Umlobi: Randy Alexander
Usuku Lokudalwa: 28 Epreli 2021
Ukuvuselela Usuku: 19 Unovemba 2024
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Ngabe Ukwakhiwa Kwezitho Zesisu Nokwakhiwa Kwesifuba Kungenziwa Ngasikhathi Sinye? - Impilo
Ngabe Ukwakhiwa Kwezitho Zesisu Nokwakhiwa Kwesifuba Kungenziwa Ngasikhathi Sinye? - Impilo

-Delile

Ukubuka konke

Uma welulekwe ngudokotela wakho ukuthi une-mastectomy, ungahle uzibuze ngokwakhiwa kabusha kwamabele. Ukuhlinzwa okwakhiwa kabusha kungenziwa ngasikhathi sinye nokuhlinzwa kwakho kwe-mastectomy. Le nqubo ibizwa ngokuthi ukwakhiwa kabusha ngokushesha.

Ukwakhiwa kabusha ngokushesha kunikeza inzuzo yokuqeda okungenani ukuhlinzwa okukodwa. Kungakuvumela ukuthi ubuyele empilweni njengokujwayelekile ngokushesha okukhulu. Kukhona futhi nenzuzo engokwengqondo yokuvuka kwi-mastectomy yakho nesifuba sakho esisha noma amabele kuqinile kunokungaphinde kwakhiwe.

Ngaphezu kwalokho, ukuthi umphumela wezimonyo wokwakhiwa kabusha ngokushesha uvame ukuba ngcono kunokwakhiwa kabusha kwamabele okwenzeka kamuva.

Isinqumo sokwenza kokubili ukuhlinza ngasikhathi sinye sithonywe yizinto eziningi. Uzodinga ukufaka udokotela wakho ohlinzayo womdlavuza webele, iqembu lokwelashwa kwe-oncology, nodokotela ohlinzayo wepulasitiki ukuze unqume ukuthi ngabe le kuyindlela efanelekile kuwe.

Kwenzekani ngesikhathi sokwakhiwa kabusha ngokushesha?

Uzoba ngaphansi kwe-anesthesia ejwayelekile phakathi ne-mastectomy yakho nokwakhiwa kabusha ngokushesha.


Udokotela wakho ohlinzayo webele uvame ukwenza ukusikeka okumise okweqanda phezu kwendawo yengono. Kwabanye abantu abanomdlavuza webele othile wokuqala, ingono ingagcinwa esifubeni. Lokhu kwenziwa ngokusebenzisa ukusikeka ezansi kwesifuba noma eduze kwengono.

Kusukela ekuqhekekeni, udokotela wakho ohlinzayo uzosusa zonke izicubu zebele zalelobele. Bangasusa amanye noma wonke ama-lymph node ngaphansi kwengalo yakho, kuya ngesigaba sakho somdlavuza nohlelo lwakho lokuhlinzwa.

Udokotela ohlinzayo uzobe esakha kabusha isifuba noma amabele. Ngokuvamile, isifuba singakhiwa kabusha ngokufakwa noma ngezicubu zakho ezivela kolunye uhlangothi lomzimba.

Ukwakhiwa kabusha kwe-Prosthetic (ukwakhiwa kabusha kwamabele okufakelwa)

Izimila zivame ukusetshenziselwa ukuhlinza okwakhiwa kabusha okulandela i-mastectomy. Kunezinhlobo ezahlukahlukene ongakhetha kuzo, zigcwaliswe nge-saline noma i-silicone.

Ukwakhiwa kabusha ngokushesha ngezimila kungenziwa ngezindlela eziningana. Le ndlela ingaxhomeka ku:


  • okuthandwa ngudokotela ohlinzayo nesipiliyoni
  • isimo sezicubu zakho
  • uhlobo lomdlavuza webele ongahle ube nawo

Ngesikhathi se-mastectomy, abanye odokotela abahlinzayo bepulasitiki bazophakamisa imisipha ye-pectoralis, etholakala ngemuva kwesifuba, bese bebeka okutshalwe ngemuva kwengqimba eyengeziwe yezicubu.

Abanye bazobeka okutshalwe ngemuva kwesikhumba. Abanye odokotela abahlinzayo bazophinda basebenzise ungqimba lwesikhumba lokufakelwa ngaphakathi kwesikhwama sebele esingenalutho ukunikeza ukuvikelwa nokusekelwa okwengeziwe.

Amanye amaphuzu okufanele uwagcine engqondweni mayelana nokufakelwa kufaka:

Buhle bokufakwa

  • Ukuhlinzwa kokufaka kulula futhi kuthatha isikhathi esincane kunezinye izinqubo zokwakha kabusha.
  • Isikhathi sokutakula ngezimila sifushane kunokwakhiwa kabusha kwezicubu zomzimba.
  • Azikho ezinye izingosi zokuhlinza emzimbeni ezingaphola.

