{"id":9086,"date":"2018-01-26T11:59:56","date_gmt":"2018-01-26T11:59:56","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/?p=9086"},"modified":"2018-01-26T11:59:56","modified_gmt":"2018-01-26T11:59:56","slug":"teixit-cicatricial-caracteristiques","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/ca\/teixit-cicatricial-caracteristiques\/","title":{"rendered":"El teixit cicatricial: caracter\u00edstiques"},"content":{"rendered":"

La cicatriu \u00e9s una alteraci\u00f3 d\u00e8rmica permanent com a conseq\u00fc\u00e8ncia d’una lesi\u00f3 i reparaci\u00f3 d’aquesta. Est\u00e0 formada per teixit fibr\u00f3s que substitueix la p\u00e8rdua de teixit i que uneix les solucions de continu\u00eftat.<\/span><\/p>\n

Hi ha 4 fases en el proc\u00e9s de cicatritzaci\u00f3.<\/span><\/p>\n

\u2022 Inflamat\u00f2ria. Augment de la vascularitzaci\u00f3 i per tant de les plaquetes, ajudant aix\u00ed al tamponament de la ferida.<\/span><\/p>\n

\u2022 Proliferativa. S’acumula col\u00b7lagen i fibrina regenerant i tibant la ferida.<\/span><\/p>\n

\u2022 Remodelaci\u00f3. Es reabsorbeix el col\u00b7lagen augmentant la for\u00e7a tensional. \u00c9s la fase m\u00e9s llarga de la cicatritzaci\u00f3.<\/span><\/p>\n

\u2022 Contracci\u00f3. L’\u00e0rea de superf\u00edcie cruenta disminueix amb la reducci\u00f3 conc\u00e8ntrica de la grand\u00e0ria de la ferida.<\/span><\/p>\n

Els factors que estimulen el creixement del teixit cicatricial s\u00f3n:<\/span><\/p>\n

a) El tractament agut, el tancament de la ferida sense tensi\u00f3, el control de la infecci\u00f3 i el desbridament de la ferida.<\/span><\/p>\n

b) L’edat. En individus joves existeix major risc d’hipertr\u00f2fia de la cicatriu.<\/span><\/p>\n

c) La profunditat de la ferida.<\/span><\/p>\n

d) El tipus de pell. Els individus p\u00e8l-rojos tenen una prevalen\u00e7a molt elevada, seguits d’individus amb la pell fosca.<\/span><\/p>\n

i) Malnutrici\u00f3.<\/span><\/p>\n

f) Alcoholisme i tabaquisme.<\/span><\/p>\n

Les cicatrius poden tenir complicacions est\u00e8tiques i funcionals per al pacient.<\/span><\/p>\n

La classificaci\u00f3 de les cicatrius es divideixen en 5 tipus:<\/span><\/p>\n

1. Cicatriu hipopigmentada. La cicatriu t\u00e9 un color m\u00e9s clar que la resta de la pell per la incapacitat de produir melanina en aquesta zona a causa del traumatisme originat.<\/span><\/p>\n

2. Cicatriu hiperpigmentada. La cicatriu \u00e9s m\u00e9s fosca. Es presenta en cicatrius superficials. \u00c9s conseq\u00fc\u00e8ncia d’un major grau de melanog\u00e8nesi unit al proc\u00e9s inflamatori de reparaci\u00f3.<\/span><\/p>\n

3. Cicatrius hipertr\u00f2fiques.<\/span><\/p>\n

4. Queloides.<\/span><\/p>\n

5. Un altre tipus de cicatrius, com les retr\u00e0ctils, atr\u00f2fiques, etc. Aquest tipus de cicatrius es troben lleugerament enfonsades respecte a la superf\u00edcie cut\u00e0nia per falta de formaci\u00f3 del suficient teixit per cobrir la zona lesionada. \u00c9s t\u00edpic d’acn\u00e9 o varicel\u00b7la.<\/span><\/p>\n

La cicatriu hipertr\u00f2fica \u00e9s una cicatriu localitzada a la zona traum\u00e0tica de la ferida inicial sense envair els teixits adjacents. El seu creixement s’inicia despr\u00e9s del tancament de la ferida i es pot continuar hipertrofiant fins als 8 mesos. Les causes s’atribueixen a factors mec\u00e0nics, edats joves, infeccions de la ferida, aix\u00ed com la localitzaci\u00f3 anat\u00f2mica.<\/span><\/p>\n

