Ðe wò ame ŋutɔ ƒe teƒea vuvua? Mina míaƒo nu tso Vidzinu ƒe Lãmetsiŋusẽ ƒe Dɔléle ŋu

Ðe nèsena le ɖokuiwò me be ŋutigbalẽa vuvu, wòlolo, alo le ƒoƒom le mɔ wɔnuku aɖe nu le wò teƒe si nèle, si nye teƒe si ƒo xlã wò vidzinuwoa? Enye nusi mebɔbɔ vie eye wònye ŋukpe be woaƒo nu tso nane si le abe esia ene ŋu na ame aɖeke, alo? Gake esia ate ŋu anye nya vevi aɖe ŋutɔ si ku ɖe wò lãmesẽ ŋu . Eyata egbea míele nu ƒom tso ‘Genital Lymphedema ’, nɔnɔme si ŋu ame geɖe medina be yewoaƒo nu tsoe o, gake ele vevie be woanya. Mègatsi dzi o, ne èxlẽ nyati sia vɔ la, àse esia gɔme nyuie.

Kpuie ko la, nukae nye Vidzinu ƒe Lãmetsiŋusẽ?

Vidzinu ƒe Lãmetsiŋusẽ nye abi si tsoa ʋuka me tsi ƒe ƒuƒoƒo ɖe lãkusi falɛfalɛ siwo ƒo xlã wò vidzinuwo me gbɔ. Kpuie ko la, enye nɔnɔme si me tsi ƒomevi aɖe si le míaƒe ŋutilã me xana ɖe teƒe sia eye wòvuvuna. Esia menye dɔléle si dzɔna zi ɖeka o, gake zi geɖe la, enyea dɔléle si nɔa anyi didi .

Esia gblẽa nu le ʋumenugbagbeviɣidɔlélawo katã ƒe 1% le xexeame katã ŋu. Esia fia be enye nɔnɔme si mebɔ kura o . Ke hã, ate ŋu adze ame sia ame, nyɔnuwo kple ŋutsuwo siaa, kpakple ame siwo xɔ ƒe ɖesiaɖe.

Mina míasrɔ̃ nu vi aɖe tso míaƒe ‘Lymphatic System’ si do ƒome kple esia ŋu.

Be míase dɔléle sia gɔme nyuie la, mina míakpɔ susu vi aɖe tso ‘ ʋumenugbagbeviɣidɔ ’ si le míaƒe ŋutilã me ŋu gbã. Tsɔe be míaƒe ŋutilã nye du gã aɖe. Le du sia me la, nunyiame kple ɔksidzin toa ʋukawo me yia afisiafi , eye ele be ɖoɖo aɖe nanɔ anyi si aɖe gbeɖuɖɔ ɖa be dua nanɔ dzadzɛ. Aleae ʋukawo ƒe dɔwɔwɔ le.

Esia nye míaƒe dɔlélenutsiŋutete ƒe akpa vevi aɖe . Eƒe dɔ vevitɔwoe nye be wòana tsi nada asɔ le ŋutilãa me , awɔ avu kple dɔlékuiwo, eye wòaɖe gbeɖuɖɔwo ɖa le lãmenugbagbeviwo me.

Nuɖoanyi sia ƒe akpa vevi etɔ̃e li:

• Lãmetsiŋusẽ: Esia nye tsi si me kɔ, si ƒe amadede nye ɣie vie. Etsɔa dɔlélenutsiŋutete ƒe lãmenugbagbeviwo ( ʋumenugbagbevi ɣiwo ) yia ʋua me. Eɖea gbeɖuɖɔwo kple dɔlékuiwo hã ɖa le lãkusiawo me hegbugbɔa wo dea ʋua me.
• Ʋuka siwo me ʋu sina tona: Esiawoe nye nu tsɛ siwo le abe ʋuka ene siwo tsɔa ʋuka siwo me ʋu sina tona yia ŋutilã bliboa me, abe míaƒe ʋukawo ene.
• Lymph nodes : Esiawoe nye ‘filters’. Kpe sue siawo siwo le abe gbe ene la dzraa ʋumenugbagbevi ɣiwo ɖo. Ne ʋuka me tsi to wo me la, eɖea dɔlékuiwo kple gbeɖuɖɔwo ɖa. Lãmetsiŋusẽ siawo le ƒuƒoƒo me le teƒewo abe míaƒe abɔta, akɔta, kɔ, kple ƒodo ene.

