Kulimbana ndi khansa ya m'mawere ndi vuto lalikulu. Paulendo umenewu, mungafunike kuchitidwa opaleshoni ya mastectomy kapena lumpectomy. Pambuyo pake, lingaliro lakuti "Ndidzaoneka bwanji tsopano?" lingakuvutitseni. Koma musadandaule. Masiku ano, sayansi ya zamankhwala yapita patsogolo kwambiri. Pali njira zosiyanasiyana zoti muwoneke mwachibadwa. Lero, tikambirana za njira imodzi yapadera.
Kodi opaleshoni ya DIEP Flap ndi chiyani? Tiyeni timvetse mosavuta.
Chabwino, dzinali lingamveke ngati lovuta pang'ono. Koma tiyeni tipitirizebe kulimvetsa. DIEP Flap Surgery ndi mtundu wa opaleshoni yokonzanso mawere.
Tangoganizani kutenga gawo laling'ono la thupi lanu ndikuligwiritsa ntchito kumanganso bere lanu. Ndicho chimene chimachitika apa. Apa, dokotala wa opaleshoni akutenga chidutswa cha khungu, mafuta, ndi mitsempha yamagazi kuchokera m'mimba mwanu ndikuzigwiritsa ntchito kupanga bere latsopano komwe bere lanu linali kale.
Mtsempha wamagazi womwe ukugwiritsidwa ntchito pano umatchedwa `DIEP (deep inferior epigastric perforator artery)`. Simuyenera kuganizira kwambiri za dzinalo. Chofunika ndichakuti izi ndi gawo la thupi lanu.
N’chifukwa chiyani izi zili zapadera kwambiri?
Chimodzi mwa ubwino waukulu komanso wofunikira kwambiri wa opaleshoniyi ndichakuti dokotala amachotsa khungu ndi mafuta okha popanda kuwononga kapena kuchotsa minofu iliyonse m'mimba mwanu .
Mu opaleshoni yakale ya `TRAM (transverse rectus abdominal muscle) flap`, minofu iyi idatengedwa limodzi ndi gawo la minofu ya m'mimba. Kenako minofu ya m'mimba imakhala yofooka, ndipo nthawi yochira imakhala yayitali. Koma ndi opaleshoni ya DIEP flap, vutoli silibwera. Chifukwa chake, mutha kuchira mwachangu ndikusunga mphamvu ya m'mimba. Monga momwe ``tummy tuck`` imachitira, mimba imakhala yathyathyathya, zomwe ndi mwayi wowonjezera!
Kodi opaleshoni iyi ndi yoyenera kwa ndani ndipo n’chifukwa chiyani wina angasankhe?
Aliyense amene akufuna kukonzanso bere pambuyo pa opaleshoni ya khansa ya m'mawere angaganizire izi. Opaleshoni iyi ikhoza kuchitika nthawi yomweyo ndi opaleshoni ya khansa (kukonzanso nthawi yomweyo), kapena ikhoza kuchitika pambuyo poti mankhwala onse a khansa atha, pakapita nthawi (kukonzanso mochedwa).
Kumanganso bere ndi chisankho chaumwini. Palibe amene akukukakamizani kuchita izi. Anthu ena amapanga chisankho ichi pazifukwa monga:
- Khalani ndi mawonekedwe abwino: Kuchotsa bere kungamveke ngati thupi lanu silili bwino. Opaleshoni iyi ingathandize kubwezeretsa mawonekedwewo.
- Valani bwino: Iyi ndi njira yabwino yopewera kusasangalala mukamavala.
- Wonjezerani kudzidalira:Izi zimathandiza kwambiri kuthetsa nkhawa ndi maonekedwe anu komanso kulimbitsa kudzidalira kwanu.
Kumbukirani, ndi thupi lanu, chisankho chanu. Muli ndi ufulu wonse wosankha chomwe chikukuyenererani.
Kodi aliyense sangapatsidwe opaleshoni iyi?
Ndipotu, opaleshoni ya DIEP flap si yoyenera aliyense. Pali nthawi zina zomwe sizingatheke. Tiyeni tiwone zomwe zili m'matendawa.
