He paʻakikī maoli ka hakakā ʻana i ka maʻi ʻaʻai umauma. I loko o kēlā huakaʻi, pono paha ʻoe e hana i kahi mastectomy a i ʻole lumpectomy. Ma hope o kēlā, ʻo ka manaʻo o "Pehea koʻu ʻano i kēia manawa?" e hoʻopilikia paha iā ʻoe. Akā, mai hopohopo. I kēia lā, ua holomua nui ka ʻepekema lapaʻau. Nui nā ʻano like ʻole e hāʻawi hou iā ʻoe i kahi ʻano kūlohelohe. I kēia lā, e kamaʻilio mākou e pili ana i kekahi ʻano hana kūikawā.
He aha ke ʻano o ke ʻoki ʻana o DIEP Flap? E hoʻomaopopo maʻalahi kākou.
ʻAe, he mea paʻakikī paha kēia inoa. Akā e maʻalahi kākou. ʻO ke ʻoki ʻana o DIEP Flap kahi ʻano ʻoki hana hou ʻana o ka umauma.
E noʻonoʻo e lawe ana i kahi ʻāpana liʻiliʻi o kou kino ponoʻī a hoʻohana iā ia e kūkulu hou i kou umauma. ʻO ia ka mea e hana ʻia ma ʻaneʻi. Maanei, lawe ke kauka lapaʻau i kahi ʻāpana ʻili, momona, a me nā kīʻaha koko mai kou ʻōpū haʻahaʻa a hoʻohana iā lākou e hana i kahi umauma hou kahi i kū ai kou umauma.
ʻO ke kīʻaha koko i hoʻohana ʻia ma ʻaneʻi ua kapa ʻia ʻo `DIEP (deep inferior epigastric perforator artery)`. ʻAʻole pono ʻoe e noʻonoʻo nui e pili ana i ka inoa. ʻO ka mea nui, he ʻāpana kēia o kou kino ponoʻī.
No ke aha he mea kūikawā kēia?
ʻO kekahi o nā pono nui a koʻikoʻi loa o kēia ʻoki kino, ʻo ia ka wehe wale ʻana o ke kauka i kēia ʻāpana o ka ʻili a me ka momona me ka ʻole o ka hōʻino ʻana a wehe ʻana paha i kekahi o nā ʻiʻo i loko o kou ʻōpū .
Ma ke ʻoki ʻana o ka ʻōpū ʻōpū (TRAM) flap` kahiko, ua lawe ʻia kēia ʻiʻo me kahi ʻāpana o ka ʻiʻo ʻōpū. A laila lilo ka ʻiʻo ʻōpū i nāwaliwali, a ʻoi aku ka lōʻihi o ka manawa hoʻōla. Akā me ke ʻoki ʻana o ka DIEP flap, ʻaʻole e kū mai kēlā pilikia. No laila, hiki iā ʻoe ke hoʻōla koke a mālama i ka ikaika o ka ʻōpū. E like me ka "tummy tuck", lilo ka ʻōpū i palahalaha, he pōmaikaʻi hou aʻe ia!
No wai kēia ʻoki kino e kūpono ai a no ke aha e koho ai kekahi iā ia?
Hiki i kekahi mea makemake e hana hou i kahi umauma ma hope o ke ʻoki ʻana i ka maʻi ʻaʻai umauma ke noʻonoʻo i kēia. Hiki ke hana ʻia kēia ʻoki ʻana i ka manawa like me ke ʻoki ʻana i ka maʻi ʻaʻai (hana hou koke ʻana), a i ʻole hiki ke hana ʻia ma hope o ka pau ʻana o nā lāʻau lapaʻau āpau no ka maʻi ʻaʻai, ma hope o kekahi manawa (hana hou lohi).
He hoʻoholo pilikino loa ke kūkulu hou ʻana i ka umauma. ʻAʻohe mea e koi ana iā ʻoe e hana ia. Hana kekahi poʻe i kēia hoʻoholo no nā kumu e like me:
- E hoʻokō i kahi helehelena kaulike: ʻO ka wehe ʻana i kahi umauma hiki ke manaʻo e like me ke kaulike ʻole o kou kino. Hiki i kēia ʻoki kino ke kōkua i ka hoʻihoʻi ʻana i kēlā helehelena.
