
rommu perugudala

rommu perugudala mariyu perugudala mamoplasty anedi rommu-implantlu mariyu kovvu-graft mamoplasty paddhatulanu upayoginchi rommula parimaanaanni penchadaaniki, aakaraanni maarchadaaniki mariyu rommula aakrutini maarchadaaniki upayoginche soundarya shastrachikitsa saanketikata. rommulu mariyu chaatii goda puttukatho vachhe lopaalanu saricheyadaaniki augmentation mamoplastini vartimpajestaaru. oka empika chesina soundarya shastrachikitsagaa, praathamika perugudala aarogyakaramaina rommula parimaanam, aakaram mariyu aakruti yokka soundaryaanni maarustundi.
shastrachikitsa implantation vidhanam rommu ardhagolamlo golaakaara vruddhini srushtistundi, lavaneeyam draavanam ledhaa silicon jeltho nindina rommu implantnu upayogistundi; kovvu-graft badilee vidhanam parimaanaanni penchutundi mariyu vyakti yokka sareeram nundi teesina adipocyte kovvu kanajaalam yokka graftlatho rommu ardhagolamloni aakruti lopaalanu sarichestundi.
rommu punarnirmaana prakriyaloo, rommu implant prosthesisnu sweekarinchadaaniki mariyu daaniki anugunamgaa graheeta sait (implant paaket) nuu siddham cheyadaaniki (aakaram mariyu peddadi) konnisaarlu kanajaala vistarana yantraanni (taatkaalika rommu implant parikaram) unchutaaru mariyu lavanheeyathatho penchutaaru.
kovvu-antu rommu perugudala yokka chaalaa sandarbhaallo, perugudala swalpa parimaanamlo untundi, saadhaaranamgaa oka bra cup parimaanam ledhaa anthakante takkuva, idhi maanava sareeram yokka jeevakriya dwara anumatinchabade saareeraka parimitigaa bhaavinchabadutundi.
shastrachikitsa rommu perugudala.
rommu implantlu.
naalugu rakaala implantlu unnaih
seline rommu implant.
lavaneekarinchina rommu implant, lavaneekarinchina draavanamthoo nindi, mottamodata fraanslooni laboratoirs arian companyche tayaaru cheyabadindi mariyu 1964loe krutrima vaidya parikaramgaa upayoginchadaaniki pravesapettabadindi. lavaneekarinchina rommu implantla aadhunika samskaranalu silicon elastomertho tayaaru chesina mandamaina, gadhi-ushnograta vulcanized (artivi) shellatho tayaaru cheyabadataayi. mundhe nimpina lavaneekarani rommu implantla yokka inn vitro deflation" (2006) adhyayanam nivedinchindi, mundugaa nimpina lavaneekarani rommu implant yokka deflation (filler leakage) raetlu dheenini "diddubaatu rommu shastrachikitsa" kosam rendava-empika prosthesisga marchai. edemaina, 1990laloe, rommu vruddhi shastrachikitsaku seline rommu implant anedi saadhaarana prosthesisga tappanisari cheyabadindi, idhi U yokka phalitam.ess. silicon nindina rommu implantla digumatulapai phud und drugg administration (fda) taatkaalika parimiti.
saline-implant technic yokka saanketika lakshyam takkuva invasive shastrachikitsa saanketikata, oka chinna shastrachikitsa kotha dwara khaalii, chuttabadina rommu implantnu choppinchadam dwara. shastrachikitsalo, implant paaketlalo khaalii rommu implantlanu vyavasthaapinchina taruvaata, plaastik sarjan appudu prati parikaranni vann-vae valve dwara lavanee draavanamthoo nimputaaru mariyu avasaramaina choppimpu kothalu chinnavi mariyu chinnaviga unnanduna, phalitamgaa kotha macchalu mundugaa nimpina, silicon-zell implant shastrachikitsa saanketikata yokka vilakshanhamaina shastrachikitsa macchala kante chinnaviga mariyu chinnaviga untaayi.
silicon-zell rommu implant thoo saadhinchina phalitaalato polchinappudu, seline implant perigina rommu parimaanam, sunnitamaina ardhagola-aakruti mariyu vaastavika sthirathvam yokka "manchi nundi adbhutamaina" phalitaalanu istundi; ayinappatikee rommu-cover charmam yokka alalu mariyu mudatalu vanti soundarya samasyalanu kaliginchadam mariyu implant yokka uniki kantiki mariyu sparsaku gurtinchadaginadi vanti saanketika samasyalanu kaliginchadam vantivi vantivi. chaalaa takkuva rommu kanajaalam unna vyakti vishayamlo ituvanti soundarya samasyalu sambhavinchadam chaalaa ekkuva; postmastectomy rommu punarnirmaanam avasaramayye vyakti vishayamlo, silicon-zell implant anedi rommu punarnirmaanaaniki saanketikamgaa unnatamaina krutrima parikaram. upa-kandaraala sthaanam sifaarsu cheyabadina shastrachikitsa vidhanam ayina ekkuva rommu kanajaalam unna vyakti vishayamlo, seline rommu implantlu silicon rommu implantla dwara utpatti cheyabadina soundarya phalitaanni ivvagalavu damasha rommu parimaanam, mruduvaina aakruti mariyu vaastavika sthirathvam.
silicon-zell rommu implant.
aadhunika prosthetic rommunu 1961loe american plaastik sarjanlu thamus cronin mariyu fraank jero kanugonnaru, mariyu dow corning corporation chetha tayaaru cheyabadindi; nirneeta samayamlo, modati augmentation mamoplasty 1962loe nirvahinchabadindi. silicon jeltho nindina rommu-implant namuunaala kosam aidu taraala vaidya parikara saanketikata unnaayi; rommu prosthesis yokka prati taram saadhaarana namuunaa-tayari paddhatula dwara nirvachinchabadindi.
modati taram.
cronin-grow implant, prosthesis modal 1963, oka silicon rabbaru envalap-saak, idhi tear drop aakaaramlo untundi, idhi jigata silicon-jeltho nindi untundi. chaatii godapai unchina rommu-implant yokka bhramanaanni tagginchadaaniki, 1963 modal prosthesisnu implant paaketku fastener-pyaach thoo atikinchaaru, idhi dacron material (polyethylene terephthalate) thoo tayaaru cheyabadindi, idhi rommu implant shell venuka bhaagamlo jodinchabadindi.
rendava taram.
1970laloe, tayaareedaarulu rendava taram rommu implant prosthesisnu andinchaaru.
moodava mariyu nalgava taraalu.
1980laloe, moodava mariyu nalgava taram implantlu tayari saanketika parignaanamlo dasala vaareegaa purogati saadhinchaayi, elastomer-puuta gala shellu zell bleed (filler leakage) nuu tagginchaayi mariyu mandamaina, perigina-samyogam filler zell vantivi. implant cheyagala rommu prosthesis tayaareedaarulu appudu anatomic namuunaalanu (sahaja rommu vantivi) mariyu "aakarapu" namuunaalanu roopondinchaaru, ivi vaastava mahilala rommu mariyu shareera rakaalato vaastavikamgaa anugunamgaa untaayi. rommu implant yokka sannani namuunaalu implant jebulo prosthesis yokka bhramanaanni tagginchadaaniki ekareeti aakruti uparitalaanni kaligi untaayi; rommu implant yokka gundrani namuunaalu mruduvaina-uparitalam mariyu aakruti-uparitala namoonaalalo andubaatulo unnaayi, endukante bhramanam oka samasya kaadu.
aidava taram.
1990la madhya nundi, aidava taram silicon zell rommu implant pakshika-ghana jeltho tayaaru cheyabadindi, idhi ekkuvagaa puuraka leakage ("silicon-zell bleed") mariyu silicon puurakam yokka valasa sanghatanalanu tolagistundi. soundarya mariyu punarnirmaana rommu implant shastrachikitsalo shareera nirmaanaatmaka saft cohesive silicon zell prosthesis thoo anubhavam" (2004) mariyu "soundarya mariyu punarnirmaana rommu shastrachikitsalo cohesive silicon zell rommu implantlu" (2005) adhyayanalu copsular contractor mariyu parikara-shell cheelika yokka saapekshamgaa takkuva retlanu mariyu prarambha taram rommu implantla kante "vaidya bhadrata" mariyu "saanketika samarthatha" yokka saapekshamgaa ekkuva retlanu nivedinchaayi.
pratyaamnaaya-kuurpu implantlu.
seline mariyu silicon zell anevi nedu prapanchamlo upayoginche rommu implant yokka atyanta saadhaarana rakalu. pratyaamnaaya-kuurpu implantlu ekkuvagaa nilipiveyabaddaayi. eee implantlalo soya ayil mariyu polyprophylene string vanti puurakaalu undevi. nilipiveyabadina itara padaarthaalalo aux mrudulaasthi, terrylene "unni", ground rabbaru, sylastic rabbaru mariyu teflan-silicon prostheslu unnaayi.
