Ukuhlinzwa Kwepulasitiki Ukubuyiselwa Kwama-Brem Symmetry Emva Kwesisindo
Izimpande zesisu ziyindlela yokwakha kabusha edinga ukuhlinzwa okungenani. Cishe ingxenye yengxenye yonke yokuvuselelwa kwebele kwenziwa ngokusebenzisa izimpande . Ngokungafani ne-tissue flap ayikho izicubu ezifakelwa kabusha, futhi ngokungafani ne- TRAM noma i- Lat Flap , akukho muscle othuthelwa. Uma ukuvuselelwa kwakho kokufakelwa kokuphelela kuqediwe, isifuba sakho esisha ngeke sibe nokubukeka okufanayo nokuzwela njengesikhumba sakho semvelo, futhi uzodinga ukuhlinzekwa okwengeziwe ukudala ingono entsha kanye ne-areola . Ungase futhi udinga ukwelashwa okwengeziwe kokwandisa, kuze kube yilapho ukufakelwa kufikela usayizi oyifunayo.
Izinzuzo kanye Nezinkinga Zokuvuselelwa Kwebele Lokubeletha
Izinzuzo
- ukuhlinzwa okuncane, i-anesthesia, nobuhlungu
- ukutakula ngokushesha kunomuthi wokufakelwa kwezicubu
- akukho ukuthuthwa kwezicubu noma imisipha
I-Cons
- Izimila azihlali isikhathi eside
- ukuvuza nokushintshashintsha kungenzeka
- imiphumela ayiyona ephelele ngokweqile
- ukwakha kabusha ukuvuselelwa akusho uma ukhula
Abafaki Abalungile Izimpompi Zebele
Abesifazane abakhuluphele ngokweqile noma abakhuluphele bangase bangabi abafanele ukwakhiwa kabusha kwebele. Uma ungumuntu obhemayo osebenzayo noma usebenzisa amanani amaningi utshwala, izimila kungenzeka ukuthi azikhetheli kahle. Abakhethiweyo abahle ba:
- abancanyana, abancanyana abancanyana
- abesifazane abakhetha ukuhlinzwa okungenabungozi okuncane
I-Saline Versus Izimpande Zobuningi
Amaphrotheji amaningi asePlastiki azosebenza nge- saline kanye nezimpande ze-silicone zebele . Lezi zitholakala ngezimo eziningana, ubukhulu, kanye nemidwebo. Uma uxoxisana nodokotela wakho ohlinzayo ngezimplantshi, cela uma ubona futhi ubambe izimpande ezihlukahlukene zesampula. Phawula umehluko ekuthunjweni, emgqeni, nokuguquguquka. Buza ukuthi yisiphi isayizi nokuma okungcono kakhulu kumphumela ofuna ukufezekisa, futhi hlobo luni oluzokhululeka kakhulu kuwe. Khumbula ukuthi noma yikuphi okukhethayo, ukufakelwa ngeke kuhlale isikhathi sakho sokuphila, futhi kungase kudingeke kuthathelwe endaweni ethile.
Ukufakelwa Kwezinyathelo Ezilodwa noma I-Two-Stage Tissue Expander
Ukufakelwa kwesifuba kufakwa phakathi kwezingxenye zesifuba esifubeni, ngaphansi kwesikhumba sesikhumba esizogcinwa ngesikhathi se- mastectomy yakho. Lokhu kungenziwa ngokushesha ngemuva kokuthatha imastectomy yakho, noma ngemuva kokuqeda ukwelashwa. Ungase ube ne-tone ye-muscle ekhululekile futhi isikhumba esilula, esingavumela ukuvuselelwa kwesigaba esisodwa. Kodwa-ke, uma isikhumba sakho somzimba nesifuba sinobuhlungu futhi sinamathele kahle, ungadinga inqubo yokuvuselela isigaba ezimbili, usebenzisa ukufakelwa okunwebekayo noma ukuxhunyaniswa kwezicubu okulandelwa ukufakwa okuphakade.
Ukuhlela i-Mastectomy ye-Skin-Distribution
Ngaphambi kwe-mastectomy yakho, udokotela wakho ohlinzayo we-plastic uzofaka isikhumba sakho sezinwele ngemigqa okufanele isetshenziselwe ukufakwa kwakho. Lokhu kuyoba yi-ellipse ecacile eyokwenza isikhumba esiningi ngangokunokwenzeka futhi siphephile ukugcina. Njengoba i-ingono yakho ingase ibe namanye amangqamuzana omdlavuza emideni, akusilo umqondo omuhle ukuzama ukugcina ingono yakho, kodwa udokotela wakho ohlinzayo we-plastic angakwazi ukwakha entsha ngemva kokuphulukiswa kulokhu kuhlinzwa.
Yini Ongayilindela Ngesikhathi Sokwakhiwa Kwembele Komzimba
Uzoba nesilation esiyinkimbinkimbi noma i- anesthesia jikelele phakathi nokuhlinzwa kwakho kabusha. Udokotela wakho ohlinzayo uzolandela ukuphawula kwesikhumba ukuvula isikhumba sakho bese ususa izicubu zakho zesifuba. Uzoqaphela ukuthatha izicubu ezanele ukuze uthole ama-margins acacile ukuze kungabi nomdlavuza osele ngemuva. Izicubu zakho zizothunyelwa kwi-pathology yokuhlolwa.