Eyata le Vidzinu ƒe Lãmetsiŋusẽ me la, nane dzɔna le ʋuka siwo ƒo xlã vidzinuwo ƒe akpaa me, si wɔnɛ be ʋuka me tsi ƒoa ƒu ɖe teƒe ɖeka le esi wòxe alo gblẽ nu aɖewo ta. Abe alesi ko ne tsi ƒe pɔmpi xe la, tsi yɔa eme eye wòyɔa fũ ene.

Vidzinu ƒe Lãmetsiŋusẽ ƒomevi vevi eve li:

Woate ŋu ama nɔnɔme sia ɖe hatsotso vevi eve me le alesi wòdzɔnae nu.

Nukawoe hea vidzinuwo ƒe ʋumenugbagbeviɣidɔ evelia vɛ?

Ðewohĩ susu vovovowo tae wòle alea ɖo.

• Kansa dada: Amekoko alo keklẽŋusẽdɔdamɔnu nye nu vevi aɖe si hea kansa vɛ le vidzinuwo ƒe akpa si (le kpɔɖeŋu me, tsinyegoe, tsinyegoe, vidzidɔ, vidzidɔ, vidzidɔ, azigolo, vidzidɔ, alo dɔgbo). Esia le alea elabena atikewɔwɔ siawo gblẽa nu le ʋuka siwo le teƒea ŋu alo ɖea wo ɖa (lymphadenectomy). Esia xea mɔ na ʋumenugbagbeviɣidɔ ƒe sisi.
• Dɔlékuiwo: Dɔlékui siwo nɔa ʋukawo kple ʋukawo me ɣeyiɣi didi si dɔlékui aɖewo, dɔlékuiwo, fungi alo nudzodzoe aɖewo hena vɛ. Esia ƒe kpɔɖeŋu nyui aɖee nye filariasis, si woyɔna be ‘Barawa’ le míaƒe dukɔa me.
• Nuveviwɔamewo:Afɔku sesẽwo alo abixɔxɔ le vidzinuwo ŋu.
• Gbɔdɔdɔ ƒe dɔlélewo (STI): Ƒã ŋutɔ la, nɔnɔme sia ate ŋu atso gbɔdɔdɔ ƒe dɔléle aɖewo hã gbɔ.
• Atikewɔwɔ ƒe nɔnɔme bubuwo: Esia ate ŋu atso atikewɔwɔ me nɔnɔme bubuwo hã gbɔ, abe Crohn ƒe dɔléle (dɔgbowo ƒe dɔdzẽ), Sarcoidosis, kple Vasculitis (ʋukawo ƒe dɔdzẽ), ƒã ŋutɔ.

Nukae nye nɔnɔme sia ƒe dzesiwo?

Vidzinuwo ƒe ʋuka me ʋu ƒe sisi ƒe dzesiwo ate ŋu ato vovo vie tso ame ɖeka gbɔ yi bubu gbɔ eye le ŋutsu alo nyɔnu nyenye nu. Na míalé ŋku ɖe dzesi siwo bɔ dometɔ aɖewo ŋu.

Kuxi kawoe ate ŋu ado mo ɖa ne womewɔ atike nɛ o?

Ne womeda nɔnɔme sia nyuie o la, kuxi aɖewo ate ŋu ado mo ɖa le ɣeyiɣi aɖe megbe.

• Cellulitis si gbugbɔna dzɔna: Esia nye dɔlékuiwo ƒe dɔlékuiwo ƒe dɔléle le lãkusi siwo le ŋutigbalẽa te ŋu. Ate ŋu ana abi nanɔ ŋutigbalẽa ŋu eye ŋutigbalẽa nagate ŋu asẽ o.
• Elephantiasis: Esiae nye dɔléle si nu sẽ wu. Ŋutilãa lolona ale gbegbe, wòlolona, ​​eye wòsesẽna, eye wòɖi sɔ ƒe ŋutigbalẽ. Woate ŋu akpɔ nɔnɔme sia le Barawa dɔléle sesẽwo hã me.
• Erysipelas: Esia nye dɔlékuiwo ƒe ŋutigbalẽdɔléle, si sɔ kple cellulitis. Ate ŋu akaka kabakaba eye wòana asrã, vevesese, kple ŋutigbalẽ ƒe amadede natrɔ (dzẽ, aŋutiɖiɖi, aŋutiɖiɖi, yibɔ).
• Susu me ŋusẽkpɔɖeamedziwo: Esi wònye be esia nye nɔnɔme si nɔa anyi didi eye wògblẽa nu le ŋutilã ƒe dzedzeme ŋu ta la, ame ate ŋu akpɔ nusiwo le abe bubumademade ame ɖokui ŋu, dzimaɖitsitsi, blanuiléle, kple nuteɖeamedzi ene . Esia sɔ. Mègakpe ŋu be yeaƒo nu tso eŋu na wò ɖɔkta o.

