Kuqhelekile ukuziva usoyika kwaye wothukile xa ugqirha wakho ekuxelela ukuba unomhlaza wolusu. Sonke siyathuthumela xa sisiva igama elithi "umhlaza." Kodwa ungakhathazeki. Ngesayensi yezonyango ephucukileyo yanamhlanje, kukho unyango olusebenzayo nolunokunyangwa, ngakumbi umhlaza wolusu. Namhlanje, siza kuthetha ngonyango olunjalo, oluchanekileyo kakhulu, nolusebenzayo kakhulu. Olu 'lutyando lweMohs.'
Ngamafutshane, yintoni utyando lweMohs?
Cinga ngokususa inxalenye ebolileyo yetswele elikhulu. Sisusa inxalenye ebolileyo kuphela, kancinci kancinci, ngaphandle kokulahla lonke itswele, akunjalo? Utyando lweMohs luyinkqubo ebuthathaka kakhulu.
Oku kubandakanya ukuba ugqirha wakho asuse umhlaza ngokweengqimba. Okokuqala, umhlaza obonakalayo kunye nomcu omncinci kakhulu wesikhumba ojikelezileyo uyasikwa. Emva koko, icala elingaphantsi lesikhumba esisusiweyo kunye nemiphetho ejikelezileyo ihlolwe ngemakroskopu ngoko nangoko.
Ukuba olu vavanyo lubonisa ukuba iiseli zomhlaza zisekhona kwezo cala, ugqirha uyazi kakuhle apho umhlaza uhlala khona. Emva koko, kususwa olunye ulusu oluncinci kwindawo kanye apho iiseli zomhlaza zazikhona . Luphinda luhlolwe phantsi kwemakroskopu. Le nkqubo iphindaphindwa de kuqinisekiswe ngokupheleleyo ukuba akukho ziseli zomhlaza ezikwicala ngalinye lesikhumba esisusiweyo.
Eyona nzuzo inkulu yoku kukuba isusa ngokuchanekileyo kuphela izicubu ezinomhlaza, inciphisa umonakalo kulusu lwakho olusempilweni. Yiyo loo nto le ndlela iluncedo kakhulu kumhlaza wolusu owenzeka kwiindawo ezibuthathaka ezifana nobuso, ulusu lwentloko, iindlebe, izandla, iinyawo kunye neendawo zangasese.
Kutheni oku kubizwa ngokuba yi-'Mohs'?
Le nkqubo yotyando yafunyanwa yaza yaphuhliswa ngeminyaka yoo-1930 ngugqirha ogama linguFrederic E. Mohs. Ngoko ke ibizwa ngokuba 'lutyando lweMohs' ngenxa yokumhlonipha. Nangona le nkqubo yayinzima kwaye ibuhlungu ekuqaleni, iye yaphucuka kakhulu ngokuhamba kwexesha kwaye iye yaba yinkqubo ekhuselekileyo nephumelelayo namhlanje.
Oku kwahluke njani ekususweni okuqhelekileyo kwesimila esinomhlaza?
Lo ngumbuzo abantu abaninzi abanawo. Usenokuzibuza, "Kutheni kufuneka kusetyenziswe le ndlela ikhethekileyo endaweni yokususa isidoda?" Makhe sijonge umahluko ophambili phakathi kwezi ndlela zimbini. Wakuba ukuqondile oku, uya kuqonda ukubaluleka kotyando lweMohs.
| Ingongoma yokuthelekisa | Ukususwa okuqhelekileyo | Utyando lweMohs |
|---|---|---|
| Ukususa ulusu olusempilweni | Ulusu oluninzi olusempilweni olujikeleze umhlaza luyaqikelelwa, lunqunyulwe luze lususwe. | Kususwa kuphela isiqwenga esincinci kakhulu solusu esijikeleze umhlaza, nto leyo eshiya ulusu olusempilweni kangangoko kunokwenzeka. |
| Ukuhlolwa komphetho | Inxalenye esusiweyo ithunyelwa kwilabhoratri, apho ngaphantsi kwe-1% yomphetho wonke idla ngokuvavanywa. | Ugqirha uhlola i-100% yazo zonke iindawo ezingaphantsi nendawo esusiweyo phantsi kwemakroskopu ngoko nangoko. |
| Ixesha leziphumo | Kuthatha iintsuku ezimbalwa ukuba iziphumo zibuye. Ukuba iiseli zomhlaza zisekho, kuya kufuneka olunye utyando. | Iziphumo zingabonakala kwiyure enye. Unyango luyaqhubeka ngaloo mini ide umhlaza uphele ngokupheleleyo. |
| Izinga lokubuyisela kwimeko yesiqhelo | Utyando oluphezulu, kodwa oluphantsi kancinci kunotyando lweMohs. Kukho ithuba lokuba umhlaza uza kubuya. | Inezinga eliphezulu lokunyanga elifikelela kwi-99%. Lelinye lawona mayeza aphumelele kakhulu kumhlaza wolusu. |
Zeziphi iintlobo zomhlaza ezisuswa kakhulu ngotyando lweMohs?
