Izimbangela, Ukuvimbela Nokunakekelwa
Ukuvumelanisa kwe-Capsular kuyinkinga evamile yokuhlinzwa kokubeletha kwebele. Isifuba kufanele sibe lula, siguquguquke, futhi sivule ngokwemvelo, ngisho noma isifuba esakhiwe kabusha esasungulwa ngokulandela i- mastectomy . Uma unesilonda se-saline noma se-silicone, isivumelwano se-capsular singabangela isifuba sakho esakhiwe kabusha ukuthi sishintshe, shintsha isimo, noma uzizwe unzima kakhulu.
Uma lokhu kwenzeka kuwe, ungathola ukwelashwa ukulungisa inkinga.
Sibutsetelo
Umzimba wakho uhlakaniphile-amasosha omzimba wakho ayazi lapho into engaphandle ifakwa ezicukheni zakho. Uma umgijimi (njengokufakelwa kwesifuba) atholakele, i-capiple ye-periprosthetic ikhiwa ngokuzungezile.
Cabanga ngakho ngale ndlela: Imisipha yakho nesifuba sakho akusivumeli kalula ukufakelwa njengengxenye yemvelo yesifuba sakho. Ukuze uhlukanise ukutshala futhi ulondoloze ekukhuleni, ekusakazeni, noma ekuzulazuleni, umzimba wakho udala isaka, noma i-capsule yesikhumba esisizungezile, ukuyivala.
I-capsule ezungeze ukufakelwa kwesifuba yisishukela esingokwemvelo esingase sizuze. Uma lezo zinkontileka ze- capsule noma zithuthuka, noma kunjalo, zingacindezela ukufakelwa kwakho. Lesi sivumelwano sizobangela ubuhlungu, ukushintshashintsha, ukuhlanekezela, nokuqina kwesifuba esakhiwe kabusha.
Izizathu Ezingenzeka
Isivumelwano sikaCapsular singase senzeke kunoma yiluphi uhlobo lokufakelwa kwebele.
Kuyenzeka kaningi ngokuzungezile nge-silicone, kunokuba izimila ze-saline. Ngezinye izikhathi kuvela ngenxa yesifo esithintekayo ngesikhathi sokuhlinzwa. Kodwa ezinye izinkinga zingase zikhule, njenge- seroma (iphaketheni le-serum yegazi ngaphakathi kwendawo yokuhlinzeka) noma i- hematoma (igazi legazi ngaphansi kwesikhumba). Lezi zingase zibe negalelo ekuthuthukiseni isivumelwano sokusebenza.
Uma isitshalo sisekhona isikhathi eside, sikhulu amathuba okuthi isivumelwano sizokhula.
I-Baker Scale Grade
Isivumelwano sikaCapsular sikhishwe yi-Baker scale futhi silandela lezi zindlela:
- I-Grade I - isifuba sinomsoco futhi sibonakala sijwayelekile, futhi i-capsule iguquguquka.
- Ibanga lesibili - ibele libukeka livamile, kodwa kunzima kakhulu ukuthinta.
- I-grade III - isifuba sinzima, kunokonakala okubangelwa ukuvumelanisa, noma isifuba siba nesimo esiyindilinga, noma ukufakelwa kubhekwe phezulu
- IBanga IV - elifana nebanga lesi-III kodwa ngokuqina kakhudlwana kwe-capsule
Ukuxilongwa
Ukuxilongwa kwesivumelwano se-capsular ngokuvamile kungalinganiselwa ngokususelwa ekuhloleni kuphela. Ucwaningo lokucwaninga lunganikeza ukuqondisisa okuqhubekayo, ne-MRI njengesivivinyo esinembile kakhulu ekwenzeni ukuxilongwa.
Ukuvimbela
Wena nodokotela wakho ohlinzayo angasebenza ndawonye ukuvimbela ukuthuthukiswa kwe-capsule eqinile yezicubu ezungeze ukufakelwa kwesifuba sakho. Udokotela wakho ohlinzayo angase anikeze imithi yokwelashwa ngaphambi kokusebenza njenge-prednisone ne-vitamin E, ngakho-ke qiniseka ukuthi uthatha lokhu njengoba kuqondiswe. Izimila zingatholakala ngaphansi kwe-gland gland noma ngaphakathi kwesikhwama semisipha. Izimila ezibekiwe ngaphakathi kwe-muscle azikwazi ukuthuthukisa isivumelwano sokusebenza kwe-capsular. Udokotela wakho ohlinzayo angasebenzisa i-Alloderm (isiqephu sesisindo somuntu kodwa esingenayo i-DNA) ukufaka isikhwama semisipha ukuze kuqhutshekwe ukunciphisa amathuba okubamba izicubu ezinomzimba ezungeze ukufakwa kwakho.
