Ndizachibadwa kumva mantha ndi nkhawa kwambiri dokotala wanu akakuuzani kuti muli ndi khansa ya pakhungu. Makamaka ngati khansa ili pamalo omwe akuwoneka, monga nkhope kapena khosi, mungakhale ndi nkhawa yosiya chilonda chachikulu mutachita opaleshoni. Koma musadandaule. Lero tikambirana za njira yolondola komanso yothandiza yochotsera khansa ya pakhungu. Izi zitha kuchepetsa kuwonongeka kwa khungu labwino ndikuchotsa khansa yonse. Ndi Mohs Surgery.
Mwachidule, kodi Mohs Surgery ndi chiyani?
Tangoganizani mukuchotsa gawo laling'ono lovunda la chipatso. Mukufuna kukanda gawo lovunda lokha ndikusiya ziwalo zonse zabwino. Ndicho chimene chimachitika mu opaleshoni ya Mohs iyi.
Iyi ndi opaleshoni yovuta kwambiri. Apa, dokotala wa opaleshoni amachotsa minofu yopyapyala kwambiri pamalo omwe khansa ili. Kenako minofu yochotsedwayo imayesedwa pogwiritsa ntchito maikulosikopu mu labotale. Dokotala wa opaleshoniyo amayang'ana m'mphepete mwa minofuyo kuti aone ngati pali maselo a khansa omwe akadalipo.
Ngati, mwanjira ina, maselo a khansa akadalipo, dokotala amadziwa bwino komwe ali. Gawo lotsatira ndikutenga chidutswa china chopyapyala kuchokera pamalo enieniwo ndikuchiyang'ananso. Izi zimachitikanso mpaka maselo a khansa atachotsedwa 100%.
Ubwino waukulu wa njira iyi ndi wakuti imatha kulunjika ndikuchotsa maselo a khansa okha popanda kuvulaza khungu labwino. Chifukwa chake, iyi ndi njira yabwino kwambiri yochizira khansa m'malo ovuta monga nkhope, makutu, khungu la mutu, manja, ndi mapazi.
Kodi izi zikusiyana bwanji ndi opaleshoni yachibadwa?
Kuti tikuthandizeni kumvetsetsa kusiyana kumeneku mosavuta, tiyeni tiyerekezere njira ziwirizi.
| Mbali | Opaleshoni ya Mohs | Kuchotsa Zinthu Mwachizolowezi |
|---|---|---|
| Kuchuluka kwa minofu yochotsedwa | Khansa yokha ndi minofu yochepa kwambiri yathanzi yozungulira. | Khansa ndi minofu yambiri yathanzi yozungulira imachotsedwa. |
| Kuyang'ana m'mphepete | 100% ya m'mphepete mwa minofu yochotsedwayo imafufuzidwa pogwiritsa ntchito maikulosikopu. | Zochepera 1% ya m'mphepete mwa minofu yochotsedwa zimafufuzidwa. |
| Khungu labwino limatsalira | Khungu labwino limasiyidwa momwe zingathere. Chilondacho ndi chaching'ono. | Chilondacho chikhoza kukula chifukwa khungu labwino kwambiri limachotsedwa. |
| Kuchuluka kwa kuchira | Pamwamba kwambiri (mpaka 99%). Mwayi wochepa woti khansa ibwererenso. | Opaleshoni yapamwamba, koma yotsika pang'ono poyerekeza ndi opaleshoni ya Mohs. |
Ndi mitundu iti ya khansa ya pakhungu yomwe imachiritsidwa ndi opaleshoni ya Mohs?
Njira 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, njira iyi nthawi zina ingagwiritsidwe ntchito pa mitundu ina ya khansa ya pakhungu, monga mitundu ina ya khansa ya melanoma ndi khansa zina zosazolowereka. Dokotala wanu adzasankha ngati chithandizochi chili choyenera mtundu wa khansa yomwe muli nayo.
Kodi opaleshoniyi idzakhala bwanji? Kodi ndiyenera kukhala tsiku lonse?
Iyi ndi opaleshoni ya tsiku limodzi yomwe ingachitike popanda kukhala kuchipatala. Opaleshoni isanachitike, dokotala wanu adzakambirana mbiri yanu yachipatala, mankhwala omwe mukumwa, komanso zabwino ndi zoyipa za opaleshoniyo.
Izi ndi zomwe zimachitika tsiku la opaleshoni:
1. Kusamva Chisoni: Choyamba, dokotala adzakupatsa jakisoni kuti achepetse ululu pamalo pomwe pali khansa ndi malo ozungulira khansayo. Kuti musamve kupweteka kulikonse. Mudzakhala ozindikira bwino.
2. Kuchotsa gawo loyamba: Kenako, gawo looneka la khansa ndi minofu yopyapyala pansi pake zimadulidwa ndikuchotsedwa.
3. Kutumiza kuti akawonedwe:Gawo lochotsedwalo limayesedwa nthawi yomweyo mu labotale. Izi zitha kutenga mphindi pafupifupi 60.
4. Nthawi yanu yodikira: Panthawiyi, mutha kupumula m'chipinda chochitira opaleshoni kapena m'chipinda chodikirira. Mutha kuwerenga buku, nyuzipepala, kapena kugwiritsa ntchito foni yanu.
5. Kuchotsa chilonda (ngati kuli kofunikira): Ngati mayeso akusonyeza kuti pali maselo a khansa omwe atsala, dokotala adzakubwezerani ku chipinda chochitira opaleshoni ndikuchotsa gawo lina laling'ono pamalo amenewo .
6. Mpaka itatha: Njirayi imabwerezedwa mpaka itatsimikizika kuti maselo a khansa achotsedwa kwathunthu. Kutengera ndi kukula kwa khansa, izi zingatenge maola angapo kapena masiku angapo.
Kodi chilondacho chiyenera kuchitidwa chiyani mutachita opaleshoni?
Khansa ikachotsedwa kwathunthu, dokotala wanu adzakufotokozerani njira yabwino kwambiri yochiritsira bala. Pali njira zingapo zochitira izi:
- Chilondacho chidzachira chokha.
- Kutseka bala ndi ma stitches (`sutures`).
- Kutseka bala pochotsa khungu pafupi ndi bala ('khungu lopindika') kapena khungu kuchokera mbali ina ya thupi ('graft').
Kodi pali zoopsa zilizonse pa opaleshoniyi?
Monga opaleshoni iliyonse, pali zoopsa zina zazing'ono. Komabe, opaleshoni ya Mohs ndi njira yotetezeka kwambiri. Zoopsa zomwe zingachitike ndi izi:
- Kupangika kwa zipsera.
- Chilondacho ndi chachikulu kuposa momwe amayembekezera.
- Kuchira kwa bala mochedwa.
- Kutuluka magazi kwambiri.
- Matenda.
- Kuwonongeka kwa mitsempha (izi zitha kukhala zakanthawi kapena zokhalitsa).
- Kawirikawiri, khansa imabwereranso.
Ngati muli ndi mafunso okhudza izi, lankhulani ndi dokotala wanu musanachite opaleshoni ndipo muwathetse.
Kodi muyenera kulabadira chiyani mukachira pambuyo pa opaleshoni?
Chopereka chanu n'chofunika kwambiri kuti chilonda chichiritse bwino mutachita opaleshoni. Tsatirani malangizo a dokotala molondola.
- Ululu: Pakhoza kukhala ululu wochepa kwa masiku angapo. Dokotala wanu angakulangizeni kuti mumwe mankhwala ochepetsa ululu monga Paracetamol.
- Kusamalira mabala: Musachotse bandeji kwa maola 24-48 oyambirira. Pambuyo pake, yeretsani bala, pakani mafuta odzola (monga Vaseline®), ndipo pakani bandeji yatsopano kawiri patsiku monga momwe dokotala wanu wanenera.
- Maseŵero Olimbitsa Thupi: Pewani kuchita zinthu zolemetsa monga kunyamula zinthu zolemera kwa pafupifupi sabata imodzi.
- Kutupa: Mutha kugwiritsa ntchito ma paketi a ayezi kuti muchepetse kutupa ndi mabala. Koma musaike ayezi mwachindunji pakhungu.
| Ngati muli ndi zizindikiro izi, imbani dokotala nthawi yomweyo! | |
|---|---|
| Kutuluka magazi kosalekeza | Ngati magazi sakusiya ngakhale mutakanikiza bala mwamphamvu. |
| Ululu waukulu | Ululu womwe sungathetsedwe ngakhale mutagwiritsa ntchito mankhwala ochepetsa ululu ndipo umawonjezeka pakatha masiku angapo. |
| Zizindikiro za matenda | Malungo, kutuluka mafinya achikasu kuchokera pabala, fungo loipa, kufiira, kutupa, ndi kutentha mozungulira bala. |
Uthenga Wopita Nawo Kunyumba
- Opaleshoni ya Mohs ndi njira yolondola komanso yothandiza kwambiri yochizira khansa yofala ya pakhungu.
- Njirayi imachepetsa kuwonongeka kwa khungu labwino, zomwe zimapangitsa kuti ikhale yoyenera kwambiri m'malo ovuta monga nkhope.
- Ngakhale opaleshoniyo ingathe kuchitika tsiku limodzi, ingatenge maola angapo kutengera mtundu wa khansayo.
- Tsatirani malangizo a dokotala wanu mosamala okhudza momwe mungasamalire bala lanu mutachita opaleshoni.
- Ngati muwona chilichonse monga kutuluka magazi, kupweteka kwambiri, kapena zizindikiro za matenda, dziwitsani dokotala mwamsanga.
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