I-Mastectomy ye-Madden

Lolu hlobo lokuhlinza, olufana nesifo se- mastectomy ngokusho kukaMadden, lisho ukwelapha okukhulu. Kulo msebenzi, i-mammary gland iyasuswa kanye nezicubu ze-axillary. Ngesikhathi esifanayo, izimbungulu ezinkulu noma ezincane ze-pectoral zithinta inqubo yokusebenza. Ngokwalo, ukulondolozwa kwemisipha ye-pectoral kuncipha kakhulu amathuba okuba nezinkinga ezinjengokuphazamiseka kokuhamba kwehlangothini lwehlombe, okuyinto evamile ukusetshenziswa kwamanye amasu okuhlinzwa.

Indlela yokusebenza kwe-mastectomy ye-Madden

Igama lesibili lokuhlinzekela ukungenelela okunjalo lokusebenza kuyisisindo sokuqeda ukusebenza kahle. Kule ncazelo kucacile ukuthi inhloso enkulu yokusebenza ukuvuselelwa okusheshayo emva kokusebenza ngemuva kokungenani imiphumela kanye nezinkinga.

Ukuhlinzwa ngokwayo kwenziwa kuphela ngaphansi kwe-anesthesia jikelele. Ngemva kokucubungula insimu yokuhlinza, odokotela bakhiqiza isikhumba sesikhumba esiqubuzela umgogodla ngokwawo, ngendlela ehamba phambili. Kule graft engaphansi kwesikhumba kunqunywa ngezindlela ezihlukile. Emva kwalokhu, empeleni, ukususwa kwe-gland mammary kanye ne-fascia ephansi ngaphansi kwayo kwenziwa. Cishe kanyekanye, i-subclavian-i-lymphadenectomy engaphansi kwenziwa (ukususwa kwezakhiwo zelymphatic ezikule ndawo).

Loluhlobo lwe-mastectomy lukhethwa ezinhlotsheni ezibizwa nge-nodal zenqubo ye-oncological. Kodwa-ke, ukulondolozwa kwemisipha encane eyenza i-pectoral muscle kudala uhlobo oluthile lwezinkinga zobuchwepheshe ekusebenzeni, okudinga ukubamba iqhaza kwabahlinzayo abaqeqeshiwe nabaqeqeshiwe.

Yiziphi izici ze-postoperative period e-mastectomy ye-Muden?

Okokuqala, kubalulekile ukusho ukuthi owesifazane angavuka ngemuva kokusebenza, ngemuva kosuku. Kulokhu, ukuphakama embhede kufanele kwenziwe ngaphandle kokunyakaza okungazelelwe.

Ngokuqondene nenhlalakahle evamile yowesifazane, phakathi nezinsuku ezine ngemuva kokuhlinzwa, ubuhlungu obukhona esifubeni buyakwazi ukuphawula, okuyinto, ngokucindezela okukhulu, kumiswa ukuphathwa kwezidakamizwa ze-analgesic.

Abesifazane abaye bathola lolu hlobo lokuhlinzwa, odokotela banqanda ukuphakamisa izandla zabo phezulu. Kubalulekile futhi ukuqeda ngokuphelele ukuphakanyiswa kwezisindo nokuthwala izikhwama.

Naphezu kokuthi isikhathi sokuvuselela esigcwele sigcina cishe amasonto angu-3-4, njengomthetho, kakade ngosuku lwesithathu nesikhombisa sesiguli sisusiwe esibhedlela. Kulesi simo, uhlelo lokudonsa lufakwe emva kokusebenza, futhi lona wesifazane uthola izincomo zokumnakekela ekhaya.

Uma ukhuluma ngezinkinga ngemuva kokushaya isisu eMadden, phakathi kwalezi zidingo kuyadingeka ukuba unikeze:

• ukuhlanganiswa kwe-serous fluid, - i-lymphorrhea (ukwephulwa kokuphuma kwe-lymphoid fluid);
• i-lymphostasis yesandla ukusuka ohlangothini olusetshenziselwa ukususa isifuba;
• ukuphuma kwegazi esikhathini sokuqala emva kwesikhathi;
• ukuxhaswa kwesilonda se-postoperative.