Seroma ndi mthunzi wa madzi omwe amadziwika pambuyo povulaza, makamaka kawirikawiri atatha opaleshoni. Maseramu ndi odzaza ndi serous madzi - otumbululuka chikasu, madzi ofunika omwe ali ndi mapuloteni, koma palibe maselo a magazi. Ma seramu amapezeka makamaka pambuyo pa opaleshoni ya m'mawere . Ngakhale ali wamba, opaleshoni ndi odwala amasankha kupeŵa vutoli.
Kutchulidwa: seh-RO-muh
Kawirikawiri, ma seramu amatsitsidwanso ndi thupi masiku angapo mpaka masabata angapo. Komabe, ngati seroma ikupitirira, ikhoza kukhala yovuta, yowerengeka. Chifukwa chaichi, ngati zikuoneka kuti seroma sizimawoneka bwino, dokotala akhoza kuika singano yabwino m'matumba kuti ayambe kukhetsa .
Seromasi Patatha Opaleshoni Yachiberekero
Maseramu amapezeka kawirikawiri pambuyo pochita opaleshoni ya khansa ya m'mawere, kuphatikizapo kusintha kosinthika kwa mimba , kupweteka kwa m'mawere, ndi kupuma kwa mitsempha . Amapanga malo omwe amafa pamphuno. Lipoti limafotokoza kuti chiŵerengero cha 15-18%. Nthawi zambiri zimatsimikizira mkati mwa masabata angapo, koma zingatenge miyezi yochepa kuchotsa. Koma izo zingayambitse kusokonezeka ndipo zimatha kutambasula khungu ndi kuyambitsa. Nthawi zina chitukuko cha seroma chingathe kupititsa patsogolo chipatala chanu chitatha opaleshoni.
Zizindikiro ndi Utsogoleri Pambuyo pa Opaleshoni Yachiberekero
Zizindikiro za seroma zimaonekera patatha sabata kapena kupitilira atatha opaleshoni ndipo patatha madzi alionse.
Mumamva malo otupa ndipo amamva ngati madzi ali pansi pa khungu. Zingakhale zopweteka.
Muyenera kukambirana za zizindikiro ndi gulu lanu la chisamaliro kuti muwone ngati akufuna kuti mulowetse. Iyi ndi njira yosavuta ya ofesi yomwe ingakhale ikuchitidwa ndi dokotala wanu kapena wothandizira kapena dokotala.
Wothandizira zaumoyo amaika singano kudzera pakhungu kupita ku seroma ndipo amachotsa madzi owonjezera.
Fufuzani malo omwe mukuzungulira malo anu opaleshoni kuti mukhale ndi zizindikiro za matenda. Ngati atakhala ofiira, kutupa kapena kutuluka, muyenera kuonana ndi dokotala mwamsanga kuti mukapeze mankhwala. Ngati kutupa kumawonjezeka, zikhoza kukhala chizindikiro cha lymphedema ikukula, ndipo izi ziyenera kuyang'aniridwa ndi gulu lanu la thanzi.
Kupewa
Madokotala ochita opaleshoni akhala akuphunzira njira zamakono zopaleshoni zomwe zingathandize kuchepetsa chiŵerengero cha seromas. Ma electrocautery ogwiritsidwa ntchito opaleshoni pofuna kuteteza kuwonongeka kwa magazi akuwoneka kuti akuwonjezera chiopsezo cha seroma chifukwa chimayambitsa kutentha kwa maselo. Ayenera kuika mpata wa seroma ndi mphamvu yake popewera magazi.
Mankhwala ogwiritsiridwa ntchito omwe amagwiritsidwa ntchito kuti atetezedwe seroma koma sawerengeka tsopano. Kugwiritsidwa ntchito kwa nthawi yayitali kumachepetsa kuchepa kwa seroma. Kutsekedwa kutsekemera kapena kutsekedwa kochepa kumawoneka kukhala ndi zotsatira zabwino popewera seromasi kapena kuchepetsa kukula kwake ndi nthawi yake. Zinthu zonsezi ziri pansi pa ulamuliro wa dokotala.
Ngati muli ndi mafunso okhudza seromas, kambilanani ndi dokotala musanayambe opaleshoni. Ndi bwino kudziŵa cholinga cha zitsamba ndi zina zomwe zingagwiritsidwe ntchito.
Zotsatira:
Wong K, Truong PT, Kader HA, et al. Kusagwirizana kwa seroma kuyendetsa ma ARV posafuna pang'ono: Impact of guidelines. Int J Radiat Oncol Biol Phys 66 (2): 372-6, yesetsani: 10.1016 / j.ijrobp.2006.05.066, PMID 16965989
Seroma (Kumanga Mpweya), January 9, 2015, Breastcancer.org
Sanjitha Sampathraju ndi Gabriel Rodrigues "Maphunziro a Seroma pambuyo pa Mastectomy: Pathogenesis ndi Prevention," Indian J Surg Oncol. 2010 Dec; 1 (4): 328-333.