{"id":16868,"date":"2020-08-02T16:39:26","date_gmt":"2020-08-02T12:39:26","guid":{"rendered":"http:\/\/clinichelena.kinsta.cloud\/sensing-breast-ms-tram\/"},"modified":"2025-11-19T16:51:16","modified_gmt":"2025-11-19T14:51:16","slug":"tunteva-rinta-ms-tram","status":"publish","type":"page","link":"https:\/\/www.clinichelena.com\/fi\/tunteva-rinta-ms-tram\/","title":{"rendered":"Tunteva rinta (ms-TRAM)"},"content":{"rendered":"\n<h1 class=\"wp-block-heading\">Tunteva rinta (MS-TRAM)<\/h1>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-scaled.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-1024x683.jpg\" alt=\"Helena potilaan kanssa\" class=\"wp-image-17634\" srcset=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-1024x683.jpg 1024w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-300x200.jpg 300w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-768x512.jpg 768w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-1536x1024.jpg 1536w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-2048x1365.jpg 2048w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-480x320.jpg 480w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<p style=\"padding-top:var(--wp--preset--spacing--30)\">Plastiikkakirurgi Helena Puonti kehitti Tunteva rinta -tekniikan lis\u00e4\u00e4m\u00e4ll\u00e4 hermojen yhdist\u00e4misen vapaan vatsakielekkeen MS-TRAM metodiin.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Innovatiivinen Tunteva rinta &#8211; rintarekonstruktio<\/h3>\n\n\n\n<p><a href=\"https:\/\/www.clinichelena.com\/fi\/helena-puonti\/\">Helena Puonti<\/a> on kehitt\u00e4nyt metodin, jonka avulla vapaalla vatsakielekkeell\u00e4 rakennettuun rintaan on mahdollista palauttaa tunto. Puontin tutkimus valmistui vuonna 2017 ja siihen osallistui 100 potilasta. Helena Puontin tutkimus on maailmanlaajuisesti uraauurtava ja h\u00e4nen samana vuonna valmistunut v\u00e4it\u00f6skirjansa pohjautuu n\u00e4ihin tuloksiin.<\/p>\n\n\n\n<p>Uuden rakennetun rinnan muoto on t\u00e4rke\u00e4\u00e4 potilaan el\u00e4m\u00e4nlaatua ajatellen. Helena Puonti ymm\u00e4rsi, ett\u00e4 yht\u00e4 t\u00e4rke\u00e4\u00e4 on my\u00f6s se, ett\u00e4 rinta tuntee. N\u00e4in sai alkunsa Tunteva rinta.  <\/p>\n\n\n\n<p>Tunteva rinta tekniikka on kehitetty versio MS-TRAM rintarekonstruktiosta. Vapaa vatsakieleke (MS-TRAM)* on paras kudos rinnan muotoiluun. Se on pehme\u00e4t\u00e4 ja luonnollisen rinnan tuntuista. Siit\u00e4 on mahdollista rakentaa py\u00f6re\u00e4 ja tarvittaessa my\u00f6s suuri rinta.<\/p>\n\n\n\n<p>*MS-TRAM tulee englannin kielest\u00e4 (<em>Muscle-Sparing Transverse Rectus Abdominis Myocutaneous  flap). Mikroneurovaskulaarinen kuvaa kielekkeen kiinnitystapaa.<\/em><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Tunteva rinta jokap\u00e4iv\u00e4isess\u00e4 el\u00e4m\u00e4ss\u00e4<\/h3>\n\n\n\n<p>Joskus asioiden arvon ymm\u00e4rt\u00e4\u00e4 vasta menetetty\u00e4\u00e4n sen. Sama p\u00e4tee my\u00f6s rinnan tuntoon.<\/p>\n\n\n\n<p>Tunnottomuus vaikuttaa moneen arkip\u00e4iv\u00e4iseen asiaan. P\u00e4\u00e4lle kaatunut kuuma kahvi tai auringonpolttama iho, joiden kipu ei tunnu tai oman lapsen halaus, jonka l\u00e4mp\u00f6 ei v\u00e4lity aivoihin asti, ovat vain muutama esimerkki siit\u00e4, kuinka erilaiselta tunnoton rinta vaikuttaa naisen el\u00e4m\u00e4\u00e4n.