Opaleshoni yowonjezera mawere

Kukulitsa m'mawere ndi njira yowonjezera kapena kusintha mawonekedwe a mabere.

Kukulitsa pachifuwa kumachitika poika zodzala kumbuyo kwa minofu ya m'mawere kapena pansi pamimba pachifuwa.

Chobzala ndi thumba lodzaza ndi madzi amchere osabereka (saline) kapena chinthu chotchedwa silicone.

Kuchita opaleshoniyi kumachitika kuchipatala cha odwala kapena kuchipatala.

• Amayi ambiri amalandila dzanzi chifukwa cha opaleshoniyi. Mudzakhala mukugona komanso opanda ululu.
• Ngati mulandira mankhwala oletsa ululu am'deralo, mudzakhala ogalamuka ndipo mudzalandira mankhwala ogwetsera mabere anu kuti muchepetse ululu.

Pali njira zosiyanasiyana zopangira zodzala m'mawere:

• Mwa njira yofala kwambiri, dokotalayo amadula (cheka) pansi pamunsi pa bere lanu, m'khola lachilengedwe. Dokotalayo amaika chidebecho kudzera pachitseko chimenechi. Chipsera chanu chimawoneka pang'ono ngati muli ocheperako, owonda, ndipo mulibe ana.
• Kuyika kumatha kuikidwa kudzera podula m'manja mwanu. Dokotalayo amatha kuchita opaleshoniyi pogwiritsa ntchito endoscope. Ichi ndi chida chokhala ndi kamera ndi zida zopangira opaleshoni kumapeto. Endoscope imalowetsedwa kudzera podulidwa. Sipadzakhala bala pafupi ndi bere lako. Koma, mutha kukhala ndi chilonda chowoneka pansi pamanja panu.
• Dokotalayo amatha kudula m'mphepete mwa bwalo lanu Awa ndi malo amdima mozungulira nsaga yanu. Kuyika kumayikidwa kudzera potsegulira uku. Mutha kukhala ndi mavuto ambiri poyamwitsa komanso kuchepa kwamankhwala pafupi ndi nsagwada ndi njirayi.
• Kukhazikika kwa mchere kumatha kuikidwa podulidwa pafupi ndi batani la mimba yanu. Endoscope imagwiritsidwa ntchito kusunthira choyikacho mpaka m'chifuwa. Mukadzaza, kudzalako kumadzaza ndi mchere.

Mtundu wa opareshoni yokhazikitsa ndi kukhazikitsa ungakhudze:

• Mukumva kupweteka kwambiri mutatha kuchita izi
• Maonekedwe a bere lako
• Kuwopsa kwakubzala kapena kutayikira mtsogolo
• Ma mammograms anu amtsogolo

Dokotala wanu akhoza kukuthandizani kusankha njira zomwe zingakuthandizeni.

Kukulitsa m'mawere kumachitika kuti mukulitse kukula kwa mabere anu. Zitha kuchitidwanso kuti musinthe mawonekedwe a mabere anu kapena kukonza vuto lomwe mumabadwa nalo (congenital deformity).

Lankhulani ndi dotolo wa pulasitiki ngati mukuganiza zokulitsa mawere. Fotokozani momwe mukuyembekezera kuwoneka ndikumverera bwino. Kumbukirani kuti zomwe mukufuna ndi kusintha, osati ungwiro.

Zowopsa za anesthesia ndi opaleshoni yonse ndi izi:

• Zomwe zimachitika ndi mankhwala, mavuto ampweya
• Kukhetsa magazi, magazi kuundana, matenda

Zowopsa zochitidwa mawere ndi izi:

• Zovuta kuyamwitsa
• Kutaya kumverera m'dera lamabele
• Zilonda zazing'ono, nthawi zambiri kudera lomwe samawonetsa zambiri
• Wokhuthala, anakweza zipsera
• Malo ofananira a nsonga zamabele
• Kukula kosiyanasiyana kapena mawonekedwe a mabere awiri
• Kuswa kapena kutayikira kwa kuyika
• Kuwonekera kowonekera kwa kuyika
• Kufunika kwa maopareshoni ambiri a m'mawere

Ndi zachilendo kuti thupi lanu lipange "kapisozi" wopangidwa ndi minyewa yoyera mozungulira kubzala kwanu kwatsopano. Izi zimathandiza kusunga kuyika bwino. Nthawi zina, kapisozi uyu amakula ndikukula. Izi zitha kupangitsa kusintha kwa bere lanu, kuuma kwa minofu ya m'mawere, kapena kupweteka.

