Ukukhulisa i-mammoplasty: kwenziwa kanjani, ukuthola kabusha nemibuzo ebuzwa njalo

-Delile

• Kwenziwa kanjani ukwengezwa kwamabele
• Ungayikhetha kanjani i-silicone prosthesis
• Ukulungiselela kanjani ukuhlinzwa
• Lulama kanjani ekuhlinzweni
• Isibanda sinjani
• Izinkinga ezingenzeka
• Imibuzo ebuzwa njalo nge-mammoplasty
• 1. Ngingakwazi ukufaka abicah ngaphambi kokukhulelwa?
• 2. Ngabe ngidinga ukushintsha abicah ngemuva kweminyaka eyi-10?
• 3. Ngabe abicah idala umdlavuza?

Ukuhlinzwa kwezimonyo ukufaka i-silicone prosthesis kungakhonjiswa lapho owesifazane enamabele amancane kakhulu, esaba ukungakwazi ukuncelisa, wabona ukwehla ngosayizi wakhe noma wehla isisindo esiningi. Kepha kungakhonjiswa futhi lapho owesifazane enamabele ahlukene ngokweqile noma kufanele asuse isifuba noma ingxenye yesifuba ngenxa yomdlavuza.

Lokhu kuhlinzwa kungenziwa kusukela eminyakeni eyi-15 ngokugunyazwa ngumzali, futhi kwenziwa ngaphansi kwe-anesthesia ejwayelekile, kuthatha imizuzu engama-45, futhi kungaba nokuhlala esibhedlela esifushane izinsuku ezi-1 noma ezi-2, noma ngisho nasesibhedlela ukhishwe ngalo lolo suku.

Izinkinga ezivame kakhulu ubuhlungu besifuba, ukunciphisa ukuzwela nokwenqatshwa kwe-silicone prosthesis, ebizwa nge-capsular contracture, engavela kwabanye besifazane. Ezinye izinkinga ezingavamile ukuqhekeka ngenxa yokushaywa ngamandla, i-hematoma kanye nokutheleleka.

Ngemuva kokuthatha isinqumo sokubeka abicah emabeleni, owesifazane kufanele afune udokotela ohlinzayo osezingeni eliphezulu ukwenza inqubo ngokuphepha, ngaleyo ndlela anciphise ubungozi bokuhlinzwa. Bona enye inketho yokuhlinzwa esebenzisa amafutha omzimba ukukhulisa amabele ku-Funda konke mayelana nenqubo ekhulisa amabele ne-butt ngaphandle kwe-silicone.

Kwenziwa kanjani ukwengezwa kwamabele

Ekukhulisweni kwamabele noma ekuhlinzekweni kwepulasitiki nge-silicone prosthesis, kusikwa okuncane emabeleni amabili azungeze i-areola, engxenyeni engezansi yesifuba noma nasekhwapheni lapho kwethulwa khona i-silicone, okwandisa ivolumu yesifuba.

Ngemuva kokusikwa, udokotela unika imithungo nezindawo 2 zamanzi lapho uketshezi oluqongelela emzimbeni lushiya khona ukugwema izinkinga, njenge-hematoma noma i-seroma.

Ungayikhetha kanjani i-silicone prosthesis

Izimila ze-silicone kufanele zikhethwe phakathi kukadokotela ohlinzayo nowesifazane, futhi kubalulekile ukunquma:

• Isimo se-Prosthesis: okungamiswa okwehlayo, okwemvelo ngokwengeziwe, noma okuyindilinga, kufaneleke kakhulu kwabesifazane asebenaso isifuba. Lesi simo esiyindilinga siphephe kakhulu ngoba ukwakheka kokudonsa kungenzeka kakhulu ukuthi kujikeleze ngaphakathi kwebele, kugwegwe. Endabeni yokufakelwa okuyindilinga, isimo semvelo singatholakala futhi ngokujova amafutha asizungezile, okuthiwa i-lipofilling.
• Iphrofayli yokwenziwa: ingaba nephrofayili ephezulu, ephansi noma emaphakathi, futhi lapho iphrofayili iphakama, ibele liqina ngokwengeziwe, kepha futhi kube nomphumela wokufakelwa;
• Usayizi we-Prosthesis: kuyehluka ngokuya ngobude nokwakheka komzimba kowesifazane, futhi kujwayelekile ukusebenzisa izitho zokufakelwa ezinama-300 ml. Kodwa-ke, okokufakelwa okungaphezu kuka-400 ml kufanele kubekwe kuphela kwabesifazane abade, ngesifuba nesinqe esibanzi.
• Indawo yokubekwa kokufakelwa: i-silicone ingafakwa ngaphezulu noma ngaphansi kwemisipha ye-pectoral. Kungcono ukuyibeka ngaphezu kwemisipha lapho unesikhumba esanele namafutha ukwenza ibukeke iyimvelo, ngenkathi kunconywa ukuyibeka ngaphansi kwemisipha lapho ungenawo amabele noma uzacile kakhulu.

