I-Rhinoplasty

URhinoplasty ukuhlinzwa ukulungisa noma ukubumba kabusha ikhala.

I-Rhinoplasty ingenziwa ngaphansi kwe-anesthesia yendawo noma ejwayelekile, kuya ngenqubo ngqo kanye nokuthandwa komuntu. Kwenziwa ehhovisi lodokotela abahlinzayo, esibhedlela, noma esikhungweni sokuhlinzwa kwabagula ngaphandle. Izinqubo eziyinkimbinkimbi zingadinga ukuhlala esibhedlela isikhathi esifushane. Inqubo ivame ukuthatha amahora angu-1 kuya kwangu-2. Kungathatha isikhathi eside.

Nge-anesthesia yendawo, impumulo nendawo ezungezile kuyaphazamiseka. Cishe uzohlala kancane, kepha uvuke ngesikhathi sokuhlinzwa (ukhululekile futhi ungabuzwa ubuhlungu). I-anesthesia ejwayelekile ikuvumela ukuba ulale ngokuhlinzwa.

Ukuhlinzwa kuvame ukwenziwa ngokusika (ukusika) okwenziwe ngaphakathi kwamakhala. Kwezinye izimo, ukusika kwenziwa ngaphandle, nxazonke zempumulo. Lolu hlobo lokusika lusetshenziselwa ukwenza umsebenzi onqenqemeni lwekhala noma uma udinga uhlaka lwe-cartilage. Uma ikhala lidinga ukuncishiswa, imbobo ingadlulela emakhaleni. Kungenziwa ukusikeka okuncane ngaphakathi kwekhala ukuze kuphuke, futhi kulolonge ithambo kabusha.

Intambo (insimbi noma upulasitiki) ingabekwa ngaphandle kwekhala. Lokhu kusiza ukugcina ukwakheka kwethambo okusha lapho ukuhlinzwa sekuphelile. Izinsimbi zepulasitiki ezithambile noma amaphakethe wamakhala nawo angabekwa emakhaleni. Lokhu kusiza ukugcina udonga oluhlukanisayo phakathi kwezindima zomoya (septum) luzinzile.

I-Rhinoplasty ingenye yezinqubo ezivame kakhulu zokuhlinzwa kwepulasitiki. Ingasetshenziselwa uku:

• Nciphisa noma wandise usayizi wekhala
• Shintsha ukuma kwethiphu noma ibhuloho lamakhala
• Cindezela ukuvuleka kwamakhala
• Shintsha i-engeli phakathi kwekhala nodebe olungaphezulu
• Lungisa ukukhubazeka kokuzalwa noma ukulimala
• Siza ukukhulula izinkinga ezithile zokuphefumula

Ukuhlinzwa kwamakhala kubhekwa njengokukhetha lapho kwenziwa ngezizathu zezimonyo. Kulezi zimo, inhloso ukuguqula ukwakheka kwekhala kube yilokho umuntu akuthola kufiseleka kakhulu. Odokotela abaningi abahlinzayo bancamela ukuhlinza ikhala lezimonyo lapho ithambo lamakhala seliphelile ukukhula. Lokhu kuzungeze iminyaka eyi-14 noma eyi-15 yamantombazane futhi kamuva kwabafana.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini, izinkinga zokuphefumula
• Ukopha, ukutheleleka, noma ukulinyazwa

Izingozi zale nqubo zifaka:

• Ukulahlekelwa ukwesekwa kwekhala
• Ukukhubazeka konqenqema lwekhala
• Ukunemba kokuphefumula ngamakhala
• Isidingo sokuhlinzwa okuqhubekayo

Ngemuva kokuhlinzwa, imithambo yegazi emincane eqhume ingabonakala njengezindawo ezincane ezibomvu esikhunjeni. Lezi zivame ukuba zincane, kepha zihlala unomphela. Azikho izibazi ezibonakalayo uma i-rhinoplasty yenziwa ngaphakathi kwekhala. Uma inqubo inciphisa amakhala avele, kungahle kube nezibazi ezincane ezansi kwekhala ezingabonakali kaningi.

Ezimweni ezingavamile, inqubo yesibili iyadingeka ukulungisa ukukhubazeka okuncane.

Udokotela wakho ohlinzayo angakunika imiyalo okufanele uyilandele ngaphambi kokuhlinzwa kwakho. Ungadinga uku:

• Misa noma imiphi imishanguzo yokuncipha kwegazi. Udokotela wakho ohlinzayo uzokunikeza uhlu lwale mithi.
• Bona umhlinzeki wakho wezokunakekelwa kwempilo ojwayelekile ukuze enze izivivinyo ezithile futhi uqiniseke ukuthi kuphephile ukuthi uhlinzwe.
• Ukusiza ngokuphulukiswa, yeka ukubhema amasonto amabili kuya kwamathathu ngaphambi nangemva kokuhlinzwa.
• Hlela ukuthi othile akushayele ekhaya ngemuva kokuhlinzwa.

Imvamisa uzoya ekhaya ngosuku olufanayo nokuhlinzwa kwakho.

Ngemuva nje kokuhlinzwa, impumulo nobuso bakho buyovuvukala futhi buhlungu. Ukuphathwa ikhanda kuvamile.

Ukupakisha ngamakhala kuvame ukususwa ezinsukwini ezi-3 ukuya kwezi-5, emva kwalokho uzozizwa ukhululeke ngokwengeziwe.

I-splint ingashiywa endaweni isonto elilodwa kuya kwele-2.

Ukululama ngokugcwele kuthatha amasonto ambalwa.

Ukuphulukisa kuyinqubo ehamba kancane futhi ehamba kancane. Iphuzu lekhala lingaba nokuvuvukala okuthile nokuba ndikindiki izinyanga. Ungahle ungakwazi ukubona imiphumela yokugcina kuze kube unyaka.

Ukuhlinzwa ekhaleni lezimonyo; Ikhala umsebenzi - rhinoplasty

• I-Septoplasty - ukukhishwa

• Septoplasty - uchungechunge
• Ukuhlinzwa kwekhala - uchungechunge

UFerril GR, uWinkler AA. Ukwakhiwa kabusha kweRhinoplasty namakhala. Ku: Scholes MA, Ramakrishnan VR, eds. Izimfihlo ze-ENT. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2016: isahluko 59.

Tardy ME, Thomas JR, Sclafani AP. I-Rhinoplasty. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 34.