Kev phais mob micrographic

Mohs micrographic phais yog ib txoj kev los kho thiab kho qee yam mob qog nqaij hlav. Cov kws phais neeg paub txog Mohs tus txheej txheem tuaj yeem ua qhov kev phais no. Nws tso cai rau cov tawv nqaij tshem tawm nrog tsawg dua kev puas tsuaj rau daim tawv nqaij noj qab nyob zoo nyob ib puag ncig nws.

Kev phais mob moh feem ntau yog nyob hauv tus kws kho mob chav ua haujlwm. Qhov phais pib thaum ntxov nyob rau hauv thaum sawv ntxov thiab tau ua nyob rau hauv ib hnub. Qee zaum yog tias lub qog loj lossis koj xav tau kev tsim kho dua, nws yuav siv ob zaug mus ntsib.

Lub sijhawm txheej txheem, tus kws phais yuav tshem tawm cov qog nqaij hlav hauv cov qog kom txog thaum txhua tus kabmob tau tshem tawm. Tus kws phais mob yuav:

• Tsa koj cov tawv nqaij qhov twg mob qog yog qhov koj tsis hnov ​​mob. Koj pw nyob rau tus txheej txheem.
• Tshem tawm cov qog pom nrog rau cov txheej nyias nyias ntawm cov qog txuas ntawm cov qog.
• Saib cov ntaub so ntswg hauv qab lub tshuab tsom.
• Kuaj mob qog noj ntshav. Yog tias tseem muaj mob qog noj ntshav hauv txheej ntawd, tus kws kho mob yuav nqa tawm lwm txheej thiab saib qhov hauv qab lub tshuab tsom kab mob.
• Ua txuas ntxiv cov txheej txheem no kom txog thaum tsis muaj mob qog nqaij hlav nyob hauv ib txheej. Txhua lub sijhawm yuav siv sijhawm ntev li 1 teev. Qhov kev phais yuav siv li 20 mus rau 30 feeb thiab saib ntawm txheej hauv qab lub tshuab tsom siv lub sijhawm 30 feeb.
• Ua li 2 txog 3 puag ncig kom tau txais tag nrho cov qog nqaij hlav. Cov hlav ua tau tob yuav xav tau ntau txheej.
• Tsum qhov tsis los ntshav los ntawm kev thov kev hnav khaub ncaws nias, siv qhov ntsuas me me los ua kom tawv nqaij (hluav taws xob), lossis muab rau plooj.

Kev txiav txim siab moh tuaj yeem siv rau feem ntau cov qog nqaij hlav tawv nqaij, xws li cell pib lossis txhaws qog nqaij tawv nqaij. Rau ntau cov qog tawv nqaij tawv nqaij, lwm cov txheej txheem yooj yim tuaj yeem siv.

Kev txiav txim siab Mohs tuaj yeem xav tau thaum mob qog nqaij hlav yog nyob rau thaj chaw uas:

• Nws yog ib qho tseem ceeb kom tshem tawm cov ntaub so ntswg me me npaum li sai tau, xws li daim tawv muag, qhov ntswg, pob ntseg, daim di ncauj, lossis txhais tes
• Koj tus kws kho mob yuav tsum paub meej tias txhua qhov hlav tawm ua ntej txhav koj
• Muaj caws pliav lossis hluav taws xob ua ntej raug siv
• Muaj feem ntau dua qhov qog yuav rov qab los, xws li pob ntseg, daim di ncauj, ntswg, tawv muag lossis lub tuam tsev

Mohs phais kuj tseem xav tau thaum:

• Daim tawv nqaij twb kho tau, thiab nws tsis tau raug tshem tawm tag nrho, lossis nws rov qab los
• Cov tawv nqaij tawv nqaij yog qhov loj, lossis cov npoo ntawm daim tawv nqaij mob qog tsis paub meej
• Koj lub cev tiv thaiv tsis ua haujlwm vim mob kheesxaws, kev kho mob cancer, lossis cov tshuaj uas koj noj
• Cov qog nqus tau ntxaum

Mohs phais yog feem ntau muaj kev nyab xeeb. Nrog rau kev phais Mohs, koj tsis tas yuav ua kom pw tsaug zog (dav dav tshuaj loog) raws li koj xav nrog lwm yam kev phais mob.

