Izindawo Zokudla Ezisetshenziswayo Ngemva Kokuhlinzwa Kwebele

Hlanganisa Ukubekwa Ngemva Kwemastectomy, I-Node Biopsy, ne-Reconstruction

Uma une-mastectomy, i-sentinel node biopsy, noma ukuvuselelwa kwesifuba somdlavuza wesifuba cishe uzoba nezikhukhula ezihlinzekwa ngesikhathi sokuhlinzwa. Iningi labantu liya ekhaya lawa manzi amasonto ambalwa ngaphambi kokulandela ukukhipha. Zikuphi lezi zidonsa ezitholakala ngemuva kwezinqubo ezahlukene zokuhlinzwa?

Ukuba nomqondo wendawo yamanzi akho, nokuthi yini ongayilindela ingakusiza ukuthi ulungiselele ukulawula izikhwama zakho emva kokuhlinzwa kwebele .

Masiqale sichaze izidonsa okungenzeka ube nazo emva kwe-mastectomy nokuvuselelwa kabusha nokuthi lokhu kungase kuhluke kanjani uma uzoba nemastectomy ngaphandle kokuvuselelwa.

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Ukuphuza Okuphambene Nokulandela I-Mastectomy ne-Reconstruction

Uma une- mastectomy noma i- lumpectomy , udokotela wakho ohlinzayo angase abeke izikhukhula zokuhlinzeka ukusiza ukusheshisa ukuphulukiswa kwakho. Ngaphandle kwamanzi, i-fluid ingaqoqa esikhaleni lapho isifuba sakho noma i-lymph nodes bekuye kwaholela ekucindezelekeni nasebuhlungu. Uma uketshezi oluqoqiwe ngaphandle kokukhipha kungabangela i- seroma , okungase ngezinye izikhathi ibangele ukubunjwa kobunzima.

Kunezinhlobo ezahlukene zamanzi ezinjengezikhukhula ze-grenade nezingxenyana zikaJackson-Pratt. Uzoba ne-tube yokudonsa kanye ne-bulb ye-drainage ngaphandle kwesikhumba sakho eduze kwe-incision yakho yokuhlinzwa. Ingxenye yesikhumbi se-drainage izokwengeza ngaphakathi emzimbeni wakho endaweni yokuhlinzeka, lapho izoqoqa igazi ne-lymphatic fluid. Ibhuloho lokudonsa lizoqhutshwa endaweni nge-suture ukuze lingaphumeleli ngengozi.

Uzosebenzisa i-drain ukususa nokulinganisa uketshezi izikhathi eziningana ngosuku futhi ugcine irekhodi lokuthi ingakanani igazi ne-lymph lisusiwe. Njengoba umthamo wetshezi uyancipha, ukuvuvukala eduze nesayithi lakho lokuhlinzwa kufanele linciphise. Uma ivolumu yetshezi ingama-30ml noma ngaphansi kwehora lama-24, ungaba nezikhwama zisusiwe. Ngisho noma uqhubeka unamanzi amakhulu kunalokhu, abanye odokotela abahlinzayo batusa ukukhipha ama-drain emavikini amathathu.

Lo mfanekiso ubonisa indawo yamanzi amabili okuhlinzeka. Le model ine- sentinel node biopsy ukuze ihlolwe imetastasis, ngakho-ke kukhona umugqa wokudonsa eduze kwe-armpit yayo. Kuye ngemiphumela ye-node yakho ye-sentinel iphikisana nodokotela wakho ohlinzayo angase enze i- lseph node dissection esusa ama-node engeziwe.

Owesifazane osesithombeni sokuqala uye waba ne-mastectomy ngokuvuselelwa ngokushesha, esebenzisa i- expander ye-tissue . Ukukhipha okwesibili kuye kwabekwa eceleni kokufakelwa kwesifuba sesikhashana ukuze kuqoqwe igazi ne-lymph. Lezi zidonsa zisiza ukuvimbela i- lymphedema nama- hematomas ekuthuthukiseni.

