Ukwakhiwa kwakhona kwesifuba - ukufakelwa

Emva kwemastectomy, abanye abantu basetyhini bakhetha ukwenza utyando lokuphucula izibele zabo. Olu hlobo lotyando lubizwa ngokuba kukwakhiwa kwakhona kwebele. Inokwenziwa ngaxeshanye njenge-mastectomy (ukwakhiwa kwakhona kwangoko) okanye kamva (ulibaziseko lokwakha ngokutsha).

Isifuba sihlala senziwe ngokutsha ngokwamanqanaba amabini, okanye utyando. Ngexesha lesigaba sokuqala, kusetyenziswa ukuhambisa izicwili. Ukufakwa kufakwa kwinqanaba lesibini. Ngamanye amaxesha, ukufakelwa kufakwa kwinqanaba lokuqala.

Ukuba uyakha kwakhona ngaxeshanye ne-mastectomy yakho, ugqirha wakho ugqirha unokwenza enye yezi zinto zilandelayo:

• Ulusu lokuthintela ulusu-oku kuthetha kuphela indawo ejikeleze ingono yakho kunye ne-areola isuswe.
• Ingono yokuthintela ingono-Oku kuthetha ukuba lonke ulusu, ingono, kunye ne-areola zigcinwa.

Kuzo zombini ezi meko, ulusu lushiywe ukwenza ukwakhiwa kwakhona kube lula.

Ukuba uza kuphinda uvuselele amabele kamva, ugqirha wakho wotyando uya kususa ulusu olwaneleyo phezu kwebele lakho ngexesha le-mastectomy ukuze ukwazi ukuvala isikhumba.

Ukwakhiwa kwakhona kwebele kunye nokufakelwa kuhlala kwenziwa kumanqanaba amabini, okanye kuqhaqho. Ngexesha lotyando, uya kufumana i-anesthesia ngokubanzi. Eli yeza likugcina ulele kwaye ungenazintlungu.

Kwinqanaba lokuqala:

• Ugqirha wenza isingxobo phantsi kwesifuba sakho.
• Isinciphisi esincinci senyama sibekwa engxoweni. I-expander ifana nebhaluni kwaye yenziwe nge-silicone.
• Ivalve ibekwe ngaphantsi kwesikhumba sebele. Ivalve idityaniswe ngombhobho kwi-expander. (Ityhubhu ihlala ingezantsi kwesikhumba kwindawo yakho yesifuba.)
• Isifuba sakho sisajongeka sisecaleni kanye emva kolu tyando.
• Ukuqala malunga neeveki ezi-2 ukuya kwezi-3 emva kotyando, ubona ugqirha wakho wotyando rhoqo kwiiveki ezi-1 okanye ezi-2. Ngexesha lokundwendwela, ugqirha wakho ugqobhoza isixa esincinci se-saline (amanzi anetyuwa) ngevalve kwi-expander.
• Ngokuhamba kwexesha, i-expander yandisa kancinci isikhwama esifubeni sakho ukuya kubungakanani obufanelekileyo ukuze ugqirha abeke into.
• Xa ifikelela kubungakanani obuchanekileyo, uya kulinda iinyanga ezi-1 ukuya kwezi-3 ngaphambi kokuba kufakwe ibele ngokusisigxina kwinqanaba lesibini.

Kwinqanaba lesibini:

• Ugqirha ususa i-tissue expander esifubeni sakho kwaye ayitshintshe ngokumiliselwa kwebele. Olu tyando luthatha iiyure ezi-1 ukuya kwezi-2.
• Ngaphambi kolu tyando, uya kube uthethile nogqirha wakho malunga neentlobo ezahlukeneyo zokufakwa kwamabele. Izinto zofakelo zinokugcwaliswa ngetyuwa okanye ijeli yesilicone.

Unokuba nenye inkqubo encinci kamva eyenza ingono kunye nendawo ye-areola.

Wena nogqirha wakho niza kuthatha isigqibo kunye malunga nokuba nibe nokwakha kwakhona amabele, kwaye nini.

Ukuphinda uvuselele amabele akwenzi nzima ukuba ufumane ithumba ukuba umhlaza wamabele ubuyile.

Ukufumana ukufakelwa kwebele akuthathi xesha lide njengokwakhiwa kwakhona kwebele usebenzisa izicwili zakho. Uya kuba nezikrelemnqa ezimbalwa. Kodwa, ubungakanani, ukugcwala, kunye nokumila kwamabele amatsha ngokwendalo ngokwakha ngokutsha okusebenzisa izicwili zakho.

