Kuvaka zamu - zvisikwa zvinyama

Mushure memastectomy, vamwe vakadzi vanosarudza kuvhiyiwa cosmetic kuti vagadzirise chipfuva chavo. Rudzi urwu rwekuvhiya runodaidzwa kunzi kuvakwazve mazamu. Inogona kuitwa panguva imwecheteyo seye mastectomy (iko kuvaka patsva) kana gare gare (kunonoka kuvakazve).

Munguva yekumakwazve yemazamu inoshandisa zvisikwa zvisikwa, chipfuva chinogadzirwazve uchishandisa mhasuru, ganda, kana mafuta kubva kune chimwe chikamu chemuviri wako.

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge

• Ganda-rinodzivirira mastectomy. Izvi zvinoreva chete nzvimbo yakatenderedza munyatso wako uye areola inobviswa.
• Minyatso-inodzivirira mastectomy. Izvi zvinoreva kuti rese ganda, munyatso, uye areola zvinochengetwa.

Chero zvazvingaitika, ganda rinosiiwa kuti rivake zvakareruka.

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchizorora Kana usina chokwadi nezvekuvakazve, chiremba anovhiya achabvisa zamu uye ganda rakaringana kuti rusvingo rwechifuva rutsvedzerere uye rwakati sanduke sezvinobvira.

Mhando dzekuvakazve zamu dzinosanganisira zvinotevera:

• Inotenderera rectus abdominus myocutaneous kurovera (TRAM)
• Latissimus mhasuru ichirova
• Yakadzika yakaderera epigastric arteri perforator kurova (DIEP kana DIEAP)
• Kubwinya kurova
• Inotenderera kumusoro gracilis ichirova (TUG)

Kune imwe yeaya maitiro, iwe unenge uine general anesthesia. Uyu ndiwo mushonga unokuchengetedza iwe kurara uye usina kurwadziwa.

Zvekuvhiya kweTram:

• Chiremba anovhiya anoita kucheka (cheka) mudumbu rako rezasi, kubva pahudyu kusvika kune imwe. Vanga rako rinozovanzwa mushure mezvipfeko zvakawanda uye masutu ekugezesa.
• Chiremba anovhiya anosunungura ganda, mafuta, uye mhasuru munzvimbo ino. Iyi turu inozonyorerwa pasi peganda redumbu rako kusvika kunzvimbo yezamu kuti ugadzire chipfuva chako chitsva. Midzi yeropa inoramba yakabatana nenzvimbo kubva panotorwa munyama.
• Mune imwe nzira inonzi yemahara yekurovera maitiro, ganda, mafuta, uye nyama dzemhasuru zvinobviswa mudumbu rako rezasi. Ichi chidimbu chinoiswa munzvimbo yako yemazamu kuti ugadzire chipfuva chako chitsva. Tsinga uye tsinga dzinochekwa uye zvakasungirirwa patsinga dzeropa pasi peruoko rwako kana kuseri kwebhokisi rako rechipfuva.
• Nyama iyi inozogadzirwa kuita zamu nyowani. Chiremba anovhiya anoenderana nehukuru uye chimiro chezamu rako rakasara rechisikigo zvakanyanya sezvazvinogona.
• Iko kuchembera padumbu rako kwakavharwa nezvisungo.
• Kana iwe uchida nyini nyowani uye areola yakagadzirwa, iwe uchazoda yechipiri, diki kuvhiya kudiki gare gare. Kana, iyo minyatso uye areola inogona kugadzirwa ine tattoo.

Nezve latissimus mhasuru ichirova ine chipfuva chakasimwa:

• Chiremba anovhiya anotema mucheka wako wekumusoro, kudivi rezamu rako rakabviswa.
• Chiremba anovhiya anosunungura ganda, mafuta, uye mhasuru kubva munzvimbo ino. Iyi turu inozonyorerwa pasi peganda rako kuenda kunzvimbo yemazamu kuti ugadzire chipfuva chako chitsva. Tsinga dzeropa dzinoramba dzakabatana nenzvimbo kubva kwakatorwa huturu.
• Nyama iyi inozogadzirwa kuita zamu nyowani. Chiremba anovhiya anoenderana nehukuru uye chimiro chezamu rako rakasara rechisikigo zvakanyanya sezvazvinogona.
• Chinhu chinodyarwa chinogona kuiswa pasi pechipfuva chemasuru emadziro kuti ubatsire kuenzana nehukuru hwerimwe zamu rako.
• Izvo zvivharo zvakavharwa nezvisungo.
• Kana iwe uchida nyini nyowani uye areola yakagadzirwa, iwe uchazoda yechipiri, diki kuvhiya kudiki gare gare. Kana, iyo minyatso uye areola inogona kugadzirwa ine tattoo.

