Ukwelashwa Kwakho Kokuvuselela I-Cancer Cancer - Kwenziwe Kanjani
Kwenzekani ngesikhathi sokuhlinzwa kwakho kokuthutha kabusha kwe-Mohs yomdlavuza wesikhumba?
Iyini Ukuhlinzwa Kokuvuselelwa KwamaMos?
Ngemuva kokuhlinzwa kukaMos ukususa lesi sifo somdlavuza wesikhumba, udokotela wakho ohlinzayo angenza ukuvalwa okulula ngokwakhe noma ungase uncome ukuhlinzwa okuvuselela emuva. Lolu hlobo lwe-plastic reconstructive operation lungenziwa ngokushesha ngemuva kokuba noma yisiphi isifo somdlavuza sesikhumba sisusiwe.
Izinketho zakho zokwakhiwa kabusha kwe-Post-Mohs
Kubalulekile ukuqonda ukuthi akukho "ifomula" eyodwa yokwenza umsebenzi wokuvuselela emuva we-Mohs kusukela izindawo, amanani, nezinhlobo zezicubu ezithintekayo zihlukile kumuntu nomuntu. Kodwa-ke, amasu athile asetshenziswe kakhulu ahlanganisa:
- Amasu okugqumisa ( inqubo evame ukusetshenziswa kakhulu ekuvuselelweni kwesifo somdlavuza wesikhumba ngemuva).
- I-Bone ehlanganiswa (I-Bone ivame ukuthathwa kusukela ku-skull futhi ihloselwe ukufakwa kwisayithi lokuzikhethela.)
- I-cartilage grafting (Isayithi elivame kakhulu le-donor ye-cartilage yindlebe, kodwa isibambo se-cartilage sisetshenziswa futhi.)
- Ukwandiswa kwezicubu (Izandiso zamathambo zisetshenziselwa amaphesenti amancane abantu.)
- I-graft yekhanda (i-graft yekhanda isetshenziselwa ukuvuselela ubuso ebusweni njalo.)
Ukwelashwa Kwezokuthutha Kwe-Post-Mohs - Kwenziwe Kanjani
Kunezinyathelo ezimbalwa ezijwayelekile kubantu abaningi abanokuhlinzwa okuvuselela emuva kwe-Mohs.
Ngaphambi kokuqala ukuhlinzeka noma ukuhlinzeka ngezinzwa zokubulala izinzwa, udokotela wakho ohlinzayo uzoqinisekisa ukuthi uqonda kahle imigomo yenqubo kanye nezingozi ezingenzeka. Uzocelwa ukuba usayine ifomu lesivumelwane solwazi elichaza ukuthi uyaqonda isizathu senqubo, kanye nezinkinga ezingenzeka.
Uzokwaziswa futhi ngalokho okufanele ukwenze ngaphambi kwenqubo. Lokhu kungabandakanya ukugwema noma yikuphi ukudla noma isiphuzo isikhathi esithile, futhi ngezinye izikhathi udokotela wakho ohlinzayo angakuthola ubusuku ngobusuku ngaphambi kokusebenzisa isepha ekhethekile. Ngosuku lwenqubo, umdlavuza wakho wesikhumba ungasuswa noma i-dermatologist noma ngokuhlinzwa okwenziwa epulasitiki okwenza kabusha kabusha kwakho kwe-Mohs. Khona-ke:
I-anesthesia inikezwa. Ukuvuselelwa komdlavuza wesikhumba kungenziwa ngaphansi kwe-anesthhesia yendawo , isilation sedravenous (eyaziwa nangokuthi ukunakekelwa kwe-anesthesia ephethwe (MAC) noma "ukulala kwe-twilight"), noma i- anesthesia ejwayelekile . Udokotela wakho uzokutusa isinqumo esingcono kakhulu kuwe, ngokusekelwe kulokho okuvame ukusebenza kahle ngenqubo onayo, kanye nanoma yiziphi ezinye izimo zezokwelapha ongabazo. Uma udokotela wakho ohlinzayo we-plastiki engaphezulu kwe-lesion, kuzokwenziwa ngalesi sigaba. I-lesion encane enezimingcele ezichazwe kahle ingase isuswe ngenqubo elula yokuhlinzwa ebizwa ngokuthi ukuzikhethela.
Isilonda sisuswa. Lesi sinyathelo kungenzeka sesigcwaliswe kakade ngenqubo ehlukile ngaphandle kokuthi udokotela wakho ohlinzayo we-plastic uphinde ususe lesi sifo noma usebenza nodokotela wakho ohlinzayo we-dermatological njengeqembu enkambisweni eyodwa. Qaphela: Uma i-lesion yakho yayincane nemingcele echazwe kahle, inqubo yokuhlinzwa elula ebizwa ngokuthi ukucabangela ingase isetshenziselwe ukuyisusa. Uma kwakukhudlwana ngaphandle kwemingcele echazwe kahle, ukuhlinzeka nge-Mohs cishe kwakudingeka.
