Uma une-mastectomy yomdlavuza webele ungase ube nezikhukhula zokuhlinzwa lapho uhamba ekhaya. Izikhukhula zokuhlinza zivame ukufakwa ngesikhathi sokuhlinzwa kwebele . Udokotela wakho ohlinzayo noma umhlengikazi wakhe uzokunikeza imiyalelo yokuthi ungaphatha kanjani amanzi akho lapho ubuyela ekhaya, kodwa kunezinto ezimbalwa ongazenza esikhathini esingaphambili ukuze wenze ukuphila okulula kakhulu.
Nakhu okudingeka ukwazi mayelana nokukhipha ukunakekelwa nokulandelela.
Sibutsetelo
Emva kokuhlinzwa kwebele, izikhukhula zokuhlinza zenza indima ebalulekile ekuphulukiseni. I-fluid ivame ukwakha endaweni lapho isifuba isuswe khona, futhi uma lokhu ketshezi kungasusiwe kungabangela ukucindezeleka okubuhlungu nokuphuza ukuphulukiswa. Ama-drain nawo anciphisa amathuba okuba uhlakulele i- seroma , iqoqo le-fluid elingenakukhathazeka futhi ngezinye izikhathi libangele ukulimala. Ngenxa yalesi sizathu, udokotela wakho ohlinzayo uzobeka izikhukhula ezifundeni lapho kulindeleke ukuthi uketshezi lubuthe khona.
Kukhona ukuhwebelana phakathi kokuvumela uketshezi ukuqoqa futhi ingozi yokutheleleka ekubeni ne-drain endaweni. Ama-drain anikeza amabhaktheriya indlela yokungena emzimbeni, futhi ukugcina indawo ezungeze izikhukhula zakho zomile futhi zihlanzekile zizoba zibalulekile.
Ama-drain amaningi ashiywe endaweni yamaviki angu-2 kuya kwangu-3, kodwa amanye angasuswa ngaphambi kokuba usuke esibhedlela kanti abanye bangadinga ukushiywa endaweni isikhathi eside kunamaviki amathathu.
Kodwa ingozi yokutheleleka, noma kunjalo, iqala ukwanda ngokushesha ngemuva kokuba ikhona izinsuku ezingu-21. Odokotela abahlinzayo baphathelene nokuthi bahlala isikhathi eside kangakanani batusa izikhukhula zihlala endaweni, futhi odokotela abaningi abahlinzayo batusa ukugeleza okungaphansi kuka-20 kuya ku-30 cc inani lamahora angama-24 njengama-cut off.
Ukwelashwa Kwebele Ngokuvamile Okudinga Amanzi Okudla
Ukwelashwa okudinga uketshezi yilokho okuklanyelwe khona uketshezi ngesikhathi sokuphulukiswa. Amanzi abilayo ngokuvamile adingekayo emva kokuhlinzwa noma ukuvuselela. Ungase ube ne-drain eyodwa kuphela, noma ungaba nezinhlanu noma ngaphezulu uma une-mastectomy yamazwe amabili ngokuvuselelwa ngokushesha. I-tube ye-drainage ehlukene ivame ukufakwa uma une-lymph node dissection.
Indawo ye-drain yakho iyoxhomeka ekuhlinzekeni onakho, kodwa ngokuvamile ihlanganisa ukudonsa kwisayithi yakho ye-mastectomy kanti omunye ku-armpit yakho uma ususwe i-lymph nodes.
Ngeke udinga ithubhu ye-drainage uma usebenzisa i- biopsy yokuhlinzwa , i- lumpectomy, noma i- sentinel node biopsy . Uma utholakala ukuthi unama-sentinel ama-node amahle futhi i- dissection ye- lymph node isenziwa, noma kunjalo, cishe uzovuka ngokukhipha endaweni.
Izinhlobo Zezikhukhula Zokuhlinza
Ngenkathi kunezinhlobo ezahlukene zezingxube zokuhlinza, uhlobo oluvame ukusetshenziselwa ukwelashwa kwebele yilona uhlelo lwe-Jackson-Pratt. Lezi zinhlayiya zifakwe ngaphakathi kwendawo yakho yokuhlinza futhi zihlanganiswe nezibhamu eziguquguqukayo ezidlula futhi ziboshwe esikhumbeni sakho. Ngaphandle komzimba wakho, iphetha nge-bulb epulasitiki elithambile ene-stopper. I-bulb yindawo ethatha futhi ibambe umthamo osuswayo.