Kune DIEP kana DIEAP kurova:

• Chiremba anovhiya anotema dumbu rako rezasi. Ganda nemafuta kubva munzvimbo ino zvakasununguka. Nyama iyi inozoiswa munzvimbo yako yemazamu kuti ugadzire chipfuva chako chitsva. Tsinga netsinga zvinotemwa zvobva zvasungirirwa patsinga dzeropa dziri pasi peruoko rwako kana kuseri kwebhonzo rako rechipfuva.
• Iwo munyama unobva waumbwa kuita zamu nyowani. Chiremba anovhiya anoenderana nehukuru uye chimiro chezamu rako rakasara rechisikigo zvakanyanya sezvazvinogona.
• Izvo zvivharo zvakavharwa nezvisungo.
• Kana iwe uchida nyini nyowani uye areola yakagadzirwa, iwe uchazoda yechipiri, diki kuvhiya kudiki gare gare. Kana, iyo minyatso uye areola inogona kugadzirwa ine tattoo.

Zvekubwinya kunoonekera:

• Chiremba anovhiya anocheka mumatako ako. Ganda, mafuta, uye pamwe mhasuru kubva munzvimbo ino inosunungurwa. Ichi chidimbu chinoiswa munzvimbo yako yemazamu kuti ugadzire chipfuva chako chitsva. Tsinga netsinga zvinochekwa zvobva zvasungirirwa patsinga dzeropa pasi peruoko rwako kana kuseri kwebhonzo rako rechipfuva.
• Iwo munyama unobva waumbwa kuita zamu nyowani. Chiremba anovhiya anoenderana nehukuru uye chimiro chezamu rako rakasara rechisikigo zvakanyanya sezvinobvira.
• Izvo zvivharo zvakavharwa nezvisungo.
• Kana iwe uchida nyini nyowani uye areola yakagadzirwa, iwe uchazoda yechipiri, diki kuvhiya kudiki gare gare. Kana, iyo minyatso uye areola inogona kugadzirwa ine tattoo.

Nezve TUG kurovera:

• Chiremba anovhiya anotema chidya chako. Ganda, mafuta, uye mhasuru kubva munzvimbo ino zvakasununguka. Ichi chidimbu chinoiswa munzvimbo yako yemazamu kuti ugadzire chipfuva chako chitsva. Tsinga netsinga zvinochekwa zvobva zvasungirirwa patsinga dzeropa pasi peruoko rwako kana kuseri kwebhonzo rako rechipfuva.
• Iwo munyama unobva waumbwa kuita zamu nyowani. Chiremba anovhiya anoenderana nehukuru uye chimiro chezamu rako rakasara rechisikigo zvakanyanya sezvazvinogona.
• Izvo zvivharo zvakavharwa nezvisungo.
• Kana iwe uchida nyini nyowani uye areola yakagadzirwa, iwe uchazoda yechipiri, diki kuvhiya kudiki gare gare. Kana, iyo minyatso uye areola inogona kugadzirwa ine tattoo.

Kana kuvakwa kwemazamu kuchiitwa panguva imwechete seye mastectomy, kuvhiya kwese kunogona kutora maawa masere kusvika gumi. Kana zvaitwa sekuvhiyiwa kwechipiri, zvinogona kutora kusvika maawa gumi nemaviri.

Iwe nachiremba wako muchasarudza pamwe chete nezvekuti muve nekuvakazve zamu uye riini. Sarudzo inoenderana nezvinhu zvakawanda zvakasiyana.

Kuva nekugadziriswa kwemazamu hakuite kuti zviome kuwana bundu kana kenza yemazamu ikadzoka.

Kubatsira kwekugadziriswa kwemazamu nemasikirwo echisikigo ndechekuti iro zamu rakagadziridzwa rakapfava uye rakasikwa kupfuura kudyara kwemazamu. Kukura, kuzara, uye chimiro chechipfuva chitsva chinogona kunyatsoenderana kune rimwe zamu rako.

Asi mhasuru dzekurovera maitiro dzakanyanya kuomarara pane kuisa zvipfuva zvemazamu. Iwe ungangoda kuwedzerwa ropa panguva yekuita. Iwe unowanzo pedza maviri kana matatu mamwe mazuva muchipatara mushure mekuvhiyiwa uku uchienzaniswa nedzimwe nzira dzekuvakazve. Zvakare, yako yekudzoreredza nguva kumba ichave yakareba.

