Ukulwa nomhlaza webele ngumceli mngeni wokwenene. Ngexesha lolo hambo, kusenokufuneka ususwe ibele okanye ususwe iqhuma. Emva koko, ingcinga ethi "Ndiza kujongeka njani ngoku?" inokukukhathaza. Kodwa ungakhathazeki. Namhlanje, isayensi yezonyango ihambele phambili kakhulu. Kukho iindlela ezahlukeneyo zokukunika inkangeleko yendalo kwakhona. Namhlanje, siza kuthetha ngenye indlela ekhethekileyo.
Yintoni utyando lwe-DIEP Flap? Masiyiqonde ngokulula.
Kulungile, eli gama lisenokuvakala liyinkimbinkimbi kancinci. Kodwa masiligcine lilula. Utyando lwe-DIEP Flap luluhlobo lotyando lokwakha amabele.
Khawucinge nje ngokuthatha inxalenye encinci yomzimba wakho uze uyisebenzisele ukwakha ibele lakho. Yiloo nto eyenzekayo apha. Apha, ugqirha uthatha iqhekeza lesikhumba, amafutha, kunye nemithambo yegazi esiswini sakho esisezantsi aze alisebenzisele ukwenza ibele elitsha apho ibele lakho lalikhona ngaphambili.
Umthambo wegazi osetyenziswa apha ubizwa ngokuba yi-`DIEP (i-deep inferior epigastric perforator artery)`. Akunyanzelekanga ukuba ucinge kakhulu ngegama. Into ebalulekileyo kukuba eli lilungu lomzimba wakho.
Kutheni oku kukhetheke kangaka?
Enye yezona nzuzo zinkulu nezibalulekileyo zolu tyando kukuba ugqirha ususa kuphela le ndawo yesikhumba namafutha ngaphandle kokonakalisa okanye ukususa nayiphi na imisipha esiswini sakho .
Kutyando lwe-‘TRAM (transverse rectus abdominal muscle) flap` oludala, olu hlobo lwezicubu luthathwe kunye nenxalenye yemisipha yesisu. Emva koko imisipha yesisu iba buthathaka, kwaye ixesha lokuchacha lide. Kodwa ngotyando lwe-DIEP flap, loo ngxaki ayiveli. Ke ngoko, ungachacha ngokukhawuleza kwaye ugcine amandla esisu. Kanye njenge-"tummy tuck"`, isisu siba sithe tyaba, nto leyo eyongezelelekileyo!
Ngubani ofanelekileyo kolu tyando kwaye kutheni umntu enokukhetha lona?
Nabani na ofuna ukwakha ibele kwakhona emva kotyando lomhlaza webele angacinga ngale nto. Olu tyando lungenziwa ngexesha elinye notyando lomhlaza (ukwakhiwa kwakhona kwangoko), okanye lungenziwa emva kokuba lonke unyango lomhlaza lugqityiwe, emva kwexesha elithile (ukwakhiwa kwakhona okulibazisekileyo).
Ukwakhiwa kwakhona kwamabele sisigqibo somntu ngamnye. Akukho mntu ukunyanzelayo ukuba ukwenze. Abanye abantu benza esi sigqibo ngezizathu ezifana nezi:
- Fumana inkangeleko elungeleleneyo: Ukususwa kwebele kunokuvakala ngathi umzimba wakho awulungelelananga. Olu tyando lunokunceda ukubuyisela loo nkangeleko.
- Nxiba ngokufanelekileyo: Esi sisisombululo esihle sokuphepha ukungonwabi xa unxiba.
- Yandisa ukuzithemba:Oku kunceda kakhulu ekulweni nokuxhalabela inkangeleko yakho nokwakha ukuzithemba kwakho.
Khumbula, ngumzimba wakho, isigqibo sakho. Unelungelo lokukhetha into ekufanelayo.
Ngaba wonke umntu akanakwenza olu tyando?
Enyanisweni, utyando lwe-DIEP flap alufanelekanga kuye wonke umntu. Kukho iimeko apho oku kungenakwenzeka. Makhe sijonge ukuba zeziphi ezo meko.
