Ukuba unesifo sengqondo somhlaza wesifuba ungaba neenjini zokucoca xa usuka ekhaya. Amanzi amachiza atyathwa ngokuphindaphindiweyo ngexesha lokuhlinzwa ngokutsha . Udokotela wakho ogqirha okanye umongikazi uya kukunika imiyalelo malunga nendlela yokulawula iimfudu zakho xa ubuyela ekhaya, kodwa kukho izinto ezimbalwa ongayenza ngaphambi kwexesha ukuze wenze lula ngokulula.
Nakhu okufuneka ukwazi malunga nokunyamekela kunye nokulandelelana.
Sibanzi
Emva kokuba utyunyiwe, utywala obushushu luyenze indima ebalulekileyo ekuphiliseni. I-Fluid ihlala isakhiwe kwindawo apho isifuba sisuswe khona, kwaye ukuba le nkunkuma ingasuswanga ingabangela uxinzelelo olubuhlungu kwaye libale ukuphulukisa. Iifudu ziyanciphisa ithuba lokuba uya kuphuhlisa i- seroma , iqoqo le-fluid elingenakukhathazeka kwaye ngamanye amaxesha ibangele ukonakala. Ngenxa yesi sizathu, ugqirha wakho uya kubeka imida kwiimimandla apho kulindeleke ukuba amanzi aqokelele.
Kukho ukuhweba phakathi kokuvumela umbane ukuba uqokelele kunye nomngcipheko wokusuleleka ekubeni unomkhuhlane kwindawo. Iibhodlela zinika ibhaktheriya indlela yokungena emzimbeni, kwaye ukugcina ummandla ojikeleze umkhuhlane wakho owomileyo nococekileyo uya kubaluleka.
Uninzi lwamanzi alishiye endaweni yeeveki ezi-2 ukuya kwezi-3, kodwa ezinye ziyakususwa ngaphambi kokuba ushiye esibhedlele kwaye abanye bangadinga ukushiya endaweni edele kwiiveki ezi-3.
Umngcipheko wesifo, kodwa ke, uqala ukwanda ngokukhawuleza emva kokuba sele uhlala kwiintsuku ezingama-21. Abagqirha bahluka ngoxa bacebisa njani ukuba amanzi ahlale endaweni, kunye nabagqirha abaninzi bancoma umjelo ongaphantsi kwama-20 ukuya ku-30 cc iyure nganye kwiiyure ezingama-24 njenge-cut off.
Utyando lwebhedlele Oluvakalayo oludinga ukutyanda
Ugqirha olufuna imithombo yamanzi yilawo asemlonyeni onokulindela ukuqokelela ngexesha lokuphilisa. Iimvula eziqhelekileyo zivame ukufuneka emva kwe- mastectomy okanye ukuvuselelwa ngokutsha. Unokuba ne-drain one kuphela, nangona unokuba nehlanu okanye ngaphezulu xa unemastectomy yamanye amazwe kunye nokuvuselelwa ngokukhawuleza. I-tube ye-drainage ehlukeneyo ifakwe rhoqo xa unesifo se-lymph node dissection.
Ummandla wakho wamanzi uya kuxhomekeka kwindlela osebenza ngayo, kodwa ngokuqhelekileyo kubandakanya ukukhupha kwisayithi lakho le-mastectomy kunye nomnye kwisigodlo sakho ukuba unokhenketho lwe-lymph.
Ngeke ufune i-tube drainage xa uqhutyelwa i- biopsy , i- lumpectomy, okanye i- nodeal node biopsy . Ukuba ufunyenwe ukuba ne-positive nino-sentinel node kunye ne- lymph node dissection yenziwe, nangona kunjalo, mhlawumbi uya kuvuka kunye ne-drain in place.
Iintlobo Zobunxibe
Nangona kukho iintlobo ezahlukeneyo zokudonsa iimfudu, uhlobo olutshanje olusetyenziselwa ukuhlinzwa ngokusesikweni yi-Jackson-Pratt. Ezi mifudlana zifakwe ngaphakathi kwintsimi yakho yokucoca kwaye ziqhotyoshelwe kwi-tubing eguquguqukayo edlulayo kwaye igxininiswe kwesikhumba sakho. Ngaphandle komzimba wakho, iphelela nge-bulb iplastiki elula kunye ne-stopper. I-bulb yindawo ekubambayo kwaye ibambe umbane okhutshweyo.
