Breast augmentation: kurapwa kwezamu hypotrophy

TSANANGURO, ZVINANGWA NEZVISIMBO

Hypoplasia yezamu inotarirwa nehuwandu husina kuvandudzwa hwezamu maererano ne morphology yemurwere. Inogona kunge iri mhedzisiro yekusakwana kwekukura kwegland panguva yekuyaruka kana kuitika kechipiri nekuderera kwevhoriyamu yegland (pamuviri, uremu, kusagadzikana kwehomoni, nezvimwewo). Kushaikwa kwevhoriyamu kunogona zvakare kuve kwakabatana neptosis (chifuva "chakadonha" chine gland sagging, kutambanudza ganda, uye areolas yakanyanya kuderera).

"Iyi kushaya zvokudya zvinovaka muviri inowanzoonekwa zvisina kunaka mumuviri uye mupfungwa nemurwere, uyo anozviona sekurwiswa kwehukadzi hwake, izvo zvinotungamirira kukuchinja kwekuzvivimba uye dzimwe nguva kune hunyoro hwakadzika, hunogona kusvika kune chaiyo yakaoma. Ichi ndicho chikonzero kupindira kunoronga kuwedzera kuwanda kwezamu, iyo inonzi iduku zvikuru, kuburikidza nekuiswa kweprostheses. »

Kupindira kunogona kuitwa chero zera kubva pamakore gumi nemasere. Murwere mudiki kazhinji haanzi akakodzera kuvhiyiwa. Zvisinei, izvi zvinogoneka muzviitiko zve hypoplasia yakaoma kana mumamiriro ekugadzirisa senge tubular mazamu kana mazamu agenesis. Ichi chinangwa chekunaka chete hachigone kuvharwa neinishuwarenzi yehutano. Zvishoma zvisingawanzo zviitiko zvechokwadi mazamu agenesis (kushayikwa kwakakwana kwekukura kwemazamu) dzimwe nguva inogona kutarisira kubatanidzwa kweSocial Security mushure mekubvumirwa kwekare.

Mazamu ekudyara ari kushandiswa pari zvino ane goko nekuzadza. Iyo envelopu inogara yakagadzirwa nesilicone elastomer. Kune rumwe rutivi, prostheses inosiyana mune zvayo, kureva, muzadza mukati mehoko. Kudyara kunoonekwa sekwakafanozadzwa kana iyo yekuzadza yakaiswa pafekitori (gel uye / kana physiological serum). Nokudaro, huwandu hwemavhoriyamu akasiyana-siyana hwakagadzirirwa nemugadziri. Saline-inflated implants inozadzwa nachiremba anovhiya, uyo anogona kugadzirisa huwandu hweprosthesis kune imwe nhanho panguva yemaitiro.

CHIZVA CHITSVA KAKAFANIRA KUZADZA SILICONE IMPLANTS

Iyo yakawanda yakawanda yemaprostheses parizvino akaiswa muFrance uye kutenderera pasirese akafanozadzwa nesilicone gel.

“Maiplants aya, ayo ave nemakore anodarika 40 achishandiswa, aratidza kuti haakuvadze uye anogona kujairana nemaoparesheni emhando iyi, sezvo ari pedyo zvakanyanya nemazamu emazuva ese. Vakapfuurawo nekuchinja kukuru, kunyanya mukupera kwema1990, kugadzirisa kukanganisa kwavaigona kupomerwa. Nhasi, ese maimplants anowanikwa muFrance anosangana akajeka uye akasimba mwero: CE yekumaka (European Community) + ANSM (National Agency yeChengetedzo yeMishonga uye Hutano Zvigadzirwa) mvumo. »

Iwo anoumbwa neakapfava silicone gel akakomberedzwa neasina mvura, anogara uye anochinjika silicone elastomer goko rinogona kutsetseka kana kuumbwa (zvakaoma). Kuvandudza kwakakosha kune ma implants matsva, zvichivapa kuvimbika kukuru, shandisa kune ese magomba uye gel pachayo:

• mabhomba, iye zvino ane masvingo akasimba zvikuru, anodzivirira gel kubva "kubuda ropa" kunze (iyo yaiva iyo huru yehoko) uye inonyanya kukurira kupfeka;

• "Sticky" silicone gels, iyo inopindirana haina mvura shoma, inoderedza zvakanyanya ngozi yekupararira muchiitiko chekuputika kwesheath.

