Esona sixhobo sinamandla sabasetyhini kukuziphatha kwabo kwaye esinye sezicwangciso zabo kukugcwala, yiyo loo nto yonke imihla kukhuthazwa abasetyhini abaninzi ukuba benze utyando, bandise, baphucule okanye banciphise amabele.
Isigqibo sokwenza utshintsho kubuhle emzimbeni, ngokubanzi sinxulunyaniswa nesidingo sokujongeka ngcono kunye nokwandisa ukuzithemba, kuhlala kusizisa uloyiko kodwa inkqubela phambili kwezenzululwazi zikwazile ukugxotha ezinye, ubuncinci malunga nokufakwa kwamabele.
Xa umntu wasetyhini eza eofisini ephethe ibhetri yakhe yemibuzo malunga nendlela anokuthi anyuse okanye anciphise ukugcwala kwakhe, akazi ukuba akukho mpendulo yombuzo ngamnye kodwa ityala ngalinye lithe ngqo. Injongo isenokuba kukwandisa (okanye ukunciphisa) umthamo webele ngokufakelwa kwezinto ezenza ukuba zibukeke zendalo, zihlala zithathela ingqalelo iminqweno kunye neempawu zomzimba wesigulana.
Emva kokufikelela kubudala be-18, xa uphuhliso lugqityiwe, kwaye ngaphandle komda wobudala obukhulu, uhlala ukhumbula ukuba akukho ngxaki zonyango zinokubenza nzima utyando, owasetyhini unakho nokuba ngenxa yokuba egqibe ekubeni enze njalo, kuba isifuba se-asymmetry okanye i-hypomasia-oko kukuthi, amabele amancinci-anokufakwa ebeleni. Ityala lotyando lokwakhiwa kwakhona yimeko efanele isahluko esahlukileyo.
Utyando
Phambi kotyando, ugqirha uvavanya umnqweno wesigulana, isixa sebele esele likhona kunye nendawo ebele. Ezi zikhombisi zimbini zokugqibela ziya kubaluleka xa usenza isigqibo ngohlobo lofakelo kunye notyando ekufuneka lwenziwe.
Ngokutsho kwe UGqr Angeles Petersen, de IZiko lezonyango laseHalitus, “Uqhaqho luqhele ukwenziwa phantsi kwe-anesthesia ngokubanzi ukuze kuthuthuzele isigulana, nangona singenziwa phantsi kwe-anesthesia yendawo, kwaye amalungu afakelwayo abekwa emva kwemisipha. Zibekwe nge-areola, oko kukuthi, ukusikwa kwenziwa ngaphantsi kwe-areola engabonakaliyo ngaphandle kokuba i-areola incinci kakhulu kwaye, kwimeko enjalo, kufuneka ibekwe nge-sulcus, oko kukuthi, ngaphantsi komama. Kukho ubungqina obuchanekileyo apho i-prosthesis kufuneka ibekwe khona emva kwedlala kodwa ngokomgaqo emva kwemisipha zihlala zendalo kwaye zinepesenti esezantsi yecapsule okanye encapsulation. "
I-Encapsulation sisigqubuthelo esenziwa ngumzimba kwiprosthesis ukuyikhetha ngaphandle komzimba, kuba ngumzimba wasemzini. Xa esi sigqubuthelo sicekeceke xa sicinezelwe, asiqondwa njengokuchukumiseka okanye ukubona: ubuchwephesha buziva ngathi lusisi uqobo. Ukuba ukugubungela kuya kusiba buthuntu, sele iqala ukubetheka kwaye kwinqanaba eliphambili kunokubonakala.
“Kuyimfuneko ukunqanda ngandlela zonke ukuba i-capsule yenziwa nangona amathuba okuba yenzeke axhomekeke, ngokungaguquguqukiyo, kumzimba ngamnye. Kodwa ngee-prostheses zangoku, ubuchule obutsha bale mihla kunye nokubeka i-retromuscularly - ngasemva kwesisipha - ipesuleyisi yeepilisi iphantsi kakhulu kunangaphambili njengoko yayifudumele kwaye ibekwe emva kwendlala, "ucacisa uPetersen.
