I-Chin, njenganoma iyiphi enye ingxenye ebusweni, yenza "umnikelo" wayo obalulekile ekudaleni isithombe esihle. Kodwa akubona wonke umuntu ongabaziqhenya ngobuciko nobukhulu bawo obuhle. Ukudala nokulimala kungaphazamisa ukubukeka. Khona-ke ipulasitiki yesikhumba isisiza. Le nqubo ihlose ukunikeza lo muntu ukubukeka okuhambelana.
Ukwelashwa ukunciphisa isilwane
Le nqubo kubhekwa kunzima. Kuzosiza ukususa ukuhlinzwa kwe-chin, okwenziwe ama tishu amafutha amaningi, futhi ukuphakanyiswa kwesikhumba kwenziwa. Ngezinye izikhathi ungadinga ukulungiswa okubi kakhulu. Lokhu kusebenza ezimweni lapho i-plastic plastiki iyadingeka ukuze inciphise. Ukuzibandakanya kulo msebenzi kungenziwa ngezindlela ezimbili:
- zangaphandle (okwenziwe endaweni yesikhumba esikhwameni ngaphansi kwesikhumba);
- Ngaphakathi (okwenziwe ngomlomo ngomlomo ophansi).
Ngemva kokusakaza ama-tishu, i-osteotomy yenziwa. Izenzo ezengeziwe zomhlinzeki ohlinzayo zixhomeke esimweni. Ingxenyeni yethambo ingasuswa ngokuphelele noma ibuyele emuva. Esikhathini esilandelayo, sinqunywe yizihlalo ezinamandla. Ukulungiswa kwale fragment kwenziwa kwithambo noma kumathisto athambile. Ukusebenza kuthatha amahora angu-2-3. Ngosuku olufanayo, isiguli sishiya emtholampilo, futhi ekuvakashelweni kokulandelwa kuza emahoreni angu-24.
Ukwelashwa ukwandisa isikhunta
Le ipulasitiki inconywa ngenhlobo oblique yesithathu esingaphansi kobuso. Esikhathini saso, lesi sikhumba sinwetshwa ngokufakelwa. Ama-prostheses anjalo angasetshenziswa:
- i-perforated;
- okungapheli;
- abicah.
Izimila zenziwe ezintweni eziphephile ngokuphelele. Ukuma nobukhulu babo kuleso simo ngasinye ngabanye. Ngaphambi kokuhlinzwa, i-prosthesis kufanele ihlolwe. Phakathi nale nqubo, kuvela ukuthi ngabe iyahambisana nomzimba wesiguli noma cha. Inqubo efanayo yokuhlinzwa idlula imizuzu engu-40-90. Udokotela ohlinzayo we-plastic wenza i-incision (ngaphandle noma ngaphakathi emlonyeni) futhi ufaka izimila lapha.
Ukungenelela kwengxenye ephansi yobuso kungenziwa ngosizo lwezingcezu zethambo zesiguli. Ngemuva kwe-dissection, izingcezu zomuntu ngamunye zihanjiswa phambili futhi zizinzile. Esikhathini sokugcina sokusebenza, i-bandage eqinile isetshenziswa engxenyeni engezansi yobuso. I-Lipofilling nayo iqhutshwa nokuhlinzekwa kwe-chin plastic. Le nqubo ihilela ukusetshenziswa kwamathishu amafutha omguli. I-fence "fill fill" yenziwa esiswini. Ukusetshenziswa kwamaseli anjalo anikezelayo kuvimbela ukuxoshwa kwezicubu ngemuva kokuhlinzwa kanye nentuthuko elandelwayo yokusabela okweqile.
I-mentoplasty ye-chin
Inqubo yindlela yokuhlinzwa. Umgomo wayo ukulungisa izicubu zethambo nezithambile ebusweni obuthathu obungaphansi. Izinkomba zalokhu kusebenza ziyi:
- i-microgenia;
- ukutholakala "kwe-dimple", okunikeza ukukhathazeka kwengqondo isiguli;
- ukuvuselelwa ngemuva kokulimala okwe-craniofacial;
- inkinobho kabili ;
- ukuhlinzekwa kokushintsha kocansi nokunye okunye.
