Izikhumba ezikhulayo kunye nokufakelwa - ukuzikhathalela

Ufakelo lolusu sisiqwenga sesikhumba esisempilweni esisuswe kwindawo enye yomzimba wakho ukulungisa ulusu olonakeleyo okanye olulahlekileyo kwenye indawo emzimbeni wakho. Olu lusu alunawo umthombo wokuhamba kwegazi.

Ukufunda indlela yokunyamekela i-skin flaps kunye ne-graft kunokubanceda baphilise ngokukhawuleza kwaye banciphise ukukhwabanisa.

Isikhumba sesikhumba esisempilweni kunye nezicubu ezihlukaniswe ngokuyinxenye kwaye zahanjiswa ukugquma inxeba elikufutshane.

• I-flap yolusu inokuba nolusu kunye nenqatha, okanye ulusu, amanqatha kunye nesihlunu.
• Rhoqo, isikhumba esithandabuzekayo siqhotyoshelwe kwindawo yaso yoqobo kwelinye icala kwaye sihlala sixhunywe kwisitya segazi.
• Ngamanye amaxesha i-flap ishukunyiselwa kwindawo entsha kwaye isitya segazi siqhagamshelwa kwakhona ngotyando. Oku kubizwa ngokuba yiflap yasimahla.

Ukufakelwa kwesikhumba kusetyenziselwa ukunceda amanxeba anzulu, amakhulu nangaphezulu ukuphilisa, kubandakanya:

• Amanxeba amakhulu kakhulu ukuba anganyangeka ngokwawo
• Ukutsha
• Ukuphulukana nolusu kusuleleko olunzulu lolusu
• Utyando lomhlaza wolusu
• Izilonda zemithambo-luvo, izilonda zoxinzelelo, okanye izilonda zeswekile ezingapholiyo
• Emva kwemastectomy okanye ukusika

Indawo apho kuthathwa khona ulusu ibizwa ngokuba yindawo yabanikeli. Emva kotyando, uyakuba namanxeba amabini, ukufakelwa okanye ukuqhwaba ngokwakho kunye nendawo yabanikeli. Iindawo zabanikeli zezinto zokufakelwa kunye neeflaps zikhethwe ngokusekwe:

• Ulusu ludibana kangakanani nendawo enenxeba
• Indlela esiya kubonakala ngayo isiva esiya kwisiza sabanikeli
• Isondele kangakanani indawo yabanikeli enxebeni

Rhoqo indawo yabanikeli inokuba buhlungu emva kotyando kunelonda ngenxa yokuphela kwemithambo-luvo.

Kuya kufuneka ukhathalele i-flap okanye indawo ye-grafti kunye nendawo yabanikeli. Xa ufika ekhaya emva kotyando, uya kunxiba amanxeba akho. Ukunxiba kwenza izinto ezininzi, kubandakanya:

• Khusela inxeba lakho kwiintsholongwane kwaye unciphise umngcipheko wosulelo
• Khusela indawo njengoko iphilisa
• Gcoba naluphi na ulwelo oluvuzayo enxebeni lakho

Ukuhoya i-graft okanye indawo ye-flap:

