Mastectomy - kuyini? Ukusebenza ukususa ebeleni

Umdlavuza webele zokugula uya kuhlonzwa ukuthi nginesifo abesifazane abasebasha yokuzala. Ngokwe-WHO olusemthethweni, unyaka ngamunye ingozi esabekayo isifo iyakhula. Kodwa namuhla, imithi akusho yima unganyakazi futhi wenziwa olwesimanje, bayanda ubuchwepheshe obusha, izindlela ukuxilongwa kanye nokwelashwa, okuvumela ukuhlonza isifo ngendlela efanele usaqala futhi ukukulungisa.

Enye yezindlela eziphumelela ukuxazulula inkinga kuyinto mastectomy. Kuyini lokhu? Kungase kutholakale indlela yokuhlinzwa ukuthi isetshenziselwa umdlavuza webele. iminyaka Uma eyishumi edlule, odokotela ahlukaniswe lonke ndlala kanye nemisipha esifubeni (ngisho ngendlela efanele usaqala), namuhla ngenxa yobuchwepheshe kanye nekhono olukhulu odokotela, ungagcina areola futhi axillary zamanzi.

Ochwepheshe kwekhulu lama-21 benza yonke imizamo ukugcina inyama ephilile futhi ekuqedeni onesifo, ukuze kususwe ephelele isifuba kubangela abesifazane esindayo igalelo ngokwengqondo. Asikhulume kabanzi mayelana nezinhlobo ukuthengiselana kanye nemiphumela.

Ukusebenza Madena (mastectomy elula)

Udokotela ohlinzayo akuyona excised axillary zesifunda, subclavian futhi subscapular lymph node, kanti amacembe kwemisipha sternum. zisuswe Ngakho ethintekile indlala mammary. Ngokuvamile aqokwa njengelungu isilinganiso zokuvimbela ukuvimbela ukuthuthukiswa zamangqamuzana omdlavuza, ikakhulukazi yofuzo.

ukusebenza Patey (Ushintshe olukhulu)

Okuvame kakhulu kanti ethandwa inqubo. Iron isuswe kanye imikhawulo cartilaginous, okunamafutha izicubu (subclavian, axillary, subscapular) kanye lymph node kanye ingxenye sternum. Le ndlela ikuvumela ukuba ugcine umsebenzi webele ekuphileni okugcwele ukuziqaphela siqu. Kulesi msebenzi Ushintshe is njengoba nomphumela njengoba mastectomy.

Ukusebenza Halstead (mastectomy olukhulu)

Insimbi ngokwayo excised ne kwemisipha izicubu kanye lymph node, okungase amangqamuzana omdlavuza. Ukuze unciphise inani izicubu isuswe ochwepheshe baye basungula ukulungiswa eziningana le ndlela: ngokuvumelana Madden, Halstead, baphuze, inkampani Urban-ebambe, njll Namuhla, ukuhlinzwa olukhulu ukususa webele kwenziwa kuyaqabukela kuphela ngesikhathi esizayo lapho ezinye izindlela kuyinto ezimba futhi ayisebenzi ..

ukuhlinzwa Reconstructive kanye mastectomy

Kwenziwe ngezindlela eziningana: usebenzisa kwezicubu abicah zabo izimila. umsebenzi wokwakha kabusha esisodwa Ungayibuyisa webele ivolumu bese ugcine ukuma yokuqala. imisebenzi enjalo ezidume kakhulu, akhethwa ezingaphezu kuka-75% abesifazane nomdlavuza. Ngaphambi ofeza udokotela inikeza isiguli esithile like ubhodisi obukhethekile ifakwe abicah lokufakelwa kwezitho, izimila yokufakelwa futhi ke efiselekayo ukuma, uhlobo brand setha ngaphansi kwesikhumba. Reconstructive indlela ukubuyiselwa esethemba ukuze uphile ukuphila okugculisayo. Lo msebenzi lula kunalokho usebenzisa izicubu zakho.

