Keloids me pokapoka hypertrophic: whakaahuatanga, momo, take me te maimoatanga

I muri i tetahi whara ki te kiri o te tangata ko te tohu whakamahara i roto i te puka o te nawe, i iritihia i te tikanga German "nawe." I te tahi taime e kore e meinga enei tohu raruraru no te mea e kore e ranei i roto i te wahi nui, tata indistinguishable i te kiri pātata ranei. Ko reira he āhuatanga ina e rongonui rawa, ohu, pouri nga tohu, i ētahi wā ki te mata tino kowakawaka. He hypertrophic me enei pokapoka keloid. O te akoranga, ko te koha Paku nui ratou, rawa, ki te kei i runga i te mata, kaki, uma. Peia atu o reira e kore te mea pera faingofua ki runga ki a ratou, no te mea kua he hanganga motuhake o te muka tenei ahua o te nawe, he uaua ki te kia te papaki.

momo o tohu

i tukitukia e hohoro a tata painlessly ētahi iwi tightened. Hoki ētahi atu, atu tenei tukanga i runga i te wiki, a ka, hopea, whakaora patunga, i roto i to ratou wahi, he kino tohu taratara. Ahanoa "whanonga" o te kikokiko, tei runga i ngā āhuatanga maha, hei tauira, mate maru ia, ratou wāhi (teihana pūkoro kore ranei), te rahi me te hōhonu o te kino ki runga ki te kaha o te tinana takitahi ki whakaora, te momo kiri, me te pera i runga i. He fakakātoa 'o enei āhuatanga katoa arata'i ki te meka e i roto i ētahi wā i te tohu i whiwhi me te mea whakaukia (huaina atrophic), me etahi atu - kei i runga i te taumata kotahi ki te kiri (normotroficheskie).

Ko te raruraru tino i te hi'oraa o te cosmetology he pokapoka hypertrophic. puta ratou ina e whakahohe te kopa i roto i te whakaora patunga rawa fibroblasts ka timata ki te ariā whakarei o collagen. A, no te tenei whākōkī ko collagenase, whakangaro te collagen te taikaha, whakaputaina i roto i te iti rahinga. Ka rite ki te hua, i hanga te kiko hou te rawa nui. Rere atu te haurangi wahi, a protrude ratou ki runga ake whara zazhivshim. Ko te tiketike o taua scarring taea tae 10 mm. Ko te nuinga mumura atu te kiri i runga i te wāhi tata ratou tae, a ka he maha te mata whenua taratara.

keloids

Ēnei ngā titiro tino rite ki pokapoka hypertrophic, engari i te maha o ngā rerekētanga kino. Ko te mea matua ko te e pokapoka keloid, putanga i roto i te pae marutanga, whakawhānui i te kiri tonu. He keu hoki ratou e taea e riro rite te tapahia nui ranei tahu, me te hukihuki iti, he ara ngau pepeke, e kore tokomaha e whakarongo. tīmata nawe Keloid ki te tupu i roto i te marama, neke atu rānei i muri i kua ora te motu. kia tangohia ake tupu ki e rua nga tau, aru e te taahiraa stabilization. rangahau Histological whakakitea kaha rawa keloids fibroblasts nui, te whakaputa tonu collagen. A, ki te pokapoka hypertrophic, ahakoa kino, engari mamae, ka taea e te keloid meinga patito, mamae, tūtohutanga kiri nui haere. Wehewehe keloids teka, putanga i te pae o te whara, me te pono e puta te wahi e kore e pakaru i te kiri waho.

Treatment o keloids me pokapoka hypertrophic

Kei te whakamahia te tikanga e whai ake nei o te ako o pokapoka taratara i teie mahana:

• kōpeketanga;
• hua silicone (paraharaha, rā);
• Taiaho therapy;
• pokanga;
• radiation therapy;
• maimoatanga makariri;
• therapy raau;
• corticosteroids.

He ona huapai me ngā huakore tetahi tetahi o ratou. E tikanga ki te whakamahi i, i roto i ia take kia whakaritea e te tākuta. Clean tohu hypertrophic me keloid atu noa, e maha i pāngia rite dermatofibroma me tae noa infiltrating mate pukupuku, anake e hiahiatia ana i roto i te haumanu motuhake.

wawaotanga hāparapara

Hypertrophic me pokapoka keloid e uaua nekehia hāparapara, no te mea i muri i te mea taua ako tata tonu te matahoki. Hei tauira, ki te kōrero tatou e pā ana ki keloids, hoki koha e wahi i roto i te 80-90% o te wā korerotia katoa me te whakakitea i roto i te hanganga o te nawe kikokiko he tonu nui atu i te reira i mua i te tango. I roto i te take o te auau pōauautanga scarring hypertrophic he paku raro. Ko pai te ako hāparapara ki te kawe e kore e whānui te tohu ki koi tapa. I roto i to ratou mahi, te faitafá motuhia, tapahia taha whakataurite e inseam e iti kite. whakamana ana tēnei mahi i raro i rehunga rohe. e kore te hohipera hiahiatia.

