Utshintsho lwePanniculectomy

I-panniculectomy lutyando olwenziwe ukususa ulwandiso, amanqatha amaninzi kunye nolusu olugqithisileyo esiswini sakho. Oku kunokwenzeka emva kokuba umntu eye wancipha kakhulu. Ulusu lungaxhoma phantsi lize ligqume amathanga kunye namalungu esini. Ugqirha lokususa olu lusu kunceda ukuphucula impilo yakho kunye nokubonakala kwakho.

I-panniculectomy yahlukile kwisisu seplastin. Kwisisu esiswini, ugqirha wakho uya kususa amanqatha ongezelelweyo kwaye uqinise isisu sakho (esiswini) semisipha. Ngamanye amaxesha, zombini iintlobo zotyando zenziwa ngaxeshanye.

Olu tyando luya kwenzeka esibhedlele okanye kwiziko lotyando. Olu tyando lungathabatha iiyure ezininzi.

• Uya kufumana i-anesthesia ngokubanzi. Oku kuyakukugcina ulele kwaye ungabi nazintlungu ngexesha lenkqubo.
• Ugqirha unokwenza ukusika phantsi kwethambo lakho lesifuba ngaphezulu kwethambo lakho le-pelvic.
• Ukusikwa okuthe tyaba kwenziwa kwisisu sakho esisezantsi, ngaphezulu nje kwendawo ye-pubic.
• Ugqirha uya kususa ulusu kunye namafutha ngaphezulu, abizwa ngokuba yifaskoti okanye ipannus.
• Ugqirha uya kuvala ukusika kwakho ngemisonto (yokuthunga).
• Iityhubhu ezincinci, ezibizwa ngokuba yimisele, zinokufakwa ukuvumela ulwelo ukuba luphume enxebeni njengoko indawo iphola. Ezi ziya kususwa kamva.
• Ukunxiba kuya kubekwa phezu kwesisu sakho.

Xa uphulukana nobunzima obuninzi, obufana ne-100 yeekhilogram okanye ngaphezulu emva kotyando lwe-bariatric, ulusu lwakho lusenokungabi nkqo ngokwaneleyo ukuze lubuyele kwimeko yalo yendalo. Oku kunokubangela ukuba ulusu lutyeke kwaye luxhomeke. Ingagubungela amathanga akho kunye namalungu esini. Olu lusu longezelelweyo lunokwenza kube nzima ukuzigcina ucocekile kwaye uhamba kwaye wenze imisebenzi yemihla ngemihla. Ikwanokubangela irhashalala okanye izilonda. Impahla isenokungalingani ngokufanelekileyo.

I-panniculectomy yenziwa ukususa olu lusu longezelelweyo (pannus). Oku kunokukunceda uzive ngcono ngawe kwaye uzive uzithembile kwinkangeleko yakho. Ukususa ulusu olongezelelekileyo kunokunciphisa umngcipheko wokurhabaxa kunye nosulelo.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

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

Iingozi zolu tyando zezi:

• Ukuqhekeka
• Usulelo
• Umonakalo wemithambo
• Ulusu olukhululayo
• Ukuphulukana nolusu
• Ukuphilisa amanxeba
• Ulwakhiwo lwamanzi phantsi kolusu
• Ukufa kwamathambo

Ugqirha wakho uza kubuza malunga nembali yakho yonyango eneenkcukacha. Ugqirha uya kuvavanya ulusu olugqithisileyo kunye nezikrelemnqa ezindala, ukuba zikhona. Tshela ugqirha wakho malunga naluphi na amayeza kunye namayeza angaphezulu kwekhawunta, amayeza, okanye izongezo ozithathayo.

Ugqirha wakho uyakukucela ukuba uyeke ukutshaya ukuba uyatshaya. Ukutshaya kunciphisa ukubuyela umva kwaye kwandisa umngcipheko weengxaki. Ugqirha wakho unokucebisa ukuba uyeke ukutshaya ngaphambi kolu tyando.

Ngexesha leveki ngaphambi kotyando lwakho:

• Kwiintsuku ezininzi ngaphambi kotyando, unokucelwa ukuba uyeke ukuthatha amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), kunye nezinye.
• Buza ugqirha wakho malunga namayeza ekufuneka uwathathe ngosuku lotyando lwakho.

Ngomhla wotyando:

• Landela imiyalelo malunga nokuba uyeke nini ukutya nokusela.
• Thatha amayeza ugqirha wakho oxelele ukuba uthathe ngamanzi amancinci.
• Fika esibhedlele ngexesha.

Qaphela ukuba i-panniculectomy ayisoloko igutyungelwa yinshurensi yezempilo. Ininzi yinkqubo yokuthambisa eyenziweyo ukutshintsha inkangeleko yakho. Ukuba kwenziwe ngesizathu sezonyango, njenge-hernia, amatyala akho anokugutyungelwa yinkampani yeinshurensi yakho. Qiniseka ukuba ujonga inkampani yakho yeinshurensi ngaphambi kotyando ukufumana malunga nezibonelelo zakho.

Kuya kufuneka uhlale esibhedlele kangangeentsuku ezimbini emva kotyando. Kuya kufuneka uhlale ixesha elide ukuba utyando lwakho luyinkimbinkimbi.

Emva kokuchacha kwi-anesthesia, uya kucelwa ukuba uphakame uhambe amanyathelo ambalwa.

Uya kuba neentlungu nokudumba iintsuku emva kotyando. Ugqirha wakho uya kukunika iintlungu zokubulala ukuze uncede ekuthomalaliseni iintlungu. Unokufumana ukuphazamiseka, ukutyumka, kunye nokudinwa ngelo xesha. Inokukunceda ukuphumla ngemilenze yakho kunye neempuphu eziguqulweyo ngexesha lokubuyisela ukunciphisa uxinzelelo kwisisu sakho.

Emva kosuku okanye njalo, ugqirha wakho unokuthi unxibe inkxaso ye-elastic, njengebhanti, ukubonelela ngenkxaso eyongezelelweyo ngelixa uphilisa. Kuya kufuneka uphephe umsebenzi onzima nayo nayiphi na into ekwenza uxinzeleleke iiveki ezi-4 ukuya kwezi-6. Uyakwazi ukubuyela emsebenzini malunga neeveki ezi-4.

Kuthatha malunga neenyanga ezi-3 ukudumba kwehle kwaye amanxeba ayaphola. Kodwa kungathatha ukuya kwiminyaka emi-2 ukubona iziphumo zokugqibela zotyando kunye nezikrelemnqa zokuphela.

Iziphumo zepanniculectomy zihlala zilungile. Uninzi lwabantu luyonwabile ngenkangeleko yalo entsha.

Ukunyusa umzimba osezantsi - isisu; Isisu - ipanniculectomy; Utyando oluchaphazela umzimba

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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.

UNahabedian WAM. I-Panniculectomy kunye nokwakhiwa kwakhona kodonga esiswini. Ku: Rosen MJ, ed. IiAtlas zoLwakhiwo lweeNdonga zesisu. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 13.

I-PC yeNeligan, iBuck DW. Ukonyuka komzimba. Ku: I-Neligan PC, iBuck DW, ii-eds. Iinkqubo eziphambili zoPhando lwePlastiki. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; 2020: isahluko 7.