Ukuhlinzwa ijwabu leso kungenye yezinto ezivamise ukwenziwa kwezimonyo. Ngo-2016, kwenziwa cishe ama-blepharoplasties angama-29 eFrance, futhi leli nani liyaqhubeka nokwanda. Uqukethe ini? Iyini imiphumela yokuhlinzwa? Izimpendulo zikaDkt Éléonore Cohen, udokotela ohlinzayo wezimonyo eParis.

I-Blepharoplasty ukuhlinzwa kwezimonyo okuhloswe ngakho ukulungisa izinkinga zejwabu leso elixegayo, eligqama kakhulu ngokuguga. "Lo msebenzi omncane uhlose ukukhanyisa ukubukeka, ngokususa izakhi ezivela ngokuhamba kwesikhathi: ukuphumula kwemisipha kanye ne-hernia enamafutha, izikhwama zejwabu leso elingezansi, kodwa futhi nejwabu leso eliphezulu ezingeni lekhoneni elingaphakathi leso" kuchaza UDkt Cohen.

Njenganoma yikuphi ukuhlinzwa kwezimonyo, ukubonisana ngaphambi kokuhlinzwa kubalulekile. Ivumela isiguli ukuthi siveze izicelo zayo kanye nalokho esikulindele, nodokotela ohlinzayo abheke ukuthi ngabe ukuhlinzwa kufanelekile yini. "Sihlola isikhumba esiningi nge-claw forceps, esingahluka kusuka kumamilimitha ambalwa kuye ngaphezu kwesentimitha elilodwa" kuchaza udokotela ohlinzayo.

Ngesikhathi sokubonisana, udokotela ohlinzayo uzophinde acele ukuhlolwa kwamehlo, ukuze ahlole ukuthi akukho yini ukuphikisana noma iso elibalulekile elomile, elizodinga ukwelashwa kwangaphambili.

Njenganoma yikuphi ukuhlinzwa kwezimonyo, kufanele kuhlonishwe isikhathi okungenani sezinsuku eziyi-15 phakathi kokubonisana ngaphambi kokuhlinzwa kanye nokungenelela, ukuze kuqinisekiswe isikhathi sokucabanga kwesiguli.

Ugwayi onemiphumela eyingozi ekwelapheni, kunconywa ngokuqinile ukuyeka ukubhema - noma okungenani ukukhawulela ugwayi kube osikilidi abahlanu ngosuku ubuningi - inyanga ngaphambi kokuhlinzwa nezinsuku eziyi-5 ngemuva kwalokho.

Ngaphezu kwalokho, awukho umuthi oqukethe i-aspirin ongathathwa ezinsukwini eziyishumi ngaphambi kokuhlinzwa.

Kunezinhlobo eziningana ze-blepharoplasty, kuya ngejwabu leso elihlinzwa kanye nephrofayili yesiguli.

I-Blepharoplasty yejwabu leso eliphezulu

Siqukethe ukususa isikhumba esiningi, ukubuyisa isibaya, nokukhanyisa ukubukeka ngokukhulula ikona elingaphakathi lejwabu leso eliphezulu. “Ukusikeka kwenziwa esibayeni bese kuthi intambo ifihlwe ngaphansi kwesikhumba. Yindlela ye-intradermal suture eyenza isibazi siqonde kakhulu, ”kuchaza uDkt. Cohen. Imicu iyabe isuswa ngemuva kweviki.

I-Blepharoplasty yejwabu leso elingezansi

Okwamanje kumayelana nokususa amafutha amaningi, noma isikhumba, esisejwazini leso elingezansi leso, okuyizikhwama ezidumile ezingaphansi kwamehlo.

Ngokuya ngokuhlolwa komtholampilo, okumele kwenziwe ngudokotela ohlinzayo, kungaphakanyiswa izinhlobo ezimbili zamasu:

Uma kwenzeka isikhumba esiningi: inhloso ukususa amafutha nokuphakamisa isikhumba. Udokotela ohlinzayo uzokwenza imbobo ngaphansi kwezinkophe. UDkt Cohen uyachaza: “Isibazi siyancibilika ngaphansi konqenqema lwe-ciliary futhi asiqhubeki ngaphezu kwamasonto ambalwa.

