Kubwezeretsa m'mawere - ma implants

Pambuyo pa mastectomy, amayi ena amasankha kuchitidwa opaleshoni yodzikongoletsera kuti akonzenso bere lawo. Kuchita opaleshoni kotereku kumatchedwa kumanganso mawere. Itha kuchitidwa nthawi imodzimodzi ndi mastectomy (kumangidwanso nthawi yomweyo) kapena pambuyo pake (kuchedwa kumanganso).

Chifuwa chimasinthidwa kawiri, kapena maopaleshoni. Pakati pa gawo loyamba, kutulutsa minofu kumagwiritsidwa ntchito. Kukhazikika kumayikidwa panthawi yachiwiri. Nthawi zina, kuyika kumayikidwa mgawo loyamba.

Ngati mukumanganso nthawi imodzimodzi ndi mastectomy, dokotala wanu atha kuchita izi:

• Matenda osungira khungu - Izi zikutanthauza malo okhawo ozungulira nsonga yamabele ndi areola omwe amachotsedwa.
• Matenda osungira mawere - Izi zikutanthauza kuti khungu, nipple, ndi areola zimasungidwa.

Mulimonsemo, khungu limasiyidwa kuti likonzenso.

Ngati mudzayambitsanso mawere pambuyo pake, dotolo wanu akuchotsani khungu lokwanira pachifuwa chanu panthawi ya mastectomy kuti athe kutseka zikopa za khungu.

Kumanganso mawere ndi zopangira nthawi zambiri kumachitika m'magawo awiri, kapena maopaleshoni. Pa maopareshoni, mudzalandira oesthesia wamba. Awa ndi mankhwala omwe amakupangitsani kugona komanso kumva kupweteka.

Mu gawo loyamba:

• Dokotalayo amapanga thumba pansi pa chifuwa chanu.
• Chowonjezera chaching'ono chimayikidwa m'thumba. The expander ili ngati buluni komanso yopangidwa ndi silicone.
• Valve imayikidwa pansi pa khungu la bere. Valve imagwirizanitsidwa ndi chubu kupita ku expander. (Chubu chimakhala pansi pa khungu m'dera lanu la m'mawere.)
• Chifuwa chako chikuwonekabe mosalala pambuyo pa opaleshoniyi.
• Kuyambira pafupi 2 mpaka 3 masabata mutachitidwa opaleshoni, mumawona dokotala wanu wamankhwala sabata limodzi kapena awiri. Pamaulendo awa, dokotalayo amalowetsa mchere wochepa (madzi amchere) kudzera mu valavu mu chotulutsa.
• Popita nthawi, wotulutsa pang'onopang'ono amakulitsa chikwama chomwe chili pachifuwa panu kukula koyenera kwa dokotalayo.
• Ikafika pamulingo woyenera, mumadikirira miyezi 1 mpaka 3 isanayikidwe nthawi yokhazikika.

Gawo lachiwiri:

• Dokotala wochotsayo amachotsa zotulutsa m'chifuwa mwanu ndikuziika m'malo mwake. Kuchita opaleshoniyi kumatenga maola 1 mpaka 2.
• Asanachite opaleshoniyi, mukadalankhula ndi dokotala wanu wazamankhwala zamitundu yosiyanasiyana yazodzala m'mawere. Zomera zimatha kudzazidwa ndi saline kapena gel osakaniza wa silicone.

Mutha kukhala ndi njira zina zazing'ono pambuyo pake zomwe zimasinthanso malo amabele ndi areola.

Inu ndi dokotala mudzakambirana palimodzi za momwe mungapangire kumanganso mawere, ndi nthawi yoti mukhale nayo.

Kukhala ndi kumanganso mawere sikumakupangitsani kukhala kovuta kupeza chotupa ngati khansa yanu ya m'mawere ibwerera.

Kupeza zopangira mawere sikutenga nthawi yayitali ngati kumanganso bere komwe kumagwiritsa ntchito minofu yanu. Mudzakhalanso ndi zipsera zochepa. Koma, kukula, kudzaza, ndi mawonekedwe a mabere atsopano ndi achilengedwe ndikumanganso komwe kumagwiritsa ntchito minofu yanu.

Amayi ambiri amasankha kuti asakhalenso ndi mawere kapena ma implants. Atha kugwiritsa ntchito pulasitala (bere lochita kupanga) mu botolo lawo lomwe limawapatsa mawonekedwe achilengedwe, kapena sangasankhe kugwiritsa ntchito kalikonse.

