Ma Keloid ndi amodzi mwa mitundu yovuta kwambiri ya zipsera kwa anthu ambiri. Mosiyana ndi zipsera wamba zomwe zimachepa pang'onopang'ono pakapita nthawi, ma keloid amatha kupitiliza kukula kupitirira malo ovulala oyamba. Nthawi zambiri amawoneka okwera, okhuthala, olimba, kapena akuda kuposa khungu lozungulira, zomwe zingakhudze kudzidalira komanso mawonekedwe a khungu lonse.
Popeza njira zachikhalidwe zochizira zipsera sizimakhala zabwino nthawi zonse kapena zothandiza kwa aliyense, anthu ambiri tsopano akufufuza njira zamakono zochizira matenda monga chithandizo cha kuwala kofiira ngati gawo la njira zosamalira khungu kwa nthawi yayitali komanso njira zosamalira zipsera.
Chithandizo cha kuwala kofiira chimagwiritsidwa ntchito kwambiri m'malo ochiritsira thanzi, zipatala zokongoletsa, malo opumulirako, ndi malo ochiritsira matenda padziko lonse lapansi. Chithandizochi chimagwiritsa ntchito mafunde apadera a kuwala kofiira kooneka ndi kuwala kofanana ndi infrared kuti chithandizire njira zachilengedwe zamoyo pakhungu ndi minofu. Mosiyana ndi ukadaulo wa ultraviolet detergent, chithandizo cha kuwala kofiira sichimaika khungu ku kuwala koopsa kwa UV.
Chifukwa chimodzi chachikulu chomwe chithandizo cha kuwala kofiira chimagwirizanitsidwa ndi machitidwe osamalira zipsera ndi kulumikizana kwake ndi chithandizo cha collagen ndi kukonzanso khungu. Ma Keloid amapangika pamene kupanga collagen kumakhala kochulukira panthawi yochira. Ngakhale chithandizo cha kuwala kofiira sichinapangidwe kuti chichotse zipsera kwathunthu, anthu ambiri amagwiritsa ntchito izi kuti athandize khungu kukhala labwino komanso thanzi la khungu lonse.
Mafunde ofiira monga 660nm amagwiritsidwa ntchito kwambiri pokonzanso khungu komanso kuthandizira kusamalira khungu komwe kumagwirizana ndi collagen. Mafunde ofiira ngati 850nm amatha kulowa mkati mwa minofu ndipo amagwiritsidwa ntchito kwambiri m'machitidwe azaumoyo omwe amaganizira kwambiri za kuchira.
Chifukwa china chofunikira chomwe anthu amafufuzira chithandizo cha kuwala kofiira kwa keloids ndi chithandizo cha kuyenda kwa magazi. Kuyenda bwino kwa magazi kumathandiza kupereka mpweya ndi michere ku khungu, kuthandizira njira zachilengedwe zochiritsira komanso thanzi la minofu yonse. Kuwala kofiira ndi pafupi ndi infrared nthawi zambiri kumagwirizanitsidwa ndi kuthandizira kuyenda kwa magazi ndi chitonthozo pakhungu.
Ogwiritsa ntchito ena amayamikiranso kuti njira zochiritsira zofiira zimakhala zotonthoza komanso zopumulitsa. Popeza nthawi zambiri kuchepetsa zipsera kumafuna nthawi yayitali, anthu ambiri amakonda njira zofatsa zosamalira khungu zomwe zingagwirizane mosavuta ndi zochita za tsiku ndi tsiku zosamalira khungu.
Zipatala za akatswiri osamalira khungu zimagwiritsa ntchito njira zamakono zochizira kuwala kofiira chifukwa zimapereka mphamvu yokhazikika komanso chithandizo chokwanira. Machitidwe a thupi lonse ndi zida zochizira nkhope nthawi zambiri zimaphatikizidwa mu mapulogalamu ochizira zipsera ndi thanzi la khungu.
