Fɔ fɛt bɔdi kansa na rial prɔblɛm. Insay da waka de, yu kin gɛt fɔ pul yu mama ɔ yu fɔ pul di bɔdi we dɛn kɔl lumpectomy. Afta dat, di tinkin of "Wetin a go luk laik naw?" kin haunt yu. Bɔt nɔ wɔri. Tide, mɛrɛsin sayɛns dɔn go bifo bɔku. Difrɛn we dɛn de fɔ gi yu wan natura luk bak. Tide, wi go tɔk bɔt wan pan dɛn spɛshal we dɛn de.
Wetin na DIEP Flap ɔpreshɔn? Lɛ wi ɔndastand am simpul wan.
Okay, dis nem kin saund likli komplikayt. Bɔt lɛ wi kip am simpul. DIEP Flap Surgery na wan kayn ɔpreshɔn we dɛn kin du fɔ mek di bɔdi fayn bak.
Imajin se yu tek smɔl pat pan yu yon bɔdi ɛn yuz am fɔ bil yu bɔdi bak. Na dat de apin na ya. Na ya, di dɔktɔ we de du di ɔpreshɔn kin tek wan pat pan di skin, fat, ɛn blɔd vesel dɛn na yu bɛlɛ we de dɔŋ ɛn yuz dɛn fɔ mek nyu bɔdi usay yu bɔdi bin de trade.
di bכdi we dεn yuz ya dεn kכl am di `DIEP (dip infεriכs epigastric pεrforayt atεri)`. Yu nɔ nid fɔ tink tumɔs bɔt di nem. Di impɔtant tin na dat dis na pat pan yu yon bɔdi.
Wetin mek dis spɛshal?
Wan pan di big ɛn impɔtant bɛnifit dɛn we dis ɔpreshɔn gɛt na dat di dɔktɔ de pul dis eria nɔmɔ pan yu skin ɛn fat we i nɔ de pwɛl ɔ pul ɛni wan pan di mɔsul dɛn na yu bɛlɛ .
insay di ol `TRAM (transverse rectus abdominal muscle) flap` כpεrayshכn, dεn tek dis tisu wit wan pat pan di bεlε mכsul. Dɔn di bɛlɛ mɔsul kin wik, ɛn di tɛm fɔ mek i wɛl kin lɔng. Bɔt wit di DIEP flap ɔpreshɔn, da prɔblɛm de nɔ kin kam. So, yu kin wɛl kwik ɛn kip di trɛnk na di bɛlɛ. jכs lεk ``tummy tuck``, di bεlε de bi flat, we na ad advantej!
Udat dis ɔpreshɔn fayn fɔ ɛn wetin mek pɔsin go pik am?
Ɛnibɔdi we want fɔ mek in bɔdi bak afta dɛn dɔn du ɔpreshɔn pan in bɔdi kansa kin tink bɔt dis. Dɛn kin du dis ɔpreshɔn di sem tɛm we dɛn kin du di kansa ɔpreshɔn (we dɛn kin mek bak wantɛm wantɛm), ɔ dɛn kin du am afta dɛn dɔn dɔn ɔl di tritmɛnt dɛn we dɛn kin gi di kansa, sɔm tɛm afta dat (dɛn kin delay fɔ mek dɛn bak).
Fɔ mek di bɔdi bak na sɔntin we pɔsin kin disayd fɔ du. Nɔbɔdi nɔ de fos yu fɔ du am. Sɔm pipul dɛn kin disayd fɔ du dis fɔ rizin dɛn lɛk:
- Achive a balanced appearance: We yu pul yu brɔst, i kin fil lɛk se yu bɔdi nɔ balans. Dis ɔpreshɔn kin ɛp fɔ mek i luk bak.
- Dres fayn: Dis na fayn sɔlv fɔ mek yu nɔ fil fayn we yu de drɛs.
- Mek yu gɛt mɔ kɔnfidɛns pan yusɛf:Dis kin ɛp yu fɔ lɛf fɔ wɔri bɔt aw yu luk ɛn fɔ mek yu gɛt kɔnfidɛns bak pan yusɛf.
Mɛmba se na yu bɔdi, na yu disayd. Yu gɛt ɔl di rayt fɔ pik wetin go fayn fɔ yu.
Yu nɔ tink se ɔlman go ebul fɔ du dis ɔpreshɔn?
