Ndizachilendo kumva mantha pang'ono komanso kudabwa dokotala wanu akakuuzani kuti muli ndi khansa ya pakhungu. Tonsefe timachita mantha tikamva mawu oti "khansa." Koma musadandaule. Ndi sayansi ya zamankhwala yotsogola masiku ano, pali mankhwala othandiza komanso ochiritsika, makamaka khansa ya pakhungu. Lero, tikambirana za mankhwala amodzi otere, olondola kwambiri, komanso othandiza kwambiri. Ndi 'Opaleshoni ya Mohs.'
Mwachidule, kodi Mohs Surgery ndi chiyani?
Taganizirani ngati kuchotsa gawo lovunda la anyezi wamkulu. Timachotsa gawo lovunda pang'onopang'ono, osataya anyezi onse, sichoncho? Opaleshoni ya Mohs ndi njira yovuta kwambiri.
Izi zikutanthauza kuti dokotala wanu akuchotsa khansayo m'magawo. Choyamba, khansa yomwe ikuwoneka ndi kachidutswa kakang'ono kwambiri ka khungu kozungulira imadulidwa. Kenako, pansi pa khungu lochotsedwa ndi m'mbali mwake zimawunikidwa pansi pa maikulosikopu nthawi yomweyo.
Ngati mayesowa akusonyeza kuti maselo a khansa akadalipo m'mbali mwa khungu, dokotalayo amadziwa bwino komwe khansayo yatsala. Kenako, khungu lina lochepa limachotsedwa pamalo pomwe maselo a khansa anali . Limafufuzidwanso pogwiritsa ntchito maikulosikopu. Njirayi imabwerezedwanso mpaka zitsimikizike 100% kuti palibe maselo a khansa m'mbali mwa khungu lililonse lomwe lachotsedwa.
Ubwino waukulu wa izi ndikuti umachotsa minofu ya khansa yokha, zomwe zimachepetsa kuwonongeka kwa khungu lanu labwino. Ichi ndichifukwa chake njira iyi ndi yothandiza kwambiri pa khansa ya pakhungu yomwe imapezeka m'malo ovuta monga nkhope, khungu la mutu, makutu, manja, mapazi, ndi malo oberekera.
N’chifukwa chiyani izi zimatchedwa ‘Mohs’?
Njira yopangira opaleshoniyi inapezeka ndi kupangidwa m'zaka za m'ma 1930 ndi dokotala dzina lake Frederic E. Mohs. Chifukwa chake imatchedwa 'opereshoni ya Mohs' polemekeza iye. Ngakhale kuti njira imeneyi inali yovuta komanso yopweteka pang'ono poyamba, yakhala bwino kwambiri pakapita nthawi ndipo yakhala njira yotetezeka komanso yopambana masiku ano.
Kodi izi zikusiyana bwanji ndi kuchotsa chotupa cha khansa nthawi zonse?
Funso limene anthu ambiri amakhala nalo ndi ili. Mungadzifunse kuti, "N'chifukwa chiyani timagwiritsa ntchito njira yapaderayi m'malo mogwiritsa ntchito njira yochotsera ziwalo nthawi zonse?" Tiyeni tiwone kusiyana kwakukulu pakati pa njira ziwirizi. Mukamvetsetsa izi, mudzamvetsa kufunika kwa opaleshoni ya Mohs.
| Mfundo yofananira | Kuchotsa Zinthu Mwachizolowezi | Opaleshoni ya Mohs |
|---|---|---|
| Kuchotsa khungu labwino | Khungu lochuluka lathanzi lozungulira khansa limayesedwa ndikudulidwa ndikuchotsedwa. | Kachidutswa kakang'ono kwambiri ka khungu kozungulira khansa kamachotsedwa, zomwe zimasiya khungu labwino momwe zingathere. |
| Kuyang'ana m'mphepete | Gawo lochotsedwalo limatumizidwa ku labu, komwe nthawi zambiri limayesedwa zosakwana 1% ya m'mphepete mwake. | Dokotalayo amafufuza 100% ya m'mphepete mwa malo onse omwe ali pansi ndi ozungulira malo omwe achotsedwawo pansi pa maikulosikopu nthawi yomweyo. |
| Nthawi ya zotsatira | Zimatenga masiku angapo kuti zotsatira zake zibwererenso. Ngati maselo a khansa akadalipo, padzafunika opaleshoni ina. | Zotsatira zake zitha kuoneka mkati mwa ola limodzi. Chithandizo chimapitilira tsiku lomwelo mpaka khansayo itatha. |
| Kuchuluka kwa kuchira | Opaleshoni yapamwamba, koma yotsika pang'ono poyerekeza ndi opaleshoni ya Mohs. Pali mwayi woti khansayo ibwererenso. | Ili ndi chiŵerengero chachikulu cha machiritso mpaka 99%. Ndi imodzi mwa njira zochizira khansa ya pakhungu zomwe zimapambana kwambiri. |
Ndi mitundu iti ya khansa yomwe imachotsedwa kwambiri ndi opaleshoni ya Mohs?
