Kaya ndiko kubwezeretsanso kuwala kwa unyamata, kukonza ziwalo za nkhope kapena kukonza maonekedwe a nkhope pambuyo pa jekeseni wokhazikika, kukweza nkhope kumatha kulimbitsa khungu ndipo nthawi zina ngakhale minofu ya nkhope. Koma njira zosiyanasiyana ndi ziti? Kodi opaleshoni ikuyenda bwanji? Ganizirani za njira zosiyanasiyana.

Wopangidwa ndi dokotala wa opaleshoni wa ku France Suzanne Noël m'zaka za m'ma 1920, kukweza kwa khomo lachiberekero kumalonjeza kubwezeretsa kamvekedwe ndi unyamata kumaso ndi khosi. 

Mitundu yosiyanasiyana ya facelift

"Pali njira zingapo zowongolera nkhope:

• subcutaneous;
• subcutaneous ndi re-tensioning wa SMAS (superficial musculo-aponeurotic system, yomwe ili pansi pa khungu ndikugwirizanitsa ndi minofu ya khosi ndi nkhope);
• kukweza  kompositi.

Kukweza nkhope kwamakono sikungathenso kumveka popanda kuwonjezeredwa kwa njira zowonjezera monga laser, lipofilling (kuwonjezera mafuta kuti apangenso ma volumes) kapena ngakhale kupukuta "akufotokoza Dr. Michael Atlan, pulasitiki ndi opaleshoni yokongola ku APHP.

Njira zina zopepuka komanso zosavutikira kwambiri monga ulusi wa tensor zingathandize kubwezeretsa unyamata wina kumaso, koma zimakhala zolimba kuposa zokweza nkhope zokha.

Kukweza kwa subcutaneous 

Dokotalayo amachotsa khungu la SMAS, atadulidwa pafupi ndi khutu. Khungu ndiye anatambasula vertically kapena obliquely. Nthawi zina kukangana uku kumayambitsa kusamuka kwa m'mphepete mwa milomo. “Njira imeneyi imagwiritsidwa ntchito mocheperapo kusiyana ndi poyamba. Zotsatira zake zimakhala zosakhalitsa chifukwa khungu limatha kugwa "adatero Dokotala.

Kukweza kwa subcutaneous ndi SMAS

Khungu kenako ma SMAS amachotsedwa paokha, kuti amangidwe molingana ndi ma vector osiyanasiyana. "Iyi ndiyo njira yomwe imagwiritsidwa ntchito kwambiri ndipo imalola kuti pakhale zotsatira zogwirizana kwambiri posuntha minofu kumalo awo oyambirira. Ndiwolimba kuposa kukweza kosavuta kwa subcutaneous ”amafotokozera dokotala wa opaleshoni.

Le kukweza kompositi

Pano, khungu limangochotsedwa masentimita angapo, zomwe zimapangitsa kuti SMAS ndi khungu ziwonongeke pamodzi. Khungu ndi SMAS zimasonkhanitsidwa ndikutambasulidwa nthawi imodzi komanso molingana ndi ma vector omwewo. Kwa Michael Atlan, "zotsatira zake zimakhala zogwirizana ndipo pogwiritsira ntchito khungu ndi SMAS panthawi imodzi, hematomas ndi necrosis ndizochepa chifukwa zimagwirizanitsidwa ndi kutsekedwa kwa khungu, zochepa pankhaniyi".

Opaleshoni ikuchitika pansi pa opaleshoni ambiri ndipo kumatenga maola oposa awiri. Wodwalayo amabalidwa mozungulira khutu ngati U. Khungu ndi SMAS zimachotsedwa kapena ayi kutengera njira yomwe imagwiritsidwa ntchito. The platysma, minofu yomwe imagwirizanitsa SMAS ndi collarbones ndipo nthawi zambiri imakhala yomasuka ndi ukalamba, imamangirizidwa kuti ifotokoze mbali ya nsagwada.

Kutengera kuuma kwa khosi, kudula pang'ono pakati pa khosi nthawi zina ndikofunikira kuwonjezera kupsinjika kwa platysma. Nthawi zambiri dokotalayo amawonjezera mafuta (lipofilling) kuti apititse patsogolo kuchuluka kwa khungu komanso mawonekedwe ake. Zochita zina zitha kugwirizanitsidwa, monga za zikope makamaka. "Ma sutures amapangidwa ndi ulusi wabwino kwambiri kuti achepetse zipsera.

Kuika chidebe kumachitika pafupipafupi ndipo kumakhalabe m'malo maola 24 mpaka 48 kuti magazi atuluke. Nthawi zonse, pakatha mwezi umodzi, zotupa chifukwa cha opaleshoniyo zatha ndipo wodwalayo amatha kubwerera ku moyo watsiku ndi tsiku ”.

Zovuta zosowa

"Mu 1% ya milandu, kukweza nkhope kumatha kupangitsa kuti munthu apume kwakanthawi. Imazimiririka yokha pakapita miyezi ingapo. Mukakhudza minofu ya nkhope, pamene mukukweza pansi ndi SMAS kapena composite, kungayambitse kuwonongeka kwa mitsempha pansi pa SMAS. Koma izi ndizovuta kwambiri "akutsimikizira Michael Atlan.

Nthawi zambiri mavuto

Zovuta zambiri zimakhalabe hematomas, kukha magazi, necrosis yapakhungu (nthawi zambiri imalumikizidwa ndi fodya) kapena kusokonezeka kwamalingaliro. Nthawi zambiri zimakhala zabwino ndipo zimatha m'masiku ochepa kwa akale komanso m'miyezi ingapo kwa omaliza. “Kupwetekako kumakhala kwachilendo pambuyo pokweza nkhope,” akuwonjezera motero dokotalayo. "N'zotheka kuti musamve bwino mukameza kapena kukanidwa kwina, koma zowawa nthawi zambiri zimagwirizanitsidwa ndi mikwingwirima".

"Palibe zotsutsana zenizeni pakukweza nkhope," akufotokoza motero Michael Atlan. "Komabe, kuopsa kwa zovuta kumakhala kwakukulu kwa osuta omwe amayambitsa necrosis ya khungu". Odwala onenepa kwambiri, zotsatira za pakhosi nthawi zina zimakhala zokhumudwitsa. Momwemonso, odwala omwe achitidwa maopaleshoni ambiri amaso sayenera kuyembekezera zotsatira zokhutiritsa monga momwe adachitira ndi opaleshoni yoyamba.

Mtengo wa facelift umasiyanasiyana mosiyanasiyana ndipo zimadalira zovuta za ndondomekoyi ndi dokotala wa opaleshoni. Nthawi zambiri zimakhala pakati pa 4 mayuro ndi 500 mayuro. Izi sizikukhudzidwa ndi chitetezo cha anthu.

"Musanayambe kukweza nkhope, muyenera:

• kusiya kusuta pafupifupi mwezi umodzi musanachite opareshoni.
• pewani jakisoni m'miyezi yapitayi kuti dokotalayo athe kuwona ndikusamalira nkhope mwachilengedwe.
• pewani kugwiritsa ntchito jakisoni wokhazikika pazifukwa zomwezo.
• Langizo lomaliza: nthawi zonse muuzeni dokotala wanu za maopaleshoni osiyanasiyana odzikongoletsera ndi jakisoni omwe mudakhala nawo m'moyo wanu ” akumaliza Michael Atlan.