Ekungabikho kwesikhumba eseqile: okuvame ukwenzeka ezifundweni ezincane, udokotela ungena ngaphakathi kwejwabu leso. Lokhu kubizwa ngokuthi yi-conjunctival pathway. "Isibazi ke asibonakali ngokuphelele ngoba sifihlwe ulwelwesi lwangaphakathi lwejwabu leso" kucacisa udokotela ohlinzayo.

Ukuhlinzwa kuthatha cishe imizuzu engama-30 kuye kwengama-45 ngokugula esibhedlela, noma emtholampilo uma isiguli sifuna ukulala. “Ezimweni eziningi kakhulu, isiguli sikhetha i-anesthesia yendawo, okungangezelelwa isidambisi esincane esifakwa emithanjeni” kuchaza u-éléonore Cohen. Kodwa-ke, kwenzeka ukuthi ezinye iziguli zikhetha i-anesthesia ejwayelekile emtholampilo, lapho-ke kuzodingeka zihlangane nodokotela obulala izinzwa emahoreni angama-48 edlule ngaphambi kokuhlinzwa.

I-Blepharoplasty ingukusebenza okungenabuhlungu kakhulu, kepha imiphumela yokuhlinzwa akufanele incishiswe, ikakhulukazi ekusebenzeni kwamajwabu amehlo aphansi.

Kwi-blepharoplasty ephezulu yejwabu leso: i-edema nokulimala kungaqhubeka isonto lonke bese kwehla.

Endabeni yamajwabu amehlo aphansi: “imiphumela iba nzima kakhulu futhi kubalulekile ukwazisa isiguli. I-edema inkulu kakhulu futhi ifinyelela kuma-cheekbones. Imivimbo yehlela ezihlathini ezingezansi, bese iphikelela izinsuku eziyishumi ezinhle, ”kugcizelela udokotela ohlinzayo.

Ukwelashwa okungenzeka

Imishanguzo elwa nezidakamizwa inganikezwa, njengokhilimu ofana neHemoclar®, noma njengethebhulethi ye-Extranase®. Ukhilimu ophulukisayo osuselwa ku-vitamin A no-arnica nawo anconywa ngemuva kokuhlinzwa.

"Isiguli kuzofanele futhi sigeze amehlo aso nge-serum yomzimba izikhathi eziningana ngosuku ukuze sihlanze izibazi zaso nge-compress ethambile" kuchaza uchwepheshe.

Imicu iyasuswa ngemuva kwesonto, futhi isikhathi esiningi isiguli singaqhubeka nemisebenzi ejwayelekile.

Kubalulekile ukwelapha izinkinga zamehlo ezomile ngaphambili, okungaba imbangela yokuhlangana kokuhlinzwa ngemuva, ngakho-ke ukubaluleka kokuhlolwa kwamehlo ngaphambi kokuhlinzwa.

Ubungozi bokusebenza buphansi kakhulu futhi izinkinga ziyaqabukela, zixhunyaniswe ne-anesthesia kanye nesenzo sokuhlinzwa. Ukufuna usizo kudokotela ohlinzayo ofanelekayo kuqinisekisa ukuthi unamakhono adingekayo okugwema lezi zinkinga, noma okungenani ukuzelapha ngempumelelo.

Intengo ye-blepharoplasty iyahluka ngokuya ngamajwabu amehlo okufanele alungiswe, kanye nodokotela, isakhiwo sabo sokungenelela kanye nesifunda sabo. Kungaba kusuka ku-1500 kuye ku-2800 euros kumajwabu amehlo amabili aphezulu, kusuka ku-2000 kuye ku-2600 euros kumajwabu amehlo aphansi nokusuka ku-3000 kuye ku-4000 euros kumajwabu amehlo ama-4.

Kuthathwa njengokuhlinzwa kwepulasitiki okungabuyiseli, i-blepharoplasty kuyaqabukela imbozwe ukuphepha komphakathi. Kodwa-ke, ingahle ibuyiselwe ingxenye ethile ngokuvumelana okuthile.