Ama-flaps esikhumba nokuhlonywa - ukuzinakekela

Ukuxhunyelelwa kwesikhumba isiqeshana sesikhumba esinempilo esisuswe endaweni eyodwa yomzimba wakho ukulungisa isikhumba esonakele noma esilahlekile kwenye indawo emzimbeni wakho. Lesi sikhumba asinawo umthombo waso wokugeleza kwegazi.

Ukufunda ukuthi unganakekela kanjani ukushaywa kwesikhumba nokufakelwa kungabasiza ukuthi belaphe ngokushesha futhi banciphise izibazi.

I-flap yesikhumba isikhumba esinempilo nezicubu ezihlukaniswe ngokwengxenye futhi zihanjiswe ukumboza isilonda esiseduze.

• I-flap yesikhumba ingaqukatha isikhumba namafutha, noma isikhumba, amafutha, nemisipha.
• Imvamisa, i-flap yesikhumba isananyathiselwa endaweni yayo yasekuqaleni ngakolunye uhlangothi futhi ihlala ixhunywe emthanjeni wegazi.
• Kwesinye isikhathi i-flap iyiswa esizeni esisha bese umthambo wegazi uphinde uxhunywe ngokuhlinzwa. Lokhu kubizwa ngokuthi i-flap yamahhala.

Kusetshenziswa ubuciko besikhumba ukusiza ukupholisa amanxeba abucayi, amakhulu futhi ajulile, kufaka phakathi:

• Amanxeba amakhulu kakhulu ukuthi angaphola ngokwawo
• Kushe
• Ukulahleka kwesikhumba ekungenweni yisikhumba okunzima
• Ukuhlinzwa ngomdlavuza wesikhumba
• Izilonda ze-venous, izilonda zengcindezi, noma izilonda zesifo sikashukela ezingapholi
• Ngemuva kwe-mastectomy noma ukunqunywa

Indawo lapho kuthathwa khona isikhumba ibizwa nge-donor site. Ngemuva kokuhlinzwa, uzoba namanxeba amabili, ukuxhunyelelwa noma ukuzishaya uqobo kanye nesiza sabaxhasi. Amasayithi abanikeli ngokuhloba nobuciko akhethwa ngokususelwa ku:

• Isikhumba sihambisana kanjani nendawo yesilonda
• Sizobonakala kanjani isibazi kusuka kusiza sabanikeli
• Isondele kangakanani indawo yabanikeli enxebeni

Imvamisa indawo yabanikeli ingaba buhlungu kakhulu ngemuva kokuhlinzwa kunesilonda ngenxa yokuphela kwemizwa esanda kuvezwa.

Uzodinga ukunakekela i-flap noma i-graft site kanye nesiza sabanikeli. Uma ufika ekhaya ngemuva kokuhlinzwa, uzogqoka amanxeba akho. Ukugqoka kwenza izinto eziningana, kufaka phakathi:

• Vikela isilonda sakho kumagciwane futhi wehlise amathuba okutheleleka
• Vikela indawo njengoba iphola
• Cwilisa noma yiluphi uketshezi oluvuza esilondeni sakho

Ukunakekela indawo yokuxhunyelelwa noma ye-flap:

