Kana iwe uri kutapukisa kenza yemucheche iwe unogona kunge uine chirwere chinoshandiswa panzvimbo yako paunoenda kumusha. Kuvhiya mvura kunowanzoiswa panguva yekuvhiyiwa kwepamuviri . Chiremba wako kana mukoti wake achakupa mirayiridzo yokuti ungachengetedza sei mvura yako kana iwe uchienda kumusha, asi pane zvinhu zvishomanana zvaunogona kuita nguva isati yasvika kuti urarame nekunyura nyore nyore.
Hezvino izvo zvaunoda kuziva pamusoro pekuchera nekuchengetedza.
Overview
Mushure mokunge mave nekuvhiyiwa kwepazamu, chirwere chinoputika chinoita basa rinokosha mukurapa. Mvura inowanzowedzera munzvimbo inenge yabviswa mazamu, uye kana ichi chisingaiti chisati chabviswa zvinogona kuguma nekurwadziwa uye kunonoka kuporesa. Zvirongo zvinoderedzawo mukana wekuti iwe uchakura seroma , kukohwa kwemvura inogona kunge isinganzwisisi uye dzimwe nguva inokonzera kupera. Nokuda kwechikonzero ichi, chiremba wako anoita chirwere mumatunhu uko mvura inotarisirwa kuwedzera.
Iko kushandiswa-kurega kubvumira kushanduka kwemvura kunowedzera uye mungozi wehutachiona kubva pakuve nekudonha munzvimbo. Zvirinha zvinopa mabhakitiriya nzira yekupinda mumuviri, uye kuchengetedza nzvimbo yakapoteredza mvura yako yakaoma uye yakachena ichave yakakosha.
Mvura yakasara yakasara munzvimbo yevhiki 2 kusvika ku3, asi vamwe vanogona kubviswa musati mabuda muchipatara uye vamwe vangada kusara panzvimbo panzvimbo kwemavhiki matatu.
Ngozi yehutachiona, zvisinei, inotanga kuwedzera nokukurumidza mushure mekunge yava munzvimbo kwemazuva makumi maviri nemaviri. Vanachiremba vanosiyana nekureba kwenguva iyo vanokurudzira kuti mvura igare munzvimbo, uye vanachiremba vazhinji vanorumbidza kuronga kwemvura inopfuura 20 kusvika ku30 cc pamasikati makumi mana nemasere semasikati.
Kurapa Kwebonde Kunowanzodikanwa Kuvhiyiwa Kunoshandiswa
Kuvhiya kunoda mvura kunoshandiswa mvura iyo inotarisirwa kuunganidza panguva yekurapa. Zvirongo zvinowanzodiwa zvinotevera kutevera mastectomy kana kuvhiyanisa chirwere. Iwe unogona kunge uine imwe chete yega, kunyange iwe unogona kunge uine shanu kana kupfuura kana iwe uine mastectomy pamwe chete nekukurumidza kuvakazve. Chimwe chirongwa chinoparadzanisa chupu chinowanzoiswa kana une lymph node dissection.
Nzvimbo yemakwenzi ako ichaenderana nekuvhiyiwa kwaunayo, asi kazhinji kunosanganisira kukonzera pane yako mastectomy site uye imwe mu armpit yako kana iwe une lymph nodes yakabviswa.
Iwe haunowanzodikanwa newaini yekudonha kana iwe uri kunyoresa biopsy chirwere , lumpectomy, kana musinel node biopsy . Kana iwe uwanika kuti une nhengo dzakanaka dzeininel uye nhengo ye lymph node dissection yaitwa, zvisinei, iwe ungangodaro wakamuka nekudhonza munzvimbo.
Zvinyorwa zveKushandiswa Zvokudya
Nepo kune marudzi akasiyana emakirini ekuvhiya, rudzi rwakashandiswa kanowanzoitwa mazamu ekuvhiya ndiyo chirongwa cheJackson-Pratt. Izvi zvinoshandiswa mukati memunda wako wokuvhiya uye zvakabatanidzwa kune zvinodikanwa zvinotapira zvinopfuurira uye zvinonongedzwa paganda rako. Kunze kwemuviri wako, kunoguma nebhokisi replastiki rakanyanyisa rine gadziri. Bhuru ndiyo nzvimbo inobata uye inobata mvura inoshandiswa.
Nzira Yokutarisira Kutsvaga Zvokudya
Paunomuka Kubva Kuvhiya
Paunomuka kubva pakuberekwa, nzvimbo yako yokupora inoporesa ichakuyeuchidza kuti unofanirwa kuchenjerera newaini yako. Zvichienderana nehurefu hwemashupu (kazhinji 14 kusvika ku18 inches) zviri nyore kuwana izvi zvakasungirirwa nemitsetse yeV, mabhedha ako, uye chero chimwe chinhu chiri pedyo.