Indlela Yokunyamekela Ukunyuka Kwamanzi
Xa Uvuka Uvela Ekuvuthweni
Xa uvuka kwi-operesheni, igumbi lakho lokuphulukisa umhlengikazi liya kukukhumbuza ukuba kufuneka uqaphele kwiidroks zakho. Kuxhomekeke kubude beetyhubhu (ngokuqhelekileyo ezi-14 kuya kwe-intshi eziyi-18) kulula ukufumana ezi ngxubevane kunye nemigqa ye-IV, iingubo zakho zokulala kunye nantoni na enye kufuphi.
Ekuqaleni kumongikazi wakho uya kuvula amanqaku akho ngokukhawuleza kwaye uya kuqala ukukufundisa indlela oku kwenziwa ngayo. Uya kuqalisa ibhokisi yencwadi ebhala isamba semigodi ukusuka kwibhubhe nganye, kwaye le nkqubo iya kuqhubeka de ukukhutshwa kwamanzi.
Ngaphambi kokuba uphume esibhedlele iqela lakho lononophelo lwempilo liza kuhlola ukulawulwa kwamanzi, kukuxelela ngempawu ezifanele zifake umnxeba uze usethe ukuhanjelwa kokulandelelana ukuba zikhutshwe.
Ukugcina iMigodi yakho kwindawo
Enye yezona nkalo ezinzima kakhulu zokuba nemigodi yokucoca ilawula izibini kunye nezixhobo zokuqokelela amanzi. Ngaphandle kokucinga kwangaphambili, oku kunokuziva kunzima kwaye ungasengozini yokukhupha ingozi ngaphambi kokuba wenze umsebenzi walo.
Ukuba neengubo eziphathekayo zokulawulwa kwefuthe kungasindisa ubomi, kwaye sisisipho isifo somdlavuza uninzi lwababeleki ababelethweyo. Kukho iikhamishi ezikhethekileyo zekotoni ezenzelwe le njongo. I-camisole efanelekileyo ineepokotshi okanye iipokotshi apho ungafaka khona ii-bulbs ukuze zigcine zikhuselekile, zomelele ngokwaneleyo ukuba zinamathele kwaye ziphinde zifake izikhonkwane zokukhusela ukulawula imigca, kwaye unciphise iisitifiketi ezinokuthi zixubhe kwiindawo zakho zokungena kwaye zingakhathazeki. Oku kugcina i-drain ekhuselekile ukuze bangayiboni kwisayithi lakho elilinxeba okanye bajike ngokukhululekile apho banokubamba khona izinto njengoko udlula. Ezinye iikhamera zinezikhundla apho ungafaka khona iifom zebhondi ezithambileyo ukuba unqwenela.
Ezinye iinketho ziquka amaqabunga amakhulu, amabalabhu, kunye neempuphu ezingaphezulu okanye ama-sweatshirts avulekileyo ngaphambili. Kwixesha elithile emva kokuhlinzwa, kunokuba kunzima ukutsala iimpahla phezu kwentloko yakho, ke gcina le engqondweni xa uthengisa. Xa ulala ebusuku, qaphela indawo ohlala kuyo. Ukuba uhlala "ulala ubuthongo" ungase ufune ukulala emhlane wakho okanye kwi-recliner ukukhusela ukukhupha iimfudu zakho. Funda kabanzi malunga nezembatho zokugqoka i-post-mastectomy .
Ukukhutshwa kunye nokulandelela iMifuno yakho
Kukunceda gqitha ukuba umntu ancede ekunciphiseni ama-bulbs akho. Ukuba uhlala wedwa, kunceda ukulungiselela ukuba nomntu onayo xa kufuneka i-drain yakho ikhutshwe.
Umongikazi wakho uza kubonisa indlela yokulinganisa umjelo wakho, kwaye akukhumbuze ukuba uhlambe izandla phambi nangemva kwemilinganiselo nganye. Ekuqaleni, uya kuba ne-100 cc yamanzi ngosuku, kodwa oku kuya kuncipha. Unokucelwa ukuba uchithe izikhumba zakho zibe zihlandlo ezimbini ukuya kwimihla ngemihla, kodwa kufuneka wenze oku ngokuphindaphindiweyo ukuba ziba zibini zizonke.
Emva kokuba uchithe umkhuhlane wakho kufuneka ukhangele umbala kunye nokuhambelana kwamanzi. Ngethuba lokuqala emanzini wakho kuya kubomvu kodwa oku kuguquka kumbala obomileyo kunye nokunyamekela ukujonga emva kweentsuku ezimbalwa. Emva kokukhupha i-bulb yakho, nyanzela ngokunyanisekileyo ukuba uqinisekise ukuba uphulo luyakhiwa kwakhona xa uvalela inkqubo.
Isixa somlambo onayo siya kuncipha kancane, kodwa unokuba namaxesha xa ubona ukwanda kwimijelo. Ukuba oko kwenzeka, cinga ngezinto oye wenzayo. Ukunyuka kwamanzi kungabonakalisa ukuba uyayidlula kwaye kufuneka uyenze lula kwiintsuku ezimbalwa. Thatha ixesha lokuhlola ummandla apho umkhenkethi ungena esikhwameni sakho ukuze ubukele iimpawu zentsholongwane.
Ukuphila Nokuhamba Ngamaqhekeza
Kulula kakhulu ukubamba iibhobho zakho zokucoca kuyo nayiphi na into ohamba ngayo ukuba azikhuseli. Ukubamba kunye nokudonsa kungancinci kwithuba elithile emva kokuhlinzwa, ngokukodwa ngamanzi eninzi kwindawo. Ngaphambi kokuhlinzwa, kuyakunceda ukubeka iinketho ezisetyenziswa ngokuqhelekileyo kwindawo apho awuyi kululeka okanye ukugoba ukuyisebenzisa.
Uya kuba nobunzima bokuthintela, ngoko qiniseka ukuba uthathe umntu kunye nawe xa uhamba esitolo. Abagqirha bahluke kwiinkcazo malunga nokuqhuba ngemigodi, kwaye abanye bacetyisa ukuphepha konke oku. Kufuneka uphephe ukuqhubela umbane xa uthatha imithi yeentlungu. Xa uhamba emotweni njengomgibeli unokuba unqwenela ukumisa encinci, ithambileyo, kodwa imilenze epholileyo phakathi kwendawo yakho yokucoca kunye ne-drain and seat belt.
Ugqirha wakho uya kukuxelela ukuba kufuneka ude ixesha elingakanani ukulinda ukuhlamba emva kokuhlinzwa. Abagqirha bahluke ngokubhekiselele kwimibandela yokuhlamba. Abanye bacetyisa ukuba uhlambe iiponji kuphela kuze kube yilapho ukhuphelo lwakho luyakususwa, nangona unako ukusebenzisa intloko yeshahla ukuba uhlambe ehlathini lwakho.
Ukuhlamba iinwele zakho kunokuba ngumceli mngeni ngenxa yokunyanzeliswa kweengalo zakho kwaye akunakukhathazeka ukuncika phezu kwequla. Abanye abantu bafumene ukuba baphathwe kwi-shampoo kwi-salon yeenwele kuyindlela efanelekileyo.
Ukunyuka kwisibhaka okanye ukungena kwisibhakabhaka esichukumisayo akukhuthazwayo ngelixa unemijelo endaweni.
Iingxaki zokuHlaba eziqhelekileyo
Kukho iingxaki ezimbalwa onokujamelana nazo ngelixa unamanzi. Ezi ziquka:
- Ukucinywa kwamanzi: Abanye abantu bayayiqonda umbane xa bekhuthele, ngelixa abanye bengayifumani le nto.
- Izambatho kwi-tubing: Ngezinye izihlandlo, abantu baya kufumana i-clot kwi-tubing yabo. Ukuba oko kwenzeka, zama ngokunyanzela ummandla.
- Ukulahlekelwa kwengcinezelo yocumfucu: Ukuba umbane ongeyonto ungadalwa emva kokukhupha i-bulb yakho ukukhenkcela inokusilela ukususa umbane. Ukuba oku kwenzekayo, ukwakheka kwimizi emzimbeni kungenakukhathazeka.
- Usulelo lwesifo: Ukukhutshwa kwezifo eziqhelekileyo akuqhelekanga kwaye kunokwenzeka ukuba iindawo zakho ezikhoyo zihlala zikhona (jonga ngezantsi).
