Te hanga anō i te ū mā te whakamahi i ngā wāhanga o tōu ake tinana: Akohia te Pokanga DIEP Flap

Ehara i te mea ngāwari te whawhai ki te mate pukupuku o te ū. I roto i taua haerenga, me tango pea tō ū katoa, tō wāhanga rānei. Whai muri i tēnā, he mea noa te whakaaro, 'Me hanga anō ōku ū?' He whakatau whaiaro tēnei. Nō reira, mō te hunga o koutou e whakaaro ana ki te whakatau i tēnei momo whakatau, i tēnei rā ka kōrero tātou mō te tikanga matatau rawa atu, arā, ko te pokanga DIEP Flap.

He aha te pokanga DIEP Flap?

He whakarāpopototanga tēnei, he pokanga e whakamahi ai koe i ō ake wāhanga tinana hei hanga i tētahi ū hou hei whakakapi i te mea i tangohia. Ko te tikanga o DIEP ko 'Deep Inferior Epigastric Perforator'. Koinei te ingoa o tētahi uaua toto i roto i tō puku o raro.

I roto i tēnei pokanga, ka tangohia e te taote pokanga te kiri, te kiko ngako, me ngā uaua toto mai i tō puku o raro, ka whakamahia hei hanga anō i te ū.

I roto i te pokanga TRAM flap, he tikanga tawhito tēnei, ka tangohia te kiko me ngā uaua o te puku. Ka roa ake te wā e ora ai tēnei, ā, ka whakaitihia te kaha o te puku. Heoi, kāore tēnei raruraru e puta me te DIEP flap. Nō reira, ka poto ake te wā whakaora, ā, ka tiakina te kaha o te puku.

Ko wai e hiahia ana ki tēnei pokanga?

He tikanga te hanga anō i te ū e taea ana te whakaaro e te hunga katoa e hiahia ana ki te hanga anō i te ū i muri i te pokanga matepukupuku ū, he tango i te ū, he tango rānei i te ū. Ka taea tēnei te mahi i te wā kotahi me te pokanga matepukupuku, i tētahi atu rā rānei i muri mai.

He whakatau whaiaro te hanga anō i te uma. Ko ētahi tāngata ka whakatau i tēnei mō ngā take pēnei i:

• Whiwhi tinana taurite, ataahua hoki.
• Kia māia koe nā te mea he tino pai te taunga o ngā kākahu.
• Whakanuia tō whakaaro nui ki a koe anō.

Koinei anake te huarahi hei hanga anō i ngā ū?

Kāo. E rua ngā tikanga matua mō te hanga anō i te ū. Mena kei te whakatau koe i tēnei, me matapakihia e koe ngā painga, ngā ngoikoretanga, me ngā mōrearea o ia tikanga me tō tākuta.

He aha ngā wā kāore e taea te mahi i te pokanga DIEP Flap?

Āe, ehara i te mea he pai mō te katoa tēnei pokanga. Tērā ētahi wā kāore pea tēnei pokanga e pai mōu. Anei ētahi o ngā āhuatanga:

• Mena kua oti kē koe te pokanga DIEP flap, TRAM flap rānei: Ka taea anake te tango i tēnei momo kiko mai i te puku kotahi i te oranga katoa.
• Mena kāore i te nui ngā kiko ngako i roto i te puku: Mena he tino kikokore koe, kua oti rānei te pokanga whakaiti ngako o te puku (`abdominoplasty` `tummy tuck` rānei), tera pea kāore i te nui ō kiko.
• Mena he raruraru kei ngā oko toto i roto i te puku: I ētahi wā he tino iti ēnei oko toto, he uaua rānei te mahi pokanga. Engari ināianei, nā te hangarau matatau, kua puta ngā huarahi hei pokanga i ēnei kēhi.
• Pokanga puku o mua: Ka raru pea ētahi pokanga puku nui (pēnei i te colostomy). Heoi , ko te pokanga C-section, ko te hysterectomy tuwhera rānei, ehara i te mea he raruraru. He raruraru noa tēnei mō te tini o te tangata, nō reira kōrero ki tō tākuta mō tēnei.

Me pēhea te whakarite i mua i te pokanga?

Ka hoatu e tō tākuta he tohutohu motuhake mō ngā mea hei mahi i mua i te pokanga, engari anei ētahi mea whānui hei whakarite māu:

• Whakakorikori tinana māmā: Mā te whakakorikori tinana māmā mō ētahi wiki i mua i te pokanga ka āwhina i te whakapakari i ō uaua me te pupuri i te hauora o te ngākau.
• Kaua e kai hikareti rawa: Kaua e kai i ngā mea katoa kei roto he nikotīni. He mea tino nui tēnei mō te whakaora i te patunga.
• Kati te tango i ētahi rongoā: Ko ngā rongoā e pā ana ki te toto totoka, pērā i te aspirin me ngā NSAID (ngā rongoā anti-inflammatory kore-steroidal), me mutu pea mō tētahi wā i runga i te tohutohu a tō tākuta.

