Izimbangela Futhi Yini Ongayenza Ngayo
Uhlobo oluvame kakhulu lokuvuselelwa kwebele luyenziwa ngama-tissue expanders kanye nama-breast implants. Ngisho noma lolu hlobo lwe-reconstruction lwebele lungakha imiphumela emihle, uma unama-tissue expansion, angabangela ubuhlungu okwesikhashana . Kunezindlela eziningi zokubhekana nobuhlungu be-expander ubuhlungu-okunye ongazenzela wena, kanti ezinye zazo zidinga usizo lodokotela.
Ake sikhulume ngokuthi singabhekana kanjani nobuhlungu be-expander nobuhlungu nokuthi kungani kwenzeka.
I-Tissue Expander Pain Ngesikhathi se-Breast Reconstruction
Abesifazane abaningi bayanqikaza ukukhononda ngezinhlungu zezidakamizwa ze-expander. Phela, uma kuqhathaniswa nobuhlungu besifo se- mastectomy , mhlawumbe i-lseph node dissection, ne- chemotherapy , ngokuvamile akubi. Ngaphezu kwalokho, abesifazane abaningi bayabonga ngokuthi baphile futhi banakho ukukhethwa kabusha kwesifuba nomdlavuza webele!
Kodwa kubalulekile ukukhuluma nodokotela wakho bese wabelana nabathandekayo bakho. Ubuhlungu be-tissue expander buvame kakhulu. Ngenhlanhla, uma ukhuluma nabanye besifazane abaye baqhubeka nale nqubo, cishe uzozwa amazwi mayelana nokukhululeka kakhudlwana kangakanani ngemva kokususwa kwezandiso futhi izimpande ezingapheli zifakwe.
Izimbangela ze-Tissue Expander Pain
Ukwandisa izicubu zingamadivaysi okwesikhashana afakwe ngaphakathi kwamasipha emathunjini ngemuva kokuthi i- mastectomy yakho ikhiphe indawo yokufakelwa isifuba unomphela.
Ukwandisa izicubu kungase kube nomuzwa okhuni kakhulu futhi kungokwemvelo ngoba amagobolondo abo ayeneqile futhi alula kakhulu kunokufaka izigobolondo.
Umswakama othunywe ngumthombo wesikhumba sesifuba sosizi futhi izinzwa zivame ukungena emanzini emva kwesifo se-mastectomy. Ubuhlungu obuvela ezikhungweni zomzimba zizozizwa zifana nezipasmisi ze-muscle, ama-cramps, noma ukuqina komzimba
Kuyinto evamile ukuba abathungi bezicubu bangakhathazeki, kodwa ngezinye izikhathi kungenziwa ngcono ngezinye izimo. Ukuvumelanisa kwe-Capsular , noma izicubu ezibomvu ezakha nxazonke ze-expander, zingase zibe umthombo wobuhlungu nokuqina. Uma ubuye ukwelashwa kwemisebe, amanye ama- radiation fibrosis angabangela ubuhlungu nxazonke ezikhulwini zakho zomzimba. Ubuhlungu obandayo bungaba nomphumela uma uhlakulela isifo.
Usizo Lwakho Ngosizi Lwe-Expander Pain
Kunezinto eziningi ongayenza wena ngokwakho ukuze uthuthukise induduzo yakho ngenkathi une-expander yakho noma onwebekayo endaweni. Lokhu kuzobonakala ngokukhethekile uma usugcwele ukugcwalisa u-saline. Zama ezinye zalezi zeluleko uma uzizwa ubuhlungu:
- Hlunga It - Zama ukufaka iphakethe le-gel elibandayo endaweni ebabazayo cishe imizuzu engama-20, ugcine indwangu elula noma ithawula ekhanda isikhumba sakho. Uma ungenayo iphakethe le-gel elibandayo, ungase uzame iphakethe lama corn or frozen frozen, noma ufake ama-cubes eqhwa noma iqhwa elichotshoziwe esikhwameni esincane. Indwangu emelene nesikhumba sakho iyokwandisa induduzo yakho futhi isize ukuvimbela umonakalo (futhi kamuva ingozi yokutheleleka) esikhumbeni sakho. Uma uthola ukwelashwa kwemishanguzo, icing ingase ingabi umbono omuhle njengoba isikhumba sakho singase sibomvu futhi sore kakade. Kodwa kunezinye izinto ongazama ngazo kunalokho.
- Tune Out - Sebenzisa amateyipu okuphumula kanye nezinye iziphazamiso ukuze uthathe ingqondo yakho kude nobuhlungu. Ukuzindla nemifanekiso eqondiswayo kungasiza futhi kubonakala kunezinye izinzuzo kubantu abanomdlavuza. Ukwelashwa komculo , noma ngisho nje ukulalela izingoma zakho ozithandayo, kuyindlela enhle yokukhipha ingqondo yakho ekuhluphekeni. Ngaphezu kwalokho, umculo ungaba nezinzuzo ezithile "ezifihlekile" zabantu abanomdlavuza, njengokukhulisa inombolo nomsebenzi wamaseli e-T emzimbeni wakho; amangqamuzana omzimba wethu omzimba olwa nomdlavuza.
- Hambisa Okuzungezile - Zama ukuzivocavoca kwengqondo emincane futhi emnene ukuze welula lezo zinsizwa zesifuba, ukwandise uhla lwakho lokuhamba kancane kancane. Kubalulekile ukungenzi lokhu ngokushesha kakhulu noma ungangezela ekuhlukumezeni kwakho.
