I-Liposuction

I-Liposuction ukususwa kwamafutha omzimba ngokweqile ngokudonsa usebenzisa imishini ekhethekile yokuhlinza. Udokotela ohlinzayo waseplastiki uqobo uyahlinzwa.

I-Liposuction uhlobo lokuhlinzwa kwezimonyo. Isusa amafutha amaningi angafuneki ukuthuthukisa ukubukeka komzimba nokushelela bobunjwa bomzimba obungajwayelekile. Inqubo kwesinye isikhathi ibizwa ngokuthi ukunqwabelana komzimba.

I-Liposuction ingaba wusizo ekwenzeni umugqa ngaphansi kwesilevu, intamo, izihlathi, izingalo ezingaphezulu, amabele, isisu, izinqe, izinqe, amathanga, amadolo, amathole nezindawo zamaqakala.

I-Liposuction inqubo yokuhlinzwa enezingozi, futhi ingabandakanya ukululama okubuhlungu. I-Liposuction ingaba nezinkinga ezibucayi noma ezingavamile zokubulala. Ngakho-ke, kufanele ucabangisise ngesinqumo sakho sokwenza lokhu kuhlinzwa.

IZINHLOBO ZENKQUBO YOKUXOSHWA KOLWIMI

I-tumescent liposuction (umjovo oketshezi) uhlobo oluvame kakhulu lwe-liposuction. Kubandakanya ukujova inani elikhulu lesisombululo sokwelapha ezindaweni ngaphambi kokuthi kususwe amafutha. Kwesinye isikhathi, isisombululo singafinyelela kathathu inani lamafutha okufanele lisuswe). Uketshezi luyingxube ye-anesthetic yendawo (i-lidocaine), umuthi onezinkontileka zemithambo yegazi (i-epinephrine), nesisombululo sikasawoti esifakwa emthanjeni (IV). I-Lidocaine isiza ukuphazamisa indawo ngesikhathi sokuhlinzwa nangemva kokuhlinzwa. Kungaba ukuphela kwe-anesthesia edingekayo yenqubo. I-Epinephrine kusixazululo isiza ukunciphisa ukulahleka kwegazi, ukulimaza nokuvuvukala. Isixazululo se-IV sisiza ukususa amanoni kalula. Kumunciwe kanye namafutha. Lolu hlobo lwe-liposuction ngokuvamile luthatha isikhathi eside kunezinye izinhlobo.

Inqubo emanzi kakhulu kufana ne-tumescent liposuction. Umehluko ukuthi akusetshenziswa kakhulu uketshezi ngesikhathi sokuhlinzwa. Inani loketshezi olufakiwe lilingana nenani lamafutha okufanele lisuswe. Le ndlela ithatha isikhathi esincane. Kepha kuvame ukudinga ukuthambisa (umuthi okwenza ukozele) noma i-anesthesia ejwayelekile (umuthi okuvumela ukuthi ulale futhi ungabi nezinhlungu).

I-liposuction esizwa nge-Ultrasound (UAL) isebenzisa ukudlidliza kwe-ultrasonic ukuguqula amaseli anonile Ngemuva kwalokho, amaseli angakhishwa ngaphandle. I-UAL ingenziwa ngezindlela ezimbili, ngaphandle (ngaphezu kobuso besikhumba nge-emitter ekhethekile) noma ngaphakathi (ngaphansi kobuso besikhumba nge-cannula encane, evuthayo). Le ndlela ingasiza ekususeni amanoni ezindaweni eziminyene, ezigcwele i-fiber (ezinemicu) zomzimba ezinjengezicubu zesifuba sangemuva esingenhla noma esikhulisiwe. I-UAL ivame ukusetshenziswa kanye nenqubo ye-tumescent, kuzinqubo zokulandelela (zesibili), noma ngokunemba okukhulu. Ngokuvamile, le nqubo ithatha isikhathi eside kunenqubo emanzi kakhulu.

I-liposuction esizwa nge-Laser (LAL) isebenzisa i-laser energy ekunciphiseni amangqamuzana amafutha. Ngemuva kokuthi amangqamuzana esemanziwe, angakhishwa noma avunyelwe ukukhipha amashubhu amancane. Ngenxa yokuthi ithubhu (i-cannula) esetshenziswe ngesikhathi se-LAL incane kunaleyo esetshenziselwa ukwenziwa kwe-liposuction yendabuko, odokotela abahlinzayo bakhetha ukusebenzisa i-LAL ezindaweni ezivalekile. Lezi zindawo zifaka isilevu, ama-jowls nobuso. Inzuzo engaba khona ye-LAL ngaphezulu kwezinye izindlela ze-liposuction ukuthi amandla avela ku-laser avuselela ukukhiqizwa kwe-collagen. Lokhu kungasiza ukuvimbela ukugqabuka kwesikhumba ngemuva kwe-liposuction. I-Collagen yiprotheni efana nefayibha esiza ukugcina ukwakheka kwesikhumba.

