Earlier due to a traffic accident a year ago left two small keloid scars on the patient's knee.
A month before admission, she went to a spa in Ho Chi Minh CitykeloidBy triamcinolone injection method (a skin injection treatment for keloids and atopic dermatitis, arthritis ...).However, as a result, from two tiny keloid notes, after the injection of the medicine to treat scars, her knee area has been spread as the hand.
This is only one of the countless cases of arbitrary injection of corticosteroids on the scar area, leading to unwanted complications.Most of these cases are only bad scars or scars that are in the period of repair and recovery, because they want to be injected with flat scars, more beautiful scars such as advertising at some spas and beauty salons today.However, there is a heartbreaking truth that most of these scars are wrongly diagnosed because most of them are not keloids, leading to unfortunate complications.
Only keloid scars are pathological conditions that need treatment but many people often misdiagnose
According to Dr. Do Thien Dan (laser treatment area, Head of Experimental Medicine Department, Military Central Hospital 108), many people often think that the scar floating on the skin surface, immediately think that it isKeloid scars.The reality is not so.
According to statistics of the World Health Organization, at least 100,000,000 new scars in the world have new scarring every year.Among the hundreds of millions of new scars each year not everyone encounters keloids.The rate of keloid scars is very small, accounting for 5-15%.The remaining are the scars that have normal developments orhypertrophic.
Dr. Dan said that the development of normal scars will be after injury will have a process of healing quickly or slowly, replacing wounds with scars."The scar is always higher than the skin and this is very normal. After that, the body has the process of repairing scars, helping scars almost similar to normal skin color.It usually takes about 3-6 months ".
Dr. Dan said that the development of normal scars will be after injury will have a process of healing quickly or slowly, replacing wounds with scars.
If after 3-6 months, the scar will continue to enlarge, this is considered an abnormal development.Abnormal manifestations may be concave scars gradually or protruding.In the form of enlargement, it may be hypertrophic scars (only appearing for a certain time, usually in the first 9 months to the first year after forming scars), or keloids (if the scar continues to be bigger forever,For example, from a tiny scar like needle that grows bigger, causing pain, itching).
"Only when identifying keloids, the patient is assigned to treat the pathology. However, many people are equating any type of scar into keloids, leading to inappropriate treatment.Especially now, many spas, beauty facilities see customers with scars with the need to apply corticoid injection method, leading to harmful shortcomings.Normal care is normal. ", Dr. Dan affirmed.
Identify the correct type of scar, from which the doctor will give the correct treatment
Only a few subjects with keloid scars and hypertrophic scars need preventive treatment.The first prophylaxis is also not using corticosteroids."This is just the last option, only when it is certain that the correct diagnosis is the new keloid., experts emphasize.
Absolutely not use corticosteroids in the treatment of new scars, hypertrophic scars.
The doctor added that even when using corticosteroids to treat keloids is not used alone, especially with large scars, wide scars.If only used for corticosteroids, it means that the patient is taking high doses, undergoing a prolonged treatment will lead to many local side effects (concave scars, vasodilation in scars, hyperpigmentation, hyperpigmentation,Reducing pigmentation in the scar area) as well as the whole body (reducing resistance leading to an increased risk of fungal infections, infections, stomach pain, most women suffer fromMenstrual disorders...).
The goal of the doctor is to make abnormal scars into normal scars, which has just increased the effectiveness of treatment and reduces the side effects of the drug with many combined measures.For example, with a young scar, one can combine lasers with corticosteroids, surgery with corticosteroids ...
Immediately after the wound formed scars, the doctor needs to prevent prophylaxis so that the scar does not become abnormal, ensuring safety and effectiveness during treatment.There are many different solutions, in which silicon prophylaxis is ranked at the top of the table thanks to its outstanding advantages such as extremely safe, highly effective.
If the scar is on a large scale such as a burn scar, the doctor may not stick silicon but can use pressed tape.For small keloid scars, not too hypertrophic can use laser ... With too big scars can combine scar removal in cosmetic surgery without tension, laser surgery combined with corticoid injectionEffective.