Kuchotsa Zosakanizika Zowonongeka Kuchokera Kumayambiriro kwa Chiberekero
Ngati muli ndi minofu yambiri kapena yowumitsa ndi yovuta kwambiri m'mimba mwanu mukamapititsa patsogolo kapena mukamanganso khungu, opaleshoni yanu ya pulasitiki ikhoza kukupatsani capsulectomy. Kodi ndondomekoyi ikuchitika liti, ndi motani momwe izo zimachitidwira, ndipo ndizotheka bwanji kuthetsa vutoli?
Kodi Capsulectomy Ndi Chiyani?
Capsulectomy ndi kuchotsa opaleshoni ya minofu, kapena capsule yomwe yakula ndi kuumitsa kuzungulira bere .
Kapsule imapangidwa ndi fibroblasts, collagen, ndi mitsempha ya mitsempha ndipo imadziwika kuti mgwirizano wamakono. Ndimomwe thupi limatetezera chitetezo cha mthupi chifukwa cha kukhalapo kwa chinthu china chomwe chimatsogolera ku vuto. Mapangidwe a capsule ndi achilendo, komabe pamene akukhala olemera kapena ogwirizana, amachititsa kuti mankhwalawo asokonezeke ndi kupweteka.
Kugwirizanitsa kwapopular ndi vuto lodziwika bwino la njira zochepetsera mawere ndipo zimapezeka mwa iwo omwe ali ndi vuto lopweteka kwa nthawi yoyamba, omwe apanga kubwezeretsa mimba pambuyo pa opaleshoni ya khansa ya m'mawere, komanso mwa anthu amene adachiritsidwa kale.
Mitundu ya Kugonjetsedwa kwa Capsular
Pali magulu angapo a mgwirizano wamagulu omwe amagawidwa mu magawo owerengedwa ndi Baker Classification Scale. Izi zikuphatikizapo:
- Baker Kalasi I: A kapsule wamba amapanga kuzungulira mimba pambuyo poti opaleshoni yowonjezera mawere ndikuthandizira kuti mawere aziwoneka bwino komanso mwachilengedwe.
- Baker Wachiwiri Wachiwiri: Kapepala kakang'ono kamene kalipo ndipo kamakhala kolimba mpaka kukhudza komabe mawere akuwoneka akuwoneka mwachirengedwe. M'mawu ena, mabere anu angakhale osamveka ndipo akhoza kukhala ovuta kukhudza, koma amawoneka abwino.
- Baker Gulu lachitatu: Chimake cholimba chomwe chimasokoneza maonekedwe a mabere amatha kuwona ndipo mawere ndi ovuta kukhudza. Zingawoneke ngati zikuzunguliridwa kapena kuzungulira kumtunda.
- Baker Gulu la IV: Mawere ndi ovuta, ozizira ndi mawonekedwe osokonezeka ndipo wodwalayo amamva kupweteka komanso kusokonezeka.
Inde, pali amayi ambiri omwe sagwirizana bwino mwa chimodzi mwa magulu awa. Mwachitsanzo, mawere anu akhoza kukhala ofewa koma opweteka, kapena mabere anu akhoza kukhala ovuta ndi ozizira koma osapweteka. Kafukufuku wina anapeza kuti 3.2 peresenti ya amayi amapanga mgwirizano wa chigawo III kapena IV mutatha kuwonjezeka kwa m'mawere kufuna capsulectomy, ndipo kugwedeza kwapisular ndilo chifukwa chachikulu chochitira opaleshoni yowonjezereka potsatira njirayi.
Zifukwa za mgwirizano wa Capsular
Palibe njira yodziwiratu momwe thupi lidzachiritse kapena ngati minofu idzapangidwe musanachite opaleshoni. Amakhulupirira kuti kugonana kwakukulu kungayambitsidwe ndi mtundu wa mawere oyamwitsa omwe amagwiritsidwa ntchito pa opaleshoni ya m'mawere. Mavitamini a silicone amatha kukhala ndi mlingo wapamwamba kusiyana ndi mankhwala a saline pachifuwa chokhala ndi minofu yambiri. Silicone ikhoza kuyambitsa mawerengedwe ndipo imayambitsa minofu yowopsya kwambiri kuposa yomwe imawonedwa ndi mavitamini a m'mawere a saline. Izi ndi zifukwa zina zotsutsana pakati pa silicone ndi implants .
Mgwirizano wamtunduwu ukhozanso kuyambitsidwa ndi momwe zimapangidwira. Kuyika choyika pamwamba pa minofu sikuti nthawi zonse kumapereka mankhwalawo ndi kutsegula kokwanira kapena mafuta, kuonjezera chiwopsezo cha kupanga mapulaneti.
Nthano ina ikuphatikizapo kuipitsidwa kwa bakiteriya kwa chigoba cha kuikidwa.
