E kamaʻilio kākou e pili ana i ke kūkulu hou ʻana o ka umauma ma hope o ka mastectomy.

ʻO ka mastectomy, inā paha ma muli o ke kanesa o ka umauma a i ʻole nā ​​​​kumu lapaʻau ʻē aʻe, he ʻike naʻau a koʻikoʻi loa ia no kekahi wahine. He mea maʻamau loa ke kaumaha a me ka mihi no ka nalowale ʻana o kahi ʻāpana o kou kino. Akā, ua ʻike anei ʻoe me ka holomua o ka lāʻau lapaʻau hou, hiki ke hana hou a hana hou paha i kahi umauma i wehe ʻia ma kēia ʻano? I kēia lā, e kamaʻilio kākou e pili ana i ka Breast Reconstruction, a i ʻole ke ʻoki hou ʻana o ka umauma.

I ka ʻōlelo maʻalahi, he aha ka hana hou ʻana o ka umauma?

I ka ʻōlelo maʻalahi, he ʻoki kino kēia e hoʻoponopono hou i ka umauma ma hope o ka mastectomy a i ʻole ka lumpectomy. I kekahi manawa, pono paha nā ʻoki kino he nui.

Hiki ke hana ʻia kēia ʻoki kino i ka manawa like me ka mastectomy ( hana hou koke ʻana ). A i ʻole, hiki ke hana ʻia i nā mahina a i ʻole nā ​​​​makahiki ma hope ( hana hou lohi ). I kekahi manawa pono e hana hou ʻia nā umauma ʻelua. A i ʻole, hiki ke hana hou ʻia kekahi umauma a hana ʻia e kūlike me kekahi. He hoʻoholo pilikino loa kēia. Koho kekahi mau wahine e hana i kēia ʻoki kino, a ʻaʻole makemake kekahi. Aia wale nō iā ʻoe kēlā hoʻoholo.

He aha nā ʻano hana nui o ke kūkulu hou ʻana i ka umauma?

ʻElua mau ʻano hana nui. ʻO kekahi, ʻo ia ke lawe ʻana i nā ʻiʻo mai kahi ʻāpana ʻē aʻe o kou kino ponoʻī a hana i kahi umauma. ʻO kekahi, ʻo ia ka hoʻohana ʻana i kahi implant artificial.

1. Ke kūkulu hou ʻana i ka umauma me ka hoʻohana ʻana i kou ʻiʻo kino ponoʻī (Flap Reconstruction)

Ma kēia kaʻina hana, lawe ʻia ka ʻili, ka momona, a i kekahi manawa nā ʻiʻo ʻiʻo mai kahi ʻāpana ʻē aʻe o kou kino - no ka laʻana, mai ka ʻōpū haʻahaʻa, nā ʻūhā, ke kua, a i ʻole nā ​​puʻupuʻu - a hoʻohana ʻia e hana i kahi umauma hou. ʻO ka ʻiʻo i lawe ʻia ma kēia ʻano ua kapa ʻia ʻo 'flap'. Aia nā ʻano hana ʻoki like ʻole i hoʻohana ʻia no kēia.

2. Hoʻonui ʻia ka umauma me ka hoʻohana ʻana i nā implants

Ma kēia ʻano hana, hoʻohana nā kauka ʻoki i nā mea hoʻokomo saline a silicone paha e hoʻoponopono hou i ka umauma. I kekahi manawa, hiki ke hoʻohana ʻia ka hui pū ʻana o kāu ʻiʻo ponoʻī a me nā mea hoʻokomo.

Pehea e koho ai au i ke ʻano hana e kūpono loa iaʻu?

E hoʻoholo kāu kauka i ke ʻano hana kūpono loa iā ʻoe ma hope o ka noʻonoʻo ʻana i kekahi mau kumu.

