Mtengo wofiira ndi chilombo chodabwitsa chomwe chingakhale chowopsa, chowawa komanso kufalikira kupyola malire oyambirira a khungu. Pali njira zambiri zothandizira mankhwala a keloids koma ngati mukudziwa kuti mumatha kupanga keloids, njira yabwino kwambiri ndikutetezera mapangidwe apamwamba.
Ndingapewe bwanji mapangidwe apanga?
Mukhoza kuteteza mapangidwe a khungu popewa kuvulaza khungu ngati
- kudula
- opaleshoni
- kupyoza thupi
- matenda
- ziphuphu
Ngati mumapanga keloids poyankha mchere, nkofunika kuti muziteteza mwamsanga mankhwalawa ndipo mugwiritse ntchito mankhwala kuti muteteze kubwerera kwa acne. Ngati muli ndi acne, pewani kuveketsa khosi ndi nkhope yanu pochita izi zingakhumudwitse kwambiri acne wanu ndipo zimapangitsa kuti mapangidwe anu azikhala ovuta kwambiri. M'malo mwake, gwiritsani ntchito lumo kuti muchepe tsitsi lanu. Sungani tsitsi lanu osachepera limodzi la asanu ndi limodzi la mainchesi.
Kuonjezera apo, mankhwala oyenera a mabala angathandize kuchepetsa kupangidwira kapangidwe kake komanso kuchepetsa kupanga mapangidwe. Yesetsani kusunga mabala anu owopsa ndi mafuta odzola komanso ophimbidwa ndi bandage. Sungani zobisika zobisika ku dzuwa kwa miyezi itatu yoyambirira pambuyo povulazidwa kuti mupewe kumdima kwambiri.
Ma keloids angawawa komanso / kapena osasangalatsa, ndingatani kuti ndiwachitire?
Pali mankhwala ambiri:
- Inralesional (injected) corticosteroids
- Excision
- Silicone gel sheeting
- Cryosurgery
- Makutu opanikiza
- Kuchiza ma ARV
- Interferon alpha
- Laser mankhwala
- Kupweteka kwa fluorouracil
Dermatologist ikhoza kulangiza imodzi kapena kuphatikiza kwa mankhwalawa. Ndikofunika kudziwa kuti keloids ikhoza kubwerera pambuyo chithandizo. Gwiritsani ntchito mavitamini anu mofulumira chifukwa izi zimapangitsa kuti athandizidwe.
Kodi intralesional corticosteroids ndi chiyani?
Inralesional (injected) corticosteroids kawirikawiri ndi mtundu woyamba wa mankhwala omwe akulimbikitsidwa kuti azisamalidwa ndi keloids. Njole imagwiritsidwa ntchito popiritsa steroid, kawirikawiri triamcinolone, mwachindunji mumalowa. Nitrogeni yamadzi ingagwiritsidwe ntchito musanayambe jekeseni. Majekesiti amabwerezedwa mwezi uliwonse mpaka phokoso limakhala losavuta komanso losavuta. Mpaka 70% za keloids zimakhala ndi mankhwalawa. 1 Mwamwayi, mpaka 50% ya keloids amabwerera mkati mwa zaka zisanu. 1 Ngati mankhwalawa sakuthandiza pakadutsa mankhwala anayi, dermatologist yanu imatha kulangiza njira zina monga kupaleshoni, mwinamwake mogwirizana ndi mankhwala ena.
Kodi chisokonezo chochita opaleshoni ndi chiyani?
Pogwiritsa ntchito opaleshoni, kansalu kakang'ono ka opaleshoni kameneka kamagwiritsidwa ntchito pochotsa kachipangizo. Triamcinolone kapena mankhwala ena otchedwa interferon nthawi zambiri amajambulidwa nthawi, nthawi, kapena pambuyo pake. Kujambulira triamcinolone pa nthawi ya opaleshoni kumathandiza kuti mchere usabwerere.
Kodi silicone gel sheeting ndi chiyani?
