Kuvhiya Kwepurasitiki Kudzorera Breast Symmetry
II IGAP flap (yakaderera pfumbu inonzi perforator) inonzi autologous tissue flap nzira iyo inoshandisa mafuta neganda kubva kumucheto wako wepasi kuti ugadzire chifuva chitsva mushure mushure mekuita mastectomy . Hapana chemuviri wako wakakosha uchachekwa kana kutamirwa kugadziriswa kweGAP. Iyi nzira inotumidzwa kune yakaderera gluteal artery perforator munharaunda yako yepasi. Chifuva chako chinogadziriswa hachizove nechimiro chakafanana nekunzwa sechinhu chako chepanyama, uye iwe unoda kuvhiyiwazve kuti uite mutsva mutsva uye isola .
IGAP uye SGAP Flap Method
An IGAP reconstruction reconstruction yakafanana zvikuru neSGAP, uye yakasiyana nenzira imwe chete: IGAP inoshandisa mishonga inotorwa kubva kumucheto wako wepasi , SGAP inoshandisa mhuka kubva kumusoro kwako. Zvose izvi ndezvekusununguka kwekugadzirisa zvinhu zvinoshandisa microsurgery kuti iyananisezve arteri kubva mumapfupa ako kumapfupa ako kuti uite bundu remvere.
Vakadzi vakawanda vane zvigunwe zvakakwana pamabako avo kuti vagadzire chifuva chitsva, asi kana pasina mishonga yakakwana, kuisa zviduku kunogona kukonzerwa mushure memavara ako kuti ubatsire kuzadza ukuru hwezamu yako itsva. Kubviswa kweganda nemafuta kubva munharaunda yako kwakafanana neyo nzira yekusimudza mhuka asi inosanganisira arteri uye mheya iyo inopa ropa kune zvisikwa zvakatemwa.
Iwe hausi mukana weGAP kana:
- iwe waimbova nechepasi peganda reguti uye mafuta akabviswa
- iwe wakanga uine liposuction pamucheto wako wezasi
- iwe utsi - tsvina yako yekutengeswa inotora nguva yakareba kuporesa, uye mafuta ako ane mafuta anowedzera kukura kuva mutsvuku
Kubatsirwa uye Kukanganisika
Pros
- chakanaka kana ukasava nemuviri wakakwana wemafuta
- chakanaka chakanaka kune ani zvake ane ganda rakawandisa uye mafuta pane zvezasi
- hapana mutsvuku inogurwa kana kusunungura, kukurumidza kupora nguva
- kusimudza mhuka kunokonzerwa nehutu hwegute uye mafuta ekubviswa
- kudarika 2% kuderera kwero
Cons
- zvikafu zviviri zvinokonzera, nekuda kwezviviri zvekuvhiya nzvimbo
- kana IGAP yako ichishaya, ruvara rwemweya runogona kufa uye runofanira kubviswa zvachose
- kana kugadziriswa kwako kuchikundikana, unofanira kutarisira mwedzi 6 kusvika ku12 kuti uedze zvakare
Zvaungatarisira Panguva
Iwe uchange uine intravenous sedation kana hukuru anesthesia munguva yako yekugadzirisa uye kuvakazve. Nyaya yako yekuvhiya yeplastiki inoshandisa chivara cheganda kuti ugadzire zvakanyatsogadziriswa kwekudzivirira kuchaita kuti ganda rako rive. Chizoro chichakwevedzwa nechezasi kwechitsiko chako. Kana iwe uine maitiro ekugadzirisa uye kuvakazve panguva imwechete (kukurumidza kuvakazve), chiremba wako chiremba achabvisa mazamu ako, achivhara seganda rakawanda sechave rakachengeteka kuchengeta.
Kufamba Fat, Ganda, uye Kuwedzerwa Ropa
Uchishandisa ganda rekucheka, chiremba wako anovhiya achaita kuti kuvhara kwako kuve pasi, uye kuwedzera hutanda uye mafuta. Asati avhara mavara aya, achatsvaga pasi pekudzivirira mutambo perforator uye mishonga iyo ichapa ropa rinovimbiswa neropa rako. Iyi mishonga yeropa ichave yakanyatsofambidzana pamwe chete nemuviri wako.
