Ukuhlinzwa kwePlastiki ukubuyisela iSymmetry Breast emva kweMastectomy
Izimpembelelo zesisu ziyinkokhelo yokwakha kwakhona efuna ukuhlinzwa okungaphantsi. Phantse isiqingatha sazo zonke izixhobo zokubuyiswa kwebele zenziwa ngokusetyenziswa kwezixhobo . Ngokungafani ne-flap tissue akukho tissue ifakwa, kwaye ngokungafani ne- TRAM okanye i- Lat Flap , akukho musundu othuthelwa kuyo. Xa ukuvuselela kwakho ukuzalisa kuzalisekile, isifuba sakho esitsha asiyi kuba neembonakalo ezifanayo kunye nobuthakathaka njengengxama yakho yemvelo, kwaye uya kufuna udweliso olongezelelweyo ukudala ingono entsha kunye ne-areola . Unokufuna kwakhona unyango olongezelelweyo lwezonyango, de kube ukufakelwa kufinyelele kwisayizi efunwayo.
Iingenelelo kunye neziNzuzo zeBreast Implant Reconstruction
Iinkonzo
- ukuhlinzwa okungaphantsi, i-anesthesia, nentlungu
- ukuphucula ngokukhawuleza kunokugqithiswa kwezicubu
- akukho ukufuduswa kwezicubu okanye imisipha
Umxhasi
- Izimpembelelo azihlali ixesha lokuphila
- ukuvuza kunye nokuguquka kunokwenzeka
- Iziphumo azizigqibeki kakuhle
- ukuvuselela ukulungiswa akuyi kugugu njengoko uneminyaka yobudala
Abaviwa abalungileyo kwiiNtlanzi zoBumbo
Abasetyhini abagqithiseleyo okanye abagqithisileyo abanokuba ngabaviwa abafanelekileyo ukuba bavuselele ukubeleka. Ukuba utshayayo osebenzayo okanye usebenzisa ixabiso elikhulu lotywala, iziplani azinakukhetha kakuhle. Abaviwa abafanelekileyo:
- ezincinci, amabhinqa amancinci
- abafazi abakhetha ukuhlinzwa okuthe kancinci
Izilwanyana ze-Saline Versus Silicone
Uninzi lwezilwanyana zeplastiki ziya kusebenza kunye ne- saline kunye nezilwanyana ze-silicone . Ezi zifumaneka kwiimpawu ezininzi, ubukhulu, kunye nemifanekiso. Xa uxoxisana nodokotela wakho ogqirha malunga nezimpembelelo, cela ukuba ubona kwaye ubambe iintlobo zezifakelo zesampuli. Phawula umehluko ekubunjweni, ekugqibeleni, kunye nokuguquguquka. Buza ukuba yeyiphi na ubungakanani kunye nesimo esifanelekileyo kwisiphumo ofuna ukufezekisa, kwaye luhlobo luni luya kukhululeka kakhulu kuwe. Khumbula ukuba nayiphi na into oyikhethayo, ukufakelwa akuyi kugcina ixesha lokuphila kwakho, kwaye kunokufuneka utshintshwe ngelo xesha.
I-One-Stage Implant okanye i-Two-Stage Tissue Expander
Ukufakelwa kwesifuba kufakwa phakathi kweentsimbi zesifuba, ngaphantsi kwesikhumba sebele esiza kugcinwa ngexesha lakho le- mastectomy . Oku kunokwenziwa ngokukhawuleza emva kokuhlaselwa kwe-mastectomy, okanye emva kokugqiba unyango. Unokuthi ukhulule iitoni kunye nekhanda elilulayo, eliya kuvumela ukuba isigaba esisodwa siphumelele ukuvuselelwa kwakhona. Nangona kunjalo, ukuba isikhumba sakho nesifuba sinyanzele kwaye sinyanzeliswe kakuhle, unokufuna inkqubo yokwakhiwa kwamatyala amabini, usebenzisa ukunyuka okunyukayo okanye ukuxilonga kweethambo ezilandelwa yinto engapheliyo.
Ukucwangcisa i-Skin-Distribution Mastectomy
Ngaphambi kwe-mastectomy yakho, ugqirha wakho we-plastiki uza kuphawula isikhumba sakho sebele kunye nemigca ekufuneka isetyenziswe ukukhangela kwakho. Oku kuya kuba yi-ellipse ephawulweyo eya kusindisa ulusu oluninzi njengoko lunokwenzeka kwaye lukhuselekile ukugcina. Ekubeni i-ingxube yakho ingaba neeseli zesifo somhlaza kumaconsi, akusiyo ingcamango efanelekileyo yokuzama ukugcina ingono yakho, kodwa ugqirha wakho wegulana ungaphinda wakha entsha emva kokuba uphilile kulo msebenzi.
Yintoni enokuyilindela ngexesha loPhuculo lweBreast Reconstruction
Uza kuba ne- sedation okanye i- anesthesia jikelele ngexesha lophando lwakho lokwakha. Udokotela wakho ogqithisileyo uya kulandela ukukhutshwa kwesikhumba ukuze uvule isikhumba sakho kwaye ususe iisifuba zakho zebele. Uya kuqikelela ukuba athathe izicubu ezaneleyo ukuze afumane imida ecacileyo ukuze kungabikho mhlaza osele emva. Iimpawu zakho ziya kuthunyelwa kwi-pathology ukuze uhlolwe.
Ukwenza Igumbi Lokufakelwa Kwakho
Igqirha lakho le-plastiki liya kusebenzisa izihlunu zesifuba sakho ukuze wenze i-pocket kunye nelo liza kubamba. Ukuba unesithuba esaneleyo kunye nesikhumba sokugxininisa ngokusisigxina, singagcinwa ngeli xesha. Kodwa ukuba izihlunu zakho zomeleleyo kwaye ulahlekelwe kakhudlwana kolukhuni kunokuba uza kugubungela isilonda esitsha sesifuba, ukufakelwa kwandisiweyo okanye i-expander ye-tander iya kufakwa.