- Yenza okuncane - Cela ukugcwaliswa okuncane kwe-saline ngesikhathi sokwelashwa noma isikhathi esiningi phakathi kokugcwalisa. Akudingeki uzame futhi ube yiqhawe futhi "ubekezelele" okukhudlwana kugcwalisa. Ukugcwala okuncane kuzokufeza injongo efanayo ngokuvame ukududuza okungaphezulu. Ngaphezu kwalokho, okukhudlwana kugcwaliswa, ikakhulukazi uma une-radiation therapy, ukwandisa ingozi yokuba isikhumba sakho siphume futhi mhlawumbe sithole igciwane.
- Thatha i-Advil - Uma ukwazi ukuthatha u-Advil (ibuprofen,) ungase ufune ukuzama "ukulungisa ngaphambilini" ngaphambi kokugcwaliswa (okungenani imizuzu engu-30 ngaphambili) futhi emva kwamahora ambalwa emva kokugcwalisa.
Usizo lobuchwepheshe lwe-Tissue Expander Pain
Uma amasu akho okuzisiza nje engakwenzi, kukhona ezinye izinto udokotela wakho angayenza ukuze asize ukukhulula ubuhlungu bakho. Umsebenzi wakho ukukhuluma, ukuchaza ubuhlungu bakho noma ukungakhululeki, futhi ucele imithi noma olunye usizo.
- Buza - Cabanga ukucela udokotela wakho ukuba abe nomshini wezinhlungu. Lokhu kungaba yimbhalo yemithi elwa nokuvuvukala, njenge-ibuprofen noma naproxen yamandla-kadokotela. Sebenzisa lezi zidakamizwa njengoba nje kunqunyiwe. Uma ubuhlungu bakho bukhulu, udokotela wakho angase ancoma ukuphumula kwemisipha noma imithi yokwelapha imithi. Le mithi, kodwa, kufanele isetshenziswe kancane, futhi kuphela ngenxa yobuhlungu ngokulandela ukugcwaliswa.
- Gwema Ukuhlunguphaza - Ukusebenzisa i-lidocaine isikhumba sekhasi kungasetshenziselwa ukulinganisela ubuhlungu be-expander yezicubu. I-Lidocaine patches manje itholakale phezu kwe-counter, nakuba kungumqondo omuhle ukukhuluma nodokotela wakho kuqala. Abanye abantu bangase bathuthukise ukucasula isikhumba nge-lidocaine patches ezingakhuphula ingozi yokutheleleka, ikakhulu kulabo abahamba ngemithi yokwelashwa . Uma uhamba lo mzila, qiniseka ukuthi ufunda izikhombisi-ndlela ngokucophelela futhi ungashiyi isiqeshana endaweni esinde kunesikhathi esiphakanyisiwe.
- Emuva Ngaphandle - Kungase kudingeke ubuze udokotela wakho ohlinzayo we-plastic ukuze ususe okwesikhashana isisombululo saline, ukuze akunikeze impumuzo. Ungesabi ukubuza futhi ungazizwa sengathi uhluleka ukwenza kanjalo. Imizimba yethu isitshela izinto eziningi. Uma uzizwa ungakhululekile, cishe ucela imisipha yakho ukuba isule ngokushesha kakhulu. Lalela umzimba wakho futhi ukhululeke.
Ukushintshanisa amaTissue Expanders for Implants Implants
Abaningi besifazane babika ukuthi babe nobuhlungu obukhulu kakhulu ngezimpande zabo zesifuba kunokuba banweba tissue. Ngemuva kokuhlinzwa kwakho kokushintshaniswa, noma yikuphi ukuhlupheka okuthunyelwe okumele kunciphise kufanele kufinyelele ngokushesha. Uma kungenjalo, bheka udokotela wakho ohlinzayo noma udokotela usizo. Izimila zivame ukuncane, ziguquguquke futhi zilula ukubekezelela kunezicubu zenyama. Uma isikhumba sakho nomsila wakho uhlala phezu kwezimpande zakho ezihlala unomphela, ukubukeka kwakho nenduduzo kufanele kuthuthuke.
Ngezansi Ngezinhlungu Ngezicubu Ezikhulayo
Ukubuhlungu kwesisindo samathambo esetshenziselwa ukuvuselelwa kwebele kuvamile kakhulu, kodwa ngokubonga, okwesikhashana. Kukhona izinto eziningi ongazenza ngokwakho ukunciphisa ubuhlungu bakho, futhi ungase ubuze nodokotela wakho usizo ngolawulo. Noma iyiphi indlela oyisebenzisayo kubalulekile ukunakekela isikhumba sakho. Isikhumba ngaphezu kwe-expander yakho sivame ukungabi nhlobo kusuka ekuhlinzekeni, kodwa ngesikhathi esifanayo, engozini enkulu yokuphazamiseka (necrosis) nokutheleleka. Uma izitshalo zakho zezicubu zingakhululekile, vakashela udokotela wakho ukuze aqiniseke ukuthi ubuhlungu bakho abukho ngenxa yokutheleleka okuyisisekelo noma enye inqubo, ikakhulukazi uma uthola nokwelashwa kwemishanguzo.
> Imithombo:
> Sue, G., Long, C., no-G. Lee. Ukuhlanganiswa kwe-Mastectomy Skin Necrosis ekwakhiweni kokusungulwa kwesisu seBest. Ama-Annal of Surgery Plastic . 2017. 78 (I-Suppl 4: S208-S211.