Kusintha kwamankhwala

Panniculectomy ndi opaleshoni yochitidwa kuti ichotse mafuta otambalala, owonjezera komanso khungu lokwanira m'mimba mwanu. Izi zimatha kuchitika munthu atayamba kuchepa kwambiri. Khungu limatha kupachika ndikuphimba ntchafu zanu ndi maliseche. Kuchita opaleshoni kuchotsa khungu kumathandiza kuti mukhale ndi thanzi komanso mawonekedwe.

Panniculectomy ndi yosiyana ndi m'mimba ya m'mimba. Mu abdominoplasty, dotolo wanu akuchotsani mafuta owonjezera komanso kulimbitsa minofu yanu yam'mimba (yamimba). Nthawi zina, mitundu yonse ya opaleshoni imachitika nthawi yomweyo.

Kuchita opareshoni kudzachitika mchipatala kapena malo opangira opareshoni. Kuchita opareshoni iyi kumatha kutenga maola angapo.

• Mudzalandira anesthesia wamba. Izi zidzakupangitsani kugona ndi kumva ululu panthawi yomwe mukuchita.
• Dokotalayo amatha kudula pansi pa fupa la bere lanu kupitirira pamwambapa.
• Kudulidwa kopingasa kumapangidwa m'mimba mwanu, pamwamba penipeni pa pubic.
• Dokotalayo amachotsa khungu ndi mafuta owonjezera, otchedwa apuroni kapena pannus.
• Dokotalayo amatseka mdulidwe wanu ndi ma suture (stitches).
• Timachubu tating'onoting'ono, tomwe timatchedwa ngalande, titha kulowetsedwa kuti mvula ituluke pachilondacho pomwe malowo amachira. Izi zichotsedwa pambuyo pake.
• Chovala chidzaikidwa pamimba panu.

Mukataya kulemera kwambiri, monga makilogalamu 45 kapena kupitilira pomwe opaleshoni ya bariatric, khungu lanu limatha kukhala lolimba mokwanira kuti libwererenso momwe limakhalira. Izi zitha kupangitsa kuti khungu ligwedezeke ndikupachika. Itha kuphimba ntchafu zanu ndi maliseche. Khungu lowonjezerali limakupangitsani kukhala kovuta kuti mukhale oyera komanso kuyenda ndikupanga zochitika zatsiku ndi tsiku. Zitha kupanganso zilonda kapena zilonda. Zovala sizingafanane bwino.

Panniculectomy yatha kuchotsa khungu lowonjezera (pannus). Izi zitha kukuthandizani kuti muzimva bwino ndikudzidalira. Kuchotsa khungu lowonjezera kumathandizanso kuti muchepetse chiopsezo cha zotupa ndi matenda.

Zowopsa za anesthesia ndi opaleshoni yonse ndi izi:

• Zomwe zimachitika ndi mankhwala
• Mavuto opumira
• Kukhetsa magazi, magazi kuundana, kapena matenda

Zowopsa za opaleshoniyi ndi izi:

• Zosokoneza
• Matenda
• Kuwonongeka kwa mitsempha
• Khungu lotayirira
• Kutaya khungu
• Kuchira kovulaza mabala
• Madzi amadzimadzi pansi pa khungu
• Imfa ya minofu

Dokotala wanu adzafunsa za mbiri yanu yazachipatala. Dokotalayo amawunika khungu lowonjezera ndi zipsera zakale, ngati zilipo. Uzani dokotala wanu za mankhwala aliwonse omwe mumamwa.

Dokotala wanu adzakufunsani kuti musiye kusuta mukasuta. Kusuta kumachedwetsa kuchira komanso kumawonjezera mavuto. Dokotala wanu angakuuzeni kuti musiye kusuta musanachite opaleshoniyi.

Sabata isanachitike opaleshoni yanu:

• Masiku angapo musanachite opareshoni, mwina mungafunsidwe kuti musiye kumwa mankhwala omwe amalepheretsa magazi anu kuphimba. Izi ndi monga aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), ndi ena.
• Funsani dokotala wanu za mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.

Patsiku la opareshoni:

• Tsatirani malangizo okhudza nthawi yosiya kudya ndi kumwa.
• Tengani mankhwala omwe dokotala wanu wakuuzani kuti mumamwe pang'ono.
• Fikani kuchipatala nthawi yake.

Dziwani kuti panniculectomy sikuti nthawi zonse imakhala ndi inshuwaransi yazaumoyo. Makamaka ndimakongoletsedwe omwe amasinthidwa kuti asinthe mawonekedwe anu. Ngati zachitika chifukwa chazachipatala, monga hernia, ngongole zanu zitha kulipidwa ndi kampani yanu ya inshuwaransi. Onetsetsani kuti mwayang'ana ndi kampani yanu ya inshuwaransi musanachite opaleshoniyi kuti mudziwe zaubwino wanu.

Muyenera kukhala mchipatala pafupifupi masiku awiri pambuyo pa opaleshoniyi. Mungafunike kukhala nthawi yayitali ngati opaleshoni yanu ili yovuta kwambiri.

Mukachira ku anesthesia, mudzafunsidwa kuti mudzuke kuti muyende masitepe ochepa.

Mudzakhala ndi ululu ndi kutupa kwa masiku angapo mutachitidwa opaleshoni. Dokotala wanu adzakupatsani opha ululu kuti athandizire kuthetsa ululu. Mwinanso mungakhale ndi dzanzi, zovulaza, ndi kutopa panthawiyi. Zingakuthandizeni kupumula ndi miyendo yanu ndi chiuno mutapinda panthawi yopuma kuti muchepetse kupanikizika pamimba panu.

Pambuyo pa tsiku limodzi kapena apo, dokotala wanu akhoza kukupangitsani kuvala zotanuka, ngati lamba, kuti akuthandizireni pochira. Muyenera kupewa zovuta komanso chilichonse chomwe chingakupangitseni mavuto kwa milungu 4 mpaka 6. Mutha kubwereranso kuntchito pafupifupi 4 milungu.

Zimatenga pafupifupi miyezi itatu kuti kutupa kutsike komanso kuti mabala achiritse. Koma zimatha kutenga zaka ziwiri kuti muone zotsatira zomaliza za opaleshoniyi komanso kuti zipsera zizimire.

Zotsatira za panniculectomy nthawi zambiri zimakhala zabwino. Anthu ambiri amasangalala ndi mawonekedwe awo atsopano.

M'munsi thupi limakweza - pamimba; Chombo chotupa - panniculectomy; Opaleshoni yolimbitsa thupi

Aly AS, Al-Zahrani K, Cram A. Njira zozungulira zazingwe zazingwe: lamba lipectomy. Mu: Rubin JP, Neligan PC, ma eds. Opaleshoni Yapulasitiki: Voliyumu 2: Opaleshoni Yokongola. Wolemba 4. Philadelphia, PA: Elsevier; 2018: chap 25.2.

[Adasankhidwa] McGrath MH, Pomerantz JH. Opaleshoni yapulasitiki. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 68.

Nahabedian WANGA. Panniculectomy ndi kumanganso khoma lam'mimba. Mu: Rosen MJ, mkonzi. Atlas of Abdominal Wall Kukonzanso. Wachiwiri ed. Philadelphia, PA: Elsevier; 2017: mutu 13.

Neligan PC, Buck DW. Kuzungulira thupi. Mu: Neligan PC, Buck DW, ma eds. Ndondomeko Zazikulu mu Opaleshoni Yapulasitiki. Wachiwiri ed. Philadelphia, PA: Elsevier; 2020: mutu 7.