Isizathu esivamile sokubonisana ngokuhlinzwa kwepulasitiki nezimonyo, izibazi ziwumphumela wesilonda sesikhumba kulandela ukungenelela kokuhlinzwa noma ukulimala. Kunezinhlobo eziningana zezibazi kanye nokwelashwa okuhlukene ukuze kuncishiswe.

Ukubonakala kwesibazi kulandela isilonda se-dermis. Ngemuva kokuhlinzwa noma ukulimala, amaseli esikhumba asebenza ukuze alungise futhi aphulukise indawo. Lapho kuvalwa, isilonda sishiya isibazi, ukubukeka kwaso kuyehluka kuye ngokujula kokuhlukumezeka kwesikhumba.

Uma isibazi singapheli ngokuphelele, kukhona amasu angasiza ekunciphiseni.

Izinhlobo ezahlukene zezibazi

• I-retractile scar: kungenxa yokunciphisa indawo yesibazi futhi yakha intambo ye-fibrous, eqinile futhi ephakanyisiwe kancane uma iqhathaniswa nezinga lesikhumba esizungezile;
• Isibazi se-hypertrophic noma se-keloid esiphakanyisiwe;
• Isibazi se-hypotrophic esiyisibazi esingenalutho.

Izindlela zokwelashwa ezinikezwayo ngeke zifane kuye ngezibazi. Ukuhlolwa kokuqala kokucophelela komtholampilo kuyadingeka ukwenza ukuxilongwa futhi kuchaze inqubo efanelekile yesiguli.

UDokotela David Gonnelli, udokotela ohlinzayo oplastiki nobuhle eMarseille ugcizelela isidingo sokuhlukanisa isibazi esijwayelekile, "esilandela amafolda omzimba womuntu", kusuka esibondeni esingabukeki "esijwayelekile, kodwa esingatholakali kahle". Kulezi zimo ezimbili, "ukwelashwa kuwela ngaphakathi kwendawo yokuhlinzwa yezimonyo", kugcizelela uchwepheshe. Ngakolunye uhlangothi, isibazi se-pathological njenge-hypertrophic noma i-keloid "yisifo sangempela lapho kukhona khona ukwelashwa".

Ukubonakala kwesibazi kungashintsha phakathi nezinyanga ezimbalwa, noma ngisho neminyaka. Ngakho-ke kuyadingeka ukubala phakathi kwezinyanga eziyi-18 neminyaka emi-2 ngaphambi kokuqala ukwelashwa okuhloswe ngakho ukwehlisa isibazi. Kukholakala ukuthi lapho isibazi sinombala ofanayo nowesikhumba, singasabomvu futhi singasalume, inqubo yokuvuthwa kwesibazi iphelele.

Amasu amaningana angahlaseli angazanywa ngaphambi kokwenza i-aphoyintimenti yokuhlinzwa kwepulasitiki:

• i-laser, enconyelwe ikakhulukazi izibazi ze-acne ezingenalutho;
• ukuxebuka, kusebenza kahle ezibazini ezingaphezulu;
• ukubhucunga umzimba okufanele kwenziwe nguwe noma ngosizo lwe-physiotherapist;
• i-pressotherapy okufanele yenziwe uchwepheshe wezokunakekelwa kwempilo okuhlanganisa ukuthambisa isibazi ngokusicindezela;
• dermabrasion, okusho ukuthi isenzo sokugcotshwa kwesikhumba ukuze selashwe kusetshenziswa ithuluzi elikhethekile, elisetshenziswa uchwepheshe wezokunakekelwa kwempilo.

Kwezinye iziguli, ukuhlinzwa kuqukethe ukususa indawo yesibazi bese kufakwa endaweni yayo ngomthungo omusha owenzelwe ukuthola isibazi esingaqondakali. “Ezimweni eziningi, inqubo isebenzisa umugqa okhethekile wokusika, inqubo eklanyelwe 'ukuphula' i-eksisi eyinhloko yesibazi sokuqala. Isibazi sibe sesiqondiswa kabusha ngokwemigqa yemvelo yokuqina kwesikhumba ukuze kwehliswe ukungezwani okukhona enxebeni ”, kuchaza uDokotela Cédric Kron, udokotela ohlinzayo wezimonyo eParis endaweni ye-17th arrondissement.

Uma isibazi sikhulu kakhulu, amanye amasu angacatshangelwa:

• ukufakelwa kwezicubu;
• isigaxa sendawo ukumboza isibazi ngesikhumba esizungeze indawo.

I-Lipofilling ngokujova ngamafutha ukwenza ngcono ukubukeka kwesibazi

Umkhuba odumile wokukhulisa ibele, izinqe noma ukuvuselelwa kwezingxenye ezithile zobuso, ukugcwalisa i-lipofilling nakho kungagcwalisa isibazi esingenalutho futhi kuthuthukise ukunwebeka kwesikhumba. Amafutha akhishwa nge-liposuction ngaphansi kwe-anesthesia yendawo bese efakwa kwi-centrifuge ukuze kuhlanzwe ngaphambi kokuba iphinde ifakwe endaweni ezokwelashwa.

Ngemuva kokuhlinzwa, gwema ukugcizelela indawo ngangokunokwenzeka ukuze unciphise ukungezwani esibazini esihlinziwe phakathi nezigaba zokuphola ezihlukahlukene.

Udokotela ohlinzayo uzohlolwa njalo, ikakhulukazi kubantu abahlushwa izibazi ze-hypertrophic noma ze-keloid ukuze kutholakale ukuthi kungenzeka yini ukuphindeka kwalesi sifo.