Zimayambitsa, Kupewa ndi Kuchiza
Kugwirizanitsa kwachisawawa ndi vuto lalikulu la opaleshoni ya m'mawere. Chifuwa chiyenera kukhala chofewa, chosinthasintha, komanso chokongoletsera mwachibadwa, ngakhale chifuwa chokonzedwanso chomwe chinapangidwa pambuyo pa vutoli . Ngati muli ndi mapiritsi a m'mawere a saline kapena silicone, mgwirizano wambiri ukhoza kuyambitsa chifuwa chanu chokonzekera, kusintha mawonekedwe, kapena kumverera zovuta.
Ngati izi zikuchitika, mungathe kupeza chithandizo kuti musinthe vutoli.
Mwachidule
Thupi lanu ndi luso-chitetezo chanu cha mthupi chimadziwa pamene chinthu chachilendo chaikidwa m'zinthu zanu. Pamene wodwala (monga chifuwa cha m'mawere) amadziwika, kapu ya periprosthetic imapangidwira.
Ganizirani izi motere: Minofu ndi chikopa cha chifuwa sichimalola kuti thupi lanu likhale lachibadwa. Pofuna kudzipatula ndikuziletsa kuti zisakule, kufalikira, kapena kuyendayenda, thupi lanu limapanga sac, kapena capsule ya minofu kuzungulira, kuti asindikize.
Kapsule kuzungulira chifuwa cha m'mawere ndi minofu yachilengedwe yomwe ingakhale yopindulitsa. Ngati matchuti a capsule kapena olemerawo, angapangitse kuti mupange. Chigwirizano chimenechi ndi chimene chidzapweteke, kusuntha, kusokoneza, ndi kuuma kwa m'mawere.
Zomwe Zingatheke
Mgwirizano wamtunduwu ukhoza kuchitika pafupi ndi mtundu uliwonse wa mawere.
Zimapezeka kawirikawiri kuzungulira silicone, m'malo mopangidwa ndi saline implants. Nthawi zina zimayamba chifukwa cha matenda omwe amalowa mkati mwa opaleshoni yowonjezera. Koma mavuto ena akhoza kubzala, monga seroma (thumba la magazi m'magazi) kapena hematoma (dziwe la magazi pansi pa khungu). Izi zingathandizenso kuti pakhale mgwirizano wogwirizana.
Kukhazikitsa nthawi yayitali, kulimbitsa mwayi kuti mgwirizano ukhalepo.
Baker Scale Grade
Chigwirizano cha abambo chimaperekedwa ndi Baker ndi kutsatira izi:
- Kalasi I - mawere ndi ofewa ndipo amawonekera bwino, ndipo kapsule imasintha.
- Gawo lachiwiri - mawere amayang'ana bwino, koma ndi zovuta kukhudza.
- Gawo lachitatu - chifuwa ndi chovuta, chimakhala cholakwika chifukwa cha mgwirizano, kapena chifuwa chimakhala chozungulira,
- Gawo lachinayi - lofanana ndi kalasi yachitatu koma molimbika kwambiri wa capsule
Kudziwa
Chidziwitso cha mgwirizano wa capsular kawirikawiri chikhoza kuwerengedwa pogwiritsa ntchito mayeso okha. Maphunziro otsogolera angapereke chidziwitso chowonjezereka, ndipo MRI ndiyo yeseso yeniyeni yopanga matenda.
Kupewa
Inu ndi dokotala wanu opaleshoni mungagwire ntchito pamodzi kuti muteteze chitukuko cholimba cha minofu kuzungulira mimba yanu. Dokotala wanu angapereke mankhwala opatsirana kale monga prednisone ndi vitamini E, motero onetsetsani kuti mutenge izi monga momwe zanenera. Mitengo imatha kukhala pansi pa mammary gland kapena mkati mwa mthunzi wamtundu. Mitundu yomwe imayikidwa mkati mwa minofu imakhala yochepa kwambiri kuti ikhale yogwirizana. Dokotala wanu angagwiritse ntchito Alloderm (chidutswa cha minofu ya umunthu koma chimene chilibe DNA) kuti awonetse mthunzi wa minofu kuti athe kuchepetsa mpata wokhala ndi minofu yofiira pafupi ndi kuika kwanu.
