Fɔ mek dɛn pul di mastectomy, ilɛksɛf na bikɔs ɔf bɔdi kansa ɔ ɔda rizin dɛn we gɛt fɔ du wit mɛrɛsin, na tin we kin rili fil bad ɛn we kin mek ɛni uman fil fayn. I rili nɔmal fɔ fil bad ɛn rigrɛt we yu lɔs wan pat pan yu bɔdi. Bɔt, yu no se we di mɛrɛsin we dɛn de yuz tide dɔn go bifo, i pɔsibul fɔ mek dɛn yuz ɔpreshɔn fɔ mek bak ɔ mek di bɔdi bak we dɛn dɔn pul dis we? Tide, lɛ wi tɔk bɔt Breast Reconstruction, ɔ breast reconstruction surgery.
Fɔ tɔk am simpul wan, wetin na fɔ mek di bɔdi bak?
Fɔ tɔk am simpul wan, dis na ɔpreshɔn fɔ shep di bɔdi bak afta dɛn dɔn pul di bɔdi ɔ we dɛn dɔn pul di bɔdi. Sɔntɛnde, dɛn kin nid fɔ du bɔku ɔpreshɔn.
dis כpεrayshכn kin bi di sem tεm we dεn de kכl di mastectomy ( immediate reconstruction ). Ɔ, dɛn kin du am mɔnt ɔ ivin ia afta dat ( delayed reconstruction ). Sɔntɛnde, dɛn kin nid fɔ mek ɔl tu di bɔdi dɛn bak. Ɔ, dɛn kin mek wan bɔdi bak ɛn mek i mach di ɔda wan. Dis na tin we pɔsin kin disayd fɔ du. Sɔm uman dɛn kin disayd fɔ du dis ɔpreshɔn, ɛn ɔda wan dɛn nɔ kin disayd fɔ du dis ɔpreshɔn. Na yu gɛt fɔ disayd fɔ du dat.
Wetin na di men we dɛn fɔ mek di bɔdi fayn bak?
Tu men we dɛn de fɔ du am. Wan na fɔ tek tisu frɔm ɔda pat na yu yon bɔdi ɛn mek wan bɔdi. Di ɔda wan na fɔ yuz atifishal implant.
1. rεkכnstrכkshכn brεst yuz yu כwn bכdi tisu (Flap Reconstruction) .
insay dis prosidur, dεn kin tek di skin, fεt, εn sכmtεm di mכsul tisu dεm frכm כda pat na yu bכdi - fכ egzampl, frכm di lכw bכdi, di tכŋ, bak, כ di bכtכm - εn dεn kin yuz am fכ mek nyu brεst. di tisu we dεn tek dis we dεn kכl am `flap`. Difrɛn we dɛn de fɔ ɔpreshɔn fɔ dis.
| Tayp fɔ ɔpreshɔn fɔ flap | Di say we dɛn kin gɛda di tisu | Impɔtant pɔynt dɛn |
|---|---|---|
| DIEP flap we dɛn kin yuz | Di bɛlɛ we de dɔŋ | Na di skin, fat, ɛn blɔd vesel nɔmɔ dɛn kin pul. Di mɔsul dɛn na di bɛlɛ nɔ de pwɛl. |
| TRAM flap we dɛn kin yuz | Di bɛlɛ we de dɔŋ | Na ya, dɛn kin pul di skin, di fat, di blɔd vesel dɛn, ɛn wan pat pan di bɛlɛ mɔsul. |
| Latissimus dorsi (LD) we de na di flap | Eria we de na do | wan pat pan di tisu εn mכsul frכm di bak dεn de bכn כnda di skin to di chεst εria fכ mek wan brεst. |
| PAP/TUG flap we dɛn kin yuz | Insay di shɔl dɛn | di brεst de kכmכt frכm di tisu dεm we dεn tek frכm di tכŋ dεm. Insay di TUG flap, dɛn kin tek di mɔsul bak. |
2. Fɔ mek di bɔdi bɔku bay we yu de yuz implant
Insay dis we, di dɔktɔ dɛn we de du ɔpreshɔn kin yuz salin ɔ silikon implant fɔ mek di bɔdi shep bak. Sɔntɛnde, yu kin yuz yu yon tisu ɛn tin dɛn we yu kin put insay yu bɔdi.
insay dis mכt, dεn kin put wan divays we dεn kכl `Tissue Expander` כnda di skin afta dεn dכn mכstεktomi. I tan lɛk smɔl balyɔn. Ɛvri wik, di dɔktɔ kin ful-ɔp am wit salin sɔlshɔn. afta dat, di skin de strεch sכmtεm, we de mek spεs fכ di `implant` we dεn go put. Na da tɛm de nɔmɔ dɛn kin put di pɔrmanent `implant`.
Aw a go pik di we we go fayn fɔ mi?
Yu dɔktɔ go disayd us we go fayn fɔ yu afta we i dɔn tink bɔt sɔm tin dɛn.
- Yu ej, yu wɛlbɔdi biznɛs, ɛn di we aw yu de liv yu layf .
- Us kayn mastectomy yu bin du ɛn ɔmɔs tisu bin lɛf afta am?
- If yu nid ɔda tritmɛnt fɔ yu kansa (e.g. kemotɛrapi, rediotɛrapi).
- Di ɔpreshɔn dɛn we yu bin dɔn du bifo dis tɛm. Fɔ ɛgzampul, if dɛn dɔn du ɔpreshɔn pan yu bɛlɛ, i kin at fɔ mek yu gɛt flap na yu bɛlɛ.
- Di tin dɛn we yu de op fɔ ɛn di luk we yu wantAw i tan lɛk. I rili impɔtant fɔ tɔk opin wan ɛn klia wan bɔt dis wit yu dɔktɔ.
Wetin kin apin bifo, di tɛm we dɛn de du di ɔpreshɔn ɛn afta di ɔpreshɔn?
Bifo dɛn du di ɔpreshɔn: Yu dɔktɔ go du wan kɔmplit ɛgzamin fɔ yu, tek mɛzhɔmɛnt ɛn foto fɔ yu bɔdi. Yu go nid fɔ tɛl dɛn bɔt ɛni mɛrɛsin we yu de tek ɛn yu wɛlbɔdi kɔndishɔn. Dɛn kin aks yu bak fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn bifo dɛn du yu ɔpreshɔn.
We dɛn de du di ɔpreshɔn: Dɛn kin du dis ɔpreshɔn na ɔspitul. Dɛn go put yu fɔ slip ɔnda anestezi, so yu nɔ go fil ɛni pen. di dɔktɔ we de du di ɔpreshɔn go mek yu bɔdi bak bay we i de yuz di we aw yu dɔn pik (flap ɔ implant). Afta di ɔpreshɔn, dɛn kin put wan tiub (drein) ɔnda di skin fɔ pul ɛni wata ɛn blɔd we go dɔn gɛda insay. Dɛn go pul am insay sɔm dez.
Afta dɛn dɔn du di ɔpreshɔn: Yu go nid fɔ de na ɔspitul fɔ sɔm dez, sɔntɛm fɔ wan wik. Dɛn go gi yu mɛrɛsin fɔ kɔntrol di pen. Dɛn go aks yu fɔ wɛr spɛshal bra (surgical bra) fɔ ridyus di swel ɛn sɔpɔt yu bɔdi. Dɛn go gi yu instrɔkshɔn bɔt aw fɔ kia fɔ yusɛf afta yu dɔn go na os.
Wetin na di risk ɛn prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de we kin apin we pɔsin kin gɛt infɛkshɔn ɛn blɔd. Apat frɔm dat, dɛn tin ya kin apin:
- Blɔd klɔt : Dis risk kin bɔku mɔ afta sɔm flap ɔpreshɔn.
- di chenj dεm na di shep כ saiz fכ di tu bכdi dεm: Wan kin fil fכ fכm pas di כda wan.
- Ska: Ska kin stil de afta ɛvri ɔpreshɔn. Dɛn tin ya kin dɔn as tɛm de go.
- Fat Nɛkrɔsis: If di blɔd we de gi di tisu we dɛn pul we dɛn de du ɔpreshɔn pan di flap nɔ go du fɔ am, da tisu de kin day.
- Prɔblɛm dɛn we gɛt fɔ du wit di implant: Di implant kin rɔtin, lik, ɔ brok.
- Pen ɔ wik na di say we di pɔsin we gi yu di mɛrɛsin: Yu kin fil pen ɔ yu kin fil lɛk yu bɛlɛ, yu bak, ɔ yu shɔl.
Bɔku tɛm di nyu bɔdi we dɛn dɔn mek bak nɔ kin fil fayn we dɛn tɔch am. Pan ɔl we di skin kin gɛt sɔm kayn sɛns bak as tɛm de go, i nɔ go sof lɛk aw i bin de bifo.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
If yu gɛt ɛni wan pan dɛn sik ya, go to yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) .
- Sayn dɛm fɔ infekshɔn lɛk fiva.
- Bɔrku pen wae nɔr kin stɔp ivin if yu tek mɛrɛsin.
- Blɔd ɔ pus we de kɔmɔt frɔm di wund dɛn we dɛn dɔn du ɔpreshɔn pan.
- Chenj in skin kɔlɔ na di brɔst ɔ rawnd di wund.
Mɛsej we dɛn kin kɛr go na os
- brεst rεkכnstrכkshכn afta mεstεktכmi na opshכn we yu kin pik. Di disayd fɔ gɛt am ɔ nɔ gɛt am, i dipen ɔl wetin yu lɛk.
- Difrɛn we dɛn de fɔ du dis, lɛk fɔ yuz yu yon bɔdi tisu ɔ fɔ yuz atifishal implant.
- Tɔk opin wan ɛn ɔnɛs wan wit yu dɔktɔ we de du ɔpreshɔn bɔt di we we bɛtɛ fɔ yu, di gud ɛn bad tin dɛn we i gɛt, ɛn tɔk klia wan bɔt wetin yu de op fɔ.
- Dis ɔpreshɔn kin bi big ɛp fɔ win di saykilɔjik brɛkdɔwn we kin apin afta dɛn dɔn kɔt di mama ɛn mek pɔsin gɛt kɔnfidɛns bak pan insɛf.
- I kin tek sɔm tɛm fɔ mek i wɛl ɔl afta dɛn dɔn du di ɔpreshɔn. I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
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