Isisu esihle, esiqinile sivumela owesifazane ukuba azizwe eqiniseka. Nokho, akubona bonke abesifazane abangaqhosha ngalokhu. Ukuzama ukulungisa isimo ngosizo lokudla nokukhangisa imikhiqizo yezimonyo ngokuvamile kuvusa amadlingozi. Indlela kuphela yokuphuma kwalesi simo yi-abdominoplasty yesisu. Le nqubo ihlangabezana nezilindelwe.
Izinkomba ze-abdominoplasty
Le nqubo yenziwa ngokuhlinzwa. Inhloso yalo ukubuyisela izwi lezinsipho zomzimba ngokususa amafutha amaningi ngokweqile nesikhumba. Ngaphambi kokwenza le nqubo, udokotela kumele enze ukuhlolwa kwesiguli ukuze athole ukuthi kufanelekile yini ukusebenza. Ukuhlinzwa kwepulasitiki kwesisu kuyamukeleka ezimweni ezinjalo:
- i-ptosis, eyenzeka ngokumelene nesizinda sokulahlekelwa isisindo esinzima, ukukhulelwa noma ukuguga komzimba;
- ukutholakala kwezibazi ezinamafutha ngemuva;
- hernia umbilical ;
- Amanothi okuthutha okulandelayo;
- amafutha "apron", ubukhulu obuyi-10 noma ngaphezulu cm.
I-plasticity yesisu ngemuva kokubeletha
Le nqubo yokuhlinzwa inezinhlobo eziningana nezici ezimbi. Amaphuzu alandelayo aphakathi kokuqala:
- imiphumela esheshayo, ungayibona ngokushesha ngemva kokusebenza;
- umphumela omude kakhulu we "isisu esisisindo";
- kungenabuhlungu, ngoba inqubo yenziwa ngaphansi kwe-anesthesia;
- umphumela omuhle utholakala ngamacala angu-98%.
Ngesikhathi esifanayo, i-abdominoplasty yesisu emva kokubeletha ihlotshaniswa nezikhathi ezimbi:
- izindleko eziphezulu zokuhlinzwa;
- njengokunye kokungenelela okuhlinzayo, ingozi yokucindezeleka ihlala;
- isikhathi sokuvuselela.
I-plasticity yesisu ngemuva kwe-cearean
Ukungenela okunjalo kungenziwa ngaphambi konyaka owodwa emva kokubeletha. Lesi sikhathi sanele ngokwanele ukuphulukisa ubuhlungu, umzimba wabuyiselwa, futhi ukwehluleka kwalesi sibalo kwabonakala ngokwengeziwe. I-abdominoplasty yesisu emva kwe-cearean yenziwa ngokufanayo ngendlela efanayo nangemva kokuzalwa, okwenzeka ngokwemvelo, noma ukuthola isisindo ngokushesha.
Uma isiguli sikhathazekile kuphela ngesibalo, ngesikhathi sokuhlinzwa udokotela ohlinzayo uyayigcina futhi ayenzeke kangako. Uma imisipha yama-cereus ihlukanisa noma izicubu ezinamafutha zikhula, i-abdominoplasty ephelele yesisu isadingeka. Ngesikhathi sokusebenza, udonga lwangaphakathi lwesikhumba esiswini luqiniswa. Futhi, uma kunesidingo, ukuxhaswa kwezicubu ezinamafutha okwedlulele nokufuduka kwenkaba.
I-Abdominoplasty yesisu esiswini
Le nqubo inezinamba eziningi zokuphikisana:
- izinkinga ngegazi coagulability;
- izinga eliphakeme lokukhuluphala;
- isifo sikashukela mellitus;
- inhliziyo ebuthakathaka;
- izifo eziphilayo;
- uneminyaka engaphansi kweminyaka eyi-18 nangemva kweminyaka engama-60;
- isikhathi sokulahlwa.
