Ndi Mbali Ziti Zomwe Zimapweteka Kwambiri?
Mabala a Keloid amatchulidwa ngati zilonda zosadziwika zomwe zikukula kupyola malire a tsamba loyamba la khungu. Chilombocho chimakula komanso sichidziwika bwino kukula kwa khungu pamalo a khungu lowonongeka.
Kodi Ndi Ndani Amene Ali Pangozi?
Ngakhale khungu lamaliseche lingapangire munthu aliyense, mafuko ena ali pangozi yaikulu yowonjezera. Amwenye a ku America ndi a Hispanics ali ndi magawo 16 pa anthu 100 alionse omwe amapezeka, makamaka, ndi zipsera zosaoneka bwino zomwe zimapezeka mobwerezabwereza m'mitundu yosiyanasiyana kwambiri kuposa anthu a ku Caucasus.
Mbali zina za thupi zimawoneka ngati zowoneka bwino, kuphatikizapo dera la deltoid lakumtunda, kumbuyo kwake, ndi sternum. Mapuloteni ndi kumbuyo kwa khosi amakhalanso malo ambiri.
Zimayambitsa
Sindikumvetsetsa bwino chifukwa chake kapena momwe zida zowonjezera zimakhalira. Kuwopsa kwa khungu kumawoneka kuti ndi chifukwa chofala kwambiri, ngakhale kuti zilonda zingathe kukhazikitsanso popanda chifukwa chomveka. Matenda a mnofu kapena minofu amawoneka kuti amathandiza kupanga mapangidwe apamwamba, monga momwe amavomerezera malo omwe amapanga (mmwamba ndi kumbuyo). Koma ngati izo zinali nkhani yeniyeni, mungayembekezere kuti malo ena, monga chikhato cha dzanja kapena phazi la mapazi, akhale ngati osatetezeka; Komabe, izi siziri choncho.
Kugonjera kumalo a chilonda , kupwetekedwa mobwerezabwereza kumalo omwewo, kupweteka kwa khungu kapena thupi lachilendo pa bala kungakhalenso zinthu. Zikuwoneka kuti ndizomwe zimapangitsa kuti chiwerengero cha chibadwa chikhale chopweteka kwambiri: zimadziwika kuti ngati wina m'banja lanu ali ndi phokoso, ndiye kuti muli ndi chiopsezo chachikulu.
Zolinga zina zomwe zimayambitsa zipsyinjo za keloid zikuphatikizapo kusowa kapena kupitirira mu hormone (hormone) (MSH); kunachepetsa kuchuluka kwa magawo a collagen okhwima ndi collagen yowonjezera; kapena kutsekedwa kwa mitsempha yaing'ono ya magazi komanso chifukwa cha kusowa kwa mpweya.
Ngakhale kusowa kwa chidziwitso chowonetseratu kumasonyeza kusamvetsetsa chikhalidwechi, ntchito ina ikuchitidwa pofuna kupeza chifukwa.
Kuzindikira chifukwa chenichenicho kumatanthauza kutanthawuza mankhwala abwino ochizira komanso mankhwala othandiza kwambiri m'tsogolomu, koma pali mavuto ambiri odzitsatira mokwanira anthu omwe ali ndi vutoli, kusowa kwachitsulo kochiritsidwa, ndi maphunziro ochepa chabe - zonse zimasokoneza kufunafuna chithandizo.
Kupewa?
Chowonadi n'chakuti pangakhale zochepa zomwe mungachite ngati muli osowa kwambiri kuti mukhale ndi khungu lomwe limakhalapo pochita kupweteka kwadothi. Mungathe kuthandizira machiritso mwa kusunga zilonda zilizonse zoyera, ndipo ngati mukudziwa kuti muli ndi vuto chifukwa cha zochitika zam'mbuyomu kapena kugwirizana kwa banja, ndiye kuti mungapewe kuwopsa. Musamange kupyola kapena zojambula, ndipo onetsetsani kuti muwauze dotolo ngati mukuchita opaleshoni .
Pali chiŵerengero chachikulu cha kubwereza: mpaka 50 peresenti. Madokotala ena amanena kuti anthu onse omwe ali ndi pigmented ayenera kupewa zojambulajambula ndi kupyola kuti azikhala pambali.
Chithandizo
Pali njira zitatu zothandizira mankhwala okhwima amchere :
- kuchotsa opaleshoni
- njira zopanda opaleshoni
- mankhwala othandizira.
Kuchiza Opaleshoni kwa Makutu a Keloid
Izi ndizovuta kwambiri komanso zosavuta kwambiri pa mitundu ya mankhwala omwe alipo, komabe chiwerengerochi chimakhala ngati pafupifupi 50 peresenti.
Lasers ayesedwa ngati njira yowonjezera opaleshoni ya mpeni koma mpaka tsopano zotsatira siziri bwino.
Mankhwala Opanda Opaleshoni Mabala a Keloid
Thandizo la interferon (mankhwala opanga chitetezo cha m'thupi ) atsimikiziridwa kuti ndi othandiza kuchepetsa kuperewera kosafunika; Komabe, zimakhala ndi zotsatira zoyipa. Zitsanzo ndi poizoni, zizindikiro zofanana ndi chimfine, kupweteka, kunyowa, ndi kusanza.
Kuchulukanso kwa minofu yowopsya kungathe kuchepetsa ndi kuphwanya zipsera zopsereza, koma njira yowonjezerayi imadalira malo omwe amatha. Njira zina zopanda opaleshoni zomwe zimayesedwa pano ndi zotsatira zosiyanasiyana zimaphatikizapo antihistamines, mavitamini, nitrogen mpiru, Verapamil ndi retinoic acid.
Mankhwala Ophatikizana a Keloid Akufalikira
Njira imodzi ikuphatikizapo kuchotsa opaleshoni ya minofu kuphatikizapo majekesiti angapo a steroid-wina pa nthawi ya opaleshoni ndi jekeseni yachiwiri mwezi umodzi. Komabe, mtundu uwu wamachiritso umatchulidwa mosiyanasiyana kuti uli pakati pa 50 mpaka 70 peresenti ya chiwerengero cha kubwereza.
Njira ina ikuphatikiza opaleshoni ndi radiotherapy ya kunja. Mazira amatha kusokoneza kukula kwa khungu (fibroblasts) ndi kupanga collagen. Kafukufuku amasiyana ndi mtundu wotani wa mankhwala ophatikizana ndi othandiza kwambiri.
Ma radiotherapy ndi mankhwala a steroid ali ndi zotsatirapo, choncho muyenera kukambirana ndi dokotala mankhwala othandiza kwambiri. Zingakhale zoyenera kupeza lingaliro lachiwiri musanayambe ndi mankhwala.