Njira, Zochita ndi Zochita, ndi Ngozi za Nipple ndi Areola Zomangamanga
Pali ziganizo zambiri zomwe zingapangidwe pa khansa ya m'mawere ndi pambuyo pake. Zingawoneke ngati zosankha zokonzanso zomangamanga, ndipo makamaka kumanga ndi kumangidwa kwa asola ndi totem pole, poyerekeza ndi mankhwala a kansa ya m'mawere omwe angapulumutse moyo wanu, koma njira zothandizira njirayi ndi njira imodzi yobweretsera moyo wanu. Iwo ali, mwachangu, ndikumverera bwino momwe angathere pambuyo pa chithandizo.
Mwachidule
Kusankha koyamba ndi kumanganso kumayambira ndi kusankha kwako opaleshoni; kaya muli ndi lumpectomy kapena mastectomy , kaya mwathamanga kapena mumachedwetsa kumanganso, kapena musamangidwe konse.
Malingana ndi malo a khansara yanu, mukhoza kukhala woyenera kuti mukhale ndi matenda osokoneza ubongo. Ndondomekoyi ikukhala yowonjezereka ndipo imakhala ndi chikhumbo chokhutiritsa kwambiri, ndi amayi omwe ali ndi njirayi akuwonetsera umoyo wabwino. Osati opaleshoni onse amachita kapena amakhala omasuka ndi njirayi, ndipo mungafunike kulingalira lingaliro lachiwiri pa malo akuluakulu a khansa ngati izi mukufuna kuziganizira.
Ngati mulibe chinsalu choteteza mastectomy, chisankho chotsiriza chimaphatikizapo kusankha kukhala ndi minola komanso reconstructural reconstruction.
Zochita ndi Zochita
Monga momwe mwasankhira ndi khansa yanu ya m'mawere, pali zowonjezereka komanso zowonongeka kuti muganizire posankha kukhala ndi minola ndi reconstruction.
Palibe chigamulo choyenera ndi cholakwika chomwe chiyenera kupangidwa, ndicho chisankho chomwe chili choyenera kwa inu nokha.
Mapulogalamu
Ubwino wa kumangirira ndi kubwezeretsa isola makamaka kuti maonekedwe a chifuwa chanu ali pafupi kwambiri ndi maonekedwe anu musanayambe kudziwa za khansa ya m'mawere.
Cons
Palinso kuwonongeka kwakumangidwanso kwa nsomba. Izi zingaphatikizepo
- Mfundo yowonjezera kuti yomangidwanso ndi njira imodzi yokha yopaleshoni. Izi zimayambitsa ngozi za anesthesia, nthawi yowonjezera, komanso zowonjezereka, zida zina (pamalo a new isola / ntchentche, ndi malo omwe amapereka chithandizo ngati grafting ntchito).
- Kubwezeretsa mimba kungapitirize ntchito "yopitiriza ndi moyo wako."
- A "con" omwe satchulidwa kawirikawiri, koma ndi zachilendo, ndikuti amayi ena amavutika kuti apite ku braless pambuyo pa kumangirira ndi kubwezeretsa asola kusiyana ngati sakanamanganso. Mwamangidwe abwino a m'mawere, amai ambiri samasowa kuvala bra, ndipo kumanganso mimba kungasokoneze ufulu umenewo (kapena iwo angagwiritse ntchito kugwiritsa ntchito bandaids ndi tepi kuti aphimbe mapewa awo atsopano.) Mosiyana ndi "chilengedwe" chala, kumangidwanso Nkhono ziri ndi malo amodzi ndipo musabwereze. Azimayi ena amachita manyazi ndi kupitilira kosalekeza kwa nsana yomwe imapangitsa kuti ayambe "kuyimirira," kapena ozizira.
Njira Yothandizira
Kawirikawiri, kumanganso kansalu ndi maluwa otchedwa niola amachitika pakadutsa miyezi itatu kapena sikisi kuchokera kumangidwanso.
Izi zimapangitsa machiritso abwino komanso kutaya kwa kutupa kwapambuyo. Komabe, nthawi imatha kusiyana kwambiri ndi opaleshoni ndi odwala, komanso njira zomwe zimagwiritsidwa ntchito pazinthu zonsezi.