Me pēhea te mahi i te pokanga?

E ono ki te waru hāora te roa o tēnei pokanga. He pokanga roa, he uaua hoki tēnei. Kia kite tātou he aha ka puta.

1. Whakamamae

I mua i te tīmatanga o te pokanga, ka whakamoea katoatia koe, arā, ka moe katoa koe, ā, kāore koe e mamae.

2. Tapahi

Ka tapahia e te tākuta he tapa roa, whakapae rānei, ki tō puku o raro, i waenganui i ngā wheua o tō hope. I te nuinga o te wā ka tapahia tēnei tapa kia hunaia e ō kākahu o roto.

3. Te tango kiko

Muri iho, ka tangohia marietia he kiri, he ngako, me ngā uaua toto mai i taua tapahi. Anō, kāore he uaua e tangohia i konei.

4. Te whakawhiti kiko

Kātahi ka haria tēnei wahi kiko ki te wāhi o te uma e hangaia ai te ū. Koinei te wāhi e tū ai te wāhanga tino uaua me te tino nui o tēnei pokanga. Arā, ka tino ata whakatōkia ngā oko toto iti o taua wahi kiko ki ngā oko toto o te uma. Ka whakamahia he tikanga motuhake e kiia nei ko te 'Pokanga Microvascular' mō tēnei.

5. Te hanga i ngā ū

Kia tika te hono o te toto, ka whakamahia e te tākuta taua kiko hei hanga i tētahi ū hou e ōrite ana ki tētahi atu ū, ā, he āhua tūturu hoki.

6. Te whakatakotoranga o te waikeri

I muri i te pokanga, ka whakanohoia he ngongo iti (he paipa wai) 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 tuituia ngā tapahi o te uma me te puku ki ngā tuitui. Ina tōia te kiri o te puku, ka tuia, ka mahia kia rite te āhua o tō puku ki tōna tūranga tūturu. Hei painga anō, ka āhua piri te kiri o te puku (he rite ki te 'pummy tuck') i muri i te pokanga.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Pērā i ngā mea katoa, he painga, he iti hoki ngā mōrearea.

Ngā Painga

• Te āhua me te āhua tūturu: Nā te mea kua whakamahia tō ake kiko, ka tino tūturu ake te āhua me te āhua o te ū hou i te tāpiringa.
• Kāore he kino ki ngā uaua: E ai ki te kōrero i mua ake nei, nā te mea kāore ngā uaua o te puku i pakaru, ka noho tonu te kaha o te puku.
• Ngā Hua Tuturu: He pumau ngā hua. Kāore e pakū, e mārō, e nekeneke pērā i ngā mea tāpiri, e hiahiatia rānei kia whakakapia ina nui/ngoikore.
• Te kaha ki te whakahoki mai i te kare ā-roto: I ētahi wā, ka taea te whakahoki mai i ētahi taumata kare ā-roto i roto i te ū hou i hangaia.

Ngā Tūponotanga

He tino onge te puta mai o ēnei āhuatanga, engari he mea nui kia mōhio koe ki ēnei.

• Hernia: He tino onge, ka puta mai tetahi wāhanga o te whekau mā roto i te wāhi ngoikore o ngā uaua o te puku.
• Te hanganga o ngā pūngāwerewere:Tērā pea ka puta he kiko koha i roto i te ū hou, ā, ka rite ki ngā puku mārō. Tērā pea ka memeha noa iho ēnei, ka taea rānei te tango mā te pokanga iti.
• Te mate o te kiko (`Necrosis`): Ki te kore e ranea te rere o te toto ki te kiko kua whakatōkia, ka mate pea tetahi wāhanga o taua kiko. Mēnā koinā, me tango te wāhanga mate.

Kia pēhea te roa o te wā e ora ai?

E ono ki te waru wiki pea te roa hei whakaora katoa. Ka tonoa koe kia mau i tētahi kākahu pēhi motuhake mō tō uma me tō puku mō ngā wiki tuatahi. Me karo koe i te hiki taumaha, i ngā mahi uaua, me ngā mahi e hiahia ana kia hiki ake ō ringa ki runga i a koe mō ngā wiki tuatahi.

Ka taea e koe te tumanako ki ēnei mea:

• Te ngoikore: Tērā pea ka pāngia koe e te ngoikore i roto i tō ū me tō puku hou. Tērā pea ka roa te tau ka memeha rawa atu tēnei.
• Mamae me te ngaungau: Ka tino memeha haere te mamae o te uma me te puku i muri i te rua wiki pea.
• Te pupuhi: Ka roa pea te pupuhi i ngā ū, i ngā kēkē, me te puku mō ētahi wiki.
• Te whakakīkī kiri: Tērā pea ka rongo koe i te kare ā-roto o te whakakīkī i te kiri o tō puku me ō ū.

Ko te ōrau angitu he 96% - 99%. Nō reira, kāore he mea hei manukanuka.