Fɔ fɛt bɔdi kansa nɔto izi waka. We yu de travul, yu go nid fɔ pul ɔl ɔ pat pan yu bɔdi. Afta dat, na nɔmal tin fɔ de wɔnda se, ‘A fɔ mek dɛn mek mi bɔdi bak?’ Dis na tin we pɔsin kin disayd fɔ du. So, fɔ una we de tink fɔ mek dis kayn disizhɔn, tide wi de tɔk bɔt di mɔs advans we we de, di DIEP Flap ɔpreshɔn.
Wetin na DIEP Flap ɔpreshɔn?
Fɔ tɔk am simpul wan, dis na ɔpreshɔn usay yu kin yuz yu yon bɔdi pat fɔ mek nyu bɔdi fɔ tek di wan we dɛn pul. DIEP tinap fɔ `Dip Infɛriɔ Epigastric Pɛfɔratɔ`. Dis na di nem fɔ wan blɔd vesel we de na yu bɛlɛ we de dɔŋ.
Insay dis ɔpreshɔn, di dɔktɔ kin tek di skin, fat tisu, ɛn blɔd vesel dɛn na yu bɛlɛ we de dɔŋ ɛn yuz dɛn fɔ mek di bɔdi bak.
Wan pan di big ɛn impɔtant bɛnifit dɛn we dis ɔpreshɔn gɛt na dat dɛn nɔ de kɔt ɔ pul ɛni mɔsul na yu bɛlɛ we dɛn de du dis ɔpreshɔn.
insay di TRAM flap כpεrayshכn, we na wan ol mεtכd, dεn de tek di tisu wit di bכdi mכsul dεm. Dis kin tek lɔng tɛm fɔ wɛl ɛn di trɛnk we di bɛlɛ gɛt kin stɔp. Bɔt dis prɔblɛm nɔ kin apin wit di DIEP flap. So, di tɛm we di bɛlɛ kin wɛl kin shɔt ɛn di trɛnk we di bɛlɛ gɛt kin kɔntinyu fɔ de.
Udat nid fɔ du dis ɔpreshɔn?
brεst rεkכnstrכkshכn na wan prכsidכm we εnibodi we want fכ rεkכnstrכkt brεst afta dεn du כpεrayshכn fכ brεst kεnsar, i kin bi fכ mεstεktכmi כ lumpectomy. Dis kin bi di sem tɛm we dɛn du di kansa ɔpreshɔn, ɔ leta.
Fɔ gɛt bak in bɔdi na sɔntin we pɔsin kin disayd fɔ du. Sɔm pipul dɛn kin disayd fɔ du dis fɔ rizin dɛn lɛk:
- Gɛt bɔdi we balans ɛn we fayn.
- Bi kɔnfidɛns bikɔs di klos dɛn fit fayn fayn wan.
- Mek yu gɛt mɔ rɛspɛkt fɔ yusɛf.
Dis na di wangren we fɔ mek di bɔdi bak?
Nɔ, tu men we dɛn de fɔ mek di bɔdi fayn bak. If yu de disayd fɔ du dis, yu fɔ tek tɛm tɔk to yu dɔktɔ bɔt di bɛnifit dɛn, di bad tin dɛn, ɛn di bad tin dɛn we kin apin to ɛni wan pan dɛn we ya.
| Rikonstrɔkshɔn Tayp | Tɔk bɔt |
|---|---|
| Flap Rikonstrɔkshɔn (we yu de yuz tisu) . | brεst כgmεntεshכn yuz tisu (skin, fεt) we dεn tek frכm כda pat pan yu bכdi (bεlε, thigh, bak). DIEP na wan pan di we dɛn we dɛn kin yuz fɔ du dis kayn we we dɔn go bifo. |
| Implant Rikɔnstrɔkshɔn (yuz implant) . | dεn kin put wan implant we dεn mek wit salin כ silikon כnda di skin na di chεst fכ mek di brεst shep bak. |
Ɛni kes de we dɛn nɔ kin ebul fɔ du DIEP Flap ɔpreshɔn?
Yɛs, nɔto ɔlman fit fɔ dis ɔpreshɔn. Sɔntɛnde, dis ɔpreshɔn nɔ go fayn fɔ yu. Na sɔm pan di tin dɛn we kin apin:
- If yu dɔn ɔlrɛdi gɛt DIEP flap ɔ TRAM flap ɔpreshɔn: Dɛn kin jɔs pul dis kayn tisu na di bɛlɛ wan tɛm insay yu layf.
