{"id":749,"date":"2026-07-29T12:37:58","date_gmt":"2026-07-29T09:37:58","guid":{"rendered":"https:\/\/scars.ro\/?p=749"},"modified":"2026-07-29T12:37:58","modified_gmt":"2026-07-29T09:37:58","slug":"cheloid-cum-se-formeaza-tratament","status":"publish","type":"post","link":"https:\/\/scars.ro\/en\/cheloid-cum-se-formeaza-tratament\/","title":{"rendered":"Cheloid: cum se formeaz\u0103 \u0219i cum \u00eel reduci corect"},"content":{"rendered":"<p>Un cheloid este o cicatrice care cre\u0219te dincolo de marginile r\u0103nii, \u00een timp ce o cicatrice obi\u0219nuit\u0103 r\u0103m\u00e2ne \u00een limitele pl\u0103gii. Apare c\u00e2nd pielea produce colagen \u00een exces \u00een timpul vindec\u0103rii, uneori luni dup\u0103 ce leziunea s-a \u00eenchis. Se simte tare la atingere, e reliefat, ro\u0219u sau mai \u00eenchis la culoare dec\u00e2t pielea din jur \u0219i adesea provoac\u0103 m\u00e2nc\u0103rime. Ghidurile europene pun siliconul medical pe primul loc \u00een \u00eengrijire, iar cazurile care nu r\u0103spund se evalueaz\u0103 de medic.<\/p>\n<p>Un lucru trebuie spus din start: nu dispare de tot. Vizibilitatea, duritatea \u0219i m\u00e2nc\u0103rimea se reduc mult cu \u00eengrijire corect\u0103, dar pielea nu revine exact cum era \u00eenainte. Mai jos vezi de ce apare, cine e mai expus \u0219i ce func\u021bioneaz\u0103 \u00een practic\u0103.<\/p>\n<h2>Ce este, de fapt, un cheloid<\/h2>\n<p>C\u00e2nd pielea se repar\u0103, organismul depune colagen ca s\u0103 \u00eenchid\u0103 zona, apoi opre\u0219te produc\u021bia. Aici mecanismul nu se opre\u0219te la timp: colagenul continu\u0103 s\u0103 se acumuleze, iar \u021besutul se \u00eentinde \u00een afara r\u0103nii, pe pielea s\u0103n\u0103toas\u0103 din jur. De acolo vine aspectul umflat, lucios, uneori de c\u00e2teva ori mai mare dec\u00e2t t\u0103ietura de la care a pornit totul.<\/p>\n<p>Confuzia cea mai frecvent\u0103 este cu <a href=\"https:\/\/scars.ro\/en\/cicatrice-hipertrofica\/?wmc-currency=EUR\">cicatricea hipertrofic\u0103<\/a>. Diferen\u021ba e una singur\u0103, dar important\u0103: hipertrofica se ridic\u0103 \u0219i r\u0103m\u00e2ne \u00een limitele r\u0103nii, iar cu timpul se poate aplatiza singur\u0103. Cheloidul trece grani\u021ba \u0219i rareori d\u0103 \u00eenapoi de la sine.<\/p>\n<table>\n<thead>\n<tr>\n<th>Criteriu<\/th>\n<th>Cheloid<\/th>\n<th>Hypertrophic scar<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Marginile r\u0103nii<\/td>\n<td>Le dep\u0103\u0219e\u0219te, cre\u0219te pe pielea s\u0103n\u0103toas\u0103<\/td>\n<td>R\u0103m\u00e2ne \u00een interiorul pl\u0103gii<\/td>\n<\/tr>\n<tr>\n<td>Evolu\u021bie \u00een timp<\/td>\n<td>Rareori se aplatizeaz\u0103 singur<\/td>\n<td>Se poate aplatiza \u00een 1-2 ani<\/td>\n<\/tr>\n<tr>\n<td>Revenire dup\u0103 excizie<\/td>\n<td>Frecvent\u0103, uneori pe o suprafa\u021b\u0103 mai mare<\/td>\n<td>Mai rar\u0103<\/td>\n<\/tr>\n<tr>\n<td>\u00cengrijire de prim\u0103 linie<\/td>\n<td>Silicon medical \u0219i compresie<\/td>\n<td>Silicon medical<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Cine are risc mai mare s\u0103 fac\u0103 cheloide<\/h2>\n<p>Riscul nu e \u00eemp\u0103r\u021bit egal. Pielea pigmentat\u0103 \u00eenchis la culoare, fototipurile Fitzpatrick IV-VI, e vizibil mai predispus\u0103 dec\u00e2t pielea deschis\u0103. Adolescen\u021bii \u0219i adul\u021bii tineri, la care produc\u021bia de colagen e intens\u0103, formeaz\u0103 astfel de cicatrici mai des dec\u00e2t persoanele \u00een v\u00e2rst\u0103.