Keloids uye hypertrophic mavanga: tsananguro, mifananidzo, zvinokonzera uye kurapwa

Pashure chero zvinokuvadza kuti ganda munhu chiratidzo chirangaridzo muchimiro vanga, iro rinoshandurwa kubva German rinoreva "vanga." Dzimwe nguva mavanga izvi regai kukonzera matambudziko nekuti kana vasiri panzvimbo yakakwirira, kana kusvika indistinguishable kubva pedyo ganda. Asi pane zvinhu apo mavanga vari yakanyanya kukurumbira, convex, rima, dzimwe nguva zvikuru chemarata penyika. Ava hypertrophic uye keloid mavanga. Chokwadi, ndivo chinokosha urema zvizorwa, kunyanya kana riri pachiso, mutsipa, chipfuva. Rasa hazvisi nyore kwavari, nekuda vanga mhando iyi ane urongwa fibers, zvakaoma kururamiswa.

marudzi mavanga

Vamwe vanhu vanga akasungirirwa nokukurumidza uye akapotsa painlessly. Nokuti vamwe, izvi runosvika pamusoro pavhiki, uye apo, pakupedzisira, kurapa maronda, panzvimbo yavo ndakashata mafungu mavanga. "Maitiro" Miscellaneous pamusoro zvinyama anoenderana zvinhu zvakawanda, semuenzaniso, muchikuvadza zvirwere, avo nzvimbo (Mobile yemapurisa kana kwete), pakukura udzamu kukuvara pamusoro nomumwe muviri kukwanisa panoda, ganda mhando uye zvichingodaro uye. The raora zvose izvi zvinoita kunotungamirira kuti mune zvimwe zviitiko mavanga vakawana sokunge mungarava (ainzi atrophic), uye vamwe - dziri chete chechetere ganda (normotroficheskie).

Kupfuura matambudziko mumaonero cosmetology vari hypertrophic mavanga. Zvaitika kana nyama iri kuporesa maronda zvakare fibroblasts vari kusashanda votanga kunowedzera kwetunhu collagen. Kana enzayemu uyu collagenase, kuparadza zvakawandisa collagen, kugadzirwa kukwana akawanda. Somugumisiro, mashoko zvinyama itsva aumbwa yakawandisa. Tiza kunyanyisa hapana, uye ivo protrude kupfuura zazhivshim kukuvara. Kukwirira scarring kwakadaro kunogona kusvika 10 mm. ruvara ravo kunyanya zvasviba kupfuura ganda iri munzvimbo pedyo, uye pose kazhinji akaoma.

keloids

idzodzo izvi vanotarisira zvikuru kufanana hypertrophic mavanga, asi vane zvinoverengeka zvisingafadzi kusiyana. The chikuru ndechokuti keloid mavanga, iri vanga site richikura riri sanganisika ganda. A chikungiso navo kunogona kuva somunhu guru akagerwa kana kupisa, uye zvishoma anobaya, kunyange zvipembenene nokuruma, izvo vakawanda havateereri. Keloid vanga anotanga kukura mune mwedzi kana kupfuura mushure ronda kwakuporesa. Kukura vanogona kutora makore maviri, anoteverwa Kudzikamiswa danho. ongororo Histological dzinoratidza zvakare vanoshingaira keloids fibroblasts hofori, nguva dzose pave collagen. Uye kana hypertrophic mavanga, kunyange akaipa asi nyarara, kuti keloid anogona kukonzera kuvaviwa, marwadzo, vakawedzera ganda wanda. Kusiyanisa keloids venhema, nekuratidzwa pa nzvimbo kukuvara, uye chokwadi kuti kuitika apo ganda haina wakaremara externally.

Mabatirwo keloids uye hypertrophic mavanga

Zvinotevera nzira nokururamiswa ine mavanga kushandiswa nhasi:

• compression;
• silicone zvigadzirwa (ndiro, gel);
• Laser kurapa;
• kuvhiya;
• nemwaranzi kurapa;
• chando kurapwa;
• zvinodhaka kurapa;
• corticosteroids.

Chero mumwe wavo ine zvakanakira nekuipira. Inzira kushandisa, muchiitiko chimwe nechimwe chinofanira vakasarudza nachiremba. Zvakachena mavanga hypertrophic uye keloid zvakatonyanya, izvo kazhinji chirwere sezvo dermatofibroma uye kunyange vanoverevedza kenza, chete hunodiwa unyanzvi yekuongororwa.

kuvhiya kupindira

Hypertrophic uye keloid mavanga kashoma kubviswa surgically, nekuti pashure kururamiswa kwakadaro dzinenge nguva dzose kuitazve. Somuenzaniso, kana tiri kutaura pamusoro keloids, kuremara kudzokera kunoitika muna 80-90% vose yakashuma nyaya uye kunoratidzwa muna paumbwe vanga rinenge richiri yakakura kupfuura zvakanga asati atorwa. Kana hypertrophic scarring kuomesa zvazvingava zviri zvishoma yakaderera. Kuvhiya zvakanakisisa kutakura mavanga havasi paupamhi unopinza mativi. Panguva mashandiro avo, chiremba excised, akacheka micheto rinoenzanisa anoita inseam kuti oneka zvishoma. oparesheni ichi rinoitwa pasi zvomunharaunda yokutindivadza. Muchipatara haina kuzvireva.

Kana nzira wokuvhiya akabvisa zvakawanda scarring, zvakadai keloids, itai Pacchiwaku nedehwe mapurasitiki (nokuisazve).

compression

Hypertrophic mavanga nenzira iyi kushanda yakarurama, asi iri nyaya keloid inoita nemazvo. Nzira rinoshandisirwa kuisa chivara zvakasimba bhandeji, izvo murwere inochera, kwete kubvisa, kubva 3 months kuti gore. Dzimwe nguva zvinogona kumanikidza bhandeji ose maawa 12. Nokuda midziyo kufurirwa iri vanga rinomira simba rayo. Panguva iyoyowo compressed uye micheto Vanga racho rinenge riri kunotadzisa mamwe ayo panova.

nemwaranzi kurapa

Nzira iyi ndiyo nzira inonyatsobudirira uye rinoshandiswa pose. Kubviswa hypertrophic mavanga, keloids, uye dzimwe idzodzo pamusoro ganda rinoitwa nevanhu vainzi Bucky mwaranzi (maekisirei achishandisa mukuru-zvakarurama Beta applicators). Somugumisiro, nokuputsanya kana kurega dzavo kukura fibroblasts, collagen usage iri wakagumiswa. Angashandiswa kupenya pakati intensities siyana.

Chero zvazvingava, 90% wavo Sechipanji okumusoro akaturikidzana ganda, uye 10% kuwa muna dermis. Kazhinji nzira iri kushandiswa pachiimbwa kuvhiya nokubviswa vanga. Recurrences pashure kurapa kwakadaro vakanyorwa 50% nyaya. Tichifunga zviri pamusoro X-ray dzokupisa nzira inoshandiswa kubvisa mavanga mumusoro, mutsipa uye chipfuva. Contraindications:

• oncology;
• chirwere cheshuga;
• mwoyo uye vascular zvirwere;
• exacerbation zvirwere zvakasiyana-siyana.

cryotherapy

Uyu ndiwo mumwe zvikuru uye dzinobudirira. Keloids pasina kuitazve Via chando inonyangarika zvachose muna 51% nyaya. Uye muna 76% nyaya vanobviswa hypertrophic mavanga. Treatment vanofanira kunzwisisa (cryotherapy uye dzimwe nzira - kushandiswa okuzora, silicone), zvino musoro kuti tariro kutopedza (90%) kubva kunyangarika mavanga, pasina matambudziko uye zvazvo. Nzira vanosanganisira pasi chivara mvura senitrogen (tembiricha vanenge -196 ° C). Akashandisa rinokosha applicator ikanyanya. Somugumisiro, masero kuumbwa chando crystals, cytoplasm uye organelles kufa. Saka kuvhuna fibroblasts, collagen usage iri wakagumiswa. Kuonana senitrogen ndedzoupenyu vaifanira mumasekonzi 30, asi kazhinji zvakakwana, uye 5 seconds. Kuti zvakazara bvisa chivara, zviri akawanda maitirwo ezvinhu zvakakwana. payakaipira:

• nzira marwadzo;
• mukana wezvamatongerwe mhoni pa nzvimbo vanga;
• hyperpigmentation pashure kurapwa.

silicone kurapwa

Zvino makambani anogadzira zvakagadzira gel chine nesilicon, uye chinokosha silicone ndiro. Zvingakubatsira kushanda panguva inenge imwe mishonga - vanoshanda kuti maximize wetting uye kuderedza kuti mavanga muviri, pindana kuwana reokisijeni kuderedza fibers ayo uye collagen usage.

Nzira iyi kunobvisa atrophic uye hypertrophic mavanga. hazvina akakodzera mishonga keloids. Mahwendefa anobudiswa ne zvakasiyana zvitarisiko uye hukuru. Kune rumwe rutivi vane namuka unhani kupa kunonyanyisa adhesion kuti rizere vanga. Chimiro wavo zvokuti mhepo kuti ganda vakapfuura, kuva saizvozvo risingapindi mvura. Zvakanakira nzira ine iri nyore, huri pasi cost, nyarara uye pasina matambudziko, nezvimwe zvinhu, nemishonga. Payakaipira: muitiro nguva (mwedzi mishoma) uye pasi zvazvinoita.

