Ukususa izicubu ezinzima ezinzima ezivela emhlabeni wonke
Uma unezicubu ezinomzimba noma izindawo ezinomzimba ezinzima ezibelethweni zesifuba noma ukuvuselelwa kwebele, isazi sakho sokuhlinza singase sikhuthaze i-capsulectomy. Iyini le nqubo eyenziwe, yenziwa kanjani, futhi iphumelela kangakanani ekuxazululeni inkinga?
Yini i-Capsulectomy?
I-Capsulectomy iyisisindo sokukhishwa kwezicubu ezibomvu, noma i-capsule eye yaqina futhi yaqina kanzima i- breast imp lant .
I-capsule iqukethe ama-fibroblasts, i-collagen, nemithambo yegazi futhi iyaziwa ngokuthi isivumelwano se-capsular. Empeleni impendulo yokuzivikela yomzimba yokuzivikela komzimba ngokumelene nokuba khona kwezinto zangaphandle eziholela enkingeni. Ukwakhiwa kwe-capsule kuyinto evamile, kodwa uma kuba yinkimbinkimbi noma izinkontileka, iphoqa ukufakelwa okwenza ukuba ihlanekezwe futhi ibuhlungu.
Isivumelwano sikaCapsular yisinkinga esivamile kakhulu sokunakekelwa kwesisu futhi kwenzeka kulabo abanesisindo sokubeletha ngokokuqala ngqa, labo abaye bavuselelwa ngamabele ngemva kokuhlinzwa komdlavuza wesifuba, nakubantu abaye baphathwa nge-contracsular contracture.
Izinhlobo zeCapsular Contracture
Kunamazinga amaningana okuvumelanisa kwe- capsular ahlukaniswe ngezigaba esekelwe ku-Scal Classification Scale. Lezi zigaba zifaka:
- I-Baker Grade I: I-capsule evamile iyakhela nxazonke kwebele ngemva kokuhlinzwa kokunakekelwa kwebele futhi isisiza ukugcina amabele elula futhi enemvelo.
- Baker Ibanga lesibili: I-capsule encane ekhona futhi ingase iqine kuze kube yilapho kuthinta amabele namanje ebonakala ebukeka bemvelo. Ngamanye amazwi, amabele akho angase azizwe engakhululekile futhi angase abe nzima kakhudlwana ukuthinta, kodwa azobukeka ejwayelekile.
- Baker Ibanga III: I-capsule eqinile ephazamisa ukubukeka kwamabele kungabonakala futhi amabele kunzima ukuthinta. Bangase babonakale bezungeza noma baqhubekele phezulu.
- Baker Ibanga IV: Amabele akhuni, abanda futhi aphikisayo futhi isiguli sibhekene nobuhlungu futhi singathandeki.
Yiqiniso, kunabesifazane abaningi abangahambisani kahle kulezi zigaba. Isibonelo, amabele akho angase athambile kodwa abuhlungu, noma amabele akho angase abe nzima futhi abanda kodwa angabuhlungu. Ucwaningo olulodwa lwathola ukuthi amaphesenti angu-3.2 abesifazane besungula isivumelwano se-grade III noma se-IV emva kokuncipha kwesifuba okudinga i-capsulectomy, futhi ukukhishwa kwe-capsular yisona sizathu esivame kakhulu sokuhlinzwa okulandelayo ngemuva kwenqubo.
Izimbangela zeCapsular Contracture
Ayikho indlela yokubikezela ukuthi umzimba uzophilisa kanjani noma ngabe izicubu ezincane ziyokwenziwa ngaphambi kokuba kwenziwe inqubo yokuhlinzwa. Kukholelwa ukuthi isivumelwano sokuthi i-capsular ingabangelwa uhlobo lokufakelwa kwebele elisetshenziselwa ukuhlinzwa kwebele. Izimila ze-gel ezinama-silicone zivame ukuba nesilinganiso esiphezulu kunezimpande zesifuba se-saline ekuthuthukiseni izicubu zesikhumba. Amakhemikhali angabangela izibalo futhi akhiphe izicubu ezinqamule kakhulu kunalokho obonwe nezimpande zesifuba se-saline. Lezi ezinye zezizathu zempikiswano phakathi kwama- silicone versus saline implants .
Isivumelwano se-Capsular singase sibangelwe nokuthi izimpande zebele zifakwa kanjani. Ukufaka ukufakelwa ngaphezu kwe-muscle akuhlinzeki ngaso sonke isikhathi ukufakelwa ngokubambisana ngokwanele noma ukugcoba, okwandisa ingozi yokubunjwa kobunzima.
Enye inkolelo ihlanganisa ukungcoliswa kwebhaktheriya wegobolondo yokufakelwa.
Ukuvimbela ukuChikisana kweCapsular
Kunezindlela ezithile zokunciphisa ingozi yokuthuthukisa isivumelwano esithintekayo futhi kufaka okulandelayo:
- Imithi yokwelashwa njenge-prednisone noma i-vitamin E ingabekwa kwabanye besifazane.
