Kuchotsa zotupa pakhungu

Khungu la khungu ndi gawo la khungu lomwe ndi losiyana ndi khungu lozungulira. Izi zitha kukhala chotupa, chotupa, kapena malo akhungu omwe si abwinobwino. Ikhozanso kukhala khansa yapakhungu.

Kuchotsa zotupa pakhungu ndi njira yochotsera chotupacho.

Njira zambiri zochotsera zotupa zimachitika mosavuta kuofesi ya dokotala kapena ku ofesi yazamachipatala. Mungafunike kukaonana ndi omwe amakupatsani chithandizo chachikulu, dokotala wa khungu (dermatologist), kapena dotolo.

Ndondomeko iti yomwe muli nayo imadalira malo, kukula, ndi mtundu wa zotupa. Chotupacho chimachotsedwa nthawi zambiri chimatumizidwa ku labu komwe chimayesedwa pogwiritsa ntchito microscope.

Mutha kulandira mtundu wina wamankhwala osokoneza bongo musanachitike.

Mitundu yosiyanasiyana ya njira zochotsera khungu zafotokozedwa pansipa.

CHITSIMU CHISANGALALA

Njirayi imagwiritsidwa ntchito pazilonda pakhungu zomwe zimakwera pamwamba pa khungu kapena zili pamwamba pakhungu.

Dokotala wanu amagwiritsa ntchito tsamba laling'ono kuti achotse khungu lakunja pambuyo pake. Dera lomwe lachotsedwa limaphatikizapo zonse kapena gawo la zilondazo.

Nthawi zambiri simusowa zokopa. Pamapeto pa njirayi, mankhwala amaperekedwa kuderalo kuti asiye magazi. Kapenanso malowa amatha kuchiritsidwa ndi cautery kuti asindikize mitsempha yamagazi yotsekedwa. Zonsezi sizidzapweteka.

KUSANGALALA KWABWINO KWAMBIRI

Njira imeneyi imagwiritsidwanso ntchito zotupa pakhungu zomwe zimakwera pamwamba pa khungu kapena zomwe zili pamwamba pakhungu ..

Dokotala wanu amatenga zotupa pakhungu ndi ma forceps ang'onoang'ono ndikukoka pang'ono. Tizitsulo tating'onoting'ono titha kugwiritsidwa ntchito kudula mosamala mozungulira ndi pansi pa chotupacho. Therttte (chida chogwiritsira ntchito kutsuka kapena kupukuta khungu) mwina chimagwiritsidwa ntchito kudula mbali zotsala za zilondazo.

Simudzasowa kawirikawiri. Pamapeto pa njirayi, mankhwala amaperekedwa kuderalo kuti asiye magazi. Kapenanso malowa amatha kuchiritsidwa ndi cautery kuti asindikize mitsempha yamagazi yotsekedwa.

KUSANGALALA KWA Khungu - NTHAWI YONSE

Njira imeneyi imaphatikizapo kuchotsa zotupa pakhungu pakatikati pa khungu mpaka pamafuta pansi pa khungu. Minofu yaying'ono yazing'onoting'ono imatha kuchotsedwa kuti iwonetsetse kuti pali khungu lililonse lomwe lingakhale ndi khansa. Zimakhala zotheka kuchitika ngati pali nkhawa yokhudza khansa yapakhungu.

• Nthawi zambiri, malo omwe mawonekedwe a ellipse (mpira waku America) amachotsedwa, chifukwa izi zimapangitsa kuti zikhale zosavuta kutseka ndi ulusi.
• Chotupacho chimachotsedwa, kupita mozama ngati mafuta, ngati kuli kofunikira, kuti apeze dera lonselo. Kutalikirana kwa chotupacho mwina mamilimita atatu kapena anayi (4) kapena kupitilira apo chotupacho kumatsimikiziranso bwino.

Malowa atsekedwa ndi ulusi. Ngati dera lalikulu litachotsedwa, kulumikizidwa kwa khungu kapena khungwa la khungu labwino kumatha kugwiritsidwa ntchito m'malo mwa khungu lomwe lidachotsedwa.

CURETTAGE NDI Magetsi

Njirayi imaphatikizapo kupukuta kapena kutulutsa zotupa pakhungu. Njira yomwe imagwiritsa ntchito magetsi pafupipafupi, yotchedwa electrodessication, itha kugwiritsidwa ntchito kale kapena pambuyo pake.

Itha kugwiritsidwa ntchito pazilonda zapamwamba zomwe sizikusowa kutulutsa kwathunthu.

KUSANGALALA KWA laser

Laser ndi kamtengo kopepuka kamene kangayang'ane pamalo ochepa kwambiri ndipo kangathe kuthana ndi mitundu yapadera yamaselo. Laser imayatsa maselo am'deralo omwe amathandizidwa mpaka "ataphulika." Pali mitundu ingapo yama lasers. Laser iliyonse imagwiritsa ntchito mwachindunji.

Laser excision akhoza kuchotsa:

• Zilonda kapena zotupa zisanachitike
• Njerewere
• Timadontho-timadontho
• Mawanga a dzuwa
• Tsitsi
• Mitsempha yaying'ono pakhungu
• Zojambula

WOYOYOKA

Cryotherapy ndi njira ya minofu yozizira kwambiri kuti iwonongeke. Amagwiritsidwa ntchito kwambiri kuwononga kapena kuchotsa njerewere, actinic keratoses, seborrheic keratoses, ndi molluscum contagiosum.

Cryotherapy imagwiritsidwa ntchito pogwiritsa ntchito swab ya thonje yomwe yaviikidwa mu nayitrogeni wamadzi, ndi kontena kakang'ono kamene kali ndi nayitrogeni yamadzi, kapena ndi kafukufuku yemwe ali ndi nayitrogeni wamadzi akuyenda. Njirayi imatenga nthawi yochepera mphindi.

Kuzizira kumatha kubweretsa mavuto ena. Dokotala wanu amatha kugwiritsa ntchito mankhwala osokoneza bongo m'deralo poyamba. Pambuyo pa ndondomekoyi, malo omwe amachiritsidwawo amatha kutuluka ndipo chotupacho chidzawonongeka.

ZOCHITSA MOHS

Kuchita opaleshoni ya Mohs ndi njira yothandizira khansa ina yapakhungu. Madokotala ochita opaleshoni a Mohs amatha kuchita izi. Ndi njira yosungira khungu yomwe imalola kuti khansa yapakhungu ichotsedwe ndikuwonongeka pang'ono pakhungu loyenera pozungulira.

Zitha kuchitidwa kukonza mawonekedwe amunthu, kapena ngati chotupacho chikuyambitsa kukwiya kapena kusapeza bwino.

Dokotala wanu angakulimbikitseni kuchotsa chilondacho ngati muli:

• Kukula kwa Benign
• Njerewere
• Timadontho-timadontho
• Zolemba pakhungu
• Seborrheic keratosis
• Actinic keratosis
• Squamous cell carcinoma
• Matenda a Bowen
• Basal cell carcinoma
• Molluscum contagiosum
• Khansa ya pakhungu
• Mavuto ena akhungu

Zowopsa zakuchepetsa khungu zingaphatikizepo:

• Matenda
• Mabala (keloids)
• Magazi
• Kusintha kwa khungu
• Kuchira kovulaza mabala
• Kuwonongeka kwa mitsempha
• Kubwereza kwa zotupa
• Matuza ndi zilonda zam'mimba, zomwe zimabweretsa ululu komanso matenda

Uzani dokotala wanu:

• Za mankhwala omwe mukumwa, kuphatikizapo mavitamini ndi zowonjezera mavitamini, zitsamba, ndi mankhwala owonjezera
• Ngati muli ndi chifuwa chilichonse
• Ngati muli ndi mavuto otaya magazi

Tsatirani malangizo a dokotala anu momwe mungakonzekerere.

Malowa atha kukhala achisangalalo masiku angapo pambuyo pake.

Kusamalira bwino bala lanu kumathandiza khungu lanu kuti liziwoneka bwino. Wothandizira anu azilankhula nanu pazomwe mungasankhe:

• Kulola chilonda chochepa kumadzichiritsa chokha, chifukwa mabala ang'onoang'ono amadzichiritsa okha.
• Kugwiritsa ntchito ulusi kutseka bala.
• Kulumikiza khungu pomwe bala limaphimbidwa pogwiritsa ntchito khungu kuchokera mbali ina ya thupi lanu.
• Kuyika chikopa cha khungu kuphimba chilondacho ndi khungu pafupi ndi chilondacho (khungu pafupi ndi chilondacho limafanana ndi utoto ndi kapangidwe kake).

Kukhala ndi zotupa kuchotsedwa kumagwira ntchito bwino kwa anthu ambiri. Zilonda zina pakhungu, monga njerewere, zimafunika kuthandizidwa kangapo.

Kumeta khungu - khungu; Kutulutsa kwa zotupa pakhungu - zabwino; Kuchotsa zotupa pakhungu - chosaopsa; Cryosurgery - khungu, chosaopsa; BCC - kuchotsedwa; Khansa yapansi yama cell - kuchotsedwa; Actinic keratosis - kuchotsa; Wart - kuchotsa; Cell squamous - kuchotsa; Mole - kuchotsa; Nevus - kuchotsa; Nevi - kuchotsa; Scissor excision; Kuchotsa chikopa cha khungu; Kuchotsa mole; Kuchotsa khansa yapakhungu; Kuchotsa Birthmark; Molluscum contagiosum - kuchotsa; Electrodesiccation - kuchotsa zotupa pakhungu

Dinulos JGH. Zotupa za khungu la Benign. Mu: Dinulos JGH, mkonzi. Chipatala cha Habif's Dermatology. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: mutu 20.

Dinulos JGH. Njira zopangira ma dermatologic. Mu: Dinulos JGH, mkonzi. Chipatala cha Habif's Dermatology. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: mutu 27.

James WD, Elston DM, Chitani JR, Rosenbach MA, Neuhaus IM. Opaleshoni ya laser. Mu: James WD, Elston DM, Tsatirani JR, Rosenbach MA, Neuhaus IM, eds. Matenda a Andrews a Khungu: Clinical Dermatology. Wolemba 13. Philadelphia, PA: Elsevier; 2020: chap 38.

Pfenninger JL. Khungu lakhungu. Mu: Fowler GC, mkonzi. Njira za Pfenninger ndi Fowler Zoyang'anira Poyamba. Wolemba 4. Philadelphia, PA: Elsevier; 2020: mutu 26.

Stulberg D, Wilamowska K. Zilonda zamatenda zotsogola. Mu: Kellerman RD, Rakel DP. okonza. Therapy Yamakono ya Conn 2020. Philadelphia, PA: Elsevier; 2020: 1037-1041.