Ngaphezu kwalokho, i-prosthesis ingaba yi-silicone noma i-saline futhi ingaba nokuthungwa okubushelelezi noma okukhohlisayo, futhi kunconywa ukusebenzisa i-silicone ebumbene ne-textured, okusho ukuthi uma kwenzeka idilika ayihlakazeki futhi inciphise ubungozi bokutheleleka, ngokuncane nethuba lokukhula kwenqatshelwe, ukutheleleka, kanye ne-silicone eshiya isifuba. Kulezi zinsuku, okufakelwa okushelele ngokuphelele noma okubhalwe ngaphezulu kubonakala kuyimbangela yenani elikhulu lezinkontileka noma ukwaliwa. Bona ukuthi yiziphi izinhlobo eziyinhloko ze-silicone nokuthi ungakhetha kanjani.

Ukulungiselela kanjani ukuhlinzwa

Ngaphambi kokwenza ukuhlinzekwa kokubekwa kwe-silicone, kunconywa:

• Thola ukuhlolwa kwegazi elabhorethri ukuqinisekisa ukuthi kuphephile ukuhlinza;
• ECG Kusukela eminyakeni engama-40 ubudala Kunconywa ukwenza i-electrocardiogram ukuhlola ukuthi inhliziyo iphilile yini;
• Ukuthatha ama-antibiotic i-prophylactic, efana ne-Amoxicillin ngosuku lwangaphambi kokuhlinzwa bese ulungisa imithamo yemithi yamanje ngokusho kwesincomo sikadokotela;
• Yeka ukubhema okungenani izinsuku eziyi-15 ngaphambi kokuhlinzwa;
• Gwema ukuthatha imithi ethile njenge-aspirin, anti-inflammatories kanye nemithi yemvelo ezinsukwini eziyi-15 ezedlule, njengoba zingakhuphula ukopha, ngokusho kukadokotela.

Ngosuku lokuhlinzwa, kufanele uzile ukudla amahora angaba ngu-8 futhi ngesikhathi sokulaliswa esibhedlela, udokotela ohlinzayo uzokwazi ukunwaya amabele ngosiba ukuze aveze izindawo ezisikiwe zokuhlinzwa, ngaphezu kokuthatha isinqumo ngosayizi wezitho zokufakelwa ze-silicone.

Lulama kanjani ekuhlinzweni

Isikhathi sokululama esiphelele sokwengezwa kwebele cishe inyanga engu-1 futhi ubuhlungu nokungahambi kahle kuyehla kancane kancane, njengoba kuba amasonto ama-3 ngemuva kokuhlinzwa uvame ukusebenza, ukuhamba nokuqeqesha ngaphandle kokwenza izivivinyo ngezandla zakho.

Ngesikhathi sangemva kokuhlinzwa, kungadingeka ukuthi ugcine amapayipi ama-2 cishe izinsuku ezimbili, okuyizitsha zegazi eleqile elinqwabeleke esifubeni ukugwema izinkinga. Abanye odokotela abahlinzayo abangena ngaphakathi nge-tumescent local anesthesia kungenzeka bangadingi imisele. Ukudambisa izinhlungu, ama-analgesics nama-antibiotic ayenziwa.

Ngaphezu kwalokho, kuyadingeka ukugcina ukunakekelwa okuthile, okufana nalokhu:

• Hlala ulale ngomhlane njalo ngenyanga yokuqala, gwema ukulala ngohlangothi lwakho noma esiswini sakho;
• Gqoka ibhandishi nokunwebeka noma ubhodisi onwebekayo futhi ngikhululekile ukuxhasa isitho sokufakelwa okungenani amasonto ama-3, ungasikhiphi ngisho nokulala;
• Gwema ukwenza ukunyakaza okuningi ngezandla zakho, njengokushayela noma ukuzivocavoca ngamandla, izinsuku ezingama-20;
• Geza kuphela ubhavu ogcwele emva kwesonto eli-1 noma lapho udokotela ekutshela futhi ungamanzisi noma ushintshe okokugqoka ekhaya;
• Ukususa imithungo namabhandeshi phakathi kwezinsuku ezintathu kuya kwesonto emtholampilo wezokwelapha.

