Izinhlobo ze-Flaps nokuthi zisetshenziswe kanjani ezindleleni zokuvuselela ukuhlinzwa
I-flap iyisiqeshana samathishu esesinamathanjeni emzimbeni ngombono omkhulu kanye nomswakama noma ngesisekelo saso. Lesi sici sesishukela negazi layo elithintekayo lisetshenziselwa ukuhlinzwa ngokuvuselela ngokufakwa kwisayithi yomamukeli ( indawo eyalimala lapho i-flap noma i-graft efakwa khona). Ngezinye izikhathi, i-flap iqukethe isikhumba namanxeba amafutha kuphela, kodwa i-flap ingase ifake isisipha esiteshini somnikeli (indawo lapho i-flap iphakanyiswa khona).
Ubani Ongadinga Ukuhlinzwa Kwe-Flap?
Uma ngabe ulahlekelwe yisisindo somzimba kunoma iyiphi indawo yomzimba wakho, ungase ube ngumuntu ozohlinzwa ngokuhlinzwa. Lolu hlobo lwe-plastic reconstructive operation lusetshenziselwa ukulungisa iziphambeko ezishiywe emva kokulimala okudabukisayo noma imastectomy . Amasu we-flap angaphinda akhiqize imiphumela enhle kakhulu ekubuyiseni ubuso ebusweni ngemuva kokukhishwa komdlavuza wesikhumba.
Izinhlobo ze-Flaps
Kunezinhlobo eziningi zamafulegi njengoba kunezinhlobo zokulimala okungadinga ukusebenzisa i-flap. Ama-flaps avela ezindaweni eziningi ezahlukahlukene futhi asetshenziswa ngezindlela eziningi ezahlukene ukuze afeze umphumela oyifunayo. Kodwa-ke, ama-flaps asetshenziselwa ukuhlinzekwa kabusha kwepulasitiki angase aphulwe abe yizigaba ezimbili eziyinhloko.
I-Local (Pedicled) Flap: Izicubu zikhululiwe futhi zijikelezwa noma zithutha ngendlela ethile ukusuka endaweni eseduze ukuze zimboze iphutha, kodwa zihlala zihlanganiswe nomzimba esisekelweni sayo futhi zinezimpondo zegazi ezifaka endaweni yokuphawula kusuka kusiza sabanikeli .
Uhlobo lwe-flap movement oludingekayo ludinga ukuthi yiziphi izinhlobo ezine eziyinhloko zama-flaps zendawo ezisetshenziswayo.
Izinhlobo eziyinhloko ezinkulu ze-flaps zendawo zifaka phakathi i- flap yokuqhubekela phambili (ihamba ngokuqondile ngqo ngaphandle kokunyakaza okuhamba phambili), i- flap rotation (ijikeleza eduze kwephuzu le-pivot ukuze ibekwe eseceleni esiseduze), i- flap transposition (ihamba ngokuhamba kwesikhathi maqondana ne-pivot ikhomba ukuthi ibekwe eceleni kwesiphambeko esiseduze) kanye ne- flap interpolation .
I-flap ye-interpolation ihlukile kwabanye ngoba ijikeleza eduze kwephuzu le-pivot ukuze ibekwe eseceleni esiseduze (kodwa hhayi esiseduze). Umphumela wukuthi ingxenye ye-flap idlula ngenhla noma ngezansi kwesigaba samathambo ahleliwe, okwenza uhlobo lwe "bhuloho lesikhumba." Lolu hlobo lwe-flap luhloselwe ukwahlukaniswa (okuhlukanisiwe) kusuka kusiza sabanikeli ngenqubo elandelayo.
I-Flap yamahhala: Isicubu esivela kwenye indawo yomzimba sigxiliwe futhi sitshaliselwa kwisayithi lomamukeli futhi ukunikezwa kwegazi kuhlanganiswa ngokuphindaphindiwe emithanjeni yegazi eduze kwesilonda.
