Kusuka kwindawo yokujonga ngonyango, kuthiwa malunga neendlebe-zindlebe xa kukho i-angle engaphezu kwama-30 ° phakathi kwe-auricle kunye nomphezulu wekhanda okanye ukuba umgama ukusuka entloko ukuya emgceni wangaphandle weendlebe udlula u-2 cm. Kwinqaku ethi "Utyando lwabantwana beplastiki, udibene," uya kufumana ulwazi olunomdla noluncedo ngokwakho.
Iingxaki zeengqondo
Iindlebe ziyakhathalela kakhulu ingqalelo, kwaye ubukho be-loredness bungenza umntu angakhathazeki ngokwengqondo. Ingcamango yomzimba wakhe yenziwa emntwaneni ukuya kwiminyaka engama-5-7-yoko kutheni kule minyaka ubudala abantwana baqala ukuhlekisana. Ukukhathazeka kwengqondo, efunyenwe ebuntwaneni, ihlala ichaphazela kwaye ikhulile. Kukho izigulane ezithatha iminyaka emininzi ziphupha ukulungiswa kwazo. Utyando lwePlastiki lungakwazi ukulungisa ukusilela nokuphucula umgangatho wobomi bomntwana kunye nomdala. Indlebe yangaphandle iqukethe isiseko se-cartilaginous ekhutshwe ngesikhumba esinika umlo wayo. Iindlebe zeLol zibangelwa yiyiphi na yezi zizathu zilandelayo (okanye udibaniso lwalo):
• ukungabikho okanye ukunyanzelisa kwe-antiflora. Ulwaphulo-mthetho olunokutsha luyakhiwa. Inkqubo ekhethekileyo yokugqithisa kwiimeko ezifana nale ndlela ibonisa ukucwangcisa ngokucwangcisa emacaleni ephambi kwe-cartilage, nangona ezinye iindlela zokulungiswa
• uvavanyo olunzulu. Kule meko, indlebe ikhangeleka ngokukhawuleza. Ukunciphisa i-auricle ngokunyaniseka kwendima ye-cartilage inokulungisa le mpazamo;
• ukujikelezwa kwe-anterolateral ye-auricle kwicala ukusuka kwintloko. Ukuphelisa umjikelo unokusebenzisa iiselingi ezisetyenziselwa umva emva kwendlebe kunye neentloko zincinci zentloko ngqo emva kwendlebe (BTE fascia).
Xa kulungiswe ukulungiswa kokucwangcisa ukuqwalasela iimpawu ezithile zokukhubazeka kwisigulane esithile. Ukusebenzisa iindlela eziqhelekileyo zokusebenza, akunakwenzeka ukufezekisa impembelelo efunwayo. Ngaphambi kokuqala komsebenzi, iindawo zezinto ezicetywayo ezicetywayo kwesikhumba kunye neengqungquthela ze-auricle ziphawulwe ngomakishi ophazamisayo. Kwithuba phakathi kwesikhumba kunye ne-cartilage, i-anesthetic yendawo kunye ne-adrenaline iyaziswa ukunciphisa ukuphuma kwegazi ngexesha lotyando, ukunciphisa intlungu kwixesha elilandelelweyo, kwaye kulula ukunqanda isikhumba. Emva kokumakisha indawo yendawo ekuthiwa indawo ye-anti-curvature kunye nesayithi le-cartilage elungelelanisiweyo kunye nommakishi okhangelayo, kuyimfuneko ukudlulisa le mizila ngqo kwi-cartilage ngoncedo lokubhala tattoo. Oku kuyimfuneko ukwenzela ukuba imakishi ibonakale emva kokuhlukana kwesikhumba kwi-cartilage. Ukugqitywa kwexesha elide le-cartilage kunye nenaliti kwenziwa kwimizila elukhumbeni. Umsebenzi uqalisa 2-3 imizuzu emva kokusungulwa kwe-anesthétique kunye ne-epinephrin, xa izidakamizwa ziya kuqala ukusebenza. Kulo lukhuni lwendlebe, i-suture ye-silika isetyenziselwa (ababizwa ngokuba ngabaphathi be-suture, apho umntu angakwazi ukulawula isikhundla se-auricle ngexesha lotyando).
