I-seroma yipokethi yetshefu esebenza ngokumalunga nokulimala, ngokuqhelekileyo emva kwenkqubo yokuhlinzwa. IiSerom zizaliswe ngamanzi e-serous-aphuzi okwesibhakabhaka, omsindo obala oqulethe iiprotheyini, kodwa akukho zisele zegazi. IiSerom ziqhelekileyo emva kokuhlinzwa kwebele . Nangona ziqhelekile, oogqirha kunye nezigulane zikhetha ukuphepha le ngxaki.
Ukubhengezwa kwegama: seh-RO-muh
Ngokuqhelekileyo, ii-serom ziphinde zenziwe ngumzimba kwiintsuku ezimbalwa kwiiveki ezimbalwa. Nangona kunjalo, ukuba i-seroma iqhubeka, inokugqibela ibe yicala elunzima, elincinane. Ngenxa yoko, ukuba kubonakala ngathi i-seroma ayicacisi ngokuqhelekileyo, ugqirha angayifaka inaliti enhle kwi-pocket fluid ukuyikhupha.
I-Seromas Emva koBugqirha besisu
IiSerom ziqhelekile emva kokuhlinzwa komhlaza webele, kubandakanywa nokuguqulwa kwe- mastectomy , i-breast-conserving therapy ( lumpectomy ) kunye nokususwa kwe- lymph node . Bakha endaweni efile ye-post-mastectomy skin flap. Izibalo zichaza iziganeko kwi-15-18%. Ngokuqhelekileyo isombululo kwiiveki ezimbalwa, kodwa kunokuthatha inyanga ezimbalwa ukucima. Kodwa kungabangela ukungazinzi kwaye kunokwalubala ulusu kwaye kubangele ukuba lugwebe. Ngamanye amaxesha ukuphuhliswa kwe-seroma kunokunyusa ixesha lokuhlala esibhedlele emva kokuhlinzwa.
Iimpawu kunye nokuLawula emva koBugqirha beBast
Iimpawu ze-seroma zibonakala ngeveki okanye ngaphezulu emva kokuhlinzwa kwaye emva kokuba nayiphi na imifudlana isusiwe.
Uziva unendawo evuvukileyo kwaye kunokuziva ngathi kukho utywala ngaphantsi kwesikhumba. Kungaba buhlungu.
Kufuneka uxoxe ngeempawu kunye neqela lakho lononophelo lwempilo ukuze ubone ukuba bafuna ukuba ungene kulo ukuba unxweme. Le yinkqubo elula yeofisi enokuthi yenziwe ngugqirha wakho okanye umongikazi okanye uncedisi wengcali.
Umnikezeli wezempilo unika inaliti ngesikhumba ukuya kwi-seroma kwaye uyasusa umkhuhlane ogqithiseleyo.
Hlola indawo ejikeleze indawo yakho yokuqhawulwa ngempawu zentsholongwane. Ukuba iya kuba ebomvu, ivuvule okanye inokukhutshwa kufuneka uqhagamshelane nodokotela wakho ngokukhawuleza ukuze ufumane unyango. Ukuba ukukhukhuma kwanda, kungaba ngumqondiso we- lymphedema ophuhlisayo, kwaye oku kuya kufuneka kulawulwe liqela lakho lezempilo.
Thintelo
Abagqirha baye bafunda ukuba zeziphi iindlela zobugcisa eziphambili zokunciphisa iziganeko zee-serom. I-electrocautery esetyenziselwa ukuhlinzwa ukukhusela ukulahleka kwegazi kubonakala ingandisa umngcipheko we-seroma njengoko kubangele ukutshabalalisa ukushisa kwezicubu. Bamele balinganise umngcipheko we-seroma kunye nokusebenza kwayo ekuthintela ukuphuma kwegazi.
Izibopho zokuqhaqha ezisetyenziselwa ukusetyenziswa ukukhusela i-seroma kodwa ezingabonakaliyo ngoku. Ukusetyenziswa kwexesha elifutshane kweemvula kunciphisa iziganeko ze-seroma. Ukuvuthwa okuvaliweyo okuvaliweyo okanye ukutsalwa kwe-suction ephantsi kubonakala kunemiphumo emihle ekukhuseleni ama-serom okanye ukunciphisa ubungakanani babo nobude. Zonke ezi zinto ziphantsi kolawulo logqirha.
Ukuba unemibuzo malunga nama-serom, xubusha ngakumbi kunye nodokotela wakho ngaphambi nangemva kokuhlinzwa. Kukulungele ukwazi ukuba yintoni injongo yeemvula kunye nezinye iindlela eza kusetyenziswa.
Imithombo:
Wong K, Truong PT, Kader HA, et al. Ukuxhamla kwintonga ye-seroma ejikeleza i-radiotherapy ye-breast partial: Impact yezikhokelo. Int J Radiat Oncol Biol Phys 66 (2): 372-6, i-doi: 10.1016 / j.ijrobp.2006.05.066, PMID 16965989
Seroma (i-Fluid Build-Up), uJanuwari 9, 2015, iBastastcancer.org
Sanjitha Sampathraju noGabriel Rodrigues "Ukufundiswa kweSeroma emva kweMastectomy: i-Pathogenesis kunye noThintelo," i-Indian J Surg Oncol. 2010 Dec; 1 (4): 328-333.