Ke kūkulu hou ʻana o ka umauma ma hope o ke kanesa o ka umauma? E aʻo kākou e pili ana i ke ʻoki ʻana o DIEP Flap (DIEP Flap Reconstruction Surgery)

Ua ʻike mākou i ka paʻakikī o ka wahine e hana i kahi mastectomy, kahi ʻoki e wehe ai i ka umauma ma muli o ke kanesa. He kaumaha nui ia no ke kino a me ka noʻonoʻo. Ma hope o kēlā huakaʻi, pono paha ʻoe e hana i ke kūkulu hou ʻana o ka umauma. Nui nā ʻano hana no kēia. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻoki kūikawā e hoʻohana ana i kou mau ʻāpana kino ponoʻī e hāʻawi i kahi ʻano kūlohelohe loa.

No laila, he aha ke ʻano o ke ʻoki ʻana o DIEP Flap?

I ka ʻōlelo maʻalahi, he hana ʻoki kino ka DIEP Flap e hoʻohana ana i kou ʻiʻo ponoʻī e hana hou i ka umauma. Ma kahi o nā implants waho, hoʻohana ʻia kahi ʻāpana o kou kino ponoʻī.

Loaʻa ka inoa DIEP mai nā huaʻōlelo 'Deep Inferior Epigastric Perforator'. Pili kēia i ka inoa o kahi kīʻaha koko (artery) i loko o ko mākou ʻōpū lalo. Eia ka mea e hana ʻia i ka wā o ke ʻoki kino:

E lawe kāu kauka ʻoki i kekahi ʻili, momona, a me nā kīʻaha koko mai kou ʻōpū haʻahaʻa, ʻoi aku hoʻi mai ka ʻāpana ma luna o kou iwi pubic, i kapa ʻia ʻo 'tummy tuck'. Akā, ʻaʻohe ʻiʻo i wehe ʻia . ʻO kēia kekahi o nā pono nui o kēia ʻoki kino.

A laila, lawe ʻia kēia ʻiʻo i ka ʻāpana umauma a hoʻohālike ʻia i umauma. ʻO ka mea nui loa e hana ʻia ma hope. Ma o ka "Microsurgery" i hana ʻia ma lalo o kahi microscope maikaʻi loa, ua hoʻopili ʻia nā kīʻaha koko liʻiliʻi i loko o ka ʻiʻo i lawe ʻia mai ka ʻōpū i nā kīʻaha koko i loko o ka umauma. Hāʻawi kēia i ka umauma i hana hou ʻia i kahi lako koko maikaʻi a ulu ia me he mea lā he ʻāpana ia o kou kino ponoʻī.

Āhea e hana ʻia ai kēia ʻoki kino? ʻO wai ka mea kūpono ʻole no kēia?

ʻElua mau hihia kahi e hiki ai ke hana ʻia kēia ʻoki kino .

1. Hoʻoponopono hou koke: Hiki ke hana ʻia kēia ʻoki DIEP Flap i ka manawa like me kāu mastectomy. A laila, ʻaʻole pono ʻoe e hele i ke ʻoki ʻelua. Manaʻo kekahi poʻe hiki iā lākou ke ho'ōla koke a hoʻi koke i ke ola maʻamau.

2. Hoʻopaneʻe ʻia ke kūkulu hou ʻana: Inā ua wehe mua ʻia kou umauma a ke noʻonoʻo nei ʻoe i ke kūkulu hou ʻana ma kahi lā ma hope aku, a laila he koho maikaʻi nō ke ʻoki ʻana iā DIEP Flap.

ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu kauka e hana i ka hoʻoholo maikaʻi loa e pili ana i kēia.

Akā, ʻaʻole no nā kānaka a pau kēia ʻoki kino. E nānā kākou i ka papa ma lalo nei e ʻike i nā hihia i kūpono ʻole no kēia ʻoki kino.

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

Ma hope o ke kau ʻana i kāu hana, e hāʻawi aku kāu kauka iā ʻoe i kekahi mau ʻōlelo aʻoaʻo e like me:

• E hana i kekahi mau hoʻokolohua lab : E noi ʻia paha ʻoe e hana i kahi mea e like me ka hoʻāʻo koko e ʻike ai inā ua lawa kou olakino no ke ʻoki ʻana.
• E hoʻōki loa i ka puhipaka: Inā ʻoe e hoʻohana i ka paka (nā cigarette, beedis), hiki iā ia ke hoʻopilikia i ka anesthesia a hoʻopaneʻe i ka ho'ōla.
• E ho'ōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau:Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā mea hoʻohui).

I ka lā o ke ʻoki kino, e hāʻawi ʻia ʻoe i kahi anesthetic intravenous (IV). A laila e hoʻomoe ʻia ʻoe. ʻAʻole ʻoe e ʻike i kekahi ʻeha a i ʻole kekahi mea i ka wā o ke ʻoki kino.