• Ungadinga ukuphumula izinsuku ezimbalwa ngemuva kokuhlinzwa njengoba isilonda sakho siphola.
• Uhlobo lokugqoka onalo kuncike ohlotsheni lwesilonda nokuthi likuphi.
• Gcina okokugqoka nendawo ezungezile ihlanzekile futhi ingenakho ukungcola noma ukujuluka.
• Ungavumeli ukugqoka kube manzi.
• Ungathinti ukugqoka. Yishiye endaweni lapho udokotela wakho ancoma khona (cishe izinsuku ezi-4 kuye kwezi-7).
• Thatha noma imiphi imithi noma okokuqeda izinhlungu njengokuyalelwa.
• Uma kungenzeka, zama ukuphakamisa isilonda ngakho-ke singaphezu kwenhliziyo yakho. Lokhu kusiza ukunciphisa ukuvuvukala. Kungase kudingeke ukuthi wenze lokhu ngenkathi uhleli noma ulele phansi. Ungasebenzisa imicamelo ukuxhasa indawo.
• Uma udokotela wakho ethi kulungile, ungasebenzisa i-ice pack ebhandeni ukusiza ngokuvuvukala. Buza ukuthi kufanele ulisebenzise kangaki iphakethe leqhwa. Qinisekisa ukugcina ibhandishi lomile.
• Gwema noma yikuphi ukunyakaza okungalula noma kulimaze i-flap noma i-graft. Gwema ukushaya noma ukushayisa indawo.
• Uzodinga ukugwema ukuvivinya umzimba kanzima izinsuku ezimbalwa. Buza udokotela wakho isikhathi esingakanani.
• Uma unengubo yokugcoba, ungaba neshubhu enamathiselwe kokugqokiswa. Uma ithubhu liwa, tshela udokotela wakho.
• Cishe uzobona udokotela wakho ukuthi ukugqoka kwakho kushintshwe ezinsukwini ezi-4 kuya kweziyi-7. Ungadinga ukuthi ukugqokiswa kwesikhala sakho se-flap noma se-graft kushintshwe udokotela wakho amahlandla ambalwa ngaphezulu kwamaviki amabili kuya kwama-3.
• Njengoba isiza siphila, ungakwazi ukusinakekela ekhaya. Udokotela wakho uzokukhombisa ukuthi ungasinakekela kanjani isilonda sakho nokugcoba.
• Isayithi lingahle lilume njengoba liphulukisa. Musa ukuklwebha isilonda noma ukusikha kuso.
• Ngemuva kokuphola kwesiza, gcoba i-SPF 30 noma i-sunscreen ephakeme kumasayithi wokuhlinzwa uma uvezwe elangeni.

Ukunakekela isiza sabanikeli:

• Shiya ukugqoka endaweni. Yigcine ihlanzekile futhi yomile.
• Udokotela wakho uzosusa ukugqoka cishe ezinsukwini ezi-4 kuya kweziyi-7, noma akunikeze imiyalo yokuthi ungakususa kanjani.
• Ngemuva kokuthi ukugqoka kususiwe, ungakwazi ukushiya isilonda singamboziwe. Kodwa-ke, uma isendaweni embozwe yizingubo, uzofuna ukumboza isiza ukuyivikela. Buza udokotela wakho ukuthi hlobo luni lokugqoka okufanele ulusebenzise.
• Ungafaki amafutha noma okhilimu esilondeni ngaphandle uma udokotela ekutshela. Njengoba indawo iphola, kungahle kulume futhi kuqhume uqweqwe. Ungakhethi utwayi noma uklwebhe isilonda njengoba siphola.

Udokotela wakho uzokwazisa uma kulungile ukugeza ngemuva kokuhlinzwa. Bese ukhumbula:

• Ungadinga ukugeza isiponji amasonto amabili kuya kwamathathu ngenkathi amanxeba akho esezigabeni zokuqala zokuphulukiswa.
• Uma usuthole KULUNGILE ukugeza, izihlambi zingcono kunezindawo zokugeza ngoba isilonda asingeni emanzini. Ukucwilisa isilonda sakho kungadala ukuthi iphinde ivuleke.
• Qiniseka ukuthi uvikela ukugqoka kwakho ngenkathi ugeza ukuze kugcine komile. Udokotela wakho angase asikisele ukumboza isilonda ngepulasitiki ukuze singomi.
• Uma udokotela wakho ekunika OK, hlamba ngobunono isilonda sakho ngamanzi lapho ugeza. Musa ukusihlikihla noma ukusikhuhla isilonda. Udokotela wakho angancoma abahlanza abakhethekile ukuba basebenzise amanxeba akho.
• Yima kancane indawo ezungeze isilonda sakho ngethawula elihlanzekile. Vumela umoya wesilonda wome.
• Ungayisebenzisi insipho, izithambisi, izimpushana, izimonyo, noma eminye imikhiqizo yokunakekela isikhumba esilondeni sakho ngaphandle uma utshelwe ngudokotela wakho.

