Ukwandiswa kwezicubu zitshintshelwa, iifowuni ezinjenge-balloon ezifana nezixhobo ezisetyenziselwa ukuvuthwa kwebele . Emva kwe- mastectomy , i-expander ye-tissue ingasetyenziswa ngexesha lokuvuselelwa kwangaphambili okanye ukulibaziseka ukubuyiswa kwesifuba eselula isikhumba sesifuba kunye nesifuba sebhokhwe ukuze kwenziwe indlela yokufakelwa kwesifuba esisigxina.
Malunga ne-Breast Implant Reconstruction
Uninzi lwezakhiwo zengxube zenziwa ngokusetyenziswa kwezibilini zesigxina, kodwa ngokungafani nokunyuka kwebele , ukuvuselelwa kwebele kuyinkqubo yamanyathelo amaninzi. I- mastectomy yomhlaza wesifuba isusa zonke izicubu zakho zebele kwaye zichaphazela ukulinganisa kwakho ngokukhawuleza. Abanye abesifazana bakhetha i- prosthesis yangaphandle kunye ne-post-mastectomy pocket bra. Abasetyhini abaninzi bakhetha ngokutsha okanye ukulibaziseka ukubuyiswa kwesifuba kunye nezimpembelelo, kuxhomekeke kwiindlela zabo zokonyango. Ukufumana i-tanderue expander iyona nyathelo lokuqala lokuvuselelwa kwebele ngokufakelwa.
Iimveliso zeeTissue kunye neziPilisi zeBreast
Ukwandisa kwezicubu kunamaqokebhe angaphandle kunye ne-valve yangaphakathi okanye i-port yangaphandle ukuvumela iileno zangasese zamanzi. Uya kunikwa iindidi ezahlukeneyo kunye nobukhulu bezityalo ezikhulayo xa ukhetha ukufakelwa kwesifuba njengendlela yokwakhiwa kwebele.
I-expander yakho ye-tissue ifanele ifane nomfanekiso wesilwanyana esisigxina esisisigxina oza kusebenzisa. Zombini izixhobo ziza ngeenxa zonke, i-oval, kunye neentlobo ze-anatomiki. Ezi zixhobo ezinjengebholethi zichanekile okanye zifakwe emacaleni. Ukwandiswa kwama-tissue akujoliswe ukuba kube yimpembelelo engapheliyo-ininzi iya kususwa kwindawo yokuhlinzwa yesibini kwaye ithathelwe indawo yokufakelwa kwesifuba esisigxina. Ukwandiswa kwefowuni yangaphandle kunokuhlala kwindawo emva kokuba uphawu lufakwe uphawu kwaye lususwe.
Ukufakwa kweTissue Expander
Emva kwe-mastectomy, i-expander ye-tissue ifakwe phantsi kweengxube zodonga lwesifuba, apho iphakamileyo ngaphakathi kwipokethi yesikhumba. Ngenxa yokuba i-expander yakho kunye nokufakelwa kwakho kujikelezwe yimisipha, kunokuba ibe phezu kwe-muscle okanye ngokuyinxenye phantsi kwesisipha, ubunzima befowuni buya kuxhaswa kakuhle. Ukuxhaswa kwemisipha kukuvimbela "ukuphuma." Xa ukufakelwa akuxhaswanga yimisipha, ekugqibeleni ungashenxisa phantsi nje ngogonyamelo kuthatha ukusebenza kwaye izicubu ziphumle ngobudala.
Kwezinye iimeko, i-expander ye-tissue iya kuvuza okanye iphule. Isisombululo se-Saline esivuzayo asiyi kukulimaza. Qiniseka ukuba ufumana uncedo lwe-tanderue expander.
Ukwenyuka kweTisue Treatment
Xa i-mastectomy yakho isilungisile, i-saline iya kuhlonywa ngokusesikweni kwi-expander yakho ye-tissue ukuze itwebise izicubu ezizungezile kwaye yenze indawo yokufakelwa kwesifuba esisigxina. Oku kunokwenziwa kwinqanaba lokuqeshwa.
Ukuba i-expander yakho ine-valve yangaphakathi, ugqirha wakho uya kufumana i-port kwaye ungeze u-saline uya kusebenzisa inaliti efakwe ngesikhumba sakho kwi-port. Ukwandisa amajelo angaphandle, i-saline yongezwa ngqo kwi-port. Uya kuziva ulula kwaye mhlawumbi ungakhathazeki ngexesha lokuzalisa. Ukuxakeka kufuneka kuphephe ngokukhawuleza. Abanye abafazi banamava xa i-saline igcwalisa kunye nosuku okanye emva kokunyanga kwonyango. Kodwa ukuba intlungu iqhubeka, qhagamshelana nodokotela wakho ogqirha uncedo.
Iingxaki zexeshana zeeTissue Expanders
- Izixhobo zokuphepha kwinqwelo-moya kunye neentsimbi zogcinwe ngamatshini ngamanye amaxesha zifumana ii-valves zensimbi zanda. Lungisa phambi kokuba ubalekele ngokufumana incwadi yonyango okanye inqaku kwiprogram yesigqirha, utsho ukuba unento yesinyithi esakhiweyo. Bonisa le leta kubasebenzi bezokhuseleko.
- Ukwandiswa kwamathambo kuya kugqitywa, ngoko isikhumba sakho sinokuyolulela kwaye sibonakalise xa kufakwa isifuba sakho esisisigxina. Ukuba unesithuba esisodwa nje, uya kuba yinto engagqibekanga de kube yinto yakho yokutshintsha.
- Ukufakelwa kweso sikhundla sangaphandle kunomngcipheko ophantsi wokusuleleka, kodwa oku kunokudityaniswa nokunyangwa okufanelekileyo kunye namagciwane.
- Ukwandiswa kwezicubu kunokugubha kwaye iindawo zazo zingabonakalisa okanye zenzeke lula. Izimpembelelo ezingapheliyo maziziva zikhululekile.
> Imithombo:
> Ukwelashwa Kwemhlaza Yesisu (PDQ®). Ukwakhiwa kwakhona. National Cancer Institute.
Ukugqitywa kweeNgxoworha eziNgciniweyo zokuSindisa i-Expander ye-Tissue Expander. Ahmed Elshahat, MD. Eplasty. 2009; 9: e37.