Ukuhlinzwa Kwepulasitiki Ukubuyiselwa Kwama-Brem Symmetry
Indlela yokuvuselelwa kwebele ye-latissimus dorsi yindlela yokuguqa yesikhumba esithatha igama layo kusuka kumisipha we-latissimus dorsi empilweni yakho engenhla. Ukufunda ngendlela yokwakhiwa kwebele ye-latissimus dorsi, izinzuzo nezinkinga zayo, nokuthi yini ongayilindela ingakusiza ukuthi ungcono kangcono uma le nqubo ilungile kuwe.
Kuyini uLatissimus Dorsi Tissue Flap Breast Reconstruction?
I-latissimus dorsi iyindlela yokwelapha yesikhumba esisebenzisa imisipha nesikhumba kusuka empilweni yakho engenhla ukuze udale isilonda sesifuba esisha ngemuva kwe- mastectomy . I-ellipse yesikhumba kanye nomzimba wakho we-latissimus dorsi uzobe ukhonjiswe kusuka ephezulu yakho kuya endaweni yakho ye- mastectomy ukudala isifuba sakho esakhiwe kabusha . Isifuba sakho esakhiwe kabusha ngeke sibonakale sizwe ngendlela efanayo nesifuba sakho semvelo, futhi uzodinga ukuhlinzekwa okungeziwe ukuze udale ingono futhi u-oola uma kungenakukwazi ukugcinwa ngokwakho.
Izinzuzo zeLatissimus Dorsi
Ukwakhiwa kwesifuba se-tissue flap njenge-latissimus dorsi kufanele kukugcinele impilo. Kungadinga ukufakelwa okuncane kwesifuba , ngaphezu kwamathambo akho. Isikhumba esishintshiwe sizoba umbala obomvu wesithombeni sakho sebele . Isifuba sakho esilungisiwe sizozifudumala futhi sithandeke kalula.
Izinkinga zeLatissimus Dorsi
Indlela yeLatissimus Dorsi ibhekwa njengendlela eyinhloko, futhi uzobe usuhlinzwa isikhathi eside kunesiguli esithola izimpande zebele kuphela. Ukuphulukiswa kuzothatha isikhathi eside ngokulandela inqubo ye-tissue flap ngoba uzoba nezindawo ezimbili zokuhlinzeka nezibazi ezimbili . Emva kwalokho, abesifazane abaningi bangase babe nobuthakathaka engalweni nasemisipha emuva futhi badinga ukwelapha ngokomzimba. Kukhona ingozi yokuthuthukisa ukutheleleka ezindaweni zokuhlinzeka nokubhekana nokuphulukiswa kwezinkinga. Ingozi yokuhluleka i-latissimus dorsi ingaphansi kwe-1%. Udokotela ohlinzayo ohlinzeka kakhulu epulasitiki angazama ukuvimbela izinkinga nokuhluleka kwe-flap.
Awusona Umbuzo Uma ...
Izitsha zegazi zizosuswa bese zixhunyaniswa ngesikhathi senqubo ye-tissue flap, ngakho-ke uma unezimo ezithinta ukujikeleza kwakho, ngeke ube nokufakelwa kwezicubu eziphumelelayo. Abesifazane abanoma iyiphi yalezi zinkinga abangekho ukhetho lokuvuselelwa kwe-tissue flap:
- isifo sikashukela
- izifo ze-vascular
- izicubu ezixhunyiwe
Uma ukhuluphele ngokweqile noma ukhuluphele, unamabele amakhulu, noma ubhema, i-latissimus dorsi flap akuyona yona. Le nqubo isebenza kangcono kwabesifazane abanamanani aphansi omzimba womzimba futhi banamabele amancane kuya kwaphakathi.
Ukuvuselelwa Kwembele Manje Noma Kamuva?
Ukwakhiwa kwesisu kungenziwa ngesikhathi esifanayo nesikhumba se-mastectomy noma ngemuva kokwelashwa. Uma udinga ukwelashwa kwama-radiation endaweni engaphansi kwe-underarm noma esifubeni, noma kunjalo, kufanelekile ukulinda; ukuba nenqubo eyenziwe ngaphambi kokuba ukwelashwa kuqediwe kunqanda kakhulu ikhono lomuthi we-radiation ukukuphatha ngendlela efanele.
Uma ucabanga ngomsebenzi wokwakha kabusha, kuwumqondo omuhle ukukhuluma nodokotela wakho wokuhlinza ngaphambi kokuba unesifo sokushaya umzimba. Lokhu kukunika ithuba lokuba nezilinganiso nezithombe ezithathwe ngamabele akho angokwemvelo , ngakho isifuba sakho esakhiwe kabusha singabuyiselwa kabusha ngokunembile ngangokunokwenzeka. Udokotela wakho ohlinzayo we-plastic uzoba nezinketho eziningi zokukhetha ukukunikeza futhi angasiza ukugcina isikhumba nokuvimbela izibazi ezingadingekile uma uxoxisana naye kusengaphambili.
