Kubwezeretsa m'mawere - minofu yachilengedwe

Pambuyo pa mastectomy, amayi ena amasankha kuchitidwa opaleshoni yodzikongoletsera kuti akonzenso bere lawo. Kuchita opaleshoni kotereku kumatchedwa kumanganso mawere. Itha kuchitidwa munthawi yomweyo ngati mastectomy (kukonzanso mwachangu) kapena pambuyo pake (kuchedwa kumanganso).

Pakumanganso bere lomwe limagwiritsa ntchito minofu yachilengedwe, bere limasinthidwa pogwiritsa ntchito minofu, khungu, kapena mafuta ochokera mbali ina ya thupi lanu.

Ngati mukumanganso bere nthawi imodzimodzi ndi mastectomy, dokotalayo atha kuchita izi:

• Matenda osungira khungu. Izi zikutanthawuza malo okha ozungulira nsonga yamabele ndi areola amachotsedwa.
• Matenda osungunula mawere. Izi zikutanthauza kuti khungu, nipple, ndi areola zimasungidwa.

Mulimonsemo, khungu limasiyidwa kuti likonzenso.

Ngati mudzayambitsanso mabere pambuyo pake, dokotalayo amatha kupewerabe khungu kapena nsawawa. Ngati simukudziwa zomangidwanso, dokotalayo amachotsa nsonga zamabele ndi khungu lokwanira kuti khoma lachifuwa likhale losalala komanso lathyathyathya momwe angathere.

Mitundu yokonzanso mawere ndi awa:

• Transverse rectus abdominus chophatikizira chophatikizira cham'mimba (TRAM)
• Chingwe chamtundu wa Latissimus
• Madzi otsika kwambiri epigastric arter perforator flap (DIEP kapena DIEAP)
• Chipsinjo chaulemu
• Chozungulira chapamwamba gracilis khumudwitsidwa (TUG)

Pa iliyonse ya njirazi, mudzakhala ndi anesthesia wamba. Awa ndi mankhwala omwe amakupangitsani kugona komanso kumva kupweteka.

Pa opaleshoni ya TRAM:

• Dokotalayo amadula pamimba panu, kuyambira m'chiuno kupita kunzake. Chipsera chanu chimabisika pambuyo pake ndi zovala zambiri ndi masuti osambira.
• Dokotalayo amasula khungu, mafuta, ndi minofu m'derali. Minofu imeneyi imayendetsedwa pansi pa khungu la mimba yanu mpaka pachifuwa kuti mupange bere lanu latsopano. Mitsempha yamagazi imalumikizidwabe ndi komwe amachotsa minofu.
• Mwanjira ina yotchedwa njira yopanda pake, khungu, mafuta, ndi minofu zimachotsedwa m'mimba mwanu. Minofu imeneyi imayikidwa m'chifuwa chanu kuti ipangitse bere lanu latsopano. Mitsempha ndi mitsempha imadulidwa ndikulumikizananso ndi mitsempha yamagazi pansi pa mkono wanu kapena kuseri kwa chifuwa chanu.
• Minofu imeneyi imapangidwa kukhala bere latsopano. Dokotalayo amafanana ndi kukula ndi mawonekedwe a bere lanu lachilengedwe momwe mungathere.
• Zomwe zimakhazikika pamimba mwanu zimatsekedwa ndimitengo.
• Ngati mungafune nsonga yatsopano ndi areola, mufunika opaleshoni yachiwiri, yocheperako pambuyo pake. Kapena, nipple ndi areola zitha kupangidwa ndi tattoo.

Paziphuphu za latissimus zomwe zimayikidwa pachifuwa:

• Dokotalayo amadula kumbuyo kwanu, mbali ya bere lanu lomwe linachotsedwa.
• Dokotalayo amasula khungu, mafuta, ndi minofu m'derali. Minofu imeneyi imayendetsedwa pansi pa khungu lanu ndi bere kuti mupange bere lanu latsopano. Mitsempha yamagazi imalumikizanabe ndi dera lomwe minofu idatengedwa.
• Minofu imeneyi imapangidwa kukhala bere latsopano. Dokotalayo amafanana ndi kukula ndi mawonekedwe a bere lanu lachilengedwe momwe mungathere.
• Choikapo chitha kuikidwa pansi pa minofu yapachifuwa kuti muthandize kukula kwa bere lanu lina.
• Zochitikazo zatsekedwa ndi zokopa.
• Ngati mungafune nsonga yatsopano ndi areola, mufunika opaleshoni yachiwiri, yocheperako pambuyo pake. Kapena, nipple ndi areola zitha kupangidwa ndi tattoo.

Kwa chimbale cha DIEP kapena DIEAP:

• Dokotalayo amadula pamimba pako. Khungu ndi mafuta ochokera m'derali zamasulidwa. Minofu imeneyi imayikidwa m'chifuwa chanu kuti ipangitse bere lanu latsopano. Mitsempha ndi mitsempha imadulidwa kenako ndikulumikizananso ndi mitsempha yamagazi pansi pa mkono wanu kapena kuseri kwa chifuwa chanu.
• Minofuyo kenako imapangidwa kukhala bere latsopano. Dokotalayo amafanana ndi kukula ndi mawonekedwe a bere lanu lachilengedwe momwe mungathere.
• Zochitikazo zatsekedwa ndi zokopa.
• Ngati mungafune nsonga yatsopano ndi areola, mufunika opaleshoni yachiwiri, yocheperako pambuyo pake. Kapena, nipple ndi areola zitha kupangidwa ndi tattoo.

