what and how keloid?
keloid caused the wound healing process does not produce a scar (skin wounds network) is good. Injury referred to as shoot wound, piercing, tattoo, slice, the former operation, and so forth.
this was initially good, but because of the healing process continues, make keloid. Wound healing process itself includes 3 stages. First, inflamasi, lasts 1-5 days. Second, fibrolast, lasted 5 days-3 sunday. Third, maturasi, held sunday 3-6 months, can also for many years.
In keloid, this third stage, continue to run because the body continues to move regangan, and thus there is pressure on some part of it. In fact, in wound healing, the body must quiet.
Although only take place in the layer of skin epidermis and dermis, if not treated immediately, will be thick keloid. Originally a small wound, after a long time to open out to the fringe of injury and eventually grow above the prominent initial injury. Location appear in many breast, ear, shoulder, and thigh .
"People will not die because the keloid, but this reduces the aesthetic appearance and not feeling comfortable because the itchiness and pain. Wounded consecutive scratching the wound healing process is not finished so broad keloid and stimulate new injury," said dr gwendy.
Causes
There are three factors spark the emergence of keloid. First, the genetic factors that influence reaches 80 percent. Second, hormonal factors, such as pubertas, menstruasi, and menopause. Third, factors pigmentasi. The higher the pigment (hiperpigmentasi), the higher the likelihood of keloid arise, such as people of color.
Healing
Keloid indeed can not be total. However, a comprehensive business recovery will be slow growth rate. Range of treatment, as follows:
1. The emphasis, of which three can be selected, namely:
- Swelled with the press and elastic banded.
- Splint (splinting), used in particular regions, such as hands and feet for 3-sunday 3 months. The goal is not so much the activity body felt so calm.
- Sheets Silicon (silicon sheet), thicker texture of plaster.
- Intralesi with the injection of kortikosteroid (substances that prevent medication wound healing process). Kortikosteroid provided with a certain dose periodically to permanently reduced if keloid start low.
2. Topikal (cream)
Cream contains kortikosteroid be smeared on the wound every day, 2-3 times a day. The product contains cream kortikosteroid, is bleomycin, kenakort, and Mederma.
3. Operation
There are two options keloid surgery. The first option, the entire operation to remove keloid in which the risk is that the network must keep the skin healthy tension suture surgery. The second option, operating the only perifer still remain part to lock the wound healing process.
- Pulse Laser Die, action thermolysis or treatment with the searing heat.
- Creo surgery, so it does not freeze keloid to grow in these locations.
- Ray radiation, aimed at preventing the process of healing wounds that are not perfect. Ray radiation is given with a maximum total power in 1500 yacht for 5 days respectively, adjusted to the level of illness keloid