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-1024x683.jpeg\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-1024x683.jpeg\" alt=\"Nainen halaa lastaan\" class=\"wp-image-26191\" srcset=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-1024x683.jpeg 1024w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-300x200.jpeg 300w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-768x512.jpeg 768w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-1536x1024.jpeg 1536w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-2048x1366.jpeg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<p style=\"padding-top:var(--wp--preset--spacing--30)\">Tammikuussa 2017, vain muutama p\u00e4iv\u00e4 ennen Helena Puontin v\u00e4it\u00f6skirjan julkaisua, NY Times julkaisi <a href=\"https:\/\/www.nytimes.com\/2017\/01\/29\/well\/live\/after-mastectomies-an-unexpected-blow-numb-new-breasts.html\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">artikkelin (englanniksi)<\/a>, jossa kuvattiin ongelmia, joita naiset eiv\u00e4t edes tienneet kohtaavansa perinteisen rintarekonstruktion j\u00e4lkeen. Tunteva rinta -metodin tarve oli todellinen.<\/p>\n\n\n\n<section class=\"wp-block-uagb-section uagb-section__wrap uagb-section__background-color uagb-block-3d2fffef uag-hide-mob\"><div class=\"uagb-section__overlay\"><\/div><div class=\"uagb-section__inner-wrap\">\n<h2 class=\"wp-block-heading\">Nopeasti tutkimuksiin ja hoitoon <\/h2>\n\n\n\n<p>Jos haluat kuulla hoitovaihtoehdoista ja l\u00f6yt\u00e4\u00e4 sinulle sopivimman toimenpiteen, voit varata ajan ilmaiseen hoitajan konsultaatioon. Voit my\u00f6s varata ajan suoraan Helena Puontin  tai Timo Halosen vastaanotolle, nopeasti ilman l\u00e4hetett\u00e4.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Miksi valita Clinic Helena:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vuosikymmenten kokemus rintasy\u00f6v\u00e4st\u00e4 ja erilaisista plastiikkakirurgisista hoitomenetelmist\u00e4.<\/li>\n\n\n\n<li>Potilasl\u00e4ht\u00f6inen ja ymm\u00e4rt\u00e4v\u00e4 l\u00e4hestymistapa sek\u00e4 nopea hoitoon p\u00e4\u00e4sy.<\/li>\n\n\n\n<li>Tampereelle on helppo saapua mist\u00e4 p\u00e4in Suomea tahansa.<\/li>\n\n\n\n<li>Teemme ty\u00f6t\u00e4 syd\u00e4mell\u00e4 ja olemme rinnallasi koko hoitopolun ajan, auttaen Sinua voimaan paremmin.<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-uagb-buttons uagb-buttons__outer-wrap uagb-btn__default-btn uagb-btn-tablet__default-btn uagb-btn-mobile__default-btn uagb-block-aaaee149\"><div class=\"uagb-buttons__wrap uagb-buttons-layout-wrap \">\n<div class=\"wp-block-uagb-buttons-child uagb-buttons__outer-wrap uagb-block-05b51c49 wp-block-button\"><div class=\"uagb-button__wrapper\"><a class=\"uagb-buttons-repeater wp-block-button__link\" aria-label=\"\" href=\"https:\/\/www.clinichelena.com\/fi\/yhteystiedot\/\" rel=\"follow noopener\" target=\"_self\" role=\"button\"><div class=\"uagb-button__link\">Ota yhteytt\u00e4<\/div><\/a><\/div><\/div>\n\n\n\n<div class=\"wp-block-uagb-buttons-child uagb-buttons__outer-wrap uagb-block-145f3d38 wp-block-button\"><div class=\"uagb-button__wrapper\"><a class=\"uagb-buttons-repeater wp-block-button__link\" aria-label=\"\" href=\"tel:+358442378021\" rel=\"follow noopener\" target=\"_self\" role=\"button\"><div class=\"uagb-button__link\">050 570 8720<\/div><\/a><\/div><\/div>\n<\/div><\/div>\n<\/div><\/section>\n\n\n\n<h2 class=\"wp-block-heading\">Tunteva rinta -metodi lyhyesti<\/h2>\n\n\n\n<p>Tunteva rinta -leikkauksessa kielekerintaan otetaan mukaan navan alapuolella oleva iho ja sen alla oleva rasvakudos. Lis\u00e4ksi otetaan mukaan verisuonet, jotka nousevat lantion verisuonista sek\u00e4 kaksi hermoa, jotka ovat alimpien kylkiv\u00e4lihermojen haaroja (ks. kuva). Perinteinen metodi yhdist\u00e4\u00e4 ainoastaan verisuonet.