Dhonza Kuiswa Pashure peMastectomy, Node Biopsy, uye Reconstruction
Kana iwe uri kutora mastectomy, sentinel node biopsy, kana kuvakwa patsva kwekenza yemazamu iwe unogona kunge uine zvirwere zvinoshandiswa panguva yekuvhiyiwa. Vanhu vazhinji vanoenda kumusha nemadhishi aya kwemavhiki mashomanana vasati vatevera kutevera kuti vabvise. Ndezvipi izvi zvinoshandiswa zvinotevera mushure mekuvhiya kwakasiyana-siyana?
Kuva neruzivo rwekugara kwemvura yako, uye izvo zvaunogona kutarisira zvingakubatsira kugadzirira kutarisira mvura yako shure kwekuvhiyiwa kwepamu .
Ngatitangei kurondedzera marashiro aungave nawo mushure mekugadzirisa muviri nekugadzirisa uye zvakare kuti izvi zvingave zvakasiyana sei kana iwe uchange uine mastectomy pasina kuvaka.
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Kuvhiya Kunoshandiswa Pashure Pekuita Mastectomy uye ReconstructionPaunenge uine mastectomy kana lumpectomy , chiremba wako anogona kuisa chirwere chinoshandiswa kuti chibatsire kukurumidza kuporesa kwako. Pasina mvura, mvura inonaya inogona kuunganidza munzvimbo iyo mazamu ako kana lymph nodes zvave zvichikonzera kushungurudzika uye kurwadziwa. Kana mvura inosanganisa isina kuvharwa inogona kukonzera seroma , iyo dzimwe nguva inogona kuita kuti pasave nekugadzirwa.
Kune marudzi akasiyana emvura yakadha kusanganisira grenade drains uye Jackson-Pratt anodha. Iwe uchange uine bhuti remvura uye bhuruzi yekunyura kunze kweganda rako pedyo nekugadzirwa kwako kwekupura. Chikamu chemuchina wegeji chichawedzera mukati memuviri wako munzvimbo yekuvhiya, kwaunotora ropa uye lymphatic fluid. Iyo inoyerera iyo inotorwa panzvimbo ino ne suture kuitira kuti irege kukurumidza kubuda.
Iwe uchashandisa kushandiswa kubvisa uye kuyera mvura inowanika kakawanda pazuva uye kuchengetedza rekodi yekuti ropa rakawanda uye lymph rinobviswa sei. Sezvo kuwanda kwemvura kunononoka, kuzvimba pamusoro pekuvhiya kwako nzvimbo kunofanira kuderera. Apo iyo inenge yakasviba inenge 30 maminita kana pasi pasi mumaawa 24, iwe unogona kuita kuti mvura yakabviswa. Kunyangwe iwe uchiramba uine mvura yakawanda kudarika iyi, vamwe vanachiremba vanokurudzira kuti vabvise drain mumavhiki matatu.
Uyu mufananidzo unoratidza nzvimbo yemvura mbiri yekuvhiya. Mutevedzeri ane chinyorwa chinotaridzika chinoshandiswa kuti chiongorore ma metastasis, saka pane mutsara wekutsvaira pedyo naye. Zvichienderana nemigumisiro yechipfuva chako chechipiri chinoshandura chiremba wako anogonawo kuita lymph node dissection kubvisa dzimwe nodes.
Mukadzi ari mufananidzo wekutanga akavewo nehutachiona nekugadziriswa zvakare, achishandura mutsara wokunyora . Chipiri chekuvhima chakashandiswa pedyo nechinguva chiduku chinogadziriswa kuunganidza ropa uye lymph. Izvi zvinobatsira kudzivirira lymphedema uye hematomas kubva pakukura.
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Kuvhiya Kunoshandiswa Pashure Pekugadzirisa Utachiona Pasina KugadziriswaKune vanhu vane mastectomy isinganzwisisiki kunze kwekugadziriswa patsva, kunogona kunge kune imwe chete yakareba yakatsvaira iyo inosanganisira yako lymph node biopsy pamwe chete nemastectomy yako. Chiremba wako anogona kuisa chirwere chinoputika mukukanganiswa kwako kuti ubatsire kukurumidza kuporesa kwako. Vamwe vanhu vachava nekunyura imwe uye vamwe vachava nezvimwe. Kana iwe uine mastectomy pamwe chete ne lymph node biopsy iwe unogona kunge uine mazana mashanu kana matanhatu emvura.
Chidimbu chimwe nechimwe chine bharuti yekudonhera uye bhariri remvura kunze kweganda rako pedyo nekuputika kwako. Chikamu chemuchina wegeji chichawedzera kuburikidza nekupinda kwako munzvimbo yekuvhiya, kwaunotora ropa uye lymphatic fluid. Girasi rimwe nerimwe remvura rinoshandiswa panzvimbo neine suture kuitira kuti rirege kubuda pakarepo.
Iwe uchatora zviyero kanguva zuva nezuva nezvehuwandu hweropa uye lymph inounganidza mumvura yako yekuvhiya. Zvakakosha kuchengetedza rekodhi yemvura yakasviba nokuti izvi zvinosarudza kuti nokukurumidza mvura yako inogona kubviswa sei. Kufuridzira kwakapoteredza nzvimbo yako yekuvhiya kuchaderera sezvo iwe uchiwana mvura shoma kunze kwemvura yako. Pakutanga, iyo mvura inowanzopenya yakajeka, ichiipenya uye ichichinja kune tsvina-yakafanana nemaruva shure kwemazuva mashomanana ekutanga.
Uyu mufananidzo unoratidza nzvimbo yemvura mbiri yekuvhiya. Muenzaniso wacho wakanga uine mastectomy yakajeka uye nodeinel node biopsy, saka kune chinyorwa chinoputika pedyo nechechi yake uyewo pazamu rake. Haana kunge akavakazve pakarepo. Izvi zvinobatsira kudzivirira lymphedema muruoko parutivi rwemastectomy uye hematomas kubva pakukura.
Icho Chinonyanya kukoshesa paNzvimbo Yemakwenzi Ako
Chiremba wako anogona kuisa mvura pane imwe nzvimbo yakasiyana pane iyo iri mumufananidzo pano, asi pfungwa yacho yakafanana. Kubvumira kusviba kwakanyanya kubviswa kuburikidza nemakwenzi kunogona kukurumidza kuporesa kwako uye kukuita iwe mumugwagwa wekudzoka kubva kune kenza yemazamu.
> Sources
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> Stoyanov, G., Tsocheva, D., Marinova, K., Dobrev, E., naR. R. Nenkov. Kuronga Pashure peKushandurwa Radical Mastectomy-A Methodological Mini-Review. Cureus . 2017. 9 (7): e1454.
> 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.