Blepharoplasty yog suav tias yog kev ua haujlwm yooj yim hauv kev phais yas. Cov txheej txheem tso cai rau koj tshem tawm cov hnab hauv qab ob lub qhov muag, tshem tawm daim tawv muag ntawm lub qhov muag, thiab kuj kho cov duab ntawm lub qhov muag. Txawm li cas los xij, cov teeb meem tom qab blepharoplasty kuj tuaj yeem tshwm sim. Qee lub sij hawm qhov ua rau yog tus yam ntxwv ntawm tus neeg mob lub cev, tab sis qee zaum qhov teeb meem yuav tshwm sim los ntawm kev ua yuam kev ntawm tus kws phais.
Lub ntsiab ntawm cov txheej txheem
Blepharoplasty yog ib txoj hauv kev uas tsis tshua muaj kev puas tsuaj los ua kom rov zoo li qub. Nyob rau hauv tus txheej txheem, tus kws phais txiav lub sab sauv daim tawv muag raws lub crease los yog qis ib tug, nyob rau hauv qab ntawm cov plaub muag, thiab ces tshem tawm cov subcutaneous rog. Ua tsaug rau qhov no, lub ntsej muag tom qab blepharoplasty zoo li yau thiab fresher, hnab hauv qab lub qhov muag ploj, qhov zoo li qhib dua. Tom qab ua tiav ntawm kev phais yas, siv cov suture kom zoo, uas kho tau tag nrho lub sijhawm, tseem siv tau.inconspicuous.
Cov txheej txheem transconjunctival feem ntau siv. Hauv cov txheej txheem, qhov kev txiav yog tsim los ntawm sab hauv ntawm daim tawv muag siv lub laser, kom cov seam tsis pom. Qhov kev pheej hmoo ntawm cov teeb meem tom qab transconjunctival blepharoplasty yog tsawg heev yog tias qhov kev ua haujlwm tau ua los ntawm tus kws kho mob uas paub txog. Qhov tshwm sim yuav nyob ntawm tus neeg mob, nws yuav coj li cas hauv lub sijhawm tom qab phais, nws yuav ua raws li cov kev cai ntawm kev kho kom rov zoo.
Dab tsi yog qhov qub tom qab phais
Qee qhov teeb meem tom qab blepharoplasty tshwm sim thawj hnub yuav luag txhua zaus thiab suav tias yog tus qauv. Cov no yog cov hnab saum toj thiab hauv qab ntawm lub qhov muag, bruises, uas yog tshwj xeeb tshaj yog nyob rau hauv cov neeg mob haus luam yeeb, tearing. Tag nrho cov xwm txheej no yog qhov tshwm sim ntxov ntawm kev phais thiab ploj mus hauv lub sijhawm luv luv. Seb puas yuav tsum tau kho mob yog nyob ntawm tus kws kho mob.
kev nyuaj siab ntxov
Hom teeb meem thaum ntxov tom qab blepharoplasty yog cov tshuaj tiv thaiv ntawm lub cev uas tshwm sim nws tus kheej hauv thawj hnub tom qab kev phais. Cov no muaj xws li liab ntawm lub qhov muag, bruising ib ncig ntawm lub qhov muag, o ntawm lub ntsej muag. Kev tsim kua muag ntau feem ntau tshwm sim, qee zaum, ntawm qhov tsis sib xws, ntau dhau dryness, vim tias cov mucous membrane tuaj yeem khaus. Xws li manifestations dhau ntawm lawv tus kheej nyob rau hauv ib lub sij hawm luv luv. Cov kev tshwm sim ntau dua yog los ntshav thiab eversion ntawm daim tawv muag qis.
Edema
Puffiness yog ib qho tshuaj tiv thaiv ntawm cov ntaub so ntswg rau sab nraud raug mob lossis cov txheej txheem pathological hauv lub cev. Qhov no yogIb qho teeb meem tom qab blepharoplasty, kev phais kom hloov cov duab ntawm daim tawv muag, yog tsim los ntawm kev nce qib ntawm vascular permeability. Los ntawm cov phab ntsa vascular, ntau cov kua ib feem ntawm cov ntshav nkag mus rau qhov chaw puas ntau dua li niaj zaus. Qhov no yog ib qho tseem ceeb kom kho tau sai.
o ntawm daim tawv muag tom qab blepharoplasty tsis yog pathology. Yog tias lawv nyob ntev li 10 hnub lossis ntev dua, nws tseem tsim nyog hu rau tus kws kho mob kom paub cov lus qhia kom paub qhov ua rau muaj qhov tshwm sim. Cov tsos mob ntxiv nrog rau qhov o yog mob taub hau, qhov muag tsis pom kev, diplopia.
