Ukuhlinzwa kwe-Mohs micrographic

Ukuhlinzwa ngeMohs micrographic kuyindlela yokwelapha nokwelapha umdlavuza othile wesikhumba. Odokotela abahlinzayo abaqeqeshelwe inqubo ye-Mohs bangakwenza lokhu kuhlinzwa. Ivumela umdlavuza wesikhumba ukuthi ususwe ngomonakalo omncane esikhunjeni esinempilo esizungezile.

Ukuhlinzwa kweMohs kuvame ukwenzeka ehhovisi likadokotela. Ukuhlinzwa kuqalwa ekuseni kakhulu futhi kwenziwa ngosuku olulodwa. Kwesinye isikhathi uma isimila sikhulu noma udinga ukwakhiwa kabusha, kungathatha ukuvakashelwa kabili.

Ngesikhathi kwenziwa le nqubo, udokotela ohlinzayo uyawususa izingqimba kuze kube yilapho wonke umdlavuza ususiwe. Udokotela ohlinzayo uzo:

• Bhala isikhumba sakho lapho kukhona umdlavuza khona ungezwa buhlungu. Uhlala uphapheme ngenqubo.
• Susa isimila esibonakalayo kanye noqweqwe oluncane lwethishu eduze kwesimila.
• Bheka izicubu ngaphansi kwesibonakhulu.
• Hlola umdlavuza. Uma kusenomdlavuza kulolo ungqimba, udokotela uzokhipha olunye ungqimba bese elubheka ngaphansi kwesibonakhulu.
• Qhubeka uphinda le nqubo kuze kube yilapho kungekho umdlavuza otholakala ungqimba. Umjikelezo ngamunye uthatha cishe ihora elilodwa. Ukuhlinzwa kuthatha imizuzu engama-20 kuye kwangama-30 futhi ukubuka ungqimba ngaphansi kwesibonakhulu kuthatha imizuzu engama-30.
• Yenza cishe imizuliswano emi-2 kuya kwemi-3 ukuthola wonke umdlavuza. Izicubu ezijulile zingadinga izingqimba eziningi.
• Misa noma yikuphi ukopha ngokufaka ingcindezi yokugqoka, usebenzisa iphenyi elincane ukushisa isikhumba (i-electrocautery), noma ukukunika umthungo.

Ukuhlinzwa kwe-Mohs kungasetshenziselwa umdlavuza wesikhumba, njenge-basal cell noma i-squamous cell cancer cancer. Kuma-cancer amaningi esikhumba, ezinye izinqubo ezilula zingasetshenziswa.

Ukuhlinzwa kukaMohs kungancanyelwa lapho umdlavuza wesikhumba usendaweni lapho:

• Kubalulekile ukususa izicubu ezincane ngangokunokwenzeka, njengezinkophe, ikhala, izindlebe, izindebe, noma izandla
• Udokotela wakho udinga ukuqiniseka ukuthi sonke isimila sisusiwe ngaphambi kokukuthunga
• Kukhona isibazi noma ukwelashwa ngemisebe kwangaphambilini okusetshenzisiwe
• Kukhona ithuba eliphakeme lokuthi isimila sizobuya, njengezindlebe, izindebe, ikhala, izinkophe, noma amathempeli

Ukuhlinzwa kukaMohs kungabuye kukhethwe lapho:

• Umdlavuza wesikhumba ubusuvele welashwa, futhi awususwanga ngokuphelele, noma ubuyile
• Umdlavuza wesikhumba mkhulu, noma imiphetho yomdlavuza wesikhumba ayicaci
• Amasosha omzimba wakho awasebenzi kahle ngenxa yomdlavuza, ukwelashwa komdlavuza, noma imithi oyiphuzayo
• Isimila sijule kakhulu

Ukuhlinzwa kweMohs ngokuvamile kuphephile. Ngokuhlinzwa kukaMohs, awudingi ukulala (i-anesthesia ejwayelekile) njengoba ubungeke ukwenze ngokuhlinzwa okunye.

Yize kungavamile, lezi ezinye zezingozi kulokhu kuhlinzwa:

• Ukutheleleka.
• Ukulimala kwemithambo yegazi okubangela ukuba ndikindiki noma ukuzwa okushisayo. Lokhu kuvame ukuphela.
• Izibazi ezinkulu eziphakanyisiwe futhi ezibomvu, ezibizwa ngama-keloids.
• Ukopha.

Udokotela wakho uzokuchazela ukuthi yini okufanele uyenze ukulungiselela ukuhlinzwa kwakho. Ungacelwa ukuthi:

• Yeka ukuthatha imishanguzo ethile, efana ne-aspirin noma ezinye izinciphisi zegazi. UNGAYEKISI ukuthatha noma yimiphi imithi kadokotela ngaphandle kokuthi udokotela akutshele ukuthi uyeke.
• Yeka ukubhema.
• Hlela ukuthi othile azokuyisa ekhaya ngemuva kokuhlinzwa.

Ukuzinakekela kahle isilonda sakho ngemuva kokuhlinzwa kuzosiza isikhumba sakho sibonakale singcono kakhulu. Udokotela wakho uzokhuluma nawe mayelana nezinketho zakho:

• Vumela isilonda esincane siziphilise. Iningi lamanxeba amancane liziphilisa kahle lodwa.
• Sebenzisa imithungo ukuvala isilonda.
• Sebenzisa ukufakelwa kwesikhumba. Udokotela umboza isilonda esebenzisa isikhumba kusuka kwenye ingxenye yomzimba wakho.
• Sebenzisa izikhumba. Udokotela umboza isilonda ngesikhumba eduze kwesilonda sakho. Isikhumba eduze kwesilonda sakho sifana ngombala nokuthungwa.

Ukuhlinzwa kukaMohs kunesilinganiso sokwelashwa esingama-99% ekwelapheni umdlavuza wesikhumba.

Ngalokhu kuhlinzwa, inani elincanyana kakhulu lezicubu kungenzeka lisuswe. Uzoba nesibazi esincane kunalokho ongase ube nakho ngezinye izindlela zokwelashwa.

Umdlavuza wesikhumba - ukuhlinzwa kwe-Mohs; Umdlavuza wesikhumba se-Basal - ukuhlinzwa kwe-Mohs; Umdlavuza wesikhumba esine squamous - ukuhlinzwa kweMohs

I-Ad Hoc Task Force, uConnolly SM, uBaker DR, et al. Izindlela zokusebenzisa ezifanele ze-AAD / ACMS / ASDSA / ASMS 2012 zokuhlinza nge-Mohs micrographic: umbiko we-American Academy of Dermatology, American College of Mohs Surgery, American Society for Dermatologic Surgery Association, kanye neAmerican Society for Mohs Surgery. J Am Acad Dermatol. 2012; 67 (4): 531-550. I-PMID: 22959232 www.ncbi.nlm.nih.gov/pubmed/22959232.

Iwebhusayithi yaseAmerican College of Mohs Surgery. Inqubo yesinyathelo ngesinyathelo ye-Mohs. www.skincancermohssurgery.org/about-mohs-surgery/the-mohs-step-by-step-process. Kubuyekezwe ngoMashi 2, 2017. Kufinyelelwe kuDisemba 7, 2018.

ILam C, iVidimos AT. Ukuhlinzwa kwe-Mohs micrographic. Ku: Bolognia JL, Schaffer JV, Cerroni L, ama-eds. Isikhumba. Umhla wesi-4. IPhiladelphia, PA: Elsevier Saunders; 2018: isahluko 150.