1, factors affecting scar size
Apart from personal reasons, the most important factors are the following:
age
It is common in young people, especially 10~20 years old. It is mainly due to the vigorous growth of adolescent tissues, strong post-traumatic reactivity and high skin tension; As far as age is concerned, pregnant mothers who have caesarean section are likely to have scars.
Skin tension
Including the tension caused by the degree of skin tissue defect and the inherent tension of skin tissue itself. Hypertrophic scars tend to occur in areas with high tension and many activities, such as mandible, anterior sternum, deltoid muscle, upper back, elbow, hip, knee, ankle joint and instep. Moreover, the tension of the transverse abdominal incision chosen for cesarean section is much smaller than that of the longitudinal incision, so the scar is also smaller.
Skin pigment
Colored people have more pigment cells and are prone to stress reactions. The incidence of keloid in blacks is nine times that of whites. It is more likely to occur during physiological activities of pituitary gland, such as adolescence and pregnancy.
infect
Repeated infection, long-term exposure of the wound, excessive proliferation of granulation tissue, prone to hypertrophic scars or keloids.
Foreign bodies fall into the wound.
Dust, talcum powder, fibers, hair follicles, sebaceous glands and sweat gland residues can all cause tissue reactions, leading to scar hyperplasia.
2. How to dilute cesarean scar?
Strategy 1 wound care is the key.
● Use abdominal belt immediately after cesarean section; Wearing tights after removing stitches belongs to physical therapy and can prevent scar hyperplasia. However, the abdominal belt should not be too tight after cesarean section, and it can be slightly tight after 42 days.
● The new mommy changes the wound dressing in time to avoid wound infection and promote the safe healing of the wound.
● Avoid strenuous activities, do not overstretch or bend your body sideways, and take a lateral position and bend your body slightly at rest to reduce the tension of the wound.
● Don't remove the scar scab prematurely because it is itchy and painful. Removing scab prematurely will take away the epidermal cells that are still in the repair stage, and even tear the dermal tissue, which will stimulate the wound itching and delay the scar repair.
● Avoid sunlight, prevent pigmentation caused by ultraviolet stimulation, keep scars clean and hygienic, wipe off sweat in time, do not scratch with hands, and avoid rubbing scars with clothes or scalding them with water to stop itching, so as not to aggravate local irritation, promote inflammatory reaction of connective tissue and cause further itching.
Strategy 2: Diet conditioning is the means.
Cesarean section within half a year is an important stage to prevent scar formation, so we must pay attention to diet. Generally speaking, eat more foods rich in vitamin C, vitamin E and essential amino acids, such as fruits, eggs, lean meat and skins. Because these foods can promote blood circulation and improve epidermal metabolic function. Don't eat spicy food such as pepper, onion and garlic.
First of all, don't be partial to food: Chinese medicine believes that medicine and food are homologous. Food has four characteristics: cold, hot, warm and cool, and tastes sour, bitter, sweet and salty. Such as partial eclipse, it is easy to cause nutritional imbalance in the body, which is not conducive to scar regression. Therefore, in the usual diet, maintaining a balanced intake of nutrients is conducive to scar repair.
Secondly, don't overeat: overeating refers to overeating; Eating too much is easy to damage the spleen and stomach to the deficiency of qi and blood biochemistry; If you eat too little, you will suffer from malnutrition and lack of qi and blood, which will lead to the lack of healthy qi and the proliferation of evil spirits.
Finally, don't eat indiscriminately: if you are a scar, and the scar is accompanied by itching, pain, hyperplasia or contracture, then you should pay special attention to your diet. Those fried moxibustion products; Fat, sweet and greasy; All spicy and dry foods should be banned. Because these foods will make the spleen and stomach stagnate, the function of healthy transport and transformation is abnormal, and the blood flow will increase, creating conditions for scar deterioration.
In particular, no matter what your constitution is, "water" must be fully guaranteed, because it is the best nutrition and the cheapest detoxification agent!
Strategy 3: Adhere to daily health care.
42 days after cesarean section, check the wound, no problem, you can use massage to reduce scars.
● Vitamin E daubing method. Vitamin e can penetrate into the skin and play its moisturizing role. At the same time, vitamin E can keep the skin elastic. Puncture the vitamin E capsule, smear the liquid on the scar, gently knead it for 5~ 10 minutes, twice a day, and stick to it will have a good effect.
● Vitamin C has whitening effect. Apply vitamin C to the dark scar to make the scar white, which is consistent with the surrounding healthy skin.
● The beauty effect of lavender essential oil is always magical, and the role of lavender essential oil in lightening scars is also widely recognized. However, lavender essential oil has no obvious effect on new scars and old scars over 8 years, but it has better effect on scars with scar age 1~2 years.
● In addition, you can also choose a massage cream commonly used in the market to dilute scars, as long as you avoid local allergies when applying it.
Strategy 4 Pre-pregnancy prevention is very important.
Measures to prevent stretch marks in early pregnancy can increase skin elasticity and help minimize scars after cesarean section. The earlier this pre-pregnancy prevention begins, the better.
Strengthen exercise. Pay attention to exercise before pregnancy, massage and cold water bath can enhance skin elasticity. Pay attention to skin moisturizing, use products with moisturizing function every day, and another measure is to take a bath.
Self massage. Use some massage creams to enhance skin elasticity for self-massage, or go to a beauty salon for full-body skin care. , there will be good results.
Pay attention to the science of diet. Eat more foods rich in protein and vitamins before pregnancy.
● The skin needs to maintain a certain elasticity. The more collagen fibers in the skin, the smaller the scar will be. So pay attention to supplement vitamin C and protein during pregnancy.