Ukwenza Igumbi Lokutshala Kwakho
Udokotela wakho ohlinzayo we-plastic uzosebenzisa imisipha yakho yesifuba ukudala iphaketheni ngaleyo ezobamba ukufakelwa kwakho. Uma unesikhala esanele nesikhumba sokuthi unomphela, ukufakwa okulinganiselwe, kungafakwa ngalesi sikhathi. Kodwa uma imisipha yakho iqinile futhi ulahlekelwe isikhumba esiningi kunokuba uzokhipha isilonda sesifuba esisha, ukufakelwa okunwebekayo noma isisindo somzimba sizofakwa.
Lo mdwebo ubonisa isigaba esiphambene sodonga lwesifuba. Ubomvu bubonisa imisipha yesikhumba somswakama, ukuphuzi kubonisa ukuma kwezimbambo, i-pink isetshenziselwa ukwelulwa kwesikhumba, futhi okwesibhakabhaka imelela ukutshala. A: Ngaphambi kokubekwa kwe-implant. B: Ukufakelwa okufakwe emphakathini we- muscle . C: Ukufakela ukutshala kwandiswe ngaphakathi kwe-muscle nekhanda.
Ukuvala Ukukhishwa Kwakho Kwebele
Uma ukufakelwa kwakho kwebele kusesimweni, udokotela wakho ohlinzayo we-plastiki uzovala ukuchotshozwa kwakho nge- sutures yokuqeda . Lokhu kuhlanganiswa kuzokwembathiswa nge-tape epulasitiki noma ngezinye izinto ezizoqinisekisa ukuthi isikhumba sifikile emgodini obala, obushelelezi. I- drain yokuhlinzwa ingasondelwa eduze kwe-incision yakho, ukusiza ukususa uketshezi okweqile nokukhuthaza ukuphulukiswa.
Ukubuyiselwa nokuzinakekela
Ukubuyiswa okuvela enkambisweni yokufakelwa ngokuvamile kuvamise ngokushesha. Abanye besifazane badinga ukuhlala esibhedlela kuphela ubusuku obulodwa noma amabili ngaphambi kokukhishwa. Uzofunda ukuthi ungalula kanjani izikhumba zakho zokuhlinza futhi urekhode ivolumu yomthamo. Ama-drain akho angasuswa phakathi nesonto lokuhlinzwa. Uma unesihlungu, qiniseka ukuthi uvumele abahlengikazi bakho nodokotela bazi, ngakho-ke bangakunikeza ukwelashwa ngalokhu. Lindela ukuba ube nomuzwa othile wokucindezela nxazonke. Hlela ukugqoka izingubo ezingavamile, ezikhululekile ekuhambeni kwakho ekhaya. Uma uthuthukisa imfiva noma izimpawu zokutheleleka, njengesifo sohudo, emva kokuhlinzwa kwakho, shayela udokotela wakho usizo.
Ukwandiswa Kokufakelwa Kwakho Kwebele
Isifuba sakho esisha singase singabi usayizi ogcwele ngemva kokuhlinzwa. Uma une-expander ye-tissue, uzodinga ukwelashwa okwengeziwe ukuze ugcwalise ukufakelwa kwesayizi oyifunayo. Ukwandisa izicubu kanye nezimpande zesikhumba ezandisiwe zinezibuko lapho udokotela wakho ohlinzayo angakwazi ukufaka khona u-saline, ukwandisa usayizi we-plant. Uzobuyela emtholampilo ngezikhathi ezithile ukuze uthole ukwelashwa kokunwetshwa, kuze kube yilapho ukufakelwa kukhulu kakhulu kunesayizi oyifunayo. Lokhu kukhishwa okungaphezulu kuvumela isikhumba ukuba sisule futhi siphume emgodini wemvelo, lapho ukutshala okuncane, ukuhlala unomphela kukhona. Ukwandisa kungase kuzwe ubuhlungu njengoba ingcindezi ikhula kusukela ngaphakathi, kodwa njengoba izicubu zakho ezizungezile zilula, ubuhlungu buyophela.
Izimpande Zasebele Zokuvuselelwa Kokubili Kwemastectomy
Izimpande zesisu ziyisindlela esheshayo sokuvuselela amabele emva kwe-mastectomy kabili . Uzochitha isikhathi esincane ngaphansi kwe-anesthesia nasendlini yokusebenza enezimpinda ezimbili ezibekwe ngaphezu kwakho uma ngabe ukhethe ukuvuselelwa kwe-tissue flap (i- TRAM , i- Latissimus dorsi flap , i- DIEP , i- SGAP ).
Ukucabangela okukhethekile mayelana neziMpawu
I-radiation: Ngemva kokuhlinzwa kwebele, uma udinga ukwelashwa kwama-radiation okuhlosiwe esifundeni sakho, ubhekene nengozi engama-40-50% yokwandisa izicubu ezilukhuni ezizungeze ukufakwa kwakho. Uma wazi ukuthi uzodinga imishanguzo, tshela udokotela wakho ohlinzayo ohlinzekela ukufakelwa ngeplastiki (esikhundleni sensimbi) port for injection injini. Ichweba lensimbi lizobonisa imisebe emuva kumathisamu aseduzane, okungenzeka kubangele ukulimala kesikhumba.
I-Scar Tissue: I-capsule ye-tissue izokwakha nxazonke noma yikuphi ukufakelwa ngokuhamba kwesikhathi, kepha uma isivumelwano se-capsular ( isiqhwaga esinzima kakhulu) siqala, uzodinga usizo oluvela kumhlinzeki wakho wokuhlinza ukulungisa lesi simo.
Ukusetshenziswa okulinganiselwe: Noma yiluphi uhlobo lokufakelwa kwebele lungase luqale ukuvuza njengoba lukhula, futhi kuzodingeka luthathe indawo.
> 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. Kuthunyelwe 10/22/2004.