FAQs About Deep Aperior Epigastric Artery Perforator Flap Kumangidwanso
Pambuyo pa vutoli , amayi ambiri amatha kusankha opaleshoni yokonzanso kuti apangidwe mawere pambuyo pa opaleshoni. Imodzi mwa njira zowonjezereka ndizomwe zimakhala zochepa kwambiri pamtambo wa perforator (DIEP).
Kodi DIEP Flap Kumangidwanso Chiyani?
Chombo cha DIEP ndi njira yomwe imagwiritsira ntchito mafuta ndi khungu kuchokera kumimba yanu kuti apange chifuwa chachikulu cha mimba pambuyo poyambitsa matenda . Njirayi ikutenga dzina lake kuchokera ku DIEP mu mimba yanu ndipo ili ndi mawonekedwe a autologous reconstruction , opaleshoni yomwe imagwiritsa ntchito minofu yanu.
Ngakhale kuti njirayi ingapangitse maonekedwe a m'mawere anu, muyenera kudziwa nthawi isanakwane kuti idzawoneka ngati mabere anu enieni. Ngakhale kuti akazi ena amangogwiritsa ntchito DIEP kumanganso, ena amatha kuchitidwa opaleshoni yowonjezeretsa kuti apange maonekedwe a mthunzi ndi asola .
Kodi Ndiyenera Kuyembekezera Chiyani Panthawi Yake?
Dokotala wanu amachititsa khungu ndi mafuta kuchokera m'mimba mwako kupita pachifuwa chanu. Mimba yopanda mimba idzadulidwa kapena kusuntha panthawiyi. Amayi ambiri ali ndi minofu yambiri yambiri m'mimba mwawo kuti apange chifuwa chatsopano. Ngati sichoncho, choikapo pang'ono chikhoza kuikidwa pansi pa minofu yanu kuti mupange kukula kwa mawere omwe mukufuna. Kuchotsa khungu ndi mafuta kuchokera m'mimba mwako ndi kofanana ndi njira ya mimba . Chophimba cha DIEP chimaphatikizaponso kuyenda kwa mitsempha ndi mitsempha kuchokera pamatumbo anu mpaka pachifuwa kotero kuti minofu yomwe imafalikira ikhoza kuperekedwa ndi magazi.
Kodi Ubwino ndi Kuipa kwa DIEP Kubwezeretsa Khansa ya M'thupi?
Ndi njira iyi, palibe minofu yosunthidwa kapena yosungidwa monga momwe iyenera kukhalira ndi TRAM flap . Pali chiopsezo chotsika kwambiri chokhala ndi mimba ya m'mimba ndipo ikufulumira, mopwetekedwa kwambiri, kuposa kupopera kwa TRAM. Kutulutsidwa kwa DIEP ndi mafuta kumakupatsani mimba, kapena mimba yochepa, panthawi imodzimodziyo kuti mabere anu amangidwenso. Ndondomekoyi ili ndi ndalama zosachepera 1%.
Komabe, poyerekeza ndi chipika cha TRAM, DIEP imafuna nthawi yochulukirapo pa opaleshoni. Mipira iwiri idzaperekedwa kuchokera ku DIEP ndipo ngati ndondomeko ikulephera, minofu imatha kufa ndi kuchotsedwa. Nyumba yatsopano idzagwiritsidwa ntchito kwa miyezi 6-12.
Kodi Ndine Wokondedwa Wabwino?
Ngati mulibe mafuta okwanira m'mimba kapena muli oonda kwambiri, mwina simungakhale woyenera payekha. Kuonjezerapo, ngati mukusuta fodya, chilonda chanu chidzachiritsa pang'onopang'ono komanso minofu yambiri imakhala yowopsya.
Kodi Ndiyenera Kudikira Kwambiri Kubwezeretsedwa?
Kubwezeretsa m'mimba kungatheke panthawi ya mastectomy kapena pambuyo pa chemo ndi miyezi. Ngati mukusowa mankhwala opatsirana pogwiritsa ntchito mankhwala omwe akugwiritsidwa ntchito m'dera lanu la pansi panthaka kapena chifuwa, dokotala wanu angakulimbikitseni kuti muzengereze kumanganso. Kuchita mwatsatanetsatane mazira asanamalizidwe kumachepetsa mphamvu yothandizira odwala kuti asamalire khansa yanu.
Kodi Ndiyenera Kufunsa Nthawi Yotani Opaleshoni ya Plastiki?
Ngati mukuganiza za kumanganso, ndi bwino kuona dokotala wanu opaleshoni ya pulasitiki musanayambe kuchitidwa opaleshoni. Izi zimakupatsani mpata wokhala ndi miyeso yeniyeni ndi zithunzi zomwe zimatengedwa m'mawere. Dokotala wa opaleshoni wa pulasitiki adzagwiritsa ntchito chidziwitso ichi kuti chifuwa chanu chokonzedwanso chikhale pafupi ndi chikhalidwe chanu ndi kukula kwake momwe zingathere. Ngati mwafunsana naye kale, dokotala wanu opaleshoni ya pulasitiki adzakupatsani chisankho chosiyanasiyana, kukuthandizani kusunga khungu la m'mawere ndi kupewa zipsera zosafunikira.