Ogwiritsa ntchito ambiri amagwiritsa ntchito chithandizo cha kuwala kofiira ngati gawo la njira zambiri zosamalira khungu zomwe zimayang'ana kwambiri:
- Chithandizo cha mawonekedwe a zipsera
- Kukonza kapangidwe ka khungu
- Kupumula ndi kuchira
- Kusamalira thanzi la khungu
- Njira zopewera kukalamba
Chifukwa china chomwe chikuchititsa kuti chithandizo cha kuwala kofiira chifalikire kwambiri ndichakuti nthawi zambiri sichimawononga thanzi ndipo chimafuna nthawi yochepa yopuma. Mosiyana ndi njira zina zodzikongoletsera zomwe zingayambitse kuyabwa kapena kusasangalala, chithandizo cha kuwala kofiira nthawi zambiri chimawonedwa ngati njira yofatsa yoyenera kugwiritsidwa ntchito nthawi zonse.
Kusasinthasintha ndikofunikira kwambiri mukamagwiritsa ntchito mankhwala osamalira khungu omwe amayang'ana kwambiri thanzi labwino. Anthu ambiri sasintha mwachangu kapena modabwitsa mawonekedwe a keloid pambuyo pa magawo ochepa okha. Kuthandizira pang'onopang'ono kapangidwe ka khungu ndi mawonekedwe ake nthawi zambiri kumalumikizidwa ndi machitidwe omwe akuchitika kwa milungu kapena miyezi.
Nthawi yomweyo, ndikofunikira kukhala ndi ziyembekezo zenizeni. Chithandizo cha kuwala kofiira sichinapangidwe kuti chilowe m'malo mwa chithandizo cha akatswiri a khungu pa matenda oopsa a keloid. Zilonda zina zingafunike njira zachipatala monga jakisoni wa corticosteroid, laser therapy, chithandizo cha kuthamanga kwa magazi, kapena opaleshoni kutengera kuopsa kwake.
Anthu omwe ali ndi vuto la kuyabwa, matenda opatsirana, kapena zipsera zomwe zimasintha mofulumira ayenera kufunsa madokotala a khungu kapena akatswiri azaumoyo asanayambe kulandira chithandizo.
Chinthu china chofunikira pa chisamaliro cha zipsera ndikupewa kukwiya kwambiri. Kukanda kwambiri, kukanda, kapena kukhala padzuwa kungapangitse kuti zipsera ziwonekere kwambiri mwa anthu ena. Akatswiri ambiri osamalira khungu amalimbikitsa kuphatikiza njira zosamalira thanzi ndi mafuta oteteza ku dzuwa, madzi, ndi zinthu zosamalira khungu zofewa.
Makhalidwe a moyo angathandizenso kuti khungu lizichira bwino. Kugona mokwanira, kudya zakudya zoyenera, kuchepetsa kupsinjika maganizo, komanso kumwa madzi okwanira ndikofunikira kwambiri kuti khungu lizigwira ntchito bwino.
Ukadaulo wamakono wa kuwala kofiira ukupitilirabe kusintha ndi makina abwino a LED, kapangidwe kanzeru koziziritsira, ndi mapangidwe a ergonomic a chithandizo omwe amapanga zokumana nazo zabwino kwambiri za chithandizo kwa ogwiritsa ntchito padziko lonse lapansi.
Pamene chidwi cha padziko lonse lapansi pa chisamaliro cha khungu chosagwiritsa ntchito mankhwala osokoneza bongo chikupitirira kukula, chithandizo cha kuwala kofiira chikadali chimodzi mwa njira zodziwika bwino zochiritsira khungu komanso njira zochiritsira zomwe zimayang'ana kwambiri kuchira. Kaya chimagwiritsidwa ntchito pochiza mabala, khungu lokhala ndi mawonekedwe ake, kapena thanzi la khungu lonse, chithandizo cha kuwala kofiira chikukhala gawo lofala kwambiri la moyo wamakono wodzisamalira.
Kwa anthu omwe amafufuza njira zosamalira khungu zomwe zimayang'ana kwambiri thanzi la mabala a keloids, chithandizo cha kuwala kofiira chingapereke chithandizo chofatsa komanso chothandiza pazinthu zosamalira khungu nthawi yayitali zikaphatikizidwa ndi kusasinthasintha, zizolowezi zabwino, komanso upangiri waukadaulo pakafunika kutero.