• Kuya kufuneka uphumle iintsuku ezininzi emva kotyando njengoko inxeba liphola.
• Uhlobo lokunxiba onalo luxhomekeke kuhlobo lwenxeba nalapho likhona.
• Gcina indawo yokunxiba kunye nendawo eyijikelezileyo icocekile kwaye ingenakho ukungcola nokubila.
• Musa ukuvumela ukunxiba kube manzi.
• Sukuchukumisa ukunxiba. Yiyeke endaweni yayo logama ucebisa ugqirha wakho (malunga neentsuku ezi-4 ukuya kwezi-7).
• Thatha nawaphi na amayeza okanye uthomalalise iintlungu njengoko kuyalelwe.
• Ukuba kunokwenzeka, zama ukuphakamisa inxeba ukuze libe ngaphezulu kwentliziyo yakho. Oku kunceda ukunciphisa ukudumba. Kuya kufuneka uyenze le xa uhleli okanye ulele phantsi. Ungasebenzisa imithwalo ukuxhasa indawo.
• Ukuba ugqirha wakho uthi kulungile, ungasebenzisa ipakethi yomkhenkce kwibandage ukunceda ngokudumba. Buza ukuba uyifaka kangaphi ipakethe yomkhenkce. Qinisekisa ukugcina i-bandage yomile.
• Gwema nayiphi na intshukumo enokuthi yolule okanye yenzakalise i-flap okanye i-graft. Kuphephe ukubetha okanye ukungqubeka kwindawo leyo.
• Kuya kufuneka uphephe umthambo onzima kangangeentsuku ezininzi. Buza ugqirha wakho ixesha elingakanani.
• Ukuba unxibe i-vacuum, unokuba netyhubhu eqhotyoshelwe kulokhwe. Ukuba ityhubhu iyawa, xelela ugqirha wakho.
• Uya kubona ugqirha wakho ukuba ukutshintsha kwakho kuguqulwe kwiintsuku ezi-4 ukuya kwezi-7. Kuya kufuneka ukuba unxibe indawo yakho yokuchwetheza okanye eyokufakelwa etshintshwe ngugqirha wakho amaxesha ambalwa ngaphezulu kweeveki ezi-2 ukuya kwezi-3.
• Njengoko isiza siyaphilisa, unokukwazi ukuyinyamekela ekhaya. Ugqirha wakho uya kukubonisa indlela yokunyamekela inxeba lakho kunye nokuthambisa.
• Indawo inokuba rhawuzelela njengoko iphilisa. Sukukrwela inxeba okanye ukulikhetha.
• Emva kokuphiliswa kwesiza, thambisa i-SPF 30 okanye i-sunscreen ephezulu kwiindawo ezenziwa ngotyando ukuba zibekwe elangeni.

Ukugcina indawo yabanikeli:

• Shiya ukunxiba endaweni. Yigcine icocekile kwaye yomile.
• Ugqirha wakho uyakususa ukunxiba malunga neentsuku ezi-4 ukuya kwezi-7, okanye akunike imiyalelo yendlela yokususa.
• Emva kokuba isinxibo sisusiwe, unganakho ukushiya inxeba lingatyhilekanga. Nangona kunjalo, ukuba ikummandla ogutyungelwe yimpahla, uya kufuna ukuyigubungela indawo ukuyikhusela. Buza ugqirha wakho ukuba loluphi uhlobo lokunxiba oza kulusebenzisa.
• Sukufaka into yokuthambisa okanye yokuthambisa enxebeni ngaphandle kokuba ugqirha ukuxelele. Njengoko indawo iyaphilisa, inokubakho kunye nokukhwabanisa. Sukuchola ukhwekhwe okanye ukrwembe inxeba xa liphola.

Ugqirha wakho uya kukwazisa xa kulungile ukuhlamba emva kotyando. Gcinga ezingqondweni:

• Kuya kufuneka uthathe iibhafu zesiponji iiveki ezimbini ukuya kwezintathu ngelixa amanxeba akho ekwinqanaba lokuqala lokuphola.
• Nje ukuba ufumane OK ukuze uhlambe, iishawari zingcono kuneebhafu kuba isilonda asingeni emanzini. Ukufunxa inxeba lakho kunokubangela ukuba liphinde livulwe.
• Qiniseka ukuba ukhusela iimpahla zakho ngelixa uhlamba ukuze zihlale zomile. Ugqirha wakho unokucebisa ukuba ugqume inxeba ngengxowa yeplastiki ukuze uhlale womile.
• Ukuba ugqirha wakho unika OK, thambisa ngobunono isilonda sakho ngamanzi xa uhlamba. Musa ukurabha okanye ukhuhle inxeba. Ugqirha wakho unokucebisa abacoci abakhethekileyo ukuba basebenzise amanxeba akho.
• Yomise kancinci indawo ejikeleze inxeba lakho ngetawuli ecocekileyo. Vumela umoya wenxeba wome.
• Sukusebenzisa iisepha, into yokuthambisa, umgubo, izinto zokuthambisa, okanye ezinye iimveliso zokhathalelo lolusu enxebeni lakho ngaphandle kokuba uxelelwe ngugqirha wakho.