<\/p>\n\n\n\n<p>Sen j\u00e4lkeen sek\u00e4 verisuonet (valtimo ja laskimo) ett\u00e4 hermot yhdistet\u00e4\u00e4n rintakeh\u00e4ll\u00e4 rinnan alla oleviin verisuoniin ja hermoihin. <\/p>\n\n\n\n<p>Vatsakielekkeen ottokohta suljetaan suoraan ja arpi j\u00e4\u00e4 yleens\u00e4 bikinirajan alapuolelle.<\/p>\n\n\n\n<section class=\"wp-block-uagb-columns uagb-columns__wrap uagb-columns__background-none uagb-columns__stack-mobile uagb-columns__valign- uagb-columns__gap-10 align uagb-block-998dceb4 uagb-columns__columns-2 uagb-columns__max_width-theme\"><div class=\"uagb-columns__overlay\"><\/div><div class=\"uagb-columns__inner-wrap uagb-columns__columns-2\">\n<div class=\"wp-block-uagb-column uagb-column__wrap uagb-column__background-undefined uagb-block-272c891e\"><div class=\"uagb-column__overlay\"><\/div>\n<figure class=\"wp-block-image aligncenter size-large\"><a href=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/08\/Breast-reconstructions-MS-TRAM-kaavakuva.png\"><img loading=\"lazy\" decoding=\"async\" width=\"425\" height=\"473\" src=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/08\/Breast-reconstructions-MS-TRAM-kaavakuva.png\" alt=\"Rintarekonstruktiot - MS TRAM kaavakuva Tunteva Rinta\" class=\"wp-image-17219\" srcset=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/08\/Breast-reconstructions-MS-TRAM-kaavakuva.png 425w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/08\/Breast-reconstructions-MS-TRAM-kaavakuva-270x300.png 270w\" sizes=\"auto, (max-width: 425px) 100vw, 425px\" \/><\/a><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-column uagb-column__wrap uagb-column__background-undefined uagb-block-6401f918\"><div class=\"uagb-column__overlay\"><\/div>\n<p>Kuvassa verisuonet on merkitty sinisell\u00e4 ja punaisella ja hermot keltaisella.<\/p>\n\n\n\n<p>Kielekkeen hermot (Th XI ja Th XII)  yhdistet\u00e4\u00e4n t\u00e4ss\u00e4 nelj\u00e4nteen kylkiv\u00e4lihermoon rintakeh\u00e4ll\u00e4 sek\u00e4 kainalon hermoon (ICN \u2013 intercostal nerve).<\/p>\n\n\n\n<p>Kielekkeen verisuonet (epigastriga inferioris)  yhdistet\u00e4\u00e4n rintakeh\u00e4n verisuoniin (intra-mammaari suonet).<\/p>\n<\/div>\n<\/div><\/section>\n\n\n\n<h3 class=\"wp-block-heading\">Tunnon palautuminen<\/h3>\n\n\n\n<p>Tunto uudelleen rakennettuun rintaa palautuu asteittain. <\/p>\n\n\n\n<p>Tunto palautuu uuteen rintaan v\u00e4hitellen alkaen 7 kk leikkauksesta, jolloin herkkyys kylm\u00e4lle, kuumalle ja kivulle alkaa hiljalleen palautua, jatkuen 2-3 vuoden ajan.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-method-1024x683.jpeg\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-method-1024x683.jpeg\" alt=\"Tunto rintaan\" class=\"wp-image-26196\" srcset=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-method-1024x683.jpeg 1024w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-method-300x200.jpeg 300w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-method-768x512.jpeg 768w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-method-1536x1024.jpeg 1536w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-method-2048x1366.jpeg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<p style=\"padding-top:var(--wp--preset--spacing--30)\">Hermojen yhdist\u00e4misess\u00e4 oli ensiarvoisen t\u00e4rke\u00e4\u00e4 se, ettei potilaalle kehittynyt kipusyndroomaa. P\u00e4invastoin mikroneurovaskulaarisen tekniikan avulla leikatuissa rinnoissa oli v\u00e4hemm\u00e4n kipua verrattuna perinteiseen, ilman hermosaumoja rakennettuun rintaan.