Inqubo yokugcwalisa i-lipofilling noma i-lipostructure ukusebenza kokuhlinzwa kwezimonyo noma kokubuyisela esimweni okuqukethe umjovo wamafutha othathwe kumuntu ohlinziwe ukugcwalisa izimbobo noma ukubumba kabusha indawo: ubuso, amabele, izinqa…

I-lipofilling, ebizwa nangokuthi i-lipostructure, iqukethe ukusebenzisa amanoni athathwe endaweni yomzimba lapho kungaphezulu ngokweqile ukuwafaka futhi kwenye indawo yomzimba entula ngenhloso yokuwagcwalisa. Lokhu kubizwa ngokuthi yi-autologous transplant transfer. 

Le ndlela yokuhlinza yezimonyo noma yokwakha yakhelwe ubuso bese isetshenziselwa amabele, izinqa, njll.

I-lipofiling ngaleyo ndlela yenza kube nokwenzeka ukufeza ukukhuliswa kwebele (i-lipofilling yebele), ukwakhiwa kabusha kwesifuba ngemuva komdlavuza, ukunwetshwa kwezinqe (izinqa lipofiling) kepha futhi kwamathole nepipi.

I-Lipofilling eyenzelwe izinhloso zobuhle ayimboziwe yi-Health Insurance. Uma kukhulunywa ngokuhlinzwa okwakha kabusha, kungahle kube nokwelashwa ezimweni ezithile (iatrogenic lipodystrophies ebusweni noma ukuncibilika kwamafutha ebusweni ezigulini ze-HIV + ngenxa yokwelashwa kwama-antiretroviral bi noma kathathu; i-sequelae ebuhlungu kakhulu noma ehlinzayo).

Ngaphambi kokugcwaliswa kwe-lipofilling

Ngaphambi kokugcwalisa i-lipof, unezingxoxo ezimbili nodokotela ohlinzayo waseplastiki kanye nokubonisana okukodwa nodokotela obulala izinzwa. 

Kunconywa ngokuqinile ukuyeka ukubhema ezinyangeni ezimbili ngaphambi kokuhlinzwa ngoba ukubhema kubambezela ukwelashwa futhi kwandisa ingozi yokutheleleka. Izinsuku eziyi-10 ngaphambi kokuhlinzwa, akufanele usathatha imishanguzo esuselwa ku-aspirin kanye nemithi engeyona i-steroidal anti-inflammatory.

Inkambo ye-lipofilling  

Lokhu kungenelela kuvame ukwenziwa ngaphansi kwalokho okubizwa ngokuthi yi-vigil anesthesia: i-anesthesia yendawo ejuliswe ngama-tranquilizers alawulwa ngomjovo we-intravenous. Kungenziwa futhi ngaphansi kwe-anesthesia yendawo noma i-anesthesia ejwayelekile.

Amafutha asuswa nge-liposuction nge-micro-incision endaweni lapho kunenqolobane yamafutha noma ngisho namafutha amaningi ngokweqile (isisu noma amathanga ngokwesibonelo), khona-ke amafutha asusiwe ahlukaniswa ngamasentimitha imizuzu embalwa ukukhipha amangqamuzana amafutha ahlanzekile. Yizingqamuzana ezinamafutha ezingaguquki ezisuswe futhi zitshalwe kabusha. 

Amafutha ahlanziwe abuye afakwe kabusha ezindaweni ezizogcwaliswa ngemisiko emincane kusetshenziswa ama-micro-cannulas. 

Isikhathi esiphelele sokuhlinzwa singamahora angu-1 kuya kwangu-4, kuya ngenani lamafutha akhishiwe lafakwa ngomjovo. 

I-Lipofiling ngezizathu zobuhle

I-lipofilling ingaba nenjongo yobuhle. Kungenziwa ukugcwalisa imibimbi, ukubuyisa ivolumu nokugcwalisa ubuso obuncane ngokuguga, ukuqedela ukulungisa ubuso, ukwenza i-lipomodelling (equkethe ukususa amafutha amaningi emzimbeni, njengezikhwama zezikhwama ngokwesibonelo., Ukuyifaka kabusha ku ingxenye entula amafutha, isibonelo) phezulu kwezinqe. 

I-Lipofilling yezinhloso zokuvuselela nokubuyisela 

Ungasizakala ngokugcwalisa i-lipof njengengxenye yokuhlinzwa okwakha kabusha nokwakha kabusha: ngemuva kokuhlukumezeka, ngokwesibonelo lapho kwenzeka ukusha ebusweni, ukwenza ngcono imiphumela yokwakhiwa kabusha kwamabele ngemuva kokukhishwa noma uma ulahlekelwe amafutha ngenxa yokwelashwa okuphindwe kathathu kwe-HIV. 

Amasudi wokusebenza

I-Lipofiling ivame ukwenziwa ngokuhlinzwa kweziguli: ufaka ekuseni yokuhlinzwa bese ushiya kusihlwa ofanayo. Ungachitha ubusuku esibhedlela noma emtholampilo. 

Ubuhlungu be-post-intervention abubalulekile kakhulu. Ngakolunye uhlangothi, izicubu ezihlinzwa ziyavuvukala (i-edema). Lawa ma-edemas axazululwa ezinsukwini ezinhlanu kuya kweziyi-5. Imivimbo (echymosis) ivela emahoreni alandelayo ngemuva kokuhlinzwa ezindaweni zokufakwa kabusha kwamafutha. Ziyanyamalala ezinsukwini eziyishumi kuya kwezingu-15. Cabangela lokhu ngempilo yakho yobungcweti neyenhlalo.

Akufanele uziveze elangeni ngenyanga elandelayo yokusebenza ukuze ugweme ukufaka imibala kwizibazi. 

Imiphumela ye-lipofiling 

Imiphumela iqala ukubonakala emavikini ama-2 kuye kwayi-3 ngemuva kwalokhu kuhlinzwa, uma imihuzuko ne-edema inyamalele, kepha kuthatha izinyanga ezi-3 kuye kwezi-6 ukuthola umphumela ocacile. Imiphumela mihle uma izinkomba nezinqubo zokuhlinza zilungile. Ukuhlinzwa okungeziwe ngaphansi kwe-anesthesia yendawo kungenziwa ezinyangeni eziyi-6 ngemuva kokuhlinzwa ukwenza ushintsho uma kunesidingo. 

Imiphumela ye-lipofilling ingeyokugcina ngoba amangqamuzana e-adipose (amafutha) ahlanganisiwe. Qaphela ukwehluka kwesisindo (ukuzuza kwesisindo noma ukwehla) okungathinta izicubu ezihlomule ekugcwaliseni i-lipofilling. Vele, ukuguga kwemvelo kwezicubu kunomthelela ezindaweni obekuyizindatshana ze-lipostructure.