Utyando lwendlebe lwezithambiso

Utyando kwindlebe yokuthambisa yinkqubo yokuphucula ukubonakala kwendlebe. Inkqubo eqhelekileyo kukuhambisa iindlebe ezinkulu kakhulu okanye ezigqamileyo kufutshane nentloko.

Utyando lwendlebe lwezithambiso lunokwenziwa kwiofisi yotyando, kwiklinikhi yokugula, okanye esibhedlele. Inokwenziwa phantsi kwe-anesthesia yendawo, ethambisa indawo ejikeleze iindlebe. Unokufumana iyeza lokukwenza ukhululeke kwaye ulale. Inokwenziwa kwakhona phantsi kwe-anesthesia ngokubanzi, apho ulele khona kwaye ungenazintlungu. Inkqubo ihlala ihlala malunga neeyure ezi-2.

Ngexesha leyona ndlela iqhelekileyo yotyando lwendlebe kwezokuthambisa, ugqirha wotyando usika umva endlebeni kwaye asuse ulusu ukuze abone intlala yendlebe. I-cartilage isongwe ukuze iphinde ibumbe indlebe, iyisondeze entloko. Ngamanye amaxesha ugqirha uya kuyisika intlala ngaphambi kokuba ayonge. Ngamanye amaxesha ulusu luyasuswa emva kwendlebe. Ukuthunga kusetyenziselwa ukuvala inxeba.

Inkqubo ihlala isenziwa ukunciphisa ukuzazi okanye iintloni zendlela engaqhelekanga yeendlebe.

Kubantwana, inkqubo inokwenziwa emva kweminyaka emi-5 okanye emi-6 ubudala, xa ukukhula kwendlebe sele kugqityiwe. Ukuba iindlebe zonakaliswe kakhulu (gawula iindlebe), umntwana kufuneka enziwe uqhaqho kwangethuba ukunqanda uxinzelelo lweemvakalelo olunokwenzeka.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi, okanye usulelo

Iingozi zotyando lwendlebe lokuthambisa zibandakanya:

• Iindawo zokuba ndindisholo
• Ukuqokelelwa kwegazi (hematoma)
• Ukwanda kwemvakalelo yokubanda
• Ukuphindeka kokukhubazeka kwendlebe
• I-Keloids kunye nezinye iziva
• Iziphumo ezibi

Abasetyhini kufuneka baxelele ugqirha ukuba bakhulelwe okanye bacinga ukuba bakhulelwe.

Kwiveki enye ngaphambi kotyando, unokucelwa ukuba uyeke ukuthatha izinciphisi zegazi. La mayeza anokubangela ukopha okuphezulu ngexesha lotyando.

• Amanye ala mayeza yiasprini, ibuprofen (Advil, Motrin), kunye ne naproxen (Aleve, Naprosyn).
• Ukuba uthatha i-warfarin (Coumadin, Jantoven), dabigatran (Pradaxa), apixaban (Eliquis), rivaroxaban powder (Xarelto), okanye clopidogrel (Plavix), thetha nogqirha wakho phambi kokuba uyeke okanye utshintshe indlela owathatha ngayo la mayeza.

Ngexesha leentsuku ngaphambi kokuhlinzwa kwakho:

• Buza ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando lwakho.
• Soloko uvumela umboneleli wakho wokhathalelo lwempilo ukuba unokubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye nakuphi na ukugula ngexesha elikhokelela kuqhaqho lwakho.

Ngomhla wotyando lwakho:

• Uya kucelwa ukuba ungaseli okanye utye nantoni na emva kobusuku ezinzulwini zobusuku ngaphambi kotyando lwakho. Oku kubandakanya ukusebenzisa itshungama kunye nemizuzu yokuphefumla. Hlamba umlomo wakho ngamanzi ukuba uziva womile. Lumka ungaginye.
• Thatha amayeza oxelelwe ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Fika ngexesha lotyando.

Qiniseka ukuba ulandela nayiphi na enye imiyalelo evela kugqirha wakho wotyando.

Iindlebe zigutyungelwe ngamabhanti aqinileyo emva kotyando. Ngokwesiqhelo, ungagoduka emva kokuba uvukile kwi-anesthesia.

Nawuphi na ukuthamba kunye nokuphazamiseka kunokulawulwa ngamayeza. Amabhandeshi endlebe ahlala esuswa emva kweentsuku ezi-2 ukuya kwezi-4, kodwa anokuhlala ixesha elide. Isongelo sentloko okanye ibhanti yentloko kufuneka inxitywe iiveki ezi-2 ukuya kwezi-3 ukunceda indawo iphilise.

Qiniseka ukuba ubiza ugqirha wakho ukuba unentlungu enkulu. Oku kungakho ngenxa yosulelo lwenqwelomoya.

Imikhaphu ikhanya kakhulu kwaye ifihliwe kwiindawo ezingasemva kweendlebe.

Inkqubo yesibini inokufuneka xa indlebe incamathele kwakhona.

Ukuvela; Ukuphina indlebe; Utyando lwendlebe - izithambiso; Ukulungiswa kwendlebe; I-Pinnaplasty

• I-anatomy yendlebe
• Iziphumo zonyango ezijongwa kwi-anatomy yendlebe
• Ukulungiswa kweendlebe - uthotho
• Utyando lwendlebe-uthotho

I-Adamson PA, iDoud Galli SK, uKim AJ. Intlanzi. 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: isahl 31.

Unyango CH. Otoplasty kunye nokunciphisa indlebe. Ku: Rubin JP, Neligan PC, ii-eds. Utyando lweplastikhi: Umqulu 2: Utyando lobuhle. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 20.