Ukwehliswa kwesifuba: Ongakulindela ku-Scarring

-Delile

• Ingabe izibazi ziyagwemeka?
• Amasu ahlukene ashiya izibazi ezihlukile
• Inqubo emfushane yesibazi
• Inqubo yesibazi esikhulu
• Ukubukeka kuzobukeka kanjani?
• Ngabe izibazi zizoshintsha ngokuhamba kwesikhathi?
• Ungazikhathalela kanjani izibazi zakho futhi unciphise ukubukeka kwazo
• I-Scar massage
• Amashidi abicah noma ama-gels abomvu
• Yamukela ukugqoka
• Ama-lasers ahlukanisiwe
• Isikrini selanga
• Ungakwazi yini ukususa izibazi?
• Okubalulekile

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ingabe izibazi ziyagwemeka?

Ukwehliswa kwamabele, njengokuthuthukisa amabele, kufaka phakathi ukusikeka esikhunjeni. Izibazi azinakugwenywa nganoma yikuphi ukuhlinzwa, kufaka phakathi ukunciphisa amabele.

Kepha lokhu akusho ukuthi uzobambeka ekulweni okukhulu. Kunezindlela zokunciphisa ukubukeka kwezibazi ngesikhathi nangemva kokuhlinzwa.

Umsebenzi wakho wokuqala ukuthola udokotela ohlinzayo osezingeni eliphakeme, oqinisekiswe ngamabhodi onolwazi ngokuncishiswa kwamabele kanye nokusikeka okuncane. Ngemuva kwalokho ungazama amasu ahlukene ngemuva kokuhlinzwa ukuze unciphise izibazi zokwehlisa amabele. Qhubeka ufunde ukuze ufunde kabanzi.

Amasu ahlukene ashiya izibazi ezihlukile

Njenganoma yikuphi ukuhlinzwa, ukunciphisa amabele kuholela ekuqhekekeni. Kodwa-ke, ubukhulu besibazi ngokwengxenye buxhomeke ezinhlotsheni zamasu asetshenzisiwe. Lokhu kubila kumasu amafushane uma kuqhathaniswa namasu amakhulu wesibazi.

Qiniseka ukuthi ubuza ngalezi zindlela lapho ubheka iphothifoliyo yomsebenzi wakho ukuze uthole umbono ngomehluko phakathi kwalokhu okubili. Lokhu kuzokusiza ufunde ukuthi yini ongayilindela ngemuva kokuhlinzwa.

Inqubo emfushane yesibazi

Indlela yesibazi esifushane ekuhlinzweni kokuncishiswa kwamabele iqukethe ukusikeka okuncane. Le ndlela isetshenziselwa abantu abahlangabezana nokuwohloka futhi bafuna ukwehliswa okuncane kuya kokuphakathi ngosayizi webele.

Abantu abakulesi sigaba bavamise ukwehla ngosayizi wenkomishi.

Umkhawulo wokuncishiswa kwesibazi esifushane ubukhulu bawo. Izindlela ezinesibazi esifushane akuzona ezokunciphisa amabele amakhulu.

Ebizwa nangokuthi "i-lollipop" noma ukunciphisa ibele okuqondile, le ndlela ifaka phakathi ukusikeka okubili. Ukuqhekeka kokuqala kwenziwa ezungeze i-areola, kanti enye yenziwa kusuka ezansi kwe-areola kwehle kuye ngasesiswini samabele. Lapho nje ukusikeka sekwenziwe, udokotela wakho ohlinzayo uzosusa izicubu zomzimba, amafutha, nesikhumba esingeqile ngaphambi kokuphinda abumbe isifuba sibe ngosayizi omncane.

Ngenxa yokuthi lezi zigcawu zincane, isibazi sifingqelwa endaweni encane yesifuba. Izibazi eziningi zitholakala engxenyeni engezansi yesifuba (ngaphansi kwengono). Lezi zibazi azibonakali ngaphezu kwezingubo zakho, futhi kungenzeka zimbozwe ngesudi yokubhukuda.