- E ʻaʻahu pono: He hopena maikaʻi kēia e pale aku ai i ka ʻoluʻolu ʻole i ka wā e ʻaʻahu ai.
- Hoʻonui i ka hilinaʻi iā ʻoe iho:He kōkua nui kēia i ka lanakila ʻana i ka hopohopo e pili ana i kou helehelena a me ke kūkulu hou ʻana i kou hilinaʻi iā ʻoe iho.
E hoʻomanaʻo, ʻo kou kino ia, kāu hoʻoholo. Loaʻa iā ʻoe nā kuleana āpau e koho i ka mea kūpono loa iā ʻoe.
ʻAʻole hiki i nā kānaka a pau ke hana i kēia ʻoki kino?
ʻOiaʻiʻo, ʻaʻole kūpono ke ʻoki ʻana i ka flap DIEP no nā kānaka a pau. I kekahi mau hihia, ʻaʻole paha e hiki. E nānā kākou i kēlā mau hihia.
| Ke kūpono ʻole ke ʻoki kino | Ua wehewehe maʻalahi ʻia |
|---|---|
| Inā ua loaʻa iā ʻoe kēia ʻano hana ma mua | Inā ua loaʻa iā ʻoe kahi ʻoki flap DIEP a i ʻole TRAM ma mua o ke kūkulu hou ʻia ʻana o kou umauma ʻē aʻe, ʻaʻole hiki iā ʻoe ke lawe hou ʻia ka ʻiʻo mai kou ʻōpū no ka mea hiki ke hoʻohana ʻia kēlā ʻāpana i hoʻokahi wale nō manawa. |
| Inā ʻaʻole lawa ka momona ma ka ʻōpū haʻahaʻa | Inā lahilahi loa ʻoe, a i ʻole ua loaʻa mua iā ʻoe kahi ʻōpū (abdominoplasty a liposuction paha), ʻaʻole paha lawa ka momona a me ka ʻili i loko o kou ʻōpū e hana ai i ka umauma. |
| Inā he pilikia me nā kīʻaha koko i loko o ka ʻōpū | I kekahi manawa, liʻiliʻi paha nā kīʻaha koko e pono ai no kēia ʻoki kino a ʻokoʻa paha ko lākou wahi. Eia nō naʻe, me ka ʻenehana hou i loaʻa i kēia lā, aia kekahi mau ala e hana ai i ke ʻoki kino i kēia mau hihia. |
| ʻO nā hana ʻoki ʻōpū ʻē aʻe ma mua | Inā ua hana ʻia ʻoe i ke ʻoki kino nui, e like me ka colostomy, ʻaʻole paha e hiki kēia. Eia nō naʻe, ʻaʻole ia he mea keakea i ka hana ʻana i kēia ʻoki kino, ʻoiai inā ua hana ʻia ʻoe i kahi ʻoki C-section a i ʻole kahi hysterectomy hāmama. |
Hiki i kāu kauka ke hoʻoholo i ka hoʻoholo maikaʻi loa e pili ana i kēia. E nānā ʻo ia iā ʻoe a haʻi pololei iā ʻoe inā kūpono kēia ʻoki kino iā ʻoe a ʻaʻole paha.
He aha kāu e hana ai ma mua o ke ʻoki kino?
ʻOiai he hana ʻoki kino nui kēia, pono ʻoe e hoʻomākaukau maikaʻi ma mua. E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi āpau e pono ai. E haʻi pinepine lākou iā ʻoe e hana i kēia mau mea:
- Nā hoʻāʻo olakino: Pono ʻoe e hana i kekahi mau hoʻokolohua, e like me nā hoʻāʻo koko, e ʻike ai inā kūpono kou kino no ke ʻoki kino.
- Hoʻoikaika Kino: ʻO ka hoʻoikaika kino māmā no kekahi mau pule ma mua o ke ʻoki kino e hiki ke kōkua i ka hoʻoikaika ʻana i nā ʻiʻo a mālama i ke olakino maikaʻi o ka puʻuwai.
- E pale i ka puhipaka: Inā he mea puhipaka ʻoe, pono ʻoe e hoʻōki loa ma mua o ke ʻoki kino. Mai hoʻohana i kekahi mea i loaʻa ka nikotine. Hiki i ka puhipaka ke hoʻopaʻa i nā kīʻaha koko a hoʻopilikia i ka ho'ōla ʻana ma hope o ke ʻoki kino.
