Wi no aw i nɔ kin izi fɔ mek uman du mastectomy, we na ɔpreshɔn fɔ pul in bɔdi bikɔs i gɛt kansa. Na big big lod pan di bɔdi ɛn bak pan di maynd. Afta da joyn de, yu kin nid fɔ mek yu bɔdi bak. Bɔku we dɛn de fɔ du dis. Tide wi de tɔk bɔt wan spɛshal ɔpreshɔn we de yuz yu yon bɔdi pat fɔ gi yu wan rili natura luk.
So, wetin na DIEP Flap ɔpreshɔn?
Fɔ tɔk am simpul wan, DIEP Flap na ɔpreshɔn we de yuz yu yon tisu fɔ mek yu bɔdi bak. Bifo yu put tin dɛn we dɛn kin put na yu bɔdi na do, dɛn kin yuz wan pat pan yu yon bɔdi.
di nem DIEP kכmכt frכm di wכd dεm 'Deep Inferior Epigastric Perforator'. Dis kin min di nem fɔ wan blɔd vesel (artery) we de na wi bɛlɛ we de dɔŋ. Na dis na wetin kin apin we dɛn de du di ɔpreshɔn:
yu sajin go tek sכm skin, fεt, εn blכd vεsεl dεm frכm yu lכw bכdi, spεshal wan frכm di εria we de oba yu pubic bon, we dεn kכl di ‘tummy tuck’. Bɔt dɛn nɔ de pul ɛni mɔsul . Dis na wan pan di big big bɛnifit dɛn we dis ɔpreshɔn de gi.
afta dat, dεn kin bכn dis tisu na di chεst εria εn shep am lεk brεst. Di tin we impɔtant pas ɔl kin apin nɛks. tru ``Maykrosכjεri`` we dεn du כnda wan rili fayn maykroskכp, di sכm sכm bכdi vεsεl dεm na di tisu we dεn tek frכm di bεlε de kכnekt to di bכdi vεsul dεm na di chεst. dis de gi di nyu bכdi we dεn mek gud bכdi εn i de gro lεk se na pat pan yu yon bכdi.
Bikɔs yu de yuz yu yon tisu, di tin dɛn we kin apin kin rili natura. I de avɔyd bak sɔm pan di prɔblɛm dɛn we kin kam wit ɛksternal implant.
Ustɛm dɛn kin du dis ɔpreshɔn? Udat nɔ fit fɔ dis?
Tu kes dɛn de we dɛn kin du dis ɔpreshɔn .
1. Rikonstrɔkshɔn wantɛm wantɛm: Dɛn kin du dis DIEP Flap ɔpreshɔn di sem tɛm we dɛn kin pul yu mama. Dɔn yu nɔ nid fɔ go tru di ɔpreshɔn tu tɛm. Sɔm pipul dɛn kin tink se dɛn kin wɛl wantɛm wantɛm ɛn go bak to nɔmal layf kwik kwik wan.
2. Dilayed Rikonstrɔkshɔn: If yu dɔn ɔlrɛdi pul yu brɔst ɛn yu de tink bɔt fɔ bil bak leta, den DIEP Flap ɔpreshɔn stil na gud opshɔn.
Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ fɔ mek i disayd fɔ du di bɛst tin bɔt dis.
Bɔt dis ɔpreshɔn nɔto fɔ ɔlman. Lɛ wi luk di tebul we de dɔŋ fɔ si us kes dɛn nɔ fayn fɔ dis ɔpreshɔn.
| Rizin fɔ mek dɛn nɔ gri wit wetin dɛn de tɔk | Wan simpul ɛksplen |
|---|---|
| Tisu we nɔ de na di bɛlɛ | If yu rili tan, ɔ yu bin dɔn pul yu bɛlɛ fat bifo tru ɔpreshɔn lɛk liposuction, yu nɔ go gɛt inof tisu na yu bɛlɛ fɔ mek yu gɛt bɔdi. |
| Bikɔs dɛn bin dɔn du am ɔpreshɔn fɔ flap bifo tɛm | If dɛn dɔn ɔlrɛdi yuz di bɛlɛ tisu fɔ mek di ɔda bɔdi bak, sɔntɛm i nɔ go lɛf fɔ mek dɛn du ɔda ɔpreshɔn. |
| Sɔm ɔpreshɔn dɛn we dɛn bin dɔn du bifo dis tɛm na di bɛlɛ | Dis ɔpreshɔn kin pɔsibul if yu dɔn du C-section ɔ hysterectomy. Bɔt i nɔ go pɔsibul if dɛn dɔn du ɔpreshɔn pan yu we de chenj di we aw yu stɔl de kɔmɔt, lɛk fɔ pul yu stɔl. |
| Prɔblɛm wit di blɔd vesel dɛn na di ɔnda bɛlɛ | Sɔntɛnde, di blɔd vesel dɛn we dɛn nid fɔ du ɔpreshɔn kin tu smɔl, ɔ di say we dɛn kin du di ɔpreshɔn nɔ kin fayn fɔ mek dɛn du di ɔpreshɔn. |
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Afta yu dɔn arenj fɔ mek dɛn du yu ɔpreshɔn, yu dɔktɔ go gi yu sɔm tin dɛn lɛk:
- Mek dɛn du sɔm lab tɛst : Dɛn kin aks yu fɔ du sɔntin lɛk blɔd tɛst fɔ si if yu gɛt wɛlbɔdi fɔ ɔpreshɔn.
- Stɔp fɔ smok ɔltogɛda: If yu yuz tabak (sigrɛt, beedis), i kin afɛkt di anestezi ɛn i kin mek i nɔ wɛl.
- Stɔp fɔ tek sɔm mɛrɛsin dɛn:Yu fɔ rili tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn sɔpɔtmɛnt dɛn).
Di de we dɛn du di ɔpreshɔn, dɛn go gi yu wan anestetik we dɛn kin put insay yu bɛlɛ (IV) . Dɔn dɛn go put yu na slip. Yu nɔ go fil ɛni pen ɔ ɛnitin we dɛn de du di ɔpreshɔn.
We dɛn de du di ɔpreshɔn, di dɔktɔ kin kɔt yu bikini layn na yu bɛlɛ we de dɔŋ. Frɔm de, dɛn kin tek tɛm pul wan flap we gɛt skin, fat, ɛn blɔd vesel. Dɔn, dɛn kin kɔt ɔda say along di ska we dɛn bin dɔn du di ɔpreshɔn pan di bɔdi, ɛn dɛn kin briŋ di tisu we kɔmɔt na di bɛlɛ insay ɛn shep am fɔ mek i tan lɛk di bɔdi. afta dat, di bכdi vεsul dεm de kכnekt yuz di ``maykrosכjεri'' we wi bin tכk bכt bifo.
fכ finish, dεn kin put sεvεra sכm sכm sכm tכb dεm (drein) na di say dεm we dεn kכl insay di brεst εn di bεlε. Dɛn nid fɔ lɛf dɛn tin ya na dɛn ples fɔ sɔm wiks. Dɛn kin yuz dɛn tin ya fɔ pul di wata we pasmak na di say we dɛn de du di ɔpreshɔn, fɔ ridyus di swɛlin, ɛn fɔ mek i wɛl kwik kwik wan. Dɔn dɛn kin lɔk di say dɛn we dɛn kɔt wit stich ɔ step.
Mɛmba se dis nɔto smɔl ɔpreshɔn we yu kin du insay sɔm awa ɛn yu kin go na os. na kɔmpleks ɔpreshɔn we kin tek lɛk 6-8 awa fɔ mek wan bɔdi bak, ɛn lɛk 10-14 awa if yu de mek ɔl tu di bɔdi bak.
Yu go gɛt fɔ de na ɔspitul fɔ tu to tri dez afta dɛn dɔn du di ɔpreshɔn. I go tek lɛk 6 wiks fɔ mek i wɛl ful wan.
Nɔto prɔblɛm ɛn prɔblɛm dɛn de we kin apin?
