Konke Odinga Ukukwazi Mayelana Nohlobo Olungavamile Lomdlavuza Oxhumene Nokufakelwa Kwebele

-Delile

• Ingabe Abesifazane Abafake Amabele Kufanele Bakhathazeke Ngomdlavuza?
• Ihlobene Kanjani I-BIA-ALCL kanye Nesifo Sokufaka Ibele
• Kusho Ukuthini Lokhu Ngekusasa Lokufakelwa Kwebele
• Lokho Abesifazane Ababheka Ukufakwa Kwamabele Okufanele Ukwazi
• Buyekeza kwe-

Ngasekuqaleni kwale nyanga, i-Food and Drug Administration (i-FDA) ikhiphe isitatimende esiqinisekisa ukuthi kunokuxhumana okuqondile phakathi kwezimila ezifakwe amathumba ezinombala nohlobo oluthile lomdlavuza wegazi owaziwa nge-anaplastic large cell lymphoma (ALCL). Kuze kube manje, okungenani abesifazane abangama-573 emhlabeni wonke batholakale benesifo sokufakelwa kwamabele esihambisana ne-anaplastic large cell lymphoma (BIA-ALCL) - okungenani abangama-33 asebeshonile ngenxa yalokho, ngokusho kombiko wakamuva we-FDA.

Ngenxa yalokhu, u-Allergan, ongumkhiqizi ohamba phambili wokufakelwa amabele emhlabeni, uvumelane nesicelo se-FDA sokukhunjuzwa kwemikhiqizo emhlabeni wonke.

"I-Allergan ithatha lesi sinyathelo njengesinyathelo sokuqapha kulandela isaziso solwazi olusanda kubuyekezwa lokuphepha emhlabeni wonke mayelana nesigameko esingavamile sokufakelwa kwebele okuhlobene ne-anaplastic big cell lymphoma (BIA-ALCL) esihlinzekwe yi-US Food and Drug Administration (FDA)," kumemezela u-Allergan. kwisimemezelo sabezindaba esitholwe ngu I-CNN.

Yize lezi zindaba zingashaqisa abanye, akusikho okokuqala i-FDA izwakalisa i-alamu ku-BIA-ALCL. Odokotela bebelokhu bebika ngezehlakalo zalo mdlavuza kusukela ngo-2010, kanti abakwa-FDA baqale baxhumanisa amachashazi emuva ngo-2011, bebika ukuthi kube nengozi encane kodwa ebaluleke ngokwanele yokuthuthukisa i-ALCL ngemuva kokuthola izimila zesifuba. Ngaleso sikhathi, babethola ama-akhawunti angama-64 kuphela abesifazane abahlakulela lesi sifo esingajwayelekile. Kusukela kulowo mbiko, umphakathi wesayensi uye wafunda kancane kancane nge-BIA-ALCL, ngemiphumela yakamuva eqinisa ukuxhumana phakathi kokufakwa kwamabele nokuthuthukiswa kwalesi sifo esingaba yingozi.

"Sithemba ukuthi lolu lwazi lwenza abahlinzeki neziguli zibe nezingxoxo ezibalulekile, ezinolwazi mayelana nokufakelwa kwebele kanye nengozi ye-BIA-ALCL," basho esitatimendeni. Baphinde bashicilela incwadi becela abahlinzeki bezokunakekelwa kwezempilo ukuthi baqhubeke nokubika enkantolo ngamacala okungenzeka abe yi-BIA-ALCL.

Ingabe Abesifazane Abafake Amabele Kufanele Bakhathazeke Ngomdlavuza?

Okokuqala, kubalulekile ukuthi wazi ukuthi i-FDA ayincomi ukususwa kwemikhiqizo yokufakelwa kwebele ebunjiwe kwabesifazane abangenazo izimpawu ze-BIA-ALCL. Esikhundleni salokho, inhlangano ikhuthaza abesifazane ukuthi baqaphe izimpawu zabo kanye nendawo ezungeze izimila zebele nganoma yiziphi izinguquko. Uma uzwa sengathi kukhona okuvaliwe, kufanele uhambe ukhulume nodokotela wakho.

