Nzira yekushanda kwemastectomy yeMadden
Zita rechipiri rinoshandiswa rekushanda kwakadaro kushandiswa-kushandiswa kwekugadzirisa mastectomy. Kubva pane tsanangudzo iyi zvinonzwisisika kuti chinangwa chikuru chekushanda ndiko kukurumidza kushandiswa kwekugadzirisa kushanda uye zvishoma nezvigumisiro uye zvinetso.
Kuvhiyiwa pachako kunowanikwa chete pasi pehuwandu hweanesthesia. Mushure mokugadzirisa munda unopurirwa, vanachiremba vanobudisa bundu reganda rinoputira gland pacharo, mumuganhu wakatarisana. Mukati peganda-subcutaneous grafts dzinogurwa nenzira dzakasiyana. Mushure meizvi, chaizvoizvo, kubviswa kwemafupa emakumbo pamwe chete nefasia iri pasi payo inoitwa. Munenge panguva imwe chete, subclavia-subcutaneous lymphadenectomy inobviswa (kubviswa kwezvivako zvemuviri zvinowanikwa munzvimbo ino).
Mhando iyi ye mastectomy inoshandiswa mune izvo zvinodanwa kuti nodal maitiro ehupenyu hwehutano. Zvisinei, kuchengetedzwa kwemuviri wepectoral muscle kunogadzira rumwe rudzi rwematambudziko ehutano muhutano, izvo zvinoda kubatanidzwa kwevashandi vanoziva uye vane ruzivo.
Ndezvipi zvinoitika zvemashure endoperative munguva yekuita mastectomy ye Muden?
Chokutanga pane zvose, zvakakosha kutaura kuti mukadzi anogona kusimuka mushure mekushanda, mushure mezuva. Muchiitiko ichi, kusimudza kubva pamubhedha kunofanira kuitwa kunze kwekufamba kamwe kamwe.
Kana iri hupenyu hwakanaka hwemukadzi, mumazuva mana mushure mekushanda, kurwadziwa mubhokisi kunogona kuonekwa, iyo, nechisimba chikuru, inomiswa nehutungamiri hweanorganic drugs.
Vakadzi vakawana chirwere ichi, vanachiremba vanorambidza kusimudza maoko avo kumusoro. Inofanirawo kubvisa zvachose kusimudza kwezviremba uye kutakura zvikwama.
Pasinei nekuti nguva yakakwana yokugadzirisa inopera inenge mavhiki masere, sekutonga, ikozvino pazuva rechitatu-4 remurwere rinosunungurwa kubva
Kana kutaura pamusoro pematambudziko mushure mekuita mastectomy paMadden, pakati pezvo zvakakosha kugovera:
- kusanganiswa kwe serous fluid, - lymphorrhea (kukanganisa kubuda kwe lymphoid fluid);
- lymphostasis yoruoko kubva kune rumwe rutivi rwakashandiswa kubvisa mazamu;
- kubuda ropa munguva yekutanga postoperative nguva;
- kudyidzana kwechirwere chinopera mushure.