Mtundu wosowa wa lymphoma udanenedwa ndi mitundu ina yazodzala.

Zowopsa zamankhwala awa zingaphatikizepo kumva kuti mawere anu sawoneka bwino. Kapena, mungakhumudwitsidwe ndi momwe anthu amachitira ndi mawere anu "atsopano".

Uzani wothandizira zaumoyo wanu:

• Ngati muli ndi pakati kapena mutha kukhala ndi pakati
• Ndi mankhwala ati omwe mukumwa, kuphatikiza mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala

M'masiku asanachitike opaleshoni yanu:

• Mungafunike mammograms kapena ma x-ray musanachite opaleshoni. Dokotala wa pulasitiki adzayesa mawere nthawi zonse.
• Masiku angapo musanachite opaleshoni, mungapemphedwe kusiya kumwa aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), ndi mankhwala ena aliwonse omwe amalepheretsa magazi anu kuphimba.
• Funsani omwe akukupatsirani mankhwala omwe muyenera kumwa patsiku la opareshoni.
• Mungafunike kudzaza mankhwala opatsirana musanachite opaleshoni.
• Konzani kuti wina adzakuyendetsani kunyumba mutatha opaleshoni ndikuthandizani kuzungulira nyumba kwa tsiku limodzi kapena awiri.
• Ngati mumasuta, ndikofunikira kusiya. Kusuta kumatha kuyambitsa mavuto ndi machiritso. Dokotala wanu akhoza kusiya opaleshoni mukapitiliza kusuta. Funsani omwe akukuthandizani kuti akuthandizeni kusiya.

Patsiku la opaleshoniyi:

• Nthawi zambiri mudzafunsidwa kuti musamwe kapena kudya kalikonse pakati pausiku usiku usanachitike opaleshoni.
• Tengani mankhwala omwe wothandizirayo adakuwuzani kuti mutenge ndi madzi pang'ono.
• Valani kapena bweretsani zovala zotayirira zomwe zili ndi mabatani kapena zipi kutsogolo. Ndipo mubweretse botolo lofewa, lotayirira lopanda ma underwire.
• Fikani munthawi yake kuchipatala cha odwala kapena kuchipatala.

Mosakayikira mupita kunyumba pamene anesthesia imatha ndipo mumatha kuyenda, kumwa madzi, ndi kupita kuchimbudzi bwinobwino.

Pambuyo pa opaleshoni yokukulitsa m'mawere, chovala chovala chopyapyala chimakulungidwa pachifuwa ndi pachifuwa. Kapena, mutha kuvala botolo la opaleshoni. Machubu yotulutsa madzi imatha kulumikizidwa m'mawere anu. Izi zichotsedwa pasanathe masiku atatu.

Dokotalayo angalimbikitsenso kusisita mabere kuyambira masiku 5 mutachitidwa opaleshoni. Kusisita kumathandiza kuchepetsa kuuma kwa kapisozi yemwe wazungulira kuyika. Funsani omwe akukuthandizani kaye musanasisitize pazomera zanu.

Muyenera kuti mudzakhala ndi zotsatira zabwino kuchokera ku opaleshoni ya m'mawere. Mutha kumverera bwino ndi mawonekedwe anu komanso nokha. Komanso, zowawa zilizonse kapena zizindikiro zakhungu chifukwa cha opaleshoniyo zimatha. Mungafunike kuvala bulasi yothandizira miyezi ingapo kuti musinthe mabere anu.

Zipsera ndizokhazikika ndipo nthawi zambiri zimawoneka mchaka chotsatira opaleshoni. Amatha kuzirara zitatha izi. Dokotala wanu amayesetsa kuyika zidutswazo kuti zipsera zanu zibisike momwe zingathere.

Kukulitsa mabere; Zodzala m'mawere; Zomera - m'mawere; Kusakanikirana

• Zodzikongoletsera mawere opaleshoni - kumaliseche
• Chisamaliro cha bala la opaleshoni - chotseguka

• Kutulutsa kwa m'mawere (mastopexy) - mndandanda
• Kuchepetsa mawere (mammoplasty) - Mndandanda
• Kukulitsa m'mawere - mndandanda

Calobrace MB. Kukulitsa m'mawere. Mu: Peter RJ, Neligan PC, olemba. Opaleshoni ya Pulasitiki, Gawo 5: Chifuwa. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 4.

[Adasankhidwa] McGrath MH, Pomerantz JH. Opaleshoni yapulasitiki. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Maziko Achilengedwe a Njira Zamakono Zopangira Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 68.