Yuav Ua Li Cas Tshem Tawm Cov Nplaim Kom Zoo

Zoo Siab

• Yuav Ua Li Cas Tshem Tawm Feem Ntau Cov Nplaim
• Yuav Ua Li Cas Kom Tshem Tawm ntawm Sunken (Atrophic) Scars
• Yuav Ua Li Cas Kom Keloid Scars
• Yuav Ua Li Cas Kom Raised (Hypertrophic) Scars
• Yuav Ua Li Cas Raug Tshem Tawm Pob Ntseg
• Ntsuam xyuas rau

Lub sij hawm yuav kho tau tag nrho cov qhov txhab, tab sis nws tsis zoo rau kev tshem tawm lawv. Caws pliav tshwm sim thaum raug mob los ntawm txheej txheej saum toj ntawm daim tawv nqaij thiab nkag mus rau ntawm daim tawv nqaij, hais tias Neal Schultz, MD, kws kho mob tawv nqaij hauv New York City. Dab tsi tshwm sim tom ntej yog nyob ntawm koj lub cev cov lus teb collagen. Yog tias nws tsim cov khoom tsim nyog ntawm daim tawv nqaij kho cov protein no, koj yuav raug sab laug nrog ib qho chaw tiaj tus, faint caws pliav. Yog tias koj lub cev * tsis tuaj yeem* nruas kom muaj cov collagen txaus, koj yuav cua nrog qhov caws pliav. FYI: Nws yeej tsis ntxov dhau los pib tiv thaiv collagen hauv koj cov tawv nqaij. Koj tseem tuaj yeem sau cov protein ntawm cov hmoov collagen.

Tab sis yog tias koj lub cev churns tawm ntau dhau collagen? Koj nyob nraum nyam nrog qhov caws pliav tsa. Qhov ntawd tsis yog hais tias koj yuav tsim tib yam caws pliav txhua lub sijhawm koj raug mob, "tab sis tib neeg zoo li muaj lub siab xav ua qhov caws pliav qee txoj hauv kev," hais Diane Madfes, MD, tus pab kws tshaj lij kho mob hauv chav saib xyuas kab mob dermatology ntawm Mount Sinai Medical Center hauv New York City. Hauv lwm lo lus, yog tias koj muaj ib qho caws pliav, koj muaj feem yuav muaj lwm tus yav tom ntej.

Kev raug mob qhov chaw nyob hauv ib yam nkaus. Cov caws pliav ntawm lub hauv siab thiab lub caj dab zoo li yuav pom tseeb tshwj xeeb vim tias daim tawv nqaij nyias nyias, thiab daim tawv nqaij raug mob hauv qab lub duav tuaj yeem caws pliav tsis zoo vim xov tooj ntawm tes qeeb dua thiab tsis muaj ntshav ntws mus rau lub cev qis.

Raws li koj cov lus nug tseem kub hnyiab ntawm yuav ua li cas tshem tawm cov nti yog tias koj mob ntawm lawv? Hmoov zoo, tsis muaj teeb meem dab tsi ntawm qhov caws pliav uas koj muaj, muaj txoj hauv kev tshiab thiab siv tau los tshem tawm cov nti thiab tiv thaiv kom tsis txhob muaj qhov cim tseg. (Tsis tas li: Tsis txhob xav tias zoo li koj * muaj * kom zais koj qhov nti. Tus kws yees duab no, rau ib tus, yog ua rau lub cim tsis zoo los ntawm kev sib qhia cov dab neeg tom qab lawv.)