Pamwe chete nekuwedzera uku kwekuvimbika, chizvarwa chitsva chesilicone implants chinoratidzwawo nemhando dzakasiyana-siyana dzemaumbirwo aripo iye zvino, zvichiita kuti dzive dzakagadzirirwa kune imwe neimwe nyaya. Saka, padivi peakarembera akatenderedza prostheses, "anatomical" maimplants akaonekwa, akaiswa muchimiro chedonhwe remvura, yakawedzera kana kushoma yakakwirira, yakafara kana yakabuda. Izvi zvakasiyana-siyana zvemaumbirwo, zvakasanganiswa nesarudzo yakafara yemavhoriyamu, inobvumira kusarudzwa kwe "munhu oga" kweprostheses kuti igadziriswe uye ienderane nechimiro chemurwere uye tarisiro yemunhu.

DZIMWE MATANHU EMAIMPLANTS

Mabhomba eprostheses anogara akagadzirwa nesilicone elastomer, kuzadza kwakasiyana. Kusvika iye zvino, nzira mbiri chete dzesilicone gel dzinobvumirwa muFrance: Physiological serum: iyi imvura yemunyu (inoumba 70% yemuviri womunhu). Aya ma prostheses anogona "kumbozadzwa" (pafekitari) kana "inflatable" (nachiremba anovhiya panguva yekuvhiyiwa). Nekuda kwemvura yavo (panzvimbo pegelatinous) zvemukati, ivo vane kuenderana kusiri kwechisikigo, vanogadzira akawanda akawanda anobatika, kunyange anooneka "mapete" uye anogona kazhinji kuve vanyajambwa nekukasira uye dzimwe nguva kwekutanga deflation. Hydrogel: Ichi ndicho chinhu chazvino kubvumidzwa neAfssaps muna 2005. Iyo gel ine aqueous inoumbwa zvakanyanya nemvura yakakora ine cellulose derivative. Iri gel, iro rine hutsika hwechisikigo kupfuura saline yakajairwa, inotorwawo nemuviri pakaitika membrane kuputika. Pakupedzisira, kune maprostheses ane ganda resilicone rakaputirwa ne polyurethane, iyo inogona kubatsira kuderedza kuitika kwezviitiko zvehombodo.

VASATI KUPINDA

Zvichienderana nemamiriro ezvinhu aya, zvaanoda uye maitiro echiremba anovhiya, uye zvishuwo zvinoratidzwa nemurwere, chirongwa chekushanda chichabvumiranwa. Nenzira iyi, nzvimbo yemavanga, rudzi uye ukuru hwezviputi, pamwe nenzvimbo yavo maererano nemhasuru ichafanotemerwa (ona pazasi). Kuongororwa kweropa kusati kwaitwa kuchaitwa sekurairwa. Anesthesiologist achapinda kubvunzana pasati papfuura maawa makumi mana nemasere kuvhiyiwa kusati kwaitwa. X-ray kuongororwa kwezamu (mammography, ultrasound) inorayirwa. Zvinokurudzirwa kurega kusvuta kana mwedzi usati waitwa uye mwedzi mumwe mushure mekuvhiyiwa (fodya inogona kunonoka kupora) Usanwa mishonga ine aspirin kwemazuva gumi usati wavhiyiwa. Iwe unogona kukumbirwa kutsanya (usadye kana kunwa chero chinhu) kwemaawa matanhatu isati yaitwa.

