Lokho ukuhlinzwa kokubelethwa kwesibhedlela kuwukuthi, nokuthi kungani kungaba nzima kangaka
Uma owesifazane ehlinzwa ngokubelethwa kwebele , kungenzeka ukuthi into yokugcina engqondweni yakhe ihlinzekwa okwesibili, okuthiwa ukuhlinzwa kokubeletha kwebele, emathunjini akhe. Noma kunjalo, kubalulekile ukuqonda ukuthi izimpande zebele azizona amadivaysi okuphila. Empeleni, iziqinisekiso eziningi zezibeletho zesifuba ziyiminyaka eyishumi kuphela. Ngenxa yobuningi bokufakela, ukuhlinzekwa okunye kwesibili kunikezwa ngesikhathi esithile esikhathini sokuphila kwesiguli.
Yiqiniso, ukufaka ukuhlukunyezwa noma ukuphuka akuyona nje isizathu esingenza umuntu afune ukuhlinzekwa okwesibili emva kokungenelela. Ukuhlinzwa kokubelethwa kwesisu kwenziwa uma owesifazane engathokozi ngesici esithile sokubukeka kanye / noma ukuzwa kwamabele akhe. Ngokusho kwe-arthritis yasePalestine ehlinzekwe ngamabhodlela ase-Maryland, u-Adam Tattelbaum, MD, isizathu esivame kakhulu sokuhlinzwa ngokubelethwa kwesisu singafingqwa ngomusho owodwa: "Gee, ngifisa sengathi ngabe ngihambe kakhulu."
Ngokwezibalo ze-FDA, ukuguqula usayizi wezinsizakalo ezinkulu kubhekwa ukuthi ku-akhawunti engaba ngu-37% yazo zonke izinhlinzeko zokuvuselelwa kwebele eMelika. UDkt. Tattelbaum uthi lapho abesifazane befika ehhovisi lakhe ukuze baxoxisane ngesisindo sokunakekelwa kwebele, esinye sezikhathazo ezinkulu kakhulu ukuthi abafuni ukuthi amabele abo amancane abe mkhulu kakhulu. Ngemuva kokuvuvukala kwe-post-op kwehla futhi bajwayele amabele abo amasha, noma kunjalo, bavame ukucula umculo ohlukile.
Ezinye Izizathu Ezivamile Zokuhlinzwa Kwezinsana ZeBabele
- Ukuthengisana kwe-Capsular kudinga ukukhululwa kwezicubu ezibomvu ngokusebenzisa i- capsulectomy noma i- capsulotomy
Ukushintsha kusuka ku-saline kuya kwizimpande ze-silicone ngenxa yezinkinga zokuxosha noma nje isifiso sokwenza okungcono kakhulu, ukuzizwa komvelo ngokwengeziwe
- Izinguquko zesisu emva kokukhulelwa, ukuzuza kwesisindo noma ukulahlekelwa isisindo, noma izinguquko ezihlobene nobudala
- Ukukhathazeka okucabangela lapho isiguli singathokozi ngenxa yokuhlinzekwa kwangaphambilini ngenxa yokubekwa okufakiwe okuncane noma ezinye izinkinga ezifana ne-double-bubble, i-symmastia, noma i-botmas out
UDkt. Tattelbaum uthi futhi ngezikhathi ezithile ubona abesifazane ababenokuhlinzwa okubelethweni kwebele kwesinye isikhathi eminyakeni engu-20 kuya ku-30 eyedlule futhi manje sebesendaweni ehlukile empilweni yabo, ngakho-ke bafuna ukususwa kwezimpande. Ukususwa kuyenziwa, ngokuvamile ngokuhambisana nokuphakamisa isifuba, nakuba kungenjalo ngaso sonke isikhathi.
Izinselele Zokuhlinza Ukuhlinzwa Kwebele
Ukuhlinzekwa kwesibili kunzima kakhulu kunokwenyuka kokubeletha kwebele, ngezizathu eziningana. Okokuqala, ukuba khona kwezicubu ezibomvu kwenza kube nzima ukubikezela imiphumela emihle. Ngaphezu kwalokho, udokotela ohlinzayo usebenzelana nokwehlukaniswa kwezicubu noma izinguquko zesimo esenziwe yizimpande zangaphambilini. Ngenxa yalesi sizathu, odokotela abaningi abahlinzayo bangase bakhokhe imali ephakeme yokuvuselelwa kwebele kunokuba kusetshenziselwe ukubeletha kwebele.
Okwesibili, isiguli sokuvuselela isifuba singangena ehhovisi likadokotela ohlinzayo ephazamisekile futhi esesabekayo kunesiguli sokuqala sokwandisa ibele. Ngokuvamile, udokotela ohlinzayo wokuqala akenzanga lutho olungalungile ukubangela izinkinga ezihlupha isiguli. Kodwa-ke, ngezinye izikhathi ukungabi nodokotela osebenza kahle-ukukhulumisana ngesiguli ukusola ukuthi isiguli asikwazi ngokwanele izingozi ezijwayelekile ezihambisana nokuhlinzwa kwesisu.
