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ʻO ka ʻōnaehana Mohs he ʻano hana pololei e wehe ai i ka maʻi ʻaʻai ʻili ma kēlā me kēia papa me ka mālama ʻana i ka nui o ka ʻiʻo olakino e like me ka hiki. Hoʻohui kēia hana kūikawā i ke ʻoki ʻana a me ka hana ʻana i ka hale hana i ka manawa maoli, e ʻae ana i kāu kauka lapaʻau e nānā i kēlā me kēia papa i wehe ʻia ma lalo o ka microscope i ka manawa koke. Ua manaʻo ʻia ʻo ia ke kūlana gula no ka mālama ʻana i kekahi mau ʻano maʻi ʻaʻai ʻili no ka mea e loaʻa ai nā helu hoʻōla kiʻekiʻe loa me ka hōʻemi ʻana i ka ʻeha.
ʻO ka ʻōnaehana Mohs he lapaʻau maʻi ʻaʻai ʻili kūikawā e wehe ai i ka ʻiʻo maʻi ʻaʻai i hoʻokahi papa lahilahi i ka manawa. Hana kāu kauka lapaʻau ma ke ʻano he kauka lapaʻau a me ka pathologist, e nānā ana i kēlā me kēia papa i wehe ʻia ma lalo o ka microscope i ka manawa koke. ʻO kēia loiloi koke e hiki ai iā lākou ke ʻike pololei i kahi e noho ai nā cell maʻi ʻaʻai a wehe wale i ka mea e pono ai.
Ua hoʻomohala ʻia ke ʻano hana e Dr. Fredrick Mohs i nā makahiki 1930 a ua hoʻomaikaʻi ʻia i nā makahiki he nui. ʻO ka mea e kū hoʻokahi ai, ʻo ia ka nānā ʻana i ka microscopic i ka manawa maoli e hana ʻia i ka wā o kāu hana. Ma kahi o ka wehe ʻana i kahi wahi nui o ka ʻiʻo a me ka manaʻolana e loaʻa i nā maʻi ʻaʻai a pau, hiki i kāu kauka lapaʻau ke hoʻolālā pololei i kahi e laha ai ka maʻi ʻaʻai a wehe iā ia me ka pololei o ka ʻoki.
He mea waiwai nui kēia ʻano hana no nā maʻi ʻaʻai ʻili ma nā wahi nani e like me kou maka, nā lima, nā wāwae, a me nā ʻōpū. Mālama ke ʻano i ka nui o ka ʻiʻo olakino me ka hōʻoia ʻana i ka wehe ʻana i ka maʻi ʻaʻai.
Paipai ʻia ka ʻōnaehana Mohs ke loaʻa iā ʻoe nā maʻi ʻaʻai ʻili e koi ai i ka wehe pololei loa. Hiki i kāu dermatologist ke ʻōlelo aku i kēia hana ke ʻole ka excision maʻamau ke koho maikaʻi loa no kāu kūlana kikoʻī. ʻO ka pahuhopu e hoʻōla i kāu maʻi ʻaʻai me ka mālama ʻana i ka nui o ka ʻiʻo maʻamau e like me ka hiki.
He hana maikaʻi loa kēia hana no ka basal cell carcinoma a me ka squamous cell carcinoma, nā ʻano maʻi ʻili ʻelua i ʻike nui ʻia. Hoʻohana ʻia nō hoʻi i kekahi manawa no kekahi mau melanomas, ʻoiai ʻaʻole maʻamau kēia a pono i ka ʻike kūikawā.
Nui nā mea e lilo ai ʻoe i moho maikaʻi no ka ʻoki Mohs, a e noʻonoʻo kāu kauka i kou kūlana kūikawā me ka mālama pono:
E noʻonoʻo nō hoʻi kāu kauka i kēia koho inā he ʻōnaehana pale maʻi nāwaliwali kāu a i ʻole e lawe ana ʻoe i nā lāʻau e pili ana i ka hoʻōla. Hiki i kēia mau mea ke hana i ka wehe ʻana i ka maʻi maʻi i mea nui loa no kou olakino lōʻihi.
