Yonke into oFuna ukuyazi malunga neFomu eNqabileyo yoMhlaza eNxulunyaniswe noFakelo lwebele

Umxholo

• Ngaba abantu basetyhini abanezinto zokufakwa ebeleni kufuneka baxhalabele umhlaza?
• Inxulunyaniswa njani i-BIA-ALCL kunye nokuBeleka ukuGula kweBele
• Oku kuthetha ukuthini kwikamva loFakelo lwebele
• Yintoni abasetyhini abaqwalasela ukufakelwa kwebele kufuneka bayazi
• Uphengululo lwe

Kwangoko kulenyanga, uLawulo lwezoKutya kunye noLawulo lweziyobisi (i-FDA) lukhuphe ingxelo eqinisekisa ukuba kukho unxibelelwano oluthe ngqo phakathi kokufakelwa kwamabele afakelweyo kunye nohlobo olunqabileyo lomhlaza wegazi obizwa ngokuba yi-anaplastic large cell lymphoma (ALCL). Ukuza kuthi ga ngoku, ubuncinci bangama-573 abasetyhini kwihlabathi liphela abaye bafunyaniswa benokufakwa kwamabele-okuhambelana ne-aplastic cell cell lymphoma (BIA-ALCL) - ubuncinci abangama-33 babhubhile ngenxa yoko, ngokwengxelo yakutshanje evela kwi-FDA.

Ngenxa yoko, i-Allergan, abenzi bokufakelwa kwamabele abaphambili ehlabathini, bavumelana nesicelo se-FDA sokuba zikhunjulwe ehlabathini lonke iimveliso.

"I-Allergan ithatha eli nyathelo njengesilumkiso emva kwesaziso solwazi lokhuseleko lwehlabathi olusandul 'uhlaziyo malunga nesiganeko esingaqhelekanga sokufakelwa kwebele okunxulumene ne-anaplastic cell lymphoma enkulu (BIA-ALCL) ebonelelwe yi-US Food and Drug Administration (FDA)," u-Allergan wabhengeza. kwisaziso esishicilelweyo esifunyenwe ngu CNN.

Ngelixa ezi ndaba zinokubothusa abanye, eli ayilixesha lokuqala i-FDA ivakala ialam kwi-BIA-ALCL. Oogqirha baye babika iziganeko zalo mhlaza othile ukususela ngo-2010, kwaye i-FDA yaqala yadibanisa amachaphaza ngo-2011, inika ingxelo yokuba kukho umngcipheko omncinci kodwa obalulekileyo owaneleyo wokuphuhlisa i-ALCL emva kokufumana ukufakelwa kwebele. Ngelo xesha, babeza kufumana kuphela ii-akhawunti ezingama-64 zabasetyhini abaphuhlisa isifo esinqabileyo. Ukususela kuloo ngxelo, uluntu lwezenzululwazi luye lwafunda ngokuthe ngcembe malunga ne-BIA-ALCL, kunye neziphumo zamva nje zokuqinisa ikhonkco phakathi kokufakelwa kwebele kunye nokuphuhliswa kwesi sifo sinokubulala.

"Sinethemba lokuba olu lwazi lukhuthaza ababoneleli kunye nezigulana ukuba zibeneengxoxo ezibalulekileyo, ezinolwazi malunga nokufakwa kwamabele kunye nomngcipheko we-BIA-ALCL," batsho kwingxelo. Baye bapapasha ileta becela ababoneleli ngezempilo ukuba baqhubeke nokuxela iimeko ezinokubakho ze-BIA-ALCL kwiarhente.

Ngaba abantu basetyhini abanezinto zokufakwa ebeleni kufuneka baxhalabele umhlaza?

Kubaqalayo, kubalulekile ukuba uqaphele ukuba i-FDA ayikukhuthazi ukususwa kweemveliso zokufakelwa kwebele ezifakwe kumabhinqa angenazo iimpawu ze-BIA-ALCL. Endaweni yokuba umbutho ukhuthaze abasetyhini ukuba babeke iliso kwiimpawu zabo nakwindawo ejikeleze ukufakwa kwamabele ngalo naluphi na utshintsho. Ukuba uziva ngathi kukho into eyicimileyo, kuya kufuneka uthethe nogqirha wakho.

Ngelixa abasetyhini bazo zonke iintlobo zokufakelwa besemngciphekweni ophakamileyo wokuphuhlisa i-ALCL, i-FDA ifumanise ukuba ukufakelwa okubhaliweyo, ngakumbi, kuhlala kubeka umngcipheko omkhulu. (Abanye abantu basetyhini bakhetha izifakelo ezenziwe ngendlela efanayo njengoko zikholisa ukuthintela ukutyibilika okanye ukunyakaza ekuhambeni kwexesha. Ukufakelwa okugudileyo kunokwenzeka ukuba kushukume kwaye kunokufuneka kulungiswe ngaxa lithile, kodwa ngokubanzi, bazive bemvelo ngakumbi.)

Ngokubanzi, umngcipheko wabasetyhini abanezinto zokufakelwa uphantsi kakhulu. Ngokusekwe kumanani akhoyo ngoku afunyenwe ngumbutho, i-BIA-ALCL inokukhula kwi-1 kuwo onke ama-3,817 ukuya ku-1 kuwo onke amabhinqa angama-30,000 anezinto ezifakwayo ezifakwayo.

Okwangoku, "le nto inkulu kakhulu kunangaphambili," utshilo u-Elisabeth Potter, MD, ugqirha weplastiki oqinisekisiweyo kunye nengcali yokwakha ngokutsha. Ubume. "Ukuba owasetyhini ufakele izinto ezifakiweyo endaweni, kufuneka aqonde umngcipheko wokuphuhlisa i-BIA-ALCL." (Inxulumene: Ukulahla ukufakelwa kwamabele emva kweMastectomy ephindwe kabini ekugqibeleni kwandinceda ukuba ndibuyise uMzimba wam)

Okwangoku, akukacaci ngokupheleleyo ukuba kutheni izifakelo ezenziweyo zisesichengeni sokubangela i-BIA-ALCL, kodwa abanye oogqirha banethiyori yabo. "Ngokwamava am, izinto ezifakwayo ezinamatheleneyo zakha isiraphu esincamathelayo esijikeleze ukufakelwa kwebele esahlukileyo kwisingxobo esijikeleze ukufakelwa okugudileyo, kuba isiciko esijikeleze ukufakelwa ngombala sinamathela ngakumbi kwizicwili ezijikelezileyo," utshilo uGqirha Potter. "I-BIA-ALCL ngumhlaza we-immune system. Ngoko ke kunokubakho ukusebenzisana phakathi kwe-immune system kunye nale capsule ye-textured enegalelo kwisifo."

Inxulunyaniswa njani i-BIA-ALCL kunye nokuBeleka ukuGula kweBele

Usenokuba ukhe weva ngesifo sokufakwa kwamabele (BII) ngaphambili, ubuncinci kwezi nyanga zimbalwa zidlulileyo njengoko ifumene ukurhuqa phakathi kwabaphembeleli abathe bathetha ngeempawu zabo eziyimfihlakalo kunye nethiyori yendlela abanxibelelana ngayo nezinto abazifakileyo. Eli gama lisetyenziswa ngabasetyhini ukuchaza uluhlu lweempawu ezibangelwa kukufakelwa kwebele eliqhekekileyo okanye ukungahambisani nemveliso, phakathi kwezinye izinto. Esi sigulo asiqwalaselwa okwangoku ziingcali zonyango, kodwa amawakawaka abantu basetyhini aye kwi-intanethi ekwabelaneni ngendlela izinto abazifakileyo ezibangela ngayo iimpawu ezingachazekiyo ukuba bonke bemkile emva kokuba besuswe izinto abazifakileyo. (USia Cooper uxelele Ubume Kuphela malunga nemizabalazo yakhe kwi-Got My Breast Implants Removated and Feel Better than I have In Years.)

Ke ngelixa i-BIA-ALCL kunye ne-BII zizinto ezimbini ezahluke kakhulu, kunokwenzeka ukuba abasetyhini abacinga ukuba banempembelelo yokungalungelani nezinto zabo zokufakelwa banokuba nento ebaluleke ngakumbi njenge-BIA-ALCL. "Ndicinga ukuba kubalulekile ukuphulaphula abafazi kunye nokuqhubeka nokuqokelela idatha malunga naso nasiphi na isiganeko esibi esihambelana nokufakelwa," kusho uDkt Potter. "Njengoko siphulaphula kwaye siqonda, siya kufunda. Le ngxelo entsha kwi-BIA-ALCL ngumzekelo waloo nto."

Oku kuthetha ukuthini kwikamva loFakelo lwebele

Rhoqo ngonyaka, ama-400,000 abasetyhini akhetha ukufumana ukufakelwa kwebele e-US kuphela-kwaye akukho ndlela yokuxela ukuba elo nani liyakwehla ngenxa yeziphumo ezintsha ze-FDA. Kwaye, ngenxa yokuba amathuba okuphuhlisa into enzulu njenge-BIA-ALCL isezantsi kakhulu-malunga ne-0.1 yeepesenti ukuba ibe ngqo-isisongelo licandelo elibalulekileyo ekufuneka liqwalaselwe, kodwa isenokungabi sisigqibo kwabanye. (Idibeneyo: 6 Izinto endizifundileyo kwiBobob Boob Job)

"Ukufakelwa kwebele kuye kwafundwa ngokubanzi kwaye i-FDA isacinga ukuba ikhuselekile ukuba isetyenziswe kwi-cosmetic kunye notyando lokuvuselela," utshilo uGqr. Potter. "Inkqubo yokuxela isiganeko esibi ikho ukuze kuqinisekiswe ukuba ulwazi lwethu lokhuseleko luguquka ngokuhamba kwexesha njengoko sifunda ngakumbi kumava ezigulana. Ngokucacileyo, ukuqonda kwethu ukhuseleko lokufakwa kwamabele kuyavela kwaye ingxelo evela kwi-FDA ibonisa oko. " (Inxulumene: Le mphembeleli ivulelwe malunga nesigqibo sokususa izinto ezityaliweyo kuye kunye nokusancancisa)

Into esiyifunayo luphando olungakumbi. "Kufuneka siqonde ngakumbi ngesi sifo ukuze sisinyange kwaye sisithintele," utshilo uGqirha Potter. "Ukuze kwenzeke oku, abafazi kufuneka bathethe. Ukuba unokufakelwa kwebele, kufuneka ube ngummeli wempilo yakho."

Yintoni abasetyhini abaqwalasela ukufakelwa kwebele kufuneka bayazi

Ukuba ucinga ngokufumana izinto ezizimeleyo, ukuzifundisa malunga nokuba yintoni kanye oyifaka emzimbeni wakho kubalulekile, utshilo uGqirha Potter. "Kuya kufuneka wazi ukuba ukufakelwa kubhaliwe okanye kugudileyo ngaphandle, luhlobo luni lwento oluzalisa ukufakelwa (i-saline okanye i-silicone), imilo yokufakelwa (okujikelezayo okanye kwi-teardrop), igama lomenzi, kunye nonyaka. uyakufakwa, uyachaza. "Ngokufanelekileyo, uya kuba nekhadi elivela kugqirha wakho kunye nale ngcaciso kunye nenombolo ye-serial ye-implants." Oku kuya kukunceda kwimeko apho kukho ukukhumbula ekufakweni okanye ukuba ufumana impendulo engalunganga.

Kukwabalulekile ukwazi ukuba ishishini lokufakelwa kwebele ngokwalo lithatha amanyathelo athile ukuphendula kula mabango okwenza ukuba abantu basetyhini bazive bekhuselekile. "Ezinye izinto ezintsha zokufakelwa ngoku zinewaranti egubungela iindleko zonyango zovavanyo lwe-BIA-ALCL," utshilo uGqirha Potter.

Kodwa kwinqanaba elibanzi, kubalulekile ukuba abasetyhini bazi ukuba izifakelo azigqibelelanga kwaye kunokubakho ezinye iindlela ezifumanekayo kubo. "Kwinkqubo yam, ndibone utshintsho olumangalisayo ukusuka kulwakhiwo lwebele olusekwe kwi-implantation ukuya ekwakhiweni ngokutsha olungasebenzisi ukufakela konke konke. Kwixesha elizayo, ndiyathemba ukubona utyando olukhawulezayo lufumaneka kubo bonke abafazi, kubandakanywa nabasetyhini. abafuna ukuphucula amabele abo ngezizathu zokuthambisa, ngaphandle kokufuna ukufakelwa konke konke, utshilo.

Ngaphantsi: Le ngxelo iphakamisa iiflegi ezibomvu. Ikwavula incoko ebalulekileyo kunye neengcali zonyango ukuba zithathe iimpawu zabafazi nzulu.

Uphengululo lwe