Kuvhiyiwa mazamu, kungave nekuda kwekenza yemazamu kana zvimwe zvikonzero zvehutano, chiitiko chinoshungurudza zvikuru kumukadzi chero upi zvake. Zvakajairika kunzwa kusuruvara uye kuzvidemba nezvekurasikirwa nechimwe chikamu chemuviri wako. Asi, waizviziva here kuti nekufambira mberi kwemishonga yemazuva ano, zvinokwanisika kuvhiyiwa kugadzirazve kana kugadzirazve zamu rakabviswa nenzira iyi? Nhasi, ngatitaurei nezveKugadziriswazve kweZamu, kana kuvhiyiwa kwekuvakazve zamu.
Zvichitaurwa zviri nyore, chii chinonzi kuvakazve mazamu?
Zvichitaurwa zviri nyore, uku kuvhiyiwa kwekugadzirisa chimiro chezasi chezamu mushure mekuvhiyiwa mastectomy kana lumpectomy. Dzimwe nguva, kuvhiyiwa kakawanda kunogona kudiwa.
Kuvhiyiwa uku kunogona kuitwa panguva imwe chete nekubvisa mastectomy ( kuvakazve nekukurumidza ). Kana, kunogona kuitwa mwedzi kana kunyange makore gare gare ( kuvakazve kwakanonoka ). Dzimwe nguva mazamu ese maviri anoda kugadziriswazve. Kana kuti, zamu rimwe rinogona kugadziriswazve uye kugadzirwa kuti rienderane nerimwe. Ichi chisarudzo chemunhu oga. Vamwe vakadzi vanosarudza kuvhiyiwa uku, nepo vamwe vasingadaro. Sarudzo iyoyo iri kwauri.
Ndedzipi nzira huru dzekuvakazve mazamu?
Pane nzira mbiri huru: Imwe ndeyekutora nyama kubva kune imwe nhengo yemuviri wako wogadzira zamu. Imwe ndeyekushandisa chinhu chekugadzira.
1. Kuvakazve zamu uchishandisa nyama yemuviri wako (Flap Reconstruction)
Mukuita uku, ganda, mafuta, uye dzimwe nguva tsandanyama zvinotorwa kubva kune imwe nhengo yemuviri wako - semuenzaniso, kubva mudumbu rezasi, muzvidya, kumusana, kana kumagaro - uye zvinoshandiswa kugadzira zamu idzva. Nyama inotorwa nenzira iyi inonzi `flap`. Kune nzira dzakasiyana dzekuvhiya dzinoshandiswa pakuita izvi.
| Rudzi rwekuvhiyiwa kwe flap | Nzvimbo yekuunganidzira nyama | Pfungwa dzakakosha |
|---|---|---|
| Chifukidziro cheDIEP | Dumbu rezasi | Ganda, mafuta, netsinga dzeropa chete ndizvo zvinobviswa. Tsandanyama dzemudumbu hadzikuvadzwi. |
| Chifukidziro cheTRAM | Dumbu rezasi | Pano, ganda, mafuta, mitsipa yeropa, uye chikamu chetsandanyama yedumbu zvinobviswa. |
| Chifukidziro cheLatissimus dorsi (LD) | Nzvimbo yekunze | Chikamu chenyama netsandanyama kubva kumusana zvinounzwa pasi peganda kunzvimbo yechipfuva kuti pave zamu. |
| Chifukidziro chePAP/TUG | Zvidya zvemukati | Zamu rinogadzirwa kubva munyama inotorwa kubva muzvidya. Muchifukidziro cheTUG, tsandanyama dzinotorwawo. |
2. Kuwedzera zamu uchishandisa ma implants
Munzira iyi, vanachiremba vanoshandisa zvidyarwa zvesaline kana silicone kuti vagadzire patsva zamu. Dzimwe nguva, musanganiswa wenyama yako nezvidyarwa zvinogona kushandiswa.
Munzira iyi, mudziyo unonzi `Tissue Expander` unogona kuiswa pasi peganda mushure mekuvhiyiwa mastectomy. Zvakaita sebharumu diki. Vhiki rega rega, chiremba anoizadza nesaline solution. Zvadaro, ganda rinotambanuka zvishoma nezvishoma, zvichiita kuti `implant` iiswe. Ndipo chete panobva paiswa `implant` inogara iripo.
Ndingasarudza sei nzira inondinakira zvakanyanya?
Chiremba wako achasarudza kuti ndeipi nzira yakakunakira mushure mekufunga nezvezvinhu zvakati wandei.
- Zera rako, hutano hwako, uye mararamiro ako .
- Kuvhiyiwa kwechibereko kwakadii uye kwakasara nyama yakawanda sei mushure mazvo?
