Ukubuyekezwa kweScar

Ukubuyekezwa kweScar ukuhlinzwa ukwenza ngcono noma ukunciphisa ukubonakala kwezibazi. Iphinde ibuyise ukusebenza, futhi ilungise izinguquko zesikhumba (ukonakala) okubangelwa ukulimala, isilonda, ukuphulukiswa okungalungile, noma ukuhlinzwa kwangaphambilini.

Amafomu wezicubu ezibomvu njengoba isikhumba siphulukisa ngemuva kokulimala (njengengozi) noma ukuhlinzwa.

Ukuthi kukhona izibazi ezingakanani kuncike ku:

• Usayizi, ukujula nendawo yesilonda
• Iminyaka yakho
• Izici zesikhumba, ezifana nombala (i-pigmentation)

Ngokuya ngobukhulu bokuhlinzwa, ukubuyekezwa kwesibazi kungenziwa ngenkathi uphapheme (i-anesthesia yendawo), ulele (ulele), noma ulele ubuthongo obukhulu futhi awunazinhlungu (i-anesthesia ejwayelekile).

Lapho kufanele kwenziwe ukubukezwa kwesibazi akucaci ngaso sonke isikhathi. Izibazi ziyancipha futhi zingabonakali kangako njengoba zikhula. Ungakwazi ukulinda uhlinzwe kuze kube yilapho isibazi sikhanya ngombala. Lokhu kungaba izinyanga ezimbalwa noma ngisho nonyaka ngemuva kokuthi isilonda selulame. Kwezinye izibazi, kungcono ukuthi uhlinzwe ngokubuyekezwa ezinsukwini ezingama-60 kuya kwezingama-90 ngemuva kokuvuthwa kwesibazi. Isibazi ngasinye sehlukile.

Kunezindlela eziningi zokuthuthukisa ukubukeka kwezibazi:

• Isibazi singasuswa ngokuphelele futhi inxeba elisha livalwe ngokucophelela.
• I-Scar massage kanye nokwelashwa kwengcindezi, njengemicu ye-silicone.
• Ukwehliswa kwesikhumba kuhilela ukususa izingqimba zesikhumba ngensimbi ekhethekile yocingo ebizwa nge-burr noma nge-fraise. Isikhumba esisha sikhula ngaphezu kwale ndawo. I-dermabrasion ingasetshenziselwa ukuthambisa ingaphezulu lesikhumba noma ukunciphisa okungahambi kahle.
• I-laser ingasetshenziselwa ukuthambisa ingaphezulu lesibazi, futhi ivuse ukukhula okusha kwe-collagen ngaphakathi kwesibazi.
• Ukulimala okukhulu kakhulu (njengokusha) kungadala ukulahleka kwendawo enkulu yesikhumba futhi kungahle kube nezibazi ze-hypertrophic. Lezi zinhlobo zezibazi zingavimbela ukuhamba kwemisipha, amalunga kanye nemisipha (isivumelwano). Ukuhlinzwa kususa izicubu ezengeziwe zesibazi. Kungabandakanya uchungechunge lokusikeka okuncane (ukusikeka) ezinhlangothini zombili zesayithi lesibazi, okwakha izingqimba zesikhumba ezimise okwe-V (Z-plasty). Umphumela uba yisibazi esincanyana, esingabonakali kangako, ngoba i-Z-plasty ingahle isimamise kabusha isibazi ukuze sisondele eduze kwesikhumba semvelo futhi sikhiphe ukuqina kwesibazi, kepha sandise isibazi ngesikhathi senqubo.
• Ukuxhunyelelwa kwesikhumba kuhilela ukuthatha ungqimba oluncane lwesikhumba kolunye uhlangothi lomzimba bese usibeka ngaphezu kwendawo elimele. Ukuhlinzwa kwe-flap yesikhumba kuhilela ukuhambisa isikhumba, amafutha, izinzwa, imithambo yegazi, kanye nemisipha kusuka engxenyeni enempilo yomzimba uye endaweni elimele. Lezi zindlela zisetshenziswa lapho inani elikhulu lesikhumba lilahlekile ekulimaleni kwasekuqaleni, lapho isibazi esincanyana singezukuphola, nalapho ukukhathazeka okuyinhloko kuthuthukiswa ukusebenza kunokubukeka okuthuthukile.
• Ukunwetshwa kwezicubu kusetshenziselwa ukwakhiwa kabusha kwamabele. Ibuye isetshenziselwe isikhumba esonakele ngenxa yokukhubazeka kokuzalwa nokulimala. Ibhaluni le-silicone lifakwa ngaphansi kwesikhumba bese ligcwaliswa kancane kancane ngamanzi anosawoti. Lokhu kunweba isikhumba, esikhula ngokuhamba kwesikhathi.