<\/p>\n<p>Conteaz\u0103 \u0219i zona. Pieptul, umerii, ceafa \u0219i lobul urechii dup\u0103 g\u0103urire sunt localiz\u0103rile clasice. Peste asta se adaug\u0103 factorii hormonali, iar \u00een sarcin\u0103 pielea devine mai predispus\u0103. Dac\u0103 \u0219i altcineva din familie are astfel de cicatrici, \u0219ansele tale cresc.<\/p>\n<h2>Cum se \u00eengrije\u0219te un cheloid<\/h2>\n<p>Ghidul european de management al cicatricilor (Meaume et al., 2014) nu recomand\u0103 o singur\u0103 m\u0103sur\u0103, ci o combina\u021bie: silicon medical, compresie, hidratare \u0219i protec\u021bie solar\u0103. Siliconul r\u0103m\u00e2ne tratamentul de prim\u0103 linie pentru toate tipurile de cicatrici.<\/p>\n<p>Explica\u021bia e simpl\u0103. Siliconul formeaz\u0103 o membran\u0103 semipermeabil\u0103 care \u021bine hidratarea \u00een piele, o las\u0103 totu\u0219i s\u0103 respire \u0219i, prin asta, transmite organismului semnalul s\u0103 \u00eencetineasc\u0103 produc\u021bia de colagen. Pe un relief tare, un stick precum <a href=\"https:\/\/scars.ro\/en\/product\/improscar-stick\/?wmc-currency=EUR\">Improscar Stick<\/a> se aplic\u0103 mai u\u0219or dec\u00e2t o crem\u0103. Dac\u0103 zona r\u0103m\u00e2ne descoperit\u0103, <a href=\"https:\/\/scars.ro\/en\/product\/improscar-stick-50\/?wmc-currency=EUR\">Improscar Stick SPF 50<\/a> adaug\u0103 \u0219i filtru solar, util pentru c\u0103 \u021besutul cicatricial se pigmenteaz\u0103 la UV mai repede dec\u00e2t pielea din jur. Mai multe despre asta g\u0103se\u0219ti \u00een ghidul despre <a href=\"https:\/\/scars.ro\/en\/protectie-solara-cicatrici-spf-50\/?wmc-currency=EUR\">protec\u021bia solar\u0103 pentru cicatrici<\/a>.<\/p>\n<h2>Plasture sau stick de silicon<\/h2>\n<p>Ambele forme func\u021bioneaz\u0103, conteaz\u0103 unde le folose\u0219ti. Plasturele acoper\u0103 bine o zon\u0103 plat\u0103, ascuns\u0103 sub haine. Exist\u0103 \u00eens\u0103 dou\u0103 situa\u021bii \u00een care nu e potrivit: dac\u0103 transpiri abundent, pentru c\u0103 sub adeziv pielea se irit\u0103, \u0219i dac\u0103 por\u021bi compresie sau spum\u0103 de presiune peste cicatrice, lucru frecvent la cheloide, pentru c\u0103 plasturele se forfec\u0103 \u0219i face b\u0103\u0219ici. \u00cen aceste cazuri, stickul e alegerea mai bun\u0103.<\/p>\n<h2>Gre\u0219eli frecvente \u0219i a\u0219tept\u0103ri realiste<\/h2>\n<p>Cea mai des \u00eent\u00e2lnit\u0103 gre\u0219eal\u0103 \u021bine de a\u0219tept\u0103ri: mul\u021bi sper\u0103 la dispari\u021bie complet\u0103. Nu se \u00eent\u00e2mpl\u0103. Ce se ob\u021bine realist e o cicatrice mai plat\u0103, mai moale, mai apropiat\u0103 de culoarea pielii \u0219i care nu mai provoac\u0103 m\u00e2nc\u0103rime.<\/p>\n<p>A doua gre\u0219eal\u0103 e r\u0103bdarea prea scurt\u0103. Dou\u0103 s\u0103pt\u0103m\u00e2ni nu spun nimic. Primele concluzii se trag dup\u0103 2-3 luni de aplicare zilnic\u0103, iar maturarea complet\u0103 cere cel pu\u021bin un an.<\/p>\n<p>\u0218i \u00eenc\u0103 ceva. Un nodul mare, dureros sau care cre\u0219te vizibil de la o lun\u0103 la alta nu se trateaz\u0103 singur, acas\u0103. Acolo e nevoie de consult.<\/p>\n<h2>De ce revine un cheloid dup\u0103 opera\u021bie<\/h2>\n<p>Excizia chirurgical\u0103, singur\u0103, are o problem\u0103 cunoscut\u0103: zona operat\u0103 poate produce o cicatrice mai mare dec\u00e2t cea scoas\u0103. De aceea protocoalele combin\u0103 interven\u021bia cu alte metode, de la injec\u021bii cu corticosteroizi \u0219i compresie p\u00e2n\u0103 la silicon aplicat imediat ce pielea s-a \u00eenchis, tocmai ca s\u0103 scad\u0103 riscul de recidiv\u0103.<\/p>\n<p>Ce se folose\u0219te \u0219i \u00een ce ordine decide medicul. Rolul unui produs cu silicon e s\u0103 sus\u021bin\u0103 \u00eengrijirea pe termen lung, nu s\u0103 \u00eenlocuiasc\u0103 consultul.<\/p>\n<h2>Cum reduci riscul \u00eenainte s\u0103 apar\u0103<\/h2>\n<p>Dac\u0103 \u0219tii c\u0103 faci astfel de cicatrici sau ai programat\u0103 o interven\u021bie \u00eentr-o zon\u0103 riscant\u0103, joac\u0103 preventiv. \u00cengrije\u0219te rana curat, fere\u0219te pielea de tensiune c\u00e2t se \u00eenchide, pentru c\u0103 mi\u0219c\u0103rile care trag de margini conteaz\u0103, \u0219i \u00eencepe siliconul de \u00eendat\u0103 ce s-a format piele nou\u0103, nu peste \u0219ase luni.<\/p>\n<p>\u021aine zona la umbr\u0103 sau sub SPF \u00een primele luni. \u0218i spune-i medicului, \u00eenainte de interven\u021bie, c\u0103 ai aceast\u0103 tendin\u021b\u0103, ca planul de \u00eengrijire s\u0103 existe din prima zi, nu dup\u0103 ce apare problema.<\/p>\n<h2>C\u00e2nd decizia apar\u021bine medicului<\/h2>\n<p>O cicatrice care nu r\u0103spunde la silicon \u0219i compresie poate avea nevoie de injec\u021bii cu corticosteroizi, crioterapie, laser sau, \u00een cazuri selectate, radioterapie dup\u0103 opera\u021bie. Astfel de op\u021biuni se c\u00e2nt\u0103resc \u00eentr-un cabinet, pe cazul concret. Scars.ro este un magazin de produse pentru \u00eengrijirea cicatricilor \u0219i nu ofer\u0103 diagnostic sau tratament medical individualizat.<\/p>\n<h2>\u0218tiai c\u0103?<\/h2>\n<ul>\n<li>Un cheloid poate s\u0103 apar\u0103 \u0219i la c\u00e2teva luni dup\u0103 ce rana s-a vindecat.<\/li>\n<li>Lobul urechii, dup\u0103 g\u0103urire, e una dintre localiz\u0103rile cele mai frecvente.<\/li>\n<li>Fototipurile de piele IV-VI au risc mai mare dec\u00e2t pielea deschis\u0103.<\/li>\n<li>Siliconul medical se folose\u0219te \u00een tratamentul cicatricilor din 1982.<\/li>\n<li>Molecula de silicon e prea mare ca s\u0103 traverseze pielea, deci nu se absoarbe \u00een organism.<\/li>\n<li>\u00cen sarcin\u0103, pielea devine mai predispus\u0103 la acest tip de cicatrice.<\/li>\n<\/ul>\n<h2>\u00centreb\u0103ri frecvente<\/h2>\n<h3>Care e diferen\u021ba dintre cheloid \u0219i cicatrice hipertrofic\u0103?<\/h3>\n<p>Cheloidul cre\u0219te \u00een afara marginilor r\u0103nii, hipertrofica r\u0103m\u00e2ne \u00een\u0103untru. Ambele sunt reliefate \u0219i pot da m\u00e2nc\u0103rime.<\/p>\n<h3>Se poate elimina complet?<\/h3>\n<p>Nu. Se poate aplatiza, \u00eenmuia \u0219i decolora, dar zona r\u0103m\u00e2ne diferit\u0103 de pielea din jur.<\/p>\n<h3>Ajut\u0103 siliconul?<\/h3>\n<p>Da, e prima linie recomandat\u0103 de ghiduri, ideal combinat cu compresie. Ce nu se schimb\u0103 \u00een c\u00e2teva luni se duce la medic.