Ukwakha kabusha ibele usebenzisa izingxenye zomzimba wakho: Funda ngokuhlinzwa kwe-DIEP Flap

Ukulwa nomdlavuza webele akulula. Phakathi nalolo hambo, kungase kudingeke ususwe lonke ibele lakho noma ingxenye yalo. Ngemva kwalokho, kuyinto evamile ukuzibuza, 'Ingabe kufanele ngiphinde ngivuselelwe ibele?' Lesi yisinqumo somuntu siqu. Ngakho-ke, kulabo kini abacabanga ngokwenza isinqumo esinjalo, namuhla sikhuluma ngendlela ethuthuke kakhulu etholakalayo, ukuhlinzwa kwe-DIEP Flap.

Kuyini ukuhlinzwa kwe-DIEP Flap?

Kalula nje, lokhu kuyindlela yokuhlinzwa lapho usebenzisa khona izingxenye zomzimba wakho ukudala ibele elisha elizothatha indawo yalelo elisusiwe. Igama elithi DIEP lisho ukuthi `Deep Inferior Epigastric Perforator`. Leli igama lomthambo wegazi esiswini sakho esingezansi.

Kulokhu kuhlinzwa, udokotela ohlinzayo uthatha isikhumba, izicubu ezinamafutha, kanye nemithambo yegazi esiswini sakho esingezansi bese ekusebenzisa ukwakha kabusha ibele.

Ekuhlinzeni kwe-TRAM flap, okuyindlela endala, izicubu zithathwa kanye nemisipha yesisu. Lokhu kuthatha isikhathi eside ukuphulukiswa futhi amandla esisu ayancipha. Kodwa-ke, le nkinga ayiveli nge-DIEP flap. Ngakho-ke, isikhathi sokuphulukiswa sifushane futhi amandla esisu ayagcinwa.

Ubani odinga lokhu kuhlinzwa?

Ukwakhiwa kabusha kwebele inqubo engacatshangelwa yinoma ubani ofuna ukwakha kabusha ibele ngemva kokuhlinzwa komdlavuza webele, kungaba ukuhlinzwa kwe-mastectomy noma i-lumpectomy. Lokhu kungenziwa ngesikhathi esifanayo nokuhlinzwa komdlavuza, noma ngosuku olulandelayo.

Ukwakhiwa kabusha kwamabele kuyisinqumo somuntu siqu ngokuphelele. Abanye abantu benza lesi sinqumo ngezizathu ezifana nalezi:

• Thola umzimba olinganiselayo nohle.
• Yiba nokuqiniseka ngoba izingubo zilingana kahle.
• Khulisa ukuzethemba kwakho.

Ingabe lena yindlela kuphela yokwakha kabusha amabele?

Cha. Kunezindlela ezimbili eziyinhloko zokuvuselela amabele. Uma uthatha lesi sinqumo, kufanele uxoxe ngokucophelela ngezinzuzo, ukungalungi, kanye nezingozi zendlela ngayinye nodokotela wakho.

Ingabe zikhona izimo lapho ukuhlinzwa kwe-DIEP Flap kungenzeki khona?

Yebo, akuwona wonke umuntu ofanelekela lo kuhlinzwa. Kunezikhathi lapho lo kuhlinzwa kungase kungakufanele. Nazi ezinye zezimo:

• Uma usuvele uhlinzwe nge-DIEP flap noma nge-TRAM flap: Lolu hlobo lwezicubu lungasuswa esiswini kanye kuphela empilweni.
• Uma kungekho zicubu zamafutha ezanele esiswini: Uma unciphile kakhulu, noma uma wake wahlinzwa ukunciphisa amafutha esiswini (`abdominoplasty` noma `tummy tuck`), ungase ungabi nezicubu ezanele.
• Uma kunenkinga ngemithambo yegazi esiswini: Ngezinye izikhathi le mithambo yegazi mincane kakhulu, noma isendaweni enzima ukuyihlinza. Kodwa manje, ngobuchwepheshe obuthuthukisiwe, kunezindlela zokuhlinzwa kulezi zimo.
• Ukuhlinzwa kwesisu kwangaphambilini: Okunye ukuhlinzwa okukhulu kwesisu (njengokuhlinzwa kwe-colostomy) kungaba yinkinga. Kodwa-ke , ukuhlinzwa kwe-C-section noma i-open hysterectomy ngokuvamile akuyona inkinga. Lena inkinga evamile kubantu abaningi, ngakho khuluma nodokotela wakho ngayo.

Uzilungiselela kanjani ngaphambi kokuhlinzwa?

Udokotela wakho uzokunikeza imiyalelo ethile yokuthi yini okufanele uyenze ngaphambi kokuhlinzwa, kodwa nansi eminye yemisebenzi ejwayelekile okufanele uyilungiselele:

• Yenza ukuzivocavoca okulula: Ukwenza ukuzivocavoca okulula amasonto ambalwa ngaphambi kokuhlinzwa kungasiza ekuqiniseni imisipha yakho futhi kugcine impilo enhle yenhliziyo.
• Gwema ukubhema ngokuphelele: Gwema noma yini equkethe i-nicotine. Lokhu kubaluleke kakhulu enkambisweni yokuphola kwenxeba.
• Yeka ukuthatha imithi ethile: Imithi ethinta ukujiya kwegazi, njenge-aspirin kanye ne-NSAID (imithi elwa nokuvuvukala engeyona eye-steroidal), kungadingeka iyekwe isikhashana ngokweseluleko sikadokotela wakho.

Kwenziwa kanjani ukuhlinzwa?