Inqubo yesibazi esikhulu

Njengoba igama labo liphakamisa, amasu amakhulu wesibazi afaka phakathi ukusikeka okuningi nezindawo ezinkulu ezilandelayo zokuba nezibazi.

Le ndlela ifaka phakathi ukusikeka okuthathu:

• imbobo eyodwa phakathi kwe-areola ne-crease ngaphansi kwebele
• enye ezungeze i-areola
• ukusikeka kokugcina okuvundlile ngaphansi kwesifuba (eduze ne-crease)

Inqubo yesibazi esikhudlwana isetshenziselwa ukunciphisa ibele kwe-inverted-T (“anchor”). Ungaba yilungu lokungenela le nqubo uma une-asymmetry ebalulekile noma ukuwohloka. Udokotela wakho ohlinzayo angaphakamisa nokuthi kuncishiswe ihange uma ufuna ukwehla ngosayizi bezinkomishi ezimbalwa noma ngaphezulu.

Yize le nqubo ibonakala ibanzi kakhulu, inqubo yesibazi esikhudlwana ibandakanya kuphela ukusikeka okungeziwe ngaphansi kwamabele.

Ukubukeka kuzobukeka kanjani?

Ukugqashuka kusuka ekusikeni kokuhlinzwa kufana nomugqa omncane, ophakanyisiwe ngaphezulu kwesikhumba sakho. Lokhu kubizwa ngokuthi izicubu ezibomvu. Ekuqaleni, le ndawo ibomvu noma ibomvana ngombala. Njengoba isibazi siphola, kuzoba mnyama futhi kucwebezele. Kungathatha izinyanga ezimbalwa ukuya onyakeni ukuthi izibazi zakho ziphele. Uma unesikhumba esimnyama, ungahle ube sengozini enkulu yokwengezwa, noma izibazi eziphakeme kakhulu ezinjengezibazi ze-hypertrophic noma ama-keloids.

Ukubukeka kuzohluka phakathi kwamasu amancane noma amakhulu wesibazi. Ngakamuva, uzoba nezibazi ezintathu uma uziqhathanisa nezimbili. Ukuqhekeka okwenziwe lapho kuqhuma khona isifuba kungahle kungabonakali kangako ngoba kuvundlile futhi kufihlwe emgqonyeni webele, noma kulayini webhodisi uqobo.

Izibazi zokunciphisa amabele akufanele zibonakale phezulu kwe-bikini noma kubhodisi. Ngokuncishiswa kwebele kwehange, okunye ukusikeka kungakhombisa ukuqhuma kwamabele ngezingubo ezincane.

Ngabe izibazi zizoshintsha ngokuhamba kwesikhathi?

Uma ishiywe ingalashwa, izibazi zokunciphisa amabele zingabonakala kakhulu ngokuhamba kwesikhathi.

Ukuqubuka nakho kungadlondlobiswa ngu:

• ukubhema
• ukushuka
• ukukhuhla ngokweqile
• ukulunywa noma ukunwaya indawo

Udokotela wakho ungumthombo wakho omuhle kakhulu wolwazi mayelana nokunakekelwa kwangemuva namasu okunciphisa isibazi. Bangakuhamba ngezinketho zakho futhi bakweluleke nganoma yiziphi izinyathelo ezilandelayo.

Akufanele usebenzise izindlela zokususa isibazi ngaphezulu kwe-the-counter (OTC) ngaphandle kokubonisana nodokotela wakho. Eminye imikhiqizo ingakhuphula ubungozi bokuqubuka nokucasuka, okungenza indawo yesibazi ibonakale kakhulu.

Kukhona nobufakazi obuncane bokuthi imikhiqizo enjalo - ngisho nalabo abano-vitamin E bazosebenzela izibazi ezihlobene nokuhlinzwa.

Ungazikhathalela kanjani izibazi zakho futhi unciphise ukubukeka kwazo

Kudala ngaphambi kokuthi ukuqhekeka kokuncishiswa kwamabele kuphenduke izibazi, kufanele ulandele imiyalo kadokotela wakho ohlinzayo emva kokunakekelwa.

Qiniseka ukuthi uqhubeka nokugqoka amabhandeshi esifubeni nobhodisi wakho wokuhlinzwa ezinsukwini ezimbalwa zokuqala ngemuva kokuhlinzwa. Uzobona udokotela wakho ohlinzayo ukuze alandelwe ngemuva kwalesi sikhathi. Bazokweluleka ngokuthi ungasinakekela kanjani isikhumba sakho njengoba siphola.

Lapho ukusikeka sekuvaliwe, kunezindlela zokunciphisa isibazi ongazicabanga ukuzama ngesikhathi senqubo yokuphulukisa (kodwa buza udokotela wakho ohlinzayo kuqala!). Udokotela wakho angancoma izindlela ezingaphezu kweyodwa.

I-Scar massage

Ukubhucungwa isibazi kuyindlela ehilela ukunyakaza okuncane ngezandla zakho. Ngobumnene, uhlikihla isibazi sakho ngokuqondile bese uvundla ngokuvundlile. Kufanele futhi uhlikihle isibazi emibuthanweni. Le ndlela kucatshangwa ukuthi izosiza ukukhulisa i-collagen nokuzivumelanisa nezimo, ngenkathi futhi kunciphisa ukungakhululeki.

Isikhungo Somdlavuza iMoffitt sincoma ukuqala kokubhucungwa isibazi cishe amasonto amabili ngemuva kokuhlinzwa. Ukubhucungwa nsuku zonke kwemizuzu eyi-10 ngasikhathi sinye kulungile. Ungaphinda inqubo kuze kube kathathu ngosuku.

Amashidi abicah noma ama-gels abomvu

Amashidi abicah nama-scar gels yizisombululo ze-OTC zezibazi. Amashidi abicah eza ngesimo samabhandeshi ane-silicone kuwo. Umqondo ngukufaka amanzi endaweni yesibazi ukusiza ukwenza isikhumba siguquguquke. Kungasiza ukusebenzisa amashidi abicah ngemuva nje kokuhlinzwa ngoba nawo anganciphisa ubuhlungu, ukulunywa nokunye ukungakhululeki.

Ama-scar gels, afana neMederma, angasetshenziselwa izibazi ezintsha noma ezindala ukusiza ukunciphisa ukubukeka kwawo. Ngokuhamba kwesikhathi, izibazi zingaphela ngombala futhi zinciphe ngosayizi. Udokotela wakho angancoma ukuthi usebenzise ijeli yesibazi ngokushesha lapho imbobo isiphulukisa. Ukuze ama-scar gels asebenze, kufanele uwasebenzise nsuku zonke uze uthole imiphumela oyifunayo. Lokhu kungathatha izinyanga ezithile.

Yamukela ukugqoka

Yamukela ukugqokwa ngamabhandeshi avunyelwe e-US Food and Drug Administration asetshenziswa ngokushesha ngemuva kokuthi izimbotshana zivaliwe ngemuva kokuhlinzwa. Lezi zenzelwe ukusiza ukudonsa imiphetho yesikhumba sakho ndawonye ukusheshisa inqubo yokuphulukisa. Yamukela ukugqoka nakho kuqukethe abicah, futhi kungahle kugqokwe nsuku zonke kuze kube unyaka owodwa.

Kuxoxwe ngemiphumela yokwamukela ukugqokwa kubantu abangama-36 abasanda kuba nezikhumba zesisu. Ngemuva kwezinyanga eziyi-12, abacwaningi baqaphela ukuncishiswa okukhulu kwesibazi. Kodwa-ke, izifundo ezifanayo ze-Embrace for ukunciphisa amabele ziyashoda.

