Yiziphi izingxenye zomzimba ezihlukumezeka kakhulu?
Izibazi ze-Keloid zichazwa njengezibazi ezingavamile ezikhula ngaphesheya komngcele wesayithi lokuqala lokulimala kesikhumba. Ukuqothula ukukhula kwesikhumba esikhutshaziwe futhi okuchazwe kabi.
Ubani Futhi Yini Esengozini?
Nakuba uhlamvu olubomvu lungabumba noma ubani, amanye amaqembu ezizwe asemngciphekweni omkhulu wokuthuthukisa. Ama-Afrika aseMelika nama-Hispanics angamaphesenti angama-16 angaphezu kwamaphesenti, isibonelo, namacembe angama-keloid abonakala izikhathi ezingu-15 ngokuphindaphindiwe emaqenjini angama-pigmented kakhulu kunamaCaucasians.
Ezinye izindawo zomzimba zibonakala zibonakala zingaphezu kwezibazi ezifakiwe, kufaka phakathi isifunda se-deltoid yengalo engenhla, ingenhla yangemuva, ne-sternum. I-earlobes nangemuva kwentanyeni nazo zindawo ezivamile.
Izimbangela
Awuqondi ngokugcwele ukuthi kungani noma ukuthi izibazi ze-keloid zakha kanjani. Ukuhlukunyezwa kwesikhumba kubonakala kuyimbangela evamile kakhulu, nakuba izibazi zingase zakha futhi kungekho isizathu esicacile. Ukuhlukunyezwa kwesikhumba noma imisipha kubonakala kunomthelela ekwakhekeni kwe-keloid, njengoba kuboniswa ngamasayithi ajwayelekile kakhulu ekubunzeni kwawo (ingalo engenhla nangemuva). Kodwa uma lokho kwakuyindaba egcwele, ungalindela ukuthi ezinye izingosi, ezifana nesandla sesandla noma izinyawo zezinyawo, ziba nje njengengozini; Nokho, akunjalo.
Ukwelashwa endaweni yokulimaza , ukuhlukumezeka okuphindaphindiwe endaweni efanayo, ukucindezeleka kwesikhumba noma umzimba wangaphandle kwilonda nakho kungaba yizici. Kuvele kubonakale ukuthi kuyisici sezakhi zofuzo ekuqhekekeni kwe-keloid: kuyaziwa ukuthi uma othile emndenini wakho enama-keloids, usengozini enkulu.
Eminye imibono yezimbangela zokunqotshwa kwe-keloid kuhlanganisa ukungabikho noma okuneqile kwi-horanocyte hormone (MSH); kunciphise amaphesenti e-collagen avuthiwe futhi ikhulile i-collagen enesisindo; noma ukuvimbela imithwalo yegazi encane kakhulu kanye nokungabi khona kwe-oxygen.
Ngenkathi ukungabi nalwazi lwe-clearcut kubonisa ukungabi nokuqonda kwesimo, umsebenzi othile wenziwa ukuze uthole isizathu.
Ukunquma imbangela eqondile kuyoba nethemba lokuthi imithi yokuvimbela engcono kanye nokwelashwa okunekhono esikhathini esizayo, kodwa kunezinkinga eziningi ngokulandela okulandelekile kwabantu abanesimo, ukungabi nokucaca okwenziwe ukwelashwa, nokufunda okumbalwa kakhulu - konke kuphazamisa ukufuna ukwelashwa.
Ukuvimbela?
Iqiniso liwukuthi kungenzeka ukuthi uyingcosana ongayenza uma unesihlungu ngokwanele ukuba unesihlobo sesikhumba esabela ngokudala ukukhishwa kwe-keloid. Ungasiza inqubo yokuphulukisa ngokugcina noma iziphi izilonda zihlanzekile, futhi uma wazi ukuthi ungazizwa ngenxa yokuhlangenwe nakho kwangaphambilini noma uxhumano lomndeni, ungakwazi ukugwema ukuthatha ezinye izingozi. Ungatholi ukubhoboza noma ukudweba, futhi qinisekisa ukuthi utshela udokotela wakho uma uzohlinzwa .
Kunesilinganiso esiphakeme sokuphindaphinda: amaphesenti angama-50. Abanye odokotela bathi bonke abantu abavelele kakhulu kufanele bagweme izidwebo nokubhoboza ukuba babe ohlangothini oluphephile.
Ukwelapha
Kunezinketho ezintathu zokunakekelwa kwezibazi ze-keloid :
- ukususwa kokukhishwa
- ukungenelela okungewona ukuhlinzwa
- inhlanganisela yokwelashwa.
Ukwelashwa Okuhlinzekwayo Amacwelo Keloid
Lokhu kuyindlela ephumelela kakhulu futhi encane kunazo zonke izinhlobo zokwelashwa ezikhona, kodwa izinga lokuphindaphinda, kucatshangwa ukuthi lingamaphesenti angaba ngu-50.
I-Lasers iye yahlolwa njengenye indlela yokuhlinza ummese kodwa kuze kube manje imiphumela ayikho kangcono.
Ukwelapha Okungezona Okuhlinzekwayo Amacwebe Keloid
Ukwelashwa kwe-Interferon (izidakamizwa ezisebenza esimisweni somzimba omzimba ) kuye kwabikwa ukuthi kuphumelele ekunciphiseni ukukhishwa kwe-keloid; Nokho, kunemiphumela emibi kakhulu. Izibonelo zinobuthakathaka, izimpawu ezinjenge-flu, ukucindezeleka, ukucabangela, nokuhlanza.
Ukunciphisa isikhathi eside kwezicubu ezibomvu kungathinteka futhi kuphule izibazi ezifakwe engozini, kodwa ukusebenza kwalolu khetho kuncike endaweni ye-keloid. Okunye ukungenelela okungeyona okuhlinzwa okwamanje okuvivinywa ngemiphumela ehlukahlukene kuhlanganisa ama-antihistamine, amavithamini, i-nitrogen lwesardard, i-Verapamil nama-acid retinoic.
Ukwelapha Okuhlanganisiwe Kokukhishwa Kwe-Keloid
Enye indlela kuhilela ukukhishwa kokukhishwa kwezicubu ezibomvu kuhlangene nomjovo we-steroid-owodwa ngesikhathi sokuhlinzwa kanye nomjovo wesibili ngemva kwenyanga. Kodwa-ke, lolu hlobo lwezokwelapha lubikwa ngokungafani ukuthi luphakathi kwezinga lama-50 kuya kwangu-70 lokuphindaphindiwe.
Enye indlela ihlanganisa ukuhlinzekwa nge-radiotherapy yangaphandle. I-radiation inomthelela wokuphazamisa ukukhula kwesikhumba (fibroblasts) nokukhiqizwa kwe-collagen. Ukucwaninga kuhluka ngokuthi yiluphi uhlobo lwe-combination combination olusebenza kahle.
Kokubili izidakamizwa ze- radiotherapy nemithi ye-steroid zinemiphumela emibi, ngakho-ke udinga ukuxoxa nodokotela wakho ukwelashwa okuphumelelayo kakhulu. Kungase kudingeke uthole umbono wesibili ngaphambi kokuqhubeka nokwelashwa.