Koj puas yog ib tug neeg uas muaj cov khoom cog rau hauv lub mis? Tej zaum koj xav txog kev tshem tawm lawv. Los yog tej zaum koj vam tias yuav hloov cov khoom cog qub nrog ib qho tshiab. Txawm yog vim li cas los xij, tej zaum koj yuav muaj ntau cov lus nug txog kev phais no. Tsis txhob txhawj, peb yuav tham txog nws yooj yim thiab ncaj ncees hnub no.
Vim li cas koj thiaj tshem tawm cov khoom cog rau hauv lub mis?
Thawj qhov uas yuav tsum nkag siab yog tias cov khoom cog rau hauv lub mis tsis yog ib yam dab tsi uas koj tuaj yeem khaws cia rau lub neej. Cov kws phais yas feem ntau pom zoo kom tshem tawm lossis hloov nrog cov tshiab txhua 10 txog 15 xyoo . Txawm li cas los xij, yog tias koj tsis muaj teeb meem dab tsi, koj tus kws kho mob yuav hais tias nws tsis tsim nyog.
Muaj ib txhia neeg txiav txim siab muab lawv cov mis tso rau hauv lub cev vim tias lawv lub mis zoo li cas tau hloov pauv mus raws sijhawm. Xav txog seb, peb lub cev tsis zoo ib yam, puas yog?
- Thaum koj laus zuj zus
- Kev pub niam mis
- Thaum cev xeeb tub
- Thaum lub cev hnyav hloov pauv
Vim yog cov laj thawj zoo li no, qhov tsos ntawm lub mis tuaj yeem hloov pauv. Yog li, qee tus neeg tsis xav kom muaj lwm lub implant thaum lub sijhawm ntawd.
Cov xwm txheej twg thaum yuav tsum tau phais?
Qee zaum, nws yog ib qho tsim nyog kho mob kom tshem tawm lossis hloov lub mis cog. Qhov laj thawj tseem ceeb thiab feem ntau ua rau qhov no yog capsular contracture . Hais yooj yim, cov nqaij caws pliav uas tsim nyob ib puag ncig lub mis cog yuav tuab thiab nruj dhau sijhawm. Qhov no tuaj yeem ua rau mob thiab tsis xis nyob. Nws kuj tseem tuaj yeem hloov pauv qhov tsos ntawm lub mis.
Ntxiv rau, kev phais mob yuav tsim nyog rau cov laj thawj hauv qab no:
- BIA-ALCL: Qhov no yog ib hom mob qog noj ntshav uas tsis tshua muaj. Nws tshwm sim hauv cov nqaij caws pliav nyob ib puag ncig lub implant. Nws tau pom tias muaj feem cuam tshuam nrog cov textured implants tshwj xeeb. Nws yog ib qho tseem ceeb uas yuav tsum nug koj tus kws phais yas yog tias koj muaj ib qho ntawm cov implants no.
- Cov calcium uas tso rau hauv: Cov calcium uas tso rau hauv ib puag ncig ntawm lub implant tuaj yeem ua rau nws tawv.
- Kev cog hniav uas xau: Cov kua (silicone lossis saline) hauv kev cog hniav yuav xau tawm.
- Cov hnyuv ntxwm yuav raug tshem tawm lossis tshem tawm ntawm nws qhov chaw.
Ua ntej koj phais koj yuav tsum ua dab tsi?
Koj tus kws kho mob yuav muab cov lus qhia meej rau koj ua ntej phais. Cov no yuav suav nrog:
- Tej zaum yuav muaj lus nug kom koj hloov cov tshuaj uas koj tab tom noj lossis pib noj tshuaj tshiab.
- Cov tshuaj uas ua rau los ntshav ntau ntxiv (piv txwv li, qee cov tshuaj tua kab mob) thiab qee cov tshuaj ntsuab raug qhia kom tsis txhob siv lawm .
- Yog koj haus luam yeeb lossis siv lwm yam khoom haus luam yeeb, koj yuav tsum tsum kiag li ob peb lub lis piam ua ntej phais.