Lɛk ɛni ɔpreshɔn, dis wan gɛt sɔm prɔblɛm dɛn.
fכ egzampl, if dεn kכt di bכdi we de gi di nyu bכdi we dεn kכl כ i nכ bכku, sכm chans de fכ mek di flap day (flap fεil). Dis nɔ kin apin so ɔltɛm. If smɔl say day, di dɔktɔ kin kɔt am ɛn pul am. Bɔt if big say day, dɛn go gɛt fɔ chenj di wan ol flap.
Ɔda tɛm dɛn, di blɔd nɔ kin flɔ to sɔm say dɛn, ɛn skata kin fɔm na dɛn say dɛn de, we kin tan lɛk lɛp. Dɛn tin ya kin dɔnawe as tɛm de go.
כlso, sכm chans de fכ di mכsul dεm go wik εn hεnia go fכm usay dεn tek di tisu frכm di bεlε. If ɛnia kin kam, bɔku tɛm i kin nid fɔ du ɔda ɔpreshɔn fɔ mek i fayn.
If yu gɛt dɛn sik ya afta dɛn dɔn du di ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm.
- Blɔd we nɔ de kɔmɔt fayn
- If sɔntin lɛk pus kɔmɔt na say we dɛn kɔt (sayn fɔ infekshɔn) .
- Siri pen we pɔsin nɔ go ebul fɔ bia
- I nɔ kin izi fɔ yu fɔ blo
- Fiva
If dis apin, tɛl yu dɔktɔ wantɛm wantɛm. If na imejensi, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Aw a fɔ kia fɔ misɛf di tɛm we a de wɛl ɛn na os?
Yu go gɛt fɔ wet fɔ sɔm wiks afta di ɔpreshɔn.Dɛn go aks yu fɔ wɛr spɛshal kɔmpreshɔn bra . Dɛn go aks yu bak fɔ wɛr spɛshal kɔmpreshɔn rap rawnd yu bɛlɛ. Dɛn tin ya go ɛp fɔ ridyus di pen, kɔntrol di swɛlin, ɛn ɛp fɔ mek i wɛl.
Dɛn tin ya nɔmal afta dɛn dɔn du ɔpreshɔn:
- Brus we de mek pɔsin brus
- Sɔri ɛn Pen
- De swɛl
- Tayt na di say dɛn we dɛn kɔt
- Di bɛlɛ ɔ di chɛst we de swɛla: Dis swɛlin kin te fɔ wan ia.
Pan ɔl we bɔku pan dɛn tin ya go stɔp insay sɔm wiks, if yu gɛt ɛni sayn we de mɔna yu, nɔ fred fɔ tɔk to yu dɔktɔ.
Afta di ɔpreshɔn, yu go gɛt skata along yu bikini layn. Dis go fade to big pat insay lεk 12-18 mכnt. Yu go gɛt skata bak na yu bɔdi. If yu want, yu kin du ɔda ɔpreshɔn fɔ mek yu nipple bak afta yu dɔn wɛl ɔl frɔm dis ɔpreshɔn.
Mɛsej we dɛn kin kɛr go na os
- DIEP Flap na ɔpreshɔn fɔ mek yu bɔdi bak we yu de yuz yu yon bɛlɛ tisu (skin ɛn fat) afta yu dɔn pul di bɔdi.
- di rizulεt dεm we dεn gεt wit dis mεtכd na rili nכmal-luk εn di risk dεm we de fכ εksternal implant dεm na sכm sכm.
- Dis na kɔmpleks ɔpreshɔn we kin tek bɔku awa. I kin tek lɛk 6 wiks bak fɔ wɛl.
- Dis ɔpreshɔn nɔ fayn fɔ ɔlman. I dipen pan di kayn bɔdi we yu gɛt ɛn di ɔpreshɔn dɛn we yu bin dɔn du trade.
- Tɔk opin wan wit yu dɔktɔ we de du ɔpreshɔn bɔt di gud ɛn bad tin dɛn we dis ɔpreshɔn de du, ɛn if i fayn fɔ yu.
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