Lokhu kuhlinzwa kuvame ukuthatha amahora aphakathi kuka-6 no-8. Lokhu ukuhlinzwa okude futhi okuyinkimbinkimbi. Ake sibone ukuthi kwenzekani.

1. Ukubulala izinzwa

Ngaphambi kokuba ukuhlinzwa kuqale, uzonikezwa i-anesthesia ephelele, okusho ukuthi uzobe ulele ngokuphelele futhi ngeke uzwe ubuhlungu.

2. Ukusikwa

Udokotela uzokwenza ukusika okude okuvundlile esiswini sakho esingezansi, phakathi kwamathambo akho enqulwini. Lokhu kusikwa kuvame ukwenziwa ngendlela engafihlwa yizingubo zakho zangaphansi.

3. Ukususwa kwezicubu

Okulandelayo, kususwa ngokucophelela i-flap equkethe isikhumba, amafutha, kanye nemithambo yegazi kuleyo ndawo yokusikwa. Futhi, akukho msipha osuswayo lapha.

4. Ukudluliselwa kwezicubu

Manje lesi siqephu sezicubu siyiswa endaweni yesifuba lapho kuzokwenziwa khona ibele. Yilapho kwenzeka khona ingxenye eyinkimbinkimbi nebaluleke kakhulu yalokhu kuhlinzwa. Okusho ukuthi, imithambo yegazi emincane kuleyo ngxenye yezicubu itshalwa ngokucophelela emithanjeni yegazi esesifubeni. Kusetshenziswa inqubo ekhethekile ebizwa ngokuthi 'ukuhlinzwa kwe-Microvascular' kulokhu.

5. Ukubumba amabele

Uma igazi selixhumene kahle, udokotela usebenzisa leso zicubu ukudala ibele elisha elifanelana nelinye ibele futhi libukeke lemvelo.

6. Ukubeka amanzi okukhipha amanzi

Ngemva kokuhlinzwa, kufakwa amapayipi amancane (amapayipi okudonsa) ezindaweni zokusikwa esiswini nasesifubeni ukuze kukhishwe noma yiluphi uketshezi oluqoqana emanxebeni. Lokhu kuyasuswa emavikini ambalwa.

7. Ukuvalwa

Ekugcineni, ukugoba esifubeni nasesiswini kuvalwa ngezitishi. Uma isikhumba esiswini sidonswa futhi sithungwa, kwenziwa ngendlela eshiya i-buttock yakho isendaweni yemvelo. Njengenzuzo eyengeziwe, isikhumba esiswini sizobukeka siqinile kancane (sifana 'ne-tummy tuck') ngemva kokuhlinzwa.

Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?

Njenganoma yini, kunezinzuzo kanye nezingozi ezincane.

Izinzuzo

• Ukubukeka ngokwemvelo: Ngenxa yokuthi izicubu zakho zisetshenzisiwe, ibele elisha lizobukeka futhi lizizwe lingokwemvelo kakhulu kune-implant.
• Akukho monakalo emisipheni: Njengoba kushiwo ngaphambili, njengoba imisipha yesisu ingonakali, amandla esisu ahlala efana.
• Imiphumela Ehlala Njalo: Imiphumela ihlala njalo. Ngeke iqhume, iqine, ihambe njengezinto ezifakelwe, noma idinga ukushintshwa uma ukhula/uba buthakathaka.
• Ikhono lokubuyisa umuzwa: Kwezinye izimo, izinga elithile lokuzwa lingabuyiselwa esifubeni esisanda kwakhiwa kabusha.

Izingozi

Lokhu kwenzeka kaningi kakhulu, kodwa kubalulekile ukukuqaphela.

• I-Hernia: Akuvamile kakhulu ukuthi ingxenye yamathumbu iphume endaweni ebuthakathaka emisipheni yesisu.
• Ukwakheka kwamaqhubu:Izibazi zingakheka ngaphakathi kwebele elisha futhi zizizwe njengezigaxa eziqinile. Lezi zingase ziphele zodwa, noma zingasuswa ngokuhlinzwa okuncane.
• Ukufa kwezicubu (`Necrosis`): Uma ukuphakelwa kwegazi ezicutshini ezitshaliwe kunganele, ingxenye yalezo zicubu ingafa. Kuleso simo, ingxenye efile kuzodingeka isuswe.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Kungathatha amasonto ayisithupha kuya kwayisishiyagalombili ukuphulukiswa ngokuphelele. Uzocelwa ukuthi ugqoke ingubo ekhethekile yokucindezela esifubeni sakho nasesiswini emasontweni ambalwa okuqala. Kufanele ugweme ukuphakamisa okunzima, imisebenzi enzima, kanye nemisebenzi ehilela ukuphakamisa izingalo zakho phezulu emasontweni ambalwa okuqala.

Ungalindela lezi zinto:

• Ukuba ndikindiki: Ungase uzizwe ndikindiki ebeleni lakho elisha kanye nasesiswini. Lokhu kungathatha cishe unyaka wonke ukuthi kuphele ngokuphelele.
• Ubuhlungu nobuhlungu: Ubuhlungu esifubeni nasesiswini buzophela kakhulu ngemva kwamasonto amabili.
• Ukuvuvukala: Ukuvuvukala okuzungeze amabele, amakhwapha, kanye nesisu kungase kuqhubeke amasonto amaningana.
• Ukuqina kwesikhumba: Ungase uzizwe ukuqina kwesikhumba esiswini sakho nasemabeleni.

Izinga lempumelelo liphezulu lifinyelela ku-96% - 99%. Ngakho-ke akukho okufanele ukhathazeke ngakho.