- If nɔto inof fat tisu de na di bɛlɛ: If yu rili tan, ɔ if yu dɔn gɛt ɔpreshɔn fɔ ridyus yu bɛlɛ bifo tɛm (`abdominoplasty` ɔ `tummy tuck`), yu nɔ kin gɛt inof tisu.
- If prɔblɛm de wit di blɔd vesel dɛn na di bɛlɛ: Sɔntɛnde dɛn blɔd vesel ya kin rili smɔl, ɔ dɛn kin de na say we at fɔ ɔpreshɔn. Bɔt naw, wit di advans tɛknɔlɔji, we dɛn de fɔ ɔpreshɔn pan dɛn kes ya bak.
- Di ɔpreshɔn we dɛn bin dɔn du fɔ di bɛlɛ bifo: Sɔm big ɔpreshɔn dɛn we dɛn kin du na di bɛlɛ (lɛk we dɛn kin pul di bɛlɛ) kin bi prɔblɛm. Bɔt , C-section ɔ opin hysterectomy nɔ kin bi prɔblɛm. Dis na prɔblɛm we bɔku pipul dɛn kin gɛt, so tɔk to yu dɔktɔ bɔt am.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Yu dɔktɔ go gi yu patikyula instrɔkshɔn bɔt wetin fɔ du bifo dɛn du yu ɔpreshɔn, bɔt na sɔm jɔnaral tin dɛn ya we yu fɔ rɛdi fɔ:
- Du layt ɛksesaiz: If yu du layt ɛksesaiz fɔ sɔm wiks bifo yu du di ɔpreshɔn, dat kin ɛp fɔ mek yu mɔsul dɛn strɔng ɛn mek yu at gɛt gud wɛlbɔdi.
- Nɔ smok kpatakpata: Nɔ de fa frɔm ɛnitin we gɛt nikotin. Dis rili impɔtant fɔ di wund we de wɛl.
- Stɔp fɔ tek sɔm mɛrɛsin dɛn: Di mɛrɛsin dɛn we de afɛkt di we aw blɔd de klɔt, lɛk aspirin ɛn NSAID (nonsteroidal anti-inflammatory drugs), kin nid fɔ stɔp fɔ sɔm tɛm if yu dɔktɔ advays yu.
Aw dɛn kin du di ɔpreshɔn?
Dis ɔpreshɔn kin tek bitwin 6 ɛn 8 awa. Dis na ɔpreshɔn we kin tek lɔng tɛm ɛn we nɔ kin izi fɔ du. Lɛ wi jɔs si wetin de apin.
1. Dɛn kin gi pɔsin anestezi
Bifo di ɔpreshɔn bigin, dɛn go ful-ɔp yu anestez, we min se yu go slip ɔl ɛn yu nɔ go fil ɛni pen.
2. Fɔ kɔt kɔt
Di dɔktɔ go mek wan lɔng ɔrizɔntal say na yu bɛlɛ we de dɔŋ, bitwin yu hip bon dɛn. Bɔku tɛm, dɛn kin mek dis say we dɛn kɔt am di kayn we we yu ɔndawea kin ayd.
3. Fɔ pul di tisu dɛn
Dɔn, dɛn kin tek tɛm pul wan flap we gɛt skin, fat, ɛn blɔd vesel dɛn na da say we dɛn kɔt. Bak, dɛn nɔ de pul ɛni mɔsul na ya.
4. Tisu transfכm
naw dεn kin tek dis pat pan di tisu go na di εria na di chεst usay dεn fכ mek di brεst. Na dis say di pat we kɔmpleks ɛn impɔtant pas ɔl pan di ɔpreshɔn kin apin. Dat min se dɛn kin tek tɛm transplant di smɔl smɔl blɔd vesel dɛn we de na da pat de na di blɔd vesel dɛn na di chɛst. wan spεshal tεknik we dεn kכl `Microvascular surgery` dεn de yuz fכ dis.
5. Fɔ shep di bɔdi
We di blɔd dɔn kɔnɛkt fayn fayn wan, di dɔktɔ kin yuz da tisu de fɔ mek nyu bɔdi we go mach di ɔda bɔdi ɛn we tan lɛk natura.
6. Di ples we dɛn de put dreyn
afta dεn dכn כpεrayshכn, dεn kin put sכm sכm tכb dεm (drein) na di say dεm we dεn sכk na di bכdi εn di chεst fכ drεn εni wata we kכlekt na di wund dεm. Dɛn kin pul dɛn tin ya insay sɔm wiks.