Ki te nekehia atu te tikanga o te pokanga whānui scarring, pērā i keloids, mahi kirihou hiako kanihi (transplant).

kōpeketanga

pokapoka Hypertrophic i roto i tenei ara ko tika ngā, engari i roto i te take o te keloid homai reira hua pai. tono te tikanga kei te ki te waiho i te nawe takai raru, e mau te manawanui, e kore tango, i te 3 marama ki te tau. I te tahi taime e tangohia ai he takai katoa 12 haora. Nā ki te oko pēhanga i roto i te nawe mutu tona kaha. I te wa ano kōpeke me tapa o nawe kikokiko, e ārai tona mārō kē atu.

therapy radiation

Ko te whai hua tino tenei tikanga, me te te whakamahia huri noa te ao. whakamana Tangohanga o pokapoka hypertrophic, keloids, me ētahi atu ngā i runga i te kiri e pera-ka karanga hihi Bucky (X-hihi e te tikanga o tiketike-pū applicators peta). Ka rite ki te hua, whatiia mutu ratou fibroblasts tupu ranei, poroa collagen te kōtuitanga te. Kia te whakamahi hihi o te hohonuraa rerekē.

I roto i tetahi take, 90% o ratou mimiti nga papa o runga o te kiri, me te hinga 10% i roto i te kiri. E mea pinepine whakamahia tenei tikanga i roto i te taha ki te tango hāparapara o te nawe. Auau i muri i therapy taua rēhita i roto i te 50% o te wā. I roto i te tirohanga o te āhuatanga o te tikanga puaretanga X-ray whakamahia te ki te tango tohu ki runga ki te matenga, kaki, me te pouaka. contraindications:

• matepukupuku;
• mate huka;
• ngakau, me te iaia mate;
• exacerbation o tini o nga mate.

cryotherapy

Tenei Ko tetahi o nga tikanga haumaru me te whai hua. Keloids kahore matahoki mā matao tino ngaro i roto i 51% o te wā. A i roto i te 76% o te wā e nekehia atu hypertrophic pokapoka. Treatment kia matatini (cryotherapy me ētahi atu tikanga - te whakamahi o hinu, silicone), ka hanga reira tikanga ki te tumanako mo te tata oti (90%) o te ngaro o tohu, kahore pōauautanga me relapses. Kei te tikanga o ngohengohe te nawe hauota wai (pāmahana o e pā ana ki -196 ° C). tono e ia he papa applicator motuhake. Ka rite ki te hua, pūtau i hanga tioata, cytoplasm me organelles mate. Na whati i fibroblasts, poroa collagen te kōtuitanga te. Mārakerake ki hauota pumau te mōrahi o te 30 hēkona, engari maha nui, me te 5 hēkona. Hei tango tino te nawe, ko reira ngā tukanga e rave rahi rawaka. huakore:

• mamae tukanga;
• te taea o hanga he namunamu i te pae o te nawe;
• hyperpigmentation i muri i maimoatanga.

maimoatanga silicone

Na kua whakawhanakehia kamupene rongoā te rā kei roto silicon, me pereti silicone motuhake. Parau tumu o te mahi i āhua i te taua raau taero - mahi ratou ki te whakanui mākū me te tamarûraa o te tinana i pokapoka, uru o te hāora inaki ki te whakaiti i ona muka me te collagen te kōtuitanga.

I tēnei aratuka atrophic me pokapoka hypertrophic. ehara i te mea e tika ana mo te maimoatanga o keloids. Kua whakaputaina te paraharaha ki āhua rerekē me te rahi. I runga i te ringa kotahi i ratou i te paninga tāpiapia ki te whakarato adhesion mōrahi ki te nawe mātotoru. Ko taua e te hau ki te kiri haere ratou, he kupu kaimono ratou hanganga. Painga o te tikanga ngā i roto i te noho pai o te whakamahi, utu āhua iti, ongonoa me kahore pōauautanga, mate pāwera, pānga taha. Huakore: te roanga tukanga (he marama torutoru) me pānga iti.

