I-Panniculectomy

I-panniculectomy wukuhlinzwa okwenziwe ukususa isikhumba esisoluliwe, esiningi ngokweqile nesikhumba esimbaqile esiswini sakho. Lokhu kungenzeka ngemuva kokuba umuntu eyehlise kakhulu isisindo. Isikhumba singalenga phansi simboze amathanga nezitho zakho zangasese. Ukuhlinzwa ukususa lesi sikhumba kusiza ukuthuthukisa impilo yakho nokubukeka kwakho.

I-panniculectomy ihlukile kwi-abdominoplasty. Ku-abdominoplasty, udokotela wakho ohlinzayo uzosusa amafutha amaningi futhi aqinise nemisipha yakho yesisu (esiswini). Kwesinye isikhathi, zombili izinhlobo zokuhlinzwa zenziwa ngasikhathi sinye.

Ukuhlinzwa kuzokwenzeka esibhedlela noma esikhungweni sokuhlinzwa. Lokhu kuhlinzwa kungathatha amahora ambalwa.

• Uzothola i-anesthesia ejwayelekile. Lokhu kuzokugcina ulele futhi ungabi nezinhlungu ngesikhathi senqubo.
• Udokotela ohlinzayo angenza ukusika ngaphansi kwethambo lesifuba sakho ngenhla kwethambo lakho le-pelvic.
• Ukusikwa okuvundlile kwenziwa esiswini sakho esingezansi, ngenhla nje kwendawo yenkantini.
• Udokotela ohlinzayo uzosusa isikhumba namanoni athe xaxa athe xaxa, okuthiwa i-apron noma i-pannus.
• Udokotela ohlinzayo uzovala ukusika kwakho ngama-suture (imithungo).
• Amashubhu amancane, abizwa ngokuthi ama-drain, angafakwa ukuze kuvunyelwe uketshezi ukuphuma enxebeni njengoba indawo iphola. Lokhu kuzosuswa ngokuhamba kwesikhathi.
• Ukugqoka kuzobekwa ngaphezu kwesisu sakho.

Uma wehla isisindo esiningi, njengamakhilogremu ayi-45 noma ngaphezulu ngemuva kokuhlinzwa nge-bariatric, isikhumba sakho kungenzeka ukuthi asinwebeki ngokwanele ukubuyela esimeni saso semvelo. Lokhu kungadala ukuthi isikhumba sibhonge bese silenga. Kungakumboza amathanga nezitho zakho zangasese. Lesi sikhumba esengeziwe singenza kube nzima ukuzigcina uhlanzekile nokuhamba nokwenza imisebenzi yansuku zonke. Futhi kungadala ukuqubuka noma izilonda. Izembatho kungenzeka zingalingani kahle.

I-panniculectomy yenziwa ukususa lesi sikhumba esengeziwe (i-pannus). Lokhu kungakusiza uzizwe ungcono ngawe futhi uzizwe uzethemba ngokwengeziwe ekubukekeni kwakho. Ukususa isikhumba esingeziwe nakho kunganciphisa ubungozi bokuqubuka nokutheleleka.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

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

Izingozi zalokhu kuhlinzwa yilezi:

• Kubabaza
• Ukutheleleka
• Ukulimala kwemizwa
• Isikhumba esixegile
• Ukulahleka kwesikhumba
• Ukuphulukiswa kwesilonda esibi
• Ukwakhela uketshezi ngaphansi kwesikhumba
• Ukufa kwezicubu

Udokotela wakho ohlinzayo uzokubuza ngomlando wakho wezokwelapha oningiliziwe. Udokotela ohlinzayo uzohlola isikhumba eseqile kanye nezibazi ezindala, uma sikhona. Tshela udokotela wakho nganoma imuphi umuthi kadokotela kanye nemithi ongayithenga, amakhambi, noma izithako ozithathayo.

Udokotela wakho uzokucela ukuthi uyeke ukubhema uma ubhema. Ukubhema kubambezela ukululama futhi kwenyuse ubungozi bezinkinga. Udokotela wakho angakusikisela ukuthi uyeke ukubhema ngaphambi kokuhlinzwa.

Phakathi nesonto ngaphambi kokuhlinzwa kwakho:

• Ezinsukwini ezimbalwa ngaphambi kokuhlinzwa, ungacelwa ukuthi uyeke ukuthatha imishanguzo eyenza kube nzima ngegazi lakho ukuminyana. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), nezinye.
• Buza udokotela wakho ngemithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.

Ngosuku lokuhlinzwa:

• Landela imiyalo yokuthi ungakuyeka nini ukudla nokuphuza.
• Thatha imithi udokotela wakho ohlinzayo akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Fika esibhedlela ngesikhathi.

Qaphela ukuthi i-panniculectomy ayihlali ihlanganiswa nomshuwalense wezempilo. Ngokuyinhloko inqubo yezimonyo ezenziwe ukushintsha ukubukeka kwakho. Uma kwenziwa ngesizathu sezokwelapha, njenge-hernia, izikweletu zakho zingakhokhelwa inkampani yakho yomshuwalense. Qiniseka ukuthi ubheka inkampani yakho yomshuwalense ngaphambi kokuhlinzwa ukuthola ngezinzuzo zakho.

Uzodinga ukuhlala esibhedlela cishe izinsuku ezimbili ngemuva kokuhlinzwa. Ungadinga ukuhlala isikhathi eside uma ukuhlinzwa kwakho kuyinkimbinkimbi.

Ngemuva kokululama ku-anesthesia, uzocelwa ukuthi usukume uhambe ngezinyathelo ezimbalwa.

Uzoba nezinhlungu nokuvuvukala izinsuku ngemuva kokuhlinzwa. Udokotela wakho uzokunikeza ababulali bezinhlungu ukusiza ukudambisa izinhlungu. Ungase futhi ube nobuthakathaka, ukulimaza nokukhathala phakathi naleso sikhathi. Kungasiza ukuphumula ngemilenze yakho nezinqulu zigobile ngesikhathi sokululama ukunciphisa ingcindezi esiswini sakho.

Ngemuva kosuku noma ngaphezulu, udokotela wakho angakwenza ukuthi ugqoke ukwesekwa okunwebeka, njengebhande, ukuhlinzeka ukwesekwa okwengeziwe ngenkathi usalulama. Kufanele ugweme umsebenzi okhandlayo nanoma yini ekwenza ube nobunzima amasonto ama-4 kuye kwayi-6. Uzokwazi ukubuyela emsebenzini cishe emavikini amane.

Kuthatha cishe izinyanga ezi-3 ukuvuvukala kwehle namanxeba okuphola. Kepha kungathatha iminyaka efika kwengu-2 ukubona imiphumela yokugcina yokuhlinzwa kanye nezibazi zokuphela.

Umphumela we-panniculectomy uvame ukuba muhle. Iningi labantu lijabule ngokubukeka kwalo okusha.

Ukuphakamisa komzimba okuphansi - isisu; I-tummy tuck - i-panniculectomy; Ukuhlinzwa okwenziwe ngomzimba

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

UNahabedian WAMI. I-panniculectomy nokwakhiwa kabusha kodonga kwesisu. Ku: Rosen MJ, ed. I-Atlas Yokwakhiwa Kwodonga Kwesisu. Okwesibili. IPhiladelphia, PA: Elsevier; I-2017: isahluko 13.

I-Neligan PC, iBuck DW. Ukunquma komzimba. Ku: Neligan PC, Buck DW, ama-eds. Izinqubo Eziyinhloko Ekuhlinzekeni Ngeplastiki. Okwesibili. IPhiladelphia, PA: Elsevier; 2020: isahluko 7.