Hematoma
Qhov tseem ceeb ntawm hematomas yog kev puas tsuaj rau cov hlab ntsha hauv daim tawv muag. Los ntshav tuaj yeem tshwm sim tam sim lossis 2-3 hnub tom qab kev phais. Raws li qhov ntsuas qhov kev puas tsuaj, cov kws tshaj lij faib lawv ua cov hauv qab no:
- Subcutaneous - thaum cov ntshav tsub zuj zuj tshwm sim hauv qab ntawm daim tawv nqaij hauv thaj tsam ntawm qhov kev phais. Xws li hematoma muaj kev nyab xeeb, feem ntau daws nws tus kheej hauv ib mus rau ob lub lis piam. Koj tuaj yeem txo lub sijhawm rov tsim dua tshiab los ntawm kev zaws tus kheej, nrog rau kev kho thaj chaw nrog cov tshuaj pleev tshwj xeeb uas kws kho mob tau sau tseg. Hauv cov xwm txheej cais, nws yuav tsim nyog qhib qhov txhab thiab tshem tawm cov hlab ntshav.
- Tuag. Zoo ib yam li subcutaneous, tab sis cov ntshav accumulates nyob rau hauv ib tug ntau loj ntim. Hauv qhov no, cov txheej txheem rau qhib cov npoo ntawm lub qhov txhab yuav tsum koom nrog txhawm rau txhawm rau rub tawm cov ntshav thiab suture cov hlab ntsha puas tsuaj.
- Retrobulbar. Qhov ua rau ntawm xws li hematomas yogkev puas tsuaj rau cov hlab ntsha loj uas nyob tom qab lub qhov muag. Yog hais tias blepharoplasty yog me, ces pathology tshwm sim tsis tshua muaj heev. Cov tsos mob tseem ceeb ntawm retrobulbar hemorrhage yog protrusion ntawm lub qhov muag, mob hnyav, teeb meem tsis pom kev, txwv tsis pub txav ntawm lub qhov muag, liab ntawm lub qhov muag. Thaum koj pom cov cim zoo li no, koj yuav tsum sab laj nrog kws kho mob tam sim ntawd, txwv tsis pub koj tuaj yeem poob koj qhov muag ib ntus, thiab hauv cov xwm txheej nyuaj yuav muaj kev pheej hmoo ntawm kev mob ntshav qab zib thrombosis thiab mob glaucoma.
Diplopia
Kev cuam tshuam tsis pom kev, muaj nyob rau hauv bifurcation ntawm cov khoom pom, yog qhov tsis tshua muaj tshwm sim los ntawm kev phais ntawm daim tawv muag. Daim ntawv dav dav ntawm pathology yog provoked los ntawm kev siv tshuaj loog hauv zos, uas yog tswj hwm los ntawm kev txhaj tshuaj rau hauv cov rog txheej. Tus neeg sawv cev tshuaj loog nthuav dav thiab nrawm, cuam tshuam rau cov hlab ntsha cranial. Kev pheej hmoo ntawm diplopia yog tam sim no nrog kho blepharoplasty.
Ob qhov pom kev tuaj yeem tshwm sim los ntawm kev puas tsuaj rau cov leeg ntawm lub qhov muag - qis oblique (ntau zaus) lossis txoj kab ncaj (tsawg dua). Cov neeg mob kuj tuaj yeem yws yws ntawm diplopia hauv ib lub qhov muag tom qab blepharoplasty vim qhov cuam tshuam ntawm cov kua muag yeeb yaj kiab. Daim ntawv me me ntawm pathology hla nrog blinking thiab tag nrho ploj mus ob peb hnub tom qab ua haujlwm.
daim tawv muag qis eversion
Postoperative teeb meem nyob rau hauv daim ntawv ntawm eversion ntawm daim tawv muag qis, nyob rau hauv uas tus neeg mob lub qhov muag tsis kaw, yog tshem tawmgymnastics thiab massages. Yog li, qhov nce hauv lub suab ntawm cov leeg nqaij yog ua tiav. Hauv cov xwm txheej nyuaj dua, yuav tsum ua haujlwm thib ob nrog daim tawv nqaij graft.
Rov ua dua kuj tseem tsim nyog rau qhov teeb meem hu ua qhov muag puag ncig. Qhov no yog deformation ntawm lub qhov muag incision, uas yog nrog los ntawm liab ntawm lub mucous daim nyias nyias, dryness thiab tsis xis nyob. Ob lub qhov muag tom qab phais zoo li qhov tsis zoo tshwm sim.
Kev kis kab mob tom qab phais
Raws li qhov tshwm sim ntawm kev tsis ua raws li cov cai ntawm kev tsis muaj menyuam thaum lub sijhawm ua haujlwm, muaj kev pheej hmoo kis mob ntawm qhov txhab. Qhov no pathological tshwm sim manifests nws tus kheej raws li ib tug inflammatory txheej txheem, nce nyob rau hauv lub cev kub thiab tso cov kua paug los ntawm sutures.
