Doctor-in vun cancer i vei thu a hrilh che chuan tlem a hlauhthawn leh mangang deuh hi thil pangngai a ni. "Cancer" tih thumal kan hriat hian kan cringe vek. Mahse, lungngai suh. Tunlai damdawi lam thiamna changkang tak tak nen chuan enkawlna tha tak tak leh tihdam theih tak tak a awm a, a bik takin vun cancer tan chuan a hlawhtling hle. Vawiin hian chutiang enkawlna pakhat, chiang tak, hlawk tak tak chungchang kan sawi dawn a ni. Chu chu ‘Mohs Surgery’ a ni.
A awlsam zawngin, Mohs Surgery hi eng nge ni?
Onion lian tak a ro tawh chu paih chhuah ang maiin han ngaihtuah teh. A ro lai chauh kan la chhuak a, zawi zawiin, onion pum pui paih lovin, a dik em? Mohs surgery hi a nalh hle mai.
Hei hian i surgeon chuan cancer chu layer hrang hrangin a paih chhuak a ni. A hmasa berin cancer hmuh theih leh a chhehvel vun te tak te tak te chu an tan chhuak thin. Tichuan, vun hnah lak chhuah hnuai lam leh a chhehvel kilte chu microscope hmangin chutah tak chuan an enfiah leh thin.
He test hian chutiang kil khatah chuan cancer cell a la awm tih a hriat chuan doctor chuan cancer awmna hmun chu a hre chiang hle. Tichuan, cancer cell awmna hmun dik tak aṭangin vun layer te tak te dang chu lakchhuah a ni . Microscope hmangin an enfiah leh a. Hetiang hian vun chi hrang hrang lakchhuah apiang kil khatah cancer cell a awm lo tih 100% a chian hma loh chuan tih nawn leh a ni.
Hei hi a thatna lian ber chu cancer tissue chauh chiang takin a paih chhuak a, i vun hrisel tihchhiat a ti tlem hle. Hei vang hian he method hi vun cancer, sensitive area, hmai, lu vun, beng, kut, ke, leh genital area-a awm tan a tangkai ber a ni.
Engvangin nge hei hi ‘Mohs’ an tih?
He surgical procedure hi kum 1930 chho khan doctor pakhat Frederic E. Mohs-a’n a hmuhchhuah leh siam chhuah a ni. Chuvangin a chawimawina atan ‘Mohs surgery’ an ti a ni. Hetiang tih dan hi a tir lamah chuan a buaithlak deuh a, a hrehawm deuh a, mahse hun kal zelah a lo tha chho nasa hle a, tunlai hian a him leh hlawhtling hle a ni.
Hei hi cancer tumor excision pangngai nen engtin nge a danglam?
Hei hi mi tam takin zawhna an neih a ni. I ngaihtuah mai thei, "Engvangin nge he hmanraw bik hi a tlangpuiin excision ai chuan hman?" Heng hmanraw pahnih inthlauhna berte hi han thlir ila. Hei hi i hriatthiam phawt chuan Mohs surgery hlutna i hrethiam tawh ang.
| Point of comparison a ni | Standard Excision tih a ni | Mohs Surgery a ni |
|---|---|---|
| Vun hrisel tihbo | Cancer chhehvela vun hrisel tak tak awm zat chu chhut a ni a, cut out leh remove a ni. | Cancer chhehvel vun tlemte chauh lakchhuah a ni a, vun hrisel thei ang ber a awm ta a ni. |
| Edge enfiah a ni | A lak chhuah chu lab-ah thawn a ni a, chutah chuan a sir zawng zawng 1% aia tlem lo test a ni tlangpui. | Surgeon chuan a lakchhuahna hmun hnuai leh a chhehvela margin zawng zawng 100% chu microscope hmangin a hmunah a enfiah thin. |
| Results hun chhung | Results a lo let leh theih nan ni engemaw zat a ngai a ni. Cancer cells a awm reng chuan operation dang neih leh a ngai dawn a ni. | Darkar khat chhungin result hmuh theih a ni. Cancer a bo vek hma loh chuan chu ni vek chuan enkawl chhunzawm zel a ni. |
| Recovery rate a ni | A sang a, mahse Mohs surgery aiin a hniam deuh. Cancer hi a lo let leh theihna chance a awm. | Cure rate sang tak 99% thleng a nei a ni. Skin cancer enkawlna hlawhtling ber pakhat a ni. |
Mohs surgery hmanga cancer chi hrang hrang tihbo tam ber?
