Eminyakeni edlule, ukudla noma ukukhulelwa, amabele ayaxega, alahlekelwa ukwakheka nomthamo wawo. Yiziphi izindlela zokuyilungisa? Ziyini izingcuphe zalokhu kungenelela? Yimalini isikweletu? Sizibandakanya no-Olivier GERBAULT, udokotela ohlinzayo wezimonyo ePoliclinique Esthétique Marigny Vincennes.

I-ptosis yamabele iyi- amabele axegayo kwabesifazane. Sihlukanisa:

I-ptosis yebele eyisisekelo

Ngokuvamile kungokomndeni. “Kuvame ukubonakala izici ezimbili eziyingozi: ukukhuliswa kwamabele (okusho ukuba nesifuba esikhulu) okuhambisana nesikhumba esincanyana kanye / noma esingenwebe kakhulu. Isibonelo, abesifazane abanesikhumba esikhanyayo njengamakhanda abomvu bavame ukuba nesikhumba esintekenteke kakhudlwana esigwedla, simake futhi selule ngokushesha okukhulu, ”kuchaza uDoctor Olivier Gerbault, udokotela ohlinzayo wezimonyo eParis;

I-ptosis yebele etholwe

“Amabele aqala ukwehla ngokuhamba kwesikhathi. Izici ezinobungozi yilezo ezihlobene nobudala, ukushintsha kwesisindo okungafuneki (ukudla okuphindaphindwayo), ukuya esikhathini, nokugcina ukukhulelwa (kanye nokuncelisa ibele) “, kucacisa uchwepheshe.

I-hypoplasia yesifuba

I-ptosis yamabele ingahambisana nokukhuliswa kwebele: kulokhu amabele makhulu futhi ayaxega. Kwesinye isikhathi, ngokuphambene nalokho, kuhlotshaniswa nokunganeli (noma ukulahleka) kwevolumu (ikakhulukazi ngemuva kokudla noma ukukhulelwa): “Sikhuluma nge-mammary hypoplasia. Lo ngumthelela wendwangu yokuwasha, okuyinkimbinkimbi yangempela ezigulini ezigcina ngokucela usizo ngokuhlinzwa, ”kusho uDoctor Gerbault.

Ukuthinta amabele kungahle kuhlobane no:

Isifuba esinamandla kakhulu

“Kulokhu amabele angawa esanda kuthomba. Ngokuvamile ukwanda okusheshayo kwevolumu kuyisici ”, kugcizelela udokotela. Ukugoqa bese kuxhunyaniswa nokungakwazi kwesikhumba ukusekela inqwaba yezicubu ze-adipose ne-glandular: "Ikhwalithi yesikhumba iyanquma ekusekelweni kwebele".

Ukwehluka kwesisindo 

Isifuba sakhiwa yizindlala namafutha: ukuncipha noma ukuthola isisindo kuyanezela noma kususe ingxenye enamafutha emabeleni. Ukudla kodwa futhi nokuhluka kwesisindo okuhlobene nokukhulelwa noma ukuya esikhathini kuyizimbangela ezivame kakhulu ze-ptosis yebele. "Qaphela ukuzuza ngokushesha kwesisindo: lapho isifuba siqala ukukhombisa izimpawu zokwelula, isikhumba sigcwele".

Ukuhluka kwamahomoni

Njengokuthomba, ukukhulelwa noma ukuya esikhathini.

Iminyaka

“Ngokuhamba kwesikhathi ukukhiqizwa kwe-collagen ne-elastic fibers kuyaphela, isikhumba siphelelwa ukuqina. Imibimbi ishuba namabele ayaxega ”.

Ukuncelisa ibele ngesikhathi ukhulelwe

"Kuyimbangela enkulu yobungozi be-ptosis yebele".

“Ukuphela kwendlela yokuvimbela isimo se-ptosis yamabele ukunaka ukuzinza kwesisindo sakho. Ukugqoka i-brassiere noma ama-bras ashintshiwe nakho kuyindlela yokunciphisa izingozi, ”ngokusho kukaDkt Gerbault. Ukunakekela impilo yakho enempilo kuyisiqinisekiso sokugcina ukuqina kwesikhumba sakho futhi ngangokunokwenzeka. Ama-moisturizers enzelwe ukuqeda ukuhlanza angasiza. Ukuzivocavoca ukuqinisa ama-pecs (atholakala ngaphansi kwamafutha) kungasiza ekusekeleni amabele. Kodwa-ke, ukuhlinzwa kwezimonyo kuhlala kuyindlela ephumelelayo yokulungisa i-breast ptosis efakazelwe ”.

Izimpawu zesifuba se-ptosis yilezi:

Amabele makhulu futhi aphansi kakhulu

Iphuzu lengono lingehla kakhulu, kwesinye isikhathi liye enkabeni.

Amabele ahlehlayo angama-asymmetric

Ngezinye izikhathi elinye ibele “liwela ngaphezu kwelinye. I-asymmetry yamabele ivame ukuhlotshaniswa ne-ptosis ”.

I-Sagging ehambisana nokushoda kwevolumu

Futhi kwaziwa ngokuthi "amabele ezindwangu zokuwasha". “Ngokuvamile amabele angalahlekelwa yivolumu evela phezulu, yingakho kuvela amabele ayizicaba”.

