Mchitidwe wogwiritsira ntchito mastectomy kwa Madden
Dzina lachiwiri la opaleshoni la opaleshoni yotereyi ndilopangitsa kuti anthu asamagwiritsidwe ntchito kwambiri. Kuchokera mukutanthauzira uku ndikuwonekeratu kuti cholinga chachikulu cha opaleshoni ndi kukonzanso msanga pambuyo poyambira ndi zotsatira zochepa ndi zovuta.
Kuchita opaleshoni palokha kumachitika kokha pansi pa anesthesia wamba. Pambuyo pokonza malo opaleshoni, madokotala amapanga khungu lomwe limadula gland lokha, pambali. Mu khungu-subcutaneous grafts izi zimadulidwa mosiyana. Zitatha izi, kuchotsedwa kwa mammary gland limodzi ndi fascia yomwe ili pansi pake ikuchitika. Pafupifupi nthawi imodzi, subclavian-subcutaneous lymphadenectomy imachitidwa (kuchotsedwa kwa ma lymphatic yomwe ili m'dera lino).
Mtundu woterewu umasankhidwa mwazinthu zomwe zimatchedwa kuti nodal. Komabe, kusungidwa kwa minofu yaing'ono ya pectoral kumapangitsa mtundu wina wa zovuta zamakono mu ntchito, zomwe zimafuna kutenga nawo mbali opaleshoni oyenerera ndi odziwa ntchito.
Kodi ndizochitika zotani pa nthawi yotsatila posachedwa ku Muden?
Choyamba, nkofunikira kunena kuti mkazi akhoza kudzuka pambuyo pa opaleshoni, itatha tsiku. Pachifukwa ichi, kukwera pamgedi kuyenera kuchitidwa popanda kayendedwe kadzidzidzi.
Ponena za umoyo wabwino wa mkazi, patatha masiku 4 atatha opaleshoni, kupweteka mu chifuwa kungawonekere, zomwe, ndi kuuma kwakukulu, zimaimitsidwa ndi kayendedwe ka mankhwala osokoneza bongo.
Akazi omwe achita opaleshoni imeneyi, madokotala amaletsa kukweza manja awo pamwamba. Ndiyeneranso kuthetseratu kuchotsa zolemera ndi kunyamula matumba.
Ngakhale kuti nthawi yokonzanso imatha pafupifupi masabata 3-4, monga lamulo, kale pa tsiku lachitatu-4 la wodwala wachotsedwa
Ngati tilankhulane za mavuto pambuyo pa vuto la Madden, pakati pazimenezi nkofunikira kugawa:
- Kusokonezeka kwa serous fluid, - Lymphorrhea (kuphwanya outflow ya lymphoid madzi);
- Lymphostas ya dzanja kuchokera kumbali yomwe idagwiritsidwa ntchito kuchotsa bere;
- magazi m'masiku oyambirira pambuyo;
- Kuchulukitsa kwa chilonda cha postoperative.