Hypertrophic scar - Hipertrofična Brazgotina
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Hipertrofična Brazgotina (Hypertrophic scar) ― 4 mesece po
References
Hypertrophic scarring je vrsta neuspešnega celjenja ran. Pogosto se zamenjuje s keloidnimi brazgotinami, vendar niso enake. Pri hipertrofičnem brazgotinjenju se dodatno tkivo nabere le znotraj prvotnega območja rane. Po drugi strani pa se keloidi razširijo preko meja rane.
Hypertrophic scarring represents an undesirable variant in the wound healing process. Another variant of wound healing, the keloid scar, is often used interchangeably with hypertrophic scarring, but this is incorrect. The excess connective tissue deposited in hypertrophic scarring is restricted to the area within the original wound. The excess connective tissue deposited in the keloid, however, extends beyond the area of the original wound.
Hypertrophic scarring represents an undesirable variant in the wound healing process. Another variant of wound healing, the keloid scar, is often used interchangeably with hypertrophic scarring, but this is incorrect. The excess connective tissue deposited in hypertrophic scarring is restricted to the area within the original wound. The excess connective tissue deposited in the keloid, however, extends beyond the area of the original wound.
Poškodbe pogosto pustijo brazgotine kot del procesa celjenja. V idealnem primeru bi morale biti brazgotine ravne, ozke in se ujemati z barvo kože. Različni dejavniki, kot so okužba, omejen pretok krvi in travma, lahko upočasnijo celjenje. Dvignjene, temnejše ali tesnejše brazgotine lahko povzročijo funkcionalne in čustvene težave.
Scars are a natural and normal part of healing following an injury to the integumentary system. Ideally, scars should be flat, narrow, and color-matched. Several factors can contribute to poor wound healing. These include but are not limited to infection, poor blood flow, ischemia, and trauma. Proliferative, hyperpigmented, or contracted scars can cause serious problems with both function and emotional well-being.
Scars are a natural and normal part of healing following an injury to the integumentary system. Ideally, scars should be flat, narrow, and color-matched. Several factors can contribute to poor wound healing. These include but are not limited to infection, poor blood flow, ischemia, and trauma. Proliferative, hyperpigmented, or contracted scars can cause serious problems with both function and emotional well-being.
hipertrofična brazgotina (hypertrophic scar) so rdeče in debele ter lahko srbijo ali boleče. Hipertrofična lezija ne sega čez mejo prvotne rane, vendar se lahko še naprej debeli do šest mesecev. hipertrofična brazgotina (hypertrophic scar) se običajno izboljša v enem ali dveh letih, vendar lahko povzroči stisko zaradi svojega videza ali intenzivnosti srbenja. Prav tako lahko omejujejo gibanje, če se nahajajo blizu sklepa.
Stalne hipertrofične lezije je mogoče zdraviti z injekcijami kortikosteroidov.
○ Zdravljenje
Hipertrofične brazgotine se lahko izboljšajo s 5 do 10 intralezionalnimi injekcijami steroidov v 1-mesečnem intervalu.
#Triamcinolone intralesional injection
Lasersko zdravljenje se lahko poskusi za eritem, povezan z brazgotinjenjem, vendar lahko injekcije triamcinilona tudi izboljšajo eritem tako, da sploščijo brazgotino.
#Dye laser (e.g. V-beam)