
Scars can happen anywhere in the body regardless of age or gender. Other than complications, the cosmetic issue it is causing can be intimidating especially in youngsters. In reality, scars are a natural part of the body’s healing process. A scar results from the biologic process of wound repair in the skin and other tissues. Most wounds, except for very minor ones, result in some degree of scarring. Scars can result from accidents, diseases, skin conditions such as acne, or surgeries. Some scars can be managed by therapies to an extend but most of them are incurable. Covering or hiding them can help in the presentation.
You Might Be Interested In: Chirattai Thailam – an Ayurvedic oil to help manage scars.
Signos y síntomas
Scars come in many shapes and sizes.
Cicatrix-when this scar first appears it tends to be pink to reddish in colour and slightly raised. It may also be itchy or painful. As skin continues to heal, the scar will flatten and change colour. In time, many flat scars are nearly the same colour as skin. A flat scar may also be paler or slightly darker than surrounding skin.
Hypertrophic scar-This scar rises above the surface of skin.
Atrophic scar- below the surface of skin or depressed.
Keloid- This scar rises above the surface of the skin. Unlike other raised scars, keloids grow much larger than the wound that caused the scar.
Causas
A scar forms when body heals an injury like burns, cuts, etc.
Some skin conditions like Epidermolysis bullosa and hidradenitis suppurativa, can also cause scars.
Aceite de Murivenna – apply this oil to fresh or old wounds for faster recovery.
Fisiopatología
Scarring is a natural part of the healing process after an injury. Its appearance and its treatment depend on multiple factors. When the deeper layers of skin are injured, cells make collagen to repair the wound. Because body makes this collagen quickly, it’s thicker and less flexible than the rest of skin. The thicker, less flexible tissue is a scar.
Diagnóstico
Visually diagnosed by a physical examination
Tratamientos
- Silicone gel (sheet or ointment)
- Polyurethane dressing
- Laser treatment
- Corticosteroid injections
- Cryosurgery
- Radiation
Pronóstico
The scar will never completely go away. But there are some methods that can help reduce its size and change its appearance.
Complicaciones
- Infecciones
- Emotional Stress
Disease & Ayurveda
Removing scars comes under the name Vaikrutaapaham described in Ayurveda while explaining the post-operative management. It explains the possibilities to manage a scar after a surgical procedure.
Nidana
Kshata – injury (can be accidental or due to any disease like kushtha or induced as part of surgery etc.)
Purvaaroopa
Not mentioned separately
Samprapti
When the Vaata & Pitta gets vitiated on the site of injury, the skin wounded gets abnormal discoloration & inflammation. Kapha causes swelling and hardness. After the injury, a scar is formed due to all three doshas get stucked & vitiated at the site causing discolouration & thickened skin.
Lakshana
Discolouration of skin
Raised skin/thickened skin areas with well-defined or poor defined margins
Divisions
Not mentioned
Pronóstico
Kricchrasadhya or Yaapya
Chikithsa
The tissue repair and wound healing are a very important section in Shallyatantra in Ayurveda. Details are in Sushruta Samhita where Varana and vranaropana(wound and its management) are elaborated with sixty treatment modalities of wound care & wound healing. This is called shashtirupakrama(60 fold treatments) for stepwise instructions on therapies for wound healing.
Vaikrutapaham(getting rid of ugliness/abnormality) is the last stage explained it, regarding the management of scars with or without discolouration. It can be done by various methods namely,
Krishnakarma – blackening of a white cicatrix by mdicines like bhallataka, gomootra etc.
Pandukarma – bringing back the normal skin colour to a dark/black scar by using specially prepared medicines with rohiniphala, goat’s milk, kapittha fruit, goat’s urine, kasisa, rasanjana, arjuna etc
Pratisarana -rubbing the area with powder made from shell of hen’s egg, kataka, madhuka, pearl oyster etc mixed with cow’s urine.
Romasanjanana – producing hair by using medicines with burnt ash of ivory, rasanjana etc.
Lomaapaharana/Lomapaatana – removal of hair using medicines like conch shell, haritaala etc.
