Te hanga anō i te ū i muri i te mate pukupuku ū? Me ako tātou mō te pokanga DIEP Flap (Pokanga Hanga anō DIEP Flap)

E mōhio ana mātou ki te uaua o te mahi mastectomy mō te wahine, he pokanga tango i te ū nā te mate pukupuku. He taumahatanga nui tēnei mō te tinana me te hinengaro. I muri i taua haerenga, me mahi pea koe i te hanga anō i te ū. He maha ngā tikanga mō tēnei. I tēnei rā kei te kōrero tātou mō tētahi pokanga motuhake e whakamahi ana i ō ake wāhanga tinana hei hoatu i tētahi āhua tino taiao.

Nā, he aha te pokanga DIEP Flap?

He ngāwari noa iho, he tikanga pokanga te DIEP Flap e whakamahi ana i tō ake kiko hei hanga anō i te ū. Engari ko ngā tāpiringa o waho, ka whakamahia he wāhanga o tō ake tinana.

I ahu mai te ingoa DIEP i ngā kupu 'Deep Inferior Epigastric Perforator'. E pā ana tēnei ki te ingoa o tētahi oko toto (artery) i roto i tō tātou puku o raro. Anei ngā mea ka tupu i te wā o te pokanga:

Ka tangohia e tō taote pokanga ētahi kiri, ngako, me ngā uaua toto mai i tō puku o raro, inā koa mai i te wāhi i runga ake i tō wheua tūtae, e kiia nei ko te 'tummy tuck'. Engari kāore he uaua e tangohia . Koinei tētahi o ngā painga nui o tēnei pokanga.

Kātahi ka kawea mai tēnei kiko ki te uma, ka hangaia hei ū. Ko te mea nui ka tupu i muri mai. Mā te "Pokanga Maikoro" e mahia ana i raro i tētahi karuārahi tino pai, ka honoa ngā oko toto iti o te kiko i tangohia mai i te puku ki ngā oko toto o te uma. Mā tēnei ka pai te rere o te toto ki te ū hou kua hangaia, ā, ka tipu me te mea he wāhanga o tō tinana ake.

Nā te mea ka whakamahia e koe tō ake kiko, he tino taiao ngā hua. Ka āraihia hoki ētahi o ngā raruraru ka puta mai i ngā whakaurunga o waho.

Āhea tēnei pokanga e mahia ai? Ko wai kāore e tika ana mō tēnei?

E rua ngā āhuatanga ka taea te mahi i tēnei pokanga .

1. Whakahoutanga Tonu: Ka taea te mahi i tēnei pokanga DIEP Flap i te wā kotahi me tō tangohanga i te kōpū. Kāore koe e hiahia ki te mahi i te pokanga tuarua. E whakaaro ana ētahi tāngata ka taea e rātou te ora tonu me te hoki wawe ki te oranga noa.

2. Whakaroa te Hanga Anō: Mena kua tangohia tō ū, ā, kei te whakaaro koe ki te hanga anō i tētahi atu wā, he kōwhiringa pai tonu te pokanga DIEP Flap.

Ko te mea nui ko te kōrero ki tō tākuta kia taea ai e koe te whakatau pai mō tēnei.

Engari ehara tēnei pokanga i te mea mā te katoa. Me titiro tātou ki te ripanga i raro nei kia kite ai ko ēhea ngā kēhi kāore e tika ana mō tēnei pokanga.

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He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?

I muri i te whakarite i tō pokanga, ka hoatu e tō tākuta ētahi tohutohu ki a koe pēnei i:

• Me whakahaere ētahi whakamātautau taiwhanga : Tērā pea ka tonoa koe kia mahi i tētahi mea pēnei i te whakamātautau toto hei tirotiro mēnā kei te pai tō hauora mō te pokanga.
• Kati rawa te momi hikareti: Ki te whakamahi koe i te tupeka (hikareti, pī), ka pā ki te rongoā whakamoe me te whakaroa i te whakaora.
• Kati te tango i ētahi rongoā:Me kōrero rawa koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā huaora me ngā tāpiringa).

I te rā o te pokanga, ka tukuna he rongoā whakamoe ki a koe. Kātahi ka tukua koe kia moe. Kāore koe e rongo i te mamae, i tetahi mea rānei i te wā o te pokanga.

