Chii chinonzi Mohs Surgery? Chinangwa, Maitiro & Mhedzisiro

Mohs surgery inzira chaiyo inobvisa kenza yeganda nechikamu chimwe panguva imwe ichichengetedza nyama yakawanda ine hutano sezvinobvira. Iyi nzira yakakosha inobatanidza kuvhiyiwa nebasa re laboratory munguva chaiyo, ichibvumira chiremba wako kuvhiya kuti aongorore chikamu chimwe nechimwe chakabviswa pasi pemicroscope nekukasira. Inoonekwa seyakajairika yekurapa mhando dzekenza yeganda nekuti inowana mitengo yepamusoro yekurapa ichideredza mavanga.

Chii chinonzi Mohs Surgery?

Mohs surgery imhando yekurapa kenza yeganda inobvisa nyama ine kenza chimwe chikamu chakatetepa panguva imwe. Chiremba wako anovhiya anoita sevanovhiya uye pathologist, vachiongorora chikamu chimwe nechimwe chakabviswa pasi pemicroscope nekukasira. Iyi ongororo yekukasira inovabvumira kuti vaone chaizvo kwakagara masero ekenza uye kubvisa chete zvakakosha.

Nzira iyi yakagadzirwa naDr. Fredrick Mohs muma1930s uye yakagadziridzwa kwemakumi emakore. Chinoita kuti ive yakasarudzika ndiyo ongororo ye microscopic inoitika panguva yekuita kwako. Panzvimbo pokubvisa nzvimbo huru yenyama uye kutarisira kuwana kenza yose, chiremba wako anovhiya anogona kuronga chaizvo kwakawedzera kenza uye kuibvisa nekuvhiya kwakanyatsojeka.

Iyi nzira inokosha zvikuru nokuda kwekenza yeganda munzvimbo dzinoita sevanhu vakawanda dzakadai sechiso chako, maoko, tsoka, uye nhengo dzepabonde. Iyi nzira inochengetedza huwandu hwakawanda hwenyama ine hutano ichiita kuti kenza ibviswe zvakakwana.

Nei Mohs Surgery ichiitwa?

Mohs surgery inokurudzirwa kana uine kenza yeganda inoda kubviswa kwakanyatsojeka sezvinobvira. Chiremba wako we dermatologist angakurudzira iyi nzira kana excision yakajairika ingasava sarudzo yakanakisisa yezvinhu zvako zvakakosha. Chinangwa ndechekurapa kenza yako uchichengetedza nyama yakawanda yakajairika sezvinobvira.

Maitiro aya anoshanda zvakanaka zvikuru kune basal cell carcinoma uye squamous cell carcinoma, marudzi maviri anowanzoitika ekenza yeganda. Dzimwe nguva inoshandiswawo kune mamwe melanomas, kunyange izvi zvisingawanzoitiki uye zvinoda hunyanzvi hwakakosha.

Zvimwe zvinhu zvinoita kuti uve munhu akakodzera kuvhiyiwa kweMohs, uye chiremba wako achanyatsofungisisa mamiriro ako akasiyana:

• Nzvimbo yekenza yako munzvimbo dzakakosha dzekushongedza senge kumeso kwako, nzeve, maoko, tsoka, kana nhengo dzepabonde
• Tumors hombe dzinoda kubviswa kwakakura kwetishu nekushanda kwakajairika
• Kenza ine miganhu isina kujeka kana isina kujairika yakaoma kutsanangura
• Kenza dzinodzokera dzadzoka mushure mekurapwa kwapfuura
• Mhando dzekenza dzine hasha dzinowanzoenda nenzira dzisingafungidzike
• Kenza munzvimbo dzakachengetedzwa kwetishu kwakakosha kubasa

Chiremba wako achafungawo nezvesarudzo iyi kana uine immune system yakakanganiswa kana kana uri kutora mishonga inokanganisa kupora. Zvinhu izvi zvinogona kuita kuti kubviswa kwekenza kwakanyatsojeka kuve kwakakosha kumuviri wako wenguva refu.

Maitiro ekuvhiyiwa kweMohs chii?

