Ukususwa kwesikhumba

Isilonda sesikhumba indawo yesikhumba ehlukile kunesikhumba esizungezile. Lokhu kungaba yinhlama, isifo, noma indawo yesikhumba engajwayelekile. Kungenzeka futhi kube umdlavuza wesikhumba.

Ukususwa kwezilonda esikhunjeni inqubo yokususa isilonda.

Izinqubo eziningi zokususa izilonda zenziwa kalula ehhovisi likadokotela wakho noma ehhovisi lezokwelapha elingalaliswayo. Ungadinga ukubona umhlinzeki wakho wokunakekela oyinhloko, udokotela wesikhumba (udokotela wesikhumba), noma udokotela ohlinzayo.

Iyiphi inqubo onayo encike endaweni, usayizi, nohlobo lwesilonda. Isilonda esisusiwe sivame ukuthunyelwa kubhu lapho kuhlolisiswa khona ngesibonakhulu.

Ungase uthole uhlobo oluthile lomuthi obandayo (izinzwa) ngaphambi kwenqubo.

Izinhlobo ezahlukene zamasu okususa isikhumba zichazwe ngezansi.

USHEVE UKWANDA

Le ndlela isetshenziselwa izilonda zesikhumba ezikhuphuka ngaphezu kwesikhumba noma ezingxenyeni ezingenhla zesikhumba.

Udokotela wakho usebenzisa i-blade encane ukususa izingqimba ezingaphandle zesikhumba ngemuva kokuthi indawo yenziwe yaba ndikindiki. Indawo ekhishiwe ifaka konke noma ingxenye yesilonda.

Imvamisa awudingi ukuthungwa. Ekupheleni kwenqubo, kusetshenziswa umuthi endaweni ukunqanda noma yikuphi ukopha. Noma indawo ingalashwa nge-cautery ukuvala imithambo yegazi ivaliwe. Akukho kulokhu okuzolimaza.

ISISIMBU SE-SCISSOR ESILULA

Le nqubo isetshenziselwa izilonda zesikhumba ezikhuphuka ngaphezu kwesikhumba noma ezisesikhunjeni esiphezulu sesikhumba ..

Udokotela wakho uzobamba isilonda sesikhumba ngama-forceps amancane bese edonsa kancane. Isikele esincane, esigobile sizosetshenziselwa ukusika ngokucophelela nxazonke nangaphansi kwesilonda. I-curette (insimbi esetshenziselwa ukuhlanza noma ukukhuhla isikhumba) mhlawumbe isetshenziselwe ukusika noma yiziphi izingxenye ezisele zesilonda.

Ngeke uze udinge ukuthungwa. Ekupheleni kwenqubo, kusetshenziswa umuthi endaweni ukunqanda noma yikuphi ukopha. Noma indawo ingalashwa nge-cautery ukuvala imithambo yegazi ivaliwe.

UKUKHULULEKA KWESIKHUMBA - UBUKHULU OBUPHELELE

Le nqubo ifaka phakathi ukususa isilonda sesikhumba emazingeni ajulile esikhumba kuze kufike kungqimba olunamafutha ngaphansi kwesikhumba. Inani elincane lezicubu ezijwayelekile ezizungeze isilonda lingasuswa ukuze kuqinisekiswe ukuthi kucacile kunoma yimaphi amangqamuzana omdlavuza okungenzeka (amabala acacile). Kungenzeka ukuthi kwenziwe lapho kunokukhathazeka ngomdlavuza wesikhumba.

• Imvamisa, indawo esime njengesiyingi (ibhola laseMelika) iyasuswa, ngoba lokhu kwenza kube lula ukuvalwa ngemithungo.
• Isilonda sonke siyasuswa, sijule njengamafutha, uma kudingeka, ukuthola yonke indawo. Umkhawulo wamamilimitha angaba ngu-3 kuye ku-4 (mm) noma ngaphezulu ozungeze isimila nawo ungasuswa ukuze kuqinisekiswe amamajini acacile.

Indawo ivaliwe ngemithungo. Uma kususwa indawo enkulu, kungaxhunywa isikhumba esijwayelekile noma ichopho lesikhumba esivamile ukufaka isikhumba esisusiwe.

CURETTAGE KANYE NE-ELECTRODESICCATION

Le nqubo ihilela ukusula noma ukukhipha isilonda sesikhumba. Indlela esebenzisa imvamisa ephezulu kagesi wamanje, ebizwa nge-electrodessication, ingasetshenziswa ngaphambi noma ngemuva.

Ingasetshenziselwa izilonda ezingenasidingo ezingadingi ukukhishwa okugcwele.

UKUJABULA KWAMASHASINI

I-laser wumsebe okhanyayo ongagxila endaweni encane kakhulu futhi ungaphatha izinhlobo ezithile zamaseli. I-laser ishisa amaseli akule ndawo elashwa aze "aqhume." Kunezinhlobo eziningi zama-lasers. I-laser ngayinye inokusetshenziswa okuthile.

Ukukhishwa kwe-Laser kungasusa:

• Izilonda zesikhumba se-Benign noma zangaphambi kokubulala
• Izinsumpa
• Izimvukuzane
• Izikhala zelanga
• Izinwele
• Imithambo yegazi emincane esikhumbeni
• Ama-tattoo

I-CRYOTHERAPY

I-Cryotherapy iyindlela yezicubu ezibandayo kakhulu ukuze uyiqede. Isetshenziswa kakhulu ukubhubhisa noma ukususa izinsumpa, i-actinic keratoses, i-seborrheic keratoses, ne-molluscum contagiosum.