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Helena Puontin Tunteva rinta-tutkimus on maailmanlaajuisesti uraauurtava ja h\u00e4nen v\u00e4it\u00f6skirjansa pohjautuu n\u00e4ihin tuloksiin.<\/p>\n<\/blockquote>\n\n\n\n<h3 class=\"wp-block-heading\">Tutkimustulokset<\/h3>\n\n\n\n<p>Puontin tutkimus osoitti, ett\u00e4 jo yksi kielekkeen hermo yhdistettyn\u00e4 rinnan alueen terveeseen hermoon voi tuoda rintaan hyv\u00e4n tunnon. <\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Osalle potilaista uuden rinnan tunto palautui t\u00e4ysin.<\/p>\n<\/blockquote>\n\n\n\n<p>Kahdella hermolla tunnon palautuminen parani entisest\u00e4\u00e4n.<\/p>\n\n\n\n<p>Tutkimuksen mukaan jokaiseen rintaan tuli tuntoa. Rakennetun TRAM-rinnan tunto oli keskim\u00e4\u00e4rin yli puolet (60%) normaalin rinnan tunnosta hermojen yhdist\u00e4misen j\u00e4lkeen. <\/p>\n\n\n\n<p>Tutkimuksessa oli kuitenkin mukana t\u00e4ysin toipuneita potilaita, joille uuden rinnan tunto palautui t\u00e4ysin.<\/p>\n\n\n\n<p>Tulee kuitenkin pit\u00e4\u00e4 mieless\u00e4, ett\u00e4 s\u00e4dehoito ja leikkauksen j\u00e4lkeinen arpeutuminen poistetun rinnan alueella voivat alentaa tunnon palautumista.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">V\u00e4it\u00f6skirja, Helena Puonti<\/h2>\n\n\n\n<section class=\"wp-block-uagb-columns uagb-columns__wrap uagb-columns__background-none uagb-columns__stack-mobile uagb-columns__valign- uagb-columns__gap-10 align uagb-block-2669596a uagb-columns__columns-2 uagb-columns__max_width-theme\"><div class=\"uagb-columns__overlay\"><\/div><div class=\"uagb-columns__inner-wrap uagb-columns__columns-2\">\n<div class=\"wp-block-uagb-column uagb-column__wrap uagb-column__background-undefined uagb-block-cdd15c98\"><div class=\"uagb-column__overlay\"><\/div>\n<p class=\"has-text-align-left\"><strong>Helsingin yliopisto, l\u00e4\u00e4ketieteellinen tiedekunta, 27.01.2017<\/strong><\/p>\n\n\n\n<p><strong>Effects of microsurgical nerve repair on sensory function after breast reconstruction<\/strong><\/p>\n\n\n\n<p>Tiivistelm\u00e4<\/p>\n\n\n\n<p>L\u00e4hes 40 % rintasy\u00f6p\u00e4potilaista menett\u00e4\u00e4 rinnan rintasy\u00f6p\u00e4leikkauksessa. Plastiikkakirurgiajohtoinen rintasy\u00f6v\u00e4n hoito Suomessa on mahdollistanut rinnan muodon palauttamisen potilaille tarvittaessa osana normaalia rintasy\u00f6v\u00e4n hoitoprosessia.<br>Vapaalla vatsakielekkeell\u00e4 saadaan rekonstruoitua luonnollinen ja kaunis rinta, mutta sen haittapuolena on rakennetun rinnan huono tunto.