Liposuction

Liposuction ndiyo kuchotsa mafuta owonjezera m'thupi mwa kumukoka pogwiritsa ntchito zida zapadera za opaleshoni. Dokotala wa pulasitiki nthawi zambiri amachita opaleshoni.

Liposuction ndi mtundu wa opaleshoni yodzikongoletsa. Amachotsa mafuta osafunikira kuti thupi liwoneke komanso kuti thupi liziyenda bwino. Njirayi nthawi zina imatchedwa kuti contour contour.

Liposuction itha kukhala yothandiza poyenda pansi pa chibwano, khosi, masaya, mikono yakumtunda, mabere, pamimba, matako, chiuno, ntchafu, mawondo, ana ang'ombe, ndi malo akolo.

Liposuction ndi njira yochitira opaleshoni yomwe ili ndi zoopsa, ndipo imatha kupangitsa kuchira kowawa. Liposuction imatha kukhala ndi zovuta zazikulu kapena zosowa kwenikweni. Chifukwa chake, muyenera kulingalira mozama za chisankho chanu chochitidwa opaleshoniyi.

MITUNDU YA NKHANI ZOTHANDIZA

Tumescent liposuction (jekeseni wamadzimadzi) ndiye mtundu wofala kwambiri wa liposuction. Zimaphatikizira kulowetsa mankhwala ochulukirapo m'malo amafuta asanachotsedwe. Nthawi zina, yankho limatha kuchuluka katatu kwamafuta kuti achotsedwe). Madzimadziwa ndi osakanikirana ndi mankhwala oletsa ululu m'deralo (lidocaine), mankhwala omwe amalumikizana ndi mitsempha ya magazi (epinephrine), komanso njira yotsekemera yamchere (IV). Lidocaine amathandiza dzanzi m'dera nthawi ndi pambuyo opaleshoni. Itha kukhala yokhayo yokhayo yomwe imafunikira pochita izi. Epinephrine mu yankho amathandizira kuchepetsa kutaya magazi, mabala, ndi kutupa. Yankho la IV limathandiza kuchotsa mafuta mosavuta. Amachotsedwa pamodzi ndi mafuta. Mtundu wa liposuction nthawi zambiri umatenga nthawi yayitali kuposa mitundu ina.

Njira yonyowa kwambiri n'chimodzimodzi ndi tumescent liposuction. Kusiyanitsa ndikuti sikumagwiritsa ntchito madzi ambiri panthawi yochita opareshoni. Kuchuluka kwa madzimadzi obayidwa ndikofanana ndi kuchuluka kwamafuta omwe ayenera kuchotsedwa. Njira imeneyi imatenga nthawi yochepa. Koma nthawi zambiri imafunikira sedation (mankhwala omwe amakupangitsani kugona) kapena mankhwala oletsa ululu (mankhwala omwe amakulolani kugona ndi kumva kupweteka).

Liposuction yothandizidwa ndi Ultrasound (UAL) amagwiritsa ntchito akupanga kugwedera kutembenuza mafuta maselo kukhala madzi. Pambuyo pake, maselowa amatha kutulutsidwa. UAL itha kuchitidwa m'njira ziwiri, kunja (pamwamba pakhungu ndi chotulutsa chapadera) kapena mkati (pansi pakhungu ndi kanyumba kakang'ono kotentha). Njirayi ingathandize kuchotsa mafuta m'malo olimba, odzaza ndi ma fiber (thupi) monga mbali yakumtunda kapena yotupa yamabele. UAL imagwiritsidwa ntchito limodzi ndi njira ya tumescent, kutsatira, (yachiwiri), kapena mwatsatanetsatane. Mwambiri, njirayi imatenga nthawi yayitali kuposa njira yonyowa kwambiri.

Liposuction yothandizidwa ndi Laser (LAL) amagwiritsa ntchito mphamvu ya laser kusungunuka maselo amafuta. Maselwo akadzasungunuka, amatha kutulutsidwa kapena kuloledwa kutulutsa timachubu tating'ono. Chifukwa chubu (cannula) yomwe imagwiritsidwa ntchito pa LAL ndi yocheperako poyerekeza ndi yomwe imagwiritsidwa ntchito popaka mankhwala opaka mafuta, madokotala ochita opaleshoni amakonda kugwiritsa ntchito LAL m'malo okhala pang'ono. Maderawa akuphatikizapo chibwano, ma jowls, ndi nkhope. Ubwino wa LAL pazinthu zina zopangira liposuction ndikuti mphamvu yochokera ku laser imalimbikitsa kupanga kwa collagen. Izi zitha kuthandiza kupewa khungu pakhungu pambuyo poti liposuction. Collagen ndi puloteni wofanana ndi ulusi womwe umathandizira kukonza khungu.