- Ukufakwa kokufakelwa kwesimo esingaphansi kwesimiso somzimba: Abanye odokotela abahlinzayo basebenzisa i-Alloderm kanye nokunciphisa ingozi yokubunjwa kwezicubu.
- Uhlobo lokufakelwa: Njengoba kuphawuliwe, izimpande ze-silicone cishe zingabangela ukubunjwa kwamathambo okwedlula izimpande ze-saline.
- Ukungabhemi ngaphambi kwenqubo.
- Ukusikwa kwe-postoperative (Qaphela ngezansi ngaphansi kwe-capsulotomy evaliwe ukuthi ukunciphisa umzimba okunciphisayo akukhuthazwa futhi kungaholela ekutheni ukuphuluke noma ukuphuma.)
- Ukwelashwa kwe-ultrasound yangaphandle.
Iziguli ezingenayo impilo enhle, ukuzwa ukuhlukunyezwa, ukwelashwa kwemisebe , noma izinkinga zokuphanga ngemva kokuhlinzwa ezifana nokutheleleka noma ukuphuma kwegazi, kungenzeka ukuthi zenze isivumelwano esikhulu kuneziguli ezingenabungozi.
I-Capsulectomy Procedure
Kubantu abahlangabezana nesivumelwano seBanga III noma seBanga IV, ukwelapha ukwelashwa ukususa i-capsule yezicubu ezinzima ezizungeze ukufakelwa kwebele kuvame ukuphakanyiswa. Phakathi ne-capsulectomy, imvilophu ejikeleza ukufakelwa isusiwe. Izimpande zingasuswa noma ziphinde zifakwe ngesikhathi senqubo.
I-Capsulectomy vs Capsulotomy
I-capsulotomy inqubo ehlukile kune-capsulectomy. Ku-capsulotomy, i-capsule ivuliwe (ikhishwe futhi / noma isuswe kancane) ukuze inikeze izimpande indawo enkulu. I-capsulotomy ingaba i-capsulotomy evulekile, lapho i-incision iyenziwa khona esifubeni, noma i-capsulotomy evaliwe lapho kusetshenziselwa khona ukuxilongwa kwebhuku phezu kwesifuba sokuqeda izicubu ezibomvu. Ngenkathi i-capsulotomy evaliwe ijabulisa kancane, kukhona abantu abaningi abacebisa ngokumelene nenqubo ngenxa yobungozi bokufaka ukuphuka nokubunjwa kwe-hematoma. Ngokuphambene nalokho, i-capsulotomy evulekile ingase ibe yindlela encane engabonakali kulabo abacubungula ukuhlinzwa kwe-capsulectomy.
Ukubuyiswa Ngemva kwe-Capsulectomy
Ukubuyiselwa kuzohluka futhi kuzoxhomeka enkambweni eyenziwe futhi ikhono lomguli lokuphulukisa, kodwa livame ukufana nokubuyiswa ngemuva kokunciphisa isifuba noma ukuhlinzwa kabusha.
Ngaphansi kwe-Capsulectomy yeCapsular Contracture
Ngeshwa, ukuvumelanisa kwe-capsular kungabangela ukuphazamiseka nokungahambi kahle ngemva kokunakekelwa kwebele noma ukuhlinzwa kabusha. I-Capsulectomy yindlela eyodwa yokuthuthukisa ukubonakala futhi ukwandise induduzo yakho uma ubhekana nalomphumela ohlangothini.
Njenganoma yikuphi ukuhlinzwa, kubalulekile ukuba ngummeli wakho siqu. Thola udokotela ohlinzayo owenze eziningi zalezi zindlela zokuhlinzwa. Cela ukuthi ufunde ngemiphumela noma ubone izithombe uma unayo. Udokotela wakho ohlinzayo angakwazi futhi ukukubeka othintana nabanye besifazane abaye benza inqubo eyenziwe abazimisele ukuhlanganyela ulwazi lwabo.
> Imithombo:
> Headon, H., Kasem, A., noK. Mokbel. Ukuqhamuka kwe-Capsular emva kokungenwa kwesisu: Isibuyekezo Sokusebenza Kwemitholampilo. Archives of Surgery Plastic . 2015. 42 (5): 532-543.
> McGuire, P., Reisman, N., noD. Murphy. Ukuhlaziywa Kwengozi Ye-Risk for Contracture Contracture, Ukuhlambalaza, neSeroma Ebusuku Ezingxenyeni Zokuthola I-Natrelle 410 Ifomu-Eqinile Yase-Silicone Breast Implants. Ukuhlinzwa Kweplastiki Nezokuvuselela . 2017. 139 (1): 1-9.
> Swanson, E. Vula i-Capsulotomy: I-Treatment ye-Capsular Contracture emva kokungenwa kwesisu. Ukuhlinzwa Kweplastiki Nezokuvuselela. I-Global Open . 2016. 4 (10: e1096.