Tus mob yuav tsum tau kho tam sim nrog tshuaj, yuav tsum tau siv tshuaj tua kab mob. Lub qhov txhab tom qab kis kab mob yuav siv sijhawm ntev dua los kho, thiab, raws li, lub sijhawm rov kho dua tom qab blepharoplasty yuav siv sijhawm ntev dua.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.
Qhov no yog qhov teeb meem txaus ntshai tshaj plaws tom qab blepharoplasty, vim nws yog fraught nrog kev tsis pom kev. Qhov kev tshwm sim no tuaj yeem tshwm sim los ntawm tus kws phais qhov yuam kev lossis los ntawm kev phais mob rau tus neeg mob uas muaj contraindications. Cov tom kawg suav nrog kev kub siab, nrog rau kev noj cov tshuaj tiv thaiv coagulants thiab dej cawv sai sai ua ntej kev phais.
Orbital hemorrhage feem ntau tshwm sim nws tus kheej nyob rau thawj hnub tom qab kho thiab nyuaj kho. Txoj kev ua tau zoo tshaj plaws yuav yog kev ua haujlwm thib ob, tab sis tshwj xeeb tshaj yog mob hnyav, rov qab lospoob qhov muag tsis pom kev.
Tuag kua muag
Qhov tshwm sim yog tshwm sim los ntawm kev hloov pauv ntawm lub lacrimal qhib vim yog kev ua haujlwm sab nraud lossis los ntawm kev ua txhaum ntawm cov kua dej txaus vim muaj kab mob ua paug ntawm cov ntaub so ntswg. Txhawm rau kom tshem tawm cov kab mob tsim kua muag, kev phais thib ob yuav tsim nyog.
xov xwm lig
Thaum lub sijhawm ntawm kev rov ua haujlwm zoo dua, nws yuav kawg tuaj yeem soj ntsuam cov txiaj ntsig ntawm kev cuam tshuam kev phais. Qhov tshwm sim tsis zoo tuaj yeem tshwm sim tom qab 10-15 hnub. Qhov no yog qhuav keratoconjunctivitis, suture tsis ua hauj lwm, thiab lwm yam.
Yog tias qhov kev ua haujlwm tau ua los ntawm cov txheej txheem ib txwm muaj, nrog lub scalpel, nws muaj peev xwm txhim kho cov hlab ntsha thiab cov nti. Qhov kev pheej hmoo yuav nce ntxiv yog tias tus neeg mob muaj keeb kwm ntawm keloid nti. Nws yog ib qho ua tau los tiv thaiv kev tsim cov caws pliav tom qab blepharoplasty los ntawm kev ntxiv cov gels tshwj xeeb rau hauv qhov chaw phais, qhov kev txiav txim ntawm lub hom phiaj yog txhawm rau txhim kho cov txheej txheem rov ua dua tshiab hauv tus neeg mob daim tawv nqaij.
Cov cim qhia hauv qab no qhia txog kev tsim cov kab mob keloid:
- kev loj hlob ntawm daim tawv muag;
- loj hlob ntawm cov ntaub so ntswg ntawm cov seams, thickening ntawm cov ntaub so ntswg;
- khaus, kub hnyiab thiab txawm mob hauv qhov chaw ua haujlwm.
txhawm rau txhawm rau tshem tawm cov caws pliav, cov tshuaj pleev thiab cov tshuaj pleev ib ce, cov txheej txheem laser resurfacing, txhaj tshuaj steroids, cryotherapy (ua haujlwm nrog kuanitrogen).
Raws li kev tshuaj xyuas, qhov teeb meem tom qab blepharoplasty ntawm daim tawv muag qis hauv daim ntawv foob (bumps) tsis tshua muaj tshwm sim. Yog hais tias yog vim li cas nyob rau hauv lub tsim ntawm caws pliav ntaub so ntswg ntawm daim tawv muag, ces qhov tshwm sim no tsis yog ib tug ceeb toom ceeb toom. Hauv zos edema kuj suav hais tias tsis muaj mob, uas feem ntau pom nyob rau lub sijhawm tom qab phais thiab dhau ntawm nws tus kheej.
Ntau qhov laj thawj tseem ceeb yog:
- cyst, uas tau tsim los ntawm kev ua tsis raug suture;
- tsim ntawm pyogenic granuloma;
- bulging ntawm daim tawv muag vim yog kev sib txuas ntawm pob txha mos ntawm ciliary npoo ntawm lub qhov muag thiab cov leeg.
Kev sib cais
Qhov teeb meem tuaj yeem tshwm sim nws tus kheej vim qhov tsis raug suturing thaum phais. Kev mob hnyav thiab teeb meem nrog qhov zoo ntawm cov khoom siv stitching tuaj yeem ua rau muaj qhov tshwm sim ntawm pathological. Re-suturing yuav tsum tau tiv thaiv cov ntaub so ntswg kab mob uas tshwm sim los ntawm dehiscence.
