Okulongoosa amabeere, ka kibeere nga kiva ku kookolo w’amabeere oba ensonga endala ez’obujjanjabi, kintu kya mukyala yenna ekikwata ennyo ku nneewulira era kikwata ku mutima. Kya bulijjo nnyo okuwulira ennaku n’okwejjusa olw’okufiirwa ekitundu ky’omubiri gwo. Naye, okimanyi nti olw’okukulaakulana kw’eddagala ery’omulembe, kisoboka okulongoosa okuddamu okutonda oba okuddamu okuzimba ebbeere eryaggyibwamu mu ngeri eno? Leero, ka twogere ku Breast Reconstruction, oba okulongoosa amabeere.
Mu ngeri ennyangu, okuddamu okuzimba amabeere kye ki?
Mu ngeri ennyangu, kuno kulongoosa okuddamu okubumba ebbeere oluvannyuma lw’okulongoosebwa amabeere oba okulongoosebwa. Oluusi, kiyinza okwetaagisa okulongoosebwa emirundi mingi.
Okulongoosa kuno kuyinza okukolebwa mu kiseera kye kimu n’okusala amabeere ( immediate reconstruction ). Oba, kiyinza okukolebwa oluvannyuma lw’emyezi oba n’emyaka ( delayed reconstruction ). Oluusi amabeere gombi geetaaga okuddamu okuzimbibwa. Oba, ebbeere erimu liyinza okuddamu okuzimbibwa ne likolebwa okukwatagana n’eddala. Kino kisalawo kya muntu ku bubwe nnyo. Abakyala abamu basalawo okulongoosebwa kuno, ate abalala tebakola. Okusalawo okwo kuli gy’oli ddala.
Enkola ki enkulu ez’okuddamu okuzimba amabeere?
Waliwo enkola bbiri enkulu. Ekimu kwe kuggya tissue okuva mu kitundu ekirala eky’omubiri gwo n’okola ebbeere. Ekirala kwe kukozesa ekintu ekikoleddwa mu mubiri.
1. Okuddamu okuzimba amabeere ng’okozesa ebitundu by’omubiri gwo (Flap Reconstruction) .
Mu nkola eno, olususu, amasavu, n’oluusi ebinywa biggyibwa mu kitundu ekirala eky’omubiri gwo - okugeza, okuva mu lubuto olwa wansi, ebisambi, omugongo oba enkwaso - ne bikozesebwa okukola ebbeere eppya. Ekitundu ekikwatibwa mu ngeri eno kiyitibwa `flap`. Waliwo obukodyo obw’enjawulo obw’okulongoosa obukozesebwa ku kino.
| Ekika ky’okulongoosa ekifuba | Ekifo ekikung’aanya ebitundu by’omubiri | Ensonga enkulu |
|---|---|---|
| DIEP flap | Olubuto olwa wansi | Olususu, amasavu n’emisuwa byokka bye biggyibwamu. Ebinywa by’olubuto tebyonoonese. |
| TRAM flap | Olubuto olwa wansi | Wano, olususu, amasavu, emisuwa, n’ekitundu ky’ekinywa ky’olubuto biggyibwawo. |
| Latissimus dorsi (LD) ekifuba ekiwanvu | Ekitundu eky’ebweru | Ekitundu ky’ebitundu by’omubiri n’ebinywa okuva emabega bireetebwa wansi w’olususu okutuuka mu kitundu ky’ekifuba okukola ebbeere. |
| Ekifuba kya PAP/TUG | Ebisambi eby’omunda | Ebbeere litondebwa okuva mu bitundu ebiggiddwa mu bisambi. Mu TUG flap, ebinywa nabyo bitwalibwa. |
2. Okwongera amabeere nga bakozesa ebintu ebiteekebwa mu mabeere
Mu nkola eno, abasawo abalongoosa bakozesa ebintu ebiteekebwamu omunnyo oba silicone okuddamu okukola ebbeere. Oluusi, osobola okukozesa okugatta ebitundu byo n’ebintu ebiteekebwa mu mubiri.
Mu nkola eno, ekyuma ekiyitibwa `Tissue Expander` kisobola okuteekebwa wansi w'olususu oluvannyuma lw'okusala amabeere. Kiba ng’akapiira akatono. Buli wiiki omusawo agijjuzaamu omunnyo. Olwo, olususu lugolola mpolampola, ne lutondawo ekifo `ekiteekebwamu` we kigenda okuteekebwa. Olwo lwokka `ekiteekebwamu` eky'olubeerera we kiteekebwa.
Nlonda ntya enkola esinga okunkwatako?
Omusawo wo ajja kusalawo enkola esinga okukusinga oluvannyuma lw’okulowooza ku nsonga eziwerako.
- Emyaka gyo, obulamu bwo okutwalira awamu, n’engeri gy’obeera .
- Mastectomy ya ngeri ki gye wakola era tissue mmeka eyasigalawo oluvannyuma lw’okugiggyamu?
- Oba weetaaga obujjanjabi obulala ku kookolo wo (e.g. chemotherapy, radiotherapy).
- Okulongoosebwa kw’obaddeko emabegako. Ng’ekyokulabirako, bw’oba olongooseddwa olubuto, kiyinza okukuzibuwalira okufuna ekifuba okuva mu lubuto.
