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در لیپوماتیک غبغب چانه و گردن برش ها در همین نواحی در یکی از چین و چروکهای غبغب یا چانه زده می شود . سپس از دستگاه ساکشن استفاده می شود. این دستگاه دارای لوله ویژه ی مخصوصی به نام کانول می باشد.
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لیپوماتیک شکم را در این مقاله برای شما مراجعین عزیز قرار می دهیم تا اطلاعات و آگاهی های لازم را در این حوزه کسب نمایید . شکم یکی از قسمت هایی از بدن است که چربی بسیار زیادی در آن تجمع می یابد و این امر موجب به هم زدن تناسب اندامی می شود . برای برطرف کردن چربی های اضافی این ناحیه توصیه می شود که از روش لیپوماتیک استفاده نمایید .
لیپوماتیک یکی از روش های کم تهاجم می باشد که با استفاده از آن چربی های تجمع یافته در این قسمت را می توان از بین برد .
نحوه لیپوماتیک شکم
جراحی لیپوماتیک به روش باز انجام می گیرد . در این عمل جراحی از دستگاه مخصوصی استفاده می شود که این دستگاه دارای یک لوله ای به نام کانولا می باشد . لوله کانولا بسیار ظریف می باشد حرکات چرخشی این لوله چربی را تخریب می کند و با قدرت مکش از بدن چربی استخراج می شود .
یکی از مواردی که بعد از جراحی لیپوماتیک موجب نگرانی و اضطراب افراد می شود ، افتادگی و آویزان شدن پوست ناحیه مورد نظر بعد از جراحی می باشد . اما این نگرانی کاملا بیهوده می باشد و باید گفت که بعد از عمل جای هیچ گونه نگرانی وجود ندارد . بعد از لیپوماتیک ، پوست دچار آویزانی و افتادگی نمی شود . به این دلیل که دستگاه مورد استفاده در لیپوماتیک خاصیت لیفتینگ پوست را دارا می باشد .
مراقبت های قبل از لیپوماتیک
قبل از جراحی لیپوماتیک لازم است که به نکات زیر توجه داشته باشید :
دیابت کنترل نشده
سابقه جراحی شکم یا پهلو
جراحی هایی که در گذشته انجام داده است .
سابقه بیماری های قلبی و عروقی
بیماریهای همراه با ضعف سیستم ایمنی
بنابراین کاندید این عمل جراحی لازم است که از نظر تمامی موارد مورد بررسی قرار بگیرد و در نتیجه آزمایشات لازم را نیز انجام دهد .
در نتیجه پس از تایید بررسی های لازم ، جراحی شکم انجام می گیرد .
معمولا قبل از انجام لیپوماتیک شکم ، طی یک جلسه مشاوره پزشک در جریان مصرف داروهای ضدانعقادی مثل آسپرین ، وارفارین ، پلاویکس و سوابق بیماری های فرد قرار می گیرد و در نتیجه احتیاط های لازم در جهت رفع مشکلات احتمالی را در نظر می گیرد .
بنابراین انجام برخی آزمایش ها قبل از جراحی لیپوماتیک لازم و ضروری می باشد .
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یکی از سوالات متداول و نگرانی های بیمار بعد از جراحی بینی ، میزان و شدت خونریزی از بینی است . خونریزی بعد از جراحی بینی شایع نیست و به ندرت رخ می دهد . معمولا خونریزی بینی در حین عمل به دلیل بالابودن فشار خون صورت می گیرد که در چنین وضعیتی ، مصرف داروهای کاهش فشار خون توصیه نمی گردد .
اگر خونریزی در طی عمل زیاد باشد ، پس از عمل در ناحیه اطراف چشم بیمار کبودی رخ می دهد . عواملی که باعث افزایش خونریزی در حین عمل می شود مصرف داروهای ضد انعقاد و آسپرین تا روز عمل است که مصرف این داروها ، خون را رقیق تر می کند و باعث عدم کنترل خونریزی می شود . بنابراین بیمار باید داروهایی که قبل از عمل استفاده کرده است را به پزشک خود اطلاع دهد و توصیه می شود که به مدت 3 هفته قبل از عمل از مصرف این داروها خودداری نماید . در هنگام خونریزی بعد از عمل بینی ، جراح تامپون های مخصوص را در داخل بینی قرار می دهد که از خونریزی جلوگیری شود .
