詳解乳癌切除重建

Wise Library 1985/司馬儀

 

罹患乳癌的婦女中,南韓、美國接受乳房重建的比例超過50%。國內目前乳癌開刀的傷口較過去縮小,若做乳房部分切除或切除纖維囊腫,傷口只有1~2公分,適合乳房重建。

 

過去重建乳房的風險

過去一般是採自體組織重建,是移植病患背部或腹部等部位的局部皮瓣,成功率高、後遺症少,但風險是脂肪被吸收、恢復期長、皮瓣壞死。

 

乳房重建技術更新版

組織擴張器不用再外接導管,舒適度比過去增加許多!義乳材質以果凍矽膠為主,從早期的圓形進階成水滴型,更接近自然的胸型。

 

注意事項

患者要考量皮膚厚薄、術後胸壁的鬆弛程度等,與整形醫師進行討論。

 

相關報導

Hollywood女演員安潔莉娜裘莉Angelina Jolie,檢查後發現自己帶有乳癌遺傳基因BRCA1突變,考慮到家族史,她選擇進行乳房和卵巢預防性切除(這麼做的論點是:有特定遺傳性癌症基因變異的人,比起沒有基因變異的人,罹患癌症的風險多出20倍以上。)

▲但中山醫大附設醫院副院長曾志仁主張基因異常只要切掉輸卵管,做乳房核磁共振,癌前篩檢和追蹤預防,無須切除卵巢和乳房。

 

相關案例

57歲A小姐是卵巢癌患,曾罹患乳癌,他建議癌症遺傳基因檢測,確認有乳癌遺傳基因BRCA1變異,A小姐的媽媽姊姊也有乳癌。患者30歲女兒基因檢測也有遺傳基因變異,醫生建議A小姐的女兒趕快懷孕生產,再做結紮手術,目的是為了預防卵巢癌

 

健康醫療

便祕胃痛腦疲勞蕁麻疹乾眼症、飛蚊症、 眼睛雷射畏光  |孕婦禁忌(飲食注意事項)不孕益生菌 |蛀牙 膝蓋 |健保 |手術 |補助 |腎臟病乳癌塑化劑肝癌胃食道逆流| 飛蚊症|自律神經失調老化更年期憂鬱/憂鬱症白髮不安(恐慌症)新冠肺炎糖尿病治療和飲食  | 血糖 | 失眠 |  熬夜(輪夜班)癌症/抗癌死亡 |思覺失調症探病送禮

 

美容保養

微針保養診所預收訂金,違反醫療法防曬小腹減肥營養學敏感肌燒燙傷疤痕(去疤.除疤藥膏)醫美/醫美診所穴道肌肉專欄  |維他命吃太多的健康風險

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Margaret W. Lavigne 司馬儀

Life can be beautiful without perfection. There’s a strong link between unconditional love and posttraumatic growth. In truth, people can only witness unconditional love in hard times. If you believe in luck or miracles, be aware of the seven deadly sins and the power of tenderness. According to the Bible, no one will be exempt from life challenges, including the chosen ones (1 Peter 1:3-9). God expects us to stay hopeful and “rejoice in our sufferings,” because “trials of various kinds” are training to make us “perfect and complete” (Romans 5:3-6, James 1:1-27). It’s comforting to know that “God promises to make something good out of the storm” (Roman 8: 28). We fall and we learn. As we learn to humble ourselves, life gets better. The connection between the brain and stomach is bidirectional. Excessive sugar intake and chronic stress sabotage our immune system that 70% to 80% of our immunity hinges on our gut health. Memory loss and cognitive impairment are common symptoms of Alzheimer’s disease, all of which are highly connected to type 2 diabetes. Early signs of type 2 diabetes include chronic fatigue, irritability, frequent urination, vision problems and slow wound healing. Depression is prevalent in people with diabetes due to the fact that diabetes causes “structural changes in the brain.” Muscle-building helps regulate blood sugar levels. There is growing evidence that high blood sugar leads to reduced muscle mass. Beyond that, there’s a strong link between sleep deprivation and emotional weakness People suffer from suppressed anger. God is watching our every move. God sees through our motives. Mental health crisis is sweeping on a global scale because the core value of capitalism is incompatible with what human truly needs. Money cannot purchase inner peace. Wealth incurs fair-weather friends, frenemies and snobs. Inner peace is the utmost blessing from God. Take time to deal with your old mental wounds. 佛教主張因果論,而 Bible主張人生必有難題(不論好人壞人),主張磨練都是鍛鍊心智,但災難的背後會有禮物(禍福相依,壞消息可能是跳板,好消息處理不當就變成頭痛點)!Bible主張人生只有一回,沒有前世今生!人生會有很多上蒼的隨堂考,氣生災,如果你相信成功需要幸運,把「柔」做好,就可以賺福氣,Bible強調自律、謙卑和禍從口出。潛意識24小時不睡覺,中醫主張生悶氣、恐懼和悲觀是疾病的根源。很多人可能想不到很多老毛病是肩頸僵硬引起的,「因為肩頸僵硬會引發自律神經失調」,而自律神經失調恐引發一大串的毛病!久坐者即便沒有駝背也可能有「坐姿前傾」的問題,建議手臂做180%和90%的拉伸動作,按壓指間穴道也有大助益。健康建議:天芢無糖抹茶牛奶+ 無糖豆漿+鹼性飲食(可提高基礎體溫)+淋巴按摩X 頭皮耳朵穴道按摩+甩手操或拍打功或低耗氧的運動。糖尿病可逆轉!「提高肌肉量」是控制血糖的的關鍵!人們低估了「糖過量」及「過食」對身體的破壞力。國外研究證實阿茲海默症患者「禁糖」可望痊癒!如果遭受暴力(家暴)、性侵或性騷擾或任何身心虐待,撥打113保護專線,24小時全年無休!生活、學業、工作等等情緒困擾,撥打安心專線「1925」。寫信給司馬儀:Gmail: jpsiawase@gmail.com

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