INQUBO YENZIWA KANJANI

• Kusetshenziswa umshini we-liposuction nezinsimbi ezikhethekile ezibizwa ngama-cannulas kulokhu kuhlinzwa.
• Iqembu elihlinzayo lilungisa izindawo zomzimba wakho ezizolashwa.
• Uzothola i-anesthesia yendawo noma ejwayelekile.
• Ngokusikwa kwesikhumba okuncane, uketshezi lwe-tumescent lujova ngaphansi kwesikhumba sakho ezindaweni ezizosetshenzelwa kuzo.
• Ngemuva kokuthi umuthi osesixazululweni uqale ukusebenza, amafutha akhishwe akhishwe ngethumbu. Ipompo yokupompa noma isirinji enkulu inikeza isenzo sokuncela.
• Kungadingeka ukubhoboza isikhumba okuningi ukuphatha izindawo ezinkulu. Udokotela ohlinzayo angafika kulezi zindawo ukuze elashwe ngezindlela ezahlukahlukene ukuze athole umugqa omuhle kakhulu.
• Ngemuva kokuthi kususwe amanoni, amashubhu amancane wokuhambisa amanzi angafakwa ezindaweni ezikhishwe ukuze kususwe igazi noketshezi oluqoqwa ezinsukwini ezimbalwa zokuqala ngemuva kokuhlinzwa.
• Uma ulahlekelwa uketshezi oluningi noma igazi ngesikhathi sokuhlinzwa, ungadinga ukushintshwa kuketshezi (ngemithambo yegazi). Ezimweni ezingavamile kakhulu, ukumpontshelwa igazi kuyadingeka.
• Kuzobekwa ingubo yokucinana kuwe. Yigqoke njengokuyalelwa ngudokotela ohlinzayo wakho.

Okulandelayo okunye ukusetshenziswa kwe-liposuction:

• Izizathu zezimonyo, kufaka phakathi "izibambo zothando," ama-bulges amafutha, noma umugqa wesilevu ongajwayelekile.
• Ukwenza ngcono ukusebenza kocansi ngokunciphisa amafutha angajwayelekile emathangeni angaphakathi, ngaleyo ndlela kuvunyelwe ukufinyelela kalula esithweni sangasese.
• Ukwakhiwa komzimba kwabantu abakhathazwa ama-fat bulges noma okungahambi kahle okungasuswa ngokudla kanye / noma ngokuzivocavoca umzimba.

I-Liposuction ayisetshenziswanga:

• Njengokuthatha indawo yokuzivocavoca nokudla, noma njengekhambi lokukhuluphala okujwayelekile. Kepha ingasetshenziselwa ukususa amanoni ezindaweni ezingazodwa ezindaweni ezihlukene ngesikhathi.
• Njengokwelashwa kwe-cellulite (ukubukeka okungalingani, okuncane kwesikhumba okhalweni, amathanga, nezinqe) noma isikhumba esedlulele.
• Ezindaweni ezithile zomzimba, njengamafutha asezinhlangothini zamabele, ngoba isifuba siyindawo ejwayelekile yomdlavuza.

Ziningi izindlela zokwenziwa kwe-liposuction ezikhona, kufaka phakathi isisu (isisu), ukususwa kwezicubu ezinamafutha (lipomas), ukunciphisa amabele (ukunciphisa mammaplasty), noma inhlanganisela yezindlela zokuhlinzwa kwepulasitiki. Udokotela wakho angaxoxa nawe ngalokhu.

Izimo ezithile zezokwelapha kufanele zihlolwe futhi zibe ngaphansi kokulawulwa ngaphambi kokufakwa kwe-liposuction, kufaka phakathi:

• Umlando wezinkinga zenhliziyo (isifo senhliziyo)
• Umfutho wegazi ophezulu
• Isifo sikashukela
• Ukungezwani komzimba nemithi
• Izinkinga zamaphaphu (ukuphefumula okuncane, amaphakethe omoya egazini)
• Ukungezwani komzimba (ama-antibiotics, i-asthma, i-prep prep)
• Ukubhema, utshwala, noma ukusebenzisa izidakamizwa

Izingozi ezihambisana ne-liposuction zifaka:

• Ukushaqeka (imvamisa lapho kungenele uketshezi olwanele esikhundleni sokuhlinzwa)
• Ukugcwala ngokweqile kwamanzi (imvamisa kusuka enkambisweni)
• Izifo (strep, staph)
• Ukopha, ihlwili legazi
• Ama-globules amancane wamafutha egazini avimba ukugeleza kwegazi kuya ezicutshini (i-fat embolism)
• Amathambo, isikhumba, izicubu, noma ukulimala komzimba noma ukusha ekushiseni noma okokusebenza okusetshenziselwa i-liposuction
• Ukususwa kwamafutha okungalingani (i-asymmetry)
• Izikhumba esikhunjeni sakho noma ezinkingeni zontanga
• Ukusabela kwezidakamizwa noma ukweqisa izidakamizwa kusuka ku-lidocaine esetshenziswe kule nqubo
• Isikhumba esiklabalasayo noma esingajwayelekile, esingajwayelekile, noma "esikhwamayo", ikakhulukazi kubantu abadala