میزان خون ریزی بعد از عمل بینی
معمولا خونریزی بعد از عمل در بینی هایی که دارای انحراف بسیار شدید و یا بزرگ بودن شاخک های داخل بینی هستند رخ می دهد زیرا برای اصلاح راه تنفس ، جراح باید شاخک داخل بینی را به روش های گوناگونی کوچک کند که بعد از عمل جراحی احتمال خونریزی در آن وجود دارد . بسیاری از بیماران سوال می کنند که خونریزی های جزیی از کناره های پانسمان خارج می شود ، در پاسخ به آن ها باید گفت که جای هیچ گونه نگرانی وجود ندارد و تازمانی که در داخل بینی پانسمان وجود داشته باشد ، خونریزی جای نگرانی ندارد .
در صورت خارج کردن پانسمان داخل بینی ، جراح بینی ، از قطره های منقبض کننده عروق استفاده می نماید . استفاده از این قطره ها به مدت 3 تا پنج روز الزامی است تا از خونریزی های بعد از عمل ممانعت به عمل آید . همچنین بعد از در آوردن تامپون بینی توصیه می شود که از سرم های شست و شوی بینی استفاده شود .
رعایت موارد جهت کاهش خون ریزی بعد از عمل بینی
به مدت سه هفته پس از عمل جراحی از فین کردن خودداری نمایید .
از دستکاری کردن بینی بپرهیزید .
در صورت ایجاد خونریزی های شدید پس از عمل بینی از داروهای تجویز شده استفاده نمایید .
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مراقبت های بعد از جراحی بینی
برای دریافت بهترین نتایج ممکن از جراحی بینی لازم است که بیماران پس از جراحی توصیه های پزشکشان را به خوبی انجام دهند . برای دستیابی به این هدف باید به افراد جراحی شده آموزش ها و توصیه های لازم شود .
در این فصل مراقبت ها و توصیه های ضروری در حیطه های مختلف بررسی شده است .
1- محدود کردن فعالیت ها بیش از یک هفته پس از جراحی ( فعالیت های شدید )
2- قدم زدن در اطراف خانه در روز جراحی و پس از آن . این عمل از ایجاد لخته های خونی در پا جلوگیری می کند . پاها را به هنگام دراز کشیدن حرکت دهید و خم و راست کنید . این کار همچنین در جلوگیری از گسترش لخته های خونی جلوگیری می کند .
3- به هنگام استراحت و خواب ، سر خود را بر روی 2 تا 3 بالش ( تقریبا شیب 45 درجه ) بگذارید و از چرخش به پهلوها اجتناب کنید . اگر بیش از حد فعالیت داشته باشید ممکن است سبب خونریزی یا ورم طولانی مدت شود .
4- در 24 ساعت اول پس از جراحی پس از رسیدن به منزل نفس های عمیق بکشید . این کار به باز شدن قاعده ریه ها کمک می کند .
5- احساسات خود را کنترل کنید . افسردگی مختصر پس از جراحی دور از انتظار نیست . زمانی که شروع به نگاه کردن ( به بینی عمل شده ) و احساس بهتر می کنید ، این احساس می گذرد . برآشفتگی ، گریه کردن یا دیگر فوران های احساسی تنها سبب افزایش ورم یا افزایش احتمال خونریزی می شود .
6- از خم شدن ، بلند کردن ، کشیدن ، هل دادن ، زور زدن و فعالیت های هوازی به مدت 3 هفته اجتناب کنید .
7- ممکن است 3 هفته پس از جراحی طول بکشد تا شما به ورزش کردن برگردید . ورزش کردن خود را به طور منظم تا 5 الی 6 هفته بعد از جراحی به حالت معمول قبل بازگردانید .
8- 6 هفته تا بهبود استخوان بینی زمان لازم است . به آرامی فعالیت های خود را از برگیرید .
9- فعالیت های تماسی و نیمه تماسی 4 تا 6 ماه اجتناب شود . شنا کردن کامل بعد از 6 هفته مجاز است .
10- از مکالمه تلفنی بیش از حد تا 13 روز پس از جراحی اجتناب شود .
11- از خندیدن ، گریه کردن و حرکات بیش از حد صورت تا یک هفته اجتناب شود .
1- از مصرف الکل یک هفته پس از جراحی اجتناب شود . چون الکل سبب افزایش فشار خون و شروع خونریزی می شود .
2- نوشیدن مقدار زیاد مایعات بعد از عمل جراحی ، همانند کم آب بودن بدن می تواند سبب حالت تهوع شود .
3- مقدار کمی غذا 20 دقیقه قبل از مصرف داروهای بعد از جراحی ( به ویژه داروهای آنتی بیوتیک و درد ) می تواند از حالت تهوع جلوگیری کند .
4- اگر شما استفراغ کردید یا احساس تهوع داشتید ، غذا خوردن و مصرف داروها را تا گذشت تهوع به تعویق بیندازید .
