We uman gɛt fɔ du ɔpreshɔn bikɔs ɔf in bɔdi kansa, i kin rili afɛkt am pan in bɔdi ɛn in maynd. di brεst rεkכnstrכkshכn na sכlushכn fכ di wɔri εn sɔri we i kin kam wit we i chenj di we aw in bכdi de luk. Dis na tin we pɔsin kin disayd fɔ du. Sɔm pipul dɛn kin go fɔ am, ɔda wan dɛn kin disayd nɔ fɔ du dat. Dɛn tu tin ya we dɛn disayd fɔ du na kɔrɛkt tin. Tide, wi go tɔk bɔt ɔltin, ɛn ansa ɔl di kwɛstyɔn dɛn we de kam na wi maynd.
Fɔ tɔk am simpul wan, wetin na fɔ mek di bɔdi bak?
brεst rεkכnstrכkshכn na di כpεrayshכn rεkכnstrכkshכn fכ wan כ di tu brεst dεm afta dεn dכn mכstεktכmi כ lumpectomy bikoz fכ di brεst kεnsar. Sɔntɛnde, dɛn nɔ kin du dis insay wan ɔpreshɔn, ɛn dɛn kin nid fɔ du bɔku ɔpreshɔn.
Bɔku men we dɛn de fɔ du dis ɔpreshɔn. Sɔm we dɛn kin yuz brɔst implant we ful-ɔp wit silikon ɔ salin. כda we dεm, dεn kin tek wan flap fכ tisu frכm כda pat na yu bכdi, fכ egzampl, di lכw bכdi, εn yuz am fכ mek di brεst.
Tu kes dɛn de we dɛn kin du dis ɔpreshɔn:
1. Rikכnstrכkshכn Wantεm: Insay dis, dεn de kכnstrכkt di brεst bak di sem tεm we dεn de kכnstrכkt di mastectomy, jכs afta dεn dכn כpεrayshכn.
2. Dilayed Rikonstrɔkshɔn: Insay dis, dɛn kin du di ɔpreshɔn pan wan sɛpret de, sɔm mɔnt, ɔ ivin ia, afta dɛn dɔn pul di bɔdi.
Di tin we impɔtant pas ɔl na dat if yu fɔ du dis ɔpreshɔn ɔ yu nɔ fɔ du am, na yu yon disayd nɔmɔ. I impɔtant fɔ tɔk opin wan bɔt am wit yu dɔktɔ ɛn pik sɔntin we yu fil fayn fɔ du.
Wetin na di men we dɛn fɔ mek di bɔdi fayn bak?
Tu men we dɛn de fɔ du am. Lɛ wi luk dɛn wan bay wan.
1. Yuz yu yon bɔdi tisu (Flap Reconstruction) .
insay dis prosidur, yu sajin de tek tisu frכm כda pat na yu bכdi (autologous tissue) εn yuz am fכ mek wan brεst. dis tisu dεn kכl am "flap." dis tisu kin kכmכt frכm di lכw bכdi. Bɔt sɔntɛnde dɛn kin tek am na di shɔl, bak, ɔ di bɔdi. Dis tisu kin inklud skin, fat, blɔd vesel, ɛn sɔntɛnde mɔsul.
Difrɛn ɔspitul tɛknik dɛn de na dis we bak. Si di tebul we de dɔŋ fɔ ɔndastand dɛn simpul wan.
| Nem fɔ di ɔpreshɔn we dɛn de du (Flap Type) . | Wetin kin jɔs apin |
|---|---|
| DIEP flap we dɛn kin yuz | Dɛn kin pul di skin, di fat, ɛn di blɔd vesel dɛn na di bɛlɛ we de dɔŋ. Bɔt dɛn nɔ kin pul di bɛlɛ mɔsul dɛn we dɛn de du dis. |
| TRAM flap we dɛn kin yuz | Dɛn kin pul di skin, di fat, ɛn di blɔd vesel dɛn, ɛn di mɔsul dɛn na di bɛlɛ na di bɛlɛ we de dɔŋ. |
| Latissimus dorsi (LD) we de na di flap | di tisu dεm εn di mכsul dεm de kכmכt frכm di bak εria. Dis tisu, wit in blɔd saplai, de kam na di chɛst eria. |
| IGAP/SGAP flap we dɛn kin yuz | Dɛn kin pul di tisu frɔm di bɔdi. Insay dɛn tu we ya, dɛn nɔ kin pul di mɔsul dɛn. |
| PAP/TUG flap we dɛn kin yuz | Dɛn kin tek di tisu frɔm di insay ɛn bak pat na di shɔl. insay di TUG flap mεtכd, dεn de tek di mכsul bak, we insay di PAP flap mεtכd, dεn nכ de tek am. |
2. Rikostrɔkshɔn we yu de yuz implant
We dɛn de du dis, di dɔktɔ dɛn we de du ɔpreshɔn kin yuz salin ɔ silikon implant fɔ mek di bɔdi shep bak. Sɔntɛnde, dɛn kin jɔyn dɛn implant ya wit di tisu dɛn we kɔmɔt na yu yon bɔdi.
