Kutsvaga kushandiswa kwakanyanya (kusunungura) ndiyo nzira inowanzoshandiswa kurapa maviri ekutanga uye anowanzopora mvere dzomukanda weganda . Izvo zvinosanganisira kuvhara chirwere uye chimwe chimiro chechivara-chinenge chichikomberedza. Iyi nzvimbo yakapoteredza inonzi "margin" kana kuti "maringe ekuvhiya."
Kubvisa muganhu kunowedzera mukana wekuti masero ose ane kenza achabviswa.
Mushure mokunge chironda chacho chave chakanyanyisa, chinotumirwa kunechirwere chevanhu vanoongorora mitsara yekusagadzikana kuti vaone kuti yakajeka.
Margins for Basal Cell uye Squamous Cell Carcinomas
Zvisarudzo zvinoshandiswa kurarisa zviviri zvepamuviri uye zvekare. Nokuda kweBasal Cell Carcinoma (BCC) uye squamous cell carcinoma (SCC), mitsara inowanzova 2 kusvika 4 mm. Izvi zvinoguma nehutano hwehupfumi hwe 95 kubva muzana uye 92 muzana yepakutanga BCC neCCC, zvichienderana. Iko kurapwa kwemitengo kunobva pane nzvimbo, ukuru, uye muenzaniso wechirwere. Kuchengetedza kunogona kuitwa muchipatara kana kuti chirwere chekushaya chirwere zvichienderana nehuwandu hwekenza.
BCC neCCC zvinonzi se-nonmelanoma ganda rekenza uye ndiyo inowanzosiyana nekenza yeganda, uye BCC iri yakawanda kupfuura SCC; zvinenge makumi manomwe nezana makumi manomwe kubva muzana zvee-nonmelanoma ganda rekenza ndeBBCC. Pasinei nokuti ndiyo inonyanya kukonzerwa nekenza yeganda, nonmelanoma ganda rekenza rinokonzera 0.1 muzana yekenza kufa.
Margins for Melanoma Lesions
Pamusoro pezvipembenene zvinonzi melanoma , uwandu hwemazamu hukuru uye hunoenderana nechikamu chechirwere ichi:
- Nhanho 0 : 0.5 cm margin.
- Chikamu I : 1 kusvika 2 cm, zvichienderana nehupamhi hwe melanoma (inonzi Breslow thickness ).
- Chikamu II : Kana maranoma ari 1 kusvika 2 mm yakakura, 1 kusvika 2 cm margin yeganda rinowanzozobviswa zvakare. Kana bundu racho riri 2 kusvika 4 mm rakakura, zvinenge 2 cm zveganda rinowanzozobviswa kubva kumucheto. Kana chironda chacho chinopfuura 4 mm yakakura, marita e3 cm inokurudzirwa kana zvinyorwa zvingaita.
- Chikamu III : 1 kusvika ku3 cm zvichienderana nehutachiona hwechirwere, chinotevera chemotherapy, immunotherapy , kana zvimwe zvirongwa zvejudhi.
Basal Cell Carcinomas
Basal cell carcinomas, kana BCCs, zvinowedzera kukura kana zvipembenene mumasero edzimba echechi, ayo anoonekwa mukati mekunze kwekunze kweganda. BCCs dzinowanzoonekwa semavhenekeri matsvuku, masumbu, kukura kana maronda akazaruka paganda. Zvinogonawo kuonekwa semavanga. BCC inogona kushandura, asi inowanzoita metastasizes kupfuura yepamuviri, kunyange inogona kuitika. Kusungirwa BCCs kunofanira kuongororwa uye kurapwa, uye hakufaniri kuregererwa.
Squamous Cell Carcinomas
Squamous Cell Carcinomas, kana SCCs, kukura kusina kujairika mumasero eganda epamusoro pezvikamu zveganda. MaCCC anowanzoonekwa semaronda akazaruka, machena machena matsvuku, warts kana kukura kune dambudziko mukati maro. Izvi zvinogona kuchenesa kana kuwedzera zvikanda, uye zvinogona kunge zvichisvibisa. Kunyange zvazvo vari pakati pezvirwere zvinowanzozivikanwa zveganda uye nhoroondo yehuwandu hwehuwandu hwevanhu vanofa kubva mukenza, vanogona kushandiswa uye havafaniri kuregererwa.