Olu tyando lusetyenziswa kakhulu kwiintlobo ezimbini zomhlaza wolusu ezixhaphakileyo kwilizwe lethu.
- I-Basal Cell Carcinoma (BCC)
- I-Squamous Cell Carcinoma (SCC)
Ukongeza kwezi, oogqirha ngamanye amaxesha banokucebisa le ndlela kwezinye iintlobo zomhlaza wolusu onzima njenge-melanoma kunye nezinye iintlobo zomhlaza ezingaqhelekanga.
Kwenzeka ntoni ngaphambi kotyando?
Ngaphambi kokuba wenze utyando lwe-Mohs, ugqirha wakho wesikhumba uza kukuhlola. Nobabini niza kuxoxa ngale nto ilandelayo:
- Imbali yakho epheleleyo yezonyango, amayeza, kunye neevithamini ozithathayo.
- Ingxelo ye-biopsy yangaphambili yolusu lwakho.
- Baza kuthetha ngokucacileyo ngomhlaza wakho wolusu, ukuba zeziphi iindlela zonyango ezikhoyo, kunye neenzuzo kunye neengozi zokwenza utyando lweMohs.
Eli xesha libaluleke kakhulu. Ukuba unemibuzo, nokuba yeyiphi na into oyicingayo okanye ongathandabuziyo, buza ugqirha ngayo. Musa ukuyifihla kuwe nantoni na.
Ngokuxhomekeke kwimeko yakho yempilo kunye nendawo yotyando, ungacelwa ukuba uthathe amayeza okubulala iintsholongwane ngaphambi kotyando.
Masifunde inyathelo ngenyathelo indlela olu tyando olwenziwa ngayo.
Uza kube uvukile ngexesha lotyando, kodwa awuyi kuva ntlungu. Makhe sibone ukuba oku kuza kwenzeka njani.
1. Ukuba ndindisholo: Okokuqala, ugqirha uza kufaka inaliti ye-anesthetic kwindawo apho umhlaza ukhoyo nakwindawo ejikelezileyo, ayifake ndindisholo ngokupheleleyo. Uza kuziva uxinezelekile kwaye uziva ngathi uchukumisekile kuloo ndawo, kodwa awuyi kuva ntlungu.
2. Ukususa umaleko wokuqala: Okulandelayo, umhlaza obonakalayo kunye nomaleko omncinci kakhulu wolusu olujikelezileyo ziyasikwa zize zisuswe.
3. Ukumapha: Ukuqinisekisa ukuba ulusu olususiweyo alubhidanisi noluphezulu, olusezantsi, olusekunene, okanye olusekhohlo, ugqirha uza kuluphawula ngendlela ekhethekileyo aze enze imephu yalo. Eli linyathelo elibaluleke kakhulu.
4. Uvavanyo lweMicroskopu: Emva koko, isampuli yolusu iyakhenkcezwa kwangoko elabhoratri, inqunyulwe ibe ziingceba ezincinci kakhulu, idaywe, ize ihlolwe phantsi kwemicroskopu. Le nkqubo idla ngokuthatha malunga neyure.
5. Ukususa izicubu eziseleyo: Ukuba, phantsi kwe-microscope, ugqirha ubona ukuba kusekho iiseli zomhlaza ecaleni kwendawo, ngokwemephu, uya kwazi ngqo apho aza kusikwa khona. Emva koko uya kukubuyisela kwigumbi lotyando aze asuse elinye ilaphu elincinci lezicubu kanye apho zazikhona iiseli zomhlaza .
6. Ukuhlolwa kwakhona: Inxalenye esandula ukususwa ihlolwa ngemakroskopu njengangaphambili. Le nkqubo iyaqhubeka ide iqinisekiswe ukuba akukho ziseli zomhlaza.
Uya kukwazi ukuhlala kwigumbi lokuphumla ngelixa ezi mvavanyo zisenziwa. Ukhululekile ukufunda incwadi, ukumamela umculo, okanye ukusebenzisa ifowuni yakho ngeli xesha. Olu tyando lungathatha iiyure ezimbalwa, okanye lungathatha usuku lonke ukuba umhlaza mkhulu okanye unzulu.
Yintoni omawuyenze ngenxeba elenzeka emva kokususwa komhlaza?
Wakuba umhlaza ususiwe ngokupheleleyo, ugqirha wakho uza kuthetha nawe ngendlela engcono yokunyanga inxeba lakho. Kukho iindlela ezahlukeneyo zokwenza oko.
- Ukuphola okuzenzekelayo: Ukuba inxeba lincinci, ngamanye amaxesha liyaphola lodwa.
- Iisutures: Oku kudla ngokwenziwa ngokuhlanganisa imiphetho yenxeba kunye nokusebenzisa izititshi.
- I-Skin flap okanye i-graft: Ukuba inxeba likhulu, iqhekeza lesikhumba eliphilileyo lingathathwa kwiindawo ezikufutshane lize lisetyenziswe ukuvala inxeba. Okanye, iqhekeza lesikhumba lingathathwa kwenye indawo yomzimba (umz., emva kwendlebe) lize lifakwe.