Ngenkathi abesifazane abanezinhlobo zonke zokufakelwa besengozini enkulu yokuthuthukisa i-ALCL, i-FDA ithole ukuthi ukufakelwa okuhlanganisiwe, ikakhulukazi, kuvame ukubeka ingozi enkulu. (Abanye besifazane bakhetha ukufakelwa okwenziwe ngombala njengoba bavame ukuvimbela ukushibilika noma ukuhamba ngokuhamba kwesikhathi. Izimila ezibushelelezi kungenzeka zihambe futhi zingadinga ukulungiswa kwesinye isikhathi, kepha ngokuvamile, zizizwa zingokwemvelo ngokwengeziwe.)

Sekukonke, ingozi yabesifazane abanezimila iphansi impela. Ngokusekelwe ezinombolweni zamanje ezitholwe yinhlangano, i-BIA-ALCL ingase ithuthuke koku-1 kubo bonke abangu-3,817 kuya ku-1 kubo bonke abesifazane abangu-30,000 abanokufakwa kwebele okuthungwe.

Noma kunjalo, "lokhu kukhulu kakhulu kunalokho okubikwe ngaphambili," kusho u-Elisabeth Potter, M. Umumo. "Uma umuntu wesimame efakele izinto ezifakiwe, kumele aqonde ubungozi bokusungulwa kweBIA-ALCL." (Kuhlobene: Ukulahla Izimila Zami Zebele Ngemva Kokuhlinzwa Okuphindwe Kabili Ekugcineni Kwangisiza Ukuba Ngibuyise Umzimba Wami)

Njengamanje, akucaci ngokuphelele ukuthi kungani ukufakelwa okuhlanganisiwe kusengozini yokudala i-BIA-ALCL, kepha abanye odokotela banemibono yabo. "Ngokuhlangenwe nakho kwami, izimila ezenziwe ngomumo zakha i-capsule enamathela kakhudlwana ezungeze isigxilizo sebele ehlukile kunekhephuseli elizungeze isifakelo esibushelelezi, ngokuthi i-capsule ezungeze isifakeli se-textured inamathela ngokuqinile esicutshini esizungezile," kusho uDkt. Potter. "I-BIA-ALCL ingumdlavuza wesimiso somzimba sokuzivikela ezifweni. Ngakho kungase kube nokusebenzisana phakathi kwamasosha omzimba kanye nalesi capsule esine-textured esinomthelela kulesi sifo."

Ihlobene Kanjani I-BIA-ALCL kanye Nesifo Sokufaka Ibele

Kungenzeka ukuthi uke wezwa ngesifo sokufakelwa kwebele (i-BII) ngaphambilini, okungenani ezinyangeni ezimbalwa ezedlule njengoba sizuza ukuthambekela phakathi kwabathonya abakhulume ngezimpawu zabo ezingaqondakali kanye nemibono yokuthi zihlobana kanjani nezifakelo zabo. Leli gama lisetshenziswa ngabesifazane ukuchaza uchungechunge lwezimpawu ezivela ekugxilweni kwesifuba esiphukile noma ukungezwani komzimba nomkhiqizo, phakathi kwezinye izinto. Lesi sifo okwamanje asaziwa ochwepheshe bezokwelapha, kodwa izinkulungwane zabesifazane ziye zangena ku-inthanethi ukuze zabelane ngokuthi izimila zabo zazibangela kanjani izimpawu ezingachazeki eziye zaphela zonke ngemva kokukhipha izimila zabo. (USia Cooper utshele Umumo kuphela ngomzabalazo wakhe ku-I Got My Breast Implants Isusiwe futhi Ngazizwa Ngcono Kunalokho Enginakho Eminyakeni.)

Ngakho-ke nakuba i-BIA-ALCL ne-BII kuyizinto ezimbili ezihluke kakhulu, kungenzeka ukuthi abesifazane abacabanga ukuthi bangezwani nezifakelo zabo bangaba nokuthile okubucayi njenge-BIA-ALCL. "Ngicabanga ukuthi kubalulekile ukulalela abesifazane nokuqhubeka nokuqoqa imininingwane maqondana nanoma imuphi umcimbi omubi ohambisana nokufakelwa," kusho uDkt Potter. "Njengoba silalela futhi siqonda, sizofunda. Lo mbiko omusha ngeBIA-ALCL uyisibonelo salokho."

