Ngaba ukwenziwa kwesondo kunye nokwakhiwa kwakhona kwesifuba kunokwenziwa ngaxeshanye?
Umxholo
- Kwenzeka ntoni ngexesha lokwakhiwa ngokutsha kwangoko?
- Ukwakhiwa kwakhona kweprosthetic (ukwakhiwa kwakhona kwebele kunye nokufakwa)
- Ukulunga kokufakwa
- Umxhasi wezinto zokufakelwa
- Ukwakhiwa kwakhona kweethambo zomzimba (ukwakhiwa kwakhona kwebele kunye nezicubu zakho)
- Iinkonzo
- Bendlela
- Ngokukhawuleza emva kotyando
- Imiphumela
- Unokulindela ntoni xa uchacha?
- Ezinye iindlela zokwakha ngokutsha
- Ulwakhiwo olulibazisekileyo
- Ezinye iindlela zokwakha ngokutsha amabele
- Ukuthatha isigqibo malunga nendlela efanelekileyo ekufaneleyo
- Xoxa nogqirha wakho
- Yise kude
Ushwankathelo
Ukuba uye wacetyiswa ngugqirha ukuba ube ne-mastectomy, usenokuzibuza malunga nokwakhiwa kwakhona kwebele. Utyando olwenziwe ngokutsha lunokwenziwa ngaxeshanye nolu tyando lwe-mastectomy. Le nkqubo ibizwa ngokuba kukwakhiwa kwakhona kwangoko.
Ukwakhiwa kwangoko kunika isibonelelo sokuphelisa ubuncinci kotyando olunye. Inokukuvumela ukuba ubuyele ebomini njengesiqhelo ngokukhawuleza okukhulu. Kukwakho noncedo lwengqondo lokuvuka kwi-mastectomy yakho kunye nesifuba sakho esitsha okanye amabele aqinisekileyo ngakumbi ngaphandle kokuphinda wakhe.
Ngaphezu koko, ukuba izithambiso zokwakha ngokutsha kwangoko zihlala zibhetele kunokuphinda kwenziwe ibele okwenzeka kamva.
Isigqibo sokwenza utyando kokubini ngaxeshanye siphenjelelwa zizinto ezininzi. Uya kudinga ukubandakanya ugqirha wakho womhlaza wamabele, iqela lonyango lwe-oncology, kunye nodokotela ogqirha weplastiki ukugqiba ukuba ngaba le yindlela efanelekileyo kuwe.
Kwenzeka ntoni ngexesha lokwakhiwa ngokutsha kwangoko?
Uya kuba phantsi kwe-anesthesia ngokubanzi ngexesha le-mastectomy yakho kunye nokwakhiwa kwakhona kwangoko.
Ugqirha wamabele wakho uhlala esenza i-oval-incision kwi-ingono yengingqi. Kwabanye abantu abanomdlavuza webele wokuqala, ingono ingagcinwa kwibele. Oku kwenziwa ngokusebenzisa ukusika emazantsi ebele okanye kufutshane nengono.
Ukususela kwisicatshulwa, ugqirha wakho ogqirha uya kususa zonke izicubu zebele zebele. Banokususa ezinye okanye zonke i-lymph node phantsi kwengalo yakho, kuxhomekeke kwinqanaba lakho lomhlaza kunye nesicwangciso sakho sokuhlinzwa.
Ugqirha weplastiki uya kuthi emva koko akhe ibele okanye amabele. Ngokubanzi, isifuba sinokuphinda sakhiwe kwakhona ngokufakelwa okanye ngeethishu zakho ezivela kwelinye ilungu lomzimba.
Ukwakhiwa kwakhona kweprosthetic (ukwakhiwa kwakhona kwebele kunye nokufakwa)
Izinto zokufakelwa zihlala zisetyenziswa kugqirha wokwakha emva kwe-mastectomy. Kukho iintlobo ezahlukeneyo onokukhetha kuzo, zizaliswe nge-saline okanye i-silicone.