"nirmaanaatmaka" implantlu.
rommu implant yokka nalgava vargamgaa 2014loe eff. dii. eah mariyu health kenada dwara nirmaanaatmaka implantlanu aamodinchaaru. eee implantlu seline mariyu silicon zell implant saanketikata rendintinee kaligi untaayi. cheelika vishayamlo, puurakam lavaneeya draavanam, mariyu silicon zell implantlu vanti sahaja anubhootini kaligi untundi. eee implant rakam rommu eguva bhaagaaniki maddatu ichhe moodu goodu silicon rabbaru "shellu" thoo kuudina antargata nirmaanaanni upayogistundi, moodu shella madhya rendu khaaliilu lavanheeyathatho nindi untaayi. implantnu choppinchi, khaliga, aapai okasari sthaanamlo nimputaaru, dheeniki mundugaa nimpina implant kante chinna kotha avasaram.
implantlu mariyu tallipaalu.
rommulu apocrine grandhulu, ivi sisuvulaku paalu ivvadaaniki palanu utpatti chestaayi.
rommu implant vishapuuritam.
rommu implantlatho jeernavyavastha kalushyam mariyu rommu implant filler rommu paalaku leak kavadam valla vyavasthaagata vishapuuritam kavadam pradhana shishu-aarogya samasyalu. rommu implant fillarlu jeevasaastraparamgaa nishkriyamgaa untayih silicon filler jeernam kaadu mariyu seline filler ekkuvagaa uppu mariyu neeru. eee padaarthaalalo prati okkati rasaayanikamgaa jadamgaa undaali mariyu paryaavaranamloo undaali. antekakunda, "pratipaadakudu" vaidyulu "silicon rommu implantlu unna mahilalu tallipaalanu ivvadaaniki sampoorna vyatiraekata undakudadani paerkonnaaru."1990la praarambhamlo, silicon zell rommu implant anaaroogyam praarambhamlo, chinna-sthaayi, yaadruchchika adhyayanalu silicon implantla nundi tallipaalanu samasyalanu suuchimchaayi; yea okka adhyayanam kooda implantla kaaranamgaa vyaadhi kaaranaanni pradarsinchalekapoyindi.
tallipaalanu ivvadaaniki addamkulu.
rommu implantlu unna vyakti saadhaaranamgaa sisuvuku paalu ivvagaladu; ayinappatikee implantlu kriyaatmakamaina tallipaalanu samasyalanu kaligistaayi, mukhyamgaa mamoplasty vidhaanaalatho, indulo erola chuttoo kattirinchadam mariyu neerugaa rommu krinda implant placement untaayi, ivi ekkuva tallipaalanu samasyalanu kaligistaayi. chanumona-area complexes (enn. yea. sii) yokka lactiferous naalaalu mariyu naralaku athi takkuva nashtam kaliginche vidhananni enchukoovaalani rogulaku salaha istaaru.
shastrachikitsakudu paala naalaalanu ledhaa rommuku chemata pattinche pradhana naraalanu kattirinchinatlayite ledhaa paala grandhulu debbatinnatlayite kriyaatmaka tallipaalanu samasyalu talettutaayi. imf (inframamary fold), taba (trans-accellary rommu perugudala), mariyu tuba (trans-ambilical rommu perugudala) vanti konni shastrachikitsa vidhanalu, chanumona-erola complexes yokka kanajaalaanni nivaaristaayi; aaa vyakti tallipaalanu ivvadamlo vachhe ibbandula gurinchi aandolana chendutunte, paala naalaalu mariyu nock yokka naralaku nashtam kaliginchadaanni tagginchadaaniki konnisaarlu periariolar kothalu cheyavachu. paala grandhulu ekkuvagaa upa grandhi implantlu (grandhi kinda) mariyu pedda parimaanamlo rommu implantlu dwara prabhaavitamavutaayi, ivi lactiferous naalaalanu chitikedu chesi, paala pravahanni addukuntayi. chinna-parimaana rommu implantlu, mariyu submuscular implantation, takkuva rommu paniteeru samasyalanu kaligistaayi; ayithe, kontamandi mahilalu periariolar kothalu mariyu subglandular emplacement cheyinchukunna tarvaata vijayavantamgaa tallipaalu ivvagaligaaru.
roogi.
manastatvasaastram.
rommu vruddhi rogula shareera chitra samasyalu" (2003) mariyu "boddy diasmorphic desorder und cosmetic surgery" (2006) adhyayanalu rommu vruddhi shastrachikitsa cheyinchukunna mahila kooda manasika chikitsa cheyinchukunnarani, takkuva aatmagouravam kaligi undani, tarachugaa manasika maandyam sambhavistundani, aatmahatyaku prayatninchinatlu mariyu shareera dysmorphia rakamaina manasika anaarogyaanni kaligi undani nivedinchaayi, indulo aame unikilo laeni saareeraka lopaalanu grahistundi. mahilala manasika aarogyam mariyu jeevana naanhyata gurinchi shastrachikitsa anantara roogi sarvelu merugaina saareeraka aarogyam, saareeraka roopaanni, saamaajika jeevitaanni, aatmavisvaasaanni, aatmagouravaanni mariyu santruptikaramaina laingika paniteerunu nivedinchaayi. antekakunda, chaalaa mandhi mahilalu tama rommu implantlatho deerghakaalika santruptini nivedinchaaru; kontamandiki shastrachikitsa savarana avasaramayye vaidya samasyalu unnappatikee, diddubaatu ledhaa soundaryaparamgaa. adevidhamgaa, denmarklo, rommu perugudala rogulalo 8 saatam mandhi manasika aasupatrilo cherina shastrachikitsaku mundu charitra kaligi unnaaru.
mahilaa boddy builderlu.
soundarya shastrachikitsa.com vyaasam "vaariki chaatiilu kaavaali, mahilaa baruvu ettevaaru" (2013) mahilaa baruvu ettevaaru stree sariiraanni nirvahinchadaaniki rommu perugudala shastrachikitsanu aasrayinchaarani, tadwara perigina sannani shareera dravyarashi phalitamgaa rommu dravyaraasini kolpovadaanni bharti chestaarani nivedinchindi.
manasika aarogyam.
soundarya rommu implantlu unna mahilallo aatmahatya nundi adanapu maranaalu mariyu maranaaniki itara bahya kaaranaalu" (2007) anae rekhansha adhyayanam, rommu implantlu korukune mahilalu rommu implantlu korukoni mahilala kante aatmahatya chesukune avakaasam daadaapu 3 retlu ekkuva anie nivedinchindi. saadhaarana janaabhaalooni mahilala praamaanika aatmahatya-retutho poliste, perigina rommulu unna mahilala aatmahatya-raetu implantation tarvaata 10 samvatsaraala varaku okela undindi, ayinappatikee idhi 11 samvatsaraala maarkulo 4.5 retlu ekkuvaku perigindi, mariyu 19 samvatsaraala maark varaku konasaagindi, idhi 20 samvatsaraala implantation tarvaata 6 retlu ekkuvaku perigindi. antekakunda, aatmahatya pramaadaaniki adanamgaa, rommu implantlu unna mahilalu madyapaanam mariyu maadakadravyaala durviniyogam (prescription mariyu vinoda) nundi moodu retlu maraninche pramaadaanni kooda edurkonnaru. edu adhyayanalu ganankaparamga rommu perugudala prakriyaloo unna streeni ekkuva aatmahatya retutho anusandhaaninchinappatiki, perugudala shastrachikitsa aatmahatya retunu penchadani parisoedhana suuchistumdi; mariyu, modati sandarbhamlo, maanasikamgaa vamputirigina mahila rommu perugudalaku gurikavadam ishtam.
antekakunda, "aatmagouravam mariyu laingikatapai rommu vruddhi mamoplasty prabhaavam oka parimaanaatmaka vislaeshanha" (2007) anae adhyayanam, mahilalu tama merugaina aatmagouravam, sweeya-chitram mariyu perigina, santruptikaramaina laingika paniteeruku rommu perugudalaku gurainatlu nivedinchindi; 21-57 samvatsaraala vayassu gala samuuham, 30-paayintla rosenberg aatmagourava sthaayilo sagatu operation anantara aatmagouravam 20.7 nundi 24.9 paayintla varaku perigindi, idhi dayta mahila yokka kaamamlo 78.6 saatam perugudalaku maddatu ichindi, aame prii-operative sthaayi kaamaaniki sambandhinchi. anduvalla, edainaa shastrachikitsa vidhaanaaniki angeekarinche mundu, rommu implantlu aame aatmagouravam mariyu laingika paniteerunu sanukoolamgaa prabhaavitam chestaya anie nirnayinchadaaniki plaastik sarjan mahila yokka manasika aarogyaanni anchanaa vestaadu mariyu pariseelistaadu.
shastrachikitsa vidhanalu.
suuchanalu.
rommu implantlanu amarchadaaniki oka vruddhi mamoplastiki moodu chikitsa prayojanaalunnaayi
shastrachikitsa gadhi samayam post-mastectomy rommu punarnirmaanam, mariyu rommu perugudala shastrachikitsa upayoginchina sthaanabhramsham prakriya, kotha saanketikata rakam, rommu implant (rakam mariyu padaarthaalu), mariyu implant paaket yokka pectoral lokal dwara nirnayinchabadutundi.
kotha rakalu.
rommu implant parikaram yokka sthaanabhramsham aidu rakaala shastrachikitsa kothalatho nirvahinchabadutundih
implant paaket placement.
implant jebulo rommu implantnu unchadaaniki naalugu shastrachikitsa vidhanalu pectoralis pradhana kandaraaniki saareeraka sambandhamlo vivarinchabaddaayi.
shastrachikitsa tarvaata kolukovadam.
rommu vruddhi mamoplasty yokka shastrachikitsa macchalu shastrachikitsa tarvaata 6 varalalo nayam avtayi mariyu mahila yokka charma rakanni batti chaalaa nelallone masakabaarutaayi. mahilaku avasaramaina rojuvaaree saareeraka sramanu batti, augmentation mamoplasty roogi saadhaaranamgaa shastrachikitsa tarvaata sumaru 1 vaaramlo thana saadhaarana jeevita karyakalapalanu tirigi praarambhistaadu. upa kandaraala implantation (pectoralis pradhana kandaraala krinda) cheyinchukunna mahila saadhaaranamgaa shastrachikitsa tarvaata ekkuva kaalam kolukuntundi, mariyu rommu perugudala kosam chaatii kandaraalaloki lothaina kanajaala kothalu nayam kavadam valla marinta noppini anubhavistundi. roogi saadhaaranamgaa aaru vaaraala paatu vyayamam cheyadu ledhaa kathinamaina saareeraka shramallo palgonadu. antekakunda, prarambha kolukune samayamlo, noppi mariyu asoukaryaanni tagginchadaaniki roogi thana chetulanu kramam tappakunda vyayamam (vangadam mariyu kadilinchadam) cheyamani prothsahinchabadutundi; mariyu, avasaramaite, noppini tagginchadaaniki analgesic medicine catheters.
vaidya samasyalu.
