He wero nui te whawhai ki te mate pukupuku o te ū. I roto i taua haerenga, me tango pea koe i te mastectomy, i te lumpectomy rānei. Whai muri i tēnā, ka whai pea koe i te whakaaro "He aha te āhua o taku tinana ināianei?". Kaua e manukanuka. I ēnei rā, kua tino whanake te pūtaiao hauora. He maha ngā huarahi hei whakahoki mai i te āhua tūturu ki a koe. I tēnei rā, ka kōrero tātou mō tētahi tikanga motuhake.
He aha te pokanga DIEP Flap? Me mārama noa iho.
Āe, tera pea he ahua uaua tēnei ingoa. Engari kia māmā noa iho. Ko te DIEP Flap Surgery he momo pokanga whakahou ū.
Whakaarohia te tango i tētahi wāhanga iti o tō tinana ake hei hanga anō i tō ū. Koinei te mea e tupu ana i konei. I konei, ka tangohia e te taote pokanga tētahi wahi kiri, ngako, me ngā uaua toto mai i tō puku o raro , ka whakamahia hei hanga i tētahi ū hou ki te wāhi i mua i tū ai tō ū.
Ko te ingoa o te oko toto e whakamahia ana i konei ko te `DIEP (deep inferior epigastric perforator artery)`. Kāore koe e hiahia ki te whakaaro nui ki te ingoa. Ko te mea nui ko tēnei he wāhanga o tō tinana ake.
He aha i tino motuhake ai tēnei?
Ko tētahi o ngā painga nui rawa atu o tēnei pokanga ko te tango noa a te tākuta i tēnei wāhanga kiri me te ngako, me te kore e kino, e tangohia rānei tētahi o ngā uaua o tō puku .
I roto i te pokanga tawhito o te `TRAM (transverse rectus abdominal muscle) flap`, i tangohia tēnei kiko me tētahi wāhanga o te uaua puku. Kātahi ka ngoikore te uaua puku, ā, ka roa ake te wā whakaora. Engari mā te pokanga DIEP flap, kāore taua raruraru e puta. Nō reira, ka taea e koe te whakaora wawe me te pupuri i te kaha o te puku. Pērā i te ``pummy tuck``, ka papatahi te puku, he painga anō tēnei!
Mā wai tēnei pokanga e tika, ā, he aha ai te take e whiriwhiri ai te tangata i tēnei?
Ka taea e te hunga e hiahia ana ki te hanga anō i tētahi ū i muri i te pokanga matepukupuku ū te whakaaro ki tēnei. Ka taea tēnei pokanga te mahi i te wā kotahi me te pokanga matepukupuku (hanga anō tonu), ka taea rānei te mahi i muri i te otinga o ngā maimoatanga matepukupuku katoa, i muri i tētahi wā (hanga anō whakaroa).
He whakatau whaiaro te hanga anō i ngā ū. Kāore he tangata e akiaki ana i a koe ki te mahi i tēnei. Ko ētahi tāngata e whakatau ana i tēnei mō ngā take penei:
- Kia taurite te āhua: Mēnā ka tangohia te ū, ka rite pea tō tinana ki te kore taurite. Mā tēnei pokanga ka āwhina i te whakahoki mai i taua āhua.
- Kia tika te kākahu: He otinga pai tēnei hei karo i te mamae i te wā e kākahu ana.
- Whakanuia te whakapono ki a koe anō:He āwhina nui tēnei mō te whakakore i te manukanuka mō tō āhua me te hanga anō i tō whakapono ki a koe anō.
Kia maumahara, nōu te tinana, nōu te whakatau. Kei a koe te mana ki te whiriwhiri i te mea e pai ana ki a koe.
Kāore e taea e te katoa te mahi i tēnei pokanga?
Kāore te pokanga DIEP e pai mō te katoa. I ētahi wā, kāore pea e taea. Kia titiro tātou he aha aua take.
