Izinyathelo Zokuthatha Uma I-Breast Tissue Expander Ruptures Yakho
Yini okufanele uyenze uma i-expander yakho yesifuba isaphazamisa noma ivuza? Yiziphi izimbangela zalesi sixazululo, yiziphi izimpawu ongazilindela, futhi uphathwa kanjani?
Sibutsetelo
Ukwandisa izicubu zesisu kufakwa, amadivaysi anjenge-balloon asetshenziselwa ukuhlinzwa kabusha kwebele. I-expander ye-tissue isetshenziselwa ukwelula imisipha yesikhumba sebele kanye nesifuba ukuze udale ipokhethi yokufakelwa isifuba esingunaphakade.
Izandiso zingasetshenziswa ngesikhathi se-mastectomy yakho, noma kamuva uma ukhetha ukuhlinzwa ukuvuselelwa kwebele .
Njengazo zonke izinhlobo zamadivaysi okuhlinzeka, izandisi zesikhumba ziyeza engozini, ukuvuthwa noma ukuvuza okuvame kakhulu. Ungesabi uma ucabanga ukuthi i-expander yakho yomsindo iphukile noma iqhuma ukuvuza-kukhona isisombululo esihle-kodwa buza udokotela wakho ohlinzayo uma ucabanga ukuthi kunenkinga. Ake sibheke izimbangela, izimpawu, nezixazululo ze-expander ye-tissue expander noma ephukile.
Izimbangela Zokuvuza Nokuvuthwa
Ukwandisa izicubu zesisu kuhloswe ukuba kugcwaliswe isisombululo saline futhi ubambe leso saline uma nje udinga, ukwenza indawo yokufakelwa isifuba unomphela, noma i- silicone noma i-saline . Ukuvuza noma ukuphazamiseka kuphazamisa inqubo yokwandiswa kwezicubu, ngakho-ke kufanele inakekelwe kahle.
Ezinye zezimbangela ze-tissue expander rupture yizi:
- Ukuvala ngesikhathi sokuhlinzwa - Lokhu kungenxa yokufaka ukuhlinzwa noma ukuhlinzwa kwebele.
- Ukucindezela ngesikhathi se-mammogram - Uma ochwepheshe esebenzisa ingcindezi enkulu, umxhwele angahle avule futhi avule.
- Ukulimala endaweni - Izingozi zenzeka ezemidlalo, ezinye izinto zomzimba, noma izimo ezigcwele.
- Ngesikhathi ukwelashwa kokunwetshwa - I-needle puncture, inqubo yokugcwalisa okungalungile, noma ukwedlula ukwedlula isisombululo saline kungabangela ukuvuza noma ukuphuka.
- Ukuvuza kwe-valve - Ngisho noma abathungi bahlolwa ngokucophelela, abanye bangase babe ne-valve engavaliwe noma eyonakalisiwe engakwazi ukuvuza.
Ukuvama
Ithuba lokuthi i-expander ye-tissue izoqhekeka kuxhomeke ezicini eziningi futhi ihlukile kumfazi ngamunye. Lokho kusho ukuthi, uma isikhathi eside isikhathi esivela kuso, sikhulu amathuba okuphuka. Esifundweni sika-2016 kwaphawulwa ukuthi phakathi kwalabo abanobuningi bezicubu, akukho ukuphazamiseka okwakubonakala ngonyaka wokuqala. Ingozi eyanda kakhulu yaqala cishe eminyakeni engu-1.5 emva kokubekwa futhi yaphakama ibe ngamaphesenti angu-32.6 eminyakeni emithathu kanye namaphesenti angu-55 eminyakeni emihlanu emva kokubekwa kwe-expander.
Okunye ukuhlola kuye kwabheka ezinye izinto eziyingozi. Labo abanombhalo womzimba omkhulu kunama-25 kg / mm2 nalabo abanesitoma esidinga ukufisa sengathi kubonakala kunengozi yokuphuka.
Izimpawu nokuxilongwa
Izimpawu zokuphuka noma ukuvuza ngaphakathi kwe-tanderue expander zingabandakanya ukuhamba kancane kancane noma ukwehla kungazelelwe ngesayizi noma ushintsho ekumoyeni kwendawo yokufakelwa. Udokotela wakho ohlinzayo kufanele ahlole indawo futhi cishe uyokutshela isifundo se-imaging, njenge-breast MRI, i-mammogram, noma i-ultrasound.
I-expander edingekayo noma ephukile idinga ukususwa. Ngakho-ke uma ucabanga ukuthi i-expander yakho iye yahlukunyezwa noma iyavuza, kuzodingeka uyihlole ngokucophelela.
Esinye isizathu esihle sokwenza lokhu ukuthi umshuwalense awukwazi ukufaka indawo yokufaka esikhundleni se-expander ngaphandle kokuthi ukuphuka kungabhalwa ngokomuthi.