It is understood that vitamin C, protein and other nutrients can make more bone glue fibers, so that collagen fibers are not easy to break and the skin is more elastic.
● Avoid excessive intake of sweets and fried foods during pregnancy, balance nutrition, improve skin quality and help skin enhance elasticity.
● Adjust the eating habits during pregnancy, try to eat fresh fruits and drink less juice; Drink skim milk and drink less whole milk; Drink clear soup, less thick soup, more low-sugar fruits and less biscuits and salads.
● It is also important to discharge the garbage in the body in the morning.
Of course, the best way is to try to avoid cesarean section without medical reasons and reasons.
3. Exercise is helpful for delivery.
1. Exercise to strengthen the muscle strength of shoulders and arms.
1a。 Sit cross-legged or in a comfortable position on the carpet, facing forward; Bend your elbows up, put your fingers together, and then put your hands on your shoulders.
1b。 Elbows move forward respectively, then your hands and fingers are slightly arched, your wrists are hard, and your shoulders are slightly pressed. Meditate to 10, take a deep breath and exhale, and restore your hands to their original state.
1c。 Sit cross-legged or in a comfortable position on the carpet, facing forward. The left arm bends, the forearm touches the ground, the right arm is raised, the upper body bends to the left, and the right arm extends to the right. Meditate to 10, inhale deeply first and then exhale, and your body will return to its original state.
1d。 Pregnant women sit cross-legged or in a comfortable position on the carpet, facing forward. The right arm bends, the forearm touches the ground, the left arm is lifted up, the upper body bends to the right, and the left arm extends to the left. Meditate to 10, inhale deeply first and then exhale, and your body will return to its original state.
Tip: Each movement in this group can be repeated 10 times. Pay attention to the rhythm and fatigue.
2. Exercise strengthens the muscles of hips and legs.
2a。 Sit on the carpet in a comfortable posture, put your arms on your sides naturally, touch the ground with your palms, and extend your face horizontally forward to your legs; Then your knees are slightly bent, your legs are arched, your feet follow the ground, your toes are tilted upward and you are relaxed, and your calves, ankles and toes are forced. Meditate to 10, inhale deeply first and then exhale.
2b。 Keep the posture just now, legs flat forward, feet on the ground, feet forward, toes inward. Meditate to 10, inhale deeply first and then exhale, so that the whole leg and foot can be stressed and then the body will return to its original state.
Tip: Each action in this group can be repeated 10 times. Pay attention to gentle and slow movements and moderate body rotation.
3. Strengthen the back muscle strength exercise.
3a。 Lying on your side in a comfortable posture on the carpet, your right arm is naturally placed on your body, your left arm is bent to your head, your forearm is placed under your head, your left leg is straight down, and your right leg is bent upward and placed on the pillow.
Close your eyes and meditate until 10, breathe in deeply and then exhale. According to this posture, the upper body will lie on its side in the opposite direction and do the same action.
3b。 Kneel your legs loosely on the carpet, bend forward, stretch your arms down, put your hands on the ground, put your arms parallel to your thighs, and put your calves on the ground. Count to 10 in your mind, inhale deeply before exhaling, and shift your body's weight to your hands and knees.
3c。 Keep the posture just now, and the pregnant woman will slowly lower her head and straighten her neck. Count to 10 in your mind, take a deep breath and then exhale, and then return to the original state to put pressure on your back.
Tip: Each action in this group can be repeated 5-6 times. Be sure to pay attention to the gentle and slow movements and fully relax the abdomen.
4. Exercise to enhance pelvic muscle strength
4a。 Lie on your side on the carpet in a comfortable posture, with your upper body raised, your right forearm touching the ground, supported by elbow flexion, your right leg bent inward, your left arm naturally placed on your chest, and your left leg raised and straightened forward. Meditate to 10, inhale deeply first and then exhale, so as to restore the body to its original state, increase the traction of thighs, and make the pelvis relaxed and flexible. Keep your posture just now, then turn to your side in the opposite direction and do the same.
4b。 Lie on your side in a comfortable posture on the carpet, with your right arm flat and straight, your head resting on your arm, your right leg bent forward into an arch, your left arm naturally placed on your chest, your elbow bent, your palm touching the ground, and your left leg raised and straight, so as to keep the tension and elasticity of your leg muscles and make your pelvis move.
4c。 Sit on the carpet in a comfortable posture, bend your left leg upward, straighten your right leg forward, put your right arm next to your body naturally, and put your left arm next to your right leg naturally. Bend over, lean forward and lower your head. Count to 10 in your mind, inhale deeply first and then exhale, stretch your spine, and move the pelvic floor muscles and hip joints. Keep your posture just now, exchange your legs, bend your knees with your right leg and straighten your left leg forward. After doing the same action, your body will return to its original state.
Special reminder:
1. These exercises can start from the second trimester and last for 32-35 weeks. It is best to practice under the guidance of a doctor.
2. The first stage of training is mainly cross-legged exercise and pelvic exercise, and the second stage is mainly respiratory exercise.
3. Training 10 minutes every day. You can only practice one or two of them without feeling tired. It's best to put a carpet on the training.
4. Pay attention to slow and gentle movements and moderate intensity during training, and it is best to train with beautiful music accompaniment. Pay attention to emptying the bladder before training, not after meals, and don't overtraining!
After all the exercise, don't lie down and have a rest immediately, take a short walk in a relaxed way, and then sit in a chair and rest quietly.
Doing some exercise during pregnancy is very beneficial, but it also varies from person to person. If a pregnant woman suffers from certain diseases or has a history of abortion, it is not suitable for training. If something unexpected happens during exercise, we must stop exercising.