Ukwakhiwa kabusha kwesifuba - izimila

Ngemuva kwe-mastectomy, abanye besifazane bakhetha ukuhlinzwa ngezimonyo ukuze baphinde benze isifuba sabo. Lolu hlobo lokuhlinzwa lubizwa ngokuthi ukwakhiwa kabusha kwamabele. Kungenziwa ngasikhathi sinye njenge-mastectomy (ukwakhiwa kabusha ngokushesha) noma kamuva (ukwakhiwa kabusha kokubambezeleka).

Isifuba sivame ukwakhiwa kabusha ngezigaba ezimbili, noma ngokuhlinzwa. Esigabeni sokuqala, kusetshenziswa i-expander expander. Ukufakwa kufakwa phakathi nesigaba sesibili. Kwesinye isikhathi, ukufakelwa kufakwa esigabeni sokuqala.

Uma wakha kabusha ngasikhathi sinye ne-mastectomy yakho, udokotela wakho ohlinzayo angenza noma ikuphi kokulandelayo:

• I-mastectomy yokuvikela isikhumba - Lokhu kusho kuphela indawo ezungeze ingono yakho kanye ne-areola.
• I-mastectomy yokuvikela ingono - Lokhu kusho ukuthi sonke isikhumba, ingono, ne-areola zigcinwa.

Kunoma ikuphi, isikhumba sishiywa ukwenza ukwakhiwa kabusha kube lula.

Uma uzoba nokwakhiwa kabusha kwesifuba ngokuhamba kwesikhathi, udokotela wakho ohlinzayo uzosusa isikhumba esanele esifubeni sakho ngesikhathi se-mastectomy ukuze ukwazi ukuvala izingqimba zesikhumba.

Ukwakhiwa kabusha kwamabele okufakelwa ngokuvamile kwenziwa ngezigaba ezimbili, noma ukuhlinzwa. Ngesikhathi sokuhlinzwa, uzothola i-anesthesia ejwayelekile. Lo muthi okwenza uhlale ulele futhi ungabi nezinhlungu.

Esigabeni sokuqala:

• Udokotela ohlinzayo udala isikhwama ngaphansi kwemisipha yesifuba sakho.
• Kufakwa i-expander encane yezicubu esikhwameni. I-expander ifana nebhaluni futhi yenziwe nge-silicone.
• I-valve ibekwa ngaphansi kwesikhumba sebele. I-valve ixhunywe yipayipi ku-expander. (Ishubhu lihlala ngaphansi kwesikhumba endaweni yakho yamabele.)
• Isifuba sakho sisabukeka siyisicaba ngemuva kwalokhu kuhlinzwa.
• Ukuqala cishe amasonto amabili kuya kwamathathu ngemuva kokuhlinzwa, ubona udokotela wakho ohlinzayo njalo emavikini ayi-1 noma amabili. Phakathi nalokhu kuvakasha, udokotela wakho ohlinzayo ujova inani elincane likasawoti (amanzi anosawoti) nge-valve ku-expander.
• Ngokuhamba kwesikhathi, i-expander ikhulisa kancane isikhwama esifubeni sakho ngosayizi ofanele wokuhlinza udokotela ohlinzayo.
• Lapho ifinyelela usayizi ofanele, uzolinda izinyanga ezi-1 kuya kwezi-3 ngaphambi kokufakwa kwesifuba unomphela phakathi nesigaba sesibili.

Esigabeni sesibili:

• Udokotela ohlinzayo ususa i-expander expander esifubeni sakho bese eyifaka esikhundleni sokufaka ibele. Lokhu kuhlinzwa kuthatha ihora eli-1 kuya kwele-2.
• Ngaphambi kwalokhu kuhlinzwa, uzobe ukhulume nodokotela wakho ohlinzayo ngezinhlobo ezahlukahlukene zokufakelwa kwamabele. Izimila zingagcwaliswa ngosawoti noma ijeli le-silicone.

Ungase ube nenye inqubo encane kamuva eyenza ingono nendawo ye-areola.

Wena nodokotela wakho nizonquma ndawonye ngokuthi kufanele nibe nokwakha kabusha amabele, nokuthi nini.

Ukuba nokwakhiwa kabusha kwesifuba akukwenzi kube nzima ukuthola isimila uma umdlavuza wakho webele ubuya.

Ukuthola okufakwa ebeleni akuthathi isikhathi eside njengokwakhiwa kabusha kwesifuba okusebenzisa izicubu zakho. Futhi uzoba nezibazi ezimbalwa. Kepha, usayizi, ukugcwala, nokuma kwamabele amasha kungokwemvelo ngokwakhiwa kabusha okusebenzisa izicubu zakho.

