Kuvamile ukuzizwa ukwesaba okukhulu nokukhathazeka lapho udokotela wakho ekutshela ukuthi unomdlavuza wesikhumba. Ikakhulukazi uma umdlavuza usesendaweni ebonakalayo, njengobuso noma intamo, ungase ukhathazeke ngokushiya isilonda esikhulu ngemva kokuhlinzwa. Kodwa ungakhathazeki. Namuhla sizokhuluma ngendlela yokwelapha enembile kakhulu nephumelelayo yokususa umdlavuza wesikhumba. Lokhu kunganciphisa umonakalo esikhumbeni esinempilo futhi kususe ngokuphelele umdlavuza. Lokho yi-Mohs Surgery.
Kalula nje, kuyini ukuhlinzwa kwe-Mohs?
Cabanga ususa ingxenye encane ebolile yesithelo. Ufuna ukuklwebha ingxenye ebolile kuphela bese ushiya zonke izingxenye ezinhle. Yilokho okwenzekayo kulokhu kuhlinzwa kwe-Mohs.
Lokhu kuwukuhlinzwa okubucayi kakhulu. Lapha, udokotela ohlinzayo ususa ungqimba oluncane kakhulu lwezicubu endaweni lapho umdlavuza ukhona khona. Izicubu ezisusiwe zihlolwa ngaphansi kwe-microscope elabhorethri. Udokotela ohlinzayo ubheka eduze emaphethelweni ezicubu ukuze abone ukuthi asekhona yini amangqamuzana omdlavuza.
Uma, ngandlela thile, amangqamuzana omdlavuza asekhona, udokotela uyazi kahle ukuthi akuphi. Isinyathelo esilandelayo ukuthatha esinye isiqeshana esincane kuleyo ndawo bese usihlola futhi. Le nqubo iyaphindwa kuze kube yilapho amangqamuzana omdlavuza esusiwe ngokuphelele.
Inzuzo enkulu yale ndlela ukuthi ingahlasela futhi isuse amangqamuzana omdlavuza kuphela ngaphandle kokulimaza isikhumba esinempilo. Ngakho-ke, lena yindlela efanelekile yomdlavuza ezindaweni ezibucayi njengobuso, izindlebe, isikhumba sekhanda, izandla nezinyawo.
Lokhu kuhluke kanjani ekuhlinzweni okuvamile?
Ukuze sikusize uqonde lo mehluko kalula, ake siqhathanise lezi zindlela ezimbili.
| Isici | Ukuhlinzwa kwe-Mohs | Ukususwa Okujwayelekile |
|---|---|---|
| Inani lezicubu ezisusiwe | Umdlavuza kanye nenani elincane kakhulu lezicubu ezinempilo ezizungezile. | Umdlavuza kanye nenani elikhulu lezicubu ezinempilo ezizungezile kuyasuswa. |
| Ukuhlolwa komphetho | I-100% yemiphetho yezicubu ezisusiwe ihlolwa nge-microscope. | Kuhlolwa ngaphansi kwe-1% yemiphetho yezicubu ezisusiwe. |
| Izinsalela zesikhumba ezinempilo | Isikhumba esinempilo sishiywa ngangokunokwenzeka. Isibazi sincane. | Isibazi singaba sikhulu ngoba isikhumba esiningi esinempilo siyasuswa. |
| Izinga lokutakula | Kuphezulu kakhulu (kufika ku-99%). Amathuba amancane okuphinda umdlavuza. | Kuphezulu, kodwa kuphansi kancane kunokuhlinzwa kwe-Mohs. |
Yiziphi izinhlobo zomdlavuza wesikhumba eziphathwa ngokuhlinzwa kwe-Mohs?
Le ndlela isetshenziswa kakhulu ezinhlotsheni ezimbili zomdlavuza wesikhumba ezivame kakhulu ezweni lethu.
- I-Basal Cell Carcinoma (BCC)
- I-Squamous Cell Carcinoma (SCC)
Ngaphezu kwalokhu, le ndlela ngezinye izikhathi ingasetshenziswa kwezinye izinhlobo zomdlavuza wesikhumba, njengezinhlobo ezithile ze-melanoma kanye neminye imidlavuza engavamile. Udokotela wakho uzonquma ukuthi lokhu kwelashwa kufaneleka yini kuhlobo lomdlavuza onawo.
Kuzokwenzeka kanjani ukuhlinzwa? Ingabe kuzomele ngihlale usuku lonke?
Lokhu ukuhlinzwa kwasemini okungenziwa ngaphandle kokulaliswa esibhedlela. Ngaphambi kokuhlinzwa, udokotela wakho uzoxoxa ngomlando wakho wezokwelapha, imithi oyiphuzayo, kanye nezinzuzo nezingozi zokuhlinzwa.
Nakhu okwenzekayo ngosuku lokuhlinzwa:
1. Ukuba ndikindiki: Okokuqala, udokotela uzofaka umjovo ukuze aqede indawo lapho umdlavuza ukhona kanye nendawo ewuzungezile. Ngakho ngeke uzwe ubuhlungu. Uzobe uqaphile ngokuphelele.