He surgical procedure hi kan ramah hian vun cancer chi hnih tan kan hmang nasa ber a ni.
- Basal Cell Carcinoma (BCC) a awm a, a chhuak leh ta a ni.
- Squamous Cell Carcinoma (SCC) a awm a, a chhuak leh ta a ni.
Heng bakah hian doctor-te chuan vun cancer na tak dang, melanoma leh cancer hmuh tur awm lo engemaw zat tan pawh hetiang hi an rawt fo thei bawk.
Surgery neih hmain eng nge thleng?
Mohs surgery i neih hmain i dermatologist chuan a enfiah ang che. In pahnih hian a hnuaia mite hi in sawiho ang:
- I medical history kimchang, damdawi leh vitamin i ei te.
- I vun biopsy hmasa ber report.
- I vun cancer chungchang te, eng enkawlna tur nge awm tih te, Mohs surgery neih a hlawkna leh hlauhawmna te chiang takin an sawi ang.
He hun hi a pawimawh hle. Zawhna i neih chuan, hlauhna leh rinhlelhna tlemte pawh i neih chuan, chu chu doctor hnenah zawt la. Nangmah ah engmah dah suh.
I hriselna dinhmun leh operation neihna hmun a zirin operation hmain antibiotics ei turin an ti thei che a ni.
Surgery tih dan step by step in i zir ang u.
He surgery neih chhung hian i harh ang a, mahse engmah i hre lo ang. Hei hi engtin nge a kal dawn tih i lo en ang u.
1. Numbness: A hmasa berin doctor chuan cancer awmna hmun leh a chhehvelah anesthetic a inject ang a, a numb vek ang. Chu lai hmunah chuan pressure leh khawih theihna i nei ang a, mahse natna engmah i nei lovang.
2. Layer hmasa ber lakchhuah: A dawtah chuan cancer hmuh theih leh a chhehvel vun layer te tak te chu tan chhuakin paih chhuah a ni.
3. Mapping: A vun lakchhuah chu a chunglam, hnuai lam, dinglam, veilam nen a inzawm loh nan doctor chuan a bik takin a mark ang a, map a siam ang. Hei hi thil pawimawh tak a ni.
4. Microscopic examination: A dawtah chuan vun sample chu laboratory-ah freeze nghal a ni a, slice te tak te takah cut a, stain a, microscope hmangin enfiah a ni. Hetiang hian darkar khat vel a awh thei tlangpui.
5. Tissue la awmte lakchhuah: Microscope hmanga doctor chuan a hmun kil khatah cancer cell a la awm tih a hmuh chuan map-a a lan dan chuan khawiah nge a tan tur tih chiang takin a hre thei ang. Tichuan operation room ah a hruai kir leh ang che a , cancer cell awmna hmun dik tak atang chuan tissue te tak te dang a la chhuak leh ang
6. Re-examination: A piece lakchhuah thar chu a hma ang bawkin microscope hmangin enfiah a ni. Hetiang hian cancer cell a awm lo tih finfiah a nih hma loh chuan a kal zel a ni.
Heng test te hi an tih lai hian chawlhna hmunah i awm thei dawn a ni. Hemi hun chhung hian lehkhabu chhiar emaw, music ngaihthlak emaw, i phone hman emaw chu zalen takin i awm a ni. He surgery hi darkar tlemte a awh thei a, cancer lian emaw a thuk emaw a nih chuan ni khat chhung pawh a daih thei bawk.
Cancer lakchhuah hnua hliam lo awm chu engtin nge kan tih ang?
Cancer chu 100% a tihbo hnuah i doctor chuan i hliam tihdam dan tha ber tur a sawipui ang che. Chumi atan chuan duhthlan tur engemaw zat a awm.
- Spontaneous healing: Hliam hi a te a nih chuan a chang chuan a mah chauhin a dam leh mai thin.
- Sutures: Hei hi a tlangpuiin hliam kilte rawn hruai khawm a, an inzawm khawm a, an inzawm khawm a ni.
- Skin flap emaw graft emaw: Hliam a lian a nih chuan a bul hnaia vun hrisel chi khat lakchhuah a, hliam khar nan hman theih a ni. A nih loh leh, taksa peng dang (e.g., beng hnunglam) atanga vun chi khat lak chhuah a, grafted theih a ni bawk.