Nebubi of izimila

  • Akukho okutshalwayo okuyohlala unomphela. Ukufakwa kwakho kuzodinga ukuthi kufakwe okunye.
  • Izimila ze-Silicone zizodinga ukuqashwa ngama-MRIs njalo eminyakeni embalwa ukuthola ukuphuka.
  • Umzimba wakho ungaba nezinkinga ngokufakelwa, njengokutheleleka, ukusikeka, nokuqhekeka kokufakelwa.
  • Ama-mammograms wesikhathi esizayo angaba nzima ukuwenza ngokufaka ngaphakathi.
  • Ukufakwa kungathinta ikhono lakho lokuncelisa.

Ukwakhiwa kabusha kwezicubu zomzimba (ukwakhiwa kabusha kwamabele ngezicubu zakho)

Izimila ziqonde ngqo futhi zithatha isikhathi esincane ukufaka, kepha abanye besifazane bakhetha ukuba nomuzwa wemvelo wezicubu zabo esifubeni sabo esakhiwe kabusha.


Ngokwengeziwe, uma uke waba noma uzoba nokwelashwa ngemisebe, ukufakelwa kungenzeka kudale izinkinga. Udokotela wakho ohlinzayo cishe uzotusa ukwakhiwa kabusha kwezicubu zomzimba.

Lolu hlobo lokwakha kabusha lusebenzisa izicubu ezivela ezingxenyeni ezahlukahlukene zomzimba wakho, kufaka phakathi isisu sakho, iqolo, amathanga, noma izinqe, ukwakha kabusha ukuma kwebele. Izinhlobo zezinqubo ze-flap zifaka:

Inqubo ye-FlapIsebenzisa izicubu kusuka
i-transverse rectus abdominis muscle (TRAM) ichophoisisu
ichopho eliphansi le-epigastric perforator (DIEP)isisu
i-latissimus dorsi ichophoengenhla emuva
ama-gluteal artery perforator (GAP) amachaphazeloizinqa
ama-flacilis aphezulu we-gracilis (TUG)ithanga elingaphakathi

Cabanga ngokulandelayo lapho ucabanga ngalolu hlobo lokwakhiwa kabusha:

Buhle

  • Izicubu zezicubu ngokuvamile zibukeka futhi zizizwe zingokwemvelo kakhulu kunokufakwa.
  • Ziziphatha ngokufana nawo wonke umzimba wakho. Isibonelo, usayizi wabo ungaguquguquka nawo wonke umzimba wakho njengoba uzuza noma wehlisa isisindo.
  • Ngeke udinga ukufaka izicubu esikhundleni sakho njengoba uzodinga ukufaka okunye okufakelwayo.

Nebubi

  • Ukuhlinzwa ngokuvamile kuthatha isikhathi eside kunokuhlinzwa okufakelwa, isikhathi esinde sokululama.
  • Inqubo inzima ngokwengeziwe kobuchwepheshe kudokotela ohlinzayo, futhi izicubu zingehluleka ukuthatha.
  • Izoshiya izibazi zesayithi lokuhlinzwa eziningi ngoba izindawo eziningi zomzimba wakho zizohlinzwa.
  • Abanye abantu bangathola ubuthakathaka bemisipha noma ukulimala kusiza sabanikela ngezicubu.

Ngokushesha ngemuva kokuhlinzwa

Isikhathi salokhu kuhlinzwa (esifubeni ngasinye) kungathatha noma yikuphi kusuka emahoreni amabili kuya kwayisi-3 ukuthola i-mastectomy ngokuvuselelwa kokufakelwa ngokushesha noma amahora ayi-6 kuye kwayi-12 we-mastectomy nokwakha kabusha ngezicubu zakho.

Ngemuva kokuthi ukwakhiwa sekuqediwe, udokotela ohlinzayo webele wakho uzonamathisela amashubhu wokuhambisa amanzi okwesikhashana esifubeni sakho. Lokhu kwenzelwa ukuthi uqiniseke ukuthi noma yikuphi uketshezi olweqile kunendawo okufanele iye kuyo ngesikhathi sokuphulukiswa. Isifuba sakho sizosongwa ngebhandeshi.

Okuqhamuka uma udla imishanguzo

Imiphumela emibi yokwakhiwa kabusha ngokushesha ifana naleyo yenqubo ye-mastectomy. Zingafaka:

  • ubuhlungu noma ingcindezi
  • ukuba ndikindiki
  • izicubu ezibomvu
  • ukutheleleka

Ngoba izinzwa ziyasikwa ngesikhathi sokuhlinzwa, ungaba nobundikindiki eduze kwesiza sokusikwa. Izicubu zesibazi zingakha eduze kwesiza sokusikwa kwakho. Kungadala ingcindezi noma ubuhlungu.

