Mitauro yeFlaps uye Mashandisiro Ayo Anoshandiswa Mukugadzirisa Kuvandudza Mapurogiramu
Chidzitiro chikamu chemuviri chinenge chichibatanidza mumuviri neharia huru uye mutezo kana pachigadziko chayo. Ichi chidimbu chemuviri pamwe neropa rayo rakabatanidzwa rinoshandiswa mukuvhiyazve nekugadziriswa nekuiswa panzvimbo yevakagamuchira ( nzvimbo yakakuvadzwa pane iyo kuiswa kana kubatanidzwa kunoiswa). Dzimwe nguva, chidimbu chacho chinoumbwa neganda nemafuta chete, asi chidimbu chinogonawo kusanganisira mutsvuku kubva panzvimbo yavanopa (nzvimbo inobva pakasimudzwa).
Ndiani Angada Flap Surgery?
Kana iwe wakatambura kurasikirwa kwemaviri pane imwe nzvimbo yemuviri wako, iwe unogona kunge uri mukana wokuvhiya. Iyi nzira yekuvhiya epurasitiki inowanzoshandiswa kugadzirisa zvikanganiso zvakasara shure kwekukuvadzwa kunorwadza kana kushaya mastectomy . Flap techniques inogonawo kubudisa migumisiro yakaisvonaka mukugadzirisa kwemaziso mushure mekunyengedzwa kwekenza yeganda.
Mitauro yeFlaps
Kune mhando dzakawanda dzemapapiro sezvo kune marudzi ekukuvadza kunogona kushandiswa kushandiswa kwechimbwa. Mavara anobva munzvimbo dzakasiyana siyana uye anoshandiswa nenzira dzakasiyana-siyana kuti aite chibereko chaidiwa. Zvisinei, zvipfeko zvinoshandiswa pakugadzirwa kwepurasitiki epurasitiki zvinogona kuputsika muzvikamu zviviri zvikuru.
Nharaunda (Pedicled) Flap: Tissue inosunungurwa uye inotenderedzwa kana kutamiswa neimwe nzira kubva kune imwe nzvimbo yakatarisana kuti ifukidze chirema, asi inoramba yakabatanidzwa mumuviri pachigadziko chayo uye ine midzi yeropa inopinda muchigadziko kubva panzvimbo yavanopa.
Rudzi rwechikwata chinoshandiswa runoda kuziva kuti ndeipi yemhando ina mikuru yemapapiro emunharaunda inoshandiswa.
Mhando ina mikuru yezviputi zvemukati inosanganisira kupfuurira mberi (kunofamba mberi zvakananga uye pasina kumira kwechikwata), iyo inotenderera (inotenderera nechepamusoro pivot kuti iiswe panzvimbo yakashata yakatarisana), iyo inofanirwa kuchinja (inofamba mberi nechepamusoro pechiratidzo inoratidza kuti yakagadzirirwa muchecheche wakatarisana) uye kupindira kwekushandura .
Iko kunopindirana kunopesana nedzimwe mimwe pakuti inotenderera kune imwe nzvimbo yepivot inogona kuiswa munzvimbo iri pedyo (asi kwete iri pedyo) yakaremara. Chigumisiro ndechekuti chikamu chechiputi chinopfuura kumusoro kana pasi pechikamu chemavara akaoma, achiumba rudzi rwe "bhulogi reganda." Rudzi urwu rwehuputi inotarisirwa kugoverwa (yakaparadzaniswa) kubva kune nzvimbo yavanopa muitiro inotevera.
Dhigiriro Yerusununguko: Tissue kubva kune imwe nzvimbo yomuviri yakasimbiswa uye inopindurirwa kunzvimbo yevakagamuchira uye ropa rinowanzogadziriswa kusvika kumidzi yeropa iri pedo neronda.
Flap Njodzi uye Matambudziko
Matambudziko anokonzerwa nokuvhiyiwa kwepachipiki anosanganisira njodzi dzakawanda dzekuvhiya dzakadai sokuti:
- utachiona
- kusagadzikana kupera uye / kana kugadzirwa kweganda
- kubuda ropa zvakanyanya kana hematoma
- ganda kana mafuta necrosis (rufu rwemhuka)
- ronda ronda kuporesa kana kukuvadzwa kuponda
- ropa clots
- anesthesia ngozi
- yakadzika yepine thrombosis
- mwoyo uye maperembudzi zvinetso
- kupfuurira edema (kuzvimba) kana mvura inowedzera
- kurwadziwa kunoramba kuripo
- kwenguva pfupi kana kushanduka kusingaperi / kurasikirwa kwekunzwa kweganda
- zvisingagutsikanisi zvido zvekuongorora zvinoda kuongororwazve
- kuputika kana kuputika kwechiendesa
Dana chirwere chako chirwere pakarepo kana uine chirwere chepfuva, kupfupika kwefema, kurohwa kwemwoyo kusingawanzo, kubuda ropa zvakanyanya.
Sei Tichifanira Kushandisa Chirwere Pane Chifukidzo Cheganda ?
Nemhaka yokuti zviputi zvine ropa ravo pachavo, zvinowedzera kugadziriswa kupfuura ganda rakagadzirwa uye rinowanzobereka michero yakawanda kubva pane zvigadziriswe nokuti inogona kupa mutsetse mutsva wehutundu hwetanda uye nekugadzirwa. Ganda rinoputika isarudzo iri nani apo michina "yakawanda" inodiwa kuti izere kukanganiswa kwemakumbo. Zvisinei, mumamiriro ezvinhu apo pave pane nzvimbo dzakakura zvikuru dzekurasikirwa kwemuviri, kushandiswa kweganda kunogona kudiwa.
Sei Tichifanira Kushandisa Chirwere Pane Kuwedzera KweTisue ?
Kunyange kuwedzera kwechivi kunogona kuunza migumisiro yakanakisisa kuburikidza nekufananidza ruvara rweganda, mavara, uye manzwiro, ane zvigaro zvaro.
Kuwedzera kwemavara kunoda nguva dzose, kunyanya, maitiro maviri ekuvhiya, pamwe nekudzokidzwa kushanyira chiremba wako kuti aenderere mberi nekutengesa. Panguva ino, mutengesi akasiyiwa panzvimbo, achigadzira chii chingave mumamiriro mazhinji evanhu chiri chekusaona zviri pasi peganda apo kushambadzirwa kunoiswa. Zvisinei, munyaya yekugadziriswa kwezamu , iyi yakawanda yevhesi inogona kuva yakanaka.
Ona kare uye mushure mezvifananidzo zvekuvakazve mushure memukenza weganda uchishandisa michina yekuputika .
Sources:
Misimboti yeChangu Chikafu; Fisher J., Georgaide GS, Georgaide NG, Riefkohl R, Barwick WJ; Zvinyorwa zvePlastiki, Maxillofacial, uye Reconstructive Surgery. Bhuku 1, 2 edition, 1992, peji 29-40.
Kubvunzurudza neBhodi Yakagadziriswa neChipial Plastic uye Reconstructive Surgery, Andrew Jacono, MD, New York, NY.
Kanzera Yechipfu uye Chiremba Wenyu Chiremba, Mumiririri Wemashoko Ane Murefu, American Society of Plastic Surgeons.
Ganda Flaps; Tschoi M, Hoy FA, Granick MS; Makliniki ePlastiki Surgery; 2005; Kubvumbi; Bhuku 32 (2), p261-273.