana nezinye izifo.
Kuyini ukucabangela kokuhlinzwa?
Ngendlela yokuhlinzwa, i-scalpel, i-blade yokupheka ebukhali, isetshenziselwa ukususa i-keloid. I-Triamcinolone noma enye imithi ebizwa ngokuthi i-interferon ivame ukujozwa ngaphambi, ngesikhathi, noma ngemva kokuzizwa. Ukujova i-triamcinolone ngesikhathi sokuhlinzwa kusiza ukuvimbela i-keloid ukuthi ingabuyeli.
Iyini i-silicone gel sheeting?
Ama-shelicone gel amashidi anamathekthi acacile afakwe ngaphezulu kwezibazi. Bavumela umoya-mpilo ukuba udlule futhi usize ukugcina indawo enomanzi ukuthuthukisa ukuphulukiswa. Bangasiza ekunciphiseni ubuhlungu noma ukuhlunga kusuka kuma-keloids nokuvimbela ukukhula kwama-keloids amasha noma akhona.
Okwamanje, akucaci ukuthi i-gel ehambisana ne-keloids enhle kangakanani. Nokho, ama-silicone gel amashidi angalingwa izinyanga ezingafika ku-6. Zitholakalayo noma nge-odokotela noma ngaphezulu kwe-counter futhi kufanele zinqunywe ubukhulu be-keloid, zibekwa futhi zifakwe endaweni. Ishidi kufanele lihlanzwe nsuku zonke bese lichithwa njalo ezinsukwini ezingu-10-14.
Iyini i-cryosurgery?
Lokhu kubhekisela ekusetshenzisweni kwe-nitrojeni eyetshezi, ifakwe ku-keloid yakho imizuzwana engu-10-30, kuze kube kathathu ngokulandelana. Ukwelashwa okunjalo kungabuyekezwa njalo ngenyanga kuze kube khona impendulo. Leli gciwane livame ukuhlanganiswa nezinye izifo.
Kubalulekile ukuphawula ukuthi ezigulini ezinomzimba omnyama, isikhumba esiphathwe nge-nitrogen egazini singaba lula noma sibe mnyama.
Ayini amacici ecindezelayo?
Lezi amacici akhethekile azinziwayo afakwe kuwe okucindezela i-earlobe yakho. Bembethe i-earlobe yakho ngokushesha ngemva kokubhoboza ukuze kuvinjelwe i-keloid engakhiwa.
Iyiphi imithi yokwelashwa?
I-ray yangaphandle ye-X ray isetshenziswa ku-keloid. Ukwelashwa kwezidakamizwa kungavimbela i-keloid ukuthi ingabe isanda ukukhula ngemva kokuhlinzwa isuswe eziningi zeziguli. Kodwa-ke, noma yimiphi imisebe yandisa ingozi yomdlavuza ngakho-ke ayinconywa kangcono njengokwelashwa kwe-keloids, isifo esibuhlungu.
Iyini i-interferon-alpha?
I-Interferon- i-alpha yiziprotheyini ezikhishwe ngamaseli ukusiza ukuvuselela isimiso somzimba sokuzivikela. Zingahle zijojwe ngemuva kokuphuma kwe-keloid zikhishwe ngokuhlinzwa ukuze zivimbele ukuphindaphindiwe. Kodwa-ke, akucaci ukuthi ukusebenza kahle kanjani lokhu kukwelashwa kusekelwe ebufakazini bwanamuhla besayensi, ngakho-ke akuvumi ukuphakanyiswa.
Kuyini i-intralesional fluorouracil?
Lena imithi ye-chemotherapeutic injected into keloids. Iphatha ama-keloids ngokuvimba ukuphindaphinda kwe-DNA. Lokhu kuyeka i-fibroblasts, amangqamuzana awela ngaphezu kwe-keloid, kusukela ekukhiqizeni. Kungabangela ukucinwa kwesilonda kuze kube isigamu seziguli kube nokuphindaphinda kungakapheli unyaka owodwa. Lokhu ukwelashwa kungahle kuhlanganiswe nama-intralesional corticosteroid.
Iyini leser laser pulsed?
I-laser yama-pulsed i-pulsed i-laser eye yaboniswa ukuze ithuthukise ama-keloids futhi iyasiza kakhulu nge-keloids kanye nezibazi ezibomvu. Amanye ama-lasers anjengama-lasers ama-fractional asetshenziselwe ukuphatha ama-keloids. Ukwelashwa kwe-Laser kungenziwa ngokuhambisana nomjovo we-intralesional we-corticosteroids noma i-fluorouracil.
> Imithombo:
> 1. Shaffer JJ, Taylor SC, Cook-Bolden F. Keloidal izibazi ukubuyekezwa ngokubukeka okubalulekile ukhetho zokwelapha. J Am Acad Dermatol. 2002 Feb; 46 (2 Suppl > Ukuqonda): S63-97.