Zida zamtengo wapatali za silicone zimakhala ndi mapepala omveka omwe amaikidwa pamwamba pa zipsera. Amalola mpweya kuti upitirire ndikuthandizira kukhala ndi malo ozizira kuti apange machiritso. Zitha kuthandizira kuchepetsa ululu kapena kuyabwa kuchokera kumalo osakaniza komanso kupewa kukula kwa zitsulo zamakono kapena zatsopano.
Pakadali pano, sizikuwonekeratu kuti gelisi yamtengo wapatali imatha bwanji kupangira keloids. Komabe, silicone mapepala a gelisi akhoza kuyesedwa kwa miyezi isanu ndi umodzi. Zilipo mwa mankhwala kapena pamsika ndipo ziyenera kudulidwa kukula kwa kachipangizo, kuziyika ndi kuziyika m'malo. Tsambali liyenera kusambitsidwa tsiku ndi tsiku ndikusintha masiku 10-14.
Kodi mankhwala ochotsera zipangizo zamakono?
Izi zikutanthauza kugwiritsa ntchito madzi a nayitrojeni, opopera pa keloid yanu kwa masekondi 10-30, mpaka katatu mzere. Njira zoterezi zingathe kubwerezedwa mwezi uliwonse mpaka yankho likwaniritsidwe. Mankhwalawa nthawi zambiri amaphatikizidwa ndi mankhwala ena.
Ndikofunika kuzindikira kuti odwala omwe ali ndi khungu lakuda, khungu limatetezedwa ndi madzi a nayitrojeni akhoza kuyamba kuunika kapena kuunika.
Kodi makutu amatsenga ndi otani?
Izi ndizitsulo zamtengo wapatali zomwe zimakongoletsedwera kwa inu zomwe zimapangitsani khutu lanu. Amakhala atagwedezeka pang'onopang'ono mutangomaliza kupyola kuti musamapange khungu.
Kodi mankhwala a radiation ndi otani?
Khola la X ray lakunja likugwiritsidwa ntchito pakhomo. Mankhwalawa amatha kuteteza khunyu kuti isabwerere pambuyo poti opaleshoni imachotsedwa kwa odwala ambiri. Komabe, ma radiation aliwonse amachititsa chiopsezo cha khansa ndipo sichikulimbikitsidwa ngati mankhwala a keloids, matenda osokoneza bongo.
Kodi interferon-alpha ndi chiyani?
Interferon- alpha ndi mapuloteni otulutsidwa ndi maselo kuti athandize chitetezo cha mthupi. Iwo akhoza kupatsidwa jekeseni pambuyo pothandizira amachotsedwa opaleshoni kuti ateteze kubwereza. Komabe, sizikuwonekeratu momwe mankhwalawa akugwiritsira ntchito zenizeni zenizeni zokhudzana ndi sayansi, ndipo nthawi zambiri sizitchulidwa.
Kodi intralesional fluorouracil ndi chiyani?
Izi ndi mankhwala a chemotherapeutic omwe amajambulidwa mu keloids. Amagwiritsira ntchito mankhwala osokoneza bongo mwa kuletsa kubwezeretsa DNA. Izi zimasiya fibroblasts, maselo omwe amadziwika kwambiri, osabereka. Zingayambitse zilonda ndi oposa theka la odwala pakapita chaka chimodzi. Mankhwalawa angakhale ojambulidwa ndi intralesional corticosteroid.
Kodi laser ya pulsed ndi chiyani?
Laser laser laser ndi laser yomwe yasonyezedwa kuti ipangitse keloids ndipo imathandizira makamaka reddish keloids ndi zilonda. Zilonda zina monga fractional lasers zagwiritsidwanso ntchito pochiza keloids. Mankhwalawa akhoza kuchitidwa pamodzi ndi jekeseni la intralesional la corticosteroids kapena fluorouracil.
> Zotsatira:
> 1. Ponyani JJ, Taylor SC, Cook-Bolden F. Keloidal akuwombera ndemanga ndi kuyang'ana kwakukulu pa njira zothandizira. J Am Acad Dermatol. 2002 Feb; 46 (2 Suppl > Kumvetsa): S63-97.