Vakadzi vazhinji vanosarudza kusave nekuvakazve zamu kana kuiswa. Vanogona kushandisa chakaumbika (chipfuva chakagadzirwa) mubraas yavo inopa chimiro chechisikigo. Kana ivo vangasarudza kushandisa chero chinhu zvachose.

Ngozi dzeanesthesia uye kuvhiyiwa ndezvi:

• Zviitiko kumishonga
• Matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, kana hutachiona

Ngozi dzekuvakwazve kwemazamu nemasikirwo echisikigo ndeaya:

• Kurasikirwa kwekunzwa kwakakomberedza zamu uye areola
• Chironda chinoonekwa
• Rimwe zamu rakakura kupfuura rimwe (asymmetry yemazamu)
• Kurasikirwa kwechibhakera nekuda kwezvinetso neropa, zvinoda kuvhiyiwa kwakawanda kuchengetedza rovera kana kubvisa
• Kubuda ropa munzvimbo maive nezamu, dzimwe nguva kuchida kuvhiyiwa kwechipiri kudzora kubuda kweropa

Udza chiremba wako anovhiya kana uri kutora chero mishonga, zvinowedzera, kana mahebhu awakatenga pasina mushonga.

Pakati pevhiki usati wavhiyiwa:

• Iwe unogona kukumbirwa kumira kutora ropa rekuonda mishonga. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), vitamini E, clopidogrel (Plavix), warfarin (Coumadin, Jantoven), nevamwe.
• Kumbira chiremba wako anovhiya mishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, edza kurega. Kusvuta kunogona kunonoka kupora uye kuwedzera njodzi kumatambudziko. Kumbira mubatsiri wako wehutano kuti abatsire kurega.

Pazuva rekuvhiyiwa kwako:

• Tevedzera rairo nezvekusadya kana kunwa uye nezve kugeza usati waenda kuchipatara.
• Tora mishonga yako chiremba wako akakuudza kuti utore nekamwe kadiki kemvura.
• Svika kuchipatara nenguva.

Iwe uchagara muchipatara kwemazuva maviri kusvika mashanu.

Iwe unogona kunge uchinge uine madhiri muchipfuva chako kana iwe uchienda kumba. Chiremba wako anovabvisa gare gare panguva yekushanya kwehofisi. Iwe unogona kunge uine marwadzo akakomberedza ako ekucheka mushure mekuvhiyiwa. Tevedzera rairo nezvekutora mushonga wemarwadzo.

Fluid inogona kuunganidza pasi peiyo incision. Iyi inonzi seroma. Izvo zvakajairika. Seroma inogona kuenda yega. Kana ikasaenda, ingangoda kudhonzwa nachiremba wekuvhiya panguva yekushanya kwehofisi.

Mhedzisiro yekuvhiya uku kazhinji yakanaka kwazvo. Asi kuvakazve hakuzodzorere zvakajairika kunzwa kwezamu rako nyowani kana zamu.

Kuve nekuvhiyiwa kwekugadziriswa kwemazamu mushure mekenza yemazamu kunogona kugadzirisa pfungwa yako yekugara zvakanaka uye hupenyu hwehupenyu.

Inotenderera rectus abdominus tsandanyama kurova; TRAM; Latissimus mhasuru ichirova neyakagadzika zamu; DIEP kurova; DIEAP kurova; Kubwinya kwepachena kurira; Inotenderera kumusoro gracilis ichirova; TUG; Mastectomy - kuvakwazve zamu neakasikwa munyama; Gomarara repazamu - kuvakazve zamu nemasikirwo echisikigo

• Cosmetic zamu kuvhiya - kubuda
• Mastectomy uye kuvaka zamu - chii chekubvunza chiremba wako
• Mastectomy - kubuda

Burke MS, Schimpf DK. Kugadziriswa kwemazamu mushure mekurapa kenza yemazamu: zvinangwa, sarudzo, uye kufunga. Mune: Cameron JL, Cameron AM, eds. Parizvino Kuvhiya Therapy. 12th ed. Philadelphia, PA: Elsevier; 2017: 743-748.

Masimba KL, Phillips LG. Kuvaka zamu. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya: Iyo Biological Hwaro hweMazuva Ano Kuvhiya Maitiro. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 35.