Kusho Ukuthini Lokhu Ngekusasa Lokufakelwa Kwebele

Njalo ngonyaka, abesifazane abangu-400,000 bakhetha ukuthola izimila zebele e-U.S. kuphela–futhi ayikho indlela yokusho ukuthi lelo nani lizokwehla yini ngenxa yokutholwa okusha kwe-FDA. Futhi, uma kucatshangelwa ukuthi amathuba okuthuthukisa okuthile okubucayi njenge-BIA-ALCL aphansi kakhulu—cishe amaphesenti angu-0.1 ukuba abe ncamashi—usongo luyingxenye ebalulekile okufanele icatshangelwe, kodwa kungase kungabi yisici esinqumayo kwabanye. (Okuhlobene: Izinto Ezi-6 Engizifundile Emsebenzini Wami We-Botched Boob)

"Izimila zamabele sezifundwe kabanzi kanti i-FDA isazibona ziphephile ukuzisebenzisa ekuhlinzweni kwezimonyo nokwakha kabusha," kusho uDkt Potter. "Isistimu yokubika izenzakalo ezimbi iyasebenza ukuze kuqinisekiswe ukuthi ulwazi lwethu lokuphepha luyashintsha ngokuhamba kwesikhathi njengoba sifunda okwengeziwe kokuhlangenwe nakho kwesiguli. Ngokusobala, ukuqonda kwethu ukuphepha kokufakelwa kwebele kuyathuthuka futhi isitatimende esivela ku-FDA sibonisa lokho. " (Okuhlobene: Lo Mthelela Uvule Ngokuphathelene Nesinqumo Sokususa Izimila Zakhe Futhi Zinceliswe)

Esikudingayo ukucwaninga okwengeziwe. “Kudingeka siqonde kabanzi ngalesi sifo ukuze silephe futhi sisivikele,” kusho uDkt. Potter. "Ukuze kwenzeke lokhu, abantu besifazane kumele bakhulume. Uma ufakwe amabele, kumele ube ngummeli wempilo yakho."

Lokho Abesifazane Ababheka Ukufakwa Kwamabele Okufanele Ukwazi

Uma ucabanga ukuthola izimila, ukuzifundisa ngalokho okufaka emzimbeni wakho kubalulekile, kusho uDkt Potter. "Udinga ukwazi ukuthi okufakelwayo kuqoshiwe yini noma kubushelelezi ngaphandle, hlobo luni lwezinto ezigcwalisa okufakelwa (usawoti noma i-silicone), ukuma kokufakelwa (okuyindilinga noma izinyembezi), igama lomkhiqizi, nonyaka wafakwa, "kuchaza yena. "Ngokufanelekile, uzoba nekhadi elivela kudokotela wakho ohlinzayo elinalolu lwazi kanye nenombolo ye-serial yezimila." Lokhu kuzokusiza esimweni lapho kukhona ukukhumbula ku-implant noma uma uhlangabezana nokusabela okungekuhle.

Kubalulekile futhi ukwazi ukuthi imboni yokufakelwa kwebele ngokwayo ithatha izinyathelo ezithile ekuphenduleni lezi zimangalo ukuze yenze abesifazane bazizwe bephephile. "Ezinye izinto ezifakiwe manje sezinamawaranti akhokhela izindleko zokwelashwa zokuhlolelwa i-BIA-ALCL," kusho uDkt Potter.

Kepha ezingeni elibanzi, kubalulekile ukuthi abesifazane bazi ukuthi izimila aziphelele nokuthi kungahle kube nezinye izindlela abangazithola. "Ngokwami, ngibone ukushintsha okukhulu kusuka ekwakhiweni kwamabele okugxilisiwe kuya ekwakhiweni kabusha okungasebenzisi ukufakelwa nhlobo. Esikhathini esizayo, ngithemba ukubona ukuhlinzekwa okutholakalayo kubo bonke abesifazane, kubandakanya nabesifazane abafuna ukuthuthukisa amabele abo ngezizathu zobuhle, ngaphandle kokudinga ukufakelwa nhlobo,” usho kanje.

Ngezansi: Lo mbiko uphakamisa amafulegi abomvu. Iphinde ivule inkhulumomphendvulwano ebalulekile nochwepheshe bezokwelapha ukuze bathathele phezulu izimpawu zabesifazane.

Buyekeza kwe-