Izinkinga ezingakhombisa isidingo sokubuyekezwa kwesibanda zifaka:

• I-keloid, okuyisibazi esingajwayelekile esijiyile futhi esinombala ohlukile nokuthungwa kunesikhumba sonke. Ama-Keloids adlulela ngalé komphetho wesilonda futhi kungenzeka abuye. Zivame ukudala umphumela ojiyile, ophekiwe obukeka njengesimila. Ama-Keloids asuswa endaweni lapho ahlangana khona nezicubu ezijwayelekile.
• Isibazi esise engeli emigqeni ejwayelekile yokuqina kwesikhumba.
• Isibazi esijiyile.
• Isibazi esidala ukuhlanekezelwa kwezinye izici noma esidala izinkinga ngokunyakaza okuvamile noma umsebenzi.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula
• Ukopha, amahlule egazi, ukutheleleka

Izingozi zokuhlinzwa kabusha kwesibazi yilezi:

• Ukuphindeka kwesibazi
• Ukwakhiwa kwe-Keloid (noma ukuphindeka)
• Ukwehlukaniswa (dehiscence) kwesilonda

Ukuveza isibazi elangeni eliningi kakhulu kungasenza sibe mnyama, okungaphazamisa ukubuyekezwa okuzayo.

Ukubuyekezwa kwe-keloid, ingcindezi noma ukugqoka okunwebeka kungabekwa ngaphezulu kwendawo ngemuva kokuhlinzwa ukuvimbela i-keloid ukuthi ingabuyi.

Kwezinye izinhlobo zokubuyekezwa kwesibazi, kusetshenziswa ukugqoka okulula. Imithungo ivame ukususwa ngemuva kwezinsuku ezi-3 kuye kwezingu-4 endaweni yobuso, nangemva kwezinsuku ezi-5 kuya kweziyi-7 zokuchelulwa kwezinye izingxenye zomzimba.

Lapho ubuyela emisebenzini ejwayelekile futhi umsebenzi uncike ohlotsheni, ebangeni, nasendaweni okuhlinzwa kuyo. Iningi labantu lingaqala kabusha imisebenzi ejwayelekile ngemuva nje kokuhlinzwa. Udokotela wakho cishe uzokutshela ukuthi ugweme imisebenzi enwebekayo futhi inganweba isibazi esisha.

Uma unokuqina kwesikhathi eside kwejoyini, ungadinga ukwelashwa ngokomzimba ngemuva kokuhlinzwa.

Faka i-sunscreen ukugcina ilanga lingasuki esikhunjeni esiphulukisayo unomphela.

Ukubuyekezwa kwe-Keloid; Ukubuyekezwa kwesibazi se-Hypertrophic; Ukulungiswa kwesibazi; I-Z-plasty

• Keloid ngenhla kwendlebe
• I-Keloid - i-pigmented
• I-Keloid - ngonyawo
• Isibanda se-Keloid
• Ukubuyekezwa kwe-Scar - uchungechunge

I-Hu MS, i-Zielins ER, i-Longaker MT, i-Lorenz HP. Ukuvinjelwa kwe-Scar, ukwelashwa, nokubuyekezwa. Ku: Gurtner GC, PC yeNeligan, ama-eds. Ukuhlinzwa Kweplastiki, Umqulu 1: Izimiso. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 14.

ULeitenberger JJ, Isenhath SN, Swanson NA, Lee KK. Ukubuyekezwa kweScar. Ku: Robinson JK, Hanke CW, Siegel DM, Fratila A, Bhatia AC, Rohrer TE, abahleli. Ukuhlinzwa Kwesikhumba: Inqubo Yesikhumba. 3rd ed. IPhiladelphia, PA: Elsevier; 2015: isahluko 21.