Ngesinye isikhathi ngesikhathi sokuphulukiswa, ngeke usadinga ukugqoka. Udokotela wakho uzokutshela ukuthi ungasishiya nini isilonda sakho singamboziwe nokuthi uzosinakekela kanjani.

Shayela udokotela wakho uma:

• Ubuhlungu buba bubi kakhulu noma abuthuthuki ngemuva kokuthatha ukudambisa izinhlungu
• Unegazi elingayeki ngemuva kwemizuzu eyi-10 ngokucindezela okuncane, okuqondile
• Ukugqoka kwakho kukhululeka
• Imiphetho yokuxhunyelelwa noma ichopho iqala ukuvela
• Uzwa okuthile kuphuma endaweni yokuxhunyelelwa noma ye-flap

Shayela nodokotela wakho uma ubona izimpawu zokutheleleka, njenge:

• Ukunyuka kwamanzi kusuka enxebeni
• Ukugeleza kwamanzi kuba mnyama, kube mnyama, kube luhlaza, noma kuphuzi, noma kunuke kabi (ubomvu)
• Izinga lokushisa kwakho lingaphezu kuka-100 ° F (37.8 ° C) ngaphezu kwamahora amane
• Izintambo ezibomvu ziyavela eziholela enxebeni

Autograft - ukuzinakekela; Ukufakelwa kwesikhumba - ukuzinakekela; Ukuhlukaniswa kwesikhumba - ukuzinakekela; Ubuningi besikhumba esihlanganisiwe - ukuzinakekela; Ukuxhunyelelwa kwesikhumba okuyingxenye-dermal - ukuzinakekela; I-FTSG - ukuzinakekela; STSG - ukuzinakekela; Ukushaywa kwendawo - ukuzinakekela; Ama-flaps wesifunda - ukuzinakekela; Ukushaya okude - ukuzinakekela; I-flap yamahhala - ukuzinakekela; Ukuzitholela isikhumba - ukuzinakekela; Ingcindezi yesilonda isikhumba ichopho ukuzinakekela; Ishisa ukuzinakekela kwesikhumba; Ukuzinakekela kwesikhumba sesilonda sesikhumba

UMcGrath MH, uPomerantz JH. I - plastic surgery. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 68.

I-Pettengill KM. Ukwelashwa kokuphathwa kokulimala okuyinkimbinkimbi kwesandla. Ku: Skirven TM, Osterman AL, Fedorczyk JM, Amadio PC, Feldscher SB, Shin EK, eds. Ukuvuselelwa kwesandla nokuqina okuphezulu. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 75.

USmith SF, uDuell DJ, uMartin BC, u-Aebersold ML, uGonzalez L. ukunakekelwa kwamanxeba nokugqokwa. Ku: Smith SF, uDuell DJ, uMartin BC, u-Aebersold ML, uGonzalez L, ama-eds. Amakhono Abahlengikazi Abasemtholampilo. Umhlaka 9. IHoboken, NJ: Pearson; I-2017: isahluko 25.

I-Wysong A, i-Higgins S. Izimiso eziyisisekelo ekwakhiweni kabusha kwe-flap. Ku: Rohrer TE, Cook JL, Kaufman AJ, ama-eds. Ama-Flaps namaGrafti ku-Dermatologic Surgery. Okwesibili. IPhiladelphia, PA: Elsevier; 2018: isahluko 2.

• Izimo Zesikhumba
• Amanxeba nokulimala