Pakutanga pane mukoti wako nguva nenguva achazadza ma bulbs uye achatanga kukudzidzisa kuti izvi zvinoitwa sei. Anotanga bhuku regiyo rinotora huwandu hwemvura kubva kune imwe tube, uye izvi zvinoramba zvichienderera mberi kusvikira mvura yako yakabviswa.
Usati wasimuka muchipatara boka rako rekuchengetedza utano richadzokorora kubvisa kutakura, kukuudza nezvezviratidzo zvinofanira kukuita kuti iwe udane uye ugadzire kushanyira kutevera kuti vabvise.
Kuchengeta Zvokudya Zvako Munzvimbo
Chimwe chezvinhu zvakanyanya kuoma zvekuva nekushamba kwemvura kunogadzirisa zvose ma tubes uye zvinyorwa zvekuunganidza mabhuku. Pasina kunyatsofungisisa, izvi zvinogona kunzwa zvakashata uye iwe unogona kuisa pangozi nekukuvadza kunze kwekuita basa racho.
Kuva nechisviniro chekushambidzika kwekushambidza kunogona kuva muponesa, uye chipo chiripo vanopukunyuka kenza vemazamu vanosarudza shamwari dzavo dzakamboonekwa. Iko kune makodhi makamera anovakirwa chete nokuda kwechinangwa ichi. Rimwe camisole yakanaka ine mapuranga kana mapurasitiki uko iwe unokwanisa kuisa mababu kuitira kuti igare yakachengeteka, yakasimba zvokuti inogona kubatanidza nekuisazve zvigadzirwa zvekuchengetedza kuti uchengetedze mitsetse, uye kuderedza mitambo iyo inogona kuputika kune yako incision masayithi uye usakanganisika. Izvi zvinoita kuti mvura ichengeterwe kuitira kuti irege kukuvadza panzvimbo yako yechironda kana kushambira pasina chaipo kwavanogona kubata pane zvinhu sezvaunopfuura. Dzimwe camisoles dzinotora mapepa umo iwe unogona kuisa zvinyorova zvekotoni mafomu kana uchida.
Zvimwe zvinogona kusanganisira mabhii makuru, mabhesi, uye mashizha akakura kupfuura mamwe ose akazarurirwa mberi. Kwenguva yakati mushure mekuvhiyiwa zvinogona kunge zvakaoma kuunganidza zvipfeko pamusoro pemusoro wako, saka chengeta izvi mupfungwa apo iwe unotenga. Apo iwe uchienda kunorara usiku, teerera pane nzvimbo yako yakasviba. Kana iwe uri "kurara zvakasimba" iwe unogona kumira kurara pamusana wako kana kuti kunonoka kudzivirira kubvisa mvura yako. Dzidza zvakawanda pamusoro pekutevera-mastectomy nguo .
Kubvisa uye Kuchengeta Zvokudya Zvako
Zvinobatsira zvikuru kuti mumwe munhu akubatsire nekudurura mazamu ako okuvhiya. Kana iwe uchigara uri woga, zvinobatsira kuronga kuva nemumwe munhu newe apo mvura yako yakaderera inoda kubviswa.
Mukoti wako anobatsira kuratidza kuti ungaenzanisa sei mvura yako, uye anokuyeuchidza kuti ushambidze maoko ako mushure mekunge uye mushure meyero imwe neimwe. Pakutanga iwe unogona kuva neanenge mazana 100 cc drainage pazuva, asi izvi zvishoma nezvishoma zvishoma nezvishoma. Iwe unogona kubvunzwa kuti udzikinure mvura yako yakapetwa kaviri kusvika mana kana zuva rimwe nerimwe, asi iwe unofanirwa kuita izvi kakawanda kana zvikava zviviri zvezvitatu zvakakwana.
Mushure mokunge makabvisa mvura yenyu yakakodzera iwe unofanira kutarisawo mavara uye kusagadzikana kwemvura. Pakutanga pamvura yako ichave yakatsvuka asi izvi zvinoshanduka kune uswa hwemavara uye kutapudza kutarisa mazuva mashoma. Mushure mokubudisa bhuruu yenyu, nyorodzisai kunyatsogadzirisa kuti muve nechokwadi kuti gomba rinoshandiswa zvakare kana iwe uvhara sarudzo.
