Kurapa Kwako Kwekugadzirisa Kurapa Kweganda - Zvakaita Sei
Chii chinoitika panguva yako-Post-Mohs kuvhidzirazve chirwere chekenza yeganda?
Chii Chinonzi Kura Kuvandudza Kurapa?
Mushure mekunge mavhivhi eMohs abvise chirwere chepachirwere cheganda, chiremba wako anogona kuita kuvhurwa nyore nyore iyeyo kana iwe unogona kukurudzira post-Mohs kuvandudza chirwere. Mhando iyi yekugadzirwa kwepurasitiki yekuvandudza inogona kuitwa pakarepo mushure mekunge chero chirwere chepachirwere cheganda chibviswa.
Zvaunosarudza zveKubva-Mohs Kuvakazve
Zvakakosha kunzwisisa kuti hakuna "chimiro" chekuita mushure mekugadzirwa kwemaMohs kubva kune nzvimbo, matero, nemhando yematukisi akanganiswa zvakasiyana nemunhu kumunhu. Zvisinei, dzimwe nzira dzinowanzoshandiswa dzinosanganisira:
- Flap techniques (Iyo inowanzoshandiswa nzira mumugwagwa mushure mekugadzirwa kwekenza musanazve.)
- Bhandi rinowirirana (Bone inowanzotorwa kubva muhenya uye yakaumbwa kuti iiswe panzvimbo yakanakira.)
- Cartilage grafting (Nzvimbo inowanzopiwa mupiroti wekateti ndiyo nzeve, asi chibvu chinonzi cartilage chinoshandiswawo.)
- Kuwedzera kwemasumbu ( Tissue expansion anoshandiswa nokuda kwezana duku yevanhu.)
- Skin grafts (Skin grafts inoshandiswa nguva isingaoneki pakugadzirisa chiso.)
Post-Mohs Chirongwa Chekugadzirisa - Zvakaitwa Sei
Kune matanho mashomanana anowanzoonekwa nevanhu vazhinji vane post-Mohs chirwere chokuvandudza.
Usati watanga kuvhiyiwa kana kutungamirira anesthesia, chiremba wako achaita kuti uve nechokwadi chokuti unonzwisisa zvakakwana zvinangwa zvehutano pamwe chete nezvinogona kuitika. Iwe uchakumbirwa kuti usayine fomu yakabvumirwa yakabvumirana inotaura kuti iwe unonzwisisa chikonzero chekuita, pamwe chete nezvinogona kuitika zvinogona kuitika.
Iwe uchapawo ruzivo rwezvaunofanira kuita musati zvaitika. Izvi zvinogona kusanganisira kurega kudya chero kupi zvako kana kunwa kwechinguva, uye dzimwe nguva chiremba wako anogona kukugeza iwe usiku usati washandisa sipo yakakosha. Pazuva rekushandiswa, kenza yako yeganda inogona kubviswa kana nedermatologist kana nekuvhiya kweplastiki iyo iri kuita basa rako rekugadzirisa-Mohs. Ipapo:
Anesthesia inopiwa. Kugadziriswa kenza yeganda kunogona kuitwa pasi peaneshesia , intravenous sedation (inozivikanwawo seyakagadzirirwa anesthesia care (MAC) kana kuti "twilight sleep"), kana kuti general anesthesia . Chiremba wako achakurudzira sarudzo yakanakisisa kwauri, zvichienderana nezvinoita kuti ushande zvakanaka nenzira yaunenge uine, pamwe chete nemamwe mararamiro aungave nawo. Kana chirwere chako chepurasitiki chichikwanisa kukunda chiremera, chichaitwa panguva iyi. Chirwere chiduku chine mitsara yakatsanangurwa chinogona kubviswa nekunyoreswa kwekucheka kwakadanwa kunonzi kusagadzikana.
Chironda chacho chakabviswa. Iyi nhanho inogona kunge yakatozadziswa mune imwe nzira kunze kwekuti chiremba wako wechiremba wepurasitiki ndiyewo anobvisa chigunwe chako kana kushanda nedhigirii yako dermatological sechikwata mune imwe nzira. Cherechedza: Kana chironda chako chakanga chiri chiduku nemiganhu yakatsanangurwa zvakanaka, chirongwa chisina kuvhara chinonzi kushandiswa chingadaro chakashandiswa kuchibvisa. Kana yaive yakakura isina mitsara yakatsanangurwa zvakanaka, chirwere cheMos chinogona kunge chaidiwa.