| Di we aw dɛn kin put graft | Wetin kin jɔs apin |
|---|---|
| Ples am ɔnda di chɛst mɔsul | Di dɔktɔ es di chɛst mɔsul ɛn put di tin we dɛn put insay am ɔnda am. |
| Fɔ put am oba di chɛst mɔsul | insay dis kes, dεn kin put di implant oba di chεst mכsul. Dis kin ridyus di tɛm fɔ wɛl smɔl. |
| Wit wan Tisu Ɛkspanda | Fɔs, di dɔktɔ kin put wan tin we tan lɛk balɔ (ɛkspanda) ɔnda di skin. Dɔn, lɛk wan tɛm insay di wik, dɛn kin ful-ɔp di divays wit salin sɔl fɔ mek di skin strɛch smɔl smɔl. We di skin dɔn strɛch inof, dɛn kin put di implant insay. |
yu tink se dεn kin kכnstrכkt di nipl εn di areola bak?
Yɛs, i kin bi. sכm mastektomi כpεrayshכn dεm de lεf di nipl εn di dak skin we de rawnd am (areola). dis dεn kכl am ``nipple-sparing mastectomy''. Bɔt if dɛn fɔ pul dɛn, dɛn kin mek nyu nipple. Dɛn kin du dis bay we dɛn de yuz wan skin graft frɔm ɔda pat na yu bɔdi.
Dɔn, fɔ mek dɛn ebul fɔ mek di dak say we de rawnd am bak (di areola), bɔku pipul dɛn kin tɔn to 3D tatu . Artist dɛn de we dɔn gɛt spɛshal trenin fɔ dis. Dɛn kin tatu da eria de fɔ mek i tan lɛk di rial tin.
Aw a go pik di we we go fayn fɔ mi?
Dis na di kwɛstyɔn we impɔtant pas ɔl. Yu dɔktɔ go tɔk to yu us we fɔ du am fayn fɔ yu. We yu de disayd fɔ du dat, tink bɔt dɛn tin ya:
- Yu ej, ɔl yu wɛlbɔdi biznɛs, ɛn di we aw yu de liv yu layf.
- Us kayn ɔpreshɔn yu bin gɛt (mastectomy ɔ lumpectomy) ɛn ɔmɔs brɔst tisu lɛf.
- If dɛn nid fɔ gɛt ɔda tritmɛnt fɔ kansa (e.g. kemotɛrapi ɔ redyushɔn).
- Ɛni ɔpreshɔn we yu dɔn du bifo. Fɔ ɛgzampul, if dɛn dɔn du ɔpreshɔn pan yu bɛlɛ, i kin at fɔ pul di tisu dɛn na yu bɛlɛ.
- Yu op ɛn wetin yu want. Wetin yu want yu luk fɔ bi na sɔntin we rili impɔtant bak ya.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Wetin na di bɛnifit dɛn we wi kin gɛt?
Dis ɔpreshɔn na fayn we fɔ mek pɔsin gɛt kɔnfidɛns pan insɛf bak we i kin lɔs afta dɛn dɔn ɔpreshɔn di bɔdi. I kin ɛp bɔku pipul dɛn fɔ lɛf fɔ fil bad we dɛn de wɛr klos ɔ swimsuit.
Bɔt bɔku pipul dɛn kin disayd nɔ fɔ du dis ɔpreshɔn. Dɛn kin yuz prɔstɛsis insay spɛshal bra. Ɔda wan dɛn kin disayd fɔ go flat, ɛn dɛn nɔ kin du natin. Ɛnitin we dɛn disayd fɔ du difrɛn fɔ ɛnibɔdi, ɛn dɛn fɔ rɛspɛkt ɛni wan pan di tin dɛn we dɛn disayd fɔ du.