Kuwanda kwemvura yaunayo kuchaderera zvishoma nezvishoma, asi iwe unogona kuva nenguva apo iwe unoona kuwedzera kwemvura. Kana izvi zvichiitika, funga pamusoro pezvawakave uchiita. Kuwedzera kwemvura kunogona kuva chiratidzo chokuti iwe wanyanyisa kupfuura uye unoda kuitora nyore nyore kwemazuva mashomanana. Tora nguva yekuongorora nzvimbo iyo kunyura kunopinda ganda rako kurinda zviratidzo zvehutachiona.
Kurarama uye Kufamba-famba Nezvitsva
Zviri nyore kwazvo kuti ubate mabhodhoro ako pane chinhu chipi nechipi chaunofamba nacho kana vasina kuchengeteka. Kutambanudza nekukwevera kunogonawo kuvharirwa kwenguva yakati mushure mekuvhiyiwa, kunyanya nemakwenzi munzvimbo. Pamberi pekuvhiyiwa kwako, zvinobatsira kuisa sarudzo dzinowanzoshandiswa pane imwe nzvimbo yausingazofaniri kutambanudza kana kukotama kuti uishandise.
Iwe unogona kunge uine chiremera chekuremera, saka iva nechokwadi chokuti unotora mumwe munhu newe kana iwe uchienda kuchitoro. Vanachiremba vanosiyana zvakasiyana nekutaura pamusoro pekufambisa nemakumbo, uye vamwe vanokurudzira kudzivisa izvi zvachose. Iwe unofanirwawo kudzivisa kutyaira kana iwe uri kutora mishonga inorwadza. Paunotasva mumotokari somunhu anofambisa iwe ungashuva kuisa muto, wakanyorova, asi wakaita semitsipa yakadzika pakati pekutsvaga kwako nekudhonza uye bhandi rako rechigaro.
Chiremba wako achakuudza iwe kuti ndezvipi nguva yaunoda kumirira kushambidza mushure mekuvhiyiwa. Vanachiremba vanosiyanawo nezvekugeza mabhuku. Vamwe vanokurudzira kuti uite zvinoshambidza zvinoshandiswa kunze kwekuti mvura yako yakabviswa, kunyange iwe unogona kushandisa mushonga wehogeza kushambidza kubva muchiuno chako pasi.
Kushambidza bvudzi rako kunogona kuva dambudziko rakaoma nekuda kwekusimudzirwa kwemaoko ako uye zvinogona kunge zvisina kunetseka kusendamira pamusoro pemvura. Vamwe vanhu vanoona kuti kuzvichengetedza shampoo pane bvudzi rebvudzi chinhu chakanaka.
Kunyura mumubhati kana kupinda muhuni inopisa hakunzwisisiki apo iwe unenge uchinyura munzvimbo.
Kazhinji Kunyorera Matambudziko
Pane matambudziko mashomanana aungasangana nawo paunenge uchinaya. Izvi zvinosanganisira:
- Kuwedzera kwemvura: Vamwe vanhu vanocherechedza kuwedzerwa kwemvura kana vakashanda, asi vamwe havawani kuti izvi ndizvo.
- Zvipfeko mumuchiri: Pane imwe nguva, vanhu vachawana muchero muhuputi hwavo. Kana izvi zvikaitika, edza kunyatsogodora nzvimbo yacho.
- Kurasikirwa kwekudzivirira kwepombi: Kana kuvhara kwakakodzera kusina kusikwa mushure mekutora bhomba yako kudhonza kwako kunogona kukundikana kubvisa mvura. Kana izvi zvikaitika, kuvaka-up mumvura inogona kunge isina kunetseka.
- Kutapukira: Kusvina nzvimbo dzepachigamba hazvisi zvisizvo uye zvinowanzova nguva refu mvura yako iri munzvimbo (ona pasi apa).