7. Fɔ Klos
Fɔ dɔn, dɛn kin lɔk di say dɛn we dɛn kɔt na di chɛst ɛn bɛlɛ wit stich. We dɛn pul di skin na di bɛlɛ ɛn siŋ am, dɛn kin du am di kayn we we go mek yu bɛlɛ de na di natura l pozishɔn. as ad bεnεfit, di skin na di bεlε go luk sכmtεm tכt (sεm lεk `tummy tuck`) afta di כpεrayshכn.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛnitin, bɛnifit dɛn de ɛn smɔl smɔl prɔblɛm dɛn de.
Bɛnifit dɛn
- Natura l luk ɛn fil: Bikɔs dɛn de yuz yu yon tisu, di nyu brɔst go luk ɛn fil bɔku mɔ natura pas wan implant.
- Nɔ damej pan di mɔsul dɛn: As wi bin dɔn tɔk, bikɔs di mɔsul dɛn na di bɛlɛ nɔ de pwɛl, di trɛnk we de na di bɛlɛ kin stil de di sem.
- Rizult we go de sote go: Di rizulyt we go de sote go. Dɛn nɔ go bɔs, at, muv rawnd lɛk implant, ɔ nid fɔ chenj we yu big/wik.
- di abiliti fכ gεt sεns bak: insay sכm kayn we dεn kin gεt sכm lεvεl fכ sεns bak na di nyu rεkכnstrכkt brεst.
Risk dɛn we kin apin
Dɛn tin ya nɔ kin apin so ɔltɛm, bɔt i impɔtant fɔ no bɔt dɛn.
- Ɛnia: Na smɔl tɛm nɔmɔ, wan pat pan di intestin kin kɔmɔt tru wan wik ples na di bɛlɛ mɔsul dɛm.
- Fɔmeshɔn fɔ lumps:ska tisu kin fכm insay di nyu brεst εn fil lεk had lכmp. Dɛn tin ya kin go fɔ dɛnsɛf, ɔ dɛn kin pul dɛn wit smɔl ɔpreshɔn.
- di tisu dεm we de day (`Necrosis`): if di bכdi we de gi di tisu we dεn transplant nכ inof, pat pan da tisu de kin day. If na so i bi, dɛn go gɛt fɔ pul di pat we dɔn day.
Aw lɔng i kin tek fɔ mek i wɛl?
I kin tek 6 to 8 wiks fɔ mek i wɛl ful wan. Dɛn go aks yu fɔ wɛr spɛshal kɔmpreshɔn klos rawnd yu chɛst ɛn bɛlɛ fɔ di fɔs wik dɛn. Yu fɔ avɔyd fɔ es ebi ebi tin dɛn, fɔ du tin dɛn we go mek yu tranga, ɛn fɔ du tin dɛn we gɛt fɔ du wit fɔ es yu an dɛn ɔp fɔ di fɔs wik dɛn.
Yu kin ɛkspɛkt dɛn tin ya:
- Numbness: Yu kin fil numbness na yu nyu brɔst ɛn bɛlɛ. Dis kin tek lɛk wan ia so fɔ lɛ i go kɔmɔt kpatakpata.
- Pen ɛn sɔri: Di pen na di chɛst ɛn bɛlɛ go stɔp bad bad wan afta lɛk tu wiks.
- Swɛlin: We yu swel rawnd yu bɔdi, yu an, ɛn yu bɛlɛ, i kin kɔntinyu fɔ de fɔ sɔm wiks.
- Skin tayt: Yu kin fil tayt na yu bɛlɛ ɛn yu bɔdi in skin.
Di sakses rεt de hכy as 96% - 99%. So natin nɔ de fɔ wɔri bɔt.
Mɛsej we dɛn kin kɛr go na os
- DIEP Flap na wan advans ɔpreshɔn we de yuz yu yon skin ɛn fat tisu frɔm yu ɔnda bɛlɛ fɔ mek yu bɔdi bak afta yu dɔn ɔpreshɔn yu bɔdi kansa.
- Di big bɛnifit fɔ dis na dat i nɔ de pwɛl di bɛlɛ mɔsul dɛm, so i kin wɛl kwik ɛn di trɛnk we di bɛlɛ gɛt nɔ kin ridyus.
- Di rizulyt dɛn kin de fɔ ɔltɛm ɛn dɛn kin gi yu mɔ natura l luk ɛn fil pas di implant dɛn.
- Bikɔs dis na kɔmpleks ɔpreshɔn, i kin tek lɛk 6-8 wiks fɔ mek i wɛl. I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan insay dis tɛm.
- Tɔk wit yu dɔktɔ opin wan bɔt if dis ɔpreshɔn fayn fɔ yu, di bɛnifit dɛn we i go gɛt, ɛn di prɔblɛm dɛn we i go gɛt, ɛn disayd fɔ du di bɛst.
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