RUDZI RWEKUNESTHESIA UYE NZIRA DZOKUPEDZISWA MUCHIPATARA

Rudzi rweanesthesia: Kazhinji iyi ndiyo yekare anesthesia panguva iyo iwe wakarara zvachose. Muzviitiko zvisingawanzoitiki, zvisinei, "yakasvinura" anesthesia (anesthesia yemunharaunda inowedzerwa neine intravenous tranquilizers) inogona kushandiswa (mukubvumirana nechiremba anovhiya uye anesthetist). Modes yekuchipatara: kupindira kunowanzoda kuchipatara kwezuva rimwe chete. Kupinda kunozoitwa mangwanani (kana dzimwe nguva zuva rakapfuura) uye kubuda kunobvumirwa zuva rinotevera. Zvisinei, mune dzimwe nguva, kupindira kunogona kuitwa "pamusana pechirwere chekunze", ndiko kuti, nekuenda pazuva rimwe chete mushure memaawa akawanda ekucherechedza.

KUPINDA

Chiremba wega wega anoshandisa nzira yake uye anoigadzirisa kune yega yega kesi kuitira kuti awane mhedzisiro yakanaka. Nekudaro, isu tinokwanisa kuchengetedza zvakajairwa misimboti: Kuchekwa kweganda: kune akati wandei "maitiro":

• mhepo inofamba nemhepo ine incision muchikamu chezasi chedenderedzwa reareola kana gomba rakachinjika rakapoteredza zamu kubva pasi (1 ne2);

• axillary, nekucheka pasi peruoko, muhapwa (3);

• submammary nzira, ine kucheka mugoro riri pasi pezamu (4). Nzira yezvicherwa izvi zviri pachena inoenderana nenzvimbo yemavanga emangwana, ayo anozove akavigwa pamajoini kana mumapepa echisikigo.

Kuiswa kweprostheses

Kupfuura nepakati pezvinyorwa, ma implants anogona kubva apinzwa muhomwe dzakagadzirwa. Zvinzvimbo zviviri zvinogoneka:

• premuscular, umo maprostheses anowanikwa zvakananga shure kwegland, pamberi pectoral muscles;

• retromuscular, umo ma prostheses anowanikwa zvakadzika, shure kwepectoral muscles.

Sarudzo pakati pemasaiti maviri aya, ane mabhenefiti adzo uye neakaipa, inofanira kukurukurwa nachiremba wako. Zviito Zvokuwedzera Panyaya yekusanganiswa (breast prolapse, low areolas) takaona kuti zvingave zvinodiwa kuderedza ganda rezamu kuitira kuti risimuke ("mastopexy"). Uku kubviswa kweganda kunozokonzera mavanga akakura (akatenderedza areola ± vertically). Kudonhedza uye kupfekedza Zvichienderana nemaitiro echiremba anovhiya, tsvina shoma inogona kuiswa. Mudziyo uyu wakagadzirirwa kubvisa ropa rinogona kuungana panzvimbo dzakagadzirwa nesimbi. Pakupera kwekushanda, bhanhire re "modeling" rinoshandiswa ne elastic bandage. Zvichienderana nechiremba anovhiya, nzira uye zvinokwanisika kudiwa kwekuperekedza mamwe maitiro, maitiro anogona kutora kubva paawa imwe kusvika maawa maviri nehafu.

PASHURE PEKUpindira: OPERATIONAL OBSERVATION

Iyo postoperative kosi dzimwe nguva inogona kurwadza mukati memazuva mashoma ekutanga, kunyanya nehombe vhoriyamu implants uye kunyanya kana yakaiswa kuseri kwemamhasuru. Mishonga yemarwadzo yakagadziridzwa kuhukuru hwemarwadzo ichanyorwa kwemazuva akawanda. Zvakanakisisa, murwere achanzwa kunzwa kwakasimba kwekunetseka. Edema (kuzvimba), ecchymosis (kupwanya), uye kunetseka kusimudza maoko kunowanzoitika mumatanho ekutanga. Bhanji rekutanga rinobviswa mushure memazuva mashoma. Zvadaro inotsiviwa nebhande rakareruka. Zvino kwemavhiki mashoma, kupfeka braa masikati neusiku kunogona kukurudzirwa. Muzviitiko zvakawanda, sutures ndeyemukati uye inotorwa. Zvikasadaro, vanozobviswa mushure memazuva mashoma. Kupora kunofanirwa kutariswa nekuzorora mumabasa kwemazuva mashanu kusvika gumi. Zvinokurudzirwa kumirira mwedzi mumwe kusvika miviri kuti utangezve mabasa emitambo.

RESULT

Kuti uongorore chigumisiro chekupedzisira, nguva yemwedzi miviri kusvika mitatu inodiwa. Ino ndiyo nguva inodiwa kuti zamu ritangezve kugadzikana uye kudzikamisa ma prostheses.

“Kuvhiyiwa kwacho kwaibvumira kuvandudza inzwi uye chimiro chechipfuva. Mavanga kazhinji haaoneki. Kuwedzera kwehuwandu hwezamu kunokanganisa silhouette yose, inopa rusununguko rukuru muzvipfeko. Pamusoro pekuvandudzwa kwemuviri uku, kudzoreredzwa kwehukadzi hwakazara uye hwakazara kazhinji kunobatsira zvakanyanya padanho repfungwa. »

Chinangwa chekushanda uku ndechekuvandudza, kwete kukwana. Kana zvishuwo zvako zviri zvechokwadi, mhedzisiro yacho inofanira kukufadza iwe zvakanyanya. Kugadzikana kwechigumisiro Pasinei nezera remaprostheses (ona pasi apa) uye kunze kwekuitika kwekusiyana kwakasiyana-siyana, mazamu ezamu acharamba akagadzikana munguva refu. Zvisinei, maererano nechimiro uye "kubata" kwezamu, "zamu rakakurisa" richaiswa pasi, sezamu rechisikiro, kumigumisiro yegiravhiti uye kukwegura pamitengo yakasiyana zvichienderana nezera uye hutano hwekutsigirwa kweganda, pamwe nekuwanda kwezamu. kudyara.

ZVINHU ZVAKASIYANA NEZVINHU

Dzimwe nguva zvimwe zvikanganiso zvinogona kuitika:

• yakasara vhoriyamu asymmetry, isina kukwana kururamiswa pasinei nekuiswa kwehukuru hwakasiyana; • kunyanya kuomarara nekusakwana kushanduka uye kufamba (kunyanya nemagetsi makuru);

• kumwe kutaridzika kwechimiro, kunyanya muvarwere vakaonda kwazvo, nekunyanya kuoneka kwemicheto yeprosthesis, kunyanya muchikamu chepamusoro;

• Kunzwa kugunzva kwezviputi zvinogara zvichigoneka, kunyanya nehupamhi hudiki hwechifukidzo chetishu (ganda + mafuta + iron) rinovhara prosthesis (kunyanya nemagetsi makuru).

• panogona kunge kune kuwedzera kweptosis yezamu, kunyanya kana uchishandisa mazamu makuru. Muchiitiko chekusagutsikana, zvimwe zvezvikanganiso izvi zvinogona kugadziriswa nekugadziriswa kwekuvhiya mushure memwedzi mishomanana.

MIMWE MIBVUNZO

Nhumbu/Kuyamwisa

Mushure mekuiswa kwemazamu prostheses, kubata pamuviri kunogoneka pasina njodzi kune chero murwere kana kumwana, asi zvinokurudzirwa kumirira kanenge mwedzi mitanhatu mushure mekupindira. Kana iri yekuyamwisa, hainawo ngozi uye kazhinji inoramba ichigoneka.

Zvirwere zve Autoimmune

Mapepa esainzi akawanda epasi rose akaitwa pamwero mukuru pamusoro penyaya iyi akaratidzira pamwe chete kuti njodzi yerudzi urwu rwechirwere chisingawanzo muvarwere vane ma implants (kunyanya silicone iwo) haina kukwira kupfuura muhuwandu hwevakadzi.

Dentures uye cancer

- Kusvikira munguva pfupi yapfuura, nyika yesainzi yakaratidza kuti kuiswa kwemazamu eprostheses, kusanganisira silicones, hakuwedzere njodzi yekuva nekenza yemazamu. Izvi zvichiri zvakadaro kune akajairika mhando dzegomarara rezamu (adenocarcinomas, iyo isingawedzere kuitika neiyo prosthesis yezamu.

Zvisinei, mumamiriro ezvinhu ekuongorora kenza mushure mekusimwa, kuongororwa kwekliniki uye palpation inogona kukanganisa, kunyanya munyaya ye periprosthetic sheath kana siliconoma. Saizvozvowo, kuvapo kwezviputi zvinogona kukanganisa kushanda uye kududzirwa kwekuongorora mammograms, iyo inofanira kuitwa nguva dzose. Naizvozvo, iwe unofanirwa kugara uchiratidza kuti une mazamu anodyara. Nokudaro, zvichienderana nemamiriro acho ezvinhu, dzimwe nzira dzakakosha dzeradiological (mafungidziro chaiwo, mifananidzo yedigital, ultrasound, MRI, nezvimwewo) inogona kushandiswa. Pamusoro pezvo, kana paine kusahadzika kwechirwere chegomarara rezamu, munhu anofanirwa kuziva kuti kuvepo kweprostheses kungada kuongororwa kwakanyanya kuti uwane chokwadi chekuongorora.

-Anaplastic hombe cell lymphoma (ALCL) yakabatana nemazamu anodyara (ALCL-AIM) imhando yekiriniki yakasarudzika ichangobva kuve yakasarudzika. Ichi chinhu chinofanirwa kutsvakwa chete kana paine zviratidzo zvekiriniki zvakapupurirwa (kudzokororwa kweperiprosthetic effusion, kutsvuka kwezamu, kukura kwezamu, hukuru hunogoneka). Ipapo zvinodikanwa kuita iyo chaiyo senological assessment kuti ijekese chimiro cheronda. Munenge 90% yezviitiko, chirwere ichi chine fungidziro yakanaka kwazvo uye kazhinji inorapwa nekurapa kwakakodzera kwekuvhiya, kubatanidza kubviswa kweprosthesis uye periprosthetic capsule (yakazara uye yakazara capsulectomy). Muchikamu chegumi muzana chezviitiko, chirwere ichi chakanyanya kukomba uye chinoda kurapwa nechemotherapy uye/kana kurapwa nemwaranzi muchikwata chinorapa kurapa lymphomas.

Upenyu hwebasa remaimplants

Kunyangwe isu tichigona kuona kuti vamwe varwere vanochengeta ma implants avo kwemakumi emakore anoverengeka pasina shanduko huru, kuiswa kwemazamu prostheses hakufanirwe kutorwa sechinhu chakasimba "kwehupenyu". Saka, murwere ane ma implants angatarisira kufanira kutsiva maprothes avo rimwe zuva kuitira kuchengetedza mhedzisiro yakanaka. Maimplants, chero angave ari, ane hupenyu husingaverengeki husingakwanisi kunyatsofungidzirwa nekuti zvinoenderana nechiitiko chekupfeka pachiyero chakasiyana. Naizvozvo, hupenyu hwesevhisi hwemaimplants hahugone kuvimbiswa. Nekudaro, zvinofanirwa kucherechedzwa kuti chizvarwa chitsva chekudyara chakaita kufambira mberi kukuru maererano nesimba uye kuvimbika. Kubva pagore regumi, zvichave zvakafanira kusimudza mubvunzo wekuchinja prostheses kana kuchinjwa kwekusagadzikana kuchionekwa.

kuchemerera

Zvakakosha kutevedzera bvunzo dzakarairwa nachiremba wako kwemavhiki akati wandei uyezve mwedzi mushure mekudyara. Mushure mezvo, kuvepo kwemaimplants hakusunungurwe kubva kune yenguva dzose yekutariswa kwekurapa (kutarisisa gynecological uye kuongororwa kenza yemazamu), kunyangwe zvisingade kumwe kuongororwa kwakabatana nekutariswa uku. Nekudaro, zvakakosha kuita kuti vanachiremba vakasiyana-siyana vazive kuti une mazamu eprostheses. Kubvunzurudza nechiremba anovhiya epurasitiki pamusoro pezvipimo zvinokurudzirwa makore maviri kusvika matatu, asi kunze kwekutevera uku, chinhu chekutanga chakakosha kuuya uye kubvunzurudza nokukurumidza kana kugadziriswa kweimwe kana mazamu maviri aonekwa. kana mushure mekukuvara kwakanyanya.

