Uyini umehluko ezinhlobonhlobo zezimpande zesifuba ezitholakalayo zokuvuselelwa kwe-mastectomy kulandela umdlavuza webele? Ingabe kufanele ukhethe i-saline noma i-silicone, futhi yini umehluko?
Uma ukhetha ukuba nesisindo somzimba bese usungula ukuvuselelwa ngemuva kokuhlolwa kwesifo somdlavuza wesifuba sakho esikhundleni sokuhlinzwa kwe-tissue flap ( TRAM , DIEP , latissimus dorsi ) uzodinga ukwazi ukuthi yiziphi izinhlobo zezimpande ezitholakalayo.
I-FDA ivume izinhlobo ezimbili zezimila zokuvuselela kabusha. Ezinye izimplomelo azitholakali i-FDA futhi zibhekwa njengamadivayisi wokuphenya. E-US, isiguli kufanele sibhalise esifundweni somtholampilo ukuze sithole ukufakelwa kwesifuba sokuphenya.
Kuyini ukufakelwa kwesisu?
Izimpande zebele ziyizikhwama ze-silicone ezigcwele ngamanzi anosawoti noma i-gel silicone. Lezi zihlinzekwa ngokungahambisani phakathi kwezigaba zomzimba ukuze zenze isilonda sesifuba esakhiwe kabusha. Izimila zilinganiselwe ukufanisa isifuba sakho esisele noma ukudala ukulinganisa uma amabele asusiwe. Izimpande zesisu zingasetshenziselwa izinqubo zokunakekelwa kwebele.
Izici ezivamile
Izimpande zesisu azivami njalo - ngeke zihlale isikhathi eside. Uma ukuvuza okufakelwayo, ukushiya isikhundla, noma kungabonakali kahle, kuzodingeka ukuthi uphenye noma ususwe. Kokubili izimpande ze-saline ne-silicone zesifuba ziyatholakala kwigobolondo elingaphandle elibushelelezi noma elenziwe nge-silicone.
Izimpande zesibindi ngeke zenze izinzwa ezifanayo njengezifuba zakho, futhi ngeke zihambise (ukushayela) njengoba kwenza amabele akho wangempela.
I-Saline Izimila
Kunezinhlobo ezintathu zezitshalo zesifuba saline :
- Isikhwama esisodwa esigcwele isamba saline esinqunyiwe ngesikhathi sokuhlinzwa. Lolu hlobo lokutshala alukwazi ukwandiswa ngemva kokuhlinzwa.
- Isaka elilodwa eligcwele u-saline ngesikhathi sokuhlinzwa. Lolu hlobo lokufakelwa lunesiphakamiso esivumela ukuthi u-saline owengeziwe angenezelwe, ukwandiswa ngemva kokuhlinzwa.
- Isikhwama esisodwa esisodwa esine-saline. Lolu hlobo lokutshala alukwazi ukwandiswa ngemva kokuhlinzwa.
Izingozi zokufakelwa kwesifuba se-saline:
- Ukuphakama nokuvuza, lapho ukufakelwa kwebele kuzokwenqabela khona.
- Ukuqothulwa kwendawo ezungeze ukutshala ( isivumelwano se-capsular ).
- Kudingeka ukususwa noma ukufaka esikhundleni sokudinga ukuhlinzekwa okwengeziwe.
Izimpande ze-Silicone
Kunezinhlobo ezintathu zezimila zesifuba se-silicone:
- Isikhwama esisodwa esisodwa esine-silicone esingenakwandiswa ngemva kokuhlinzwa.
- Isikhwama esinezinwele ezimbili - isikhwama esisodwa sangaphakathi esithandwa nge-silicone, nesigxobo esisodwa esingaphandle esine-saline ngesikhathi sokuhlinzwa. Lezi azikwazi futhi ukunwetshwa ngemva kokuhlinzwa.
- Isikhwama esinezinwele ezimbili - isikhwama esisodwa sangaphakathi esithandwa nge-silicone, nesigxobo esisodwa esingaphandle esine-saline ngesikhathi sokuhlinzwa. Lezi zinganwetshwa emva kokuhlinzwa, ngokungeza u-saline ngaphezulu ngokusebenzisa i-valve.
Izingozi zokufaka izibeletho zebele:
- Ukuphakama ngokuvuza okuvumela i-gel yamabhilidi ukuba isakaze ngaphandle kwegobolondo.
- Ukuphuka okuthulile, noma ukuvuza kancane, kutholakala kuphela nge-MRI.
- Kudingeka ukususwa noma ukufaka esikhundleni sokudinga ukuhlinzekwa okwengeziwe.
Izimpendulo ze-Breast Investigation
I-FDA isafunda uhlobo olusha lwe-gel implantation, okubizwa ngokuthi "gummy bear". Lolu hlobo lokufakelwa kwesifuba lunombhobho we-silicone njengamamodeli ase-saline namasilicone okwamanje asetshenzisiwe, kodwa ukugcwalisa i-gel ye-silicone ehlanganiswa kakhulu futhi engaphansi kombono futhi emincane kunokuba i-gel elalivunyelwe i-gel isetshenziswa manje. Lezi zivunyiwe eYurophu, kodwa kungenzeka zingatholakali kabanzi e-United States isikhathi esithile.
Ama-Shapes nobukhulu obuhlukene
Izimpande zesisu, njengezifuba zemvelo, ziza ngezimo nobukhulu obuhlukene. Ezinye izimplathi ziyindilinga, kanti ezinye ziyi-drop-shaped shape.
Izimila nazo ziza ezinhlobonhlobo zamaphrofayli, noma ubukhulu bekhobe. Udokotela wakho wokuhlinza ngopulasitiki angakusiza ukuthi unqume ukuthi yisiphi isayizi, uhlobo kanye nesitayela sokufakelwa kwesisu okuzosebenza kangcono ekuvuselelweni kwesifuba sakho nangomfanekiso oyifunayo. Amaphrotheji amaningi asePlastiki angakubonisa "ngaphambi nangemva" izithombe zeziguli eziye zafaka ukwakha kabusha, ngakho uzokwazi ukuthi yini ongayilindela.
Imithombo
I-American Society of Abahlinzayo AbaPlastiki. Izinhlobo zezimpande zebele.
Ukuphathwa kwe-US nokuDrug. Izimpande Zebele.
I-US Library Yezokwelapha. I-MedlinePlus. Ukwakhiwa kwesisu - izimpande.