I-Cryotherapy yenziwa kusetshenziswa i-swab kakotini efakwe ku-nitrogen engamanzi, ne-canister yesifutho equkethe i-nitrogen engamanzi, noma nge-probe ene-nitrogen engamanzi egeleza ngayo. Inqubo ivame ukuthatha ngaphansi komzuzu.

Ukuqhwa kungadala ukungaphatheki kahle okuthile. Udokotela wakho angafaka umuthi oyindikimba endaweni kuqala. Ngemuva kwenqubo, indawo elaphekiweyo ingahle ibe namabhamuza bese isilonda esibhujisiwe sizosuka.

UKUHLOLA KWEMOHS

Ukuhlinzwa kweMohs kuyindlela yokwelapha nokwelapha umdlavuza othile wesikhumba. Odokotela abahlinzayo abaqeqeshelwe inqubo ye-Mohs bangakwenza lokhu kuhlinzwa. Kuyindlela yokonga isikhumba evumela ukuthi umdlavuza wesikhumba ususwe ngomonakalo omncane esikhunjeni esinempilo esizungezile.

Kungenziwa ukuthuthukisa ukubukeka komuntu, noma uma i-lesion ibangela ukucasuka noma ukungaphatheki kahle.

Udokotela wakho angancoma ukuthi kususwe isilonda uma une:

• Ukukhula kwe-Benign
• Izinsumpa
• Izimvukuzane
• Amathegi esikhumba
• I-seborrheic keratosis
• I-Actinic keratosis
• I-squamous cell carcinoma
• Isifo samathumbu
• I-basal cell carcinoma
• I-Molluscum contagiosum
• I-Melanoma
• Ezinye izimo zesikhumba

Izingozi zokukhishwa kwesikhumba zingafaka:

• Ukutheleleka
• Isibazi (ama-keloids)
• Ukopha
• Izinguquko kumbala wesikhumba
• Ukuphulukiswa kwesilonda esibi
• Ukulimala kwemizwa
• Ukuphindaphinda kwesilonda
• Amabhamuza nezilonda, okuholela ebuhlungwini nasekuthelelekeni

Tshela udokotela wakho:

• Mayelana nemithi oyiphuzayo, kufaka phakathi amavithamini nezengezo, amakhambi, kanye nemithi yokuthenga
• Uma kukhona komzimba
• Uma unezinkinga zokopha

Landela imiyalo kadokotela wakho yokuthi ungayilungiselela kanjani inqubo.

Indawo ingahle ibe nethenda izinsuku ezimbalwa ngemuva kwalokho.

Ukusinakekela kahle isilonda sakho kuzosiza isikhumba sakho sibonakale singcono kakhulu. Umhlinzeki wakho uzokhuluma nawe ngezinketho zakho:

• Ukuvumela isilonda esincane kuyaziphilisa, ngoba amanxeba amancane amaningi aziphilisa kahle ngokwawo.
• Kusetshenziswa imithungo ukuvala isilonda.
• Ukuhlanganiswa kwesikhumba lapho isilonda simbozwa khona kusetshenziswa isikhumba esivela kwenye ingxenye yomzimba wakho.
• Ukufaka i-flap yesikhumba ukumboza isilonda ngesikhumba eduze kwesilonda (isikhumba eduze kwesilonda sifana ngombala nokuthungwa).

Ukususwa kwezilonda kusebenza kahle kubantu abaningi. Ezinye izilonda zesikhumba, ezinjengezinsumpa, zingadinga ukwelashwa kaningi.

Shave excision - isikhumba; Ukukhishwa kwezilonda zesikhumba - ezinobungozi; Ukususwa kwezilonda zesikhumba - ubungozi; I-cryosurgery - isikhumba, ubungozi; BCC - ukususwa; Umdlavuza we-basal cell - ukususwa; I-Actinic keratosis - ukususwa; Insumpa - ukususwa; Iseli le-squamous - ukususwa; Ukususwa kweMole; Ukuvuselelwa; Nevi - ukususwa; Ukukhishwa kwesikisi; Ukususwa kwamathegi esikhumba; Ukususwa kweMole; Ukususwa komdlavuza wesikhumba; Ukususwa kwe-Birthmark; Molluscum contagiosum - ukususwa; Ukususwa kwe-electrodeiccation - ukususwa kwesilonda sesikhumba

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I-Dinulos JGH. Izinqubo zokuhlinza nge-dermatologic. Ku: I-Dinulos JGH, ed. IHabif's Clinical Dermatology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 27.

UJames WD, u-Elston DM, Phatha i-JR, i-Rosenbach MA, i-IM ye-Neuhaus. Ukuhlinzwa kwe-laser cutaneous. Ku: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Izifo zika-Andrews 'Zesikhumba: I-Clinical Dermatology. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: isahluko 38.

I-Pfenninger JL. Isikhumba biopsy. Ku: Fowler GC, ed. Izinqubo zikaPfenninger noFowler zokuNakekela okuyisisekelo. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 26.

UStulberg D, uWilamowska K. Izilonda zesikhumba zangaphambi kokuqina. Ku: Kellerman RD, Rakel DP. ama-eds. Ukwelashwa Kwamanje kukaConn 2020. IPhiladelphia, PA: Elsevier; 2020: 1037-1041.