Wetin na di risk ɛn prɔblɛm dɛn we kin apin?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Di men wan dɛn na infekshɔn ɛn blɔd. Apat frɔm dat, ɔda prɔblɛm dɛn kin de lɛk:
- Blɔd we de klɔt: Dis risk kin bɔku smɔl afta sɔm ɔpreshɔn dɛn na di flap.
- di chenj dεm na di shep כ saiz fכ di tu brεst dεm: Wan kin tik pas di כda wan, כ di shep kin chenj.
- Ska: Ɔl di ɔpreshɔn dɛn kin lɛf skata, bɔt dɛn wan ya go dɔn bɔku bɔku wan as tɛm de go.
- fεt nεkrכsis: If di bכdi we de gi di tisu we dεn transplant nכ go du afta dεn du di flap כpεrayshכn, di tisu kin day.
- Prɔblɛm dɛn we de wit di implant: Di implant kin rɔtin, krak, ɔ bɔs.
- Prɔblɛm dɛn we de na di say we dɛn pul di tisu: Wikɛd, pen, ɔ sɛnsitiviti kin apin na di say dɛn we dɛn pul di tisu, lɛk di bɛlɛ, di shɔl, ɔ di bak.
Sɔm ol brɔst implant dɛn dɔn gɛt fɔ du wit wan kayn kansa we nɔ kin bɔku (Anaplastic Large Cell Lymphoma - ALCL), bɔt dis risk rili smɔl wit di implant dɛn we dɛn de yuz tide. Yu dɔktɔ go tɛl yu bɔt dis.
Aw yu kin wɛl afta dɛn dɔn du yu ɔpreshɔn?
Yu kin nid fɔ de na ɔspitul fɔ lɛk wan wik so afta dɛn dɔn du di ɔpreshɔn. Yu go nid fɔ tek mɛrɛsin fɔ mɛn yu pen jɔs lɛk aw yu dɔktɔ tɛl yu fɔ kɔntrol yu pen. Dɛn go aks yu fɔ wɛr spɛshal ɔspitul bra fɔ sɔpɔt yu bɔdi ɛn ridyus di swel we yu de wɛl.
Di tɛm fɔ wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen pan yu wɛlbɔdi ɛn di kayn ɔpreshɔn we dɛn bin du yu. Yu go nid fɔ stɔp fɔ es wet ɛn ɛksesaiz fɔ sɔm tɛm. Aks yu dɔktɔ ustɛm yu kin bigin fɔ du tin dɛn we yu nɔ bin de du.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
We yu rich na os afta dɛn dɔn du di ɔpreshɔn, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sayn ya:
- Sayn dɛn we de sho se pɔsin gɛt infekshɔn, lɛk fiva .
- Bɔrku pen wae nɔr kin stɔp ivin afta yu dɔn tek mɛrɛsin.
- Blɔd we de kɔmɔt frɔm di say dɛn we dɛn kɔt di say we dɛn dɔn ɔpreshɔn, lɛk blɔd ɔ pus .
- di chenj we di skin kכla de chenj rawnd di brεst כ di say we dεn sכk.
Mɛsej we dɛn kin kɛr go na os
- brεst rεkכnstrכkshכn na כpεrayshכn we de εp fכ mek uman in kכnfidεns bak εn in maynd fayn afta dεn כpεrayshכn in bכdi kεnsar.
- If yu disayd fɔ du dis ɔpreshɔn ɔ yu nɔ disayd fɔ du dis, na yu yon disayd nɔmɔ. Nɔbɔdi nɔ go ebul fɔ inflɔws yu bɔt am.
- Tu men we dɛn de: yu kin yuz yu yon bɔdi tisu ɛn yuz tin dɛn we yu kin put insay pɔsin in bɔdi.
- Yu fɔ pik di we we go fayn fɔ yu bay we yu de tɔk to yu dɔktɔ opin wan bɔt wetin yu nid, aw yu gɛt wɛlbɔdi, ɛn wetin yu de op fɔ.
- Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Yu fɔ no bɔt dɛn tin ya bifo yu du di ɔpreshɔn.
- Fɔ fala di instrɔkshɔn dɛn we di dɔktɔ gi yu jɔs afta di ɔpreshɔn rili impɔtant fɔ mek yu wɛl kwik kwik wan.
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