I ka wā o ke ʻoki ʻana, hana ke kauka i kahi ʻoki ma kou laina bikini ma kou ʻōpū lalo. Mai laila mai, wehe pono ʻia kahi ʻili, ka momona, a me nā kīʻaha koko. A laila, hana ʻia kekahi ʻoki ʻē aʻe ma ka ʻōpala mai ke ʻoki umauma ma mua, a lawe ʻia mai ka ʻiʻo mai ka ʻōpū a hoʻohālike ʻia i ke ʻano o ka umauma. A laila, hoʻopili ʻia nā kīʻaha koko me ka hoʻohana ʻana i ka "microsurgery" a mākou i kamaʻilio ai ma mua.

ʻO ka mea hope loa, ua hoʻokomo ʻia kekahi mau ʻōmole liʻiliʻi loa (nā ʻauwai) i loko o nā ʻoki ma ka umauma a me ka ʻōpū. Pono e waiho ʻia kēia mau mea no kekahi mau pule. Hoʻohana ʻia kēia mau mea e hoʻokahe i ka wai keu mai ka wahi ʻoki, e hōʻemi i ka pehu, a e wikiwiki i ka ho'ōla ʻana. A laila e pani ʻia nā ʻoki me nā humuhumu a i ʻole nā ​​staples.

Pono ʻoe e noho i ka haukapila no ʻelua a ʻekolu mau lā ma hope o ke ʻoki kino. E hala ana ma kahi o 6 mau pule e hoʻōla piha ai.

ʻAʻole anei he mau pilikia a me nā pilikia?

E like me nā ʻoki kino āpau, loaʻa i kēia kekahi mau pilikia.

Eia kekahi laʻana, inā ʻoki ʻia ke kahe koko i ka umauma i hana hou ʻia a lawa ʻole paha, aia kahi manawa liʻiliʻi e make ai ka ʻūpā (flap failure). He mea kākaʻikahi loa kēia. Inā make kahi ʻāpana liʻiliʻi, hiki i ke kauka ke ʻoki a wehe. Akā inā make kahi ʻāpana nui, pono e hoʻololi ʻia ka ʻūpā holoʻokoʻa.

I kekahi manawa, ua emi ke kahe o ke koko i kekahi mau wahi, a hiki ke hana ʻia nā ʻiʻo ʻeha ma ia mau wahi, e like paha me nā puʻupuʻu. E nalo paha kēia mau mea i ka hala ʻana o ka manawa.

Eia kekahi, aia kahi manawa liʻiliʻi e nāwaliwali ai nā ʻiʻo a e hana ʻia kahi hernia ma kahi i lawe ʻia ai ke kino mai ka ʻōpū. Inā hana ʻia kahi hernia, pono pinepine ia i kahi ʻoki ʻē aʻe e hoʻoponopono ai.

Inā loaʻa iā ʻoe kēia mau hōʻailona ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka .

• Ke kahe koko ʻano ʻē
• Inā puka mai kahi mea e like me ka pus mai kahi ʻoki (nā hōʻailona o ka maʻi)
• ʻEha nui hiki ʻole ke hoʻomanawanui
• Paʻakikī ka hanu ʻana
• kuni

Inā hana ʻia kēia, e hoʻomaopopo koke i kāu kauka. Inā he pilikia ia, e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.

Pehea e mālama ai iaʻu iho i ka wā hoʻōla a ma ka home?

Pono ʻoe e kali i kekahi mau pule ma hope o ke ʻoki kino.E noi ʻia ʻoe e ʻaʻahu i kahi pale umauma hoʻopaʻa kūikawā . E noi ʻia hoʻi ʻoe e ʻaʻahu i kahi ʻōwili hoʻopaʻa kūikawā a puni kou ʻōpū. E kōkua kēia i ka hōʻemi ʻana i ka ʻeha, kaohi i ka pehu, a kōkua i ka ho'ōla ʻana.

He mea maʻamau kēia mau mea ma hope o ke ʻoki kino:

• ʻEha
• ʻEha a me ka ʻeha
• Pehu ʻana
• Ka paʻa ʻana i nā ʻoki
• ʻO ka ʻeha i loko o ka ʻōpū a i ʻole ka umauma: Hiki i kēia ʻeha ke mau a hiki i hoʻokahi makahiki.

ʻOiai e emi ana ka nui o kēia mau mea i loko o kekahi mau pule, inā loaʻa iā ʻoe kekahi mau hōʻailona e hoʻopilikia nei iā ʻoe, mai makaʻu e kamaʻilio me kāu kauka.

Ma hope o ke ʻoki ʻana, e loaʻa iā ʻoe kahi ʻōpala ma kou laina bikini. E mae iki kēia i loko o 12-18 mau mahina. E loaʻa nō hoʻi iā ʻoe kahi ʻōpala ma kou umauma. Inā makemake ʻoe, hiki iā ʻoe ke hana hou i kahi ʻoki e hana hou i kou nipple ma hope o kou hoʻōla piha ʻana mai kēia ʻoki ʻana.