Ukususa i-Hardened Sciss Tissue Ukusuka kwi-Implant Breast
Ukuba unamaqabunga amnyama okanye iindawo ezinzima ezinqambileyo emva kwesifuba sokunyusa okanye ukuvuselelwa kwebele, ugqirha wakho weplastiki unokuncoma i-capsulectomy. Yenzani le nqubo, yenziwa njani, kwaye iphumelele kangakanani ekuxazululeni ingxaki?
Yintoni iCapsulectomy?
I-Capsulectomy yindlela yokutshatyalaliswa kwesikhumba esisiqhekeza, okanye i-capsule eye yaqina kwaye yomelela ngebhokhwe.
I-capsule iqukethe i-fibroblasts, i-collagen, nemithambo yegazi kwaye iyaziwa ngokuba yi-contracsular contract. Ngokwenene impendulo yomzimba yomzimba yokukhusela ngokukhuselana nobukho bezinto zangaphandle ezikhokelela kwingxaki. Ukubunjwa kwe-capsule kuyinto eqhelekileyo, kodwa xa ithe yaba yinyani okanye iikontraka, ityhafaza i-implant ebangela ukuba ilahleke kwaye ibuhlungu.
Inkontileka yeCapsular yinkcenkcesha eqhelekileyo yokunyusa ukunyuka kwebele kwaye iyenzeka kulabo abanesisindo sokunyuka kwamabele okokuqala, abo baye bavuselelwa ngamathumbu emva kokuhlinzwa komhlaza webele, nakubantu abaye baphathwa nge-contracsular contract.
Iintlobo zeCapsular Contracture
Kukho amanani amanqanaba ekhonkcosi ye- capsular ekwahlulwe kwiinqanaba ezisekelwe kwi-Scal Classification Scale. Ezi zigaba ziquka:
- IBanga iBakala I: I-capsule eqhelekileyo ifom ejikeleza isifuba emva kokunyuka kwebele kunye nokunceda ukugcina amabele athambileyo kwaye akhangeleke.
- IBanga iBakala II: I-capsule encinci ikhona kwaye ingaba yomelele ekuthinteni kodwa izifuba zibonakala zikhangeleka ngokwemvelo. Ngamanye amazwi, amabele akho aziva akanakonwaba kwaye angenakunzima ukuyichukumisa, kodwa aya kubonakala eqhelekileyo.
- Baker Ibanga III: I-capsule eqinile ephazamisa ukubonakala kwamabele ibonakala kwaye amabele anzima ukufikelela. Ziyakubonakala zijikeleze okanye zinyuka phezulu.
- IBanga iBanga IV: Amabele azinzima, kubanda kwaye kuphazamiseka kwimeko kunye nesigulane sinokubuhlungu kunye nokukhathazeka.
Ewe, kukho a baninzi abafazi abangafanelanga ngokufanelekileyo kwenye yalezi zigaba. Ngokomzekelo, amabele akho athambile kodwa abuhlungu, okanye amabele akho abe nzima kwaye abanda kodwa angabi buhlungu. Olunye uphando lubone ukuba i-3.2 ekhulwini yabasetyhini baqulunqa isivumelwano seBakala III okanye IV emva kokunyuka kwesifuba esidinga i-capsulectomy, kunye nokuqhekeka kwe-capsular yisona sizathu esivakalayo sokwenza uphando olongezelelweyo olulandelayo lwenkqubo.
Iingxaki zeCapsular Contracture
Akukho ndlela yokuchaza indlela umzimba oya kuphulukisa ngayo okanye ukuba i-tissue ebomvu iya kubakho ngaphambi kokuba kwenziwe inkqubo yokuhlinzwa. Kukholelwa ukuba inkontileka ye-capsular ingabangelwa uhlobo lokufakelwa kwesifuba esisetyenziselwa ukuhlinzwa kwebele. Iimplantshi ze-silicone ze-gel zivame ukuba nezinga eliphezulu kunezilwanyana ze-saline ekuveliseni izicubu ezinqabileyo. I-silicone inokubangela ukubalwa kunye nokukhokelela kwimizimba enobumba obuninzi kunokuba ibonwe nezilwanyana ze-saline. Ezi zezizathu ezithile zeengxoxo phakathi kwe- silicone versus saline implants .
Inkontileka yeCapsular nayo ibangelwa yindlela ukufakwa kwezifongo zebele. Ukubeka ukufakelwa ngaphaya kwesihlunu akusoloko kusinikeza ukufakelwa ngokukhawuleza okanye ukugcoba, ukwandisa umngcipheko wokwakheka kwebala.
Enye ingcamango ibandakanya ukungcola kwebhakteria yegobolondo yokufakelwa.