Njira Zokonzanso
Njira yoyamba yomangidwanso imaphatikizapo kugwiritsa ntchito khungu lachitsulo kapena chikhomo kukonzanso chitsamba chachitsulo. Izi zikutsatiridwa ndi "kujambula zojambulajambula" pamene nkhono yomangidwanso yachiritsidwa. Nthawi zina, kujambula zojambula zokha kumagwiritsidwa ntchito popanga maonekedwe a chinsalu koma popanda opaleshoni yowonjezereka.
Ntchito yomangidwanso
Njira yothandizira kumanga ndi kubwezeretsa isola imaphatikizapo kukolola khungu ku malo opereka osiyana ndi chifuwa chokonzedwanso.
Mzere wa khungu umagwirizanitsidwa ndi malo a nkhono yomwe yangomangidwa kumene kapena / kapena isola.
Malo omwe anthu amapereka operekera a areola grafts akuphatikizapo chifuwa cha m'mimba kuchokera kumanganso kubwezeretsa, chiuno chamkati, kapena kupha nsomba. Kwa nkhono grafts, malo atatu omwe amapereka ndalama zambiri ndi odwala omwe akutsalirapo, odwala, ndi labia. Kawirikawiri, wodwalayo amene akutsalirapo ndi malo omwe amapereka chithandizo, chifukwa amapereka machesi abwino kwambiri pakhungu ndi mtundu. Komabe, ngati pali mastectomy (kapena makamaka yazing'ono), malo ena opereka ndalama angathe kukhala othandiza kwambiri.
Kukonzekera kwala
Mu njira yopangidwira kumanganso kansalu, kansalu kakang'ono kamene kamapangidwa kuchokera ku "chilakolako" cha khungu chomwe chimachotsedwa mwachindunji ku khungu pafupi ndi malo a nkhwangwa yatsopanoyo. Njira imeneyi imathandiza kuti magazi asamapangidwe bwino, komanso kuti azikhala ndi zovuta zowonjezera m'mimba mwachitsulo ndi asola (mosiyana ndi kupanga kachilombo katsopano pamalo opatsiranawo, monga mwa njira yothandizira). Ndondomeko yotseguka ndi yodalirika kwambiri kuposa njira yothandizira.
Ntchito Yomangidwanso Pogwiritsa Ntchito Makina Osakanikirana (Kujambula Zithunzi)
Kulemba zizindikiro, kutchedwa micropigmentation, kaŵirikaŵiri kumachitidwa monga gawo lomaliza la kumanganso kwathunthu kwa m'mawere, pokhapokha atangomangidwanso. Njirayi imagwiritsidwa ntchito ndi zipangizo zofanana ndi zomwe munthu angapeze pogwiritsa ntchito positolo. Njira yake yaikulu ndikuti ndi njira yofulumira komanso yophweka yomwe imakhala yosafunika kuposa anesthesia, ndipo siimapanga chilonda china. Ndipotu, tizilombo ting'onoting'ono tingagwiritsire ntchito kupukuta mtunduwo komanso kuchepetsa maonekedwe a zida zomwe zatsala pambuyo poyambitsanso njira yobwezeretsa mawere.
Makamaka, njirayi imagwiritsidwa ntchito poyerekeza mtundu, mawonekedwe, ndi maonekedwe a dera lomwe likuzungulira msoko (wotchedwa areola). Komabe, kwa odwala omwe safuna kuchitidwa opaleshoni yowonjezera pambuyo poyambilira pachifuwa chawo, maonekedwe a chikopacho amatha kukhazikitsidwa pogwiritsa ntchito zizindikiro zokha. Chosavuta chodziwika cha njira iyi ndikuti ingangopangitsanso chithunzi cha maonekedwe ndi dera, osapereka majekesero, koma maphunziro a 2016 adapeza kuti kutaya kwa chidziwitso sikunachepetse chisangalalo kwa amayi omwe anali ndi njira iyi. Iyi ndi njira yotetezeka kwambiri.