Opaleshoni imeneyi imagwiritsidwa ntchito kwambiri pa mitundu iwiri ya khansa ya pakhungu yomwe ndi yofala m'dziko lathu.
- Khansa ya Basal Cell (BCC)
- Khansa ya Squamous Cell (SCC)
Kuwonjezera pa izi, madokotala nthawi zina angalimbikitse njira iyi pa khansa zina zazikulu za pakhungu monga melanoma ndi khansa zina zingapo zosazolowereka.
Kodi chimachitika ndi chiyani opaleshoni isanachitike?
Musanachite opaleshoni ya Mohs, dokotala wanu wa khungu adzakuyang'anirani. Nonse awiri mudzakambirana izi:
- Mbiri yanu yonse yachipatala, mankhwala, ndi mavitamini omwe mumamwa.
- Lipoti la biopsy ya khungu lanu yomwe idachitika kale.
- Adzakambirana momveka bwino za khansa yanu ya pakhungu, njira zochiritsira zomwe zilipo, komanso ubwino ndi zoopsa za opaleshoni ya Mohs.
Nthawi ino ndi yofunika kwambiri. Ngati muli ndi mafunso aliwonse, ngakhale mantha kapena kukayikira pang'ono, funsani dokotala za iwo. Musabise chilichonse kwa inu nokha.
Kutengera ndi thanzi lanu komanso komwe opaleshoniyo yachitikira, mungapemphedwe kuti mumwe mankhwala opha tizilombo toyambitsa matenda musanachite opaleshoniyo.
Tiyeni tiphunzire pang'onopang'ono momwe opaleshoniyi imachitikira.
Mudzakhala maso pa opaleshoni iyi, koma simudzamva kupweteka kulikonse. Tiyeni tiwone momwe izi zidzachitikire.
1. Kusamva Chisoni: Choyamba, dokotala adzabaya mankhwala oletsa ululu m'dera lomwe khansa ili ndi malo ozungulira, ndikupangitsa kuti isamve kupweteka konse. Mudzamva kupanikizika ndi kukhudzidwa m'dera limenelo, koma simudzamva kupweteka kulikonse.
2. Kuchotsa gawo loyamba: Kenako, khansa yooneka bwino ndi khungu lochepa kwambiri lozungulira limadulidwa ndikuchotsedwa.
3. Kujambula Mapu: Kuti atsimikizire kuti khungu lochotsedwa silikusokonezedwa ndi pamwamba, pansi, kumanja, kapena kumanzere, dokotala adzalilemba m'njira yapadera ndikupanga mapu ake. Iyi ndi sitepe yofunika kwambiri.
4. Kufufuza kwa microscopic: Kenako, khungu limasungidwa nthawi yomweyo mu labotale, kudulidwa m'zidutswa zoonda kwambiri, kupakidwa utoto, ndikuwunikidwa pogwiritsa ntchito maikulosikopu. Izi nthawi zambiri zimatha kutenga pafupifupi ola limodzi.
5. Kuchotsa minofu yotsala: Ngati, pogwiritsa ntchito maikulosikopu, dokotala awona kuti pali maselo a khansa m'mphepete mwa malowo, malinga ndi mapu, adzadziwa bwino komwe angadule. Kenako adzakubwezerani ku chipinda chochitira opaleshoni ndikuchotsa minofu ina yopyapyala kuchokera komwe maselo a khansa anali .
6. Kuwunikanso: Chidutswa chomwe chachotsedwa kumene chimawunikidwa pogwiritsa ntchito maikulosikopu monga kale. Izi zimapitirira mpaka zitatsimikizika kuti palibe maselo a khansa.
Mudzatha kukhala m'chimbudzi pamene mayesowa akuchitidwa. Muli ndi ufulu wowerenga buku, kumvetsera nyimbo, kapena kugwiritsa ntchito foni yanu panthawiyi. Opaleshoni iyi ingatenge maola angapo, kapena ingatenge tsiku lonse ngati khansa ndi yayikulu kapena yakuya.
Kodi mungachite chiyani ndi bala lomwe limapangika pambuyo pochotsa khansa?
Khansa ikachotsedwa 100%, dokotala wanu adzakulangizani momwe mungachiritsire bala lanu bwino. Pali njira zingapo zochitira zimenezo.
- Kuchira mwadzidzidzi: Ngati bala ndi laling'ono, nthawi zina limachira lokha.
- Ma suites: Izi nthawi zambiri zimachitika pogwirizanitsa m'mbali mwa bala ndikugwiritsa ntchito ma stitches.
- Chikopa cha khungu kapena chopachika: Ngati bala ndi lalikulu, khungu labwino lingatengedwe kuchokera kumadera apafupi ndikugwiritsidwa ntchito kutseka bala. Kapena, khungu lingatengedwe kuchokera ku mbali ina ya thupi (monga kumbuyo kwa khutu) ndikupachika.