Kev nkag mus rau
Kev kis kab mob tuaj yeem tshwm sim los ntawm kev ua txhaum cai ntawm kev huv huv thaum blepharoplasty. Yog vim li cas tej zaum yuav dag nyob rau hauv qhov tsis ua raws li cov lus pom zoo kho mob los ntawm tus neeg mob, uas nws tau txais los ntawm tus kws kho mob.
Kev kho mob muaj nyob rau hauv kev siv cov tshuaj tua kab mob, tshuaj tua kab mob. Yog tias chav kawm ntawm tus kab mob muaj ib daim ntawv nyuaj, yuav tsum qhib qhov txhab thiab kho cov ntaub so ntswg sab hauv ntawm daim tawv muag.
Asymmetry
Ib qho teeb meem hauv daim ntawv ntawm qhov muag asymmetry tshwm sim los ntawmmuab tso tsis raug sutures los yog teeb meem nrog cov txheej txheem ntawm caws pliav ntawm cov ntaub so ntswg. Pathology kuj tseem tuaj yeem txhim kho vim qhov tsis saib xyuas ntawm tus kws phais mob rau tus neeg mob, uas twb muaj qhov tsis txaus ntseeg hauv lub cev. Lub cev xeeb tub lossis tau txais hom asymmetry tuaj yeem nce ntxiv tom qab blepharoplasty yog tias nws ua tsis raug.
daim tawv muag sab sauv
Qhov teeb meem zoo li poob ntawm daim tawv muag sab sauv tshwm sim tsis tshua muaj. Qhov tsis xav tau ntawm blepharoplasty qhia qhov tsis zoo ntawm kev cuam tshuam. Thaum lub sij hawm nruj, tus kws phais tau ua rau lub cev nqaij daim tawv, yog li provoking ptosis. Hauv qhov no, kev kho mob tsuas yog ua haujlwm xwb.
Kev Tiv Thaiv
Txhawm rau txo qhov tshwm sim ntawm cov teeb meem tom qab blepharoplasty, kev ua haujlwm yooj yim heev, koj yuav tsum ua raws qee cov lus pom zoo:
- Xaiv lub tsev kho mob kom ntseeg tau. Niaj hnub no hauv Russia muaj ntau lub tsev kho mob uas cov kws kho mob tuaj yeem ua blepharoplasty. Nws yog ib qho tseem ceeb uas cov neeg ua haujlwm muaj peev xwm thiab muaj kev paub dhau los. Raws li kev txheeb xyuas, ntau tus neeg mob los ntawm Moscow tau ua haujlwm ntawm SM-Clinic ntawm Clara Zetkin. Nws yog hais tias yuav nruab nrog lub xeev ntawm cov khoom siv kos duab.
- Xaiv tus kws kho mob uas muaj kev ntseeg siab thiab tsim nyog. Tus kws kho mob yuav tsum muaj daim ntawv pov thawj tsim nyog thiab yuav tsum muaj kev paub ntev hauv kev phais qhov muag.
- Dhau kev kuaj mob tag nrho ntawm lub cev. Yog li ntawd, nws yuav muaj peev xwm txiav txim siab qhov muaj contraindications.
- Tau txais kev sab laj nrog kws kho qhov muag. Tus kws kho mob yuav soj ntsuam qhov mob ntawm lub qhov muag, thiabyuav pab txiav txim siab theem ntawm kev pheej hmoo ntawm cov teeb meem.
- Ua raws li txhua tus kws kho mob cov lus pom zoo, ua raws li cov cai ntawm kev kho kom rov zoo.
Cov teeb meem tom qab blepharoplasty tsis tshua muaj. Tab sis tseem muaj kev pheej hmoo ntawm qhov tsis zoo rau qhov tshwm sim. Ib lub luag haujlwm rau cov lus nug ntawm qhov twg ua blepharoplasty yuav pab kom tsis txhob muaj qhov tshwm sim tsis zoo. Nws yog ib qho tsim nyog yuav tsum xyuam xim rau cov chaw kho mob niaj hnub no, qhov twg cov kws kho mob paub txog kev ua haujlwm. Tshwj xeeb, SM-Clinic ntawm Clara Zetkin, 33, bldg. 28.
Nws tau qhib rau xyoo 2006, thiab cov kws kho mob muaj peev xwm thiab paub txog, cov kws tshaj lij ntawm qeb siab tshaj plaws ua haujlwm ntawm no. Lub tsev kho mob muaj cov cuab yeej siv niaj hnub no uas tso cai rau cov kws kho mob los daws cov haujlwm ntawm txhua qhov nyuaj. Ntawm no, cov neeg ua haujlwm zoo siab thiab xis nyob heev.
