Kuqhelekile ukuba uzive uloyiko olukhulu kunye nexhala xa ugqirha wakho ekuxelela ukuba unomhlaza wolusu. Ingakumbi ukuba umhlaza ukwindawo ebonakalayo, njengobuso okanye intamo, usenokuba nexhala lokushiya isilonda esikhulu emva kotyando. Kodwa ungakhathazeki. Namhlanje siza kuthetha ngendlela yonyango echanekileyo nesebenzayo yokususa umhlaza wolusu. Oku kunokunciphisa umonakalo kulusu olusempilweni kwaye kususe ngokupheleleyo umhlaza. Yiyo loo nto uMohs Surgery.
Ngamafutshane, yintoni utyando lweMohs?
Khawucinge nje ususa inxalenye encinci ebolileyo yesiqhamo. Ufuna ukukrwela inxalenye ebolileyo kuphela uze ushiye zonke iindawo ezilungileyo. Yiloo nto eyenzekayo kolu tyando lwe-Mohs.
Olu lutyando olunobunono kakhulu. Apha, ugqirha otyandayo ususa umaleko omncinci kakhulu wezicubu kwindawo apho umhlaza ukhoyo. Emva koko izicwili ezisusiweyo zihlolwa ngemicroscope kwilebhu. Ugqirha otyandayo ujonga ngokusondeleyo imiphetho yezicwili ukuze abone ukuba zisekhona na iiseli zomhlaza.
Ukuba, ngandlela ithile, iiseli zomhlaza zisekhona, ugqirha uyazi kakuhle apho zikhoyo. Inyathelo elilandelayo kukuthatha elinye iqhekeza elincinci kuloo ndawo kanye uze ulihlole kwakhona. Le nkqubo iphindaphindwa de iiseli zomhlaza zisuswe ngokupheleleyo.
Eyona nzuzo inkulu yale ndlela kukuba iyakwazi ukujolisa nokususa iiseli zomhlaza kuphela ngaphandle kokulimaza ulusu olusempilweni. Ke ngoko, le yindlela efanelekileyo yomhlaza kwiindawo ezinobuthathaka ezifana nobuso, iindlebe, ulusu lwentloko, izandla kunye neenyawo.
Oku kwahluke njani kutyando oluqhelekileyo?
Ukuze sikuncede uqonde lo mahluko ngokulula, makhe sithelekise ezi ndlela zimbini.
| Uphawu | Utyando lweMohs | Ukususwa okuqhelekileyo |
|---|---|---|
| Ubungakanani bethishu esusiweyo | Umhlaza kuphela kunye nenani elincinci kakhulu lezicwili eziphilileyo eziwujikelezileyo. | Umhlaza kunye nenani elikhulu lezicubu eziphilileyo ezijikeleze wona ziyasuswa. |
| Ukuhlolwa komphetho | I-100% yemiphetho yezicubu ezisusiweyo ihlolwa ngemicroscope. | Ngaphantsi kwe-1% yemiphetho yezicubu ezisusiweyo iyahlolwa. |
| Iintsalela zesikhumba esisempilweni | Ulusu olusempilweni lushiywa kangangoko kunokwenzeka. Isilonda sincinci. | Isilonda sinokuba sikhulu kuba ulusu oluninzi olusempilweni luyasuswa. |
| Izinga lokubuyisela kwimeko yesiqhelo | Iphezulu kakhulu (ukuya kuthi ga kwi-99%). Amathuba amancinci okuphinda umhlaza. | Iphezulu, kodwa iphantsi kancinci kunotyando lweMohs. |
Zeziphi iintlobo zomhlaza wolusu ezinyangwa ngotyando lweMohs?
Le ndlela isetyenziswa kakhulu kwiintlobo ezimbini zomhlaza wolusu ezixhaphakileyo kwilizwe lethu.
- I-Basal Cell Carcinoma (BCC)
- I-Squamous Cell Carcinoma (SCC)
Ukongeza kwezi, le ndlela ngamanye amaxesha ingasetyenziselwa ezinye iintlobo zomhlaza wolusu, njengeentlobo ezithile ze-melanoma kunye nezinye iintlobo zomhlaza ezingaqhelekanga. Ugqirha wakho uya kugqiba ukuba olu nyango lufanelekile na kuhlobo lomhlaza onalo.
Luza kuba njani utyando? Ngaba kuza kufuneka ndihlale imini yonke?
Olu lutyando lwemini olunokwenziwa ngaphandle kokuya esibhedlele. Ngaphambi kotyando, ugqirha wakho uza kuxoxa ngembali yakho yezonyango, amayeza owasebenzisayo, kunye neenzuzo kunye neengxaki zotyando.
Nantsi into eyenzekayo ngomhla wotyando:
1. Ukuba ndindisholo: Okokuqala, ugqirha uza kubeka inaliti ukuze avale indawo apho umhlaza ukhoyo kunye nendawo ejikelezileyo. Ukuze ungabi nantlungu. Uza kuba sengqondweni ngokupheleleyo.