Namhlanje kukho i-20% yamathuba okusongelwa xa ii-prostheses zigudile kwaye ziphambi kwesihlunu, ngokuchasene ne-4% kuphela yokubeka i-prosthesis ngasemva kwesisipha kunye ne-textured. Kungenxa yoko le nto kubalulekile ukuba loluphi uhlobo lweprosthesis olubekiweyo. Kukho iintlobo ezahlukeneyo zokufakelwa. Kukho izinto ezigudileyo kunye ezilungisiweyo, ezijikelezileyo kunye ne-anatomical, kunye nezinye ezenziwe nge-polyurethane ezisetyenziswa ikakhulu kwimeko yokwakhiwa kwakhona. Ii-anatomical zinokuqikelelwa okuninzi kwe-axillary, yiyo loo nto ezijikelezileyo zinendalo ngakumbi.
Kodwa umahluko osisiseko kukugubungela ukufakelwa: kuqikelelwe ngakumbi okanye kucaba, ngokubanzi zisetyenziselwa ingqikelelo ethe kratya. Umlinganiselo wobude ukuya kububanzi beprosthesis ubizwa ngokuba yingqikelelo. Kuxhomekeka kuhlobo lotyando (ubuchule) kunye nogqirha.
Ukubakho kokuqhekeka kweprosthesis akuqhelekanga kule mihla. Kubalulekile ukuba uyikhumbule into yokuba amalungu omzimba awaphuli ngokuzenzekelayo okanye ngenxa yokuba uchukunyiswe kakhulu. Nangona kungenakulindeleka, inokubakho ngenxa yesibetho esomeleleyo okanye ukuba kukho iphilisi enkulu. UPetersen umile kwelokuba “xa kukho isuntswana lesifudumezi, ilungu elingelolokwenyani lijikelezwe sisihlunu esinganyibiliki kwaye lisicinezele, yiyo loo nto amalungu okuqamba angaqhekeka ngokuhamba kwexesha. Kungenxa yoko le nto ukubaluleka kokuthintela ukufihlwa ”.
Kwimeko apho oku kusenzeka, i-silicone inokuthi iqulethwe ngaphakathi kwinto eyi-capsule okanye, ekuhambeni kwexesha, ukuba i-capsule iyaphuka, i-silicone inokuphuma kuyo. Ingxaki iya kuvela kwimeko yokugqibela, kuba i-silicone eyandisiweyo ngaphandle kwecapsule isasazeka nge-gland kwaye ivelise amaqhuqhuva achukumisayo. Kodwa amathuba asezantsi kakhulu kuba obu buchule butshintshe kakhulu kwaye isixa sokufakelwa kubuchwephesha kubuchwephesha obutsha obugqiba ukubeka iiprotheses ngasemva kwezihlunu kunye neeprosteses ezintsha, azisekho egudileyo ezinamathuba amakhulu okufaka kunye nokwaphula kodwa kubhaliwe kunye nomgangatho ongcono, uncitshisiwe kakhulu. Kubekho inani elikhulu lezifundo eziye zabonisa ukuba abasetyhini abanamalungu okufakelwa abanakuphinda babe nomhlaza okanye izifo zomzimba kunaleyo ingenayo.
Umsebenzi emva kokusebenza
Ithuba lasemva kokusebenza malunga neentsuku ezili-15 zokuqalisa ukuphelelwa ngamandla. “Iintsuku ezi-3 zokuqala isiguli sihlala sidumbile kodwa ngokuhamba kweeveki sihlala phantsi. Emva kwenyanga iphantse yazinziswa ngokupheleleyo kwaye utshintsho oluncinci kakhulu lunokubonwa kwezi ntsuku zilandelayo. Ukuthungwa kuyasuswa kwiveki yokuqala kwaye isigulana sisuswe ngaphandle kwebhandeshi, kuyacetyiswa ukuba usebenzise ezo zi-lycra kunye neetop top. Kwaye ukusukela ngomhla wesithathu banokuhlamba ngesiqhelo. Owona mqondiso uphambili ayikuko ukwenza iinzame iveki, hayi ukuqhuba kwiveki yokuqala kwaye emva koko, iveki ngeveki iinzame zinokwandiswa kwaye umzimba uya kuthi kuphela unokwenza okanye awunakwenziwa ngokokuziva kwayo okanye hayi Intlungu "ichaza uPetersen.
Ukubonisana nengcali emamela iminqweno yesigulana kwaye ivavanye ukuba kungenzeka ukuyifezekisa linyathelo lokuqala elisa kutshintsho. Zininzi izifundo zengqondo ezibonisa ukuba ezi ntlobo zemisebenzi ziyindlela yokulwa ukungazithembi kunye nokwenza igalelo elingenakulinganiswa nokuzithemba kwabasetyhini abathi, emva kotshintsho kubuhle, babonakalise utshintsho olululo kwimeko yabo yokuzithemba yokuba abanini benyama entsha.