Uma unezikhukhula zokuhlinza ukuze ulondoloze ngemuva kokuhlinzwa kwebele, qiniseka ukuthi uchithe lokhu ngezikhathi, njengoba lokhu kusiza ukuvimbela ama-serom ekuthuthukiseni. Okokugcina, udokotela wakho ohlinzayo angase asikisele ukuthi wenze massage yokusebenza ngokuphambene nesifuba esakhiwe kabusha. Lokho kuthiwa, ukuhlola okwamanje akubonakali ukuthola ukuthi ukusikhipha umzimba kuphumelela ekunciphiseni isivumelwano se-capsular.
Ukuvuselelwa Kusukela Ekuzalweni Kwebele
Kunezinto ezimbalwa okufanele uzigweme ngemuva kokuhlinzwa kokubeletha kwebele ukuze kuqinisekiswe ukutholakala okunempilo, futhi unciphise ingozi yokuthuthukisa isivumelwano.
- Yeka ukubhema ngaphambi kokuhlinzwa uma ungakwazi, futhi ungabhemi ngesikhathi sokuphumula. Ukusebenzisa imikhiqizo kagwayi kuyophuza ukuphulukiswa nokuphulukiswa ekuhlinzekeni.
- Yenza kalula ukwenza imisebenzi engokwenyama futhi ugweme ukulimala noma umthelela esitokisini esanda kuvuselelwa. I-implant idinga isikhathi sokuhlala endaweni, ngakho-ke ungayitholi, ungene, noma ushaye indawo yokuhlinzwa nhlobo.
- Uma uyazi ukuthi uzoba nomswakama wesikhumba sesifuba ngemuva kwe-mastectomy yakho, cabanga ukubambezeleka kokuhlinzwa okufakelwe kuze kube yilapho ukwelashwa kuqediwe. Imishanguzo esilandelayo yokwakha esheshayo ihlotshaniswa nenengozi enkulu yokuhluleka ukuvuselela, nezinye izinkinga ezifana nezifo, nokuvumelanisa kwe-capsular, ngakho ukulinda kungase kudingeke isikhathi sakho.
Ukwelapha
Uma uhlakulela izicubu ezinzima ezungeze ukufakelwa kwesifuba, uma ukuma kuphazamisa, noma uma ukugxila kuphuma endaweni, ungathola usizo. I- capsulectomy iyindlela yokuhlinzwa eyosusa i-capsule egxilile , futhi ukufakelwa kungashintshwa kule nqubo ngemiphumela engcono kakhulu.
I- capsulotomy ihlinzekwa ukukhulula izicubu ezibomvu ngokuyihlaba, okuvumela ukukhuliswa.
Ukuhlinzwa kungase kungadingeki ngaso sonke isikhathi, kodwa, njengoba izindlela zokuzivikela ezifana nokubhunga, i-ultrasound, kanye nemithi kungasiza i-capsule eqinile ukuphumula. Khuluma nodokotela wakho mayelana nezinketho zakho.
> Imithombo:
> Bachour, Y., Verweii, S., no S. Gibbs. Lalela Funda Kudivayisi kuphela Kwengeziwe Buka Kufakiwe The Aetiopathogenesis of Capsular Contracture: A Review of the Literature. I-Journal ye-Plastic Reconstructive and Aesthetic Surgery . 2018. 71 (3): 307-317.
> Malahias, M., Jordan, D., Hughes, L., Hindocha, S., no A. Juma. Ukubuyekezwa Kwamabhuku Nokufingqwa Kwesivumelwano SaseCapsular: Inselelo Eqhubekayo Kuzohlinza Ababelethi Neziguli Zabo. I-International Journal of Surgery Ivuliwe . 2016. 3: 1-7.
> Pu, Y., Mao, T., Zhang, Y. et al. Indima Ye-Postmastectomy Therapy Treatment in Iziguli ezine-Prosthetic Breast Reconstruction ngokushesha: I-Meta-Analysis. Imithi (Baltimore) . 2018. 97 (6): e9548.
> Sood, A., Xue, E., Sangiovanni, C., Therattil, P., no-E. Lee. I-Breast Massage, Ukutshala Ukuqothula, Nokuvimbela Ukuqhaqha Kwama-Capsular Ngemuva kokunciphisa Ubisi Ngezimplantshi: Ukubuyekezwa Kwezincwadi. Eplasty . 2017. 17: e41.