Ukwakha kwakhona ibele usebenzisa amalungu omzimba wakho: Funda ngotyando lwe-DIEP Flap

Ukulwa nomhlaza webele akuyonto ilula. Ngexesha lolo hambo, kusenokufuneka ususwe lonke ibele lakho okanye inxalenye yalo. Emva koko, kuyinto eqhelekileyo ukuzibuza, 'Ngaba kufuneka ndiphinde ndililungise ibele?' Esi sisigqibo sobuqu kakhulu. Ngoko ke, kwabo bacinga ngokwenza isigqibo esinjalo, namhlanje sithetha ngendlela ephucukileyo ekhoyo, utyando lwe-DIEP Flap.

Yintoni utyando lwe-DIEP Flap?

Ngamafutshane, olu lutyando apho usebenzisa amalungu omzimba wakho ukwenza ibele elitsha eliza kuthatha indawo yelo lisusiweyo. Igama elithi DIEP lithetha 'iDeep Inferior Epigastric Perforator'. Eli ligama lomthambo wegazi osezantsi kwesisu sakho.

Kolu tyando, ugqirha uthatha ulusu, izicubu ezinamafutha, kunye nemithambo yegazi kwisisu sakho esisezantsi aze azisebenzisele ukwakha kwakhona ibele.

Kwindlela endala yotyando lwe-TRAM flap, oluyindlela endala, izicubu zithathwa kunye nezihlunu zesisu. Oku kuthatha ixesha elide ukuphiliswa kwaye amandla esisu ayancipha. Nangona kunjalo, le ngxaki ayifumaneki kwi-DIEP flap. Ke ngoko, ixesha lokuphiliswa lifutshane kwaye amandla esisu ayagcinwa.

Ngubani odinga olu tyando?

Ukwakhiwa ngokutsha kwamabele yinkqubo enokuqwalaselwa nangubani na ofuna ukwakha kwakhona amabele emva kotyando lomhlaza wamabele, nokuba yi-mastectomy okanye i-lumpectomy. Oku kungenziwa ngexesha elinye notyando lomhlaza, okanye ngomhla olandelayo.

Ukwakha amabele kwakhona sisigqibo somntu ngamnye. Abanye abantu benza esi sigqibo ngezizathu ezifana nezi:

• Fumana umzimba olinganiselayo nomhle.
• Zithembe kuba impahla ilingana kakuhle.
• Yandisa ukuzithemba kwakho.

Ingaba le yindlela yodwa yokwakha amabele kwakhona?

Hayi. Zimbini iindlela eziphambili zokuvuselela amabele. Ukuba uthatha esi sigqibo, kufuneka uxoxe ngononophelo ngeenzuzo, iingxaki, kunye neengozi zendlela nganye nogqirha wakho.

Ngaba kukho naziphi na iimeko apho utyando lwe-DIEP Flap lungenakukwenziwa?

Ewe, ayinguye wonke umntu ofanelekileyo kolu tyando. Kukho amaxesha apho olu tyando lusenokungakulungeli. Nazi ezinye zeemeko:

• Ukuba sele ukhe watyandwa i-DIEP flap okanye i-TRAM flap: Olu hlobo lwezicubu lunokususwa esiswini kube kanye ebomini bakho.
• Ukuba akukho zicubu zamafutha ezaneleyo esiswini: Ukuba ubhityile kakhulu, okanye ukuba ukhe watyandwa ukunciphisa amafutha esiswini (`abdominoplasty` okanye `tummy tuck`), usenokungabi nazicubu zaneleyo.
• Ukuba kukho ingxaki ngemithambo yegazi esiswini: Ngamanye amaxesha le mithambo yegazi incinci kakhulu, okanye ikwindawo enzima ukuyityanda. Kodwa ngoku, ngenxa yeteknoloji ephucukileyo, kukho neendlela zotyando kwezi meko.
• Utyando lwangaphambili lwesisu: Ezinye iintlobo zotyando olukhulu lwesisu (ezifana ne-colostomy) zinokuba yingxaki. Nangona kunjalo , i-C-section okanye i-open hysterectomy ayisoloko iyingxaki. Le yingxaki eqhelekileyo kubantu abaninzi, ngoko thetha nogqirha wakho ngayo.

Uzilungiselela njani ngaphambi kotyando?

Ugqirha wakho uza kukunika imiyalelo ethile malunga nento omawuyenze ngaphambi kotyando, kodwa nazi ezinye izinto eziqhelekileyo omawuzilungiselele:

• Yenza umthambo olula: Ukwenza umthambo olula kangangeeveki ezimbalwa ngaphambi kotyando kunokunceda ukuqinisa izihlunu zakho nokugcina impilo entle yentliziyo.
• Kuphephe ukutshaya ngokupheleleyo: Ziphephe nantoni na ene-nicotine. Oku kubaluleke kakhulu kwinkqubo yokuphola kwenxeba.
• Yeka ukusebenzisa amayeza athile: Amayeza achaphazela ukujiya kwegazi, anjenge-aspirin kunye ne-NSAIDs (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal), anokufuneka amiswe okwethutyana ngokwengcebiso kagqirha wakho.

Lwenziwa njani utyando?

Olu tyando ludla ngokuthatha iiyure ezi-6 ukuya kwezi-8. Olu tyando lude kwaye lunzima. Makhe sibone ukuba kuza kwenzeka ntoni.