- Chithandizo cha akatswiri: Nthawi zina, makamaka ngati bala ndi lalikulu, makamaka pafupi ndi maso kapena m'malo ngati mphuno, mungafunike thandizo la dokotala wa opaleshoni yokongoletsa.
Nthawi yochira ndi chisamaliro pambuyo pa opaleshoni
Kodi ululu umakhala bwanji pambuyo pa opaleshoni?
Anthu ambiri amakhala ndi ululu wochepa mpaka wochepa . Ululuwu umachepa pang'onopang'ono pakapita masiku angapo. Ululuwu ukhoza kuthetsedwa bwino ndi mankhwala ochepetsa ululu monga Paracetamol.
Kodi zimatenga nthawi yayitali bwanji kuti bala lipole?
Zingatenge miyezi 12 mpaka 18 kuti chilondacho chipole bwino ndikutha, choncho ndikofunikira kukhala oleza mtima.
Kodi mungasamalire bwanji bala kunyumba?
Dokotala wanu adzakupatsani malangizo a momwe mungasamalire bala mutachita opaleshoni.
- Mukapita kunyumba, mudzaikidwa bandeji pamwamba pa bala. Musalichotse kwa maola 24-48.
- Kenako, yeretsani bala kawiri patsiku monga momwe dokotala wanu wanenera, pogwiritsa ntchito sopo wofatsa kapena china chake chomwe dokotala wanu akulangiza.
- Mukamaliza kutsuka, pakani mafuta odzola (monga Vaseline®) pabala ndipo phimbani ndi chovala chosamata. Izi zithandiza kuti bala likhale lonyowa, kuchira msanga, komanso kuchepetsa zipsera.
- Pewani kuchita masewera olimbitsa thupi olemera komanso kunyamula zinthu zolemera kwa sabata imodzi mutachita opaleshoni.
- Kuti muchepetse kutupa ndi mabala, ikani ma paketi a ayezi kwa masiku oyamba. Koma musaike ayeziyo mwachindunji pakhungu, ikulungeni ndi nsalu.
- Ngakhale bala litachira, onetsetsani kuti mwapaka mafuta oteteza ku dzuwa okhala ndi SPF 30 kapena kuposerapo mukatuluka panja pamalo omwe pali zipsera.
Nthawi yoti mulankhule ndi dokotala
Ndikofunikira kwambiri kudziwitsa dokotala wanu nthawi yomweyo ngati mukukumana ndi vuto lililonse mutachita opaleshoni. Onetsetsani kuti mwayimbira dokotala wanu ngati chimodzi mwa izi chachitika:
| Mkhalidwe wovuta | Zomwe muyenera kuchita/zinthu zomwe muyenera kuziganizira |
|---|---|
| Kutuluka magazi komwe sikungasiye | Ndizachilendo kutuluka magazi pang'ono m'maola oyamba mutachita opaleshoni. Komabe, ngati kutuluka magazi sikutha ngakhale mutagwiritsa ntchito mphamvu pa bala, imbani dokotala nthawi yomweyo. |
| Ululu wosapiririka | Ngati kumwa acetaminophen (Tylenol®) sikuchepetsa ululu, ngati ululuwo suchepa patatha masiku angapo, kapena ngati ululuwo wachepa kenako n’kubwerera, uzani dokotala wanu. |
| Zizindikiro za Matenda |
|
Mawu oti "khansa" ndi chinthu choopsa kumva. Koma ngati khansa yanu ya pakhungu yapezeka msanga, isanafalikire kumadera ena, njira yeniyeni yotchedwa Mohs Surgery ingakuchiritseni kwathunthu tsiku limodzi. Chifukwa chake, ngati dokotala wanu akulangizani chithandizochi, musachite mantha. Chingakhale chithandizo chabwino kwambiri chomwe mungapeze.
Uthenga Wopita Nawo Kunyumba
- Opaleshoni ya Mohs ndi njira yolondola kwambiri komanso yopambana 99% ya khansa ya pakhungu.
- Izi zimaphatikizapo kuchotsa maselo a khansa mpaka atachotsedwa kwathunthu ndikuwunika pogwiritsa ntchito maikulosikopu.
- Ubwino waukulu ndi wakuti khansa yokha ndi imene imachotsedwa , zomwe zimachepetsa kuwonongeka kwa khungu labwino . Izi zimasiyanso chilonda chochepa.
- Opaleshoniyi imachitika pansi pa mankhwala oletsa ululu, kotero simudzamva ululu uliwonse. Ndipo chithandizocho chikhoza kutha tsiku limodzi.
- Tsatirani malangizo a dokotala wanu mosamala okhudza kusamalira bala lanu mutachita opaleshoni. Ngati mukukumana ndi mavuto aliwonse (kutuluka magazi, kupweteka kwambiri, zizindikiro za matenda), dziwitsani dokotala wanu nthawi yomweyo.
- Kambiranani momasuka ndi dokotala wanu za mafunso kapena nkhawa zomwe muli nazo.
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