Kukhetsa Kuyika Pambuyo Pachilombo Choyambitsa Matenda, Kusokoneza Makhalidwe, ndi Kumangidwanso
Ngati mukudwala matenda osokoneza bongo, fetinel node biopsy, kapena kumanganso kake kwa khansara ya m'mawere mungakhale ndi zophikira opaleshoni panthawi ya opaleshoni. Anthu ambiri amapita kunyumba ndi madziwa kwa milungu ingapo asanayambe kuwachotsa. Kodi zivomezizi zili kuti?
Podziwa malo omwe mumatulutsira, ndipo zomwe mungayembekezere zingakuthandizeni kukonzekera kuyang'anira makina anu pambuyo pa opaleshoni ya m'mawere .
Tiyeni tiyambe kufotokozera zowonjezera zomwe mungakhale nazo mutatha kuchipatala ndikumanganso momwe zingakhalire zosiyana ngati mutakhala ndi vuto losawonongeka.
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Kupaka Opaleshoni Pambuyo pa Kugonana ndi KumangidwansoMukadwala matenda oopsa kapena opaleshoni, dokotala wanu angathe kuika zotsekemera kuti zithandize kulimbitsa machiritso anu. Popanda kukhetsa, madzi amatha kusonkhanitsa pamalo omwe mawere kapena mafupa anu amachititsa kupsyinjika ndi kupweteka. Pamene madzi amatha kusonkhanitsa popanda kuthira madzi amatha kuyambitsa seroma , yomwe nthawi zina ikhoza kuyambitsa kupsa.
Pali mitundu yosiyanasiyana ya zivomezi kuphatikizapo zowonjezera grenade ndi madzi a Jackson-Pratt. Mudzakhala ndi chubu yamakina komanso babu yotuluka kunja kwa khungu lanu pafupi ndi makina anu opanga opaleshoni. Mbali imodzi ya chubu yotulutsa madzi idzapita mkati mwa thupi lanu kupita kuchipatala, komwe idzasonkhanitsa magazi ndi zamagazi. Gwiritsirani ntchito chubu yotulutsa madzi pamtunda ndi suture kuti iwonongeke mosavuta.
Mudzagwiritsa ntchito kukhetsa kuchotsa ndi kuyesa madzi okwanira kangapo patsiku ndikusunga mbiri ya momwe magazi ndi mliri amachotsera. Pamene mphamvu yamadzimadzi imachepa, kutupa pafupi ndi malo anu opaleshoni ayenera kuchepa. Pamene madzi akumwa ndi 30ml kapena osachepera mu maola 24, mukhoza kutulutsa zitsambazo. Ngakhale mutapitiriza kukhala ndi madzi aakulu kuposa awa, madokotala ena opaleshoni amalimbikitsa kuchotsa zotayira pa masabata atatu.
Fanizo ili likuwonetsa malo amphepo awiri opaleshoni. Mtengowu uli ndi nthenda yodzitetezera kuti ayang'ane mitsempha ya mitsempha, kotero pali mzere woyandikana pafupi ndi mkondo wake. Malinga ndi zotsatira za nthenda yanu ya mankhwala imasonyeza kuti dokotala wanu akuchitiranso mankhwala osokoneza bongo amachotsa mfundo zina.
Mzimayi yemwe ali mu chithunzi choyambirira adakhalanso ndi vuto lokonzanso, pogwiritsira ntchito minofu yamatenda . Kutsekemera kwachiwiri kwaikidwa pa kuzungulira kwa kanthawi kochepa kuti ubweretse magazi ndi mitsempha. Zakudya izi zimathandiza kupewa lymphedema ndi mahematomas kuti zisapangidwe.
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Kupaka Opaleshoni Pambuyo pa Matenda OsapangidwansoKwa anthu omwe ali ndi mastectomy yosavuta kumangidwanso, pangakhale kokha kamodzi kake kamene kamaphatikizapo khungu lanu lokhala ndi minofu komanso mastectomy yanu. Dokotala wanu angapange makina opangira opaleshoni kuti muwathandize kuchepetsa machiritso anu. Anthu ena adzalandira imodzi ndipo ena adzakhala nawo. Ngati muli ndi mastectomy yamtundu umodzi ndi ma lymph node biopsy mukhoza kukhala ndi matope asanu kapena asanu.
Kutsuka kulikonse kumakhala ndi babu ndi ngalande yamakina kunja kwa khungu lanu pafupi ndi kukakamizidwa kwanu. Mbali imodzi ya chubu yotulutsa madzi idzapitirira kudzera mumalo opangira opaleshoni, komwe idzasonkhanitse magazi ndi zamagazi. Phukusi lililonse limagwiritsidwa ntchito ndi suture kuti lisatuluke mwangozi.
Muzitenga nthawi zingapo tsiku ndi tsiku momwe magazi ndi minofu amasonkhanitsira pakamwa kwanu. Ndikofunika kusunga chidziwitso cha madzi otentha chifukwa izi zimatsimikizira kuti posachedwa mvula yanu ingachotsedwe. Kutupa kozungulira malo anu opaleshoni kudzachepetsedwa pamene mukutaya madzi anu osachepera. Kumayambiriro, madziwa amakhala ofiira kwambiri, akuwoneka ochepa thupi ndikusintha mtundu wa tsaya pambuyo pa masiku oyambirira.
Fanizo ili likuwonetsa malo amphepo awiri opaleshoni. Chitsanzocho chimakhala ndi mastectomy yosavuta komanso yotchedwa reninel node biopsy, motero pali mzere woyandikana pafupi ndi chifuwa chake komanso pa tsamba lake. Iye sanakhazikitsenso mwamsanga. Zakudya zimenezi zimathandiza kupewa lymphedema m'dzanja la mastectomy komanso ma hematomas kuti asapange.
Mfundo Yofunika Kwambiri pa Malo Amene Mumatulutsa
Dokotala wanu angathe kuyika malo osiyana kwambiri ndi omwe ali mu fanizo pano, koma lingalirolo ndi lofanana. Kuloleza madzi owonjezera kuti achotsedwe kudzera m'matope akhoza kufulumizitsa machiritso anu ndikukufikitsani mumsewu wopeza khansa ya m'mawere.
> Zosowa
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> Thomson, D., Trevatt, A., ndi D. Furniss. Kodi Axillary Drains Ayenera Kuchotsedwa Liti? Meta-Kusanthula Nthawi Yoperewera Ndiyiyi Njira Zowonongeka Zomwe Zimayambitsa Nthawi Yotayidwa Kuchotsa Mazira Akumayambiriro a Lymphadenectomy. Journal of Plastic, Reconstructive, and Aesthetic Surgery . 2016. 69 (12): 1614-1620.