| Xa utyando lungafanelekanga | Icacisiwe ngokulula |
|---|---|
| Ukuba ukhe watyandwa ngolu hlobo ngaphambili | Ukuba ukhe wenziwa utyando lwe-DIEP okanye lwe-TRAM flap ngaphambi kokuba ulungiswe elinye ibele lakho, awunakuphinda uthathwe izicubu esiswini sakho kuba loo nxalenye ingasetyenziswa kube kanye kuphela. |
| Ukuba akukho mafutha aneleyo esiswini esisezantsi | Ukuba ubhityile kakhulu, okanye sele ukhe wayenza i-tummy tuck ngaphambili (abdominoplasty okanye liposuction), usenokungabi namafutha aneleyo kunye nolusu esiswini sakho ukuze wenze ibele. |
| Ukuba kukho ingxaki ngemithambo yegazi esiswini | Ngamanye amaxesha imithambo yegazi efunekayo kolu tyando isenokuba mincinci kakhulu okanye indawo yayo isenokuba yahlukile. Nangona kunjalo, ngenxa yeteknoloji entsha ekhoyo namhlanje, kukho iindlela zokwenza utyando kwezi meko. |
| Ezinye iintlobo zotyando lwesisu zangaphambili | Ukuba ukhe wenziwa utyando olukhulu, olufana notyando lwe-colostomy, oku kusenokungenzeki. Nangona kunjalo, akusoloko kuyingxaki ekwenzeni olu tyando, nokuba ukhe wenziwa utyando lwe-C-section okanye utyando lwe-open hysterectomy. |
Ugqirha wakho unokwenza isigqibo esifanelekileyo malunga noku. Uza kukuhlola aze akuxelele ukuba olu tyando lukulungele na okanye alukufanelanga.
Yintoni omele uyenze ngaphambi kotyando?
Ekubeni olu lutyando olukhulu, kufuneka ulungiselele kwangaphambili. Ugqirha wakho uza kukunika yonke imiyalelo efunekayo. Bahlala bekuxelela ukuba wenze oku kulandelayo:
- Uvavanyo lwempilo: Kuya kufuneka wenze uvavanyo oluninzi, olufana novavanyo lwegazi, ukuze ubone ukuba umzimba wakho ukulungele na utyando.
- Ukuzilolonga: Ukuzilolonga kancinci kangangeeveki ezimbalwa ngaphambi kotyando kunokunceda ukuqinisa izihlunu nokugcina impilo entle yentliziyo.
- Kuphephe ukutshaya: Ukuba utshaya, kufuneka uyeke ngokupheleleyo ngaphambi kotyando. Musa ukusebenzisa nantoni na ene-nicotine. Ukutshaya kunokuxinanisa imithambo yegazi kwaye kuphazamise ukuphiliswa emva kotyando.
- Yeka amanye amayeza: Ugqirha wakho usenokukucela ukuba uyeke ukusebenzisa amayeza okunciphisa igazi, anjenge-aspirin kunye namayeza angengo-steroidal anti-inflammatory (NSAIDs), ngaphambi kotyando lwakho. Qiniseka ukuba uxelela ugqirha wakho ngamanye amayeza owasebenzisayo.
Kwenzeka ntoni ngexesha lotyando?
Olu tyando ludla ngokuthatha iiyure ezi-6 ukuya kwezi-8. Olu tyando luyinkimbinkimbi kancinci. Makhe sibone ukuba kwenzeka ntoni inyathelo ngenyathelo.
1. I-Anesthesia: Okokuqala, uza kufakwa i-anesthesia ngokupheleleyo. Oku kuthetha ukuba awuyi kuva nto ngexesha lotyando, uza kube ulele ngokupheleleyo.
2. Ukusika: Emva koko, ugqirha uza kwenza ukusika okude, okuthe tye esiswini sakho esisezantsi, phakathi kwamathambo akho esinqeni. Olu kusika ludla ngokwenziwa ukuze lufihlwe zimpahla zangaphantsi.
3. Ukususwa kwezicubu: Isiciko esinesikhumba, amafutha, kunye nemithambo yegazi sisuswa ngononophelo kwindawo etyumkileyo ngaphandle kokonakalisa izihlunu.
4. Ukudluliselwa kwezicubu: Emva koko, kwenziwa utyando kwindawo efanayo apho ibele lakho lisusiwe khona, kwaye izicubu ezivela esiswini sakho zidluliselwa apho. Le yeyona ndawo ibalulekileyo neyinkimbinkimbi. Phantsi kwe-microscope, ngononophelo olukhulu, imithambo yegazi kuloo zicubu iqhagamshelwe kwimithambo yegazi esifubeni sakho. Oku kubizwa ngokuba yi-'microvascular surgery'.
5. Ukubumba amabele: Xa igazi lidibene ngokufanelekileyo, ugqirha usebenzisa elo candelo lezicubu ukwenza isifuba sibe nesimo sendalo.
6. Ukubeka umsele: Emva kotyando, iityhubhu ezincinci (ii-drain) zifakwa kwiindawo ezisikiweyo esiswini nasesifubeni ukuze kukhutshwe naluphi na ulwelo oluqokelelana emanxebeni. Ezi zisuswa kwiiveki ezimbalwa.
7. Ukuvalwa:Ekugqibeleni, imingxunya esifubeni sakho nasesiswini ivalwa ngezititshi. Njengoko ulusu lwesisu sakho lutsalwa luze luthungwe kunye, iqhosha lesisu sakho nalo liyabekwa kwindawo ebonakala ngathi yendalo.
Yintoni onokuyilindela emva kotyando?