La cicatriu queloide abasta m\u00e9s enll\u00e0 de la ferida inicial com a conseq\u00fc\u00e8ncia de la formaci\u00f3 an\u00f2mala de col\u00b7lagen per revitalitzar el teixit connectiu despr\u00e9s de la lesi\u00f3.<\/span><\/p>\n

\u00c9s menys freq\u00fcent que les cicatrius hipertr\u00f2fiques. Comen\u00e7a a desenvolupar-se a l’inici del traumatisme fins al cap d’un any i pot continuar creixent sense signe d’estabilitzaci\u00f3. Apareix amb major freq\u00fc\u00e8ncia en individus de ra\u00e7a fosca, dones joves, embarassades i en zones anat\u00f2miques com el coll, les espatlles, el l\u00f2bul de l’orella o la zona de l’est\u00e8rnum. Tenen una tonalitat de color carn, rosa o vermell i sorgeixen com a conseq\u00fc\u00e8ncia de traumatismes, ferides quir\u00fargiques, cremades, varicel\u00b7la, etc.<\/span><\/p>\n

Les cicatrius queloides no solen millorar de forma espont\u00e0nia, mentre que les cicatrius hipertr\u00f2fiques poden millorar est\u00e8ticament sense necessitat de tractament.<\/span><\/p>\n

Els tractaments m\u00e9s freq\u00fcents de les cicatrius queloides s\u00f3n la radioter\u00e0pia, la crioter\u00e0p\u00eda, el tractament l\u00e0ser, les infiltracions de corticoesteroides que reduiran la inflamaci\u00f3, aix\u00ed com la cirurgia est\u00e8tica. Cal ser conscients que aquests tractaments redueixen la grand\u00e0ria del queloide per\u00f2 no n\u2019eviten la desaparici\u00f3 total en la majoria dels casos. El criteri d’elecci\u00f3 d’un tractament o un altre dependr\u00e0 del tipus de cicatriu i sempre valorant la relaci\u00f3 entre beneficis i riscos.<\/span><\/p>\n

\"El<\/p>\n

Cicatriu hipertr\u00f2fica per intervenci\u00f3 de Hallux Valgus.<\/span><\/p>\n

\"El<\/p>\n

Cicatriu hipertr\u00f2fica per traumatisme.<\/span><\/p>\n

\"El<\/p>\n

Cicatriu hipertr\u00f2fica per traumatisme.<\/span><\/p>\n

\"El<\/p>\n

Cicatriu hipertr\u00f2fica postquir\u00fargica.<\/p>\n

\"El<\/p>\n

Cicatriu hipertr\u00f2fica.<\/p>\n

\"El<\/p>\n

Cicatriu hipertr\u00f2fica post-traum\u00e0tica.<\/p>\n

\"El<\/p>\n

Cicatriu plantar per autolesi\u00f3 en retirar-se una dur\u00edcia.<\/span><\/p>\n

\"El<\/p>\n

Cicatriu postquir\u00fargica per ex\u00e8resi tumoraci\u00f3 benigna.<\/span><\/p>\n

\"El<\/p>\n

Mateix cas en bipedestaci\u00f3. Observeu la falta de teixit adjacent.<\/span><\/p>\n

\"El<\/p>\n

Queloide.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

La cicatriu \u00e9s una alteraci\u00f3 d\u00e8rmica permanent com a conseq\u00fc\u00e8ncia d’una lesi\u00f3 i reparaci\u00f3 d’aquesta. Est\u00e0 formada per teixit fibr\u00f3s que substitueix la p\u00e8rdua de teixit i que uneix les solucions de continu\u00eftat. Hi ha 4 fases en el proc\u00e9s de cicatritzaci\u00f3. \u2022 Inflamat\u00f2ria. Augment de la vascularitzaci\u00f3 i per tant de les plaquetes, ajudant […]<\/p>\n","protected":false},"author":3,"featured_media":9080,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[276,282,293,346],"tags":[],"class_list":["post-9086","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alteracions-dermatologiques","category-articles","category-divulgacio","category-icp-ca"],"yoast_head":"\nEl teixit cicatricial: caracter\u00edstiques - Institut Catal\u00e0 del Peu<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"El teixit cicatricial: caracter\u00edstiques - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"La cicatriu \u00e9s una alteraci\u00f3 d\u00e8rmica permanent com a conseq\u00fc\u00e8ncia d’una lesi\u00f3 i reparaci\u00f3 d’aquesta. Est\u00e0 formada per teixit fibr\u00f3s que substitueix la p\u00e8rdua de teixit i que uneix les solucions de continu\u00eftat. Hi ha 4 fases en el proc\u00e9s de cicatritzaci\u00f3. \u2022 Inflamat\u00f2ria. 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