Mohs opaleshoni yamagetsi

Mohs micrographic opaleshoni ndi njira yochizira khansa ina yapakhungu. Madokotala ochita opaleshoni a Mohs amatha kuchita izi. Amalola kuti khansa yapakhungu ichotsedwe ndikuwonongeka pang'ono pakhungu lathanzi.

Kuchita opaleshoni ya Mohs kumachitika nthawi zambiri muofesi ya dokotala. Kuchita opaleshoniyi kumayambika m'mawa kwambiri ndipo kumachitika tsiku limodzi. Nthawi zina ngati chotupacho ndi chachikulu kapena mukufuna kumangidwanso, zimatha kutenga maulendo awiri.

Pochita izi, dokotalayo amachotsa khansa m'magawo mpaka khansa yonse itachotsedwa. Dokotalayo:

• Dzudzulani khungu lanu pomwe pali khansa kuti musamve kupweteka. Mumakhala ogalamuka chifukwa cha njirayi.
• Chotsani chotupacho chooneka pamodzi ndi kansalu kakang'ono pafupi ndi chotupacho.
• Yang'anani minofu pansi pa microscope.
• Fufuzani ngati muli ndi khansa. Ngati pakadali khansa pamalowo, adotolo amasanjanso wina ndikuyang'ana pa microscope.
• Pitilizani kubwereza izi mpaka sipadzapezeka khansa wosanjikiza. Kuzungulira konse kumatenga pafupifupi ola limodzi. Kuchita opaleshoni kumatenga mphindi 20 mpaka 30 ndipo kuyang'ana pazosanjikiza pansi pa microscope kumatenga mphindi 30.
• Chitani zovuta za 2 mpaka 3 kuti mupeze khansa yonse. Zotupa zakuya zimafunikira zigawo zina.
• Lekani kutaya magazi kulikonse podzikakamiza, pogwiritsa ntchito kafukufuku wocheperako kutentha khungu (kapena magetsi), kapena kukupatsani ulusi.

Kuchita opaleshoni ya Mohs kumatha kugwiritsidwa ntchito ngati khansa yapakhungu yambiri, monga khansa yapansi yama cell kapena squamous cell. Kwa khansa yambiri yapakhungu, njira zina zosavuta zingagwiritsidwe ntchito.

Kuchita opaleshoni ya Mohs kumakondedwa ngati khansa yapakhungu ili pamalo omwe:

• Ndikofunika kuchotsa tinthu tating'onoting'ono momwe tingathere, monga zikope, mphuno, makutu, milomo, kapena manja
• Dokotala wanu ayenera kutsimikiza kuti chotupa chonsecho chimachotsedwa asanakumangireni
• Pali zipsera kapena mankhwala am'mbuyomu omwe adagwiritsidwa ntchito
• Pali mwayi wokwanira kuti chotupacho chibwererenso, monga m'makutu, milomo, mphuno, zikope, kapena akachisi

Kuchita opaleshoni ya Mohs kungathenso kusankhidwa ngati:

• Khansa yapakhungu idachiritsidwa kale, ndipo sinachotsedwe kwathunthu, kapena kuti idabwereranso
• Khansara yakhungu ndi yayikulu, kapena m'mbali mwa khansa yapakhungu sichidziwika bwinobwino
• Chitetezo cha mthupi lanu sichikugwira ntchito bwino chifukwa cha khansa, chithandizo cha khansa, kapena mankhwala omwe mukumwa
• Chotupacho ndi chozama

Kuchita opaleshoni ya Mohs kumakhala kotetezeka. Ndi opaleshoni ya Mohs, simusowa kuti mugone (anesthesia) monga momwe mungachitire ndi maopaleshoni ena.

Ngakhale ndizosowa, izi ndi zoopsa za opaleshoniyi:

• Matenda.
• Kuwonongeka kwa mitsempha komwe kumayambitsa dzanzi kapena kutentha. Izi nthawi zambiri zimatha.
• Zilonda zazikulu zomwe zimakwezedwa ndi zofiira, zotchedwa keloids.
• Magazi.

Dokotala wanu akufotokozera zomwe muyenera kuchita pokonzekera opaleshoni yanu. Mutha kufunsidwa kuti:

• Lekani kumwa mankhwala ena, monga aspirin kapena othandizira magazi ena. Osasiya kumwa mankhwala akuchipatala pokhapokha dokotala atakuwuzani kuti musiye.
• Lekani kusuta.
• Konzani kuti wina adzakutengereni kunyumba mutatha opaleshoni.

Kusamalira bwino bala lanu mukatha kuchitidwa opaleshoni kumathandiza khungu lanu kuti liziwoneka bwino. Dokotala wanu adzakambirana nanu za zomwe mungachite:

• Bola laling'ono lizidzipulumutsa lokha. Mabala ang'onoang'ono amadzichiritsa okha.
• Gwiritsani ntchito zokopa kuti mutseke bala.
• Gwiritsani zolumikiza khungu. Dotolo amaphimba chilondacho pogwiritsa ntchito khungu kuchokera mbali ina ya thupi lanu.
• Gwiritsani zikopa za khungu. Dokotala amatseka bala ndi khungu pafupi ndi bala lanu. Khungu pafupi ndi chilonda chako limafanana ndi utoto ndi kapangidwe kake.

Kuchita opaleshoni ya Mohs kumachiritsa 99% pochiza khansa yapakhungu.

Ndi opaleshoniyi, minofu yaying'ono kwambiri yomwe imatheka imachotsedwa. Mudzakhala ndi bala laling'ono kuposa momwe mungakhalire ndi njira zina zamankhwala.

Khansa yapakhungu - opaleshoni ya Mohs; Khansara yapakhungu yapakhungu - Opaleshoni ya Mohs; Khansa yapakhungu yama squamous - Opaleshoni ya Mohs

Gulu la Ad Hoc Task, Connolly SM, Baker DR, et al. AAD / ACMS / ASDSA / ASMS 2012 njira zogwiritsa ntchito moyenera kwa Mohs micrographic: lipoti la American Academy of Dermatology, American College of Mohs Surgery, American Society for Dermatologic Surgery Association, ndi American Society for Mohs Surgery. J Am Acad Dermatol. 2012; 67 (4): 531-550. PMID: 22959232 www.ncbi.nlm.nih.gov/pubmed/22959232. (Adasankhidwa)

Tsamba la American College of Mohs Surgery. Njira za Mohs pang'onopang'ono. www.skincancermohssurgery.org/about-mohs-surgery/the-mohs-step-by-step-process. Idasinthidwa pa Marichi 2, 2017. Idapezeka pa Disembala 7, 2018.

Lam C, Vidimos AT. Mohs opaleshoni yamagetsi. Mu: Bolognia JL, Schaffer JV, Cerroni L, olemba. Matenda Opatsirana. Wolemba 4. Philadelphia, PA: Elsevier Saunders; 2018: chap 150.