1. I-Anesthesia

Ngaphambi kokuba utyando luqale, uza kufakwa i-anesthesia ngokupheleleyo, oko kuthetha ukuba uza kube ulele ngokupheleleyo kwaye awuyi kuva ntlungu.

2. Ukusikwa

Ugqirha uza kwenza umsikelo omde othe tyaba esiswini sakho esisezantsi, phakathi kwamathambo akho esinqeni. Olu siko ludla ngokwenziwa ngendlela enokufihlwa zimpahla zangaphantsi.

3. Ukususwa kwezicubu

Okulandelayo, isiciko esinesikhumba, amafutha, kunye nemithambo yegazi siyasuswa ngononophelo kuloo mngxuma. Kwakhona, akukho msipha ususwayo apha.

4. Ukudluliselwa kwezicubu

Ngoku esi siqwenga sethishu sithathwa sisiwe kwindawo yesifuba apho kuza kwenziwa khona ibele. Kulapho ke kwenzeka khona eyona nxalenye inzima nebalulekileyo yolu tyando. Oko kukuthi, imithambo yegazi emincinci kuloo nxalenye yethishu ityalwa ngononophelo olukhulu kwimithambo yegazi esesifubeni. Indlela ekhethekileyo ebizwa ngokuba yi -'Microvascular surgery' isetyenziswa koku.

5. Ukubumba amabele

Xa igazi lidibene ngokufanelekileyo, ugqirha usebenzisa loo tissue ukwenza ibele elitsha elifana nelinye ibele kwaye libukeka lendalo.

6. Ukubeka umsele wokukhupha amanzi

Emva kotyando, iityhubhu ezincinci (iidrain) zifakwa kwiindawo ezisikiweyo esiswini nasesifubeni ukuze kukhutshwe naluphi na ulwelo oluqokelelana emanxebeni. Ezi zisuswa kwiiveki ezimbalwa.

7. Ukuvalwa

Ekugqibeleni, imingxunya esifubeni nasesiswini ivalwa ngezititshi. Xa ulusu lwesisu lutsalwa luze luthungwe, kwenziwa ngendlela eshiya isinqe sakho sikwindawo yendalo. Njengenzuzo eyongezelelweyo, ulusu lwesisu luya kujongeka luqinile kancinci (lufana 'nesisu esibuhlungu') emva kotyando.

Ziziphi iingenelo kunye neengozi zalo tyando?

Njengayo nayiphi na into, kukho iingenelo kunye neengozi ezincinci.

Iinzuzo

• Inkangeleko kunye nokuziva kwendalo: Ngenxa yokuba izicubu zakho zisetyenzisiwe, ibele elitsha liza kubonakala kwaye lizive lendalo ngakumbi kune-implant.
• Akukho monakalo kwimisipha: Njengoko bekutshiwo ngaphambili, ekubeni izihlunu zesisu zingonakalanga, amandla esisu ahlala efana.
• Iziphumo Ezihlala Zihleli: Iziphumo zihlala zihleli. Aziyi kugqabhuka, ziqine, zijikeleze njengee-implants, okanye zifune ukutshintshwa xa ukhula/ubuthathaka.
• Ubuchule bokufumana imvakalelo kwakhona: Kwezinye iimeko, inqanaba elithile lemvakalelo linokufunyanwa kwakhona kwibele elitsha elakhiwe ngokutsha.

Iingozi

Ezi zinto azifane zenzeke, kodwa kubalulekile ukuba uzazi.

• I-Hernia: Kunqabile kakhulu ukuba inxalenye yamathumbu iphume kwindawo ebuthathaka kwimisipha yesisu.
• Ukwakheka kwamaqhuma:Izicwili zesikhumba zisenokwakheka ngaphakathi kwebele elitsha kwaye zivakale ngathi ziziqwenga eziqinileyo. Ezi zisenokuphela zodwa, okanye zisuswe ngotyando oluncinci.
• Ukufa kwezicubu (`Necrosis`): Ukuba igazi alifumaneki kwizicubu ezifakelweyo, inxalenye yezicubu ingafa. Kwimeko enjalo, inxalenye efileyo kuya kufuneka isuswe.

Kuthatha ixesha elingakanani ukuphiliswa?

Kungathatha iiveki ezi-6 ukuya kwezi-8 ukuba uphile ngokupheleleyo. Uza kucelwa ukuba unxibe impahla ekhethekileyo yokucinezela esifubeni sakho nasesiswini kwiiveki ezimbalwa zokuqala. Kufuneka ukuphephe ukuphakamisa izinto ezinzima, imisebenzi enzima, kunye nemisebenzi equka ukuphakamisa iingalo zakho ngaphezulu kwiiveki ezimbalwa zokuqala.

Ungalindela ezi zinto:

• Ubungqindilili: Usenokuziva ubungqindilili esifubeni sakho esitsha nakwisisu. Oku kungathatha malunga nonyaka ukuba kuphele ngokupheleleyo.
• Intlungu nobuhlungu: Intlungu esifubeni nasesiswini iya kuncipha kakhulu emva kweeveki ezimbini.
• Ukudumba: Ukudumba okujikeleze amabele, amakhwapha, kunye nesisu kunokuhlala iiveki ezininzi.
• Ukuqina kolusu: Usenokuziva ukuqina kolusu lwesisu sakho namabele.

Izinga lempumelelo liphezulu ukuya kuthi ga kwi-96% - 99%. Ngoko ke akukho nto ixhalabisayo.