Maitiro ekuvhiyiwa kweMohs anoitika mumatanho mukati mezuva rimwe, kazhinji muhofisi yechiremba wako wezvematanda. Ucharamba wakamuka panguva yekuvhiyiwa, uye anesthesia yemuno inokuchengeta wakasununguka. Maitiro acho anogona kutora maawa akati wandei, zvichienderana nekuti mangani matete anofanira kubviswa.

Zvinoitika panguva yemaitiro ako, nhanho nhanho:

1. Chiremba wako anoshinhira nzvimbo yacho nemushonga weanesthetic wemuno uye anonyora miganhu yechimere chinoonekwa
2. Vanobvisa rukoko rwekutanga rwakatetepa rwetishu, kusanganisira chimere chinoonekwa uye muganhu mudiki weganda rinoita serakajairika
3. Tishu yakabviswa inobva yagadziriswa, yozvitsva, uye yochekwa kuita zvikamu zvitete kuti iongororwe nemicroscopic
4. Chiremba wako anoongorora mupendero wese uye nzvimbo yepasi yetishu yakabviswa pasi pemicroscope
5. Kana maseru ekenza akawanikwa, vanonyora chaizvo kwavanenge vari pamapu akadzama uye vanobvisa rumwe rukoko kubva kunzvimbo iyoyo chaiyo
6. Iyi nzira inoenderera mberi kusvika pasina maseru ekenza anowanikwa mune chero nzira

Pakati pechikamu chimwe nechimwe, iwe uchamirira munzvimbo yakasununguka apo chiremba wako anogadzirisa uye anoongorora tishu. Iyi nguva yekumirira inowanzo tora maminitsi makumi matatu kusvika makumi matanhatu pachikamu chimwe nechimwe. Mazhinji ekenza anobviswa zvachose mukati mechikamu chimwe kusvika kuzvitatu, kunyangwe zvimwe zvingada zvakawanda.

Kana kenza yese yabviswa, chiremba wako achakurukura sarudzo dzekuvhara ronda. Dzimwe nguva nzvimbo yacho inopora zvakanaka yega, nepo dzimwe nguva iwe unogona kuda tsono, ganda graft, kana kuvhiyiwa kwekuvaka zvakare kuti uwane mhedzisiro yakanaka yekushongedza uye inoshanda.

Maitiro ekugadzirira kuvhiyiwa kwako kweMohs?

Kugadzirira kuvhiyiwa kweMohs kunosanganisira zvese zvinoshanda uye zvekufunga nezvekurapa. Chiremba wako achakupa mirairo chaiyo, asi kugadzirira kwakawanda kunotarisa pakuona kuti unonzwa wakasununguka pazuva refu rinogona kuuya. Ronga kupedza zuva rakawanda panzvimbo yekurapa, sezvo maitiro acho anogona kutora maawa akati wandei.

Heano matanho akakosha ekugadzirira maitiro ako:

• Rongedza zvekufamba, sezvo ungave wakaneta kana uine bhandeji rinoita kuti kutyaira kuomere
• Pfeka mbatya dzakasununguka, dzisina kusimba dzisingazokwesheri panzvimbo yakavhiyiwa
• Uya nezvokudya zviduku, mvura, uye chimwe chinhu chekukuchengeta wakabatikana panguva dzokumirira
• Tora mishonga yako yenguva dzose kunze kwekunge wapiwa mirairo yakasiyana
• Dzivisa mishonga inotetesa ropa yakaita seaspirin kana ibuprofen kwevhiki imwe isati yavhiyiwa, kunze kwekunge zvichidiwa nachiremba
• Rega kusvuta kana zvichibvira, sezvo zvichigona kukanganisa kupora

Chiremba wako achatarisa nhoroondo yako yezvokurapa uye mishonga iripo panguva yekubvunzana kwako usati wavhiyiwa. Vachatsanangurawo zvokutarisira uye kupindura mibvunzo ipi neipi yaunayo pamusoro pekuvhiyiwa.

Kana uine hanya zvikuru pamusoro pekuvhiyiwa, kurukura izvi nachiremba wako. Vanogona kupa nzira dzekukubatsira kuti unzwe wakasununguka uye vanogona kukurudzira kunyaradza kuduku kana zvakakodzera kumamiriro ako ezvinhu.

Maitiro ekuverenga Mhedzisiro yako yeMohs Kuvhiyiwa?