Kuvhara IGAP Flap Incision
Kushandiswa kwako kwechikafu kuchavharwa uye kunyura kunogona kuiswa kukurudzira kuporesa nekudzivirira mvura inogadzirwa. Izvi zvinenge zvisingaonekeki, sezvo zvingave zvakaderera zvakakwana kuti zvivige mune imwe pfupa rako. Iwe uchange uine kusimudzwa kwechigunun'una semugumisiro wechikamu ichi chetsika.
Kuumba Brese Yenyu Idzva
Chimiro chako chemavara, chakakwana nemidziyo yeropa, chichaendeswa kusvika kune mastectomy yako. Kuti uve nechokwadi chekuti mhuka yacho ichapona munzvimbo yayo itsva, chiremba wako achashandisa microsurgery kuti adzorere mishonga yeropa mumatehwe ekudzivirira mumitsipa yeropa muchipfuva chako. Ganda rako nemafuta ane mafuta anobva adzorerwa muchifuva chemvere uye kusungirirwa munzvimbo. Nzvimbo yakasikwa yemuzasi inotengesa inoita kuramba kwakanaka kwemafuro ako echeche rinosara. Chiremba wako anogona kushandisa dzimwe nzira dzekucherechedza pamusoro pemidziyo yeropa, kubatsira vashandi vechipatara kuti vaone kuporesa kwavo apo iwe uchidzoka. Iwe unofanirwa kutarisira kuva nekuvhiya mvura mumusungo uyu, zvakare, kubatsira nekurapa.
Kubva kuGAP Flap Breast Reconstruction
Ronga kupfekedzwa, kushambidzika kwemavhiki mashomanana anotevera. Kuvhara jeans pamusoro pechipfuva chegorosi nemakwenzi kunenge kusinganzwisisiki. Iwe unofanirwa kuronga kuti ugare muchipatara kwemazuva matatu kana mana mushure mekuvhiyiwa, uye tarisira kuti vanachiremba vachengetedze maziso ekuporesa kwako. Anenge vhiki imwe mushure mekuvhiyiwa, kana mvura yako yakagadzika yakanyanya kuderera, unogona kukwanisa kubvisa mvura yako. Iwe unofanirwa kupedza mavhiki mana kusvika matanhatu mushure meGAP, saka iva nechokwadi chokuti mumwe munhu anenge ari pedyo nekuita nekukufambisa.
IGAP Flap for Double Mastectomy
Kana iwe uine ganda rakakwana uye mafuta pazvigaro zviviri kuti ugadzire mazamu maviri matsva, iwe unogona kuva pamwe chete pamwe chete kweGAP kupiswa patsva mushure mekuita mastectomy kaviri . Kana iwe wakatove uine zvigunwe zveganda zvinoshandiswa pakugadzirisa mazamu (SGAP flap) saka unofanira kusarudza nzira yakasiyana (DIEP, lat flap, kana kuisa).
Kufungisisa kwakakosha
IIGAP inoshandisa mishonga yechipfuva ine mitezo yakafanana nechepakati pezamu rako repanyama, saka vazhinji vanovhiya vepurasitiki vanofunga kuti zvinoguma nekuvandudzwa kwezamu kune zveSGAP chirongwa. IGAP flap ndiyo microsurgery, iyo inoda kudzidziswa kwakadzika, unyanzvi uye ruzivo, kunze kwezvivako zvakakosha pawachipatara chako. I-sutures inoshandiswa kubatanidza mishonga yeropa inenge yakaenzana neyendarira yebvudzi rako. Dare rako rekuvhiya richave riri kushandisa zvishandiso zvakakosha uye microscope yepamusoro-simba kuita chikamu chinonyanya kukosha chekuita izvi. Sarudza chiremba wezvekugadzirisa izvi nekunyatsobvunza mibvunzo yakawanda kusvikira uchinzwa zvakanaka nezvechisarudzo chako.
> Sources:
> America Cancer Society. Chibereko Chekuvakazve Pashure peMastectomy. Mhando dzeBeast Reconstruction. Yakarongedzwa: 09/06/2007.
> National Cancer Institute. Kuvhiya Zvisarudzo zvevakadzi neChechi-Stage Cancer Breast. Yakatumirwa 10/22/2004.
> Kuberekwa patsva pamwe ne gluteal artery perforator flaps Jay W. Granzow, Joshua L. Levine, Ernest S. Chiu, Robert J. Allen Journal of Plastic, Reconstructive & Aesthetic Surgery - June 2006 (Vol. 59, Issue 6, Mapeji 614-621 , DOI: 10.1016 / j.bjps.2006.01.005)