• Kou makahiki, ke olakino holoʻokoʻa, a me ke ʻano o ka nohona .
• He aha ke ʻano o ka mastectomy āu i hana ai a me ka nui o nā ʻiʻo i koe ma hope ona?
• Inā paha ʻoe e pono ai i nā lāʻau hou aʻe no kou maʻi ʻaʻai (e like me chemotherapy, radiotherapy).
• Ua hana ʻia nā ʻoki kino ma mua. Eia kekahi laʻana, inā ua hana ʻia ke ʻoki ʻōpū, he mea paʻakikī paha ke loaʻa kahi ʻōpala mai kou ʻōpū.
• ʻO kāu mau manaʻolana a me ke ʻano āu e makemake aiPehea ia. He mea nui loa e kamaʻilio ākea a maopopo e pili ana i kēia me kāu kauka.

He aha ka mea e hana ʻia ma mua, i ka wā, a ma hope o ke ʻoki kino?

Ma mua o ke ʻoki kino: E hana kāu kauka ʻoki kino i kahi nānā piha iā ʻoe, e ana ana a kiʻi i kou mau umauma. Pono ʻoe e hoʻomaopopo iā lākou e pili ana i nā lāʻau lapaʻau āu e lawe nei a me kou kūlana olakino. Hiki iā lākou ke noi iā ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau ma mua o ke ʻoki kino.

I ka wā o ke ʻoki kino: Hana ʻia kēia ʻoki kino ma kahi haukapila. E hoʻomoe ʻia ʻoe ma lalo o ka anesthesia, no laila ʻaʻole ʻoe e ʻeha. E hana hou ke kauka ʻoki kino i kou umauma me ka hoʻohana ʻana i ke ʻano āu i koho ai (flap a i ʻole implant). Ma hope o ke ʻoki kino, hiki ke kau ʻia kahi paipu (drain) ma lalo o ka ʻili e hoʻokahe i kekahi wai a me ke koko i hōʻiliʻili ʻia i loko. E wehe ʻia i loko o kekahi mau lā.

Ma hope o ke ʻoki kino: Pono ʻoe e noho ma ka haukapila no kekahi mau lā, malia paha he pule. E hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e kāohi i ka ʻeha. E noi ʻia ʻoe e ʻaʻahu i kahi pale umauma kūikawā (pale umauma ʻoki kino) e hōʻemi i ka pehu a kākoʻo i kou mau umauma. E hāʻawi ʻia ʻoe i nā ʻōlelo aʻoaʻo no ka mālama ʻana iā ʻoe iho ma hope o kou hoʻi ʻana i ka home.

He aha nā pilikia a me nā pilikia o kēia ʻoki kino?

E like me nā ʻoki kino āpau, aia nā pilikia maʻamau, e like me ka maʻi a me ke kahe ʻana o ke koko. Eia kekahi, hiki ke hana ʻia kēia mau mea:

• Nā ʻūpā koko : He kiʻekiʻe loa kēia pilikia ma hope o kekahi mau ʻoki ʻana o ka flap.
• Nā loli i ke ʻano a i ʻole ka nui o nā umauma ʻelua: Hiki ke manaʻo kekahi he ʻoi aku ka paʻa ma mua o kekahi.
• ʻŌpala: Noho nā ʻōpala ma hope o kēlā me kēia ʻoki kino. Nalowale kēia mau mea i ka hala ʻana o ka manawa.
• Necrosis momona: Inā lawa ʻole ke kahe koko i ka ʻiʻo i wehe ʻia i ka wā o ke ʻoki ʻana o ka flap, hiki i kēlā ʻiʻo ke make.
• Nā pilikia e pili ana i ka implant: Hiki i ka implant ke lilo i ʻāwili, liki, a haki paha.
• ʻEha a nāwaliwali paha ma kahi i hāʻawi ʻia ai ka mea hāʻawi: Hiki paha iā ʻoe ke manaʻo i ka ʻeha a i ʻole ka ʻeha ʻana ma nā wahi e like me ka ʻōpū, ke kua, a me nā ʻūhā.

I ka manawa e ʻimi koke ai i ke aʻo lapaʻau

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.

• Nā hōʻailona o ka maʻi e like me ke kuni.
• ʻEha nui ʻaʻole e emi iho me ka lāʻau lapaʻau.
• Ke kahe koko a i ʻole ka pus mai nā ʻeha ʻoki.
• Ka loli ʻana o ke kala o ka ʻili ma ka umauma a i ʻole a puni ka ʻeha.