Ukutheleleka nokuphuza ukulashwa kwesilonda ngesinye isikhathi kwenzeka ngemuva kwe-mastectomy. Wena nodokotela wakho kufanele niqaphele izimpawu zombili.

Ngesikhathi se-mastectomy, ingono yakho kungenzeka ingakwazi ukugcinwa. Uzokwazi ngaphambi kokuhlinzwa ukuthi udokotela wakho ohlinzayo ulindele ukugcina ingono ngemuva kwenqubo.

Uma ingono yakho isuswa ngesikhathi se-mastectomy, ukwakhiwa kabusha kwezingono kuvame ukwenziwa njengenqubo encane ezinyangeni ezimbalwa ngemuva kokwakhiwa kabusha kwesifuba sakho.

Yini ongayilindela ngesikhathi sokululama?

Hlela ukuba sesibhedlela izinsuku ezimbalwa, kuya ngohlobo lokwakhiwa kabusha. Ungaba sesibhedlela ubusuku obubodwa ukwakhiwa kabusha kokufakwa, noma kuze kube yisonto noma ngaphezulu ukwakhiwa kabusha ngezicubu zakho. Udokotela wakho uzokunikeza imithi yezinhlungu ngesikhathi sokuphulukiswa.

Isikhathi esithile, ungatshelwa ukuthi ungalali ngohlangothi noma esiswini. Isibazi esibonakalayo emabeleni akho, noma ngemuva kokwakhiwa kabusha, kuyinto ejwayelekile. Ngokuhamba kwesikhathi, ukubonakala kwezibazi kuzokwehla. Amasu wokumasaja kanye nama-krimu okususa isibazi nawo angakunciphisa ukubukeka kwawo.

Ngeke udinge ukuba sembhedeni uma usukhululiwe esibhedlela. Ngokushesha lapho ungasukuma uhambe uzungeze, kungcono. Kodwa-ke, kuze kube yilapho kususwa imisele yezicubu zakho zamabele, uzovinjelwa ekushayeleni nakweminye imisebenzi edinga ukusetshenziswa komzimba ongenhla.

Ukushayela ungaphansi kwethonya lemithi ethile yezinhlungu, njengeVicodin, nakho kuvinjelwe.

Azikho izinto ezikudingayo ezikhethekile, kepha kufanele ugxile ekudleni ukudla okunamaprotheni amaningi. Lokhu kuzothuthukisa ukukhula kwamaseli nokwelashwa. Udokotela wakho uzokunika izivivinyo eziphephile ukukusiza ukuthi uphinde uthole ukuzwa namandla esifubeni nasemzimbeni ophezulu.

Ezinye izinketho zokwakha kabusha

Ngaphandle kokwakhiwa kabusha kwezicubu ngokushesha nokwakhiwa kwezicubu, kunezinye izindlela zokuphindaphinda ukubukeka kwamabele akho ngaphambi kwe-mastectomy. Lokhu kufaka phakathi ukuhlinzwa okwakhiwa kabusha njengenqubo ehlukile nokungatholi ukuhlinzwa okwakha kabusha.

Ukwakhiwa kabusha okulibazisekile

Njengokwakhiwa kabusha ngokushesha, ukwakhiwa kabusha okubambezelekile kufaka phakathi ukuhlinzekwa kwe-flap noma okufakelwa amabele. Ukwakhiwa kabusha okubambezelekile kuvame ukukhethwa ngabesifazane abadinga ukwelashwa ngemisebe yomdlavuza wabo ngemuva kokuthi i-mastectomy isiqediwe.

Ukwakhiwa kabusha okulibazisekile kuzoqala ezinyangeni eziyisithupha kuya kwezi-9 ngemuva kwe-mastectomy yakho. Isikhathi sizoncika ekutheni ufinyelele kumanqamu athile ekwelashweni kwakho komdlavuza nasenqubeni yokuphulukisa.

I-American Psychological Association icwaninge ngemiphumela yokubambezeleka kokwakhiwa kabusha kwabesifazane ebinama-mastectomies futhi yaphetha ngokuthi ukwakhiwa kabusha ngokushesha kwakungcono empilweni yengqondo yesikhathi eside.

Ezinye izindlela zokwakha kabusha amabele

Kwabesifazane abangafaneleki kahle ngenxa yezizathu zempilo, noma abakhetha nje ukungabi nokuhlinzwa okwengeziwe, i-mastectomy izokwenziwa ngaphandle kokwakhiwa kabusha. Ukuhlinzwa kushiya isifuba siyicaba ngalolo hlangothi.

Kulezi zimo, abesifazane bangacela ukufakwa kwesifuba sangaphandle uma ukusikwa kwabo sekuphulukisiwe. Ingagcwalisa i-brassiere ohlangothini oluthintekile futhi inikeze ukubonakala kwangaphandle kwesifuba ngaphansi kwengubo.