Ukwakhiwa kwangoko kunye nokufakwa kungenziwa ngeendlela ezininzi. Obu buchule bunokuxhomekeka:
- ukhetho kunye namava ogqirha weplastiki
- imeko yethishu yakho
- uhlobo lomhlaza wamabele onokuba nawo
Ngexesha le-mastectomy, abanye oogqirha beplastikhi baya kuphakamisa imisipha ye-pectoralis, ebekwe kwangoko emva kwebele, kwaye babeke ukufakelwa ngasemva kothotho olongezelelekileyo lwethishu.
Abanye baya kubeka ukufakelwa ngokukhawuleza emva kwesikhumba. Abanye abagqirha baya kusebenzisa ulusu olungelolwakho ngaphakathi kwisingxobo sesifuba esingenanto ukunika ukhuseleko kunye nenkxaso.
Amanye amanqaku okugcina engqondweni malunga nokufakwa kubandakanya:
Ukulunga kokufakwa
- Ukufakwa kotyando kulula kwaye kuthatha ixesha elincinci kunezinye iinkqubo zokwakha ngokutsha.
- Ixesha lokubuyisela kwimeko yesiqhelo kunye nokufakelwa lifutshane kunokwakhiwa kwakhona kweethambo.
- Azikho ezinye iisayithi zotyando emzimbeni zokuphilisa.
Umxhasi wezinto zokufakelwa
- Akukho kufakelwa kuya kuhlala ngonaphakade. Ukufakelwa kwakho kuya kufuneka kutshintshwe.
- Ukufakwa kwe-silicone kuya kudinga ukubekwa esweni kunye nee-MRIs rhoqo kwiminyaka embalwa ukubona ukugqabhuka.
- Umzimba wakho unokuba neengxaki zokufakelwa, ezinjengokusuleleka, ukonakala kunye nokuqhekeka kokufakelwa.
- Ii-mammograms zexesha elizayo kunokuba nzima ukuzenza ngokufakwa ngaphakathi.
- Ukufakelwa kunokuchaphazela amandla akho okuncancisa.
Ukwakhiwa kwakhona kweethambo zomzimba (ukwakhiwa kwakhona kwebele kunye nezicubu zakho)
Izinto zokutyala zichanekile kwaye zithatha ixesha elincinci ukufaka, kodwa abanye abantu basetyhini bakhetha ukuba neemvakalelo zendalo kwizicubu zabo kwisifuba sabo esakhiwe ngokutsha.
Ukongeza, ukuba unayo okanye uya kuba nonyango lwe-radiation, ukufakelwa kunokwenzeka ukuba kubangele iingxaki. Ugqirha wakho oya kuthi emva koko acebise ukwakhiwa kwakhona kweethambo.
Olu hlobo lokwakha ngokutsha lisebenzisa izicubu ezivela kumalungu ahlukeneyo omzimba wakho, kubandakanya isisu sakho, umqolo, amathanga, okanye iimpundu, ukwakha ubume besifuba sakho. Iindidi zeenkqubo zokucofa zibandakanya:
Inkqubo yeFlap | Sebenzisa izicubu ezivela |
I-rectus esiswini esiswini esiswini (TRAM) | isisu |
Ubunzulu obuphantsi be-epigastric perforator (DIEP) yeflap | isisu |
latissimus dorsi cofa | umva ongasemva |
i-gluteal arter perforator (GAP) iimpazamo | iimpundu |
ezinqamlezayo igracilis ephezulu (TUG) | ithanga elingaphakathi |
Cinga ngoku kulandelayo xa ucinga ngolu hlobo lokwakha kwakhona:
Iinkonzo
- Izicubu zomzimba ngokubanzi zijongeka kwaye zivakala zendalo kunezinto ezifakiweyo.
