Mohs micrographic kuvhiyiwa

Mohs micrographic kuvhiya inzira yekurapa uye kurapa mamwe kanzira yeganda. Vanachiremba vanovhiyiwa muitiro weMohs vanogona kuita kuvhiya uku. Inobvumira kenza yeganda kuti ibviswe nekukuvara kushoma kune ganda rine hutano rakatenderedza.

Mohs kuvhiyiwa kunowanzoitika muhofisi yechiremba. Kuvhiya kunotangwa mangwanani-ngwanani uye kunoitwa muzuva rimwe. Dzimwe nguva kana bundu racho rakakura kana uchida kuvakwazve, zvinogona kutora kushanya kaviri.

Munguva yekuita, chiremba anovhiya anobvisa kenza muzvikamu kusvikira kenza yese yabviswa. Chiremba anovhiya acha:

• Ratidza ganda rako pane kenza kuti usanzwa chero kurwadziwa. Iwe gara wakamuka kuitira maitiro.
• Bvisa bundu rinoonekwa pamwe chete netete nhete yetinyuchi padhuze nebundu.
• Tarisa pazvinyama pasi pe microscope.
• Tarisa uone cancer. Kana kuchine gomarara mune iyo dura, chiremba anotora imwe nhanho otarisa iyo pasi pe microscope.
• Ramba uchidzokorora maitiro aya kusvikira pasisina gomarara rinowanikwa mune yakaturikidzana. Denderedzwa rega rega rinotora inenge 1 awa. Kuvhiya kunotora maminetsi makumi maviri kusvika makumi matatu uye kutarisa pakapasi pasi peiyo microscope kunotora maminetsi makumi matatu.
• Ita nezve 2 kusvika ku3 kutenderera kuti uwane iyo kenza yese. Mamota akadzika anogona kuda mamwe matanda.
• Misa chero kubuda ropa nekushandisa kumanikidza kupfeka, uchishandisa kabhuku kadiki kuti upise ganda (electrocautery), kana kukupa musono.

Mohs kuvhiya kunogona kushandiswa kune mazhinji kanzira yeganda, senge basal cell kana squamous cell ganda kanzura. Kune mazhinji kanzura yeganda, dzimwe nzira dzakareruka dzinogona kushandiswa.

Mohs kuvhiya kunogona kusarudzwa kana kenza yeganda iri pane imwe nzvimbo iyo:

• Izvo zvakakosha kubvisa zvidiki zvidiki sezvazvinogona, senge eyelids, mhino, nzeve, miromo, kana maoko
• Chiremba wako anoda kuve nechokwadi chekuti bundu rese rinobviswa usati wakusona
• Iko kune vanga kana kurapwa kwemwaranzi kumberi kwakashandiswa
• Pane mukana wakakwira kuti bundu rinodzoka, senge pane nzeve, miromo, mhuno, maziso, kana tembere

Mohs kuvhiya kunogona zvakare kusarudzwa kana:

• Gomarara reganda rakatorapwa, uye harina kubviswa zvachose, kana kuti rakadzoka
• Gomarara reganda rakakura, kana micheto yekenza yeganda haina kujeka
• Immune system yako haisi kushanda zvakanaka nekuda kwekenza, kurapwa nekenza, kana mishonga yauri kutora
• Bundu rakadzika

Mohs kuvhiyiwa kunowanzo chengeteka. Nekuvhiyiwa kwaMohs, haufanire kurara (general anesthesia) sezvaungaita nekumwe kuvhiya.

Kunyangwe zvisingawanzoitika, idzi ndidzo dzimwe njodzi dzekuvhiya uku:

• Utachiona.
• Kukuvara kwemutsipa kunokonzeresa chiveve kana kutsva kwekunzwa. Izvi zvinowanzoenda.
• Makuru mavanga anomutswa uye matsvuku, anonzi keloids.
• Kubuda ropa.

Chiremba wako anotsanangura zvaunofanira kuita kugadzirira kuvhiya kwako. Iwe unogona kukumbirwa ku:

• Regedza kutora mimwe mishonga, yakadai seaspirin kana zvimwe zvinotapisa ropa. Usarega kutora chero mishonga yekunwa kunze kwekunge chiremba wako akuudza kuti mira.
• Rega kusvuta.
• Ronga kuti mumwe munhu akuendese kumba mushure mekuvhiyiwa kwako.

Kuchengeta zvakanaka ronda rako mushure mekuvhiyiwa kunobatsira ganda rako kutaridzika zvakanaka. Chiremba wako achataura newe nezve zvaunogona kuita:

• Rega ronda diki ripore. Mazhinji maronda madiki anopora zvakanaka pachawo.
• Shandisa matinji kuvhara ronda.
• Shandisa ganda regirazi. Chiremba anovhara ronda achishandisa ganda kubva kune imwe nhengo yemuviri wako.
• Shandisa mapapiro eganda. Chiremba anovhara ronda neganda padhuze neronda rako. Ganda padhuze neronda rako rinowirirana muvara uye magadzirirwo.

Mohs kuvhiya kune 99% yekurapa mwero pakurapa kenza yeganda.

Nekuvhiyiwa uku, iyo diki diki yetissue inogoneka inobviswa. Iwe unenge uine vanga diki pane raungave uine dzimwe sarudzo dzekurapa.

Gomarara reganda - Mohs kuvhiya; Basal cell kenza yeganda - Mohs kuvhiya; Squamous cell kenza yeganda - Mohs kuvhiyiwa

Ad Hoc Task Force, Connolly SM, Baker DR, et al. AAD / ACMS / ASDSA / ASMS 2012 yakakodzera mashandisirwo eMohs micrographic kuvhiya: mushumo weAmerican Academy yeDermatology, American College yeMohs Surgery, American Society yeDermatologic Surgery Association, uye American Society yeMohs Surgery. J Am Acad Dermatol. 2012; 67 (4): 531-550. PMID: 22959232 www.ncbi.nlm.nih.gov/pubmed/22959232.

American College yeMohs Kuvhiya webhusaiti. Iyo Mohs nhanho-nhanho maitiro. www.shinocompermohsurgery.org/about-mohs-surgery/the-mohs-step-by-step-process. Yakagadziridzwa Kurume 2, 2017. Yakasvika muna Zvita 7, 2018.

Lam C, Vidimos AT. Mohs micrographic kuvhiyiwa. Mune: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Philadelphia, PA: Elsevier Saunders; 2018: chitsuwa 150.