It is inevitable that there will be bumps and bruises in life that cause some injuries and wounds on your body. Some people will leave scars even if the wounds are very shallow. This is the result of a scar-prone constitution. People with a scar-prone constitution are prone to scarring, so care methods also need to be paid attention to. For example, keloids need to be treated with injection therapy. At present, there are many drugs used to treat scars, and corticosteroids are the most commonly used in clinical practice. In addition, there are polypeptide growth factors, calcium channel blockers, anti-free radical preparations, retinoids, antihistamines and anti-tumor drugs. It should be recognized that drug therapy is only an organic part of the comprehensive treatment of scars, and its role should not be exaggerated, especially for patients with keloids. Adrenal cortical hormones include glucocorticoids, mineralocorticoids, etc. Among them, glucocorticoids have anti-inflammatory, antiviral, anti-shock and other functions, and have obvious anti-tissue fibrosis effects. At present, the most effective glucocorticoid for anti-scar hyperplasia is triamcinolone-A. Acetonide, other common translation names include triamcinolone, triamcinolone acetonide, triamcinolone acetonide, Kangliketong-A, etc.), the commercial preparation is called Kangningketong (Kenacort), which is currently the most commonly used corticosteroid drug for scar injection. It is generally believed that triamcinolone-A can inhibit the proliferation of fibroblasts, reduce the synthesis of collagen, increase the degradation of collagen, and promote the apoptosis of fibroblasts, thereby exerting its effect in treating scars. Triamcinolone acetonide (Corningol A) Use 1ml (40mg) of triamcinolone acetonide, add 2ml of 2% lidocaine, disinfect the affected area, insert the needle from the edge of the scar in a direction almost parallel to the surrounding skin surface, and inject the drug evenly and slowly into the lesion until the swelling turns white, about 0.3ml/cm2. If the scar area is large and one vial of medicine is not enough to inject the entire scar, the scar should be treated in multiple times. Initially, the injection is given once every 2 weeks, and the interval is then appropriately extended, with 4 injections constituting a course of treatment. The efficacy is determined 2 to 4 weeks after a complete course of treatment, and the patients are followed up for half a year. Strictly follow the indications and contraindications. It is contraindicated for patients with diabetes, ulcer disease, tuberculosis and those with a tendency to infection. The patient's medical history should be understood before treatment. Those with fever, tuberculosis, or decreased resistance should not be injected to avoid the spread of infection. During treatment, it is important to note that in addition to not injecting the drug into the surrounding normal skin tissue, due to the high tension of keloids, it is important to connect the syringe and needle tightly during injection to prevent the drug from spraying out. Since the injection is generally slow, the syringe must be shaken frequently during the injection process to prevent the drug from settling and being unable to be injected at a uniform concentration. After the injection, the scar should not be exposed to water for 1 day to avoid infection. Smooth skin has always been what everyone pursues, so friends with scar-prone constitution are advised to be careful not to be injured by sharp objects. After being injured, they should pay attention to the treatment of the wound, otherwise the scars will affect the appearance to a certain extent. At the same time, pay attention to going to a regular hospital for injection treatment, and the concentration of the injected drug needs to be determined according to personal conditions. |
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