Ngaphambi kwe-abdominoplasty yesisu, isiguli kumele sibike yonke imiphumela yalokhu kungenelela. Ukunakekelwa kukhokhwa ngalesi simo ezinkingeni ezinokwenzeka, okwenzekayo okungenakuphikiswa, nokuvuselelwa kokuhlelwa emva kokusebenza. Kuphela emva kwalolu lwazi udokotela ohlinzayo uthatha isinqumo mayelana nokusetshenziswa kwezinyathelo ezinkulu.
Kodwa-ke, isiguli esinikezwe i-abdominoplasty (ipulasitiki yesisu) kufanele silandele ngokucophelela izincomo zesidakamizwa sokuvuselela emuva kwe-postoperative. Emasontweni amabili alandelayo owesifazane kufanele akhululwe emsebenzini okhuni. Umsebenzi wokukhanya kuphela uvunyelwe. Ngaphandle kwalokho, ingozi yokucindezeleka ngemuva kokusebenza iphezulu.
Ngaphezu kwalokho, ukuphumelela kokuhlinzekwa kokuhlinzwa kuncike ekuqineni kwesisindo sesiguli. Kulaba besifazane abanesisindo esivamile, isikhathi sokutakula senzeka ngokushesha kakhulu kunamadada. Ngaphezu kwalokho, uhla lwe-fat fat layer oluyinkimbinkimbi esiswini esiswini luvusa izinkinga ezinkulu. Ngenxa yalesi sizathu, kunconywa ukunamathela ohlelweni lokulayishwa ngaphambi nangemva kokuhlinzwa.
I-Abdominoplasty yesisu - ukusebenza
Ukuthi ukungenelela okuphumelelayo kuyoba kanjani ukuxilongwa kokulungiselela kwangaphambili kwesiguli. Okudingekayo okulandelayo:
- ukulethwa kwezivivinyo;
- i-fluorography ne-electrocardiogram;
- Ukubonisana nodokotela kanye ne-anesthesiologist.
Futhi isigamu senyanga ngaphambi kokuhlinzwa, kufanele uyeke ngokuphelele ukusebenzisa utshwala nokubhema. Ngesikhathi esifanayo nesikhathi, ukungenisa izidakamizwa ezilwa nokuvuvukala kanye ne-hormonal kufanele kukhishwe. Yeka ukuthi ube nezidakamizwa ezithinta ukuvala igazi. Esikhathini sokulungiselela, ukudla kufanele kube nokudla okucebile kuma-protini.
Ukulungiswa kwesisu (abdominoplasty) kanje:
- Classic (isikhathi sokusebenza singamahora ama-5);
- i-apronectomy, lapho kuhlanganiswa khona ukukhanya, ukwenza kube lula ukukhipha amafutha;
- i-abdominoplasty encane yesisu;
- umsebenzi wokugcina;
- ukucindezeleka-lateral;
- inqubo, lapho i-hernia isuswa khona.
I-abdominoplasty encane yesisu
Le nqubo inegama lesibili - "ukuphakamisa kahle". Yenziwa ngaphansi kwe-anesthesia jikelele. Ubude benkambiso yokuhlinzeka cishe amahora amabili. Ipulasitiki eliswini lomzimba limelelwa yizigaba ezilandelayo:
- Ukusetshenziswa kwe-anesthesia.
- Ukutholwa kokuqala kwenziwa ngesisu. Usiza ukuhlola isimo "ngaphakathi". Ukuhlukaniswa kwezingqimba ze-fat "ngokweqile" nesikhumba kusuka engxenyeni yesisu bese uziqeda. Ngaphezu kwalokho, imisipha evuliwe yesisu ixhunyiwe.
- Ukwehlisa nokufaka amabhandeshi.
- Uhlelo lwe-drainage lufakiwe.
Ukugoqa emva kwe-abdominoplasty
Ngenxa yesikhumba, udokotela ohlinzayo usebenzisa izintambo ezithandayo. Ngezinye izikhathi, uma udinga ukwenza okunamathiselwe kwezingxube ze-muscle, ungasebenzisa ama-braces akhethekile. Ukuze ususe lokhu okulandelayo, kuzodingeka ubike kudokotela amaviki amabili ngemuva kokusebenza. Ngaleso sikhathi, i-edema ngemuva kwe-abdominoplasty ibuyiselwa kancane kancane futhi iyingxenye yamathambo.
