Iingxaki, Ukuthintela nokuPhathwa
Ikhonkco yeCapsular iyinkcenkceshelo eqhelekileyo yokuhlinzwa kwebele. Ubisi kufuneka lube buthambile, luguquguquke, kwaye lube luhlaza, nangona isifuba esakhiwe ngokutsha emva kokudityaniswa kwe- mastectomy . Ukuba unayo i-saline okanye i-silicone implantants , i-capsular isivumelwano sinokubangela ukuba isifuba sakho sakha kwakhona, sitshintshe isimo, okanye uzive unzima.
Ukuba oku kwenzeka kwimeko yakho, unokufumana unyango ukulungisa ingxaki.
Sibanzi
Umzimba wakho uhlakaniphile-isistim somzimba sakho sisazi ukuba into engaphandle yafakwa kwiifomthi zakho. Xa i-intruder (efana nokufakelwa kwesifuba) ifunyenwe, i-capsule ye-periprosthetic yenziwe ngeenxa zonke.
Cinga ngalendlela ngale ndlela: Izihlunu zesifuba sakho kunye nesikhumba asivumeli ngokukhawuleza ukufakela njengengxenye yemvelo yakho. Ukuze uhlukanise ukufakelwa kwaye ugcine ukukhula, ukusasazeka, okanye ukujikeleza, umzimba wakho udala isikhwama, okanye i-capsule yesikhumba esisijikelezileyo, ukutywina.
I-capsule ejikeleze ukufakelwa kwesifuba yimizimba eyenziwa ngokwemvelo enokuba yinzuzo. Ukuba ngaba iikontraki ze- capsule okanye zithintela, ke kunjalo, zinokufakela ukufakelwa kwakho. Esi sivumelwano siza kubangela intlungu, ukutshintsha, ukuphazamiseka, kunye nokuqina kobeleko olwakhiwe ngokutsha.
Izizathu ezinokwenzeka
Inkontileka yeCapsular inokwenzeka malunga naluphina uhlobo lokufakelwa kwebele.
Iyenzeka ngokuphindaphindiweyo malunga ne-silicone, kunokuba kufakwe izilwanyana ezinobisi. Ngamanye amaxesha kuvela ngenxa yokusuleleka kwintsholongwane eyenza ukutyunjwa. Kodwa ezinye iingxaki zinokuthi zityalo, njenge- seroma (i-pocket ye-serum yegazi ngaphakathi kwendawo yokugada) okanye i- hematoma (idibanti yegazi ngaphantsi kwesikhumba). Ezi zingaphinde zenze igalelo ekuphuhliseni isivumelwano se-capsular.
Ukusetyenziselwa ixesha elide kusekho, ithuba elikhulu lokuba isivumelwano siya kuphuhlisa.
Baker Scale Grade
Inkontileka yeCapsular ihlanganiswa ngumlinganiselo weB Baker kwaye ilandele le migaqo:
- IBakala I - ibele ilula kwaye ibonakala iqhelekileyo, kwaye i-capsule iguquguquka.
- Ibanga lesi-II - isifuba sibukeka siqhelekileyo, kodwa kunzima kakhulu kumgca.
- Ibanga lesi-III - isifuba sinzima, sinokuphazamiseka okubangelwa ngumnqophiso, okanye isifuba sibe ngumlo ojikeleziweyo, okanye ukufakwa kwimihlaba ngokubanzi kuqhutywe phezulu
- IBanga IV - efana neBakala III kodwa ngokuqina kanzima kwe capsule
Ukuxilongwa
Ukuxilongwa kwekhontrakthi ye-capsular kunokuqikelelwa kuxhomekeke kwisifundo kuphela. Izifundo zokucinga ziza kunika ingqiqo ngakumbi, kunye ne-MRI yolu vavanyo oluchanekileyo kunokwenza ukuxilongwa.
Thintelo
Wena kunye nodokotela wakho ogqirha unokusebenzisana kunye nokukhusela ukuphuhliswa kwe-capsule eqinile yeethambo ezijikelezayo zakho. Udokotela wakho ogqirha unokumisela iyeza zokuphambi kokuqala ezifana ne-prednisone kunye ne-vitamin E, ngoko qi niseka ukuba uthathe oku njengoko kulandiswe. Izimpembelelo zinokufumaneka ngaphantsi kwe-grey gland okanye kwi-pocket muscle. Izimpembelelo ezifakwe ngaphakathi kwesisipha azikwazi ukuhlakulela isivumelwano esise-capsular. Udokotela wakho ogqirha angasebenzisa i-Alloderm (isiqwenga samathambo abantu kodwa engenazo i-DNA) ukudibanisa i-pocket ye-muscle ukwenzela ukunciphisa amathuba okubamba izicubu ezinqabileyo malunga nokufakelwa kwakho.
