Siyazi ukuba kunzima kangakanani kumfazi ukuba asuswe ibele ngenxa yomhlaza. Ngumthwalo omkhulu emzimbeni nakwingqondo. Emva kolo hambo, unokufuna ukwakhiwa kwakhona kwebele. Kukho iindlela ezahlukeneyo zokwenza oku. Namhlanje sithetha ngotyando olukhethekileyo olusebenzisa amalungu omzimba wakho ukunika inkangeleko yendalo.
Ngoko ke, yintoni utyando lwe-DIEP Flap?
Ngamafutshane, i-DIEP Flap yinkqubo yotyando esebenzisa izicwili zakho ukwakha ibele. Endaweni yokufakelwa kwangaphandle, kusetyenziswa inxalenye yomzimba wakho.
Igama elithi DIEP livela kumagama athi 'Deep Inferior Epigastric Perforator'. Oku kubhekisa kwigama lomthambo wegazi (umthambo wegazi) esiswini sethu esisezantsi. Nantsi into eyenzekayo ngexesha lotyando:
Ugqirha wakho uza kuthatha ulusu, amafutha kunye nemithambo yegazi kwisisu sakho esisezantsi, ngakumbi kwindawo engaphezulu kwethambo lakho le-pubic, elibizwa ngokuba yi-'tummy tuck'. Kodwa akukho msipha ususwayo . Le yenye yezona nzuzo zinkulu zolu tyando.
Emva koko, esi zicubu siziswa kwindawo yesifuba size sibunjwe sibe libele. Eyona nto ibalulekileyo ilandelayo yenzeka. Ngokwenza utyando lwe-"Microsurgery" oluqhutywa phantsi kwe-microscope entle kakhulu, imithambo yegazi emincinci kwizicubu ezithathwe esiswini iqhagamshelwe kwimithambo yegazi esifubeni. Oku kunika ibele elisandul’ ukwenziwa igazi elifanelekileyo kwaye likhula ngokungathi liyinxalenye yomzimba wakho.
Ngenxa yokuba usebenzisa izicubu zakho, iziphumo ziqhelekile kakhulu. Kwakhona kuthintela ezinye zeengxaki ezinokubangelwa ziimplants zangaphandle.
Olu tyando lwenziwa nini? Ngubani ongafanelekiyo koku?
Kukho iimeko ezimbini apho olu tyando lunokwenziwa khona.
1. Ukwakhiwa kwakhona kwangoko: Olu tyando lwe-DIEP Flap lunokwenziwa ngexesha elinye notyando lwakho lwe-mastectomy. Emva koko akufuneki ukuba udlule kolu tyando kabini. Abanye abantu bacinga ukuba banokuphila ngoko nangoko baze babuyele kubomi obuqhelekileyo ngokukhawuleza.
2. Ukulungiswa Kabutsha Okulibazisekileyo: Ukuba sele ususiwe ibele lakho kwaye ucinga ngokwakhiwa kwakhona ngomhla olandelayo, ngoko utyando lwe-DIEP Flap luseyindlela elungileyo.
Eyona nto ibalulekileyo kukuthetha nogqirha wakho ukuze enze isigqibo esifanelekileyo ngale nto.
Kodwa olu tyando alulungelanga wonke umntu. Makhe sijonge le theyibhile ingezantsi ukuze sibone ukuba zeziphi iimeko ezingafanelekanga kolu tyando.
| Isizathu sokungahambelani | Ingcaciso elula |
|---|---|
| Izicubu ezinganeleyo esiswini | Ukuba ubhityile kakhulu, okanye sele ukhe wasuswa amafutha esiswini ngotyando olufana notyando olufana nokususwa kwamafutha esiswini, usenokungabi nazicubu zaneleyo esiswini sakho ukuze wenze ibele. |
| Emva kokuba ndityandwe ngaphambili | Ukuba izicubu zesisu sele zisetyenzisiwe ukwakha kwakhona elinye ibele, kusenokungabikho zicubu zaneleyo eziseleyo ukuze kwenziwe olunye utyando. |
| Ezinye utyando lwesisu lwangaphambili | Olu tyando lunokwenzeka ukuba ukhe wenziwa utyando lwe-C-section okanye i-hysterectomy. Nangona kunjalo, lusenokungenzeki ukuba ukhe wenziwa utyando olutshintsha indlela eliphuma ngayo indle yakho, njengotyando lwe-colostomy. |
| Iingxaki zemithambo yegazi esezantsi kwesisu | Ngamanye amaxesha imithambo yegazi efunekayo xa kutyandwa isenokuba mincinci kakhulu, okanye indawo ekuyo isenokungafaneleki xa kutyandwa. |
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Emva kokucwangcisa utyando lwakho, ugqirha wakho uza kukunika imiyalelo efana nale:
- Yenza uvavanyo lwelabhoratri : Usenokucelwa ukuba wenze into efana novavanyo lwegazi ukuze ubone ukuba usempilweni ngokwaneleyo na ukuba ungatyandwa.
- Yeka ukutshaya ngokupheleleyo: Ukuba usebenzisa icuba (iicuba, ii-beedis), linokuchaphazela i-anesthesia kwaye lilibazise ukuphiliswa.
- Yeka ukuthatha amayeza athile:Ngokuqinisekileyo kufuneka uxelele ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka iivithamini kunye nezongezo).
Ngomhla wotyando, uza kunikwa i - intravenous (IV). Emva koko uza kulaliswa. Awuyi kuva ntlungu okanye nantoni na ngexesha lotyando.
