{"id":299,"date":"2024-09-26T11:11:44","date_gmt":"2024-09-26T11:11:44","guid":{"rendered":"https:\/\/saatall.com\/?p=299"},"modified":"2025-07-09T12:42:07","modified_gmt":"2025-07-09T12:42:07","slug":"keloid","status":"publish","type":"post","link":"https:\/\/drfatmaerden.com\/keloid\/","title":{"rendered":"Keloid"},"content":{"rendered":"
KABARIK YARA \u0130ZLER\u0130: YAN\u0130 KELO\u0130D VEYA H\u0130PERTROF\u0130K SKARLAR<\/strong><\/div>\n
Evde veya ev d\u0131\u015f\u0131nda birtak\u0131m kazalar sonras\u0131, etkilenen v\u00fccut b\u00f6lgemizde kal\u0131c\u0131 izler geli\u015febilmektedir. Sadece fiziksel anlamda k\u0131s\u0131tlamalar d\u0131\u015f\u0131nda estetik a\u00e7\u0131dan ve ka\u015f\u0131nt\u0131, yanma, ac\u0131ma gibi semptomatik \u015fikayetlere de sebep olabilmektedir. Hele bir de hipertrofik skar dedi\u011fimiz kabar\u0131k ise.<\/div>\n
Etkilenen b\u00f6lgede olu\u015fan hasar, v\u00fccut taraf\u0131ndan yara iyile\u015fmesi dedi\u011fimiz olay ile onar\u0131lmaya \u00e7al\u0131\u015f\u0131l\u0131r.<\/div>\n
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YARA \u0130Y\u0130LE\u015eME S\u00dcREC\u0130 NASIL GER\u00c7EKLE\u015e\u0130R?<\/strong><\/div>\n
Normal yara iyile\u015fme s\u00fcrecinde; fibroblastlar, inflamasyon denilen yang\u0131, proliferasyon denilen \u00e7o\u011falma ve mat\u00fcrasyon dedi\u011fimiz olgunla\u015fma, a\u015famalar\u0131ndan ge\u00e7erek bu s\u00fcreci y\u00fcr\u00fct\u00fcr.<\/div>\n
Bu s\u00fcre\u00e7te, ilk olarak, l\u00f6kosit ve makrofaj h\u00fccreleri, enfeksiyonu \u00f6nlemek i\u00e7in yaray\u0131 h\u00fccresel kal\u0131nt\u0131 ve bakterilerden temizler.<\/div>\n
Daha sonra, fibroblastlar, dokuya gerilme kuvvetini ve yap\u0131s\u0131n\u0131 veren kolajen \u00fcretir. Yara yeri gran\u00fclasyon dokusu ile dolar ve kenarlar, epitelizasyona izin veren miyofibroblastlar\u0131n hareketlili\u011fi ile b\u00fcz\u00fcl\u00fcr. B\u00f6ylece, yara yeri kapat\u0131lm\u0131\u015f olur.<\/div>\n
Yara iyile\u015fmesinin son a\u015famas\u0131nda, kolajen lifleri genel gerilme kuvvetini iyile\u015ftirmek i\u00e7in yeniden \u015fekillenir. Bu normal iyile\u015fme s\u00fcrecidir ve bu s\u00fcrecin bozulmas\u0131, Hipertrofik veya Keloid yara izlerinin olu\u015fumuyla sonu\u00e7lan\u0131r.<\/div>\n

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KELO\u0130D GEL\u0130\u015e\u0130M\u0130N\u0130 \u0130\u00c7\u0130N R\u0130SK FAKT\u00d6RLER\u0130 VAR MI?<\/strong><\/div>\n
A\u015f\u0131r\u0131 yara iyile\u015fme dokusu; cinsiyet tercihi g\u00f6stermez, ancak esas olarak Afrikal\u0131 Amerikal\u0131lar, Asyal\u0131lar ve Hispanikler gibi daha gen\u00e7 bireylerde ve daha koyu tenli etnik gruplarda ortaya \u00e7\u0131kar.<\/div>\n
Di\u011fer risk fakt\u00f6rleri; ki\u015fisel a\u015f\u0131r\u0131 yara izi \u00f6yk\u00fcs\u00fc, ailede hipertrofik veya keloid \u00f6yk\u00fcs\u00fc ve bir yara b\u00f6lgesinde ya da \u00e7evresinde iltihaplanma yer al\u0131r.<\/div>\n