Indlela Yokunakekela Izinkinga Zokuhlinza
Lapho Uvuka Ngokuhlinzwa
Uma uvuka ekuhlinzekeni, umhlengikazi wakho wokuphumula uzokukhumbuza ukuthi udinga ukuqaphela ngamanzi akho. Kuye ubude be-tubes (ngokuvamile amasentimitha angu-14 kuya kwangu-18) kulula ukuthola lezi zingxube ezine imigqa ye-IV, izindwangu zakho zokulala, nanoma yini enye eduze.
Ekuqaleni komhlengikazi wakho uyokhipha njalo ama-bulb akho futhi uzoqala ukukufundisa ukuthi lokhu kwenziwa kanjani. Uzoqala ibhuku lokungena elidweba inani lokudonsa kwikhobhu ngayinye, futhi le nqubo izoqhubeka kuze kube yilapho izikhukhula zakho zisusiwe.
Ngaphambi kokuba usuke esibhedlela ithimba lakho lokunakekelwa kwezempilo lizobuyekeza ukuphathwa kwe-drain, ikutshele izimpawu okufanele zikufake ukubiza nokusetha ukuvakashelwa kokulandela ukuze zikhishwe.
Ukugcina ama-Drain wakho endaweni
Ingxenye yezinkinga ezinzima kakhulu zokuba nezikhukhula ezihlinzekwayo zilawula kokubili amashubhu kanye namachibi okuqoqa amanzi. Ngaphandle kokucabangela okuncane, lokhu kungase kuzwe kunzima futhi ungase ubungozi ngokukhipha ingozi ngaphambi kokuba usebenze.
Ukuba nengubo ekhethekile yokuphathwa kwe-drain kungaba ngumsindisi wokuphila, futhi kuyisipho abaningi abasinda emdlalweni webelevuza abesilisa abakhetha abangane babo abaye bafunyanwa. Kukhona amakhemikhali ekhonti akhethekile aklanyelwe kuphela ngale njongo. I-camisole enhle inezikhwama noma ama-pocket lapho ungafaka khona ama-bulb ukuze uwagcine evikelekile, uqinile ngokwanele ukuze unamathisele futhi usethe kabusha izikhonkwane zokuphepha ukuze ulawule imigqa, futhi unciphise izingqamuzana ezingaxubha ngezindawo zakho zokungena futhi ungakhathazeki. Lokhu kugcina ama-drain aphephile ukuze angadonsi isayithi lakho elilinxeba noma agijime ngokukhululekile lapho angabamba khona izinto njengoba udlula. Amanye ama-camisoles ayenamapokethi lapho ungafaka khona amafomu we- cotton we-cotton uma ufisa.
Okunye okukhethwa kukho kufaka ama-blades amakhulu, amabala amakhulu, nama-sweaters amaningi noma ama-sweatshirts avulekile ngaphambili. Isikhathi esithile emva kokuhlinzwa kungase kube nzima ukudonsa izingubo phezu kwekhanda lakho, ngakho gcina lokhu engqondweni uma uthenga. Uma ulala ebusuku, unake indawo yesikhumba sakho. Uma "ulele ngokukhuthele" ungase udinge ukulala ngemuva kwakho noma ekuqedeni ukuvimbela ukukhipha izikhukhula zakho. Funda kabanzi mayelana nokugqoka kwe-post-mastectomy .
Ukukhipha nokulandelela ukukhipha kwakho
Kuwusizo kakhulu ukuthi othile akusize ngokukhipha amabala akho okuhlinza. Uma uhlala wodwa, kuyasiza ukuhlela ukuba nomunye nawe lapho ama-drain wakho adinga ukukhishwa.
Umhlengikazi wakho ozohlinzeka uzobonisa indlela yokukala amanzi akho, futhi akukhumbuze ukuthi ugeze izandla zakho ngaphambi nangemva kwesilinganiso ngasinye. Ekuqaleni ungase ube namanzi angama-100 cc ngosuku, kodwa lokhu kuzokwehla kancane kancane. Ungacelwa ukuba uchithe izikhumba zakho ezimbili noma ezine nsuku zonke, kodwa kufanele wenze lokhu njalo uma ziba yizinxenye ezimbili kwezintathu ezigcwele.
