Phakamisa ibhande

Ukuphakanyiswa kwebunzi kuyindlela yokuhlinzwa yokulungisa ukuxegiselwa kwesikhumba sebunzi, amashiya, kanye nezinkophe zaphezulu. Kungathuthukisa nokubukeka kwemibimbi esiphongweni naphakathi kwamehlo.

Ukuphakanyiswa kwebunzi kususa noma kuguqule imisipha nesikhumba esidala izimpawu zokuguga njengamashiya alengayo, amajwabu amehlo "axhonyiwe", imisele yebunzi, nolayini obuswaca.

Ukuhlinzwa kungenziwa wedwa noma ngezinye izinqubo ezifana nokuphakanyiswa kobuso, ukuhlinzwa kwejwabu leso, noma ukwakhiwa kabusha kwamakhala. Ukuhlinzwa kungenziwa ehhovisi lodokotela abahlinzayo, esikhungweni sokuhlinza abagulayo, noma esibhedlela. Imvamisa kwenziwa ngokugula ngaphandle, ngaphandle kokuhlala ubusuku bonke.

Uzophaphama, kepha uzonikezwa i-anesthesia yendawo ukuze ungabuzwa ubuhlungu. Ungase futhi uthole umuthi wokukuphumuza. Kwezinye izimo, kuzosetshenziswa i-anesthesia ejwayelekile. Ngesikhathi senqubo, uzozwa ukunwetshwa kwesikhumba sebunzi futhi mhlawumbe kube nokungaphatheki kahle okuthile. Ngesikhathi sokuhlinzwa:

• Izingxenye zezinwele zizobanjelwa kude nendawo yokuhlinzwa. Izinwele phambi komugqa osikiwe zingadinga ukusikwa, kepha izindawo ezinkulu zezinwele ngeke zigundwe.
• Udokotela ohlinzayo uzosika (ukusika) ezingeni lendlebe. Lokho kusika kuzoqhubeka ngaphesheya kwesiqongo ebunzini bezinwele ukuze ibunzi lingabukeki liphakeme kakhulu.
• Uma unempandla noma ugunda, udokotela ohlinzayo angasebenzisa ukusikeka phakathi kwesikhumba ukuze agweme isibazi esibonakalayo.
• Abanye odokotela abahlinzayo bazosebenzisa ukusikeka okumbalwa futhi benze ukuhlinza besebenzisa i-endoscope (insimbi ende ezacile enekhamera encane ekugcineni). Ukufakwa okungalahleki kungasetshenziswa ukubamba isikhumba esiphakamisiwe endaweni yaso.
• Ngemuva kokukhipha izicubu, isikhumba nemisipha eyeqile, udokotela ohlinzayo uzovala ukusikeka ngemithungo noma okuyisisekelo. Ngaphambi kokuba kusetshenziswe okokugqoka, izinwele zakho nobuso bakho buzogezwa ukuze isikhumba sekhanda singacasuki.

Le nqubo ivame ukwenziwa kubantu abaphakathi kweminyaka engama-40 kuya kwengama-60 ukwehlisa imiphumela yokuguga. Kungasiza futhi abantu abanezimo ezizuzwe njengefa, njengemigqa efriziwe ngenhla kwekhala noma ishiya elilele.

Kubantu abasebasha, ukuphakama ebunzini kungakhuphula amashiya aphansi anikeza ubuso ukubukeka "okudabukisayo". Le nqubo ingenziwa futhi kubantu abaneziphequluli zabo eziphansi kakhulu kangangokuthi bavimba ingxenye ephezulu yensimu yabo yombono.

Umuntu ofanelekile wokuphakanyiswa ebunzini unokunye noma okuningi kokulandelayo:

• Imisele ejulile phakathi kwamehlo
• Imibimbi evundlile esiphongweni
• Ikhala elingasebenzi kahle
• Ukuthwebula ama-browser
• Izicubu ezilengiswa engxenyeni engaphandle yamajwabu amehlo

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

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

Izingozi zokuhlinzwa kokuphakama ebunzini zifaka:

• Iphakethe legazi ngaphansi kwesikhumba (hematoma) elingadinga ukukhishwa ngokuhlinzwa
• Ukulimala kwezinzwa ezilawula imisipha yobuso (lokhu kuvamise ukuba okwesikhashana, kepha kungaba unomphela)
• Amanxeba angapholi kahle
• Ubuhlungu obungapheli
• Ubuntofontofo noma olunye ushintsho ekuzweleni kwesikhumba

Ngezikhathi ezithile, ukuphakama kwebunzi kuzokwenza kube nzima ukuphakamisa amashiya noma ukugoba isiphongo kolunye noma ezinhlangothini zombili. Uma lokhu kwenzeka, ungadinga ukuhlinzwa okwengeziwe ukwenza izinhlangothi zombili zilingane. Uma usuvele uhlinzwe ngepulasitiki ukuphakamisa amajwabu amehlo akho aphezulu, ukuphakanyiswa kwebunzi kungenzeka kunganconywa ngoba kungathinta amandla akho okuvala izinkophe zakho.

Kubantu abaningi, ukusika kokuphakanyiswa kwebunzi kungaphansi kocingo lwezinwele. Uma unezinwele eziphakeme noma ezihlelayo, ungakwazi ukubona isibazi esincane ngemuva kokuhlinzwa. Uzodinga ukufaka isitayela izinwele zakho ukuze zimboze ebunzini lakho.

