Opaleshoni yotchedwa breast resection ndi kuchotsa mbali yake ngati pali zizindikiro zapadera. Monga lamulo, mawere a resection amalembedwa kuti athe kuchiritsidwa ndi matenda osakaniza. Kusiyanitsa pakati pa magulu ndi zamakono resection wa mammary gland. Mukamagwiritsa ntchito kwambiri resection, monga dzina limatchulira, mbali yaikulu ya mammary gland imachotsedwa. Ndi kugwirizanitsa gawo, kugwiritsira ntchito njira zotetezera thupi kumakwaniritsidwa, chifukwa chigawo chaching'ono cha chifuwa cha m'mimba chichotsedwa.
Resection resection ya mammary gland
Choncho, mwa kugwirizanitsa ntchito zamagulu kumamveka kuti kuchotsedwa kwa gawo la magawo a mammary , komwe kumafunika chifukwa cha chitukuko. Pansi pa gawo la bere, madokotala osiyanasiyana amamvetsetsa mosiyana: kuyambira 1/6 gawo kupita 1/8 gawo. Ziribe kanthu kaya chifuwa cha m'mawere chili choipa kapena choipa - izi zimayenera kusamalidwa ndikuchotsa dera lomwe likukhudzidwa kuti pasakhale chitukuko choipa.
Kugwirizanitsidwa kwa Sectoral:
- pofuna kuthandizira kuti munthu adziwe kuti ali ndi khansara, pamene n'kofunika kukhazikitsa ndondomeko yeniyeni yogwiritsira ntchito mankhwalawa;
- pochizira matenda otupa;
- pofuna kuchiza khansa ya m'mawere (monga opaleshoni yomwe imalola kusunga limba).
Wopambana resection wa m'mawere, monga ziyenera kudziŵika, ndiko kuchotsedwa kwa magawo atatu kapena theka la m'mawere. Pa nthawi imodzimodziyo, minofu yaing'ono ya pectoral, minofu yamtundu, komanso ngakhale maselo a mitsempha omwe ali m'zigawo za subscapular, subclavia, ndi axillary amachotsedwanso.
Tsopano resection resective ya m'mawere inayamba kubala ndi kuika nthawi zambiri. Zitha kuchitidwa kumayambiriro oyambirira a chitukuko cha khansa (pamene sichiposa 3 cm). Zinthu zotsatirazi ziyenera kuwonedwanso, kotero kuti kwakukulu resection sikuti inatheka, koma inaperekanso zotsatira zoyenera:
- Chotupacho chiyenera kukhala chapafupi kumtunda wapamwamba;
- kusakhala kwa metastases mu ma lymph nodes ayenera kutsimikiziridwa;
- Ukulu wa mammary gland ayenera kukhala okwanira kuchita opaleshoni;
- chitsimikizo chakuti chithandizo cha radiotherapy chitha kuchitika pambuyo pa opaleshoni chiyenera kutsimikiziridwa.
Wopambana resection amachitidwa pansi pa matenda a anesthesia, komabe, ndiloledwa kugwira ntchito yothandizira magawo amtundu wa anesthesia (novocaine kapena lidocaine). Pakalipano, akufunikanso kuti achite opaleshoniyi pansi pa zomwe zimatchedwa tulo tokha. Anesthesia wamtunduwu sagwiritsidwa ntchito ngati atadziŵa kuti palibe mankhwala osakanikirana, komanso ngati opaleshoniyo imachitidwa pofuna kusunga limba. Anesthesia wambiri amasonyezanso pamene wodwala ali ndi zovuta zowonjezera mankhwala onse a anesthesia.
Matumbo resection: zotsatira
Monga lamulo, zotsatira zovulaza za m'maweretsa mimba zimadziwika:
- kusintha mu mawonekedwe a chifuwa;
- mapangidwe a zikopa pafupi ndi nkhono ndi phokoso;
- chisangalalo chosasangalatsa ndi cholakwika;
- stasis of lymph (pakuchotsa maselo);
- Matenda a zilonda musanayambe kapena opaleshoni, zomwe zimapangitsa kuti iwo asatengere;
- Kupanga hematoma chifukwa cha kuchepa kolakwika kwa magazi pamene opaleshoni.
Ngati kugwiritsidwa ntchito kwa magulu a mammary gland kumachitika, zotsatira zake zingadziwonetsere mwa mtundu wa ululu, kupititsa patsogolo kwa magazi. N'zoona kuti mammary gland idzasintha pang'ono pokhapokha mutatha kugwirizanitsa ntchito, koma izi zikhoza kunyalanyazidwa ngati ndi funso lopulumutsa moyo wa wodwalayo.