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醫學美容知識

醫學美容知識

妊娠紋/肥胖紋產生的原因 妊娠紋和肥胖紋產生的原因,都是因為皮下組織在膨脹的過程中,將膠原蛋白撐開斷裂而形成的。此時外表看起來,會在正常的皮膚中出現顏色較白或較深的條狀紋路。 婦女在懷孕時體重會增加,肚子會被子宮撐大,加上賀爾蒙的影響,組織當中的水分也會快速增加,皮膚被快速撐開的時候,膠原蛋白的修補跟不上,就會形成一區一區的膠原蛋白缺乏 和斷裂的區域,形成了所謂的「妊娠紋」。

肥胖紋也是類似的道理,主要都是由膠原蛋白的缺乏造成的。
膠原蛋白剛開始斷裂的時候,皮膚的外觀呈現粉紅色的紋路,隨著時間的增加,慢慢變成暗紅色。最後結締組織修復形成銀白色的紋路。
妊娠紋最容易出現在腹部、大腿內側、臀部和胸部。這幾個地方也是肥胖紋容易出現的位置,另外也有人會在肩膀上出現肥胖紋。

 

妊娠紋/肥胖紋產生了怎麼辦?

 

妊娠紋和肥胖紋是令患者都很頭痛的問題,常用的方法包括:

  1. 按摩:按摩可以促進局部血液循環,但是按摩太用力或不方法不對,有時反而破壞皮下的膠原蛋白,要很小心。

  2. 按摩霜或按摩乳液:減少按摩時的摩擦力,避免徒手按摩的缺點。

  3. 激光治療:利用激光的光纖,深入皮下真皮層和皮下組織,照射高能量的激光。除了破壞脂肪細胞的細胞膜以外,激光第三區的效能,類似低能量激光〈低強度激光〉的光刺激效應,使照射的區域大量增生膠原蛋白,達到修補妊娠紋和肥胖紋的效果。

上述幾種方法,都有少許效果。其中以第三種,激光的治療效果最為明顯

 

什麼是蟹足腫?

蟹足腫,簡單的說,就是『過度肥厚的疤痕。


外型上,它是又肥又厚的紅色疤痕。它不但比一般的疤痕肥厚,更慘的是,它如果受到刺激,還會長大,就好像紅紅的螃蟹一樣伸出腳來,所以才會被叫做蟹足腫。


什麼情況下會產生蟹足腫呢?


主要是下有下面三項要件:


1,具有蟹足腫的體質:


並不是每個人受傷的疤痕都會形成蟹足腫的,而是要具這種特殊體質的人才會產生蟹足腫。在台灣,最容易觀察的就是過去接種卡介苗的地方。假如你接種卡介苗處不是平平白白的疤痕,而是紅紅腫腫的疤痕,那你就是有蟹足腫的體質。


2,傷口傷及真皮層:


有蟹足腫的體質,不是每次受傷都會產生蟹足腫。如果受傷傷及真皮,膠原蛋白需要重生時,才有機會會形成蟹足腫。


3,傷口發生在張力大的地方:


張力越大的地方,越容易牽扯傷口而形成蟹足腫。臉上張力最大的地方是下巴,身上則是前胸、後背和肩膀。


產生蟹足腫開如何治療?


目前經過證實治療蟹足腫有效的方法如下:


1,病兆內注射類固醇:醫師可以將類固醇以相當細的針頭直接的注射入蟹足腫內,使它變軟變平。這個方法通常需要每兩週施打一次,是蟹足腫的厚薄而有不同的施打次數,少則兩三次,多則甚至需要數十次。


2,貼矽膠片:這是一種以矽膠做成的貼片。做法是將購得的矽膠片剪成自己蟹足腫的樣子,持續的貼在蟹足腫上。這樣子持續的貼兩三個月之後,有部分的人可以得到相當的進步。


3,:染料雷射除了可以去紅斑,對蟹足腫一樣有效。這主要是透過它特殊的波長,作用在蟹足腫內的血管,達到縮小蟹足腫的目的。


4,冷凍治療:所謂冷凍治療,就是醫師用極低溫的液態氮,接觸在您的蟹足腫上。這樣的目的,主要是希望用低溫來殺死真皮中興奮過了頭的纖維母細胞。


5,擦藥:擦外用A酸也可以治療蟹足腫,但是需要較長的時間,通常不會少於半年,多半需要長達八到十二個月的時間。


6,手術加上電療:千萬不要只是要醫師把蟹足腫切掉,因為下場往往是從疤痕處長出更大的蟹足腫。如果您試過上述方法都無效,才考慮用手術。但是術後一定要配合放射線放射治療