Fɔ tru, DIEP flap ɔpreshɔn nɔ fayn fɔ ɔlman. Sɔntɛnde, i nɔ kin pɔsibul. Lɛ wi si wetin na dɛn kes dɛn de.
| We i nɔ fayn fɔ du ɔpreshɔn | Fɔ ɛksplen am simpul wan |
|---|---|
| If yu dɔn gɛt dis kayn ɔpreshɔn bifo | If yu dɔn du DIEP ɔ TRAM flap ɔpreshɔn bifo dɛn mek yu ɔda brɔst bak, yu nɔ go ebul fɔ tek tisu na yu bɛlɛ bak bikɔs dɛn kin yuz da pat de wan tɛm nɔmɔ. |
| If nɔto inof fat de na di bɛlɛ we de dɔŋ | If yu rili tan, ɔ yu bin dɔn gɛt tummy tuck (abdominoplasty ɔ liposuction), yu nɔ kin gɛt inof fat ɛn skin na yu bɛlɛ fɔ mek yu gɛt brɔst. |
| If prɔblɛm de wit di blɔd vesel dɛn na di bɛlɛ | Sɔntɛnde, di blɔd vesel dɛn we dɛn nid fɔ dis ɔpreshɔn kin tu smɔl ɔ usay dɛn kin difrɛn. Bɔt wit di nyu teknɔlɔji we de tide, we dɛn de fɔ du di ɔpreshɔn pan dɛn kes ya bak. |
| Ɔda ɔpreshɔn dɛn we dɛn bin dɔn du bifo dis tɛm na di bɛlɛ | If dɛn dɔn du big ɔpreshɔn pan yu, lɛk fɔ pul yu kɔlostomi, dis nɔ go pɔsibul. Bɔt bɔku tɛm i nɔ kin ambɔg fɔ mek dɛn du dis ɔpreshɔn, ilɛksɛf dɛn dɔn du C-section ɔ opin hysterectomy. |
Yu dɔktɔ kin disayd fɔ du di bɛst tin bɔt dis. I go chɛk yu ɛn tɛl yu klia wan if dis ɔpreshɔn fayn fɔ yu ɔ nɔ rayt fɔ yu.
Wetin yu fɔ du bifo dɛn du yu ɔpreshɔn?
Bikɔs dis na big ɔpreshɔn, yu nid fɔ pripia gud gud wan bifo tɛm. Yu dɔktɔ go gi yu ɔl di tin dɛn we yu nid. Bɔku tɛm, dɛn go tɛl yu fɔ du dɛn tin ya:
- Wɛlbɔdi tɛst: Yu go nid fɔ du bɔku tɛst dɛn lɛk fɔ tɛst yu blɔd fɔ si if yu bɔdi fit fɔ ɔpreshɔn.
- Ɛksesaiz: Layt ɛksesaiz fɔ sɔm wiks bifo yu du ɔpreshɔn kin ɛp fɔ mek yu mɔsul dɛn strɔng ɛn mek yu at gɛt gud wɛlbɔdi.
- Nɔ smok: If yu na pɔsin we de smok, yu fɔ stɔp kpatakpata bifo yu du di ɔpreshɔn. Nɔ yuz ɛnitin we gɛt nikotin. Smok kin mek di blɔd vesel dɛn stɔp ɛn i kin mek i nɔ wɛl afta dɛn dɔn du di ɔpreshɔn.
- Stɔp sɔm mɛrɛsin dɛn: I go mɔs bi se yu dɔktɔ go aks yu fɔ stɔp fɔ tek mɛrɛsin dɛn we de mek yu blɔd tan lɛk aspirin ɛn nonsteroidal anti-inflammatory drugs (NSAID) bifo dɛn du yu ɔpreshɔn. Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu de tek.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Dis ɔpreshɔn kin tek bitwin 6 ɛn 8 awa. Dis na ɔpreshɔn we nɔ izi fɔ du. Lɛ wi si wetin de apin stɛp bay stɛp.
1. Anestezi: Fɔs, dɛn go anestez yu ɔl. Dis min se yu nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn, yu go slip ɔl.
2. Insishכn: Nεks, di כpכshכn go mek wan lכng, כrizכnal insishכn na yu lכw bכdi, bitwin yu hip bon dεm. Dɛn kin mek dis say we dɛn kɔt am so dat yu ɔndawea go ayd am.
3. Fɔ pul di tisu: Dɛn kin tek tɛm pul wan flap we gɛt skin, fat, ɛn blɔd vesel na di say we dɛn kɔt ɛn nɔ pwɛl di mɔsul dɛn.
4. Tisu transfכm: Dɔn, dɛn kin kɔt di sem say usay dɛn pul yu brɔst, ɛn dɛn kin transfa di tisu we kɔmɔt na yu bɛlɛ de. Dis na di pat we impɔtant pas ɔl ɛn we kɔmplikt. Ɔnda maykroskɔp, rili dilik, di blɔd vesel dɛn na da tisu de kɔnɛkt to di blɔd vesel dɛn na yu chɛst. dis dεn kכl am `maykrovaskul כpεrayshכn`.
5. Fɔ shep di bɔdi: we di blɔd dɔn kɔnɛkt fayn fayn wan, di dɔktɔ de yuz da tisu sɛkshɔn de fɔ mek di bɔdi shep natura l.
. Dɛn kin pul dɛn tin ya insay sɔm wiks.
7. Di we aw dɛn kin lɔk:Fɔ dɔn, dɛn kin lɔk di say dɛn we dɛn kɔt na yu chɛst ɛn yu bɛlɛ wit stich. As dɛn de pul di skin na yu bɛlɛ ɛn siŋ am togɛda, yu bɛlɛ bak de ripɔzishɔn bak na say we i tan lɛk se na natura l.