| Pamene opaleshoni si yoyenera | Kufotokoza mwachidule |
|---|---|
| Ngati mudachitidwapo opaleshoni yamtunduwu kale | Ngati munachitidwa opaleshoni ya DIEP kapena TRAM flap musanakonzedwenso bere lanu lina, simungathe kuchotsedwa minofu m'mimba mwanu chifukwa gawo limenelo lingagwiritsidwe ntchito kamodzi kokha. |
| Ngati palibe mafuta okwanira m'mimba | Ngati ndinu woonda kwambiri, kapena munachitapo opaleshoni ya m'mimba (abdominoplasty kapena liposuction), mwina simungakhale ndi mafuta okwanira ndi khungu m'mimba mwanu kuti mupange bere. |
| Ngati pali vuto ndi mitsempha yamagazi m'mimba | Nthawi zina mitsempha yamagazi yomwe imafunika pa opaleshoniyi ingakhale yaying'ono kwambiri kapena malo ake angakhale osiyana. Komabe, ndi ukadaulo watsopano womwe ulipo masiku ano, palinso njira zochitira opaleshoniyi pazochitika izi. |
| Maopaleshoni ena am'mimba omwe adachitika kale | Ngati mwachitidwa opaleshoni yaikulu, monga colostomy, izi sizingatheke. Komabe, nthawi zambiri sizimakhala chopinga pa opaleshoni iyi, ngakhale mutachitidwa opaleshoni ya C-section kapena opaleshoni yotseguka ya chiberekero. |
Dokotala wanu akhoza kupanga chisankho chabwino kwambiri pa izi. Iye adzakuyang'anirani ndikukuuzani ngati opaleshoniyi ndi yoyenera kwa inu kapena ayi.
Kodi muyenera kuchita chiyani musanachite opaleshoni?
Popeza opaleshoniyi ndi yaikulu, muyenera kukonzekera bwino pasadakhale. Dokotala wanu adzakupatsani malangizo onse ofunikira. Nthawi zambiri amakuuzani kuti muchite izi:
- Mayeso azaumoyo: Muyenera kuyesedwa kangapo, monga magazi, kuti muwone ngati thupi lanu lili bwino pochita opaleshoni.
- Kuchita Maseŵera Olimbitsa Thupi: Kuchita maseŵero olimbitsa thupi pang'ono kwa milungu ingapo musanachite opaleshoni kungathandize kulimbitsa minofu ndikukhala ndi thanzi labwino la mtima.
- Pewani kusuta: Ngati ndinu wosuta fodya, muyenera kusiya kwathunthu musanachite opaleshoni. Musagwiritse ntchito chilichonse chomwe chili ndi nikotini. Kusuta fodya kungachepetse mitsempha yamagazi ndikusokoneza kuchira pambuyo pa opaleshoni.
- Siyani mankhwala ena: Dokotala wanu angakufunseni kuti musiye kumwa mankhwala ochepetsa magazi, monga aspirin ndi mankhwala oletsa kutupa (NSAIDs), musanachite opaleshoni. Onetsetsani kuti mwauza dokotala wanu za mankhwala ena aliwonse omwe mukumwa.
Kodi chimachitika ndi chiyani panthawi ya opaleshoni?
Opaleshoni iyi nthawi zambiri imatenga pakati pa maola 6 ndi 8. Iyi ndi opaleshoni yovuta pang'ono. Tiyeni tiwone zomwe zimachitika pang'onopang'ono.
1. Mankhwala oletsa ululu: Choyamba, mudzapatsidwa mankhwala oletsa ululu kwathunthu. Izi zikutanthauza kuti simudzamva chilichonse panthawi ya opaleshoni, mudzakhala mutulo tofa nato.
2. Kuduladula: Kenako, dokotala wa opaleshoni adzaduladuladula m'mimba mwanu, pakati pa mafupa a m'chiuno mwanu. Kuduladula kumeneku nthawi zambiri kumachitika kuti kubisike ndi zovala zanu zamkati.
3. Kuchotsa minofu: Chophimba chokhala ndi khungu, mafuta, ndi mitsempha yamagazi chimachotsedwa mosamala kuchokera pamalo odulidwa popanda kuwononga minofu.
4. Kusamutsa minofu: Kenako, kudula kumachitidwa pamalo omwewo omwe bere lanu linachotsedwa, ndipo minofu ya m'mimba mwanu imasamutsidwira kumeneko. Iyi ndi gawo lofunika kwambiri komanso lovuta. Pogwiritsa ntchito maikulosikopu, mosamala kwambiri, mitsempha yamagazi yomwe ili mu minofuyo imalumikizidwa ndi mitsempha yamagazi yomwe ili pachifuwa chanu. Izi zimatchedwa 'opereshoni ya mitsempha yaying'ono'.
5. Kukonza bere: Magazi akangolumikizidwa bwino, dokotala amagwiritsa ntchito gawo la minofu kuti apange mawonekedwe achilengedwe a bere.
6. Kuika madzi otayira: Pambuyo pa opaleshoni, machubu ang'onoang'ono (machubu) amayikidwa m'mabala omwe ali m'mimba ndi pachifuwa kuti atulutse madzi aliwonse omwe amasonkhana m'mabala. Izi zimachotsedwa pakatha milungu ingapo.
7. Kutseka:Pomaliza, mabala omwe ali pachifuwa ndi pamimba amatsekedwa ndi ma stitches. Pamene khungu la pamimba lanu likukokedwa ndikusokedwa pamodzi, mimba yanu imayikidwanso pamalo owoneka ngati achilengedwe.