I te wā o te pokanga, ka tapahia e te tākuta he kiri i tō puku o raro i tō puku. Mai i reira, ka tangohia marietia te kiri, te ngako, me ngā uaua toto. Kātahi ka tapahia anō te kiri i te taha o te koha o te pokanga ū o mua, ā, ka kawea mai te kiko o te puku ki roto, ka hangaia kia rite ki te āhua o te ū. Kātahi ka honoa ngā uaua toto mā te whakamahi i te "pokanga iti" i kōrerohia e tātou i mua ake nei.

Hei whakamutunga, ka whakanohoia ētahi ngongo iti rawa (ngā waikeri) ki ngā tapahi o te ū me te puku. Me waiho ēnei ki te wāhi tika mō ētahi wiki. Ka whakamahia ēnei hei tango i te wai nui mai i te wāhi i pokaina, hei whakaiti i te pupuhi, hei tere ake hoki i te whakaora. Kātahi ka katihia ngā tapahi ki ngā tuitui, ki ngā staples rānei.

Kia maumahara, ehara tēnei i te pokanga iti ka taea te mahi i roto i ētahi haora, ā, ka taea e koe te hoki ki te kāinga. He pokanga uaua tēnei e 6-8 hāora te roa hei hanga anō i tētahi o ngā ū, ā, 10-14 hāora pea mēnā kei te hanga anō koe i ngā ū e rua.

Me noho koe ki te hōhipera mō ngā rā e rua, e toru rānei i muri i te pokanga. E ono wiki pea te roa kia tino ora ai koe.

Kāore ianei he mōrearea me ngā raruraru?

Pērā i ngā pokanga katoa, he mōrearea anō hoki kei tēnei pokanga.

Hei tauira, ki te motuhia, ki te kore rānei e ranea te rere o te toto ki te ū hou kua hangaia, he iti noa te tūponotanga ka mate te taupoki (te korenga o te taupoki). He tino onge tēnei. Ki te mate he wāhi iti, ka taea e te tākuta te tapahi me te tango. Engari ki te mate he wāhi nui, me whakakapi te taupoki katoa.

I ētahi wā, ka heke te rere o te toto ki ētahi wāhi, ā, ka puta pea he kiko koha ki aua wāhi, ka rite ki ngā puku. Ka ngaro pea ēnei i roto i te wā.

Waihoki, he iti noa te tūponotanga ka ngoikore ngā uaua, ka puta he hernia i te wāhi i tangohia mai ai te kiko mai i te puku. Mēnā ka puta he hernia, me mahi anō he pokanga hei whakatika.

Mena ka puta ēnei tohu i muri i te pokanga, waea atu ki tō tākuta tonu.

• Te toto rerekē
• Mena ka puta mai he mea pēnei i te pūhā i te motu (he tohu mate)
• Mamae nui e kore e taea te manawanui
• Te uaua ki te manawa
• Kirika

Ki te puta tēnei, whakamōhio atu ki tō tākuta tonu. Ki te mea he āhuatanga ohorere, haere ki te Tari Ohorere (ETU) o te hōhipera tata.

Me pēhea taku tiaki i a au anō i te wā whakaora, i te kāinga hoki?

Me tatari koe mō ētahi wiki i muri i te pokanga.Ka tonoa koe kia mau i tētahi pōtae pēhi motuhake . Ka tonoa hoki koe kia mau i tētahi takai pēhi motuhake mō tō puku. Mā ēnei ka āwhina i te whakaiti i te mamae, te whakahaere i te pupuhi, me te āwhina i te whakaora.

He mea noa ēnei i muri i te pokanga:

• Marumarutanga
• Mamae me te mamae
• Pupuhi
• Te pūmau o ngā tapahi
• Te ngoikore o te puku, o te uma rānei: Ka roa pea tēnei ngoikore mō te tau.

Ahakoa ka memeha haere te nuinga o ēnei āhuatanga i roto i ētahi wiki, ki te mea kei a koe ētahi tohu e whakararuraru ana i a koe, kaua e wehi ki te kōrero ki tō tākuta.

I muri i te pokanga, ka puta he koha i tō raina bikini. Ka memeha haere tēnei i roto i te 12-18 marama pea. Ka puta anō hoki he koha i tō ū. Ki te hiahia koe, ka taea e koe te mahi i tētahi atu pokanga hei hanga anō i tō uma i muri i tō oranga katoa mai i tēnei pokanga.