ʻO ka hemo ʻana o ka ʻili

ʻO kahi leona ʻili kahi ʻāpana o ka ʻili i ʻokoʻa ma mua o ka ʻili a puni. Hiki i kēia ke lilo i puʻupuʻu, ʻeha, a i ʻole kahi ʻāpana o ka ʻili i maʻamau ʻole. He maʻi ʻaʻai paha ia.

ʻO ka hemo ʻana o ka ʻili kahi hana e hemo ai ka maʻi.

ʻO ka hapa nui o nā kaʻina hana wehe lesion e hana maʻalahi ʻia i ke keʻena o kāu kauka a i ʻole kahi keʻena olakino waho. Pono paha ʻoe e ʻike i kāu mea lawelawe mua, he kauka ʻili (dermatologist), a i ʻole he kauka.

ʻO ka hana hea kāu e pili ai i ka wahi, ka nui, a me ke ʻano o ka leona. Hoʻouna pinepine ʻia ka lesion i hoʻoneʻe ʻia i ke keʻena hoʻokolohua kahi e nānā ʻia ai ma lalo o kahi microscope.

Hiki iā ʻoe ke loaʻa i kekahi ʻano o ka lāʻau numbing (anesthetic) ma mua o ke kaʻina hana.

Hōʻike ʻia ma lalo nā ʻano ʻokoʻa o nā ʻenehana lawe ʻili.

OLELO HOOLAHA

Hoʻohana ʻia kēia hana no nā maʻi ʻili i piʻi aʻe ma luna o ka ʻili a i ʻole i ka papa o luna o ka ʻili.

Hoʻohana kāu kauka i kahi lau liʻiliʻi e wehe i nā pale waho loa o ka ʻili ma hope o ka hana ʻana o ka wahi i ka helu. ʻO ka ʻāpana i hoʻoneʻe ʻia e hoʻopili i nā ʻāpana a pau paha o ka leona.

ʻAʻole pono ʻoe i nā humuhumu. I ka hopena o ke kaʻina hana, hoʻopili ʻia ka lāʻau i kahi e hōʻoki ai i ke kahe ʻana o ke kahe. A i ʻole e mālama ʻia ka wahi me ka cautery e sila ai nā kīʻaha koko. ʻAʻole ʻeha kekahi o kēia mau mea.

NĀ KUMU MAKA MAKAHI

Hoʻohana ʻia kēia hana no nā maʻi ʻili i piʻi aʻe ma luna o ka ʻili a i ʻole i ka papa luna o ka ʻili ..

E lālau kāu kauka i ka liona ʻili me nā mea ikaika liʻiliʻi a huki māmā i luna. E hoʻohana ʻia nā ʻūmiʻi liʻiliʻi, ʻōwili e ʻoki pono a puni a ma lalo o ka liona. ʻO kahi curette (kahi mea hana e hoʻomaʻemaʻe a ʻānai paha i ka ʻili) i hoʻohana ʻia paha e ʻoki i nā ʻāpana i koe o ka leona.

ʻAʻole pono ʻoe e humuhumu. I ka hopena o ke kaʻina hana, hoʻopili ʻia ka lāʻau i kahi e hōʻoki ai i ke kahe ʻana o ke kahe. A i ʻole e mālama ʻia ka wahi me ka cautery e sila ai nā kīʻaha koko.

ʻINLELO ʻINLAHI - MAI MANUAHI

Pili kēia hana i ka hemo ʻana i kahi maʻi ʻili i nā hohonu o ka ʻili i lalo i ka papa momona ma lalo o ka ʻili. Hiki ke hoʻoneʻe ʻia i kahi liʻiliʻi o nā kikoʻī e hoʻopuni ana i ka leona e maopopo leʻa ai i nā hunaʻi maʻi ʻaʻai. ʻOi aku paha ka hana ʻia ke hopohopo e pili ana i ka maʻi ʻaʻai ʻili.