Qhov tseem ceeb tshaj plaws, qhov kev phais no feem ntau yog ua raws li kev phais mob sab nraud, yog li nws yog ib qho tseem ceeb uas yuav tsum npaj ua ntej rau ib tus neeg coj koj mus tsev tom qab phais.
Yuav ua li cas thiaj phais tau?
Thaum hnub phais mob, tus kws kho mob anesthesiologist yuav muab tshuaj loog rau koj kom pab koj tsis txhob mob heev. Qhov no ua tau ob txoj kev:
1. Kev txhaj tshuaj tsaug zog IV: Ib yam tshuaj uas muab rau hauv cov leeg ntshav kom koj so thiab tsaug zog.
2. Tshuaj loog dav dav: Koj yuav raug muab tso kom tsaug zog tag nrho.
Thaum lub sijhawm phais, koj tus kws phais yuav ua raws li cov kauj ruam no:
- Yuav muab ib qho kev phais me me rau ntawm daim tawv nqaij ncig lub txiv mis (areola) lossis raws daim ntaub qhwv hauv qab lub mis (inframammary fold).
- Cov hniav cuav qub thiab cov nqaij caws pliav uas tsis xav tau nyob ib puag ncig nws raug tshem tawm.
- Yog koj tau txais ib qho khoom cog tshiab, nws yuav raug muab tso rau lub sijhawm no.
- Thaum kawg, qhov phais raug kaw siv cov xov xaws, cov ntaub nplaum tshwj xeeb, lossis cov nplaum rau daim tawv nqaij.
Tom qab phais tas, muaj dab tsi tshwm sim?
Koj yuav tau txais cov lus qhia tshwj xeeb los pab koj rov zoo sai tom qab phais. Piv txwv li:
- Yuav ua li cas saib xyuas cov qhov txiav.
- Ua tej yam zoo thiab tej yam phem (Kev txwv tsis pub ua).
- Koj yuav tsum noj cov tshuaj twg?
- Hnub mus ntsib kws kho mob tom ntej.
Tej zaum yuav muaj ib tug neeg hais kom koj hnav ib lub tsho hauv siab tshwj xeeb los yog ib daim khaub ncaws uas nias kom txo qhov o rau ob peb lub lis piam. Tej zaum yuav muaj ib txoj raj me me (drains) rau koj kom koj cov kua dej ntau dhau los yog cov ntshav uas sib sau ua ke hauv qab daim tawv nqaij ntws tawm. Feem ntau cov raj no yuav raug tshem tawm tom qab ob peb hnub.
Cov txiaj ntsig ntawm kev phais mob yog dab tsi?
Muaj ntau qhov zoo ntawm kev phais mob no.
- Kev kuaj mob mammograms: Muaj ib qho khoom cog rau hauv lub mis qee zaum ua rau nws nyuaj rau pom cov nqaij ntawm lub mis kom meej. Thaum tshem tawm cov khoom cog, cov duab mammograms yuav raug dua thiab pom tseeb dua.
- Kev txo qhov mob: Yog tias koj muaj qhov mob vim yog "Capsular Contracture", qhov mob yuav ploj mus yuav luag tam sim ntawd tom qab tshem cov khoom cog rau hauv lub cev. Kev tshem tawm cov khoom cog loj kuj tseem tuaj yeem txo qhov mob caj dab thiab nraub qaum.
- Kev tshem tawm cov kev pheej hmoo: Kev pheej hmoo ntawm kev tawg ntawm lub implant raug tshem tawm tag nrho.
Tej yam txaus ntshai thiab teeb meem uas yuav tshwm sim
Ib yam li lwm yam kev phais mob, muaj qee qhov kev pheej hmoo. Tab sis feem ntau cov neeg rov zoo yam tsis muaj teeb meem dab tsi. Qhov kev pheej hmoo tseem ceeb yog qhov tsos ntawm lawv lub mis tom qab phais mob.Kev tsis txaus siab.
