FAQs About Deep Inferior Epigastric Artery Perforator Flap Reconstruction
Mushure mekuita mastectomy , vakadzi vazhinji vanogona kusarudza kupora kuburikidza nekuvhiyiwa kwekuvandudza kugadzirisa kuonekwa kwezamu mushure mekuvhiyiwa. Imwe yenzira dzakajairika ndeipi yakadzika yepasiteri epitastri perforator (DIEP) kugadzirisa kuvaka.
Chii Chinonzi DIEP Kuchenesazve?
DIEP chipfupa inzira inoshandiswa inoshandiswa iyo inoshandisa mafuta uye ganda kubva mumuviri wako kuti ugadzire mushure mutsva mushure mushure mekuita mastectomy . Iyi nzira inotora zita rayo kubva kuDIEP mumumimba mako uye iyo inowanikwa yezve autologous reconstruction , chirwere chinoshandisa mavara ako.
Kunyange zvazvo izvi zvinogona kuvandudza chitarisiko chako chemuzamu, iwe unofanirwa kuziva nguva isati yamboitika kuti haichazoita sezvakaita mazamu ako chaiwo. Kunyange zvazvo vamwe vakadzi vari kungova neDIEP yekugadzirisa zvakare, vamwe vanosarudza kuva neruzivo rwezvekugadzirazve hunoita kuti kuve nekuonekwa kwekoko uye isola .
Chii Chandinofanira Kutarisira Panguva Yenzira?
Chiremba wako achafambisa ganda nemafuta kubva mudumbu rako kuenda kuchipfuva chako. Hapana mhumbu yemimba ichachekwa kana kushandiswa panguva iyi. Vakadzi vazhinji vane hutano hwakakwana mumumimba yavo kuti vagadzire chifuva chitsva. Kana zvisingaiti, kuiswa kwechidiki kunogona kuiswa pasi pechipfuva chemuviri wako kuti ugadzire chimiro chesafuro chaunoda. Kubviswa kweganda nemafuta kubva mudumbu mako kwakafanana nekugadzirisa kwemuviri . A DIEP flap inosanganisirawo kufamba kweyeri uye mvere kubva pamapfupa ako kumapfupa kuitira kuti zvigadzirwa zvekugadzirwa zvinogona kugoverwa neropa.
Ndeipi Kubatsira uye Kukanganisika kweDIEP Breast Cancer Reconstruction?
Nenzira iyi, hapana musuru inosunungura kana kuiswazve sezvinenge iine TRAM flap . Pane njodzi yakadzika yekubata mimba yake yemimba uye inokurumidza, ine kurwadziwa kuduku, kupfuura chirwere che TRAM. Kubviswa kweDIEP nemafuta kunokupa mimba, kana kuti mudumbu mutsvuku, panguva imwechete yekuita mazamu ako kuvaka. Nzira yacho ine zvishoma kudarika 1% kusakwira kwezinga.
Zvisinei, kana ichienzaniswa ne TRAM flap, DIEP inoda nguva yakawanda pakuvhiyiwa. Mitsara miviri ichaguma kubva kune DIEP uye kana chirongwa chacho chikakundikana, mutsara unogona kufa uye unofanira kubviswa. Imba yekuvaka ichafanirwa kubatwa kwemwedzi 6-12.
Ndiri Munhu Akanaka Here?
Kana iwe usina mafuta akakwana mudumbu kana kuti wakaonda kwazvo, iwe pachako haufaniri kunge uri mumiririri akanaka kune izvi. Uyezve, kana iwe uri kusvuta kusvuta, ruvara rwako ruchapora zvishoma nezvishoma uye mafuta ane mavara anowanzoita kuti ave mutsvuku.
Inguva Yakareba Sei Kusangana Kwakawanda Kwandinofanira Kumirira Kuvakazve?
Kugadziriswa kwebonde kunogona kuitwa panguva yekuita mastectomi kana mushure mekunge chemo nemirairo. Kana uchida kurapwa kwemishonga inowanikwa panzvimbo yako yepasiki kana chifukidzo, chiremba wako anogona kukurudzira kuti unonoke kugadziriswa. Kuva nemitambo yaitwa majekesi asati apera kunogadzirisa zvachose kukwanisa kwehutachiona hwehutano hwekurapa zvakanaka kenza yako.
Ndirini Ndinofanira Kuona Chiremba WePuritori?
Kana uri kufunga nezvekuvakazve, pfungwa yakanaka yekuona chiremba wako wechiremba wepurasitiki asati aita chirwere chemastectomy. Izvi zvinokupa mukana wekuve nematanho chaiwo nemifananidzo yakatorwa mazamu ako epanyama. Mumwe chiremba wepurasitiki achashandisa ruzivo urwu kuti aite chifuva chako chakagadziriswa chiri pedo nehupenyu hwako hwepanyama uye nekukura sezvinobvira. Kana iwe wakambokurukura naye, chiremba wako wepurasitiki achakupa mararamiro ezvokuita, achikubatsira kuchengetedza ganda rekudzivirira uye kudzivirira zvikwereti zvisingakoshi.
Chiremba Wangu Anozoita Sei Kuronga Nzira?
Chiremba chako chepurasitiki chinonyanya kuratidza ganda rako kunyatsoronga kuti tissue flap incision. Achishandisa ganda rekucheka, achachera chikamu chema-elliptical mudumbu rako, pasi pechibvumirano chako uye pamusoro pebhuku rako. Izvi zvakasara zvichava ganda reganda rinovhara kusanganisa kwezamu rako rakavakwa. Kana kuiswa kwechigunha kuchivharwa, chichava mutsara unofamba munzira yose mudumbu rako. Iyi ndiyo nzira imwechete iyo inotangira musimba tuck.
Ko Zvakadini Neganda, Fati, uye Kuwedzerwa Ropa?
Chiremba wako achaita kuti kuvhara kwechiganda kuve mukati mako, uye kuwedzera hupanda hweganda uye mafuta. Asati abvisa kuburitsa mavara aya, achatsvaga yakadzika pasi pepigastric perforator arteri uye mishonga iyo inounza kuvimbika kwekuwedzerwa ropa kune chifuva chako chitsva. Iyi midziyo yeropa ichachengetedzwa zvakachengetedzwa pamwe chete nemapundu ako. Dumbu rako incision richavharwa, uye mvura inogona kuiswa panzvimbo yekusimudzira kuporesa uye kudzivirira kupisa kwemvura. Nyovheti yako icharamba yakamira panzvimbo yepamusoro kwekudzivirira.
Bhurocha Idzva Rakaita Sei?
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 zvino anonyatsotaridzirwa muchero rezamu uye anonamatira munzvimbo. Chiremba wako angashandisa mashizha ekuisa maranda pamusoro pemidziyo yeropa kuti abatsire vanamukoti vako kuti vaone kuporesa sezvaunodzoka. Tarisira kuti uve nechirwere chekuvhima mune izvi kusungirwa kubatsira nekuporesa.
Chii Chandingatarisira Panguva Yokudzoka?
Iwe unofanirwa kuronga kuti ugare muchipatara kwemazuva matatu kana mana mushure mekuvhiyiwa uku, kuitira kuti vanamukoti varambe vakatarira maitiro ekuporesa kwako. Isa pakasununguka, zvipfeko zvakasununguka zvekuenda kumba kwako, zvichibvumira nzvimbo yekuvhara mvura. Paunenge uchinge uchinge wakagadzirisa mvura, iwe unogona kukwanisa kubvisa drain yako kwevhiki imwe mushure mekuvhiyiwa. Ronga pazororo kwemavhiki mana kusvika matanhatu mushure meDIEP uye uronga zvirongwa zvekuita kuti mumwe munhu ari pedyo nekukwira uye kusimudza chero zvinhu zvinorema kwauri. Iwe uchave uine huwandu hwekutsvaga-kukodzera kuitira kuti chiremba wako anogona kuongorora kupora kwako kufambira mberi, kufungidzirwa, uye kuchinja kupfeka kwako.
ICHOKWADZIRWA KUKURUKWA KWEKUTA IYO PASI PAMUSORO PAMUSORO PAMUSORO PASI MWOYO MWOYO
Kana iwe uine ganda rakakwana uye mafuta pamuviri wako kuti ugadzire mazamu maviri matsva, iwe unogona kuva neDIEP kugadzira patsva mushure mekuita mastectomy kaviri. Kana iwe wakatotora mishonga yechipfuva yekugadziriswa kwezamu ipapo iwe unogona kunge uine nzira yakasiyana, yakadai se lat latp kana kuisa .
Pane Pane Zvose Zvakakosha Ndinofanira Kuziva Here?
DIEP chifukidzo chinonzi microsurgery , chinoda kudzidziswa kwakakura uye ruzivo, kunze kwezvivako zvakakosha uye zvishandiso zvokuvhiya. I-sutures inoshandiswa kubatanidza mishonga yeropa inenge yakaenzana neyendarira yebvudzi rako. Bhidhiyo yako yekuvhiya inoshandisa microscope yakakwirira-simba kusiyanisa mitemo yeropa, iyo inonyanya kukosha pane iyi nzira. Sarudza chiremba wezvekugadzirisa izvi nekunyatsoongorora, uchibvunza mibvunzo yakawanda kusvikira uchinzwa wakasununguka kuita chisarudzo chekuenderera mberi nekuita.
> Sources:
American Cancer Society. Chibereko Chekuvakazve Pashure peMastectomy. Mhando dzeBeast Reconstruction.
> National Cancer Institute. Kuvhiya Zvisarudzo Zvevakadzi Nekutanga-Stage Kanzvadzi yeChechi.