Yuav Ua Li Cas Tshem Tawm Feem Ntau Cov Nplaim

Thaum thawj qhov kev thuam tshwm sim, cov kauj ruam tseem ceeb tshaj plaws (tom qab ntxuav tas, tau kawg) yog ua kom cov tawv nqaij ua kom zoo, hais tias Mona Gohara, MD, tus kws tshaj lij kho mob dermatology ntawm Yale Tsev Kawm Ntawv Tshuaj Kho Mob. Ib puag ncig noo noo txhawb kev loj hlob xav tau rau txheej txheem kho. Contrary to nrov ntseeg, scabs ncua txoj kev kho, nws hais. (Related: Qhov Zoo Tshaj Plaws Cov Khoom Siv Kho Kom Zoo Dua Tshiab)

Roj-raws cov roj nplua nyeem ua haujlwm, ib yam nkaus thiab-tsis tas yuav tsum mus rau tshuaj pleev tshuaj pleev ib ce ib yam nkaus. Raws li kev tshawb fawb, tsis muaj qhov sib txawv ntawm tus kab mob sib kis ntawm qhov txhab kho nrog Vaseline thiab qhov txhab kho nrog cov tshuaj tiv thaiv kab mob tom khw, hais tias Dr. Gohara. "Yog tias muaj qhov xaws hauv lossis yog tawv nqaij qhib: lube, lube, lube."

Txhawm rau tshem tawm cov caws pliav, sim txo qis, ib yam nkaus, nws sau tseg. Tshwj xeeb tshaj yog nyob rau hauv cov ntaub ntawv sutures, tsawg lim txhais tau tias tsawg dua caws pliav. Siv koj lub nraub qaum piv txwv: Thaum cov kws kho mob tshem tawm cov qog nqaij hlav ntawm daim tawv nqaij nyob ntawd, lawv pom zoo kom cov neeg mob khaws lawv txhais caj npab kom ntau li ntau tau kom cov leeg nraub qaum tsis txav mus. Nws hais tias "Thaum cov leeg txav mus, qhov caws pliav tuaj yeem nthuav dav thiab nthuav dav (lo lus hu ua" ntses qhov ncauj ")," nws hais. "Cov haujlwm txhua hnub zoo li nkag mus rau hauv lub txee, tsav tsheb, thiab txhuam koj cov hniav ua rau muaj kev nruj txaus, yog li txhua yam haujlwm ntxiv yuav tsum raug txo kom tsawg. Nws yog qhov tseem ceeb los txheeb xyuas cov ntsiab lus ntawm kev lim hiam thiab zam lawv kom ntau li ntau tau. "

Thiab thaum qhov caws pliav tuaj yeem kho kom lub suab sib dua, tsaus dua, lossis liab dua ntawm daim tawv nqaij, tsis muaj * ntau * koj tuaj yeem ua rau qhov mob hypopigmentation (ua kom pom kev). Txhawm rau kom tsis txhob hyperpigmentation (tsau tsaus nti), siv lub cev dav dav-spectrum SPF 30 lossis siab dua txhua hnub, thiab rov ua dua txhua ob teev, nws hais. (Nws tseem tsim nyog sau cia tias tshuaj pleev thaiv hnub yuav tsis * ib txwm * txaus los tiv thaiv koj cov tawv nqaij los ntawm tshav ntuj.) Cov kua nplaum nrog cov hydroquinone, vitamin C, kojic acid, retinol, kua, licorice paus, thiab txiv hmab txiv ntoo extract tuaj yeem ploj mus darkened cov cim, nws hais.

Txwv tsis pub, yuav ua li cas kom tshem tau cov caws pliav yuav nyob ntawm seb hom caws pliav uas koj tab tom nrhiav kom tshem tawm thawj qhov chaw. Ntawm no, plaub hom caws pliav, ntxiv rau txoj hauv kev zoo tshaj plaws los (cia siab) tshem tawm txhua.

Yuav Ua Li Cas Kom Tshem Tawm ntawm Sunken (Atrophic) Scars

Atrophic caws pliav tshwm sim thaum koj plam daim tawv nqaij thiab koj lub cev tsis tuaj yeem rov tsim nws, yog li koj nyob nrog kev nyuaj siab. Lawv feem ntau tshwm sim los ntawm qhov tsis zoo ntawm pob txuv lossis kab mob pox-los yog los ntawm qhov txawv txav ntawm qhov tshem tawm. Kev tshem tawm cov nti no yog nyob ntawm hom cim atrophic uas koj muaj.