Inxeba ivaliwe. Uma inqubo yakho ibe yinto elula, lokhu kuyinkqubo eqondile. Uma, noma kunjalo, ukuhlinzwa okweMyhs okuyinkimbinkimbi kwakudingeka, kunezinketho eziningi zokulungisa ukukhubazeka okushiywe ngemuva kokususwa kwesilonda.
Kungakhathaliseki ukuthi amasu asetshenzisiwe, udokotela wakho ohlinzayo ozohlinzeka lapho ekwazi ukuqinisekisa ukuthi umzila oholela ekutheni ubekwe eceleni ukuze ulandele ukukhanya kwemvelo nemigqa yobuso bakho, ukuze unciphise ukubonakala kobuhlungu bakho.
Ngemuva kokuhlinzwa. Uzogcinwa okwesikhashana emva kokuhlinzwa kwakho sekuphelile, bese unikezwa imiyalelo yokubuyela ekhaya.
Abanye abantu, ikakhulukazi labo abanenkambiso ye-flap, banganikezwa imithi ye-antibiotics ukuthi bayithathe ekhaya. Kubalulekile ukukhuluma nodokotela wakho ohlinzayo mayelana nezimpawu zokutheleleka nokuthi nini ukubiza. Ngokuvame ukwenziwa udokotela wakho ohlinzayo akucele ukuba ushayele uma uthuthukisa umkhuhlane ongu-101F, ukwanda obomvu, ubuhlungu, noma ukukhishwa. Uma unikezwa ngama-antibiotics ukuthatha, qiniseka ukuthi uqede konke lokhu. Enye yezinto ezibaluleke kakhulu ongayenza ukuze unciphise amathuba okutheleleka ukugwema ukubhema, njengoba ukubhema kuphazamisa ukuphulukiswa ngemuva kokuhlinzwa kweplastiki.
Ngemuva kokuhlinzwa kokwakhiwa kwe-Post-Mohs
Kubalulekile ukuphawula lapha ukuthi cishe amaphesenti angu-15 abantu, ukuvuselelwa ngemuva kokukhishwa komdlavuza wesikhumba kufanele kwenziwe okungenani izigaba ezimbili. Lokhu kuyiqiniso ikakhulukazi lapho kusetshenziswe izinhlobo ezithile zezindlela zokugqumisa. Isigaba sokuqala sidala futhi sihlale siphakamiso, futhi isigaba sesibili "izigaba" noma sihlukanisa i-flap kusuka endaweni yayo yangempela kanye negazi. Ngakho-ke, uma usuvele uphinde uphinde uhlinzeke ngegazi kulesilonda sesisungulwe ngokwanele, ukuhlinzekwa kwesibili kungadingeka ukuthi kuhlelwe ukuhlelwa kabusha.
Ukwelashwa ngaphandle kwekhamera ye- flap kungase kudingeke futhi izinqubo ezengeziwe ukuze uthole umphumela wezimonyo oyifunayo. Kungaba usizo ukukhuluma nodokotela wakho ohlinzayo ngaphambi kokuhlinzwa kwakho mayelana nokulindela kwakhe, nokuthi ngabe ukholelwa ukuthi yonke indawo yokwakha ingenziwa ngenqubo eyodwa, noma uma ilindele ukuthi uzodinga inqubo engaphezu kweyodwa.
Funda kabanzi mayelana nokuhlinzwa kokwakhiwa kabusha emva kwekhanda lomzimba
Uma ufuna ukuthola okwengeziwe mayelana nokuhlinzwa okuvuselelayo ngemuva kokususwa komdlavuza wesikhumba, kufaka phakathi ukuthi kwenziwa kanjani, izinketho zakho, nokuthi kwenzekani ngemuva kokuhlinzwa. Thatha isikhathi sokufunda mayelana nokuvuselelwa kombuso ngemuva kokuhlinzwa komdlavuza wesikhumba . Ungase ufise ukubuka ezinye ngaphambi nangemva kwezithombe zokuvuselela ngemuva komdlavuza wesikhumba . Uma unesisu esibuthakathaka uma kuziwa ekubukeni izithombe zezokwelapha, ungase ufise ukweqa lesi sinyathelo, kodwa abantu abaningi bakuthola bakhuthaza futhi bebaduduza ukubona ukuthi izici zobuso ezibukeka kahle zingabuyiselwa kanjani, ngisho nangemva kokuba umdlavuza omkhulu wesikhumba ususwe .
Imithombo:
UMitchell, R., Mendez, Schmitt, N., Bhrany, A., noN. Futran. I-Antibiotic Prophylaxis ezigulini ezithatha ukuvuselelwa kweNhloko neNeck Free Flap. I-JAMA Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi . 2015. 141 (12): 1096-103.
Patel, S., Liu, J., Murakami, C., Berg, D., Akkina, S., no A. Bhrany. Izimpikiswano Izindleko Zokuqeda Ukwakhiwa Kwekhanda Nenqwaba Ngemuva Kokuhlinzwa Kwe-Microscopic Mohs. I-JAMA Ukuhlinzwa Kwezimboni Ze-Plastic . 2016. 18 (5): 340-6.