ʻO ke ala maikaʻi loa e wehe ai i ka maʻi ʻaʻai ʻili: E aʻo kākou i nā mea āpau e pili ana i ke ʻoki kino Mohs!

He mea maʻamau ke manaʻo iki i ka makaʻu a me ka haʻalulu ke haʻi aku kāu kauka iā ʻoe he maʻi ʻili kou. Hoʻohoka mākou a pau ke lohe mākou i ka huaʻōlelo "maʻi ʻili." Akā, mai hopohopo. Me ka ʻepekema lapaʻau holomua o kēia lā, aia nā lāʻau lapaʻau kūpono loa a hiki ke ho'ōla ʻia, ʻoi aku hoʻi no ka maʻi ʻili. I kēia lā, e kamaʻilio mākou e pili ana i hoʻokahi lāʻau lapaʻau pololei loa. ʻO ia hoʻi ʻo 'Mohs Surgery.'

I ka ʻōlelo maʻalahi, he aha ke ʻano o ke ʻoki kino Mohs?

E noʻonoʻo e like me ka wehe ʻana i kahi ʻāpana pala o kahi ʻakaʻakai nui. Wehe wale mākou i ka ʻāpana pala, me ka mālie, me ka hoʻolei ʻole ʻana i ka ʻakaʻakai holoʻokoʻa, ʻeā? He hana akahele loa ke ʻoki ʻana ʻo Mohs.

ʻO kēia ke kumu o ka wehe ʻana o kāu kauka ʻoki i ke kanesa ma nā papa. ʻO ka mea mua, ʻoki ʻia ke kanesa i ʻike ʻia a me kahi ʻāpana ʻili lahilahi loa a puni. A laila, nānā ʻia ka ʻaoʻao lalo o ka ʻāpana ʻili i wehe ʻia a me nā ʻaoʻao a puni ma lalo o kahi microscope ma laila a laila.

Inā hōʻike kēia hoʻāʻo e loaʻa mau ana nā hunaola kanesa ma kēlā mau kihi, ʻike maopopo ke kauka i kahi e waiho ai ke kanesa. A laila, wehe ʻia kekahi papa lahilahi o ka ʻili mai kahi pololei i loaʻa ai nā hunaola kanesa . Nānā hou ʻia ma lalo o kahi microscope. Hana hou ʻia kēia kaʻina hana a hiki i ka maopopo 100% ʻaʻohe hunaola kanesa ma nā kihi o kēlā me kēia ʻāpana ʻili i wehe ʻia.

No ke aha i kapa ʻia ai kēia ʻo 'Mohs'?

Ua ʻike ʻia a hoʻomohala ʻia kēia kaʻina hana ʻoki kino i nā makahiki 1930 e kekahi kauka i kapa ʻia ʻo Frederic E. Mohs. No laila ua kapa ʻia ʻo 'Mohs surgery' no kona hoʻohanohano ʻana. ʻOiai he ʻano paʻakikī a ʻeha kēia kaʻina hana i ka hoʻomaka ʻana, ua holomua nui ia i ka hala ʻana o ka manawa a ua lilo i kaʻina hana palekana a holomua loa i kēia lā.

Pehea ka ʻokoʻa o kēia mai ka ʻoki maʻamau ʻana o kahi puʻupuʻu maʻi kanesa?

He nīnau kēia a ka poʻe he nui. E noʻonoʻo paha ʻoe, "No ke aha e hoʻohana ai i kēia ʻano hana kūikawā ma kahi o ka excision maʻamau?" E nānā kākou i nā ʻokoʻa nui ma waena o kēia mau ʻano hana ʻelua. Ke hoʻomaopopo ʻoe i kēia, e hoʻomaopopo ʻoe i ka waiwai o ke ʻoki kino Mohs.

He aha nā ʻano maʻi kanesa i wehe pinepine ʻia e ke ʻoki ʻana ʻo Mohs?

ʻO kēia kaʻina hana ʻoki ʻana ka mea maʻamau no ʻelua ʻano maʻi ʻili i mea maʻamau i ko mākou ʻāina.

• ʻO ke kano ʻaʻai kelepona kumu (BCC)
• ʻO ke Kānana ʻAʻai Kelepona Squamous (SCC)

Ma waho aʻe o kēia mau mea, hiki i nā kauka ke ʻōlelo i kēia ʻano hana no nā maʻi ʻili koʻikoʻi ʻē aʻe e like me ka melanoma a me kekahi mau maʻi ʻili laha ʻole ʻē aʻe.

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

Ma mua o kou hana ʻana i ke ʻoki kino Mohs, e nānā kāu kauka ʻili iā ʻoe. E kūkākūkā ʻolua i kēia mau mea:

• ʻO kou mōʻaukala olakino piha, nā lāʻau lapaʻau, a me nā wikamina āu e lawe ai.
• He hōʻike no kahi biopsy ma mua o kou ʻili.
• E kamaʻilio akāka lākou e pili ana i kou maʻi ʻili, nā koho lapaʻau e loaʻa ana, a me nā pono a me nā pilikia o ka hana ʻana i ke ʻoki Mohs.

Ma muli o kou kūlana olakino a me kahi o ke ʻoki ʻana, hiki ke noi ʻia ʻoe e lawe i nā lāʻau antibiotic ma mua o ke ʻoki ʻana.

E aʻo kākou i kēlā me kēia ʻanuʻu pehea e hana ʻia ai ke ʻoki kino.

E ala ana ʻoe i ka wā o kēia ʻoki kino, akā, ʻaʻole ʻoe e ʻeha. E nānā kākou pehea e hele ai kēia.

1. Ka mae ʻana: ʻO ka mea mua, e hoʻokomo ke kauka i kahi lāʻau hoʻomake i loko o ka wahi i loaʻa ai ke kanesa a me ka wahi e puni ana, e mae loa ana. E ʻike ʻoe i ke kaomi a me kahi manaʻo o ka pā ʻana ma ia wahi, akā ʻaʻole ʻoe e ʻike i kekahi ʻeha.

2. Ka wehe ʻana i ka papa mua: A laila, ʻoki ʻia a wehe ʻia ke kanesa i ʻike ʻia a me kahi papa ʻili lahilahi loa a puni ia.

3. Palapala ʻĀina: I mea e hōʻoia ai ʻaʻole e huikau ka ʻili i wehe ʻia me ka ʻaoʻao luna, lalo, ʻākau, a hema paha, e hōʻailona ke kauka iā ia ma ke ʻano kūikawā a hana i kahi palapala ʻāina o ia mea. He ʻanuʻu koʻikoʻi loa kēia.

4. Hoʻokolokolo microscopic: A laila, hoʻopaʻahau koke ʻia ka hāpana ʻili i loko o ka hale hana, ʻokiʻoki i mau ʻāpana lahilahi loa, hoʻoluʻu ʻia, a nānā ʻia ma lalo o kahi microscope. Hiki i kēia kaʻina hana ke hala ma kahi o hoʻokahi hola.

5. Ke wehe ʻana i ke koena o nā ʻiʻo: Inā, ma lalo o ka microscope, ʻike ke kauka aia nō nā hunaola kanesa ma ka lihi o ka wahi, e like me ka palapala ʻāina, e ʻike pono ʻo ia i kahi e ʻoki ai. A laila e lawe hou ʻo ia iā ʻoe i ka lumi hana a wehe i kahi papa lahilahi ʻē aʻe o nā ʻiʻo mai kahi pololei o nā hunaola kanesa .

6. Nānā hou ʻana: Nānā ʻia ka ʻāpana i wehe hou ʻia ma lalo o kahi microscope e like me ma mua. Hoʻomau kēia kaʻina hana a hiki i ka hōʻoia ʻia ʻaʻohe mau hunaola kanesa.

Hiki iā ʻoe ke noho i loko o kahi lumi hoʻomaha i ka wā e hana ʻia ai kēia mau hoʻokolohua. Loaʻa iā ʻoe ke kūʻokoʻa e heluhelu i kahi puke, hoʻolohe i ke mele, a hoʻohana paha i kāu kelepona i kēia manawa. Hiki i kēia ʻoki kino ke hala i kekahi mau hola, a i ʻole he lā holoʻokoʻa paha inā nui a hohonu paha ke kanesa.

He aha ka mea e hana ai me ka ʻeha i hana ʻia ma hope o ka wehe ʻana i ke kanesa?

Ke pau ka maʻi kanesa i ka 100%, e kamaʻilio kāu kauka me ʻoe e pili ana i ke ʻano o ka hoʻōla maikaʻi ʻana i kou ʻeha. Nui nā koho no kēlā.

