Rhinoplasty

Rhinoplasty - utyando ukulungisa okanye imilo kwakhona impumlo.

I-Rhinoplasty inokwenziwa phantsi kwe-anesthesia yendawo okanye ngokubanzi, kuxhomekeke kwinkqubo echanekileyo kunye nokukhethwa komntu. Iyenziwa kwi-ofisi yotyando, esibhedlele, okanye kwiziko lotyando ngaphandle. Iinkqubo ezintsonkothileyo zifuna ukuhlala ixesha elifutshane esibhedlele. Inkqubo ihlala ithatha iiyure ezi-1 ukuya kwezi-2. Ingathatha ixesha elide.

Nge-anesthesia yendawo, impumlo kunye nommandla ojikeleze kuyo baxakeke. Uyakube uhleli kancinci, kodwa uvuke ngexesha lotyando (ukhululekile kwaye ungaziva iintlungu). I-anesthesia ngokubanzi ikuvumela ukuba ulale ngokusebenza.

Olu tyando luqhele ukwenziwa ngokusikwa (ukusikwa) okwenziwe ngaphakathi kwempumlo. Ngamanye amaxesha, ukusikwa kwenziwa ngaphandle, kujikeleze isiseko sempumlo. Olu hlobo lokusika lusetyenziselwa ukwenza umsebenzi kwincam yempumlo okanye ukuba ufuna i-cartilage graft. Ukuba impumlo kufuneka icuthwe, ukusikwa kunganwenwela emakhaleni. Kusenokwenzeka ukuba kwenziwe izinto ezincinci ngaphakathi empumlweni ukuze wophuke, kwaye ulimise kwakhona ithambo.

Isiphatho (isinyithi okanye iplastiki) singafakwa ngaphandle kwempumlo. Oku kunceda ukugcina imilo entsha yethambo xa ugqirha ugqityiwe. Iiplastiki ezithambileyo okanye iipakethe zempumlo nazo zinokubekwa ezimpumlweni. Oku kunceda ukugcina udonga olwahlula phakathi kweendlela zomoya (septum) ezizinzileyo.

I-Rhinoplasty yenye yeenkqubo eziqhelekileyo zotyando lweplastiki. Ingasetyenziselwa uku:

• Ukunciphisa okanye ukwandisa ubungakanani bempumlo
• Guqula ukumila kwencam okanye ibhulorho yeempumlo
• Cutha ukuvulwa kweempumlo
• Guqula i-engile phakathi kwempumlo nomlomo ophezulu
• Lungisa isiphene sokuzalwa okanye ukwenzakala
• Nceda unciphise iingxaki zokuphefumla

Utyando lwempumlo luthathwa njengolukhethiweyo xa kusenziwa izizathu zokuthambisa. Kule meko, injongo kukutshintsha imilo yempumlo iye kulowo umntu akufumanisa kunqweneleka ngakumbi. Oogqirha abaninzi bakhetha ukwenza utyando lwempumlo emva kokuba ithambo lempumlo ligqibile ukukhula. Oku kukujikeleza iminyaka eli-14 okanye eli-15 kumantombazana kwaye emva kwexesha elithile kumakhwenkwe.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Ukuphendula kumayeza, iingxaki zokuphefumla
• Ukopha, usulelo, okanye ukugruzuka

Iingozi zale nkqubo zibandakanya:

• Ukuphulukana nenkxaso yempumlo
• Iziphene zempumlo
• Ukunyuka kokuphefumla ngeempumlo
• Imfuneko yokuhlinzwa ngakumbi

Emva kotyando, imithambo yegazi encinci eqhekekileyo inokubonakala njengamabala amancinci abomvu kulusu. Ezi zihlala zihlala zincinci, kodwa zisisigxina. Akukho zibazi ezibonakalayo ukuba i-rhinoplasty yenziwa ngaphakathi kwempumlo. Ukuba inkqubo inciphisa iimpumlo ezivuthayo, kunokubakho amanxeba amancinci emazantsi empumlo angafane abonakale.

Kwiimeko ezinqabileyo, inkqubo yesibini iyafuneka ukulungisa ukukhubazeka okuncinci.

Ugqirha wakho unokukunika imiyalelo ekufuneka uyilandele ngaphambi kotyando. Ungadinga uku:

• Yeka naliphi na iyeza lokucoca igazi. Ugqirha wakho uza kukunika uluhlu lwala mayeza.
• Jonga umboneleli wakho wezempilo rhoqo ukuba abe novavanyo oluthile kwaye uqiniseke ukuba kukhuselekile ukuba unokuhlinzwa.
• Ukunceda ngokunyanga, yeka ukutshaya iiveki ezi-2 ukuya kwezi-3 ngaphambi nasemva kotyando.
• Lungiselela ukuba uthile akugoduse emva kotyando.

Ngokuqhelekileyo uya ekhaya ngosuku olufanayo njengoko utyando lwakho.

Kanye emva kotyando, impumlo nobuso buya kudumba bube buhlungu. Intloko ziqhelekile.

Ukupakisha impumlo kuhlala kususwa kwiintsuku ezi-3 ukuya kwezi-5, emva koko uya kuziva ukhululekile.

I-splint inokushiywa endaweni iiveki ezi-1 ukuya kwezi-2.

Ukuchacha ngokupheleleyo kuthatha iiveki ezimbalwa.

Ukuphilisa yinkqubo ecothayo kwaye ethe chu. Incam yempumlo inokuba nokudumba kunye nokuba ndindisholo iinyanga. Awungekhe ukwazi ukubona iziphumo zokugqibela kude kube ngunyaka.

Utyando lwempumlo; Impumlo umsebenzi - rhinoplasty

• Septoplasty - ukubhobhoza

• Septoplasty - uthotho
• Utyando lwempumlo - uthotho

UFerril GR, uWinkler AA. Rhinoplasty kunye nokwakhiwa ngeempumlo. Ku: Scholes MA, Ramakrishnan VR, ii-eds. Iimfihlo ze-ENT. Ngomhla we-4. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 59.

Tardy ME, Thomas JR, Sclafani AP. Rhinoplasty. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 34.