Opaleshoni Yapulasitiki Kubwezeretsa Chikumbumtima cha Breast
Ijap flap (yochepa kwambiri yapamwamba ya piritsi yotchedwa perforator) ndi njira yodzikongoletsera yomwe imagwiritsa ntchito mafuta ndi khungu kuchokera kumsika wanu wakumtunda kuti mupange chifuwa chachikulu pamatenda atatha. Palibe minofu yanu yodula yomwe idzadulidwa kapena kusunthidwa kukonzanso IGAP. Ndondomekoyi imatchulidwa kuti ndizomwe zimagwira ntchito pamsika wanu wotsika. Chifuwa chanu chokonzedwanso sichidzakhala ndi maonekedwe omwewo komanso maonekedwe monga chifuwa chanu chachibadwa, ndipo mukufunikira opaleshoni yowonjezera kuti mupange mchira watsopano ndi areola .
IGAP ndi SGAP Flap Method
Kubwezeretsa mimba ya IGAP ndi yofanana kwambiri ndi njira ya SGAP, ndipo imasiyana m'njira imodzi yokha: IGAP imagwiritsa ntchito minofu yotengedwa kuchokera kumsika wanu wa pansi , SGAP imagwiritsa ntchito minofu kuchokera kumtunda wanu wam'mwamba . Zonsezi ndi zomangamanga zaulere zomwe zimagwiritsa ntchito microsurgery kuti zigwiritsenso ntchito mitsempha yamtundu wanu ku chifuwa chanu kuti mupange mimba.
Amayi ambiri ali ndi minofu yokwanira pamapako awo kuti apange chifuwa chatsopano, koma ngati mulibe minofu yokwanira, kamangidwe kazing'ono kamene kamatha kumangika pamtundu wanu kuti muthe kukula kwa chifuwa chanu chatsopano. Kutulutsidwa kwa khungu ndi mafuta kuchokera kumtundu wanu ndikofanana ndi ndondomeko ya kukwera kwamtambo koma kumaphatikizapo mitsempha ndi mitsempha yomwe imapereka magazi ku minofu yomwe yaikidwa.
Iwe siwe wofunsira kwa IGAP ngati:
- kale mudakhala ndi khungu lakuya ndi mafuta omwe achotsedwa
- mwakhala ndi liposuction pamsana wanu wam'munsi
- mumasuta - zowawa zanu zimatenga nthawi yaitali kuti muchiritse, ndipo minofu yanu ya mafuta imakhala yabwino kwambiri
Ubwino ndi Kuipa
Zotsatira
- Njira yabwino ngati mulibe mafuta ambiri a m'mimba
- Njira yabwino kwa aliyense amene ali ndi khungu ndi mafuta okwanira pamsana
- palibe minofu yomwe imadulidwa kapena kusuntha, kuthamanga nthawi yowonzanso
- Kukwera mmatumba kumabwera kuchokera ku khungu la glutal ndi kuchotsedwa kwa mafuta
- kuchepa kwa 2%
Wotsutsa
- Zotsatira za zikopa ziwiri, chifukwa cha malo awiri opaleshoni
- Ngati IGAP yanu ikulephera, minofu imatha kufa ndipo iyenera kuchotsedwa kwathunthu
- ngati kumanganso kwanu kumalephera, muyenera kuyembekezera miyezi 6 mpaka 12 kuti muyesenso
Zimene muyenera kuyembekezera
Mudzakhala ndi sedraousous sedation kapena anesthhesia panthawi yomwe mukudwala matenda osokoneza bongo. Dokotala wanu opaleshoni adzagwiritsa ntchito khungu pokonzekera mosamala kuti pakhale khungu lanu. Chilombochi chidzagwedezeka kudutsa pansi. Ngati mukudwala matenda osokoneza bongo komanso kumanganso nthawi imodzi (kubwezeretsa mwamsanga), dokotala wanu opaleshoni amachotsa bere lanu, kusunga khungu lenileni momwe angatetezere.
Kusuntha Mafuta, Khungu, ndi Magazi
Gwiritsani ntchito khungu lanu, dokotala wanu opanga opaleshoniyo amachititsa kuti thupi lanu liziyenda pansi, ndipo mumatulutsa khungu ndi mafuta. Asanachotse chigudulichi, amatha kufufuza mankhwala osokoneza bongo omwe amachititsa kuti magazi aziwoneka bwino. Mitsempha yamagazi imeneyi idzasunthidwa mosamala pamodzi ndi minofu yanu.
