Kumangidwanso M'mawere: DIEP Flap

Zamkati

• Ndani ali woyenera kumangidwanso kwa DIEP?
• Kodi ndiyenera kupeza liti kumangidwanso kwa DIEP?
• Kodi chimachitika ndi chiyani pomangidwanso kwa DIEP?
• Kodi maubwino omangidwanso a DIEP ndi ati?
• Zimasunga kukhulupirika kwa minofu
• Gwiritsani ntchito minofu yanu
• Kodi ndizovuta ziti zomwe zimakhudzana ndi opaleshoni ya DIEP?
• Kodi chimachitika ndi chiyani pambuyo pomangidwanso kwa DIEP?
• Momwe mungasankhire ngati mukuyenera kumanganso mawere

Kodi DIEP flap yomangidwanso ndi chiyani?

Chowombera chapansi kwambiri cha epigastric arter perforator (DIEP) ndi njira yomwe imapangidwira popanganso bere pogwiritsa ntchito minofu yanu itatha mastectomy. Mastectomy ndi opaleshoni yochotsa bere, lomwe nthawi zambiri limachitidwa ngati gawo la chithandizo cha khansa ya m'mawere. Dokotala wochita opaleshoni amatha kupanga opaleshoni yomanganso nthawi yomwe amatha kapena atatha mastectomy.

Pali njira ziwiri zopangira kumanganso mawere. Njira imodzi ndikugwiritsa ntchito minofu yachilengedwe yotengedwa kuchokera mbali ina ya thupi. Izi zimadziwika kuti kukonzanso kwa autologous. Njira ina ndikugwiritsa ntchito zodzala m'mawere.

Pali mitundu iwiri ikuluikulu ya opaleshoni yokonzanso mawere. Amatchedwa DIEP chikwapu ndi TRAM kukupiza. Chingwe cha TRAM chimagwiritsa ntchito minofu, khungu, ndi mafuta kuchokera m'mimba mwanu kuti mupange bere latsopano. Kuphimba kwa DIEP ndi njira yatsopano, yoyera kwambiri yomwe imagwiritsa ntchito khungu, mafuta, ndi mitsempha yamagazi yotengedwa m'mimba mwanu. DIEP amatanthauza “mtsempha wozama kwambiri wopanga zinthu mopyola muyezo.” Mosiyana ndi chikwapu cha TRAM, chikwapu cha DIEP chimasunga minofu yam'mimba ndikulola kuti mukhale ndi mphamvu komanso kugwira ntchito m'mimba mwanu. Izi zimathandizanso kuchira kowawa komanso mwachangu.

Nazi zomwe muyenera kudziwa za momwe ntchito yomangidwiranso imagwirira ntchito, zabwino zake komanso zoopsa zake, komanso zomwe mungayembekezere ngati mungasankhe chikwapu cha DIEP.

Ndani ali woyenera kumangidwanso kwa DIEP?

Woyenera kusankha chikwapu cha DIEP ndi munthu yemwe ali ndi minofu yam'mimba yokwanira yomwe siili wonenepa ndipo samasuta. Ngati mudachitidwapo opaleshoni yam'mimba m'mbuyomu, mwina simungakhale woyenera kumangidwanso kwa DIEP.

Izi zitha kukuikani pachiwopsezo chachikulu chazovuta mukatha kumangidwanso kwa DIEP. Inu ndi dokotala wanu mungakambirane njira zina zomwe zingachitike ngati simukuyenerera kumangidwanso kwa DIEP.

Kodi ndiyenera kupeza liti kumangidwanso kwa DIEP?

Ngati mukuyitanitsa chikwapu cha DIEP, mutha kukhala ndi opareshoni yoyeserera m'mawere panthawi yomwe mukumva kupweteka kapena miyezi mpaka zaka zambiri pambuyo pake.

Azimayi ochulukirachulukira akusankha kuchitidwa opaleshoni yomanga m'mawere. Nthawi zina mudzafunika chotulutsa minofu kuti mupatse malo minofu yatsopano. Chotulutsa minofu ndi njira yachipatala kapena chida chomwe chimayikidwa kuti chikulitse minofu yoyandikana nayo, kuthandiza kukonza malowo kuti achite opaleshoni ina. Idzawonjezedwa pang'onopang'ono kutambasula minofu ndi khungu la m'mawere kuti likhale ndi malo opangira ziwalo zomangidwanso.

Ngati mukufuna kugwiritsa ntchito zowonjezera minofu musanachite opareshoni yomanga, gawo lomanganso lichedwa kuchedwa. Dokotala wanu adzaika zotulukapo nthawi ya mastectomy.