rommu punarnirmaanam kosam ledhaa soundarya prayojanam kosam rommu-implant parikaraala plaastik shastrachikitsa sthaanabhramsham, anaesthesia, hematoma (operation anantara raktasraavam), seroma (dravam perukupovadam), kotha-sait vichchinnam (gaayam sankramana) vanti shastrachikitsaku saadhaarana aarogya pramaadaalanu andistundi. rommu perugudalaku pratyaekamaina samasyalalo rommu noppi, maarpu chendina anubhooti, tallipaalanu ivvadamlo aatamkam, kanipinche mudatalu, asamaanata, rommu kanajaalam sannabadatam mariyu symmastia, rommula madhya sahaja samatalaaniki antaraayam kaliginche rotte rotte rotte. antarleena rommu implant-capsular contracture mariyu capsular cheelika yokka samasyalaku nirdishta chikitsalu aavartana mri paryaveekshanha mariyu saareeraka pareekshalu. antekakunda, implantation shastrachikitsaku sambandhinchina samasyalu mariyu punah operations, mariyu kanajaala vistarana yantraalaku (shastrachikitsa samayamlo implant placeholderlu) sumaruga 6-7% rogulalo ananukuulamaina macchalanu kaliginchavacchu.
 ganankaparamga, soundarya implantation cheyinchukunna mahilallo 20 saatam, rommu punarnirmaana implantation cheyinchukunna mahilallo 50 saatam mandhi 10 samvatsaraala maarkulo vaari vistarana avasaram. 2019loe, alergaon yokka alergaon biosel texture rommu implantlu mariyu rommu implant-sambandhita anaplastic large sell lymphoma (biah-alk), roganirodhaka vyavastha yokka cancer madhya pratyaksha sambandham gurtinchabadindi. fda anni allergy biosel implantlanu tirigi pilichindi.
implant cheelika.
rommu implant anedi parimita utpatti-jeevitaaniki chendina moodava taragati vaidya parikaram kabatti, pradhana cheelika-raetu karakalu daani vayassu mariyu roopakalpana; ayinappatikee, rommu implant parikaram stree sareeramlo dasaabdaala paatu daani yaantrika samagratanu nilupukogaladu. seline rommu implant pagilinappudu, leak ayinappudu mariyu khaalii ayinappudu, adhi twaragaa deflate avutundi, tadwara takshaname paelchavachchu (shastrachikitsa dwara tolaginchabadutundi). tadupari nivedika, "natrell seline-phul breast implants eah prospective 10-iyar studdy" (2009) implantation tarvaata 3 samvatsaraala samayamlo 3-5 saatam cheelika-dravyolbana retlanu mariyu implantation tarvaata 10 samvatsaraala samayamlo 7-10 saatam cheelika-dravyolbana retlanu suuchimchimdi. thana 4761 augmentation mamaplasty rogula adhyayanamlo, isenberg seline rommu implantlu 10-13% nuu atigaa nimpadam valla 8 samvatsaraala implantation tarvaata cheelika-dravyolbana retunu 1.83% kuu gananeeyamgaa tagginchindani nivedinchaaru.
silicon rommu implant pagilinappudu adhi saadhaaranamgaa vikshepam chendadu, ayinappatikee filler zell daani nundi leak avutundi, idhi implant jebuku valasa vellavacchu; anduvalla, intracopsular cheelika (inn-capsule leak) extracopsular cheelikagaa (capsule leak) maaravacchu, mariyu prati sanghatana vistarana dwara parishkarinchabadutundi. leak ayina silicon filler-zell chaatii kanajaalam nundi mahila sariiramlooni itara praantaalaku valasa vellagaladu, chaalaa clinical samasyalu rommu mariyu chankala praantaalaku matrame parimitam cheyabadataayi, ivi saadhaaranamgaa granulomas (inflammatory nodules) mariyu auxillary lymphadenopathy (chankala praantamloo vistarinchina shosharasa grandhulu) gaa vyaktamavutaayi.
silicon implant cheelikanu magnetic resonance imaging upayoginchi anchanaa veyavachu; single-lumen rommu implantla kosam deerghakaalika mri dayta nundi, rendava taram silicon-zell rommu implantlu (1970la design) gurinchi european saahityam, implantation tarvaata 10 samvatsaraala (rogula yokka 15-30%) vadda 8-15 saatam nissabda parikara-cheelika retlanu nivedinchindi.
6 samvatsaraala vadda mentar memoriesel implants yokka bhadrata mariyu prabhavam" (2009) anae adhyayanam, idhi yuu yokka saakha adhyayanam.ess. praadhamika rommu vruddhi shastrachikitsa rogula kosam fda yokka pradhana clinical trials, implantation tarvaata 6 samvatsaraala samayamlo parikara-antaraayam raetlu 1.1 saatam takkuvagaa unnatlu nivedinchaayi. mandapati puuraka-zell thoo silicon rommu implantla yokka modati shreni mri anchanaalu madhyastha 6 samvatsaraala parikara-vayassulo 1 saatam ledhaa anthakante takkuva parikara-vichchinnam retunu nivedinchaayi. ganankaparamga, rommu implant pagilinda ledhaa anie khachitamgaa anchanaa vaeyadaaniki mahila yokka manueval pareeksha (spruha) saripodu. silicon rommu-implant cheelika nirdhaaranah magnetic resonance imaging vadda kanugonna vaatitho poliste clinical phalitaalu" (2005) anae adhyayanam, lakshanarahita rogulalo, cheelika rommu implantlalo 30 saatam matrame khachitamgaa taakabadi, anubhavagnudaina plaastik sarjan dwara gurtinchabadutundani nivedinchindi, ayithe mri pareekshalu 86 saatam rommu-implant cheelikalanu khachitamgaa gurtinchaayi. kabatti, yuu.ess. implantation tarvaata 3 samvatsaraala maarkutho praarambhinchi, aaa taruvaata prati rendu samvatsaraalaku okasari, nirneeta mri pareekshalanu nissabda-antaraayam pareekshalugaa fda sifaarsu chesindi. ayithe, yuu daati.ess.itara deshaala vaidya samsthalu saadhaarana mri screeningnu aamodinchaledu, daani sthaanamlo, atuvanti radiologic pareekshanu rendu prayojanaala kosam ketaayinchaalani pratipaadinchaayih (i) anumaanaaspada rommu-implant cheelika unna mahila kosam; mariyu (ii) cheelika rommu implant unikini soochinche mammographic mariyu ultrasonic adhyayanala dhruvikarana kosam.
inca, "silicon rommu implant cheelikalanu gurtinchadaaniki magnetic resonance imaging yokka diagnostic khachitatvampai adhyayana roopakalpana pakshapaataala prabhaavam eah meta-analysis" (2011) lakshanarahita mahilala rommu-screening missis rommu-implant cheelika sambhavinche pramaadaanni atigaa anchanaa veyavachani nivedinchindi. eee sandarbhamlo, yuu.ess. aahara mariyu aushadha paripalana "rommu implantlu jeevitakaala parikaraalu kaavu" anie nokki cheppindi. oka mahila silicon zell nindina rommu implantlu entha ekkuva kaalam kaligi unte, aame samasyalanu edurkone avakaasam ekkuva."
nirmaanaatmaka implant yokka oka lumen pagilinappudu, adhi leak ayi khaalii avutundi. itara lumen chekkuchedarakunda untundi mariyu implant paakshikamgaa matrame deflet avutundi, idhi sulabhamgaa explant mariyu replacement cheyadaaniki veelu kalpistundi.
capsular contract.
shastrachikitsa dwara vyavasthaapinchabadina videshee object breast implant, cardiac pays maker, keella prosthesis kuu maanava sareeram yokka roganirodhaka pratispandana, kathinamgaa nesina collagen fibers yokka maccha kanajaala capsulesto kappabadi, shareera samagratanu nirvahinchadaaniki, videshee vastuvunu verucheyadam dwara, mariyu daani unikini sahinchadam. collagen-fiber capsule rommu implantnu mandamgaa chesi, kudinchinappudu saadhaarana capsular kanajaalam nundi vaeru cheyavalasina capsular sankocham sambhavistundi; idhi rommu implant ledhaa rommu ledhaa rendintinee vakreekarinche baadhaakaramaina samasya.
capsular sankochaaniki kaaranam teliyadu, conny saadhaarana sanghatana karakalalo bacteria kalushyam, parikara-shell cheelika, puuraka leakage mariyu hematoma unnaayi. capsular contract sambhavinchadaanni tagginchina shastrachikitsa implantation vidhanalalo sub muscular emplacement, texture uparitalamtho rommu implantlanu upayoginchadam (paliyurethen-puuta); implantla parimita prii-operative handling, rommu implant emplacementku mundu implant paaket yokka chaatii charmamtho parimita sambandham mariyu triple-antibiatic draavanaalatoe graheeta sait yokka neetipaarudala unnaayi. implant choppinchadaaniki garaatu parikaranni upayoginchadam kooda capsular contracture retunu taggistundani choopabadindi.
capsular contractornu saricheyadaaniki collagen-fiber capsule yokka open capsulotomy (surgical vidudala) ledhaa rommu implant yokka tolagimpu mariyu saadhyamaina pratyaamnaayam avasaram kaavacchu. antekakunda, capsular contracture chikitsalo, closed capsulotomy (bahya taarumaaru dwara antaraayam) okappudu haard capsules chikitsaku oka saadhaarana yuktigaa undedi, conny ippudu idhi nirutsaahaparichina saanketikata, endukante idhi rommu implantnu cheelchiveyagaladu. collagen-fiber capsules kosam shastrachikitsa kaani chikitsalalo masaz, bahya ultrasonic therapy, jaffirlucast (prasamsa) ledhaa montelucast (singulare) vanti leukotrene paath vae inhibitors mariyu pulsed electromagnetic feeled therapy (pempht) unnaayi.
marammatu mariyu punarvimarsha shastrachikitsalu.
vruddhiretu mamoplasty phalitamtho stree asantrupti chendinappudu; ledhaa saanketika ledhaa vaidya samasyalu sambhavinchinappudu; ledhaa rommu implantla parimita utpatti jeevitam (moodava taragati vaidya parikaram, U.ess.), aame rommu implantlanu bharti cheyalsina avasaram undavacchu. saadhaarana punarvimarsha shastrachikitsa soochanalalo pedda mariyu chinna vaidya samasyalu, capsular contracture, shell cheelika mariyu parikara dravyolbanam unnaayi. rommu punarnirmaana rogulaku punarvimarsha sambhavam raetlu ekkuvagaa unnaayi, endukante mastectomy taruvaata mruduvaina kanajaalaalaku mariyu rommu yokka charma kavaruku mariyu rommu yokka shareera nirmaana sarihaddulaku, mukhyamgaa sahayaka bahya radiation therapyni pondina mahilallo maarpulu jarigaayi. antekakunda, rommu punarnirmaanamtho paatu, rommu cancer rogulu saadhaaranamgaa chanumona-area complexes (nac) yokka punarvimarsha shastrachikitsa mariyu vyatiraeka rommupai samaruupata vidhaanaalaku lonavutaru, sahaja roopaanni, parimaanaanni, roopaanni mariyu anubhootini srushtinchadaaniki. rommu implantla rakam mariyu parimaanaanni roogi yokka pectoral saft-tissue lakshanaalaku jagrattagaa saripolchadam anedi punarvimarsha shastrachikitsa yokka sanghatananu taggistundi. tagina kanajaala saripolika, implant empika mariyu saraina implantation technic, rii-operation raetu 7 samvatsaraala maarkulo 3 saatam, 3 samvatsaraala maarkulo 20 saatam rii-operation retutho poliste, yuu nivedinchindi.ess. aahara mariyu aushadha paripalana.
daihika vyaadhi mariyu anaaroogyam.
1990la nundi, silicon-zell rommu implantlu mariyu daihika vyaadhi madhya kaarana sambandhaalanu korukune adhyayanala sameekshalu implantlu mariyu tadupari daihika mariyu swayam pratirakshaka vyaadhula madhya etuvanti sambandhaanni nivedinchaledu. edemaina, 1990laloe, vaelaadi mandhi mahilalu tama rommu implantla valla naraala mariyu rheumatological aarogya samasyalatho sahaa vyaadhulu sambhavinchaayani vaaru vishwasinchaaru.
silicon rommu implantlatho unna danish mahilala deerghakaalika aarogya sthithi" (2004) adhyayanamlo, denmark jaateeya aarogya samrakshana vyavastha, implantlu unna mahilalu, saadhaarana janabhalo oke vayassu gala mahilalatho polchinappudu, swayam pratirakshaka vyaadhini ekkuvagaa mariyu nirdhaaranaku gurayye pramaadam ledani nivedinchindi; itara rakaala soundarya shastrachikitsa cheyinchukunna mahilala kante rommu implantlu unna mahilallo kandaraala asthipanjara vyaadhi sambhavam takkuvagaa undani; mariyu saadhaarana janabhalo mahilala maadirigaa kante vaaru takkuva sambhavam retunu kaligi unnaarani nivedinchindi.
eee rommu implant rogula tadupari rekhansha adhyayanalu eee vishayampai munupati phalitaalanu dhruvikarinchayi. european mariyu uttara america adhyayanalu, amarika mamoplasty, mariyu edainaa plaastik shastrachikitsa prakriyaku guraina mahilalu, implantationku mundu mariyu taruvaata saadhaarana janabha kante aarogyakaramainavaaru mariyu dhanavantulugaa untaarani nivedinchaayi; plaastik shastrachikitsa rogulu itara shastrachikitsala rogula kante takkuva praamaanika maranaala nishpattini kaligi unnaarani; inca itara plaastik shastrachikitsa rogula kante oopiritittula cancer valla maraninche pramaadaanni edurkonnaru. antekakunda, oke oka adhyayanam, swedish "cosmetic rommu implantlu unna swedish mahilallo deerghakaalika cancer pramaadamh pogaaku dhumapana samacharam kosam niyantrinchabadina oka desavyaapta adhyayanam yokka naveekarana" (2006), dhumapanam chesevaaru mariyu dhumapanam cheyani vaari madhya dhruveekarinchadagina ganaanka vyatyaasaalanu sthaapinchadaaniki dayta saripoledu, idhi rommu implantlu unna mahilala oopiritittula cancer maranaala retuku dohadam chestundi. 25, 000 mandhi mahilalapai deerghakaalika adhyayanam, "cosmetic rommu implantlatho kenadian mahilallo maranaala" (2006), "rommu implantlu mahilallo maranaalanu neerugaa penchavani kanugonnatlu suuchistunnaayi."
mahilala janabhalo silicon zell rommu implant cheelika, extracapsular silicon mariyu aarogya sthithi" (2001) anae adhyayanam, rommu implantlu pagalakapoyina ledhaa leak kakapoyina, extracapsular silicon-zell leakage unna mahilallo fibromyalgia sanghatanalu periginatlu nivedinchindi. taruvaata adhyayanam gananeeyamgaa kramapaddhatilo lopabhooyishtamgaa undani vimarsinchabadindi, mariyu aneka pedda tadupari adhyayanalu kaarana parikara-vyaadhi anubandhaaniki etuvanti aadhaaraalanu choopinchaledu. daryaaptu chesina taruvaata, yuu.ess. saahityamlo prachurinchabadina epidemiological sakshyam yokka baruvu fibromyalgia mariyu rommu implantla madhya anubandhaaniki maddatu ivvadani fda teelchindi."daihika sameeksha adhyayanam," "silicon rommu implantlu mariyu bandhana kanajaala vyaadhih yea anubandham ledhu" "(2011)" "soundarya rommu implantlu mariyu sitidi la madhya anubandhaaniki sambandhinchi migili unna yea vaadanalaku shaastreeya saahityam maddatu ivvadu" "anae parisoedhanaa teermaanaanni nivedinchindi".
platinum vishapuuritam.
silicon rommu implantla tayaareeki elastomer silicon shella tayaareeki mariyu itara vaidya-silicon parikaraala tayaareeki silicon noonenu silicon jelga marchadanni vegavantam cheyadaaniki utprerakamgaa loha moolakam platinum (piti, 78) avasaram. atuvanti rakaala silicon rommu implant nundi platinum leak yokka trace parimaanaalu unnayani saahityam suuchistumdi; anduvalla, platinum chuttupakkala pectoral kanajaalam (laloe) untundi. arudaina vyadhikaaraka paryavasanam emuka majjalo platinum perukupovadam, ikkada nundi rakta kanaalu daanini naraala chivaralaku cheravestaayi, tadwara andhatvam, chevititanam mariyu naadii vyavastha rugmatalu (asankalpita kandaraala sankocham) vanti naadii vyavastha rugmatalaku kaaranamavutaayi.
2002loe, yuu.ess. aahara mariyu aushadha paripalana (yuu.ess. eff. dii. eah) rommu-implant platinum yokka maanava jeeva prabhavalapai adhyayanalanu sameekshinchindi mariyu rommu implantlu unna mahilalaku platinum vishapuuritam gurinchi takkuva kaarana sakshyalanu nivedinchindi. inca, "vislaeshanhaatmaka rasayana shaastram" patrikalo, adhyayanam "shareera dravaalu, kanajaalam mariyu silicon mariyu seline rommu implantlaku guraina mahilala nundi IC-ICPS dwara explantlalo mottam platinum gaadata mariyu platinum aakseekarana sthithulu" (2006) gatamlo namodukani vishapuurita platinum aakseekarana sthithulanu "vivolo" gurtinchinatlu perkonadam vivadaspadamga niroopinchabadindi. taruvaata, paatakulaku raasina lekhalo, "vislaeshanhaatmaka rasayana shaastram" sampaadakulu adhyayanam yokka doshapurita prayogaatmaka roopakalpana gurinchi tama aandolanalanu prachurinchaaru, mariyu "kaagitamlo teesukunna teermaanaalanu moolyaankanam cheyadamlo jagrattagaa undamani" paatakulanu heccharinchaaru.
inca, adhyayanam yokka parisoedhanaa daetaanu sameekshinchina taruvaata "shareera dravaalu, kanajaalam mariyu IC-ICPS dwara silicon mariyu seline rommu implantlaku guraina mahilala nundi explantlalo mottam platinum gaadata mariyu platinum aakseekarana sthithulu", mariyu itara sambandhita saahityam, U.ess. samarpinchina phalitaalaku dayta maddatu ivvadani fda nivedinchindi; kotta-modal rommu implant parikaraalalo upayoginche platinum ayaneekaranam cheyabadadani, anduvalla mahilala aarogyaaniki gananeeyamaina pramaadam ledani.
implant kaani rommu perugudala.
rommu punarnirmaanam, lopam diddubaatu mariyu bust yokka soundarya merugudala avasaramayye mahilalaku autologus kovvu grafts (adipocyte kanajaalam) suudi mandulatho naan-implant rommu perugudala suuchimchabadutumdi.
rommu punarnirmaanam, puttukatho vachhe lopam diddubaatu mariyu praadhamika rommu perugudala vidhaanaala yokka operation gadhi samayam chikitsa cheyavalasina suuchanala dwara nirnayinchabadutundi.
liposuction saanketikata raaka saareeraka lopaalanu saricheyadaaniki mariyu rommu perugudala kosam injection kosam autologus filler gaa liposuction-panta kovvu kanajaalam yokka vaidya anuvartanaalanu sulabhataram chesindi. melvin bircol rommunu aakruti chese paddhatini mariyu liposuction dwara pandinchina autologus kovvu graftlatho saareeraka lopaalanu saricheyadaaniki pravesapettaadu; mariyu kovvu graftlanu sthaanabhramsham cheyadaaniki upayoginche kovvu-injection paddhatini samarpinchaadu. 1987loe, venezula plaastik sarjan edwardo crullig kovvu graftlanu siranji mariyu moddubaarina suudi (lipo-injection) thoo vidudala chesi, taruvaata sekarananu sulabhataram cheyadaaniki mariyu pandinchina adipocyte kanajaalam yokka vandhyatvaanni nirdhaarinchadaaniki punarviniyogaparachaleni kovvu ucchunu upayoginchaaru.
autologus kovvu-kanajaalam yokka graftlanu unchadaaniki, vaidyulu zhe. neuman mariyu zhe. levin gair-nadiche plungertho kuudina lipo-injector gannu roopondinchaadu, idhi kaavalasina graheeta pradaesaalaku autologus kovvu-kanajaalam yokka injectionnu kooda anumatinchindi. lipo-injector gunn dwara andinchabade niyantrana plaastik sarjanku siranji baarellooni kovvuku adhika ottidini niyantrinchadamlo sahaayapadindi, tadwara graheeta saitnu atigaa nimpakundaa nivaarinchindi. taruvaata roopakalpana chesina lipo-injector gunn oka ratchet-gair operation kaligi undhi, idhi graheeta saitku autologus kovvu yokka graftlanu khachitamgaa unchadamlo sarjanku ekkuva niyantrananu istundi; oka trigger charya 0.13 sem. mea. fillarnu inject chesindi. 1989 nundi, rommu yokka chaalaa shastrachikitsa kaani, kovvu-graft perugudala rommu kakunda itara pradaesaala nundi kovvu kanajaala kovvunu upayogistundi, moodu samaana suudi mandulalo 300 millilitres kovvu varaku, upa-pectoral sthalamlo mariyu pectoralis pradhana kandaraala intrapectoral sthalamlo, alaage upa-mammery sthalamlo, sahaja roopaanni mariyu aakruti yokka rommu phalitaanni saadhinchadaaniki unchabadutundi.
autologus kovvu grafting.
rommuku autologus kovvu-graft injection technic rommu asamaanata ledhaa vaikalyalanu saricheyadaaniki, post-mastectomy rommu punarnirmaanam kosam (praadhamika mariyu anubandha saanketikatagaa), rommu implantla yokka mruduvaina kanajaala kavarejeeni meruguparachadaaniki mariyu bust yokka soundarya merugudala kosam vartinchabadutundi. paripakva adipocyte kanajaalam (chinna alkotlalo inject cheyabadina) yokka jagrattagaa kose mariyu apakendra suddhi marpidi cheyabadina kovvu kanajaalam rommulo aacharaneeyamgaa undataaniki anumatistundi, ikkada idhi shareera nirmaana nirmaanaanni mariyu rommu implantlu ledhaa diddubaatu plaastik shastrachikitsato matrame saadhinchaleni ardhagola aakrutini andistundi.
kovvu-antu rommu perugudala vidhanalalo, rommu (la) kuu antu veyabadina adipocyte kanajaalam necrosis, metastatic calcification, tittulu abhivruddhi chendadam mariyu spashtamaina gaddaluga kalisipoye pramaadam undhi. metastatic calcificationku kaaranam teliyakapoyinappatiki, kovvu-graft kanajaalaaniki sambhavinchina prakriya anantara jeevasambandhamaina maarpulu mamoplasty taggimpu vanti rommu shastrachikitsa vidhaanaalaku saadhaarana kanajaala maarpulanu pooli untaayi. french adhyayanam "lipo-modalingtho punarnirminchina rommula radiological moolyaankanam" (2005) chaateeki radiation therapy nashtam, capsular contractor yokka yaadruchchika taggimpu mariyu rommu implantla yokka merugaina saft-tissue coverage chikitsalo kovvu-graft rommu punarnirmaanam yokka chikitsa saamarthyaanni suuchistumdi.
rommuku kovvu antukattuta punahsameekshinchabadindih bhadrata mariyu samarthatha" (2007) anae adhyayanam rommuku shareera kovvunu vijayavantamgaa badilee cheyadaanni nivedinchindi, mariyu kovvu-antukattuta injection saanketikatanu pratyamnaayamgaa pratipaadinchindi (i.ii.rommu perugudala, rommu lopam diddubaatu mariyu rommu punarnirmananni prabhaavitam cheyadaaniki saadhaarana shastrachikitsa vidhaanaalaku badulugaa, naan-implant) agmentation mamoplasty vidhanam.
17 mandhi mahilala rommulo oka rommuku ledhaa rendu rommulaku nirmaanaatmaka kovvu-grafting jarigindi; mahilala vayassu paridhi 25-55 samvatsaraalu; sagatu vayassu 38.2 samvatsaraalu; kanajaala-graft yokka sagatu parimaanam prati rommuku operationku kovvulo 278.6 cm3.
prii-proseasure mamogramlu praanaantaka neoplasmlaku pratikuulamgaa undevi. 17 mandhi rogula samuuhamloo, iddaru mahilalaku rommu cancer (mamogram dwara nirdhaarana) prakriya tarvaata abhivruddhi chendindani gurtinchabadindih okaru 12 nelallo, marokaru 92 nelallo. inca, "cosmetic rommu perugudala kosam sell-assisted lipotransfer kovvu-utpanna muula/stromal kanaala sahayaka upayogam" (2007) anae adhyayanam, sumaru 40 mandhi mahilala brundam kovvu kanajaalam yokka graftlalo kovvu muula kanaalanu cherchadam anedi autologus kovvu-grafting prakriya yokka diddubaatu vijayam yokka retunu penchindani suuchimchimdi.
kovvu grafting paddhatulu.
kovvu sekarana mariyu aakruti.
liposuction-harvested adipocyte kanajaalaala centrifugal merugudala rakta utpattulanu mariyu uchita lipidlanu tolaginchi autologus rommu puurakaanni utpatti chestundi. injection dwara nimpagalige kovvunu kovvutho nindina siranjilanu taginanta samayam varaku centrifusing (spinning) cheyadam dwara pondavacchu, tadwara seeram, raktam mariyu noone (drava kovvu) bhagalu suddhi cheyabadina, injection-naanhyata kovvutho paatu saandrata dwara sekarinchadaaniki veelu kalpistundi. mukha injection naanhyata kosam kovvunu meruguparachadaaniki, kovvutho nindina siranjilu 2,000 arpm vadda 1 nimisham paatu centrifuge cheyabadataayi, idhi anavasaramaina draavanaanni vaeru chestundi, suddhi chesina puuraka kovvunu vadilivestundi. antekakunda, 10 nimishala paatu 10,000 arpm vadda centrifugation "collagen graft" nuu utpatti chestundi; dheeni hystologic kuurpu kana avasheshaalu, collagen fibers mariyu 5 saatam chekkuchedarani kovvu kanaalu. antekakunda, roogi sareeram sahajamgaa kovvu graftlalo konnintini grahistundi kabatti, rommulu 18-24 nelala paatu vaati aakrutini mariyu parimaanaanni nirvahistaayi.
rommuku kovvu antukattuta punahsameekshinchabadindih bhadrata mariyu samarthatha" (2007) anae adhyayanamlo, parisoedhakulu rendu-randhraala coleiman harvesting kanulaku jatacheyabadina 10-millilitres siranjini upayoginchi, liposuction dwara autologus kovvunu sekarinchinatlu nivedinchaaru; centrifugation tarvaata, suddhi chesina rommu puuraka kovvunu 3-millilitres siranjilaku badilee chesaaru. 2-mimi kothalu dwara kovvunu tolaginchadaaniki moddubaarina chorabatla kaanulalanu upayoginchaaru; moddubaarina kaanula injection paddhati kovvu yokka chinna madyasaaraalanu (samaana kolatalu) ekkuva chedaragottadaaniki anumatinchindi, mariyu intravascular kovvu injection avakaasaanni tagginchindi; rommulaku kovvu-graft injection kosam padunaina suudulu upayoginchabadavu. kaneesam rendu disala nundi kovvu graftla chorabaatunu (sthaanabhramsham) anumatinchadaaniki 2-mimi kothalu unchabaddaayi; kanula yokka prati upasamharanato 0.2 millilitres kovvu parimaanam unchabadindi.
kaavalasina rommu roopaanni saadhinche varaku rommulo kovvu graftlanu vividha sthaayilalo poralugaa cheyadam dwara rommulu aakruti cheyabaddaayi. kovvu-graft injection technic plaastik sarjan chaatii goda nundi rommu charmam kavaru varaku rommunu khachitamgaa aakruti cheyadamlo khachitamaina niyantrananu anumatistundi, charmamloni kovvu graftlatho rommu yokka uparitala sthaayilaku. rommu shilpam yokka eee ekkuva sthaayi rommu krinda ledhaa pectoralis pradhana kandaraala krinda unchabadina rommu implant thoo grahinchina prapancha vruddhiki bhinnamgaa untundi, idhi varusaga retromamary space mariyu retropectoral spacenu vistaristundi. grafted kovvulo atyadhika nishpatti saadhaaranamgaa pectoralis pradhana kandaraalaku, taruvaata retropectoral sthalaaniki mariyu prepectoral sthalaaniki (pectoralis pradhana kandaraaniki mundu mariyu venuka) chorabadutundi. antekakunda, rommu perenkaimaaku kovvu antukattuta saadhaaranamgaa takkuvagaa unnappatikee, idhi bust yokka projection sthaayini penchadaaniki nirvahinchabadutundi.
kovvu-graft injection.
autologus kovvu kanajaalam yokka jeevasambandhamaina manugada kovvu graft yokka saraina nirvahana, bahya rakta kanaalanu tolaginchadaaniki daani jagrattagaa kadukkovadam (merugudala) mariyu suddhi chesina kovvu-kanajaala graftla yokka niyantrita, moddubaarina-kanula injection (sthaanabhramsham) taginanta vascularised receiver saitku aadharapadi untundi. sareeram inject chesina kovvu graftlalo konnintini (valume nashtam) tirigi grahistundi kabatti, rogiki santruptikaramaina rommu phalitaanni pondadamlo parihara ovar-filling sahaayapadutundi; anduvalla pedda-valume kovvu graftla marpidi avasaram kante ekkuvagaa untundi, endukante kovvu graftlo 25-50 saatam matrame 1 samvatsaram tarvaata jeevistundi.
saraina saanketikata liposuction pantakota mariyu apakendra suddhi samayamlo cellular gaayam tagginchadam dwara kovvu graft manugadanu penchutundi, mariyu kovvunu chinna madyasaralalo (samaana kolatalu) inject cheyadam dwara, gaddalu (chaalaa pedda kolatalu) kaadu. kanula yokka prati paastho kaneesa-valume alikaatlanu inject cheyadam valla grafted kovvu-kanajaalam mariyu graheeta rommu-kanajaalam madhya uparitala praantam sambandhaanni penchutundi, endukante vascular system (rakta sarafara) kii sameepamlo undatam hystologic manugadanu prothsahistundi mariyu kovvu necrosis sambhaavyatanu taggistundi. naatabadina autologus kovvu kanajaalam emuka marpidi dwara cheyabadina hystologic maarpulaku lonavutundi; sareeram kovvu-kanajaalam antuvyaadhini angeekaristhe, adhi kotta kovvu kanajaalamtho bharti cheyabadutundi, kovvu-antuvyaadhi chanipothe adhi peechu kanajaalamtho bharti cheyabadutundi. kotta kovvu kanajaalam pedda, tirugutunna hystocyte-rakam kanam yokka kaaryaacharana dwara utpatti avutundi, idhi kovvunu peelchi, aapai kovvu kanam avutundi. rommu-puuraka kovvunu rommulaku guttulalo (chaalaa pedda charyalu) inject chesinappudu, rakta naalaala nundi chaalaa dhooramlo unna kovvu kanaalu chanipovachhu, idhi kovvu kanajaalam necrosisku daariteestundi, idhi gaddalu, calcifications mariyu chivariki erpadataaniki kaaranamavutundi.
rommulaku kovvunu kovadaniki, meruguparachadaaniki mariyu unchadaaniki avasaramaina operation gadhi samayam saadhaarana 2 gantala ledhaa samayam kante ekkuvagaa untundi; saadhaarana chorabaatuku samayam modati 100 sem. mea. 3 valuemku sumaru 2 gantalu, mariyu rommu-puuraka kovvunu prati adanapu 100 sem. mea. 3 vaalyuumnu inject cheyadaaniki sumaru 45 nimishalu. rommu perugudala kosam kovvu graftlanu inject chese saanketikata plaastik sarjan rommulanu avasaramaina aakrutini chekkadamlo, mukhyamgaa kshaya rommu vaikalyanni saricheyadamlo goppa niyantrananu anumatistundi. eee sandarbhamlo, chanumona-erola complexes (nac) kinda kovvu-graft vidudala cheyabadadu, mariyu rommu yokka charma kavaru empikagaa charmam krinda ventane subcutaneousga vidudala cheyabadina shareera kovvutho vistarinchabadutundi (aakruti cheyabadutundi). atuvanti niyantrita aakruti empika cheyabadina urugujjulu-areola samudaayam yokka parimaanaaniki sambandhinchi rommu yokka anupaata parimaanaanni penchindi, tadwara sahaja roopam mariyu roopaanni kaligina rommunu srushtinchindi; rommu implantlatho matrame saadhinche daanikante ekkuva dhrudatvam. kovvu-sarididdabadina, rommu-implant vaikalyalu, implant (luu) mariyu capsular contractor yokka taginanta mruduvaina kanajaala coverage kaadu, implant-parikaram anchulu mariyu mudatalu dachipette subcutaneous kovvu-graftlatho saadhinchabadindi mariyu antarleena rommu implant yokka spashtatanu tagginchindi. antekakunda, rommu implant chuttoo autologus kovvunu antukattadam valla rommu gulika mruduvugaa maarutundi.
bahya kanajaala vistarana.
kovvu-antu rommu perugudala yokka vijayavantamaina phalitam autologus adipocyte kovvu yokka antuvyaadhulanu sweekarinche rommu-kanajaala maatrukanu roopondinchadaaniki mundugaa vistarinchina graheeta saitnu saadhinchadam dwara meruguparachabadutundi. prati rommupai bahya vacuum tissue-expander thoo graheeta sait vistarinchabadutundi. mruduvaina kanajaalaalapai pratikuula peedanam (vacuum) vistarana yokka jeeva prabhavam niyantrita, paradhyanam, yaantrika saktulaku gurainappudu mruduvaina kanajaalaala perugudala saamarthyam nundi vastundi. (paradhyanam osteogenesis chudandi) graheeta-sait puurva-vistarana yokka saanketika prabhavanni adhyayanam nivedinchindi. oke samuuha adhyayanamlo, 17 mandhi aarogyakaramaina mahilalu (18-40 vayassu galavaaru) brassier lanty vacuum vyavasthanu dharinchaaru, idhi 10 vaaraala paatu pratiroojuu 10-12 gantala paatu prati rommuku 20-mmhg vacuum (niyantrita, yaantrika, paradhyanam shakti) nuu vartimpajesindi. prakriyaku mundu mariyu taruvaata, rommu parimaanam (parimaanam) kramaanugatamgaa kolustaaru; adevidhamgaa, roogi yokka ruthu chakram yokka adhe dasalo rommu kanajaala nirmaanam mariyu neeti saandrata yokka ayaskanta pratidhvani chitram (mri) teesukobadindi; 17 mandhi mahilala adhyayana samuuhamloo, 12 mandhi adhyayanam puurti chesaaru, mariyu 5 mandhi clinical trial protokaalnu paatinchananduna upasamharinchukunnaaru.
mottam 17 mandhi mahilala rommu parimaanam (parimaanam) 10 vaaraala chikitsa vyavadhilo perigindi, 10va vaaramlo (tudi chikitsa) atyadhika perugudala, sagatu parimaanam perugudala prarambha rommu parimaana kolatalato poliste 98 +/- 67 saatam. prakriya tarvaata 1 vaaramlo pakshika tirogamanam sambhavinchindi, taruvaata rommu parimaanam gananeeyamgaa taggaledu, ledhaa prakriya tarvaata 30 vaaraala tarvaata tadupari chikitsalo jaragaledu. rommu parimaanamlo sthiramaina, deerghakaalika perugudala 55 saatam (paridhi 15-115%). rommula yokka mri visualizationlu etuvanti vaapunu choopinchaledu, mariyu rommu-kanajaala maatrikala kovvulu mariyu grandhi bhagala nishpattilo perugudalanu dhruvikarinchayi. inca, adhyayanam samayamlo shareera baruvulo ganankaparamga gananeeyamaina taggudala sambhavinchindi, mariyu aatmagourava prasnaapatra skorlu prarambha-kolata skorla nundi merugupaddayi.
graheeta-sait kanajaalaala bahya vacuum vistarana lopaalanu saricheyadaaniki mariyu bustnu meruguparachadaaniki pedda-parimaana kovvu graftlanu (+ 300 sisi) inject cheyadaaniki anumatistundi kabatti, rommu puurakam (adipocyte kovvu) mariyu daani parimaanam yokka hystologic saadhyatanu paryaveekshinchaali mariyu nirvahinchaali. deerghakaalika, valume nirvahana dayta "prii-expansion mariyu autologus kovvu maarpidini upayoginchi rommu perugudalah oka clinical radiological studdy" (2010) loe nivedinchabadindi, idhi 25 mandhi rogula adhyayana samuuham kosam graheeta sait yokka bahya kanajaala vistarana yokka saanketika prabhavanni suuchistumdi, kovvu graftlatho 46 rommulu penchabaddaayi. eee soochanalalo micromastia (abhivruddhi chendanidi), vistarana vaikalyam (implant paaket khaalii), puttukatho vachhe lopaalu (kshaya rommu vaikalyam, polland syndrome) unnaayi.
mundu prakriyaloo, prati roogi graheeta-sait kanajaalaala bahya vacuum vistarananu upayoginchi rommu kanajaala maatrukanu srushtinchi, kovvu kanajaalam yokka autologus kovvu graftlatho inject cheyabadutundi, takkuva zii-fores centrifugation dwara suddhi cheyabadutundi. mundu mariyu taruvaata, rommu parimaanaalu kolustaaru; rogulu mundu prakriya mariyu 6 nelala post-prakriya mri mariyu 3dii valumetric imaging pareekshalaku gurayyaru. prakriya tarvaata aaru nelala samayamlo, prati mahila mri (enn = 12) pareekshalaku anugunamgaa rommu parimaanamlo 60-200 saatam varaku gananeeyamaina perugudala namodaindi. rommula parimaanam, roopam mariyu anubhooti sahajamgaa undevi; prakriya anantara mri pareekshalu kovvu perigina rommulalo noone tittulu ledhaa asaadhaaranata (neoplasm) kanipinchaledu. antekakunda, rommu kanajaalam yokka sunnitamaina, jeevasambandhamaina swabhaavaanni batti, rommu kanajaalam yokka saadhyatanu mariyu pedda parimaanamlo (+ 300 sisi) kovvu graftla nirvahananu paryaveekshinchadaaniki aavartana mri mariyu 3-dii valumetric imaging pareekshalu avasaram.
post-mastectomy vidhanalu.
shastrachikitsa tarvaata mastectomy rommu punarnirmaanaaniki saadhaarana anaesthesia avasaram, chaatii kandaraalanu kattiristundi, kotta macchalanu utpatti chestundi mariyu rogiki shastrachikitsa tarvaata sudeerghamaina recovery avasaram. rommu implant parikaraala (seline ledhaa silicon) shastrachikitsa sthaanabhramsham roogi sariiraaniki oka videshee vastuvunu parichayam chestundi (capsular contracture chudandi). tram flap (transverse rectus abdominis myocutaneous flap) vidhanam pottikadupu, charma mariyu kandara kanajaalaala autologus flaapnu upayoginchi rommunu punarnirmistundi. laticimus myocutaneous flap anedi charmam kovvu mariyu venuka nundi pandinchina kandaraalanu mariyu rommu implantnu upayogistundi. diape flap (lothaina takkuva sthaayi epigastric perferatorlu) prakriya pottikadupu charmam mariyu kovvu kanajaalam yokka autologus flaapnu upayogistundi.