- E ho'ōki i kekahi mau lāʻau lapaʻau: E noi paha kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana i nā lāʻau hoʻokahe koko, e like me ka aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAID), ma mua o kou ʻoki ʻana. E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
ʻO ka maʻamau, ma waena o 6 a me 8 mau hola ka lōʻihi o kēia hana ʻoki kino. He ʻano paʻakikī iki kēia. E nānā kākou i ka mea e hana ʻia ma kēlā me kēia ʻanuʻu.
1. Anesthesia: ʻO ka mea mua, e hoʻomaʻemaʻe loa ʻia ʻoe. ʻO ke ʻano kēia, ʻaʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki ʻana, e hiamoe loa ʻoe.
2. ʻOki ʻana: A laila, e hana ke kauka lapaʻau i kahi ʻoki lōʻihi a pālahalaha ma kou ʻōpū lalo, ma waena o kou mau iwi ʻūhā. Hana pinepine ʻia kēia ʻoki ʻana i uhi ʻia e kou lole komo.
3. Ka wehe ʻana i nā ʻiʻo: Wehe pono ʻia kahi ʻili i loaʻa ka ʻili, ka momona, a me nā kīʻaha koko mai ka ʻoki ʻana me ka ʻole o ka hōʻino ʻana i nā ʻiʻo.
4. Hoʻoili ʻiʻo: A laila, hana ʻia kahi ʻoki ma kahi like i wehe ʻia ai kou umauma, a hoʻoili ʻia ke ʻiʻo mai kou ʻōpū ma laila. ʻO kēia ka ʻāpana koʻikoʻi a paʻakikī loa. Ma lalo o kahi microscope, me ke akahele loa, ua pili nā kīʻaha koko i loko o kēlā ʻiʻo i nā kīʻaha koko i loko o kou umauma. Ua kapa ʻia kēia ʻo 'microvascular surgery'.
5. Ke hoʻoponopono ʻana i ka umauma: Ke hoʻopili pono ʻia ke koko, hoʻohana ke kauka i kēlā ʻāpana ʻiʻo e hana i kahi ʻano umauma maoli.
6. Ke kau ʻana o ka wai hoʻokahe: Ma hope o ke ʻoki ʻana, ua kau ʻia nā ʻōmole liʻiliʻi (nā wai hoʻokahe) i loko o nā ʻoki ma ka ʻōpū a me ka umauma e hoʻokahe i kekahi wai e hōʻiliʻili ana i loko o nā ʻeha. Hoʻoneʻe ʻia kēia mau mea i loko o kekahi mau pule.
7. Pani ʻana:ʻO ka hope loa, ua pani ʻia nā ʻoki ma kou umauma a me kou ʻōpū me nā humuhumu. I ka huki ʻia ʻana o ka ʻili ma kou ʻōpū a humuhumu pū ʻia, ua hoʻonohonoho hou ʻia kou pihi ʻōpū i kahi kūlana kūlohelohe.
He aha kāu e manaʻo ai ma hope o ke ʻoki kino?
Ma hope o ke ʻoki ʻana, pono ʻoe e noho ma ka haukapila no ʻelua a ʻelima mau lā. Ma hope o kou hoʻi ʻana i ka home, e hala ana ma kahi o 6 a 8 mau pule e hoʻōla ai. I loko o kēia manawa, hiki iā ʻoe ke ʻike i nā mea e like me:
- ʻEha a me ka ʻoluʻolu ʻole: Hiki iā ʻoe ke ʻike i kekahi ʻeha a me ka ʻoʻoleʻa ma ka umauma a me ka ʻōpū no nā pule ʻelua mua. E kuhikuhi kāu kauka i nā lāʻau ʻeha no kēia.
- Pehu: Hiki ke pehu ka ʻāpana ʻoki. E emi mālie ana kēia pehu.
- Māʻū: E ʻike ʻoe i kahi ʻano ʻūlū i loko o kou mau umauma a me ka ʻōpū i hana hou ʻia. Hiki ke hala i hoʻokahi makahiki e hoʻi hou mai ai kēia ʻano.
- Nā Kapu: E aʻo aku nā kauka iā ʻoe ʻaʻole e hana i nā hana ikaika e like me ka hāpai ʻana i nā mea kaumaha a i ʻole ka hāpai ʻana i kou mau lima ma luna no kahi o hoʻokahi mahina a me ka hapa.