corticosteroids

Vanhu vakawanda vanobvunza, sei kubvisa hypertrophic vanga nokukurumidza uye ane oneka kushanda. Dhepoti jekiseni (ane nguva refu kuita) corticosteroids kuita zvido izvi wevarwere nemigumisiro yakanaka vari kubudirira pakurapa keloids. Today akashandisa corticosteroids "Kenalog" uye "Diprosan". mashandiro avo vaite anenge chete uye kunoratidzwa kuderedza ropa masero uye cytokine chena zvichivhiringidza kukura chinhu necrosis uye kuwanda fibroblast braking oparesheni, kubviswa neutachiona, vasanyanye collagen mumatunhu. The nzira rinoitwa 1 nguva mumazuva 10-14. Side Migumisiro:

• hypopigmentation;
• ropa-kuburikidza pajira riya kuti capillaries paganda;
• pakuonekwa steroid mburwa;
• rive dete ganda;
• uchitikurudzira kunambwa mumuviri.

Kuderedza divi migumisiro corticosteroids anobaya pamwe lidocaine (1: 5), sesaline, pentoxifylline. An kwazvo mugumisiro anopa nzira iyi pachiimbwa cryotherapy.

Laser kurapa

Kukuya hypertrophic vanga kana keloid Laser kunopa kunonyanyisa kushanda. Musimboti nzira yakarurama kwazvo uye chaiyoiyo nokubviswa chapamusoro ganda uye vanga tishu. The ganda iri akagadziridzwa, ari kubatwa kumatunhu dzinoumba elastin itsva uye collagen zvinoderedza vanga convexity, zviri anenge akafanana akapoteredza cover. Pashure nokushandisa nzira iyi hypertrophic mavanga Zvibvisike zvachose muna 80-95%, uye keloid - muna 60-70% nyaya. Matambudziko pashure nzira:

• bundu;
• Flushing;
• yakawedzera ganda aikanganiswa chezuva;
• erythema;
• Hyperpigmentation (anomhanyira pasina kurapwa);
• mburwa;
• chikofu inotungamirwa.

Laser ekisiposha ndiyo amblyatsionnoe (kudzika) uye neamblyatsionnoe (more munyoro). Kana yematambudziko, kazhinji zvishoma, asi yakareba nguva kurapwa wechipiri.

zvinodhaka kurapa

Kune yokunze uye kurapwa kuburikidza rwakakwana zvinodhaka mumuviri womunhu vanga. Nokuti jekiseni kushandisa Formulations kwakavakirwa hyaluronidase (imwe enzayemu chingagumbusa hypertrophic mavanga havazodi kuzvimba, nyoro, flattened kuzorodzwa yavo). Izvi zvinosanganisira "Lidaza", "Alidaza", "Longidaza", "Vilidaza" uye vamwe. Majekiseni zvinofanira kuitwa zuva nezuva kana ose 2 Mazuva kwevhiki 1-2. payakaipira:

• Kusagadzikana of enzayemu;
• nenjodzi;
• allergenicity.

For kukamura uchishandisa kurapwa kwamafuta, lotions, bhurandi. The Pharmacies vane zvakawanda zvinodhaka, anobvisa mavanga. Chinonyanya yakakurumbira "Kontraktubeks", "Dermatiks", "Kelo-Cote", "Kelobibraza". Zvakanakira nzira ayo nenyama, zvingangoita kurapwa kumba, kusavapo nemishonga. Payakaipira - zvishoma kunyatsoshanda.

Against keloids rubatsiro shoma uye mafuta okuzora, uye majekiseni, uye kurapwa ndiyo chete kunzwisisa.

Sei kudzivisa chimiro ine mavanga

Kana ronda iri guru, chivara, imwe nzira kana imwe, vachasara. Asi mune zvimwe zviitiko zvinokwanisika kuedza kuderedza ayo chitarisiko. Saka, hypertrophic vanga pashure nhuta kubviswa iri zvinenge kumbobvira kuumbwa kana nzira kuita cryotherapy, electrocautery, Laser-aibatsira. Vakadya nhuta abvisa kubudikidza kuvhiyiwa, chivara nguva dzose inoramba. Uye kana iwe bvisa iwe, kumba, unogona kutanga kushoma, izvo yatichawana kuwedzera dambudziko.

Nokuti chero kukuvadzwa ganda, vanga aporeswa nani uye dzichimhanya, unofanira kutevera vamwe mitemo:

• Musarega tsvina kuti akuvara ganda mugumo;
• kudzivisa kukweshera uye anobata ronda pamusoro (semuenzaniso, zvipfeko);
• Hapana nyaya regai uchatumbura kure goko akaumba;
• kufukidza ronda kubva zvakananga chezuva;
• shandisa rinokosha ruomba kubatsira anomhanya kuporesa uye kuderedza ngozi scarring (mumwe chakanakisisa pakati zvinodhaka zvakadaro "Kontraktubeks").