Ronda racho rakavharwa. Kana nzira yako yave iri kushamisika kusinganzwisisiki, iyi inoratidzika zvakananga. Kana, zvisinei, kuoma kwakawanda kwekuvhiya kweMah kwakadzingwa, kune zvimwe zvingasarudzwa zvekugadzirisa kukanganisa kwakakonzerwa kusara mushure mokubviswa kwechigunwe.
Pasinei nedzimwe nzira dzinoshandiswa, chirwere chako chepurasitiki chinotarisirwa chero nguva zvichibvira kuve nechokwadi chokuti mutsara wakagadzirwa suture wakagadzirirwa kutevera zvisikwa zvepanyama uye mazamu echiso chenyu, kuitira kuti kuderedza kuonekwa kwechivara chako.
Mushure mekuvhiyiwa. Iwe uchachengetwa kwekanguva mushure mekuvhiyiwa kwako kwapera, uye ndokupiwa mirayiridzo yekudzokera kumusha.
Vamwe vanhu, kunyanya avo vane maitiro, vanogona kupiwa mishonga yemishonga inorwisa mabhakitiriya kutora kumba. Zvakakosha kutaura nachiremba wako nezvezviratidzo zvehutachiona uye nguva yekudana. Kazhinji kacho chiremba wako achakukumbira kuti udane kana iwe uchitanga fivhiri kupfuura 101F, kuwedzera kubwinya, kurwadziwa, kana kubudiswa. Kana iwe wakapiwa mishonga inorwisa mabhakitiriya kutora, iva nechokwadi chekupedzisa zvose izvi. Chimwe chezvinhu zvinonyanya kukosha zvaunogona kuita kuti uderedze mukana wako wehutachiona ndekurega kusvuta, sezvo kusvuta kunopindira kuporesa mushure mekuvhiyiwa kwepurasitiki.
Pashure pekuvhiya kwePas-Mohs Kuvandudza
Zvakakosha kucherechedza pano kuti kune vanenge 15 muzana yevanhu, kuvakazve mushure mekunyadziswa kwekenza yeganda kunofanira kuitwa mukati mematanho maviri. Izvi ndezvechokwadi apo mamwe maitiro emagetsi ekuputi anoshandiswa. Nharaunda yekutanga inogadzira uye kugadzirisa mukana, uye chikamu chechipiri "zvikamu" kana kuparadzanisa ruvara kubva panzvimbo yaro yekutanga uye neropa. Nokudaro, kana wadzosa uye ropa rekuvadzwa rakagadziriswa zvakakwana, chirwere chechipiri chinogona kudiwa kurongerwa kugadzirisa zvakare.
Kuvhiya kune imwe nzira kunze kwechigadzirwa chekudzivirira kunogonawo kutsvaga nzira dzepamusoro kuti uwane zvinodiwa zvinogadzirwa. Zvinogona kubatsira kutaura nechiremba wako mushure mekuvhiyiwa kwako pamusoro pezvaanotarisirwa, uye kana achifunga kutizve kuvakwa kunogona kuitwa mune imwe nzira, kana kuti anotarisira kuti iwe unoda kupfuura imwe nzira.
Dzidza Zvakawanda Pamusoro Pokuvhiyiwa Kwekuvandudza Pashure Peganda Kanzera
Kana uchida kutsvaga zvakawanda nezvekugadzira chirwere pashure pekubvisa kenza yeganda, kusanganisira kuti yakaitwa sei, zvaunogona kuita, uye chii chinoitika mushure mekuvhiyiwa. Tora nguva yekuverenga pamusoro pekugadzirisa kwemaziso mushure mekuvhiyiwa kwechirwere cheganda . Iwe unogonawo kufarira kutarisa kune imwe nguva uye mushure memafananidzo ekugadziriswa mushure memukenza weganda . Kana uine dumbu risina simba kana rinouya pakatarisa mazamuro ezvepahuponi, unogona kuda kutsika danho iri, asi vanhu vakawanda vanozviona zvichikurudzira nekunyaradza kuona kuti maziso akanaka sei anogona kugadziriswa, kunyange mushure mokunge zvirwere zvikuru zvekenza zveganda zvabviswa .
Sources:
Mitchell, R., Mendez, Schmitt, N., Bhrany, A., uye N. Futran. Antibiotic Prophylaxis Muvarwere Vanopinda Musoro uye Neck Free Flap Kuvakazve. JAMA Otolaryngology - Musoro uye Neck Surgery . 2015. 141 (12): 1096-103.
Patel, S., Liu, J., Murakami, C., Berg, D., Akkina, S., uye A. Bhrany. Kugadzirisa Matengo Mukuderedzwa Kuvakwazve kweMusoro uye Neck After Mohs Microscopic Surgery. JAMA Face Facial Surgery . 2016. 18 (5): 340-6.