SMAS-zochotsa: ndemanga, konzanso, contraindications, nkotheka zosokonezeka. Nkhope Nyamulani ntchito SMAS-zochotsa

Ambiri akazi kufuna tili ndi chithunzi chabwino, koma maonekedwe wokongola, kotheka kuyang'ana zaka zingapo wamng'ono. Ndipo chilakolako chimenechi ndi chibadwa kwathunthu. Komabe, zivute zitani amakhala kusintha osiyana obwera ndi ukalamba. Komabe, iwo bwanji osati khungu komanso connective minofu dongosolo. Chifukwa cha pansi diso matumba kuwonekera zake zimaoneka ngati chibwano awiri, kukhala kutchulidwa nasolabial makutu. Kodi kuchita mu nkhani iyi?

Lero, nthawi kupambana mkazi amathandiza SMAS zochotsa. Reviews za njirayi amanena kuti imodzi mwa njira yotchuka kwambiri ya kumanga. Ndi SMAS nkhope-Nyamulani chabe asandulike zikuwoneka wamng'ono kwambiri.

nkhani Current

Akazi ambiri amene afika zaka 45, nkhawa kuthekera kubwerera zotanuka ndi yosalala khungu, komanso contours ake enieni. Ndipo lero, funso limeneli lidzayankhidwa inde. Kupanga Nyamulani pafupifupi onse minofu zofewa amalola woukira boma njira zatsopano ntchito madokotala pulasitiki, - SMAS-zochotsa.

Ndi kapangidwe anatomical wa khungu, akatswiri awa azindikira mzake kwa nthawi yaitali. Komatu mu 1976, panali analandira sikufotokoza zambiri za musculo-aponeurotic dongosolo subcutaneous padziko (Zikundiyendera Musculo-Aponeurotic System). Zinali ndiye kuti mawu amenewa akufuna, lomwe ndi chidule cha dzina, - SMAS.
Pakali pano, madokotala pulasitiki mwachangu anayamba ndi changwiro njira kuti amalola munthu kuti abwerere achinyamata, akubwerera koloko. Ndipo ndi amphamvu kwambiri mwakuti likupitirirabe anthu ambiri odwala m'zipatala zodzikongoletsera.

njira

Kuti timvetse, SMAS zochotsa - icho chiri, muyenera kupanga ulendo kakang'ono mu thunthu la. SMAS chinthu monga dongosolo akulu kuti zikugwirizana ndi dermis ndi minofu. Inkakhala chabe pansi pa khungu mu zigawo za subcutaneous mafuta. SMAS nkhope ili mu mabacteria atatu. Ichi ndi malo pafupi makutu, pa khosi ndi pa masaya. Imodzi mwa ntchito za dongosolo - uziyenda bwino minofu wotsanzira.

M'kupita kwa nthawi, kufooka kwa SMAS. Ichi ndi chifukwa chake pali mapangidwe zotsatirazi:

- mizere zabwino padziko khosi;
- ndi nsagwada lachiwiri;
- kuchotsa m'dera la chikope chapamwamba;
- matumba pansi maso;
- nasolabial makutu;
- otchedwa Galuwamkulu masaya.

Zonsezi amatha kuthetsa SMAS-zochotsa. Pa ntchito kuwonjezera pa pulasitiki wosanjikiza dokotala dermal ndi subcutaneous mafuta minofu amakhudza zigawo zakuya. Zimenezi zimathandiza iye kuthetsa kusintha kulikonse obwera ndi ukalamba.

Kodi zotsatira akhoza kukwaniritsa SMAS zochotsa? Umboni kuti pambuyo opaleshoni chotero, maonekedwe kosamugonjera kusintha kwakukulu. Zotsalira diso ang'ambe thupilo mzere ndi pakamwa. Njira imene amatsitsimula ndi othandiza contours nkhope, limabwerera ku chowulungika akale popanda zotsatira za khungu zolimba. Izi kumatha onse m'makwinya zinapangidwa makwinya.

umboni

Amene ayenera kuyang'ana Nyamulani ntchito SMAS-zochotsa? A ndondomeko ofanana imagwiridwa anthu odwala amene pali zizindikiro momveka kwa khungu ukalamba. mndandanda lawo kumaphatikizapo:

- khungu ndi dryness wa khungu;
- maonekedwe a mtundu;
- ndi thickening zigawo khungu, mwachitsanzo, chifukwa cha zonse kapena aakulu kutupa mu zimakhala ndi;
- imfa ya kamvekedwe;
- mapangidwe makwinya khungu;
- maonekedwe a mitsempha kangaude (telangiectasia).