Hana ʻia ke kaʻina hana ʻoki Mohs i nā pae i loko o hoʻokahi lā, maʻamau i ke keʻena o kāu dermatologist. E ala ana ʻoe i ka wā o ke kaʻina hana, a mālama ka anesthesia kūloko iā ʻoe. Hiki i ke kaʻina hana ke lawe i kekahi mau hola, ma muli o ka nui o nā papa e pono ai ke wehe ʻia.
Eia ka mea e hana ʻia i kāu kaʻina hana, i kēlā me kēia pae:
Ma waena o kēlā me kēia pae, e kali ʻoe ma kahi ʻoluʻolu i ka wā e hana ai kāu kauka lapaʻau a nānā i ka ʻiʻo. ʻO ka maʻamau, e lawe ana kēia manawa kali i 30 a 60 mau minuke no kēlā me kēia pae. Hoʻopau ʻia ka hapa nui o nā maʻi ʻaʻai i loko o hoʻokahi a ʻekolu paha pae, akā pono paha kekahi i nā mea hou aku.
Ke wehe ʻia nā maʻi ʻaʻai a pau, e kūkākūkā kāu kauka lapaʻau i nā koho no ka pani ʻana i ka ʻeha. I kekahi manawa, hoʻōla maikaʻi ka wahi iā ia iho, a i nā manawa ʻē aʻe pono paha ʻoe i nā humuhumu, kahi ʻili ʻili, a i ʻole ke ʻoki hou ʻana e loaʻa ai ka hopena maikaʻi loa a me ka hana.
ʻO ka hoʻomākaukau ʻana no ke ʻoki Mohs e pili ana i nā mea hana a me nā mea lapaʻau. E hāʻawi kāu kauka lapaʻau iā ʻoe i nā ʻōlelo kikoʻī, akā ʻo ka hapa nui o ka hoʻomākaukau ʻana e kālele ana i ka hōʻoia ʻana e ʻoluʻolu ʻoe i ka lā lōʻihi e hiki mai ana. E hoʻolālā e hoʻolilo i ka hapa nui o ka lā ma ke keʻena lapaʻau, no ka mea, hiki i ke kaʻina hana ke lawe i kekahi mau hola.
Eia nā ʻanuʻu nui e hoʻomākaukau ai no kāu kaʻina hana:
E nānā kāu kauka lapaʻau i kāu moʻolelo olakino a me nā lāʻau lapaʻau i kēia manawa i ka wā o kāu kūkākūkā ma mua o ka hana. E wehewehe pū lākou i ka mea e manaʻo ai a pane i nā nīnau āu e pili ana i ke kaʻina hana.
\nInā hopohopo nui ʻoe e pili ana i ke kaʻina hana, e kūkākūkā i kēia me kāu kauka lapaʻau. Hiki iā lākou ke hāʻawi i nā hoʻolālā e kōkua iā ʻoe e ʻoluʻolu a hiki ke ʻōlelo i ka hoʻomaha māmā inā kūpono no kou kūlana.
\nHoʻoholo ʻia kāu mau hopena ʻoki Mohs i ka manawa maoli i ka wā o ke kaʻina hana. ʻAʻole like me nā ʻoki ʻē aʻe kahi e kali ai ʻoe i nā lā no nā hopena pathology, e ʻike koke ʻoe inā ua wehe ʻia nā maʻi maʻi a pau. E haʻi aku kāu kauka lapaʻau iā ʻoe i ka wā i loaʻa ai iā lākou nā
Ma muli o ka wikiwiki o nā hopena o ke ʻoki Mohs, e haʻalele ʻoe i ke keʻena me ka ʻike ua wehe loa ʻia kāu maʻi ʻaʻai. Hiki i kēia ke hāʻawi i ka maluhia o ka noʻonoʻo i ka hoʻohālikelike ʻana i ka kali ʻana i nā hopena pathology kuʻuna.
ʻO ka mālama pono ʻana i kāu wahi ʻoki Mohs e kōkua i ka hōʻoia ʻana i ka hoʻōla maikaʻi loa a me ka hopena maikaʻi loa. E hāʻawi kāu kauka lapaʻau i nā ʻōlelo kikoʻī no ka mālama ʻana i ka ʻeha, akā ʻo nā loina maʻamau e kālele ana i ka mālama ʻana i ka wahi maʻemaʻe, pulu, a pale ʻia. Hiki i ka hapa nui o nā kānaka ke hoʻi i nā hana maʻamau i loko o kekahi mau lā, ʻoiai e lawe ana ka hoʻōla piha i kekahi mau pule.
