Unezinketho eziningi okufanele uzicabangele uma ukhetha uhlobo lokuvuselelwa kwesifuba ngokushesha noma olulibalekile. Yenza i-aphoyintimenti nodokotela ohlinzayo we-plastic ongakusiza ukuba uhlele izinhlobo ezizobe zilungele wena. Udokotela ohlinzayo we-plastic anganikela ukukubonisa izithombe zokubuyiswa okuphelele ukuze ubone imiphumela yokuhlinzwa kabusha. Khuluma nabanye abasinda emdlalweni webelevuza ababelethwayo, babuze mayelana nokuhlangenwe nakho kwabo. Uhlobo ngalunye lwe-reconstruction lwebele luza nezinzuzo nezinkinga kanye nezingozi.
Izimpande Zasebele Zokuvuselelwa Kwebele
Izimila zisetshenziselwa ukudluliselwa kwamabele okungaphezu kwebele; nazo zisetshenziselwa ukuvuselelwa kwebele. Eqinisweni, cishe ingxenye yesilinganiso sokuvuselelwa kwebele isenziwa ngezimplantshi. Lezi ziyatholakala ku-saline kanye ne-silicone, futhi ziza ezihlukahlukene, ubukhulu, kanye nemidwebo.
- I-Saline kanye ne-Silicone Breast Implants for Mastectomy Reconstruction:
Kunezinhlobo ezimbili zezimila ezivunyelwe ukwakha kabusha. Funda kabanzi mayelana nokufakelwa kwesifuba se-saline nesicone. - Izimpande Zebele Nezicubu Zezingubo Ukuvuselelwa:
Ukutshala nokuxilongwa kwe-tissue expander kuyashesha kunenqubo ye-tissue flap, futhi ukuphumula kufana nokushesha. Ungadinga ukwelashwa kokwandisa ukufeza usayizi ofanele wokufakelwa.
I-Autologous Recastruction ye-Breast
Ukuvuselelwa kwe-Autologous isebenzisa izicubu zakho ukuze wenze isifuba esisha. Wena ungumnikeli nomamukeli wezicubu, ngakho-ke akukhathazeki kakhulu ngokulahlwa kwezicubu. Isikhumba sakho, amafutha, futhi ngezinye izikhathi izihlunu zingasuswa kusuka emhlane wakho, isisu, noma isikhunta, futhi zisetshenziselwa ukwakha isigundane sebele. Kunamasu amaningana okuvuselelwa kwebele we-autologous.
Izinhlobo ze-Muscle kanye Nezikhumba zohlobo lwe-Breast Reconstruction
Zombili amasu okuvuselela isisu nekhanda athatha umsila nesikhumba kusuka kwenye ingxenye yomzimba wakho, bese uwufaka endaweni yakho ye-mastectomy, ukudala isifuba esisha. Uhlobo ngalunye lokuhlinza luzoshiya izibazi ezimbili - kusuka kusiza somnikelo kanye nasayithi le-mastectomy.
- I-TRAM Flap (i-transverse rectus abdominus myocutaneous) isebenzisa isisipha esiswini sakho ukunikeza igazi esikhunjeni sakho sebele.
- I-Latissimus Dorsi (lat flap) isebenzisa isisipha engxenyeni yakho engenhla ukuze inikeze ngegazi kanye nesikhumba isifuba esisha.
Isikhumba ne-Tummy Fat Microsurgery
I-Skin kanye ne-tummy fat microsurgery zisebenzisa kuphela ama-tummy fat, isikhumba kanye nemithwalo yegazi ethize ukuhlinzeka ukujikelezwa kanye nevolumu yesifuba sakho esisha. Ngenxa yokuthi ukuxhuma kabusha imithwalo yegazi kuyimisebenzi encane, i-microsurgery isetshenziselwa ukuqinisekisa ukuthi izicubu ziyosinda endaweni yayo entsha. Uzoba nesisu kanye nesifuba esisha kulezi zinqubo.
- I-DIEP Flap (umthambo we-epigastric ophansi ophansi) isebenzisa i-artery endaweni yakho engaphezulu yesisu ukuze unikeze igazi esikhunjeni namafutha azokwenza isifuba sakho esakhiwe kabusha.
- I-SIEA Flap (umthambo we-epigastric engaphansi kakhulu) isebenzisa i-artery endaweni yakho engaphansi kwe-tummy ukuze unikeze igazi esikhumbeni kanye namafutha okwakhiwa kwesifuba sakho esisha.