MMENE NJIRA ICHITIRE

• Makina opangira liposuction ndi zida zapadera zotchedwa cannulas zimagwiritsidwa ntchito pochita opaleshoniyi.
• Gulu la opareshoni limakonzekera madera amthupi lanu omwe adzalandire chithandizo.
• Mutha kulandira anesthesia wamba kapena wamba.
• Pogwiritsa ntchito khungu pang'ono, madzi am'matumbo amabayidwa pansi pa khungu lanu m'malo omwe mudzagwirepo ntchito.
• Mankhwalawa atayamba kugwira ntchito, mafuta amachotsedwa pamalopo. Pampu yotulutsa kapena syringe yayikulu imathandizira.
• Makina angapo ofunikira pakhungu angafunikire kuchitira malo akulu. Dokotalayo amatha kufikira maderawo kuti akalandire madera osiyanasiyana kuti apeze mawonekedwe abwino.
• Mafuta atachotsedwa, timachubu tating'ono tating'ono titha kulowetsedwa m'malo obalidwa kuti muchotse magazi ndi madzi omwe amasonkhana m'masiku ochepa pambuyo pa opareshoni.
• Mukataya madzi kapena magazi ambiri panthawi yochita opareshoni, mungafunike m'malo mwa madzi (kudzera m'mitsempha). Nthawi zambiri, pamafunika kuthiridwa magazi.
• Chovala chotsendereza chidzaikidwa pa inu. Valani monga amalangizira dotolo wanu.

Izi ndi zina mwazomwe amagwiritsira ntchito liposuction:

• Zodzikongoletsera, kuphatikiza "ma handles achikondi," zotupa zamafuta, kapena chibwano chachilendo.
• Kupititsa patsogolo magwiridwe antchito pochepetsa mafuta omwe samadziwika bwino ntchafu zamkati, motero amalola kufikira mosavuta kumaliseche.
• Kupanga matupi a anthu omwe akuvutitsidwa ndi mafuta kapena zolakwika zomwe sizingachotsedwe ndi zakudya kapena / kapena masewera olimbitsa thupi.

Liposuction siigwiritsidwe ntchito:

• Monga cholowa m'malo mochita masewera olimbitsa thupi ndi zakudya, kapena ngati chithandizo cha kunenepa kwambiri. Koma itha kugwiritsidwa ntchito kuchotsa mafuta kumadera akutali nthawi zosiyanasiyana.
• Monga chithandizo cha cellulite (mawonekedwe osakwanira, opindika a khungu m'chiuno, ntchafu, ndi matako) kapena khungu lowonjezera.
• M'madera ena amthupi, monga mafuta ammbali mwa mabere, chifukwa bere ndimalo omwe khansa imapezeka.

Njira zambiri zodzitetezera pakhungu zilipo, kuphatikiza pamimba (m'mimba), kuchotsa zotupa zamafuta (lipomas), kuchepetsa mawere (kuchepetsa mammaplasty), kapena njira zingapo zopangira opaleshoni yapulasitiki. Dokotala wanu akhoza kukambirana izi nanu.

Matenda ena ayenera kufufuzidwa ndikuwunikidwa asanafike liposuction, kuphatikiza:

• Mbiri ya mavuto amtima (matenda amtima)
• Kuthamanga kwa magazi
• Matenda a shuga
• Thupi lawo siligwirizana ndi mankhwala
• Mavuto am'mapapo (kupuma movutikira, matumba ampweya wamagazi)
• Matenda (maantibayotiki, mphumu, kukonzekera opaleshoni)
• Kusuta, kumwa mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo

Zowopsa zomwe zimakhudzana ndi liposuction ndi monga:

• Kusokonezeka (nthawi zambiri pamene madzi osakwanira amalowetsedwa panthawi ya opaleshoni)
• Kuchulukanso kwamadzimadzi (nthawi zambiri kuchokera pamachitidwe)
• Matenda (strep, staph)
• Kutuluka magazi, magazi
• Mafuta ang'onoang'ono am'magazi omwe amaletsa magazi kutuluka (mafuta embolism)
• Mitsempha, khungu, minofu, kapena chiwalo kuwonongeka kapena kuwotcha chifukwa cha kutentha kapena zida zomwe zimagwiritsidwa ntchito popopera mafuta
• Kuchotsa mafuta mosagwirizana (asymmetry)
• Zimaterera pakhungu lanu kapena zovuta
• Mankhwala osokoneza bongo kapena bongo ochokera ku lidocaine omwe amagwiritsidwa ntchito pochita izi
• Khungu kapena losakhazikika, losakanikirana, kapenanso khungu "lotopetsa," makamaka achikulire

