I-Otoplasty uhlobo oluthile lokuhlinza nge-plastic ezindlebeni. Ngesikhathi sokusebenza okunjalo, udokotela angalungisa ukuma kwamagobolondo endlebe noma i-lobes. I-auricle ingahle ikhubazeke ngenxa yezizathu ezihlukahlukene, abesifazane abaningi bathambekele ekuguquleni lokhu futhi banqume ukuhlinzeka nge-plastic.
Labo abaye bahamba ngalokhu bayazi ngakho konke ama-nuances nezinkinga. Noma yikuphi ukuhlinzwa kunomthelela wezempilo ongase ube khona, lokhu kuzomele kukhunjulwe ngaso sonke isikhathi. Ngaphezu kwalokho, ngemuva kokuhlinzwa kudingeka kudonwe ngokukhethekile kuma-auricles.
I-Otoplasty ingabekwa udokotela uma kunezinkinga ezingenalutho ezingabonwayo noma ukungahlali okuphelele kwe-auricle. Ngaphezu kwalokho, ukuhlinzwa okunjalo kungabhalwa uma kwenzeka ukukhubazeka kwe-auricle noma ukukhubazeka ngemva kokuhlukunyezwa. Ngokuvamile, labo abahluphekayo-izindlebe baxazululwa kulo msebenzi.
I-Otoplasty ihlukaniswa ibe yindabuko futhi ivuselele. Ukulungiswa kabusha kukuvumela ukuba udale kancane kancane noma ngokuphelele, uma engekho. Ukuhlinzekwa kwepulasitiki okuhlosiwe kuhloswe ukushintsha ukuma kwama-auricles. Ipulasitiki yokuvuselela inconywa ukuthi izingane ezineminyaka eyisithupha ubudala, uma zihlupheka zihamba kahle.
Ukuhlinzekwa kabusha kweplastiki ezindlebeni
Ukuqedela ngokuphelele noma kancane kancane i-auricle akulula kakhulu. Lokhu kwenziwa ngezigaba eziningana. Esigabeni sokuqala udokotela uphinde avuselele umhlahlandlela wokuqeda ikusasa lezindlebe. Ngokwesizinda, usebenzisa i-cartilage ebizayo. Uhlaka olwenziwe esigabeni sesibili lubekwe endaweni yezindlebe ezingekho, esikhwameni esikhethekile esingaphansi. Phakathi nesikhathi sezinyanga ezimbalwa, lesi skeleton sithande. Emva kwalokho, ixhunyiwe ekhanda, i-earlobe ishukunyiselwa endaweni efunayo, futhi isilonda sivaliwe ngesikhumba esitholakala esikhungweni somzimba wesiguli. Ngesikhathi esifushane, udokotela udala ama-grooves kanye ne-tragus.
Ukuhlelwa kokuhlinzwa kwepulasitiki
Ngaphambi kokuthatha i-otoplasty, kudingeka uhlele ngokucophelela konke. Uma ufuna ukuqeda lop-eared, khona-ke udinga ukwazi ukuthi inhloso yokusebenza ukuhambisa indlebe endaweni ephakeme kakhulu yobuhle bese ubuyisela impumuzo yemvelo ye-auricle. Kodwa kubalulekile ukulungiselela kusengaphambili ukuthi ngeke uthola izindlebe ezilinganiselwe ngokuphelele.
Ngaphambi kwalokho, ungenza kanjani ukuhlinza epulasitiki ezindlebeni, udinga ukuthola udokotela omuhle onokuhlangenwe nakho okuningi kanye nempendulo eminingi enhle. Uhlelo lokusebenza luqondiswe ngokuphelele nesiguli, futhi udokotela kumele futhi acabangele zonke izifiso zakho. I-Otoplasty ingenziwa noma yimuphi ubudala, kodwa hhayi ngaphambi kweminyaka eyisithupha. Ungasheshisi ngokusebenza kuze kube yilapho unesikhuthazo sokulungisa ukuma kwama-auricles, ngaphandle kwalokho ungaba nezinkinga ezinkulu ezingokwengqondo ngemuva kokusebenza.
I-Otoplasty ingenziwa ngaphansi kwe-anesthesia yendawo. Lokhu kuyinhlanganisela enkulu kubantu abanezinkinga zempilo. Uma unomzwelo futhi ulamukela, kungcono ukwenza lo msebenzi ngaphansi kwe-anesthesia ejwayelekile.
Izindlela zokwenza i-otoplasty
Namuhla, odokotela benza izindlela ezingenasici kanye nezindleko ze-otoplasty. Izindlela ezithandwa kakhulu yizo:
- I-Fournas - indawo enkulu yesikhumba itholakala, ephakathi kwe-auricle ne-skull. Ngethambo lesimanje, i-cartilage i-sutured, futhi ngenxa yalokhu, indlebe icindezelwe eduze kwekhanda.
- Imodeli engenazimpande ze-auricle isekelwe ekutheni i-cartilage ikhothamele ngendlela ehambisane nemibono, ngenxa yalokhu, i-auricle ithola izidingo ezidingekayo.