• Ho'ōla koke: Inā liʻiliʻi ka ʻeha, i kekahi manawa e ho'ōla pono'ī ia.
• Nā Sutures: Hana pinepine ʻia kēia ma ka lawe ʻana mai i nā kihi o ka ʻeha a me ke kuʻi ʻana iā lākou.
• ʻŌpala ʻili a kāpili ʻili paha: Inā nui ka ʻeha, hiki ke lawe ʻia kahi ʻāpana ʻili olakino mai nā wahi kokoke a hoʻohana ʻia e pani i ka ʻeha. A i ʻole, hiki ke lawe ʻia kahi ʻāpana ʻili mai kahi ʻāpana ʻē aʻe o ke kino (e.g., ma hope o ka pepeiao) a kāpili ʻia.
• Kōkua akamai: I kekahi manawa, ʻoiai inā nui ka ʻeha, ʻoiai a puni nā maka a i ʻole ma nā wahi e like me ka ihu, pono paha ʻoe i ke kōkua o ke kauka ʻoki plastik.

Ka manawa hoʻōla a me ka mālama ma hope o ke ʻoki ʻana

Pehea ke ʻeha ma hope o ke ʻoki kino?

Loaʻa i ka hapa nui o ka poʻe ka ʻeha iki a kaulike . E emi mālie kēia i loko o kekahi mau lā. Hiki ke hoʻomalu maikaʻi ʻia kēia ʻeha me kahi lāʻau hoʻopau ʻeha maʻalahi e like me Paracetamol.

ʻEhia ka lōʻihi o ka ho'ōla ʻana o ka ʻeha?

Hiki ke hala he 12 a 18 mau mahina no ka ho'ōla piha ʻana o ka ʻeha a mae, no laila he mea nui e hoʻomanawanui.

Pehea e mālama ai i kahi pala ma ka home?

Na kāu kauka e aʻo iā ʻoe pehea e mālama ai i ka ʻeha ma hope o ke ʻoki ʻana.

• Ke hoʻi ʻoe i ka home, e kau ʻia kahi ʻaʻahu ma luna o ka ʻeha. Mai wehe iā ia no 24-48 hola.
• A laila, e hoʻomaʻemaʻe i ka ʻeha ʻelua manawa i ka lā e like me ke kuhikuhi a kāu kauka, me ka hoʻohana ʻana i kahi kopa palupalu a i ʻole kahi mea a kāu kauka e ʻōlelo ai.
• Ma hope o ka hoʻomaʻemaʻe ʻana, e hoʻopili i ka petroleum jelly (e like me Vaseline®) i ka ʻeha a uhi iā ia me kahi ʻaʻahu pale ʻole. E kōkua kēia i ka mālama ʻana i ka ʻeha i pulu, e wikiwiki i ka ho'ōla ʻana, a e hōʻemi i ka ʻeha.
• E hōʻalo i ka hoʻoikaika kino nui a me ka hāpai kaumaha no hoʻokahi pule ma hope o ke ʻoki ʻana.
• No ka hōʻemi ʻana i ka pehu a me ka palapū, e kau i nā ʻeke hau no nā lā mua. Akā, mai kau pololei i ka hau i ka ʻili, e kāʻei iā ia i loko o kahi lole.
• ʻOiai ma hope o ka ho'ōla ʻana o ka ʻeha, e hoʻopili i ka pale lā me ka SPF 30 a ʻoi aku paha i ka wā e hele ai i waho ma ka wahi i ʻeha.

I ka manawa hea e kamaʻilio ai me ke kauka

He mea nui loa e hoʻomaopopo koke i kāu kauka inā loaʻa iā ʻoe kekahi mau pilikia ma hope o ke ʻoki ʻana. E hōʻoia e kāhea i kāu kauka inā loaʻa kekahi o kēia mau mea:

He mea weliweli ka lohe ʻana i ka huaʻōlelo "maʻi ʻaʻai". Akā inā ʻike mua ʻia kou maʻi ʻaʻai ʻili, ma mua o ka laha ʻana i nā wahi ʻē aʻe, hiki i kahi hana kikoʻī i kapa ʻia ʻo Mohs Surgery ke ho'ōla loa iā ʻoe i hoʻokahi lā. No laila, inā ʻōlelo kāu kauka i kēia lāʻau lapaʻau, mai makaʻu. ʻO ia paha ka lāʻau lapaʻau maikaʻi loa hiki iā ʻoe ke loaʻa.