• ʻO ka hapanui pinepine, he wahi i lawe ʻia i ke ʻano o kahi ellipse (he pōpeku ʻAmelika) no ka mea he maʻalahi kēia e pani me nā humuhumu.
• Wehe ʻia ka leona holoʻokoʻa, hele a hohonu i ka momona, inā pono, e kiʻi i ka ʻāpana holoʻokoʻa. Hiki ke hoʻoneʻe ʻia kahi palena o 3 a 4 millimeter (mm) a ʻoi paha e hoʻopuni ana i ka tumo e hōʻoia i ka ʻaoʻao.

Paʻa ka wahi me nā humuhumu. Inā hemo kahi ākea, hoʻohana ʻia kahi ʻili hoʻopili a i ʻole ka pale o ka ʻili maʻamau e pani i ka ʻili i hemo.

CURETTAGE a me ka uila

Hoʻopili kēia kaʻina hana i ka ʻānai ʻana a i ʻole ke kāʻili ʻana i kahi maʻi ʻili. Hoʻohana ʻia kahi ʻenehana e hoʻohana ai i ke alapine uila pinepine, i kapa ʻia electrodessication, ma mua a ma hope paha.

Hiki ke hoʻohana ʻia no nā liona superficial ʻaʻole pono ka excision mānoanoa piha.

LASER EXCISION

ʻO ka kukuna kahi kukuna mālamalama i hiki ke kia ʻia i kahi wahi liʻiliʻi loa a hiki ke mālama i nā ʻano kikoʻī kikoʻī loa. Hoʻomehana ka laser i nā hunaola i ka wahi e mālama ʻia a hiki i ka "haki." Aia kekahi mau ʻano lasera. He hoʻohana kūikawā kā kēlā me kēia laser.

Hiki i ka excision laser ke hemo.

• Nā ʻili ʻili benign a i ʻole pre-malignant
• Kuʻi
• Mole
• Nā Sunspots
• Lauoho
• Nā kīʻaha koko liʻiliʻi i ka ʻili
• Mākala

KEKAHI

ʻO ka Cryotherapy kahi ala o ka super-free tissue i mea e luku ai. Hoʻohana pinepine ʻia ia e luku a wehe i nā warts, keratoses actinic, keratoses seborrheic, a me molluscum contagiosum.

Hana ʻia ʻo Cryotherapy me ka hoʻohana ʻana i ka pulupulu i hoʻowai ʻia i loko o ka wai nitrogen, me kahi pahu ʻehu e piha ana ka nitrogen wai, a i ʻole me kahi ʻimi e loaʻa ana ka nitrogen wai i loko. ʻOi ke kaʻina hana ma mua o ka minuke.

Hiki i ke anuanu ke kumu i kekahi mau mea ʻino. Pili paha kāu kauka i kahi lāʻau numbing i ka wahi ma mua. Ma hope o ke kaʻina hana, palapū paha ka wahi i hoʻomaʻamaʻa ʻia a ʻili ka ʻino i luku ʻia.

ʻGLELO MOHS

ʻO ke kolo Mohs kahi ala e mālama a hoʻōla i kekahi mau maʻi ʻili ʻili. ʻO nā kauka i hoʻomaʻamaʻa ʻia i ke kaʻina hana Mohs hiki ke hana i kēia ʻoki. He ʻano hana ʻili ia e ʻae ai i ka maʻi ʻaʻai o ka ʻili me ka hoʻoliʻiliʻi liʻiliʻi o ka ʻili olakino a puni.

Hana ʻia paha e hoʻomaikaʻi i ka helehelena o ke kanaka, a i ʻole inā ʻo ka liona ke hoʻonāukiuki a hōʻoluʻolu ʻole paha.