Izinkinga ze-flap nezinkinga
Izinkinga ezikhona kusuka ekuhlinzekeni kwe-flap zihlanganisa izingozi ezijwayelekile zokuhlinzwa ezifana nalezi:
- ukutheleleka
- ukuhlukunyezwa okungalungile kanye / noma ukukhishwa kwesikhumba
- ukuphuma ngokweqile noma i- hematoma
- isikhumba noma i-fat necrosis (ukufa kwezicubu)
- ukuphulukiswa okulimazayo noma ukuhlukana kwesilonda
- ama-clots wegazi
- izinkinga ze-anesthesia
- i-thrombosis ejulile ye-vein
- izinkinga ze-cardiac kanye ne-pulmonary
- i-edema eqhubekayo (ukuvuvukala) noma ukuqoqwa kwamanzi
- ubuhlungu obuphikelela
- ushintsho yesikhashana noma unomphela / ukulahlekelwa kwesikhumba senzwa
- imiphumela engabonakali yemiphumela yobuhle edinga ukuhlinzwa okubukeziwe
- ukuphazamiseka noma ukuvuza kwe-expander
Shayela udokotela wakho ohlinzayo ngokushesha uma unesifo esifubeni, ukuphefumula, izinhliziyo ezingavamile, ukuphuma ngokweqile.
Kungani Usebenzisa I-Flap Esikhundleni Se-Graft Skin ?
Ngenxa yokuthi ama-flaps anegazi lawo, anamandla kakhulu kunama-graft esikhumba futhi ngokuvamile akhiqiza imiphumela engcono kakhulu embonweni wezimonyo ngoba anganikeza umdlalo ongcono wethembo lesikhumba nokuthungwa. Izikhumba zesikhumba nazo zingcono kakhulu uma izicubu "zinqwaba" zidinga ukugcwalisa izimpikiswano. Kodwa-ke, ezimweni lapho kube khona izindawo ezinkulu kakhulu zokulahleka kwezicubu, ukusetshenziswa kwe-graft yesikhumba kungadingeka.
Kungani Usebenzisa I-Flap Esikhundleni Kokukhuliswa KwamaTissue ?
Ngenkathi ukukhuliswa kwezicubu kungakhipha imiphumela emihle ngokuhambisana nombala wesikhumba, ukuthungwa, nokuzwa, kunemiphumela emibi.
Ukwandiswa kwezicubu njalo kudinga, okungenani, izinqubo ezimbili zokuhlinzeka, kanye nokuvakashelwa okuphindaphindiwe kudokotela wakho ohlinzayo ukuze uqhubekele phambili ekugxileni umxhwele. Okwamanje, i-expander ishiywe endaweni, idala ukuthi yini emanzini amaningi okungaba yi-bulge engakaqondakali ngaphansi kwesikhumba lapho kuthunyelwa khona i-expander. Nokho, esimweni sokuvuselelwa kwebele , le vidiyo eyengeziwe ingaba efiselekayo.
Bheka ngaphambi nangemva kwezithombe zokuvuselela ngemuva komdlavuza wesikhumba usebenzisa amasu e-flap .
Imithombo:
Izimiso eziyisisekelo ze-Flaps Flaps; UFisher J., uGeorgeide GS, uGeorgaide NG, uRiefkohl R, uBarwick WJ; Ibhuku lezincwadi zePlastiki, i-Maxillofacial, ne-Reconstructive Surgery. Umqulu 1, edition lwesibili, 1992, iphephandaba 29-40.
Ukuxoxisana neBhodi eqinisekisiwe ye-Facial Plastic and Reconstructive Surgeon, u-Andrew Jacono, MD, New York, NY.
I-Skin Cancer ne-Surgery Yakho YePulasitiki, Iphepha Lolwazi Lokubekezela, I-American Society of Abahlinzayo BesiPlastiki.
I-Skin Flaps; U-Tschoi M, uHoy FA, uGranick MS; Imitholampilo yokuhlinzwa kwePlastiki; 2005; Ephreli; Umqulu 32 (2), p261-273.