I-ptosis yebele, ukukhulelwa nokuncelisa: okudingeka ukwazi

I-ptosis yebele, lapho amabele "agoqa"

Sikhuluma nge-ptosis yebele uma kwenzekaisifuba esixegayo, lapho amabele ewela ngaphansi kwesisekelo sebele, okusho ukugoqa okungaphansi kwebele.

Abanye odokotela abahlinzayo bepulasitiki kanye nezimonyo basikisela i-ptosis yebele lapho isiguli singakwazi bamba ipeni phakathi kwesisekelo sebele kanye nesikhumba esingaphansi kwebele, nakuba lo mbandela ungeyona isayensi.

«I-Ptosis ngempela iyinkinga yokuma hhayi yevolumu yebele. Ingaba khona emabeleni anoma yimuphi usayizi«, kuchaza uProfesa Catherine Bruant-Rodier, uprofesa wokuhlinzwa kwepulasitiki yokuvuselela nokuhlobisa eSibhedlela saseNyuvesi yaseStrasbourg. “Uma isifuba sikhulu kakhulu, kuhlale kune-ptosis ehambisanayo, ngenxa yesisindo se-gland. Kodwa i-ptosis ingaba khona nebele levolumu evamile. Isikhumba esiqukethe indlala siyahlakazeka, seluliwe. Ngisho nebele elincane lingaba ptotic. Kubonakala "kungenalutho", uyanezela.

Ku-ptosis yebele, isikhumba esiqukethe i-mammary gland siyahlakazeka, sinwetshiwe, sikhishwe. Odokotela abahlinzayo bayakhuluma ikesi lesikhumba alifanele umthamo webele. I-mammary gland itholakala engxenyeni engezansi yebele, futhi ingono ne-areola zifinyelela izinga lokugoqa kwe-inframammary, noma ngisho nangaphansi. Ngolimi lwezwi, sivame ukuzwa igama elingathandeki elithi "amabele" ku-"Geza izindwangu".

Izimbangela kanye nezici zobungozi ze-ptosis yebele

Kunezici ezihlukene ezandisa ingozi ye-ptosis yebele, noma ezichaza ukubukeka kwalesi simo:

• la ngokushintsha izakhi zofuzo, lokhu kuntengantenga bese kuba okokuzalwa;
• we ukuhluka kwesisindo (ukuzuza kwesisindo noma ukwehla kwesisindo) okuholela ekuhlukeni kwevolumu yegland nokunwebeka kwesikhumba, kwesinye isikhathi esingasakwazi ukuhlehla;
• ukukhulelwa noma ukuncelisa, njengoba kokubili ukwandisa ubukhulu kanye nephaketheni le-cutaneous lamabele, futhi ngezinye izikhathi kuhambisana nokuncibilika kwe-mammary gland a posteriori;
• isifuba esikhulu (i-hypertrophyi-mammary) ehlukanisa isikhwama sesikhumba esine-mammary gland;
• age, njengoba isikhumba silahlekelwa ukunwebeka phakathi neminyaka.

Ukwelashwa kwe-Ptosis: kanjani ukuhlinzwa ukuphakamisa ibele?

Ukwelapha i-breast ptosis, okubuye kubizwe ngokuthi i-mastopexy noma i-breast lift, kwenzeka ngaphansi kwe-anesthesia ejwayelekile futhi kuthatha phakathi kwehora elingu-1 amahora angu-30 nama-3.

Ngaphambi kokuhlinzwa, udokotela ohlinzayo uxoxa nesiguli ukuze anqume ukuthi yini engenzeka nokuthi yini esiyifunayo. Ngoba ukulungiswa kwe-ptosis ilungisa usayizi nokuma kwesikhumba, kodwa futhi, uma kunesidingo, umthamo we-glandular. Ngakho-ke ukuhlinzwa kungase kuhlotshaniswe nokufakwa kwezitho zokwenziwa noma ukugcwaliswa kwe-lipofilling (nge-liposuction) uma kufunwa ukukhulisa ibele, noma ngokuphambene nokukhishwa kwendlala encane uma kufunwa ukuncishiswa kwebele. .

Kuzo zonke izimo, ukuhlolwa kwebele kuyadingeka ukuze kuqinisekiswe ukungabikho kwe-pathology emabeleni (ikakhulukazi umdlavuza). “Okungenani, sicela i-breast ultrasound kwabesifazane abasebasha, ehambisana ne-mammogram noma i-MRI kowesifazane osekhulile.”, Kuchaza uProfesa Catherine Bruant-Rodier, uprofesa wokuhlinza ipulasitiki yokwakha kabusha nobuhle esibhedlela saseStrasbourg University.

Akukho ukuphikisana okukhulu, ngaphandle kokuba nekhwalithi yokuphulukisa empofu ngokwakho.

Ngakolunye uhlangothi, kufanele kukhunjulwe ukuthi ukwelashwa kwe-ptosis yebele, njenganoma yikuphi ukuhlinzwa, kuhilela izingozi, ngisho noma ziphansi kakhulu (i-hematoma, i-necrosis, ukulahlekelwa unomphela kokuzwela engonweni, ukutheleleka, i-asymmetry, njll.) . Qaphela ukuthi ugwayi wandisa ingozi yezinkinga.

Isibazi esincike ezingeni le-ptosis

Uhlobo lokusikwa kanye nenqubo yokuhlinzwa eyenziwa esimweni sokulungiswa kwe-ptosis yebele incike ezingeni le-ptosis:

• uma i-ptosis imnene, ngamanye amazwi ukuthi ingono ifika ezingeni le-submammary fold, i-incision izoba yi-peri-areolar, okusho ukuthi izungeze i-areola (umuntu ukhuluma ngesu le "round block");
• uma i-ptosis iphakathi, ukusika kuzoba yi-peri-areolar, eduze kwe-areola futhi mpo, okusho ukuthi ukusuka ku-areola kuya ekugoqeni kwe-inframammary;
• uma i-ptosis inzima, futhi isikhumba esizokhishwa sikhulu kakhulu, ukusebenza kuzobandakanya ukusika kwe-periareolar, okuzokwengezwa ukusika okuqondile kanye nokusikwa kwe-inframammary, ngamanye amazwi ezungeze i-areola kanye ne-T ehlanekezelwe. Siphinde sikhulume ngesibazi ihange lasolwandle.

Qaphela ukuthi ukungenelela kuncike futhi kumthamo webele kanye nezifiso zesiguli: uma efuna kuphela ukulungiswa kwe-ptosis, noma uma efuna nokwandiswa kwebele (ngokungeziwe kwe-prosthesis noma umjovo wamafutha obizwa ngokuthi i-lipofilling), noma ngokuphambene nalokho a ukunciphisa umthamo webele.

Yimuphi ubhodisi ongawugqoka ngemuva kwe-ptosis yebele?

Ngemva kokuhlinzwa, odokotela abahlinzayo bezimonyo ngokuvamile batusa ukugqoka ubhodisi ongenazintambo, njenge-cotton brassiere. Abanye odokotela abahlinzayo banikeza ubhodisi wokusekela, ubusuku nemini, okungenani inyanga. Inhloso ingaphezu kwakho konke uku bamba amabhandeshi, ungayekethisi ukuphulukiswa futhi hhayi ukulimaza. Kunconywa ukugqoka ubhodisi kuze kube yilapho izibazi zizinzile.

I-ptosis yebele: kufanele uhlinzwe ngaphambi noma ngemuva kokukhulelwa?

Kungenzeka ukuthi ukhulelwe futhi ukhulelwe oyedwa noma ngaphezulu ngemuva kokwelashwa kwe-ptosis yebele. Nokho, kunamandla welulekwa ukuthi ugweme ukukhulelwa phakathi nonyaka olandela ukuhlinzwa, ukuze uthole ukwelashwa okufanele. Ngaphezu kwalokho, ukukhulelwa nokuncelisa kwandisa ingozi ye-ptosis yebele, kungenzeka ukuthi, naphezu kokulungiswa kwe-ptosis yebele, ukukhulelwa okusha kubangela ukugoqa kwamabele. 

Kuthiwani ngokulungiswa kwe-ptosis entombazaneni encane?

Kwabesifazane abasebancane, amabele kumele aqine ngokwesayizi yawo, amabele akumele ashintshe unyaka owodwa kuya kwemibili, kusho uSolwazi Bruant-Rodier. Kodwa uma lesi simo sihlangatshezwana nayo, kungenzeka ukuthi uhlinzekwe i-ptosis yebele kusukela eminyakeni engu-16-17, uma unamahloni ngempela, uma le ptosis ibaluleke kakhulu futhi ikakhulukazi njengoba 'ihambisana nokwandiswa okubangela ukuhlungu obusemhlane …

I-Ptôse nokuncelisa: ingabe singancelisa ngemva kokuhlinzwa?

Kufanele wazi ukuthi, kwabanye besifazane, ukuhlinzwa kwe-breast ptosis kungaholela “ukulahlekelwa ukuzwela engonweni kanye ne-areola”, Ugcizelela uSolwazi uBruant-Rodier. “Uma i-mammary gland iye yathinteka, ikakhulukazi lapho ukuncishiswa kwebele kuye kwenziwa ngenxa yebele elikhulisiwe, ukuncelisa kungase kube kunzima kakhulu kunokujwayelekile, kodwa hhayi ukuthi akunakwenzeka". Ukubaluleka kwe-ptosis ngakho-ke inqubo yokuhlinzwa eyenziwa nakanjani ingaba nomthelela empumelelweni yokuncelisa.

Ukukhiqizwa kobisi kungase kungaphelele noma kunganele ngenxa yokuthi imigudu yobisi (noma imigudu yobisi) kungenzeka ukuthi ithintekile, futhi indlala yebele ayanele uma kuye kwaba nokuncishiswa kwebele. Ngamafuphi, ukuncelisa akuqinisekisiwe ngemva kokulungiswa kwe-ptosis yebele, futhi nakakhulu uma lokhu kuhlinzwa kwakuhambisana nokunciphisa ibele. Lapho kukhishwa izicubu zezindlala eziningi, maningi amathuba okuba makhulu ukuncelisa ngempumelelo. Kodwa, i-priori, ukulungiswa kwe-ptosis encane akuvimbeli ukuncelisa. Kungakhathaliseki ukuthi yikuphi, ukuncelisa ibele kungazanywa.

I-Ptosis, i-prosthesis, i-implant: ukuthola ulwazi oluhle lokuncelisa ibele ngempumelelo

Kunoma yikuphi, kungase kuthakazelise ikakhulukazi komama abasebasha asebevele behlinzwe ibele (i-ptosis, ukukhulisa isifuba noma i-hypertrophy, ukususwa kwe-fibroadenoma, umdlavuza webele, njll.) ukubiza umxhumanisi we-lactation. Ngakho-ke kuzokwazi ukuhlola amathiphu okufanele abekwe ukuze ukuncelisa kuhambe kahle ngangokunokwenzeka, kuye ngokuthi hlobo luni lokuhlinzwa olwenziwa. Lokhu kuzohlanganisa bheka ukuthi ingane ithola ukudla okwanele yini, kanye nokumisa ukumunca kahle kwengane (izindawo zokuncelisa ibele, idivaysi yosizo lokuncelisa noma i-DAL uma kunesidingo, amathiphu webele, njll.). Ukuze ngisho noma ingane inganceliswa ibele kuphela, izuza ngangokunokwenzeka obisini lwebele.

Breast ptosis: iyiphi intengo ukwakha kabusha ibele?

Izindleko zokwelashwa kwe-breast ptosis zincike esakhiweni lapho kwenziwa khona (imboni yomphakathi noma ezimele), noma yiziphi izimali zikadokotela ohlinzayo wepulasitiki, udokotela obulala izinzwa, intengo yokuhlala kanye nanoma yiziphi izindleko ezengeziwe (igumbi kuphela, ukudla , ithelevishini njll.).

Breast ptosis: ukwelashwa kanye imbuyiselo

Uma kungahambisani nokuncishiswa kwebele, ukwelashwa kwe-ptosis yebele akumbozwa yi-Social Security.

kuphela ukususwa okungenani kwamagremu angu-300 (noma ngaphezulu) kwezicubu zebele ngalinye, njengengxenye yokwelapha i-ptosis ehambisana nokuncishiswa kwebele, ivumela ukubuyiselwa ngomshuwalense wezempilo kanye nezimali ezihlanganyelwe. Uma kukhulunywa ngokusebenza kwe-ptosis ethambile ngaphandle kokukhipha indlala, uhlelo lwezempilo lukuthatha njengokuhlinzwa kobuhle kuphela.