Okusemqoka kokusebenza yilokhu. Isiguli sinikezwa isisombululo esikhethekile sokuhlinzekwa kwezifo, bese kunqunywe isikhumba esiphezulu se-auricle kanye nesikhumba sibhekwa yizicucu ezengeziwe ze-elliptic. Ngemuva kwaloko, khipha isikhumba somhlane wangaphakathi phakathi kwe-counter-scraper, futhi uqwanga phakathi kobunzima buphukile futhi isikhumba sidlulela phambili.
Udokotela ohlinzayo uveza i-auricle ngosizo lwezinyosi ezikhululekayo. Ngemuva kwenqubo, i-cartilage igoqa futhi isondela ekhanda.
Ukuthunyelwa kwesiguli emlonyeni endlebeni kubeka indwangu ekhethekile oyigwegwe, ehlanganiswe namafutha okulwa ne-antibacterial. Phezulu kwengubo ye-napkin igqoke kwi-band elastic, ekhonza njenge-bandage. Ngakusasa emva kokusebenza, i-ligation yenziwe. I-sutures isuswa isonto elilodwa ngemuva kwe-otoplasty.
Izinqubo zokulungiselela
I-Peredotoplasty idinga ukuhlolwa. Ngokuvamile lokhu kufanele kwenziwe kungakapheli amasonto amabili ngaphambi kokusebenza. Ngokuya ngohlobo lwe-anesthesia, udokotela ubeka izinqubo ezidingekayo zokuhlolwa. Emasontweni ambalwa ngaphambi kokusebenza nangemva kwesikhathi esithile awukwazi ukusebenzisa i-acetylsalicylic acid nezinye izithako ezinciphisa ukugoqa igazi. Ngaphambi kokuhlinzwa, ikhanda lidinga ukugezwa nge-shampoo. Uma i-anesthesia ejwayelekile isetshenziswa, amahora ayisithupha ngaphambi kokuhlinzwa, awukwazi ukudla noma ukuphuza.
Noma kunjalo, i-ooplasty inezinkambiso ezithile zokuqhuba. Ngeke kwenziwe kubantu abaphethwe umdlavuza, abanezifo ezinzima ezenzeka ngesimo esibi, kanye nokuya esikhathini lapho kutholakala khona isifo sofuba, isifo sengculaza noma isifo sofuba.
LaserToplasty
Ukuhlinzwa kwendlebe ye-laser kunezinzuzo eziningi. I-scalpel laser inezinzwa zokulwa namagciwane, ngakho izinkinga ngendlela yokuxhaswa zenzeka kaningi kakhulu. Indlela ye-laser yenza kube lula ukwenza lo msebenzi ngokuqondile. Ngaphezu kwalokho, ubuhlungu buyancipha futhi ngemva kokuhlinzwa akukho ukuvuvukala.
I-scalpel evamile ye-scalpel laser ibonakala ngepulastiki ephakeme, ngokunembile nangomusa. Ukungabi namandla kwenqubo kubangelwa ukuthi lapho i-laser isulwa yizicubu, i-beam ngokushesha iqinisa imithwalo yegazi.
Ukusebenza okunjalo kuqhubeka cishe isigamu sehora. I-Bruising cishe ayihlali. I-bandage ehlanganisiwe, eyenziwe nge-scalpel laser, isuswa cishe isonto elizayo. Ngalesi sikhathi awukwazi ukumanzisa isilonda. Futhi emva kokusebenza kwamasonto amaningana, awukwazi ukuziphatheka ngokomzimba ngokwakho.
Izinkinga ezingenzeka emva kokuhlinzwa
Enye inkinga emva kokuhlinzwa okunjalo iyisikali se-keloid. Ukuze ugweme lokhu, udokotela uqhuba indawo okuzokwenziwa kuyo ngekhambi elikhethekile. Ngemuva kwamasonto amathathu noma amane, lesi sikhala sishiya.
Ngaphezu kwalokho, kungase kube nezinye izinkinga. Isibonelo, ukuphikisana nomzimba kuyimithi yokwelashwa. Kodwa izinkinga ezinjalo zingavamile kakhulu.
Ukuvuselelwa ngemva kokuhlinzwa
Ukuze uthole umphumela oyifunayo futhi ugweme izinkinga, udinga ukunamathela kwezinye izincomo zikadokotela. Uma ukuhlinzwa kwakungekho nzima kakhulu, ukubopha ukucindezelwa kungasuswa emva kwezinsuku ezintathu, kodwa odokotela batusa ukuthi bagqoke izinsuku eziyisikhombisa. Phakathi namasonto amathathu okuqala, ukubopha ukucindezelwa kufanele kugqoke ebusuku ukuze ungalimazi ngengozi indlebe yakho endalweni. Ukugujwa kokugqoka kwenziwa ngesonto ngalinye ngesonto.
Uma i-bob iqinile, ingabe isuswe ngosizo lwe-analgesics. Ezinsukwini eziyisihlanu zokuqala, isiguli kufanele sithathe ama-antibiotic anqunywe udokotela.