Aleke ɖɔkta awɔ anya esia?

Ne dzesi siawo le ŋuwò la, nu gbãtɔ si wòle be nàwɔe nye be nàyi ɖɔkta bibi aɖe gbɔ. Abia wò atikewɔwɔ ŋutinya gbã eye wòado wò ŋutilã kpɔ. Emegbe, woate ŋu awɔ dodokpɔ ʋɛ bubuwo atsɔ aɖo kpe edzi nenye be Vidzinu ƒe Lãmetsiŋusẽe nye esia.

• Lãmetsiŋusẽ ƒe dɔwɔwɔ:Esia bia be woado keklẽŋusẽ (radiotracer) sue aɖe ŋutɔ ɖe ŋutilãa me eye woazã scanner tɔxɛ aɖe atsɔ alé ŋku ɖe eƒe zɔzɔ to ʋukawo me ŋu. Esia ate ŋu afia teƒe siwo ʋukawo xe le ʋukawo me.
• MRI (Magnetic Resonance Imaging) scan: Esia ate ŋu aɖe vidzinuwo ƒe lãkusi falɛfalɛwo ƒe nɔnɔmetata tsitotsito le akpa etɔ̃ me eye woalé ŋku ɖe nusi gbɔ vuvua tso kple nɔnɔme si me wòle ŋu nyuie.

Nukawoe nye atike siwo wozãna na esia? Ðe woate ŋu adae keŋkeŋa?

Nublanuitɔe la, womekpɔ atike aɖeke na Vidzinu ƒe Lãmetsiŋusẽ haɖe o . Gake mègatsi dzi o. Ne èzã atike siwo li fifia la, àte ŋu aɖu wò dzesiwo dzi, axe mɔ ɖe kuxiwo nu, eye nànɔ agbe si sɔ.

Atikewɔwɔmɔnu vevitɔe nye ‘Complex Decongestive Therapy’ (CDT) . Esia nye atikewɔwɔmɔnu si me afɔɖeɖe vovovowo le.

1. Klɔ ŋutigbalẽa ŋu nyuie: Ele vevie ŋutɔ be nàxe mɔ ɖe dɔlékuiwo xɔxɔ nu. Eyata ele be nàna teƒe si vuvu la nanɔ dzadzɛ ɣesiaɣi to adzalẽ siwo wua dɔlékuiwo kple tsi dzodzoe zazã me.

2. Asi ƒe Lãmetsiŋusẽ: Esia menye asisisi edziedzi o. Lãmetsiŋusẽdɔdala si wona hehee etɔxɛe ye wɔa esia. Le afisia la, wotsɔa ʋuka siwo me ʋu sina tona si xaxa ɖe teƒe si vuvu la yia teƒe si ʋuka siwo le dɔ wɔm nyuie le la blewuu eye etɔxɛe. Ele vevie be nàsrɔ̃ nu tso ame si wona hehee gbɔ hafi nàwɔ esia le ɖokuiwò si.

3. Awu tɔxɛ siwo wotsɔa nutete kple pɔmpiwo: Ne abi la nya nu fa ko la, wozãa awu tɔxɛ siwo wotsɔa nutete alo aŋe blanɛ be tsi nagaƒo ƒu ake o. Ɣeaɖewoɣi la, wozãa pɔmpi tɔxɛ siwo doa ya heɖea ya le ɣeyiɣi aɖe megbe hã.

4. Lãmesẽfefewo: Ele vevie ŋutɔ hã be woakpɔ gome le kamedede tɔxɛ siwo atikewɔla kafu siwo doa ŋusẽ ʋumenugbagbeviɣidɔ ƒe ʋuʋu me.