Ezinye izinkinga ezingenzeka
Ngaphandle kokuvuza nokuphuka, kunezinye izinkinga ezimbalwa ezihlobene nezandiso zezicubu:
- Ukwelashwa - Ukwethulwa kwamagciwane ngesikhathi sokubekwa kwe-expander kungaholela ekutheleleni. Lokhu cishe kungenzeka uma uye wagonywa ngenxa ye-chemotherapy, futhi ikakhulu uma uthola ukwelashwa kwama-radiation. Uma uzothola ukwelashwa kwemisebe ngemuva kokuba ube ne-expander ye-tissue ebekwe, khuluma nodokotela wakho ngale ngozi. I-expander ye-tissue ethathe igciwane kufanele isuswe.
- Isivumelwane se-Capsular - Isivumelwano se- Capsular singase senzeke ngenxa yokutholakala kwezicubu ezibomvu ezifakwe eduze kwe-tissue expander. Izimpawu zingabandakanya ukuqina nokuqina kwezicubu zakho zesifuba nxazonke.
- Ubuhlungu - Abanye abantu baqaphela ubuhlungu obuningi obuningi bezicubu , futhi abantu abaningi bayothola ukuthi bazizwa bekhululekile uma ukufakelwa okuhlala njalo kufaka esikhundleni se-expander. Ukwandisa izicubu kunomkhumbi okhudlwana futhi oguquguqukayo owenza izimila ezihlala njalo. Ubuhlungu buvame ukwedlula ukulandela ukugcwaliswa komunye, ngenxa yokwelula izicubu ezizungeze umxhwele (injongo yokuthola i-expander endaweni yokuqala.)
Ukwelapha
Ngemuva kokuthi uhlole i-expander yakho yezinyosi zesifuba futhi ube nokuqinisekiswa kwekhefu noma ukuvuza nge-imaging yezokwelapha, yisikhathi sokuthatha isinyathelo. I-saline evulekayo ngeke ikulimaze, kodwa i-expander ye-tissue ingatheleleka. Ukwandisa izicubu akukwazi ukulungiswa ngaphakathi emzimbeni wakho, futhi akuphephile ukususa, ukulungisa, nokufaka kabusha i-expander endala.
Lawa madivayisi ahloswe ukusetshenziswa kwesikhathi esisodwa, hhayi ukusetshenziselwa kabusha. I-expander ye-tissue ephukile noma evulekile kumele isuswe futhi ishintshwe. Uma umzimba wakho ulungele ukufakelwa isifuba unomphela, khona-ke ukufakelwa okuhlala unomphela kungaba yindawo yokuthunyelwa kwe-tander exander.
Ukubhekana
Ukubhekene nokususwa kanye nokushintshwa kwe-expander ye-tissue kungadliwa ngokomzwelo ngoba kwanezela enye inqubo eyengeziwe ekunakekeleni okunseleleka komdlavuza webele. Ucwaningo lubonisa ukuthi ukucindezeleka ngemuva komdlavuza wesifuba kufane kakhulu nokutholakala kwezinkinga ze-tissue expander; isimo sesivele senyuke ngemuva kokuxilongwa komdlavuza webele. Ngaphezu kokususwa nokufaka esikhundleni se-expander, kubalulekile ukuthi ufune ukusekelwa kusuka kumndeni nabangani.
Abanye abantu bakuthola kuwusizo kakhulu ukukhuluma nomuthi wezokwelapha, futhi ukwelashwa kwengqondo ngemuva kokuxilongwa nokwelashwa komdlavuza webele sekuye kwaxhunyaniswa nokuphila okuthuthukile kwezinye izifundo.
Okubalulekile
Izandiso zamashubhu zisetshenziselwa ukulandela isisindo se-mastectomy ukuwehlisa izicubu zakho ezivumela ukuba unombele wokubeletha unomphela. Lezi zanda ayizikhohlisi, futhi ukuvuza nokuphuka kungahle kwenzeke ngenxa yokungena, ukucindezela noma ukulimala endaweni. Nakuba izimplantshi zihlolwa ngokucophelela ngaphambi kokusetshenziswa, imikhiqizo ingase ibe nephutha njenganoma iyiphi idivayisi yezokwelapha.
Uma ukuvuza kwakho kuqhuma noma kuqhuma, kuyodingeka kususwe futhi kufakwe esikhundleni senye isidumbu se-tander noma isitshalo sakho esingunaphakade uma unezicubu ezanele ukuvumela lokhu.
Ukwandisa izicubu kungase futhi kutholakale ngegciwane ngezikhathi ezithile futhi kungakhathazeki. Uma uzizwa ungakhululekile kungase kube esinye isiqiniseko sokuthi abesifazane abaningi bathola ukuthi izimila zabo ezihlala njalo zikhululekile kunabaningi.
> Imithombo
> Chuba, P., Stefani, W., Dul, C. et al. Ukukhwabanisa nokucindezeleka okuhambisana nezinkinga zeTissue Expander Reconstruction. Ukwelashwa Kwebele Kantshisekelo Nokucwaninga . 2017 Meyi 13. (Epub ngaphambi kokuphrinta).
> Ota, D., Fukuuchi, A., Iwahira, Y. et al. Ukuqaphela Izinkinga Emithectomy Ngokuvuselelwa Ngokushesha Ngokusebenzisa Izicubu Zokukhulisa Nezimila Zomphela Iziguli Zomdlavuza Webele. Umdlavuza webele . 2016. 23 (3): 400-6.