Ukuguqulwa kwe-Mohs yakho yokwakhiwa kweCatcercer - Kwenzeka njani
Yintoni eyenzeka ngexesha lakho lokuhlinzwa ngokutsha kwe-Mohs yomhlaza wesikhumba?
Yintoni eyenziwa nguKukhuseleko lweZakhiwo?
Emva kokuba unyango lwe-Mohs lususe isifo somdlavuza wesikhumba, udokotela wakho ugqirha angenza ukuvalwa okulula okanye unokucebisa u-Post-Mohs. Olu hlobo lotyando lweplastiki olwenziwa ngokutsha luyakwenziwa ngokukhawuleza emva kokuba nayiphi na izilonda zomhlaza zesikhumba zisuswe.
Izinketho zakho kwiNdawo yokuThuthuka kweePost-Mohs
Kubalulekile ukuqonda ukuba akukho "ifomula" yokwenza uphando olusesikweni emva kokuba iindawo, izixa, kunye neentlobo zezicubu ezichaphazelekayo zihlukileyo kumntu kumntu. Nangona kunjalo, iindlela ezithile eziqhelekileyo zisetyenziswa ziquka:
- Amacandelo e-Flap (Iindlela eziqhelekileyo ezisetyenziselwa ukwakhiwa komhlaza wesikhumba emva komzimba.)
- I-Bone grafting (I-Bone idlalwa rhoqo kwikhanga kwaye ifakwe ukuba ibekwe kwi-site yolungiso.)
- I-cartilage grafting (I-site yomncedisi oqhelekileyo kwi-cartilage yindlebe, kodwa i-rib cartilage isetyenziswe kwakhona.)
- Ukwandiswa kwamathambo ( ukwandiswa kwamathambo kusetyenziswa ipesenti yabantu).
- Iibrafu zesikhumba ( iibrafu zesikhumba zisetyenziselwa ukwakhiwa komzimba kwakhona.)
Ukuhlinzwa Kokulungiswa Kwezithuba-Post
Kukho amanyathelo ambalwa aqhelekileyo kubantu abaninzi abanomsebenzi wokuvuselela uphuculo lweposi.
Ngaphambi kokuqala utyando okanye ukulawula i-anesthesia, ugqirha wakho uya kuqinisekisa ukuba uyaziqonda kakuhle iinjongo zenkqubo kunye nemingcipheko enokwenzeka. Uya kucelwa ukuba usayine ifomu yokuvuma enolwazi oluchaza ukuba uyaqonda isizathu senkqubo, kunye neengxaki ezinokuthi zenzeke.
Uya kunikwa ulwazi malunga noko kufuneka uyenze ngaphambi kwenkqubo. Oku kungabandakanya ukuphepha naluphi na ukutya okanye isiselo ixesha elide, kwaye ngamanye amaxesha ugqirha wakho unokukuhlamba ubusuku phambi kokusebenzisa isepha ekhethekileyo. Ngomhla wenkqubo, umdlavuza wakho wesikhumba unokususwa okanye ngumdematologist okanye ngophando lweplastiki owenzayo ukuvuselelwa kwe-post-Mohs. Emva koko:
Anesthesia inikwa. Ukwakhiwa komhlaza wesikhumba kungenziwa phantsi kwe-anesthesia yendawo , i- sedation yangaphakathi (eyaziwa nangokuthi i-anesthesia ukunakekelwa (MAC) okanye "ukulala kwelanga"), okanye i- anesthesia jikelele . Ugqirha wakho uya kukuphakamisa ukhetho oluhle kuwe, ngokusekelwe kwinto ehlala isebenza kakuhle kwinkqubo oyenayo, kunye nezinye izimo zonyango onokuzenza. Ukuba ugqirha wakho weplastiki nguyena ongaphezu kwelolonda, kuya kwenziwa ngeli nqanaba. Isilonda esincinci esinemida esichazwe kakuhle singasuswa kunye nenkqubo yokucwangcisa elula ebizwa ngokuba yi-excision.
Isihlunu sisuswa. Le nyathelo isenokuba igqityiwe kwinkqubo eyahlukeneyo ngaphandle kokuba ugqirha wakho wegulana eplastiki naye uwasusa isilonda sakho okanye usebenza nodokotela wakho wesigqirha njengedlali kwinkqubo enye. Qaphela: Ukuba isilonda sakho sasincinci ngemida echazwe kakuhle, inkqubo elula yokucoca ingasetyenziselwa ukususa. Ukuba kwakukho mkhulu ngaphandle kwemida echazwe kakuhle, ukuhlinzwa okwenziwa nguMos kwakunokwenzeka.
Inxeba ivaliwe. Ukuba inkqubo yakho ibe yinto yokulula, le yinkqubo ecacileyo. Ukuba, nangona kunjalo, ukuhlinzwa okwenziwa nzima ku-Mohs kuyadingeka, kukho iinketho ezininzi zokulungisa isiphumo esele sishiye emva kokususwa kwesilonda.
