Opaleshoni kuchotsa chilonda: momwe zimachitikira, kuchira komanso ndani angazichite
Zamkati
- Kodi opaleshoniyi yachitika bwanji
- Mitundu ya opaleshoni
- Kodi kuchira kuli bwanji?
- Ndani angachite opaleshoniyi
- Njira zina zamankhwala zothandizira
- 1. Chithandizo chokongoletsa
- 2. Chithandizo cha matepi ndi mafuta
- 3. Mankhwala a m'jekeseni
Kuchita opaleshoni yapulasitiki kuti akonze zipsera kumakonza kusintha kwa machiritso a chilonda m'mbali iliyonse ya thupi, kudzera pakucheka, kuwotcha kapena opaleshoni yam'mbuyomu, monga gawo la opareshoni kapena appendectomy, mwachitsanzo.
Cholinga cha opaleshoniyi ndi kukonza zolakwika pakhungu, monga zosasintha m'mapangidwe, kukula kapena utoto, kupereka khungu lofananira, ndipo limangochitika pamabala owopsa kwambiri kapena ngati mitundu ina ya mankhwala okongoletsa sagwira ntchito, monga kugwiritsa ntchito silicone mbale, radiotherapy kapena kuwala kozungulira, mwachitsanzo. Pezani njira zomwe mungasamalire musanachite opareshoni.
Kodi opaleshoniyi yachitika bwanji
Njira zomwe amachotsera chilondacho zimadalira mtundu, kukula, malo komanso kukula kwa chilondacho, ndipo amasankhidwa ndi dotolo wa pulasitiki molingana ndi zosowa komanso chizolowezi chakuchiritsa kwa munthu aliyense, kugwiritsa ntchito njira zomwe zimagwiritsa ntchito mabala, kuchotsa kapena kukonzanso kwa ziwalo za khungu lomwe lakhudzidwa.
Mitundu ya opaleshoni
- Z-plasty: ndiwotchuka kwambiri pakusintha zipsera;
- Z-plasty sock: pamene khungu loyandikana mbali imodzi ya chilondacho ndi zotanuka ndipo linalo siliri;
- Z-pulasitiki m'mapewa anayi (Limberg flap): ndichosangalatsa kwambiri kutulutsa ma contract amachiritso okhwima omwe amangiriza kapena kulepheretsa kupindika koyenera kapena mkati kapena pakuwotcha;
- Planimetric Z-plasty: imawonetsedwa m'malo athyathyathya, ndipo z-plasty triangle imayikidwa ngati chomera;
- S-plasty: zochizira mabala oval ovomerezeka;
- W-plasty: kukonza zipsera zosasinthasintha;
- Mizere yosweka yamajometri: kutembenuza chilonda chotalika kukhala chipsera chosasinthasintha mwachisawawa kuti chisawoneke;
- Kupititsa patsogolo mtundu wa VY ndi VY: pakagwa zipsera zazing'ono zomwe mwakumana nazo
- Kusintha ndi kudzazidwa: Kwa zipsera zobwezerezedwanso komanso zomizidwa zomwe zimafuna kudzazidwa ndi mafuta kapena hyaluronic acid;
- Dermabrasion: Ndi njira yakale kwambiri ndipo imatha kuchitika pamanja kapena ndi makina.
Kuti achite opaleshoni, adokotala amatha kuyitanitsa mayeso amwazi asanachitike. Monga opaleshoni iliyonse, kusala kudya kwa maola 8 kumalangizidwa, ndipo mtundu wa anesthesia womwe umachitidwa umadalira njira yomwe idzachitike, ndipo itha kukhala yakomweko, modekha kapena wamba.
Nthawi zina, njira imodzi yokha ndi yokwanira kutsimikizira zotsatira zokhutiritsa, komabe, m'malo ovuta kwambiri, kubwereza kapena chithandizo chatsopano kungalimbikitsidwe.
Kodi kuchira kuli bwanji?
Pambuyo pa opaleshoni, kutupa ndi kufiira kwa tsambalo kumatha kuzindikirika, chifukwa chake zotsatirazi zimayamba kuwoneka patangotha milungu ingapo, ndipo kuchira kwathunthu kumatha kutenga miyezi ngakhale chaka chimodzi kuti mumalize. Pakukonzanso, tikulimbikitsidwa:
- Pewani kuchita masewera olimbitsa thupi;
- Osadziika padzuwa mopitirira muyeso kwa masiku 30;
- Musaiwale kugwiritsa ntchito zotchinga dzuwa, ngakhale mutachiritsidwa kotheratu;
Kuphatikiza apo, kuti athandizire kuchira koyenera pambuyo pa opaleshoniyi, kuteteza chilonda kuti chisadzakhalenso choipa, adotolo angakulimbikitseni kupanga mankhwala ena apakhungu monga kugwiritsa ntchito mbale za silicone, kupaka mafuta ochiritsa kapena kupanga mavalidwe okakamiza, mwachitsanzo. Dziwani kuti ndi chisamaliro chiti chomwe chikulimbikitsidwa pambuyo pakuchitidwa opaleshoni yapulasitiki kuti muthandizidwe kuchira.
