Kusukela ekuboneni kwezokwelapha, kuthiwa nge-lop-izindlebe uma kukhona i-angle engaphezu kwama-30 ° phakathi kwe-auricle kanye nekhanda eliphezulu noma uma ibanga elivela ekhanda liya emaphethelweni angaphandle angaphandle kwezindlebe lidlula u-2 cm. Kulesi sihloko esithi "Ukuhlinzwa kwezingane ze-plastiki, ukuphumula," uzothola ulwazi oluningi oluthakazelisayo nolusizo ngokwakho.
Izinkinga zengqondo
Izindlebe ziyakhanga kakhulu, futhi ukuba khona kwe-loredness kungenza umuntu anganaki kwengqondo. Umqondo womzimba wakhe wenziwa emntwaneni ngeminyaka engama-5-7 - yingakho kule minyaka yobudala ngokuvamile baqala ukuhleka. Ukuhlukunyezwa kwengqondo, okutholwe ebuntwaneni, kuvame ukuthinta futhi lapho umuntu esekhulile. Kukhona iziguli ezithatha iminyaka eminingi ziphupha ukulungisa ukuhluleka kwazo. Ukuhlinzwa kwepulasitiki kungalungisa lokhu kuntuleka futhi kuthuthukise izinga lokuphila komntwana nomuntu omdala. Indlebe yangaphandle iqukethe isisekelo senhliziyo esembozwe isikhumba esihlinzeka ngesimo sayo. I-Lop-izindlebe zingabangelwa yiziphi zezizathu ezilandelayo (noma inhlanganisela yalo):
• ukuntuleka noma ukubushelela kwe-antiflora. Anti-malignancy ingakhiwa ngokuhlinzwa. Inqubo yokuhlinzeka kakhulu kunazo zonke ezimweni ezinjengalezi ihlobisa ngokucabangela ebusweni obungaphambili, nakuba ezinye izindlela zokulungisa
• ukuphuma ngokujulile. Kulesi simo, indlebe ibheka ngokugqamile. Ukunciphisa i-auricle ngokungaxhunyeki kwengxenye yesikhumba-mgqomo kungalungisa lesi siphene;
• ukujikelezwa kwe-anterolateral ye-auricle ekuqondeni kusuka ekhanda. Ukuqeda ukuphenduka kungasebenzisa izigxobo ezisetshenziselwa emuva kwendlebe kanye nezicubu ezithambile zekhanda ngqo ngemuva kwendlebe (i-BTE fascia).
Lapho ukulungiswa kokuhlinzwa kudingekile ukucabangela izici ezithile zokukhubazeka kwesiguli esithile. Ukusebenzisa amasu okusebenza ajwayelekile, akunakwenzeka ukufeza umphumela wezimonyo oyifunayo. Ngaphambi kokuqala kokusebenza, izindawo zokuhlongozwa okuhlongozwayo esikhunjeni nasezinqoleni ze-auricle ziphawulwe ngomakaki wokuhlinzeka onokwethenjelwa. Esikhathini esiphakathi kwesikhumba ne-cartilage, i-anesthetic yendawo kanye ne-adrenaline isetshenziselwa ukunciphisa ukuphuma kwegazi ngesikhathi sokuhlinzwa, ukunciphisa ubuhlungu esikhathini sokuthutha, nokusika kalula isikhumba. Ngemuva kokumaka indawo ethi indawo ephikisana nayo kanye nesayithi le-cartilage ukuxilongwa nomakaki wokugqoka, kuyadingeka ukudlulisela le migqa ngokuqondile ku-cartilage ngosizo lokudweba imibala. Lokhu kuyadingeka ukuze izimpawu zibonakale ngemuva kokuhlukaniswa kwesikhumba kusuka ku-cartilage. Ukukhishwa isikhathi eside kwe-cartilage ngenaliti kwenziwa emigqeni esikhumbeni. Ukusebenza kuqala imizuzu engu-2-3 emva kokusungulwa kwe-anesthetic yendawo kanye ne-epinephrin, lapho izidakamizwa zizoqala ukusebenza. Esikhathini sesikhumba sendlebe, ama-suture ensilika asetshenziswa (okuthiwa abanikazi be-suture, okungaqondiswa ukuthi ubani angakwazi ukulawula isikhundla se-auricle ngesikhathi sokuhlinzwa).