Mhedzisiro yako yeMohs kuvhiyiwa inosarudzwa munguva chaiyo panguva yekuvhiyiwa pachayo. Kusiyana nekumwe kuvhiyiwa kwaunomirira mazuva kuti uwane mhedzisiro yepathology, iwe uchaziva pakarepo kana kenza yese yabviswa. Chiremba wako achakuudza paakawana "migumo yakajeka," zvinoreva kuti hapana maseru ekenza akawanikwa mumativi ekupedzisira akaongororwa.

Kubudirira kwekuvhiyiwa kwako kunoyerwa nekubviswa kwakakwana kwekenza, iyo Mohs kuvhiyiwa inowana muzviitiko zve98-99% zvekenza dzeganda dzakawanda. Chiremba wako achakupa mushumo wakadzama unosanganisira nhamba yematanho anodiwa, saizi yekupedzisira yenzvimbo yakabviswa, uye nzira yakashandiswa kuvhara ronda.

Mushumo wako wepathology uchanyorawo rudzi rwekenza yakabviswa uye chero hunhu hwakakosha hwakacherechedzwa. Ruzivo urwu runobatsira chiremba wako wezvirwere zveganda kuronga kutarisirwa kwako kwekuongorora uye kusarudza kuti unofanirwa kuongororwa kakawanda sei nekuda kwekenza itsva dzeganda.

Mhedzisiro yakananga ye kuvhiyiwa kweMohs zvinoreva kuti iwe uchabva muhofisi uchiziva kuti kenza yako yabviswa zvachose. Izvi zvinogona kupa rugare rwakakura rwepfungwa kana zvichienzaniswa nekumirira mhedzisiro yechinyakare yepathology.

Maitiro ekuchengeta saiti yako yekuvhiya yeMohs?

Kuchengeta saiti yako yekuvhiya yeMohs nemazvo kunobatsira kuona kupora kwakanaka uye mhedzisiro yakanaka yekushongedza. Chiremba wako achapa mirairo chaiyo yekuchengeta ronda, asi mitemo yakajairika inotarisa kuchengeta nzvimbo yakachena, yakanyorova, uye yakachengetedzwa. Vanhu vazhinji vanogona kudzokera kuzviitiko zvavo zvenguva dzose mukati memazuva mashoma, kunyangwe kupora kwakakwana kunotora mavhiki akati wandei.

Hezvino maitiro ekuchengeta saiti yako yekuvhiya panguva yekupora:

• Chengeta bhandeji rakaoma uye rakachena kwemaawa ekutanga 24-48
• Shandisa mafuta ekuzora antibiotic sezvakarairwa, kazhinji kaviri pazuva
• Vhara ronda nebhandeji rakachena kusvikira rapora zvizere
• Dzivisa kurovedza muviri zvakanyanya kana kusimudza zvinhu zvinorema kwesvondo rimwe kana maviri
• Dzivirira nzvimbo kubva kuzuva, kunyangwe mushure mekupora
• Tora mushonga wekurwadziwa usina mvumo sezvinodiwa nekusagadzikana

Tarisa zviratidzo zvehutachiona, izvo zvisingawanzoitiki asi zvinogona kuitika. Bata chiremba wako kana ukaona kuwedzera kutsvuka, kudziya, kuzvimba, kana kubuda muronda. Fivha kana mitsetse mitsvuku ichibva panzvimbo yekuvhiya inodawo kutariswa kwekurapa nekukasira.

Vanhu vazhinji vanonzwa kurwadziwa kushoma mushure mekuvhiyiwa kweMohs, nekusagadzikana kunowanzo manejwa zvakanaka ne acetaminophen kana ibuprofen. Maitiro ekupora anosiyana zvichienderana nehukuru nenzvimbo yekuvhiya kwako, asi maronda mazhinji anopora zvizere mukati memavhiki maviri kusvika mana.

Chii chiri Mhedzisiro Yakanaka yeKuvhiyiwa kweMohs?

Mhedzisiro yakanakisa yekuvhiyiwa kweMohs inosanganisa kubviswa kwakakwana kwekenza pamwe chete nemhedzisiro yakanaka yekushongedza uye yekushanda. Maitiro aya anowana mitengo yekurapa ye98-99% yemarudzi mazhinji ekenza yeganda, zvichiita kuti ive kurapwa kunoshanda zvakanyanya kunowanikwa kune marudzi mazhinji ekenza yeganda. Kurongeka kwemaitiro aya zvinorevawo kuti iwe uchava nechikweshwa chidiki chinogoneka.

Kubudirira kunoyerwa kwete chete nekubviswa kwekenza, asiwo nekuti nzvimbo yacho inopora sei uye inoshanda sei mushure meizvozvo. Kune mhando dzekenza dziri pachiso, maoko, kana dzimwe nzvimbo dzinooneka, kuchengetedza chitarisiko chakajairika kwakakosha. Kuvhiyiwa kweMohs kunobudirira mune izvi nekuti kunochengetedza huwandu hukuru hwezvinyama zvine hutano.

Tarisiro yenguva refu mushure mekuvhiyiwa kweMohs yakanaka kune vanhu vazhinji. Njodzi yako yekuti kenza idzoke munzvimbo imwechete yakaderera zvakanyanya, kazhinji isingasviki 2%. Zvisinei, kuva nekenza yeganda imwechete kunowedzera njodzi yako yekuvandudza mhando itsva dzekenza yeganda kune imwe nzvimbo, saka kuongororwa kweganda nguva dzose kunoramba kwakakosha.

Mhedzisiro yekushanda inowanzoitawo yakanaka, kunyanya kune mhando dzekenza dziri pedyo nemaziso, mhino, nzeve, kana muromo. Kurongeka kwekuvhiyiwa kweMohs kunobatsira kuchengetedza basa rakajairika uku ichiita kuti kubviswa kwakakwana kwekenza.

Ndezvipi Zvinhu Zvinokonzera Kuda Kuvhiyiwa kweMohs?

Zvimwe zvinhu zvinowedzera mukana wako wekuda kuvhiyiwa kweMohs kurapwa kwekenza yeganda. Kunzwisisa izvi zvinhu zvinokonzera njodzi zvinokubatsira kuti uite sarudzo dzine ruzivo nezvekudzivirirwa kweganda uye kuongororwa kwekutanga. Zvinhu zvekutanga zvinokonzera njodzi zvinoreva kuratidzwa nezuva, genetics, uye nhoroondo yekare yekenza yeganda.

Zvinhu zvakakosha zvinokonzera njodzi zvinogona kutungamira mukuda kuvhiyiwa kweMohs zvinosanganisira:

• Kuwanda kwezuva muhupenyu hwese, kunyanya kupisa kwakanyanya kwezuva panguva yehudiki
• Ganda jena, bvudzi rakareruka, uye ruvara rwemaziso rwakajeka
• Nhoroondo yemhuri yegomarara reganda, kunyanya melanoma
• Kutanga kuongororwa kwegomarara reganda, izvo zvinowedzera njodzi yegomarara idzva
• Muviri usina simba nekuda kwezvirwere kana mishonga
• Kusangana ne radiation therapy, kunyanya panguva yehudiki
• Mamwe mamiriro emagene anowedzera njodzi yegomarara reganda

Basa rako uye mararamiro ako zvinokanganisawo njodzi yako. Vanhu vanoshanda panze, vanogara munzvimbo dzine zuva, kana kutora chikamu mumitambo yekunze vane kusangana kwakanyanya ne ultraviolet radiation. Kunyange kushandiswa kwemubhedha we tanning mukati memba kunowedzera zvakanyanya njodzi yegomarara reganda.

Zera ndechimwe chinhu, sezvo njodzi yegomarara reganda ichiwedzera nekufamba kwenguva uye kuwanda kwezuva. Zvisinei, gomarara reganda rinogona kukura pazera ripi zvaro, uye vanhu vaduku havana immune kune iyi njodzi.

Ndezvipi Zvinogona Kuitika zveMohs Surgery?

Mohs surgery ine chiyero chiduku chekuoma, asi semamwe maitiro ekushanda, inotakura njodzi. Zvinetso zvakawanda zviduku uye zvenguva pfupi, zvichigadzirisa sezvo ronda rako richipora. Zvinetso zvakakomba hazviwanzowanikwi, zvichiitika mune isingasviki 1% yezviitiko.

Zvinetso zviduku zvaungasangana nazvo zvinosanganisira:

• Kusanzwa kwenguva pfupi kutenderedza nzvimbo yekuvhiya, iyo inowanzo gadzirisa mukati memavhiki kusvika kumwedzi
• Kubuda ropa kuduku kunomira nekumanikidzwa uye kutarisirwa kwakanaka kwemavanga
• Kuzvimba kwenguva pfupi uye kupwanya, kunyanya kutenderedza maziso
• Kusiyana kuduku kana shanduko mumagadzirirwo eganda sezvo nzvimbo ichipora
• Kurasikirwa kwebvudzi kwenguva pfupi kana kuvhiyiwa kuchibatanidza nzvimbo dzine bvudzi

Zvinetso zvakakomba asi zvisingawanzoitiki zvinoda kutariswa kwekurapa nekukurumidza:

• Utachiona panzvimbo yekuvhiyiwa, iyo inopindura zvakanaka kurapwa kwemishonga inorwisa mabhakitiriya
• Kukuvadzwa kwetsinga kunokonzera kuoma mitezo kana kusava nesimba zvachose
• Kupora kwemavanga kusina kunaka, kunyanya muvanhu vane chirwere cheshuga kana matambudziko ekutenderera kweropa
• Maitiro ekurwara nemishonga yekuzorodza kana mafuta ekuzora anorwisa mabhakitiriya
• Kuvhiringidzika kwakanyanya, kunyangwe izvi zvichideredzwa nekunyatsoita kwekuvhiyiwa kweMohs

Chiremba wako achakurukura njodzi dzako dzakakosha uye achatora matanho ekuderedza matambudziko. Kutevera mirairo yekuchengetedza mushure mekuvhiyiwa zvakanyanya kunoderedza njodzi yako yematambudziko panguva yekupora.

Ndingatarisira Chiremba Rinhi Nezve Shanduko Dzeganda?

Unofanirwa kuona chiremba wezvirwere zveganda nekukurumidza kana ukaona chero shanduko dzinofungira paganda rako, kunyanya kana uine njodzi yegomarara reganda. Kuongororwa nekukurumidza uye kurapwa kwegomarara reganda kunovandudza zvakanyanya mhedzisiro uye kunogona kukubatsira kudzivirira maitiro akawanda. Usamirira kana chimwe chinhu chikaonekwa chakasiyana kana chinonetsa.

Ronga kugadzwa nachiremba wezvirwere zveganda kana ukaona:

• Kukura kutsva, zvimedu, kana mavara anoita akasiyana nemamwe mavanga ako eganda
• Zvimedu zviripo zvinoshanduka muhukuru, chimiro, ruvara, kana magadzirirwo
• Maronda asingapori mukati memavhiki maviri kusvika matatu
• Mavara anobuda ropa, anotsvaira, kana kuva akapfava pasina chikonzero chinooneka
• Zvigamba zvine makwapa zvinoramba zviripo pasinei nekunyudza
• Chero shanduko yeganda inoita kana kunzwa yakasiyana neganda rako rakajairika

Kana wakambove negomarara reganda kare, tevera chirongwa chakarairwa nachiremba wako wezvirwere zveganda chekutarisa ganda nguva dzose. Gomarara reganda rakapfuura rinowedzera zvakanyanya njodzi yako yekuvandudza magomarara matsva, zvichiita kuti kuongorora nekuchenjerera kuve kwakakosha.

Vimba nezvawakaita pamusoro peshanduko paganda rako. Kana chimwe chinhu chisingataridzike kana kunzwa zvakanaka, zviri nani kuti chiongororwe nenyanzvi. Kanza dzeganda dzemumatangiro ekutanga dziri nyore kurapa uye dzinowanzoita nzira shoma dzakaoma kupfuura kanza dzakakura.

Mibvunzo Inowanzoitwa Pamusoro peMohs Surgery

Mohs Surgery Yakanakira Mhando Dzese dzeKanza Yeganda here?

Mohs surgery inoshanda zvakanyanya kune basal cell carcinoma uye squamous cell carcinoma, ichiwana mitengo yekurapa ye98-99% yeakanza eganda aya anowanzoitika. Inonyanya kushanda kune tumor hombe, kanza dzine miganhu isina kujeka, uye idzo dziri munzvimbo dzinoita zvakanaka. Zvisinei, haisi iyo nzira yekurapa yakajairika yeakanza ese eganda.

