Kwa zaka zambiri, zakudya kapena mimba, mabere sag, amataya mawonekedwe awo ndi kuchuluka kwake. Kodi njira zochizira ndi ziti? Kodi zowopsa za njira izi ndi zotani? Ndi ndalama zingati? Timakhala ndi Olivier GERBAULT, dokotala wa opaleshoni yodzikongoletsa ku Policlinique Esthétique Marigny Vincennes.

M'mawere ptosis ndi mabere akugwedezeka mwa akazi. Timasiyanitsa:

Constitutive chifuwa ptosis

Nthawi zambiri amakhala achibale. “Zinthu ziwiri zowopsa zimazindikirika: kukula kwa bere (kutanthauza kukhala ndi bere lalikulu) komwe kumayenderana ndi khungu lopyapyala komanso / kapena losatanuka kwambiri. Mwachitsanzo, amayi omwe ali ndi khungu loyera ngati la redheads nthawi zambiri amakhala ndi khungu losalimba kwambiri lomwe limakhala lonyowa, kuwonetsa ndi kutambasula mofulumira kwambiri, "akufotokoza motero Dokotala Olivier Gerbault, dokotala wa opaleshoni yodzikongoletsera ku Paris;

Anapeza mawere ptosis

"Mabere amayamba kutsika pakapita nthawi. Zowopsa ndizo zokhudzana ndi zaka, kusintha kwa thupi kosafunikira (zakudya zobwerezabwereza), mpaka kumapeto kwa kusamba, komanso komaliza kwa mimba (ndi kuyamwitsa) ", amatchula katswiri.

M'mawere hypoplasia

Breast ptosis ikhoza kutsatiridwa ndi kukula kwa bere: pamenepa mawere ndi aakulu komanso akugwedezeka. Nthawi zina, m'malo mwake, zimagwirizanitsidwa ndi kusakwanira (kapena kuchepa) kwa voliyumu (makamaka pambuyo pa chakudya kapena mimba): "Timalankhula za hypoplasia ya mammary. Uwu ndiye zotsatira za nsalu zochapira, zomwe zimakhala zovuta kwambiri kwa odwala omwe amapita kukachita opaleshoni, "akutero Doctor Gerbault.

Kukula mabere atha kukhala okhudzana ndi:

A makamaka voluminous chifuwa

“Pamenepa, mawere amatha kugwa atangotha ​​msinkhu. Nthawi zambiri, kuchuluka kwa voliyumu kofulumira kwambiri kumakhala chizolowezi ”, akutsindika dokotalayo. Kutsika kumalumikizidwa ndi kulephera kwa khungu kuthandizira kuchuluka kwa adipose ndi minofu ya glandular: "Ubwino wa khungu ndiwotsimikizika pakuthandizira mawere".

Kulemera kwake 

Bere limapangidwa ndi tiziwalo timene timatulutsa ndi mafuta: kuonda kapena kunenepa kumawonjezera kapena kuchotsa gawo lamafuta la mabere. Zakudya komanso kusiyana kwa kulemera kokhudzana ndi mimba kapena kusintha kwa thupi ndizo zomwe zimayambitsa ptosis ya m'mawere. "Chenjerani ndi kulemera kofulumira: pamene chifuwa chikuyamba kusonyeza zizindikiro zotambasula, khungu limakhala lodzaza".

Kusiyana kwa mahomoni

Monga kutha msinkhu, kutenga pakati kapena kusamba.

M'badwo

“M’kupita kwa nthaŵi kupanga kolajeni ndi ulusi wotanuka kumachepa, khungu limataya mphamvu. Mitsempha imakwinya ndipo mabere akugwa ”.

Kuyamwitsa pa nthawi ya mimba

"Ndichiwopsezo chachikulu cha ptosis ya m'mawere".

"Njira yokhayo yopewera zochitika za ptosis ya m'mawere ndiyo kulabadira kukhazikika kwa kulemera kwanu. Kuvala brassiere kapena brassiere yosinthidwa ndi njira yochepetsera zoopsa, "malinga ndi Dr. Gerbault. Kusamalira moyo wanu wathanzi ndi chitsimikizo cha kusunga khungu lanu komanso momwe mungathere. Ma moisturizer opangidwa ndi cleavage angathandize. Zochita zolimbitsa thupi zolimbitsa ma pecs (zomwe zili pansi pa mafuta) zingathandize kuthandizira mabere. Komabe, opaleshoni yodzikongoletsera imakhalabe njira yokhayo yothandizira kukonza ptosis yotsimikizika ya m'mawere ”.

Zizindikiro za ptosis m'mawere ndi:

Mabere ndi akulu komanso otsika kwambiri

Nsonga ya nipple imatha kutsika pansi kwambiri, nthawi zina mpaka pamchombo.

Mabere osakanikirana

Nthawi zina bere limodzi “limagwa kwambiri kuposa linzake. Breast asymmetry nthawi zambiri imalumikizidwa ndi ptosis ”.

Kutsika kogwirizana ndi kusowa kwa voliyumu

Komanso amadziwika kuti "mabere mu nsalu zochapira". "Nthawi zambiri mabere amatha kutaya mphamvu kuchokera pamwamba, chifukwa chake maonekedwe a mabere athyathyathya".

Zizindikiro zina

Zizindikiro zina zitha kuwonjezeredwa monga makwinya a m'khosi, zotambasula, kuwoneka ngati nsonga ya nsonga yoyenda kapena kupsinjika…

Opaleshoni ya m'mawere imatheka pokhapokha kutha msinkhu kwatha (pafupifupi zaka 17 kapena 18). Dokotala wa opaleshoni amapereka chiŵerengero ndi tsatanetsatane wa kulowererapo. Chiyerekezocho chikapangidwa, nthawi yochotsa masabata awiri iyenera kulemekezedwa musanagwire ntchitoyo. Chikhalidwe cha opaleshoniyo chimasiyana malinga ndi zolakwika zomwe zimavutitsa wodwalayo. Zochitika zitatu zitha kuchitika:

Matenda a m'mawere ogwirizana ndi kukulitsa kwa m'mawere

Izi ndizochitika ndi mabere akuluakulu kwambiri: "panthawiyi njira yochitira opaleshoni imaphatikizapo kuchepetsa kuchuluka kwa bere ndikukonzanso khungu pamtundu watsopano wa glandular (kuchepetsa mammary plasty)".

Breast ptosis popanda kukula kwa bere

"Pamenepa, opaleshoniyi imakhala ndi 'kukonzanso' khungu ndi kukonzanso khungu la mammary popanda kulichotsa: timalankhula za mastopexy", malinga ndi dotolo wodzikongoletsera.  

Matenda a m'mawere amagwirizana ndi mabere ang'onoang'ono

"Ngati agwa pang'ono, zimakwanira kuwonjezera voliyumu pogwiritsa ntchito ma prostheses odzazidwa ndi gel osakaniza silikoni kapena seramu yolimbitsa thupi kapena jekeseni wamafuta (lipofilling). Ngati agwa kwambiri, mastopexy amatha kulumikizidwa kuphatikiza ma prostheses ndi kuwonjezera mafuta ".

Asanayambe opaleshoni, ndi bwino:

• Kusiya kusuta osachepera miyezi iŵiri opaleshoni isanachitike: “ngati wodwala amasuta adzakhala ndi vuto lalikulu kuchira bwino ndipo angakhale ndi zipsera zowonekera”;
• De siyani piritsi lakulera milungu ingapo isanachitike opaleshoni (izi predisposing chiopsezo phlebitis ndi embolism);
• De mankhwala pakhungu lake ndi njira yothetsera antiseptic musanayambe ntchito (biseptine® kusamba);
• Kuchita mammogram asanazindikire chotupa cha mabere chomwe chingapangitse kukayikira opaleshoni yodzikongoletsa ya bere, makamaka poyamba.

“Mosiyana ndi zomwe ambiri amakhulupirira, chiopsezo cha khansa ya m'mawere sichimawonjezeredwa ndi opaleshoni ya m'mawere. Sizosemphana ndi mimba yotsatira, ngakhale ngati mimba sivomerezedwa m'miyezi yotsatira opaleshoni, "akutero katswiri. Zovuta zomwe zingachitike pambuyo pa ntchito ndi izi:

• Ngozi zogwirizana ndi opaleshoni (pulmonary embolism, phlebitis, etc.);
• Machiritso osauka: necrosis, zipsera za keloid (kuchulukana kwachilendo kwa minofu yapakhungu);
• Matenda a nosocomial kapena matenda;
• Kuchuluka kwa hematoma (kuwonjezeka ndi kulimbikira kwa hematoma yoyamba kwa mwezi umodzi, kungayambitse kutupa ndipo kumafuna kuthandizidwa kachiwiri).

"Odwala nthawi zambiri amakhutira ndi zotsatira zomwe zimagwirizana ndi zomwe akuyembekezera", akutsindika dokotalayo. Mabere ndi okwera komanso owoneka bwino, khosi limapepuka ngati hypertrophy kapena m'malo mwake amapeza kuchuluka kwa hypoplasia.

"Pankhani yochepetsera mabere ndi mastopexy, pakhoza kukhala chilonda choyima chomwe chimachoka ku mammary areola kupita pachifuwa cha bere ndipo nthawi zina chilonda chachiwiri pansi pa bere: chifukwa chake tili ndi chilonda cha T chopindika. Ichi ndi chimodzi mwazotsatira zoyenera kuchitapo kanthu. mabere akangoyamba kugwa ”.

Pambuyo pochitapo kanthu, zotsatira zake zimasungidwa, ngati wodwalayo amakhala ndi moyo wathanzi komanso kulemera kokhazikika.

 Mitengo yamtunduwu imasiyanasiyana malinga ndi ntchito yomwe iyenera kuchitidwa komanso malingaliro a dokotala kuti akwaniritse zotsatira zokhutiritsa. Amachokera ku 2500 mpaka 6500 euros.

The reimbursement zimadalira zinchito kusapeza chifukwa cha chifuwa cha wodwalayo. "Pochita, pamene wodwala ali ndi bere lalikulu ndipo amafuna kuchepetsa mafuta oposa 300 g, pali chithandizo", akufotokoza katswiri. Komabe, nthawi zambiri palibe kubwezeredwa ndi chitetezo cha anthu pamene kuchitapo kanthu kumakhala ndi kukulitsa mabere kapena masopexy yosavuta.