Nthaŵi zina, dokotala wanu angakulimbikitseni kugwiritsa ntchito ma fillers monga Radiesse kapena Alloderm kuti muwone kuyang'ana kwa msomali. Pachifukwa ichi, zingakhale zothandiza kuyang'anitsitsa kwa dokotala wa opaleshoni kapena katswiri wa micropigmentation yemwe amadziwika bwino popanga mawonekedwe ooneka bwino ndi atatu.
Dokotala wanu kapena wothandizira amatha kusakaniza mitundu yambiri ya nkhumba kuti abwere ndi mtundu woyenera kuti azitsimikizira zikopa za khungu lanu kapena / kapena kuti agwirizane ndi nsonga yanu yotsalira. Kupeza mthunzi wangwiro kungapangitse maulendo angapo, ndipo monga ndi chithunzithunzi chilichonse, pigment idzafalikira panthawi yake, ndikusowa ulendo wobwereza kuti azitha kukwera.
Mavuto ndi Zovuta
Choyamba, pali kuthekera kuti kuphatikizira kapena kuphulika sikungakhalebe malo ake atsopano. Ngati izi zichitika, opaleshoni yowonjezereka idzakhala yofunikira. Kuonjezerapo, ngati anesthesia akufunikira, pali zoopsa zomwe zimachitika pamodzi ndizoopsa, komanso zovuta zomwe zingakhale zovuta kwambiri pakubwera opaleshoni, zomwe zimaphatikizapo: kupweteka koopsa, magazi ochuluka kapena hematoma , kutaya khungu (minofu imfa) , kutsekemera kwa magazi , mafuta, kutuluka kwa khungu kapena kusinthasintha kwa mtundu wa nkhumba, kupweteka kwa anesthesia , kupweteka kwa edema (kutupa), kupweteka kwa thupi, kusintha kwa khungu, kupweteka kosalekeza, kuwonongeka kwa zida zakuya monga mitsempha, mitsempha ya magazi, minofu, mapapo, ndi ziwalo za m'mimba , mitsempha yambiri ya mitsempha ya m'mimba, matenda a mtima ndi mapulaneti, zotsatira zowonongeka zosakhutiritsa, ndi kufunikira kwa opaleshoni yowonjezera.
Kwa iwo omwe ali ndi mankhwala odzoza mazira asanayambe kumanganso, chiopsezo cha zotsatirapo (msomali necrosis) ndi apamwamba, ndipo ndizofunika kuyankhula kwa dokotala mosamala ngati mukuganizira kapena ngati muli ndi mankhwala opatsirana.
Pambuyo pa opaleshoni, pitani kuchipatala mwamsanga ngati chirichonse mwa zotsatirazi chikuchitika: kupweteka pachifuwa, mpweya wochepa, kupweteka kwa mtima, magazi ambiri.
Mtengo
Kawirikawiri, kumanganso kansalu kakang'ono kameneko kumakhala koyambira kumapeto kwa mastectomy. Choncho, mwalamulo, ndalamazo zidzakwaniritsidwe ndi inshuwalansi ya mkazi. Komabe, nthawi zonse muyenera kufufuza ndi chithandizo cha inshuwalansi zokhudzana ndi zomwe mukuwerengazo musanagwiritse ntchito opaleshoni iliyonse. Ndondomeko zina za inshuwalansi zimalimbikitsa kumene mungapite opaleshoni komanso njira zina zomwe zimayendera.
Chisamaliro cha Post-Op
Potsatira ndondomekoyi, kuvala kosavala kosakanikirana ndi mafuta odzola adzaperekedwa pachifuwa chako ndipo chidzagwiritsidwa ntchito ndi tepi yothandizira. Kuvala kumafunika kusintha maola angapo ochepa kwa masiku oyambirira. Ngati mwakhala mukulemba zizindikiro monga gawo lanu lomangidwanso, zizindikiro zanu zidzasakanikirana ndi inki ndi magazi. Nkofunika kuti musalole kuti zizindikiro zikhale zouma, kapena kulola kusemphana maganizo pakati pa zovala ndi zojambula panthawiyi.
Chifukwa cha magazi, mtundu wa tattoo udzawonekera mdima woposa momwe udzachiritsire. Pa nthawi ya machiritso, nkhanambo zimapanga ndi kugwa, povumbulutsa mtundu weniweni wa tattoo. Musasankhe pa nkhanambo kapena yesani kuchotsa. Ngati atachotsedwa mofulumira kwambiri, nkhanambo idzatenga zilembo zambiri zojambulapo.