Ukunquma ukuthi iyiphi indlela ekufanele

Njengoba ulinganisa izinketho zakho, cela udokotela wakho ohlinzayo isincomo sochwepheshe ngaphambi kokwenza noma yiziphi izinqumo. Wonke umuntu nesimo somtholampilo sehlukile.

Ngokuya ngezici zezempilo njengokukhuluphala ngokweqile, ukubhema, isifo sikashukela, nezimo zenhliziyo, ukuba nokuhlinzwa okumbili njengengxenye yenqubo eyodwa kungahle kunganconywa.

Isibonelo, abesifazane abanomdlavuza webele wokuvuvukala imvamisa kudingeka balinde baze baqede ukwelashwa okwengeziwe, okufana nemisebe, ngaphambi kokwakhiwa kabusha.

Ngokwengeziwe, ukubhema kuyisici esaziwa kakhulu sengozi yokuphulukiswa kabi ngemuva kokuhlinzwa kabusha. Uma ubhema, udokotela wakho ohlinzayo kungenzeka akucele ukuthi uyeke ngaphambi kokucabanga ngokuhlinzwa kabusha.

Noma yiluphi uhlobo lokwakhiwa kabusha lungakhuphula ubungozi bemiphumela emibi kusuka ku-mastectomy, kepha lokhu akuncikile ekutheni ukwakhiwa kabusha kwenzeka ngokushesha noma kamuva.

Xoxa nodokotela wakho

Abesifazane abaningi abazi ngezinketho zabo noma iqiniso lokuthi izinkampani zomshuwalense wezempilo zizokhokhela ukuhlinzwa okwakha kabusha ngemuva kwe-mastectomy.

Ngokuya ngendawo nezinsizakusebenza, abesifazane abanomdlavuza webele abanikezwa njalo ithuba lokuhlangana nodokotela ohlinzayo wepulasitiki ukuxoxa ngokwakhiwa kabusha kwamabele ngemuva kwe-mastectomy.

Uma unganikezwa le nketho, khuluma. Cela udokotela ohlinzayo wamabele ukuthi axoxisane naye ukuze axoxe ngokuthi ukwakhiwa kabusha kwamabele kukufanele yini.

Kunezinto eziningi okufanele uzicabangele ngaphambi kokwenza kabusha isifuba ngemuva kwe-mastectomy. Nayi eminye imibuzo ongayibuza udokotela wakho ohlinzayo ngaphambi kokukhetha uhlobo oluhle kakhulu lokuhlinzwa kwakho:

  • Ngabe ngingumuntu olungele ukungena ohlinzweni lokwakhiwa kabusha kwamabele?
  • Ungakuncoma ukuhlinzwa kabusha ngemuva nje kokuhlinzwa kwami, noma kufanele ngilinde?
  • Kufanele ngikulungiselele kanjani ukuhlinzwa?
  • Ngabe amabele ami amasha azobukeka efana namabele ami amadala?
  • Singakanani isikhathi sokululama?
  • Ngabe ukuhlinzwa okwakha kabusha kuzophazamisa ezinye izindlela zami zokwelashwa umdlavuza webele?
  • Uma ngikhetha ukusebenzisa izimila ekwakhiweni kwami ​​kabusha, ingabe okufakelwayo kuyoke kudingeke ukuthi kufakwe okunye? Zihlala isikhathi esingakanani?
  • Hlobo luni lokunakekelwa kwesilonda okuzodingeka ngilwenze ekhaya?
  • Ngabe ngizodinga umnakekeli wohlobo oluthile ngemuva kokuhlinzwa?

Thola ukwesekwa kwabanye abaphila nomdlavuza webele. Landa uhlelo lokusebenza lwamahhala lweHealthline lapha.

Ukudla okudlela endlini

Kungaba nzima ukwenza i-mastectomy, futhi kungenzeka ukuthi okunye ukuhlinzwa kokwakhiwa kabusha kungabonakala kunzima kakhulu.

Ukululama kwi-mastectomy nokuhlinzwa okwakhiwa kabusha ngasikhathi sinye kungahle kungakhululeki esikhathini esifushane. Kepha esikhathini eside, kungahle kube okucindezelayo futhi kube buhlungu kunokuhlinzwa okuningi.

“Uma unethuba lokwakha kabusha ngokushesha ngemuva kokubelethisa, ngingacabanga ukukwenza. Kwenze konke ngasikhathi sinye futhi uzisindise ekuhlinzweni okwengeziwe! ”

- UJosephine Lascurain, owasinda kumdlavuza webele owaqala inqubo yakhe yokwakha kabusha ezinyangeni eziyisishiyagalombili ngemuva kwe-mastectomy yakhe

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