Ukuhlinzwa kwebele, kungakhathaliseki ukuthi kungenxa yomdlavuza webele noma ezinye izizathu zezokwelapha, kuyinto ethinta imizwa kakhulu futhi ebucayi kunoma yimuphi owesifazane. Kujwayelekile kakhulu ukuzizwa udabukile futhi uzisola ngokulahlekelwa yingxenye yomzimba wakho. Kodwa, ubuwazi ukuthi ngentuthuko yezokwelapha zanamuhla, kungenzeka ukuphinda uhlinzwe noma ukwakha kabusha ibele elisusiwe ngale ndlela? Namuhla, ake sixoxe ngokuvuselelwa kwebele, noma ukuhlinzwa kokuvuselelwa kwebele.
Kalula nje, kuyini ukwakhiwa kabusha kwebele?
Kalula nje, lokhu kuyindlela yokuhlinzwa yokushintsha isimo sebele ngemva kokususwa kwebele noma ukususwa kwe-lumpectomy. Ngezinye izikhathi, kungase kudingeke ukuhlinzwa okuningana.
Lokhu kuhlinzwa kungenziwa ngesikhathi esifanayo nokuhlinzwa kwebele ( ukuvuselelwa ngokushesha ). Noma, kungenziwa ezinyangeni noma ngisho neminyaka kamuva ( ukuvuselelwa okubambezelekile ). Ngezinye izikhathi womabili amabele adinga ukwakhiwa kabusha. Noma, ibele elilodwa lingase lakhiwe kabusha futhi lenziwe lifane nelinye. Lesi yisinqumo somuntu siqu. Abanye besifazane bakhetha ukwenza lokhu kuhlinzwa, kanti abanye abakwenzi. Leso sinqumo sixhomeke kuwe ngokuphelele.
Yiziphi izindlela eziyinhloko zokuvuselela amabele?
Kunezindlela ezimbili eziyinhloko. Eyokuqala iwukuthatha izicubu kwenye ingxenye yomzimba wakho bese udala ibele. Enye iwukusebenzisa i-implant yokwenziwa.
1. Ukwakhiwa kabusha kwebele usebenzisa izicubu zomzimba wakho (Ukwakhiwa kabusha kwe-Flap)
Kule nqubo, isikhumba, amafutha, futhi ngezinye izikhathi izicubu zemisipha zithathwa kwenye ingxenye yomzimba wakho - isibonelo, esiswini esingezansi, emathangeni, emhlane, noma ezinqeni - bese zisetshenziselwa ukudala ibele elisha. Izicubu ezithathwa ngale ndlela zibizwa ngokuthi 'i-flap'. Kunezindlela ezahlukene zokuhlinzwa ezisetshenziswa kulokhu.
| Uhlobo lokuhlinzwa kwe-flap | Indawo yokuqoqwa kwezicubu | Amaphuzu abalulekile |
|---|---|---|
| I-DIEP flap | Isisu esingezansi | Kususwa isikhumba, amafutha kanye nemithambo yegazi kuphela. Imisipha yesisu ayonakaliswa. |
| I-TRAM flap | Isisu esingezansi | Lapha, isikhumba, amafutha, imithambo yegazi, kanye nengxenye yemisipha yesisu kuyasuswa. |
| I-Latissimus dorsi (LD) flap | Indawo engaphandle | Ingxenye yezicubu kanye nemisipha engemuva ilethwa ngaphansi kwesikhumba endaweni yesifuba ukuze kwakheke ibele. |
| I-PAP/TUG flap | Amathanga angaphakathi | Isifuba senziwe ngezicubu ezithathwe emathangeni. Ku-TUG flap, kuthathwa nemisipha. |
2. Ukukhulisa amabele kusetshenziswa izitho zokufakelwa
Ngale ndlela, odokotela abahlinzayo basebenzisa izimila ze-saline noma ze-silicone ukuze bashintshe ukuma kwebele. Ngezinye izikhathi, inhlanganisela yezicubu zakho kanye nezimila ingasetshenziswa.
Ngale ndlela, idivayisi ebizwa ngokuthi i-`Tissue Expander` ingafakwa ngaphansi kwesikhumba ngemva kokuhlinzwa kwesisu. Kufana nebhaluni elincane. Njalo ngeviki, udokotela uyigcwalisa ngesisombululo sikasawoti. Ngemuva kwalokho, isikhumba siyanwebeka kancane kancane, sidale isikhala sokuthi kufakwe i-`implant`. Kulapho-ke kuphela lapho kufakwa khona i-`implant` ehlala njalo.
Ngingayikhetha kanjani indlela engifanele kakhulu?
Udokotela wakho uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe ngemva kokucabangela izici eziningana.
- Ubudala bakho, impilo yakho iyonke, kanye nendlela yakho yokuphila .
- Hlobo luni lwe-mastectomy owalwenza futhi kwasala izicubu ezingakanani ngemva kwalo?