| Ina kore e tika te pokanga | He whakamārama ngāwari noa iho |
|---|---|
| Mena kua mahia tēnei momo pokanga ki a koe i mua | Mena kua pokangahia tō uma ki te DIEP, ki te TRAM rānei i mua i te hanga anō i tō uma kē atu, kāore e taea te tango anō i te kiko mai i tō puku nā te mea kotahi anake te whakamahinga o taua wāhanga. |
| Mena kāore i te nui te ngako i te puku o raro | Mena he tino kikokore koe, kua oti rānei te pokanga puku (abdominoplasty, liposuction rānei) i mua, tērā pea kāore i te nui te ngako me te kiri i roto i tō puku hei hanga i tētahi ū. |
| Mena he raruraru kei roto i ngā oko toto i roto i te puku | I ētahi wā, he iti rawa pea ngā oko toto e hiahiatia ana mō tēnei pokanga, he rerekē rānei te wāhi e tū ai. Heoi, nā te hangarau hou e wātea ana i ēnei rā, kei reira anō ngā huarahi hei mahi i te pokanga i ēnei wā. |
| Ētahi atu pokanga puku o mua | Mena kua pokanga nui koe, pērā i te colostomy, tērā pea kāore e taea. Heoi, ehara i te mea he arai ki te mahi i tēnei pokanga, ahakoa kua pokanga C-section koe, kua wehea rānei te hysterectomy. |
Ka taea e tō tākuta te whakatau pai rawa atu mō tēnei. Māna koe e tirotiro, ā, māna koe e kī atu mēnā he tika tēnei pokanga māu.
Me aha koe i mua i te pokanga?
I te mea he pokanga nui tēnei, me whakarite koe i mua i te wā. Ka hoatu e tō tākuta ngā tohutohu katoa e tika ana ki a koe. Ko te tikanga, ka kī atu rātou me mahi koe i ēnei e whai ake nei:
- Ngā whakamātautau hauora: Me whai koe i ētahi whakamātautau, pērā i ngā whakamātautau toto, kia kitea ai mēnā kei te pai tō tinana mō te pokanga.
- Whakakorikori Tinana: Mā te whakakorikori tinana māmā mō ētahi wiki i mua i te pokanga ka āwhina i te whakapakari i ngā uaua me te pupuri i te hauora o te ngākau.
- Kaua e kai paipa: Mena he kai paipa koe, me mutu rawa i mua i te pokanga. Kaua e whakamahi i tetahi mea kei roto he nikotīni. Ka taea e te kai paipa te whakawhāiti i ngā oko toto me te whakararuraru i te whakaora i muri i te pokanga.
- Kati te tango i ētahi rongoā: Tērā pea ka tono atu tō tākuta kia mutu te tango i ngā rongoā whakaiti toto, pērā i te aspirin me ngā rongoā anti-inflammatory kore-steroidal (NSAID), i mua i tō pokanga. Kia mahara ki te kōrero ki tō tākuta mō ētahi atu rongoā e tangohia ana e koe.
He aha ngā mea ka tupu i te wā o te pokanga?
E ono ki te waru hāora te roa o tēnei pokanga. He pokanga uaua tēnei. Kia kite tātou i te mahi i ia taahiraa.
1. Whakamoemiti: Tuatahi, ka whakamoemititia katoatia koe. Ko te tikanga tēnei kāore koe e rongo i tetahi mea i te wā o te pokanga, ka moe katoa koe.
2. Tapahi: Muri iho, ka tapahia e te taote pokanga he tapahi roa, whakapae ki tō puku o raro, i waenganui i ngā wheua o tō hope. Ko te tikanga, ka tapahia tēnei tapahi kia hunaia e ō kākahu o roto.
3. Te tango kiko: Ka tangohia marietia he kiri, he ngako, me ngā uaua toto i te tapahi, me te kore e whara i ngā uaua.
4. Te whakawhiti kiko: Kātahi ka tapahia te wāhi i tangohia ai tō ū, ā, ka whakawhitia te kiko o tō puku ki reira. Koinei te wāhanga tino nui, tino uaua hoki. I raro i te karuārai, me te āta tirotiro, ka honoa ngā oko toto o taua kiko ki ngā oko toto o tō uma. Ka kiia tēnei ko te 'pokanga microvascular'.
5. Te hanga i te āhua o te ū: Kia tika te hononga o te toto, ka whakamahia e te tākuta taua wāhanga kiko hei hanga i te āhua tūturu o te ū.
6. Te whakatakotoranga o te waikeri: Whai muri i te pokanga, ka whakatakotoria ngā ngongo iti (ngā waikeri) ki ngā tapahi o te puku me te uma hei tango i te wai e kohia ana i roto i ngā patunga. Ka tangohia ēnei i roto i ētahi wiki.
7. Katinga:Hei whakamutunga, ka tuia ngā tapahi o tō uma me tō puku ki ngā tuitui. I te mea ka kumea te kiri o tō puku, ka tuia ngātahitia, ka hurihia anō tō puku ki te āhua tūturu.