ubufakazi

Mastectomy - kuyini? Indlela kuhlinzwa zokususa abulalayo seal indlala mammary futhi enyameni ezungezile amasayithi. It is kuboniswe for sitholakele isimila esikhulu ukuthi itholakala ngaphandle webele. Kugcinelwe abesifazane nge usayizi encane webele ukuze ugweme ukusonteka. Ukuze izinkomba yezokwelapha futhi ngenxa yobuhle, ikakhulu uma nisanda kokuqala, zhelezosohranyayuschaya operation tingafundziswa. Ngemva kudingekile ukwelashwa ngemisebe, okuholela esifubeni kancane zikhubazekile. Ngakho-ke, wonke umuntu unquma esifanelana kuye engcono.

yezinkinga

Nakuba-ke kubhekwa omunye mastectomy nephephile kuhlinzwa (okungukuthi, liye ezichazwe ngenhla), emva lengqungquthela akufanele ushiywe ngaphandle imiphumela engemihle. Abanye baphawula ukopha esindayo, ke kubangelwa abampofu igazi ekunqandeni. Ezimweni ezingavamile, zikhona izinkinga joint ehlombe. Lokhu kungenxa inqubo engalungile ukuvuselelwa. Bungabonakala futhi kwetintfo ezifana ukutheleleka ukulimaza (iphathwa kuphela izidakamizwa elwa namagciwane).

Lymphostasis kwenzeka ngemva mastectomy - ekuqongeleleni ezingokoqobo futhi ebonakalayo oketshezini kwemigudu ye-lymph. Kodwa isimo esinjalo abavamile. Yazi ukuthi abe nenkinga yokuvuvukala kwezicubu kungenzeka iminyaka ngisho 2-3 ngemva kokungenela. Lapho edema kufanele ngokushesha ufune usizo lwabezokwelapha. Ezimweni ezinjalo umzimba wasabela bandaging isetshenziswa (ngebhandeshi nokunwebeka noma emikhonweni) ukwandisa ukugeleza kwegazi.

Isikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa

Ukususwa kwebele - akuyona inqubo elula, ngemva kwalokho okudingayo ukuze uvikele impilo yakho futhi ngokuqinile ulandele imithetho ebekiwe. It bavunyelwe uvuke ngosuku lwesibili, futhi ukukhonza ngokwabo. Umsebenzi Imininingwane walulama kuphela ngosuku lama-20. Amanzi ngokuvamile isuswe cishe ngemva kwamasonto amabili (zonke kuncike ukuthandazelwa). Ukuze iwenze ube lula isimo esimisiwe amaphilisi ezinhlungu.

Iseluleko iziguli othola ukuhlinzwa

Ezinyangeni ezimbalwa zokuqala, odokotela musa batusa ukuvakashela solarium kanye ebhishi. Kufanele ugweme imijovo esicutshini engalweni futhi ukulimala ezandleni, ngokukhulu ukucophelela ukuze banakekele izinzipho, ukugwema imihuzuko nokulimala. Ukusebenza engadini, kufanele gqoka amagilavu zenjoloba. Ukuze ugweme yokujama tsi ka-lymph kanye immobilization we ngokuhlanganyela ehlombe, udinga nsuku zonke ngemva kwezinsuku eziyishumi izobanjwa ngemuva kokuhlinzwa, ukuthuthukisa isandla futhi ngobumnene uligcoba ikhwapha.

Ngifuna ukusho ukuthi iziguli eziningi abaye zabhekana lokhu ukuhlinzwa weneliseka abalithandayo, futhi izinga lempilo. Yiqiniso, mastectomy (onjani yokumelapha, manje kuhle wazi) akuyona panacea futhi has nezihibe, kodwa noma kunjalo, le ndlela kusiza nokuzethemba ngokwazo hhayi esingaba namahloni ngalo, mzimba wakhe.