Ukuphakamisa ibunzi

Ukuphakanyiswa kwebunzi yinkqubo yotyando yokulungisa ukugoba kwesikhumba sebunzi, amashiya kunye neenkophe ezingaphezulu. Inokuphucula ukubonakala kwemibimbi ebunzi naphakathi kwamehlo.

Ukuphakanyiswa kwebunzi kususa okanye kuguqule izihlunu kunye nolusu olubangela iimpawu zokwaluphala njengamashiya ajingayo, "ukuxhoma" iinkophe, amabala ebunzi, kunye nemigca ejijekileyo.

Olu tyando lunokwenziwa lodwa okanye ngezinye iinkqubo ezinje ngokunyusa ubuso, utyando lwejwabu leso, okanye ukuphinda wenze impumlo. Olu tyando lunokwenziwa kwi-ofisi yotyando, kwiziko lotyando ngaphandle, okanye esibhedlele. Ihlala isenziwa ngaphandle, ngaphandle kokuhlala ubusuku bonke.

Uya kuvuka, kodwa uya kunikwa i-anesthesia yendawo ukuze ungaziva iintlungu. Unokufumana iyeza lokuphumla. Kwezinye iimeko, i-anesthesia ngokubanzi iya kusetyenziswa. Ngexesha lenkqubo, uya kuziva usolula ulusu ebunzi kwaye ungonwabi. Ngexesha lotyando:

• Amacandelo ezinwele aya kubanjelwa kude nendawo yotyando. Iinwele kanye phambi komgca osikiweyo zingafuna ukuchetywa, kodwa iindawo ezinkulu zeenwele aziyi kuchetywa.
• Ugqirha uya kwenza ukusikwa kotyando (ukusikwa) kwinqanaba lendlebe. Oko kunqunyulwa kuya kuqhubeka ngaphezulu komphezulu webunzi kwizinwele ukuze ibunzi lingabonakali liphezulu kakhulu.
• Ukuba unempandla okanye ucheba, ugqirha unokusebenzisa ukusikwa embindini kwentloko ukuze kuthintelwe isikhumba esibonakalayo.
• Abanye abagqirha botyando baya kusebenzisa ukusikeka okuncinci kwaye benze utyando besebenzisa i-endoscope (isixhobo esincinci esinebhola encinci esiphelweni). Ukufakwa okunganyibilikiyo kunokusetyenziselwa ukubamba ulusu oluphakanyisiweyo endaweni yalo.
• Emva kokususa izihlunu, ulusu kunye nezihlunu ezigqithileyo, ugqirha uya kuvala ukusikwa ngezitishi okanye ukutya okuqhelekileyo. Ngaphambi kokuba kufakwe izinto zokunxiba, iinwele zakho kunye nobuso buya kuhlanjwa ukuze isikhumba sokhakhayi singacaphuki.

Le nkqubo ihlala isenziwa kubantu abakuma-40s ukuya kuma-60s ukuthoba isiphumo sokuguga. Inokunceda abantu abaneemeko ezizuzwe njengelifa, ezinje ngemigca eguqulweyo entla kwempumlo okanye ishiya ethe nta.

Kubantu abancinci, ukuphakanyiswa kwebunzi kunokunyusa amashiya asezantsi anika ubuso "buhlungu". Inkqubo inokwenziwa nakubantu abakhangeli babo baphantsi kakhulu kangangokuba bathintela indawo ephezulu yombono wabo.

Umgqatswa olungileyo wokuphakamisa ibunzi unenye okanye nangaphezulu koku kulandelayo:

• Imisele enzulu phakathi kwamehlo
• Imibimbi oxwesileyo ebunzi
• Impumlo engasebenzi kakuhle
• Ukukhangela ukukhangela
• Izicubu ezixhonywe kwinxalenye engaphandle yeenkophe

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

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

Umngcipheko wokuhlinzwa okwenziwe ebunzini uquka:

• 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

Ngamaxesha athile, ukuphakama kwebunzi kuya kwenza kube nzima ukunyusa amashiya okanye ukushwabanisa ibunzi kwelinye okanye omabini amacala. Ukuba oku kuyenzeka, unokufuna olunye utyando ukwenza omabini amacala alingane. Ukuba sele unotyando lweplastiki ukuphakamisa iinkophe zakho ezingasentla, ukuphakama kwebunzi akunakucetyiswa kuba kunokuchaphazela amandla akho okuvala iinkophe zakho.

Kwinkoliso yabantu, ukusikwa kokuphakanyiswa kwebunzi kuphantsi kwentloko yeenwele. Ukuba une-hairline ephezulu okanye ecekeceke, uya kuba nakho ukubona isikhumba esincinci emva kotyando. Uya kudinga ukutayela iinwele zakho ukuze zigqume ibunzi lakho.