Umswakama emva kokusebenza okunjalo kufana nokuqeda isikhathi eside esiswini. Kuze kube yilapha, kufanele ilashwe ngesisombululo esikhethekile se-antiseptic. Ngaphezu kwalokho, izinsuku zokuqala ezingu-5 emva kokuhlinzwa, i-sutures ayikwazi ukuhlanzwa, ngakho-ke phakathi nalesi sikhathi, ukugeza nokugeza akuvunyelwe. Uma kwenzeka okungavamile kokuphulukiswa kwezicubu, ubuhlungu bungaba yi-hypertrophic noma i-keloid. Kulesi simo, kuyodingeka ukulungiswa okungeziwe kokuthutha.
I-Abdominoplasty yesisu - izinkinga
Ngisho nomhlinzeki ohlinzayo kakhulu ongenakwazi ukubikezela ngokugcwele umphumela wokusebenza. Izinkinga azitholakali ngemuva kokungenelela okunjalo. Kungaba yindawo evamile noma yendawo. Ngakho-ke, izinkinga ngemuva kwe-abdominoplasty yesisu zingase zihlobene ngokuqondile ne-analgesic esetshenziselwa ukusebenza. Ngenxa ye-narcosis engakhethi kahle, isiguli singase sibe nesifo se-pneumonia nezinye izinkinga ekusebenzeni kwesimiso sokuphefumula. Uma indawo yokuzikhethela ikhulu kakhulu, i-thromboembolism yomthambo we-pulmonary ibonakala.
Ezinkingeni zemvelo yendawo, zihlanganisa lezi zenzakalo:
- i-hematomas;
- ukuxhaswa kwezibazi;
- ubuhlungu obukhulu;
- i-necrosis ebusweni;
- ukulahlekelwa ukuzwela kwesikhumba;
- ukuhlanganiswa kwilonda le-serous fluid.
Izingubo zangaphansi ngemuva kwe-abdominoplasty
Lokhu kungenelela kokuhlinzwa kuyinkimbinkimbi kakhulu. Ukufeza umphumela oyifunayo, isiguli kufanele silandele imiyalelo kadokotela ngaphandle kokusebenza ngemva kokusebenza. Omunye wemibandela yomphumela ophumelelayo wokungenelela kokuhlinzwa ukugqoka izingubo zangaphansi ezikhethekile. Lesi sigqoko sisiza ukunciphisa ukuvuvukala nokusheshisa inqubo yokuphulukisa kwezicubu.
Indwangu yokucindezela ngemuva kwe-abdominoplasty yenziwe ngezinto ezibonakalayo eziphezulu, ezifaka ukotini, i-microfiber ne-lycra. Izembatho ezinjalo zinikeza umphumela okhethekile wokushisa igazi: ukujikelezwa kwegazi kuthuthukiswa, ukuguquka kwegazi kuyashesha futhi ukuqina kwesikhumba kwanda. Njengoba udinga ukugqoka izingubo zangaphansi zokucindezela sonke isikhathi ngenyanga yokuqala emva kokusebenza, kunconywa ukuthi isiguli sithenge ama-2 wezingubo ezinjalo ngesikhathi esisodwa (lokho kwakungenzeka ushintsho). Ngaphezu kwalokho, kubalulekile ukukhetha usayizi ofanele wokuhlanza.
UBelly emva kokubeletha kwe-abdominoplasty
Ukuhlangenwe nakho okukhulu okwelashwa odokotela abachwephezela ukwenza lolu hlobo lwemisebenzi kubasiza ngokuqiniseka ukuthi bazobhekana nokulungiswa kwesibalo. Izithembiso zabo akuzona amagama angenalutho. Baphumelele ukwenza i-abdominoplasty: ngaphambi nangemva kwezithombe kuqinisekisa ngalokhu. Ngenxa yokusetshenziswa kobuchwepheshe obuncane bokuthungatha kanye nezinto ezibonakalayo ezakhiweni zakamuva, ukulungiswa kabusha kulula futhi ngokushesha.