Koi paha kāu kauka i ka hemo ʻana o kahi liona inā loaʻa iā ʻoe:

• Nā ulu ulu ulu
• Kuʻi
• Mole
• Nā ʻili ʻili
• Keratosis Seborrheic
• Keratosis ʻiʻo
• Ka maʻi kanesa puʻukū
• Maʻi Bowen
• Carcinoma basal cell
• Molluscum contagiosum
• Melanoma
• Nā kūlana ʻili ʻē aʻe

Hiki i nā pilikia o kahi ʻili ke komo pū me:

• Maʻi kīnā
• Scar (keloids)
• Kahena
• Hoʻololi i ke kala o ka ʻili
• Hoola ʻeha maikaʻi ʻole
• Poino nerve
• ʻO ka hoʻi hou ʻana o ka leona
• ʻO nā pupuhi a me nā ulcer, e alakaʻi i ka ʻeha a me ka maʻi

E haʻi i kāu kauka:

• E pili ana i nā lāʻau āu e lawe nei, e like me nā wikamina a me nā mea hoʻopili, nā mea kanu lāʻau, a me nā lāʻau i kūʻai pono ʻole ʻia
• Inā loaʻa iā ʻoe nā maʻi āpau
• Inā loaʻa iā ʻoe nā pilikia kahe

E hāhai i nā ʻōlelo aʻoaʻo a kāu kauka pehea e hoʻomākaukau ai no ke kaʻina hana.

Palupalu paha ka wahi no kekahi mau lā ma hope.

ʻO ka mālama pono ʻana i kou ʻeha e kōkua ia i kou ʻili ke nānā aku i ka maikaʻi. E kamaʻilio pū kāu mea hāʻawi iā ʻoe e pili ana i kāu koho:

• ʻO ka ʻae ʻana i kahi ʻeha liʻiliʻi e hoʻōla iā ia iho, ʻoiai ʻo ka hapa nui o nā ʻeha liʻiliʻi e hoʻōla maikaʻi iā lākou iho.
• Ke hoʻohana nei i nā humuhumu e pani i ka ʻeha.
• ʻO ka hoʻopili ʻana i ka ʻili kahi e uhi ʻia ai ka ʻeha me ka hoʻohana ʻana i ka ʻili mai kekahi ʻāpana o kou kino.
• Ke noi nei i kahi pale o ka ʻili e uhi i ka ʻeha me ka ʻili aʻe ma kahi o ka ʻeha (ʻo ka ʻili kokoke i ka ʻeha kūlike i ke kala a me ke ʻano.

He maikaʻi ka hemo ʻana o nā liona no nā poʻe he nui. ʻO kekahi mau ʻili o ka ʻili, e like me nā warts, pono e mālama ʻia ma mua o hoʻokahi manawa.

ʻ exchi lauoho - ʻili; Excision o nā ʻili lesiona - maikaʻi; ʻO ka hemo ʻana o ka ʻili - ʻino; Cryosurgery - ʻili, maikaʻi; BCC - hemo; Maʻi ʻaʻai Basal cell - hemo; Keratosis Actinic - hemo; Wart - hemo; Kele uila - hemo; Mole - hemo; Nevus - hemo; Nevi - hemo; Scissor excision; Wehe i ka ʻili; Wehe i ka mole; Lawe ka maʻi ʻaʻai ʻili; Wehe i ka hānau hānau; Molluscum contagiosum - hemo; Electrodesiccation - hemo ʻana o ka ʻili

ʻO Dinulos JGH. ʻO nā tumors ʻili maikaʻi. I: Dinulos JGH, hoʻoponopono. ʻO Dermatology Lapaʻau ʻo Habif. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 20.

ʻO Dinulos JGH. Nā hana ʻoki lāʻau Dermatologic. I: Dinulos JGH, hoʻoponopono. ʻO Dermatology Lapaʻau ʻo Habif. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 27.

James WD, Elston DM, Hana iā JR, Rosenbach MA, Neuhaus IM. ʻOki kino kukuna ʻili. I: James WD, Elston DM, mālama iā JR, Rosenbach MA, Neuhaus IM, eds. Nā maʻi o Andrews 'o ka ʻili: Dermatology Haumāna. 13th ed. Piladelapia, PA: Elsevier; 2020: chap 38.

ʻO Pfenninger JL. ʻ biiwi lāʻau. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 26.

Stulberg D, Wilamowska K. Nā maʻi ʻili Premalignant. I: Kellerman RD, Rakel DP. nā ʻaoʻao ʻO Conn's Current Therapy 2020. Piladelapia, PA: Elsevier; 2020: 1037-1041.