Isikhumba ne-Buttock Fat Microsurgery
Isikhumba kanye ne-fatty microsurgery zisebenzisa kuphela amafutha omzimba, isikhumba kanye nemithwalo yegazi ethize ukuze unikeze ukujikelezwa kanye nevolumu yesifuba sakho. Akukho muscle okuzodinga ukuhanjiswa. I-Microsurgery isetshenziselwa ukuxhuma kabusha imithwalo yegazi nokuqinisekisa ukuthi izicubu ziyosinda endaweni yayo entsha. Uyothola ukuphakama kwezimpahla kanye nesifuba esisha.
- I-IGAP Flap (i-inferior gluteal artery perforator) isebenzisa amafutha nesikhumba kusuka esitokisini sakho esingaphansi ukuze udale isilonda sesifuba esisha ngemuva kwe-mastectomy. Ayikho imisipha yakho ekhanyayo iyokwekwa noma idluliselwe ukuvuselelwa kwe-IGAP.
- I-SGAP i-Flap (i-gluteal artery perforator) ephezulu isebenzisa amafutha nesikhumba kusuka kusikhumba sakho esingenhla ukuze udale isilonda sesifuba esisha ngemuva kwesisindo somzimba. Ayikho imisipha egxuma izokwenziwa noma ihanjiswe ukuvuselelwa kweSGAP.
Ukulungiswa kwe-Lumpectomy noma Ukwakhiwa kabusha
Zonke izindlela zokwelashwa kwebele ezomama zizoshiya ama-asymmetry kanye nokungapheleli. Uma uthola imisebe, ungathola ukuthi isikhumba sakho singase siphume futhi senze lukhuni, siqhubeke sishintsha ukuma kwesifuba sakho. Izinketho eziningi zitholakala ukulungiswa kwalezi ziphutha nokubuyiselwa kokulinganisa.
- Ukuvuselelwa Kwamabele Omzimba (i-fat graft) isebenzisa ama-fat nama-stem amaseli akho ukulungisa ama-divots nama-dimples ashiye i-lumpectomy.
- I-DIEP, i-SIEA, ne-TRAM flaps ingashintshwa ukulungiswa kwe-lumpectomy.
- I-Latissimus Dorsi mini-flap isebenzisa isikhumba esincane nomsila ukuhlinzekela ukulungiswa kwesifuba esiphuthumayo ngemva kokuhlinzwa komdlavuza.
- I-AlloDerm (i-acellular dermis grafts) inikezwa izicubu zesikhumba somuntu ezingasetshenziswa njenge-graft yokwengeza izicubu zakho.
Ukwakhiwa kabusha kwe-Nipple ne-Areola
Zonke lezi zindlela zokuvuselela isifuba zizokwenza isilonda sesifuba sibe nesibhakabhaka esingaphansi kwendwangu ngaphandle kokuthi ingono yakho kanye ne-areola ingasindiswa (ingono yokwehlisa isifuba.) Uma udinga i-ingono entsha ne-areola eyinkimbinkimbi, kunezinkambiso zokuvuselelwa kwezingono, nokudweba imidwebo forola entsha . Ukwakhiwa kwengono kubhekwa njengokuthinta kokuqeda kabusha kwebele. Khuluma nodokotela wakho wokuhlinza nge-plastic ukuthi iyiphi indlela ezosebenza kahle, futhi ibe yinto enamandla kakhulu kuwe. Ezinye izinqubo zifaka:
- I-Flap CV
- Fleur-de-lis Flap
- I-Skate Flap
- I-Vulvar noma Ithuluzi le-Skin Flap
- I-Flap-around Flap
Zilindele Okwenziwe Ngaphambi Kokuvuselelwa
Isifuba esakhiwe kabusha ngeke sibe nesisindo esifanayo noma ukuthungwa njengesifuba sakho semvelo. Noma yiluphi uhlobo lokuvuselela isifuba lungabangela ukuma okusha kwesifuba okubukeka kuhle ukugqoka noma ukugqoka, kodwa ulungele - ngeke kube nje njengesifuba esisha. Kodwa-ke, iningi labesifazane abakhetha ukuvuselelwa kwebele belithumela ukuthi isithombe sabo somzimba nokuzihlonipha kuthuthukisa lapho ukuvuselelwa kwesifuba sabo sekuphelile. Wena waklanyelwe ukuba uhambelane, futhi ngokuvuselelwa kwebele, ungaphinda uphinde uthole ukulinganisa kwakho.