Ngexesha lotyando, ugqirha wenza utyando ecaleni komgca we-bikini yakho kwisisu sakho esisezantsi. Ukusuka apho, kususwa ulusu, amafutha, kunye nemithambo yegazi ngononophelo. Emva koko, kwenziwa olunye utyando ecaleni kwesilonda sotyando lwebele lwangaphambili, kwaye izicubu ezivela esiswini zingeniswa kwaye zenziwe zibe yimo yebele. Emva koko, imithambo yegazi iqhagamshelwe kusetyenziswa "utyando lwe-microsurgery" esithethe ngalo ngaphambili.
Okokugqibela, iityhubhu ezincinci kakhulu (iidrain) zifakwa kwiindawo ezisikiweyo emabeleni nasesiswini. Ezi kufuneka zishiywe apho kangangeeveki eziliqela. Ezi zisetyenziselwa ukukhupha ulwelo olugqithisileyo kwindawo yotyando, ukunciphisa ukudumba, kunye nokukhawulezisa ukuphiliswa. Emva koko ezi zikiweyo zivalwa ngezititshi okanye nge-staples.
Khumbula, olu ayilotyando luncinci olunokwenziwa kwiiyure ezimbalwa kwaye ungagoduka. Lutyando oluntsonkothileyo oluthatha malunga neeyure ezi-6-8 ukwakha ibele elinye, kwaye malunga neeyure ezili-10-14 ukuba ulungisa amabele omabini.
Kuya kufuneka uhlale esibhedlele iintsuku ezimbini ukuya kwezintathu emva kotyando. Kuya kuthatha malunga neeveki ezi-6 ukuze uphile ngokupheleleyo.
Ngaba akukho mingcipheko kunye neengxaki?
Njengalo naluphi na utyando, olu luneengozi ezithile.
Umzekelo, ukuba igazi eliya esifubeni esisandul’ ukwenziwa linqanyuliwe okanye alanelanga, kukho ithuba elincinci lokuba i-flap ife (ukungaphumeleli kwe-flap). Oku kunqabile kakhulu. Ukuba indawo encinci iyafa, ugqirha angayinqumla aze ayisuse. Kodwa ukuba indawo enkulu iyafa, kuya kufuneka kutshintshwe yonke i-flap.
Ngamanye amaxesha, ukuhamba kwegazi kwiindawo ezithile kuyancitshiswa, kwaye izicubu ezibomvu zinokwakheka kwezo ndawo, ezinokuvakala ngathi ziziqwenga. Ezi zinokunyamalala ngokuhamba kwexesha.
Kwakhona, kukho ithuba elincinci lokuba izihlunu ziya kuba buthathaka kwaye i-hernia iya kuvela apho izicubu zithathwe khona esiswini. Ukuba i-hernia iyavela, idla ngokufuna olunye utyando ukuze ilungiswe.
Ukuba unale mpawu emva kotyando, fowunela ugqirha wakho ngoko nangoko.
- Ukopha okungaqhelekanga
- Ukuba into efana nobovu iphuma kwinxeba (iimpawu zosulelo)
- Intlungu enzima enganyamezelekiyo
- Ubunzima bokuphefumla
- Ifiva
Ukuba oku kuyenzeka, yazisa ugqirha wakho ngoko nangoko. Ukuba yingxamiseko, yiya kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane.
Ndingazinyamekela njani ngexesha lokuchacha nasekhaya?
Kuya kufuneka ulinde iiveki ezimbalwa emva kotyando.Uza kucelwa ukuba unxibe i-compression bra ekhethekileyo . Uza kucelwa nokuba unxibe i-compression wrap ekhethekileyo ejikeleze isisu sakho. Ezi ziza kunceda ukunciphisa iintlungu, ukulawula ukudumba, kunye nokunceda ekuphilisweni.
Ezi zinto ziqhelekile emva kotyando:
- Ukugruzuka
- Ubuhlungu kunye nentlungu
- Ukudumba
- Ukuqina kwiindawo ezisikiweyo
- Ukuba ndindisholo esiswini okanye esifubeni: Oku kundindisholo kunokuhlala ixesha elingangonyaka.
Nangona uninzi lwezi zinto luza kuphela kwiiveki ezimbalwa, ukuba uneempawu ezikukhathazayo, ungoyiki ukuthetha nogqirha wakho.
Emva kotyando, uya kuba nesilonda ecaleni komgca we-bikini yakho. Oku kuya kuphela kakhulu kwiinyanga ezili-12-18. Uya kuba nesilonda esifubeni sakho. Ukuba unqwenela, ungenza olunye utyando lokwakha kwakhona ingono yakho emva kokuba uphilile ngokupheleleyo kolu tyando.
Umyalezo Wokuya Ekhaya
- I-DIEP Flap lutyando lokwakha ibele kwakhona usebenzisa izicwili zesisu sakho (ulusu namafutha) emva kokususa ibele.
- Iziphumo ezifunyenwe ngale ndlela zikhangeleka zendalo kwaye iingozi ezinxulumene nokufakelwa kwangaphandle zincinci kakhulu.
- Olu lutyando oluntsonkothileyo oluthatha iiyure ezininzi. Luthatha malunga neeveki ezi-6 ukuphiliswa.
- Olu tyando alufanelekanga kuye wonke umntu. Luxhomekeke kuhlobo lomzimba wakho kunye notyando lwangaphambili.
- Thetha ngokukhululekileyo nogqirha wakho malunga neenzuzo kunye neengxaki zolu tyando, kunye nokuba lukulungele na.
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