Kubwezeretsa ndi nthawi yotsika
Kumangidwanso kwa nkhono ndi isola kawirikawiri ndi njira yochiritsira yomwe imafuna kuti pasanathe ora limodzi kuti ikwaniritse. Odwala ambiri amakhala ndi zowawa kapena zowawa zomwe zingachititsidwe ndi opha ululu, ndipo adzatha kubwerera kuntchito zawo mwachidule masiku angapo.
Monga momwe zilili ndi opaleshoni yonse, ndikofunika kumvetsetsa kuti malangizowa angasinthe mosiyanasiyana malinga ndi thanzi la wodwalayo, njira zomwe amagwiritsidwa ntchito, ndi zina zomwe zimasokoneza opaleshoniyi. Ziribe kanthu, ndikofunika kusamala kuti musagwiritse ntchito malo opatsirana mwamphamvu kuti muthe mphamvu, kutaya, kapena kuyenda panthawi yamachiritso. Ululu uliwonse umayenera kuuzidwa kwa dokotala wanu.
Kutaya ndi Kumva
Ngati ntchito yomangidwanso ikukwaniritsidwa ndi zolemba zojambula zokha, palibe chosowa chatsopano. Pankhani yomangidwanso, zipsyinjozo zimakhala mkati mwa chigwacho ndipo zimabisika kwambiri ndi reconstruction. Ngati njira yogwiritsira ntchito ikugwiritsidwa ntchito, chiwopsezo chatsopano chidzawonekera pozungulira mpangidwe wa new isola. Chilendo chowonjezeranso chimapangidwira kumalo opereka.
Mosasamala njira yomwe imagwiritsidwanso ntchito yomanganso, ndikofunika kukhala okonzekera kuti malo atsopano a nkhwangwa sadzakhala ndi maganizo ofanana ndi mthunzi wa mawere otsala (kapena mabere achilengedwe akale).
Mawu Ochokera
Kusankha kaya kukhala ndi kumanga kansalu kapena ayi kuli kwathunthu ndipo palibe njira yabwino kapena yolakwika. Ngati mukuganiza kuti mwachitidwa opaleshoni, kapena simukusowa chisokonezo ndi mankhwala ena (kapena mapepala omwe sakubwezeretsanso) samamva ngati mukuyenera kutsatira "mapazi otsiriza" omwe amangomangidwanso. Ndipo ngati mukufunadi kumangidwanso ndi abwenzi kapena achibale ndikuyamba kukudziwitsani, pitirizani kuchita zomwe zikukuthandizani nokha.
Pamene mukuganiza za ulendo wanu ndi khansa ya m'mawere mpaka pano, mukhoza kumva kuti ndinu wotopa kwambiri. Kungakhale chitonthozo chaching'ono kuti azindikire kuti khansa imasintha anthu m'njira zabwino bwino . Zofukufuku zomwe zikuyang'ana "kukula msanga" kwa anthu omwe ali ndi khansa zapeza kuti opulumutsidwa ndi khansa samangoyamikira kwambiri moyo koma amakhala ndi chifundo kwa ena.
Zotsatira:
Mota, B., Riera, R., Ricci, M., Barrett, J., de Castria, T., Atallah, A., ndi J. Bevilacqua. Mankhwala a Nipple- and Areola-Kuthetsa Mastectomy kwa Chithandizo cha Khansa ya M'bwere. Dongosolo la Cochrane la Zosintha Zogwirizana . 2016. 11: CD008932.
Satteson, E., Brown, B., ndi M. Nahabedian. Kukonzekera kwazitsulo zazitsulo zamakono ndi kukwanilitsa kwa oleza: Kusanthula Mwadongosolo ndi Kusanthula Meta. Gland Opaleshoni . 2017. 6 (1): 4-13.
Sisti, A., Grimaldi, L., Tassinari, J. et al. Njira Zokonzanso Zokonza Zipangizo za Nipple-Areola: Ndemanga Yophunzira. European Journal of Oncology Opaleshoni . 2016. 42 (4): 441-65.