Ukulwa nomdlavuza webele kuyinselele yangempela. Phakathi nalolo hambo, kungase kudingeke ukuthi uhlinzwe i-mastectomy noma i-lumpectomy. Ngemva kwalokho, umcabango wokuthi "Ngizobukeka kanjani manje?" ungase ukuhluphe. Kodwa ungakhathazeki. Namuhla, isayensi yezokwelapha isithuthuke kakhulu. Kunezindlela ezahlukene zokukunika ukubukeka kwemvelo futhi. Namuhla, sizokhuluma ngenye indlela ekhethekile.
Kuyini ukuhlinzwa kwe-DIEP Flap? Ake sikuqonde kalula.
Kulungile, leli gama lingase lizwakale liyinkimbinkimbi kancane. Kodwa ake sikwenze kube lula. I-DIEP Flap Surgery uhlobo lokuhlinzwa kokwakhiwa kabusha kwamabele.
Cabanga nje uthatha ingxenye encane yomzimba wakho bese uyisebenzisa ukwakha kabusha ibele lakho. Yilokho okwenzekayo lapha. Lapha, udokotela ohlinzayo uthatha ucezu lwesikhumba, amafutha, kanye nemithambo yegazi esiswini sakho esingezansi bese ekusebenzisa ukudala ibele elisha lapho ibele lakho lalikhona khona.
Umthambo wegazi osetshenziswa lapha ubizwa ngokuthi `i-DIEP (umthambo ogobhozayo we-epigastric ojulile)`. Akudingeki ucabange kakhulu ngegama. Into ebalulekile ukuthi lokhu kuyingxenye yomzimba wakho.
Kungani lokhu kukhetheke kangaka?
Enye yezinzuzo ezinkulu nezibaluleke kakhulu zalokhu kuhlinzwa ukuthi udokotela ususa kuphela le ndawo yesikhumba namafutha ngaphandle kokulimaza noma ukususa noma yimiphi imisipha esiswini sakho .
Ekuhlinzeni okudala kwe-`TRAM (transverse rectus abdominal muscle) flap`, lesi zicubu sathathwa kanye nengxenye yemisipha yesisu. Ngemuva kwalokho imisipha yesisu iba buthakathaka, futhi isikhathi sokululama siba side. Kodwa ngokuhlinzwa kwe-DIEP flap, leyo nkinga ayiveli. Ngakho-ke, ungalulama ngokushesha futhi ugcine amandla esisu. Njenge-`tummy tuck``, isisu siba sicaba, okuyinzuzo eyengeziwe!
Ubani ofanele lolu hlinzwa futhi kungani umuntu engakhetha lona?
Noma ubani ofuna ukwakha kabusha ibele ngemva kokuhlinzwa komdlavuza webele angakucabangela lokhu. Lokhu kuhlinzwa kungenziwa ngesikhathi esifanayo nokuhlinzwa komdlavuza (ukwakhiwa kabusha ngokushesha), noma kungenziwa ngemva kokuba konke ukwelashwa komdlavuza sekuqediwe, ngemva kwesikhathi esithile (ukwakhiwa kabusha okubambezelekile).
Ukwakhiwa kabusha kwebele kuyisinqumo somuntu siqu ngokuphelele. Akekho okuphoqayo ukuba ukwenze. Abanye abantu benza lesi sinqumo ngezizathu ezifana nalezi:
- Finyelela ukubukeka okulinganiselwe: Ukususwa kwebele kungase kuzwakale sengathi umzimba wakho awulingani. Lokhu kuhlinzwa kungasiza ekubuyiseleni ukubukeka okunjalo.
- Gqoka kahle: Lesi yisisombululo esihle sokugwema ukungakhululeki lapho ugqoka.
- Khulisa ukuzethemba:Lokhu kuwusizo olukhulu ekunqobeni ukukhathazeka ngokubukeka kwakho nokwakha kabusha ukuzethemba kwakho.
Khumbula, ngumzimba wakho, isinqumo sakho. Unelungelo lokukhetha okukufanele kakhulu.
Ngeke yini wonke umuntu ahlinzwe kanje?
Empeleni, ukuhlinzwa kwe-DIEP flap akufanele wonke umuntu. Kunezimo ezithile lapho kungase kungenzeki khona. Ake sibheke ukuthi yiziphi lezo zimo.
