imveliso

Izibazi ziimpawu ezishiywe kukuphulukiswa kwesilonda kwaye sesinye seziphumo zokuphela kokulungiswa kwezicubu kunye nokuphilisa. Kwinkqubo yokulungiswa kwamanxeba, inani elikhulu lamacandelo e-matrix e-extracellular ikakhulu ahlanganiswe ne-collagen kunye nokwanda okugqithisileyo kwezicubu zedermal kwenzeka, ezinokuthi zikhokelela kwizibazi ze-pathological. Ukongeza kokuchaphazela ukubonakala kweziva ezishiywe ngumonzakalo omkhulu, oko kuya kukhokelela kumanqanaba ahlukeneyo okungasebenzi kakuhle kwemoto, kunye nokuntlithwa kwendawo kunye nokurhawuzelelwa kuya kuzisa ukungonwabi okuthile komzimba kunye nomthwalo ngokwasengqondweni kwizigulana.

Iindlela eziqhelekileyo ezisetyenziswayo zokunyanga izivubeko kuqheliselo lwezonyango zezi: inaliti yendawo yamachiza ethintela ukwanda kwe-collagen-synthesizing fibroblasts, i-elastic bandages, utyando okanye ukukhutshwa kwelaser, i-topical oil okanye ukunxitywa, okanye indibaniselwano yeendlela ezininzi. Kwiminyaka yakutshanje, iindlela zonyango zisebenzisa i-silicone gel scar dressings ziye zamkelwa ngokubanzi ngenxa yokusebenza kwazo kakuhle kunye nokulula kokusetyenziswa. Ijeli ye-silicone yokugqoka i-scar scaring yiphepha elithambileyo, elicacileyo kunye ne-self-adhesive ye-silicone yonyango, engeyiyo ityhefu, engacaphukiyo, engeyiyo i-antigenic, ikhuselekile kwaye ikhululekile ukuyifaka kwesikhumba somntu, kwaye ifanelekile kwiindidi ezahlukeneyo ze-hypertrophic scars.

Kukho iindlela ezininzi apho ijeli ye-silicone yokugqoka i-scar scar inokuthintela ukukhula kwezicubu ezibomvu:

1. Ukuzinzisa kunye nokuQhagamshelwa

Umphumo wokuphulukisa izibazi uhambelana nomswakama wendawo yesikhumba ngexesha lonyango. Xa isinxibo se-silicone sigqunyiwe kumphezulu wesiva, isantya sokuphuma komphunga samanzi kwisiva sisiqingatha sesikhumba esiqhelekileyo, kwaye amanzi akwisiva akhutshelwa kwi-stratum corneum, okukhokelela kwisiphumo sokuqokelelwa kwamanzi kwi-stratum. i-corneum, kunye nokwanda kwe-fibroblasts kunye nokubekwa kwe-collagen kuchaphazelekayo. Ukuthintela, ukuze kufezekiswe injongo yokunyanga izibazi. Uphononongo olwenziwe nguTandara et al. bafumanisa ukuba ubukhulu be-dermis kunye ne-epidermis behlile emva kweeveki ezimbini zokusetyenziswa kwejeli ye-silicone kwinqanaba lokuqala lokukrala ngenxa yokunciphisa ukuvuselela i-keratinocytes.

2. Indima yeamolekyu yeoli ye-silicone

Ukukhutshwa kweoli ye-silicone ye-molecular weight encinci kwi-skin inokuchaphazela isakhiwo se-scar. Iimolekyuli zeoli ze-silicone zinempembelelo enkulu yokuthintela kwi-fibroblasts.

3. Nciphisa ukubonakaliswa kokutshintsha kwemeko yokukhula β

Uphononongo lubonise ukuba ukuguqula ukukhula kwe-factorβ kunokukhuthaza ukwanda kwezibazi ngokukhuthaza ukukhula kwe-epidermal fibroblasts, kwaye i-silicone inokuthintela ukukhwabanisa ngokunciphisa ukubonakaliswa kwezinto eziguqukayo zokukhulaβ.

Phawula:

1. Amaxesha onyango ayahluka kumntu nomntu kwaye axhomekeke kubunjani bokonakala. Nangona kunjalo, kwi-avareji kwaye ukuba isetyenziswe ngokuchanekileyo unokulindela iziphumo ezilungileyo emva kweenyanga ezi-2-4 zokusetyenziswa.

2. Ekuqaleni, i-silicone gel scar sheet kufuneka isetyenziswe kwi-scar ngeeyure ezi-2 ngosuku. Ukwandisa ngeeyure ezi-2 ngosuku ukuvumela ulusu lwakho ukuba luqhele umgca wejeli.

3. I-Silicone gel scar sheet inokuhlanjwa kwaye isetyenziswe kwakhona. Umcu ngamnye uhlala phakathi kweentsuku ezili-14 kunye nezingama-28, nto leyo eyenza ukuba ibe lunyango olulolongayo kakhulu.

Ukulumkela:

1. Ijeli yesilicone yokunxitywa kweziva zejeli yeyokusetyenziswa kulusu olungaguqukiyo kwaye akufunekanga isetyenziswe kumanxeba avulekileyo okanye awosulelekileyo okanye ngaphezulu kokhoko okanye imithungo.

2. Musa ukusebenzisa i-ointments okanye i-creams phantsi kwe-gel sheet

Imeko yoGcino / Ubomi beShelufu:

Isinxibo se-silicone sejeli kufuneka sigcinwe kwindawo epholileyo, eyomileyo nengenamoya. Ubomi beshelufu yiminyaka emi-3.

Gcina naliphi na iphepha lejeli elishiyekileyo kwiphakheji yokuqala kwindawo eyomileyo kumaqondo obushushu angaphantsi kwe25℃.