Opaleshoni Yanu Yothandizira Kukonzekera kwa Khansa Yapakhungu - Momwe Ikugwiritsidwira
Kodi chimachitika ndi chiyani pa ntchito yanu yatsopano yopanga khansa yapakhungu?
Kodi Opaleshoni Yowonongeka ya Mohs Ndi Chiyani?
Pambuyo popanga opaleshoni ya Mohs kuchotsa matenda a kansa ya khungu, dokotala wanu angathe kudziletsa yekha kapena mungapangitse opaleshoni yokonzanso ya Mohs pambuyo pake. Kuchita opaleshoni yamapulasitiki yapamwamba imeneyi ikhoza kuchitidwa mwamsanga pakatha khungu lililonse la khansa la khungu.
Zosankha Zanu Zowonjezeredwa Pambuyo pa Ntchito
Ndikofunika kumvetsetsa kuti palibe "njira" yopangira opaleshoni yowonongeka ya Mohs popeza malo, ndalama, ndi mitundu ya ma tishu omwe amakhudzidwa ndi osiyana ndi munthu aliyense. Komabe, njira zina zomwe zimagwiritsidwa ntchito ndizo:
- Dulani njira (njira yomwe amagwiritsidwa ntchito kawirikawiri kumbuyo kwa kansalu khungu la khungu la khungu.)
- Kuphatikizana kwa mafupa (Thupi limatengedwa kuchokera ku chigaza ndipo limapangidwe kuti liyike ku malo osasunthika.)
- Mankhwala a kadoti (Malo ambiri omwe amapereka chithandizo kwa khungu ndi khutu, koma nthiti yamatenda imagwiritsidwanso ntchito.)
- Kukula kwa minofu (Zowonjezera minofu zimagwiritsidwa ntchito peresenti ya anthu.)
- Khungu la khungu (Skin grafts amagwiritsidwa ntchito mobwerezabwereza kwa kumanganso nkhope.)
Kuchita Opaleshoni Yowonongeka - Posachedwapa
Pali njira zochepa zomwe zimawonekera kwa anthu ambiri omwe akuchitidwa opaleshoni yokonzanso.
Musanayambe opaleshoni kapena kupereka mankhwala osokoneza bongo, dokotala wanu adzaonetsetsa kuti mumamvetsa bwinobwino zolinga zake komanso zoopsa. Mudzafunsidwa kuti mulembe fomu yotsimikiziridwa yovomerezeka yomwe mumanena kuti mumamvetsa chifukwa chake, komanso mavuto omwe angakhalepo.
Mudzapatsanso zomwe mukuyenera kuchita musanachitike. Izi zingaphatikize kupeĊµa chakudya kapena zakumwa zilizonse kwa nthawi ndithu, ndipo nthawi zina dokotala wanu akhoza kukupatsani usana usiku asanagwiritse ntchito sopo wapadera. Patsikuli, kansalu khungu lanu lingachotsedwe ndi dermatologist kapena opaleshoni ya pulasitiki omwe akugwira ntchito yanu yomanganso Mohs. Ndiye:
Anesthesia amaperekedwa. Kumanganso kansalu ya pakhungu kungapangidwe ndi anesthesia , intravenous sedation (yomwe imadziwikanso kuti imayang'aniridwa ndi anesthesia (MAC) kapena "kugona tulo"), kapena anesthesia wamba . Dokotala wanu angakulimbikitseni chisankho chabwino kwambiri pa inu, pogwiritsa ntchito zomwe zimapangitsa kuti muzigwira bwino ntchito zomwe muli nazo, komanso matenda ena omwe mungakhale nawo. Ngati wanu opaleshoni ya opaleshoni ya pulasitiki ndi imene imapangitsa kuti phokoso likhale labwino kwambiri, lichitike pa siteji iyi. Kachilombo kakang'ono kamene kali ndi malire okonzedweratu akhoza kuchotsedwa ndi njira yosavuta yopaleshoni yotchedwa excision.
Chilondacho chachotsedwa. Njirayi ingakhale itatha kale mu njira yosiyana kupatula ngati dokotala wanu opaleshoni ya pulasitiki ndi amene amachotsa zilonda zanu kapena akugwira ntchito ndi dokotala wa dermatological opaleshoni ngati gulu limodzi. Zindikirani: Ngati chilonda chako chinali chaching'ono ndi malire ofotokozedwa bwino, njira yopangira opaleshoni yotchedwa excision ingagwiritsidwe ntchito kuchotsa. Ngati inali yaikulu popanda malire ofotokozedwa bwino, opaleshoni ya Mohs inkafunika.
