Ukuhlinzwa kwendlebe kwezimonyo

Ukuhlinzwa indlebe yezimonyo kuyindlela yokuthuthukisa ukubonakala kwendlebe. Inqubo evame kakhulu ukuhambisa izindlebe ezinkulu kakhulu noma ezivelele eduze kwekhanda.

Ukuhlinzwa endlebeni kwezimonyo kungenziwa ehhovisi lodokotela abahlinzayo, emtholampilo wabangalaliswanga iziguli, noma esibhedlela. Kungenziwa ngaphansi kwe-anesthesia yendawo, efiphaza indawo ezungeze izindlebe. Ungase futhi uthole umuthi wokukwenza ukhululeke futhi ulale. Kungenziwa futhi ngaphansi kwe-anesthesia ejwayelekile, lapho ulele futhi ungenazinhlungu. Inqubo ivame ukuhlala cishe amahora amabili.

Ngesikhathi sendlela ejwayelekile yokuhlinza indlebe yezimonyo, udokotela ohlinzayo usika ngemuva kwendlebe futhi asuse isikhumba ukuze abone uqwanga lwendlebe. Uqwanga lusongwe ukulolonga kabusha indlebe, luyisondeze ekhanda. Kwesinye isikhathi udokotela ohlinzayo usika uqwanga ngaphambi kokulugoqa. Kwesinye isikhathi isikhumba sisuswa ngemuva kwendlebe. Kusetshenziswa umthungo ukuvala isilonda.

Inqubo ivame ukwenziwa ukunciphisa ukuzenyeza noma ukuphoxeka kokuma kwezindlebe okungavamile.

Ezinganeni, inqubo ingenziwa ngemuva kokuba zineminyaka emihlanu noma eyisithupha, lapho ukukhula kwendlebe sekucishe kwaphela. Uma izindlebe zikhubazeke kakhulu (lahla izindlebe), ingane kufanele ihlinzwe kusenesikhathi ukuze igweme ukucindezelwa okungaba khona emoyeni.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula
• Ukopha, amahlule egazi, noma ukutheleleka

Izingozi zokuhlinzwa kwezindlebe zezimonyo zifaka:

• Izindawo zokuba ndikindiki
• Ukuqoqwa kwegazi (hematoma)
• Umuzwa owandayo wamakhaza
• Ukuphindeka kokukhubazeka kwendlebe
• AmaKeloids nezinye izibazi
• Imiphumela emibi

Abesifazane kufanele batshele udokotela ohlinzayo uma ngabe noma bacabanga ukuthi bakhulelwe.

Esontweni elilodwa ngaphambi kokuhlinzwa, ungacelwa ukuthi uyeke ukuthatha izinciphisi zegazi. Le mithi ingadala ukopha okwengeziwe ngesikhathi sokuhlinzwa.

• Eminye yale mithi i-aspirin, ibuprofen (Advil, Motrin), ne-naproxen (Aleve, Naprosyn).
• Uma uthatha i-warfarin (i-Coumadin, i-Jantoven), i-dabigatran (i-Pradaxa), i-apixaban (i-Eliquis), i-rivaroxaban powder (i-Xarelto), noma i-clopidogrel (i-Plavix), khuluma nodokotela wakho ohlinzayo ngaphambi kokuma noma ushintshe indlela oyithatha ngayo le mithi.

Phakathi nezinsuku ngaphambi kokuhlinzwa kwakho:

• Buza ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Ngaso sonke isikhathi vumela umhlinzeki wakho wezokunakekelwa kwempilo azi ukuthi unomkhuhlane, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma esinye isifo esikhathini esiholela ekuhlinzweni kwakho.

Ngosuku lokuhlinzwa kwakho:

• Cishe uzocelwa ukuthi ungaphuzi noma ungadli lutho ngemuva kwamabili ebusuku ngaphambi kokuhlinzwa kwakho. Lokhu kuhlanganisa ukusebenzisa ushungamu nomoya wokuphefumula. Hlanza umlomo wakho ngamanzi uma uzizwa womile. Qaphela ukuthi ungagwinyi.
• Thatha imithi otshelwe ukuthi uyiphuze ngophuzo oluncane lwamanzi.
• Fika ngesikhathi sokuhlinzwa.

Qiniseka ukuthi ulandela noma imiphi eminye imiyalelo evela kudokotela wakho ohlinzayo.

Izindlebe zimbozwe ngamabhandeshi awugqinsi ngemuva kokuhlinzwa. Ngokuvamile, ungaya ekhaya ngemuva kokuthi uvukile ku-anesthesia.

Noma yikuphi ukuthamba nokungahambi kahle kungalawulwa ngomuthi. Amabhandeshi endlebe avame ukususwa ngemuva kwezinsuku ezi-2 kuye kwezi-4, kepha angahlala isikhathi eside. Ukugoqwa kwekhanda noma ibhande lekhanda kudinga ukugqokwa amasonto amabili kuya kwamathathu ukusiza indawo ukuthi yelapheke.

Qinisekisa ukubiza udokotela wakho ohlinzayo uma unezinhlungu ezinzima zendlebe. Lokhu kungabangelwa ukutheleleka koqwanga lwendlebe.

Izibazi zikhanya kakhulu futhi zifihliwe ezingxenyeni ezingemva kwezindlebe.

Inqubo yesibili ingadingeka uma indlebe iphinda inamathela futhi.

I-Otoplasty; Ukuphina izindlebe; Ukuhlinzwa kwendlebe - izimonyo; Ukwakhiwa kabusha kwezindlebe; I-Pinnaplasty

• I-anatomy yendlebe
• Ukutholwa kwezokwelapha okususelwa ku-anatomy yezindlebe
• Ukulungiswa kwe-Eardrum - uchungechunge
• Ukuhlinzwa kwendlebe - uchungechunge

I-Adamson PA, iDoud Galli SK, uKim AJ. I-Otoplasty. 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 31.

I-Thorne CH. Ukunciphisa i-Otoplasty nokunciphisa izindlebe. Ku: Rubin JP, Neligan PC, eds. Ukuhlinzwa Kweplastiki: Umqulu 2: Ukuhlinzwa Kobuhle. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 20.