Lo mzekeliso ubonisa isahluko esiphambene nesodonga sesifuba. Olubomvu ubonisa ubuhlungu besibindi sesibindi, i-yellow ebonisa indawo yeembambo, i-pinki isetyenziselwa ulusu lwebala, kunye ne-bluhlaza imele ukuveliswa. A: Ngaphambi kokufakela ukufakwa. B: Ukufakela kufakwe kwisitokisi se- muscle . C: Ukufakelwa kwandiswe ngaphakathi kwesikhumba esiswini kunye nolusu.
Ukuvala ukunyuswa kwakho kwebele
Xa ukufakelwa kwakho kwebele kusemgangathweni, ugqirha wakho wegulana uya kugcina ukuchithwa kwakho kunye ne- sutures yokuxuthwa . Esi siko siya kugqitywa nge-tape eplastiki okanye ngezinye izinto eziza kuqinisekisa ukuba ulusu luvale kumgca, ogqithiseleyo umgca. Utyando olunokuthi lubekwe kufutshane ne-incision yakho, ukukunceda ukususa ukwanda kwamanzi kunye nokukhuthaza ukuphulukiswa.
Ukubuyisela nokuzinakekela
Ukubuyiselwa kwinkqubo yokumisela kudla ngokukhawuleza. Amanye amabhinqa kufuneka ahlale esibhedlele kuphela omnye okanye busuku bobabini ngaphambi kokuba akhululwe. Uya kufunda indlela yokukhupha iimvula zakho zokugada kwaye urekhode umthamo womthamo. Iimvumba zakho zingasuswa kwisithuba seveki yokuhlinzwa. Ukuba unesihlungu, qiniseka ukuba unika abahlengikazi bakho nodokotela, ngoko banokukunika unyango ngale nto. Lindela ukuba ube novalo lweengcinezelo malunga nokufakelwa. Cwangcisa ukugqokra iingubo, ukhululekile kwiinguqu ekuhambeni kwakho ekhaya. Ukuba uhlakulela imfiva okanye iimpawu zentsholongwane, ezifana nesifo sohudo, emva kokuhlinzwa kwakho, biza ugqirha wakho uncedo.
Ukwandiswa kwe-Breast Implant Implantation
Isifuba sakho esitsha asiyi kuba sisayizi ngokugcwele emva kokuhlinzwa. Ukuba une-expander ye-tissue, uzakufuna unyango olongezelelweyo ukuzalisa ukufakelwa kwisayizi esithandayo. Ukwandiswa kwezicubu kunye nokuveliswa kwezibeleko ezandisiweyo kunesiphelo apho ugqirha wakho weplastiki angakongeza i-saline, ukwandisa ubungakanani bokuvelisa. Uya kubuyela kwiklinikhi ngezikhathi eziqhelekileyo ukwenzela ukwandiswa kwezonyango, kude kube yinto ephakamileyo inkulu kunokuba ubukhulu obufunayo. Olu hlobo olongezelelweyo luvumela ulusu ukuba lunwebe kwaye ludibanise kwindowuma yemvelo, xa iincinci ezincinci, ukugxininiswa ngokusisigxina. Ukwandiswa kunokuva buhlungu nje ngokuba uxinzelelo lukhuphuka ukusuka ngaphakathi, kodwa njengokuba izicubu zakho ezijikelezayo zilula, intlungu iya kudla.
IziPilisi zeBester for Reconstruction
Izimpembelelo zesifuba yindlela esheshayo yokuvuselela amabele emva kwe-double mastectomy . Uza kuchitha ixesha elingaphantsi kwe-anesthesia kunye netafile yokusebenza enezimbini eziphindwe kabini kunokuba ungathanda ukuba ukhethe ukuvuselelwa kwee-tissue flap ( TRAM , Latissimus dorsi flap , DIEP , SGAP ).
Ukuqwalaselwa ngokukhethekileyo malunga neziMveliso
I-radiation: Emva kokuhlinzwa kwakho kwebele, ukuba udinga unyango lwe-radiation olujoliswe kwingxubeni yakho, ubhekane no-40-50% ubuncipheko obunciphekileyo bokuvelisa izicubu ezinqabileyo ezinzima malunga nokufakelwa kwakho. Ukuba uyazi ukuba uya kufuna i-radiation, xelela ugqirha wakho weplastiki ukhetha ukufakelwa ngeplastiki (esikhundleni sensimbi) kwisixokelelwano se-saline injection. Isango lesinyithi liza kubonakalisa imirhumo kwiimpawu ezikufutshane, mhlawumbi kubangela umonakalo wesikhumba.
I-Scar Tissue: I-capsule yamathambo iya kubumba malunga naluphi na ukutshalwa kwexesha, kodwa ukuba isivumelwano se-capsular (isiqhwala esinzima) sikhula, uya kufuna uncedo kumgqirha wakho ogqirha ukulungisa le meko.
Ukusetyenziswa okuNcinci: Naluphi na uhlobo lokufakelwa kwebele lubangela ukuvuza njengoko lukhula, kwaye luya kufuna ukuba luthathe indawo.
> Imithombo:
American Cancer Society. Ukubuyiswa kwesisu emva kweMastectomy. Iintlobo zeBreast Reconstruction. Ukuhlaziywa: 09/06/2007.
> INational Cancer Institute. Ugqirha Iinqununu kwabasetyhini abane-Early Stage Cancer Breast Cancer. Kuthunyelwe 10/22/2004.