Ye melanoma, Mohs surgery inoda hunyanzvi hwakakosha uye inoshandiswa mumamiriro ezvinhu chaiwo. Kucheka kwakakura kwechinyakare kunoramba kuri kurapwa kwakajairika kwemelanomas zhinji. Chiremba wako wezvematanda achakurudzira nzira yakanakisa yekurapa zvichienderana nerudzi rwekanza yako, nzvimbo, uye zvinhu zvako.

Mohs Surgery Inorwadza Panguva yeNzira?

Vanhu vazhinji vanonzwa kusagadzikana kushoma panguva yeMohs surgery nekuti nzvimbo yacho inonyatsogadziriswa nemishonga yekuzora. Iwe uchanzwa jekiseni rekutanga reanesthesia, iro rinogona kurwadza zvishoma, asi kubviswa kwekuvhiya pachako hakufaniri kurwadza. Vamwe vanhu vanonzwa kumanikidzwa kana kunzwa kukwevera, asi kwete kurwadziwa.

Kana iwe ukanzwa kusagadzikana panguva yekuita, udza chiremba wako wekuvhiya nekukasira. Vanogona kupa imwe anesthesia kuti vave nechokwadi chekuti unogara wakasununguka panguva yekuvhiya. Varwere vazhinji vanoshamiswa nekuti nzira yacho inonyatsoita sei.

Kupora Kunotora Nguva Yakareba Sei Mushure meMohs Surgery?

Nguva yekupora inosiyana zvichienderana nehukuru nenzvimbo yekuvhiya kwako, asi vanhu vazhinji vanodzoka kuzviitiko zvakajairika mukati memazuva mashoma kusvika vhiki. Ronda rinowanzoita zvakakwana mukati memavhiki maviri kusvika mana, kunyangwe mhedzisiro yekupedzisira yekuzora inogona kuramba ichivandudza kwemwedzi yakati wandei.

Unofanira kudzivisa kurovedza muviri zvakanyanya uye kusimudza zvinhu zvinorema kwemavhiki maviri kusvika mavhiki matatu kudzivirira kubuda ropa uye kusimudzira kupora kwakanaka. Chiremba wako achapa zvirambidzo zvakakosha zvekuita zvichienderana nemamiriro ako ega.

Ndichava Nechiratidzo Chinooneka Mushure meMohs Surgery?

Kumwe kucheka kunogona kuitika nechero kuvhiyiwa, asi Mohs surgery inoderedza kucheka nekubvisa huwandu hushoma hwezvinyama zvine hutano zvinogoneka. Kuonekwa kwekupedzisira kunoenderana nezvinhu zvakaita sehukuru hwegomarara, nzvimbo, rudzi rweganda rako, uye kuti unopora sei.

Mavanga mazhinji anonyangarika zvakanyanya nekufamba kwenguva uye anova asingacherechedzeki, kunyanya nekuchengetwa kwakanaka kwemavanga uye kudzivirirwa kwezuva. Chiremba wako anogona kukurukura sarudzo dzakaita sekuvhiyiwa kwekuvaka kana kugadzirisa mavanga kana zvichidikanwa kuti uwedzere mhedzisiro yako yekushongedza.

Gomarara reganda rinogona kudzoka here Mushure meMohs Surgery?

Chiyero chekudzoka mushure meMohs surgery chakaderera zvakanyanya, kazhinji isingasviki 2% yemarudzi mazhinji egomarara reganda. Izvi zvinoita kuti ive iyo inonyanya kushanda kurapwa iripo kune marudzi mazhinji egomarara reganda. Zvisinei, kuva negomarara reganda rimwe kunowedzera njodzi yako yekuvandudza magomarara matsva kune imwe nzvimbo pamuviri wako.

Kugara uchionana nachiremba wako wezvirwere zveganda kwakakosha pakuongorora ganda rako uye kuona chero magomarara matsva kare. Kudzokera kwakawanda, kana kukaitika, kunoitika mukati memakore mashoma ekutanga mushure mekurapa.