- Baziphatha ngakumbi njengawo wonke umzimba wakho. Umzekelo, ubungakanani bazo bunokuguquguquka nawo wonke umzimba njengoko uzuza okanye uncipha emzimbeni.
- Awuyi kufuna ukufaka izicubu ezinjengezona ufuna ukufaka endaweni yokufakelwa.
Bendlela
- Ugqirha ngokubanzi luthatha ixesha elide kunokuhlinzwa, kunye nexesha lokubuyela kwimeko yesiqhelo.
- Inkqubo inzima ngakumbi kubuchwephesha kugqirha, kwaye izicwili zinokusilela ukuthatha.
- Iya kushiya amanxeba esiza sotyando kuba indawo ezininzi zomzimba wakho ziya kuqhutywa.
- Abanye abantu banokufumana ubuthathaka bemisipha okanye ukonakala kwindawo enikezela ngezicubu.
Ngokukhawuleza emva kotyando
Ixesha lolu tyando (kwibele ngalinye) linokuthatha naphina ukusuka kwiiyure ezi-2 ukuya kwezi-3 kwi-mastectomy ekwakheni ukwakhiwa kwangoko okanye iiyure ezi-6 ukuya kwezi-12 zokwenza imastectomy nokwakha ngokutsha ngezicubu zakho.
Emva kokuba ukwakhiwa kwakhona kugqityiwe, ugqirha wakho webele uya kuncamathisela iityhubhu zokuhambisa amanzi okwethutyana ebeleni lakho. Oku kukuqinisekisa ukuba naluphi na ulwelo olugqithisileyo lunendawo ekuya kuyo ngexesha lokuphilisa. Isifuba sakho siya kusongelwa ngebhandeji.
Imiphumela
Iziphumo ebezingalindelekanga zokwakhiwa kwakhona kwangoko ziyafana nayo nayiphi na inkqubo ye-mastectomy. Banokubandakanya:
- intlungu okanye uxinzelelo
- ukuba ndindisholo
- isiva
- usulelo
Ngenxa yokuba iimbilini zinqunywe ngexesha lotyando, unokuba ne-numbness kwisiza sokusikwa. Izicubu ezinqabileyo zinokwakha zijikeleze indawo yokucheba kwakho. Ingabangela uxinzelelo okanye intlungu.
Usulelo kunye nokulibaziseka kokuphola kwenxeba ngamanye amaxesha kwenzeka emva kwe-mastectomy. Wena kunye nogqirha wakho kufuneka nijonge iimpawu zombini.
Ngexesha le-mastectomy, ingono yakho ayinakukwazi ukugcinwa. Uya kwazi ngaphambi kotyando nokuba ugqirha wakho ulindele ukugcina ingono emva kwenkqubo.
Ukuba ingono yakho isuswe ngexesha le-mastectomy, ukwakhiwa kwakhona kweengono kuhlala kwenziwa njengenkqubo encinci kwiinyanga ezininzi emva kokuba ukwakhiwa kwamabele kwakho kugqityiwe.
Unokulindela ntoni xa uchacha?
Cwangcisa ukuba sesibhedlele iintsuku ezininzi, kuxhomekeke kuhlobo lokwakhiwa kwakhona. Unokuba usesibhedlele ubusuku bonke ukuze uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde nokuba uphinde uphinde uphinde uphinde nguzube nalo naliphi na ithuba, usenokuba usesibhedlele ubusuku bonke ukuze uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde usebenze ngalo. Ugqirha wakho uya kukunika amayeza entlungu ngexesha lokunyanga.
Ngexesha elithile, unokuyalelwa ukuba ungalali ngecala okanye esiswini. Ukubonakala okubonakalayo emabeleni akho, kwanasemva kokwakhiwa kwakhona, kuyinto eqhelekileyo. Ixesha elingaphezulu, ukubonakala kwezikrelemnqa kuya kwehla. Iindlela zokuphulula kunye nokususa isikrelemnqa kunokunciphisa ukubonakala kwazo, ngokunjalo.