Chemotherapy ndi radiation zimakhudzanso nthawi yomangidwanso kwa DIEP. Muyenera kudikirira milungu inayi kapena isanu ndi umodzi mutatha chemotherapy komanso miyezi isanu ndi umodzi kapena 12 pambuyo pa radiation kuti mumangenso DIEP.

Kodi chimachitika ndi chiyani pomangidwanso kwa DIEP?

KUMANGA kwa DIEP ndikumuchita opaleshoni yayikulu yomwe imachitika pansi pa anesthesia wamba. Dokotala wanu akuyamba ndikupanga pamimba pamunsi pamimba. Kenako, amamasula ndikuchotsa khungu, mafuta, ndi mitsempha m'mimba mwanu.

Dokotalayo adzasamutsira chifuwa chomwe adachotsa pachifuwa kuti apange mulu wa bere. Ngati mukumanganso pachifuwa chimodzi chokha, dokotalayo amayesa kufanana ndi kukula ndi mawonekedwe a bere lanu lina momwe angathere. Dokotala wanu azilumikiza magazi a kansalu kake ndi timitsuko tating'onoting'ono ta magazi kuseri kwa chifuwa kapena pansi pa mkono. Nthawi zina zimakhala zabwino kukhala ndi chifuwa chotsitsa kapena kuchepetsedwa pachifuwa china kuti zitsimikizire kufanana kwa mawere.

Dokotala wanu akamaliza kuumba minofu mu bere latsopano ndi kulilumikiza kumagazi, adzatseka zochekera mu bere lanu latsopano ndi pamimba ndi ulusi. Kukonzanso kwa DIEP kumatha kutenga maola 8 mpaka 12 kuti amalize. Kutalika kwa nthawi kumadalira ngati dotolo wanu azimanganso nthawi yofanana ndi mastectomy kapena pambuyo pake pa opaleshoni ina. Zimadaliranso ngati mukuchitidwa opaleshoni pa bere limodzi kapena onse awiri.

Kodi maubwino omangidwanso a DIEP ndi ati?

Zimasunga kukhulupirika kwa minofu

Njira zina zakukonzanso mawere zomwe zimachotsa minofu m'mimba mwanu, monga chingwe cha TRAM, zimawonjezera chiopsezo chanu cham'mimba ndi hernia. Hernia ndi pamene chiwalo chimadutsa mbali yofooka ya minofu kapena minofu yomwe imayenera kuti izikhala m'malo mwake.

Opaleshoni ya DIEP, komabe, nthawi zambiri samakhudza minofu. Izi zitha kubweretsa nthawi yocheperako komanso kupweteka pang'ono pambuyo pochitidwa opaleshoni. Chifukwa minofu yam'mimba sinagwiritsidwe ntchito simudzataya mphamvu zam'mimba ndi kukhulupirika kwa minofu. Mulinso pachiwopsezo chotsika kwambiri chokhala ndi hernia.

Gwiritsani ntchito minofu yanu

Chifuwa chanu chomangidwanso chiziwoneka ngati chachilengedwe chifukwa chimapangidwa ndi mnofu wanu. Simufunikanso kuda nkhawa ndi zoopsa zomwe zimadza ndi zopangira zopangira.

Kodi ndizovuta ziti zomwe zimakhudzana ndi opaleshoni ya DIEP?

Opaleshoni yonse imabwera ndi chiopsezo chotenga matenda, kutuluka magazi, ndi zotsatirapo za anesthesia. Kumanganso mabere siwonso ayi. Ngati mukuganiza za opaleshoniyi, ndikofunikira kuti adokotala ochita opaleshoni omwe amaphunzitsidwa bwino komanso amadziwa bwino microsurgery.

Mitundu: Kukonzanso kwa mawere kwa DIEP kumatha kubweretsa mabampu amafuta ammawere. Mapewawa amapangidwa ndi minofu yofiira yomwe imadziwika kuti fat necrosis. Minofu yofiira imayamba ngati mafuta ena omwe ali pachifuwa sakupeza magazi okwanira. Ziphuphuzi zimakhala zosasangalatsa ndipo zimafunika kuchotsedwa opaleshoni.

Zomangamanga zamadzimadzi: Palinso chiopsezo chamadzimadzi kapena magazi omwe amatuluka pambuyo pochita opaleshoni m'mawere atsopano. Izi zikachitika, thupi limatha kuyamwa madziwo. Nthawi zina, madzimadzi amayenera kukhetsedwa.