Samana
- Swedanam
- Lepanam with Rookshana dravyas
- Varnyalepas
- Parisheka with varnyakashayas
- Abhyanga with varnya oils
Sodhana
Virechana
Medicamentos de uso común
- Drakshadi Kashayam
- Eladi Choornam
- Manjishthadi choornam/kashayam
- Kumkumadi tailam
- Sonitamrutham Kashayam
- Saribadyasavam
- Guluchyadi Kashayam
Marcas disponibles
- AVS Kottakal
- AVP Coimbatore
- SNA oushadhasala
- Vaidyaratnam oushadhasala
Remedios caseros
- Vinagre de manzana
- Aloe vera
- Tea tree oil
- Cúrcuma
- Milk
- Miel
- Extra virgin coconut oil
Dieta
A evitar
- Heavy meals and difficult to digest foods – cause indigestion.
- Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine
- Carbonated drinks – makes the stomach more acidic and disturbed digestion
- Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)
- Milk and milk products – increase kapha, cause obstruction in channels and obesity
- Curd – causes vidaaha and thereby many other diseases4
Por añadir
- Comidas ligeras y alimentos fáciles de digerir
- Green gram, soups, fresh fruits and vegetables
- Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc
Behaviour
- Protect yourself from extreme changes in climate.
- Es mejor evitar la exposición a la luz solar excesiva, la lluvia o el polvo.
- Maintain a regular food and sleep schedule.
- Evite aguantar o forzar las ganas de orinar, defecar, toser, estornudar, etc.
- Avoid sedentary lifestyle. Be active
posturas de Yoga
Regular stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.
Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.
El yoga puede mantener la armonía dentro del cuerpo y con el sistema circundante.
Pavanamuktasana
Nadisudhi pranayama
Bhujangasana
Simple exercises for lungs and heart health
Todos los ejercicios y esfuerzos físicos deben decidirse y realizarse únicamente bajo la supervisión de un experto médico.
Research Articles
- PMID: 30793408
The study was done to evaluate long‐term patient‐reported quality of burn scars. Adults with a burn center admission of ≥1 day between August 2011 and September 2012 were invited to complete a questionnaire on long‐term consequences of burns. The vast majority reported at least minor differences with normal skin (POSAS item score ≥2) on one or more scar characteristics and 78.9% of the patients’ overall opinion was that their scar deviated from normal skin. Patients with severe burns had higher POSAS scores, representing worse scar quality, than patients with mild/intermediate burns, except for color, which was high in both groups. A longer hospital stay predicted reduced scar quality in multivariate analyses. In addition, female gender was also associated with a poorer overall opinion of the scar. In conclusion, this study provides new insights in long‐term scar quality. Scars differed from normal skin in a large part of the burn population more than 5 years after burns, especially in those with severe burns.
Estas afirmaciones no han sido evaluadas por la Food and Drug Administration, Estados Unidos. Este producto no está destinado a diagnosticar, tratar, curar o prevenir ninguna enfermedad. Por favor, consulte a su médico de cabecera antes de la ingesta.
Escritor:
El Dr. Rajesh Nair, cofundador y asesor jefe de Ayurvedaforall.Com, es licenciado por el prestigioso Vaidyaratnam Ayurveda College (afiliado a la Universidad de Calicut), Kerala, India. Además, posee un Diploma de Postgrado en Yoga Terapéutico por la Universidad de Annamalai.
El Dr. Nair ofrece consultas en dos concurridas clínicas situadas en Haripad y sus alrededores, Alleppey, Kerala, el estado meridional famoso en todo el mundo por sus auténticos tratamientos y médicos ayurvédicos. Además de ofrecer consultas sobre todos los aspectos de los tratamientos ayurvédicos, el Dr. Nair tiene un interés especial en Panchkarma, Yoga y Masaje.
A través de Ayurvedaforall, el Dr. Nair ofrece consultas en línea a pacientes de todo el mundo y ha atendido a cientos de pacientes en los últimos 20 años. Además de su consulta ayurvédica, es editor jefe de ayurveda-amai.org, el portal en línea de la Asociación Médica Ayurveda de la India, y miembro del comité estatal de la Asociación Médica Ayurveda de la India.
El Dr. Nair es ponente habitual en conferencias relacionadas con el Ayurveda y ha visitado Alemania para propagar el Ayurveda. Puede escribirle directamente
rajesh@ayurvedaforall.com
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