{"id":39421,"date":"2026-10-04T22:21:24","date_gmt":"2026-10-04T19:21:24","guid":{"rendered":"https:\/\/www.mustafaaydinol.com\/podcast-3-irfigh-tas-sider-jew-impjanti\/"},"modified":"2026-10-04T22:23:42","modified_gmt":"2026-10-04T19:23:42","slug":"podcast-3-irfigh-tas-sider-jew-impjanti","status":"publish","type":"post","link":"https:\/\/www.mustafaaydinol.com\/mt\/podcast\/podcast-3-irfigh-tas-sider-jew-impjanti\/","title":{"rendered":"Podcast 3 \u2013 Irfig\u0127 tas-Sider jew Impjanti?"},"content":{"rendered":"\t\t
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Irfig\u0127 tas-Sider jew Impjanti? | Podcast 3<\/h1>\t\t\t\t<\/div>\n\t\t\t\t
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4 ta’ Ottubru 2026 \u00b7 41:19 \u00b7 Mitkellem bit-Tork
Sottotitoli bit-Tork u bl-Ingli\u017c huma disponibbli fil-player.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Dwar dan l-episodju<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Dr. Mustafa Ayd\u0131nol u l-koordinatri\u010bi klinika Sibel Ayd\u0131nol jiddiskutu kif tag\u0127\u017cel bejn irfig\u0127 tas-sider bit-tessut tieg\u0127ek stess, impjanti u trasferiment tax-xa\u0127am meta l-forma jew il-volum tas-sider jinbidlu wara t-tqala jew telf ta’ pi\u017c.<\/p>

Il-konver\u017cazzjoni tkopri d-differenza bejn telf ta’ volum u sagging, \u010bikatri\u010bi tal-irfig\u0127 tas-sider, id-daqs tal-impjant u xi jfisser dehra naturali, pjanijiet ta’ tqala u treddig\u0127, u rkupru b’bra u drejns. Huma jwie\u0121bu wkoll mistoqsijiet komuni dwar is-sensazzjoni tal-be\u017c\u017cula, segwitu fit-tul tal-impjanti, limfoma asso\u010bjata mal-impjanti u mard tal-impjanti tas-sider.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Su\u0121\u0121etti u timestamps<\/summary>
  1. 0:00<\/strong> Introduzzjoni: Tne\u0127\u0127ija tas-sider jew impjanti?<\/li>
  2. 1:05<\/strong> L-e\u017cami: Volum, \u0121ilda u aspettattivi<\/li>
  3. 2:26<\/strong> It-telf ta’ volum u t-tbeg\u0127id huma l-istess?<\/li>
  4. 3:20<\/strong> Sider \u017cg\u0127ir, po\u017cizzjoni tal-be\u017c\u017cula u milja bil-bra<\/li>
  5. 5:25<\/strong> Tne\u0127\u0127ija tas-sider bl-u\u017cu tat-tessut tieg\u0127ek stess: X’inhu possibbli?<\/li>
  6. 7:25<\/strong> Tne\u0127\u0127ija tas-sider tag\u0127mel is-sider i\u017cg\u0127ar?<\/li>
  7. 7:59<\/strong> Meta ji\u0121u kkunsidrati l-impjanti?<\/li>
  8. 8:43<\/strong> Impjant akbar jista’ jikkore\u0121i t-tbeg\u0127id? Aspettattivi dwar i\u010b-\u010bikatri\u010bi<\/li>
  9. 10:10<\/strong> Tne\u0127\u0127ija u impjanti jistg\u0127u ji\u0121u kkombinati?<\/li>
  10. 11:32<\/strong> Meta l-kirur\u0121ija ti\u0121i ppjanata f’\u017cew\u0121 stadji?<\/li>
  11. 12:28<\/strong> Kif l-impjanti jaffettwaw it-tessut tas-sider tieg\u0127ek stess?<\/li>
  12. 13:03<\/strong> Trasferiment ta’ xa\u0127am: Min jista’ jikkunsidrah?<\/li>
  13. 15:27<\/strong> Riskji tat-trasferiment ta’ xa\u0127am u mammogrammi<\/li>
  14. 16:10<\/strong> \u010aikatri\u010bi tat-tne\u0127\u0127ija tas-sider: Madwar il-be\u017c\u017cula u T maqluba<\/li>
  15. 18:13<\/strong> \u010aikatri\u010bi iqsar jew forma a\u0127jar?<\/li>
  16. 19:19<\/strong> Kemm cc? L-istess volum jidher l-istess fuq kul\u0127add?<\/li>
  17. 20:53<\/strong> Xi tfisser dehra naturali? Ritratti u aspettattivi<\/li>
  18. 21:45<\/strong> Pjanijiet ta’ tqala u treddig\u0127 wara l-kirur\u0121ija<\/li>
  19. 23:35<\/strong> Meta tippjana l-kirur\u0121ija wara telf ta’ pi\u017c<\/li>
  20. 24:28<\/strong> Medikazzjonijiet u preparazzjoni qabel il-kirur\u0121ija<\/li>
  21. 25:03<\/strong> X’tag\u0127mel dwar bi\u010b\u010ba \u0121dida jew tnixxija<\/li>
  22. 25:40<\/strong> Ritorn g\u0127all-\u0127ajja ta’ kuljum u t-tlug\u0127 tat-tfal<\/li>
  23. 26:39<\/strong> Bras, drejns u kura wara l-operazzjoni<\/li>
  24. 28:02<\/strong> Nef\u0127a bikrija u l-forma li tissetilja<\/li>
  25. 28:48<\/strong> Bidliet fis-sensazzjoni tal-be\u017c\u017cula u telf ta’ sensazzjoni<\/li>
  26. 30:05<\/strong> Liema sintomi m’g\u0127andhomx jistennew g\u0127all-kontroll tieg\u0127ek?<\/li>
  27. 31:12<\/strong> L-impjanti je\u0127tie\u0121u sostituzzjoni snin wara? Segwitu fit-tul<\/li>
  28. 33:39<\/strong> Impjanti u limfoma: Tipi ta’ wi\u010b\u010b u prodotti rkuprati<\/li>
  29. 35:57<\/strong> Mard tal-impjant tas-sider: Sintomi u tne\u0127\u0127ija tal-impjant<\/li>
  30. 37:19<\/strong> G\u0127a\u017cla ta’ metodu: Tessut proprju, impjanti jew xa\u0127am<\/li>
  31. 39:09<\/strong> Mistoqsijiet malajr: Impjanti, \u010bikatri\u010bi, treddig\u0127 u kontrolli<\/li>
  32. 40:04<\/strong> Ti\u0121i g\u0127al konsultazzjoni: Dak li trid u dak li ma tridx<\/li>
  33. 40:42<\/strong> G\u0127eluq u qsim tal-mistoqsijiet tieg\u0127ek<\/li><\/ol><\/details>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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    Traskrizzjoni tal-episodju<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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    Traskrizzjoni ta’ dan l-episodju.<\/p>

    Aqra t-traskrizzjoni<\/summary>

    0:00 \u00b7 Introduzzjoni: Tne\u0127\u0127ija tas-sider jew impjanti?<\/h3>

    Hello, u mer\u0127ba fil-programm tag\u0127na. Jiena Sibel Ayd\u0131nol. Jiena Dr. Mustafa Ayd\u0131nol. Illum se niddiskutu l-estetika tas-sider. \u201cMa rridhomx akbar.\u201d Il-pazjenti jg\u0127idu dan, i\u017cda fil-fatt iridu sider akbar. Dan dejjem ji\u0121ri, hux hekk? Huwa minnu li spiss ikollna fehmiet differenti mal-pazjenti dwar l-estetika tas-sider. Hawn x’ji\u0121ri. Il-pazjenti spiss jg\u0127idu, \u201cMa rridx sider akbar. Irridhom biss imtella’.\u201d Din l-aspettattiva spiss tinqala’ wara t-twelid jew telf ta’ pi\u017c. Nistg\u0127u niksbu dan ming\u0127ajr impjanti?<\/p>

    Dik hija l-mistoqsija ewlenija. Naturalment, tne\u0127\u0127ija tas-sider mhux dejjem tinvolvi impjanti. I\u017cda impjanti jistg\u0127u jkunu me\u0127tie\u0121a skont dak li trid il-pazjenta. Ejja nitkellmu ftit dwar l-estetika tas-sider illum. X’jista’ jsir wara t-twelid jew telf ta’ pi\u017c? Meta huma me\u0127tie\u0121a l-impjanti, u meta tne\u0127\u0127ija wa\u0127edha tkun bi\u017c\u017cejjed? Ejja niddiskutu dawk il-punti. Jekk jog\u0127\u0121bok kompli.<\/p>

    1:05 \u00b7 L-e\u017cami: Volum, \u0121ilda u aspettattivi<\/h3>

    Tajjeb. Fl-a\u0127\u0127ar episodju, g\u0127edna li se niddiskutu s-sider. G\u0127all-addome, iddistingwejna x-xa\u0127am mill-\u0121ilda \u017cejda. Minn fejn nibdew bis-sider? X’nag\u0127mlu meta pazjenta tg\u0127id, \u201cIrridhom imtella’\u201d? L-ewwel nett, ne\u017caminaw lill-pazjenta. L-istorja ta’ telf ta’ pi\u017c u tqala issa huma mistoqsijiet standard fl-evalwazzjoni fi\u017cika tag\u0127na. Imbag\u0127ad nistaqsu lill-pazjenta, \u201cX’tistenna?\u201d Jekk ikollhom ritratt ta’ referenza, nitolbuhom juruna. Nikkunsidraw il-pjanijiet futuri u l-et\u00e0 tag\u0127hom u nipproponu pjan ta’ trattament. Jekk i\u017c-\u017cew\u0121 na\u0127at jaqblu, nippro\u010bedu b’dak il-pjan.<\/p>

    Meta jg\u0127idu, \u201cImtella’,\u201d bejn virgoletti, jistg\u0127u wkoll iriduhom i\u017cg\u0127ar jew tal-istess daqs b\u0127as-sider l-ie\u0127or. Naturalment, is-sider jista’ jkun asimmetriku. In-na\u0127at tal-lemin u tax-xellug jistg\u0127u jkunu differenti. Pazjenta tista’ tg\u0127id, \u201cIrridhom imtella’,\u201d imma fil-fatt x’tixtieq? Tnaqqis? Tne\u0127\u0127ija bi tkabbir? Jew trid i\u017c\u017comm it-tessut u d-daqs e\u017cistenti tag\u0127ha? Jista’ jkun li je\u0127tie\u0121u biss li jitilg\u0127u ftit. Irridu nifhmuhom. G\u0127andna b\u017conn komunikazzjoni tajba. G\u0127alhekk nevalwaw erba’ aspetti: volum, po\u017cizzjoni, \u0121ilda u aspettattivi. Assolutament.<\/p>

    2:26 \u00b7 It-telf ta’ volum u t-tbeg\u0127id huma l-istess?<\/h3>

    Hemm ukoll il-kwistjoni tat-telf ta’ volum u t-tbeg\u0127id. Huma l-istess \u0127a\u0121a? Le. Sider jista’ jitlef il-volum ming\u0127ajr ma jitbieg\u0127ed. Jew jista’ jitbieg\u0127ed filwaqt li jibqa’ mimli \u0127afna. Dan jiddependi fuq l-anatomija tal-pazjenta. Huma differenti. Wara telf kbir ta’ pi\u017c, is-sider spiss jitbieg\u0127ed u jitlef il-volum. Wara t-tqala u t-treddig\u0127, it-tessut li jipprodu\u010bi l-\u0127alib ji\u010bkien, g\u0127alhekk is-sider jista’ jitlef il-volum. I\u017cda \u0127afna pazjenti xorta jkollhom tessut suffi\u010bjenti anke wara li jitilfu l-pi\u017c. Minkejja dak it-telf ta’ pi\u017c, huma j\u017commu xa\u0127am u t-tessut glandulari flimkien fis-sider. Nidde\u010biedu x’nag\u0127mlu wara li ne\u017caminawhom.<\/p>

    3:20 \u00b7 Sider \u017cg\u0127ir, po\u017cizzjoni tal-be\u017c\u017cula u milja bil-bra<\/h3>

    Sider \u017cg\u0127ir jista’ jitbieg\u0127ed ukoll. Ejja nmissu fuq dan. Naturalment, sider \u017cg\u0127ir xorta jista’ jitbieg\u0127ed. Kif g\u0127edt, l-e\u017cami huwa importanti. Meta pazjenta tg\u0127id, \u201cSidir \u017cg\u0127ir,\u201d x’inhi l-kwistjoni? G\u0127aliex huma \u017cg\u0127ar? Xa\u0127am ftit wisq? Tbeg\u0127id? Tilfu l-volum kollu tag\u0127hom? X’inhi l-kwistjoni? Il-\u0121ilda ma\u0127lula? Ti\u0121\u0121ebbed? Il-kwalit\u00e0 tag\u0127ha fqira? Irridu nevalwaw dan kollu. Xi nies jippruvaw jidde\u010biedu abba\u017ci tal-po\u017cizzjoni tal-be\u017c\u017cula. Huwa dak metodu suffi\u010bjenti wa\u0127du? Studji re\u010benti sabu dan: il-po\u017cizzjoni tal-be\u017c\u017cula mhijiex daqshekk sinifikanti wa\u0127edha.<\/p>

    M’g\u0127andhiex tittie\u0127ed b\u0127ala l-punt ta’ referenza ewlieni. Studji sabu li nies bi sider kbir jew sider imbieg\u0127ed jista’ naturalment ikollhom po\u017cizzjonijiet tal-be\u017c\u017cula aktar baxxi jew differenti. Meta mistoqsija, il-pazjenti sabu dan attraenti u naturali. Kif g\u0127edt, irridu nifhmu l-aspettattivi tal-pazjenta. Jekk iridu dehra naturali, dak li jg\u0127odd aktar mill-be\u017c\u017cula huwa fejn jitqieg\u0127ed it-tessut tas-sider. Hemm ukoll il-kwistjoni tal-bras. Bra jista’ jag\u0127tihom id-dehra li jridu. G\u0127ax hemm bras push-up. Il-bra timbotta ‘l fuq.<\/p>

    Timla \u010b-\u010bentru, i\u017cda dan jisparixxi meta titne\u0127\u0127a. Dak li l-pazjenti s-soltu jitolbu bl-impjanti huwa dan: \u201cTabib, irrid milja fin-na\u0127a ta’ fuq. Irrid li l-parti ta’ fuq timtela.\u201d Verament irridu nispjegaw dan lill-pazjenti. Impjant jista’ jimla l-parti ta’ fuq, i\u017cda s-sider g\u0127andu jidher tajjeb meta l-pazjenta tkun bla \u0127wejje\u0121, ming\u0127ajr bra. Je\u0127tie\u0121 li jog\u0127\u0121obhom dak li jaraw fil-mera. \u0126afna nies di\u0121\u00e0 jidhru tajbin f’bikini jew bra. Hemmhekk l-estetika tg\u0127odd. E\u017cattament. Mela x’inhu l-messa\u0121\u0121 ewlieni tag\u0127na hawn? Sider \u017cg\u0127ir jista’ jitbieg\u0127ed ukoll. Il-volum jg\u0127odd. It-telf ta’ volum u t-tbeg\u0127id ji\u0121u evalwati separatament.<\/p>

    5:25 \u00b7 Tne\u0127\u0127ija tas-sider bl-u\u017cu tat-tessut tieg\u0127ek stess: X’inhu possibbli?<\/h3>

    Ejja ng\u0127addu g\u0127at-tlug\u0127 bit-tessut tal-pazjenta stess. Huma kuntenti bid-daqs, i\u017cda jridu forma a\u0127jar ming\u0127ajr bra. X’nistg\u0127u nag\u0127mlu bl-u\u017cu tat-tessut tag\u0127hom stess? Hemm tessut li normalment inne\u0127\u0127u waqt tnaqqis tas-sider. Nispjegaw dan meta nimmarkaw il-pjan kirur\u0121iku. I\u017cda l-pazjenta tg\u0127id, \u201cMa rridhomx i\u017cg\u0127ar.\u201d Sidirhom jista’ jkun kbir. \u201cKelli sider kbir minn meta kont \u017cg\u0127ira. Ma rridx nitlef dak,\u201d jg\u0127idu. F’dak il-ka\u017c, a\u0127na nfasslu mill-\u0121did dak it-tessut tas-sider ta\u0127t il-\u0121ilda tieg\u0127u stess u ninkorporawh fis-sider.<\/p>

    Dan jipprodu\u010bi forma tonda \u0127afna u attraenti, b\u0127al impjant \u0121ewwa. Mhux kul\u0127add huwa adattat, i\u017cda ja\u0127dem tajjeb \u0127afna g\u0127al pazjenti adattati. Mill-inqas ma jkollhomx impjant \u0121ewwa. Qed nitkellmu dwar ir-rassikurazzjoni li ma jkollokx materjal barrani u ri\u017cultat kompletament naturali. Hija g\u0127a\u017cla kirur\u0121ika. G\u0127aliex le, g\u0127al pazjenta adattata? Hija g\u0127a\u017cla g\u0127al pazjenti li jridu dehra naturali. Kultant dan jissejja\u0127 \u201cimpjant mag\u0127mul mit-tessut tieg\u0127ek stess.\u201d Dik il-fra\u017ci tista’ to\u0127loq aspettattivi ta’ milja b\u0127al impjant.<\/p>

    F’xi pazjenti, tista’ verament tipprovdi daqs volum daqs impjant. I\u017cda rridu nkunu realisti\u010bi. Dak it-tessut ma jistax ji\u017cen l-istess b\u0127al, ng\u0127idu a\u0127na, impjant ta’ 400 cc. I\u017cda jekk iffurmat tajjeb, is-sider t’isfel jista’ verament jidher qisu impjant. Kultant jestendi g\u0127all-parti ta’ fuq ukoll. Jo\u0127loq dehra b\u0127al impjant. I\u017cda l-milja ta’ fuq li niddeskrivu b’impjanti tas-silikon standard mhijiex verament tista’ tinkiseb b’dan il-metodu. Xorta wa\u0127da, mill-\u0121enb, dan il-metodu jista’ jo\u0127loq kontorni u transizzjonijiet attraenti \u0127afna. Tiddiskuti u tevalwa kollox b’mod miftu\u0127 qabel l-operazzjoni.<\/p>

    7:25 \u00b7 Tne\u0127\u0127ija tas-sider tag\u0127mel is-sider i\u017cg\u0127ar?<\/h3>

    T\u0127assib ie\u0127or huwa jekk it-tlug\u0127 jag\u0127milhomx \u0127afna i\u017cg\u0127ar. Meta ntella’ sider, g\u0127all-inqas bit-teknika tieg\u0127i, ng\u0127id lill-pazjenta li se jkun hemm tnaqqis \u017cg\u0127ir \u0127afna. Huwa qrib l-armpit, aktar milli l-parti vi\u017cibbli. Bejn wie\u0127ed u ie\u0127or, huwa madwar 30 sa 50 cc, jew 30 sa 50 gramma. Bilkemm tidher. Il-pazjenta lanqas biss tinduna bih. Huwa aktar fi\u017c-\u017cona li testendi lejn l-armpit milli fis-sider. Mela, qed nitkellem dwar tne\u0127\u0127ija. Is-sider ma ji\u010bkienx.<\/p>

    7:59 \u00b7 Meta ji\u0121u kkunsidrati l-impjanti?<\/h3>

    Il-mistoqsija li jmiss tag\u0127na: meta huma me\u0127tie\u0121a l-impjanti? Nibdew niddiskutu l-impjanti meta jkun hemm ftit tessut. Jekk ma jkunx hemm tbeg\u0127id sinifikanti, l-impjanti wa\u0127edhom jistg\u0127u jkunu bi\u017c\u017cejjed? Jekk il-pazjenta ma tridx impjanti, fil-fatt mhumiex essenzjali. Huwa kompletament ibba\u017cat fuq dak li trid il-pazjenta. G\u0127alija, il-fattur ewlieni g\u0127al impjant huwa li trid sider akbar minkejja li jkollok ftit tessut jew xa\u0127am. Dak huwa dak li jg\u0127odd. Jekk is-sider huwa \u017cg\u0127ir u ma jitbieg\u0127edx, allura naturalment impjant, spe\u010bjalment g\u0127all-milja ta’ fuq. E\u017cattament, timla l-parti ta’ fuq.<\/p>

    8:43 \u00b7 Impjant akbar jista’ jikkore\u0121i t-tbeg\u0127id? Aspettattivi dwar i\u010b-\u010bikatri\u010bi<\/h3>

    Pazjenta li ma tridx \u010bikatri\u010bi tista’ ta\u0127seb li impjant akbar jista’ jimla dak l-ispazju. X’nag\u0127mlu allura? Ma’ pazjenta li ma tridx \u010bikatri\u010bi, dak li jg\u0127odd huwa fejn na\u0127bu \u010b-\u010bikatri\u010bi. Xi pazjenti bi sider imbieg\u0127ed ftit jistaqsu jekk impjant ikunx bi\u017c\u017cejjed. F’ka\u017cijiet b\u0127al dawn, kultant in\u010bi\u017cjoni \u017cg\u0127ira madwar il-be\u017c\u017cula tippermettilna niksbu dan u na\u0127bu \u010b-\u010bikatri\u010bi hemmhekk. I\u017cda jekk ikun hemm tbeg\u0127id qawwi, nispjegaw li ming\u0127ajr tne\u0127\u0127ija xierqa, ma jkunux kuntenti bir-ri\u017cultat. Huma jifhmu u jaqblu. Jekk ma jridux \u010bikatri\u010bi vi\u017cibbli, l-impjanti jistg\u0127u jid\u0127lu mill-armpit.<\/p>

    I\u017cda s-sider xorta je\u0127tie\u0121 li jkun adattat. Bi sider imbieg\u0127ed \u0127afna, it-tqeg\u0127id ta’ impjant ming\u0127ajr tne\u0127\u0127ija j\u0127alli lill-pazjenta mhux kuntenta fit-terminu medju. G\u0127alhekk irridu niddiskutu liema \u010bikatri\u010bi lesti na\u010b\u010bettaw mill-bidu. Meta npo\u0121\u0121u impjanti permezz ta\u017c-\u017cona tal-be\u017c\u017cula jew it-tinja ta\u0127t is-sider, nistg\u0127u nimmani\u0121\u0121jaw i\u010b-\u010bikatri\u010bi tajjeb \u0127afna. Ta\u0127t, anke jekk l-in\u010bi\u017cjoni tkun kbira, nistg\u0127u nu\u017caw suturi biex innaqqsu \u010b-\u010bikatri\u010bi g\u0127al madwar 2.5 sa 3 cm. Tfejjaq sabi\u0127 \u0127afna ma\u017c-\u017cmien. Bilkemm tidher. Kif tafu, il-lej\u017cers u l-kremi tas-silikon jag\u0127mlu dawn i\u010b-\u010bikatri\u010bi mani\u0121\u0121abbli \u0127afna.<\/p>

    10:10 \u00b7 Tne\u0127\u0127ija u impjanti jistg\u0127u ji\u0121u kkombinati?<\/h3>

    Jekk ikollna b\u017conn kemm tne\u0127\u0127ija kif ukoll milja \u017cejda b’impjant, nistg\u0127u nag\u0127mlu t-tnejn fl-istess operazzjoni? Mhux ovvja. Ng\u0127idu li qed nag\u0127mlu tne\u0127\u0127ija, u l-pazjenta tg\u0127id, a\u0127na nsej\u0127u dan mastopexy b’impjanti, \u201cIrrid sider akbar, aktar mimli, u ma rridhomx jitbieg\u0127du.\u201d Dik hija wa\u0127da mill-aktar operazzjonijiet diffi\u010bli fil-kirur\u0121ija plastika. Qed tag\u0127mel \u017cew\u0121 affarijiet opposti fl-istess \u0127in. Qed tnaqqas u tkabbar fl-istess \u0127in. Jidher li ja\u0127dmu kontra xulxin. Hemm diversi tekniki g\u0127al dan. Biex l-impjant ma jaqax, jitqieg\u0127ed xibka ta’ appo\u0121\u0121 jew struttura b\u0127al hammock \u0121ewwa.<\/p>

    Jew nistg\u0127u nu\u017caw it-tessut tal-pazjenta stess b’dan il-mod. Personalment, f’dawn l-operazzjonijiet ta’ tne\u0127\u0127ija, re\u010bentement ippreferejt li ng\u0127atti l-impjant bit-tessut tal-pazjenta stess biex in\u017cid volum \u017cejjed. S’issa, g\u0127all-inqas, ir-ri\u017cultati huma tajbin \u0127afna. Il-pazjenti huma kuntenti \u0127afna, u huwa wkoll pjuttost sikur. Jekk dan xorta ma jkunx bi\u017c\u017cejjed, nistg\u0127u nu\u017caw xa\u0127am mil-liposuction f’\u010berti \u017coni tas-sider. Dejjem hemm xi differenza bejn is-sider tal-lemin u tax-xellug. Nu\u017caw dak ix-xa\u0127am ukoll. Di\u0121\u00e0 qed jintu\u017ca. Nistg\u0127u n\u017ciduh biex nibbilan\u010bjawhom u niksbu simetrija. Jew biex nimlew u niddefinixxu l-cleavage fi\u010b-\u010bentru.<\/p>

    11:32 \u00b7 Meta l-kirur\u0121ija ti\u0121i ppjanata f’\u017cew\u0121 stadji?<\/h3>

    Meta nikkunsidraw \u017cew\u0121 operazzjonijiet separati? Sakemm is-sider tal-pazjenta ma jkunx \u017cg\u0127ir \u0127afna, nippjana operazzjoni wa\u0127da. I\u017cda kultant l-aspettattivi tag\u0127hom huma hekk: g\u0127andhom sider \u017cg\u0127ir \u0127afna, u jg\u0127idu, \u201cTabib, irrid, ng\u0127idu a\u0127na, 550 jew 600 cc.\u201d Dan sempli\u010bement ma jistax isir f’daqqa wa\u0127da. Nispjega lill-pazjenta, \u201cSe npo\u0121\u0121u impjant fis-sider tieg\u0127ek issa, l-akbar wie\u0127ed adattat. Wara sitt xhur sa sena, tista’ ter\u0121a’ ti\u0121i u npo\u0121\u0121u wie\u0127ed akbar. Dan jag\u0127tik ri\u017cultat aktar b’sa\u0127\u0127tu.\u201d Il-\u0121isem jo\u0127loq but u kapsula hemmhekk.<\/p>

    Iva, matul dak i\u017c-\u017cmien, l-impjant jissetilja fl-ispazju tieg\u0127u. Il-\u0121ilda tadatta xi ftit. Impjant akbar jista’ mbag\u0127ad jid\u0127ol aktar fa\u010bilment. Ma nag\u0127mluhx f’daqqa wa\u0127da min\u0127abba li \u010b-\u010birkolazzjoni u l-fejqan tal-\u0121ilda jistg\u0127u ji\u0121u kompromessi.<\/p>

    12:28 \u00b7 Kif l-impjanti jaffettwaw it-tessut tas-sider tieg\u0127ek stess?<\/h3>

    X’ji\u0121ri mit-tessut tas-sider tal-pazjenta meta n\u017cidu impjant? Ejja n\u0127arsu lejn dan ukoll. Ming\u0127ajr ma nid\u0127lu f’\u0127afna dettall, it-tessut tas-sider tag\u0127hom stess isir irqaq. Ng\u0127idu li s-saff tax-xa\u0127am huwa erba’ \u010bentimetri. Dan huwa biss e\u017cempju ipotetiku. F’sena sa sena u nofs, jista’ jin\u017cel g\u0127al tliet \u010bentimetri. Fis-snin ta’ wara, jista’ jin\u017cel g\u0127al 2.5 jew \u017cew\u0121 \u010bentimetri. Jekk iridu jitne\u0127\u0127a snin wara, is-sider jidher qisu bu\u017c\u017cieqa deflata.<\/p>

    13:03 \u00b7 Trasferiment ta’ xa\u0127am: Min jista’ jikkunsidrah?<\/h3>

    Su\u0121\u0121ett ie\u0127or: trasferiment ta’ xa\u0127am. Spiss niltaqg\u0127u ma’ dan, u jista’ jkun me\u0127tie\u0121. Mhux ovvja. It-trasferiment ta’ xa\u0127am huwa g\u0127a\u017cla, u meta? Ng\u0127idu li pazjenta trid dehra naturali \u0127afna. \u017bgur ma tridx impjanti u m’g\u0127andhiex bi\u017c\u017cejjed tbeg\u0127id biex te\u0127tie\u0121 tne\u0127\u0127ija. I\u017cda trid sider akbar. Imbag\u0127ad l-g\u0127a\u017cla hija trasferiment ta’ xa\u0127am. It-trasferiment ta’ xa\u0127am huwa g\u0127a\u017cla g\u0127al pazjenti li ma jridux impjanti. Jista’ jkun ukoll g\u0127a\u017cla biex i\u017c\u017cid ftit milja. Naturalment, g\u0127andu l-limitazzjonijiet tieg\u0127u stess. Irridu nifhmu dan. B’differenza minn impjant, il-forma tieg\u0127u mhijiex fissa, g\u0127alhekk ma tistax tag\u0127ti milja dejjiema lill-parti ta’ fuq.<\/p>

    I\u017cda huwa mod ra\u0121onevoli biex i\u017c\u017cid il-volum lis-sider b’mod \u0121enerali. Kif jin\u0121abar ix-xa\u0127am jg\u0127odd ukoll. Xa\u0127am mi\u0121bur b\u0127al fil-liposuction standard g\u0127andu rata ta’ sopravivenza aktar baxxa meta ji\u0121i injettat. G\u0127alhekk, g\u0127at-trasferiment ta’ xa\u0127am tas-sider, je\u0127tie\u0121 li jin\u0121abar b’mod aktar \u0121entili. F’dawn il-ka\u017cijiet, ni\u0121bruh bl-aktar mod \u0121entili possibbli u ninjettawh fis-sider. I\u017cda m’a\u0127niex nitkellmu dwar 400 sa 500 cc, b\u0127al fit-tkabbir tal-warrani. Huwa aktar fir-re\u0121jun ta’ 200 sa 250 cc. U naturalment, ma jtellax sider imbieg\u0127ed. Dik hija e\u017cattament il-mistoqsija.<\/p>

    Jekk ikun hemm tbeg\u0127id ukoll, i\u017c-\u017cieda ta’ xa\u0127am tista’ ttellg\u0127u? Le, u dan ng\u0127iduh lill-pazjenti. Meta tispjegah, f’\u010bertu punt jg\u0127idu, \u201cIva, dan jag\u0127mel sens. Issa fhimt.\u201d Fil-qosor, it-trasferiment ta’ xa\u0127am ma jtellax sider imbieg\u0127ed. I\u017cid biss il-volum. Il-pazjenti jistg\u0127u j\u0127ossuhom aktar komdi g\u0127ax huwa x-xa\u0127am tag\u0127hom stess. Huwa g\u0127ax i\u0127ossu naturali. Mhux ovvja. Vanta\u0121\u0121 ie\u0127or huwa t-telf ta’ pi\u017c, jew a\u0127jar il-kontornar tal-\u0121isem. Xorta wa\u0127da, il-liposuction mhijiex kirur\u0121ija g\u0127at-telf ta’ pi\u017c. Imma\u0121ina li tne\u0127\u0127i xa\u0127am minn \u0121ismek waqt l-istess pro\u010bedura, u tu\u017cah x’imkien ie\u0127or. Iva, nu\u017cawh x’imkien ie\u0127or ukoll. Jidher ra\u0121onevoli \u0127afna. G\u0127aliex le, aktar milli impjant?<\/p>

    15:27 \u00b7 Riskji tat-trasferiment ta’ xa\u0127am u mammogrammi<\/h3>

    I\u017cda naturalment, hemm limitazzjonijiet. Hemm riskji wkoll. Liema riskji rridu nispjegaw lill-pazjenti? F’pazjenti anzjani, dawk i\u010b-\u010belloli tax-xa\u0127am jistg\u0127u jmutu u jiffurmaw \u010bisti. Fuq mammogramma, dawn jistg\u0127u ji\u0121u konfu\u017ci ma’ bidliet kan\u010beru\u017ci. Jekk qed nippjanaw din l-operazzjoni u s-sider g\u0127andu struttura \u010bistika, na\u0127seb li mammogramma ba\u017ci qabel l-operazzjoni tkun xierqa. Mill-inqas ikollna xi \u0127a\u0121a x’nikkomparaw qabel u wara l-operazzjoni. Punt ta’ referenza. Dan jg\u0127in lill-pazjenti jkomplu b’\u0127ajjithom b’aktar ser\u0127an il-mo\u0127\u0127.<\/p>

    16:10 \u00b7 \u010aikatri\u010bi tat-tne\u0127\u0127ija tas-sider: Madwar il-be\u017c\u017cula u T maqluba<\/h3>

    Mistoqsija komuni o\u0127ra hija \u010b-\u010bikatri\u010bi. Semmejna \u010b-\u010bikatri\u010bi qabel. Xi \u0127add li qed jikkunsidra tne\u0127\u0127ija jrid ikun jaf fejn se jkunu \u010b-\u010bikatri\u010bi. L-istess in\u010bi\u017cjoni g\u0127al kul\u0127add, jew differenti? L-ewwel, g\u0127al tne\u0127\u0127ija, irridu nifhmu kemm is-sider tbieg\u0127ed. G\u0127al tne\u0127\u0127ija soda u mwettqa tajjeb, l-evitar ta\u010b-\u010bikatri\u010bi me\u0127tie\u0121a spiss iwassal g\u0127al ri\u017cultat ag\u0127ar milli ma\u0127sub. Dan i\u0127alli lill-pazjenta mhux sodisfatta. Nitkellem dwar il-forma, fl-esperjenza tieg\u0127i, qatt ma rajt lil xi \u0127add b’ri\u017cultat tajjeb jilmenta dwar i\u010b-\u010bikatri\u010bi. Meta r-ri\u017cultat ikun tajjeb, in-nisa ma jinkwetawx dwar i\u010b-\u010bikatri\u010bi.<\/p>

    G\u0127alhekk, aktar milli sempli\u010bement fejn titqieg\u0127ed i\u010b-\u010bikatri\u010bi, g\u0127andna b\u017conn sutura attenta biex nimmani\u0121\u0121jawha sew. Jekk ir-ri\u017cultat ikun tajjeb, il-pazjenti ma jinkwetawx \u0127afna dwar il-bqija. Jekk ikun hemm tbeg\u0127id \u0127afif, nu\u017caw in\u010bi\u017cjoni madwar il-be\u017c\u017cula. Jekk is-sider ikun imbieg\u0127ed \u0127afna, nu\u017caw dik li tissejja\u0127 in\u010bi\u017cjoni ankra: madwar il-be\u017c\u017cula, vertikalment ‘l isfel, u tul it-tinja tas-sider, li tifforma T maqluba. Teknika o\u0127ra tid\u0127ol mill-armpit, u t\u0127alli biss \u010bikatri\u010bi ta’ \u0127ames sa sitt \u010bentimetri ta\u0127t il-be\u017c\u017cula. Mela nistg\u0127u ng\u0127idu hekk? L-iqsar \u010bikatri\u010bi mhijiex dejjem l-a\u0127jar g\u0127a\u017cla.<\/p>

    Iva, assolutament. Il-pazjenti jg\u0127idu, \u201cTabib, ma rridx in\u010bi\u017cjoni twila. Nib\u017ca’. Se tidher \u0127a\u017cina,\u201d u l-bqija. I\u017cda meta nuru ritratti ta’ qabel u wara, li tistg\u0127u ssibu kollha online, \u0127afna mill-pazjenti jaqblu. Huma qattg\u0127u wkoll \u0127in jippreparaw lilhom infushom psikolo\u0121ikament, g\u0127alhekk na\u0127seb li \u010b-\u010bikatri\u010bi jsiru inqas problema.<\/p>

    18:13 \u00b7 \u010aikatri\u010bi iqsar jew forma a\u0127jar?<\/h3>

    Jekk pazjenta xorta trid \u010bikatri\u010bi iqsar u inqas vi\u017cibbli, x’tag\u0127mel? Nipprova nevita li nag\u0127mel xi \u0127a\u0121a, jekk possibbli. Inkella, ji\u0121u lura mhux kuntenti sitt xhur wara. Hija problema fi kwalunkwe ka\u017c. Irrid li r-ri\u017cultat ikun tajjeb, g\u0127ax na\u0127seb li nista’ nittratta \u010b-\u010bikatri\u010bi wara. Bil-lej\u017cers jew trattamenti o\u0127ra, i\u010b-\u010bikatri\u010bi tista’ ti\u0121i mani\u0121\u0121jata. I\u017cda ri\u017cultat fqir jaffettwa l-benesseri mentali tal-pazjenta, g\u0127alhekk na\u0127seb li rridu nikkunsidrawha u niddiskutu \u010b-\u010bikatri\u010bi flimkien. Jekk il-pazjenta hija m\u0127assba \u0127afna dwar i\u010b-\u010bikatri\u010bi, nistg\u0127u nag\u0127mlu affarijiet, i\u017cda r-ri\u017cultat ji\u0121i l-ewwel.<\/p>

    Naqbel, ir-ri\u017cultat l-ewwel. L-esperjenza tieg\u0127i li na\u0127dem f’dan il-qasam kienet l-istess. Jekk is-sider jidher tajjeb, in-nies s-soltu ji\u0121u g\u0127andna g\u0127al revi\u017cjonijiet. Jista’ jkun li g\u0127amlu kirur\u0121ija f’partijiet differenti tad-dinja. \u0126ames revi\u017cjoni, sitt revi\u017cjoni. Hemm \u010bikatri\u010bi. \u0126add ma ji\u0121i g\u0127ax i\u010b-\u010bikatri\u010bi hija \u0127a\u017cina. Ma jog\u0127\u0121obhomx il-forma. Jew g\u0127ax huwa \u017cg\u0127ir u jriduh akbar.<\/p>

    19:19 \u00b7 Kemm cc? L-istess volum jidher l-istess fuq kul\u0127add?<\/h3>

    Issa naslu g\u0127al kemm cc u x’tip ta’ milja. Nirritornaw g\u0127all-g\u0127a\u017cla tal-impjant. Verament ma jog\u0127\u0121obnix dan is-su\u0121\u0121ett. Verament ma jog\u0127\u0121obnix. \u201cDik il-persuna kellha daqshekk cc. Irrid l-istess.\u201d Verament ma jog\u0127\u0121obnix dik il-mistoqsija. Niltaqg\u0127u mag\u0127ha spiss. Na\u0127seb li hija l-mistoqsija \u0127a\u017cina. Kull persuna, kull sider u kull qafas tas-sider huwa differenti. Waqt l-operazzjoni, nipprova diversi mudelli biex nasal g\u0127al dak ir-ri\u017cultat, ir-ri\u017cultat li rrid. Jaqbel mal-linja tan-nofs tal-pazjenta sew? Jaqbel mal-ba\u017ci tas-sider sew? L-elasti\u010bit\u00e0 tal-\u0121ilda tippermetti l-impjant li rrid, jew id-daqs li trid il-pazjenta?<\/p>

    Irridu nevalwaw dawn l-affarijiet. Nistaqsi lill-pazjenti, \u201cJekk inkun inde\u010bi\u017c, tippreferi li nu\u017ca impjant akbar jew i\u017cg\u0127ar?\u201d Dik hija l-mistoqsija vera. Na\u0127seb hekk. Jistg\u0127u jg\u0127idu, \u201cIrridhom kbar kemm jista’ jkun.\u201d Jew, \u201cLe, irridhom \u017cg\u0127ar, \u017cg\u0127ar kemm jistg\u0127u jkunu.\u201d Il-marki tag\u0127na huma bba\u017cati fuq dan. Hekk ukoll il-pjan. I\u017cda kif g\u0127edt, \u201cG\u0127andi \u0127abiba. Rajtha u tkellimt mag\u0127ha. G\u0127andha 350 cc. Irrid l-istess.\u201d I\u017cda, l-istess impjant ma jidhirx l-istess fuq \u017cew\u0121 persuni. Ma jidhirx. Persuna wa\u0127da tista’ tkun twila 185 cm, u l-o\u0127ra 160 jew 150.<\/p>

    Qafas sidirhom i\u017cg\u0127ar. G\u0127alhekk, fil-fatt iridu jiksbu l-istess effett. E\u017cattament. I\u017cda min\u0127abba li niksbu dan b’impjanti differenti, ir-ri\u017cultati u l-volumi f’cc ivarjaw ukoll.<\/p>

    20:53 \u00b7 Xi tfisser dehra naturali? Ritratti u aspettattivi<\/h3>

    Mela sempli\u010bement tg\u0127id, \u201cIrridha naturali,\u201d mhux bi\u017c\u017cejjed lanqas. \u201cNaturali\u201d tfisser affarijiet differenti g\u0127al nies differenti. X’inhu naturali? Sidirhom huwa naturali meta ji\u0121u g\u0127andna. Hija idea su\u0121\u0121ettiva ta’ naturali\u017cmu. Tistaqsi lill-pazjenta dwarha. Nibqg\u0127u niddiskutu dan fil-konferenzi tal-kirur\u0121ija plastika. Dehra naturali. Il-pazjenti ji\u0121u mistoqsija, \u201cX’jidher naturali?\u201d Huma juru mudell bla \u0127wejje\u0121, jew bodybuilder f’bikini. Mhuwiex naturali, i\u017cda dak huwa dak li jidher naturali g\u0127alihom. Biex nifhmu xi tfisser il-pazjenta b’naturali, na\u0127seb li rridu naraw ritratt.<\/p>

    Li \u0121\u0121ib ritratti jg\u0127inna b’dan. Huwa vanta\u0121\u0121. Jew g\u0127all-inqas nistg\u0127u nistaqsu, \u201cX’ma tridx?\u201d Jistg\u0127u ma jafux x’iridu, i\u017cda jafu x’ma jridux. \u201c\u017bgur ma rridx li tidher hekk.\u201d Dan jg\u0127in \u0127afna.<\/p>

    21:45 \u00b7 Pjanijiet ta’ tqala u treddig\u0127 wara l-kirur\u0121ija<\/h3>

    Is-su\u0121\u0121ett li jmiss tag\u0127na huwa l-pjanijiet ta’ tqala u t-treddig\u0127. Iddiskutejna r-ri\u017cultat li jridu. Hemm ukoll il-\u0127in. Dak huwa importanti. Huma jridu kirur\u0121ija, i\u017cda qed jippjanaw ukoll li jkollhom tfal. G\u0127andhom jistennew? Jekk sidirhom ma jaffettwax \u0127a\u017cin \u0127ajjithom, il-benesseri mentali jew il-\u0127ajja sesswali tag\u0127hom, \u017cgur li g\u0127andhom jistennew. Na\u0127seb li g\u0127andhom jag\u0127mluha wara t-tqala. G\u0127at-treddig\u0127 u s-sa\u0127\u0127a tat-tifel, u finanzjarjament ukoll. Min\u0127abba li t-tqala se taffettwa r-ri\u017cultat mill-\u0121did. Jistg\u0127u jkollhom b\u017conn operazzjoni o\u0127ra. Qed na\u0127seb fil-pazjenti.<\/p>

    Dwar it-treddig\u0127, il-pazjenti dejjem jistennew twe\u0121iba definita. \u201cNista’ tredda’ wara l-operazzjoni?\u201d Personalment, ma nistax nag\u0127ti ebda garanzija dwar dan. Ma na\u0127sibx li \u0127afna mill-kollegi tieg\u0127i lanqas. \u0120eneralment, il-kirur\u0121ija tas-sider taffettwa \u0127a\u017cin it-treddig\u0127. Naturalment, g\u0127andna pazjenti li jistg\u0127u jreddg\u0127u. I\u017cda dan ma japplikax g\u0127al kul\u0127add. Jekk jibqa’ bi\u017c\u017cejjed tessut tas-sider u tessut glandulari, jista’ jkun possibbli. I\u017cda g\u0127al \u0127afna pazjenti, f’95%, it-treddig\u0127 mhuwiex possibbli wara tne\u0127\u0127ija tas-sider. Mhux bil-kirur\u0121ija tat-tkabbir tas-sider.<\/p>

    Dak huwa su\u0121\u0121ett separat. Nu\u017caw kull teknika li nistg\u0127u biex nippreservawha kemm jista’ jkun. Iva, fit-tkabbir tas-sider, nippreservawha. Min\u0127abba l-pjan li nu\u017caw, ma nmissux il-glandoli tal-\u0127alib, g\u0127alhekk ma jkunx hemm problema. I\u017cda li tag\u0127mel dan qabel it-tqala ma jag\u0127milx sens lanqas. Jekk jippjanaw li jo\u0127or\u0121u tqal dalwaqt, ng\u0127idu f’xahrejn, mhux sensibbli. I\u017cda fi tliet jew g\u0127axar snin, dak huwa differenti. It-tqala u t-treddig\u0127 infushom ibiddlu s-sider, g\u0127alhekk tista’ tkun me\u0127tie\u0121a operazzjoni o\u0127ra.<\/p>

    23:35 \u00b7 Meta tippjana l-kirur\u0121ija wara telf ta’ pi\u017c<\/h3>

    Is-su\u0121\u0121ett li jmiss tag\u0127na: meta tag\u0127mel kirur\u0121ija wara telf ta’ pi\u017c? Semmejna li n\u0127allu l-pi\u017c jissetilja. Huwa importanti \u0127afna li jintla\u0127aq \u010bertu pi\u017c. Dawk li g\u0127adhom qed jitilfu l-pi\u017c g\u0127andhom jistennew ukoll? Jew g\u0127andhom l-ewwel jie\u0127du medikazzjoni g\u0127at-telf ta’ pi\u017c u jippro\u010bedu b’dak il-mod? Di\u0121\u00e0 tajt it-twe\u0121iba. Itlef il-pi\u017c, \u0127allih jistabbilizza, imbag\u0127ad ejja. Li tag\u0127mel kirur\u0121ija waqt li tkun g\u0127adha qed titlef il-pi\u017c b’dik il-medikazzjoni tista’ tikkaw\u017ca nuqqas ta’ sodisfazzjon jew problemi. Meta l-\u0121ilda titbieg\u0127ed, l-elasti\u010bit\u00e0 tag\u0127ha taffettwa \u0127a\u017cin ir-ri\u017cultat. Wara telf ta’ pi\u017c, preferibbilment mill-inqas sitt xhur b’pi\u017c stabbli huwa importanti \u0127afna biex ir-ri\u017cultat idum.<\/p>

    24:28 \u00b7 Medikazzjonijiet u preparazzjoni qabel il-kirur\u0121ija<\/h3>

    Il-pazjenti je\u0127tie\u0121 ukoll li jg\u0127idulna dwar il-medikazzjonijiet tag\u0127hom f’din i\u017c-\u017cjara. A\u0127na no\u0127olqu pjan adattat u sikur skont dan. Nistaqsu ripetutament qabel ma jaslu, mhux darba biss. Meta jaslu, l-anestetista jistaqsi, a\u0127na nistaqsu mill-\u0121did, u l-infermieri jistaqsu. Nafu dwarhom kollha. Jekk qed jie\u0127du medikazzjoni importanti u jg\u0127idulna, kemm jekk \u0121ejjin minn barra jew minn \u010bentru ie\u0127or, nitolbuhom jaraw lill-preskrittur tag\u0127hom. Inkella, \u0121eneralment nag\u0127tuhom parir dwar x’g\u0127andhom jag\u0127mlu bil-medikazzjonijiet tag\u0127hom.<\/p>

    25:03 \u00b7 X’tag\u0127mel dwar bi\u010b\u010ba \u0121dida jew tnixxija<\/h3>

    X’ji\u0121ri jekk jindunaw b’bi\u010b\u010ba \u0121dida jew tnixxija? Ng\u0127idu li l-e\u017cami tas-sider u s-sa\u0127\u0127a ji\u0121u l-ewwel. G\u0127andhom jaraw kirurgu \u0121enerali fil-pront biex ji\u0121i \u010b\u010bekkjat. Mhuwiex dejjem xi \u0127a\u0121a \u0127a\u017cina, i\u017cda g\u0127andna nkunu kawti. Spe\u010bjalment jekk tkun ippjanata kirur\u0121ija tas-sider, li tkun taf dwar kwalunkwe problema minn qabel hija fl-interess kemm tat-tabib kif ukoll tal-pazjenta. Jew xi forma ta’ imma\u0121ini. E\u017cattament. Il-kirurgu \u0121enerali jidde\u010biedi dan, g\u0127alhekk l-ispe\u010bjalisti jafu l-a\u0127jar. Li tie\u0127u azzjoni f’dawk il-linji tkun xierqa.<\/p>

    25:40 \u00b7 Ritorn g\u0127all-\u0127ajja ta’ kuljum u t-tlug\u0127 tat-tfal<\/h3>

    T\u0127assib komuni \u0127afna huwa r-ritorn g\u0127all-\u0127ajja ta’ kuljum. Il-preparazzjoni hija kompluta, u l-kirur\u0121ija hija ppjanata. Liema arran\u0121amenti g\u0127andhom jag\u0127mlu d-dar? Qed nistaqsi spe\u010bjalment g\u0127al dawk bi tfal \u017cg\u0127ar. Kif g\u0127andhom jippro\u010bedu? Na\u0127seb li g\u0127andhom jevitaw irfig\u0127 tqil g\u0127al mill-inqas tliet \u0121img\u0127at, kemm jista’ jkun. Jista’ anke jestendi g\u0127al erba’ \u0121img\u0127at. Ivarja minn persuna g\u0127al o\u0127ra. Dawn huma figuri relattivi \u0127afna. Na\u0127seb li l-kriterji huma li l-u\u0121ig\u0127 ikun mar u s-sider ikun fejjaq kompletament. Jistg\u0127u jippruvaw jerfg\u0127u pi\u017cijiet \u0127fief. Jekk ma jkunx hemm u\u0121ig\u0127, jistg\u0127u j\u017cidu l-pi\u017c.<\/p>

    I\u017cda \u0121eneralment, g\u0127al tliet sa erba’ \u0121img\u0127at, g\u0127andhom jipprote\u0121u \u017c-\u017cona. Dan huwa g\u0127al fejqan simetriku u, spe\u010bjalment b’impjanti mqieg\u0127da ta\u0127t il-muskolu, biex titnaqqas in-nef\u0127a tal-muskolu. Huwa essenzjali.<\/p>

    26:39 \u00b7 Bras, drejns u kura wara l-operazzjoni<\/h3>

    Bras, drejns u massa\u0121\u0121i. In-nies jg\u0127idu affarijiet differenti \u0127afna dwar dawn. X’nirrakkomandaw? Jien spe\u010bifikament nu\u017ca drejns. G\u0127aliex? Min\u0127abba li l-impjanti huma materjali barranin. Waqt l-operazzjoni, na\u0127sluhom b’soluzzjonijiet antibatteri\u010bi. Inevitabbilment, ammont \u017cg\u0127ir ta’ fluwidu jibqa’ \u0121ewwa. Nara dan g\u0127ax nag\u0127mel \u0127afna operazzjonijiet ta’ revi\u017cjoni. Xi \u0127add kellu impjanti mqieg\u0127da g\u0127axar jew \u0127mistax-il sena ilu, ming\u0127ajr drejns. Meta nifta\u0127 il-but li fih l-impjant, jo\u0127ro\u0121 fluwidu, f’ammont pjuttost kbir. Dak il-fluwidu baqa’ hemm mal-pazjenta g\u0127al g\u0127axar jew \u0127mistax-il sena, jew kemm idum.<\/p>

    Peress li ma rridx li jibqa’, u rajt dan, issa dejjem nu\u017ca drejns. Imbag\u0127ad inne\u0127\u0127u d-drejn. Nibdel il-faxxa meta ji\u0121u g\u0127al kontroll. Nispjegah lill-pazjenta wkoll. Jekk jg\u0127ixu fil-qrib, nitlobhom jer\u0121g\u0127u ji\u0121u. Ng\u0127idilhom biex jilbsu l-bra kemm jista’ jkun, spe\u010bjalment bil-lejl. G\u0127aliex bil-lejl? Ma nistg\u0127ux nikkontrollaw \u0121isimna waqt li nkunu reqdin. Nistg\u0127u nduru minn na\u0127a g\u0127al o\u0127ra. Nistg\u0127u nimteddu fuq na\u0127a wa\u0127da g\u0127al aktar \u017cmien. Mill-inqas il-bra tg\u0127in lis-sider jissetilja fil-po\u017cizzjoni t-tajba. Tipprote\u0121ih, b’xi mod. Iva, u tg\u0127in ukoll \u0127afna bl-u\u0121ig\u0127. G\u0127andhom jag\u0127mlu dan.<\/p>

    28:02 \u00b7 Nef\u0127a bikrija u l-forma tissetilja<\/h3>

    Wara \u0121img\u0127atejn, xi pazjenti j\u0127arsu fil-mera u jistaqsu, \u201cSe tibqa’ hekk?\u201d G\u0127alhekk g\u0127adu kmieni wisq biex ta\u0127seb hekk. Ilbes il-bra u \u0127alli \u017c-\u017cmien jag\u0127mel tieg\u0127u. Mhux ovvja. F’\u0121img\u0127atejn, partikolarment g\u0127all-impjanti ta\u0127t il-muskolu, il-muskolu jkun tassew minfu\u0127. Jista’ sa\u0127ansitra jidher qisu \u010bappa hemmhekk. Ng\u0127idulhom, \u201cSe tissetilja, tinkwetax,\u201d u hekk ji\u0121ri. Jarawha huma stess. Mhuwiex verament \u017cmien twil. Fi \u017cmien madwar \u0121img\u0127atejn jew tlieta, is-sider jibda ji\u017cviluppa dehra naturali u attraenti \u0127afna. Wara l-kirur\u0121ija, jekk ma jkollokx u\u0121ig\u0127 qawwi \u0127afna kmieni jew xi \u0127a\u0121a sejra \u0127a\u017cin, tib\u017cax. Dan hu dak li nista’ ng\u0127id. Su\u0121\u0121ett ie\u0127or li jqajjem \u0127afna mistoqsijiet huwa s-sensazzjoni: bidliet jew telf ta’ sensazzjoni.<\/p>

    28:48 \u00b7 Bidliet fis-sensazzjoni tal-b\u017cie\u017cel u telf ta’ sensazzjoni<\/h3>

    G\u0127al liema sinjali g\u0127andna nag\u0127tu attenzjoni? Iva. Tie\u0127u \u017c-\u017cmien biex il-forma tissetilja. Nistg\u0127u ng\u0127idu l-istess dwar is-sensazzjoni tal-b\u017cie\u017cel? M’hemmx \u0127afna x’tista’ tag\u0127mel il-pazjenta dwar is-sensazzjoni. Hija relatata mal-kirur\u0121ija. Matul il-kirur\u0121ija, nie\u0127du \u0127sieb kbir biex nippreservaw is-sensazzjoni tal-b\u017cie\u017cel. Nafu bejn wie\u0127ed u ie\u0127or minn fejn jo\u0127ro\u0121 in-nerv, in-nerv li j\u0121orr is-sensazzjoni lejn il-b\u017cie\u017cel. Jekk nippreservawh, anke jekk is-sensazzjoni inizjalment tintilef jew titnaqqas, ter\u0121a’ lura aktar tard. I\u017cda dik i\u017c-\u017cona tas-sider jista’ jkollha b\u017conn ti\u0121i operata. Jista’ jkun hemm b\u017conn ta’ xi xog\u0127ol hemmhekk.<\/p>

    Jekk in-nerv ji\u0121i affettwat, is-sensazzjoni tista’ qatt ma ter\u0121a’ lura f’xi ka\u017cijiet. Ir-riskju ta’ problemi huwa og\u0127la b’sider partikolarment kbir. Jekk impjant jitqieg\u0127ed g\u0127oli \u0127afna, il-kuntatt tieg\u0127u ma’ jew il-pressjoni fuq in-nerv jistg\u0127u jikkaw\u017caw tnemnim li jdum \u017cmien twil \u0127afna, jew telf permanenti ta’ sensazzjoni.<\/p>

    30:05 \u00b7 Liema sintomi m’g\u0127andhomx jistennew il-kontroll tieg\u0127ek?<\/h3>

    Id-dar, x’g\u0127andu j\u0121eg\u0127elna nfittxu l-g\u0127ajnuna qabel il-kontroll skedat? Il-pazjenti spiss jistaqsu jekk g\u0127andhomx jistennew il-kontroll tag\u0127hom jew ji\u0121u aktar kmieni. Jekk ikun hemm tnixxija, u\u0121ig\u0127 li ma jmurx jew jiggrava, jew nef\u0127a mhux tas-soltu li tista’ t\u0127oss, jew nef\u0127a li tibda f’daqqa u ti\u017cdied malajr, tista’ tg\u0127id li xi \u0127a\u0121a mhix sew. M’hemmx b\u017conn li telenka kull possibbilt\u00e0. Ikkuntattja lit-tabib tieg\u0127ek fil-pront u mur l-isptar jew il-klinika tat-tabib tieg\u0127ek. Dawn huma importanti. M’g\u0127andniex ninsewhom. Nistennew xi nef\u0127a, i\u017cda kull \u0127a\u0121a \u0121dida li tibda f’daqqa te\u0127tie\u0121 attenzjoni.<\/p>

    Iva, dan jista’ jkun perikolu\u017c. Jista’ jkun fsada, pere\u017cempju. Nef\u0127a li ti\u017cdied malajr. Ittrattaha fil-pront. Ma rridx ng\u0127id fi ftit minuti, i\u017cda l-istennija mhix sensibbli. Dawn l-affarijiet jaffettwaw b’mod negattiv il-fejqan u r-ri\u017cultat fit-tul.<\/p>

    31:12 \u00b7 L-impjanti je\u0127tie\u0121u sostituzzjoni snin wara? Segwitu fit-tul<\/h3>

    X’ji\u0121ri snin wara jekk ikollok impjanti? Din hija mistoqsija komuni o\u0127ra. G\u0127alliem li ammirajt darba qal, \u201cMeta tpo\u0121\u0121i impjant, tpo\u0121\u0121i t-tieni biljett fil-but tal-pazjent.\u201d Huwa tassew minnu. Kultant sa\u0127ansitra tpo\u0121\u0121i t-tielet biljett. G\u0127ax l-impjant jibqa’ f’postu. Iva, i\u017cda t-tessut tas-sider huwa tessut \u0127aj li ji\u010b\u010baqlaq u jirrispondi g\u0127all-gravit\u00e0. Hawn mistoqsija. Jin\u017cel. Jekk g\u0127andek impjanti, snin wara, \u017cgur li je\u0127tie\u0121u li ji\u0121u sostitwiti? Dejjem hemm dan id-diskors dwar g\u0127axar jew \u0127mistax-il sena. Saret xi \u0127a\u0121a li nibqg\u0127u nirrepetu.<\/p>

    G\u0127axar snin, \u0127mistax-il sena. Fil-fatt jistg\u0127u jibqg\u0127u g\u0127al g\u0127oxrin jew \u0127amsa u g\u0127oxrin sena. Jien stess ne\u0127\u0127ejt impjanti b\u0127al dawn. I\u017cda dan ma jfissirx li hija sitwazzjoni sana. Irridu nevalwaw il-pazjenta u t-tessut tas-sider tag\u0127ha. Jekk ikun hemm MRI, \u0127ares lejn l-impjant. Jekk ikun inqasam, pere\u017cempju, m’hemmx g\u0127alfejn tistenna. Je\u0127tie\u0121u li ji\u0121u fil-pront. L-impjanti jistg\u0127u jinqasmu jew jinqalbu. Dan jista’ ji\u0121ri. I\u017cda dawn il-prodotti huma tassew durabbli \u0127afna. Jekk il-pazjenta m’g\u0127andha l-ebda problema, tista’ tistenna komda g\u0127axar jew \u0127mistax-il sena.<\/p>

    I\u017cda min\u0127abba li t-tessut tas-sider se jin\u017cel, na\u0127seb li se jkun hemm b\u017conn ta’ bidla. Xi pazjenti jmorru tajjeb \u0127afna mag\u0127hom. Jekk tidher l-istess u m’hemmx u\u0121ig\u0127, xorta hemm b\u017conn ta’ kontrolli? Jekk il-pazjenti jkollhom u\u0121ig\u0127 f’\u010berti \u0127inijiet, \u0121eneralment jikkuntattjawna, kif tafu. \u201cTabib, messu u we\u0121\u0121ag\u0127ni. Beda mill-blu.\u201d F’dawk il-ka\u017cijiet, anal\u0121e\u017ciku \u0127afif jg\u0127in. U \u0121eneralment imur. M’g\u0127andhomx b\u017conn ji\u0121u g\u0127al dan. I\u017cda jekk l-u\u0121ig\u0127 jiggrava jew jippersisti, in-natura tieg\u0127u hija importanti. Jekk ikun \u0127a\u017cin, ta’ min ji\u0121i. Jekk ikun hemm u\u0121ig\u0127 persistenti u kontinwu, jista’ jkun hemm b\u017conn ta’ imma\u0121ini jew e\u017cami minn kirurgu \u0121enerali.<\/p>

    Anke ming\u0127ajr impjanti, tista’ l-forma tinbidel ma\u017c-\u017cmien wara lift? Iva, ovvjament. G\u0127aliex ji\u0121ri dan? It-tessut jirrispondi g\u0127all-gravit\u00e0. Jirrea\u0121ixxi u jin\u017cel. Inizjalment, tpo\u0121\u0121i l-b\u017cie\u017cel fil-po\u017cizzjoni xierqa. I\u017c\u017comm dik id-distanza qasira. I\u017cda min\u0127abba li l-pazjenta tqum bilwieqfa u s-sider g\u0127andu t-tendenza li jin\u017cel, inevitabbilment jin\u017cel ftit ma\u017c-\u017cmien.<\/p>

    33:39 \u00b7 Impjanti u limfoma: Tipi ta’ wi\u010b\u010b u prodotti rtirati<\/h3>

    Su\u0121\u0121ett ie\u0127or li rridu nkopru huwa l-impjanti u l-limfoma. B\u0127ala parti mis-segwitu, nixtieq niddiskuti l-limfoma. In-nies jiltaqg\u0127u mag\u0127ha meta jirri\u010berkaw l-impjanti. Hemm \u0127afna informazzjoni online. Ja\u0127sbu wkoll dwar prodotti rtirati. X’g\u0127andhom b\u017conn ikunu jafu? Meta g\u0127andhom ikunu inkwetati? Il-frekwenza ta’ din il-limfoma b’impjanti attwali hija baxxa \u0127afna. B’impjanti moderni, hija kwa\u017ci negli\u0121ibbli. I\u017cda ovvjament, hemm riskju. G\u0127alhekk il-pazjenti je\u0127tie\u0121u li jattendu l-kontrolli tas-sider ta’ rutina tag\u0127hom. Dawn il-prodotti rtirati, ma rridx insemmi marka, i\u017cda tista’ ssibha kullimkien online.<\/p>

    \u0120ew rtirati. Nies li ju\u017cawhom di\u0121\u00e0 g\u0127andhom dik l-informazzjoni. Tista’ taraha online wkoll. Dawn je\u0127tie\u0121u sostituzzjoni kemm jista’ jkun malajr. I\u017cda bl-impjanti li nu\u017caw b\u0127alissa, ir-riskju huwa baxx \u0127afna. Jekk isir sew, \u0121eneralment huwa rari \u0127afna. Is-sigurt\u00e0 kirur\u0121ika u l-kwalit\u00e0 tal-impjant g\u0127andhom effett. L-impjanti li kkaw\u017caw limfoma fil-passat kienu dak li nsej\u0127u prodotti makrotesturizzati, b’referenza g\u0127all-karatteristi\u010bi tal-wi\u010b\u010b tag\u0127hom. Issa hemm u\u010bu\u0127 mikrotesturizzati u anke SilkSmooth, lixxi \u0127afna, kwa\u017ci lixxi g\u0127all-g\u0127ajn jew g\u0127all-mess, i\u017cda mikroskopikament huma impjanti testurizzati.<\/p>

    Biex jg\u0127inu j\u017commu t-tessut. Iva, i\u017cda l-limfoma hija \u0127afna inqas probabbli b’dawn. Meta wie\u0127ed i\u0127ares lejn kif ti\u017cviluppa l-marda, instab li parti\u010belli tat-trab, batterji, viruses jew materjal barrani maqbuda bejn dawk in-nis\u0121iet kienu jikkaw\u017cawha. Dan \u0121ie stabbilit. G\u0127alhekk nista’ ng\u0127id li l-impjanti l-\u0121odda huma pjuttost sikuri. Meta wie\u0127ed i\u0127ares lejn i\u010b-\u010bifri tar-riskju online, irridu ni\u010b\u010bekkjaw ukoll liema impjant huwa, biex inkunu aktar selettivi u infurmati a\u0127jar. Jekk xi \u0127add g\u0127andu dan l-impjant, \u017cgur li je\u0127tie\u0121 li jitne\u0127\u0127a? Dak li qed nitkellmu dwaru. E\u017cattament. Tajjeb.<\/p>

    35:57 \u00b7 Mard tal-impjant tas-sider: Sintomi u tne\u0127\u0127ija tal-impjant<\/h3>

    Hemm ukoll il-kwistjoni tal-mard. Hemm kundizzjoni msej\u0127a mard tal-impjant tas-sider. Dak li nsej\u0127u mard tal-impjant tas-sider huwa \u0127a\u0121a tassew inkwetanti. In-nisa jistg\u0127u \u0121eneralment jg\u0127idu, \u201cU\u0121ig\u0127 ta’ ras, g\u0127ajjiena, ninsa,\u201d u l-bqija. Is-sintomi ma jaqblux sew ma’ xejn, i\u017cda jistg\u0127u jse\u0127\u0127u fi kwa\u017ci kull marda. Pere\u017cempju, u\u0121ig\u0127. Irqad \u0127a\u017cin, g\u0127eja. G\u0127eja, u\u0121ig\u0127 fil-\u0121ogi, affarijiet b\u0127al dawn. I\u017cda jekk dawn jippersistu g\u0127al \u017cmien twil, jaffettwaw il-\u0127ajja tal-pazjenta, u g\u0127andhom impjanti, ikkunsidra dan. Dak hu meta iddoqqu l-qniepen tal-allarm.<\/p>

    Iva, dak hu meta jdoqqu. Na\u0127seb li kull mara tirri\u010berka dan online qabel ma tag\u0127mel kirur\u0121ija. Eluf ta’ nisa esperjenzawh. Ma jaffettwax lil kul\u0127add. Na\u0127seb li s-suxxettibbilt\u00e0 \u0121enetika, it-tip ta’ impjant u l-kirur\u0121ija jistg\u0127u jkollhom rwol, kif ukoll l-istil ta’ \u0127ajja. I\u017cda dan je\u017cisti. Ta’ min joqg\u0127od attent. Allura, nistg\u0127u ng\u0127idu, \u201cSe jmur jekk jitne\u0127\u0127ew l-impjanti tieg\u0127i?\u201d Jmur jekk jitne\u0127\u0127ew. Nistg\u0127u nag\u0127tu twe\u0121iba definittiva? Iva, definittivament jekk jitne\u0127\u0127ew. Kif jg\u0127id l-isem, mard tal-impjant tas-sider. Ming\u0127ajr l-impjant, ma jkunx hemm il-marda. Hekk hu. Tajjeb.<\/p>

    37:19 \u00b7 G\u0127a\u017cla ta’ metodu: Tessut proprju, impjanti jew xa\u0127am<\/h3>

    Ejja nikkunsidraw tliet e\u017cempji. Iddiskutejna pjuttost \u0127afna. Koprejni \u0127afna informazzjoni. Nirritornaw g\u0127all-mistoqsija ori\u0121inali, hemm b\u017conn ta’ impjanti? Dawn mhumiex stejjer ta’ pazjenti reali. Ejja n\u0127arsu lejn ftit e\u017cempji. Il-pi\u017c tag\u0127hom stabbilizza. G\u0127andhom tessut suffi\u010bjenti. Huma kuntenti bid-daqs i\u017cda inkwetati bit-tbeg\u0127id. X’nag\u0127mlu? Ma nirrakkomandax impjanti g\u0127al din il-pazjenta. Ng\u0127id li nistg\u0127u niksbu forma sabi\u0127a billi nu\u017caw it-tessut tag\u0127hom stess. Sakemm ma jg\u0127idux li jridu impjanti, ma na\u0127sibx li g\u0127andhom b\u017connhom. L-e\u017cami huwa kriterju importanti g\u0127alina.<\/p>

    U l-aspettattivi tal-pazjenta. L-aspettattivi tal-pazjenta. Jekk tilfu tessut i\u017cda m’hemmx tbeg\u0127id sinifikanti, u jridu aktar milja, x’nag\u0127mlu? Hemm \u017cew\u0121 g\u0127a\u017cliet. Impjanti jew trasferiment ta’ xa\u0127am. L-aspettattivi tag\u0127hom huma importanti. Jekk jippreferu dehra naturali u ma jridux materjal barrani, it-trasferiment tax-xa\u0127am huwa l-unika g\u0127a\u017cla. I\u017cda jekk jg\u0127idu, \u201c\u017bgur li rrid impjanti, irrid li sidri u l-qasma tieg\u0127i jidhru tajbin,\u201d allura ovvjament huma impjanti. X’ji\u0121ri jekk wa\u0127da minn dawn il-pazjenti g\u0127adha qed titlef il-pi\u017c, u l-o\u0127ra qed tippjana tqala dalwaqt?<\/p>

    Irridu nikkunsidraw mill-\u0121did i\u017c-\u017cmien. Naturalment, kif iddiskutejna, jekk it-tqala hija ppjanata dalwaqt, ma na\u0127sibx li huwa sensibbli. I\u017cda l-pazjenta tista’ tkun tridha, u tifhem dan. Imbag\u0127ad xorta tista’ ssir. G\u0127ax, g\u0127alija, id-de\u010bi\u017cur ewlieni hija l-pazjenta. I\u017cda l-operazzjoni waqt li jkunu qed jitilfu l-pi\u017c mhix medikament jew etikament korretta. G\u0127ax \u017cgur li se jin\u017clu ftit xhur wara. Meta nispjegaw dan, il-pazjenta \u0121eneralment ta\u0127dem mat-tabib tag\u0127ha u tipposponi l-kirur\u0121ija.<\/p>

    39:09 \u00b7 Mistoqsijiet malajr: Impjanti, \u010bikatri\u010bi, treddig\u0127 u kontrolli<\/h3>

    Ejja ng\u0127addu g\u0127al mistoqsijiet malajr. Tajjeb. Kull sider imdendel je\u0127tie\u0121 impjant? Le, mhux kull sider imdendel je\u0127tie\u0121 impjant. Jistg\u0127u s-sider \u017cg\u0127ir jin\u017cel ukoll? Mhux ovvja. L-impjanti jikkore\u0121u kull tip ta’ tbeg\u0127id? Le. M’hemm l-ebda riskju meta tu\u017ca x-xa\u0127am tieg\u0127ek stess? Hemm riskju. L-ebda kirur\u0121ija mhija ming\u0127ajr riskju. I\u010b-\u010bikatri\u010bi tal-lift tas-sider jisparixxu kompletament? L-ebda \u010bikatri\u010bi ma tisparixxi kompletament. Dan japplika wkoll g\u0127a\u010b-\u010bikatri\u010bi tal-lift tas-sider. It-treddig\u0127 huwa garantit wara l-kirur\u0121ija? Le, mhuwiex. L-istess volum ta’ impjant jidher l-istess fuq kul\u0127add?<\/p>

    Le, impossibbli. Nistg\u0127u nieqfu nattendu l-kontrolli wara li jkollna impjanti? Le, ma nieqfux il-kontrolli. Jien le, imma intom ma tieqfux. Is-segwitu huwa importanti. Onestament, hemm metodu partikolari li tirrakkomanda lil kul\u0127add? Le. M’hemm l-ebda metodu wie\u0127ed li nista’ nirrakkomanda lil kul\u0127add. Kull pazjenta hija differenti. Kull operazzjoni hija differenti.<\/p>

    40:04 \u00b7 Ni\u0121u g\u0127al konsultazzjoni: Dak li trid u dak li ma tridx<\/h3>

    Meta ji\u0121u g\u0127al konsultazzjoni, x’inhi wa\u0127da mill-aktar affarijiet importanti li g\u0127andhom jistaqsu? Na\u0127seb li inqas dwar x’g\u0127andhom jistaqsu milli jafu x’ma jridux. Dan insibu importanti \u0127afna. Spe\u010bjalment fil-kirur\u0121ija tas-sider. Kul\u0127add jiskrollja fuq it-telefon tieg\u0127u u jg\u0127id, \u201cTabib, irrid dan ir-ritratt bil-bikini.\u201d I\u017cda meta nistaqsi, \u201cX’ma tridx?\u201d ftit pazjenti jistg\u0127u jwie\u0121bu. G\u0127alhekk na\u0127seb li g\u0127andna nikkunsidraw in-negattivi. Meta jg\u0127idu, \u201cInkunu kuntenti \u0127afna jekk ji\u0121ri dan,\u201d tkun taf x’ma tag\u0127milx. Dan i\u0127alli inqas g\u0127a\u017cliet.<\/p>

    40:42 \u00b7 G\u0127eluq u qsim tal-mistoqsijiet tieg\u0127ek<\/h3>

    Tista’ tikteb lilna bil-mistoqsijiet tieg\u0127ek dwar lifts tas-sider, impjanti jew trasferiment ta’ xa\u0127am. Se nkomplu niddiskutu dawn f’episodji \u0121odda fuq il-kanal tag\u0127na. Jekk jog\u0127\u0121bok abbona g\u0127all-kanal tag\u0127na. Ejja lkoll nibbenefikaw minn din l-informazzjoni flimkien. E\u017cattament. Tista’ ssib ukoll \u0127afna informazzjoni fuq il-websajt tag\u0127na dwar il-kirur\u0121ija tas-sider u l-pro\u010beduri l-o\u0127ra kollha tag\u0127na. Abbona g\u0127all-kanal tag\u0127na u segwina. Narawkom fl-episodju li jmiss. Il-\u0121urnata t-tajba. Ibqa’ tajjeb. Addiju. Addiju.<\/p><\/div><\/details>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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    Esplora s-su\u0121\u0121ett aktar fil-fond<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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