Chirongwa cheBreast Reconstruction Surgery

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Chirwere Chekuvakazve Chifuva Pashure peMastectomy

Kuberekwa patsva kwemazamu, chirongwa chekudzorera chimiro chechimiro chechifuva, chinowanzoitwa mushure mekunge chikamu uye chikamu chetachiona chetachiona chepabonde . Varwere vane lumpectoma nzira inowanzodikanwa kuti vadzokezve, sezvo chiyero chezviviri zvabviswa chiri chiduku zvikuru. Vamwe varwere havana chido chekuvhiyiwa kuzogadzirisa zvakare mazamu mushure mokunge yabviswa, asi vazhinji vanoenda kuva nezamu kunonongedza zvekuzora.

Munharaunda dzakawanda, kuvakazve mushure mekugadziriswa kwekenza yepachifu kwakafukidzwa nenishuwarenzi, sezvo kuvakwa kunoonekwa sechikamu chemastectomy process. Varwere vachifunga nezveprophylactic, kana kudzivirira, mastectomy inogona kusimbisa kuti inshuwarisi inosanganisira zvose maitiro ekutanga mastectomy uye kuvaka.

Kune vakadzi vanosarudza kusagadziriswazve, kune mabras anowanikwa nehutachiona hunoiswa hunoenzanisa nehana yakasara.

Kana imwe nguva chisarudzo chikaitwa kuti uve nehutachiona, sarudzo pamusoro pekuvakazve inofanira kuitwa mushure mekuvhiyiwa. Ichisarudzo chinofanira kuitwa mushure mekutaurirana nebhodhi rakarongedzwa chirwere chepurasitiki chechiremba uye ruzivo rwekudzorerazve mazamu. Izvi ndezvekuti kuvakazve kunogona kuva "pakarepo" uye kupera panguva yekuvhiyiwa imwechete se "mastectomy" kana "kunonoka" uye yakaitwa pane imwe nguva inotevera.

Kugadziriswa kwebonde chirongwa chekushaya chirwere chepfungwa uye chinoshandiswa kuburikidza nekushandisa anesthesia . Varwere vanoramba vari muchipatara kwemazuva masere mushure mekuvhiyiwa.

Kune vakadzi vane mazamu makuru kana mazamu ayo anotarisa zvakasiyana zvakasiyana mukukura kana maitiro pane chifukidzo chekugadziriswa, kuchera kwezamu kunogona kuve kwakakodzera kugovera kuenzanisa. Imwe nzira ndeyekugadzirisa mhando kana kuvepa pachipfuva pazamu yakasara.

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Kakafuridza Breast Reconstruction Ne Breast Implants

Kugadziriswa patsva kwemazamu kunoitika panguva imwecheteyo sechistectomy uye inowanzoitwa nechiremba wepurasitiki. Nyanzvi dzinokurudzira kugadziriswa patsva kwevatachiri vanotarisira kuva nemirairo shure kwehutachiona hwehutachiona. Kuoma kweganda, kukwanisa kweganda kuporesa uye kuonekwa kwechivara chechivara kunogona kuchinjwa nemishonga inopisa mazai. Nokupedza kuvakazve musati majekesa, ganda rine simba guru rekuporesa rinotungamirira kune chigumisiro chinowedzera.

Munguva pfupi yekuvaka zvakare, pamagumo ekugadzirisa mastectomy chikamu chetsika yacho, kuiswa kwemvere kunowanikwa munzvimbo yebvisa mazamu. Rudzi rwemishonga, silicone kana saline yakawanda kwazvo, isarudzo yakagadzirwa nemurwere mushure mekutaurirana nechiremba wechiremba epurasitiki.

Chimwe chezvibatsiro zvekurumidza kuvakazve ndechokuti hapana chikonzero chekuvhiyiwazve mushure mekugadziriswa patsva. Nzira yacho inowanikwa kana chikamu chepachiviri chekuvhiya chiri kuitwa, kubvisa njodzi inobatanidza nekuvhiya kwechipiri. Vamwe vakadzi vanowana sarudzo iyi yekuve yakanakisisa kune dzimwe mhando dzekuvakazve nekuda kwezvikonzero zvepfungwa. Murefu haaoni bandu pakati pekubviswa kwezviviri uye kuiswa kwekuisa.

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Chirwere Chekuvakazve Kwechifuva Ne Breast Implants

Nhanho mbiri yakakurumidza kugadziriswa kwezamu ndiyo nzira yekuvandudza iyo inotanga panguva yekuvhiyiwa imwechete sekuita mastectomy nenzira, asi yakapera pane imwe nguva yakatevera. Iyi nzira yakakodzera apo ganda rakasara rinenge rakaoma uye haikwanise kugadzirisa iyo inogadzirwa panguva yekuvhiyiwa.

Kazhinji, ine inflatable balloon implant inowanikwa pasi peganda uye inokonzerwa ne saline kwemavhiki kana mwedzi kuti iparadzanise ganda uye zvisikwa zvepasi. Kana ganda rakatambanudza zvakakwana kuti rigadzire kuiswa, chirwere chechipiri chinoitwa kuti chigadzire bhoron nechisimbe chekugadzirisa. Mune zvimwe zviitiko mutengesi anogona kusara panzvimbo panzvimbo ye saline yakazara kana kushandiswa kwemazamu.

Iyi nzira ingashandisewo ruzha, kana rutivi rwemashupu kubva kune imwe nzvimbo mumuviri, kuwedzera mamwe mafupa emvere kana kuti panzvimbo yekusimudza. Chisarudzo chekushandisa chidzitiro chinofanira kuitwa nekukurukurirana nechiremba wechiremba epurasitiki sezvo zvisingakodzeri varwere vose.

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Chikwata Chechipiri Chechipiri Breast Reconstruction Surgery Ne Breast Implants

Yakapedzisira kugadziriswa kwemashure maviri, zvakadai sekugadziriswa kwemashure maviri, ndiyo nzira mbiri yekuvhiya inoshandiswa kugadzirisa mazamu emvere mushure mekuita mastectomy. Kusiyana nematauriro maviri epakati pfupi, chirongwa chekuvhiya kuisa mhuka ye expander balloon inoparadzaniswa zvakasiyana nekuvhiyiwa kwemastectomy uye inoda kuti chirwere chechitatu uye chekupedzisira chizadzise chirongwa chacho.

Kana imwe nguva iyo inoshandiswa iri panzvimbo iyo inofungidzirwa zvishoma nezvishoma kuburikidza nekupinza sarine mhinduro pamusoro pemavhiki kana mwedzi kuti udzike ganda rezamu. Apo iyo inotengesa yakave yakagadzirirwa zvakakwana kuti igone kuiswa kwekukura kwakakodzera, chirwere chinogona kuitwa kuitira kuisa iyo inogadziriswa ichagara yakasingaperi. Mune zvimwe zviitiko, mutengesi anogona kusara panzvimbo panzvimbo yesilicone kana kuti saline implant.

Nzira iyi inogona kushandisawo ruzha, ruvara rwechigadziko kubva kune rumwe rutivi rwemuviri, kuwedzera mamwe mafupa emvere kana kuti panzvimbo yekusimudza. Chisarudzo chekushandisa chidzitiro chinofanira kuitwa nekukurukurirana nechiremba wechiremba epurasitiki sezvo zvisingakodzeri varwere vose.

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Chibereko Chekuvakazve Pasina Miti

Kugadziriswa kwechifuva mushure mekuita mastectomy kunogona kuitwa nechinoputira pane nzvimbo yekuisa. Iyi ndiyo nzira iyo miviri inobviswa pane imwe nzvimbo yemuviri yakadai sedumbu kana kuti kumashure uye inotamira kumabere kuti ichinje mhuka yakabviswa. Mhando iyi yekuvakazve inoshandisa murwere wemuviri wake, ganda nemafuta ekugadzirisa zvakare chifuva panzvimbo yekuisa.

Kune mhando dzakasiyana-siyana dzemapuranga. I TRAM flap (transvers rectus abdominus muscle) inoshandisa ganda remuviri uye mishonga yemisumbu kuti igadzire mutsva. Mune dzimwe nguva mhuka yacho yakabviswa zvachose kubva mudumbu uye yakaiswa muzamu nzvimbo. Izvo zvipfeko, apo mavara acho anobviswa uye akaiswa mune imwe nzvimbo, inonzi yakasununguka.

Imwe nzira yekushandiswa inoshandisa mimba yemukamu ndiyo chirwere chepamuviri chekuvhiya. Nhengo dzedumbu hadzina kubviswa mumidziyo yeropa dzinoidya, asi midziyo inotungamirirwa pasi peganda kusvika pazamu nzvimbo iyo mhuka inonamirwa panzvimbo. Rudzi urwu rwehuputi, neropa rakasara rakabatanidzwa kune zvaro zvepakutanga, rinotumidzwa se pedicle.

A DIEP flap (mukati-kati epigastic arter perforator) inoshandisa maviri emimba, kubviswa uye kushandiswa mukati mezamu panzvimbo sehurukuro yakasununguka. Iyi nzira yakasiyana nokuti kubviswa kwemaviri kunofananidzira kukwira mumimba (tummy tuck) uye haishandisi mishonga yemasumbu, mafuta chete uye ganda.

I-latissimus dorsi nzira inoshandiswa inoshandisa mhuka kubva musimba guru mushure iyo inofambisa fudzi. A pedicle flap procedure, i latissimus dorsi flap inosara yakanamatirwa neropa rayo uye inotungamirirwa munzvimbo iyo pasi peganda rebhokisi uye yakasimbiswa panzvimbo.

Flap nzira haisi yakakodzera kune varwere vari kusvuta iye zvino, vane chirwere cheshuga kana vane chimwe chiitiko chinononoka kuporesa kweganda.

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Chiremba Reconstruction Surgery

Pasina kunyorera kuvakwa kwekugadziriswa chifuva chinogadziriswa chine ganda rezamu rinowanzogara, asi mhondi uye isola haisipo. Varwere vanosarudza kuva nekuvhiyiwa kwechipiro chekupiko vanowanzoita saizvozvo pane imwe nguva gare gare kupfuura kuvakwa zvakare.

Kugadziriswa kwemukomana kunoitwa nokutora mhuka kubva kune imwe chikamu chemuviri uye kuchiinamatira kusvika pachipfuva, kuchigadziridza panzvimbo panzvimbo nenzira yakadaro iyo inogadzirwa. Panguva ino, mbiru inobata ruvara rweganda kunze kwekuti kubatanidzwa kwakatorwa kubva kune imwe mbiru, uye hapana mazaira akakomberedza mbiru. Kana chirwere cheganda kana ruvara rweganda ruchienderana nemuvara wekutanga wemucheka unoda kuti ruvara runoshandiswa zvachose nekunyora mavara paganda.

Kusiyana nekuvhiyiwa kukuru kwekuvakazve, kuvakwa kwechimbwa kunowanzoitwa pamusana pekugadzirisa kwepanyika ne anesthesia yekunzvimbo. Vamwe vakadzi vanosarudza kusava nekopi uye kubvongodzazve, ichisarudzo chemunhu, uye nzira yacho inongorongedza zvigadziriswe, ichipa mararamiro nemamwe mazamu.

Iyo mhandara yakagadziriswa haifaniri kunzwisiswa zvakafanana neyembambo yepakutanga, asi inopa zvimwe zvisikwa zvepanyama. Mushure mekugadzirisa zvakare muto unogona kuoneka wakamira, uchienzanisa kubva pachipfuva, uchiita kuti vamwe vakadzi vanzwe vakazvichenjerera nekuonekwa kwevanga muhupenyu hwezuva nezuva. Kana izvi zvakakonzera, inofanira kukurukurwa nechiremba wechiremba epurasitiki paanoronga nzira yacho.

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Kudzorerwa Pashure Kokuberekwa Kwechibereko Chekuvakazve

Zvakanaka kuti unzwe uchinetseka kwevhiki dzinoverengeka mushure mekuvandudza mazamu ekuberekwa. Varwere vanorwadza zvikuru mushure mekuita uye vanogona kunge vakanyanya kurwadziwa nekusimudza kana kufamba kwemaoko. Varwere vanogona kudzokera kumabasa akawanda mukati memavhiki matanhatu, asi basa rakaoma, kunyanya avo vanobudisa bouncing movement, sekumhanya, zvinogona kutora zvishoma kwenguva yakareba. Varwere vanowanzokwanisa kudzokera kune hupenyu huri kuita zvepabonde panguva iyoyo zvakare.

Zvakakosha kuziva kuti kurapwa kwekenza kunogona kunonoka kuporesa nekuwedzera kuneta. Kana murwere ari kugamuchira kurapwa kwekenza, kupora kubva pakuvhiyiwazve kunogona kuwedzerwa sezvo migumisiro yezvose chemotherapy uye miviri inogona kunosanganisira kuneta, chirwere, kushushikana uye kurutsa. Vamwe vakadzi vanosarudza pakarepo kuvakazve nokuti havatarisiri kunzwa zvakanaka zvakakwana pakuvhiyazve mumwedzi mwedzi inotevera kutevera mastectomy.

Mapoka akawanda ekutsigira aripo, zvose zviri paIndaneti uye mumaguta munyika yose, kubatsira varwere kugadzirisa kuchinja kunokonzerwa nekenza yepese. Aya mapoka ekutsigira anopa varwere mukana wekutaurirana nevamwe vakagovana zvavanowana uye vanogona kupa ushamwari mune zvekuwedzera kutsigirwa uye kutungamirirwa.

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Zvepabonde Mushure meBreast Reconstruction Surgery

Kudzokera kuhupenyu hunoita zvepabonde mushure mekugadzirisa mastectomy uye nekudzoka kwezamu ndeye nyaya yepanyama uye yepfungwa. Nhamo kubva kuvakazve inogona kudzivirira murwere kuti asaita zvepabonde, sezvo bhokisi richava rakasuruvara uye rinotinha nekufamba kwose. Sezvo kusuruvara kunopedza chisarudzo chekudzokera kune zvepabonde kunogona kukonzera kushushikana uye kushungurudzika.

Kuita zvepabonde kunogona kuitika mumuviri asi nyaya inogona kuve yakakanganiswa mupfungwa. Kunetseka pamusoro pekuonekwa kwechifuva chachangobva kuumbwa kana mazamu ndezvokwadi uye zvinotarisirwa. Varwere vanowanetseka pamusoro pezvipembenene zvekuvhiya uye kunzwa mukati memazamu, izvo zvinowanzosiyana kusiyana nezvakanga zvamboitika.

Kukurukurirana kwakasununguka pakati pemurwere nemumwe wake kunogona kubatsira kubvisa mhepo uye kuderedza kushushikana kwevamwe vangave. Murwere anogona kunge ane hanya nekutaridzika uye kunzwa apo mumwe wake angave ane hanya pamusoro pokukuvadza chifuva kana kutambudza marwadzo.

Kusanganisira kukurukurirana pamusoro pokuti mazamu anonzwa sei, manzwiro akasiyana sei nekunzwa kusati kwaitika kuvhiyiwa uye izvo zvinonzwa zvinonakidza zvinogona kubatsira kana uchitangazve zvepabonde.

Zvakakoshawo kuyeuka kuti zvepabonde zvingaita sokuti ndizvo zvinokosha pakurarama nechirwere chinopisa upenyu, uye kusava nehanya kwepabonde kunogona kuva chikamu cheurwere sehuse, panzvimbo pokufunganya pamusoro pezamu. Kushaya kwechido kunogona kuita zvakawanda nezvekurapa kwekenza uye nemigumisiro uye zvishoma nezvekuita kwechifuva.

Kuora mwoyo kunowanzoonekwa nevarwere vane kenza yemazamu, inenge hafu yevanhu vose vakawana chiitiko chekuora mwoyo mukati megore rinotevera kuongororwa. Kushungurudzika kunogona kuderedza zvakanyanya kukonzera zvepabonde sezvo zviratidzo, kusanganisira kuneta uye kusagadzikana, zvinogona kuita kuti zvepabonde zvive zvisina kunaka.

> Sources:

> Kuora mwoyo uye Kuzvidya Madzimai Madzimai Ane Chirwere Chepakutanga. Burgess, Cornelius, uye al, British Medical Journal. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=15695497

> Radiation Therapy & Iwe. National Institutes of Health. http://www.cancer.gov/publications/patient-education/radiationttherapy.pdf

> Zviratidzo nezviratidzo zvekuora mwoyo. National Institutes of Health. http://www.nimh.nih.gov/health/topics/depression/men-and-depression/signs-and-symptoms-of-depression/index.shtml