Eia ke ʻano e mālama ai i kāu wahi ʻoki i ka wā e ola ai:
E nānā i nā hōʻailona o ka maʻi, ʻaʻole maʻamau akā hiki ke hana. E hoʻokaʻaʻike i kāu kauka lapaʻau inā ʻike ʻoe i ka ʻulaʻula, ka mehana, ka pehu, a i ʻole ka hoʻokuʻu ʻana mai ka ʻeha. ʻO ke kuni a i ʻole nā kaha ʻulaʻula e laha ana mai ka wahi ʻoki e pono ai ka lāʻau lapaʻau koke.
ʻO ka hapa nui o nā kānaka e ʻike i ka ʻeha liʻiliʻi ma hope o ke ʻoki Mohs, me ka ʻoluʻolu e mālama maikaʻi ʻia me ka acetaminophen a i ʻole ibuprofen. ʻOkoʻa ke kaʻina hana hoʻōla ma muli o ka nui a me kahi o kāu ʻoki, akā hoʻōla ka hapa nui o nā ʻeha i loko o ʻelua a ʻehā pule.
ʻO ka hopena maikaʻi loa no ka ʻoki ʻana ʻo Mohs e hui pū ana i ka wehe ʻana i ka maʻi maʻi me nā hopena maikaʻi loa a me nā hana. Hoʻokō kēia hana i nā helu hoʻōla o 98-99% no ka hapa nui o nā maʻi maʻi ʻili, e lilo ana ia i ka lāʻau lapaʻau maikaʻi loa i loaʻa no nā ʻano maʻi maʻi ʻili. ʻO ka pololei o ka ʻenehana ʻo ia hoʻi e loaʻa iā ʻoe ka ʻili liʻiliʻi loa.
ʻAʻole ana ʻia ka holomua e ka wehe ʻana i ka maʻi maʻi wale nō, akā pehea ka maikaʻi o ka hoʻōla ʻana o ka wahi a me ka hana ma hope. No nā maʻi maʻi ma ka maka, nā lima, a i ʻole nā wahi ʻike ʻia, he mea nui ka mālama ʻana i ke ʻano maʻamau. He maikaʻi ka ʻoki ʻana ʻo Mohs i kēia mea no ka mea e mālama ana i ka nui o ka ʻiʻo olakino.
He mea maikaʻi loa ka nānā lōʻihi ma hope o ka ʻoki ʻana ʻo Mohs no ka hapa nui o nā kānaka. He haʻahaʻa loa kou pilikia o ka hoʻi ʻana mai o ka maʻi maʻi ma kahi hoʻokahi, ma lalo o 2% maʻamau. Eia naʻe, ʻo ka loaʻa ʻana o hoʻokahi maʻi maʻi ʻili e hoʻonui i kou pilikia o ka hoʻomohala ʻana i nā maʻi maʻi ʻili hou ma nā wahi ʻē aʻe, no laila he mea nui ka nānā ʻana i ka ʻili.
He maikaʻi nō hoʻi nā hopena hana, ʻoi loa no nā maʻi maʻi kokoke i nā maka, ka ihu, nā pepeiao, a i ʻole ka waha. Kōkua ka pololei o ka ʻoki ʻana ʻo Mohs i ka mālama ʻana i ka hana maʻamau i ka wā e hōʻoiaʻiʻo ana i ka wehe ʻana i ka maʻi maʻi.
Hoʻonui kekahi mau mea i kou hiki ke pono i ka ʻoki ʻana ʻo Mohs no ka mālama ʻana i ka maʻi maʻi ʻili. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua iā ʻoe e hana i nā hoʻoholo i ʻike ʻia e pili ana i ka pale ʻili a me ka ʻike mua. Pili nā mea pilikia nui i ka ʻike ʻana i ka lā, nā genetics, a me ka mōʻaukala maʻi maʻi ʻili.