Ngexesha elithile ngexesha lokuphilisa, awuyi kuphinda ufune ukugqoka. Ugqirha wakho uza kukuxelela xa ungashiya inxeba lakho lingatyhilekanga nokuba uza kulinyamekela njani.

Biza ugqirha wakho ukuba:

• Ubuhlungu buba mandundu okanye abuphucuki emva kokuthomalalisa iintlungu
• Ukopha okungayi kuyeka emva kwemizuzu eli-10 ngobumnene, uxinzelelo ngqo
• Ukunxiba kwakho kukhululeka
• Imiphetho ye-graft okanye i-flap iqala ukuza
• Uziva into ekhuphayo ngaphandle koqhobosho okanye indawo yeflap

Biza ugqirha wakho ukuba ubona iimpawu zosulelo, ezinje:

• Ukonyusa umjelo kwilonda
• Umjelo uba mnyama, ube mnyama, uluhlaza, okanye tyheli, okanye kunuke kakubi (ubofu)
• Ubushushu bakho bungaphezulu kwe-100 ° F (37.8 ° C) ngaphezulu kweeyure ezingama-4
• Imigca ebomvu ibonakala ikhokelela enxebeni

Autograft - ukuzikhathalela; Ulusu ukufakelwa - ukuzikhathalela; Ukwahlula ulusu-ufakelo-ukuzikhathalela; Ukutyeba okupheleleyo kwesikhumba-ukuzikhathalela; Ukufakelwa kwesikhumba esikhethekileyo-ukuzikhathalela; FTSG - ukuzikhathalela; STSG - ukuzikhathalela; Iimpiko zengingqi - ukuzikhathalela; Iingqungquthela zengingqi - ukuzinyamekela; Iziphango ezikude-ukuzikhathalela; I-flap yasimahla-ukuzikhathalela; Ulusu oluzenzekelayo - ukuzikhathalela; Uxinzelelo ulcer isikhumba caba uzenzele; Ukutshisa isikhumba sokuzikhathalela; Ulusu lwesilonda somilisele ukuzinakekela

UMcGrath MH, uPomerantz JH. Uqhaqho ufakela iplastikhi. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango: Isiseko sebhayiloji yoQeqesho lwangoku. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 68.

IPetrengill KM. Ulawulo lonyango lokulimala okunzima kwesandla. Ku: Skirven TM, Osterman AL, Fedorczyk JM, Amadio PC, Feldscher SB, Shin EK, ii-eds. Ukuvuselelwa kwesandla kunye nobukhulu obungaphezulu. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 75.

USmith SF, uDuell DJ, uMartin BC, uAebersold ML, uGonzalez L. ukhathalelo lwenxeba kunye nokunxiba. Ku: Smith SF, uDuell DJ, uMartin BC, uAebersold ML, uGonzalez L, ii-eds. Izakhono zoKonga. Umhla we-9. IHoboken, NJ: Pearson; Ngo-2017: isahluko 25.

I-Wysong A, i-Higgins S. Imigaqo esisiseko kulwakhiwo lweflap. Ku: Rohrer TE, Cook JL, Kaufman AJ, ii-eds. Iiflaps kunye neeGrafti kwi-Dermatologic Surgery. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; I-2018: isahluko 2.

• Iimeko zolusu
• Amanxeba nokwenzakala