Imiphumela yokuqala yokuhlinzwa iyaqashelwa ngemuva nje kokuhlinzwa, noma kunjalo, umphumela ocacile kufanele ubonakale kungakapheli amasonto ama-4 kuye kwayi-8, unezibazi ezingabonakali. Thola ukuthi ungakusheshisa kanjani ukutakula kwe-mammoplasty nokuthi yiziphi izinyathelo okufanele uzithathe ukugwema izinkinga.

Isibanda sinjani

Izibazi ziyahlukahluka ngezindawo lapho ukusikeka kwenziwa khona esikhunjeni, futhi kuvame ukuba nezibazi ezincane ekhwapheni, engxenyeni engezansi yesifuba noma e-areola, kepha imvamisa, lezi zihlakaniphile kakhulu.

Izinkinga ezingenzeka

Izinkinga eziyinhloko zokwengezwa kwamabele ubuhlungu besifuba, isifuba esinzima, umuzwa wobunzima obangela ukugoba emuva nokuncipha kwesisa sebele.

I-Hematoma nayo ingavela, edala ukuvuvukala nokubomvu kwesifuba futhi, ezimweni ezinzima kakhulu, kungahle kube nokuqina okuzungeze isitho sokufakelwa nokwenqatshwa noma ukuqhekeka kwesitho sokufakelwa, okuholela isidingo sokususa abicah. Ezimweni ezingavamile kakhulu kungahle kube nokutheleleka kokufakelwa. Ngaphambi kokwenza ukuhlinzwa yazi ukuthi yiziphi izingozi zakho eziyinhloko zokuhlinzwa kwepulasitiki.

Imibuzo ebuzwa njalo nge-mammoplasty

Eminye yemibuzo ejwayelekile kakhulu yile:

1. Ngingakwazi ukufaka abicah ngaphambi kokukhulelwa?

I-Mammoplasty ingenziwa ngaphambi kokukhulelwa, kepha kujwayelekile ukuthi isifuba sibe sincane futhi sigule ngemuva kokuncelisa, futhi kungadingeka ukuthi kwenziwe ukuhlinzwa okusha ukulungisa le nkinga futhi ngenxa yalesi sizathu, abesifazane bavame ukukhetha ukubeka abicah ngemuva kokuncelisa .

2. Ngabe ngidinga ukushintsha abicah ngemuva kweminyaka eyi-10?

Ezimweni eziningi, ukufakelwa amabele abicah akudingeki ukuthi kuguqulwe, kepha kubalulekile ukuya kudokotela futhi wenze izivivinyo ezinjengokuzibona ngemagnificent resonance okungenani njalo eminyakeni emi-4 ukubheka ukuthi ama-prostheses awanazinguquko.

Kodwa-ke, kwezinye izimo okufakelwa kungahle kudingeke ukuthi kufakwe okunye, okwenzeka ikakhulukazi eminyakeni eyi-10 kuye kwengu-20 ngemuva kokubekwa.

3. Ngabe abicah idala umdlavuza?

Ucwaningo olwenziwe emhlabeni jikelele luthi ukusetshenziswa kwe-silicone akuwenyusi amathuba okuba nomdlavuza webele. Kodwa-ke, kufanele wazise udokotela wakho ukuthi une-silicone yokufakelwa lapho une-mammogram.

Kunomdlavuza webele ongajwayelekile obizwa nge-giant cell lymphoma webele ongahle uhlobene nokusetshenziswa kwama-silicone prostheses, kepha ngenxa yamanani amancane wamacala abhalisiwe emhlabeni walesi sifo kunzima ukwazi ngokuqiniseka ukuthi ngabe lokhu ubuhlobo bukhona.

Ezimweni eziningi, ukukhuliswa kwamabele nokuhlinzwa ukukhulisa amabele kuletha imiphumela engcono, ikakhulukazi lapho owesifazane enesifuba esiwile. Bona ukuthi kwenziwa kanjani i-mastopexy futhi wazi imiphumela yayo emihle kakhulu.