Pamaso ndondomeko, muyenera kukaonana ndi wodziŵa. Only maganizo a dokotala kungatithandize kudziwa kufunika chotero Matola, komanso kudziwa akafuna kanthu zomwe zingakhale zothandiza kwambiri.

Pali njira zingapo malangizowo. Choncho, SMAS-zochotsa ndi:

- chakale;
- endoscopic;
- ultrasound;
- hardware.

Tiyeni tione iwo mwatsatanetsatane.

njira zachikhalidwe

kukonza kwa nkhope A ndi SMAS-zochotsa zikutanthauza njira imeneyi ndi zoopsa kwambiri. Izi njira ntchito, yomwe ikuchitika mothandizidwa ndi opaleshoni. Kuchita mwai zonse zofunikira kukonzekera bwino wodwalayo chofunika. ntchito kumatenga kwa maola awiri kapena atatu. Pa nthawi yomweyo wodwalayo pogonekedwa ndi mankhwala ambiri. Ndipo ngakhale kuti patapita nthawi yaitali konzanso chofunika, ambiri kuwadziwitsa ntchito njira imeneyi. Ndithudi, zotsatira za izo motalika - kuchokera zaka 10 mpaka 15. Koma ngakhale itatha nthawi iyi, odwala kupitiriza kuyang'ana wamng'ono kwambiri kuposa msinkhu wake. Njira imene akulimbikitsidwa odwala wamkulu kuposa zaka makumi anayi.

Classic SMAS kukonza kwa nkhope - ndichiyani? Izi ndi ntchito imene dokotala wopanga ang'ambe thupilo. Scalpel akuyamba ulendo wake kukachisi. Komanso kuti chimafikira pa nkhope kwa Lobe khutu ndipo kumathera dera, imakhala kuseri khutu. Zonsezi ndi masoka crease mzere.

Pambuyo ang'ambe thupilo chifukwa dokotalayo detaches kumtunda kwa khungu kutali SMAS wosanjikiza ndi othandiza izo. Owonjezera minofu pa ntchito resection nkhani. Ngati ndi kotheka, katswiri amachita liposuction. Komanso, pamwamba wosanjikiza wa khungu, amene amapereka udindo watsopano, kuti zokhoma. Pambuyo seams alipo. Dokotala amabisa pa mzere wa kukula kwa tsitsi.

Kuwonjezera pa njira opaleshoni ya detachment, katswiri akhoza ikuchitika podshivanie musculo-aponeurotic dongosolo mu zigawo pamwamba pa khungu. chimasiyanitsa Kodi SMAS zochotsa? akatswiri Reviews ndi odwala kuti ntchito imeneyi osati likukonza mawonekedwe a nkhope, komanso anawonjezera buku akusowa mu masaya. Amenewa Ndi bwino kwambiri odwala zosiyana anthu Taphunzira. Zoterezi ndondomeko opaleshoni si zoopsa, kuchepetsa chiopsezo cha matenda oyamba.

nthawi konzanso

Pambuyo ntchito (SMAS-zochotsa) chitachitidwa, wodwala ayenera amathera masiku osachepera awiri mu chipatala. Zonse nthawi ino, boma thanzi lake akuona akatswiri. Osachepera 3-4 masiku m'pofunika kuvala gulaye. Sutures akhoza kuchotsedwa masabata awiri okha.

Ndithu yaitali kuchira nthawi ndi osiyana tingachipeze powerenga SMAS-zochotsa. Akatswiri alendo kunena kuti adzatenga pafupifupi miyezi iwiri. nthawi ndi koyenera kuti ayambe minofu kuonongeka ndi zimakhala ndi resorption wa hematomas.

Kwa nthawi pambuyo ntchito anali uneventful, Ndi bwino kugwiritsa ntchito compresses chilled ndi mankhwala. Wodwala kuchepetsa mutu wake otsika, mwinamwake izo zikhoza edema. Ndi zoletsedwa kumwa mowa, kusuta fodya ndi kugwiritsa ntchito anthunzi otulutsirako thukuta ndi kusamba.

ayamikira zimene ena amapatsidwa kwa odwala amene akhala akuchitika SMAS- zochotsa? Konzanso chichitike ndi chiopsezo kochepa mavuto ngati:

- pa ena mutu wodwala adzakhala pa phiri, umene kuchepetsa kutupa kwa nkhope;
- anthu simungapeze kuchuluka kwa thupi.

Pakuti mofulumira machiritso a sutures dokotala n'kukulemberani mankhwala thupi. Palinso ayenera kukhala njira ya jekeseni ntchito mankhwala apadera omwe amalimbikitsa khungu chidule.

contraindications

Pamene unachitikira SMAS nkhope-Nyamulani? Iwo ali osavomerezeka pamaso pa zotsatirazi:

- shuga;
- mimba;
- magazi matenda;
- matenda oncological;
- matenda a mtima.