Emva kotyando, kuya kufuneka uhlale esibhedlele kangangeentsuku ezimbini ukuya kwezintlanu. Emva kokuba ubuyele ekhaya, kuya kuthatha malunga neeveki ezi-6 ukuya kwezi-8 ukuba uphile. Ngeli xesha, unokufumana izinto ezifana nezi:
- Intlungu nokungakhululeki: Usenokuba neentlungu nokuqina esifubeni nasesiswini kwiiveki ezimbini zokuqala. Ugqirha wakho uza kukunika amayeza okuthomalalisa iintlungu.
- Ukudumba: Indawo yotyando isenokuba idumbile. Oku kudumba kuya kuncipha kancinci kancinci.
- Ukuba ndindisholo: Uza kuva ukuziva urhawuzelelwa emabeleni akho nakwisisu sakho esitsha. Kungathatha ukuya kuthi ga kunyaka ukuba olu vakalelo lubuye.
- Imiqathango: Oogqirha baya kukucebisa ukuba ungenzi imisebenzi enzima efana nokuphakamisa iintsimbi okanye ukuphakamisa iingalo zakho ngaphezulu kangangenyanga enesiqingatha.
Uza kucelwa ukuba unxibe impahla ekhethekileyo (ingubo yokucinezela). Isibhedlele siza kukunika nemiyalelo eneenkcukacha malunga nendlela yokunyamekela amanxeba akho kunye nemibhobho yamanzi amdaka ekhaya.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengalo naluphi na utyando, utyando lwe-DIEP flap lunezibonelelo kunye neengozi. Kubalulekile ukuzazi zombini ezi zinto ngaphambi kokuba wenze isigqibo.
| Iinzuzo | Iingozi |
|---|---|
| Inkangeleko nemvakalelo yendalo: Ngenxa yokuba sisicwili sakho, ibele elitsha libukeka kwaye livakala lendalo kakhulu. | Ukufa kwezicubu (Necrosis): Ukuba imithambo yegazi edibeneyo ayiphumi kakuhle, izicwili zinokufa. Kwimeko enjalo, indawo inokufuneka isuswe ngotyando. Oku kunqabile kakhulu. |
| Akukho monakalo kwimisipha: Ekubeni izihlunu zakho zesisu zingonakalanga, amandla akho ahlala efana. Ungaphila ngokukhawuleza. | I-Hernia: Ubuthathaka eludongeni lwesisu obuvumela inxalenye yamathumbu ukuba iphume. Oku nako akuqhelekanga. |
| Iziphumo Ezihlala Zihleli: Esi sisisombululo esihlala sihleli. Ngokungafaniyo nezifakelweyo, asiyi kuphuka, sityibilike, okanye sitshintshe xa ubunzima busanda okanye buncipha. | Amaqhuma: Ngamanye amaxesha izicubu ezibomvu zinokuqokelelana ngaphakathi ebeleni zize zivakale ngathi ngamaqhuma. La maqhuma adla ngokuziphelela. |
| Ubuchule bokuziva: Kwezinye iimeko, imithambo-luvo evela kwizicubu ezithathwe esiswini inokudityaniswa nemithambo-luvo esesifubeni, ibuyisele imvakalelo ethile ebeleni. | Iingozi zotyando ngokubanzi: Iingozi zalo naluphi na utyando, ezinje ngokopha kunye nosulelo, nazo zikhona apha. |
Ndifanele ndimfowunele nini ugqirha?
Ukuba unayo nayiphi na kwezi mpawu ngelixa usekhaya emva kotyando, fowunela ugqirha wakho ngokukhawuleza:
- Ifiva
- Intlungu ebuhlungu
- Ubunzima bokuphefumla (ukuphelelwa ngamandla)
- Ukopha kakhulu okuvela emanxebeni
- Ulwelo olufana nobovu, olunuka kakubi oluphuma emanxebeni (iimpawu zosulelo)
Umyalezo Wokuya Ekhaya
- Utyando lwe-DIEP flap yindlela yokwakha ibele kwakhona usebenzisa ulusu lwakho kunye namafutha avela kwisisu sakho esisezantsi emva kotyando lomhlaza webele.
- Akukho monakalo kwimisipha yesisu sakho, nto leyo enye yezona nzuzo zinkulu zolu tyando.
- Isiphumo siyinto yendalo kakhulu kwaye sihlala sihleli.
- Olu asilotyando oluhambelanayo konke konke. Ugqirha wakho ngumntu ofanelekileyo ukwazi ukuba olu tyando lukulungele na.
- Kuthatha malunga neeveki ezi-6-8 ukuze umntu aphile ngokupheleleyo emva kotyando. Kubaluleke kakhulu ukulandela imiyalelo kagqirha kanye ngeli xesha.
- Ukwakhiwa kwakhona kwamabele sisigqibo somntu ngamnye. Thetha ngokukhululekileyo nogqirha wakho ngaloo nto uze ukhethe okona kukulungeleyo.
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