Resection webele imikhakha: izithombe, izibuyekezo, inkathi nasezinkingeni ezilandela ngemva kokuhlinzwa, imiphumela

Abesifazane ngokuvamile baphendukela odokotela nge yinhlama okusolakala ibele lakhe. Neoplasms lapho ebonisa webele resection imikhakha, isethi. Lo msebenzi ikuvumela ukuba ugcine umzimba ngokususa kuphela endaweni encane nezicubu yezindlala. Sinini resection imikhakha, futhi uyoba yini umphumela ungase kumelwe zicatshangelwe kabanzi.

Ukususa noma resection imikhakha?

I ukwelashwa esifike ngesikhathi izimila ebeleni ingase ixhomeke endleleni yokuphila lesiguli. Owesifazane iqondiswa emisebeni yokwelapha, amakhemikhali resection imikhakha noma mastectomy. Iziguli ngokuvamile ukubuza uma ungakwazi ukususa webele futhi ukusika kuphela ingxenye neoplasm. Kodwa, ngeshwa, lokhu akwenzeki ngaso sonke isikhathi.

Mastectomy (ukususwa kwebele) is ngenakugwemeka uma isimila ithatha ezingaphezu kweyodwa quadrant kwebele uma awaphendulanga radiotherapy noma imiphumela emibi yokwelashwa ngamakhemikhali, uma emva resection imikhakha babe nezicubu anomdlavuza. Kodwa ungaqiniseka uma udokotela ubona ithuba lokukhwabanisa izimali ugcine webele, uzobe inikezwa resection webele Emkhakheni kunokuba ukususwa ngokuphelele.

izinkomba ngoba

Ukususwa komkhakha webele ingase yabelwe e zokuba uchwepheshe wokuhlola izimila benign nesibulalayo. Ukuze izimila benign zihlanganisa:

• fibroadenoma;
• simila;
• papilloma bangaphandle intraductal;
• webele;
• lipoma nabanye.

Ukuze izimila abulalayo zihlanganisa:

• adenocarcinoma;
• carcinoma;
• umdlavuza Paget (ingono futhi areola isimila);
• sarcomas kanye nezinye izinhlobo.

Ngempumelelo resection imikhakha umdlavuza kungaba kwenziwe ngaphansi kwezimo ezilandelayo:

• inqubo efanele usaqala;
• isimila itholakala waya engxenyeni engaphandle engenhla;
• waqinisekisa ukungabi khona Ukudlulela;
• usayizi webele kumanele ukusebenza;
• kungenzeka ukuqhubeka ekwelapheni ukwelashwa ngemisebe.

Ngaphezu kwalokho, ukusebenza webele resection imikhakha, futhi engenziwa ezingamahlalakhona ubovu mastitis, nezinye izinqubo.

Yini kungaba yezinkinga

Ukusabela umzimba ukuze ngamunye imisebenzi ngabanye. Othile kwezinsuku ezimbalwa ukhohlwe ukuthi angenelele, umuntu inqubo nokuvuselelwa imisiwe futhi eziyinkimbinkimbi.

I inkinga ezivamile ubhekwa ukuvuvukala endaweni ka lo imbobo. Ngemva resection webele imikhakha e ukutheleleka ukulimaza lingalethwa ngenxa ukusetshenziswa non-oyinyumba sigqoka, abampofu impatho isikhumba noma izandla ethinta inhliziyo ezingcolile. Ukuvimbela ukuvuvukala ithumba ku imbobo, isiguli imithi elwa namagciwane enqunyiwe. Uma inqubo ubovu kodwa ungakaqali, sivulekile isilonda, ukusingatha kanye ukufaka amanzi.

Okulandelayo kwetintfo kungenzeka - ukubukeka uphawu kule ndlala mammary. Ngokuvamile, uphawu lwaluba kuyinto ekuqongeleleni igazi. Ukuze siqiniseke ukuthi ihlule legazi, udokotela ekunika ultrasound, nesineke, nezixwayiso ngokumelene ukusetshenziswa amabhodlela ashisayo-amanzi noma ukulibopha. Ukuqeda uphawu (hematoma) wavula inxeba iphathwa futhi ufake amanzi.

Uma kwenziwa resection imikhakha kwebele, imiphumela okungase kuthintwe isikhathi eside. Ngokwesibonelo, ubuhlungu kusuka overgrowth ka isibanda izicubu isiguli bangezwa kufika ezinyangeni ezimbili. Odokotela anikholwa ubuhlungu yezinkinga nasezinkingeni ezilandela ngemva kokuhlinzwa, kodwa ingxenye yohlelo lokusebenza kufanele likhethe mammogram noma ultrasound, ukuze ucacise isizathu.

Yini enye kungaba nemiphumela

Ngisho noma aphethwe esiphezulu uyazonga webele resection imikhakha operation kungaholela ushintsho ukuma kwebele. Ngaphezu kwalokho, kukhona izibazi esiphawulekayo alithandeki okuyinto ukuletha abesifazane abaningi ababhekana nabo. Ngenxa kokususwa wemboni ijwabu yezindlala ku ingono kungase zimiswe eziyize noma phinda.