Ukuba ulusu lwebunzi lutsalwe ngokuqinileyo okanye kukho ukudumba okuninzi, inxeba elibanzi linokuvela. Kwezinye iimeko, ukulahleka kweenwele kunokwenzeka kwiindawo ezibuhlungu. Oku kunganyangwa ngokususa ngocoselelo izicwili ezibomvu okanye iindawo ezilahlekileyo ukuze inxeba elitsha lenze. Ukulahleka kweenwele ngokusisigxina emva kokuphakanyiswa kwebunzi kunqabile.

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 ngokwayo, 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.

Indawo isongelwe nge-padding engenazintsholongwane kunye ne-bandage elastic yokuthintela ukopha nokudumba (edema). Uyakuva ukungabinamandla kunye nokungonwabi okwethutyana kwindawo yotyando, onokuyilawula ngamayeza.

Uya kugcina intloko yakho iphakanyisiwe kwiintsuku ezi-2 ukuya kwezi-3 emva kotyando ukunqanda ukudumba. Ukukhukhumala kunye nokudumba kuyakwenzeka ecaleni kwamehlo nasezidleleni, kodwa kufanele kuqale ukunyamalala kwiintsuku nje ezimbalwa okanye evekini.

Njengokuphinda kuvele imithambo-luvo, ukuba ndindisholo kwebunzi kunye ne-scalp kuya kutshintshwa ngokurhawuzelela okanye ukurhawuzelela. Kungathatha ukuya kwiinyanga ezi-6 ukuba ezi mvakalelo zitshabalale ngokupheleleyo. Amabhandeji aya kususwa kusuku olunye okanye ezimbini emva kotyando. Kwisithuba seentsuku ezili-10 ukuya kwezili-14, imithungo iya kususwa ngokwamanqanaba amabini.

Uyakwazi ukuhambahamba ngeentsuku ezi-1 ukuya kwezi-2, kodwa ngekhe ukwazi ukusebenza iintsuku ezi-7 ubuncinci emva kotyando. Unako ukuhlamba ishampu kwaye uhlambe iintsuku ezi-2 emva kotyando, okanye kwakamsinya nje xa ususwe iibhandeji.

Kwiintsuku ezili-10, kufanelekile ukuba ubuyele emsebenzini okanye esikolweni. Kuya kufuneka uthintele ukusebenza ngamandla komzimba (ukubaleka, ukugoba, umsebenzi onzima wasendlini, isondo, okanye nawuphina umsebenzi owonyusa uxinzelelo lwegazi) iiveki ezininzi. Gwema imidlalo yokunxibelelana kwiiveki ezi-6 ukuya kwezi-8. Nciphisa ubushushu okanye ilanga iinyanga ezininzi.

I-shafts yeenwele iya kuncipha ngokujikeleza ukusikwa iiveki okanye iinyanga ezimbalwa, kodwa iinwele kufuneka ziqale ukukhula ngesiqhelo kwakhona. Izinwele aziyi kukhula kumgca wesona siqobo. Ukuthambisa iinwele zakho phantsi kwebunzi kuya kufihla uninzi lweempawu.

Uninzi lweempawu zotyando kufuneka luphele ngokupheleleyo kwiinyanga ezi-2 ukuya kwezi-3. I-Makeup inokugubungela ukudumba okuncinci kunye nokugruzuka. Ekuqaleni, ungaziva udiniwe kwaye wehlisiwe, kodwa oko kuyakudlula njengoko uqala ukubonakala kwaye uzive ungcono.

Uninzi lwabantu lonwabile ziziphumo zokuphakanyiswa kwebunzi. Babonakala bebancinci kwaye bephumle ngakumbi kunangaphambili. Inkqubo inciphisa ukubonakala kokuguga iminyaka. Nokuba awuzukuphinda utyando luphindwe kwiminyaka edlulileyo, uya kubonakala ungcono kunokuba ubungazange uphakamise ibunzi.

Ukunyusa i-Endobrow; Vula ibrowslift; Ukunyusa okwethutyana

• Ukuphakanyiswa kwebunzi - uthotho

I-Niamtu J. Brow kunye nokuphakamisa ibunzi: ifom, umsebenzi kunye novavanyo. Ku: Niamtu J, ed. Utyando lobuso. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; I-2018: isahluko 4.

I-Saltz R, i-Lolofie A.Ukunyusa ibrows nge-Endoscopic. Ku: Rubin JP, Neligan PC, ii-eds. Utyando lweplastikhi: Umqulu 2: Utyando lobuhle. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 8.