- Uncedo lweengcali: Ngamanye amaxesha, ingakumbi ukuba inxeba likhulu, ingakumbi elijikeleze amehlo okanye kwiindawo ezifana nempumlo, unokufuna uncedo logqirha ohlinzayo.
Ixesha lokuchacha kunye nokhathalelo emva kotyando
Injani intlungu emva kotyando?
Uninzi lwabantu luneentlungu ezincinci ukuya kweziphakathi . Oku kuya kuncipha kancinci kancinci emva kweentsuku ezimbalwa. Ezi ntlungu zinokulawulwa kakuhle nge-painkiller elula efana neParacetamol.
Kuthatha ixesha elingakanani ukuba inxeba liphole?
Kungathatha iinyanga ezili-12 ukuya kwezili-18 ukuba inxeba liphole ngokupheleleyo kwaye liphele, ngoko ke kubalulekile ukuba nomonde.
Ungayinyamekela njani inxeba ekhaya?
Ugqirha wakho uza kukucebisa ngendlela yokunyamekela inxeba emva kotyando.
- Xa ubuyela ekhaya, uza kubekwa ibhandeji phezu kwenxeba. Musa ukuyisusa iiyure ezingama-24-48.
- Emva koko, hlamba inxeba kabini ngemini njengoko ugqirha wakho eyalele, usebenzisa isepha ethambileyo okanye into ecetyiswa ngugqirha wakho.
- Emva kokucoca, faka ijeli yepetroleum (efana neVaseline®) enxebeni uze uyigqume ngebhandeji elinganamatheliyo. Oku kuya kunceda ukugcina inxeba limanzi, kukhawulezise ukuphola, kwaye kunciphise amanxeba.
- Kuphephe ukwenza umthambo onzima kunye nokuphakamisa izinto ezinzima ubuncinane iveki emva kotyando.
- Ukuze unciphise ukudumba nokukrweleka, faka iipakethe zomkhenkce kwiintsuku ezimbalwa zokuqala. Kodwa musa ukufaka umkhenkce ngqo eluswini, wusonge ngelaphu.
- Nokuba inxeba selipholile, qiniseka ukuba ufaka i-sunscreen ene-SPF engama-30 nangaphezulu xa uphuma kwindawo enezibazi.
Uthetha nini nogqirha
Kubaluleke kakhulu ukwazisa ugqirha wakho ngokukhawuleza ukuba ufumana naziphi na iingxaki emva kotyando. Qiniseka ukuba ufowunela ugqirha wakho ukuba kukho nayiphi na kwezi zilandelayo:
| Imeko eyingxaki | Izinto ekufuneka uzenze/izinto omele uziqaphele |
|---|---|
| Ukopha okungapheliyo | Kuqhelekile ukuba nokopha kancinci kwiiyure zokuqala emva kotyando. Nangona kunjalo, ukuba ukopha akuyeki nokuba sele ucinezele inxeba, fowunela ugqirha wakho ngoko nangoko. |
| Intlungu enganyamezelekiyo | Ukuba ukuthatha i-acetaminophen (Tylenol®) akuyilawuli intlungu, ukuba intlungu ayipheli emva kweentsuku ezimbalwa, okanye ukuba intlungu iyancipha ize ibuye, xelela ugqirha wakho. |
| Iimpawu zosulelo |
|
Igama elithi "umhlaza" liyinto eyoyikisayo ukuliva. Kodwa ukuba umhlaza wolusu lwakho ufunyenwe kwangethuba, ngaphambi kokuba usasazeke kwezinye iindawo, inkqubo echanekileyo ebizwa ngokuba yiMohs Surgery inokukuphilisa ngokupheleleyo ngosuku olunye. Ngoko ke, ukuba ugqirha wakho ucebisa olu nyango, ungoyiki. Lusenokuba lolona nyango lungcono onokulufumana.
Umyalezo Wokuya Ekhaya
- Utyando lweMohs lunyango oluchanekileyo kakhulu noluphumeleleyo oluyi-99% .
- Oku kuquka ukususa umaleko weeseli zomhlaza ngomaleko de zisuswe ngokupheleleyo kwaye zihlolwe phantsi kwe-microscope.
- Eyona nzuzo inkulu kukuba ngumhlaza kuphela osuswayo , nto leyo enciphisa umonakalo kulusu olusempilweni . Oku kukwashiya nesilonda esincinci.
- Olu tyando lwenziwa phantsi kwe-anesthesia, ngoko awuyi kuva ntlungu. Kwaye unyango lunokugqitywa ngosuku olunye.
- Landela imiyalelo kagqirha wakho ngononophelo malunga nokunyamekela inxeba lakho emva kotyando. Ukuba ufumana naziphi na iingxaki (ukopha, iintlungu eziqatha, iimpawu zosulelo), yazisa ugqirha wakho ngoko nangoko.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye uloyiko onalo.
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