He aha tāu e tumanako ai i muri i te pokanga?
I muri i te pokanga, me noho koe ki te hōhipera mō te rua ki te rima rā. I muri i tō hokinga ki te kāinga, e ono ki te waru wiki te roa hei whakaora. I tēnei wā, ka pāngia pea koe e ngā āhuatanga penei:
- Mamae me te kore whakamarie: Tērā pea ka pāngia koe e te mamae me te kōpikopiko o te uma me te puku i ngā wiki tuatahi e rua. Ka tohua e tō tākuta ngā rongoā whakamamae mamae mō tēnei.
- Pupuhi: Tērā pea ka pupuhi te wāhi pokanga. Ka memeha haere tēnei pupuhi.
- Te ngoikore: Ka rongo koe i te ngau kino i roto i ō ū me tō puku hou. Tērā pea ka roa te wā ka hoki mai anō tēnei kare ā-roto.
- Ngā Here: Ka tohutohu ngā tākuta kia kaua e mahi i ngā mahi uaua pēnei i te hiki i ngā taumaha, te hiki rānei i ō ringa ki runga mō te marama me te hawhe.
Ka tonoa koe kia mau i tētahi kākahu motuhake (kākahu pēhi). Ka hoatu hoki e te hōhipera he tohutohu taipitopito mō te tiaki i ō patunga me ō waikeri i te kāinga.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Pērā i ngā pokanga katoa, he pai, he mōrearea hoki ngā painga me ngā mōrearea o te pokanga DIEP flap. He mea nui kia mōhio ki ngā mea e rua i mua i te whakatau.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| Te āhua me te āhua tūturu: Nā te mea nōu ake te kiko, he tino tūturu te āhua me te āhua o te ū hou. | Te mate o ngā kiko (Necrosis): Ki te kore e rere tika ngā oko toto e hono ana, ka mate pea te kiko. I tēnei wā, me tango pea te wāhi mā te pokanga. He tino onge tēnei. |
| Kāore he pakaru o ngā uaua: Nā te mea kāore ō uaua puku i pakaru, ka noho tonu tō kaha. Ka taea hoki e koe te ora wawe. | Hernia: He ngoikore i te pakitara o te puku e taea ai e tetahi wāhanga o te whekau te puta. He mea onge hoki tēnei. |
| Ngā Hua Tuturu: He otinga tuturu tēnei. Kāore i rite ki ngā tāpiringa, e kore e whati, e paheke, e neke rānei i te pikinga, i te hekenga rānei o te taumaha. | Ngā puku: I ētahi wā ka puta he kiko kiri i roto i te ū, ā, ka rite ki ngā puku. He maha ngā wā ka memeha haere ēnei. |
| Te āheinga ki te rongo: I ētahi wā, ka taea te hono i ngā io mai i te kiko i tangohia mai i te puku ki ngā io o te uma, ka whakahokia mai ai ētahi kare ā-roto i roto i te ū. | Ngā mōrearea whānui o te pokanga: Kei konei anō hoki ngā mōrearea o tētahi pokanga, pērā i te toto me te mate. |
Ahea te wā me waea atu ahau ki te tākuta?
Mena kei a koe ētahi o ēnei tohu i a koe e noho ana i te kāinga i muri i te pokanga, waea atu ki tō tākuta tonu:
- Kirika
- Mamae nui
- Te uaua ki te manawa (dyspnea)
- Te toto nui mai i ngā patunga
- He wai kakara kino, he rite ki te pūhā e rere ana mai i ngā patunga (he tohu mate pāwera)
Karere Tangohia ki te Kāinga
- Ko te pokanga DIEP flap he tikanga hanga anō i te ū mā te whakamahi i tō ake kiri me te ngako o tō puku o raro i muri i te pokanga matepukupuku ū.
- Kāore he kino ki ngā uaua o tō puku, koinei tētahi o ngā painga nui o tēnei pokanga.
- He tino taiao, he pumau hoki te hua.
- Ehara tēnei i te pokanga kotahi e pai ana mō te katoa. Ko tō tākuta te tangata pai rawa atu hei mōhio mēnā he tika tēnei māu.
- E ono ki te waru wiki te roa hei whakaora katoa i muri i te pokanga. He mea tino nui kia whai i ngā tohutohu a te tākuta i tēnei wā.
- He whakatau whaiaro te hanga anō i ngā ū. Kōrerohia mā te mahorahora ki tō tākuta mō tēnei mea, ā, whiriwhiria te mea pai rawa atu māu.
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