Siyazi ukuthi kunzima kangakanani ngowesifazane ukuhlinzwa ibele ngenxa yomdlavuza. Kungumthwalo omkhulu emzimbeni kanye nasengqondweni. Ngemva kwalolo hambo, kungadingeka ukuthi uvuselelwe amabele. Kunezindlela eziningana zokwenza lokhu. Namuhla sikhuluma ngokuhlinzwa okukhethekile okusebenzisa izingxenye zomzimba wakho ukuze kubonakale ngendlela yemvelo.
Ngakho-ke, kuyini ukuhlinzwa kwe-DIEP Flap?
Kalula nje, i-DIEP Flap inqubo yokuhlinzwa esebenzisa izicubu zakho ukwakha kabusha ibele. Esikhundleni sokufakelwa kwangaphandle, kusetshenziswa ingxenye yomzimba wakho.
Igama elithi DIEP livela emazwini athi 'Deep Inferior Epigastric Perforator'. Lokhu kubhekisela egameni lomthambo wegazi (umthambo) esiswini sethu esingezansi. Nakhu okwenzekayo ngesikhathi sokuhlinzwa:
Udokotela wakho ohlinzayo uzothatha isikhumba, amafutha, kanye nemithambo yegazi esiswini sakho esingezansi, ikakhulukazi endaweni engaphezulu kwethambo lakho le-pubic, elibizwa ngokuthi 'i-tummy tuck'. Kodwa akukho msipha osuswayo . Lena enye yezinzuzo ezinkulu zalokhu kuhlinzwa.
Ngemuva kwalokho, lesi zicubu zilethwa esifubeni bese zibunjwa zibe yibele. Into ebaluleke kakhulu ilandela. Ngokuhlinzwa kwe-"Microsurgery" okwenziwa ngaphansi kwe-microscope enhle kakhulu, imithambo yegazi emincane esesiswini ethathwe esiswini ixhunywe emithanjeni yegazi esesifubeni. Lokhu kunikeza ibele elisanda kudalwa igazi elihle futhi likhula sengathi liyingxenye yomzimba wakho.
Ngenxa yokuthi usebenzisa izicubu zakho, imiphumela ingokwemvelo kakhulu. Futhi igwema ezinye zezinkinga ezingase zivele ngokufakelwa kwangaphandle.
Ukuhlinzwa kwenziwa nini? Ubani ongafaneleki kulokhu?
Kunezimo ezimbili lapho lokhu kuhlinzwa kungenziwa khona.
1. Ukwakhiwa Kabusha Ngokushesha: Lokhu kuhlinzwa kwe-DIEP Flap kungenziwa ngesikhathi esifanayo nokuhlinzwa kwakho kwe-mastectomy. Khona-ke akudingeki ukuthi udlule kokuhlinzwa kabili. Abanye abantu bacabanga ukuthi bangalulama ngokushesha futhi babuyele empilweni evamile ngokushesha.
2. Ukuvuselelwa Okulibazisekile: Uma usuvele ususiwe ibele lakho futhi ucabanga ukuvuselelwa ngosuku olulandelayo, khona-ke ukuhlinzwa kwe-DIEP Flap kuseyindlela enhle.
Into ebaluleke kakhulu ukukhuluma nodokotela wakho ukuze athathe isinqumo esingcono kakhulu ngalokhu.
Kodwa lokhu kuhlinzwa akuwona wonke umuntu. Ake sibheke ithebula elingezansi ukuze sibone ukuthi yimaphi amacala angafaneleki kulokhu kuhlinzwa.
| Isizathu sokungavumelani | Incazelo elula |
|---|---|
| Izicubu ezinganele esiswini | Uma unciphile kakhulu, noma uke wasuswa amafutha esiswini ngokuhlinzwa okufana nokususwa kwe-liposuction, ungase ungabi nezicubu ezanele esiswini sakho ukuze wakhe ibele. |
| Njengoba ngike ngahlinzwa i-flap ngaphambilini | Uma izicubu zesisu sezivele zisetshenzisiwe ukwakha kabusha elinye ibele, kungase kungabi nezicubu ezanele ezisele ukuze kwenziwe olunye ukuhlinzwa. |
| Ukuhlinzwa kwesisu kwangaphambilini | Lokhu kuhlinzwa kungenzeka uma uke wahlinzwa ngokuhlinzwa kwe-C noma ukuhlinzwa kwe-hysterectomy. Kodwa-ke, kungase kungenzeki uma uke wahlinzwa okushintsha indlela indle yakho ephuma ngayo, njengokuhlinzwa kwe-colostomy. |
| Izinkinga ngemithambo yegazi esiswini esingezansi | Ngezinye izikhathi imithambo yegazi edingekayo ukuze kuhlinzwe ingaba mincane kakhulu, noma indawo ingase ingafaneleki ukuhlinzwa. |
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Ngemva kokuhlela ukuhlinzwa kwakho, udokotela wakho uzokunikeza imiyalelo efana nalokhu:
- Yenza izivivinyo zelebhu : Ungase ucelwe ukuthi wenze okuthile okufana nokuhlolwa kwegazi ukuze ubone ukuthi uphilile ngokwanele yini ukuhlinzwa.
- Yeka ukubhema ngokuphelele: Uma usebenzisa ugwayi (ugwayi, ama-beedis), kungathinta i-anesthesia futhi kulibazise ukuphulukiswa.
- Yeka ukuthatha imithi ethile:Kufanele nakanjani utshele udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nezithasiselo).
Ngosuku lokuhlinzwa, uzonikezwa i-intravenous (IV) anesthetic . Uzobe usulala. Ngeke uzwe ubuhlungu noma yini ngesikhathi sokuhlinzwa.
