A panniculectomy inzira yekuvhiya kubvisa panniculus, kana kuti ganda rinopfuura, kubva mudumbu rezasi. Izvo zvakasiyana nechembominoplasty , iyo, kunze kwekubvisa ganda rakawandisa nemafuta, rinomesa misumbu yemimba. Pane paniculectomy inogadziriswa kuti ibvise zviratidzo zvinowanikwa kubva pamapuroni echeperi uye zvinopindira mabasa ezuva nezuva.
Hazvifungidzirwe kuti zvipfeko zvinoshandiswa.
Vadzidzi
Vavaki vepanniculectomy vanowanzorasikirwa nehuwandu hwehuremu kuburikidza nechitendero kana chirwere chemukati chekuvhiya kana kuti nekuchinja mune zvinovaka muviri uye tsika dzakanaka. Vamwe vanobvumirwa vangave vane nzira iyo inotevera:
- Fungal zvirwere
- Kushatirwa kweganda
- Kunzwa kurwadziwa kwepamusoro
- Kunyanya kugadzirwa kweganda-pamuviri
Vamwe varwere vangavewo vanobvumirwa kuti vashandise mubereki wepabonde.
Pamberi peNzira
Varwere vachaongororwa nechiremba wavo chiremba vasati vasvika. Vachaudzwa kuti vachafanirwa sei kugadzirira. Mimwe yemirayiridzo iyi inosanganisira:
- Kusiya kusvuta
- Kudzivisa mamwe mishonga
- Kushamba nzira
- Kurambidza zvimwe zvokudya kana zvinodhaka
- Nguva yekurapa
Nzira
Murwere anogamuchira anesthesia yakawanda mune chipatara kana chirwere chekuvhiya kunze. Chiremba anovhiya achaita kuti kuve nekukanganiswa kunotenderera kubva pachikamu chezasi che sternum kusvika ku pubic bone.
Imwe incision ichaitwa iyo inomhanya ichienda kune imwe nzvimbo ye pubic. Kuwedzerwa kweganda nemafuta zvichabviswa kuburikidza nekutsvaira kwakanyanyisa. Ganda nemafuta pamusoro pemakumbo emimba zvinodedzwa pasi uye zvinokanganiswa panzvimbo. Bhomba iri mudumbu richaendeswa kune imwe nzvimbo. Zvirongo zvichaiswa kuti zvidzivirire kuunganidzwa kwemvura.
Zvichienderana nehuwandu hweganda nemafuta zvakabviswa, chirongwa chepanniculectomy chinogona kutora kubva maawa matatu kusvika mashanu kuti aite. Kana iyo yakabatanidzwa nedzimwe nzira, zvakadai sebdominoplasty, zvinogona kutora nguva yakareba. A compression binder ichaiswa pamativi emimba mushure mekuita.
Kudzorera
Varwere vachabatwa nemarwadzo kwemaawa makumi mana mushure mekuita. Kushambadzira kunobvumirwa mukutanga kwemazuva mashoma. Basa rakakura rekuita muviri rinopera kwemavhiki mana mushure mekuita. Muzviitiko zvizhinji, varwere vachakwanisa kufamba-famba munzvimbo dzevanhu mumazuva mana kusvika mashanu. Vakawanda varwere vanogona kukwanisa kudzokera kubasa mukati memavhiki maviri ekugadzirisa.
Ngozi
Kunyange zvazvo kune ngozi kune chero upi noupi upiyona uye aneshesia, njodzi dzinosangana ne panniculectomy dzinosanganisira zvinotevera:
- Kubatana kwehuwandu pasi peganda
- Kuparadzaniswa kweganda
- Unhu huri munzvimbo yekuvhiya
- Kupisa
- Ganda rinoputika
- Ropa rinovhara
- Bvisa ganda
Iyo nzira inogona kuvharwa nehushuwarisi asi varwere vanofanira kutarisa nevanotakura nhumbi dzavo kuti vaone kuti ndezvipi zvinodikanwa zvekugovera.