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-column uagb-column__wrap uagb-column__background-undefined uagb-block-c700be0f\"><div class=\"uagb-column__overlay\"><\/div>\n<figure class=\"wp-block-image aligncenter size-medium\"><a href=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/kirjan-kansikuva1.png\"><img loading=\"lazy\" decoding=\"async\" width=\"213\" height=\"300\" src=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/kirjan-kansikuva1-213x300.png\" alt=\"V\u00e4it\u00f6skirjan kansikuva\" class=\"wp-image-17837\" srcset=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/kirjan-kansikuva1-213x300.png 213w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/kirjan-kansikuva1.png 666w\" sizes=\"auto, (max-width: 213px) 100vw, 213px\" \/><\/a><\/figure>\n<\/div>\n<\/div><\/section>\n\n\n\n<p>T\u00e4ss\u00e4 ty\u00f6ss\u00e4 on keskitytty etsim\u00e4\u00e4n sopivia hermoja vatsan ja rintakeh\u00e4n alueelta ja kehitt\u00e4m\u00e4\u00e4n menetelm\u00e4, jossa hermoja yhdist\u00e4m\u00e4ll\u00e4 voitaisiin saada rakennettuun rintaan mahdollisimman hyv\u00e4 tunto. Samalla arvioitiin, lis\u00e4\u00e4k\u00f6 hermojen k\u00e4sittely kielekkeen ottokohdan ongelmia vatsan alueella. <\/p>\n\n\n\n<p>Lis\u00e4ksi tutkittiin k\u00e4ytettyjen neurofysiologisten mittausmenetelmien tarkkuutta ja arvoa ihotunnon palautuman mittaamisessa. Kaikki potilaat leikattiin samalla tavalla ja saman kirurgin (Puonti HK) suorittamina s\u00e4\u00e4st\u00e4en vatsalihasta (ms TRAM flap) sek\u00e4 ottamalla mukaan mahdollisimman monta hermohaaraa tulevaan rintaan.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Tutkimuksen potilaat<\/h3>\n\n\n\n<p>Ty\u00f6h\u00f6n osallistui 98 rintasy\u00f6p\u00e4potilasta Savonlinnan Keskussairaalassa vuosina 2001-2013. Vuoden 2006 j\u00e4lkeen aloitettiin prospektiivinen seuranta ja ihotunto mitattiin rinnanpoistoalueen iholta ennen rekonstruktiota sek\u00e4 vuoden kuluttua leikkauksesta. Kaikki potilaat tutkittiin my\u00f6s 2 vuoden seuranta-ajan j\u00e4lkeen, sek\u00e4 he vastasivat potilaskyselyyn. My\u00f6s vatsan ihon tunto mitattiin. <\/p>\n\n\n\n<p>44 potilaalle kehitettiin rakennettuun rintaan kaksipuoleinen hermosauma, 38 potilaalle ommeltiin yksipuoleinen hermosauma, ja 20 potilasta leikattiin samalla tavalla ilman hermosaumaa. Lis\u00e4ksi 38 rintasy\u00f6p\u00e4potilaan terveest\u00e4 rinnasta mitattiin ihotunnon normaaliarvot, ja 20 vapaaehtoista naista osallistui terveen vatsan ihotunnon normaaliarvojen mittaamiseen.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Tunnon mittaamismetodit<\/h3>\n\n\n\n<p>Rakennetun rinnan ihotunto mitattiin kliinisill\u00e4 ja kvantitatiivisilla testeill\u00e4, ihobiopsioilla sek\u00e4 her\u00e4tepotentiaalimittauksilla (SEP). Kliiniset mittaukset k\u00e4sittiv\u00e4t vibration ja 2-pisteen sek\u00e4 ter\u00e4v\u00e4\/tylpp\u00e4kosketuksen erottamisen. Kvantitatiivisesti mitattiin kosketustuntoa (g\/mm2), sek\u00e4 l\u00e4mp\u00f6- ja kylm\u00e4tuntoa (0C). <\/p>\n\n\n\n<p>Ihobiopsioilla mitattiin mikroskooppileikkeist\u00e4 hermojen uudelleenkasvua (regeneraatiota) (hermos\u00e4ikeiden lukum\u00e4\u00e4r\u00e4\/mm), ja her\u00e4tepotentiaaleilla mitattiin rinnan alueelle annetun pienen s\u00e4hk\u00f6impulssin aiheuttaman vasteen viivett\u00e4 (latenssi) ja sen voimakkuutta (amplitude) aivos\u00e4hk\u00f6k\u00e4yr\u00e4ss\u00e4.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Mittaustulokset<\/h3>\n\n\n\n<p>Todettiin, ett\u00e4 yhdell\u00e4 kielekkeeseen ommellulla hermosaumalla saatiin keskim\u00e4\u00e4rin 45 % normaalirinnan tunnosta. Perinteiseen ms-TRAM rintaan tuli noin 25 % spontaani tunnon palautuma 2 vuoden kuluttua leikkauksesta. Pelkk\u00e4 rinnanpoistoleikkaus ja s\u00e4dehoito alensivat rinnan ihon tuntoa 10 &#8211; 15 %. Kaksipuoleisella hermosaumalla saimme rakennettuun rintaan keskim\u00e4\u00e4rin l\u00e4hes 60 % terveen rinnan ihotunnosta.