Ngaphambi kokuhlinzwa kwakho, uzoba nokubonisana neziguli. Lokhu kuzobandakanya umlando, ukuhlolwa ngokomzimba, kanye nokuhlolwa kwengqondo. Ungadinga ukuza nomuntu othile (ofana nowakwakho) ngesikhathi sokuvakasha ukukusiza ukuthi ukhumbule lokho udokotela wakho axoxa ngakho nawe.

Zizwe ukhululekile ukubuza imibuzo. Qiniseka ukuthi uyaziqonda izimpendulo zemibuzo yakho. Kufanele uqonde ngokugcwele amalungiselelo wangaphambi kokuhlinzwa, inqubo ye-liposuction, nokunakekelwa kwangemva kokuhlinzwa. Qonda ukuthi i-liposuction ingakhulisa ukubukeka kwakho nokuzethemba, kepha ngeke ikunikeze umzimba wakho ofanele.

Ngaphambi kosuku lokuhlinzwa, ungahle udonse igazi bese ucelwa ukuthi unikeze isampula yomchamo. Lokhu kuvumela umhlinzeki wezokunakekelwa kwezempilo ukuthi akhiphe izinkinga ezingaba khona. Uma ungalaliswanga esibhedlela, uzodinga ukugibela uye ekhaya ngemuva kokuhlinzwa.

I-Liposuction ingadinga noma ingadingi ukuhlala esibhedlela, kuya ngendawo nobungako bokuhlinzwa. I-Liposuction ingenziwa esikhungweni esisehhovisi, esikhungweni sokuhlinza ngokugula, noma esibhedlela.

Ngemuva kokuhlinzwa, kusetshenziswa amabhandeshi nengubo yokucinana ukugcina ingcindezi endaweni nokunqanda ukuphuma kwegazi, nokusiza ekugcineni ukwakheka. Amabhandeshi agcinwa endaweni okungenani amasonto ama-2. Uzodinga ingubo yokuminyanisa amasonto ambalwa. Landela imiyalo kadokotela wakho ohlinzayo yokuthi idinga ukugqokwa isikhathi esingakanani.

Ungahle ube nokuvuvukala, ukulimaza, ukuba ndikindiki, nobuhlungu, kepha kungalawulwa ngemithi. Imithungo izosuswa ezinsukwini ezinhlanu kuya kweziyishumi. Ama-antibiotic angabekwa ukuvikela ukutheleleka.

Ungase uzwe imizwa efana nokuba ndikindiki noma ukuncinza, kanye nobuhlungu, amasonto ambalwa ngemuva kokuhlinzwa. Hamba ngokushesha okukhulu ngemuva kokuhlinzwa ukusiza ukuvimbela amahlule egazi ukuba akhe emilenzeni yakho. Gwema ukuzivocavoca okunzima kakhulu isikhathi esingangenyanga ngemuva kokuhlinzwa.

Uzoqala ukuzizwa ungcono ngemuva kwesonto elilodwa noma amabili. Ungabuyela emsebenzini ezinsukwini ezimbalwa emva kokuhlinzwa. Ukuqubuka nokuvuvukala kuvame ukuphela kungakapheli amasonto ama-3, kepha ungahle ube nokuvuvukala ngemuva kwezinyanga ezimbalwa.

Udokotela wakho ohlinzayo angakushayela ngezikhathi ezithile ukuqapha ukuphulukiswa kwakho. Ukuhambela okulandelayo nodokotela ohlinzayo kuyodingeka.

Abantu abaningi banelisekile ngemiphumela yokuhlinzwa.

Isimo somzimba wakho esisha sizoqala ukuvela emasontweni ambalwa okuqala. Ukuthuthuka kuzobonakala ngokwengeziwe emavikini angu-4 kuye kwayi-6 ngemuva kokuhlinzwa. Ngokuzivocavoca njalo nokudla ukudla okunempilo, ungasiza ukugcina isimo sakho esisha.

Ukususwa kwamafutha - ukuncela; Ukunquma komzimba

• Isendlalelo samafutha esikhunjeni
• I-Liposuction - uchungechunge

UMcGrath MH, uPomerantz JH. I - plastic surgery. Ku: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 68.

UStephan PJ, uDauwe P, uKenkel J. Liposuction: ukubuyekeza okuphelele kwamasu nokuphepha. Ku: Peter RJ, PC yeNeligan, ama-eds. Ukuhlinzwa Kweplastiki, Umqulu 2: Ukuhlinzwa Kobuhle. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 22.1.