Tsis tshua muaj, cov no yog qee yam kev pheej hmoo rau qhov kev phais:

• Kab mob.
• Lub cev puas ntsoog uas ua rau loog lossis qhov hnov ​​hnov ​​mob. Qhov no feem ntau ploj mus.
• Cov khaus loj dua uas tau tsa ceg thiab liab, hu ua keloids.
• Ntshav.

Koj tus kws kho mob yuav piav qhia koj yuav tsum ua li cas npaj rau koj qhov kev phais mob. Koj yuav raug hais kom:

• Tsis txhob noj qee yam tshuaj, xws li cov tshuaj aspirin lossis lwm cov ntshav ua kom yuag. TSIS TXHOB noj yam tshuaj no tshwj tsis yog koj tus kws kho mob hais kom koj tsum.
• Txiav kev haus luam yeeb.
• Npaj kom muaj neeg coj koj mus tsev tom qab phais koj tus mob.

Saib xyuas koj lub qhov txhab kom zoo tom qab kev phais yuav pab koj daim tawv nqaij kom zoo dua. Koj tus kws kho mob yuav tham nrog koj txog koj cov kev xaiv:

• Cia qhov mob me me kho nws tus kheej. Feem ntau cov qhov txhab me me zoo kho ntawm lawv tus kheej.
• Siv stitches los kaw qhov txhab.
• Siv daim tawv nqaij txhuam. Tus kws kho mob npog cov qhov txhab siv ntawm daim tawv nqaij los ntawm lwm qhov ntawm koj lub cev.
• Siv cov tawv ntsej muag. Tus kws kho mob npog cov qhov txhab nrog daim tawv nqaij ntawm koj lub qhov txhab. Daim tawv ze ntawm koj cov qhov txhab ua ntaj sib xyaws hauv cov xim thiab kev ntxig.

Mohs phais muaj 99% kho tus nqi hauv kev kho mob qog nqaij hlav.

Nrog rau qhov kev phais no, cov nqaij me me tshaj plaws tau muab tshem tawm. Koj yuav muaj qhov caws pliav me dua li koj yuav muaj nrog lwm txoj kev kho.

Kev mob qog noj ntshav - Kev phais mob hlwb; Tus mob kheesxaws ntawm daim tawv nqaij mos - Kev phais mob Mohs; Squamous cell daim tawv nqaij mob cancer - Mohs phais

Ad Hoc Task Force, Connolly SM, Baker DR, li al. AAD / ACMS / ASDSA / ASMS 2012 cov qauv siv rau cov qauv phais Mohs micrographic: ib daim ntawv tshaj tawm ntawm American Academy of Dermatology, American College of Mohs phais, American Society for Dermatologic phais Association, thiab American Society for Mohs phais. J Am Acad DermatolCov. 2012; 67 (4): 531-550. PMID: 22959232 www.ncbi.nlm.nih.gov/pubmed/22959232.

American College ntawm Mohs Kev Kho Mob lub vev xaib. Mohs cov kauj ruam ua ntu zus. www.skincancermohssurgery.org/about-mohs-surgery/the-mohs-step-by-step-process. Hloov kho Lub Peb Hlis 2, 2017. Nkag mus Lub Kaum Ob Hlis 7, 2018.

Lam C, Vidimos AT. Kev phais mob micrographic. Hauv: Bolognia JL, Schaffer JV, Cerroni L, eds. Lub cev ntaj ntsugCov. 4 tug ed. Philadelphia, PA: Elsevier Saunders; 2018: chap 150.