5- در فواصل ساعات روز مقدار اندکی مایع شفاف تا زمان فروکش کردن تهوع مصرف کنید . اگر این علائم همچنان باقی می ماند ، برای داروهای ضد تهوع تماس بگیرید چون استفراغ می تواند آسیب رسان باشد و منجر به عارضه شود .
6- از مصرف غذاهای که به جویدن زیاد و طولانی مدت نیاز دارند ، اجتناب کنید .
1- شما می توانید حمام کنید اما زمانی که گچ دارید دوش نگیرید . گچ باید خششک بماند . می توانید از وان جهت استحمام ( برای جلوگیری از خیس شدن گچ روی بینی ) استفاده کنید .
2- تقریبا گچ روی بینی شما باید تا یک هفته بماند ( برداشتن گچ بینی باید توسط پزشکتان توصیه و انجام شود )
3- شما می توانید به دقت صورت خود را با صابون ملایم و لیف حمام تمیز یا گلوله پنبه ای بشورید ، اما از خشک ماندن گچ اطمینان حاصل فرمایید .
4- موهای خود را تا زمان برداشتن گچ روی بینی نشورید ، مگر فرد دیگری این کار را برای شما انجام دهد و پانسمان بینی خیس نشود .
درد ، ورم ، کبودی ، عفونت
1- اغلب بیماران از احساس ناراحتی از احتقان ( گرفتگی ) سینوس ها بیشتر از درد شاکی هستند . هر دردی باید با تجویز دارو کنترل شود . بعد از روز اول جراحی درد با درمان ضد درد مناسب می تواند فروکش کند .
2- تورم و کبودی اطراف چشم و گونه ها متغییر است . تورم و کبودی دو روز پس از جراحی به حداکثر خود می رسد و سپس در طول 5 تا 6 روز بعد از جراحی فروکش می کند و پس 2-3 هفته بعدی بهبود می یابد . در برخی بیماران ممکن است بهبود این علائم تا 6 ماه زمان لازم داشته باشد .
3- اگر تورم زیاد در اطراف چشم ها و گونه داشتید نگران نباشید . این تورم رفع می شود و بر نتایج نهایی ( جراحی زیبایی بینی ) تاثیر ندارد .
کبودی ممکن است چند روز بیشتر باقی بماند .
4- عقفونت نیز غیرمعمول است . تب ، تورم موضعی با قرمزی و حساسیت ( درد ) به لمس ممکن است نشان دهنده یک عفونت در حال گسترش باشد و باید (به پزشک ) گزارش داده شود . و درمان مناسب آغاز شود .
5- نتایج نهایی ( جراحی ) بعد از 12- 6 ماه اتفاق می افتد . پس تا زمان بهبودی کامل ( رفع کبودی و ورم ) در مورد نتایج جراحی قضاوت نکنید .
تا یک ماه پس از جراحی ، از پوشیدن عینک خودداری کنید . در صورتی که عینک پوشیدن لازم باشد ، پل میانی عینک را به آهستگی بر روی پیشانی قرار دهید تا کم ترین فشار بر روی استخوان بینی وارد شود .
2- لنزهای تماسی را می توان 3- 2 روز پس از جراحی استفاده کرد .
دیگر آموزش های معمول پس از جراحی
1- از فین کردن اجتناب کنید که این عمل تنها سبب مشکل در بهبود بافت ها می شوند . در صورت نیاز بینی خود را با دستمال کاغذی به صورت ملایم تمیز کنید .
2- اگر خواستید عطسه کنید دهان خود را باز کنید .
3- جهت پاک کردن بینی تان در داخل بینی دستمال قرار ندهید .
4- انتظار می رود تخلیه بینی حداقل برای دو هفته به علت تورم مسدود شود . استفاده از دستگاه مرطوب کننده به شما کمک می کند که از طریق دهان بسیار راحت نفس بکشید .
5- برخی از خونریزی های بینی بیش از دوازده ساعت اول بعد از جراحی معمول است .
ترشحات صورتی مایل به قرمز از بینی و گلو در طول سه یا چهار روز بعد از جراحی طبیعی است . این علامت به تدریج فروکش خواهد کرد .
7- اگر پس از این زمان هر گونه خونریزی شدیدی داشتید ، بلافاصله دراز بکشید و با 4- 3 بالش زیر سر خود را بالا ببرید . شست و شوی سر در پشت گردن و در اطراف چشم کمک کننده است . در صورت ناکافی بودن این اقدامات با پزشک خود تماس بگیرید .
8- از رانندکی 24 ساعت بعد از جراحی و در زمان دریافت داروهای ضد درد خودداری نمایید .
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