Amanyathelo okuthabatha ukuba i-Breast Tissue Expander Ruptures
Yintoni omele uyenze ukuba i-expander yakho yebele iphule okanye ivule? Ziziphi izibangela zezi ngxaki, yiziphi iimpawu onokuzilindela, kwaye uphathwa njani?
Sibanzi
Ukwandiswa kwezicubu zesisu kutshalwa , izixhobo ezinjengebholethi ezisetyenziselwa ukuvuthwa kwebele. I-expander ye-tissue isetyenziselwa ukunweba izikhumba zesikhumba sesifuba nesifuba ukwenzela ukudala ipokethi yokufakelwa kwesifuba esisigxina.
Ukwandisa kungenziwa kwixesha le-mastectomy yakho, okanye kamva xa ukhetha ukuba utyunjelwe kwakhona .
Njengazo zonke iindidi zokugqitywa kwezixhobo, ukunyuka kwama-tissue kuza nomngcipheko othile, ukuxhaphaka okanye ukuvuza okuqhelekileyo. Musa ukhathazeka xa ucinga ukuba i-expander yakho yesikhumba iphukile okanye ikhupha-isisombululo esihle-kodwa qhagamshelana nodokotela wakho ugqirha ukuba ucinga ukuba kukho ingxaki. Makhe sijonge iimbangela, iimpawu, kunye nezisombululo zengxube ephukile okanye ephucukileyo yesikhumba se-tander.
Iimbangela zokuvuza kunye nokuPhuma
Ukwandisa izicubu zesisu kulungiselelwe ukuba kugcwaliswe isisombululo sesarine kwaye ubambe i-saline ngokukhawuleza njengoko uyifunayo, ukwenza indawo yokufakelwa kwesifuba esisigxina, okanye i- silicone okanye i-saline . Ukuvuza okanye ukuphazamiseka kukuphazamisa inkqubo yokwandiswa kwezicubu, ngoko kufuneka lunyamekele kakuhle.
Ezinye zezinto ezibangela i-tissue expander break are:
- Ukugqithwa ngexesha lotyando - Oku kungenxa yokufaka utyando okanye unyango olusondeleyo.
- Ukunyanzeliswa ngexesha lomzimba - Ukuba uchwepheli usebenzisa uxinzelelo oluninzi, umxhasi angaphumelela aze adle.
- Ukulimala kwindawo - Izingozi zenzeka kwimidlalo, eminye imisebenzi yemvelo, okanye iimeko ezininzi.
- Ngexesha lokwandiswa kwonyango - Inaliti yokugqithisa, ubuchule bokuzaliswa okungafanelekanga, okanye ukugqithiswa kwesisombululo se-saline kunokubangela ukuvuza okanye ukuphuka.
- I-Valve leak - Nangona ukwandisa ukuhlolisiswa ngenyameko, abanye banokuba ne-valve engavaliweyo okanye eyonakalisiwe.
Ukukhula
Ithuba lokuba i-expander ye-tissue iya kuphuka kuxhomekeke kwiimeko ezininzi kwaye iyahlukileyo kumfazi ngamnye. Oko kwathiwa, ixesha elide ixesha elide likhoyo, likhulu ithuba lokuphuka. Ngophando lwango-2016 kwaphawulwa ukuba phakathi kwalaba bandisi beethambo, akukho phaphama ephawulwe ngunyaka wokuqala. Ingozi eyongeziweyo yaqala malunga ne-1.5 eminyaka emva kokubekwa kwaye yaphakama ibe ngamaphesenti angama-32.6 kwiminyaka emithathu kunye nama-55 ekhulwini kwiminyaka emihlanu emva kokubekwa kwe-expander.
Ezinye iziphumo ziye zajonga ezinye izinto ezinobungozi. Abo bane-index mass mass ngaphezu kwe-25 kg / mm2 kunye nalabo abanesitoma esenza ukuba isifiso sibonakale sisengozini yokuphuka.
Iimpawu kunye nokuxilongwa
Iimpawu zokuphuka okanye ukuvuza kwi-expander ye-tissue zingabandakanya ukuhamba ngokukhawuleza okanye ukwehla ngokukhawuleza ngobukhulu okanye ukutshintsha kwimeko yommandla otyunayo. Udokotela wakho ugqirha kufuneka ahlolisise ummandla kwaye mhlawumbi uya kubhekisela kwisifundo sokucinga, njenge-breast MRI, i-mammogram, okanye i-ultrasound.
I-expander efuna ukuphazamiseka okanye ukuphulukana iimfuno kufuneka isuswe. Ngoko ukuba ucinga ukuba i-expander yakho iye yaphuka okanye yanyuka, kuya kufuneka uyihlolisise ngokufanelekileyo.
Esinye isizathu esihle sokwenza oku kukuba i-inshorensi ayinakufakazela ukutshintshwa kwe-expander ngaphandle kokuba i-rupture inokubhaliweyo.
Ezinye iingxaki ezinokwenzeka
Ukongezelela ukuvuza nokuphuka, kukho ezinye iingxaki ezimbalwa ezidibeneyo nabaninzi beethambo:
- Usulelo - Ukuqaliswa kwebhaktheriya ngexesha lokubekwa kwe-expander kunokubangela isifo. Oku kungenzeka ukuba kwenzeke ukuba ungazixinzelelekanga ngenxa ye-chemotherapy, kwaye ingakumbi ukuba unayo unyango lwe-radiation. Ukuba uya kuba neyeza lokusasaza emva kokuba une-expander ye-tissue ebekwe kuyo, xela ugqirha wakho malunga nale mngcipheko. I-expander ye-tissue ekhulelwe isifo kufuneka isuswe.
- Inkontileka yeCapsular - isivumelwano seCapsular sinokuvela ngenxa yobuninzi beethambo ezifakwe kwi-expander. Iimpawu zingabandakanya ukuqina nokuqina kweengxube zakho zesifuba ejikelezayo.
- Ubunzima - Abanye abantu baqaphela intlungu ebininzi kunye nabaninzi beethambo , kwaye abaninzi abantu baya kufumana ukuba bazive bekhululekile xa ukufakelwa okusisigxina kuthatha indawo yokugxotha. Ukwandiswa kwezicubu kunomqolo ogqithisileyo kwaye ungaphantsi kobunzima obusisigxina. Ubunzima buvame ukugqithisa emva kokuzaliswa ngamnye, ngenxa yokwelula izicubu ezungeze i-expander (ngenjongo yokuba ne-expander kwindawo yokuqala).
Unyango
Emva kokujonga i-expander yakho yesisu kunye ne-confirmation of break or break with imaging medical, yithuba lokuthatha isenzo. I-saline ephumayo ayiyi kukulimaza, kodwa i-expander ye-tissue iyakuthathaka. Ukwandiswa kwezicubu akunakulungiswa kumzimba wakho, kwaye akukhuselekile ukususa, ukulungiswa, nokubuyisela umxhasi omdala.
Ezi zixhobo zenzelwe ukusetyenziswa kwexesha elilodwa, kungekhona ukusetyenziswa kwakhona. I-expander ephukile okanye evuzayo i-expander kufuneka isuswe kwaye ishintshwe. Ukuba umzimba wakho ulungele ukufakelwa kwesifuba esingunaphakade, ukufakelwa ngokusisigxina kungaba yindawo yokutshintshwa kwe-expander yehlulekile.
Ukujamelana
Ukujongana nokususwa kunye nokutshintshwa kwe-expander ye-tissue kunokungcola ngokwemvakalelo njengoko kwongeza enye inkqubo kwinkqubo enzima yomhlaza wesibele. Uphononongo lubonisa ukuba ukudakumba emva komhlaza wesifuba kuninzi kakhulu kwiimeko zeengxowankulu ze-tander; imeko esele iphakanyisiwe emva kokuxilongwa komhlaza wesifuba. Ukongeza kokususwa nokutshintshwa kwe-expander, kubalulekile ukuba ufuna inkxaso evela kwintsapho kunye nabahlobo.
Abanye abantu bakufumanisa ukuba luncedo kakhulu ukuthetha nomdlavuza womhlaza, kwaye unyango lwengqondo emva kokuxilongwa kunye unyango lomhlaza wesifuba luye lwadibaniswa nokuphucula ukuphucula kwezinye izifundo.
Ngaphantsi
Ukwandiswa kwezicubu zisetyenziselwa ukulandela imastectomy ukululaza izicubu zakho ezivumela ukuba kubekho isifuba esisigxina. Ezi zinyanzelo aziyizikhohlisi, kwaye ukuvuza kunye nokuqhekeka kungenzeka ngenxa yokugqitywa, ukunyanzeliswa okanye ukulimala kuloo ndawo. Nangona iiplantshi zihlolwa ngokucophelela ngaphambi kokusetyenziswa, iimveliso ezinokuthi ziphosakele njengazo naziphi na izixhobo zonyango.
Ukuba ukukhutshwa kwakho ukuvuza okanye ukuphuka, kuyakufuneka ususwe kwaye utshintshwe ngenye enye i-expander okanye i-implant yakho ngokusisigxina ukuba unayo izicubu ezaneleyo ukuvumela oku.
Ukwandisa ama-tissu nako nako ukusulelwa ngezinye izihlandlo kwaye akunakukhathazeka. Ukuba uziva ungakhululekile kunokuba kuqinisekiswe ukuba abaninzi abafazi bafumanisa ukuba izilwanyana zabo ezihlala zihlala zikhululekile ngakumbi kunabaninzi.
> Imithombo
> Chuba, P., Stefani, W., Dul, C. et al. Izaphulo kunye noxinzelelo oluhlanganiswe neengxaki zeTissue Expander Reconstruction. Ukwelashwa kweCanscer Brement and Research . 2017 Meyi 13. (Epub ngaphambi kokuprinta).
> Ota, D., Fukuuchi, A., Iwahira, Y. et al. Ukuchonga kweengxaki kwi-Mastectomy kunye nokuvuselelwa ngokukhawuleza Ngokusebenzisa i-Tissue Expanders kunye neziPhilo eziPhezulu kwiZigulane ze-Cancer. Ngomhlaza webele . 2016. 23 (3): 400-6.