Kwa chikwapu chaulemerero:

• Dokotalayo amadula matako anu. Khungu, mafuta, ndipo mwina minofu m'derali yamasulidwa. Minofu imeneyi imayikidwa m'chifuwa chanu kuti ipangitse bere lanu latsopano. Mitsempha ndi mitsempha imadulidwa ndikumangiriridwa ku mitsempha yamagazi pansi pa mkono wanu kapena kumbuyo kwa chifuwa chanu.
• Minofuyo kenako imapangidwa kukhala bere latsopano. Dokotalayo amafanana ndi kukula ndi mawonekedwe a bere lanu lachilengedwe momwe mungathere.
• Zochitikazo zatsekedwa ndi zokopa.
• Ngati mungafune nsonga yatsopano ndi areola, mufunika opaleshoni yachiwiri, yocheperako pambuyo pake. Kapena, nipple ndi areola zitha kupangidwa ndi tattoo.

Kwa chikwapu cha TUG:

• Dokotalayo amadula ntchafu yanu. Khungu, mafuta, ndi minofu m'dera lino zimamasulidwa. Minofu imeneyi imayikidwa m'chifuwa chanu kuti ipangitse bere lanu latsopano. Mitsempha ndi mitsempha imadulidwa ndikumangiriridwa ku mitsempha yamagazi pansi pa mkono wanu kapena kumbuyo kwa chifuwa chanu.
• Minofuyo kenako imapangidwa kukhala bere latsopano. Dokotalayo amafanana ndi kukula ndi mawonekedwe a bere lanu lachilengedwe momwe mungathere.
• Zochitikazo zatsekedwa ndi zokopa.
• Ngati mungafune nsonga yatsopano ndi areola, mufunika opaleshoni yachiwiri, yocheperako pambuyo pake. Kapena, nipple ndi areola zitha kupangidwa ndi tattoo.

Mukamanganso bere nthawi yomweyo ngati mastectomy, opaleshoni yonse imatha maola 8 mpaka 10. Ikachitika ngati opaleshoni yachiwiri, zimatha kutenga maola 12.

Inu ndi dokotalayo mudzagwirizana pamodzi ngati mukufuna kumanganso mawere komanso liti. Chisankho chimadalira pazinthu zosiyanasiyana.

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

Ubwino wokonzanso mawere ndi minofu yachilengedwe ndikuti bere lokonzanso ndilofewa komanso lachilengedwe kuposa ma implants a m'mawere. Kukula, kudzaza, ndi mawonekedwe a bere latsopano atha kufananizidwa ndi bere lanu lina.

Koma njira zolimbitsa minofu zimakhala zovuta kwambiri kuposa kuyika ma implants a m'mawere. Mungafunike kuthiridwa magazi munthawi imeneyi. Nthawi zambiri mumakhala masiku awiri kapena atatu kuchipatala pambuyo pa opaleshoniyi poyerekeza ndi njira zina zomanganso. Komanso, nthawi yanu yobwezeretsa kunyumba idzakhala yayitali kwambiri.

Amayi ambiri amasankha kuti asakhalenso ndi mawere kapena ma implants. Atha kugwiritsa ntchito pulasitala (bere lopangira) mu kamisolo kamene kamapanga mawonekedwe achilengedwe. Kapenanso angasankhe kusagwiritsa ntchito chilichonse.

Kuopsa kwa opaleshoni ndi opaleshoni ndi awa:

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

Zowopsa zakumanganso mawere ndi minofu yachilengedwe ndi izi:

• Kutaya kwa chidwi kuzungulira nipple ndi areola
• Chipsera chowonekera
• Chifuwa chimodzi ndi chachikulu kuposa china (asymmetry ya mabere)
• Kutayika kwa chiphuphu chifukwa cha mavuto amwazi, zomwe zimafuna kuchitidwa maopaleshoni ochulukirapo kuti zisungire chiphuphu kapena kuchichotsa
• Kuthira magazi m'chifuwa momwe munali bere, nthawi zina kumafuna kuchitidwa opaleshoni yachiwiri kuti magazi asatuluke

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 yanu.
• Ngati mumasuta, yesetsani kusiya. Kusuta kumachedwetsa kuchira ndikuwonjezera mavuto pamavuto. 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 adakuwuzani kuti mumwe pang'ono.
• Fikani kuchipatala nthawi yake.

Mudzakhala mchipatala masiku awiri kapena asanu.

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, pangafunike kukhetsedwa ndi dokotalayo panthawi yochezera ofesi.

Zotsatira za opaleshoniyi nthawi zambiri zimakhala zabwino kwambiri. Koma kumanganso sikubwezeretsanso chidwi cha bere lanu latsopano.

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

Chopingasa rectus abdominus minofu chikwapu; TRAM; Chingwe chamtundu wa Latissimus chokhala ndi bere; CHOKHUDZA kaphokoso; CHIKWANGWANI CHA DIEAP; Chingwe chopanda ulemu; Cholowera chapamwamba gracilis khumudwitsidwa; TUG; Mastectomy - kumanganso mawere ndi minofu yachilengedwe; Khansa ya m'mawere - kumanganso mawere ndi minofu yachilengedwe

• 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.