Kutseketsa Gap Flap Incision
Kuwombera kwanu kumalo kudzatsekedwa ndipo kukhetsa kungayikidwa pofuna kulimbikitsa machiritso ndi kuteteza madzi okwanira. Izi zimakhala zosaoneka bwino, chifukwa zingakhale zotsika kwambiri kuti zibisala m'thumba lanu. Mudzakhala ndi chidwi chotsatira chifukwa cha gawoli la ndondomekoyi.
Kupanga Chiberekero Chatsopano
Mphuno yanu, yodzaza ndi mitsempha ya mitsempha, idzasunthira kumalo anu otsika. Pofuna kuonetsetsa kuti minofuyo idzapulumuka pamalo ake atsopano, dokotala wanu adzagwiritsa ntchito microsurgery kuti agwirizane ndi mitsempha ya magazi m'magazi a mitsempha m'magazi anu. Khungu lanu ndi minofu ya mafuta imayambitsanso m'kati mwa mchenga ndi kumenyedwa m'malo. Mphepete mwa chilengedwe cha nsomba ya m'munsi imapitiriza kuyenda bwino kwa khungu lanu. Dokotala wanu angagwiritse ntchito njira zamakono pa mitsempha ya magazi, kuthandiza othandizi a chipatala kuti awone machiritso awo pamene mukuchira. Muyenera kuyembekezera kuti mukhale ndi mitsempha yotsegulira mukumanga uku, kuti muthe kuchiritsa.
Kuchokera ku IGAP Flap Breast Reconstruction
Konzani pa kuvala zovala zowonongeka, zoyenera kwa masabata angapo otsatira. Nsalu zapamwamba za jeans pamwamba pa chombo cha mchere ndi zotsekemera sizikhala zomasuka. Muyenera kukonzekera kukhala mu chipatala kwa masiku atatu kapena anayi pambuyo pa opaleshoni iyi, ndipo muyembekezere kuti anamwino azisunga machiritso anu. Pafupifupi sabata pambuyo pochita opaleshoni, ngati madzi anu akugwera kwambiri, mungathe kuchotsa zotchinga zanu. Muyenera kupuma masabata anayi kapena asanu ndi limodzi pambuyo pa IGAP, motsimikizirani kuti wina amakhala pafupi ndikukuyendetsa galimoto ndikukukwezerani.
IGAP Flap ya Mavuto Owiri
Ngati muli ndi khungu ndi mafuta okwanira pazipata zonse ziwiri kuti mutenge mabere awiri atsopano, mutha kumangidwanso kamodzi kamodzi kokha kamodzi kowonongeka kwa IGAP. Ngati mwakhala kale ndi minofu yogwiritsira ntchito kumanganso mawere (SGAP flap) ndiye kuti muyenera kusankha njira yosiyana (DIEP, lat flap, kapena implant).
Kuganizira Kwambiri
IGAP imagwiritsira ntchito minofu ya mitsempha yomwe ili ndi mkangano wofanana ndi mkangano wa chifuwa chanu chachilengedwe, opaleshoni ambiri opaleshoni amaganiza kuti zimakhala bwino kumanganso kake kuposa njira ya SGAP. IGAP chophimba ndi microsurgery, chomwe chimafuna kuphunzitsidwa kwakukulu, luso ndi zochitika, kuwonjezera pa malo apadera kuchipatala chanu. Ma sutures omwe amagwiritsidwa ntchito kuti agwirizanenso ndi mitsempha ya magazi ndi ofanana mofanana ndi nsonga ya tsitsi lanu. Gulu lanu lochita opaleshoni lidzakhala likugwiritsa ntchito zipangizo zamakono komanso microscope yapamwamba kwambiri yogwira ntchitoyi. Sankhani dokotala wochita opaleshoniyi mozama ndikufunsa mafunso ochuluka mpaka mutamva bwino za chisankho chanu.
> Zotsatira:
> American Cancer Society. Kubwezeretsa Amtabata Pambuyo pa Mastectomy. Mitundu ya Kumangidwanso kwa Amabere. Zosinthidwa: 09/06/2007.
> National Cancer Institute. Kuchita Opaleshoni Akazi Omwe Ali ndi Khansara Yoyamba Kumayambiriro. Atatumizidwa 10/22/2004.
YAM'MBUYO YOTSATIRA TUMIZANI LINKI SINDIKIZANI ILI MU KOPERANI MAPODIKASITI MITU YA NKHANI YAM'MBUYO YOTSATIRA Mabuku a Chichewa (2000-2014) Laibulale Zimene Mumakonda Zoyenera Kutsatira Nkhani Yosunga Chinsinsi Foni ya M'manja Zimene Mumakonda Manambala a Masamba Kukula kwa Zilembo , DOI: 10.1016 / j.bjps.2006.01.005)