Ukuba unogqirha wokucoca ulondolozo emva kokuhlinzwa kwebele, qiniseka ukuba ungalichitha oku kwishedyuli, njengoko oku kunceda ukukhusela ama-serom ekuphuhliseni. Ekugqibeleni, ugqirha wakho unokuthabatha ukuba wenze i-massage post-post in the reconstructed breast. Oko kwathiwa, ukufundiswa kwangoku akubonakali ukufumanisa ukuba i-massage iphumelele ekunciphiseni isivumelwano se-capsular.
Ukubuyiselwa kwi-Breast Surgery
Kukho izinto ezimbalwa omele uziphephe emva kokuhlinzwa kwebele ekuqinisekiseni ukubuyiswa kwempilo, kunye nokunciphisa umngcipheko wokuphuhlisa isivumelwano.
- Yeka ukutshaya phambi kokuhlinzwa xa unako, kwaye ungabhemi ngexesha lakho lokubuyisela. Ukusebenzisa iimveliso zecuba kuyakulibazisa ukuphulukiswa nokuphulukana nokuhlinzwa.
- Yenza lula ukwenza imisebenzi yomzimba kwaye ugweme ukulimala okanye ukuthintela kwisifuba esandul 'utsha. Ukufakelwa kweemfuno kudinga ixesha lokuhlala endaweni leyo, ngoko ungahlali, udibanise okanye utyhoboze indawo yokucoca.
- Ukuba uyazi ukuba uya kuba ne- radiation wall radiation emva kwe-mastectomy yakho, cinga ukulibaziseka ukutyunjwa kwe-implant kuze kubekho unyango olugqityiweyo. Izaziso ezalandela ukwakhiwa ngokukhawuleza zihambelana nomngcipheko omkhulu wokungaphumeleli ngokutsha, ezinye iingxaki ezinjengezonyango, kunye nekhontrakthi ye-capsular, ukwenzela ukuba ulinde ixesha elifanelekileyo.
Unyango
Ukuba uhlakulela izicubu ezinzima malunga nokufakelwa kwesifuba, ukuba umlo uphazamisekile, okanye ukuba impembelo ilahleka kwindawo, unokufumana uncedo. I- capsulectomy yindlela yokuhlinzwa eyenza i-capsule enqabileyo, kwaye ukufakwa kwayo kungatshintshwa ngexesha le nkqubo yeziphumo ezilungileyo.
I- capsulotomy yindlela yokuhlinzwa ukuba ikhulule izicubu ezibomvu ngokuzicoca, ezivumela ukwanda.
Utyando alukwazi ukuba luhlale lufunekayo, nangona kunjalo, njengeendlela ezilondolozayo ezifana nokusikwa kwegazi, i-ultrasound, kunye nemichiza kunokuncedisa i-capsule eqinile. Thetha nogqirha wakho malunga nokukhetha kwakho.
> Imithombo:
> Bachour, Y., Verweii, S., no S. Gibbs. I-Aetiopathogenesis yeCapsular Contracture: UkuHlola okuHlolo koLwazi. Umbhalo we-Plastic Reconstructive and Aesthetic Surgery . 2018. 71 (3): 307-317.
> Malahias, M., Jordan, D., Hughes, L., Hindocha, S., kunye no-A. Juma. Ukuphononongwa kweeNcwadi kunye nesishwankathelo seCapsular Contracture: Ingxaki eqhubekayo kwiingcali zezilwanyana kunye nezigulane zabo. I-International Journal of Surgery Open . 2016. 3: 1-7.
> Pu, Y., Mao, T., Zhang, Y. et al. Indima ye-Postmastectomy Radiation Treatment in Izigulane ezine-Prosthetic Breast Reconstruction: I-Meta-Analysis. Amachiza (iBaltimore) . 2018. 97 (6): e9548.
> Sood, A., Xue, E., Sangiovanni, C., Therattil, P., no-E. Lee. Ukusabalalisa iSifuba, UkuKhuthaza ukuThatyathwa, kunye nokuKhuselwa kweCapsular Contracture Emva kokunyuka koBustile kunye neziMveliso: Ukuhlaziywa kweeNcwadi. Eplasty . 2017. 17: e41.