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Hermos\u00e4ikeiden toipuminen<\/h3>\n\n\n\n<p>Paksut, myeliinitupelliset hermos\u00e4ikeet toipuivat rinnan ihossa parhaiten (vibratio- ja kosketustunto), ohuet ja hitaammat hermos\u00e4ikeet toipuivat huonommin (l\u00e4mp\u00f6- ja kylm\u00e4tunto, ter\u00e4v\u00e4\/tylpp\u00e4aistimus). Kvantitatiiviset mittaukset sek\u00e4 kliininen ter\u00e4v\u00e4\/tylpp\u00e4 testi olivat parhaat testit erottamaan hermon regeneraatiota. <\/p>\n\n\n\n<p>Kahden pisteen erotus, ihobiopsia- sek\u00e4 SEP-arvot antoivat niin suuren hajonnan, etteiv\u00e4t ne kyenneet arvioimaan hermojen regeneraatiota, paitsi SEP-mittaus kykeni erottamaan hermon toipumisen parhaiten tuntevassa kaksipuoleisessa hermokielekeryhm\u00e4ss\u00e4.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">P\u00e4\u00e4telm\u00e4t<\/h3>\n\n\n\n<p>Rinnan ihotunnon palauttaminen parantaa rintasy\u00f6p\u00e4potilaan el\u00e4m\u00e4n laatua. Tarvitaan lis\u00e4\u00e4 tutkimusty\u00f6t\u00e4 ja kehityst\u00e4 eri tekniikkojen parantamiseksi, ett\u00e4 yh\u00e4 useampi rintasy\u00f6p\u00e4potilas voisi el\u00e4\u00e4 tuntevan rinnan kanssa parannuttuaan itse rintasy\u00f6v\u00e4st\u00e4.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Potilaskokemuksia<\/h2>\n\n\n\n<section class=\"wp-block-uagb-section uagb-section__wrap uagb-section__background-undefined uagb-block-f0702a1a\"><div class=\"uagb-section__overlay\"><\/div><div class=\"uagb-section__inner-wrap\"><style>.kt-post-loop16868_b3fe80-56 .kadence-post-image{padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.kt-post-loop16868_b3fe80-56 .kt-post-grid-wrap{gap:30px 30px;}.kt-post-loop16868_b3fe80-56 .kt-blocks-post-grid-item{border-top-left-radius:5px;border-top-right-radius:5px;border-bottom-right-radius:5px;border-bottom-left-radius:5px;border-top:1px solid #eeeeee;border-right:1px solid #eeeeee;border-bottom:1px solid #eeeeee;border-left:1px solid 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.kt-blocks-post-readmore{background-color:var(--ast-global-color-0);border-color:#444444;color:#ffffff;border-radius:50px;padding-top:10px;padding-right:20px;padding-bottom:10px;padding-left:20px;margin-top:20px;margin-right:0px;margin-bottom:20px;margin-left:0px;}.kt-post-loop16868_b3fe80-56 .entry-content .kt-blocks-post-readmore:hover{color:#ffffff;border-color:#555555;background-color:var(--ast-global-color-0);}.kt-post-loop16868_b3fe80-56 .kb-filter-item{border-top-width:0px;border-right-width:0px;border-bottom-width:2px;border-left-width:0px;padding-top:5px;padding-right:8px;padding-bottom:5px;padding-left:8px;margin-top:0px;margin-right:10px;margin-bottom:0px;margin-left:0px;}@media all and (max-width: 1024px){.kt-post-loop16868_b3fe80-56 .kt-blocks-post-grid-item{border-top:1px solid #eeeeee;border-right:1px solid #eeeeee;border-bottom:1px solid #eeeeee;border-left:1px solid #eeeeee;}}@media all and (max-width: 767px){.kt-post-loop16868_b3fe80-56 .kt-blocks-post-grid-item{border-top:1px solid #eeeeee;border-right:1px solid #eeeeee;border-bottom:1px solid #eeeeee;border-left:1px solid #eeeeee;}}<\/style><div class=\"wp-block-kadence-postgrid kt-blocks-post-loop-block alignnone kt-post-loop16868_b3fe80-56 kt-post-grid-layout-grid \"><div class=\"kt-post-grid-layout-grid-wrap