Abasetyhini abaninzi bakhetha ukungabinakho ukwakhiwa kwakhona kwebele okanye ukufakelwa. Banokusebenzisa iprosthesis (ibele elenzelwe) ebreyini yabo ebanika ubume bendalo, okanye banokukhetha ukungasebenzisi nto konke konke.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi, okanye usulelo

Ingozi yokwakhiwa kwakhona kwebele kunye nokufakelwa zezi:

• Ukufakwa kungaphuka okanye kuvuze. Ukuba oku kuyenzeka, uzakufuna utyando olungakumbi.
• Isikrelemnqa singenza ukujikeleza ukufakelwa esifubeni sakho. Ukuba inxeba liyaqina, isifuba sakho sinokuziva sinzima kwaye sibangele iintlungu okanye ukungonwabi. Oku kubizwa ngokuba yi-capsular contracture. Uya kudinga olunye uqhaqho ukuba oku kuyenzeka.
• Usulelo kungekudala emva kotyando. Kuya kufuneka ukhuphe i-expander okanye ukufakelwa.
• Ukufakwa kwesifuba kunokutshintsha. Oku kuya kubangela utshintsho kwimeko yesifuba sakho.
• Elinye ibele linokuba likhulu kunenye (iasymmetry yamabele).
• Unokuphulukana noluvo malunga nengono kunye ne-areola.

Xelela ugqirha wakho wotyando ukuba uthatha nawaphi na amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Ngexesha leveki ngaphambi kotyando lwakho:

• Unokucelwa ukuba uyeke ukuthatha amayeza okucoca igazi. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), ivithamin E, clopidogrel (Plavix), warfarin (Coumadin, Jantoven), kunye nezinye.
• Buza ugqirha wakho otyandayo ukuba zeziphi iziyobisi ekusafuneka uzithathe ngosuku lotyando.
• Ukuba uyatshaya, zama ukuyeka. Ukutshaya kunciphisa ukubuyela umva kwaye kwandisa umngcipheko weengxaki. Buza umboneleli wakho wezempilo ngoncedo lokuyeka.

Ngomhla wotyando lwakho:

• Landela imiyalelo malunga nokungatyi okanye ukusela kunye nokuhlamba phambi kokuba uye esibhedlele.
• Thatha la mayeza ugqirha wakho akuxelele ukuba uthathe ngesiphuzo esincinci samanzi.
• Fika esibhedlele ngexesha.

Unokwazi ukuya ekhaya kwangolo suku lunye lotyando. Okanye, kuya kufuneka uhlale esibhedlele ubusuku bonke.

Usenokuba unamadreyini esifubeni sakho xa ugoduka. Ugqirha wakho uza kubasusa kamva xa undwendwela iofisi. Unokuba nentlungu xa usikiwe emva kotyando. Landela imiyalelo malunga nokuthatha amayeza eentlungu.

I-Fluid inokuqokelela phantsi kwesiqwengana. Oku kubizwa ngokuba siseroma. Kuqhelekile. Iseroma inokuhamba yodwa. Ukuba ayipheli, inokufuna ukukhutshwa ngugqirha wotyando ngexesha lotyelelo eofisini.

Iziphumo zolu tyando zihlala zilungile. Kuphantse kube nzima ukwenza isifuba esakhiwe ngokutsha sibonakale ngokufanayo nesifuba sendalo eshiyekileyo. Unokufuna ngakumbi iinkqubo "zokuchukumisa" ukufumana iziphumo ozifunayo.

Ukwakhiwa ngokutsha akuyi kubuyisela uvakalelo oluqhelekileyo ebeleni okanye kwingono entsha.

Ukwenza utyando lwezithambiso emva komhlaza wamabele kunokuphucula imeko yakho yempilo kunye nomgangatho wobomi bakho.

Utyando lwe-Breast; I-Mastectomy - ukwakhiwa kwakhona kwebele kunye nokufakwa; Umhlaza webele - ukwakhiwa kwakhona kwebele kunye nokufakwa

• Utyando lwebele lokuthambisa-ukukhupha
• I-Mastectomy kunye nokwakhiwa kwakhona kwebele-yintoni oza kuyibuza ugqirha wakho
• Mastectomy - ukubhobhoza

IBurke MS, iSchimpf DK. Ukwakhiwa kwakhona kwesifuba emva konyango lomhlaza wamabele: iinjongo, ukhetho kunye nokuqiqa. Ku: UCameron JL, uCameron AM, ii-eds. Unyango lwangoku lonyango. Umhla we-12. IPhiladelphia, PA: Elsevier; Ngo-2017: 743-748.

Amandla KL, Phillips LG. Ukwakhiwa kwakhona kwebele. 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 35.