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cover of episode Why don’t scars go away?

Why don’t scars go away?

2025/4/18
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Moment of Um

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Dr. Liz Farhat
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Narrator
一位专注于电动车和能源领域的播客主持人和内容创作者。
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Smash Dandy Boot
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Smash Dandy Boot: 我是一名特技演员,身上有很多疤痕,这些疤痕记录了我职业生涯中发生的各种意外和受伤经历。每个疤痕都代表着一次独特的经历,也让我在特技表演中吸取教训,改进技术,避免再次受伤。这些疤痕就像我职业生涯的日记一样,记录着我的成长和进步。 虽然我尝试尽可能安全地进行特技表演,但受伤仍然不可避免。我身上的疤痕提醒我时刻保持警惕,认真对待每一次特技表演,并不断学习和改进我的技能,以最大限度地降低受伤风险。 我很好奇为什么这些疤痕不会消失,它们是否会随着时间的推移而逐渐淡化或消失,或者它们会永远留在我身上,成为我职业生涯的永久印记? Dr. Liz Farhat: 作为一名皮肤科医生,我可以解释为什么疤痕不会消失。当皮肤受到较大的损伤,例如深层切割或手术时,皮肤深层组织会受到破坏。为了修复损伤,身体会启动一个复杂的愈合过程。首先,纤维蛋白会形成一个支架,然后成纤维细胞会填充这个支架,形成细胞外基质,就像水泥一样。最后,身体会用胶原蛋白填充这个区域。 胶原蛋白纤维比正常的皮肤组织更厚,因此修复后的皮肤组织会与周围的皮肤组织有所不同,形成疤痕。由于胶原蛋白纤维的特性,疤痕组织无法恢复到原来的皮肤状态。因此,即使伤口愈合了,疤痕也会永久存在。 虽然疤痕会随着时间的推移而逐渐变淡,但它永远不会完全消失。疤痕可能会出现一些不适,例如敏感、瘙痒或疼痛,这些症状会随着时间的推移而逐渐减轻。 总而言之,疤痕的形成是身体修复损伤的自然过程,由于胶原蛋白纤维的特性,疤痕无法完全消失,只能随着时间的推移而逐渐淡化。 Narrator: 深层伤口愈合后会留下疤痕,这是因为身体在修复过程中使用了胶原蛋白。胶原蛋白是一种比正常皮肤细胞更厚、更坚韧的物质,它能够有效地修复伤口,但同时也使得伤口愈合后会留下比周围皮肤更厚、颜色不同的疤痕组织。 虽然身体会努力使疤痕逐渐变平淡,但由于胶原蛋白的特性,疤痕永远无法完全恢复到原来的皮肤状态。这就像用胶带粘合一张被撕开的纸张,即使粘合得再好,撕裂的痕迹仍然存在。 因此,深层伤口愈合后留下疤痕是不可避免的,这是身体修复机制的结果。

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From the brains behind Brains On, this is the Moment of Um. Moment of Um comes to you from APM Studios. I'm Smash Dandy Boot. I've been a movie stunt double for almost 10 years. That means I've jumped out of planes, slid down stairs, and crashed out windows. I've always tried to be as safe as possible, but over the years I've collected a few injuries.

The scars those ouchies leave behind are ways to remember and improve my stunt techniques. Here, see the scar on my shoulder? I got this one driving a motor scooter into a cactus patch for Desert Desperado.

And this one here over my eyebrow? That one was from walking into a tree branch on the set of Megaspace Monkeys. It wasn't a stunt. I was just walking to our outdoor set and I didn't look where I was going. And this one? Here on the left side of my butt? Oof. Well, that one's from a bonfire scene in Beach Blazers that I'd prefer not to discuss in detail. Anyway, my collection of scars is like a diary of all my stunts.

But that makes me wonder, why do I still have all my scars? Why don't they heal and go away? My buddy Noah wanted to know about this too. So let's see what an expert has to say. Hi, my name is Dr. Liz Farhat and I'm a dermatologist. And that means that I'm a doctor who specializes in skin.

If you get a small paper cut, your body will heal the area over without scarring. But if you get a larger injury or have surgery, the deeper layers of the skin are actually damaged. So the body has to send tissue to repair the skin over. The first step in repairing the area is a material called fibrin, which forms a scaffolding.

And there's cells in the skin called fibroblasts that work to fill in the scaffolding to make something called an extracellular matrix, which we think of kind of like cement. The body then fills in this area with a material called collagen. Now these fibers are thicker and that's what makes scar tissue.

Because the scar tissue is made up of those thicker collagen fibers, we can never go back to regular skin again. And so you will have a scar that will be more sensitive, itchy, or even painful. And with time, your body will contract the scar down and this will fade with time.

It's just like if you cut a piece of paper and tape it back together, you'll always have a little line where the paper was cut even after you repair it with tape. It's never going to be as strong as it initially was. Whoa, skin is super cool. If you get a deep cut or have surgery where you get stitches, your body gets working on healing you up right away. It puts down the special stuff called fibrin.

And that helps hold the edges of the cut together while the body works on building a bridge over the cut with stuff called collagen. Collagen is different from regular skin cells. It's tougher and thicker. So once the cut is fully healed, the place where the injury was will still be thicker and a different color from the skin around it. But the skin won't ever heal back to its original strength and smoothness. Good to know. Guess I gotta make sure I'm extra padded so I don't collect more scars.

Or I could retire, take up painting or gardening or something. If you like this episode, take a second to subscribe to Moment of Um wherever you listen to podcasts. And if you want to know about the science of giggles and guffaws, check out the Brains On podcast where we have a whole episode all about why we laugh.

Want to see our show come to life? Head to YouTube where we've got awesome animated Brains On episodes. Search Brains On Universe on YouTube and subscribe. If you have a question, we'd love to help you answer. Drop us a line by going to brainson.org slash contact.

Moment of Um is produced by Molly Bloom, Rachel Brees, Rosie DuPont, Anna Goldfield, Ruby Guthrie, Mark Sanchez, Anna Weigel, Nico Gonzalez-Whistler, and Aaron Moldeslossi. We had editing help from Sheila Farzan and Zandon Totten, and engineering help from Alex Simpson. Our theme song is by Mark Sanchez. Our executive producer is Beth Perlman. The executives in charge of APM Studios are Chandra Kavati and Joanne Griffith.

Special thanks this week go to Christine Solomon, Jingme O'Connor, and Liz Farhat. See you next time, and the next day, and every weekday. Until then, um... Ooh, I could learn how to bake sourdough. Or get really into collecting vinyl records. Or make jam. Or do needlepoint.

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