- Ukuthi udinga ukwelashwa okwengeziwe komdlavuza wakho (isib. i-chemotherapy, i-radiotherapy).
- Ukuhlinzwa okwenzile ngaphambilini. Isibonelo, uma uke wahlinzwa esiswini, kungaba nzima ukuthola i-flap esiswini sakho.
- Okulindelekile kanye nokubukeka okufunayoKunjani. Kubaluleke kakhulu ukukhuluma ngokukhululekile nangokucacile ngalokhu nodokotela wakho.
Kwenzekani ngaphambi, ngesikhathi nangemva kokuhlinzwa?
Ngaphambi kokuhlinzwa: Udokotela wakho ohlinzayo uzokwenza ukuhlolwa okuphelele, athathe izilinganiso futhi athathe izithombe zamabele akho. Kuzodingeka ubazise nganoma yimiphi imithi oyithathayo kanye nesimo sakho sempilo. Bangase bakucele nokuthi uyeke ukuthatha imithi ethile ngaphambi kokuhlinzwa.
Ngesikhathi sokuhlinzwa: Lokhu kuhlinzwa kwenziwa esibhedlela. Uzolaliswa ngaphansi kwe-anesthesia, ngakho ngeke uzwe ubuhlungu. Udokotela ohlinzayo uzokwakha kabusha ibele lakho esebenzisa indlela oyikhethile (i-flap noma i-implant). Ngemva kokuhlinzwa, ipayipi (idreyini) lingafakwa ngaphansi kwesikhumba ukuze kukhishwe noma yiluphi uketshezi kanye negazi okungenzeka ukuthi liqongelele ngaphakathi. Lizosuswa ezinsukwini ezimbalwa.
Ngemva kokuhlinzwa: Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa, mhlawumbe isonto lonke. Uzonikezwa imithi yokulawula ubuhlungu. Uzocelwa ukuthi ugqoke i-bra ekhethekile (i-surgical bra) ukuze unciphise ukuvuvukala futhi usekele amabele akho. Uzonikezwa imiyalelo yokuthi ungazinakekela kanjani ngemva kokubuyela ekhaya.
Yiziphi izingozi nezinkinga zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezivamile, njengokutheleleka kanye nokopha. Ngaphezu kwalokho, okulandelayo kungenzeka:
- Amahlule egazi : Le ngozi iphezulu kakhulu ngemva kokuhlinzwa kwe-flap.
- Izinguquko esimweni noma ngobukhulu bamabele womabili: Elinye lingase lizizwe liqinile kunelinye.
- Izibazi: Izibazi zihlala ngemva kokuhlinzwa ngakunye. Lezi ziyanyamalala ngokuhamba kwesikhathi.
- I-Fat Necrosis: Uma igazi eliya ezicutshini ezisusiwe ngesikhathi sokuhlinzwa kwe-flap linganele, lezo zicubu zingafa.
- Izinkinga ezihlobene nokufakelwa: I-implant ingaba nemibimbi, ivuza, noma iqhume.
- Ubuhlungu noma ubuthakathaka endaweni yomnikeli: Ungase uzizwe ubuhlungu noma ukungabi namandla ezindaweni ezifana nesisu, umhlane, noma amathanga.
Ibele elisanda kwakhiwa kabusha livame ukungazweli kakhulu uma lithintwa. Nakuba isikhumba singase siphinde sizizwe ngokuhamba kwesikhathi, ngeke sibe mnene njengakuqala.
Isikhathi sokuthola iseluleko sezokwelapha ngokushesha
Uma unezinye zalezi zimpawu, bona udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Izimpawu zokutheleleka njengomkhuhlane.
- Ubuhlungu obukhulu obungapheli ngisho nangemithi.
- Ukopha noma ubomvu obuvela emanxebeni okuhlinzwa.
- Ukushintsha kombala wesikhumba esifubeni noma eduze kwesilonda.
Umlayezo Wokuya Nawe Ekhaya
- Ukwakhiwa kabusha kwebele ngemva kokususwa kwebele kuyindlela ongakhetha ngayo. Isinqumo sokuba nalo noma cha sincike ngokuphelele kulokho okuthandwa nguwe.
- Kunezindlela ezahlukene zokwenza lokhu, njengokusebenzisa izicubu zomzimba wakho noma ukusebenzisa izimila zokufakelwa.
- Khuluma ngokukhululekile nangokwethembeka nodokotela wakho ohlinzayo mayelana nendlela engcono kakhulu kuwe, izinzuzo nezinkinga zayo, futhi ucacise ngalokho okulindelwe.
- Lokhu kuhlinzwa kungaba usizo olukhulu ekunqobeni ukuphazamiseka kwengqondo okwenzeka ngemva kokususwa kwesisu kanye nokwakha kabusha ukuzethemba.
- Kuthatha isikhathi ukululama ngokugcwele ngemva kokuhlinzwa. Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment