Hāpai alo
ʻO ka hāpai i ka lae kahi hana ʻoki e hoʻoponopono i ka pale ʻana o ka ʻili lae, nā kuʻemaka, a me nā eyelids o luna. Hiki iā ia ke hoʻomaikaʻi i ka nānā o nā wrinkle i ka lae a ma waena o nā maka.
Lawe ka lae i kahi ʻili a hoʻololi paha i nā mākala a me ka ʻili i kumu o nā ʻelemakule e like me nā kuʻemaka e hiolo ana, nā "eying", nā lae i ka lae, a me nā laina kuʻi.
Hana ʻoki wale ʻia ke kīpoki a i ʻole me nā kaʻina hana ʻē aʻe e like me ke alo o ke alo, ʻoki ʻana o ka maka, a i ʻole ke hoʻololi hou ʻana o ka ihu. Hiki ke hana i ke kīʻaha ma ke keʻena o kahi kauka, kahi kikowaena ʻoki waho, a i ʻole kahi haukapila. Hana ʻia ia ma ke kumu ma waho, me ka noho ʻole o ka pō.
E ala ʻoe, akā hāʻawi ʻia i kahi anesthesia kūloko i ʻole ʻoe e ʻeha. Loaʻa paha iā ʻoe ka lāʻau e hoʻomaha ai iā ʻoe. I kekahi mau hihia, e hoʻohana ʻia ka anesthesia laulā. I ka wā o ke kaʻina hana, ʻike ʻoe i kekahi kīloi ʻana o ka ʻili lae a malia paha me kahi ʻoluʻolu ʻole. Ma ke ʻoki kino:
- E mālama ʻia nā ʻāpana o ka lauoho mai kahi ʻoki. Pono e lauoho i ka lauoho i mua pono o ka laina ʻoki, akā ʻaʻole e kahi ʻia nā wahi nui o ka lauoho.
- E hōʻoki ke kaukipoki i kahi ʻoki kino (incision) ma ka pae pepeiao. E hoʻomau kēlā ʻoki ma luna o ka lae ma ka lauoho i ʻole e nānā ke kiʻekiʻe o ka lae.
- Inā he ʻōhule a ʻōhule paha ʻoe, hiki i ke kaukipoki ke hoʻohana i kahi ʻoki ma waenakonu o ka ʻili e hōʻalo ai i kahi ʻili e ʻike ʻia.
- E hoʻohana kekahi o nā kauka lāʻau i nā ʻoki liʻiliʻi a hana i ke kaha me ka hoʻohana ʻana i ka endoscope (kahi mea lahilahi lōʻihi i loaʻa ka pahu paʻi kiʻi liʻiliʻi ma ka hopena). Hiki ke hoʻohana ʻia i nā implants hiki ke hoʻonā i ka ʻili i hāpai ʻia ma kahi.
- Ma hope o ka hemo ʻana o ka nui o ka iʻa, ka ʻili, a me nā mākala, e pani ka mea lōkō i ka ʻoki me nā humuhumu a i ʻole nā staples. Ma mua o ka hoʻopili ʻana i ka lole, holoi ʻia kou lauoho a me kou alo i ʻole e hoʻonāukiuki ka ʻili poʻo.
Hana pinepine ʻia kēia kaʻina hana i ka poʻe i ko lākou 40 a 60 paha e hoʻolohi i nā hopena o ka ʻelemakule. Hiki iā ia ke kōkua i ka poʻe me nā kūlana hoʻoilina, e like me nā laina furrow ma luna o ka ihu a i ʻole kahi kuʻemaka droopy.
I ka poʻe ʻōpio, hiki i kahi hāpai i ka lae ke hāpai i nā kuʻemaka haʻahaʻa e hāʻawi i ka maka i kahi hiʻohiʻona "kaumaha". Hiki nō ke hana i ke kaʻina hana i ka poʻe nona nā ʻili haʻahaʻa loa a pale lākou i ka ʻaoʻao luna o kā lākou kahua o ka ʻike.
ʻO kahi moho maikaʻi no ka hāpai i ka lae i hoʻokahi a ʻoi paha o kēia mau mea:
- ʻO nā ʻaʻā hohonu ma waena o nā maka
- ʻO nā wrinkle ākea ma ka lae
- Piko ʻaʻohe holo pono
- Nānā i ke aniani
- Kāwele e kau ana i ka ʻaoʻao i waho o nā kuʻemaka
Nā pilikia o ka anesthesia a me ke kahakaha ʻana ma:
- Ka pane ʻana i nā lāʻau
- Nā pilikia hanu
- Kahe ʻana o ke kahe, ke koko, maʻi
ʻO nā pilikia o ka ʻoki poʻohiwi lae e komo pū me:
- ʻO kahi ʻeke o ke koko ma lalo o ka ʻili (hematoma) pono paha e hoʻokahe ʻia me ke kaʻe
- Poino i nā ʻalolo e kaohi i nā mākala o ka maka (he manawa pōkole kēia, akā paʻa mau paha)
- ʻO nā hōʻeha hōʻola maikaʻi ʻole
- ʻEha hele ʻole
- Numbness a i ʻole nā hoʻololi ʻē aʻe i ka ʻili
ʻO ka maʻamau, hāpai ka lae i ka lae e paʻakikī e hāpai i nā kuʻemaka a wili paha ka lae ma kekahi ʻaoʻao ʻelua paha. Inā kū kēia, pono ʻoe i kahi ʻoki hou e hana i nā ʻaoʻao ʻelua. Inā ua ʻoki poepoe ʻoe i mua e hāpai i kou mau lihilihi luna, ʻaʻole paha e koi ʻia ka hāpai ʻana i ka lae no ka mea hiki ke hoʻopili i kou hiki ke pani i kou mau lihilihi.
I ka hapa nui o ka poʻe, ʻo ka ʻoki no ka hāpai i ka lae ma lalo o ka lauoho. Inā loaʻa iā ʻoe kahi lauoho kiʻekiʻe a i ʻole e emi ana, hiki paha iā ʻoe ke ʻike i kahi ʻili lahilahi ma hope o ke kahakaha ʻana. Pono ʻoe e kāhiko i kou lauoho i uhi hapa ʻia i kou lae.
Inā huki paʻa loa ka ʻili lae a i ʻole ka nui o ka pehu ʻana, hana paha kahi ʻili ākea. I kekahi mau hihia, hiki i ka nalo ʻana o ka lauoho ma ka lihi. Hiki ke mālama ʻia i kēia me ke kāpae ʻana i ka ʻili o ke kino a i ʻole nā wahi o ka nalo ʻana o ka lauoho i hiki i kahi scar hou ke hana. Lilo ka lauoho mau ma hope o ka laha ʻana o ka lae.
Ma mua o kou ʻoki ʻana, e kūkākūkā ka mea maʻi iā ʻoe. E hoʻopili kēia i kahi moʻolelo, ka hoʻāʻo kino, a me ka loiloi psychological. Makemake paha ʻoe e lawe me ʻoe i kekahi (e like me kāu wahine) i ka wā o ke kipa.
Manaʻo ʻole e nīnau i nā nīnau. E hoʻomaopopo pono i ka pane i kāu nīnau. Pono ʻoe e hoʻomaopopo piha i nā hoʻomākaukau mua, nā kaʻina hana, a me ka mālama ʻana ma hope o ke kaha ʻana.
No hoʻokahi pule ma mua o ke kahakaha ʻana, e noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā mea lahilahi. Hiki i kēia mau lāʻau ke hoʻonui i ke kahe i ka wā o ke ʻoki.
- ʻO kekahi o kēia mau lāʻau he aspirin, ibuprofen (Advil, Motrin), a me naproxen (Aleve, Naprosyn).
- Inā ʻoe e lawe ana i warfarin (Coumadin, Jantoven), dabigatran (Pradaxa), apixaban (Eliquis), rivaroxaban (Xarelto), a i ʻole clopidogrel (Plavix), e kamaʻilio me kāu kauka lapaʻau ma mua o ka hoʻomaha ʻana a hoʻololi paha i kāu lawe ʻana i kēia mau lāʻau.
I nā lā ma mua o kou ʻoki kino:
- E nīnau i nā lāʻau āu e lawe ai i ka lā o kou ʻoki ʻana.
- E hoʻomaopopo mau i kāu mea mālama ola inā loaʻa ʻoe i ke anu, flu, fever, breakout herpes, a i ʻole nā maʻi ʻē aʻe i ka manawa e alakaʻi i kāu ʻoki.
I ka lā o kou ʻoki kino:
- E noi ʻia paha ʻoe ʻaʻole e inu a ʻai i kekahi mea ma hope o ke aumoe i ka pō ma mua o kou ʻoki kino ʻana. Pākuʻi ʻia kēia me ka hoʻohana ʻana i ka nau kamu a me nā mīkini hanu. E holoi i kou waha me ka wai inā maloʻo. E akahele o ale.
- E lawe i nā lāʻau i kauoha ʻia iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
- E hōʻea i ka manawa no ke ʻoki.
E mālama pono i nā kuhikuhi kikoʻī ʻē aʻe mai kāu kauka.
Hoʻopili ʻia kēia wahi me kahi padding sterile a me ka bandage elastis e pale ai i ke kahe ʻana a me ka pehu ʻana (edema). E ʻike ʻoe i ka ʻōlohelohe a me ka hōʻoluʻolu manawa ʻole ma ka pūnaewele ʻoki, kahi hiki iā ʻoe ke kaohi me ka lāʻau.
E hānai ʻoe i kou poʻo i 2 a 3 mau lā ma hope o ke kaha ʻana e pale ai i ka pehu. ʻO ka palapū a me ka pehu e pili ana i nā maka a me nā pāpālina, akā pono e hoʻomaka e nalo i kekahi mau lā a i hoʻokahi pule.
I ke kū ʻana o nā ʻalalā, pani ʻia ka helu o ka lae a me ke poʻo me ka ʻili a i ʻole ke kani ʻana. E lilo paha i 6 mau mahina no ka nalowale loa ʻana o kēia mau manaʻo. E wehe ʻia nā bandages i hoʻokahi lā a ʻelua paha ma hope o ke kaha ʻana. Ma waena o 10 a 14 mau lā, e kāpae ʻia nā kuʻi a i ʻole nā pakalō i ʻelua mau pae.
Hiki iā ʻoe ke hele wāwae i loko o 1 a 2 mau lā, akā ʻaʻole hiki iā ʻoe ke hana no 7 mau lā ma hope o ke kahakaha ʻana. Hiki iā ʻoe ke shampoo a ʻauʻau i 2 mau lā ma hope o ke kaha ʻana, a i ʻole ke lawe ʻia nā bandages.
Ma waena o 10 mau lā, hiki iā ʻoe ke hoʻi i ka hana a kula paha. E kaupalena ʻoe i ka hoʻoikaika kino ikaika (jogging, bending, heavy housework, sex, a i ʻole kekahi hana e hoʻonui ai i kou kaomi koko) no mau pule. Hōʻalo i nā haʻuki pili no 6 a 8 mau pule. Ka palena i ka wela a i ʻole ka lā no kekahi mau mahina.
E lahilahi ka lauoho lauoho a puni ka ʻoki no kekahi mau pule a i ʻole mau mahina, akā pono ka lauoho e hoʻomaka e ulu maʻamau. ʻAʻole e ulu ka lauoho i ka laina o ka ʻili maoli. ʻO ka hoʻokomo ʻana i kou lauoho i ka lae e hūnā i nā scars he nui.
ʻO ka hapa nui o nā ʻōuli o ke kaha e mae wale ma waena o 2 a 3 mau mahina. Hiki i ka makeup ke uhi i ka pehu liʻiliʻi a me ka ʻeha. I ka manawa mua, e luhi paha ʻoe a hoʻokuʻu i lalo, akā e hala kēlā i kou hoʻomaka ʻana e nānā a maikaʻi.
Hauʻoli ka hapa nui o ka poʻe i nā hopena o ka hāpai i ka lae. ʻIke ʻia lākou he ʻōpio a ʻoi aku ka maha i ko lākou wā ma mua. Hoʻoemi ke kaʻina hana i ka nānā o ke ʻelemakule no nā makahiki. ʻOiai inā ʻaʻole ʻoe e hana hou i ke ʻoki i nā makahiki hope, e ʻoi aku paha kou maikaʻi ma mua inā ʻaʻole ʻoe e hāpai i ka lae.
ʻO ka hāpai kiʻekiʻe Endobrow; Wehe i ka browlift; Hapai kūlohelohe
- Ke hāpai i mua - moʻo
ʻO Niamtu J. Brow a hāpai i ka lae: ke ʻano, ka hana, a me ka loiloi. I: Niamtu J, ed. ʻOki kino helehelena. ʻElua ed. Piladelapia, PA: Elsevier; 2018: chap 4.
ʻO Saltz R, Lolofie A. Endoscopic brow hāpai i luna. I: Rubin JP, Neligan PC, eds. ʻOki kino: Volume 2: ʻoki kino Aesthetic. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 8.