乳房切除术的顶级内幕提示
For the estimated今年,281,550名患有乳腺癌的妇女,经历乳房切除术的决定是大的。手术涉及去除乳腺组织(和潜在的附近淋巴结,以确保癌症没有传播)以降低复发的风险。一种类型的乳房切除术不适合所有。总乳房切除术,涉及去除整个乳房,包括乳腺组织,乳晕和乳头;一种皮肤熏蒸的乳房切除术,其中乳房组织,乳头和乳晕除了皮肤,而不是皮肤,并且乳头备件手术,其中只去除乳房组织,捏造皮肤,乳头和索尔拉。
Some of the reasons doctors recommend a mastectomy include having two or more tumors in separate areas of the breast, widespread malignant calcium deposits, or if you’re a carrier for a gene mutation that puts you at a high risk for developing a second cancer in your breast. Undoubtedly, you’ll have many feelings, and rightfully so. Going into it can be scary—mostly for fear of the unknown. But that’s where we come in, to give you all the intel, from doctors in the know, about what to expect before, during, and after the procedure so that you’re prepped and ready both physically and emotionally.
分享你的药物
“Bring a list of all prescription and over-the-counter medications you are taking, and note your allergies to medication as well,” says Miami-based nurse practitioner Dorothy Dulko, Ph.D., a faculty member of Walden University’s Master of Science Nursing program. Studies have shown some medications, like aspirin, ibuprofen (Advil, Motrin IB), as well as blood-thinning medications like warfarin (Coumadin, Jantoven) can increase your chance of major bleeding during and after the surgery. Your doctor will likely have you stop taking these meds at least a week before surgery.
加载健康的脂肪
让您恢复更快的康复,使食物与Monounsaturated和Omega-3脂肪成为您饮食的主要部分。2014年审查伤口护理进步reports omega-3 polyunsaturated fatty acids, and particularly those found in in fish oil, have been shown to prevent wound infections and can improve early wound healing. Though, after several days, they may decrease collagen production, this may also prevent extensive scarring. “They are good choices for healing, as they have been shown to improve immune function, decrease inflammation in the body, and improve heart health,” Dr. Dulko says.
包装便携式自我护理产品
因为你可能在医院的手术后几天晚上,淋浴可能是一个禁止的日子,储存产品,帮助您感到如此清新,如此清洁。Dulko博士说,虽然医院提供了标准问题,如肥皂和毛巾,你可能想要带自己。还要考虑像婴儿湿巾这样的包装东西,没有水或干燥洗发水,让你的头发感到新鲜。
手上枕头
When you leave the hospital, you’ll likely have a surgical bra to cover your incision and drains attached to your bra. “These help to drain fluid from your incision and prevent swelling,” Dr. Dulko says. Make sure whoever drives you home has a couple of small pillows on hand to place under the seatbelt, including both the strap that goes across your chest and over your lap. Padding these very sensitive areas in between your drains and incisions and the seatbelt can provide some extra comfort on the ride home, Dr. Dulko says.
拥抱蓝调
“If you’ve had a sentinel lymph node biopsy (to determine if the cancer has spread), your surgeon will likely have injected a small amount of blue dye underneath your nipple or near the tumor,” Dr. Dulko says. This dye travels through your lymphatic fluid to the sentinel lymph node(s), staining them blue. Which is harmless, but it also tends to turn your skin, stool, and urine blue, too for a few days after your surgery. So, don’t be alarmed if you (and the toilet bowl water) change color.
Downsize Your Purse
医生建议避免挑选对象five pounds (we’re looking at you, half-ton tote) for up to eight weeks after a mastectomy and reconstructive surgery. That’s because heavy lifting may cause tearing of small vessels, which can lead to bleeding or a hematoma. In fact, you shouldn’t lift your arms above shoulder level at all for about two weeks post op. “While you may feel pretty normal as soon as two to four weeks after surgery, especially if you have no reconstruction, it takes six to eight weeks for full wound healing to occur, so take it easy after surgery,” says Constance M. Chen, M.D., a board-certified plastic surgeon and clinical assistant professor of plastic surgery at Weill Cornell Medical College in New York City.
明智地穿着
Real talk: You’ll be living with surgical drains for a while after surgery, as well as potentially leaky wounds. Opt for dark colors to mask stains and front zippers that are super easy to get in and out of, Dr. Chen says. “Many surgeons will place a post-surgical bra that has attachments for the drains, so it may not be necessary to buy special clothing to carry the drains. However, there are post-surgical clothes, scarves, and belts that have special pockets if your surgeon does not use a post-surgical bra that holds the drains,” she says.
改善你的贪睡
据2018年,虽然在第二天的睡眠中,但在第二天的睡眠中可能会对您的运作水平造成严重破坏,但据2018年,它还可以提高对疼痛的敏感性并阻碍您的恢复学习在麻醉学中的目前的意见。Because your doc will recommend that you sleep on your back for six to eight weeks post-op to help with healing and symmetry if you have reconstruction, it can take some getting used to for stomach or side sleepers, Dr. Chen says. Well ahead of surgery, practice sleeping on your back to help train your body, so you’ll sleep more soundly afterward.
阿司匹林对外科手术的影响:新英格兰医学杂志。(2014)。“阿司匹林在接受非心动手术的患者中”。nejm.org/doi/full/10.1056/nejmoa1401105
Omega-3脂肪酸对伤口愈合的好处:伤口护理进步。(2014)。“精氨酸和ω-3脂肪酸在伤口愈合和感染中的作用”。ncbi.nlm.nih.gov/pmc/articles/pmc4217020/
睡眠和手术后恢复:麻醉学中的目前的意见。(2018)。“改善术后睡眠:我们能做什么?”ncbi.nlm.nih.gov/pmc/articles/PMC5768217/
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