Musanachite opaleshoni yanu, mudzayenera kufunsa odwala. Izi ziphatikiza mbiri, kuyesa thupi, komanso kuwunika kwamaganizidwe. Mungafunike kubweretsa wina (monga mnzanu) mukamacheza kuti akuthandizeni kukumbukira zomwe adokotala amakambirana nanu.

Khalani omasuka kufunsa mafunso. Onetsetsani kuti mwamvetsetsa mayankho a mafunso anu. Muyenera kumvetsetsa bwino kukonzekera, opaleshoni ya liposuction, ndi chisamaliro cha pambuyo pa opaleshoni. Mvetsetsani kuti liposuction imatha kukulitsa mawonekedwe anu komanso kudzidalira, koma mwina sangakupatseni thupi lanu labwino.

Lisanachitike tsiku lochitidwa opareshoni, mutha kukoka magazi ndikufunsidwa kuti mupereke mayeso mumkodzo. Izi zimathandiza wothandizira zaumoyo kuti athetse mavuto omwe angakhale nawo. Ngati simunagone mchipatala, mufunika kupita kunyumba mukatha opaleshoni.

Liposuction itha kapena singafune kukhala kuchipatala, kutengera komwe kuli opareshoni. Liposuction itha kuchitidwa muofesi, malo opangira opareshoni kuchipatala, kapena kuchipatala.

Pambuyo pa opaleshoniyi, amabatani ndi chovala chothina chimagwiritsidwa ntchito kupondereza m'deralo ndikuletsa kutuluka magazi kulikonse, komanso kuthandizanso mawonekedwe. Mabandeji amakhala m'malo mwa milungu iwiri. Muyenera kuti mudzasowa chovalacho kwa milungu ingapo. Tsatirani malangizo a dotolo wanu momwe ayenera kuvalira kwa nthawi yayitali.

Mutha kukhala ndi kutupa, kufinya, kufooka, komanso kupweteka, koma zimatha kuyendetsedwa ndi mankhwala. Zokongoletsazo zichotsedwa masiku 5 mpaka 10. Maantibayotiki amatha kuperekedwa kuti ateteze matenda.

Mutha kumva zowawa monga dzanzi kapena kumva kulasalasa, komanso kupweteka, kwa milungu ingapo mutachitidwa opaleshoni. Yendani mwachangu mukatha opaleshoni kuti muteteze magazi kuundana m'miyendo mwanu. Pewani kuchita masewera olimbitsa thupi ovuta kwambiri pafupifupi mwezi umodzi atachitidwa opaleshoni.

Muyamba kumva bwino pakadutsa sabata limodzi kapena awiri. Mutha kubwerera kuntchito m'masiku ochepa opareshoniyo. Kukwapula ndi kutupa nthawi zambiri kumatha pakatha masabata atatu, koma mwina mumatha kutupa miyezi ingapo pambuyo pake.

Dokotala wanu akhoza kukuitanani nthawi ndi nthawi kuti muwone momwe akuchiritsirirani. Ulendo wotsatira ndi dokotalayo udzafunika.

Anthu ambiri amakhutira ndi zotsatira za opaleshoniyi.

Thupi lanu latsopano limayamba kutuluka m'milungu ingapo yoyambirira. Kupititsa patsogolo kudzawonekera kwambiri masabata 4 mpaka 6 mutachitidwa opaleshoni. Mukamachita masewera olimbitsa thupi pafupipafupi komanso kudya zakudya zopatsa thanzi, mutha kuthandizanso kukhala ndi mawonekedwe atsopano.

Kuchotsa mafuta - kukoka; Kuzungulira thupi

• Mafuta osanjikiza pakhungu
• Liposuction - mndandanda

[Adasankhidwa] McGrath MH, Pomerantz JH. Opaleshoni yapulasitiki. Mu: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Maziko Achilengedwe a Njira Zamakono Zopangira Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 68.

Stephan PJ, Dauwe P, Kenkel J. Liposuction: kuwunikira kwathunthu maluso ndi chitetezo. Mu: Peter RJ, Neligan PC, olemba. Opaleshoni ya Pulasitiki, Gawo 2: Opaleshoni Yokongola. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 22.1.