Umbhali: Robert Simon
Umhla Wokudalwa: 17 Isilimela 2021
Hlaziya Umhla: 19 Eyenkanga 2024
Anonim
Into ekufuneka uyazi malunga nokufakwa kwebele kwiCapsulectomy - Zempilo
Into ekufuneka uyazi malunga nokufakwa kwebele kwiCapsulectomy - Zempilo

Umxholo

Umzimba wakho wenza iphilisi ekhuselayo yethishu ebomvu engqonge nayiphi na into yangaphandle ngaphakathi kuyo. Xa ufumana ukufakelwa kwebele, le philisi ikhuselayo iyabanceda ukuba bahlale endaweni.

Kubantu abaninzi, i-capsule iziva ithambile okanye iqinile kancinci. Nangona kunjalo, kwabanye abantu abafumana ukufakelwa, i-capsule iyakwazi ukuqina ukufakela kwabo kwaye yenze imeko ebizwa ngokuba yi-capsular contracture.

Ikhontrakthi yeCapsular yeyona nto ixhaphakileyo xa kusenziwa utyando lwebele kwaye kwenzeka malunga nabafazi abaneziplasta. Ingakhokelela kwintlungu engapheliyo kunye nokugqwethwa kwamabele akho.

Iimeko ezinzima zekhontrakthi ye-capsular zihlala zilawulwa ngotyando.

I-capsulectomy lukhetho olusemgangathweni olusemgangathweni lwegolide kwisivumelwano se-capsular.

Kule nqaku, siza kujonga into onokuyilindela ngexesha le-capsulectomy. Siza kujonga kwakhona ukuba olu tyando lunokufuneka nini kwaye kuthatha ixesha elingakanani ukubuyela kulo.

Inkqubo yebele capsulectomy

Iiveki ngaphambi kokuba ube ne-capsulectomy, ukuba uyatshaya, uya kucelwa ukuba uyeke. Ukutshaya kunciphisa ukuhamba kwegazi kunye nokunciphisa umzimba wakho amandla okuziphilisa.


Ukuyeka ukutshaya kuhlala kunzima, kodwa ugqirha unokunceda ukwenza isicwangciso sokuyeka ukutshaya esikusebenzelayo.

Unokucelwa ukuba uyeke ukuthatha amachiza athile okanye amayeza malunga neeveki ezi-2 ngaphambi kotyando lwakho.

Nantsi into eyenzekayo ngexesha le-capsulectomy:

  1. Ngaphambi koko, unikwa i-anesthesia ngokubanzi ukuze ulale ngotyando.
  2. Ugqirha wakho wenza utyando kunye nezikrelemnqa zotyando lokuqala.
  3. Ugqirha wakho ususa ukufakelwa kwakho. Kuxhomekeka kuhlobo lwecapsulectomy eyenziwayo, emva koko basuse naliphi na icandelo okanye yonke i-capsule.
  4. Kufakelwa into entsha. Ukufakelwa kungasongelwa ngezinto ezinokuthabathela indawo ulusu ukuthintela izicwili ezinobunzima obunqabileyo ukuba bungakheki.
  5. Ugqirha emva koko uvale ukusikwa kunye nokugoba amabele akho ngokunxiba i-gauze emva kotyando.

Iingxaki eziqhelekileyo zesifuba se-capsulectomy zibandakanya ukuphuma kwegazi kunye nokutyumka.

Unokwazi ukubuyela ekhaya ngosuku olufanayo kunye nokuhlinzwa, okanye unokufuna ukuchitha ubusuku esibhedlele.


Ngubani ofuna utyando lwecapsulectomy

Utyando lweCapsulectomy lususa izicwili ezinzima ezibukhali ezirhangqe ukufakelwa kwakho kwebele okwaziwa ngokuba ziicapsular contractures. Unokulinganiswa kusetyenziswa indlela ebizwa ngokuba sisikali seBaker, esinamabanga amane:

  • IBakala I: Amabele akho akhangeleka ethambile kwaye endalo.
  • IBakala II: Amabele akho akhangeleka esiqhelo kodwa aziva eqinile.
  • IBakala III: Amabele akho akhangeleka engaqhelekanga kwaye eziva eqinile.
  • IBakala IV: Amabele akho aqinile, akhangeleka engaqhelekanga, kwaye uziva ubuhlungu.

Isivumelwano seCapsular seBakala I kunye neBakala II asiqwalaselwa kwaye.

Abasetyhini abanesivumelwano se-capsular bahlala befuna i-capsulectomy okanye utyando oluncinci olungenayo into ekuthiwa yi-capsulotomy ukunciphisa iintlungu kwaye baphinde babonakale kwindalo yamabele abo.

Yintoni ebangela isivumelwano se-capsular?

Abantu abafumana ukufakelwa kwamabele baya kuphuhlisa i-capsule ejikeleze ukufakelwa kwabo ukuze kugcinwe endaweni. Nangona kunjalo, kuphela ngabantu abanokufakelwa abaphuhlisa ikhontrakthi ye-capsular.


Akucaci ngokupheleleyo ukuba kutheni abanye bephuhlisa isivumelwano se-capsular kwaye abanye bengawenzi. Kucingelwa ukuba ikhontrakthi ye-capsular inokuba yimpendulo yokuvuvukala ebangela ukuba umzimba wakho uvelise ngaphezulu kwemicu ye-collagen.