Ama-lasers ahlukanisiwe

Ngemuva kwesikhathi eside lapho izibazi zakho sezipholile, uma zimnyama ngokweqile noma ziwugqinsi, i-laser ehlukanisiwe ingaba yindlela. Lokhu kwelashwa kuqukethe ama-lasers amancane angakwazi ukwelapha izindawo ezinkulu zesikhumba ngasikhathi sinye. Baphinde babheke zombili izingqimba zesikhumba (i-epidermis) naphakathi (dermis), ukuqinisekisa ukuthi kukhishwa isibazi esijulile. Ngemuva kokwelashwa, isibazi esiphathwayo siphenduka ithusi okwesikhashana ngaphambi kokuphulukiswa.

Ungadinga ukwelashwa okuningi okuhlukaniswe njalo ngenyanga. Ngokusho kweDermNet New Zealand, ukwelashwa okune kuya kwemihlanu kungadingeka ukuze kutholakale imiphumela oyifunayo. Ama-lasers we-Fractional angasetshenziswa uma izibazi zakho zokunciphisa amabele sezisindile. Lokhu kuvimbela ubunzima obungahle bube khona, njenge-hyperpigmentation ngemuva kokuvuvukala.

Isikrini selanga

Kubalulekile ukugqoka i-sunscreen nsuku zonke, noma ngabe izibazi zakho zesifuba azivelwanga ngqo elangeni. Imisebe ye-UV ingafiphaza izicubu ezibomvu ezisanda kwenziwa ngemuva kokuhlinzwa. Lokhu kuzokwenza izibazi zibe mnyama kakhulu kunesikhumba sakho sonke, ngaleyo ndlela sizenze zibonakale kakhulu.

I-American Academy of Dermatology incoma isibuko selanga esibanzi esine-SPF ubuncane engama-30. Zama i-Neutrogena's Ultra Sheer Dry Touch Sunscreen noma i-Vanicream Sunscreen ngalezi zinzuzo.

Ungakwazi yini ukususa izibazi?

Ukuphela kwendlela yokususa izibazi ngezinqubo ezithile zokuhlinzwa. Lokhu kungenziwa udokotela ohlinzayo wezimonyo noma udokotela wesikhumba.

Izinqubo zokususa isibazi ngokuvamile zishiya isibazi esisha esisele esikhundleni sesibazi sangaphambilini. Kodwa-ke, kunethuba lokuthi izibazi ezintsha zizoba ncane, zihlanzeke futhi ngethemba lokuthi azibonakali kangako.

Enye indlela yokususa isibazi ibizwa nge-punch grafting. Le nqubo isetshenziselwa kakhulu izibazi ezijule ngokwedlulele ezincane ngosayizi, kepha zingaba ziningi futhi zimboze indawo enkulu.

I-punch grafting isebenza ngokufaka isikhumba kusuka kwenye indawo yomzimba (njengezindlebe) kwisibazi esisusiwe. Umphumela uba isibazi esibushelelezi futhi esingajulile. Ukuhlanganiswa kwe-punch kuthatha isonto elilodwa ukuphola.

Ezinye izindlela zokususa isibazi zingafaka:

• amakhemikhali amakhemikhali
• ukwelashwa kwe-laser
• ukunwetshwa kwezicubu
• imishanguzo yokuhluza

Okubalulekile

Izibazi zokunciphisa amabele azinakugwenywa, kepha kufinyelela ezingeni elithile. Ngodokotela ohlinzayo ofanele, ungahle ube nokuncipha okuncane kokuncishiswa kwangemuva.

Ngaphambi kokukhetha udokotela ohlinzayo wepulasitiki, bacele iphothifoliyo yomsebenzi wabo wokunciphisa amabele ukuze babone ngaphambi nangemva kwezithombe. Lokhu kungakusiza ukukunikeza ukuqonda ngezinga lomsebenzi wabo, kanye nobukhulu bokushaqeka ngemuva kokusebenza.

Udokotela wakho ohlinzayo wepulasitiki angakunika nezeluleko zokunakekela izindawo zokusika ukuze kukhuthazwe inqubo yokuphulukiswa.