corticosteroids

ui tokomaha iwi, me pehea ki te tango i te nawe hypertrophic hohoro a ki te pānga kite. Depot werohia (ki te roanga roa o te mahi) corticosteroids mahi enei hiahia o tūroro ki e tutuki hua pai i roto i te maimoatanga o keloids. whakamahia teie mahana corticosteroids "Kenalog" me "Diprosan". Ko āhua ratou tikanga o te mahi te taua, me te ngā i roto i te whakaiti i te maha o ma pūtau toto me te cytokine hëoi tupu tauwehe necrosis me tini, mahi fibroblast braking, tango o mate pāwera, he hekenga i roto i ngā taumata collagen. whakamana ana te tikanga e 1 wa i roto i te 10-14 ra. pānga taha:

• hypopigmentation;
• tahe-i roto i mata o tōiti i te kiri;
• te ahua o te hakihaki pūtaiaki;
• thinning o te kiri;
• pānga kino whānui i runga i te tinana.

Hei whakaiti i te taha hukihuki tahi pānga o corticosteroids ki lidocaine (1: 5), saline, pentoxifylline. He hua pai homai tenei tukanga i roto i te taha ki te cryotherapy.

therapy taiaho

Huri nawe hypertrophic taiaho keloid ranei whakarato pānga mōrahi. Ko te tino tika me te tango pū o te kahu o runga o te kiri, me te nawe kiko te ngako o te tukanga. Kei te whakahoutia te kiri, nga rohe tukinotia hanga he elastin hou, me te heke collagen nawe convexity, he reira tata rite ki te rakau a tawhio noa. I muri te tono i tenei tikanga pokapoka hypertrophic tino ngaro i roto i 80-95%, me te keloid - i roto i te 60-70% o te wā. Pōauautanga i muri i te tukanga:

• huamo;
• Makere;
• tūtohutanga kiri nui haere ki te rā;
• erythema;
• Hyperpigmentation (rere kahore maimoatanga);
• hakihaki;
• hanganga whēwhē.

Taiaho te rongo he amblyatsionnoe (hohonu) me te neamblyatsionnoe (atu ngawari). I roto i te take tuarua o pōauautanga, te tikanga iti, engari roa roa o te maimoatanga.

therapy tarukino

He waho, me te maimoatanga i te faatereraa i tarukino i roto i te tinana o te nawe. Hoki werohia te whakamahi i formulations e hāngai ana i runga i hyaluronidase (he paru ai riro pokapoka hypertrophic iti tetere, ngohengohe, papatahi ratou te tauturu). Ko ētahi o ēnei "Lidaza", "Alidaza", "Longidaza", "Vilidaza" me etahi atu. kia meatia werohanga nga ra ranei katoa 2 ra mo 1-2 wiki. huakore:

• tapepe o te pūmua whākōkī;
• tauhohe kino;
• allergenicity.

Hoki te maimoatanga wā o hinu, hinu, Tāhorongia. Ko te pharmacies i te whānui o te raau taero momo, te tango i pokapoka. Ko te tino rongonui "Kontraktubeks", "Dermatiks", "Kelo-Tai", "Kelobibraza". Painga o te tikanga ko tona otinga, te taea o te maimoatanga i te kāinga, te ngaro o ngā pānga taha. Huakore - i roto i te pai iti.

He matatini anake ki keloids iti awhina me hinu, me werohanga, me te maimoatanga.

Me pēhea te ki te karo i te ahua o pokapoka taratara

Ki te mea nui rawa te patunga, te nawe, tetahi ara ranei tetahi, ka noho. Otiia i roto i ētahi wā e taea ki te tamata ki whakaiti tona ahua. Na, nawe hypertrophic i muri i tango kamiriona te tata kore i hanga ki te ki te tikanga mahi cryotherapy, electrocautery, taiaho-āwhina. Kai te kamiriona nekehia atu e te pokanga, tonu tonu te nawe. A, no ka tango koe i te reira koe, i te kāinga, ka taea e timata i te reira i te tukanga inflammatory, e ka exacerbate atu te āhuatanga.

Hoki tetahi whara o te kiri, ora te patunga pai me tere, me te whai koutou etahi ture:

• Kaua e tukua te paru ki te whakarau kiri whara;
• karo waku me te pa i te mata marutanga (hei tauira, kakahu);
• I roto i kore take e kore e ripiripia e atu te kirinuku i hanga;
• hipokina te patunga i te rā tika;
• te whakamahi i te kirīmi motuhake ki te āwhina i whakaora tere, me te whakaiti i te mōrea o te scarring (tetahi o te pai i roto i taua raau taero he "Kontraktubeks").