Ukuthintelwa kweCapsular Contracture
Kukho iindlela zokunciphisa umngcipheko wokuphuhlisa isivumelwano kunye nezo zinto zilandelayo:
- Imithi yonyango njenge-prednisone okanye i-vitamin E inokumiselwa kubafazi abathile.
- Ukufakwa kokufakelwa kwisimo sesigxina: Abanye oogqirha basebenzisa i-Alloderm kunye nokunciphisa ingozi yokubunjwa kwamathambo.
- Uhlobo lokufakelwa: Njengoko kuphawuliwe, izimpembelelo ze-silicone zinokuthi zibangele ukubunjwa kweethambo ezinobunzima be-saline.
- Ukubhema phambi kwenkqubo.
- I-massage ye-postoperative (Phawula ngezantsi phantsi kwe-capsulotomy evaliweyo ukuba i-massage enamandla ayilunconywanga kwaye ingabangela ukuphulwa okanye ukuphuma.)
- Unyango lwe-ultrasound ngaphandle.
Izigulane ezingenasempilweni, ukuxhwaxeka, unyango lwe-radiation , okanye iingxaki ezinjenge-infection ezifana nokusuleleka okanye ukuphuma kwegazi, ziyakwazi ukuvelisa isivumelwano se-capsular kunezigulane ezingenazo ingozi.
Inkqubo yeCapsulectomy
Kubantu abafumana isivumelwano seBanga III okanye iBanga le-IV, i-curole yecandelo le-tissu ebomvu ejikeleze ukufakelwa kwebele idlalwa njalo. Ngethuba le-capsulectomy, imvulophu ejikeleze ukufakelwa isuswa. Izimpembelelo zingasuswa okanye zingene kwakhona ngexesha le nkqubo.
Capsulectomy vs Capsulotomy
I-capsulotomy yinkqubo eyahlukileyo kune-capsulectomy. Kwi-capsulotomy, i-capsule ivuliwe (ikhutshwe kunye / okanye ikhutshwe kancane) ukunika izibilini ngaphezulu. I-capsulotomy inokuba yi-capsulotomy evulekile, apho i-incsulotomy evuliwe, okanye i-capsulotomy evaliweyo apho kusetshenziselwa ukunyanzeliswa kwezinto ezinobungqingili kwi-breast to break breaking tissue. Nangona i-capsulotomy evaliweyo izandi zincinci ezingaphantsi, kukho abantu abaninzi abacebisa ngokuchasene nenkqubo ngenxa yomngcipheko wokuvelisa ukuphuka nokubunjwa kwe-hematoma. Ngokwahlukileyo, i-capsulotomy evulekile ingaba yinkqubo engaphantsi kwenzalo kulabo bacinga ukuhlinzwa kwe-capsulectomy.
Ukubuyiswa emva kweCapsulectomy
Ukubuyiselwa kuya kuhluka kwaye kuya kuxhomekeka kwinkqubo eyenziwa kwaye amandla okugulisa isiguli, kodwa ngokuqhelekileyo kufana nokubuyiswa emva kokunyuka kwebele okanye ukuhlinzwa ngokutsha.
Ngaphantsi kweCapsulectomy yeCapsular Contracture
Ngelishwa, isivumelwano se-capsular singakhokelela ekuphazamiseni nokungahambi kakuhle emva kokunyuka kwebele okanye ukuhlinzwa ngokutsha. I-Capsulectomy yindlela enye yokuphucula imbonakalo kunye nokwandisa induduzo yakho xa uhlangabezana nale mpembelelo.
Njengaye nawuphi na utyando, kubalulekile ukuba ngummeli wakho. Fumana udokotela ogqirha oye wenza ezininzi zale misebenzi. Cela ukuba ufunde ngeziphumo okanye ubone imifanekiso ukuba unayo. Udokotela wakho ogqirha unokukwazi ukukunxibelelana nabanye abesifazana abaye benza inkqubo eyenziwe abazimisele ukukwabelana ngamava abo.
> Imithombo:
> Intloko, H., Kasem, A., noK. Mokbel. I-Capsular Contracture emva kokunyuka kwamaBestile: Isiqinisekiso sokuSebenza koKliniki. IiNqoloba zokuPhepha kwePlastiki . 2015. 42 (5): 532-543.
> McGuire, P., Reisman, N., noD. Murphy. Ingqinisiso yengozi yeCapsular Contracture, Ukuxhatshazwa, kunye neSeroma eDlulileyo kwiZifundo ezifumana i-Natrelle 410 Ifom e-Stable Silicone Breast Implants. Uphulo lwePlastiki kunye noKhuseleko . 2017. 139 (1): 1-9.
> Swanson, E. Vula i-Capsulotomy: I-Treatment ye-Capsular Contracture emva kokunyuka kwama-Breast. Uphulo lwePlastiki kunye noKhuseleko. IWorld Open . 2016. 4 (10: e1096.