Ngemuva kokuthi uchithe izikhukhula zakho kufanele ubheke nombala nokuvumelana kwegeyimu. Ekuqaleni komsele wakho uzoba obomvu kodwa lokhu kushintshela kumbala obombala futhi obheke kahle emva kwezinsuku ezimbalwa. Ngemuva kokukhipha isibani sakho, ngokucophelela ukucindezela ukuze uqinisekise ukuthi i-vacuum isakhiwe kabusha uma uvala uhlelo.
Inani lemifino onayo lizokwehliswa kancane kancane, kodwa ungase ube nezikhathi lapho ubona ukwanda kwamanzi. Uma lokhu kwenzeka, cabanga ngalokho okwenzile. Ukukhipha amanzi kungase kube isibonakaliso sokuthi usuqedile futhi udinga ukuwenza kube lula ezinsukwini ezimbalwa. Thatha isikhathi sokuhlola indawo lapho ukungena khona kungena esikhwameni sakho ukubuka izimpawu zokutheleleka.
Ukuphila Nokuhamba Ngama-Drain
Kulula kakhulu ukubamba amashubhu akho okudonsa kunoma yini ohamba ngayo uma engaphephile. Ukwehlisa nokudonsa nakho kungavinjelwa isikhathi esithile emva kokuhlinzwa, ikakhulukazi ngamanzi emanzini endaweni. Ngaphambi kokuhlinzwa kwakho, kuyasiza ukubeka izinketho ezivame ukusetshenziswa endaweni lapho kuzodingeka usule noma ugobe ukuyisebenzisa.
Kungenzeka ube nomkhawulo wesisindo, ngakho qiniseka ukuthatha omunye umuntu uma uqala esitolo. Odokotela abahlinzayo baphathelene nezincomo mayelana nokushayela ngamanzi, kanti abanye batusa ukugwema lokhu ngokuphelele. Kumele futhi ugweme ukushayela uma uthatha imithi yobuhlungu. Uma ugibela emotweni njengomgibeli ungase ufise ukubeka umcamelo omncane, ophansi, kodwa ophansi ophakathi kwendawo yakho yokugqoka kanye ne-drain yakho yesihlalo.
Udokotela wakho ohlinzayo uzokutshela ukuthi kudinga isikhathi esingakanani udinga ukulinda ukugeza emva kokuhlinzwa. Odokotela baphinde bahluke ngokuphathelene nemiyalelo yokugeza. Abanye bancoma ukuthi uyenze kuphela amanzi okugeza kuze kube yilapho izikhukhula zakho zisusiwe, noma ungakwazi ukusebenzisa ikhanda lokugeza ukuze ugeze kusuka okhalweni lwakho phansi.
Ukugeza izinwele zakho kungaba yinselelo encane ngenxa yokunyakaza okulinganiselwe kwezingalo zakho futhi kungase kungakhululekile ukuthembela phezu kwezinga. Abanye abantu bathola ukuthi ukuzitholela imfucuza e-hair salon kuyindlela enhle.
Ukungena emgodini noma ukufaka ibhubhu eshisayo akukhuthazwa ngenkathi unezikhumba endaweni.
Izinkinga zokuvuthwa ezivamile
Kunezinkinga ezimbalwa ongase uzihlangabezane nazo ngenkathi unamanzi. Lokhu kufaka:
- Amanzi okukhuphuka : Abanye abantu bayazi ukuthi amanzi ayanda kangakanani uma esebenzayo, kanti abanye abatholi lokhu ukuthi kunjalo.
- Izindwangu ezithombeni: Ngesinye isikhathi, abantu bazothola i-clot ebhukwini labo. Uma lokhu kwenzeka, zama ukugcoba ngendawo ngobumnene.
- Ukulahlekelwa kwengcindezi ye-vacuum: Uma kungavumelekile ukuvota emva kokukhipha isibani sakho ukukhipha kwakho kungase kuhluleke ukususa uketshezi. Uma lokhu kwenzeka, ukwakheka okuketshezi kungase kungakhululeki.
- Ukwelashwa: Ukukhipha izifo zesayithi akuyona into engavamile futhi kungenzeka ukuthi amanzi akho asekhona isikhathi eside (bheka ngezansi).