Ndani angachite opaleshoniyi
Opaleshoni yowonongeka imawonetsedwa ndi dotolo wa pulasitiki pakagwa zolakwika pakupanga bala, lomwe lingakhale:
- Zowonjezera, chomwe ndi chilonda cholimbitsidwa, chomwe chimakula mopitilira chizolowezi chifukwa chopanga collagen yayikulu, ndipo imatha kuyabwa komanso kufiyira;
- Hypertrophic chilonda, Chimene chilinso chilonda chokulira, chifukwa cha kusokonekera kwa ulusi wa collagen, womwe ungakhale wakuda kapena wopepuka kuposa khungu lozungulira;
- Chilonda chobwezeretsedwa kapena mgwirizano, Zimayambitsa kuyerekezera kwa khungu loyandikana nalo, lofala kwambiri m'magawo obayira, m'mimba m'mimba kapena chifukwa cha kuwotcha, zomwe zimapangitsa kuti zikhale zovuta kusuntha khungu ndi malo oyandikira;
- Kukulitsa chilonda, ndi chilonda chosaya ndi chosalala, chokhala ndi malo apansi kuposa a khungu;
- Chilonda chosokoneza, zomwe zimapangitsa kusintha kwa khungu, komwe kumatha kukhala kopepuka kapena kuda kuposa khungu loyandikana nalo;
- Chilonda cha atrophic, momwe chilondacho ndi chozama kuposa kupuma kwa khungu lozungulira, chofala kwambiri pamabala ndi ziphuphu.
Cholinga cha opaleshoniyi ndi kukonza mawonekedwe ndi kupanga yunifolomu ya khungu, sikuti nthawi zonse zimatsimikizira kuti bala lonselo lidzachotsedwa, ndipo zotsatira zake zimatha kusiyanasiyana kutengera khungu la munthu aliyense.
Njira zina zamankhwala zothandizira
Mankhwala ena omwe angakhalepo, omwe amalimbikitsidwa ngati kusankha koyamba asanachite opareshoni, ndi awa:
1. Chithandizo chokongoletsa
Pali njira zingapo, monga kusenda kwa mankhwala, microdermabrasion, kugwiritsa ntchito laser, radiofrequency, ultrasound kapena carboxitherapy, zomwe zimathandiza kwambiri kukonza zipsera zopepuka, monga ziphuphu, kapena kuti yunifolomu khungu.
Mankhwalawa atha kuchitidwa ndiopanga pulasitiki kapena dermatologist m'malo ovuta, komabe, pakakhala zipsera zazikulu ndi chithandizo chovuta, sizingakhale zothandiza, ndipo chithandizo china kapena opareshoni ayenera kusankhidwa. Onani, mwatsatanetsatane, zina mwanjira zokongoletsera zamankhwala zokongoletsa mawonekedwe a chilonda.
2. Chithandizo cha matepi ndi mafuta
Zimachitika ndikukhazikitsidwa kwa mbale za silicone, matepi kapena mavalidwe othina, akuwonetsedwa ndi dermatologist kapena dotolo wa pulasitiki, yemwe atha kugwiritsidwa ntchito milungu ingapo mpaka miyezi. Kutikita minofu ndi zinthu zapadera kumatha kutsogozedwanso, komwe kumathandizira kuchepetsa kukhuthala, fibrosis kapena kusintha kwa mtundu wa chilondacho.
3. Mankhwala a m'jekeseni
Pofuna kukonza mawonekedwe a zipsinjo zopsinjika kapena za atrophic, zinthu monga hyaluronic acid kapena polymethylmethacrylate zitha kubayidwa pansi pa bala kuti zidzaze khungu ndikuliyendetsa bwino. Zotsatira zamankhwalawa amatha kukhala osakhalitsa kapena okhalitsa, kutengera mtundu wa zinthu zomwe agwiritsa ntchito komanso mtundu wa chilonda.
Mu zipsera za hypertrophic, corticosteroids itha kubayidwa kuti ichepetse mapangidwe a collagen, kuchepetsa kukula ndi kukulira kwa chilondacho.