Zvinokonzera, kudzivirira uye kurapwa
Chibvumirano cheCapsular ndechimwe chinhu chinowanzobatwa nekuvhiya. Chifuva chinofanira kuva chakareruka, chinogadziriswa, uye chikafu chechizvarirwo, kunyange kana chiri chifuva chakavakwa chakanga chichigadzirwa mushure mekuita mastectomy . Kana uine saline kana silicone mazamu , chibvumirano chinogona kuita kuti chifuva chako chigadziriswe kuchinja, shandura chimiro, kana kunzwa zvakanyanya.
Kana izvi zvikaitika kwauri, unogona kuwana mushonga kugadzirisa dambudziko racho.
Overview
Muviri wako wakachenjera-muviri wako wekudzivirira muviri unoziva kana chinhu chekunze chave chakaiswa mumatumbu ako. Kana muchengeti (akadai sezamu rinomira) anowanikwa, periprosthetic capsule inoumbwa ichipoteredza.
Funga nezvazvo nenzira iyi: Mafupa epfupa rako uye ganda hazvibvumi kugamuchira kuiswa sechikamu chepanyama chako. Kuti uzviparadzanise nekuisa uye kuichengeta kubva pakukura, kupararira, kana kutenderera-famba, muviri wako unogadzira saga, kana kuti capsule yezvigunwe zvitsvuku kumativi ose, kuti uzvisimbise.
Tsamba yakapoteredza mazamu okuisa mazamu isiri yemazuva ano inogona kuve inobatsira. Kana zvibvumirano izvi zvekasivha kana kuti zvakasvibira, zvisinei, zvinogona kufambisa kuiswa kwako. Ichi chibvumirano ndicho chinokonzera marwadzo, kushanduka, kupesanisa, uye kuoma kwechifuva chakavakwazve.
Zvinokonzera Zvinokonzera
Chibvumirano cheCapsular chinogona kuitika kumarudzi ose emhando yekuisa mazamu.
Inowanzoitika kakawanda pamusoro peaslicone, panzvimbo ye saline implants. Dzimwe nguva inotangira nekuda kwehutachiona hunopinda mukati apo kuiswa kwekupora. Asi zvimwe zvinetso zvinogonawo kudzvara, se seroma (hombe yeropa serum mukati mokuvhiya) kana hematoma (dziva reropa pasi peganda). Izvi zvinogonawo kuita kuti kuve nekubvumirana kwekambani.
Iyo yakareba yakasimwa iri munzvimbo, iyo inowedzera mukana wekuti chibvumirano chichatanga.
Baker Scale Grade
Chibvumirano cheCapsular chinoshandiswa neB Baker chikamu uye chinotevera zviyero izvi:
- Bhuku I - chifuva chiri nyore uye chinoratidzika sechinyakare, uye capsule inoshanduka.
- Bhuku repiri - mazamu anotaridzika akajeka, asi akaoma zvakaoma kumubata.
- Bhuku III - mazamu akaoma, ane kumwe kukanganisa kunokonzerwa nechibvumirano, kana kuti chifuva chinenge chakave chakakomberedza, kana kuti kuiswa kunowanzosvitsa kumusoro
- Chikoro IV - kufanana negorosi III asi nekuoma kwakaoma kwe capsule
Kuziva
Kuongororwa kwechibvumirano che capsular kunowanzofungidzirwa zvichienderana nekuongororwa chete. Kufungidzira zvidzidzo kunogona kuwedzera kujekesa, uye MRI ndiyo inonyanya kuedza mukuita kuti kuongororwa.
Kudzivirira
Iwe uye chiremba wako anokwanisa kushanda pamwe chete kudzivirira kukurudzirwa kwemafupa akaoma ezvisikwa zvakakomberedza mazamu ako. Chiremba wako anogona kupa mishonga inoshandiswa kushandiswa yakadai sa prednisone uye vitamini E, saka iva nechokwadi chokuti uchatora izvi sezvinorayirwa. Zvisimbe zvinogona kuwanikwa pasi pechipfupa chemukoko kana mukati mehomwe yemasumbu. Zvisikwa zvinowanikwa mukati memisumbu hazvikwanise kukudziridza chibvumirano chikuru. Chiremba wako angashandisa Alloderm (chidimbu chemuviri wevanhu asi chinoshayiwa DNA) kutarisa pfupa remisumbu kuti uwedzere kuderedza mukana wekuvhara tissue kuvaka-up paunenge wapinda.