2. Ukususa inxalenye yokuqala: Okulandelayo, inxalenye ebonakalayo yomhlaza kunye nomaleko omncinci wezicubu ezingaphantsi kwayo ziyasikwa zize zisuswe.
3. Ukuthumela ukuze kuhlolwe:Inxalenye esusiweyo ivavanywa ngoko nangoko kwilebhu. Oku kungathatha malunga nemizuzu engama-60.
4. Ixesha lakho lokulinda: Ngeli xesha, ungaphumla kwigumbi lotyando okanye kwigumbi lokulinda. Ungafunda incwadi, iphephandaba, okanye usebenzise ifowuni yakho.
5. Ukususwa kwesidoda (ukuba kuyimfuneko): Ukuba uvavanyo lubonisa ukuba kusekho iiseli zomhlaza ezisele, ugqirha uza kukubuyisela kwigumbi lotyando aze asuse enye inxalenye encinci kuloo ndawo ithile .
6. Ide igqitywe: Le nkqubo iphindaphindwa de kuqinisekiswe ukuba iiseli zomhlaza zisusiwe ngokupheleleyo. Ngokuxhomekeke kubukhulu bomhlaza, oku kungathatha iiyure ezininzi okanye iintsuku.
Yintoni omawuyenze ngenxeba emva kotyando?
Wakuba umhlaza ususiwe ngokupheleleyo, ugqirha wakho uza kukuchazela eyona ndlela ilungileyo yokuphilisa inxeba. Kukho iindlela ezahlukeneyo zokwenza oku:
- Inxeba liza kuphola ngokwalo.
- Ukuvala inxeba ngezititshi (`i-sutures`).
- Ukuvala inxeba ngokuthatha ulusu olukufutshane nenxeba (i-'skin flap') okanye ulusu oluvela kwenye indawo yomzimba (i-'graft').
Ngaba kukho naziphi na iingozi kolu tyando?
Njengakwezinye iintlobo zotyando, kukho iingozi ezincinci. Nangona kunjalo, utyando lweMohs luyinkqubo ekhuselekileyo kakhulu. Iingozi ezinokubakho zezi:
- Ukwakheka kwamanxeba.
- Inxeba likhulu kunokuba bekulindelwe.
- Ukuphola kwenxeba okulibazisekileyo.
- Ukopha kakhulu.
- Usulelo.
- Ukonakala kwemithambo-luvo (oku kungaba kokwexeshana okanye okusisigxina).
- Kunqabile kakhulu ukuba umhlaza uphinde ubuye.
Ukuba unemibuzo malunga noku, thetha nogqirha wakho ngaphambi kotyando uze uyisombulule.
Yintoni ekufuneka uyiqwalasele xa uphola emva kotyando?
Igalelo lakho libaluleke kakhulu ukuze inxeba liphole kakuhle emva kotyando. Landela imiyalelo kagqirha ngokuchanekileyo.
- Intlungu: Kunokubakho iintlungu ezincinci kangangeentsuku ezimbalwa. Ugqirha wakho unokukucebisa ukuba uthathe amayeza okubulala iintlungu anjengeParacetamol.
- Ukunyamekela inxeba: Musa ukuyisusa ibhandeji kwiiyure zokuqala ezingama-24-48. Emva koko, hlamba inxeba, uthambise ijeli yepetroleum (efana neVaseline®), kwaye uthambise ibhandishi entsha kabini ngemini njengoko ugqirha wakho eyalele.
- Ukuzilolonga: Kuphephe ukwenza imisebenzi enzima efana nokuphakamisa izinto ezisindayo kangangeveki.
- Ukudumba: Ungayifaka imikhenkce ukunciphisa ukudumba kunye nokukrweleka. Kodwa musa ukubeka umkhenkce ngqo eluswini.
| Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza! | |
|---|---|
| Ukopha okungenakunqandeka | Ukuba ukopha akuyeki nokuba sele ucinezele inxeba ngokuqinileyo. |
| Intlungu ebuhlungu | Intlungu engenakulawuleka nokuba usebenzisa amayeza okudambisa iintlungu kwaye iyanda emva kweentsuku ezimbalwa. |
| Iimpawu zosulelo | Umkhuhlane, ukuphuma kobomvu okumthubi enxebeni, ivumba elibi, ukubomvu, ukudumba, kunye nobushushu obujikeleze inxeba. |
Umyalezo Wokuya Ekhaya
- Utyando lweMohs lunyango oluchanekileyo nolusebenzayo kwimihlaza yolusu eqhelekileyo.
- Le ndlela inciphisa umonakalo kulusu olusempilweni, nto leyo eyenza ukuba ilungele iindawo ezibuthathaka ezifana nobuso.
- Nangona utyando lunokwenziwa ngosuku olunye, lungathatha iiyure ezininzi kuxhomekeke kuhlobo lomhlaza.
- Landela imiyalelo kagqirha wakho ngononophelo malunga nendlela yokunyamekela inxeba lakho emva kotyando.
- Ukuba ubona into efana nokopha, iintlungu eziqatha, okanye iimpawu zosulelo, yazisa ugqirha wakho ngokukhawuleza.
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