Utyando lwe-Mohs micrographic

Utyando lweMohs micrographic yindlela yokunyanga kunye nokuphilisa umhlaza othile wolusu. Ogqirha abaqeqeshiweyo kwinkqubo ye-Mohs banokukwenza olu tyando. Ivumela umhlaza wolusu ukuba ususwe ngomonakalo omncinci kulusu olusempilweni olujikelezileyo.

Utyando lwe-Mohs luhlala lusenzeka kwiofisi kagqirha. Utyando luqala kwakusasa kwaye lwenziwa ngosuku olunye. Ngamanye amaxesha ukuba ithumba likhulu okanye ufuna ukwakhiwa kwakhona, kunokuthatha ukutyelelwa kabini.

Ngexesha lenkqubo, ugqirha uyawususa umaleko ade abekho umhlaza. Ugqirha uya:

• Fakela ulusu lwakho apho kukho umhlaza ukuze ungaziva zintlungu. Uhlala uphaphile ngenkqubo.
• Susa ithumba elibonakalayo kunye nomaleko omncinci wethishu ecaleni kwethumba.
• Jonga izicwili phantsi kwemicroscope.
• Khangela umhlaza. Ukuba kusekho umhlaza kolo luhlu, ugqirha uyakukhupha olunye uhla kwaye ajonge loo nto phantsi kwemicroscope.
• Qhubeka uphinda le nkqubo de kungabikho mhlaza ufumanekayo kuludwe. Umjikelo ngamnye uthatha malunga neyure. Olu tyando luthatha imizuzu engama-20 ukuya kwengama-30 kwaye ukujonga umaleko phantsi kwemicroscope kuthatha imizuzu engama-30.
• Yenza malunga nemijikelo emi-2 ukuya kwezi-3 ukufumana wonke umhlaza. Amathumba anzulu anokufuna iindawo ezininzi.
• Misa nakuphi na ukopha ngokufaka uxinzelelo koxinzelelo, usebenzisa iprosesa encinci ukufudumeza ulusu (i-electrocautery), okanye ukunike umthungo.

Utyando lwe-Mohs lunokusetyenziselwa uninzi lomhlaza wolusu, njenge-basal cell okanye i-squamous cell cancer. Kwiindlela ezininzi zomhlaza wolusu, ezinye iinkqubo ezilula zinokusetyenziswa.

Utyando lwe-Mohs lunokukhethwa xa umhlaza wolusu ukwindawo apho:

• Kubalulekile ukususa izicwili ezincinci kangangoko kunokwenzeka, ezinjengeenkophe, impumlo, iindlebe, imilebe, okanye izandla
• Ugqirha wakho kufuneka aqiniseke ukuba lonke ithumba lisuswe ngaphambi kokuba likubambe
• Kukho isikhumba okanye unyango lwangaphambili lwemitha lwalusetyenziswa
• Kukho amathuba aphezulu okuba ithumba libuye, njengeendlebe, imilebe, impumlo, iinkophe, okanye iitempile

Utyando lwe-Mohs lunokukhethwa kwakhona xa:

• Umhlaza wolusu wawusele unyangiwe, kwaye awuzange ususwe ngokupheleleyo, okanye wabuya
• Umhlaza wolusu mkhulu, okanye imiphetho yomhlaza wolusu ayicacanga
• Amajoni akho omzimba awasebenzi kakuhle ngenxa yomhlaza, unyango lomhlaza, okanye amayeza owathathayo
• Ithumba linzulu

Utyando lwe-Mohs lukhuselekile ngokubanzi. Ngoqhaqho luka-Mohs, awunyanzelekanga ukuba ulale (i-anesthesia ngokubanzi) njengoko ubuya kwenza nolunye utyando.

Ngelixa kunqabile, ezi zezinye iingozi kolu tyando:

• Usulelo.
• Umonakalo wemithambo obangela ukuba ndindisholo okanye ukutsha. Oku kuhlala kuhamba.
• Izibazi ezinkulu eziphakanyisiweyo kwaye zibomvu, ezibizwa ngokuba zii-keloids.
• Ukopha.

Ugqirha wakho uza kukuchazela ukuba kufuneka wenze ntoni ukulungiselela utyando lwakho. Unokucelwa ukuba:

• Yeka ukuthatha amayeza athile, anjenge aspirin okanye amanye amacoci egazi. SUKUYEKE ukuthatha nawaphi na amayeza kagqirha ngaphandle kokuba ugqirha ukuxelele.
• Yeka ukutshaya.
• Lungiselela ukuba uthile akugoduse emva kotyando.

Ukunyamekela inxeba lakho emva kotyando kuya kunceda ulusu lwakho lukhangeleke lungcono. Ugqirha wakho uya kuthetha nawe malunga nokukhetha kwakho:

• Vumela inxeba elincinci liziphilise. Uninzi lwamanxeba amancinci aphola kakuhle ngokwawo.
• Sebenzisa imithungo ukuvala inxeba.
• Sebenzisa ufakelo lolusu. Ugqirha ugubungela inxeba esebenzisa ulusu oluvela kwelinye ilungu lomzimba wakho.
• Sebenzisa iincakuba zolusu. Ugqirha ugquma inxeba ngesikhumba ecaleni kwenxeba lakho. Ulusu kufutshane nenxeba kwimidlalo nakwimbala.

Utyando lwe-Mohs lunezinga le-99% lokunyanga umhlaza wolusu.

Ngolu tyando, inani elincinci lezicubu ezikhoyo liyasuswa. Uya kuba nesiva esincinci kunokuba unokuba nolunye unyango.

Umhlaza wolusu-utyando lwe-Mohs; Umhlaza wesiseko somhlaza wesifo se-cell - utyando lwe-Mohs; Umhlaza wesifo somhlaza weseli-utyando luka-Mohs

I-Ad Hoc Task Force, iConnolly SM, iBaker DR, et al. I-AAD / ACMS / ASDSA / ASMS 2012 yokusetyenziswa ngokufanelekileyo kwe-Mohs ye-micrographic surgery: ingxelo ye-American Academy of Dermatology, American College of Mohs Surgery, American Society for Dermatologic Surgery Association, kunye neAmerican Society for Mohs Surgery. Ndiyi-Acad Dermatol. Ngo-2012; 67 (4): 531-550. IINKCUKACHA: 22959232 www.ncbi.nlm.nih.gov/pubmed/22959232.

Ikholeji yaseMelika ye-Mohs Surgery iwebhusayithi. Inkqubo yenyathelo ngenyathelo ngenyathelo. www.skincancermohssurgery.org/about-mohs-surgery/the-mohs-step-by-step-process. Ukuhlaziywa ngo-Matshi 2, 2017. Kufikeleleke ngoDisemba 7, 2018.

ILam C, iVidimos AT. Utyando lwe-Mohs micrographic. Ku: I-Bolognia JL, uSchaffer JV, uCerroni L, ii-eds. Dermatology. Ngomhla we-4. IPhiladelphia, PA: Elsevier Saunders; 2018: isahluko 150.