kt-post-grid-wrap\" data-columns-xxl=\"2\" data-columns-xl=\"2\" data-columns-md=\"2\" data-columns-sm=\"2\" data-columns-xs=\"1\" data-columns-ss=\"1\"data-item-selector=\".kt-post-masonry-item\" aria-label=\"Post Carousel\"><article class=\"kt-blocks-post-grid-item post-22432 post type-post status-publish format-standard has-post-thumbnail hentry category-potilaidemme-tarinoita tag-mastektomia tag-ms-tram-fi tag-rinnanpoisto tag-rintasyopa-fi tag-tunteva-rinta\"><div class=\"kt-blocks-post-grid-item-inner-wrap kt-feat-image-align-top kt-feat-image-mobile-align-top\"><div class=\"kadence-post-image\"><div class=\"kadence-post-image-intrisic kt-image-ratio-66-67\" style=\"padding-bottom:66.67%;\"><div class=\"kadence-post-image-inner-intrisic\"><a aria-hidden=\"true\" tabindex=\"-1\" role=\"presentation\" href=\"https:\/\/www.clinichelena.com\/fi\/potilaidemme-tarinoita\/tram-rekonstruktio\/\" aria-label=\"TRAM-rekonstruktio\" class=\"kadence-post-image-inner-wrap\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/14-1024x682.jpg\" class=\"attachment-large size-large wp-post-image\" alt=\"Perheen tuki kuntoutuksessa\" srcset=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/14-1024x682.jpg 1024w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/14-300x200.jpg 300w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/14-768x512.jpg 768w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/14-1536x1024.jpg 1536w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/14-2048x1365.jpg 2048w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/14-480x320.jpg 480w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/div><\/div><\/div><div class=\"kt-blocks-post-grid-item-inner\"><header><h2 class=\"entry-title\"><a href=\"https:\/\/www.clinichelena.com\/fi\/potilaidemme-tarinoita\/tram-rekonstruktio\/\">TRAM-rekonstruktio<\/a><\/h2><div class=\"kt-blocks-post-top-meta\"><\/div><\/header><div class=\"entry-content\">Potilas oli sairastanut rintasy\u00f6v\u00e4n 3 vuotta aiemmin. H\u00e4nen vasen rintansa jouduttiin silloin poistamaan. Rinnan menetys on aina iso asia, mutta lohdutin h\u00e4nt\u00e4 silloin, ett\u00e4 rakennetaan&#8230;<div class=\"kt-blocks-post-readmore-wrap\"><a class=\"kt-blocks-post-readmore\" href=\"https:\/\/www.clinichelena.com\/fi\/potilaidemme-tarinoita\/tram-rekonstruktio\/\">Lue lis\u00e4\u00e4<span class=\"screen-reader-text\"> TRAM-rekonstruktio<\/span><\/a><\/div><\/div><footer class=\"kt-blocks-post-footer\"><div class=\"kt-blocks-post-footer-left\"><\/div><div class=\"kt-blocks-post-footer-right\"><\/div><\/footer><\/div><\/div><\/article><article class=\"kt-blocks-post-grid-item post-34428 post type-post status-publish format-standard has-post-thumbnail hentry category-uutiset-ja-asiantuntija-artikkelit tag-rintaa-saastava-leikkaus tag-rintarekonstruktio-fi tag-rintasyopa-fi\"><div class=\"kt-blocks-post-grid-item-inner-wrap kt-feat-image-align-top kt-feat-image-mobile-align-top\"><div class=\"kadence-post-image\"><div class=\"kadence-post-image-intrisic kt-image-ratio-66-67\" style=\"padding-bottom:66.67%;\"><div class=\"kadence-post-image-inner-intrisic\"><a aria-hidden=\"true\" tabindex=\"-1\" role=\"presentation\" href=\"https:\/\/www.clinichelena.com\/fi\/uutiset-ja-asiantuntija-artikkelit\/tunteva-rinta-antaa-rintasyopapotilaille-toivoa-ja-elamanlaatua\/\" aria-label=\"Helena Puontin kehitt\u00e4m\u00e4 Tunteva rinta -menetelm\u00e4 antaa rintasy\u00f6p\u00e4potilaille toivoa ja