Lwm yam kev pheej hmoo thiab teeb meem tau teev nyob rau hauv lub rooj hauv qab no.
| Kev Pheej Hmoo/Teeb Meem | Piav qhia yooj yim |
|---|---|
| Los ntshav | Los ntshav ntau dhau ntawm thaj chaw phais. |
| Kev kis kab mob | Kev kis kab mob ntawm qhov txhab lossis qhov chaw phais. |
| Seroma | Kev sib sau ua ke ntawm cov kua dej hauv lub cev hauv qhov chaw khoob uas muaj cov hnyuv me me. |
| Kev tsis sib xws | Qhov zoo li cas los yog qhov loj ntawm ob lub mis tsis zoo ib yam. |
| Daim tawv nqaij xoob | Daim tawv nqaij sagging vim yog cem quav. |
| Kev ua kom mob | Cov qhov txhab uas tshuav los ntawm kev txiav txoj kev. |
| Kev hloov pauv ntawm kev xav | Kev hloov pauv ntawm kev xav (xws li loog) hauv lub txiv mis lossis daim tawv nqaij ib puag ncig. |
Yuav siv sijhawm ntev npaum li cas thiaj rov zoo?
Koj yuav tsum tsis txhob ua tej yam xws li tsav tsheb rau thawj lub lim tiam lossis ob lub lim tiam tom qab phais. Zoo tshaj plaws yog tsis txhob tsa cov khoom hnyav lossis ua tej yam hnyav rau ob peb lub lim tiam. Nws yog ib qho ib txwm muaj uas yuav hnov mob lossis tsis xis nyob rau li rau lub lim tiam .
Puas yog lub mis yuav sag tom qab tshem cov khoom cog?
Qhov no yog ib qho teeb meem uas ntau tus neeg muaj. Yog lawm, nws tuaj yeem tshwm sim. Vim tias cov khoom cog rau hauv lub cev tau ncab koj daim tawv nqaij. Thaum cov khoom cog rau hauv lub cev raug tshem tawm, daim tawv nqaij uas ncab tuaj yeem ua rau lub mis poob thiab zoo li tsis zoo.
Tiamsis tsis txhob txhawj. Kuj muaj ib txoj kev daws teeb meem rau qhov no thiab. Muaj ntau tus neeg ua qhov kev phais tsa lub mis (Mastopexy) nrog rau lawv cov khoom cog rau hauv lub mis. Ntawm no, tus kws phais yuav tshem cov tawv nqaij ntau dhau, kho cov nqaij ntawm lub mis, thiab, yog tias tsim nyog, yuav kho lub txiv mis thiab thaj chaw ib puag ncig kom zoo. Qhov tshwm sim yog ob lub mis uas ruaj khov dua thiab tsa tau zoo dua.
Cov xwm txheej uas yuav tsum tau nrhiav kev pab kho mob tam sim ntawd
Yog tias koj muaj cov tsos mob no tom qab phais, hu rau koj tus kws kho mob lossis mus rau tsev kho mob tam sim ntawd . Yog tias koj muaj cov tsos mob hnyav, xws li mob hauv siab lossis ua pa nyuaj, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Mob hauv siab
- Ua pa nyuaj (Dyspnea)
- Kub taub hau los yog mob khaub thuas
- Xeev siab los yog ntuav
- Mob zuj zus tuaj
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov khoom cog rau hauv lub mis tsis yog siv tau mus ib sim neej. Feem ntau yuav tsum tau muab tshem tawm lossis hloov tom qab 10-15 xyoo.
- Cov khoom cog rau hauv lub cev yuav raug tshem tawm vim yog vim li cas tus kheej lossis vim yog kev kho mob xws li mob lossis cov khoom cog rau hauv lub cev xau.
- Ua raws li koj tus kws kho mob cov lus qhia ua tib zoo ua ntej thiab tom qab phais.
- Ib yam li kev phais mob, muaj tej yam txaus ntshai. Tham nrog koj tus kws kho mob txog tej yam no.
- Tsis txhob txhawj txog qhov mis sag tom qab tshem cov khoom cog rau hauv lub mis. Kev nqa lub mis (Mastopexy) tuaj yeem kho qhov ntawd tau.
- Yog koj muaj lus nug lossis kev tsis ntseeg, tsis txhob yig nug koj tus kws kho mob.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus