Hana hou i ka umauma - nāʻaʻaʻa maoli

Ma hope o ka mastectomy, koho kekahi mau wahine e hana i ka ʻokiʻoki cosmetic e hana hou i ko lākou umauma. Kapa ʻia kēia ʻano ʻoki kino ʻo ke kūkulu hou ʻana o ka umauma. Hiki ke hoʻokō ʻia i ka manawa like ma ke ʻano he mastectomy (kūkulu hou koke ʻia) a ma hope paha (lohi ke kūkulu hou ʻana).

I ka hana hou ʻana o ka umauma e hoʻohana i nā mea kūlohelohe, hoʻololi hou ʻia ka umauma me ka hoʻohana ʻana i nāʻiʻo, ʻili, a momona paha mai kahi ʻē aʻe o kou kino.

Inā loaʻa iā ʻoe ke kūkulu hou ʻana o ka umauma i ka manawa like me mastectomy, hiki i ke kauka ke hana i kekahi o kēia mau mea:

• ʻO ka mastectomy pale ʻili. ʻO kēia ka mea wale nō e hoʻoneʻe i nā wahi a puni kou nipple a me areola.
• Mastectomy hoʻokoe Nipple. ʻO kēia ka mālama ʻana i nā ʻili āpau, nipple, a me nā areola.

I kēlā me kēia hihia, waiho ʻia ka ʻili e hana maʻalahi i ke kūkulu hou ʻana.

Inā loaʻa iā ʻoe ka hana hou ʻana o ka umauma ma hope, hiki i ka mea hana lāʻau ke hana i ka mastectomy ʻili a i ʻole nipple-sparing. Inā ʻaʻole maopopo iā ʻoe e pili ana i ke kūkulu hou ʻana, e hoʻoneʻe ka mea lapaʻau i ka nipple a lawa ka ʻili e hana i ka paia o ka umauma i maʻalahi a pālahalaha hoʻi.

Nā ʻano o ka hana hou ʻana o ka umauma i kēia mau mea:

• Transverse rectus abdominus myocutaneous paʻa (TRAM)
• Paʻa mākala Latissimus
• Pākuʻi perforator artery epigastric inferior hohonu (DIEP a DIEAP paha)
• Paʻa Gluteal
• Transverse gracilis flap luna (TUG)

No kekahi o kēia mau kaʻina hana, e loaʻa iā ʻoe ka anesthesia ākea. ʻO kēia ka lāʻau e hiamoe ai ʻaʻohe ʻeha.

No ke kahakaha TRAM:

• Lawe ke kauka iā ʻoe i kahi ʻoki (incision) ma luna o kou ʻōpū o lalo, mai kekahi hip a i kekahi. E hūnā ʻia kou kala ma hope e ka nui o nā lole a me nā lole ʻauʻau.
• Hoʻomaha ke kauka lāʻau i ka ʻili, momona, a me nā mākala ma kēia wahi. Hoʻopili ʻia kēia kiko ma lalo o ka ʻili o kou ʻōpū a i ka umauma e hana i kou umauma hou. Pili mau nā kīʻaha koko i ka wahi mai kahi e lawe ʻia ai ke kino.
• I kahi hana ʻē aʻe i kapa ʻia ʻo ke kaʻina hana manuahi, wehe ʻia ka ʻili, ka momona, a me nā mākala mai kou ʻōpū haʻahaʻa. Kau ʻia kēia kiko i kou umauma e hana i kou umauma hou. ʻOkiʻoki ʻia nā aʻa a me nā veins a hoʻopili hou ʻia i nā kīʻaha koko ma lalo o kou lima a i ʻole ma hope o kou umauma.
• Hoʻokumu ʻia kēia kiko i kahi umauma hou. Hoʻohālike ke kaukō lapaʻau i ka nui a me ke ʻano o kou umauma kūlohelohe e like me ka hiki.
• Hoʻopili ʻia nā ʻoki ma kou ʻōpū me nā humuhumu.
• Inā makemake ʻoe i kahi nipple hou a me areola i hana ʻia, pono ʻoe i kekona, ʻoki liʻiliʻi loa ma hope. A i ʻole, hiki ke hana ʻia ka nipple a me ka areola me ka peʻa.

No nā pale kuʻi latissimus me kahi umauma umauma:

• ʻOki ka ʻokiʻoki i kahi ʻoki i kou kua i luna, ma ka ʻaoʻao o kou umauma i hoʻoneʻe ʻia.
• Hoʻokuʻu ka lāʻau lapaʻau i ka ʻili, momona, a me nā mākala mai kēia wahi. Hoʻopili ʻia kēia kiko ma lalo o kou ʻili i ka umauma e hana i kou umauma hou. Pili mau nā kīʻaha koko i ka wahi mai kahi i lawe ʻia ai ke kino.
• Hoʻokumu ʻia kēia kiko i kahi umauma hou. Hoʻohālike ke kaukō lapaʻau i ka nui a me ke ʻano o kou umauma kūlohelohe e like me ka hiki.
• Hoʻokomo ʻia paha kahi implant ma lalo o nā mākala o ka umauma e kōkua i ke kūlike i ka nui o kou umauma ʻē aʻe.
• Hoʻopili ʻia nā ʻokiʻoki me nā humuhumu.
• Inā makemake ʻoe i kahi nipple hou a me areola i hana ʻia, pono ʻoe i kekona, ʻoki liʻiliʻi loa ma hope. A i ʻole, hiki ke hana ʻia ka nipple a me ka areola me ka peʻa.

No kahi paʻi DIEP a DIEAP paha:

• ʻOkiʻoki ke kauka lāʻau i kou ʻōpū o lalo. Hoʻokuʻu ʻia ka ʻili a me ka momona mai kēia wahi. Hoʻokomo ʻia kēia kiko i kou umauma e hana i kou umauma hou. ʻOkiʻoki ʻia nā aʻa a me nā veins a hoʻopili hou ʻia i nā kīʻaha koko ma lalo o kou lima a i ʻole ma hope o kou umauma.
• Hoʻokomo ʻia ke kinona i kahi umauma hou. Hoʻohālike ke kaukō lapaʻau i ka nui a me ke ʻano o kou umauma kūlohelohe e like me ka hiki.
• Hoʻopili ʻia nā ʻoki me nā humuhumu.
• Inā makemake ʻoe i kahi nipple hou a me areola i hana ʻia, pono ʻoe i kekona, ʻoki liʻiliʻi loa ma hope. A i ʻole, hiki ke hana ʻia ka nipple a me ka areola me ka peʻa.

No kahi paʻa gluteal:

• ʻOki ka mea lapaʻau i kou mau puʻupuʻu. Hoʻokuʻu ʻia ka ʻili, momona, a me nā mākala paha mai kēia wahi. Kau ʻia kēia kiko i kou umauma e hana i kou umauma hou. ʻOkiʻoki ʻia nā aʻa a me nā veins a hoʻopili hou ʻia i nā kīʻaha koko ma lalo o kou lima a i ʻole ma hope o kou umauma.
• Hoʻokomo ʻia ke kinona i kahi umauma hou. Hoʻohālike ke kaukō lapaʻau i ka nui a me ke ʻano o kou umauma kūlohelohe e like me ka hiki.
• Hoʻopili ʻia nā ʻokiʻoki me nā humuhumu.
• Inā makemake ʻoe i kahi nipple hou a me areola i hana ʻia, pono ʻoe i kekona, ʻoki liʻiliʻi loa ma hope. A i ʻole, hiki ke hana ʻia ka nipple a me ka areola me ka peʻa.

No kahi paʻa TUG:

• ʻO kaʻokiʻoki e ʻokiʻoki i kou ʻūhā. Hoʻokuʻu ʻia ka ʻili, ka momona, a me nā mākala mai kēia wahi. Kau ʻia kēia kiko i kou umauma e hana i kou umauma hou. ʻOkiʻoki ʻia nā aʻa a me nā veins a hoʻopili hou ʻia i nā kīʻaha koko ma lalo o kou lima a i ʻole ma hope o kou umauma.
• Hoʻokomo ʻia ke kinona i kahi umauma hou. Hoʻohālike ke kaukō lapaʻau i ka nui a me ke ʻano o kou umauma kūlohelohe e like me ka hiki.
• Hoʻopili ʻia nā ʻoki me nā humuhumu.
• Inā makemake ʻoe i kahi nipple hou a me areola i hana ʻia, pono ʻoe i kekona, ʻoki liʻiliʻi loa ma hope. A i ʻole, hiki ke hana ʻia ka nipple a me ka areola me ka peʻa.

Ke hana ʻia ka hana hou ʻana o ka umauma i ka manawa like e like me ka mastectomy, hiki ke hoʻopau i ke kaha holoʻokoʻa 8 a 10 mau hola. Ke hana ʻia ia ma ke ʻano he ʻoki lua, lawe ʻia i 12 mau hola.

E hoʻoholo pū ʻoe a me kāu kaukukō e pili ana i ka hana hou ʻana o ka umauma a i ka wā hea. Pili ka hoʻoholo i nā kumu like ʻole.

ʻAʻole paʻakikī ka loaʻa ʻana o ka umauma i ka loaʻa ʻana o kahi tumo inā hoʻi mai kou maʻi maʻi ʻōpū.

ʻO ka pōmaikaʻi o ke kūkulu hou ʻana o ka umauma me nā ʻaʻa kūlohelohe ka palupalu o ka umauma remade a ʻoi aku ka kūlohelohe ma mua o nā umauma implants ʻO ka nui, ka piha, a me ke ʻano o ka umauma hou e hiki ke kūlike me kāu umauma ʻē aʻe.

Akā ʻoi aku ka paʻakikī o ke kaʻina hana o ka pale muso ma mua o ke kau ʻana i nā umauma umauma Pono ʻoe i ke koko i ke kaʻina hana. Lawe pinepine ʻoe i 2 a i ʻole 3 mau lā hou i ka haukapila ma hope o kēia ʻoki ʻana hoʻohālikelike ʻia i nā kaʻina hana hou ʻē aʻe. Eia kekahi, ʻoi aku ka lōʻihi o kou manawa hoʻōla ma ka home.

Koho nā wahine he nui ʻole i ka hana hou ʻana o ka umauma a i ʻole nā ​​implants. Hiki iā lākou ke hoʻohana i kahi prostesis (kahi umauma hānai) i loko o kā lākou pale e hāʻawi i kahi ʻano kūlohelohe. A i ʻole koho lākou e hoʻohana i kekahi mea ʻole.

Nā pilikia o ka anesthesia a me ke kahakaha ʻana:

• Nā hopena i nā lāʻau
• Nā pilikia hanu
• Kahe ʻana o ke kahe, ke koko koko, a i ʻole ka maʻi

Nā pilikia o ke kūkulu hou ʻana o ka umauma me nā ʻaʻa kūlohelohe i:

• Ka nalowale o ke ʻano a puni ka nipple a me ka areola
• Mīkini ʻike ʻia
• ʻOi aku ka nui o kekahi umauma ma mua o nā mea ʻē aʻe (asymmetry o nā umauma)
• ʻO ka nalowale o ka pale ma muli o nā pilikia me ka lako o ke koko, e koi ana i kahi ʻoki hou e mālama i ka pale a i ʻole e wehe iā ia
• Kahe i ka wahi ma mua o ka umauma, i kekahi manawa e koi ana i kahi ʻoki ʻelua e kaohi i ke kahe ʻana o ke kahe

E haʻi i kāu kauka inā ʻoe e lawe i nā lāʻau, nā mea hoʻopiha, a me nā mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau.

I loko o ka pule ma mua o kou ʻoki kino:

• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā lāʻau lahilahi. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), vitamina E, clopidogrel (Plavix), warfarin (Coumadin, Jantoven), a me nā mea ʻē aʻe.
• E noi i kāu kaukipona i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.
• Inā puhi ʻoe, hoʻāʻo e kū. Hiki i ka puhihihi ke hoʻolohi i ka hoʻōla a hoʻonui i ka makaʻi no nā pilikia. E noi i kāu mea mālama ola no ke kōkua ʻana e haʻalele.

I ka lā o kou ʻoki kino:

• E hāhai i nā ʻōkuhi e pili ana i ka ʻai ʻole a me ka inu ʻole a me ka ʻauʻau ʻana ma mua o kou hele ʻana i ka haukapila.
• Lawe i kāu lāʻau i kauoha mai kāu kauka iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hōʻea i ka haukapila i ka manawa.

E noho ʻoe i ka haukapila no 2 a 5 mau lā.

Loaʻa paha iā ʻoe nā kahawai i kou umauma ke hoʻi ʻoe i ka home. E lawe kāu kauka iā lākou ma hope ma ke kipa ʻana ma ke keʻena. Loaʻa paha iā ʻoe ka ʻeha a puni kou mau ʻoki ma hope o ke kahakaha ʻana. E hāhai i nā ʻōkuhi e pili ana i ka lawe ʻana i ka lāʻau ʻeha.

Hiki i ka Fluid ke ʻohi ma lalo o ka ʻoki. Kapa ʻia kēia he seroma. He mea maʻamau ia. Hele paha kahi seroma ma kāna iho. Inā ʻaʻole e hele, pono paha e ninini ʻia e ka kaukukō i ka wā o ke kipa keʻena.

Maikaʻi loa nā hopena o kēia ʻoki kino. Akā ʻaʻole e hoʻōla hou ke kūkulu hou ʻana i ka manaʻo maʻamau o kou umauma hou a i ʻole piko.

ʻO ka loaʻa ʻana o ka hana hou ʻana o ka umauma ma hope o ka maʻi ʻaʻai o ka umauma hiki ke hoʻomaikaʻi i kou ʻano olakino a me ke ʻano o ke ola.

Transverse rectus abdominus mākala paʻa; TRAM; Pā kuʻi mākala ʻo Latissimus me kahi umauma umauma; Paʻa DIEP; Paʻa DIEAP; Pākuʻi manuahi Gluteal; Transvers gracilis luna kiʻekiʻe loa; TUG; Mastectomy - hana hou i ka umauma me nā aʻa kūlohelohe; Ka maʻi ʻaʻai umauma - hana hou ʻana o ka umauma me nā ʻaʻa kūlohelohe

• ʻOki kino umauma Cosmetic - hoʻokuʻu
• Mastectomy a me ka hana hou ʻana o ka umauma - he aha e nīnau ai i kāu kauka
• Mastectomy - hoʻokuʻu

ʻO Burke MS, ʻo Schimpf DK. Hana hou i ka umauma ma hope o ka mālama ʻana i ka maʻi ʻaʻai umauma: nā pahuhopu, nā koho, a me nā noʻonoʻo. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 12th ed. Piladelapia, PA: Elsevier; 2017: 743-748.

ʻO Powers KL, Phillips LG. Hana hou i ka umauma. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 35.