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Keloid Injection 增生性疤痕、蟹足腫治療

What is Keloid?

蟹足腫針是以皮下注射類固醇成分的方式,達到治療的效果。在接受類固醇針劑注射之後,肥厚的蟹足腫疤痕會漸漸軟化、平坦,可減緩痛癢的情形,這是目前最簡單、效果最顯著的治療方式;但此療並不會使疤痕永久消失,仍易復發,可作為蟹足腫患者之輔助療法。注射治療每隔2-4周注射一次,通常要經過數次的注射才能讓疤痕平復,實際注射次數要看疤痕的大小、硬度、厚度與反應效果而定。

注射注意事項

  • 無任何特殊禁忌,除非對於類固醇會過敏的特殊體質。
  • 蟹足腫的潛伏期約受傷後2-8週,開始是淡紅或鮮紅色伴毛細血管擴張,數個月至數年持續長大,病灶邊緣有深紅色的突出物,並伴隨著刺痛、劇癢等不舒服感
  • 接受治療前,必須先辨別診斷蟹足種與疤痕肥厚;疤痕肥厚是一種傷口癒合過度,一段時間後,紅腫現象會變平或褪色;而蟹足腫則會超過傷口生長且不會回復。
  • 有這種體質的人,平日須注意傷口要即時縫合;對已有蟹足腫的人,最好不要施行外科手術,若非開刀不可,可於開刀後一週內,在傷口四周注射類固醇;並注意細菌感染,儘量減少傷口部位
    皮膚的張力運動。。
  • 如果傷口是位於胸口,肩背部,膝蓋等關節處,皮膚的張力比較大,即使沒有蟹足腫體質,在癒合的過程中也比較有可能會引起疤痕肥厚。

常見問題

How many keloid injections do I need?
Typically, a series of three to four injections are performed every four weeks, but the situation varies greatly depending on the individual being treated. Since keloids never stop growing, continuous injection treatments are necessary to keep them from growing too large.
What are the side effects and risks?
There are no side effects to keloid injections, although if the keloids don’t respond to injections after multiple treatments, other alternative methods should be considered.
Is Keloid injection painful?
As with all injections, steroid injections for the treatment of keloids can be painful, especially if the keloid is very thick. Usually, local anesthetic is applied to ease the discomfort; if the patient is extra sensitive to injections, a topical numbing medication may be used in addition to the local anesthetic.

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