Kodi Dokotala Wanga Opaleshoni Adzachita Zotani Kuti Azikonzekera?
Dokotala wanu opaleshoni adzaonetsetsa kuti khungu lanu likukonzekera bwino kuti likhale lopangika. Pogwiritsira ntchito khungu, adzalumikiza gawo limodzi la magawo awiri m'mimba mwathu, pansi pazomwe mumapanga komanso pamwamba pa malo anu a pubic. Izi zimakhala ngati chikopa cha khungu chomwe chimatseketsa incision pachifuwa chanu chokonzedwanso. Pamene mankhwalawa atsekedwa, adzakhala mzere womwe ukupita kudutsa m'mimba mwako. Iyi ndi njira yomweyi yomwe imatsogolera mimba.
Nanga Bwanji Phungu, Mafuta, ndi Magazi?
Dokotala wanu amachititsa kuti thupi lanu likhale ndi chikopa pamtambo, ndipo mumatulutsa khungu ndi mafuta. Asanachotse chigudulichi, amatha kufufuza mitsempha yamtundu wotsika kwambiri yomwe imabweretsa magazi odalirika pachifuwa chanu chatsopano. Mitsempha iyi imasungidwa mosamala pamodzi ndi minofu yanu. Kutengeka kwanu kwa mimba kudzatsekedwa, ndipo zowonjezera zikhoza kuyikidwa kuti zipititse patsogolo machiritso ndi kuteteza kukonza kwa madzi. Nkhumba yanu idzakhalabe pampando pamwamba pa incision.
Kodi Chiberekero Chatsopano Chinapangidwa Bwanji?
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 yamtundu wa mafuta amawongolera mosamalitsa mu chifuwa cha mimba ndi kumenyedwa m'malo. Dokotala wanu angagwiritse ntchito njira zamakhungu pa mitsempha ya magazi kuti athandize anamwino anu kuti awone machiritso pamene mukuchira. Yembekezerani kuti mukhale ndi mitsempha yotsegulira kuti muzitha kuchiritsa.
Kodi Ndiyembekeza Chiyani Panthawi Yokumbukira?
Muyenera kukonzekera kukhala m'chipatala kwa masiku atatu kapena 4 mutatha opaleshoniyi, kuti anamwino akhoze kuyang'anitsitsa machiritso anu. Sungani zovala, zovala zoyenera paulendo wanu kunyumba, zomwe zingathandize kuti mitsuko ya opaleshoni ikwane. Pamene madzi anu amadzimangira kwambiri, mungathe kuchotsa zotchinga zanu patatha sabata pambuyo pa opaleshoni. Konzani pa kupumula kwa masabata 4 mpaka 6 mutatha DIEP ndikukonzekera kuti mukhale ndi winawake woyendetsa galimoto ndikukweza zinthu zilizonse zolemetsa kwa inu. Mutha kukhala ndi malo osankhidwa angapo kuti dokotala wanu atha kuyesa kupititsa patsogolo, machiritso, ndikusintha maonekedwe anu.
Kodi DIEP Flap Reconstruction ndi Njira Pambuyo Pachiwiri Mastectomy?
Ngati muli ndi khungu lokwanira ndi mafuta pa mimba yanu kupanga mabere awiri atsopano, mukhoza kukhala ndi DIEP kumanganso chingwe pambuyo pa mastectomy iwiri. Ngati mwakhala kale ndi minofu yogwiritsira ntchito kumanganso mawere ndiye kuti mukuyenera kuchita njira zosiyana, monga kuvula kapena kutseka .
Kodi Pali Maganizo Amodzi Oyenera Amene Ndiyenera Kudziwa?
Chombo cha DIEP ndi microsurgery , chomwe chimafuna kuphunzitsidwa kwakukulu ndi chidziwitso, kuphatikizapo zipangizo zapadera ndi zipangizo zopangira opaleshoni. Ma sutures omwe amagwiritsidwa ntchito kuti agwirizanenso ndi mitsempha ya magazi ndi ofanana mofanana ndi nsonga ya tsitsi lanu. Gulu lanu lochita opaleshoni lidzagwiritsa ntchito microscope yamphamvu kwambiri kuti iyanjanitsenso mitsempha ya magazi, yomwe ili yovuta kwambiri. Sankhani dokotala wa opaleshoniyi pomanganso bwino, ndikufunsa mafunso ochuluka mpaka mutasankha kuti mupite patsogolo ndi ndondomekoyi.
> Zotsatira:
American Cancer Society. Kubwezeretsa Amtabata Pambuyo pa Mastectomy. Mitundu ya Kumangidwanso kwa Amabere.
> National Cancer Institute. Zochita za Opaleshoni Akazi Omwe Akudwala Matenda a Kachiwere Oyambirira.