Kungakhathaliseki ukuba kusetyenziswe izixhobo ezisetyenzisiweyo, ugqirha wakho wegulana uya kuzinyameka xa kunokwenzeka ukuba uqinisekise ukuba umgca we-suture umgca ubekwe ekulandeleni ukuveliswa kwemvelo kunye nemigangatho yobuso bakho, ukuze unciphise ukubonakala kwesikhala sakho.
Emva kokuhlinzwa. Uya kugcinwa emva kamsinya emva kokuhlinzwa kwakho kugqityiwe, kwaye wanikwa imiyalelo yokubuyela ekhaya.
Abanye abantu, ingakumbi abo baneendlela zokubhenqa, banganikwa isigunyaziso semithi elwa namagciwane ukuze bathathe ekhaya. Kubalulekile ukuthetha nodokotela wakho ogqirha malunga neempawu zentsholongwane kwaye xa ubiza. Ngokuqhelekileyo ugqirha wakho uza kukucela ukuba ubize ukuba unomkhuhlane ngaphezu kwe-101F, ukwandisa ubomvu, intlungu, okanye ukukhutshwa. Ukuba unikwe amagciwane okuza kuthatha, qiniseka ukuba uqedile zonke ezi. Enye yezona zinto zibaluleke kakhulu ongayenza ukuze unciphise amathuba okusuleleka kukukhusela, ukubhema kunokuphazamisa ukuphilisa emva kokuhlinzwa kweplastiki.
Emva koKukhwaphulwa kweZakhiwo zokuThuthukiswa kweMi-Post
Kubalulekile ukuba uqaphele apha ukuba malunga nama-15 ekhulwini labantu, ukuvuselelwa emva komhlaza wesikhumba kufuneka kwenziwe kwimizuzu emibini. Oku kuyinyani xa iindidi ezithile zeendlela zokugqithisa zisetyenziswa. Isigaba sokuqala sakha kunye nokuhlaziya i-flap, kwaye isigaba sesibini "amacandelo" okanye ukwahlula i-flap kwindawo yaso yokuqala kunye negazi. Ngoko ke, xa usufumene kwakhona kwaye ukunikezelwa kwegazi kwilonda sele kusungulwe ngokwaneleyo, ukuhlinzwa okwesibini kunokufuna ukuba kulungiswe ukuzaliswa kwakhona.
Utyando ngaphandle kwendlela yokwenza i-flap inokufuna kwakhona iinkqubo ezongezelelweyo ukwenzela ukuba ufumane imiphumo efunwayo. Kunokuba luncedo ukuthetha nodokotela wakho ophezulu phambi kokuhlinzwa kwakho malunga nokulindela kwakhe, kwaye ingaba ukholelwa ukuba yonke indawo yokwakhiwa kwakhona inokwenziwa kwenkqubo enye, okanye ukuba ulindele ukuba uya kufuna enye inkqubo enye.
Funda ngakumbi malunga noKuChungechunge loKhuseleko emva kweCancer Cancer
Ukuba ufuna ukufumana okungakumbi malunga nokuhlinzwa ngokutsha emva kokuba ususwe ngumhlaza wesikhumba, kubandakanywa ukuba kwenziwe ntoni, ukhetho lwakho, kwaye kwenzekani emva kokuhlinzwa. Thatha ixesha lokufunda malunga nokwakhiwa kombuso emva kokuhlinzwa kwengqondo yomhlaza . Unokufuna ukujonga ezinye phambi nangemva kwezithombe zokuvuselela emva komhlaza wesikhumba . Ukuba unesisu esibuthakathaka xa kuziwa ekujongeni iifoto zonyango, unokuba unqwenela ukunqumla lesi sinyathelo, kodwa abantu abaninzi bakufumanisa ukuba bakhuthaze baze bathuthuzele ukubona ukuba izibuko zobuso zibuyiselwa njani, nangona emva kokukhishwa kancinci kancinci .
Imithombo:
Mitchell, R., Mendez, Schmitt, N., Bhrany, A., noN. Futran. I-Antibiotics Prophylaxis kwizigulana ezithatha iNtloko kunye neNeck Free Flap Reconstruction. I-JAMA Otolaryngology - iNtloko kunye nokuPhepha kweNeck . 2015. 141 (12): 1096-103.
Patel, S., Liu, J., Murakami, C., Berg, D., Akkina, S., kunye no-A. Bhrany. Inkxalabo yeeNkcitho eziKhatyelwayo UkuQiniswa kwakhona kweNdlunkulu kunye neNeck emva kwe-Mohs Microscopic Surgery. JAMA Ukuguqulwa kwePlastiki yobuso . 2016. 18 (5): 340-6.