Cov tsos mob ntawm cov dej khov: Lawv yog cov me me, sib sib zog nqus, thiab nqaim, thiab feem ntau raug kho los ntawm kev txiav tawm. Dennis Gross, MD, kws kho mob dermatologist hauv New York City hais tias "Muaj cov kab ntsug ntawm cov caws pliav txav mus rau hauv qab ntawm qhov caws pliav, txuas nws mus rau qhov tob ntawm daim tawv nqaij," hais tias Dennis Gross, MD. Koj tus kws kho mob yuav thab thaj chaw, txiav ib ncig thiab tshem tawm qhov caws pliav, thiab kaw qhov kev txiav nrog ib lub plooj. Tab sis ntawm no yog qhov ntes: Cov txheej txheem no yuav tawm qhov caws pliav. "Koj tab tom ua lag luam khaws cov caws pliav rau qhov caws pliav zoo," hais tias Dr. Gross.

Koj tseem tuaj yeem hno qhov caws pliav nrog tus muab tub lim, xws li Juvéderm lossis Belotero Balance. "Qhov no yuav pab ua kom lub qhov taub," hais tias kws phais yas Sachin M. Shridharani, MD, tus tsim Luxurgery hauv New York City. "Tab sis tus muab tub lim yuav nyob ntev li rau rau rau 12 lub hlis xwb."

Boxcar nti: Lawv muaj ntxhab, txhais ciam teb thiab hauv qab tiaj tus. Ib txoj hauv kev kom tshem tawm qhov caws pliav yog subcision, uas cuam tshuam nrog cov caws pliav ntawm daim tawv nqaij rov qab nrog rab koob kom thaj tsam tsis muaj kev ntxhov siab ntxiv lawm. Koj tuaj yeem muaj qee qhov nqaij tawv txog li ib lub lim tiam.

Lwm qhov kev xaiv: ablative lasers (txhais tau tias lawv ua rau cov tawv nqaij puas tsuaj) hu ua CO2 lossis erbium, "uas tuaj yeem muab cov txiaj ntsig zoo rau koj," hais tias Dr. Gross. Lawv ob leeg ua haujlwm los ntawm kev ua qhov hauv qhov caws pliav kom tsim cov collagen tshiab. Cov neeg feem coob xav tau peb kev kho mob. Lasers tuaj yeem ua rau mob, tab sis lub loog loog yuav siv lub ntug tawm. "Thiab koj yuav muaj qee qhov liab thiab ua rau tawv nqaij txog li 10 hnub yog tias koj tau txais kev kho CO2 lossis txog xya hauv qhov xwm txheej erbium," hais tias Dr. Madfes.

Rolling nti: Qhov kawg atrophic caws pliav, ib qho caws pliav, yog qhov dav thiab craterlike nrog dov npoo. "CO2 lossis lasers erbium feem ntau siv thaum qhov caws pliav hnyav, tab sis yog tias muaj caws pliav ntau dua, Fraxel lossis picosecond lasers tuaj yeem ua haujlwm tau zoo," hais tias Dr. Shridharani. Cov lasers nonablative no tshem tawm cov nti los ntawm zawm tawv nqaij thiab txhawb kev loj hlob collagen. Txij li thaum lawv tsis perforate ntawm daim tawv nqaij, koj yuav tsuas muaj ib ntus liab.

Yuav Ua Li Cas Kom Keloid Scars

Keloids tsis yog tsuas yog tsa xwb tab sis kuj siv cov cuab yeej cuab tam ntxiv uas feem ntau loj dua thiab ntev dua qhov qub qhov txhab. Keloids tuaj yeem ua rau tawv nqaij tawv kom tshem tawm, yog li qee zaum tib neeg pov txhua yam rau lawv, "hais tias Dr. txheej ntawm qhov caws pliav (sim Mederma Scar Cream Plus SPF30: Yuav Nws, $ 10, amazon.com) Hauv yim lub lis piam koj yuav pom qee qhov kev txhim kho.

Cov ntawv silicone thiab cov lasers tuaj yeem ua tau zoo ib yam, hais tias Dr. Gross, tab sis kev txhaj tshuaj cortisone zoo li ua haujlwm zoo dua. Koj tseem tuaj yeem txhaj keloids nrog ob leeg cortisone thiab 5-fluorouracil (5-FU), tshuaj tua kab mob qog noj ntshav uas tiv thaiv kev nthuav dav ntawm cov cell hu ua fibroblasts, uas tsim cov collagen, hais tias Dr. Madfes.