Chilonda chatsekedwa. Ngati ndondomeko yanu yakhala yosavuta, izi ndizovuta. Ngati, komabe opaleshoni ya Mohs yowonjezereka ikufunika, pali njira zingapo zothetsera vuto lomwe linachokera pambuyo pa kuchotsedwa kwa zilondazo.
Mosasamala zamagwiritsidwe ntchito, dokotala wanu wa opaleshoni ya pulasitiki adzasamalira ngati kuli kotheka kuonetsetsa kuti mzere umenewo umayendetsedwa kuti utsatire zowonongeka ndi nkhope zanu, kuti muchepetse maonekedwe a chilonda chanu.
Pambuyo pa opaleshoni. Mudzapenyedwa kanthawi kokha mutatha opaleshoni yanu, ndikupatseni malangizo oti mubwerere kwanu.
Anthu ena, makamaka omwe ali ndi ndodo, angapatsidwe mankhwala oti azitenga mankhwala. Ndikofunika kuyankhula ndi dokotala wanu opaleshoni za zizindikiro za matenda ndi nthawi yoyenera. Kawirikawiri dokotala wanu akukufunsani kuti muitanitse ngati mukuyamba kutentha thupi pa 101F, kuwonjezereka kufiira, kupweteka, kapena kutaya. Ngati wapatsidwa mankhwala opha tizilombo, onetsetsani kuthetsa zonsezi. Chimodzi mwa zinthu zofunika kwambiri zomwe mungachite kuti muchepetse kutenga kachilombo ka HIV ndi kupewa kusuta, monga kusuta kumasokoneza machiritso atatha opaleshoni ya pulasitiki.
Pambuyo pa Opaleshoni Yowonongeka Pambuyo pa Mohs
Ndikofunika kuzindikira apa kuti pafupifupi 15 peresenti ya anthu, kumangidwanso pambuyo pa chisamaliro cha khansa ya khungu iyenera kuchitika mu magawo awiri. Izi ndi zoona makamaka pamene mitundu yina yamagwiritsidwe ntchito yamagetsi imagwiritsidwa ntchito. Gawo loyamba limapanga komanso kubwezeretsa, ndipo gawo lachiwiri "magawo" kapena kulekanitsa chikhomo kuchokera pamalo ake oyambirira ndi magazi. Chifukwa chake, mutachira ndikupatsanso magazi pa chilondacho, mwambo wa opaleshoni wachiwiri ukhoza kukonzedwa kuti udzamalize kukonzanso.
Kuchita opaleshoni kupatulapo njira yamagetsi kungapangitsenso njira zowonjezereka kuti mupeze zodzikongoletsera zoyenera. Zingakhale zothandiza kulankhula ndi dokotala wanu musanachite opaleshoni za zomwe akuyembekeza, komanso ngati akukhulupirira kuti ntchito yomangidwanso ikhoza kuchitidwa chimodzimodzi, kapena ngati akuyembekeza kuti mukufunikira njira zingapo.
Dziwani Zambiri Zokhudza Kuchita Opaleshoni Yokonzanso Patatha Khansa ya Khungu
Ngati mukufuna kudziwa zambiri za opaleshoni yowonongeka pambuyo pochotsedwa khansa ya khungu, kuphatikizapo momwe izo zakhalira, zomwe mungasankhe, ndi zomwe zimachitika mutatha opaleshoni. Tengani nthawi kuti muwerenge za kumaso kwa nkhope pambuyo pa opaleshoni ya khansa ya khungu . Mukhozanso kuyang'ana zina zisanachitike komanso zitatha zithunzi zowonzanso khansara ya khungu . Ngati muli ndi mimba yofooka pankhani ya kuyang'ana pazithunzi zachipatala, mungafune kupewera sitepe iyi, komabe anthu ambiri amaipeza ndi kulimbikitsa kuona mmene nkhope zimakhazikitsidwira, ngakhale zitatha kwambiri khansa ya khungu. .
Zotsatira:
Mitchell, R., Mendez, Schmitt, N., Bhrany, A., ndi N. Futran. Antibiotic Prophylaxis mwa Odwala Akugwira Ntchito Yomangamanga ya Mutu ndi Neck Free Flap. JAMA Otolaryngology - Kutsegula Mutu ndi Kumaso . 2015. 141 (12): 1096-103.
Patel, S., Liu, J., Murakami, C., Berg, D., Akkina, S., ndi A. Bhrany. Kulimbana ndi Zovuta Kulimbidwa Kumangidwanso kwa Mutu ndi Msoka Pambuyo pa Opaleshoni Yophatikizira. JAMA Opaleshoni Yomaso Pulasitiki . 2016. 18 (5): 340-6.