- Ebintu by’osuubira n’endabika gy’oyagalaBwe kiri. Kikulu nnyo okwogera mu lwatu era mu bulambulukufu ku nsonga eno n’omusawo wo.
Kiki ekibaawo nga tebannaba kulongoosebwa, nga balongooseddwa n’oluvannyuma lw’okulongoosebwa?
Nga tonnalongoosebwa: Omusawo akulongoosa ajja kukukebera mu bujjuvu, akutte ebipimo n’ebifaananyi by’amabeere go. Ojja kwetaaga okubategeeza ku ddagala lyonna ly’omira n’embeera y’obulamu bwo. Era bayinza okukusaba okulekera awo okumira eddagala erimu nga tonnalongoosebwa.
Mu kiseera ky’okulongoosebwa: Okulongoosa kuno kukolebwa mu ddwaaliro. Ojja kwebaka ng’okozesa eddagala eribudamya, kale tojja kuwulira bulumi bwonna. Omusawo agenda kuddamu okuzimba ebbeere lyo ng’akozesa enkola gy’olonze (flap oba implant). Oluvannyuma lw’okulongoosebwa, oyinza okuteekebwa wansi w’olususu ttanka (drain) okufulumya amazzi gonna n’omusaayi ebiyinza okuba nga byakuŋŋaanyiziddwa munda. Kijja kuggyibwawo mu nnaku ntono.
Oluvannyuma lw’okulongoosebwa: Ojja kwetaaga okumala ennaku ntono mu ddwaaliro, oboolyawo wiiki nnamba. Ojja kuweebwa eddagala erifuga obulumi. Ojja kusabibwa okwambala akaleega ak’enjawulo (surgical bra) okukendeeza ku kuzimba n’okuwanirira amabeere. Ojja kuweebwa ebiragiro ku ngeri gy’olina okwerabirira ng’omaze okudda eka.
Obulabe n’ebizibu ebiva mu kulongoosa kuno bye biruwa?
Nga bwe kiri mu kulongoosa kwonna, waliwo akabi akatera okubaawo, gamba ng’okukwatibwa yinfekisoni n’okuvaamu omusaayi. Okugatta ku ekyo, bino wammanga biyinza okubaawo:
- Okuzimba omusaayi : Obulabe buno buba bungi naddala oluvannyuma lw’okulongoosebwa mu bitundu ebimu ebiyitibwa flap.
- Enkyukakyuka mu nkula oba obunene bw’amabeere gombi: Emu eyinza okuwulira ng’enywevu okusinga endala.
- Enkovu: Enkovu zisigalawo buli lw’amaze okulongoosebwa. Bino bizikira oluvannyuma lw’ekiseera.
- Fat Necrosis: Singa omusaayi oguyingira mu bitundu ebiggiddwawo nga balongoosa ekifuba tegumala, ekitundu ekyo kiyinza okufa.
- Ebizibu ebiva ku kusimbibwa mu mubiri: Ekintu ekiteekebwa mu mubiri kiyinza okunyirira, okukulukuta oba okukutuka.
- Obulumi oba obunafu mu kifo awaweereddwa: Oyinza okuwulira obulumi oba okuziyira mu bitundu ng’olubuto, omugongo oba ebisambi.
Ebbeere eryaakaddamu okuzimbibwa litera obutakwatibwako nnyo. Wadde ng’olususu luyinza okuddamu okuwulira ng’ekiseera kigenda kiyitawo, telujja kuba lugonvu nga bwe lwali edda.
Ddi lw’olina okunoonya amagezi g’abasawo mu bwangu
Bw’oba olina obubonero buno, laba omusawo mu bwangu oba genda mu kitongole ky’eddwaaliro eky’amangu (ETU) .
- Obubonero bw’okukwatibwa obulwadde ng’omusujja.
- Obulumi obw’amaanyi obutakkakkana ne bw’okozesa eddagala.
- Okuvaamu omusaayi oba amasira olw’ebiwundu ebilongooseddwa.
- Enkyukakyuka mu langi y’olususu ku bbeere oba okwetooloola ekiwundu.
Obubaka Obutwala Awaka
- Okuddamu okuzimba amabeere oluvannyuma lw’okuggyibwako amabeere y’engeri gy’osobola okulondamu. Okusalawo okukifuna oba obutabeera nayo kisinziira ddala ku by’oyagala.
- Waliwo enkola ez’enjawulo ez’okukola kino, gamba ng’okukozesa ebitundu by’omubiri gwo oba okukozesa ebintu ebikozesebwa mu mubiri.
- Yogerako mu lwatu era mu bwesimbu n’omusawo wo akulongoosa ku nkola ekusinga obulungi, ebirungi n’ebibi byayo, era obeere mulambulukufu ku by’osuubira.
- Okulongoosa kuno kuyinza okuyamba ennyo mu kuvvuunuka okumenya kw’eby’omwoyo okubaawo oluvannyuma lw’okusala amabeere n’okuddamu okwekkiririzaamu.
- Kitwala ekiseera okuwona mu bujjuvu oluvannyuma lw’okulongoosebwa. Kikulu nnyo okugoberera ddala ebiragiro by’omusawo.











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