Kulimbana ndi khansa ya m'mawere si ulendo wophweka. Paulendo umenewu, mungafunike kuchotsa bere lonse kapena gawo lake. Pambuyo pake, ndi bwino kudzifunsa kuti, 'Kodi ndiyenera kukonzanso bere langa?' Ichi ndi chisankho chaumwini. Chifukwa chake, kwa inu omwe mukuganiza zopanga chisankho chotere, lero tikulankhula za njira yapamwamba kwambiri yomwe ilipo, opaleshoni ya DIEP Flap.

Kodi opaleshoni ya DIEP Flap ndi chiyani?

Mwachidule, iyi ndi opaleshoni yomwe mumagwiritsa ntchito ziwalo za thupi lanu kupanga bere latsopano kuti lilowe m'malo mwa lomwe linachotsedwa. DIEP imayimira `Deep Inferior Epigastric Perforator`. Ili ndi dzina la mtsempha wamagazi womwe uli m'mimba mwanu.

Mu opaleshoni iyi, dokotalayo amatenga khungu, minofu yamafuta, ndi mitsempha yamagazi kuchokera m'mimba mwanu ndikuzigwiritsa ntchito pokonzanso bere.

Mu opaleshoni ya TRAM flap, yomwe ndi njira yakale, minofu imatengedwa pamodzi ndi minofu ya m'mimba. Izi zimatenga nthawi yayitali kuti zichiritsidwe ndipo mphamvu ya m'mimba imachepa. Komabe, vutoli silimachitika ndi DIEP flap. Chifukwa chake, nthawi yochira imakhala yochepa ndipo mphamvu ya m'mimba imasungidwa.

Ndani akufunika opaleshoni iyi?

Kukonzanso bere ndi njira yomwe aliyense amene akufuna kukonzanso bere atachitidwa opaleshoni ya khansa ya m'mawere, kaya ndi opaleshoni ya mastectomy kapena lumpectomy. Izi zitha kuchitika nthawi yomweyo ndi opaleshoni ya khansa, kapena tsiku lina.

Kukonza bere ndi chisankho chaumwini. Anthu ena amapanga chisankho ichi pazifukwa monga:

• Khalani ndi thupi lokongola komanso lolinganizika bwino.
• Khalani otsimikiza chifukwa zovalazo zikukwanira bwino.
• Wonjezerani kudzidalira kwanu.

Kodi iyi ndiyo njira yokhayo yokonzanso mabere?

Ayi. Pali njira ziwiri zazikulu zokonzanso bere. Ngati mukupanga chisankho ichi, muyenera kukambirana mosamala za ubwino, kuipa, ndi zoopsa za njira iliyonse ndi dokotala wanu.

Kodi pali zochitika zina zomwe opaleshoni ya DIEP Flap singachitike?

Inde, si aliyense amene ali woyenera opaleshoni iyi. Pali nthawi zina pamene opaleshoni iyi singakhale yoyenera kwa inu. Nazi zina mwazochitika:

• Ngati mwachitidwa kale opaleshoni ya DIEP flap kapena TRAM flap: Mutha kuchotsa minofu m'mimba mwanu mwanjira iyi kamodzi kokha m'moyo wanu.
• Ngati palibe minofu yokwanira yamafuta m'mimba: Ngati ndinu woonda kwambiri, kapena ngati mudachitidwapo opaleshoni yochepetsera mafuta m'mimba (`abdominoplasty` kapena `tummy tuck`), mwina simungakhale ndi minofu yokwanira.
• Ngati pali vuto ndi mitsempha yamagazi m'mimba: Nthawi zina mitsempha yamagazi iyi imakhala yaying'ono kwambiri, kapena imakhala pamalo ovuta kuichita opaleshoni. Koma tsopano, chifukwa cha ukadaulo wapamwamba, palinso njira zochitira opaleshoni pamilandu iyi.
• Opaleshoni yam'mimba yapitayi: Maopaleshoni ena akuluakulu am'mimba (monga colostomy) akhoza kukhala vuto. Komabe , opaleshoni ya C-section kapena open hysterectomy nthawi zambiri si vuto. Ili ndi vuto lofala kwa anthu ambiri, choncho lankhulani ndi dokotala wanu za vutoli.

Kodi mumakonzekera bwanji musanachite opaleshoni?

Dokotala wanu adzakupatsani malangizo enieni a zomwe mungachite musanachite opaleshoni, koma nazi zinthu zina zofunika kukonzekera:

• Chitani masewera olimbitsa thupi opepuka: Kuchita masewera olimbitsa thupi opepuka kwa milungu ingapo musanachite opaleshoni kungathandize kulimbitsa minofu yanu ndikusunga thanzi labwino la mtima.
• Pewani kusuta fodya konse: Pewani chilichonse chomwe chili ndi nikotini. Izi ndizofunikira kwambiri pa kuchira kwa zilonda.
• Siyani kumwa mankhwala ena: Mankhwala omwe amakhudza magazi kuundana, monga aspirin ndi NSAIDs (mankhwala oletsa kutupa omwe si a steroidal), angafunike kuyimitsidwa kwakanthawi malinga ndi upangiri wa dokotala.

Kodi opaleshoniyi imachitidwa bwanji?

Opaleshoni iyi nthawi zambiri imatenga pakati pa maola 6 ndi 8. Iyi ndi opaleshoni yayitali komanso yovuta. Tiyeni tiwone zomwe zimachitika.

1. Mankhwala oletsa ululu

Opaleshoni isanayambe, mudzapatsidwa mankhwala oletsa ululu, zomwe zikutanthauza kuti mudzakhala mutagona mokwanira ndipo simudzamva kupweteka kulikonse.

2. Kuduladula

Dokotala adzapanga chotupa chachitali chopingasa m'mimba mwanu, pakati pa mafupa a m'chiuno mwanu. Chotupachi nthawi zambiri chimapangidwa mwanjira yomwe ingabisike ndi zovala zanu zamkati.

3. Kuchotsa minofu

Kenako, chogwirira chokhala ndi khungu, mafuta, ndi mitsempha yamagazi chimachotsedwa mosamala kuchokera pa chochekacho. Apanso, palibe minofu yomwe imachotsedwa apa.

4. Kusamutsa minofu

Tsopano chidutswa cha minofuchi chimatengedwa kupita kudera la pachifuwa komwe bere liyenera kupangidwira. Apa ndi pomwe gawo lovuta komanso lofunika kwambiri la opaleshoniyi limachitikira. Izi zikutanthauza kuti, mitsempha yaying'ono yamagazi yomwe ili mu chidutswacho imayikidwa mosamala kwambiri ku mitsempha yamagazi yomwe ili pachifuwa. Njira yapadera yotchedwa `Microvascular surgery` imagwiritsidwa ntchito pa izi.

5. Kukonza mawere

Magazi akangolumikizidwa bwino, dokotalayo amagwiritsa ntchito minofuyo kupanga bere latsopano lomwe likugwirizana ndi bere lina ndipo limawoneka lachilengedwe.

6. Kuyika ngalande

Pambuyo pa opaleshoni, machubu ang'onoang'ono (matayala) 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 pachifuwa ndi pamimba amatsekedwa ndi ma stitches. Khungu la pamimba likakokedwa ndi kusokedwa, limachitidwa mwanjira yomwe imasiya mimba yanu pamalo achilengedwe. Monga phindu lina, khungu la pamimba lidzawoneka lolimba pang'ono (mofanana ndi 'mimba yotupa') pambuyo pa opaleshoni.

Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?

Monga china chilichonse, palinso ubwino ndi zoopsa zazing'ono.

Ubwino

• Mawonekedwe ndi momwe thupi lanu limaonekera: Popeza minofu yanu imagwiritsidwa ntchito, bere latsopano lidzawoneka lachilengedwe kwambiri kuposa choyikamo.
• Palibe kuwonongeka kwa minofu: Monga tanenera kale, popeza minofu ya m'mimba siiwonongeka, mphamvu ya m'mimba imakhalabe yomweyo.
• Zotsatira Zokhazikika: Zotsatira zake zimakhala zamuyaya. Sizidzaphulika, kuuma, kuyendayenda ngati zoyikamo, kapena kufunikira kusinthidwa mukakula/kufooka.
• Kutha kubwezeretsanso kumva: Nthawi zina, kuchuluka kwa kumva kumatha kubwereranso m'bere lomwe langopangidwanso kumene.

Zoopsa

Izi zimachitika kawirikawiri, koma ndikofunikira kuzidziwa.

• Hernia: Nthawi zambiri, gawo la m'mimba limatha kutuluka kudzera pamalo ofooka m'minofu ya m'mimba.
• Kupanga ziphuphu:Zilonda zimatha kupangika mkati mwa bere latsopano ndipo zimamveka ngati zotupa zolimba. Izi zimatha zokha, kapena zimatha kuchotsedwa ndi opaleshoni yaying'ono.
• Kufa kwa minofu (`Necrosis`): Ngati magazi opita ku minofu yoikidwayo sakwanira, gawo lina la minofuyo lingafe. Zikatero, gawo lakufalo liyenera kuchotsedwa.

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Zingatenge milungu 6 mpaka 8 kuti muchire bwino. Mudzapemphedwa kuvala chovala chapadera chopondereza pachifuwa ndi pamimba panu kwa milungu ingapo yoyambirira. Muyenera kupewa kunyamula zinthu zolemera, kuchita zinthu zolemetsa, komanso kuchita zinthu zina zomwe zimaphatikizapo kukweza manja anu pamutu panu kwa milungu ingapo yoyambirira.

Mungayembekezere zinthu izi:

• Kusanza: Mungamve dzanzi m'bere lanu latsopano ndi m'mimba. Izi zingatenge pafupifupi chaka chimodzi kuti zithe kwathunthu.
• Ululu ndi kuwawa: Ululu pachifuwa ndi m'mimba udzachepa kwambiri patatha milungu iwiri.
• Kutupa: Kutupa mozungulira mabere, m'khwapa, ndi m'mimba kumatha kupitirira kwa milungu ingapo.
• Kulimbitsa khungu: Mungamve ngati khungu la m'mimba ndi m'mawere anu likulimba.

Chiŵerengero cha kupambana chili pa 96% - 99%. Choncho palibe chodetsa nkhawa.