| Uma ukuhlinzwa kungafaneleki | Kuchazwe kalula |
|---|---|
| Uma uke wahlinzwa ngalolu hlobo ngaphambili | Uma uke wahlinzwa i-DIEP noma i-TRAM flap ngaphambi kokuvuselelwa kwebele lakho elinye, awukwazi ukuphinda uthathwe izicubu esiswini sakho ngoba leyo ngxenye ingasetshenziswa kanye kuphela. |
| Uma kungekho amafutha anele esiswini esingezansi | Uma umncane kakhulu, noma uke wahlinzwa isisu (abdominoplasty noma liposuction), ungase ungabi namafutha nesikhumba esanele esiswini sakho ukuze wakhe ibele. |
| Uma kunenkinga ngemithambo yegazi esiswini | Ngezinye izikhathi imithambo yegazi edingekayo kulokhu kuhlinzwa ingaba mincane kakhulu noma indawo yayo ingase ihluke. Kodwa-ke, ngobuchwepheshe obusha obutholakalayo namuhla, kunezindlela zokwenza ukuhlinzwa kulezi zimo futhi. |
| Okunye ukuhlinzwa kwesisu kwangaphambilini | Uma uke wahlinzwa kakhulu, njengokuhlinzwa kwe-colostomy, lokhu kungase kungenzeki. Kodwa-ke, ngokuvamile akuyona isithiyo sokwenza lokhu kuhlinzwa, noma ngabe uke wahlinzwa ngokuhlinzwa kwe-C noma wahlinzwa nge-open hysterectomy. |
Udokotela wakho angenza isinqumo esingcono kakhulu ngalokhu. Uzokuhlola futhi akutshele ukuthi lokhu kuhlinzwa kulungile yini kuwe noma cha.
Yini okufanele uyenze ngaphambi kokuhlinzwa?
Njengoba lokhu kuwukuhlinzwa okukhulu, udinga ukulungiselela kusenesikhathi. Udokotela wakho uzokunikeza yonke imiyalelo edingekayo. Ngokuvamile bazokutshela ukuthi wenze okulandelayo:
- Ukuhlolwa kwempilo: Kuzodingeka wenze ukuhlolwa okuningana, njengokuhlolwa kwegazi, ukuze ubone ukuthi umzimba wakho ukulungele yini ukuhlinzwa.
- Ukuzivocavoca: Ukuzivocavoca okulula amasonto ambalwa ngaphambi kokuhlinzwa kungasiza ekuqiniseni imisipha nokugcina impilo enhle yenhliziyo.
- Gwema ukubhema: Uma ubhema, kufanele uyeke ngokuphelele ngaphambi kokuhlinzwa. Ungasebenzisi noma yini equkethe i-nicotine. Ukubhema kungavimba imithambo yegazi futhi kuphazamise ukuphulukiswa ngemva kokuhlinzwa.
- Yeka eminye imithi: Udokotela wakho cishe uzokucela ukuthi uyeke ukuthatha imithi yokunciphisa igazi, njenge-aspirin kanye nemithi engeyona eye-steroidal anti-inflammatory (NSAIDs), ngaphambi kokuhlinzwa kwakho. Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo.
Kwenzekani ngesikhathi sokuhlinzwa?
Lokhu kuhlinzwa kuvame ukuthatha amahora aphakathi kuka-6 no-8. Lokhu ukuhlinzwa okuyinkimbinkimbi ngandlela thile. Ake sibone ukuthi kwenzekani isinyathelo ngesinyathelo.
1. I-Anesthesia: Okokuqala, uzonikezwa i-anesthesia ngokuphelele. Lokhu kusho ukuthi ngeke uzwe lutho ngesikhathi sokuhlinzwa, uzobe ulele ngokuphelele.
2. Ukusikwa: Okulandelayo, udokotela ohlinzayo uzokwenza ukusikwa okude, okuvundlile esiswini sakho esingezansi, phakathi kwamathambo akho enqulwini. Lokhu kusikwa kuvame ukwenziwa ngendlela yokuthi kufihlwe yizingubo zakho zangaphansi.
3. Ukususwa kwezicubu: I-flap equkethe isikhumba, amafutha, kanye nemithambo yegazi isuswa ngokucophelela endaweni yokusikwa ngaphandle kokulimaza imisipha.
4. Ukudluliselwa kwezicubu: Ngemuva kwalokho, kwenziwa ukusika endaweni efanayo lapho ibele lakho likhishwe khona, bese kuthi izicubu ezivela esiswini sakho zidluliselwe lapho. Lena yingxenye ebaluleke kakhulu neyinkimbinkimbi. Ngaphansi kwe-microscope, ngokucophelela, imithambo yegazi kulezo zicubu ixhunywe emithanjeni yegazi esifubeni sakho. Lokhu kubizwa ngokuthi 'ukuhlinzwa kwemithambo yegazi emincane'.
5. Ukubumba ibele: Uma igazi selixhunywe kahle, udokotela usebenzisa leso sigaba sezicubu ukudala isimo sebele semvelo.
6. Ukufakwa komoya ongcolile: Ngemva kokuhlinzwa, kufakwa amapayipi amancane (amapayipi okungcola) ezindaweni ezisikiwe esiswini nasesifubeni ukuze kukhishwe noma yiluphi uketshezi oluqongelela emanxebeni. Lokhu kususwa emavikini ambalwa.