Kana uine chirwere chinoshandiswa kuchengetedza mushure mekuvhiyiwa kwemazamu, iva nechokwadi chekudurura izvi panguva, sezvo izvi zvinobatsira kudzivirira seromasi kubva pakukura. Pakupedzisira, chiremba wako anokwanisa kukurudzira kuti iwe unyore maawa ekuisa musasa pachifuva chakavandudzwa. Izvozvo zvakati, zvidzidzo zvekare kusvika zvino hazviiti sekuwana kuti kuisa muviri kunobatsira mukuderedza hurumende yekutonga.
Kudzorera Kubva Kuberekwa Kwebonde
Pane zvinhu zvishomanana zvaunofanira kudzivirira mushure mekuvhiyiwa kwemazamu kuitira kuti uve nehutano hwakanaka, nekuderedza iwe panjodzi yekuita chibvumirano.
- Rega kusvuta usati wambovhiyiwa kana uchikwanisa, uye usasvuta munguva yako yekudzoka. Kushandisa michina yefodya kunonoka kuporesa nekudzoka kubva pakuvhiyiwa.
- Ita zviri nyore kuita mabasa epanyama uye usadzivisa kukuvadza kana kuchinja kumabere yakangobva kuvakwa. Iyo inogadzira inoda nguva yekugadzirisa nzvimbo, naizvozvo usashamwaridzana, squeeze, kana kutora nzvimbo yekuvhiya zvachose.
- Kana iwe uchiziva kuti iwe uchange uine chifukidzo chemasvingo machena mushure mekuita kwako mastectomy, funga kuchereka kushandiswa kwemajeri kusvikira kupora kwapera. Mishonga inotevera kusangana nokukurumidza inobatanidza nemukana mukuru wekukundikanazve kuvaka, zvimwe zvinetso zvakadai sezvirwere, uye chibvumirano chekutora, kuitira kuti kumirira kungave kwakakodzera nguva yako.
Mishonga
Kana iwe uchinge uchinge uine mavara akaoma mukati membeu inomira, kana chimiro chacho chichiparadzanisa, kana kuti iyo inogadziriswa ichidzinga kubva panzvimbo, unogona kuwana rubatsiro. A capsulectomy chirwere chinodzinga capsule yakasimba, uye iyo inogadziriswa inogona kuchinjwa panguva iyi inogadziriswa nemigumisiro yakanaka.
A capsulotomy inoberekwa kusunungura mavara echivara kuburikidza nekunyorera iyo, iyo inobvumira kuwedzera.
Kuvhiya hakugone kudiwa nguva dzose, zvisinei, sezvo nzira dzakachengetedza dzakadai sekusikwa, kushandiswa kwema-ultrasound, uye mishonga inogona kubatsira rubatsiro rwakasimba ruchizorora. Taura nechiremba wako pamusoro pezvaunogona kuita.
> Sources:
> Bachour, Y., Verweii, S., uye S. Gibbs. The Aetiopathogenesis yeCapsular Contracture: Kuongorora kwakarongeka kweMabhuku. Zvinyorwa zvePlastics Reconstructive uye Aesthetic Surgery . 2018. 71 (3): 307-317.
> Malahias, M., Jordan, D., Hughes, L., Hindocha, S., uye A. Juma. Chidzidzo Chinyorwa uye Kukurukurirana kweKubvumirana kweCapsular: Chinetso Chinoramba Chichienderera Kuvhiya Kwechifu uye Varwere Vavo. International Journal of Surgery Open . 2016. 3: 1-7.
> Pu, Y., Mao, T., Zhang, Y. et al. Basa reMaspectectomy Radiation Therapy in Patients With Prosthetic Breast Reconstruction: A Meta-Analysis. Medicine (Baltimore) . 2018. 97 (6): e9548.
> Sood, A., Xue, E., Sangiovanni, C., Therattil, P., uye E. Lee. Chibereko cheMasasa, Kusimudza Kubviswa, nekudzivirira kweCapsular Kugadziriswa Mushure mekuwedzera kwebonde nemafuta: Kuongorora kweMabhuku. Eplasty . 2017. 17: e41.