Zviratidzo nezviratidzo zveHIV
Kuva newaini kunopa mabhakitiriya nzira yekuenda nayo mumuviri wako, uye iyo yakareba yakazara mvura iri munzvimbo inowedzera dambudziko re. Izvi zvinowedzera zvakanyanya pavanenge vari panzvimbo munzvimbo dzinopfuura 21 mazuva. Zviratidzo zvehutachiona hunokonzerwa nemvura inogona kusanganisira:
- Fivhiri ine utsi hwe 101 ° F (38.3 ° C) kana kupfuura
- Rutsvuku rweganda rako rakakomberedza kukwira
- Dambudziko kana kusimba uko kubvisa kunobuda mumuviri wako
- Kutsiva panzvimbo pokudonha mvura yako
- Kunhuvhuta kunhuvhuta mvura kana iwe uchitora bhomba yako yekudonha, kana kuti pus panzvimbo yekupinda
- Dambudziko kana kusagadzikana pazvinzvimbo zvako
Nguva Yekudaidza Chiremba Wako
Iwe unofanirwa kudana chiremba wako kana iwe une zvinetso kana mibvunzo zvachose, kana iwe kana uchinetsa chero chezvinetso zvinotevera:
- Kana mvura yako yakasvibirira yakajeka kwemazuva maviri kana matatu
- Kana iwe uchikura chero zviratidzo kana zviratidzo zvehutachiona sezvataurwa pamusoro apa
- Kana huwandu hwemvura inenge ichidonha kubva apo kubvisa tubing kunowanikwa munzvimbo yekuvhiya
- Kana mvura yako yakakonzerwa ichikwira kamwe kamwe kana kumira pakarepo
- Kana mvura yako yakasviba yakawanda pane kuti ive yakasimba kana nguva ichienderera mberi
- Kana bhomba yako ichirasikirwa
- Kana kukwira kwako kunowira kunze
Kuva Nemafuta Yako Akabviswa
Vanachiremba vanosiyana maererano nekuwanda kwenguva yavanoda mvura yakasara munzvimbo. Yakawanda inokurudzira kuti mvura yakabviswa kana iri pasi pemakumi maviri kusvika ku30 cc kubva kune imwe nguva mumaawa 24. Kana iwe uchiri kuine zvinopfuura 30 cc kudhonza asi kudhonza kwave kuri munzvimbo yevhiki mashatu, njodzi yehutachiona inowoneka yakapfuura kubatsirwa kwekusiyira mvura yakawanda munzvimbo.
Mushure mokufamba-famba nemadhine kwemavhiki mashomanana pfungwa yekukurumidza-kusununguka kazhinji inoderedza kushungurudzika chero kupi zvako kwekuti vabviswa. Chiremba wako achakubvisa mvura yako panguva yekushanyira nekucheka suture achiiisa panzvimbo uye nekudhonza zvinyoronyoro kunze kwehuta. Iwe unogona kucherechedza kutora kwekunonoka kwenguva pfupi asi izvi zvinongotora maminetsi mashomanana. Vanhu vazhinji havadi mishonga yemarwadzo yeyiyi nzira.
Pane imwe nguva mvura yako iri kunze, bvunza chiremba wako chikafu chekufuka chaanokurudzira iwe kupfeka. Bras yako inofanira kutsigira, yakasununguka, uye isiri yakanyanya. Underwire bras inofanira kudziviswa.
Iwe uchange uine zviduku zvishoma apo iyo tubing inofadza ganda rako, asi izvi zvinowanzopera munguva.
Shoko Rinobva
Kana iwe uine mastectomy kana kuti yekudzorerwa kwemazamu, iwe unogona kunge uine zvirwere zvinoshandiswa panzvimbo apo iwe unomuka. Izvi zvinoshandiswa kuita basa rinobvisa kushandiswa kwemvura mumapfupa ako izvo zvinogona kuisa dambudziko pamusana wako kana kukwidza mungozi yako yekuva nechirwere.
Hupenyu hunogona kunge huchidzivirirwa nemakwenzi, asi zvimwe kufungidzira zvinogona kuita kuti izvi zvive nyore. Kana uri kuronga kutora mastectomy, tine dzimwe pfungwa pamwe nekugadzirira mberi.
Zvirongo zvinogona kuvawo nzira yekucherechedza kuporesa kwako. Sezvo mvura yako yakaderera inoderera zuva rimwe nerimwe iwe unogona kufungidzira iwe uri zuva rinopfuura kure nekenza.
> Sources
> Chen, C., Lin, S., Hung, C., uye P. Chou. Njodzi yeAIDS inobatanidza Zvimwe Nehuwandu Hwakapedzisira Kupfuura Zuva Rokuyerera Gwaro muProsthesis-Based Based Breast Reconstruction: Chidzidzo cheChort. Medicine (Baltimore) . 2016. 95 (49): e5605.
> Thomson, D., Trevatt, A., uye D. Furniss. Ndeipi Inofanirwa Kubviswa Axillary Drains? Meta-Kuongororwa kweKuva-Kakawanda Kuenzaniswa neBhuku Rakagadziriswa Nzira Dzokugadzirisa Nguva Yokudhonza Kubviswa Kuchengeta Axillary Lymphadenectomy. Zvinyorwa zvePlastiki, Kuvandudza, uye Aesthetic Surgery . 2016. 69 (12): 1614-1620.