<\/p>\n<h3>C\u00e2t dureaz\u0103 p\u00e2n\u0103 se vede o diferen\u021b\u0103?<\/h3>\n<p>\u00cen jur de 2-3 luni de aplicare zilnic\u0103 pentru primele semne, iar un an sau mai mult p\u00e2n\u0103 la maturarea cicatricii.<\/p>\n<h3>De ce fac cheloide \u0219i al\u021bii nu?<\/h3>\n<p>Conteaz\u0103 tipul de piele, v\u00e2rsta, zona corpului, hormonii \u0219i istoricul familial. E o predispozi\u021bie individual\u0103, nu ceva ce ai f\u0103cut gre\u0219it.<\/p>\n<h3>Pot s\u0103 \u00eemi fac piercing dac\u0103 am aceast\u0103 tendin\u021b\u0103?<\/h3>\n<p>Riscul e real, mai ales la lobul urechii \u0219i la cartilaj. Discut\u0103 \u00een avans cu medicul \u0219i porne\u0219te \u00eengrijirea cu silicon imediat dup\u0103 ce zona se \u00eenchide.<\/p>\n<h2>Ai un cheloid \u0219i nu \u0219tii de unde s\u0103 \u00eencepi<\/h2>\n<p>Dac\u0103 vrei s\u0103 \u00eencepi \u00eengrijirea cu silicon medical, vezi <a href=\"https:\/\/scars.ro\/en\/product-category\/improscar\/?wmc-currency=EUR\">gama Improscar<\/a> sau scrie-ne \u0219i \u00ee\u021bi spunem ce form\u0103 se potrive\u0219te zonei tale. Echipa Vector Aesthetic, distribuitorul oficial Improscar \u00een Rom\u00e2nia, r\u0103spunde la <strong>suport@vector-aesthetic.com<\/strong> \u0219i la <strong>0755 224 225<\/strong>. Pentru partea medical\u0103, sursa citat\u0103 \u00een articol este <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25141160\/\" rel=\"dofollow noopener\" target=\"_blank\">ghidul european de management al cicatricilor (Meaume et al., 2014)<\/a>.<\/p>","protected":false},"excerpt":{"rendered":"<p>Un cheloid este o cicatrice care cre\u0219te dincolo de marginile r\u0103nii, \u00een timp ce o cicatrice obi\u0219nuit\u0103 r\u0103m\u00e2ne \u00een limitele pl\u0103gii. Apare c\u00e2nd pielea produce colagen \u00een exces \u00een timpul vindec\u0103rii, uneori luni dup\u0103 ce leziunea s-a \u00eenchis. Se simte tare la atingere, e reliefat, ro\u0219u sau mai \u00eenchis la culoare dec\u00e2t pielea din jur [&#8230;]","protected":false},"author":1,"featured_media":869,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[29],"tags":[],"class_list":["post-749","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tipuri-de-cicatrici"],"_links":{"self":[{"href":"https:\/\/scars.ro\/en\/wp-json\/wp\/v2\/posts\/749","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/scars.ro\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/scars.ro\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/scars.ro\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/scars.ro\/en\/wp-json\/wp\/v2\/comments?post=749"}],"version-history":[{"count":5,"href":"https:\/\/scars.ro\/en\/wp-json\/wp\/v2\/posts\/749\/revisions"}],"predecessor-version":[{"id":870,"href":"https:\/\/scars.ro\/en\/wp-json\/wp\/v2\/posts\/749\/revisions\/870"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/scars.ro\/en\/wp-json\/wp\/v2\/media\/869"}],"wp:attachment":[{"href":"https:\/\/scars.ro\/en\/wp-json\/wp\/v2\/media?parent=749"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/scars.ro\/en\/wp-json\/wp\/v2\/categories?post=749"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/scars.ro\/en\/wp-json\/wp\/v2\/tags?post=749"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}