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V\u00dcCUDUMUZUN HANG\u0130 B\u00d6LGELER\u0130N\u0130 ETK\u0130LER?<\/strong><\/div>\n
Lezyonlar, fiziksel travman\u0131n meydana geldi\u011fi cilt y\u00fczeyinde herhangi bir yerde bulunabilir; ancak kulak memeleri, y\u00fcz, kollar, omuzlar, s\u0131rt ve g\u00f6\u011f\u00fcs en s\u0131k etkilenen anatomik yerlerdir.\u00a0 Hipertrofik yara iyile\u015fmesi, beyaz-pembe renklidir ve orijinal yaran\u0131n kenarlar\u0131 boyunca devam eder. Buna kar\u015f\u0131l\u0131k, keloid lezyonu, koyu k\u0131rm\u0131z\u0131-mor renklidir ve yaran\u0131n orijinal s\u0131n\u0131rlar\u0131n\u0131n \u00e7ok \u00f6tesinde \u00e7o\u011falma, ta\u015fma kapasitesine sahiptir.<\/div>\n
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TEDAV\u0130 NEDEN\u0130 \/ AMACI<\/strong><\/div>\n
Hipertrofik veya keloid yara izleri i\u00e7in, tedavi tercih etme nedenleri aras\u0131nda kozmetik \u015fekil bozuklu\u011funun yaratt\u0131\u011f\u0131 psikolojik stres veya a\u011fr\u0131 ve ka\u015f\u0131nt\u0131 gibi fiziksel \u015fikayetler ve estetik g\u00f6r\u00fcnt\u00fc yer al\u0131r.<\/div>\n
Anormal yara iyile\u015fmesinden kaynaklanan bu izler; k\u0131zar\u0131kl\u0131k, a\u011fr\u0131, ka\u015f\u0131nt\u0131 gibi \u015fikayetler yapabilir veya fonksiyonel k\u0131s\u0131tlamalar gibi etkilenen b\u00f6lgenin fizyolojisini ve esteti\u011fini bozabilir ve sonu\u00e7ta hastan\u0131n ya\u015fam kalitesini etkileyebilir.<\/div>\n
Anormal yara izi ile ili\u015fkili \u015fikayetleri azaltmak ve klinik g\u00f6r\u00fcn\u00fcm\u00fc iyile\u015ftirmek i\u00e7in bir\u00e7ok tedavi uygulanabilmektedir.<\/div>\n
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TEDAV\u0130 SE\u00c7ENEKLER\u0130<\/strong><\/div>\n
Masaj, nemlendirici ajanlar, \u00e7e\u015fitli farmakolojik ajan (kalsiyum kanal blokeri ila\u00e7lar), cerrahi eksizyon, t\u0131kay\u0131c\u0131 pansumanlar, topikal ve lezyon i\u00e7ine enjeksiyon \u015feklinde kortikosteroidler, interferon, 5- florourasil, kriyoterapi, radyasyon, bas\u0131n\u00e7 tedavisi, fraksiyon karbondioksit lazer tedavisi, vask\u00fcler lazerler, retinoik asit ve silikon jel kaplama gibi skar tedavisi i\u00e7in tek ba\u015f\u0131na veya \u00e7e\u015fitli kombinasyonlarda kullan\u0131lmaktad\u0131r.<\/div>\n
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Yeni yakla\u015f\u0131m tedaviler olarak da botulinum toksini enjeksiyonu olan mikro botox ve enzimatik tedaviler vard\u0131r.<\/div>\n
Botulinum toksini enjeksiyonu, iyile\u015fen yaradaki kas gerginli\u011fini azaltarak hipertrofik skardan kaynakl\u0131 fibroblastlar\u0131n aktivitesini d\u00fczenler ve yara y\u00fcz\u00fcndeki skarla\u015fmay\u0131 azalt\u0131r. Ayr\u0131ca; baz\u0131 mediat\u00f6rlerin miktar\u0131n\u0131 azaltarak a\u011fr\u0131, yanma gibi \u015fikayetleri azalt\u0131lmas\u0131n\u0131 da sa\u011flar. Bu nedenle \u00f6zellikle \u015fiddetli a\u011fr\u0131, yanma tarif eden hastalar\u0131m\u0131n \u015fikayetlerini yat\u0131\u015ft\u0131rma konusunda s\u0131k tercih etti\u011fim bir tedavi se\u00e7ene\u011fidir.<\/div>\n