Kev xaiv kawg rau tshem tawm cov nti: txiav lawv tawm. Txij li thaum koj ib txwm tshem tawm thaj chaw loj no, koj yuav nyob nrog lwm tus, vam tias, me dua, caws pliav.

Yuav Ua Li Cas Kom Raised (Hypertrophic) Scars

Raised nti yog hypertrophic nti. Koj lub cev yuav tsum tau hloov tawm collagen ntau lawm ib zaug ib qho kev raug mob zoo, tab sis qee zaum nws tsis tau txais cov ntawv sau tseg thiab ua kom tso tawm cov collagen kom txog thaum koj sab laug nrog lub cim tsa. Qhov xov xwm zoo yog qhov ntsuas ntshav siab paub txog lawv thaj tsam - lawv tsis nthuav dav dhau qhov qub hneev taw ntawm lub qhov txhab. Lawv tuaj yeem yog paj yeeb (txhais tau tias qhov caws pliav tshiab dua thiab tshiab dua) lossis phim koj cov tawv nqaij.

OTC silicone thaj ua rau thaj zoo li ScarAway Silicone Scar Sheets ($ 22, walgreens.com) tuaj yeem pab ua kom qhov caws pliav "los ntawm kev siv lub siab rau thaj tsam thiab ua kom nws muaj dej txaus," hais tias Dr. Schultz. Txhawm rau tshem tawm qhov caws pliav, koj yuav tsum tau tawm daim ntawv nplaum rau ntawm qhov caws pliav thaum hmo ntuj, txhua hmo, txog peb lub hlis.

Koj tuaj yeem muaj koj lub derm txhaj cortisone ncaj qha rau hauv qhov caws pliav. "Cortisone zoo li yuav qeeb collagen ntau lawm thiab yaj tawm cov collagen ntau dhau," hais tias Dr. Schultz. CO2 thiab lasers erbium tuaj yeem ua tau zoo ib yam vim tias txawm tias lawv nce collagen, lawv kuj tseem kho nws, uas ua rau txo qis puffiness. "Nws zoo li rov pib kho lub computer-nws pib kho kom zoo," hais tias Dr. Schultz.

Yuav Ua Li Cas Raug Tshem Tawm Pob Ntseg

Ntxau ntxau txaus txaus thaum lawv tshwm sim. Tab sis tom qab ntawd kom raug kev txom nyem los ntawm qhov khoom plig uas tseem muab rau hauv daim ntawv caws pliav? Tsis ua tsaug. Ua tsaug muaj ntau txoj hauv kev kom tshem pob txuv nti, ib yam. Bellafill yog daim ntawv tso rau ntawm daim tawv nqaij pom zoo rau kev kho ntawm qhov nruab nrab mus rau qhov hnyav, atrophic, qhov muag pom qhov muag pob txuv ntawm lub hauv pliaj hauv cov neeg mob hnub nyoog 21 xyoos, hais tias Dr. Gohara. "Nws tuaj yeem siv ib leeg lossis ua ke nrog cov lasers xws li Fraxel uas pab rov ua dua daim tawv nqaij."

Microneedling-cov koob me me ua rau me me hauv daim tawv nqaij kom collagen tuaj yeem tsim thiab txawm tias tawm ntawm lub ntsej muag-yog lwm qhov kev xaiv rau kev tshem tawm pob txuv nti, nws hais.

Xav kom nws yooj yim? Microdermabrasion lossis txawm tias cov khoom siv tshuaj pleev xim retinol (ntawm no yog cov khoom zoo tshaj plaws rau txhua hom tawv nqaij) tuaj yeem txo qis kev tawm tsam thiab kev nyuaj siab los ntawm cov blemishes yav dhau los, sau tseg Dr. Gohara. (Related: Cov 7 Cov Khoom Siv Yuav Fade Koj Cov Pob Txha Pob Txha Hauv Lub Sijhawm Teev Tseg)

Ntsuam xyuas rau