I-seroma yipokhethi yetshezi ejwayele ukudala ngemuva kokulimala, ikakhulukazi emva kwenqubo yokuhlinzwa. Ama-serom agcwele i-serous fluid - i-yellow fluid ephuzi, ebonakalayo equkethe amaprotheni, kodwa ayikho amangqamuzana egazi. Ama-serom ajwayelekile kakhulu ngemva kokuhlinzwa kwebele . Nakuba zivamile, odokotela nabahlinzeki bakhetha ukugwema le nkinga.
Ukubizwa ngegama: seh-RO-muh
Ngokuvamile, ama-serom aphinde avuselelwe umzimba ezinsukwini ezimbalwa kuya emavikini ambalwa. Kodwa-ke, uma i-seroma iqhubeka, ingagcina ibe yinkinga enzima, encane ebalwa. Ngenxa yalokhu, uma kubonakala sengathi i-seroma ayifuni ngokujwayelekile, udokotela angase afake inaliti enhle ephaketheni eliketshezi ukuze alisuse .
I-Seromas Ngemuva kokuhlinzwa kwebele
Ama-serom ajwayelekile emva kokuhlinzwa komdlavuza wesifuba, kufaka phakathi kokuguqulwa kwe- mastectomy , i-breast-conserving therapy ( lumpectomy ), nokususwa kwe-lymph node . Bakha endaweni yokufa ye-post-mastectomy skin flap. Izibalo zibika lesi sigameko ngo-15-18%. Ngokuvamile ixazulula ngaphakathi kwamasonto ambalwa, kodwa kungathatha izinyanga ezimbalwa ukucacisa. Kodwa kungabangela ukungathandeki futhi kungasula isikhumba futhi kubangele ukuba sagwe. Ngezinye izikhathi ukuthuthukiswa kwe-seroma kungandisa isikhathi sokuhlala esibhedlela ngemva kokuhlinzwa.
Izimpawu Nokuphathwa Ngemva Kokuhlinzwa Kwebele
Izimpawu ze-seroma zivela ngesonto noma ngaphezulu emva kokuhlinzwa futhi ngemuva kokuthi noma yikuphi ukudonsa kususiwe.
Uzwa indawo evuvukile futhi kungase kube nomuzwa wokuthi kukhona uketshezi ngaphansi kwesikhumba. Kungaba buhlungu.
Kufanele uxoxe ngezimpawu zakho neqembu lakho lokunakekelwa kwezempilo ukuze ubone ukuthi bafuna ukuthi ungene yini ukuze uligcobe. Lena inqubo elula yehhovisi engenziwa ngudokotela wakho noma umhlengikazi noma umsizi wezokwelapha.
Umhlinzeki wokunakekelwa kwezempilo ufaka inaliti ngesikhumba esiya esitokisini bese esusa uketshezi oludlulele.
Hlola indawo ezungeze indawo yakho yokuhlinzeka ngezibonakaliso zokutheleleka. Uma kuba obomvu, ukuvuvukala noma ukukhipha kufanele uxhumane nodokotela wakho ngokushesha ukuze uthole ukwelashwa. Uma ukuvuvukala kwanda, kungaba isibonakaliso sokukhula kwe- lymphedema , futhi lokhu kuzodinga ukuphathwa yithimba lakho lezempilo.
Ukuvimbela
Odokotela abahlinzayo baye befunda ukuthi yiziphi izindlela zokuhlinzeka ezingcono kakhulu ukwehlisa izimo ze-seromas. Ama-electrocautery asetshenziselwa ukuhlinzwa ukuvimbela ukulahleka kwegazi kubonakala sengathi ukwandisa ingozi ye-seroma njengoba kubangela ukulimala kokushisa kwezicubu. Kufanele balinganise ingozi ye-seroma ngokusebenza kwayo ekuvimbeleni ukuphuma kwegazi.
Ama-bandages wokucindezela asetshenziselwa ukuvimbela i-seroma kepha ayingavamile manje. Ukusebenzisa isikhathi esifushane kwamanzi kunciphisa umphumela we-seroma. Ukudonsa okuvaliwe okuvaliwe noma ukudonsa okuphansi okubonakala kubonakala kunemiphumela emihle ekuvimbeleni ama-serom noma ukunciphisa usayizi nobude bawo. Zonke lezi zinto zilawulwa udokotela.
Uma unemibuzo mayelana nama-serom, yixoxe kabanzi nodokotela wakho ngaphambi nangemva kokuhlinzwa. Kuhle ukukwazi ukuthi yini injongo yezingxube nezinye izinyathelo ezizosetshenziswa.
Imithombo:
Wong K, Truong PT, Kader HA, et al. Ukubambisana kwe-seroma okwenzela i-radiotherapy yebele ngokwengxenye: Impact yeziqondiso. I-Int J Radiat Oncol Biol Phys 66 (2): 372-6, kufanele: 10.1016 / j.ijrobp.2006.05.066, PMID 16965989
I-seroma (i-Fluid Build-Up), uJanuwari 9, 2015, i-Breastcancer.org
Sanjitha Sampathraju noGabriel Rodrigues "Ukufundiswa kweSeroma ngemuva kokususwa kwe-Mastectomy: i-Pathogenesis ne-Prevention," i-Indian J Surg Oncol. 2010 Dec; 1 (4): 328-333.