Zowopsa za ochititsa dzanzi ndi opaleshoni yonse ndi izi:

• Zomwe zimachitika ndi mankhwala
• Mavuto opumira
• Kukhetsa magazi, magazi kuundana, kapena matenda

Zowopsa zakumanganso mawere ndi zopangira ndi:

• Kuyika kumatha kusweka kapena kutuluka. Izi zikachitika, mufunika opaleshoni ina.
• Chipsera chimatha kupangika mozungulira bere lanu. Ngati chilondacho chikuvuta, bere lanu lingamve kulimba ndikupweteketsani kapena kusapeza bwino. Izi zimatchedwa mgwirizano wama capsular. Mudzafunika opaleshoni yambiri ngati izi zichitika.
• Matenda atangotha ​​opaleshoni. Muyenera kuchotsa kapena kuyikapo.
• Zipatso za m'mawere zimatha kusintha. Izi zidzasintha mawonekedwe a bere lanu.
• Chifuwa chimodzi chikhoza kukhala chachikulu kuposa chimzake (asymmetry cha mabere).
• Mutha kukhala ndi kutaya chidwi kuzungulira nsaga ndi areola.

Uzani dokotala wanu ngati mukumwa mankhwala aliwonse, othandizira, kapena zitsamba zomwe mwagula popanda mankhwala.

Sabata isanachitike opaleshoni yanu:

• Mutha kufunsidwa kuti musiye kumwa mankhwala ochepetsa magazi. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), vitamini E, clopidogrel (Plavix), warfarin (Coumadin, Jantoven), ndi ena.
• Funsani dokotala wanu wa mankhwala omwe muyenera kumwa patsiku la opareshoni.
• Ngati mumasuta, yesetsani kusiya. Kusuta kumachedwetsa kuchira komanso kumawonjezera mavuto. Funsani wothandizira zaumoyo wanu kuti akuthandizeni kusiya.

Patsiku la opareshoni yanu:

• Tsatirani malangizo okhudzana ndi kusadya kapena kumwa komanso zosamba musanapite kuchipatala.
• Tengani mankhwala omwe dokotala wanu wakuuzani kuti mumamwe pang'ono.
• Fikani kuchipatala nthawi yake.

Mutha kupita kunyumba tsiku lomwelo ndi opareshoni. Kapena, muyenera kukhala mchipatala usiku wonse.

Mutha kukhala ndi zotupa m'chifuwa chanu mukamapita kunyumba. Dokotala wanu adzawachotsa pambuyo pake mukamayendera ofesi. Mutha kukhala ndi ululu pakucheka kwanu mukatha opaleshoni. Tsatirani malangizo okhudza kumwa mankhwala opweteka.

Madzi amatha kusonkhanitsa pansi. Izi zimatchedwa seroma. Ndizofala kwambiri. Seroma itha kupita yokha. Ngati sichichoka, angafunikire kukhetsedwa ndi dokotala wa opaleshoni panthawi yochezera ofesi.

Zotsatira za opaleshoniyi nthawi zambiri zimakhala zabwino kwambiri. Ndizosatheka kuti chifuwa chomangidwanso chiwoneke chimodzimodzi ndi bere lachilengedwe latsalira. Mungafunike njira zowonjezera "kukweza" kuti mupeze zotsatira zomwe mukufuna.

Kukonzanso sikubwezeretsa kumva kwabwino ku bere kapena nsonga yatsopano.

Kuchita opaleshoni yodzola pambuyo pa khansa ya m'mawere kumatha kukupatsani thanzi komanso moyo wabwino.

Opaleshoni ya m'mawere; Mastectomy - kumanganso mawere ndi ma implants; Khansa ya m'mawere - kumanganso mawere ndi ma implants

• Zodzikongoletsera mawere opaleshoni - kumaliseche
• Mastectomy ndi kumanganso mawere - zomwe mungafunse dokotala wanu
• Mastectomy - kumaliseche

Burke MS, Schimpf DK. Kumangidwanso pachifuwa pambuyo pochizidwa ndi khansa ya m'mawere: zolinga, zosankha, ndi kulingalira. Mu: Cameron JL, Cameron AM, olemba, eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 12. Philadelphia, PA: Elsevier; 2017: 743-748.

Mphamvu KL, Phillips LG. Kumanganso mabere. 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 35.