Ukwandisa ama-tissue kungeneka, amadivaysi anjenge-balloon-like asetshenziswa ekuhlinzekeni kabusha kwebele . Ngemuva kwe- mastectomy , i-expander ye-tissue ingasetshenziswa ngesikhathi sokuvuselelwa kwesifuba esisheshayo noma sokulibaziseka ukuze welula isikhumba sebele lesifuba nesifuba sesikhumba ukuze kwenziwe indlela yokufaka isifuba esingunaphakade.
Mayelana nokwakhiwa kabusha kwebele
Iningi lezakhiwo zokuvuselelwa kwebele lenziwa ngokusebenzisa izilonda zesifuba esihlala njalo, kodwa ngokungafani nokukhuliswa kwesisu, ukuvuselelwa kwebele kuyisinyathelo esiningi. I- mastectomy yomdlavuza wesifu isusa zonke izicubu zakho zesifuba futhi iyathinta ukulinganisa kwakho ngokushesha. Abanye besifazane bakhetha i- breast prosthesis yangaphandle kanye ne-post-mastectomy pocket. Abesifazane abaningi bakhetha ukuvuselelwa kwesifuba ngokushesha noma sokulibaziseka ngezimplantshi, kuye ngokuthi bangakhetha kanjani ukwelapha. Ukuthola i-expander ye-tissue yisinyathelo sokuqala sokuvuselelwa kwebele nge-implant.
Ama-Tissue Expanders nama-Breast Implants
Ukwandisa kwezicubu kunamabolbri angaphandle angamacilisi noma i-valve yangaphakathi noma i-port yangaphandle ukuvumela ama-saline fluid injection. Uzohlinzekwa ngezindlela ezihlukahlukene nobukhulu bezakhi zezicubu uma ukhetha ukufakelwa kwebele njengendlela yakho yokuvuselela isifuba.
I-expander yakho ye-tissue kufanele ifane nomumo wesilwane esihlala unomphela esizoyisebenzisa. Zombili amadivaysi azungeze, ama-oval, nama-anatomical shapes. Lawa madivaysi afana ne-ballo anezindawo ezibushelelezi noma ezifakiwe. Ukwandiswa kwezicubu akuhloswe ukuba kube izimila ezingapheli - eziningi zizosuswa ekuhlinzekeni kwesibili futhi zithathelwe ukufakelwa kwesifuba esingunaphakade. Abandiseli ngechweba langaphandle bangase bahlale endaweni ngemuva kokuthi ichweba livalwe futhi lisuswe.
Ukufakwa kwe-Tissue Expander
Ngemuva kwe-mastectomy, i-expander ye-tissue ifakwe ngaphansi kwemisipha yodonga lwesifuba, lapho ikhona ngaphakathi kwephaketheni lezincubu. Ngenxa yokuthi u-expander wakho nokufakelwa kwakho zizungezwe umsizi, esikhundleni sokuba phezulu kwesisipha noma ingxenye ethile ngaphansi kwesisindo, isisindo sedivayisi sizosekelwa kahle. Lokhu kusekelwa kwemisipha kuvimbela "ukuphuma ngaphandle." Uma ukufakelwa akusekelwa umsila, kungagcina kugcoba phansi njengoba amandla adonsela phansi ethatha ukusebenza futhi izicubu ziphumula ngokukhula.
Kwezinye izimo, i-expander yezicubu zizovuza noma ziphule. Isixazululo saline esivuzayo ngeke sikulimaze. Qinisekisa ukuthi uthole usizo lwe-tanderue expander yokuphumula.
Ukwelashwa KwamaTissue Ukwelashwa
Uma ukugcoba kwakho kwe-mastectomy sekuphulukisiwe, u-saline uzofakwa kancane kancane ku-tanderue expander yakho ukuze welula izicubu ezizungezile futhi udale isikhala sokufakelwa isifuba unomphela. Lokhu kungenziwa ngaphezulu kochungechunge lwezincomo.
Uma i-expander yakho ine-valve yangaphakathi, udokotela wakho ohlinzayo uzothola ichweba futhi engeza u-saline uyobe esebenzisa inaliti efakwe esikhumbeni sakho kuya echwebeni. Kwabalimi abanamapheme angaphandle, u-saline wanezelwa ngokuqondile esangweni. Uzozizwa ulula futhi mhlawumbe ungakhululekile ngesikhathi ugcwalisa. Ukuphazamiseka kufanele kuphele ngokushesha. Abanye besifazane babhekana nobuhlungu ngesikhathi i-saline igcwalisa futhi usuku noma ngaphezulu ngemuva kokwelashwa kokunwetshwa. Kodwa uma ubuhlungu buqhubeka, xhumana nodokotela wakho ohlinzayo ukuze uthole usizo.
Izinsalela Zesikhashana Izishukela
- Izikrini zokuphepha kwesikhumulo sezindiza kanye nezimboni zensimbi ngezinye izikhathi zingathola ama-valves ensimbi wezakhi zamashubhu. Lungisa ngaphambi kwezindiza yakho ngokuthola incwadi kadokotela noma inothi kumadayimende kadokotela, okusho ukuthi unento yensimbi efakiwe. Bonisa le ncwadi kumasevisi wokuphepha.
- Ukwandisa izicubu kuzobe sekugcwala, ngakho isikhumba sakho singakwazi ukwelula futhi sigqoke lapho kufakwa isifuba sakho unomphela. Uma une-expander eyodwa kuphela, uzobe u- asymmetrical kuze kube yilapho umthumeli wakho ethatha indawo.
- Ukufakelwa ngechweba langaphandle kunengozi encane yokutheleleka, kodwa lokhu kungagcinwa ngokunakekelwa okufanelekile kanye nemithi elwa namagciwane.
- Ukwandisa izicubu kungase kuqhume futhi emaphethelweni abo angabonisa noma azwe kalula. Izimila ezihlala njalo kumele zizizwe zikhululekile.
> Imithombo:
> Ukwelashwa kwebelevuza yesisu (PDQ®). Ukwakhiwa kabusha. I-National Cancer Institute.
Ukuqhathaniswa kwePhongo elifihliwe ekuHluleni i-Tissue Expander. U-Ahmed Elshahat, MD. Eplasty. 2009; 9: e37.