Yini Engayilindela Phakathi Ne-Latissimus I-Dorsi Breast Reconstruction
Ngeke uphapheme ngesikhathi se- mastectomy yakho noma kabusha, ngakho-ke uzoba nesilation esiswini noma i- anesthesia ejwayelekile . Khuluma nodokotela wakho wokuhlinza nomuntu onesi-anesthesiologist mayelana nokuthi yikuphi okuzosebenza kangcono kuwe, futhi uqiniseke ukuthi uyaziswa ngawo wonke imithi kanye nezithako ezithathayo. Uma une-mastectomy kanye nokuvuselelwa ngesikhathi esifanayo ( ukuvuselelwa ngokushesha ), udokotela wakho ohlinzayo uzosusa kuqala isifuba sakho, uvikele isikhumba esiningi njengoba uzophepha ukugcina.
Ukulungela Latissimus Dorsi Breast Reconstruction
Udokotela wakho ohlinzayo we-plastic uzokusebenzisa uphawu lokukhumba ukuze uhlele ngokucophelela ukuchotshozwa okuzokwenza isikhumba sakho sikhumba. I-ellipse ekhonjiwe izokwehliswa ngemuva kwakho, phezu kwe-latissimus muscle muscle. Le ellipse iyoba isikhumba sesikhumba esivala ukufakwa kwesifuba sakho esakhiwe kabusha. Lapho ukufakwa kwe-flap kuvaliwe, kuyoba cishe ngu-10 kuya ku-15 cm ubude bese ulandela umugqa wenyoni yakho eyodwa.
Ukuhambisa ama-muscle ne-Skin
Udokotela wakho ohlinzayo we-plastic uzokwenza ukuchotshozwa esikhwameni sesikhumba, ukukhulisa isikhumba kanye ne-muscle flap. Umhubhe uzokwenziwa ngaphansi kwesikhumba sakho ukuze i-flap ingasuswa. Lezi zicubu zomzimba zizohamba phakathi komhubhe ukuya ngaphambili kwesifuba sakho, ugcine igazi lalo liqinile. Lokhu kuqinisekisa ukuthi isikhumba nemisipha sizoqhubeka nokuhlala endaweni yabo entsha. Isikhumba sizobekwa khona ukuze sigcwalise esikhumbeni esasilahlekile ngesikhathi se-mastectomy yakho. Uma udinga ukufakelwa, umsizi uzokwenziwa phezu kwawo ukuze udale isilonda sesifuba esisha.
Ukuvala Ukucutshungulwa Nokuqala Ukubuyiswa
Ukucubungula kwakho emuva kuzovalwa, futhi ukufakwa okukhiphayo kungabekwa kuyo ukuze kusize ukususa uketshezi okwedlulele. Esifubeni sakho, i-flap isikhumba izohlanganiswa ngokucophelela nokuxilongwa kwe-mastectomy . Uma kunesidingo, izicubu ezibomvu ezivela ku-mastectomy yakho zingasuswa ukuze zenze ukuthungwa kwesikhumba okushelelekile ku-incision entsha. Ezinye iziguli zingase zidinge uketshezi okuhlinzekwa esifubeni esakhiwe kabusha ukuze kusize ukuvimbela ukwakhiwa kwamanzi nokugqugquzela ukuphulukiswa.
Ukubuyiswa Kusuka Latissimus Dorsi Breast Reconstruction
Kungase kudingeke uhlale esibhedlela izinsuku ezintathu noma ezine uma uqala ukuphulukiswa kusukela ekuhlinzekeni kwebele . Uma unezikhukhula ezihlinzekwayo, uzofunda ukuthi ungaluthola kanjani futhi ugcine amarekhodi wevolumu yamanzi. Bika ubuhlungu uma unayo ukuze ilashwe. Ungabuyeli emuva emsebenzini - clela ngokuthatha kalula amaviki amathathu kuya ayisithupha ukuze ululame. Qinisekisa ukuba nomuntu ozungezile ukukusiza ukukushayela futhi enze noma yikuphi ukuphakamisa. Qinisekisa ukuthi uya kuma-aphoyintimenti wakho wokulandelela ukuze udokotela wakho ohlinzayo angabheka amehlo akho nokugqoka futhi asuse izikhukhula zakho.
> Imithombo:
> I-American Cancer Society. Ukwakhiwa Kwebele Isisu Ngemva Kwemastectomy. Izinhlobo ze-Breast Reconstruction. Kubuyekezwe: 09/06/2007.
> National Cancer Institute. Ukwelashwa Izinqumo Kwabesifazane abane-Cancer Stage Cancer Stage . Isinyathelo 3. Thola ngokukhetha kokuhlinzwa komdlavuza webele. Ukuhlinzwa Ukwakhiwa Kwebele. Kuthunyelwe: 10/22/2004.