Iziguli eziningi kunzima kakhulu ukubekezelela ukulahlekelwa isikhalazo ezibukwayo. Preoperatively, njengembuka ukubukeka imikhakha resection webele (izithombe), ngenxa ekhungathekile ulahlekelwe izifiso zabo futhi ubuthongo. Ngemva kokuhlinzwa, iziguli bayacindezeleka. Lesi simo kuyingozi, ngoba owesifazane ilahlekelwa nesithakazelo ekuphileni ungafuni ukubhekana nempilo yabo ngaphezulu. Kodwa, ngemva ingxoxo udokotela abanolwazi, yilowo nalowo wesifazane bazwisise ukuthi ukuphila kwakhe kuyigugu ngaphezu kwezimpahla umphongolo enhle.

Kangakanani kwaba ngemva kwezikhathi zokulotshwa-op

Uma isiguli senziwa resection imikhakha kwebele, inkathi nasezinkingeni ezilandela ngemva kokuhlinzwa siyenzeka esibhedlela ngaphansi kweso Ochwepheshe. Uphile kahle futhi awekho yezinkinga owesifazane kungenziwa akhishwe ezinsukwini 2-3. Ngaphambi kwalokho, lo dokotela uhlola, ukwelashwa kanye amanxeba bandaging.

Uma kudingekile, isiguli esimisiwe amaphilisi ezinhlungu. Phakathi nenkathi esiqokiwe kwenziwe antibiotic. Sutures ziyasuswa izinsuku 7-10 emva resection.

Njengoba nokuvuselelwa

Isimo nezindlala mammary kuncike empilweni jikelele esifazane uhlelo zokuzala. kuphakama izimila Iningi ngokumelene ukuvuvukala ukhalo. Ngokuvamile, owesifazane enezinwele Hyperplasia endometrial, fibroids noma lesizalo fibroids, okungajwayelekile umjikelezo wanyanga zonke, izinhlumba noma kulungiswe inkinga yokungabi nenzalo. Ngaphezu kwalokho, kungase kuphakame izimila ngenxa pathologies we indlala yegilo noma isibindi.

nokuvuselelwa postoperative yakhelwe esigulini ngasinye ku-scheme ngabanye, ikhumbula comorbidities. Ngokuvamile ohlwini imisebenzi kuhlanganisa:

• ukwelapha izifo gynecological;
• ukuzinza ibhalansi hormone;
• ukukhethwa zokuvimbela inzalo;
• isabelo ukulungiswa;
• amavithamini;
• ubambe wokubonisana ongoti.

Uma isiguli ihlangabezana izinguquko acute e webele ukuma, khona-ke kungcono ukuthatha inkambo ukwelashwa kwengqondo.

ukuthi plastic kungenzeka emva resection kwebele

Ngokuvamile, ngemva ukuphulukiswa ephelele yesibazi, naye uyaqaphela ukuthi ukuhlinzwa kwakhe plastic ayidingeki. Nokho, uma isiguli ufuna kabusha ukubukeka isifuba ke emva kwesikhashana ke lingasho ohlinzayo plastic.

Umtholampilo angafeza:

• inqubo nolwelwesi;
• Wamabele nokwakha kabusha izicubu xhumelela;
• webele nokwakha kabusha ingxenye musculocutaneous ethathwe esiswini;
• kabusha ingxenye imisipha latissimus dorsi;
• nokubuyiselwa gluteal ichopho izicubu.

Nobufakazi ukubamba resection imikhakha kwebele

Ukususwa izimila benign esifubeni, ngosizo ukuhlinzwa, ngokuthi imikhakha webele resection. Izibuyekezo eziqhutshwa iziguli ziyahlukahluka, kusukela esimweni ngasinye, umphumela wokusebenza kuxhomeke ezicini eziningi, kuhlanganise izici ngamunye isiguli.

Uma abanye abesifazane esalulama yomdlavuza webele resection kuyashesha, abanye le nqubo kungaholela eziningi izinkinga.

Uma kukhona imiyalelo ufeza operation esinjalo, okokuqala kunakho konke sidinga isimo sengqondo esiqondile, njengoba injabulo futhi ukucindezeleka kulesi simo noma yini. Ukuze ugweme ukuxakeka kungenzeka, kudingeka alungiselele ngokucophelela ukuze resection: sokunikela lonke uvivinyo ezidingekayo, thatha sedatives usuku ngaphambi ukusebenza futhi uhambisane izincomo likadokotela, ngemva kokuhlinzwa.

Njengoba kufakazelwa ngempendulo iziguli, ezimweni eziningi, resection imikhakha kwebele kuphumelela, kube nezinkinga. Lo msebenzi ikuvumela ukuba ugcine impilo yowesifazane engcupheni.