Abesifazane abaningi bakhetha ukungabi nokwakhiwa kabusha kwamabele noma okufakelwe. Bangasebenzisa okufakelwayo (ibele lokufakelwa) kubhodisi wabo okubanikeza ukwakheka kwemvelo, noma bangakhetha ukungasebenzisi lutho nhlobo.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula
• Ukopha, amahlule egazi, noma ukutheleleka

Izingozi zokwakhiwa kabusha kwamabele okufakelwa yilezi:

• Ukufakwa kungaphuka noma kuvuze. Uma lokhu kwenzeka, uzodinga ukuhlinzwa okwengeziwe.
• Isibazi singakha sizungeze ukufakwa esifubeni sakho. Uma isibazi siba esiqinile, isifuba sakho singazizwa siqinile futhi sidale ubuhlungu noma ukungaphatheki kahle. Lokhu kubizwa ngokuthi yi-capsular contracture. Uzodinga ukuhlinzwa okwengeziwe uma lokhu kwenzeka.
• Ukutheleleka ngemuva nje kokuhlinzwa. Uzodinga ukukhishwa noma ukufakelwa.
• Ukufakwa kwesifuba kungashintsha. Lokhu kuzodala ushintsho ekubunjweni kwesifuba sakho.
• Isifuba esisodwa singaba sikhulu kunesinye (i-asymmetry yamabele).
• Ungase ube nokulahlekelwa umuzwa ezungeze ingono kanye areola.

Tshela udokotela wakho ohlinzayo uma ngabe uthatha noma imuphi umuthi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.

Phakathi nesonto ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha imithi yokwehlisa igazi. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), uvithamini E, i-clopidogrel (i-Plavix), i-warfarin (i-Coumadin, i-Jantoven), nezinye.
• Buza udokotela wakho ohlinzayo ukuthi yimiphi imishanguzo okufanele usayiphuza ngosuku lokuhlinzwa.
• Uma ubhema, zama ukuyeka. Ukubhema kubambezela ukululama futhi kwenyusa ubungozi bezinkinga. Buza umhlinzeki wakho wokunakekelwa kwezempilo usizo lokuyeka.

Ngosuku lokuhlinzwa kwakho:

• Landela imiyalelo mayelana nokungadli noma ukuphuza nangokugeza ngaphambi kokuya esibhedlela.
• Thatha izidakamizwa udokotela wakho ohlinzayo akutshele ukuthi uziphuze kancane.
• Fika esibhedlela ngesikhathi.

Ungakwazi ukuya ekhaya ngosuku olufanayo nokuhlinzwa. Noma, uzodinga ukuhlala esibhedlela ubusuku bonke.

Kungenzeka ukuthi usenamapayipi esifubeni lapho uya ekhaya. Udokotela wakho ohlinzayo uzowasusa kamuva ngesikhathi sokuvakasha kwehhovisi. Ungaba nobuhlungu ngokusikeka kwakho ngemuva kokuhlinzwa. Landela imiyalelo mayelana nokuthatha umuthi wezinhlungu.

Uketshezi lungaqoqa ngaphansi kwesimbobo. Lokhu kubizwa nge-seroma. Kuvamile. I-seroma ingahamba yodwa. Uma ingapheli, kungadinga ukukhishwa udokotela ohlinzayo ngesikhathi sokuvakasha kwehhovisi.

Imiphumela yalokhu kuhlinzwa ivame ukuba mihle kakhulu. Cishe akunakwenzeka ukwenza isifuba esakhiwe kabusha sibonakale sifana ncamashi nesifuba semvelo esisele. Ungadinga izinqubo eziningi zokuthinta ukuthola imiphumela oyifunayo.

Ukwakhiwa kabusha ngeke kubuyise ukuzwa okuvamile ebeleni noma kwingono entsha.

Ukuhlinzwa kwezimonyo ngemuva komdlavuza webele kungathuthukisa imizwa yakho yenhlalakahle nekhwalithi yakho yokuphila.

Ukuhlinzwa kokufakelwa kwamabele; I-Mastectomy - ukwakhiwa kabusha kwamabele okufakelwa; Umdlavuza webele - ukwakhiwa kabusha kwamabele okufakelwa

• Ukuhlinzwa isifuba sezimonyo - ukukhishwa
• I-Mastectomy nokwakhiwa kabusha kwesifuba - okufanele ubuze udokotela wakho
• I-Mastectomy - ukukhipha

IBurke MS, iSchimpf DK. Ukwakhiwa kabusha kwesifuba ngemuva kokwelashwa komdlavuza webele: izinhloso, izinketho kanye nokucabanga. Ku: UCameron JL, uCameron AM, ama-eds. Ukwelashwa Kwamanje. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2017: 743-748.

Amandla KL, Phillips LG. Ukwakhiwa kabusha kwamabele. 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 35.