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Ukuphuza Okuphambene Nemva Kwemastectomy Ngaphandle Kokuvuselelwa

Kubantu abane-mastectomy elula ngaphandle kokuvuselelwa ngokushesha, kungase kube nokukhipha okukodwa okuhlanganisa i-lymph node biopsy yakho kanye ne-mastectomy yakho. Udokotela wakho ohlinzayo angase abeke izikhwama zokuhlinza ekukhusheni kwakho ukusiza ukusheshisa ukuphulukiswa kwakho. Abanye abantu bayoba ne-drain eyodwa futhi abanye bazoba ngaphezulu. Uma une-mastectomy ephakathi kwamanye amazwe ne-lymph node biopsy ungase ube namanzi amaningi amahlanu noma ayisithupha.

I-drain ngayinye ine-bulb ye-drainage kanye nethubhu ye-drain ngaphandle kwesikhumba sakho eduze kwe-incision yakho yokuhlinzwa. Ingxenye yesikhumbi se-drainage izokwandisa ngokusebenzisa ukungena kwakho endaweni yokuhlinzeka, lapho izoqoqa khona igazi ne-lymphatic fluid. I-tube ngayinye yamanzi igcinwe endaweni nge-suture ukuze ingaphumeleli ngengozi.

Uzothatha izilinganiso izikhathi ezimbalwa nsuku zonke ukuthi ingakanani igazi ne-lymph eqoqa ekukhenizeni kwakho. Kubalulekile ukugcina irekhodi levolumu yamanzi ngoba lokhu kunquma ukuthi maduze ama-drain akho angasuswa kanjani. Ukuvuvukala okuzungezile indawo yakho yokuhlinzeka kuyokwehla njengoba uthola amanzi amancane kancane. Ekuqaleni, umsele uvame ukubomvu, ube mncane futhi uguqule umbala onjenge-straw emva kwezinsuku ezimbalwa zokuqala.

Lo mfanekiso ubonisa indawo yamanzi amabili okuhlinzeka. Isibonelo sine-mastectomy elula kanye ne-sentinel node biopsy, ngakho-ke kukhona umugqa wokudonsa eduze kwesigqoko sakhe nasesiswini sakhe sebele. Wayengazange avuselelwe ngokushesha. Lezi zidonsa zisiza ukuvimbela i-lymphedema engxenyeni ye-mastectomy kanye ne-hematomas ekukhuleni.

Okubalulekile Ngendawo Yezingqimba Zakho

Udokotela wakho ohlinzayo angase afake ukukhipha endaweni ehlukile kunalokho okukulo mfanekiso lapha, kodwa umqondo ufana. Ukuvumela uketshezi okweqile ukuthi kususwe ngezingxube kungakwandisa ukuphulukiswa kwakho bese kukuthola emgwaqweni wokuthola isifo somdlavuza webele.

> Imithombo

> Chen, C., Lin, S., Hung, C., noP. Chou. Ingozi Yokutheleleka ixhunyaniswe Okuningi Nokukhathala Kwesikhathi Esingaphansi Kwamanzi Yansuku zonke Umqulu Wokusungulwa Kwezinsana Ze-Prosthesis-Based Based Breast: Isifundo Seqembu. Imithi (Baltimore) . 2016. 95 (49): e5605.

> Stoyanov, G., Tsocheva, D., Marinova, K., uDobrev, E., no R. Nenkov. Ukugeleza Ngemva Kwendlela Yokuguqulwa Kwe-Mastectomy Eyashintshayo-Ukubukezwa Kwama-Mini-Methodology. I-Cureus . 2017. 9 (7): e1454.

> Thomson, D., Trevatt, A., no D. Furniss. Ngabe Ama-Axillary Drains kufanele asuswe nini? I-Meta-Ukuhlaziywa Kwesikhathi Sokunciphisa Amanani Nesixazululo Ukulawulwa Kwesikhathi Sokukhipha Ukususwa Ukulandela I-Lxphadenectomy I-Axillary. I-Journal of Plastic, Reconstructive, and Aesthetic Surgery . 2016. 69 (12): 1614-1620.