I-auricle iqhutywe phambili esetrateni, kwaye umgca wesikhombisi wesikhumba unxweme kunye ne-fat subcutaneous fat. Oku kunikeza ukufikelela kwi-cartilage ngokuchaneka okufunekayo. Ekubeni inqunqutywa eyenziwe emveni kwendlebe, emva kokuphilisa, inqabile iya kuba ingabonakali. I-cartilage ye-auricle, eyahlukileyo kwesikhumba, ichithwa ukuba inikezele ukufikelela kwindawo yayo yangaphambili. Ukuqulunqwa kwe-countercutcut kwenziwa kwinqanaba langaphambili le-cartilage. Kodwa ekufinyeleleni umda we-auricle, ngokunqunyulwa kwe-cartilage kwenziwa kwimizuzu engama-3 mm ukusuka kumda, kwinqanaba le-earpal. Ikhumba elingaphambi komphezulu we-auricle lihlula kwi-cartilage phantsi ukuya kwinqanaba le-ear. Emva kokusasaza isikhumba, i-cartilage ye-auricle ibonakala kwaye iqala ukwenza uhlobo olutsha lwendlebe. I-sutures kule nqanaba yomsebenzi ibambe iqhosha elikhethiweyo ngaphandle kwendawo yokusebenza. Icala ngalinye le-cartilage ye-auricle inexinzelelo oluthile, olunikezwa ngobungqimba bomhlaba beeseli ezinqamlekileyo kunye ne-perichondrium (uluhlu oluncinci lwezicubu ezinxibelelwano ezigubungela i-cartilage). Ngokwenza i-scalpel ebusweni be-front of the cartilage, kunokwenzeka ukuba unqande ukutshatyalaliswa kwaye uphambuke kwi-auricle emva kwexesha, ngokufanayo nendlela uhla lwephepha elingagqibekanga lugqityiwe ukugoba iphepha lokubhabha. Emva kokusasaza isikhumba, i-cartilage ye-auricle ibonakala kwaye iqala ukwenza uhlobo olutsha lwendlebe.
I-sutures kule nqanaba yomsebenzi ibambe iqhosha elikhethiweyo ngaphandle kwendawo yokusebenza. Ngethuba le nkqubo, i-incision isenziwa kwinqanaba elingasemva kwe-auricle kwisalathiso esihlayo kunye nokuchithwa kwendawo encinci ye-cartilage enamehlo. Ukuvala isiphako se-cartilage ye-auricle, iiflethi zisetyenziselwa ukusebenzisa izinto eziphathekayo zokuhlala. Kwakhona kunciphisa ubukhulu be-auricle kunye neqondo lokuloba-indlebe. Xa ugxininisa le mijelo, i-auricle ijika kwaye isondela kwindawo ephezulu yengqayi. Isikhundla sokugqibela se-cartilage silawulwa emva kokunciphisa abaphathi be-suture. Ekupheleni komsebenzi, kufuneka uqiniseke ukuba ukuphela kwegazi kuphelile. Ngaphandle koko, phantsi kwesikhumba kunokudala i-hematoma (iingubo zegazi), ukuphazamisa ukuma kwendlebe. Inxeba yokugqirha kunye nenqabile kufuneka ifihliwe ngokucophelela emva kwendlebe. Oku kuya kufihla into yokulungiswa komsebenzi. Ukusetyenziswa kokugqoka kukubaluleka kokusebenza ukuze kupheliswe i-lored-eyred. Ibhanji inceda ukwakha nokomeleza indawo entsha yeendlebe, de ibe iphelile. Indwangu, ehlanjwe kwi-antiseptic, ifakwe kwinqanaba le-gauze. Emva koko, utyando lweetyhula luyasetyenziswa entloko, echanekileyo kunye ne-plaster ukukhusela ukuba ungayishiyi ikhanda okanye uhambe. Kwixesha lokuhamba emva, kubalulekile ukwenza i-anesthesia eyaneleyo. I-extract ivame ukucwangciswa ngokuhlwa kwangomhla okanye ngosuku olulandelayo. Emva kokusebenza, kuyimfuneko ukuba ugqoke ibhanji yentloko iintsuku ezili-10, uze uyisuse. Emva koko, isiguli kufuneka sisebenzise i-bandage kwi-auricle kuphela ngobusuku benyanga elandelayo. I-Edema kunye nokuqhwala ngokuqhelekileyo kwenzeka rhoqo kwiinyanga ezimbini. Izigulane azifaneki zifuna ukuphinda kusebenze, nangona ngamanye amaxesha kukho ukuchithwa okuncane kwe-auricle kwisimo esinqunyiwe.