Tiyeni tikambirane za kukonzanso bere pambuyo pochotsa mastectomy.

Kuchotsa mastectomy, kaya chifukwa cha khansa ya m'mawere kapena zifukwa zina zachipatala, ndi chinthu chomvetsa chisoni komanso chovuta kwambiri kwa mkazi aliyense. Ndizachibadwa kumva chisoni komanso kudzimvera chisoni chifukwa chotaya gawo la thupi lanu. Koma, kodi mumadziwa kuti ndi kupita patsogolo kwa zamankhwala amakono, n'zotheka kupanga opaleshoni kapena kumanganso bere lomwe lachotsedwa mwanjira imeneyi? Lero, tiyeni tikambirane za Breast Reconstruction, kapena opaleshoni yokonzanso bere.

Mwachidule, kodi kukonzanso mabere n’chiyani?

Mwachidule, iyi ndi opaleshoni yokonzanso bere pambuyo pochotsa mastectomy kapena lumpectomy. Nthawi zina, opaleshoni zingapo zingafunike.

Opaleshoni iyi ikhoza kuchitika nthawi yomweyo ndi opaleshoni ya mastectomy ( kukonzanso mwamsanga ). Kapena, ikhoza kuchitika miyezi ingapo kapena zaka pambuyo pake ( kukonzanso mochedwa ). Nthawi zina mabere onse awiri amafunika kukonzedwanso. Kapena, bere limodzi lingapangidwenso kuti lifanane ndi linzake. Ichi ndi chisankho chaumwini kwambiri. Azimayi ena amasankha opaleshoni iyi, pomwe ena sachita. Chisankho chimenecho chili ndi inu nokha.

Kodi njira zazikulu zomangiranso mabere ndi ziti?

Pali njira ziwiri zazikulu: Njira imodzi ndikutenga minofu kuchokera ku mbali ina ya thupi lanu ndikupanga bere. Njira ina ndi kugwiritsa ntchito chopangira chopangira.

1. Kukonzanso bere pogwiritsa ntchito minofu ya thupi lanu (Flap Reconstruction)

Mu njira imeneyi, khungu, mafuta, ndipo nthawi zina minofu imatengedwa kuchokera ku gawo lina la thupi lanu - mwachitsanzo, kuchokera m'mimba yapansi, ntchafu, kumbuyo, kapena matako - ndipo imagwiritsidwa ntchito popanga bere latsopano. Minofu yomwe imatengedwa mwanjira imeneyi imatchedwa `flap`. Pali njira zosiyanasiyana zochitira opaleshoni zomwe zimagwiritsidwa ntchito pa izi.

2. Kukulitsa mawere pogwiritsa ntchito ma implants

Mu njira imeneyi, madokotala amagwiritsa ntchito ma implants a saline kapena silicone kuti asinthe mawonekedwe a bere. Nthawi zina, kuphatikiza minofu yanu ndi ma implants kungagwiritsidwe ntchito.

Kodi ndingasankhe bwanji njira yomwe imandiyenera?

Dokotala wanu adzasankha njira yoyenera kwa inu ataganizira zinthu zingapo.

• Zaka zanu, thanzi lanu lonse, ndi moyo wanu .
• Kodi munachitidwa opaleshoni yamtundu wanji ya mastectomy ndipo munatsala minofu ingati mutachita opaleshoniyi?
• Kaya mukufuna chithandizo china cha khansa yanu (monga chemotherapy, radiotherapy).
• Opaleshoni yomwe mudachitapo kale. Mwachitsanzo, ngati mudachitapo opaleshoni ya m'mimba, zingakhale zovuta kuti muchotse chotupa m'mimba.
• Zoyembekezera zanu ndi mawonekedwe omwe mukufunaMmene zilili. Ndikofunikira kwambiri kukambirana momasuka komanso momveka bwino za izi ndi dokotala wanu.

Kodi chimachitika ndi chiyani opaleshoni isanachitike, panthawi komanso pambuyo pake?

Musanachite opaleshoni: Dokotala wanu adzakuyesani mokwanira, akukuyesani miyeso ndi zithunzi za mabere anu. Muyenera kuwadziwitsa za mankhwala aliwonse omwe mukumwa komanso thanzi lanu. Angakufunseninso kuti musiye kumwa mankhwala ena musanachite opaleshoni.

Pa opaleshoni: Opaleshoni iyi imachitikira kuchipatala. Mudzagonekedwa pansi pa mankhwala oletsa ululu, kotero simudzamva kupweteka kulikonse. Dokotala adzakonzanso bere lanu pogwiritsa ntchito njira yomwe mwasankha (kuphimba kapena kuyika). Pambuyo pa opaleshoni, chubu (drain) chikhoza kuyikidwa pansi pa khungu kuti chitulutse madzi ndi magazi omwe angakhale atasonkhana mkati. Chidzachotsedwa patatha masiku angapo.

Pambuyo pa opaleshoni: Muyenera kukhala m'chipatala kwa masiku angapo, mwina sabata imodzi. Mudzapatsidwa mankhwala oletsa ululu. Mudzapemphedwa kuvala bra yapadera (bra ya opaleshoni) kuti muchepetse kutupa ndikuchirikiza mabere anu. Mudzapatsidwa malangizo a momwe mungadzisamalire nokha mukapita kunyumba.

Kodi zoopsa ndi zovuta za opaleshoni iyi ndi ziti?

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zomwe zimachitika kawirikawiri, monga matenda opatsirana komanso kutuluka magazi. Kuphatikiza apo, zotsatirazi zitha kuchitika:

• Kuundana kwa magazi : Chiwopsezochi chimakhala chachikulu makamaka pambuyo pa opaleshoni ya flap.
• Kusintha kwa mawonekedwe kapena kukula kwa mabere onse awiri: Limodzi likhoza kumveka lolimba kuposa linzake.
• Zilonda: Zilonda zimatsala pambuyo pa opaleshoni iliyonse. Izi zimazimiririka pakapita nthawi.
• Kutupa kwa Mafuta: Ngati magazi omwe amalowa mu minofu yochotsedwa panthawi ya opaleshoni ya flap sakwanira, minofuyo imatha kufa.
• Mavuto okhudzana ndi implant: Implant ikhoza kukhala makwinya, kutuluka madzi, kapena kuphulika.
• Ululu kapena kufooka pamalo operekera chithandizo: Mungamve ululu kapena dzanzi m'malo monga mimba, msana, kapena ntchafu.

Nthawi yoti mupeze upangiri wachipatala nthawi yomweyo

Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala.

• Zizindikiro za matenda monga malungo.
• Ululu waukulu womwe sumatha ngakhale mutamwa mankhwala.
• Kutuluka magazi kapena mafinya kuchokera ku mabala ochitidwa opaleshoni.
• Kusintha kwa mtundu wa khungu pa bere kapena mozungulira bala.