ʻO nā mea pilikia nui loa e alakaʻi ai i ka pono o ka ʻoki ʻana ʻo Mohs, ʻo ia:
Hoʻopili pū kāu hana a me ke ʻano o ke ola i kou pilikia. ʻO ka poʻe e hana ana ma waho, e noho ana i nā wahi lā, a i ʻole e komo ana i nā hana leʻaleʻa ma waho e ʻoi aku ka nui o ka hōʻike ʻana i ka radiation ultraviolet. ʻO ka hoʻohana ʻana i ka moena tanning i loko e hoʻonui nui i ka pilikia o ka maʻi kanesa ʻili.
ʻO ka makahiki kekahi kumu, no ka mea, hoʻonui ka pilikia o ka maʻi kanesa ʻili me ka manawa a me ka hōʻike ʻana i ka lā. Eia naʻe, hiki ke ulu nā maʻi kanesa ʻili i kēlā me kēia makahiki, a ʻaʻole i pale ʻia nā poʻe ʻōpio i kēia pilikia.
He haʻahaʻa ka helu pilikia o ka Mohs surgery, akā e like me nā hana ʻokiʻoki, loaʻa kekahi mau pilikia. ʻO ka hapa nui o nā pilikia he liʻiliʻi a he manawa pōkole, e hoʻoponopono ana i ka wā e hoʻōla ai kou ʻeha. He kakaikahi nā pilikia koʻikoʻi, e hana ana ma lalo o 1% o nā hihia.
ʻO nā pilikia liʻiliʻi maʻamau āu e ʻike ai, penei:
ʻO nā pilikia koʻikoʻi akā kakaikahi e koi i ka lāʻau lapaʻau koke:
E kūkākūkā kāu kauka lapaʻau i kāu mau mea pilikia kikoʻī a e hana i nā hana e hōʻemi i nā pilikia. ʻO ka hahai pono ʻana i nā ʻōlelo aʻo mālama ma hope o ka hana e hōʻemi nui i kou pilikia o nā pilikia i ka wā e hoʻōla ai.
Pono ʻoe e ʻike i ke kauka ʻili me ka wikiwiki inā ʻike ʻoe i nā loli kānalua i kou ʻili, ʻoi loa inā he mau mea pilikia kou no ka maʻi maʻi ʻili. ʻO ka ʻike mua a me ka mālama ʻana i ka maʻi maʻi ʻili e hoʻomaikaʻi nui i nā hopena a hiki ke kōkua iā ʻoe e pale i nā hana nui aʻe. Mai kali inā he mea ʻokoʻa a hopohopo paha.
E hoʻonohonoho i kahi manawa me ke kauka ʻili inā ʻike ʻoe:
Inā ua loaʻa iā ʻoe ka maʻi maʻi ʻili ma mua, e hahai i ka papa manawa i ʻōlelo ʻia e kāu kauka ʻili no nā loiloi ʻili maʻamau. ʻO ka maʻi maʻi ʻili ma mua e hoʻonui nui i kou pilikia o ka hoʻomohala ʻana i nā maʻi maʻi hou, e hana ana i ka nānā ʻana me ka makaʻala.
E hilinaʻi i kou mau manaʻo e pili ana i nā loli i kou ʻili. Inā ʻaʻole maikaʻi ke nānā a i ʻole ke ʻano, ʻoi aku ka maikaʻi e loiloi ʻia e kekahi loea. ʻOi aku ka maʻalahi o ka mālama ʻana i nā maʻi ʻaʻai ʻili i ka wā mua a pinepine e koi i nā kaʻina hana liʻiliʻi ma mua o nā maʻi ʻaʻai holomua.
ʻOi aku ka maikaʻi o ka ʻoihana Mohs no ka basal cell carcinoma a me ka squamous cell carcinoma, e loaʻa ana nā helu hoʻōla o 98-99% no kēia mau maʻi ʻaʻai ʻili maʻamau. He mea pono loa ia no nā ʻōpū nui, nā maʻi ʻaʻai me nā palena maopopo ʻole, a me nā mea i nā wahi i ʻike ʻia. Eia naʻe, ʻaʻole ia ka lāʻau lapaʻau maʻamau no nā maʻi ʻaʻai ʻili a pau.