ZVINOGONESA ZVINOGONESA

Kuwedzera mazamu nemaprostheses, kunyangwe kunoitwa nekuda kwezvikonzero zvekunaka chete, zvakadaro inzira yekuvhiya chaiyo inouya nenjodzi dzine chekuita nechero nzira yekurapa, zvisinei nekuti ishoma sei. Musiyano unofanirwa kuitwa pakati pematambudziko ane chekuita nekuvhiyiwa uye matambudziko ane chekuita nekuvhiyiwa: Nezveanesthesia, panguva yezvinosungirwa kubvunzana kusati kwaitwa, anesthesiologist pachake anozivisa murwere nezvenjodzi dzekutindivadza. Iwe unofanirwa kuziva kuti anesthesia, chero zvingave, inokonzera maitiro mumuviri izvo dzimwe nguva zvisingatarisirwi uye zvakanyanya kana zvishoma kudzora nyore. Nekudaro, nerubatsiro rweanesthesiologist-resuscitator ane hunyanzvi anoshanda mumamiriro ekuvhiya chaiwo, njodzi dzakave dzakaderera zvakanyanya. Zvechokwadi inofanira kuchengetwa mupfungwa kuti maitiro, anesthetics, uye nzira dzekutarisa dzakafambira mberi zvikuru mumakore makumi matatu apfuura, zvichipa kuchengeteka kwakakwana, kunyanya kana kupindira kunoitwa kunze kwekamuri rekukurumidzira uye mumunhu ane hutano; Kana zviri zvekuvhiya, nekusarudza chiremba anovhiya ane ruzivo uye anokwanisa akadzidziswa mumhando iyi yekupindira, unogadzirisa njodzi idzi zvakanyanya sezvinobvira, asi usadzibvisa zvachose. Mukuita, ruzhinji rwemazamu ekuwedzera mazamu anoitwa mukati memitemo anoenda pasina matambudziko, postoperative course iri nyore, uye varwere vanogutsikana zvachose nemigumisiro yavo. Zvisinei, dzimwe nguva matambudziko anogona kuitika panguva yekupindira, mamwe acho ane chokuita nekuvhiyiwa kwemazamu, uye mamwe anonyatsoenderana nekuisa:

Matambudziko anowanikwa mukuvhiya mazamu

• Effusions, utachiona-hematoma: Kuunganidzwa kweropa zvakapoteredza prosthesis ndiko kukanganisa kwekutanga kunogona kuitika mumaawa ekutanga. Kana izvi zvakakosha, zvino zviri nani kudzokera muimba yekushanda kuti ibudise ropa uye kumisa kubuda ropa panzvimbo yezvakabva;

- serous effusion: kuunganidza lymphatic fluid kutenderedza prosthesis chinhu chinowanzoitika, kazhinji chinoperekedzwa neakakosha edema. Izvi zvinongoguma nekuwedzera kwechinguva muzamu rezamu. Inonyangarika pakarepo uye zvishoma nezvishoma;

– utachiona: kashoma mushure merudzi urwu rwekuvhiya. Izvo hazvigone kugadziriswa nemishonga inorwisa mabhakitiriya chete uye zvino inoda kuvhiyiwa kudzokorora kudonhedza uye kubvisa kuisirwa kwemwedzi yakati wandei (nguva inodiwa kuisa prosthesis nyowani pasina njodzi). Dzimwe nzira nhatu dzehutachiona dzinogona kutaurwa zvakare:

- kunonoka "kunyarara" kutapukirwa: ichi chirwere chine zviratidzo zvishoma uye hapana kuratidzwa kwakajeka pakuongorora, iyo dzimwe nguva inogona kuitika makore akawanda mushure mekudyara;

- microabscesses: kazhinji inokura panzvimbo ye suture uye nekukurumidza kugadzirisa mushure mekubviswa kwetambo yakasungirirwa uye kurapwa kwenzvimbo;

- Staphylococcal toxic shock: zvisingawanzoitiki zviitiko zveiyi yakanyanya generalized infectious syndrome zvakataurwa.