Awuyi kufuna ukuba ulala ebhedini wakube ukhululwe esibhedlele. Ngokukhawuleza unokuvuka kwaye ujikeleze, kungcono. Nangona kunjalo, de kube kususwe iidreyini kwithishu yakho yamabele, uya kuthintelwa ekuqhubeni kunye neminye imisebenzi efuna ukusetyenziswa komzimba ongaphezulu.
Ukuqhuba uphantsi kwempembelelo yamayeza athile entlungu, anje ngeVicodin, nayo iyathintelwa.
Akukho zinkxalabo zizodwa malunga nokutya, kodwa kuya kufuneka ugxile ekutyeni ukutya okuphezulu kwiprotein. Oku kuya kukhuthaza ukukhula kweseli kunye nokuphilisa. Ugqirha wakho uya kukunika imithambo ekhuselekileyo ukukunceda uphinde ubenemvakalelo kunye namandla esifubeni nasemzimbeni ongasentla.
Ezinye iindlela zokwakha ngokutsha
Ngaphandle kokwakhiwa kwakhona kwangoko kunye nokwakhiwa kwakhona kweethambo, kukho ezinye iindlela zokuphinda ujonge ukubonakala kwamabele akho ngaphambi kwembeleko. Oku kubandakanya ukwenza utyando kwakhona njengenkqubo eyahlukileyo kwaye ungafumani utyando lokwakha ngokutsha konke konke.
Ulwakhiwo olulibazisekileyo
Njengokwakhiwa kwakhona kwangoko, ukulibaziseka kokwakhiwa ngokutsha kubandakanya utyando lwe-flap okanye ukufakelwa kwebele. Ulwakhiwo olucothisiweyo luhlala lukhethwa ngabafazi abadinga unyango lwemitha kumhlaza wabo emva kokuba kugqityiwe ukubelekisa.
Ukulungiswa kwakhona okulibazisekayo kuya kuqala kwiinyanga ezi-6 ukuya kwezi-9 emva kwe-mastectomy yakho. Ixesha liya kuxhomekeka ekubeni ufikelele kumanqwanqwa athile kunyango lwakho lomhlaza kunye nenkqubo yokuphilisa.
Umbutho waseAmerican Psychological Association uphande ngeziphumo zokulibaziseka kokwakhiwa kwakhona kwabasetyhini abaye baba ne-mastectomies kwaye bagqiba kwelokuba ukwakhiwa kwangoko kubhetele kwimpilo yengqondo yexesha elide.
Ezinye iindlela zokwakha ngokutsha amabele
Kwabasetyhini abangabagqatswa abalungileyo ngenxa yezizathu zempilo, okanye abo bakhetha ukungabinalo olunye utyando, imastectomy iya kwenziwa ngaphandle kokwakhiwa kwakhona. Utyando lushiya isifuba sisecaleni kwelo cala.
Kwezi meko, abasetyhini banokucela ukubelethiswa kwebele kwangaphandle nje ukuba izinto zabo ziphilisiwe. Ingagcwalisa i-brassiere kwicala elichaphazelekayo kwaye inikezele ukubonakala kwangaphandle kwesifuba phantsi kwempahla.
Ukuthatha isigqibo malunga nendlela efanelekileyo ekufaneleyo
Njengoko ulinganisa ukhetho lwakho, cela ugqirha wakho ukuba anike ingcebiso yobuchwephesha ngaphambi kokwenza naziphi na izigqibo. Wonke umntu kunye nemeko yeklinikhi yahlukile.
Kuxhomekeka kwizinto zempilo ezinje ngokutyeba kakhulu, ukutshaya, isifo seswekile, kunye neemeko zentliziyo, ukubakho kotyando njengenxalenye yenkqubo enye akunakucetyiswa.