el\u00e4m\u00e4nlaatua\" class=\"kadence-post-image-inner-wrap\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2025\/10\/mature-woman-with-arms-outstretched-standing-on-th-2025-04-03-13-25-01-utc-1024x683.jpg\" class=\"attachment-large size-large wp-post-image\" alt=\"rintarekostruktio voi palantaa el\u00e4m\u00e4nlaatua\" srcset=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2025\/10\/mature-woman-with-arms-outstretched-standing-on-th-2025-04-03-13-25-01-utc-1024x683.jpg 1024w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2025\/10\/mature-woman-with-arms-outstretched-standing-on-th-2025-04-03-13-25-01-utc-300x200.jpg 300w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2025\/10\/mature-woman-with-arms-outstretched-standing-on-th-2025-04-03-13-25-01-utc-768x512.jpg 768w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2025\/10\/mature-woman-with-arms-outstretched-standing-on-th-2025-04-03-13-25-01-utc-1536x1024.jpg 1536w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2025\/10\/mature-woman-with-arms-outstretched-standing-on-th-2025-04-03-13-25-01-utc-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/div><\/div><\/div><div class=\"kt-blocks-post-grid-item-inner\"><header><h2 class=\"entry-title\"><a href=\"https:\/\/www.clinichelena.com\/fi\/uutiset-ja-asiantuntija-artikkelit\/tunteva-rinta-antaa-rintasyopapotilaille-toivoa-ja-elamanlaatua\/\">Helena Puontin kehitt\u00e4m\u00e4 Tunteva rinta -menetelm\u00e4 antaa rintasy\u00f6p\u00e4potilaille toivoa ja el\u00e4m\u00e4nlaatua<\/a><\/h2><div class=\"kt-blocks-post-top-meta\"><\/div><\/header><div class=\"entry-content\">Plastiikka- ja mikrokirurgi, dosentti Helena Puonti on kehitt\u00e4nyt kansainv\u00e4lisesti tunnustetun Tunteva rinta -menetelm\u00e4n, jossa rinnan rekonstruktion yhteydess\u00e4 palautetaan my\u00f6s tuntoaisti. H\u00e4n on ty\u00f6skennellyt rintasy\u00f6p\u00e4potilaiden parissa&#8230;<div class=\"kt-blocks-post-readmore-wrap\"><a class=\"kt-blocks-post-readmore\" href=\"https:\/\/www.clinichelena.com\/fi\/uutiset-ja-asiantuntija-artikkelit\/tunteva-rinta-antaa-rintasyopapotilaille-toivoa-ja-elamanlaatua\/\">Lue lis\u00e4\u00e4<span class=\"screen-reader-text\"> Helena Puontin kehitt\u00e4m\u00e4 Tunteva rinta -menetelm\u00e4 antaa rintasy\u00f6p\u00e4potilaille toivoa ja el\u00e4m\u00e4nlaatua<\/span><\/a><\/div><\/div><footer class=\"kt-blocks-post-footer\"><div class=\"kt-blocks-post-footer-left\"><\/div><div class=\"kt-blocks-post-footer-right\"><\/div><\/footer><\/div><\/div><\/article><\/div><\/div><!-- .wp-block-kadence-postgrid --><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"<p>Tunteva rinta (MS-TRAM) Plastiikkakirurgi Helena Puonti kehitti Tunteva rinta -tekniikan lis\u00e4\u00e4m\u00e4ll\u00e4 hermojen yhdist\u00e4misen vapaan vatsakielekkeen MS-TRAM metodiin. Innovatiivinen Tunteva rinta &#8211; rintarekonstruktio Helena Puonti on kehitt\u00e4nyt metodin, jonka avulla vapaalla vatsakielekkeell\u00e4 rakennettuun rintaan on mahdollista [&hellip;]<\/p>\n","protected":false},"author":17,"featured_media":33707,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_uag_custom_page_level_css":"","_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","site-sidebar-layout":"left-sidebar","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-16868","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - 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