Ukuphakanyiswa kobuso

Ukuphakamisa ubuso yinkqubo yotyando yokulungisa ukugoba, ukujinga, kunye nolusu olushwabeneyo lobuso nentamo.

Ukuphakanyiswa kobuso kungenziwa wedwa okanye ukulungiswa kwempumlo, ukuphakama kwebunzi, okanye utyando lwejwabu leso.

Ngelixa uleleyo (uhleli) kwaye ungenazintlungu (i-anesthesia yendawo), okanye ulele ubuthongo obungenazintlungu (i-anesthesia ngokubanzi), ugqirha weplastikhi uyakwenza ukusikwa kotyando okuqala ngaphezulu komgca weenwele kwiitempile, kwandiswe emva kwendlebe, kunye kwisikhumba esisezantsi. Rhoqo, oku kunqunyulwa. Isingeniso singenziwa phantsi kwesilevu sakho.

Zininzi iindlela ezahlukeneyo ezikhoyo. Iziphumo zomntu ngamnye ziyafana kodwa ixesha elide lokuphucula lingahluka.

Ngexesha lokuphakamisa ubuso, ugqirha wotyando unoku:

• Susa kwaye "uphakamise" amanye amafutha kunye nezihlunu phantsi kolusu (olubizwa ngokuba ngumaleko we-SMAS; lelona candelo liphakamisayo lobuso)
• Susa okanye uhambise ulusu oluvulekileyo
• Qinisa izihlunu
• Yenza i-liposuction yentamo kunye neejowls
• Sebenzisa ii-stitches (sutures) ukuvala ukusika

Ukukhuhla okanye isikhumba esishwabeneyo kwenzeka ngokwendalo njengoko usiya ukhula. Iifolds kunye ne-fat deposits zivela entanyeni. Ubunzulu bokwenza iifom phakathi kwempumlo nomlomo. Umhlathi ukhula "jowly" kwaye udangele. Imfuza, ukutya okungafunekiyo, ukutshaya, okanye ukutyeba kunokwenza iingxaki zolusu ziqale kwangoko okanye zibhebhetheke msinya.

Ukuphakamisa ubuso kunokunceda ukulungisa ezinye zeempawu ezibonakalayo zokwaluphala. Ukulungisa umonakalo kulusu, kumanqatha, nakwizihlunu kunokubuyisela "omncinci", ohlaziyeke ngakumbi kunye nokudinwa okuncinci.

Abantu banokuphakama ebusweni kuba abanelisekanga yimpawu zokwaluphala ebusweni babo, kodwa bakwimpilo entle ngenye indlela.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

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

Iingozi zotyando lokuphakamisa ubuso zibandakanya:

• Ipokotho yegazi phantsi kolusu (hematoma) enokufuna ukukhutshwa ngokuhlinzwa
• Ukonakala kwimithambo-luvo elawula izihlunu zobuso (oku kuhlala kuyinto yethutyana, kodwa kunokuba sisigxina)
• Amanxeba angapholi kakuhle
• Intlungu engapheliyo
• Ubumdaka okanye olunye utshintsho kulusu

Nangona uninzi lwabantu lonwabile ziziphumo, iziphumo ezibi zezithambiso ezinokufuna utyando olungakumbi zibandakanya:

• Ukunqongophala okungathandekiyo
• Ukungalingani kobuso
• Ulwelo oluqokelela phantsi kolusu (seroma)
• Ubume besikhumba esingaqhelekanga (i-contour)
• Utshintsho kumbala wesikhumba
• Iimpawu ezibonakalayo okanye ezibangela ukucaphuka

Ngaphambi kotyando lwakho, uya kuba nodliwanondlebe nesigulana. Oku kuya kubandakanya imbali, uvavanyo lomzimba, kunye novavanyo lwengqondo. Unokufuna ukuza nomnye umntu (njengeqabane lakho) xa undwendwela.

Zive ukhululekile ukubuza imibuzo. Qiniseka ukuba uyaziqonda iimpendulo kwimibuzo yakho. Kuya kufuneka uqonde ngokupheleleyo amalungiselelo okunyanga kwangaphambili, inkqubo yokuphakamisa ubuso, inkqubela phambili enokulindelwa, kunye nokhathalelo emva kotyando.

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.

Ugqirha unokubeka ityhubhu encinci, encinci ebhityeni phantsi kolusu emva kwendlebe ukukhupha naliphi na igazi elinokuqokelelwa apho. Intloko yakho iya kusongelwa ngokukhululekileyo kwiibhandeji ukunciphisa ukutyumka nokudumba.

Akufanele ube nobunzima emva kotyando. Unokuphelisa nakuphi na ukungonwabisi oziva ngathi uneyeza lonyango elonyulwa ngugqirha. Olunye undindishiza lolusu luqhelekile kwaye luya kunyamalala kwiiveki okanye kwiinyanga ezimbalwa.

Intloko yakho kufuneka iphakanyiswe kwimiqamelo emi-2 (okanye kwi-angle ye-30-degree) kwiintsuku ezimbalwa emva kotyando ukugcina ukudumba. Umbhobho wokuhambisa amanzi uya kususwa kwiintsuku ezi-1 ukuya kwezi-2 emva kotyando ukuba kufakwe enye. Iibhanji zihlala zisuswa emva kweentsuku ezi-1 ukuya kwezi-5. Ubuso bakho buya kujongeka butyhafile, butyumkile, kwaye budumbile, kodwa kwiiveki ezi-4 ukuya kwezi-6 buya kubonakala buqhelekile.

Eminye yemithungo iya kususwa kwiintsuku ezi-5. Izitishi okanye iiklip zentsimbi kulusu lweenwele zinokushiyeka kwiintsuku ezimbalwa ezongezelelweyo ukuba isikhumba sekhanda sithatha ixesha elide ukuphilisa.

Kuya kufuneka uphephe:

• Ukuthatha nayiphi na i-aspirin, ibuprofen, okanye ezinye iziyobisi ezichasayo (ii-NSAID) kwiintsuku zokuqala
• Ukutshaya kunye nokuvezwa kukutshaya
• Ukucoca, ukugoba, nokuphakamisa kanye emva kotyando

Landela imiyalelo malunga nokufihla izithambiso emva kweveki yokuqala. Ukudumba okuncinci kunokuqhubeka iiveki ezininzi. Unokuba noburharha ebusweni ukuya kuthi ga kwiinyanga ezininzi.

Uninzi lwabantu lonwabile ziziphumo.

Uya kuba nokudumba, ukutyumka, ukuqaqamba kolusu, ukuthamba, kunye nokuqina kwiintsuku ezili-10 ukuya kwezi-14 okanye ngaphezulu emva kotyando. Uninzi lwezikrelemnqa zotyando zifihliwe kulusu lweenwele okanye kwimigca yendalo yobuso kwaye iya kuphelelwa lixesha. Ugqirha wakho uya kukucebisa ukuba unciphise ukukhanya kwelanga.

Rhytidectomy; Ubuso bobuso; Utyando lwezithambiso ebusweni

• Uluhlu lwee-facelift

U-Niamtu J. Utyando lwe-Facelift (cervicofacial rhytidectomy). Ku: Niamtu J, ed. Utyando lobuso. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; I-2018: isahluko 3.

UWarren RJ. Ukuphakanyiswa kobuso: imigaqo-nkqubo kunye neendlela zotyando zokuphakamisa ubuso. Ku: Rubin JP, Neligan PC, ii-eds. Utyando lweplastikhi: Umqulu 2: Utyando lobuhle. Ngomhla we-4. IPhiladelphia, PA: Elsevier; Ngo-2018: isahluko 6.2.