No ka melanoma, pono ka ʻoihana Mohs i ka loea kūikawā a hoʻohana ʻia i nā kūlana kikoʻī. Noho mau ka excision ākea kuʻuna i ka lāʻau lapaʻau maʻamau no ka hapa nui o nā melanomas. E ʻōlelo aku kāu dermatologist i ke ala lapaʻau maikaʻi loa e pili ana i kāu ʻano maʻi ʻaʻai, kahi, a me nā mea pilikino.
ʻO ka hapa nui o nā kānaka e ʻike i ka ʻoluʻolu liʻiliʻi i ka wā o ka ʻoihana Mohs no ka mea ua ʻānai ʻia ka wahi me ka anesthetic kūloko. E ʻike ʻoe i ka injection mua o ka anesthesia, e ʻeha paha no ka manawa pōkole, akā ʻaʻole pono ka wehe ʻana i ka ʻokiʻoki. Manaʻo kekahi poʻe i ke kaomi a i ʻole ka huki ʻana, akā ʻaʻole ka ʻeha.
Inā ʻoe e ʻeha i ka wā o ke kaʻina hana, e haʻi koke i kāu kauka. Hiki iā lākou ke hāʻawi i ka anesthesia hou e hōʻoia e noho ʻoluʻolu ʻoe i ka wā o ke kaʻina hana. Pīhoihoi ka hapa nui o nā maʻi i ka ʻoluʻolu o ke kaʻina hana.
He ʻokoʻa ka manawa hoʻōla e pili ana i ka nui a me kahi o kāu ʻokiʻoki, akā hoʻi ka hapa nui o nā kānaka i nā hana maʻamau i loko o kekahi mau lā i hoʻokahi pule. Hoʻōla maʻamau ka ʻeha i loko o ʻelua a ʻehā pule, ʻoiai e hoʻomau ana nā hopena cosmetic hope loa i ka hoʻomaikaʻi ʻana no kekahi mau mahina.
Pono ʻoe e pale i ka hoʻoikaika kino ikaika a me ka hāpai ʻana i nā mea kaumaha no hoʻokahi a ʻelua pule e pale ai i ke kahe ʻana o ke koko a e hōʻeleʻele i ka hoʻōla pono. E hāʻawi kāu kauka lapaʻau i nā palena hana kikoʻī e pili ana i kou kūlana pilikino.
He mea hiki ʻole ke pale i kekahi ʻōpala me kekahi ʻoki, akā hoʻemi ka ʻoki ʻana o Mohs i ka ʻōpala ma ka wehe ʻana i ka liʻiliʻi o ka ʻiʻo olakino. Aia ke ʻano hope loa i nā mea e like me ka nui o ka maʻi ʻaʻai, kahi, ke ʻano o kou ʻili, a me ka maikaʻi o kou hoʻōla.
He nui nā ʻōpala e mae nui ana i ka manawa a lilo i mea ʻike ʻole ʻia, ʻoiai me ka mālama ʻeha kūpono a me ka pale ʻana i ka lā. Hiki i kāu kauka lapaʻau ke kūkākūkā i nā koho e like me ke ʻoki hou ʻana a i ʻole ka hoʻoponopono ʻana i ka ʻōpala inā pono e hoʻomaikaʻi i kāu hopena cosmetic.
He haʻahaʻa loa ka helu hou ʻana ma hope o ke ʻoki ʻana o Mohs, ma lalo o 2% no ka hapa nui o nā maʻi ʻaʻai ʻili. ʻO kēia ka mea e lilo ai i ka lāʻau lapaʻau maikaʻi loa i loaʻa no nā ʻano maʻi ʻaʻai ʻili. Eia naʻe, ʻo ka loaʻa ʻana o hoʻokahi maʻi ʻaʻai ʻili e hoʻonui i kou pilikia o ka hoʻomohala ʻana i nā maʻi ʻaʻai hou ma nā wahi ʻē aʻe o kou kino.
He mea nui nā koho ukali maʻamau me kāu dermatologist no ka nānā ʻana i kou ʻili a me ka ʻike ʻana i nā maʻi ʻaʻai hou i ka wā mua. ʻO ka hapa nui o nā hana hou, inā loaʻa lākou, e hana i loko o nā makahiki mua ma hope o ka mālama ʻana.
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