Kuvhiyiwa kunonzi mazamu resection ndiko kubviswa kwechikamu chacho kana pane zviratidzo zvakasiyana. Sezvo mutemo, mazamu ekugadzirisa zvinokonzerwa nekurapa kwezvirwere zveeoplastic. Kusiyanisa pakati pemakemikari uye zvakakura resection ye mammary gland. Paanoita resection resection, sezvinoratidzwa nezita racho, chikamu chikuru chemafuro emakumbo anobviswa. Nekugadziriswa kwemagetsi, nzira yekuchengetedza urongwa inowanikwa, nokuti chikamu chiduku cheganda rehemispherical yezamu rinobviswa.
Chikamu resection ye mammary gland
Saka, kuburikidza nemakemikari ehurumende kunonzwisiswa kubviswa kwechikamu (sectoral) chemukoko wekumusoro , iyo inozodiwa nekuda kwekusimudzirwa kwehutachiona. Pasi pechipfuva, vanachiremba vakasiyana vanonzwisisa zvakasiyana-siyana: kubva pa66 kusvika kune 1/8 chikamu. Hazvina mhosva kana chifuva chemazamu chiri chakanaka kana chakaipa - izvi zvinoda kubhadharwa uye kubvisa nzvimbo yakakanganiswa kuitira kuti usasvike kukura kwechiitiko chakaipa.
Chikamu resection inoitwa:
- nokuda kwekurohwa kwekufungidzirwa kwekenza, apo zvakakosha kusimbisa kunyatsoongorora nekushandisa zvinhu zvakabudiswa;
- nokuda kwekurapwa kwematumbo ane simba;
- nokuda kwokurapa kenza yemazamu (sekuvhiya kunobvumira kuchengetedza nhengo).
Radical resection yechipfuva, sezvinofanira kuonekwa, ndiko kubviswa kwechitatu kana kuti hafu yezamu. Panguva imwecheteyo, duku pectoral muscle, mafuta mashuga, uye kunyange iyo lymph nodes inowanikwa munzvimbo dzinowanikwa pasi, subclavia, uye axillary dzinobviswawo.
Iye zvino resection resection yemazamu yakatanga kubudisa nekugadza kakawanda. Inogona kuitwa pamatanho ekutanga ekubudirira kwechirwere chekenza (kana isingasviki 3 cm). Mamiriro ezvinhu anotevera anofanirawo kuonekwa, kuitira kuti radical resection isangotanga kuitika, asi zvakare yakapa chikonzero chakakosha:
- Dumbu racho rinofanira kuwanikwa munzvimbo yakakwirira yekunze;
- kusabatwa kwemasastases mu lymph nodes kunofanira kusimbiswa;
- Urefu hwemammary gland inofanira kunge yakakwana kuti utange kupindira kwekuvhiya;
- kuvepo kweyodheotherapi mushure mekuvhiyiwa kunofanira kuvimbiswa.
Radical resection inoshandiswa pasi peanesthesia yakawanda, zvisinei, inobvumirwa kuita shanduro yezvemagetsi pasi peanesthesia yeruwa (novocaine kana lidocaine). Parizvino, inorongedzerwawo kuita basa iri pasi pezvinonzi kurara nekurara. Local anesthesia haisati yashandiswa kana ichionekwa chesati isingawaniki, uyewo kana kushanda kuri kuitwa nechinangwa chokuchengetedza nhengo. Jenesi anesthesia inoratidzwawo apo murwere ane chirwere chemishonga kune dzose zvinodhaka kune anesthesia yemunharaunda.
Breast resection: migumisiro
Sezvo mutemo, migumisiro yakaipa yepamuviri resection inozivikanwa:
- kuchinja muhupenyu hwezamu;
- kuumbwa kwemafuro pedyo nemukono nemakumbo;
- chisungo chisina kukodzera nechakaipa suturing;
- stasis ye lymph (paunobvisa lymph nodes);
- hutachiona hwemavanga mberi kana mushure mekuvhiyiwa, izvo zvinotungamirira kukunatswa kwavo;
- kuumbwa kwehematoma nekuda kwekuregererwa kwekuchenesa ropa panguva yekuvhiya.
Kana kugadziriswa kwemakemikari emakumbo emakumbo kunenge kuchiitwa, migumisiro inogona kuzviratidza mumhando yekutambudzika, kukura kweropa. Zvechokwadi, iyo mammary gland ichashanduka kune imwe nzira shure kwekugadzirisa kwemagetsi, asi izvi zvinogona kuregererwa kana iri mubvunzo wokuponesa hupenyu hwomurwere.