Uma isikhumba sebunzi sidonswa ngokuqinile noma kunokuvuvukala okuningi, isibazi esibanzi singakha. Kwezinye izimo, ukulahleka kwezinwele kungenzeka emaphethelweni wesibazi. Lokhu kungaphathwa ngokususa ngokuhlinzwa izicubu ezibomvu noma izindawo zokulahleka kwezinwele ukuze isibazi esisha sakheke. Ukulahleka kwezinwele unomphela ngemuva kokuphakanyiswa kwebunzi akuvamile.

Ngaphambi kokuhlinzwa kwakho, uzoba nokubonisana neziguli. Lokhu kuzobandakanya umlando, ukuhlolwa ngokomzimba, kanye nokuhlolwa kwengqondo. Ungahle ufune ukuletha othile (ofana nowakwakho) ngesikhathi sokuvakasha.

Zizwe ukhululekile ukubuza imibuzo. Qiniseka ukuthi uyaziqonda izimpendulo zemibuzo yakho. Kufanele uwaqonde ngokuphelele amalungiselelo wangaphambi kokuhlinzwa, inqubo uqobo, nokunakekelwa ngemuva kokuhlinzwa.

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.

Le ndawo isongwe nge-padding oyinyumba kanye nebhandishi eli-elastic ukunqanda ukopha nokuvuvukala (i-edema). Uzozizwa uba ndikindiki nokungakhululeki kwesikhashana endaweni okuhlinzwa kuyo, ongayilawula ngomuthi.

Uzogcina ikhanda lakho liphakanyisiwe izinsuku ezimbili kuya kwezingu-3 ngemuva kokuhlinzwa ukuvimbela ukuvuvukala. Ukuqubuka nokuvuvukala kuzokwenzeka eduze kwamehlo nasemahlathini, kepha kufanele kuqale ukunyamalala ezinsukwini ezimbalwa noma ngesonto.

Njengoba izinzwa zibuyela emuva, ukuba ndikindiki kwesiphongo nesikhumbuzi kuzothathelwa indawo ukulunywa noma ukuncinza. Kungathatha izinyanga ezi-6 ukuthi le mizwa inyamalale ngokuphelele. Amabhandeshi azokhishwa usuku noma izinsuku ezimbili ngemuva kokuhlinzwa. Kungakapheli izinsuku eziyi-10 kuya kwezingu-14, imithungo noma iziqeshana zizosuswa ngezigaba ezimbili.

Uzokwazi ukuhambahamba ezinsukwini ezi-1 kuye kwezi-2, kepha ngeke ukwazi ukusebenza okungenani izinsuku eziyi-7 ngemuva kokuhlinzwa. Ungageza futhi ugeze izinsuku ezimbili ngemuva kokuhlinzwa, noma ngokushesha lapho amabhandishi ekhishwa.

Kungakapheli izinsuku eziyi-10, kufanele ukwazi ukubuyela emsebenzini noma esikoleni. Kufanele ubeke umkhawulo ekusebenzeni komzimba okunamandla (ukugijima, ukugoba, umsebenzi wasendlini osindayo, ucansi, noma yimuphi umsebenzi owandisa umfutho wegazi lakho) amasonto ambalwa. Gwema ezemidlalo zokuxhumana amasonto ayisithupha kuya kwayisishiyagalombili. Nciphisa ukuvezwa ukushisa noma ilanga izinyanga ezimbalwa.

Imiphini yezinwele izoba mncane ngokuzungeza ukusikeka amasonto noma izinyanga ezimbalwa, kepha izinwele kufanele ziqale ukukhula ngokujwayelekile futhi. Izinwele ngeke zikhule emgqeni wesibazi sangempela. Ukugqoka izinwele zakho ebunzini lakho kuzofihla izibazi eziningi.

Izimpawu eziningi zokuhlinzwa kufanele ziphele ngokuphelele ezinyangeni ezimbili kuya kwezingu-3. I-Makeup ingamboza ukuvuvukala okuncane nokulimala. Ekuqaleni, mhlawumbe uzozizwa ukhathele futhi wehlise, kodwa lokho kuzodlula njengoba uqala ukubukeka futhi uzizwe ungcono.

Iningi labantu lijabule ngemiphumela yokuphakanyiswa kwebunzi. Babonakala bebancane kakhulu futhi bephumule ngokwengeziwe kunangaphambili. Inqubo inciphisa ukubukeka kokuguga iminyaka. Noma ngabe ukuhlinzwa kungaphindaphindwa eminyakeni eyalandela, cishe uzobukeka ungcono kunokuba ubungakaze uphakamise ibunzi.

I-Endobrow lift; Vula browlift; I-lift yesikhashana

• Phakamisa ibhande - uchungechunge

I-Niamtu J. Brow kanye nokuphakama kwebunzi: ifomu, umsebenzi, kanye nokuhlola. Ku: Niamtu J, ed. Ukuhlinzwa Kwezimonyo. Okwesibili. IPhiladelphia, PA: Elsevier; 2018: isahluko 4.

I-Saltz R, i-Lolofie A. Ukuphakamisa i-brow endoscopic. Ku: Rubin JP, Neligan PC, eds. Ukuhlinzwa Kweplastiki: Umqulu 2: Ukuhlinzwa Kobuhle. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 8.