• Cutaneous necrosis Inoitika semugumisiro wekusakwana kwetishu oxygenation nekuda kwenzvimbo yekusakwana kweropa, izvo zvingave zvichikonzerwa nekunyanyisa kushanda, hematoma, utachiona, kana kusvuta zvakanyanya mumurwere. Ichi chinhu chisingawanzoitiki asi chine ngozi, sezvo mumamiriro ezvinhu akaipisisa zvinogona kutungamirira kune imwe nzvimbo yeprosthesis, kunyanya nekuda kwekusiyana kwesutures. Kuvhiyiwa kwekudzokorora kunowanzodikanwa, dzimwe nguva kunoda kubviswa kwekanguva kwekuisa.

• Kuporesa kusakanganiswa Kurapa kwekuporesa kunosanganisira zviitiko zvisingatarisirwi, dzimwe nguva zvinoitika kuti nekufamba kwenguva mavanga haasi asingaoneki sezvaitarisirwa, izvo zvino zvinogona kutora zvakasiyana-siyana: dilated, retractile, soldered, hyper- kana hypopigmented, hypertrophic. (kuzvimba) kana kunyange keloid chete.

• Kushandura kunzwa. Vanowanzoitika mumwedzi yekutanga, asi kazhinji vanodzokera shure. Zvisinei, muzviitiko zvisingawanzoitiki, imwe dhigirii yedysesthesia (kuderedza kana kuwedzera kwekunzwa kwekubata) inogona kuramba ichienderera, kunyanya munzvimbo yeareola uye yezamu. • Galactorrhea/mukaka effusion Zviitiko zvisingawanzoitiki zvisingatsananguriki postoperative hormonal stimulation inokonzera kubuda kwemukaka ("galactorrhea") pamwe neapo kuungana kwemvura yakakomberedza prosthesis zvakataurwa.

• Pneumothorax Kashoma, inoda kurapwa kwakakosha.

Njodzi dzine chekuita nemaimplants

• Kuumbwa kwe "folds" kana kutaridzika kwe "mafungu"Sezvo ma implants ari kuchinjika, zvinokwanisika kuti goko ravo richakwinya, uye aya mapete anogona kunzwika kana kuoneka pasi peganda mune dzimwe nzvimbo, achipa fungidziro yemafungu. Chiitiko ichi chinowanzoitika muvarwere vakaonda uye chinogona kurapwa ne lipomodelling, iyo inosanganisira kuisa mafuta akaonda pasi peganda rezamu kuti "mask" implant.

•"Makungu 

Iyo physiological, yakajairika uye yechigarire kuita kwemuviri wemunhu kune kuvepo kwemuviri wekunze ndeyekuiparadzanisa kubva kune akaitenderedza tishu nekugadzira iyo isina mhepo membrane inotenderedza implant uye inonzi "periprosthetic capsule". Kazhinji, goko iri rakatetepa, rinochinjika uye risingaoneki, asi zvinoitika kuti maitiro anowedzera uye iyo capsule inokora, inova fibrous uye inodzoreredza, ichidzvanya iyo implant, yozonzi "shell". Zvichienderana nekusimba kwechiitiko ichi, izvi zvinogona kutungamirira kune: nyore kuoma kwezamu, dzimwe nguva kuputika kunogumbura, kunyange kuoneka kwehurema ne globulization ye prosthesis, iyo inotungamirira kune yakanyanyisa dhigirii yakaoma, inorwadza, yakawanda kana shoma. eccentric nzvimbo. Iyi retractile fibrosis dzimwe nguva ndeyechipiri kune hematoma kana hutachiona, asi kazhinji kuitika kwayo kunoramba kusingatarisike nekuda kwekusagadzikana kwemaitiro.

