Panniculectomy

Panniculectomy kuvhiya kunoitwa kubvisa kwakatambanudzwa, mafuta akawandisa uye ganda rakawandisa kubva mudumbu rako. Izvi zvinogona kuitika mushure mekunge munhu aomerwa nekurema uremu. Ganda rinogona kuturika uye kuvhara zvidya zvako uye nhengo dzekubereka. Kuvhiya kubvisa iri ganda kunobatsira kusimudzira hutano hwako uye chitarisiko.

Panniculectomy yakasiyana nedumbu. Mune abdominoplasty, chiremba wako anobvisa mamwe mafuta uyezve anosimbisa dumbu rako (dumbu) tsandanyama. Dzimwe nguva, ese maviri marudzi ekuvhiya anoitwa panguva imwe chete.

Kuvhiya kwacho kuchaitika muchipatara kana nzvimbo yekuvhiya. Kuvhiya uku kunogona kutora maawa akati wandei.

• Iwe uchagamuchira general anesthesia. Izvi zvinokuchengetedza iwe kurara uye kusarwadziwa-pasina panguva yekuita.
• Chiremba anovhiya anogona kucheka kubva pasi pechipfuva chako chemazamu kusvika kumusoro kwepfupa rako repamuviri.
• Kucheka kwakatwasuka kunoitwa mudumbu rako repazasi, pamusoro penzvimbo yepabhawa.
• Chiremba anovhiya achabvisa iro rakawedzera ganda uye mafuta, anonzi apron kana pannus.
• Chiremba anovhara yako yakatemwa nemasuture (stitches).
• Madiki machubhu, anonzi anodhonzwa, anogona kuiswa kuti abvumidze mvura kubuda mukati mevanga sezvo nzvimbo inopora. Izvi zvichabviswa gare gare.
• Kupfeka kuchaiswa pamusoro pemimba yako.

Paunorasikirwa nehuremu hwakawanda, senge makirogiramu makumi mashanu (45 kg) kana kupfuura mushure mekuvhiyiwa bariatric, ganda rako rinogona kunge risingaomarara zvakakwana kuti ridzokere pachimiro charo. Izvi zvinogona kukonzera kuti ganda ridzike uye rirembedze. Inogona kuvhara zvidya zvako uye nhengo dzekubereka. Iri rinowedzera ganda rinogona kuita kuti zviome kuzvichengeta wakachena uye kufamba uye kuita zviitiko zvezuva nezuva. Izvo zvinogona zvakare kukonzera maronda kana maronda. Zvipfeko zvinogona kunge zvisina kukwana zvakanaka.

Panniculectomy inoitwa kubvisa iri rinowedzera ganda (pannus). Izvi zvinogona kukubatsira kuti unzwe zvirinani nezvako uye unzwe kuve nechivimbo muchitarisiko chako. Kubvisa rimwe ganda zvakare kunogona kudzora njodzi yako yekuputika uye hutachiona.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Zviitiko kumishonga
• Matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, kana hutachiona

Njodzi dzekuvhiya uku ndedze:

• Kupenga
• Utachiona
• Tsinga kukuvara
• Ganda rakasununguka
• Ganda kurasikirwa
• Kupora maronda
• Mvura inovaka pasi peganda
• Nyama kufa

Chiremba wako anovhunza nezve yako yakadzama nhoroondo yezvokurapa. Chiremba anovhiya anoongorora ganda rakanyanyisa uye mavanga ekare, kana paine. Udza chiremba wako nezve chero mushonga uye nepamusoro-the-counter mishonga, mahebhu, kana zvinowedzera zvauri kutora.

Chiremba wako anokukumbira kuti urege kusvuta kana iwe uchiputa. Kusvuta kunononoka kupora uye kunowedzera njodzi dzematambudziko. Chiremba wako anogona kukuudza kuti urege kusvuta usati waitwa oparesheni iyi.

Pakati pevhiki usati wavhiyiwa:

• Mazuva akati wandei usati wavhiyiwa, unogona kubvunzwa kuti urege kutora mishonga inoita kuti ropa rako rigotsemuka. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), nezvimwe.
• Kumbira chiremba wako nezvemishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.

Pazuva rekuvhiyiwa:

• Tevedzera rairo nezve nguva yekurega kudya uye kunwa.
• Tora mishonga yawakaudzwa nachiremba wako kuti utore nekunwa mvura shoma.
• Svika kuchipatara nenguva.

Ziva kuti panniculectomy haisi kugara yakavharwa neinishuwarenzi yehutano. Inowanzo kuve yekushongedza inoitwa kushandura chitarisiko chako. Kana zvikaitirwa chikonzero chekurapa, senge hernia, mabhiri ako anogona kuvharwa nekambani yeinishuwarenzi. Ive neshuwa yekutarisa nekambani yeinishuwarenzi usati wavhiyiwa kuti uwane nezve mabhenefiti ako.

Iwe unozofanirwa kugara muchipatara kwemazuva maviri mushure mekuvhiyiwa. Ungangoda kugara kwenguva yakareba kana kuvhiyiwa kwako kuchinyanya kuoma.

Mushure mekupora kubva kune anesthesia, iwe unozobvunzwa kusimuka kuti ufambe nhanho shomanana.

Iwe unenge uine kurwadziwa uye kuzvimba kwemazuva mushure mekuvhiyiwa. Chiremba wako anokupa iwe maronda ekuuraya kuti abatsire kubvisa marwadzo. Iwe unogona zvakare kunzwa kupera simba, kupwanya, uye kuneta panguva iyoyo. Zvinogona kubatsira kuzorora nemakumbo ako uye chiuno chakakotama panguva yekudzoreredza kudzikisira padumbu rako.

Mushure mezuva kana zvakadaro, chiremba wako anogona kunge iwe ukapfeka rutsigiro rwakatsetseka, sebhanhire, kuti upe rutsigiro rwakawedzerwa paunenge uchirapa. Iwe unofanirwa kudzivirira chiitiko chinonetesa uye chero chinhu chinoita kuti unetseke kwe4 kusvika kumavhiki matanhatu. Iwe ungangove unokwanisa kudzoka kubasa mune angangoita mavhiki mana.

Zvinotora ingaite mwedzi mitatu kuti kuzvimba kudzike uye maronda kupora. Asi zvinogona kutora kusvika kumakore maviri kuti uone mhedzisiro yekuvhiya uye kuti mavanga apere.

Mhedzisiro yepanniculectomy inowanzo kuve yakanaka. Vanhu vazhinji vanofara nechitarisiko chavo chitsva.

Lower muviri anosimudza - dumbu; Tummy tuck - panniculectomy; Kuvhiya muviri

Aly AS, Al-Zahrani K, Cram A. Nzira dzakasarudzika dze truncal contouring: bhandi lipectomy. Mune: Rubin JP, Neligan PC, eds. Kuvhiya kwepurasitiki: Vhoriyamu 2: Aesthetic Kuvhiya. 4th ed. Philadelphia, PA: Elsevier; 2018: chits. 25.2.

McGrath MH, Pomerantz JH. Kuvhiya kwepurasitiki. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsuwa 68.

Nahabedian WANGU. Panniculectomy uye mudumbu kuvakazve rusvingo. Muna: Rosen MJ, ed. Atlas yeAdominal Wall Kuvakazve. 2nd ed. Philadelphia, PA: Elsevier; 2017: chits.

Neligan PC, Buck DW. Kurwisa muviri. Mune: Neligan PC, Buck DW, eds. Maitiro Ekutanga muPurasitiki Kuvhiya. 2nd ed. Philadelphia, PA: Elsevier; 2020: chits.