Kunyanya kupa mazamu kunogona kuva hurema hwechokwadi zuva nezuva. Kupfuura imwe vhoriyamu, tinotaura nezvekukura kwezamu uye kudzikiswa kwakafanana nekuvhiya kwekuvandudza uye kusazorodzwa. Oparesheni iri kufamba sei? Pane ngozi dzipi nedzipi here? Mhinduro dzaDr Massimo Gianfermi, chiremba anovhiya muParis

Kuderedzwa kwezamu kunogona kurerutsa zamu rinorema zvakanyanya, richitambura kubva kune yakawandisa mammary gland yakabatana kana kwete nekuwanda kwemafuta.

"Tinotaura nezvekuderedzwa kwezamu apo huwandu hwakabviswa kubva kumurwere hunenge huine 300 g pazamu, uye 400 g pazamu kana murwere akawandisa" inotsanangura chiremba anovhiya. Pazasi pe300g pazamu, kuvhiya kwacho hakuchisiri kwezvinangwa zvekudzorera asi kwezvinangwa zvekunaka, uye hakufukidzwe nekuchengetedzwa kwevanhu.

Musiyano kubva pakukura kwezamu

Kukurisa mazamu kunowanzo sangana nemazamu akarembera, anonzi mazamu ptosis. Kuderedzwa kunozoperekedzwa nekusimudza mazamu kuti usimudze mazamu uye kuenzanisa chimiro.

Vakadzi vanobatwa nekuderedza mazamu ndeavo vose vanonyara zuva nezuva nekurema uye nehuwandu hwemazamu avo.

Zvikonzero zvinowanzoitika

"Varwere vanobvunza nezvekuderedzwa kwemazamu vanowanzove nemhando nhatu dzekunyunyuta" vanotsanangura Dr Gianfermi:

• Marwadzo ekudzokera shure: vanotambura nemarwadzo ekudzokera shure, kana kurwadziwa kwemutsipa kana mapepa, kunokonzerwa nekurema kwemazamu;
• Kuomerwa kupfeka - kunyanya kutsvaga zvipfeko zvemukati zvinoenderana nehukuru hwavo, izvo zvisingamanikidzi chifuva chavo - uye kusagadzikana mune mamwe mabasa ezuva nezuva;
• Iyo aesthetic yakaoma: mune kunyangwe vakadzi vadiki, mazamu hombe anogona kudonha uye kukonzera akakosha makomba. Uye kunyangwe kana akaramba akatsiga, hazvisi nyore nguva dzose kubvumirana nekuputika kukuru uye kufarira kwazvinoita.

Muvakadzi vechidiki, zvakakosha kumirira kusvika pakupera kwekukura kwezamu - kureva makore anenge gumi nemasere - vasati vaita kuderedza.

Mushure mekuita pamuviri

Saizvozvowo mushure mekuita pamuviri, zvinokurudzirwa kumirira mwedzi mitanhatu kusvika ku6 mushure mekusununguka, kana mushure mekuyamwisa kana zvaitika, vasati vaita kupindira uku, kuitira kupa amai vaduku nguva yekumuwana. fomu uremu.

Kuderedzwa kwezamu kuvhiyiwa kunoitwa nguva dzose pasi peanesthesia, uye kazhinji pane imwe nzvimbo yekunze. "Zvinoitika kuti tinokurudzira husiku hwekurara muchipatara kana kudzikiswa kwakakosha, kana murwere achigara kure nenzvimbo yaanozovhiyiwa" inotsanangura chiremba anovhiya.

Kuvhiya kunotora pakati peawa 2 ne2 maawa 30, zvichienderana nehunyanzvi hunoshandiswa.

Nzira nhatu dzekuvhiya dzekudzikisa mazamu

Pane nzira nhatu huru dzekuvhiya dzekudzikisa mazamu, dzinoshandiswa zvichienderana nehuwandu hwezamu rabviswa:

• Kana iri diki, isina ptosis yakabatana: nyore nyore kutenderedza areola yakakwana;
• Kana iri yepakati nepakati, ine ptosis yakapfava, kuchekwa kuviri kunoitwa: imwe yakatenderedza areola uye imwe yakamira, pakati pezamu nechepazasi pezamu;
• Kana yakakura yakabatana neakakosha ptosis, matatu incisions anodiwa: imwe peri-alveolar, imwe yakamira uye imwe pasi pezamu, yakavanzwa muinfra-mammary fold. Vanga iri rinonzi rainge rakaita seT inverted.

Iyo mammary gland inobviswa panguva yekuvhiya inotumirwa zvakarongeka kune anatomopathology, kuti iongororwe uye kuyerwa chaizvo.

Pane akati wandei contraindications pakuita kuderedza mazamu.

"Chekutanga zvakakosha kuti utange mammogram kuitira kuti usave nekusagadzikana, uye kunyanya gomarara rezamu" vanosimbirira Dr Gianfermi. Heano anonyanyozivikanwa contraindications:

Fodya

Fodya ndechimwe chezvinopesana nokuderedza mazamu: “Vanosvuta zvikuru vanopa ngozi huru zvikuru yezvinetso nezvinetso zvokuporesa” anotsanangura kudaro chiremba wokuvhiya, uyo anoramba kuvhiya varwere vanosvuta anopfuura pakiti rimwe zuva nezuva, uye izvo zvinoda, kunyange nokuda kwevasvuti vaduku. , kurumurwa kunokwana mavhiki matatu asati avhiyiwa uye mavhiki maviri mushure.

kuneta

Kufutisa kunowedzerawo njodzi yezvinetso. Mukadzi ane Body Mass Index yakakura kudarika makumi matatu nemashanu, anozoda kutanga adzikira uremu asati adzikiswa mazamu.

Nhoroondo yepulmonary embolism

Nhoroondo yepulmonary embolism kana phlebitis zvakare inopesana nekuvhiyiwa uku.

Kuporeswa kunotora anenge mavhiki maviri, uye murwere anofanira kupfeka compression bra siku nesikati kwemwedzi, ipapo chete masikati kwemwedzi wechipiri. Marwadzo epashure ane mwero uye anowanzo kurodzwa neakajairika analgesics. Convalescence ichacherechedzwa kwevhiki imwe kusvika matatu zvichienderana nenyaya.

Murwere anogona kutangazve kuita zvemitambo mushure memavhiki matanhatu.

Mavanga anofanira kudzivirirwa kubva kuzuva kweinenge gore. "Chero mavanga ari epingi, zvakakosha kuti uzvidzivirire kubva kuzuva panjodzi yekuti anoshanduka uye anogara akasviba kupfuura ganda" anosimbirira mushandi. Saka zvakafanira kumirira mavanga acho kuti achene tisati tafunga kuaisa kuzuva.

Mushure mekuvhiyiwa, zamu rinotanga rakareba uye rakatenderera, haritore chimiro chayo chekupedzisira kusvika mwedzi mitatu gare gare.

"Zvakakosha kutsanangura kuti, kana dhizaini yezamu inogona kugadziridzwa nekuderedzwa kwezamu, izvi hazvikanganisi kuongororwa kwegomarara rezamu" anovimbisa chiremba anovhiya.

Njodzi dzekushanda kana matambudziko haawanzo itika, asi zvinofanirwa kutaurwa nemurapi panguva yekugadzwa kwapamberi. Heano matambudziko makuru:

• kunonoka kupora, apo vanga racho rinovhura zvishoma pasi peT ”anotsanangura chiremba anovhiya;
• kuonekwa kwekuwedzera kwehematoma kunogona kuitika mu1 kusvika ku2% yematambudziko: kubuda ropa kunoitika muzamu, zvichiita kuti kuputika kukuru. “Murwere anofanira kubva adzokera mukamuri rokuvhiyira kuti kubuda ropa kumire” anoratidza Dr Gianfermi;
• cytosteatonecrosis ndechimwe chezvinetso zvakakomba: chikamu chezamu remammary chinogona kufa, kuparara uye kuumba cyst, iyo inofanira kubva yabviswa.

Sezvakaita chero kuvhiyiwa, kuporesa kunogona kusanakira: ne hypertrophic kana kunyange keloid mavanga, ekupedzisira anobva akanganisa kutaridzika kwechigumisiro.

Mune zvimwe zviitiko, mazamu emukaka anochinjwa panguva yekuvhiyiwa, kukanganisa kuyamwisa mune ramangwana.

Pakupedzisira, kuchinjwa kwekunzwa kwezamu kunokwanisika, kunyange zvazvo inowanzodzokera kune yakajairika mushure memwedzi mitanhatu kusvika ku6.

Muchiitiko chekuwedzerwa kwezamu kwechokwadi, pamwe ne300g yakabviswa kubva pazamu rega rega, kuchipatara uye kuwana chikamu kunovharwa nekuchengetedzwa kwevanhu. Kana kuvhiyiwa kuchiitwa nachiremba akazvimiririra, mubhadharo wake pamwe chete neayo anesthesiologist haidzoserwe, uye inogona kubva ku2000 kusvika ku5000 euros.

Complementary mutuals inogona kuvhara chikamu, kana zvimwe, chezvose izvi muripo.

Kana kuvhiyiwa kuchiitwa munharaunda yechipatara, kune rumwe rutivi, inobhadharwa zvizere nekuchengetedzwa kwevanhu nokuti chiremba anovhiya uye anesthetist vanobhadharwa nechipatara. Nekudaro, kunonoka kwacho kwakareba kwazvo usati wawana nguva yekuonana munzvimbo yechipatara.