Lokhu kungadala ukulindela okungenangqondo, okusho ukuthi isiguli cishe asinelisekile ngomphumela wokuhlinzwa okuyisisekelo noma ukuhlinzwa okubukeziwe.
Izimfihlo Zokubeletha Ukubelethwa Kwebele Kuphumelele
Ngokusho kukaDkt. Tattelbaum, ukukhishwa okukhulu kokuhlinzwa kokubelethwa kwebele kuyinto izinga lokuxhumana phakathi kukadokotela nesiguli ngaphambi kokuhlinzwa. Iziguli ezithola incazelo egcwele futhi eqotho yalokho abangakulindela cishe zizoneliseka ngokwengeziwe ekugcineni.
Esinye isici esinquma ukuphumelela kwesifuba sokubuyiselwa yisizathu sokuthi ukuhlinzwa kufunwa.
Isivumelwano sokuqala se-capsular sinezinga eliphakeme lokuphumelela, nakuba kungenzeka ukuthi isivumelwano sibuyele emuva, ikakhulukazi ngenxa yesimo somzimba wesiguli.
Ezinye ezinye izinhlobo zokubuyekeza zilula futhi ngaleyo ndlela ziphumelela ngokugcwele ngenxa yemiphumela yokuvuthwa (kanye nesenzo se-pectoral muscle, lapho ukufakelwa kufakwa ngaphansi kwesisipha). Ngokwesibonelo, ukunciphisa ukufakelwa kulula kunokuba ukhulise, futhi ukuhambisa izimpande ezinhlangothini kulula kunokuzihambisa enkabeni yomzimba.
Odokotela abaningi nabo banomuzwa wokuthi indawo yokucubungula iyisihluthulelo sempumelelo empilweni yokubuyiselwa kwebele, futhi ochwepheshe abaningi bezingubo zokubuyisela isifuba baxhomeke ekubhekeni kwe-peri-areolar (ukucubungula kulandela umngcele wangaphandle we-1/3 we- areola engezansi) . Le ndlela ivumela udokotela ohlinzayo ukuba abe nama-tissue angama-360-degree ngaphakathi kwebele, okuvumela ukucacisa okukhulu ukukhipha izicubu ezibomvu kanye nokudala noma ukuguqulwa kwephaketheni. Abahlinza abaningi abahlinzayo bazizwa kungase kube nzima ukugweba lokho osebenza nabo kusukela ekuhlosweni okwenziwe kwezinye izindawo.
Ngaphezu kwalokho, uDkt. Tattelbaum ukholelwa ukuthi ukubuyekezwa kwesifuba ngezinye izikhathi kungaphumelela uma ukufakwa kufakwa egazini elihlukile kusukela ekuhlinzekeni kokuqala. (okungukuthi, kusukela ngaphezu kwe-muscle kuya ngaphansi kwe-muscle, noma i-vice-versa). Lokhu kungenxa yokuthi ukusebenza kwelinye indiza ngokuvamile kusho ukuthi kunezicubu ezincane ezibuhlungu kanye nokukhubazeka okungaphansi kwezicubu ngenxa yokuhlinzwa kokuqala. Yiqiniso, lokhu kuyashintsha kakhulu, futhi inkambo engcono kakhulu yokusebenza isenziwa njalo ngesisekelo somuntu ngamunye.
Ungesabi ukubuza udokotela wakho ohlinzayo mayelana neziqu zakhe nesipiliyoni. Uyenze kangaki izinqubo ezifana neyakho? Iyini izinga lakhe lokuncintisana nale nqubo? Ingabe ingumhlinzeki ohlinzayo wepulasitiki oqinisekisiwe?
Kwenzekani Ngesikhathi Sokuhlinzwa Kokubeletha Kwebele?
Yiqiniso, impendulo ixhomeke kakhulu ngesizathu sokuhlinzwa. Ukubuyiselwa kwesisu kuvame ukufaka ukususa izimpande ezindala ezintsha, ngokuvamile ngokushintsha kwesayizi. Kungaphinda kuhlanganise ukuphakama kwebele , ukukhululwa kwezicubu ezibomvu , nokuguqula usayizi, ukuma, kanye nendawo "ephaketheni" (isikhala ngaphakathi emzimbeni lapho ukutshala kuhlala khona).
Ngezinkinga ezithile zezitho zomzimba, ukuhlinzekwa okwengeziwe kungadingeka ukuze uthole imiphumela emihle kakhulu kunazo zonke. Ngokwesibonelo, ukulungiswa kwe-symmastia nokuphuma ngaphandle kungaphumelela uma izimpande zihlala zingekho emzimbeni isikhathi esingenani amasonto angu-12 ngemuva kokukhipha izimpande ezindala nokubeka ngokuyisisekelo ama-sutures ukuvala ephaketheni. Uma ukuphulukiswa okufanele nokuqiniswa kutholakala ngokubunjwa kwamathambo omzimba omusha, ukuhlinzeka kokugcina kungenziwa ukuze kufakwe izimpande.