2. Ukususa ingxenye yokuqala: Okulandelayo, ingxenye ebonakalayo yomdlavuza kanye nongqimba oluncane lwezicubu ngaphansi kwayo kuyasikwa bese kususwa.
3. Ukuthumela ukuze kuhlolwe:Ingxenye esusiwe ihlolwa ngokushesha elabhorethri. Lokhu kungathatha cishe imizuzu engama-60.
4. Isikhathi sakho sokulinda: Phakathi nalesi sikhathi, ungaphumula egumbini lokuhlinza noma egumbini lokulinda. Ungafunda incwadi, iphephandaba, noma usebenzise ifoni yakho.
5. Ukuhlinzwa kabusha (uma kudingeka): Uma ukuhlolwa kukhombisa ukuthi kusekhona amangqamuzana omdlavuza asele, udokotela uzokubuyisela egumbini lokuhlinza bese esusa enye ingxenye encane kuleyo ndawo ethile .
6. Kuze kuqedwe: Le nqubo iyaphindwa kuze kuqinisekiswe ukuthi amangqamuzana omdlavuza asusiwe ngokuphelele. Kuye ngobukhulu bomdlavuza, lokhu kungathatha amahora amaningana noma ngisho nezinsuku.
Yini okufanele uyenze ngesilonda ngemva kokuhlinzwa?
Uma umdlavuza usususiwe ngokuphelele, udokotela wakho uzokuchazela indlela engcono kakhulu yokwelapha inxeba. Kunezindlela eziningana zokwenza lokhu:
- Inxeba lizophola ngokwalo.
- Ukuvala inxeba ngezithungo (`i-sutures`).
- Ukuvala inxeba ngokuthatha isikhumba esiseduze nenxeba (`isikhumba`) noma isikhumba kwenye ingxenye yomzimba (`i-graft`).
Ingabe zikhona izingozi kulokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane. Kodwa-ke, ukuhlinzwa kwe-Mohs kuyinqubo ephephile kakhulu. Izingozi ezingaba khona yilezi:
- Ukwakheka kwezibazi.
- Inxeba likhulu kunalokho obekulindelwe.
- Ukupholisa amanxeba okulibaziseka.
- Ukopha ngokweqile.
- Ukutheleleka.
- Ukulimala kwemizwa (lokhu kungaba okwesikhashana noma okuhlala njalo).
- Akuvamile kakhulu ukuthi umdlavuza uphinde ubuye.
Uma unemibuzo ngalokhu, khuluma nodokotela wakho ngaphambi kokuhlinzwa bese uyixazulula.
Yini okufanele uyiqaphele ngesikhathi sokululama ngemva kokuhlinzwa?
Umnikelo wakho ubaluleke kakhulu ukuze inxeba liphole kahle ngemva kokuhlinzwa. Landela imiyalelo kadokotela ngqo.
- Ubuhlungu: Kungase kube nobuhlungu obuncane izinsuku ezimbalwa. Udokotela wakho angase akucebise ukuthi uthathe umuthi wokuqeda ubuhlungu njengeParacetamol.
- Ukunakekelwa kwenxeba: Ungalisusi ibhandeji emahoreni okuqala angu-24-48. Ngemva kwalokho, hlanza inxeba, ufake i-petroleum jelly (njenge-Vaseline®), bese ufaka ibhandishi elisha kabili ngosuku njengoba kuqondiswe udokotela wakho.
- Ukuzivocavoca: Gwema imisebenzi enzima njengokuphakamisa izinto ezisindayo cishe isonto lonke.
- Ukuvuvukala: Ungafaka amaphakethe eqhwa ukuze unciphise ukuvuvukala nokuklwebheka. Kodwa ungafaki iqhwa ngqo esikhumbeni.
| Uma unalezi zimpawu, shayela udokotela wakho ngokushesha! | |
|---|---|
| Ukopha okungenakunqandeka | Uma ukopha kungayeki ngisho nangemva kokucindezela inxeba ngokuqinile. |
| Ubuhlungu obukhulu | Ubuhlungu obungenakulawuleka ngisho nangemithi yobuhlungu futhi buyanda ngemva kwezinsuku ezimbalwa. |
| Izimpawu zokutheleleka | Umkhuhlane, ukuphuma kobomvu okuphuzi okuvela esilondeni, iphunga elibi, ukubomvu, ukuvuvukala, kanye nokufudumala okuzungeze isilonda. |
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Mohs kuyindlela yokwelapha enembile kakhulu futhi ephumelelayo yomdlavuza wesikhumba ovamile.
- Le ndlela inciphisa umonakalo esikhumbeni esinempilo, okwenza ifaneleke kakhulu ezindaweni ezibucayi njengobuso.
- Nakuba ukuhlinzwa kungaqedwa ngosuku olulodwa, kungathatha amahora amaningana kuye ngohlobo lomdlavuza.
- Landela imiyalelo kadokotela wakho ngokucophelela mayelana nendlela yokunakekela isilonda sakho ngemva kokuhlinzwa.
- Uma ubona noma yini efana nokopha, ubuhlungu obukhulu, noma izimpawu zokutheleleka, yazisa udokotela wakho ngokushesha.
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