Wetin yu go ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ de na di ɔspitul fɔ lɛk tu to fayv dez. Afta yu go na os, i go tek lɛk 6 to 8 wiks fɔ mek yu wɛl. Insay dis tɛm, yu kin gɛt tin dɛn lɛk:
- Pen ɛn nɔ fil fayn: Yu kin gɛt sɔm pen ɛn stif na yu chɛst ɛn bɛlɛ fɔ di fɔs tu wik. Yu dɔktɔ go gi yu mɛrɛsin fɔ mek yu fil pen fɔ dis.
- Swel: Di say we dɛn de du di ɔpreshɔn kin swel. Dis swɛlin go stɔp smɔl smɔl.
- Numbness: Yu go fil wan tingling sensation na yu nyu brɔst ɛn bɛlɛ we yu dɔn mek. I kin tek wan ia fɔ mek dis sɛns kam bak.
- Di tin dɛn we yu nɔ fɔ du: Dɔktɔ dɛn go advays yu fɔ nɔ du tin dɛn we go mek yu strɛs lɛk fɔ es wet ɔ fɔ es yu an ɔp fɔ lɛk wan ɛn af mɔnt.
Dɛn go aks yu fɔ wɛr spɛshal klos (kɔmpreshɔn klos). Di ɔspitul go gi yu ditayla instrɔkshɔn bak bɔt aw fɔ kia fɔ yu wund ɛn dreyn na os.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni ɔpreshɔn, DIEP flap ɔpreshɔn gɛt bɛnifit ɛn risk. I impɔtant fɔ no bɔt dɛn tu tin ya bifo yu disayd fɔ du sɔntin.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| nכmal luk εn fil: Bikɔs na yu yon tisu, di nyu brεst de luk εn fil rili nכmal. | di tisu dεm we de day (Necrosis): If di blכd vesel dεm we kכnεkt nכ de kכmכt fayn, di tisu kin day. If na so i bi, dɛn go nid fɔ ɔpreshɔn di say we dɛn de. Dis nɔ kin apin so ɔltɛm. |
| Nɔ mɔsul dɛn nɔ pwɛl: Bikɔs yu bɛlɛ mɔsul dɛn nɔ pwɛl, yu trɛnk de di sem. Yu kin wɛl bak kwik kwik wan. | Ɛnia: Na wikɛd tin we de apin na di bɛlɛ we de mek wan pat pan di insay de kɔmɔt na do. Dis bak nɔ kin apin. |
| Rizult fɔ ɔltɛm: Dis na sɔlv we go de sote go. I nɔ tan lɛk implant, i nɔ go brok, slip, ɔ shift wit di wet we i de go ɔp ɔ we i de lɔs. | Lכmp dεm: sכmtεm ska tisu kin bכku insay di brεst εn fil lεk lumps. Bɔku tɛm, dɛn tin ya kin go fɔ dɛnsɛf. |
| di ebul fכ fil: sכm tεm dεm, di nεv dεm frכm di tisu we dεn tek frכm di bכdi kin kכnεkt to di nεv dεm na di chεst, we de mek sכm sεns bak na di brεst. | Jɛnɛral ɔspitul risk dɛm: Di risk dɛm fɔ ɛni ɔpreshɔn, lɛk fɔ blɔd ɛn infɛkshɔn, de bak ya. |
Us tɛm a fɔ kɔl di dɔktɔ?
If yu gɛt ɛni wan pan dɛn sik ya we yu de na os afta dɛn dɔn du di ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm:
- Fiva
- I kin fil pen bad bad wan
- I nɔ izi fɔ blo (dyspnea) .
- Blɔd we de kɔmɔt pasmak bikɔs ɔf wund dɛn
- Wan wata we de smɛl fayn, we tan lɛk pus, we de kɔmɔt na di wund dɛn (sayn dɛn fɔ se pɔsin gɛt infekshɔn) .
Mɛsej we dɛn kin kɛr go na os
- DIEP flap ɔpreshɔn na we fɔ mek yu bɔdi bak we yu de yuz yu yon skin ɛn fat we de kɔmɔt na yu bɛlɛ we de dɔŋ afta yu dɔn ɔpreshɔn yu bɔdi kansa.
- Nɔbɔdi nɔ de pwɛl yu bɛlɛ mɔsul dɛn, ɛn dis na wan pan di big bɛnifit dɛn we dis ɔpreshɔn de gi.
- Di tin we kin apin kin rili natin ɛn i kin de sote go.
- Dis nɔto ɔpreshɔn we pɔsin kin du fɔ ɔlman. Yu dɔktɔ na di bɛst pɔsin fɔ no if dis fayn fɔ yu.
- I kin tek lɛk 6-8 wiks fɔ mek i wɛl ful wan afta dɛn dɔn ɔpreshɔn am. I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan insay dis tɛm.
- Fɔ mek di bɔdi fayn bak na sɔntin we pɔsin kin disayd fɔ du. Tɔk opin wan wit yu dɔktɔ bɔt am ɛn pik wetin bɛtɛ fɔ yu.
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