7. Ukuvalwa:Ekugcineni, ukugoba esifubeni sakho nasesiswini kuvalwa ngezitishi. Njengoba isikhumba esiswini sakho sidonswa futhi sithungwa ndawonye, inkinobho yakho yesisu nayo ibekwa endaweni ebukeka njengeyemvelo.
Yini ongayilindela ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela cishe izinsuku ezimbili kuya kwezinhlanu. Ngemva kokuya ekhaya, kuzothatha cishe amasonto ayisithupha kuya kwayisishiyagalombili ukululama. Phakathi nalesi sikhathi, ungase ubhekane nezinto ezifana nalezi:
- Ubuhlungu nokungakhululeki: Ungase uzwe ubuhlungu nokuqina esifubeni nasesiswini emasontweni amabili okuqala. Udokotela wakho uzokunikeza imithi yokwelapha izinhlungu yalokhu.
- Ukuvuvukala: Indawo yokuhlinzwa ingase ivuvuke. Lokhu kuvuvukala kuzophela kancane kancane.
- Ukuba ndikindiki: Uzozwa umuzwa wokucasuka emabeleni akho asanda kuzalwa kanye nasesiswini. Kungathatha isikhathi esingangonyaka ukuthi lo muzwa ubuye.
- Imikhawulo: Odokotela bazokweluleka ukuthi ungenzi imisebenzi enzima njengokuphakamisa izinsimbi noma ukuphakamisa izingalo zakho ngaphezulu cishe inyanga nesigamu.
Uzocelwa ukuthi ugqoke ingubo ekhethekile (ingubo yokucindezela). Isibhedlela sizokunikeza nemiyalelo eningiliziwe yokuthi ungawanakekela kanjani amanxeba akho kanye nemisele yamanzi ekhaya.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, ukuhlinzwa kwe-DIEP flap kunezinzuzo kanye nezingozi. Kubalulekile ukuqaphela kokubili ngaphambi kokwenza isinqumo.
| Izinzuzo | Izingozi |
|---|---|
| Ukubukeka ngokwemvelo: Ngenxa yokuthi kuyizicubu zakho, ibele elisha libukeka futhi lizwakala lingokwemvelo kakhulu. | Ukufa kwezicubu (Necrosis): Uma imithambo yegazi exhunyiwe ingaphumi kahle, izicubu zingase zife. Kulokhu, indawo kungadingeka isuswe ngokuhlinzwa. Lokhu akuvamile kakhulu. |
| Akukho monakalo wemisipha: Njengoba imisipha yakho yesisu ingonakali, amandla akho ahlala efana. Ungalulama ngokushesha. | I-Hernia: Ubuthakathaka odongeni lwesisu obuvumela ingxenye yamathumbu ukuthi iphume. Lokhu futhi akuvamile. |
| Imiphumela Ehlala Njalo: Lesi yisisombululo esihlala njalo. Ngokungafani nezifakelo, ngeke siphuke, sishelele, noma sishintshe uma isisindo sikhula noma sehla. | Amaqhubu: Ngezinye izikhathi izicubu zesilonda zinganqwabelana ngaphakathi ebeleni futhi zizwe sengathi amaqhubu. Lokhu kuvame ukuziphelela. |
| Ikhono lokuzwa: Kwezinye izimo, imizwa evela ezicutshini ezithathwe esiswini ingaxhunyaniswa nemizwa esesifubeni, ibuyisele umuzwa othile ebeleni. | Izingozi ezivamile zokuhlinzwa: Izingozi zanoma yikuphi ukuhlinzwa, njengokuphuma kwegazi kanye nokutheleleka, nazo zikhona lapha. |
Ngingashayela nini udokotela ucingo?
Uma unezinye zalezi zimpawu ngesikhathi usekhaya ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha:
- Imfiva
- Ubuhlungu obukhulu
- Ubunzima bokuphefumula (ukuphelelwa umoya)
- Ukopha ngokweqile okuvela emanxebeni
- Uketshezi olufana nobomvu, olunuka kabi oluphuma emanxebeni (izimpawu zokutheleleka)
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-DIEP flap kuyindlela yokwakha kabusha ibele usebenzisa isikhumba sakho namafutha avela esiswini sakho esingezansi ngemva kokuhlinzwa komdlavuza webele.
- Akukho monakalo emisipheni yesisu sakho, okungenye yezinzuzo ezinkulu zalokhu kuhlinzwa.
- Umphumela ungokwemvelo kakhulu futhi uhlala njalo.
- Lokhu akuyona indlela eyodwa yokuhlinzwa efanela bonke. Udokotela wakho ungumuntu ongcono kakhulu ukwazi ukuthi lokhu kulungile yini kuwe.
- Kuthatha cishe amasonto ayi-6-8 ukululama ngokuphelele ngemva kokuhlinzwa. Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo phakathi nalesi sikhathi.
- Ukwakhiwa kabusha kwamabele kuyisinqumo somuntu siqu. Khuluma nodokotela wakho ngakho ngokukhululekile bese ukhetha okulungele wena.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment