Ukutshiza Ukutsaliswa Kweendawo Emva koKugqitywa kwebele

Ukukhenkcela Ukubekwa emva kwe-Mastectomy, i-Node Biopsy, kunye ne-Reconstruction

Ukuba une-mastectomy, i-sentinel node biopsy, okanye ukuvuselelwa kwebele ngomhlaza wesifuba mhlawumbi uya kuba neengcambu zokugonywa ezibekwa ngexesha lotyando. Uninzi lwabantu luya ekhaya kunye nale mifudlanzana kwiiveki ezimbalwa ngaphambi kokulandela ukuba zikhutshwe. Ziziphi iipilisi ezifumaneka emva kweenkqubo ezahlukeneyo zokuhlinzwa?

Ukuba nombono weendawo zakho zokudonsa, kwaye oko unokulindela kunokukunceda ulungiselele ukulawula imida yakho emva kokuhlinzwa kwebele .

Masiqale sichaze iimvula ezinokuthi ube nazo emva kwe-mastectomy kunye nokuhlaziywa kwaye oko kungabonakala njani ukuba uya kuba ne-mastectomy ngaphandle kokwakhiwa kwakhona.

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Ukugqithiswa kweeNkcazo emva koMastectomy kunye noKwakhiwa kwakhona

Xa une- mastectomy okanye i- lumpectomy , ugqirha wakho unokubeka iimfudu zokukhusela ukuze uncede ukukhawulezisa ukuphilisa. Ngaphandle kwamanzi, i-fluid ingaqokelela kwindawo apho ibele okanye i-lymph nodes yakho ibangele uxinzelelo kunye nentlungu. Xa i-fluid iqokelela ngaphandle kokucinywa ingabangela i- seroma , edla ngezinye iimeko ezibangelwa ukusila.

Kukho iintlobo ezahlukeneyo zamanzi ezinjenge-grenade kunye namanzi e-Jackson-Pratt. Uya kuba ne-tube drainage kunye ne-bulb drainage ngaphandle kwesikhumba sakho kufuphi ne-incision yakho. Inxalenye yesikhuni se-drainage iya kwandiswa ngaphakathi komzimba wakho kwindawo yokucoca, apho iya kuqokelela igazi kunye ne-lymphatic fluid. I-tube drainage iya kubanjelwa endaweni kunye ne-suture ukuze ingaphumeleli ngengozi.

Uza kusebenzisa ukucima ukususa kunye nokulinganisa umbane ngamaninzi emini kwaye ugcine irekhodi yegazi kunye ne-lymph esuswayo. Njengoko umthamo we-fluid uyancipha, ukuvuvukala kwindawo yakho yokuhlinzwa kufuneka kuyancipha. Xa ivolumu yomthamo i-30 ml okanye ngaphantsi kwixesha leeyure ezingama-24, unako ukususwa kwamanzi. Nangona uqhubeka ufumana umjelo omkhulu kunalolu hlobo, abanye oogqirha batusa ukuba basuse ama-drain kwiiveki ezi-3.

Lo mzekeliso ubonisa indawo yamanzi amaninzi okupasa. Imodeli ine- nodeal node biopsy ukukhangela i-metastasis, ngoko kukho umgca wokukrola eduze kwesiqu sakhe. Ngokuxhomekeke kwimiphumo yakho ye-sentinel biopsy wakho ugqirha angenza i- lymph node dissection ekususeni iindidi ezingaphezulu.

Umfazi osemfanekisweni wokuqala uye waba ne-mastectomy kunye nokuvuselelwa ngokukhawuleza, usebenzisa i- expander ye-tissue . I-second drain drain eye yafakwa malunga nokufakelwa kwesifuba sexeshana ukuqokelela igazi ne-lymph. Ezi mithombo zikunceda ukukhusela i- lymphedema kunye ne- hematomas ekuphuhliseni.

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Ukugqithisa okuKhulayo emva kweMastectomy ngaphandle kokutsha kwakhona

Kubantu abanomzimba olula ngaphandle kokuvuselelwa ngokukhawuleza, kunokuba kubekho udidi olulodwa olude oluquka i-lymph node biopsy kunye ne-mastectomy yakho. Ugqirha wakho unokubeka iimfudu zokubhola kwi-incision yakho ukuze uncede ukukhawulezisa ukuphilisa. Abanye abantu baya kuba neklasi enye kwaye abanye baya kuba baninzi. Ukuba une-mastectomy ephakathi kunye ne-lymph node biopsy unokuba neenqanawa ezintlanu okanye ezintandathu.

I-drain nganye ine-bulb yokuhambisa amanzi kunye nethubhu yokuhambisa amanzi ngaphandle kwesikhumba sakho kufuphi ne-incision yakho. Inxalenye yesikhuni se-drainage iya kwandiswa ngokufakela kwakho kwindawo yokucoca, apho iya kuqokelela igazi kunye ne-lymphatic fluid. Ibhubhu nganye yamanzi iqhutywe endaweni kunye ne-suture ukuze ingaphumeleli ngengozi.

Uza kuthatha amanyathelo ambalwa ngamaxesha onke malunga negazi kunye ne-lymph eqokelela kwi-drain. Kubalulekile ukugcina irekhodi yevolumu yomthamo ngenxa yokuba le nto ibonisa ukuba kungekudala imifuno yakho ingasuswa. Ukuvuvukala ecaleni kwendawo yakho yokucoca kuya kuncipha njengoko ufumana amanzi amancinci. Ekuqaleni, umdaka ngokuqhelekileyo ubomvu obomvu, ube mncinci kwaye utshintshe kwimbala enjenge-straw emva kweentsuku ezimbalwa zokuqala.

Lo mzekeliso ubonisa indawo yamanzi amaninzi okupasa. Umzekelo uye waba ne-mastectomy elula kunye ne-sentinel node biopsy, ngoko kukho umgca wokukrola eduze kwesiqu sakhe kunye nakwindawo yakhe yesifuba. Akazange aphinde avuselele kwakhona. Le mijelo inceda ukunqanda i-lymphedema engalo kwicala le-mastectomy kunye ne-hematomas ukusuka ekuphuhliseni.

Inqaku elibhekiselele kwiNgingqi yeMifuno yakho

Udokotela wakho ogqirha unokufaka indawo yokucoca kwindawo eyahlukileyo kunezo ezikulo mzekeliso apha, kodwa ingcamango ifanayo. Ukuvumela ukuba umthamo ogqithiseleyo ususwe ngeemfudu kunokukhawulezisa ukuphilisa kwakho kwaye kukufumene endleleni yokufumana umhlaza wesibeleko.

> 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.

> Stoyanov, G., Tsocheva, D., Marinova, K., Dobrev, E., no R. Nenkov. Umlambo Emva kweMastectomy ehlaziyiweyo yokuHlaziya-Indlela yokuHlola iModecology. Cureus . 2017. 9 (7): e1454.

> 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.