- Mithiamte tanpuina: A chang chuan, a bik takin hliam a lian a nih chuan, a bik takin mit vel emaw, hnar ang chi hmunah emaw chuan plastic surgeon tanpuina i mamawh mai thei.
Surgery hnua dam leh hun leh enkawlna
Operation hnua natna chu engtin nge a awm?
Mi tam zawk chuan natna na lo tak atanga natna vei te an nei thin . Hei hi ni engemaw zat chhungin a reh zauh zauh ang. He natna hi Paracetamol ang chi natna tidamtu awlsam tak hmangin a control tha hle.
Hliam a dam theih nan eng chen nge a mamawh?
Thla 12 atanga thla 18 vel a ngai thei a, a hliam hi a dam kim thei a, a bo thei bawk a, chuvangin dawhtheih a pawimawh.
In lama hliam enkawl dan tur?
I doctor chuan operation hnua hliam enkawl dan tur a hrilh ang che.
- In i haw hunah chuan hliam chungah dressing dah i ni ang. Darkar 24-48 chhung chu paih loh tur a ni.
- Tichuan, doctor-in a sawi angin ni khatah vawi hnih hliam chu silfai la, sahbawn nem tak emaw, i doctor-in a rawt ang chi emaw hmangin tifai rawh.
- A tihfai zawh chuan hliam chu petroleum jelly (Vaseline® ang chi) hnawih la, non-stick dressing hmangin khuh rawh. Hei hian hliam chu a hnim reng ang a, a dam chak ang a, hliam a ti tlem ang.
- Operation hnu kar khat tal exercise nasa tak leh thil rit phurh loh tur.
- Swelling leh bruising tihziaawm nan ni hmasa berah ice pack hnawih thin ang che. Mahse, ice chu vunah direct-in hnawih suh, puan in khuh rawh.
- Hliam a dam hnuah pawh pawn lama chhuah dawnin SPF 30 aia sang nei sunscreen hmang ngei ang che.
Doctor nen engtikah nge kan inbia ang
Surgery hnua harsatna i neih chuan doctor hriattir nghal a pawimawh hle. A hnuaia thilte hi a lo awm a nih chuan doctor ko ngei ang che:
| Harsatna awm thei dinhmun | I tih tur/features i ngaihven tur |
|---|---|
| Thisen chhuak chu a tawp dawn lo | Operation hnu darkar tlemte chhungin thisen tlem a chhuah hi thil pangngai a ni. Amaherawhchu, hliam chunga pressure pek hnu pawha thisen chhuak a reh loh chuan doctor ko nghal tur a ni. |
| Tuar theih loh khawpa hrehawmna | Acetaminophen (Tylenol®) ei hian natna a thunun loh chuan, ni engemaw zat hnua natna a reh loh chuan, emaw, natna a reh a, a lo let leh a nih chuan doctor hnenah hrilh rawh. |
| Hri kai theihna chhinchhiahna |
|
"Cancer" tih thumal hi hriat a hlauhawm hle. Mahse i vun cancer hi a hmaa hriatchhuah a nih chuan, hmun dangah a darh hmain, Mohs Surgery tih dan dik tak chuan ni khatah a tidam vek thei che a ni. Chuvangin, i doctor-in he enkawlna hi a rawt a nih chuan hlau suh. I enkawlna tha ber pawh a ni thei.
Take-Home Thuchah a ni
- Mohs Surgery hi vun cancer enkawlna dik tak leh 99% hlawhtling tak a ni.
- Hei hian cancer cells te chu layer khat hnu layer khatin an paih chhuak vek thlengin lakchhuah a, microscope hmanga enfiah a ngai a ni.
- A thatna lian ber chu cancer chauh lakchhuah a nih avangin vun hrisel tihchhiatna a tlem phah a ni . Hei hian hliam tenau zawk a hnutchhiah bawk.
- Surgery hi anesthesia hmanga tih a nih avangin natna engmah i hre lovang. Tin, ni khat chhungin enkawlna pawh a zo thei bawk.
- Operation hnua i hliam enkawl dan tur chungchangah doctor thupek uluk takin zawm rawh. Harsatna (thisen chhuak, natna nasa tak, natna kai chhinchhiahna) i neih chuan doctor hnenah hriattir nghal rawh.
- Zawhna emaw hlauhthawnna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh.
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