Zi geɖe la, ahiã be woawɔ CDT dɔdamɔnu sia gbesiagbe hena kwasiɖa geɖe. Le ema megbe la, woana hehe wò be wò ŋutɔ nàwɔ nusiawo le aƒeme.

Ɣekaɣie wòhiã be woawɔ dɔ na ame?

Ne nɔnɔmea nu sẽ akpa be woate ŋu atsɔ CDT-dɔdamɔnu siawo aɖu edzi, ne dɔlékuiwo doa mo ɖa enuenu, ne ŋutigbalẽa gblẽ vevie eye wòle veve sem, eye ne egblẽ gbesiagbegbenɔnɔ me keŋkeŋ la, ɖɔkta ate ŋu aɖo aɖaŋu be woawɔ dɔ nɛ. Amekoko bia be woaɖe lãkusi si gblẽ la ɖa eye woatsɔ ŋutigbalẽ si le lãmesẽ me atsyɔ teƒea (skin graft).

Aleke mawɔ anɔ agbe nyuie kple nɔnɔme sia?

Esi wònye be esia nye dɔléle si nɔa anyi didi ta la, ele vevie ŋutɔ be nàwɔ tɔtrɔ suesuesuewo le wò agbenɔnɔ me esime nèle atike wɔm nɛ.

• Lé be na wò nuɖuɖu:
• Dze dzi ɖuɖu: Dze nana tsi ƒe gege ɖe ŋutilãa me dzina ɖe edzi. Eyata ɖe nuɖuɖu siwo me dze sɔ gbɔ ɖo (pickles, tɔmelã ƒuƒu, lãmi, nuɖuɖu siwo woɖana kabakaba) ɖuɖu dzi kpɔtɔ alesi nàte ŋui. Zã nu ʋeʋĩwo (galik, oregano, chili ƒuƒu) ɖe dze teƒe be nàtsɔ avivi wò nuɖuɖua.
• No tsi geɖe: No tsi kplu 8 ya teti gbesiagbe. Tsinono kpena ɖe ame ŋu wòɖea tsi siwo mehiã o ɖa le ŋutilãa me.
• Ƒo nuɖuɖu si da sɔ si me amagbe yeyewo, atikutsetsewo, protein si me ami mele o, kple nuku blibowo le.
• Lé be na wò ŋutigbalẽ etɔxɛe:
• Na wò ŋutigbalẽ nanɔ dzadzɛ eye tsi nanɔ eme ɣesiaɣi. Esia ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe dɔlékuiwo xɔxɔ nu.
• Ne ède dzesi dɔlélea ƒe dzesiwo, abe abibi, vevesese, dzoxɔxɔ, alo dzoxɔxɔ ene la, na wò ɖɔkta nanya enumake .
• Bu awuwo ŋu kpɔ:
• Ƒo asa na awu te alo pantalon siwo sesẽ ŋutɔ dodo. Esiawo ate ŋu axe mɔ na ʋu ƒe sisi eye wòaxe mɔ na ʋu ƒe sisi.
• Mèganɔ nɔnɔme ɖeka me ɣeyiɣi didi akpa o. Ne èbɔbɔ nɔ anyi la, mègatso wò afɔwo o. Trɔ teƒe siwo nànɔ le miniti 30 ɖesiaɖe ya teti me.
• Ƒo asa na dzoxɔxɔ si gbɔ eme: Ƒo asa na nuwo abe tsilele dzodzoe ŋutɔ kple sauna zazã ene. Dzoxɔxɔ ate ŋu ana abi nadzi ɖe edzi.
• Lé lolo nyuie me ɖe asi: Ne èlolo la, wò ʋukawo hã sena le ɖokuiwò me be agba le ye dzi wu. Eyata lolo si sɔ me léle ɖe asi le vevie ŋutɔ.

Ɣekaɣie wòle be nàdi atikewɔwɔ kpata?

Ne dɔlélea ƒe dzesi siwo gbɔna dometɔ aɖe dze ŋuwò, esime wole atike wɔm na wò gɔ̃ hã la, yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake .

Dzesi siawo tɔgbe ɖenɛ fiana be dɔlékui aɖe ate ŋu anɔ kakam ɖe ŋutilãa me. Ele vevie be nàdi atike enumake.