Cishe iziguli ezingu-70% eziya emtholampilo ukususa isikhunta sesibili (ipulasitiki) zingabesifazane. Lenziwa kuphela kubantu abadala. Ebusheni akukwenziwa, ngoba ezigulini ezincane zonke amazinyo okuhlala angakhuli. Ukunciphisa i-mentoplastika inezinamba eziningi zokuphikisana, okufaka okulandelayo:
- ukugcoba kwegazi okubi;
- izifo eziphilayo;
- isifo sikashukela mellitus;
- isithuthwane;
- ukuphazamiseka ekusebenzeni kwenqubo yesifo senhliziyo;
- izifo ezingenasifo nezifo ezithathelwanayo.
Ukuncintisana kwesikhumba
Le nqubo ikuvumela ukuba ulungise ukuma kwesithathu kwesobuso, okwenza indawo ibe khona kakhulu noma ibukhali. I-contour plasty ye-chinki iyenziwa yi-fillers - amalungiselelo okujova, aphethwe ngaphansi kwamandla. Lezi zigcwalisi zinenzuzo ecacile phezu kwezimpande. Ngesingeniso sabo, isiguli asikwenzi ukuhlanganiswa okukodwa ngesikhumba sekhanda, ngakho-ke inqubo yokuvuselela emva kwenqubo ihamba ngokushesha.
Ukulungiswa kwe-chinki ngama-fillers
I-plastic plastic inikeza ukusetshenziswa kwezigcwalisi, ezingahle zihluke ekubunjweni kwazo noma ngesikhathi somphumela. Kuye ngezinto ezikhiqizwayo, lezi zigcwalisi ezilandelayo zihlukaniswa:
- ukuhlanganisa;
- i-autologous;
- i-biodegradable.
Ngesikhathi sesenzo kunezigcwalisi ezinjalo:
- okwesikhashana;
- isikhathi eside;
- unomphela.
I-plastic ye-chinki yesibili ne- fillers inikeza umphumela osheshayo. Ngaphezu kwalokho, le nqubo ingenziwa nganoma yisiphi isikhathi sonyaka - ayinayo imingcele yonyaka. Kodwa-ke, kunezinamba zokuphikisana eziningana zokuhlinzwa okwenziwa epulasitiki. Amafayili angeke asetshenziswe kumacala alandelayo:
- ukwamukelwa okuhlelekile kwama-anticoagulants;
- isifo sikashukela mellitus;
- ukuphazamiseka esimisweni somzimba;
- ukukhulelwa kanye nokulahlwa;
- izifo ezibangelwa amagciwane noma ezihlala njalo;
- ukucubungula kwamuva noma ukushiswa kwelasi ebusweni;
- inqubo yokuvuvukala esikhumbeni sezinyane nokunye okunjalo.
Imiphumela ye-contour plastics
Sebenzisa ama-fillers - lena akuyona indlela ephephile kakhulu yokulungisa ukuma kobuso. Njengepulastiki ukuze unciphise isilwane, inqubo esebenzisa ukugcwalisa ingaba nemiphumela engathandeki. Izinkinga azivamile, kodwa zikhona:
- ukuvuvukala;
- ukuvuvukala okuphazamisayo;
- ubuhlungu endaweni yomjovo;
- ukwephulwa kwegazi;
- ukufa kwamangqamuzana omzimba.
Ukuhlinza ngePlastiki - inkinobho ngaphambi nangemva
Ungakwazi kuphela ukunikeza ukulungiswa kwesithathu esingaphansi kobuso kumuntu onguchwepheshe onolwazi. Uchwepheshe uyazi ukuthi kufanele asuse kanjani isikhuni sesibili (ipulasitiki) futhi agweme imiphumela engafanele yokuthunyelwa emuva. Ngaphambi kwenqubo, ukuhlolwa okuphelele kwesiguli kuzohlelwa. Lokhu kuzosiza ochwepheshe ukuthi bathole ulwazi oluthembekile mayelana nesimo somuntu ofake isicelo futhi sokukhipha izinkinga. Emiphakathini ethembisa ipulasitiki ye-contour, ukukhethwa kwezithombe ngaphambi nangemva kuzokutshela amazwi ayizinkulungwane kangcono.