postmastectomy kovvu-graft punarnirmaanam.
rommu cancer shastrachikitsa tarvaata tadupari shastrachikitsaku autologus kovvu graftlatho rommu (la) punarnirmaanam anedi implant kaani pratyaamnaayam, adhi lumpectomy ledhaa rommu tolagimpu, saralamaina (mottam) mastectomy, radikal mastectomy, savarinchina radikal mastectomy, charma-rakshinche mastectomy mariyu subcutaneous (chanumona vidichipettadam) mastectomy kaavacchu. rommu-kanajaala maatrukanu roopondinchadaaniki modata graheeta-sait kanajaalaalaku (kovvu, grandhi) bahya kanajaala vistarananu vartimpajeyadam dwara rommu punarnirminchabadutundi, dheenini autologus kovvu graftlatho (adipocyte kanajaalam) inject cheyavachu; punarnirminchina rommu sahaja roopam, roopaanni mariyu anubhootini kaligi untundi mariyu saadhaaranamgaa chanumona-area complexes (nac) antataa mariyu antataa anubhooti chendutundi. kovvu graftlatho rommula punarnirmaanaaniki graheeta-sait kanajaalaala bahya vacuum vistarana 3-5 vaaraala tarvaata moodu nelala chikitsa period began avasaram. autologus rommu-puuraka kovvunu roogi sareeram (pirudulu, todalu, udaram) nundi liposuction dwara sekaristaaru, suddhi chesi, aapai rommu-kanajaala maatrikalaku (graheeta pradaesaalu) inject (graft) chestaaru, akkada kovvu vruddhi chendutundi.
rommu cancer shastrachikitsa mugimpu dasalalo nonplant rommu punarnirmaanam yokka oka paddhati praarambhinchabadutundi, indulo oncological sarjan thoo kalisi punarnirmaana plaastik sarjan chaerataaru, athanu ventane mastectomy tarvaata graheeta pradaesaaniki kovvu graftlanu kovadam, suddhi cheyadam mariyu vittanaalu veyadam (injection) praarambhistaadu. shastrachikitsa gadilo aaa prarambha postmastectomy kovvu-graft vittanaalu vesina taruvaata, roogi rommu punarnirmaanaaniki punaadi kanajaala maatrukagaa maaradaaniki vittanaalu veyabadina konchem rommu dibbatho aasupatri nundi bayaludaeraadu. appudu, mastectomy maccha (kuttu sait) kuu rakta prasarananu penchadam dwara ippatike unna kanajaalaala (kovvu, grandhi) hystologic punarutpattini prothsahinchadaaniki rommu dibba (vittana graheeta-sait) yokka nirantara bahya vacuum vistarana 3-5 vaaraala taruvaata roogi thana rommula punarnirmaanam kosam modati kovvu-grafting sessionku adhikarikamga veltaadu. rommu dibba yokka bahya vacuum vistarana taginanta, vascularised, rommu kanajaala maatrukanu srushtinchindi, dheeniki autologus kovvu inject cheyabadutundi; mariyu, roogi prakaram, atuvanti punarnirmaanam rommu mariyu chanumona-area complexes antataa daadaapu saadhaarana anubhootini andistundi. shastrachikitsa kaani kovvu graft rommu punarnirmaanam nundi roogi kolukovadam prakriya tarvaata 3 rojulalo saadhaarana jeevita karyakalapalanu tirigi praarambhinchadaaniki veelu kalpistundi.
tissue injaneering.
rommu dibba.
rommu kanajaala maatrukalo sanklishtamaina, amarchina, jeeva anukuula paranjaalu gala injaneering kanajaalaalu tagina kanaalatoe vittanaalu vaeyabadataayi. rommu dibbalo kanajaala maatruka yokka "inn-situ" srushti mastectomy lopam kanajaalaala (graheeta pradaesam) bahya vacuum vistaranatoe praarambhamavutundi, tadupari vittanaalu veyadam (injection) kosam adipocyte kanajaalam yokka autologus kovvu graftlatho. 2010 adhyayanam, mundugaa vistarinchina graheeta saitku krama kovvu-grafting (konni 2-mimi kothalu mariyu kaneesa invasive blunt-kanula injection vidhaanaalatho) saadhinchinatlu nivedinchindi, idhi autologus-flap vidhanam dwara shastrachikitsa rommu punarnirmaanaaniki samaanamaina implant kaani phalitam. saanketikamgaa, graheeta-sait kanajaalaala bahya vacuum vistarana anedi mastectomy macchanu vistarinchinappudu charma kavarunu srushtinchindi, tadwara saaravantamaina rommu-kanajaala maatrukanu srushtinchindi, dheeniki pedda-parimaana kovvu graftlanu (150-600 ml) inject chesaaru, idhi sahaja roopam, roopaanni mariyu anubhootini kaliginche rommunu srushtistundi.
33 mandhi mahilalaku (47 rommulu, 14 vikiranam kaligina) kovvu antu rommu punarnirmaanaalu, dheeni clinical sthithulu sunna rojula nundi 30 samvatsaraala post-mastectomy varaku unnaayi, pratiroojuu 10 gantala paatu, autologus kovvunu modati antu pettadaniki mundu 10-30 rojula paatu, bahya vacuum tissue-expandertho rommu dibba (graheeta sait) yokka mundastu vistaranatoe prarambhamayyayi. mastectomy maccha kanajaalam 200-300 ml graheeta maatrika (charma kavaru) nuu roopondinchadaaniki vistarinchinappudu rommu dibba vistarana saripotundi, idhi prati grafting sessionlo 150-600 ml kovvu-suspension vaalyuumnu andukundi.
prakriya tarvaata oka vaaramlo, rogulu tadupari kovvu grafting session varaku pratiroojuu 10 gantala paatu bahya vacuum tissue-expandernu upayoginchadam tirigi praarambhinchaaru; plaastik sarjan mariyu roogi punarnirminchina rommula parimaanam, roopam mariyu anubhootini santrupti parache varaku 2-5 out patient vidhanalu, 6-16 vaaraala vyavadhilo avasaram. phaalo-up mamogram mariyu mri pareekshalalo lopaalu (necrosis) ledhaa asaadhaaranatalu (neoplasms) kanipinchaledu. prakriya tarvaata aaru nelallo, punarnirminchina rommulu sahaja roopam, roopaanni mariyu anubhootini kaligi unnaayi, mariyu sthiramaina rommu-parimaanaalu rommuku 300-600 ml varaku untaayi. prakriya anantara mammographylu baga raktanaala kovvutho kuudina saadhaarana, kovvu rommulanu mariyu chellacheduruga unna, nirapaayamaina noone tittulanu suuchimchaayi. sambhavinchina samasyalalo pneumothorax mariyu taatkaalika tittulu unnaayi.
vistarana vaikalyam.
rommu implantla (seline mariyu silicon) yokka autologus kovvu graft replacement capsular contractor, implant shell cheelika, filler leakage (nissabda cheelika), parikaram apavitrata mariyu silicon-prerita granulomas vanti vaidya samasyalanu parishkaristundi, ivi saadhaaranamgaa tirigi operation mariyu vistarana (rommu implant tolagimpu) avasaramayye vaidya paristhitulu. appudu rogiki shastrachikitsa ledhaa implant kaani rommu diddubatla empika untundi, paelchina rommu implantla sthaanamlo ledhaa kovvu-graft rommu perugudala. antekakunda, kovvu-graftlu jeevasaastraparamgaa sunnitamainavi kabatti, avi khaalii implantation jebulo manugada saaginchalevu, badulugaa, avi rommu kanajaala maatrika (graheeta pradaesam) loki inject cheyabadataayi mariyu vyaapti chendutaayi, tolaginchina implanta yokka valuemlo sumaru 50 saatam sthaanamlo untaayi. visphotana diddubaatu yokka phalitam sahaja roopaanni kaligi untundi; parimaanam, roopam mariyu anubhooti kaligina rommulu, visphotanam chesina rommu parimaanam kante sumaru 50 saatam chinnavi ayinappatikee, asalu rommu parimaanam kante peddavi, puurva-prakriya.
rommu perugudala.
kovvu-graft injectionlatho rommu perugudala yokka phalitam saraina roogi empika, tayari mariyu graheeta sait vistarana kosam saraina saanketikata mariyu autologus rommu puuraka kovvunu kose, suddhi chese mariyu injectionpy aadharapadi untundi. rommulaku pedda-parimaanamlo autologus kovvunu (220-650 cc) injection cheyadaaniki mundu graheeta-sait kanajaalaala (matricks) taginanta bahya vacuum vistarananu saanketika vijayam anusaristundi. liposuction dwara panta kosina taruvaata, rommu-puuraka kovvunu takkuva zii-fores siranji centrifugation dwara pandinchina kovvunu, saandrata dwara, spatikaakaara bhaagam nundi vaeru cheyadaaniki pondabadindi. suddhi chesina rommu puurakam mundugaane vistarinchina graheeta pradaesaaniki inject cheyabadindi; prakriya tarvaata, roogi inject chesina rommupai tadupari kovvu grafting session varaku nirantara vacuum vistarana chikitsanu tirigi praarambhinchaadu. sagatu operation gadhi (ledhaa) samayam 2 gantalu, mariyu sankramana, tittulu, seroma, hematoma ledhaa tissue necrosis sanghatanalu sambhavinchaledu.
rommu-parimaanam dayta "autologus kovvu graftingtho rommu perugudalah oka clinical radiological studdy" (2010) loe nivedinchabadindi, idhi prakriya tarvaata aaru nelallo prarambha rommu parimaanam kante 1.2 retlu sagatu perugudalanu suuchimchimdi. rendu samvatsaraala vyavadhilo, 25 mandhi rogulu kovvu graft injection dwara rommu perugudalaku gurayyaru; moodu vaaraala mundu prakriyaloo, rommu kanajaala maatrika (graheeta pradaesam) kuu kovvu grafting cheyadaaniki mundu, rogulanu photo teeyabadindi mariyu intravenous contrast mri ledhaa 3-dii valumetric imaging ledhaa rendinti dwara pareekshinchaaru. rommu-puuraka kovvunu liposuction (pottikadupu, pirudulu, todalu) dwara sekarinchi, rommuku 220-650 cm3 kovvu-graft vaalyuumlanu andinchindi. prakriya tarvaata aaru nelala taruvaata, tadupari chikitsalo chaayaachitraalu, intravenous contrast mri ledhaa 3-dii valumetric imaging ledhaa rendoo unnaayi. prati mahila rommuku 250 sem. mea. 3 rommu parimaanam perigindi, idhi parimaanaatmaka mri vislaeshanha dwara dhruveekarinchabadina sagatu parimaanam perugudala. rommu parimaanamlo sagatu perugudala prarambha rommu parimaana kolatala kante 1.2 retlu ekkuva; puurva-prakriya mariyu aaru nelala prakriya anantara rommu parimaanaala madhya ganaanka vyatyaasam (p <00.0000007); rommu parimaanam yokka saatam perugudala aadhaaramgaa prarambha, puurva-prakriya rommu parimaanam yokka 60-80%.
shastrachikitsa kaani vidhanalu.