Ezinye izimpawu

Ezinye izimpawu zingangezwa njenge imibimbi yentamo, ama-stretch marks, ukubonakala kwengono exegayo noma kuhlungiwe…

Ukuhlinzwa kwamabele kwenzeka kuphela lapho ukuthomba sekuphelile (cishe iminyaka eyi-17 noma eyi-18 ubudala). Udokotela ohlinzayo unikeza isilinganiso ngemininingwane yokungenelela. Lapho nje isilinganiso sesenziwe, isikhathi sokuhoxiswa kwamasonto amabili kufanele sihlonishwe ngaphambi kokwenza lo msebenzi. Isimo sezinqubo zokuhlinza siyehluka ngokuya ngamaphutha akhathaza isiguli. Izimo ezintathu zingavela:

I-ptosis yamabele ehlotshaniswa nokwandiswa kwebele

Lokhu kunjalo ngamabele amakhulu kakhulu: "kulokhu ukungenelela kokuhlinzwa kuqukethe ukunciphisa ivolumu yebele nokwakha kabusha isikhumba kule ivolumu yeglandular (ukunciphisa iplasta le-mammary)".

I-ptosis yebele ngaphandle kokukhuliswa kwebele

"Kulokhu, ukuhlinzekwa kuqukethe 'ukusika kabusha' isikhumba nokwakha kabusha indlala yamabele ngaphandle kokuyisusa: sikhuluma nge-mastopexy", ngokusho kukadokotela ohlinzayo wezimonyo.  

I-ptosis yebele ehambisana namabele amancane

“Uma bewa kancane, kwanele ukufaka ivolumu usebenzisa izitho zokufakelwa ezigcwaliswe nge-gel abicah noma i-physiological serum noma ngomjovo wamafutha (lipofilling). Uma bewa kakhulu, i-mastopexy ingahlotshaniswa ngokungeziwe kokufakelwa nokufakwa kwamafutha ”.

Ngaphambi kokuhlinzwa kunconywa:

• Ukuyeka ukubhema okungenani izinyanga ezimbili ngaphambi kokuhlinzwa: “uma isiguli sibhema siyoba nobunzima obukhulu kakhulu bokuphulukiswa kahle futhi singaba nezibazi ezibonakalayo”;
• De yeka iphilisi lokuvimbela inzalo amasonto ambalwa ngaphambi kokuhlinzwa (lokhu kubeka engcupheni ye-phlebitis kanye ne-embolism);
• De bulala amagciwane esikhumbeni sakhe ngesisombululo se-antiseptic ngaphambi kokuhlinzwa (i-biseptine® bath);
• Ukwenza i-mammogram ngaphambi kokubona ukulimala kwamabele okungabaza ukuhlinzwa kwezimonyo kwebele, okungenani ekuqaleni.

“Ngokuphambene nenkolelo evamile, ingozi yomdlavuza webele ayinyuki nhlobo ngokuhlinzwa kwebele. Akuhambisani nokukhulelwa okulandelayo noma, noma ukukhulelwa kunganconywa ezinyangeni ezilandela ukuhlinzwa, ”kusho uchwepheshe. Izinkinga ezingenzeka ngemuva kokuhlinzwa yilezi:

• Izingozi ezixhunywe ku-anesthesia (embolism pulmonary embolism, phlebitis, njll.);
• Ukuphulukiswa kabi: i-necrosis, izibazi ze-keloid (ukwanda okungavamile kwezicubu zesikhumba);
• Ukutheleleka noma isifo se-nosocomial;
• I-hematoma engapheli (ukukhuphuka nokuphikelela kwe-hematoma yokuqala isikhathi esingaphezu kwenyanga, kungakhipha ukuvuvukala futhi kudinge ukungenelela kwesibili).

"Iziguli ngokuvamile ziyaneliseka ngomphumela ohambisana nokulindelwe kwabo", kugcizelela udokotela. Amabele aphakeme futhi anokubukeka okuqinile, i-neckline iyakhanya uma kwenzeka i-hypertrophy noma kuzuzwe okuphambene ngevolumu uma kwenzeka i-hypoplasia.

“Endabeni yokwehliswa kwamabele ne-mastopexy, kungahle kube khona isibazi esime mpo esisuka esikhunjeni semammary siye esibayeni sesifuba futhi kwesinye isikhathi kube nesibazi sesibili ngaphansi kwesibambo sesifuba: ngakho-ke sine-T scar inverted. Lokhu kungenye yemiphumela evamile ephoqelekile yalezi zingenelelo. lapho nje amabele esencipha ngokukhethekile ”.

Ngemuva kokungenelela, umphumela uyagcinwa, uma isiguli sigcina indlela yokuphila enempilo nesisindo esizinzile.

 Izintengo zalolu hlobo lokungenelela ziyahlukahluka kuye ngomsebenzi okufanele wenziwe neziphakamiso zikadokotela zokuthola umphumela ogculisayo. Zisukela cishe kuma-2500 kuye kuma-6500 euros.

Ukubuyiselwa kwemali kuncike ekungaphatheni kahle okubangelwa yisifuba sesiguli. "Ngokwenzayo, lapho isiguli sinesifuba esikhulu futhi sidinga ukwehliswa kwamafutha angaphezu kuka-300 g, kukhona ukwesekwa", kuchaza uchwepheshe. Kodwa-ke, ngokuvamile akukho ukubuyiselwa kwemali ngokuphepha kwezenhlalo lapho ukungenelela kuqukethe ukukhuliswa kwamabele noma i-masopexy elula.