E noi ʻia ʻoe e ʻaʻahu i kahi lole kūikawā (lole hoʻopili). E hāʻawi pū ka haukapila iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka mālama ʻana i kou mau ʻeha a me nā ʻauwai ma ka home.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?
E like me nā ʻoki kino āpau, loaʻa i ke ʻoki ʻana i ka flap DIEP nā pono a me nā pilikia. He mea nui e ʻike i nā mea ʻelua ma mua o ka hoʻoholo ʻana.
| Nā Pōmaikaʻi | Nā Pōʻino |
|---|---|
| ʻAno maoli a me ke ʻano: No ka mea, ʻo kou ʻiʻo ponoʻī ia, ke nānā aku nei ka umauma hou a ke ʻano maoli nō hoʻi. | Make ʻana o nā ʻiʻo (Necrosis): Inā ʻaʻole e kahe pono nā kīʻaha koko i pili, make paha ka ʻiʻo. I kēia hihia, pono paha e wehe ʻia ka ʻāpana ma ke ʻoki ʻana. He mea kākaʻikahi loa kēia. |
| ʻAʻohe hōʻino ʻiʻo: ʻOiai ʻaʻole i hōʻino ʻia kou mau ʻiʻo ʻōpū, ua like nō kou ikaika. Hiki iā ʻoe ke ho'ōla koke. | Hernia: He nāwaliwali ma ka paia ʻōpū e hiki ai i kahi ʻāpana o ka ʻōpū ke puka i waho. He mea maʻamau ʻole kēia. |
| Nā Hopena Paʻa: He hopena mau loa kēia. ʻAʻole e like me nā implants, ʻaʻole ia e haki, paheʻe, a neʻe paha me ka piʻi ʻana a i ʻole ka emi ʻana o ke kaumaha. | Nā puʻupuʻu: I kekahi manawa hiki i nā ʻiʻo ʻeha ke hōʻiliʻili i loko o ka umauma a manaʻo e like me nā puʻupuʻu. Nalo pinepine kēia mau mea iā lākou iho. |
| Ka hiki ke manaʻo: I kekahi mau hihia, hiki ke hoʻopili ʻia nā aʻalolo mai nā ʻiʻo i lawe ʻia mai ka ʻōpū i nā aʻalolo ma ka umauma, e hoʻihoʻi ana i kekahi mau manaʻo ma ka umauma. | Nā pilikia ʻoki kino laulā: Aia pū kekahi mau pilikia o kekahi ʻoki kino, e like me ke kahe koko a me ka maʻi. |
I ka manawa hea e pono ai iaʻu ke kāhea aku i ke kauka?
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona i kou wā ma ka home ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka:
- kuni
- ʻEha nui
- Ka paʻakikī o ka hanu ʻana (dyspnea)
- Ke kahe nui ʻana o ke koko mai nā ʻeha
- He wai ʻala ʻino, e like me ka pus, e kahe ana mai nā ʻeha (nā hōʻailona o ka maʻi)
Leka Lawe-Home
- ʻO ke ʻoki ʻana o ka flap DIEP kahi ʻano hana hou ʻana i ka umauma me ka hoʻohana ʻana i kou ʻili ponoʻī a me ka momona mai kou ʻōpū haʻahaʻa ma hope o ke ʻoki ʻana i ka maʻi ʻaʻai umauma.
- ʻAʻohe pōʻino i kou mau ʻiʻo ʻōpū, ʻo ia kekahi o nā pono nui o kēia ʻoki kino.
- He kūlohelohe loa ka hopena a mau loa.
- ʻAʻole kēia he ʻoki kino hoʻokahi no nā mea āpau. ʻO kāu kauka ke kanaka maikaʻi loa e ʻike inā kūpono kēia iā ʻoe.
- Ma kahi o 6-8 mau pule e ho'ōla piha ai ma hope o ke ʻoki kino. He mea nui loa e hahai pono i nā kuhikuhi a ke kauka i kēia manawa.
- He hoʻoholo pilikino ka hana hou ʻana i ka umauma. E kamaʻilio ākea me kāu kauka e pili ana i ia mea a koho i ka mea maikaʻi loa iā ʻoe.
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