Ngesikhathi sokuhlinzwa, udokotela wenza i-incision emgqeni wakho we-bikini esiswini sakho esingezansi. Ukusuka lapho, kususwa ngokucophelela isikhumba, amafutha, kanye nemithambo yegazi. Bese, kwenziwa esinye i-incision eduze kwesibazi sokuhlinzwa kwebele kwangaphambilini, bese kulethwa izicubu ezivela esiswini bese zibunjwa zibe yisimo sebele. Bese, imithambo yegazi ixhunywe kusetshenziswa "ukuhlinzwa okuncane" esikhulume ngakho ngaphambili.
Ekugcineni, kufakwa amapayipi amancane kakhulu (amapayipi okudonsa) ezindaweni zokusikwa ebeleni nasesiswini. Lokhu kudinga ukushiywa endaweni yawo amasonto ambalwa. Lokhu kusetshenziselwa ukukhipha uketshezi oluningi endaweni yokuhlinzwa, ukunciphisa ukuvuvukala, nokusheshisa ukuphulukiswa. Ukusikwa kube sekuvalwa ngezitishi noma ngezinduku.
Khumbula, lokhu akuyona inqubo encane yokuhlinzwa engenziwa emahoreni ambalwa bese ubuyela ekhaya. Kuyindlela eyinkimbinkimbi yokuhlinzwa ethatha cishe amahora angu-6-8 ukwakha kabusha ibele elilodwa, kanye namahora angaba ngu-10-14 uma uvuselela amabele womabili.
Kuzodingeka uhlale esibhedlela izinsuku ezimbili kuya kwezintathu ngemva kokuhlinzwa. Kuzothatha cishe amasonto ayisithupha ukuze ululame ngokugcwele.
Azikho yini izingozi nezinkinga?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezingozi ezithile.
Isibonelo, uma igazi eliya esifubeni esisanda kudalwa linqanyuliwe noma linganele, kunethuba elincane lokuthi i-flap izofa (ukwehluleka kwe-flap). Lokhu akuvamile kakhulu. Uma indawo encane ifa, udokotela angayisika ayisuse. Kodwa uma indawo enkulu ifa, yonke i-flap kuzodingeka ishintshwe.
Ngezinye izikhathi, ukugeleza kwegazi ezindaweni ezithile kuyancipha, futhi izicubu zesilonda zingakheka kulezo zindawo, ezingase zizwakale njengezigaxa. Lokhu kunganyamalala ngokuhamba kwesikhathi.
Futhi, kunethuba elincane lokuthi imisipha izobuthakathaka futhi kuzokwakheka i-hernia lapho kuthathwe khona izicubu esiswini. Uma kwenzeka i-hernia, ngokuvamile idinga ukuhlinzwa okunye ukuze ilungiswe.
Uma unalezi zimpawu ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha.
- Ukopha okungavamile
- Uma into efana nobomvu iphuma esigaxeni (izimpawu zokutheleleka)
- Ubuhlungu obukhulu obungabekezeleleki
- Ubunzima bokuphefumula
- Imfiva
Uma lokhu kwenzeka, yazisa udokotela wakho ngokushesha. Uma kuyisimo esiphuthumayo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Kufanele ngizinakekele kanjani ngesikhathi sokululama kanye nasekhaya?
Kuzodingeka ulinde amasonto ambalwa ngemva kokuhlinzwa.Uzocelwa ukuthi ugqoke i-compression bra ekhethekile . Uzocelwa nokuthi ugqoke i-compression wrap ekhethekile ezungeze isisu sakho. Lokhu kuzosiza ekunciphiseni ubuhlungu, kulawule ukuvuvukala, futhi kusize ekwelapheni.
Lezi zinto zivamile ngemva kokuhlinzwa:
- Ukuphuka
- Ubuhlungu Nobuhlungu
- Ukuvuvukala
- Ukuqina kwezimbobo
- Ukuba ndikindiki esiswini noma esifubeni: Lokhu kundikindiki kungahlala isikhathi esingangonyaka.
Nakuba eziningi zalezi zinto zizophela emavikini ambalwa, uma unezimpawu ezikukhathazayo, ungesabi ukukhuluma nodokotela wakho.
Ngemva kokuhlinzwa, uzoba nesibazi emgqeni wakho we-bikini. Lokhu kuzonyamalala kakhulu ezinyangeni ezingaba ngu-12-18. Uzoba nesibazi futhi ebeleni lakho. Uma ufisa, ungenza olunye ukuhlinzwa ukuze wakhe kabusha ingono yakho ngemva kokuba usululame ngokuphelele kulokhu kuhlinzwa.
Umlayezo Wokuya Nawe Ekhaya
- I-DIEP Flap iwukuhlinzwa kokwakha kabusha ibele usebenzisa izicubu zakho zesisu (isikhumba namafutha) ngemva kokukhipha ibele.
- Imiphumela etholwe ngale ndlela ibukeka ingokwemvelo kakhulu futhi izingozi ezihambisana nokufakelwa kwangaphandle zincane kakhulu.
- Lokhu ukuhlinzwa okuyinkimbinkimbi okuthatha amahora amaningi. Kuthatha cishe amasonto ayisithupha ukuphulukiswa.
- Lokhu kuhlinzwa akufanele wonke umuntu. Kuncike ohlotsheni lomzimba wakho kanye nokuhlinzwa kwangaphambilini.
- Khuluma ngokukhululekile nodokotela wakho ohlinzayo mayelana nezinzuzo nezinkinga zalokhu kuhlinzwa, nokuthi ngabe kulungile yini kuwe.
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