- Kana uchida kumwe kurapwa kwegomarara rako (semuenzaniso chemotherapy, radiotherapy).
- Kuvhiyiwa kwawakamboita kare. Semuenzaniso, kana wakambovhiyiwa mudumbu, zvingave zvakaoma kuti ubvise jira kubva mudumbu rako.
- Zvaunotarisira uye chitarisiko chaunodaZvakaita sei. Zvakakosha kutaura pachena uye zvakajeka nezvenyaya iyi nachiremba wako.
Chii chinoitika usati wavhiyiwa, panguva uye mushure mekuvhiyiwa?
Usati wavhiyiwa: Chiremba wako achakuongorora zvizere, achikutora zviyero uye achitora mifananidzo yemazamu ako. Uchafanirwa kuvaudza nezvemishonga yauri kutora uye mamiriro ako ehutano. Vanogonawo kukukumbira kuti urege kutora mimwe mishonga usati wavhiyiwa.
Munguva yekuvhiyiwa: Kuvhiyiwa uku kunoitirwa muchipatara. Ucharara pasi peanesthesia, saka hauzonzwi kurwadziwa. Chiremba achagadzirazve zamu rako achishandisa nzira yawasarudza (flap kana implant). Mushure mekuvhiyiwa, chubhu (drain) inogona kuiswa pasi peganda kuti ibudise chero mvura neropa zvingave zvakaungana mukati. Ichabviswa mumazuva mashoma.
Mushure mekuvhiyiwa: Uchafanira kugara muchipatara kwemazuva mashoma, pamwe vhiki. Uchapihwa mushonga wekuderedza marwadzo. Uchakumbirwa kupfeka bra chaiyo (surgical bra) kuderedza kuzvimba uye kutsigira mazamu ako. Uchapihwa mirairo yekuti ungazvichengeta sei mushure mekudzokera kumba.
Ndezvipi njodzi nematambudziko ekurapwa uku?
Sekunge kune chero kuvhiyiwa kupi zvako, kune njodzi dzakajairika, dzakadai sekutapukirwa nehutachiona uye kubuda ropa. Pamusoro pezvo, zvinotevera zvinogona kuitika:
- Kugwamba kweropa : Njodzi iyi inonyanya kukwira mushure mekuvhiyiwa kwe flap.
- Kuchinja kwechimiro kana saizi yemazamu ese ari maviri: Rimwe rinogona kunzwa rakasimba kupfuura rimwe.
- Mavanga: Mavanga anoramba aripo mushure mekuvhiyiwa kwega kwega. Aya anonyangarika nekufamba kwenguva.
- Fat Necrosis: Kana ropa rinosvika kunyama yakabviswa panguva yekuvhiyiwa kweflap risina kukwana, nyama iyoyo inogona kufa.
- Matambudziko ane chekuita neimplant: Implant inogona kukwenya, kubuda ropa, kana kuputika.
- Kurwadziwa kana kushaya simba panzvimbo yekupa rubatsiro: Unogona kunzwa kurwadziwa kana kusanzwa simba munzvimbo dzakadai sedumbu, musana, kana zvidya.
Zamu idzva rakagadzirwazve rinowanzova risinganyanyi kubatwa. Kunyangwe ganda richigona kudzoserwa kunzwa nekufamba kwenguva, harizove rakapfava sezvaraive kare.
Nguva yekutsvaga mazano ekurapa nekukasika
Kana uine chimwe chezviratidzo izvi, enda kuna chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara.
- Zviratidzo zvehutachiona zvakaita sefivha.
- Kurwadziwa kwakanyanya kusingaderedzi kunyangwe nemishonga.
- Kubuda ropa kana kuti urwa kubva pamaronda ekuvhiyiwa.
- Kuchinja kweruvara rweganda pazamu kana kutenderedza ronda.
Mharidzo Yekuenda Nayo Kumba
- Kuvakazve zamu mushure mekuvhiyiwa mazamu isarudzo yaunogona kusarudza. Sarudzo yekuzviita kana kusazviita inoenderana nezvaunoda iwe pachako.
- Kune nzira dzakasiyana-siyana dzekuita izvi, dzakadai sekushandisa nyama yemuviri wako kana kushandisa ma implants ekugadzira.
- Taura pachena uye nekuvimbika nachiremba wako nezvenzira yakakunakira, zvakanakira nezvayakaipira, uye taura zvakajeka nezvezvaunotarisira.
- Kuvhiyiwa uku kunogona kubatsira zvikuru mukukunda kukanganiswa kwepfungwa kunoitika mushure mekuvhiyiwa mastectomy uye kuvakazve kuzvivimba.
- Zvinotora nguva kuti munhu apore zvizere mushure mekuvhiyiwa. Zvakakosha kuti utevedzere mirairo yachiremba wako nemazvo.
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