I-auricle ihanjiswa phambili ehlathini, futhi isikhumba sesikhumba sodumo sinamathele kanye namafutha angaphansi kwamanzi. Lokhu kunikeza ukufinyelela kwe-cartilage ekusebenziseni okudingekayo. Njengoba lesi sinqunyiwe senziwe ngemuva kwendlebe, ngemva kokuphulukiswa, ubuhlungu buzoba cishe engabonakali. I-cartilage ye-auricle, ehlukaniswe nesikhumba, isakazwa ukuze ihlinzeke ukufinyelela kwendawo yayo yangaphakathi. Ukwakhiwa kwe-countercut kunenziwa ngaphambili kwe-cartilage. Kodwa ekufinyeleleni ekugcineni kwe-auricle, i-cartilage yenziwa ngokubaluleka kwe-3 mm ukusuka emaphethelweni, eceleni kwengxenye yendlebe. Isikhumba esingaphambi kwendawo ehlukanisiwe sihlukanisa nomqhaqha phansi kuya emngceleni wezindlebe. Emva kokususa isikhumba, i-cartilage ye-auricle ivuliwe futhi iqala ukwakha isimo somuthambo omusha. I-sutures kulesi sigaba sokusebenza ibamba isikhala esikhumba esihlukanisiwe ngaphandle kwenkambu yokusebenza. Ngalunye uhlangothi lwe-cartilage ye-auricle kunezingqinamba ezithile, okuhlinzekwa ngqimba lomzimba wamaseli aphethwe yi-cariclaumous and perichondrium (ungqimba omncane wezicubu ezixhumene nazo ezimboza i-cartilage). Ngokwenza okufakwe kwesikhumba esiphezulu kwesikhumba somzimba, kungenzeka ukuvimbela ukucindezeleka futhi ukuguqula i-auricle ngemuva, ngokufanayo nokuthi isendlalelo sephepha elingenasici sinqunywe kanjani ukugoba ishidi lamakhadibhodi anonakele. Emva kokususa isikhumba, i-cartilage ye-auricle ivuliwe futhi iqala ukwakha isimo somuthambo omusha.
I-sutures kulesi sigaba sokusebenza ibamba isikhala esikhumba esihlukanisiwe ngaphandle kwenkambu yokusebenza. Phakathi nale nqubo, ukukhishwa kwenziwa ngemuva kwesikhala esiphezulu se-auricle ekuqondeni kwehla nokuzikhethela kwendawo encane ye-cartilage enama-oval. Ukuze uvale isici se-cartilage ye-auricle, ama-seams asetshenzisiwe besebenzisa izinto ezibonakalayo zokugcina i-suture. Futhi kunciphisa ubukhulu be-auricle kanye nezinga lezintambo-izindlebe. Uma uqinisa lezi zihlalo, i-auricle ijika bese isondela eduze kobuso be-skull. Isikhundla sokugcina se-cartilage silawulwa ngemuva kokubuthakathaka abanikazi be-suture. Ekupheleni kokusebenza, udinga ukuqinisekisa ukuthi ukuphuma kwegazi kumile ngokuphelele. Uma kungenjalo, ngaphansi kwesikhumba kungase kwakha i-hematoma (i-clots yegazi), iphazamise ukuma kwendlebe. Inxeba lokuhlinzwa kanye nobunzima kumele lifihliwe ngokucophelela ngemuva kwendlebe. Lokhu kuzofihla iqiniso lohlelo lokulungisa. Ukusetshenziswa kwesigqoko kuyisigaba esibalulekile sokusebenza ukuze kuqedwe ukuhlunga. I-bandage isisiza ukwakha nokuqinisa isimo esisha sensizwa, kuze kube yilapho ekugcineni iphilisa. Indwangu, ehlanjululwe ku-antiseptic, ihlanganiswe nengqimba yokuzivikela ye-gauze. Khona-ke, i-bandage yokucindezela i-circular isetshenziswa ekhanda, ekhonjiwe ne-plaster ukuyivimbela ukuba ingashiyi ikhanda noma ihambe. Esikhathini se-postoperative, kubalulekile ukuqhuba i-anesthesia eyanele. Ukukhishwa kuvame ukuhlelwa kusihlwa ngosuku olufanayo noma olulandelayo. Ngemuva kokusebenza, kubalulekile ukugqoka ibhande lekhanda izinsuku ezingu-10, bese uyisusa. Ngemuva kwalokhu, isiguli kufanele sisebenzise ibhanti ku-atricle kuphela ngobusuku benyanga elandelayo. I-Edema kanye nokulimala ngokuvamile kwenzeka ezinyangeni ezimbili. Iziguli azidingi ukuhlinzwa okuphindaphindiwe, nakuba ngezinye izikhathi kungase kube nokuphambuka okuncane kwe-auricle kusuka esikhundleni esinqunyiwe.