Kodi mungayembekezere chiyani mutachita opaleshoni?
Mukachita opaleshoni, muyenera kukhala m'chipatala kwa masiku awiri kapena asanu. Mukapita kunyumba, zimatenga milungu 6 mpaka 8 kuti muchire. Panthawiyi, mungakumane ndi zinthu monga:
- Ululu ndi kusapeza bwino: Mutha kumva kupweteka ndi kuuma pang'ono pachifuwa ndi m'mimba kwa milungu iwiri yoyambirira. Dokotala wanu adzakupatsani mankhwala ochepetsa ululu pa izi.
- Kutupa: Malo ochitira opaleshoni akhoza kutupa. Kutupa kumeneku kudzachepa pang'onopang'ono.
- Kusanza: Mudzamva kumva kuwawa m'mabere ndi m'mimba mwanu mwatsopano. Zingatenge chaka chimodzi kuti kumva kumeneku kubwererenso.
- Zoletsa: Madokotala adzakulangizani kuti musachite zinthu zolemetsa monga kunyamula zolemera kapena kukweza manja anu pamutu kwa pafupifupi mwezi umodzi ndi theka.
Mudzapemphedwa kuvala chovala chapadera (compression garment). Chipatala chidzakupatsaninso malangizo atsatanetsatane a momwe mungasamalire mabala ndi madzi otuluka m'thupi lanu kunyumba.
Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?
Monga opaleshoni ina iliyonse, opaleshoni ya DIEP flap ili ndi ubwino komanso zoopsa zake. Ndikofunikira kudziwa zonse ziwiri musanapange chisankho.
| Ubwino | Zoopsa |
|---|---|
| Mawonekedwe ndi mawonekedwe achilengedwe: Chifukwa ndi minofu yanu, bere latsopano limawoneka lachilengedwe kwambiri. | Kufa kwa minofu (Necrosis): Ngati mitsempha yamagazi yolumikizidwayo siituluka bwino, minofuyo imatha kufa. Pankhaniyi, malowo angafunike kuchotsedwa opaleshoni. Izi zimachitika kawirikawiri. |
| Palibe kuwonongeka kwa minofu: Popeza minofu yanu ya m'mimba siiwonongeka, mphamvu zanu zimakhalabe zomwezo. Muthanso kuchira mwachangu. | Hernia: Kufooka kwa khoma la m'mimba komwe kumalola gawo lina la m'mimba kutuluka. Izi sizachilendo. |
| Zotsatira Zosatha: Iyi ndi njira yokhazikika. Mosiyana ndi ma implants, siithyoka, kutsetsereka, kapena kusuntha ngati kunenepa kukukulirakulira kapena kuchepa. | Ziphuphu: Nthawi zina zipsera zimatha kusonkhana mkati mwa bere ndikumva ngati ziphuphu. Izi nthawi zambiri zimatha zokha. |
| Kutha kumva: Nthawi zina, mitsempha yochokera ku minofu yotengedwa m'mimba imatha kulumikizidwa ndi mitsempha yomwe ili pachifuwa, zomwe zimapangitsa kuti bere limve bwino. | Zoopsa zonse za opaleshoni: Zoopsa za opaleshoni iliyonse, monga kutuluka magazi ndi matenda, zimapezekanso pano. |
Ndiyenera kuyimbira dokotala nthawi yanji?
Ngati muli ndi zizindikiro izi mukakhala kunyumba mutachita opaleshoni, imbani dokotala nthawi yomweyo:
- Malungo
- Ululu waukulu
- Kuvuta kupuma (kupuma movutikira)
- Kutuluka magazi ambiri kuchokera ku mabala
- Madzi onunkhira ngati mafinya omwe amatuluka m'mabala (zizindikiro za matenda)
Uthenga Wopita Nawo Kunyumba
- Opaleshoni ya DIEP flap ndi njira yokonzanso bere pogwiritsa ntchito khungu lanu ndi mafuta ochokera m'mimba mwanu mutachita opaleshoni ya khansa ya m'mawere.
- Palibe kuwonongeka kwa minofu ya m'mimba mwanu, chomwe ndi chimodzi mwa ubwino waukulu wa opaleshoniyi.
- Zotsatira zake ndi zachilengedwe komanso zosatha.
- Iyi si opaleshoni yokwanira onse. Dokotala wanu ndiye munthu wabwino kwambiri wodziwa ngati opaleshoniyi ndi yoyenera kwa inu.
- Zimatenga pafupifupi milungu 6-8 kuti munthu achire bwino pambuyo pa opaleshoni. Ndikofunikira kwambiri kutsatira malangizo a dokotala nthawi yomweyo.
- Kukonza bere ndi chisankho cha munthu payekha. Kambiranani momasuka ndi dokotala wanu za nkhaniyi ndipo sankhani chomwe chili chabwino kwa inu.
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