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چربی های تجمع یافته در قسمت زیرین گلو و چانه باعث چاق به نظر رسیدن فرد می شود و در نتیجه ظاهر فرد را نازیبا می کند . بسیاری از متقاضیان با مراجعه مطب پزشک سوالاتی را مطرح می کنند که آیا این چربی های اضافی به کمک رژیم غذایی از بین می رود یا خیر ؟
در پاسخ به این سوال باید گفت که این چربی های اضافی به کمک رژیم غذایی و یا ورزش از بین می رود . اما باید به این نکته توجه داشت که پوست صورت بر اثر چربی سوزی دچار شلی می شود و در نتیجه به صورت تکه تکه ظاهر می شود .
علاوه بر این در صورت عدم ورزش و تمرین و همچنین رعایت نکردن رژیم غذایی ، این چربی های اضافی به حالت اولیه خود باز می گردند . در نتیجه امکان افزایش چربی در ناحیه تحتانی گردن و صورت وجود خواهد داشت .
لیپوماتیک علاوه بر این که چربی های زیر پوست به صورت دائمی از بین می روند ، از طرفی چربی های زائد در تمامی قسمت های صورت و گردن را نیز از بین می برد . در نهایت هیچ اثری از عمل باقی نخواهد ماند .

نحوه انجام لیپوماتیک صورت


در مرحله اول بیمار تحت بی حسی موضعی قرار می گیرد . در صورتی که لیپوماتیک در قسمت گونه انجام بگیرد ، در ناحیه دهان برش های کوچکی در داخل دهان ایجاد می شود

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

دسته‌بندی نشده اکتبر 26, 2019

لیپوماتیک شکم
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 :
فشارخون بالا
دیابت کنترل نشده
بیماری سرطان
بیماری لوپوس
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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خونریزی بعد از عمل بینی

دسته‌بندی نشده اکتبر 14, 2019

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

دسته‌بندی نشده اکتبر 7, 2019

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 .
فعالیت
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 .
مصرف خوراکی
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 .
حمام کردن
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 .
عینک زدن
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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