2003loe, thaay prabhutvam rommu implantlatho shastrachikitsa rommu vruddhiki pratyamnaayamgaa sweeya-mardana vyayamala niyamanni aamodinchindi. thaay prabhutvam eee saanketika parignaanaanni bodhinchadaaniki bahirangamgaa nidhulu samakurche courselalo 20 mandiki paiga mahilalanu namodu chesindi; ayinappatikee, thailand daati, eee saanketikatanu pradhana sravanti vaidya samajam aamodinchaledu. eee saanketikata yokka chikitsa prabhavam gurinchi aaru nelala adhyayanam yokka aasaajanaka phalitaalu unnappatikee, palgone mahilalaku parisoedhanaa vaidyudu vaaru baruvu peragadam dwara vaari bustsnu penchadaaniki kooda dohadapadalani sifaarsu chesaaru.
samasyalu mariyu parimitulu.
vaidya samasyalu.
prati shastrachikitsa mariyu shastrachikitsa kaani prakriyaloo, oka prakriyaku mundu, samayamlo mariyu taruvaata vaidya samasyala pramaadam untundi, mariyu rommu kanajaalaala (adipocyte, grandhi) sunnitamaina jeeva swabhaavaanni batti, kovvu graft rommu perugudala vishayamlo idhi pratyaekamgaa vartistundi. saapeksha saanketika saralata unnappatikee, rommu perugudala kosam injection (grafting) saanketikata prakriya anantara samasyalatho paatu untundi-kovvu necrosis, calcification mariyu sclerotic nodules, ivi prakriya yokka saanketika saamarthyaanni neerugaa prabhaavitam chestaayi mariyu vijayavantamaina phalitaanni saadhistaayi. chainees adhyayanam "autologus fyaat-injection grafting dwara rommu perugudalah samasyala nirvahana mariyu clinical vislaeshanha" (2009), rommu-puuraka parimaanam yokka injection-raetu (cm3/nimisham) yokka kathinamaina niyanthranatho vaidya samasyala sambhavam taggutundani nivedinchindi, mariyu rommu kanajaala maatrukalo vaati samaana pampineeni anumatinchadaaniki poralalo kovvu-graftlanu vyaapti cheyadam dwara. 17 mandhi rogula samuuhaaniki sambhavinchina samasyalu gurtinchabaddaayi mariyu rommu kanajaalam yokka 3-dii valumetric mariyu mri vijuvalaijeshanlatho mariyu edainaa sclerotic gayalu mariyu asaadhaarana kanajaala dravyarashi (praanaantaka neoplasm) thoo gurtinchabaddaayi. lopam ledhaa asaadhaaranata yokka lakshanaala prakaram, sclerotic gaayam tolaginchabadindi mariyu draveekruta kovvu aushirated cheyabadindi; tolaginchina namuunaalu intramamary kovvu graftftsfat necrosis, calcification, hylinization mariyu fibroplasialo jeeva maarpulanu suuchimchaayi.
rommulanu penchadaaniki kovvu graftlanu inject cheyadamlo vachhe samasyalu itara rakaala rommu prakriyatho sambandham unna vaidya samasyala kante takkuvagaa untaayi. saanketikamgaa, chinna kothalu (2-mimi) mariyu moddubaarina-kanula injection vadakam antarleena rommu nirmaanaalanu (paala naalaalu, rakta naalaalu, naraalu) debbatise sanghatanalanu chaalaa taggistundi. kanajaalaalo paripuurnamgaa laeni kovvu-kanajaala graftlu inject cheyabadataayi, ivi chanipovachhu, mariyu necrotic tittulu mariyu chivariki rommu vidhaanaalaku saadhaaranamaina vaidya samasyalaku daariteestaayi. ayinappatikee, rogiki oka bahya pottikadupu anedi rommulaku inject cheyabadina kovvu kanajaalam yokka liposuction pantakota nundi pondina adanapu prayojanam. (abdominoplasty chudandi)
saanketika parimitulu.
roogi sareeramlo injection cheyagala rommu puurakamgaa pantanu pandinchadaaniki taginanta kovvu kanajaalam lenappudu, kovvu grafting mariyu rommu implantla kalayika kaavalasina phalitaanni andinchavacchu. kovvu graft injectionlatho shastrachikitsa kaani rommu perugudala implant-sambandhita vaidya samasyalatho (filler leakage, deflation, visibility, spulpability, capsular contracture) sambandham laenappatikee, saadhinchagala rommu valuemlu bhouthikamgaa parimitam; rommu implantlatho grahinchina pedda-valume, global bust engamations structural fyaat grafting paddhatitoe saadhyam kaadu. prapancha rommu perugudala kovvu-graft injection yokka niyantrita rommu perugudalaku viruddhamgaa untundi, plaastik sarjan kaavalasina rommu aakruti mariyu parimaanaanni saadhinchadamlo niyantrana sthaayilo untundi. rommu antataa kovvu graftlanu chorabadi vyaapti cheyadam dwara niyantrita perugudala grahinchabadutundi; mariyu rommu parimaanam mariyu aakruti yokka kaavalasina phalitaanni saadhinche varaku idhi prakkane unna pectoral praantaalalo eeka-poralugaa untundi. edemaina, inject chesina kovvu-graftlatho saadhinchina rommu yokka saareeraka sampuurnata rommu implantlatho saadhinchina buxum sampuurnata rakamgaa drushyaparamgaa anuvadinchabadadu; anduvalla, pantakota kosam samruddhiga kovvu-kanajaalam unna rogulu rommuku kovvu grafting yokka oka sessionlo oka bra cup parimaanamlo garishta rommu perugudalanu saadhinchaaru.
rommu cancer.
gurtinchadam.
samakaaleena mahila jeevitakaalamlo rommu cancer vachhe avakaasam edugurilo okaru. edemaina, itara rommu vidhaanaala kante rommuku kovvu antukattuta rommu cancerku marinta anukuulamgaa undavacchani etuvanti kaarana aadharalu laevu; endukante kovvu kanajaalam necrosis mariyu calcification sanghatanalu atuvanti prati prakriyaloo sambhavistaayih rommu biopsy, implantation, radiation therapy, rommu taggimpu, rommu punarnirmaanam mariyu rommu yokka liposuction. edemaina, rommu cancernu gurtinchadam praadhamikam, mariyu calcification sambhavam dviteeyamainadi; anduvalla, rommu yokka sweeya-sparsanu neerchukoevadaaniki mariyu aavartana mammographic pareekshalaku gurikaavadaaniki rogiki salaha istaaru. rommuku cancer mariyu nirapaayamaina gaayaala madhya thedaanu gurtinchadaaniki mamogram atyuttama roganirdhaarana saanketikata ayinappatikee, edainaa prashnaarthakamaina gayanni ultrasonicga mariyu ayaskaantamgaa (mri) chudavachu; biopsy radiographlo kanipinche edainaa vaidyaparamgaa anumaanaaspada gaayam ledhaa anischita asaadhaaranatanu anusaristundi.
chikitsa.
autologus kovvu graftla dwara rommu perugudala anedi oncological rommu shastravaidyudu sampradaaya rommu shastrachikitsa vidhaanaalanu pariganaloki teesukoovadaaniki anumatistundi, ivi saadhaaranamgaa alloplastic rommu implantlu undatam valla minahaayinchabadataayi, udhaa.zii. implant-egainded rommulo cancer unnatlu kanugonabadithe lumpectomy. gatamlo perigina rogulalo, implantnu tolaginchi, mastectomy cheyakunda soundarya phalitaalanu nirdhaarinchalemu. antekakunda, cancer punaraavrutaanni tagginchadaaniki mariyu rommu kanajaalam yokka garishta parirakshanaku radiotherapy chikitsa keelakam; ayinappatikee, implant-perigina rommu yokka radiotherapy vaidya samasyala sambhavam-capsular contracture, infection, extrusion mariyu paelavamaina soundarya phalitaanni penchutundi.
cancer anantara rommu punarnirmaanam.
mastectomy taruvaata, autogenous skin flaplatho mariyu rommu implantlatho shastrachikitsa rommu punarnirmaanam atuvanti prapancha rommu perugudala phalitamgaa suukshma vaikalyalu mariyu lopaalanu utpatti chestundi, tadwara rommu punarnirmaanam asampuurnamgaa untundi. eee sandarbhamlo, kovvu graft injection tappipoyina coverage mariyu sampuurnatanu andistundi, mariyu rommu gulikanu sadalinchavachhu. kovvunu pedda graftluga ledhaa chinna graftluga inject cheyavachu, idhi kashtamaina auxillary lopaalu, sarikani rommu aakruti, kanipinche implant anchulu, capsular sankocham mariyu radiation therapy phalitamgaa kanajaala nashtam saricheyadaaniki avasaram.