Iimpawu kunye neziMpawu zoGawulayo
Ukuba neenkonkxa zibonelela iibhaktheriya indlela yokufikelela emzimbeni wakho, kwaye iipilini ezininzi zikhoyo kwindawo enkulu yengozi. Oku kubaluleke ngakumbi xa bebekhona endaweni engaphezu kweentsuku ezingama-21. Izibonakaliso zentsholongwane echaphazelekayo inokubandakanya:
- Umkhuhlane kunye nobushushu buka-101 ° F (38.3 ° C) okanye ngaphezulu
- Ubomvu besikhumba sakho esijikelezayo
- Ubunzima okanye ukuqina apho umkhumbi uphuma khona umzimba wakho
- Ukuqhayisa kunokuba unqande umjelo wakho
- Imfutho ephosa umfutho xa ukhulula i-bulb yakho ye-drain, okanye i-pus kwisiza sokungena
- Ubuhlungu okanye ukungaxhamli kwiindawo zakho zokucoca
Nini ukubiza uDokotela wakho
Ufanele ubize ugqirha wakho ukuba unayo nayiphi na ingxaki okanye imibuzo, okanye ukuba uhlakulele naziphi na iingxaki ezilandelayo:
- Ukuba umlambo wakho ubomvu obomvu ngaphezu kweentsuku ezimbini okanye ezintathu
- Ukuba uhlakulela nayiphi na imiqondiso okanye iimpawu zentsholongwane njengoko kuchaziwe ngasentla
- Ukuba inani elininzi lomkhuhlane livuza ukusuka apho i-tubing drain ifakwa kwisayithi yokucoca
- Ukuba isiphumo sakho sokuhambisa amanzi ngokukhawuleza sinciphisa okanye siyayeka ngokukhawuleza
- Ukuba umkhenkce wakho uba mkhulu kunokuba ungcini njengoko ixesha liqhubeka
- Ukuba i-bulb yakho ilahlekelwa
- Ukuba ukucima kwakho kuphuma
Ukuba iifudu zakho zisusiwe
Abagqirha bahluka ngokubaluleka kwexesha abafuna iimfudu ezishiye endaweni. Uninzi lucebisa ukuba amanzi asuswe xa kunama-20 ukuya ku-30 cc epheleleyo ukusuka kwi-iriyure ezingama-24. Ukuba usenokuba ngaphezulu kwama-30 cc ukucoca kodwa ukukhutshwa kuye kwale ndawo kwiiveki ezi-3, umngcipheko wosuleleko ubonakala ukhulula inzuzo yokushiya imilambo endaweni.
Emva kokuhambahamba ngeemvula ezimbalwa iiveki ingcamango yokungahlambuluki kaninzi iyanciphisa nayiphi na inkxalabo malunga nokuba isuswe. Udokotela wakho ugqirha uyakususa i-drain yakho ngexesha lokutyelela ngokusika i-suture ukuyibeka endaweni kwaye ngokukhawuleza ukukrazula i-tubing. Unokwazi ukubona ukutsaliswa kwexesha elide kodwa oko kuphela kwemizuzu embalwa. Uninzi lwabantu alufunanga nayiphi na imilwa yonyawo yale nkqubo.
Xa ukuphuma kwakho kuphelile, cela udokotela wakho ugqirha ukuba uyayincoma ntoni phantsi kweengubo. Iibrasi zakho kufuneka zixhase, zikhululekile, kwaye zingabi ziqinile. I-Underwire ibras kufuneka igwenywe.
Uya kuba neengcayi ezincinci apho i-tubing inomdla kwesikhumba sakho, kodwa ezi zihlala ziphela ngexesha.
ILizwi
Ukuba une-mastectomy okanye ukuvuselelwa kwebele, mhlawumbi uya kuba neenjini zokucoca xa uvuka. Le mijelo isebenze ukususa i-fluid build-up kwisifuba sakho esingafaka uxinzelelo kwi-incision yakho okanye ukuphakamisa umngcipheko wokusasazeka.
Ubomi bunokuba ngumncinci ngamanzi, kodwa ezinye izinto ezenza kwangaphambili zingenza kube lula. Ukuba uceba u-mastectomy yakho, sineminye imibono kunye nokucwangcisa phambili.
Iifutha ziyakwazi nokuba yindlela yokujonga ukuphiliswa kwakho. Njengoko umlambo wakho unciphisa usuku ngalunye ungacinga ukuba usuku olungaphezulu komdlavuza.
> Imithombo
> Chen, C., Lin, S., Hung, C., kunye no-P. Chou. Umngcipheko weNtsholongwane ixhatshazwe ngakumbi kunye noKhutshwa kwexesha elide kuneMigca yemihla ngemihla kwi-Prosthesis-Based Based Breast Reconstruction: I-Study Group. Amachiza (iBaltimore) . 2016. 95 (49): e5605.
> Thomson, D., Trevatt, A., noD. Furniss. Xa kufuneka i-Axillary Drains ifakwe? I-Meta-Analysis of Time-Limited Versus Volume Amanqwanqwa alawulwayo wokuThatyathwa koNyaka wokuKhutshwa kokuThatyathwa emva kweLxphadenectomy. Umbhalo wePlastiki, uLwaphulo-mthetho kunye noPhando lwe-Aesthetic Surgery . 2016. 69 (12): 1614-1620.