Ngati muli ndi mitsempha yotsegulira kuti musamalire opaleshoni ya bere, onetsetsani kuti mukutsitsa izi panthawiyi, chifukwa izi zimathandiza kuti ma seromu asapitirire. Potsirizira pake, dokotala wanu angakulimbikitseni kuti musamachite masewera pamtanda womwe umakonzedwanso. Izi zati, maphunziro sapitirira pano sakuwoneka kuti kupaka minofu kumathandiza kuchepetsa mgwirizano.
Kubwezeretsa Kuchokera kwa Opaleshoni Yachiberekero
Pali zinthu zingapo zomwe muyenera kuzipewa mukamapanga opaleshoni ya m'mawere kuti mukhale ndi thanzi labwino, ndikuchepetseni chiopsezo chotenga mgwirizano.
- Siyani kusuta pamaso pa opaleshoni ngati mungathe, ndipo musasute panthawi yomwe mukutha. Kugwiritsira ntchito fodya kumachedwetsa machiritso ndi kuchiritsa kuchokera ku opaleshoni.
- Musavutike kuchita zinthu zakuthupi ndikupeŵa kuvulaza kapena kusintha kwa mawere atsopano. Chokhazikikacho chimafuna nthawi kuti zikhazikike, choncho musamangokhalira kumenyana, kupanikiza, kapena kumangogwiritsa ntchito malo opaleshoni.
- Ngati mumadziwa kuti mudzakhala ndi mitsempha ya m'chifuwa pambuyo poti mukudwala matendawa, ganizirani kuchedwa kwa opaleshoni yopangira mankhwala mpaka mutatha mankhwala. Mafunde omwe amamangidwa mwamsanga akugwiritsidwa ntchito ndi chiopsezo chachikulu chokhazikitsanso, mavuto ena monga matenda, ndi mgwirizano, kotero kuyembekezera kungakhale koyenera.
Kuchiza
Ngati mumakhala ndi mitsempha yolimba pampando wa m'mawere, ngati mawonekedwewo akusokonekera, kapena ngati chokhacho chimasokonekera, mukhoza kupeza chithandizo. Capsulectomy ndi opaleshoni imene imachotsa kapsule wouma, ndipo imalowetsedwa m'malo mwa njirayi.
Mankhwala a capsulotomy ndi opaleshoni kuti amasule minofu yowopsya poikulitsa, yomwe imathandiza kuti pakhale kukula.
Kuchita opaleshoni sikungakhale kofunika nthawi zonse, komabe, monga njira zowonongeka monga kusita minofu, ultrasound, ndi mankhwala zingathandize khunyu lolimba kuti likhazikike. Lankhulani ndi dokotala wanu za zomwe mungasankhe.
> Zotsatira:
> Bachour, Y., Verweii, S., ndi S. Gibbs. The Aetiopathogenesis ya Capsular Contracture: Kukonzekera Mwatsatanetsatane kwa Mabuku. Journal of Reconstructive Plastic and Surgery Surgery . 2018. 71 (3): 307-317.
> Malahias, M., Jordan, D., Hughes, L., Hindocha, S., ndi A. Juma. Ndemanga Yophunzira ndi Kuphatikizidwa kwa Kugonjetsedwa kwa Capsular: Vuto Lomwe Limapitirira kwa Opaleshoni ya Achiberekero ndi Odwala Awo. International Journal of Surgery Open . 2016. 3: 1-7.
> Pu, Y., Mao, T., Zhang, Y. et al. Udindo wa Mankhwala Osakaniza Momwe Akugwiritsira Ntchito Pachipatala Odwala Amene Ali ndi Matenda Omwe Amakonzedwanso Patsogolo Posachedwapa: Meta-Analysis. Medicine (Baltimore) . 2018. 97 (6): e9548.
> Sood, A., Xue, E., Sangiovanni, C., Therattil, P., ndi E. Lee. Kupweteka kwa m'mawere, kuika malo osamalidwa, ndi kuteteza mkangano wa Capsular Pambuyo pa kuwonjezeka kwa ubereki ndi implants: Kubwereza kwa Mabuku. Eplasty . 2017. 17: e41.