Umzekelo, abasetyhini abanesifo somhlaza webele esidumbisayo bahlala kufuneka balinde de bagqibe unyango olongezelelekileyo, olunje ngemitha, ngaphambi kokuba kwenziwe umsebenzi wokwakha kwakhona.
Ukongeza, ukutshaya yinto eyaziwayo yomngcipheko ekuphulukisweni kakubi emva kotyando lokwakha ngokutsha. Ukuba uyatshaya, ugqirha wakho weplastikhi unokukucela ukuba uyeke ngaphambi kokuba bacinge ngotyando olwakha ngokutsha.
Naluphi na uhlobo lokwakha kwakhona lunokunyusa umngcipheko weziphumo ebezingalindelekanga ezivela kwimastectomy, kodwa oku akuxhomekekanga ekubeni ukwakhiwa kwakhona kwenzeka kwangoko okanye kamva.
Xoxa nogqirha wakho
Uninzi lwabasetyhini alwazi malunga nokhetho lwabo okanye inyani yokuba iinkampani zeinshurensi yezempilo ziya kuhlawulela utyando lokwakha ngokutsha emva kokubelekisa.
Kuxhomekeka kwindawo kunye nezixhobo, abasetyhini abanomhlaza wamabele abasoloko benikwa ithuba lokudibana nogqirha ogqirha ukuba baxoxe ngokwakhiwa kwakhona kwebele emva kwe-mastectomy.
Ukuba awunikwa olu khetho, thetha. Buza ugqirha wakho webele ukuba athethathethane ukuba axoxe ukuba ukwakhiwa kwebele kufanelekile na kuwe.
Zininzi izinto ekufuneka ziqwalaselwe ngaphambi kokuphinda wenziwe kwakhona ibele emva kwe-mastectomy. Nantsi eminye imibuzo oza kuyibuza ugqirha wakho phambi kokuba ukhethe olona hlobo lonyango:
- Ngaba ndingumgqatswa ofanelekileyo wotyando lokwakhiwa kwakhona kwamabele?
- Ngaba ungacebisa utyando lokwakha ngokutsha kwangoko emva kwam mastectomy, okanye ndilinde?
- Ndingalulungiselela njani utyando?
- Ngaba amabele am amatsha aya kufana nalawo mabele amadala?
- Lixesha elingakanani ixesha lokubuyisela kwimeko yesiqhelo?
- Ngaba utyando lokwakha ngokutsha luya kuphazamisana nolunye unyango lwam lomhlaza wamabele?
- Ukuba ndikhetha ukusebenzisa izinto ezifakelweyo ekwakhiweni kwam, ngaba izinto ezifakelweyo ziya kuze zitshintshwe? Zihlala ixesha elingakanani?
- Luhlobo luni lokhathalelo lwamanxeba ekuya kufuneka ndilwenzile ekhaya?
- Ngaba ndiza kufuna umntu oza kumgcina emva kotyando?
Fumana inkxaso kwabanye abaphila nomhlaza wamabele. Khuphela usetyenziso lwasimahla lweHealthline Apha.
Yise kude
Kunokuba nzima ukwenza i-mastectomy, kwaye ukubakho kolunye utyando lokwakha ngokutsha kunokubonakala kunzima ngakumbi.
Ukuchacha kwi-mastectomy kunye noqhaqho olwakhiweyo ngokutsha ngaxeshanye kunokuba kubi ngakumbi kwixesha elifutshane. Kodwa kwixesha elide, kunokuba noxinzelelo oluncinci kwaye kubuhlungu kunokwenziwa kotyando okuninzi.
“Ukuba unethuba lokwakha ngokutsha kwangoko emva kwembumba, ndingacinga ukuyenza. Yenze yonke ngexesha elinye kwaye uzisindise ekwenzeni utyando olungakumbi! ”
-UJosephine Lascurain, owasinda kwisifo somhlaza wamabele owaqala inkqubo yakhe yokwakha ngokutsha kwiinyanga ezisibhozo emva kokubeleka kwakhe