Ukwandiswa kwe-Chin

Ukukhuliswa kweChin kungukuhlinzwa ukuze kulungiswe kabusha noma kuthuthukiswe usayizi wesilevu. Kungenziwa ngokufaka okufakelwe noma ngokuhambisa noma ngokuvuselela amathambo.

Ukuhlinzwa kungenziwa ehhovisi lodokotela abahlinzayo, esibhedlela, noma emtholampilo wabalalayo.

Ungase uthathwe ama-x-ray ebusweni bakho nasesilevini. Udokotela ohlinzayo uzosebenzisa la ma-x-ray ukuthola ukuthi iyiphi ingxenye yesilevu azohlinza ngayo.

Lapho udinga ukufakelwa kuphela ukugoqa isilevu:

• Ungaba ngaphansi kwe-anesthesia ejwayelekile (ilele futhi ayinazinhlungu). Noma, ungathola umuthi wokuqeda indawo, kanye nomuthi ozokwenza ukhululeke futhi ulale.
• Kuyasikwa, kungaba ngaphakathi emlonyeni noma ngaphandle ngaphansi kwesilevu. Iphakethe lakhiwe ngaphambi kwethambo lesilevu nangaphansi kwemisipha. Ukufakwa kufakwa ngaphakathi.
• Udokotela ohlinzayo angasebenzisa ithambo langempela noma izicubu ezinamafutha, noma ukufakelwa okwenziwe nge-silicone, Teflon, Dacron, noma okufakwa okusha kwebhayoloji.
• Ukufakwa kuvame ukufakwa ethanjeni ngemithungo noma ngezikulufo.
• Ama-suture asetshenziselwa ukuvala ukusika kokuhlinzwa. Lapho ukusika kungaphakathi emlonyeni, isibazi asibonakali.

Udokotela ohlinzayo angadinga futhi ukuhambisa amanye amathambo:

• Kungenzeka ube ngaphansi kwe-anesthesia ejwayelekile.
• Udokotela ohlinzayo uzosika ngaphakathi komlomo wakho ngensini engezansi. Lokhu kunikeza udokotela ohlinzayo ukufinyelela ethangeni lesilevu.
• Udokotela ohlinzayo usebenzisa isaha lamathambo noma ishizolo ukwenza ukusika kwesibili ngethambo lomhlathi. Ithambo lomhlathi liyashukunyiswa futhi lihlanganiswe izintambo noma lisikishwe endaweni yensimbi.
• Ukusikwa kuvalwa ngemithungo futhi kufakwa nebhandishi. Ngoba ukuhlinzwa kwenziwa ngaphakathi komlomo wakho, ngeke ubone izibazi.
• Inqubo ithatha phakathi kwehora eli-1 nele-3.

Ukwandiswa kwe-Chin kuvame ukwenziwa ngasikhathi sinye njengomsebenzi wamakhala (i-rhinoplasty) noma i-liposuction ebusweni (lapho amafutha asuswa ngaphansi kwesilevu nentamo).

Ukuhlinzwa ukulungisa izinkinga zokuluma (ukuhlinzwa nge-orthognathic) kungenziwa ngasikhathi sinye njengokuhlinzwa kwesilevu.

Ukwandiswa kwe-Chin kwenziwa kakhulu ukulinganisela ukubukeka kobuso ngokwenza isilevu sibe side noma sibe sikhulu ngokuqhathaniswa nekhala. Abazongenela ukhetho olungcono kakhulu lokwengezwa kwesilevu ngabantu abanezintambo ezibuthakathaka noma ezihlehlisayo (microgenia), kepha abalunywa ngokujwayelekile.

Khuluma nodokotela ohlinzayo wepulasitiki uma ucabanga ngokwengezwa kwesilevu. Khumbula ukuthi umphumela oyifunayo ukuthuthuka, hhayi ukuphelela.

Izinkinga ezivame kakhulu zokwengezwa kwesilevu yilezi:

• Ukulimaza
• Ukuhamba kokufakwa
• Ukuvuvukala

Ezinye izinkinga ezingaba khona zifaka:

• Ukulimala kwamazinyo
• Ukulahlekelwa umuzwa

Imiphumela emibi ejwayelekile ifaka phakathi:

• Amahlule egazi
• Ukutheleleka, kwesinye isikhathi ukufakelwa kuzodingeka kususwe
• Ubuhlungu obungapheli
• Ubuntofontofo noma ezinye izinguquko ekuzweni kwesikhumba

Yize iningi labantu lijabule ngomphumela, imiphumela emibi yezimonyo engadinga ukuhlinzwa okwengeziwe ifaka phakathi:

• Amanxeba angapholi kahle
• Kubabaza
• Ukungalingani kobuso
• Uketshezi oluqoqa ngaphansi kwesikhumba
• Ukuma kwesikhumba okungajwayelekile (ukunquma nentaba)
• Ukuhamba kokufakwa
• Usayizi wokufakwa okungalungile

Ukubhema kungalibazisa ukwelapheka.

Uzozwa ukungakhululeki okuthile nobuhlungu. Buza udokotela wakho ukuthi hlobo luni lomuthi wezinhlungu okufanele uwusebenzise.

Ungazizwa ukindiki esilevini sakho izinyanga ezifika kwezingu-3, ​​nokuzwa okululekayo okuzungeze isilevu sakho isonto elilodwa. Ukuvuvukala okuningi kuzobe sekuphele amasonto ayisithupha, kuya ngohlobo lwenqubo onayo.

Kungadingeka unamathele ekudleni oketshezi noma okuthambile okungenani usuku noma ezimbili.

Cishe uzosuswa ibhandishi langaphandle lingakapheli isonto lokuhlinzwa. Ungacelwa ukuthi ugqoke izicathulo ezihlanganiswe ngensimbi noma ngeplangwe zokuqondisa izinyawo ezibhekene zezingane ngenkathi ulele amasonto amane kuya kwayisithupha.

Ungaqala kabusha umsebenzi olula ngosuku lokuhlinzwa. Kufanele ukwazi ukubuyela emsebenzini nasemisebenzini yakho ejwayelekile kungakapheli izinsuku eziyi-7 kuya kwezingu-10. Umhlinzeki wakho wokunakekelwa kwezempilo uzokunikeza imiyalo ethile.

Uma ukusikwa kwenziwa ngaphansi kwesilevu, isibazi akufanele sibonakale.

Izimila eziningi zihlala impilo yonke. Kwesinye isikhathi, ukufakelwa okwenziwe ngamathambo noma izicubu zomzimba ezithathwe emzimbeni wakho kuzobuyiselwa.

Ngoba ungaba nokuvuvukala okuthile izinyanga, ungahle ungaboni ukuvela kokugcina kwesilevu sakho kanye nomhlathi izinyanga ezi-3 kuye kwezi-4.

I-mentoplasty yokwengeza; I-Genioplasty

• Ukukhuliswa kwe-Chin - uchungechunge

UFerretti C, uReyneke JP. I-Genioplasty. I-Atlas Oral Maxillofac Surg Clin eNyakatho Am. 2016; 24 (1): 79-85. I-PMID: 26847515 www.ncbi.nlm.nih.gov/pubmed/26847515.

USykes JM, uFrodel JL. I-Mentoplasty. 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 30.