Kodi aliyense ali SMAS kukonza kwa nkhope contraindications? Njira imene sichiri odwala matenda pachimake matenda komanso pa nkhani ya kumakhala kutengera mapangidwe keloids.

Kudziwa kuti n'zotheka opaleshoni, dokotalayo atapemphedwa funsani chipatala munthu kutha mndandanda wa mayesero ndi pochitika kuona kutero. Zimenezi zimathandiza kuti asa- ndi kuzindikira mavuto alionse amene angakhalepo pambuyo braces ndi. Komanso, masabata awiri pamaso ndondomeko inakonzedwa, wodwala ayenera kusiya kumwa mavitamini, zowonjezera zakudya ndi mankhwala omwe amalimbikitsa magazi kupatulira, komanso kusuta fodya.

zotsatira zoyipazi

zosokonezeka zotheka pambuyo SMAS-zochotsa ayenera analengeza pamaso pa dokotala zikugwira njira opaleshoni. zotsatira olakwika akhoza minofu kutupa ndi kufinya ndi hematomas. Nthawi zina odwala pambuyo opaleshoni m'dera anasintha amapezeka imfa ya tilinazo. Palinso milandu kukana yamawangamawanga munthu wa khungu pa nkhope.

SMAS-kukweza ndi kumenya chiopsezo ena mavuto ena. Ena mwa iwo:

- matenda;
- mapangidwe ndi amamuyambitsa timabala mwachilungamo kwambiri;
- yaitali machiritso a khungu;
- nkhope asymmetry ndi mitsempha kuwonongeka waukulu;
- imfa ya tsitsi m'malo mabala;
- kusintha mu mbali chonse nkhope.

Mavuto postoperative anali zochepa ngati n'kotheka, Mpofunika njira mosamala kusankha katswiri, amene adzathandiza nawo ndondomeko kumangika. Feedback kwa odwala, komanso pa maziko a zotsatira zawo, zikuonekeratu kuti dokotala woyenera akhoza munthu pansi pa zaka makumi awiri. Choncho patapita nthawi imeneyi opaleshoni konzanso zidzachitika bwino ndipo motakasuka.

mtengo wa

Ndi angati muyenera kulipira tingachipeze powerenga SMAS kukonza kwa nkhope? Mtengo wa njirayi si mkulu. Koma nthawi yomweyo zimatengera pa dera kumene chipatala ili, mitengo malamulo ake, komanso kukweza kwa alowererepo pa opaleshoni.

Mwachitsanzo, mu Moscow, odwala ayenera kulipira SMAS-zochotsa ku rubles 25,5 kwa 500 zikwi, ndi St. Petersburg - kuchokera rubles 60 450 zikwi ..

Photos odwala isanayambe kapena itatha SMAS-zochotsa ndi chitsimikizo bwino chakuti ndalama si kuutaya kutali pa mphepo. Iwo adzakhala ndalama wabwino mu maonekedwe awo ndi chothetsera. Ziyenera adzanyamula kukumbukira kuti ntchito chakale cha SMAS-zochotsa munthu akhoza kuchitika kamodzi kokha moyo.

The njira endoscopic

Njira imeneyi si yopweteka kwambiri kuposa tingachipeze powerenga ndi chifukwa maloinvaziven. Nthawi ntchito mpaka maola atatu ndi theka. Calibration chikuchitika padziko ochititsa dzanzi onse pamodzi. Pakuti opareshoni ngati wodwalayo ayenera kulipira pa zana limodzi ndi zikwi makumi awiri.

Ndondomeko zonse rejuvenation sikutanthauza amacheka ndi scalpel a. Opaleshoni imagwiridwa kudzera punctures yaing'ono, zomwe zimachititsa katswiri m'dera kanthawi m'dera acheya mutu. Mu iwo, dokotala amaika ndi endoscope okonzeka ndi kamera ya kanema. Pankhaniyi limapezeka pa polojekiti opatsirana ngati fano chipangizo. Ndi dokotala endoscope zimatenga detachment minofu khungu ndi allocates SMAS-dongosolo, kukonza mu latsopano, malo zambiri omangika. Kumapeto kwa ntchito ndi superimposed, ndiyeno mosamala masked matabwa. Monga mfundo za njira ndi nthawi ayambe, ndiye pamene ena ndi yofanana ndi njira yakale tafotokozazi.