Indlela Yokunciphisa Ingozi Yokungavumeli Ukwelashwa Kwesiswini Sebele
Izinkinga eziningi zezitho zomzimba ezinezimplantshi (kufaka phakathi kabili-bubble, symmastia, nokuphuma ngaphandle) zikhulu kakhulu uma zifaka izimpande ezinkulu kakhulu emizimbeni encane kakhulu. Ukubeka ukufakelwa endaweni ephakeme kunokuba kuncane kakhulu kuvame ukubona ukubonakala okujabulisayo kakhulu, ngoba imiphumela yodlamezi izobangela ukuthi ukufakelwa kwehlise isikhathi. Ngendlela efanayo, indlela enamandla kakhulu yokudala ukuhlanza ngokuvamile iyingxenye yokusola i-symmastia. Kubalulekile ukukhumbula ukuthi ukuhlunga okudakayo kudalwa ngamabhodlela okuqhuma, hhayi ngamabele ezemvelo noma athuthukisiwe.
Njengoba ukushintsha usayizi kuyisizathu esisodwa sokuvuselelwa kwebele, kuyacaca ukuthi ufuna ukuqiniseka ukuthi usayizi obunjani ngaphambi kokuhlinzwa. Uma ucabangela ukukhushulwa kwesifuba, umqondo omuhle "uzama ngaphambi kokuthenga." Indlela engcono kakhulu yokufeza lokhu ukuzama ngobukhulu obuhlukahlukene obuhlukahlukene kanye namafomu okufakela ku-office of your surgeon. Njengoba ububanzi bobunjwa, izinhlobo, nobukhulu be-implants atholakalayo namuhla, lena yindlela ewukuphela kokwahlulela ngokunembile ukuthi ukufakelwa kuzosebenza kangcono emzimbeni wakho.
Yiqiniso, udokotela wakho ohlinzayo ngeke akuvumele ukuba uhambe ehhovisi unesigqi sezimpande ukugqoka ebhodini lakho ekhaya. Uma ufuna nje ukwahlulela ukuthi yisiphi isitsha sekhobe okhululekile kakhulu futhi ufisa ukuchitha isikhathi esithile ukujwayela i-D indebe ngaphambi kokunquma ukuthi kukulungile yini, kunezinhlelo zokusungula ezitholakalayo zentengiso ezikuvumela ukuba uzame ubukhulu obuhlukahlukene isikhathi sakho. Noma kunjalo, uma ufuna ukuzama ubukhulu obukhulu, lokhu kungabiza. Indlela ethandwayo (futhi engabizi) yokuzama nokukhululeka ngamasayizi ahlukahlukene ukukwenza i- rice test .
Buza imibuzo eminingi lapho uxoxisana nodokotela wakho ohlinzayo, futhi ubuze okwengeziwe ngosuku lokuhlinzwa kwakho. (Kungase kube usizo ukubhala imibuzo yakho endaweni eyodwa njengoba ucabanga ngabo, bese uletha uhlu lwakho nawe noma nini lapho ubona udokotela wakho ohlinzayo.)
Yenza ucwaningo lwakho, futhi uxhumane nodokotela ohlinzayo abangaphezu kweyodwa ngaphambi kokwenza isinqumo sakho. Isiguli esifundisiwe asikwazi kakhulu ukuphefumula sidinga "ukwenza-up." Futhi ungavumeli inani libe yisici sakho esiyinhloko lapho ukhetha udokotela ohlinzayo.
Okokugcina, khumbula ukuthi kubaluleke kakhulu ukungena ekuhlinzekeni kwakho ngezilingo ezingokoqobo . Ukuphelela akukhona emvelweni noma ekuhlinzekeni kwepulasitiki. Umzimba wakho wokuqala wokuhlinzwa awuhambisani ngokuphelele, futhi ngeke uhambisane ngokuphelele ngemva kwalokho noma.
Uma unesifo sokuvuselelwa kwebele, qaphela ukuthi usengabona ezinye zezinkinga ozifakile ukuthi uzilungiselele. Akunakwenzeka ngaso sonke isikhathi ukususa ngokuphelele zonke izici ze-bubble kabili, isibonelo. Gcina njalo engqondweni ukuthi umgomo wokuhlinzwa kwepulasitiki ukuthuthukisa, hhayi ukuphelela.
> Imithombo:
> Ingxoxo no-Adam Tattelbaum, MD, eRockville, MD; kwenziwa ngoNovemba 14, 2008
> Ukuhlinzwa Kokufakelwa Kwesisu Esizaliswa Ngama-Saline: Ukwenza isinqumo esaziwayo, iMentor Corp. (ulwazi olunikezwa yi-US Food and Drug Administration)