Ukulungiswa kweNkcenkcesha Eyona Yonke Yesiqhelo Sokunyuka Kwebhedlele
I-Capsulotomy yinkqubo apho inxalenye ye "capsule" yesikhumba esisijikelezayo esithintela ukufakelwa kwebele isuswa.
Inkqubo yenziwa njengendlela yokulungisa inkcenkcesha exhaphakileyo yonyango lokunyuka kwamabele - isivumelwano se-capsular .
ICapsular Contracture
Isivumelwano sakwaCapsular senzeke xa iifunu ezinqabileyo zenza iifomantshi zebele. Le nkxalabo ivela malunga nama-10 ekhulwini abantu kwaye ngokuqhelekileyo iyenzeka kwiinyanga ezilishumi elinesibini emva kokuhlinzwa.
Iindaba ezilungileyo kukuba iziganeko zesivumelwano sokuphuhlisa ziphantsi kunye nokusetyenziswa kwezifakelo ezifakwe kwi-textured, ukufakwa kwesigxina, kunye nokusetyenziswa kwezimpembelelo ze-polyurethane.
Ngethuba lesivumelwano se-capsular, isifuba sinzima, sibone kwaye siziva sihluke, kunye neyona nto ibangela ukungathandeki, njengoko izicubu zinxiba ngokutsha.
Ngelixa ezinye iinkcukacha zenzululwazi zixhasa impendulo yomzimba njengesizathu sale nkcenkcesho (oku kuthetha ukuba isistim somzimba somntu sichasene nokufakelwa kwesifo esingapheliyo), ukusuleleka kwiibhaktheriya ezininzi kunokuba negalelo kulo.
Inkqubo yokucoca (i-capsulotomy of the breast) iyadingeka xa kukho intsebenziswano enzima kunye nokuqina okuvezwe ngumguli-ezi ntlobo zentengiso zemigudu zibizwa kwaye zibizwa ngokuba yi-Bakes III kunye ne-Baker IV capsules.
Kukho iindlela ezimbini zokusebenzisa i-capsulotomy:
- Vula i-Capsulotomy: I- tissu ebomvu (capsule) igqityiwe kwaye / okanye ikhutshwe ngokukodwa nge-incision ngaphakathi kwendawo yebele
I-Capsulotomy eValiweyo: Ukunyanzeliswa kwencwadi eqhoshayo kusetyenziswa ngaphandle kwebele (akukho zigqibo ezenziwayo) kwizame zokuqhekeza izicubu ezibomvu kwaye zikhulule isivumelwano se-capsule.
I-capsulotomy evaliweyo ayikhuthazwa ngabagqirha abaninzi kwaye ikwacetyiswa ngokucacileyo ngabavelisi beentsholongwane zesifuba, njengoko kukho umngcipheko wokuvelisa ukuphuka kunye nokubunjwa kwe-hematoma-i-hematoma iqokelela legazi.
Enyanisweni, ukusetyenziswa kwesi siqhelo kungavumeli iwaranti kwiimveliso ezininzi zebele.
I-Capsulotomy v. I-Capsulectomy
Ngesinye isikhathi i- capsulotomy evaliweyo ididekile kunye ne- capsulectomy , enye inkqubo yokucoca eyenzelwe ukuphucula isivumelwano se-capsular.
Ezi nkqubo zimbini azikodwa nje ngamagama afanayo kodwa ziphathwa ngenyameko efanayo yokunyuka kwebele. Ngoko yintoni umehluko? I-Capsulectomy iyigama lokugada lokususa imvulophu ejikeleze imveliso yakho. I-Capsulotomy kukuvulwa kwendawo kwaye izimpembelelo zineendawo ezininzi.
Ukubuyiswa emva kokuPiliswa
Ukuvuvukala kwangaphambili, ngakumbi emva kweenkqubo ze-capsule, kunokudlula iiveki ezimbalwa. Ukuba ufumana ihlumelo laluphi na uhlobo ngeli xesha, tyelela ugqirha wakho ngokukhawuleza, ngokukodwa xa ukwandiswa ngobukhulu ngokukhawuleza. Ingceba ingaba iqoqo legazi okanye umbane okanye mhlawumbe i- lymph node esebenzayo. Ngandlela-thile, khangela unyango.
Ukuthintela iCapsular Contracture
Kungase kubekho iindlela zokuthintela isivumelwano sokubamba i-capsular ukuba senzeke kwindawo yokuqala ukuhlambalaza ngamandla kunye nokwenza ukufuduka kwezinto ezifudumeleyo kusebenze emva kwe-post-op. Qinisekisa ukuba ulandelelwano ngokusondeleyo kunye nodokotela wakho ogqirha, kwaye udibanise nayiphi na inkxalabo ngokukhawuleza.
> Imithombo:
> Adams WP Jr, isivumelwano seCapsular: yintoni na? Yintoni ebangela ukuba Unokuthintela kwaye uphathwe njani? I-Clin Plast Surg . 2009 uJan; 36 (1): 119-26,
> Intloko H, uKasem A, iKebbel K. I-Capsular Contracture emva kokunyuswa kwesisu: Uhlaziyo lweZenzo zoKliniki. UCurst Plast Surgery . 2015 Sep; 42 (5): 532-43.
> Nahabedian, M. (ngoJulayi 2016). Iingxaki zokuvuselela nokuphuculwa kwebele. Ku: U-UpToDate, i-Butler CE (Ed), UpToDate, i-Waltham, MA.