Abantu abaye bafumana unyango lwe-radiation kwixesha elidlulileyo banomngcipheko okhulayo wokuphucula isivumelwano se-capsular. Unokuba namathuba aphezulu okuba kwenzeke xa kusenzeka enye yezi zinto zilandelayo:

  • i-biofilm (umaleko wezinto ezincinci ezifana neebhaktheriya) ezibangelwa lusulelo
  • I-hematoma (igazi elakhiweyo) ngexesha lotyando
  • i-seroma (ulwakhiwo lwencindi) phantsi kolusu
  • Ukuqhekeka kokumiliselwa

Ukongeza, imeko yemfuza ekuphuhliseni izicwili ezibomvu inokuthi inyuse umngcipheko wesivumelwano se-capsular.

Abanye bacebisa ukuba ukufakelwa kwebele okuncitshisiweyo kunciphisa umngcipheko wokuphuhlisa ikhontrakthi ye-capsular xa kuthelekiswa nokufakelwa kakuhle. Nangona kunjalo, akwaziwa ukuba kunjalo ngenene. Kananjalo, uLawulo lwezoKutya kunye noLawulo lweziyobisi (i-FDA) luye lwayekisa iimveliso ezininzi ezifakwe ngaphakathi.

Iindidi zecapsulectomy

Capsulectomy luqhaqho oluvulekileyo, oko kuthetha ukuba kufuna ukusikwa kotyando. Capsulectomies lungohlulwa lube ziindidi ezimbini: iyonke kunye netotali.

Iyonke i-capsulectomy

Ngexesha le-capsulectomy iyonke, ugqirha ususa ukufakelwa kwakho kwebele kunye ne-capsule yakho yonke yezicubu ezibomvu.Ugqirha wakho angakususa ukufakelwa kuqala ngaphambi kokuba asuse iphilisi. Baye bathathe indawo yokufakelwa kwakho emva kokuba iphilisi isuswe.

En bloc capsulectomy

I-bloc capsulectomy yintlukwano kwi-capsulectomy epheleleyo.

Ngethuba lolu hlobo lotyando, ugqirha wakho wotyando ususa ukufakelwa kwakho kunye necapsule kunye endaweni enye ngexesha. Oku kunokuba lolona khetho lubalaseleyo ukuba uneblast yokuqhekeka.

Kwezinye iimeko, olu hlobo lwe-capsulectomy alunakwenzeka ukuba i-capsule yincinci.

Inkqutyana yecapsulectomy

I-capsulectomy engezantsi okanye eyinxalenye isusa kuphela icandelo le-capsule.

Njengoko i-capsulectomy iyonke, ukufakelwa kwebele yakho kusenokwenzeka ukuba kutshintshwe ngeli xesha lotyando. I-capsulectomy engezantsi ayinakufuna ukuba i-incision njenge-capsulectomy epheleleyo, ngoko inokushiya inqabana encinci.

Capsulectomy vs. capsulotomy

Nangona i-capsulectomy kunye ne-capsulotomy ingavakala ngokufanayo, ziindlela ezahlukeneyo zotyando. Isimamva "i-ectomy" sibhekisa kuqhaqho olubandakanya ukususa into. Isimamva "tomy" sibhekisa ekwenzeni ukusikwa okanye ukusikwa.

I-capsulectomy kwaye inomngcipheko ophezulu weengxaki kubandakanya umonakalo we-nerve. Ngexesha le-capsulectomy, ugqirha wotyando ususa yonke into okanye inxenye yecapsule yakho esifubeni sakho kwaye ubeke endaweni yokufakelwa kwakho.

Ngexesha lotyando lwe-capsulotomy, i-capsule iyasuswa okanye ikhutshwe. Olu tyando lunokuvulwa okanye luvalwe.

Ngexesha lotyando oluvulekileyo, ugqirha wakho wotyando wenza incision esifubeni sakho ukuze bakwazi ukufikelela kwi-capsule.

Ngexesha le-capsulotomy evaliweyo, uxinzelelo lwangaphandle lusetyenziselwa ukwahlula i-capsule. Okwangoku, ii-capsulotomies ezivaliweyo azifane zenziwe.

I-capsulotomy evulekileyo eyenziwa kwibele elinye ithatha malunga nemizuzu engama-20 ukuya kwengama-30. I-capsulectomy ithatha malunga neyure ubude. Ikhontrakthi yeCapsular inazo zombini utyando.

Ukufumana kwakhona kwi-capsulectomy

Emva kotyando lwakho, amabele akho anokuziva ebuhlungu. Unokuyalelwa ukuba unxibe ibra yoxinzelelo ngaphezulu kwesinxibo sakho sotyando iintsuku ezininzi okanye iiveki.

Kuxhomekeke kubungakanani be-capsule okanye ukuba ukufakelwa kwakho kwaqhekeka, ugqirha wakho unokubeka iityhubhu zokuhambisa amanzi okwethutyana kwindawo leyo ukunceda ukunciphisa ukudumba. Ezi mibhobho zihlala zisuswa malunga neveki.

Ugqirha wakho unokukunika ixesha elithile lokuba uchache. Ngokubanzi, i-capsulectomy yebele ithatha malunga neeveki ezi-2 ukuphola ngokupheleleyo.

Ngumbono olungileyo ukunqanda umsebenzi onzima kunye nokutshaya de ube uphile ngokupheleleyo.

Yise kude

Izicubu ezinqabileyo eziqinisa ukutyala kwakho amabele zibizwa ngokuba yi-capsular contracture. Le meko inokubangela iintlungu emabeleni akho kunye nembonakalo engaqhelekanga. Ukuba unempawu ezinzima, unokuba ngumgqatswa wotyando lwebele lwecapsulectomy.

Ngexesha lotyando lwecapsulectomy, ugqirha ususa izicwili kunye nokufaka endaweni yayo.

Ukuba uye wenziwa utyando lokwandiswa kwamabele kwaye ube uneentlungu zebele, unokufuna ukuthetha nogqirha wakho ukuze abone ukuba ungangumgqatswa ofanelekileyo kolu tyando.

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