Deriden kabar\u0131k \u015fekilde ise 5- florourasil (5-FU) enjeksiyonlar\u0131 ile k\u00fc\u00e7\u00fcltme tedavisinde, fibroblastlar gibi h\u0131zla \u00e7o\u011falan h\u00fccreler durdurulur ve skar bozulmas\u0131 te\u015fvik edilir.\u00a0 Kemoterap\u00f6tik bir ila\u00e7 olan 5-fluorourasil, inat\u00e7\u0131 hipertrofik ve keloid lezyonlar i\u00e7in iyi bilinen bir tedavi se\u00e7ene\u011fidir. Mevcut kan\u0131tlar ile hipertrofik ve keloid yara izlerinin g\u00f6r\u00fcn\u00fcm\u00fcn\u00fc, \u00f6nemli \u00f6l\u00e7\u00fcde iyile\u015ftirebilece\u011fi ve tekrarlama \u015fans\u0131n\u0131 azaltabilece\u011fi, hipertrofik ve keloid yara izlerinin tedavisi i\u00e7in g\u00fcvenli ve pratik bir tedavi oldu\u011funu g\u00f6sterilmi\u015ftir.<\/div>\n
Enzimatik tedavi; i\u00e7eri\u011finde bulunan enzimler sayesinde (Kolajeniz); yanl\u0131\u015f \u015fekillenmi\u015f kolajen liflerinin y\u0131k\u0131m\u0131n\u0131 sa\u011flarken yeni kolajen \u00fcretimi i\u00e7in de fibroblast denen h\u00fccreleri uyararak yara izi tedavisinde uygulan\u0131r.<\/div>\n
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\ud83d\udcccHangi tedavi daha ba\u015far\u0131l\u0131? \u2696\ufe0f<\/div>\n
\ud83d\udc49Tedavi ba\u015far\u0131s\u0131n\u0131; yara izinin b\u00fcy\u00fckl\u00fc\u011f\u00fc, olgunlu\u011fu, bireyin yara iyile\u015fmesine yan\u0131t\u0131, sigara gibi al\u0131\u015fkanl\u0131klar\u0131 etkiler.<\/div>\n
\ud83d\udccc%100 ba\u015far\u0131 m\u00fcmk\u00fcn m\u00fcd\u00fcr?<\/div>\n
\ud83d\udc49Uygulanan bu tedaviler %100 ba\u015far\u0131 vadetmez. Fakat; hastan\u0131n beklentisini de g\u00f6z \u00f6n\u00fcne alarak bu orandan s\u00f6z etmek daha uygun bir yakla\u015f\u0131m. Sadece k\u0131zar\u0131kl\u0131k, a\u011fr\u0131, ka\u015f\u0131nt\u0131 \u015fikayeti olan veya fonksiyonelli\u011fi etkilenen hastalar i\u00e7in, hasta memnuniyet oranlar\u0131 daha fazlad\u0131r.<\/div>\n
\ud83d\udc49\u00d6zellikle kombine ve yeni tedaviler, estetik a\u00e7\u0131dan daha g\u00fczel sonu\u00e7lar verebilmektedir.<\/div>\n","protected":false},"excerpt":{"rendered":"

KABARIK YARA \u0130ZLER\u0130: YAN\u0130 KELO\u0130D VEYA H\u0130PERTROF\u0130K SKARLAR Evde veya ev d\u0131\u015f\u0131nda birtak\u0131m kazalar sonras\u0131, etkilenen v\u00fccut b\u00f6lgemizde kal\u0131c\u0131 izler geli\u015febilmektedir. Sadece fiziksel anlamda k\u0131s\u0131tlamalar d\u0131\u015f\u0131nda estetik a\u00e7\u0131dan ve ka\u015f\u0131nt\u0131, yanma, ac\u0131ma gibi semptomatik \u015fikayetlere de sebep olabilmektedir. Hele bir de hipertrofik skar dedi\u011fimiz kabar\u0131k ise. Etkilenen b\u00f6lgede olu\u015fan hasar, v\u00fccut taraf\u0131ndan yara iyile\u015fmesi dedi\u011fimiz […]<\/p>\n","protected":false},"author":1,"featured_media":300,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-299","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dermatolojik-tedaviler"],"yoast_head":"\nKeloid Nedir? 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