Kupewa Mgwirizano wa Capsular
Pali njira zina zochepetsera chiopsezo chokhala ndi mgwirizano waukulu ndipo izi zikuphatikizapo izi:
- Mankhwala ovomerezeka monga prednisone kapena vitamini E akhoza kuuzidwa kwa amayi ena.
- Kuyika kwa kuikidwa mu malo osokonezeka: Ochita opaleshoni ena amagwiritsa ntchito Alloderm komanso kuchepetsa chiopsezo cha minofu yofiira.
- Mtundu wa kuyika: Monga taonera, mapiritsi a silicone amatha kuwombera minofu kusiyana ndi mavitamini a mchere.
- Osasuta fodya asanayambe.
- Kupaka minofu yopanda ntchito (Onani m'munsimu pansi pa capsulotomy yotsekemera yomwe siikonzedwe mwamphamvu ndipo imatha kuphulika kapena kutuluka mwazi.)
- Chithandizo cha kunja kwa ultrasound.
Odwala omwe sakhala ndi thanzi labwino, amamva ululu, amachiza ma ARV , kapena matenda opatsirana monga matenda kapena kutuluka m'magazi, amatha kukhala ndi mgwirizano kwambiri kusiyana ndi odwala omwe alibe ngozi.
Njira ya Capsulectomy
Kwa anthu omwe ali ndi mgwirizano wa Gawo Lachitatu kapena wa Gulu la IV, mankhwala opaleshoni kuchotsa kapule wa minofu yomwe ili pafupi ndi kuika mawere nthawi zambiri amalimbikitsidwa. Pakati pa capsulectomy, envelopu yomwe imayandikira kuzungulira imachotsedwa. Zosakaniza zingachotsedwe kapena kubwereranso panthawiyi.
Capsulectomy vs Capsulotomy
Njira yotchedwa capsulotomy ndiyo njira yosiyana ndi capsulectomy. Mu capsulotomy, kapule imatsegulidwa (kumasulidwa ndi / kapena kuchotsedwa pang'ono) kuti apange malo ena ambiri. Makina a capsulotomy akhoza kukhala opsulotomy omwe amatseguka m'mimba, kapena kutsekedwa kwa capsulotomy yomwe imagwiritsidwa ntchito pamutu pa chifuwa kuti athetse minofu yowopsya. Ngakhale kuti capsulotomy yotsekedwa imakhala yochepa kwambiri, pali anthu ambiri omwe amalangiza motsutsana ndi njirayi chifukwa cha chiopsezo chotulutsa kapangidwe ka hematoma. Mosiyana ndi zimenezi, njira yotseguka yotseguka ingakhale yopanda mphamvu kwa omwe amaganizira opaleshoni ya capsulectomy.
Kubwezeretsa Pambuyo pa Capsulectomy
Kubwezeretsa kumasiyanasiyana ndipo kumadalira ndondomeko yomwe amachititsa komanso kuti wodwala amatha kuchiritsa, koma nthawi zambiri amakhalanso ngati akuchira pambuyo poti opaleshoni ya m'mawere kapena opaleshoni yokonzanso.
Mfundo Yofunika pa Capsulectomy ya Kuphatikizana kwa Capsular
Mwatsoka, mgwirizano waukulu ukhoza kutsogoloza ndi kusokonezeka pakutsatira mazira opatsirana kapena opaleshoni yokonzanso. Capsulectomy ndi njira imodzi yowonjezera maonekedwe ndikuonjezera chitonthozo ngati mukulimbana ndi zotsatirazi.
Mofanana ndi opaleshoni iliyonse, ndizofunika kukhala wothandizira. Pezani dokotala wochita opaleshoni amene wachita ma opaleshoni ambiriwa. Funsani kuti mudziwe za zotsatira kapena kuti muwone zithunzi ngati ali nazo izi. Dokotala wanu akhoza kukuthandizani kuyankhula ndi amayi ena amene achita zomwe akufuna kuti agawane zomwe akumana nazo.
> Zotsatira:
> Mutu, H., Kasem, A., ndi K. Mokbel. Kuphatikizika kwapachibale pambuyo pa kuwonjezereka kwa ubereki: Chotsitsimutso cha Kuchita Zipatala. Archives of Surgery Plastic . 2015. 42 (5): 532-543.
> McGuire, P., Reisman, N., ndi D. Murphy. Kuopsa kwa Zinthu Zowopsa kwa Kugonjetsedwa kwa Capsular, Kuipa, ndi Kumapeto kwa Seroma M'magulu Amene Amalandira Natrelle 410 Mapangidwe Osakanizika a Mawere Achimake Achiberekero. Kuchita Opaleshoni Yapulasitiki ndi Kukonzanso . 2017. 139 (1): 1-9.
> Swanson, E. Open Capsulotomy: Wopambana koma Wonyalanyaza Chithandizo cha Kugonana Kwambiri Pambuyo pa Kuwonjezereka kwa M'bwere. Kuchita Opaleshoni Yapulasitiki ndi Kukonzanso. Global Open . 2016. 4 (10: e1096.