Kutaya chidwi: Chifuwa chatsopanocho sichimamva bwino. Amayi ena amatha kukhalanso ndi chidwi pakapita nthawi, koma ambiri samatero.

Nkhani zokhudzana ndi magazi: Pafupifupi 1 mwa anthu 10 omwe amamangidwanso ndi DIEP adzakumana ndi ziphuphu zomwe zimakhala ndi magazi okwanira m'masiku awiri oyamba atachitidwa opaleshoni. Izi ndi zachipatala mwachangu ndipo zidzafunika kuchitidwa opaleshoni.

Kukanidwa kwa minofu: Mwa anthu 100 omwe ali ndi chikwapu cha DIEP, pafupifupi anthu 3 mpaka 5 adzayamba kukanidwa kwathunthu kapena kufa minofu. Izi zimatchedwa minofu necrosis, ndipo zikutanthauza kuti kuphulika konse kumalephera. Poterepa, adotolo adzapitilira ndikuchotsa minofu yakufa. Izi zikachitika ndizotheka kuyesa opareshoni pambuyo pa miyezi isanu ndi umodzi mpaka 12.

Zipsera: Kukonzanso kwa DIEP kukupangitsanso zipsera kuzungulira mabere ndi batani lanu. Chipsera cha m'mimba chikhoza kukhala pansi pamzere wanu wa bikini, kuyambira pa chiuno mpaka m'chiuno. Nthawi zina zipserazi zimatha kupanga ma keloids, kapena zilonda zazikulu kwambiri.

Kodi chimachitika ndi chiyani pambuyo pomangidwanso kwa DIEP?

Muyenera kuti mudzakhala masiku ochepa kuchipatala pambuyo pa opaleshoniyi. Mudzakhala ndi machubu m'chifuwa chanu kukhetsa madzi. Dokotala wanu amachotsa ngalandezo pamene kuchuluka kwa madzimadzi kumatsikira pamlingo wovomerezeka, nthawi zambiri mkati mwa sabata kapena awiri.Mutha kuyambiranso kuchita zinthu zabwinobwino mkati mwa milungu isanu ndi umodzi mpaka khumi ndi iwiri.

Muthanso kuchitidwa opaleshoni kuti muwonjezere nsonga yamabele kapena areola pa bere lanu latsopano. Dokotala wanu adzafuna kuti bere lanu latsopano lichiritse musanakhazikitsenso nsonga ndi areola. Kuchita opaleshoniyi sikuli kovuta monga kumangidwanso kwa DIEP. Dokotala wanu amatha kupanga nsonga zamabele ndi areola pogwiritsa ntchito thupi lanu. Njira ina ndiyo kukhala ndi nsonga yamabele ndi ma tattoo pa bere lanu latsopano. Nthawi zina, dotolo wanu amatha kuchita masewera olimbitsa thupi. Pankhaniyi, nipple anu akhoza kusungidwa.

Opaleshoni ya DIEP ingapangitse vuto lotchedwa contralateral breast ptosis, lomwe limadziwikanso kuti mawere ogwa. Poyambirira kapena pakapita nthawi, bere lanu loyambirira limagwera m'njira yomwe bere lomangidwenso silimachita. Izi zipatsa mawere anu mawonekedwe owoneka bwino. Ngati izi zikukuvutitsani, lankhulani ndi dokotala wanu kuti akonze izi. Izi zitha kuchitidwa munthawi yomweyo momwe mumamangidwanso koyamba kapena pambuyo pake ndikuchitanso opaleshoni ina pachifuwa chopanda khansa.

Momwe mungasankhire ngati mukuyenera kumanganso mawere

Kusankha ngati mukuyenera kumanganso bere pambuyo pa mastectomy ndichosankha chanu. Ngakhale sizofunikira zamankhwala, azimayi ena amapeza kuti kuchitidwa opaleshoni yokonzanso mawere kumawongolera thanzi lawo lamaganizidwe ndi moyo.

Pali njira zingapo zomanganso, ndipo mtundu uliwonse umabwera ndi maubwino ndi zoopsa zake. Zinthu zingapo zimatsimikizira opaleshoni yomwe ili yoyenera kwa inu. Izi ndi monga:

• zokonda zanu
• mavuto ena azachipatala
• kulemera kwanu ndi kuchuluka kwa minofu kapena mafuta am'mimba
• maopaleshoni am'mbuyomu m'mimba
• thanzi lanu lonse

Onetsetsani kuti mukukambirana zaubwino ndi zoyipa zamankhwala onse ndi njira zopanda opaleshoni ndi gulu lachipatala musanapange chisankho chilichonse.