Mumakore achangopfuura, kufambira mberi kukuru kwakaitwa maererano nemaitiro ekuvhiya, asi pamusoro pezvose mukugadzirwa nekuvaka kwezvipikisi, zvichiita kuti kuderedzwa kwakanyanya kwehuwandu uye kusimba kwekupinza. Kana zvichidikanwa, reoperation inogona kugadzirisa chibvumirano chakadaro nekucheka capsule ("capsulotomy").

• Kutsemuka Takaona kuti ma implants haagone kunzi anogara zvachose. Naizvozvo, nekufamba kwenguva, panogona kuve nekurasikirwa kwekusimba kwegoko. Inogona kunge iri nyore porosity, pinholes, microcracks, kana kunyange maburi chaiwo. Muzviitiko zvisingawanzoitiki, izvi zvinogona kuva chikonzero chekukuvara kwakakomba kana kuputsika kwetsaona, uye, kazhinji, mhedzisiro yekuenderera mberi kwekupfeka kwemadziro nekuda kwekuchembera. Muzviitiko zvese, izvi zvinotungamira kune inogoneka mhedzisiro yeprosthesis yekuzadza chigadzirwa, nemhedzisiro yakasiyana zvichienderana nemhando yezviri mukati:

- ne saline kana resorbable hydrogel, chikamu kana kukwana deflation, kukurumidza kana kukurumidza deflation kunoonekwa;

- nesilicone gel (isingabviri), inoramba iri mukati me membrane inoparadzanisa prosthesis. Izvi zvinogona kuzobatsira pakuonekwa kwehull, asi zvinogonawo kuramba zvisina mhedzisiro uye zvisingatarisike zvachose. Zvisinei, mune zvimwe zviitiko, izvo zvave zvisingawanzoitiki (zvikurukuru, nekuda kwe "kunamatira" kwemajeri emazuva ano zviri nani), munhu anogona kuona zvishoma nezvishoma kupinda kwejeri muzvikamu zvakapoteredza. Kuputika kweprosthesis kazhinji kunoda kupindira kutsiva ma implants.

• Mamiriro asina kunaka, kusarongeka Nzvimbo isina kunaka kana kuti yechipiri misalignment yezvipimo, izvo zvino zvinokanganisa chimiro chezamu, dzimwe nguva zvinogona kururamisa kururamisa kwekuvhiya.

• Kutenderedzwa Kunyange zvazvo kutenderedzwa kwe "anatomical" prosthesis kusingawanike mukuita, zvinokwanisika uye zvinogona kukanganisa mhedzisiro.

• Deformation yemadziro echipfuva. Muzviitiko zvisingawanzoitiki, fibrous shell prostheses yakasiiwa munzvimbo kwenguva yakareba inogona "kudhinda" munyama, ichisiya kuremara kwemadziro echipfuva izvo zvakaoma kugadzirisa kana zvabviswa.

• Kunonoka periprosthetic seroma. Muzviitiko zvisingawanzoitiki, kupera kwekupedzisira kunogona kuumba kwakakomberedza prosthesis. Kupera kwakadaro kunonoka, kunyanya kana kwakabatana nemamwe makiriniki anomalies ezamu remammary, zvinoda kuongororwa senological nesenologist radiologist. Iyo yekutanga ongororo ichasanganisira ultrasound ine effusion puncture. Mvura inounzwa nenzira iyi ichava nyaya yekutsvakurudza nekutsvaga kwemasero e-lymphoma. Digital mammography uye/kana MRI inogona kudiwa zvichienderana nemhedzisiro yekutanga fibrous periprosthesis bvunzo (capsulectomy) inobvumira biopsy kutarisa isingawanzo shomeke yemazamu-yakabatana anaplastic yakakura cell lymphoma (ALCL-AIM).