Izimpawu Nezibonakaliso Zokutheleleka
Ukuba ne-drain inikeza ama-bacteria indlela yokufinyelela emzimbeni wakho, futhi izinsalela ezinde zikhona ingozi enkulu. Lokhu kuba okuphathelene nokuthi bebekhona endaweni engaphezu kwezinsuku ezingu-21. Izimpawu zokutheleleka okuhlobene ne-drain zingabandakanya:
- Umkhuhlane onokushisa kuka-101 ° F (38.3 ° C) noma ngaphezulu
- Ukubomvu kwesikhumba sakho esizungeze ukukhipha
- Ubunzima noma ukuqina lapho i-drain iphuma emzimbeni wakho
- Ukuqina kunokuba unciphise amanzi akho
- Imfucuza ephunga elimnandi uma ungenayo ibhulogi lakho lokudonsa, noma i-pus endaweni yokungena
- Ubuhlungu noma ukungakhululeki kumasayithi wakho wokukhipha
Nini Ukubiza Udokotela Wakho
Kufanele ubize udokotela wakho ohlinzayo uma unenkinga noma imibuto nhlobo, noma uma uthuthukisa noma iyiphi yalezi zinkinga ezilandelayo:
- Uma amanzi akho emvula ebomvu izinsuku ezingaphezu kwezinyanga ezimbili noma ezintathu
- Uma uthuthukisa noma yiziphi izimpawu noma izimpawu zokutheleleka njengoba kuphawuliwe ngenhla
- Uma inani elikhulu lomkhuhlane liphuma lapho i-tubing yokudonsa ifakwa khona endaweni yokuhlinzwa
- Uma umkhiqizo wakho we-drainage unciphisa ngokuzumayo noma uyeka ngokungazelelwe
- Uma amanzi akho emanzini eba mkhulu kunokuba abe mncane njengoba isikhathi siqhubeka
- Uma i-bulb yakho ilahlekelwa ukuncibilika
- Uma i-drain yakho iphuma
Ukuba ne-Drain yakho isusiwe
Odokotela abahlinzayo baphathelene nesikhathi esithile abafuna izikhukhula ezishiye endaweni. Iningi lincoma ukuthi amanzi asuswe uma kunenani elingaphansi kuka-20 kuya ku-30 cc kusukela ekudleni emahoreni angu-24. Uma usenokuba nokudonsa okungaphezu kwama-30 cc kodwa ukudonsa sekube sekukhona amasonto amathathu, ingozi yokutheleleka ibonakala ihle kakhulu kunenzuzo yokushiya ama-drain endaweni.
Ngemuva kokuhamba ngezinyawo ngamasonto ambalwa ukucabanga kokungahlali kahle kunganciphisa noma yikuphi ukhathazeka ngokususwa kwabo. Udokotela wakho ohlinzayo uzosusa izikhukhula zakho ngesikhathi sokuvakasha ngokusika isikhwama esiphethe endaweni futhi ngokudonsela phansi ukudonsa izibhamu. Ungase ubone isenzo sokudonsa isikhathi esincane kodwa lokhu kuphela nje kuphela imizuzu embalwa. Abantu abaningi abadingi imithi yokwelashwa yale nqubo.
Uma isikhwama sakho siphelile, cela udokotela wakho ohlinzayo ukuthi yikuphi ukugqoka okungaphansi kwakho okugqoka. Amabhulo akho kufanele asekele, akhululeke, futhi awanzima kakhulu. Underwire bras kufanele kugwenywe.
Uzothola izibazi ezincane lapho izibhubhu zijabulisa isikhumba sakho, kodwa lezi zivame ukuphela ngesikhathi.
Izwi elivela
Uma une-mastectomy noma isakhiwo sokuvuselelwa kwebele, cishe uzoba namanzi okuvula lapho uvuka khona. Lezi zidonsa umsebenzi ukukhipha uketshezi okwenziwe oketshezi esifubeni sakho okungafaka ingcindezi ekukhungeni kwakho noma ukuphakamisa ingozi yokuthuthukisa isifo.
Ukuphila kunganciphisa imifino, kepha ukucabanga kwangaphambili kungenza lokhu kube lula. Uma uhlela i-mastectomy yakho, sineminye imibono kanye nokuhlela phambili.
Izinhlayiya zingaba yindlela yokuqapha ukuphulukiswa kwakho. Njengoba amanzi akho emanzini ehlisa usuku ngalunye ungacabanga ukuthi ukhona usuku olude nomdlavuza.
> 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.
> 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.