Ukumiliselwa kwesikhumba

Ufakelo lolusu sisiqwenga sesikhumba esisuswe ngotyando ukusuka kwenye indawo yomzimba size similiselwe, okanye sincanyathiselwe kwenye indawo.

Olu tyando luqhele ukwenziwa ngelixa uphantsi kweanesthesia ngokubanzi. Oko kuthetha ukuba uya kulala kwaye ungenazintlungu.

Isikhumba esisempilweni sithathwa kwindawo esemzimbeni wakho ebizwa ngokuba yindawo yabanikeli. Uninzi lwabantu olunolwaluko lolusu lune-grafti yesikhumba esomeleleyo. Oku kuthatha amanqwanqwa aphezulu olusu kwindawo yabanikeli (i-epidermis) kunye nongqameko phantsi kwe-epidermis (i-dermis).

Indawo yokunikela ingaba nayiphi na indawo yomzimba. Amaxesha amaninzi, yindawo efihliweyo ziimpahla, ezinjengempundu okanye ithanga langaphakathi.

Ubume bomthambo busasazeke ngononophelo kwindawo engenanto apho kuthunyelwa khona. Igcinwe endaweni nokuba luxinzelelo olunobunono kwisinxibo esitshixwe kakuhle esigubungela sona, okanye ngestaples okanye imithungo emincinci embalwa. Indawo yesiza sabanikeli igqunywe ngesinxibo esinyumba iintsuku ezi-3 ukuya kwezi-5.

Abantu abaphulukene nethishu enzulu banokufuna ulwelwiso olugcweleyo lwesikhumba. Oku kufuna ukutyeba okupheleleyo kolusu kwindawo yabanikeli, hayi iileya ezimbini eziphezulu kuphela.

Ulwazelelo lokuqina kolusu yinkqubo enzima ngakumbi. Iindawo eziqhelekileyo zabanikeli ngokuqina okugcweleyo kwesikhumba kubandakanya udonga lwesifuba, umva, okanye udonga lwesisu.

Ukufakelwa kwesikhumba kunokucetyiswa ukuba:

• Iindawo apho kuye kwakho usulelo olubangele inani elikhulu lokulahleka kolusu
• Ukutsha
• Izizathu zokuthambisa okanye utyando lokwakha ngokutsha apho kuye kwakho ulusu okanye ukonakala
• Utyando lomhlaza wolusu
• Utyando olufuna ukufakelwa kolusu ukuphilisa
• Izilonda zemithambo-luvo, izilonda zoxinzelelo, okanye izilonda zeswekile ezingapholiyo
• Amanxeba amakhulu kakhulu
• Inxeba ugqirha angakwazanga ukulivala ngokufanelekileyo

Iigrafti ezizeleyo zenziwa xa kulahleka izicwili ezininzi. Oku kunokwenzeka ngokuqhekeka okuvulekileyo komlenze ongezantsi, okanye emva kosulelo olukhulu.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Ukunyanga kwamayeza kunyango
• Iingxaki ngokuphefumla
• Ukopha, amahlwili egazi, okanye usulelo

Iingozi zolu tyando zezi:

• Ukopha
• Ubuhlungu obungapheliyo (kunqabile)
• Usulelo
• Ukuphulukana nolusu olumiliselwe (ulweliso olungaphilisi, okanye ukuphilisa okuthathiweyo kancinci)
• Ukuncitshiswa okanye ukulahleka kolusu, okanye ukwanda kokuziva
• Ukuqhekeka
• Umbala wolusu
• Umphezulu wolusu ongalinganiyo

Xelela ugqirha wakho okanye ugqirha:

• Ngawaphi amayeza owasebenzisayo, nditsho neziyobisi okanye amayeza owathengileyo ngaphandle kommiselo.
• Ukuba ubusele utywala kakhulu.

Ngexesha leentsuku ngaphambi kotyando:

• Unokucelwa ukuba uyeke ukuthatha amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya i-aspirin, ibuprofen, warfarin (Coumadin), kunye nezinye.
• Buza ugqirha wakho otyandayo ukuba zeziphi iziyobisi ekusafuneka uzithathe ngemini yotyando lwakho.
• Ukuba uyatshaya, zama ukuyeka. Ukutshaya kwandisa amathuba akho eengxaki ezinjengokunyanga kade. Buza umboneleli wakho wezempilo ngoncedo lokuyeka.

Ngomhla wotyando:

• Landela imiyalelo malunga nokuba uyeke nini ukutya nokusela.
• Thatha la mayeza ugqirha wakho akuxelele ukuba uthathe ngesiphuzo esincinci samanzi.

Kuya kufuneka uchache ngokukhawuleza emva kokumiliselwa kwesikhumba. Iigrafti ezizele ngokupheleleyo zifuna ixesha lokubuyisa ixesha elide. Ukuba ufumene olu hlobo lokudibanisa, kungafuneka uhlale esibhedlele iiveki ezi-1 ukuya kwezi-2.

Emva kokuba ukhutshiwe esibhedlele, landela imiyalelo yendlela yokunyamekela ufakelo lolusu, kubandakanya:

• Ukunxiba unxiba iiveki ezi-1 ukuya kwezi-2. Buza umboneleli wakho ngendlela ekufuneka ukhathalele ngayo ukunxiba, njengokukhusela ekubeni manzi.
• Ukukhusela ukuxhonywa kulwaphulo-mthetho kwiiveki ezi-3 ukuya kwezi-4. Oku kubandakanya ukuphepha ukubethwa okanye ukwenza nawuphi na umthambo onokwenzakalisa okanye wolule ubume bomgubo.
• Ukufumana unyango ngokwasemzimbeni, ukuba ugqirha wakho uyayincoma.

Uninzi lwegrafti yolusu luyaphumelela, kodwa ezinye aziphili kakuhle. Unokufuna ulwakhiwo lwesibini.

Ukufakelwa kwesikhumba; Ulusu oluzenzekelayo; I-FTSG; STSG; Ukwahlula ukutyeba kwesikhumba; Ukutyeba okupheleleyo kwesikhumba

• Ukuthintela izilonda zoxinzelelo
• Unonophelo lwenxeba lotyando - luvulekile

• Ukumiliselwa kwesikhumba
• Uluhlu lolusu
• Ukufakelwa kwesikhumba - uthotho

UMcGrath MH, uPomerantz JH. Uqhaqho ufakela iplastikhi. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 68.

URatner D, uNayyar PM. IiGrafti, kwi: I-Bolognia JL, iSchaffer JV, iCerroni L, ii-eds. Dermatology. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 148.

IScherer-Pietramaggiori SS, iPietramaggiori G, i-Orgill DP. Ukumiliselwa kwesikhumba. Ku: Gurtner GC, Neligan PC, ii-eds. Utyando lweplastikhi, Umqulu 1: Imigaqo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 15.