Malinga ndi akatswiri ndi odwala, kuyambira zotsatira za ntchito zimenezi ndi nthawi zochepa wowononga ndipo kwa zaka 3 mpaka 5. N'chifukwa chake lomwe kuti anthu amene ali ndi zizindikiro chabe a sagging ndi okalamba khungu. Avereji odwala ndi zaka 40.

Pambuyo opaleshoni pa nkhope umagwiritsidwa ndi psinjika bandeji. Wodwalayo adzayenera pochita kuchipatala pafupifupi masiku kukhala moyang'aniridwa ndi achipatala. Stitches adzachotsedwa kenako akatswiri. Zimenezi zidzachitika tsiku lachisanu. Pafupi masabata awiri kenako kupasuka hematoma ndi kufinya. Kale kuyambira tsiku lachitatu pambuyo opaleshoni dokotala woti moyo kutikita. Izi kwambiri kufulumizitsa ndondomeko ya konzanso. Zotsatira pazipita pambuyo opareshoni zimachokeradi kale kuposa masabata asanu.

lothandiza ngati SMAS-zochotsa ndi zotsatirazi:

- kochepa, mosavuta ananamizira mabala;
- palibe chiopsezo minofu dzanzi, ndi imfa ya tsitsi m'dera la yopanga punctures;
- yaitali odana ndi okalamba zotsatira;
- pakalibe kufinya kwambiri ndi kutupa;
- osachepera chiopsezo kuvulazidwa nkhope mitsempha;
- kuthekera kukonzanso opaleshoni.

The kuipa kwa njira ndi mtengo wake mkulu, ndi kuti akusonyeza odwala yekha ndi woyamba kapena wachiwiri sitepe okalamba.

njira akupanga

kukonza kwa nkhope izi si opaleshoni kuwasamalira anakhumba kale pambuyo thandizo. magawo mobwerezabwereza iyenera kuchitikira kukhalabe zotsatira analandira. Ndi okwanira kukaona kukongola okonzera kamodzi pa zaka ziwiri kapena zitatu. Kutalika kwa njirayi anali mphindi 30-60.

Akamanena za akupanga SMAS mankhwala tichipeza kukhudzana nyemba ozama zigawo za chikopa kuti akuya millimeters asanu. Mu ichi akupanga mafunde mkangano minofu. Pali kuchepetsa minofu ndi kolajeni ulusi. Idzayamba pa ndondomeko ya kaphatikizidwe wa zigawo zikuluzikulu zofunika wa khungu unyamata - kolajeni ndi elastin. Chifukwa cha nyemba akupanga ndi yafupika SMAS-kamvekedwe dongosolo, potero kumanga khungu ndi mafuta minofu.

Pakuti ndondomeko oterowo amakhala ndi zotsatira kukula. Izo zikutanthauza njira pang'onopang'ono vuto limene nthawi amatenga miyezi isanu ndi umodzi. Komabe, maganizo a anthu odwala, ndi zabwino zithunzi zotsatira ndi noticeable kale pambuyo mpheto lapansi.

The chosonyeza chachikulu zimatenga kuchotsa dera zimakhala zofewa wa nkhope ndi khosi. The zaka mulingo woyenera kugwiritsa ntchito njira imeneyi ndiye kuti nthawi ya zaka 50.

Kugwiritsa ntchito njira akupanga ali sanaloledwe milandu zotsatirazi:

- anapereka pacemaker;
- Mimba ndi mkaka wa m'mawere;
- pamaso pa amadzala zachitsulo m'dera la chikoka;
- kudwala ya ubongo;
- endocrine matenda;
- pamaso pa zilonda mu zone ya processing;
- Oncology;
- matenda zokhudza zonse chikhalidwe.

Mwa ubwino akupanga SMAS-zochotsa n'zotheka kuonetsetsa kuti chinthu modekha, komanso kusapezeka kwa amamuyambitsa timabala ndi wamfupi nthawi konzanso.
Mwa zolakwa za - mtengo wake mkulu (kwa 40 150 zikwi rubles ..), komanso redness a khungu, amene kudutsa maola angapo, ndi kutupa, angakhale kwa masiku 2.

njira hardware

Izi lina lomwe sanali opaleshoni SMAS-zochotsa. Ndondomeko anachita ntchito "kusintha" chipangizo. Kwenikweni ake kwagona kuti chipangizo amapanga mafunde kutentha, umene umalowa mu zigawo zakuya khungu. chifukwa kofunika wodwala amalandira pambuyo ndondomeko loyamba. Zotsatira za padzuwa la hardware awasungira kwa chaka chimodzi. Mtengo wa gawoli, malingana munda wa zipatala komanso kukhudzana mu osiyanasiyana 30 110 zikwi. Opaka.