Ke manaʻo nei ʻoe i kahi pehu ʻano ʻē, kaumaha, a i ʻole ka mānoanoa o ka ʻili ma kou wahi pilikino, ʻo ia hoʻi, ka wahi a puni kou ʻōpū? He mea hilahila iki a hilahila hoʻi ke kamaʻilio e pili ana i kekahi mea e like me kēia, ʻeā? Akā hiki i kēia ke lilo i mea nui loa e pili ana i kou olakino . No laila i kēia lā ke kamaʻilio nei mākou e pili ana i ka 'Genital Lymphedema ', kahi kūlana i kānalua ai ka poʻe he nui e kamaʻilio e pili ana, akā he mea nui e makaʻala. Mai hopohopo, ma hope o ka heluhelu ʻana i kēia ʻatikala, e loaʻa iā ʻoe kahi ʻike maopopo o kēia.
I ka ʻōlelo maʻalahi, he aha ka Genital Lymphedema?
ʻO ka Genital Lymphedema kahi pehu i hoʻokumu ʻia e ka hōʻiliʻili ʻana o ka wai lymph i loko o nā ʻiʻo palupalu a puni kou wahi genital. I ka ʻōlelo maʻalahi, he ʻano ia kahi e paʻa ai kekahi ʻano wai i loko o ko mākou kino i kēia wahi a pehu. ʻAʻole kēia he ʻano hoʻokahi manawa, akā he ʻano maʻi mau pinepine ia .
Hoʻopilikia kēia i ka emi ma mua o 1% o nā hihia lymphedema āpau ma ka honua holoʻokoʻa. ʻO ke ʻano kēia he maʻi kakaikahi . Eia nō naʻe, hiki iā ia ke hoʻopilikia i kekahi, nā wahine a me nā kāne, a me nā kānaka o kēlā me kēia makahiki.
E aʻo iki kākou e pili ana i kā kākou 'Lymphatic System' e pili ana i kēia.
I mea e maopopo pono ai kēia maʻi, e loaʻa mua iā kākou kahi manaʻo iki e pili ana i ka ' ʻōnaehana lymphatic ' i loko o ko kākou kino. E noʻonoʻo he kūlanakauhale nui ko kākou kino. Ma kēia kūlanakauhale, hele ka meaʻai a me ka oxygen i nā wahi a pau ma o nā kīʻaha koko , a pono e loaʻa kahi ʻōnaehana e wehe i nā ʻōpala e mālama i ke kūlanakauhale i ka maʻemaʻe. Pēlā ke ʻano o ka ʻōnaehana lymphatic.
He ʻāpana koʻikoʻi kēia o ko kākou ʻōnaehana pale kino . ʻO kāna mau hana nui ka mālama ʻana i ke kaulike wai i loko o ke kino , ka hakakā ʻana i nā maʻi, a me ka wehe ʻana i nā huahana ʻōpala mai nā ʻiʻo.
ʻEkolu mau ʻāpana nui o kēia ʻōnaehana:
- Lymph: He wai moakaka kēia, he melemele iki. Lawe ia i nā hunaola pale (nā hunaola koko keʻokeʻo ) i ke koko. Hoʻopau pū ia i nā ʻōpala a me nā bacteria mai nā ʻiʻo a hoʻihoʻi iā lākou i ke koko.
- Nā kīʻaha lymph: ʻO kēia nā ʻano lahilahi e like me ka paipu e lawe ana i ka wai lymph ma loko o ke kino, e like me ko mākou mau kīʻaha koko.
- Nā kikowaena lymph: ʻO kēia nā 'kānana'. Mālama kēia mau puʻupuʻu liʻiliʻi, ʻano pīni i nā hunaola koko keʻokeʻo. Ke hele ka wai lymph ma o lākou, kānana ia i nā germs a me nā huahana ʻōpala. Aia kēia mau kikowaena lymph i loko o nā puʻupuʻu ma nā wahi e like me ko mākou mau armpits, groin, ʻāʻī, a me ka ʻōpū.
No laila, i loko o ka Genital Lymphedema, hana ʻia kekahi mea i loko o ka ʻōnaehana lymphatic a puni ka ʻāpana genital, e hōʻiliʻili ana ka wai lymph ma kahi hoʻokahi ma muli o kekahi ālai ʻana a i ʻole ka hōʻino ʻia. E like me ka wā e ālai ʻia ai kahi paipu wai, piha ia i ka wai a kahe.
ʻElua mau ʻano nui o ka Genital Lymphedema:
Hiki ke puʻunaue ʻia kēia ʻano i ʻelua ʻano nui ma muli o ke ʻano o kona hana ʻana.
| ʻAno | Wehewehena |
|---|---|
| ʻO ka Lymphedema Genital Mua | Hoʻokumu ʻia kēia e kahi kīnā hānau i ka ulu ʻana o ka ʻōnaehana lymphatic. I kekahi manawa ʻike ʻia nā hōʻailona i ka wā hānau. No kekahi poʻe, ʻike ʻia nā hōʻailona i nā makahiki ma hope, i kekahi manawa i ka wā ʻōpio. |
| ʻO ka Lymphedema Genital Lua | ʻO kēia ke ʻano maʻamau. ʻO ka mea e hana ʻia ma ʻaneʻi, ua hōʻino ʻia kahi ʻōnaehana lymphatic olakino e kekahi kumu o waho. |
He aha nā kumu o ka lymphedema lua o ka genital?
Aia paha kekahi mau kumu no kēia.
- Nā lāʻau lapaʻau maʻi kanesa: ʻO ke ʻoki kino a i ʻole ka radiation therapy kekahi kumu nui o ke kanesa ma ka ʻāpana genital (no ka laʻana, ka prostate, ka ʻōpū mimi, nā testicles, ka penis, ka cervix, nā ovaries, vulva, a i ʻole ka rectum). ʻO kēia no ka mea ua hōʻino a wehe paha kēia mau lāʻau i nā lymph nodes ma ia wahi (lymphadenectomy). Ke ālai nei kēia i ke ala no ke kahe ʻana o ka wai lymph.
- Nā maʻi: Nā maʻi lōʻihi o nā kīʻaha lymphatic a me nā lymph node i hoʻokumu ʻia e kekahi mau bacteria, virus, fungi a i ʻole ilo. ʻO kahi laʻana maikaʻi o kēia ʻo ka filariasis, i ʻike ʻia ʻo 'Barawa' ma ko mākou ʻāina.
- Nā ʻeha:Nā ulia koʻikoʻi a i ʻole nā ʻeha ma ka ʻāpana genital.
- Nā maʻi i laha ma ke moekolohe (STI): He mea kākaʻikahi loa, hiki ke hana ʻia kēia ʻano e kekahi mau STI.
- Nā kūlana olakino ʻē aʻe: Hiki ke hana ʻia kēia e nā kūlana olakino ʻē aʻe, e like me ka maʻi a Crohn (ka mumū o nā ʻōpū), Sarcoidosis, a me Vasculitis (ka mumū o nā kīʻaha koko), kākaʻikahi loa.
He aha nā hōʻailona o kēia maʻi?
Hiki ke ʻokoʻa iki nā hōʻailona o ka lymphedema genital mai kēlā me kēia kanaka a ma muli o ke kāne. E nānā kākou i kekahi o nā hōʻailona maʻamau.
| Nā Hōʻailona o ka Lymphedema Genital | |
|---|---|
| Nā hōʻailona maʻamau (no nā wahine a me nā kāne) | |
| Paʻakikī ke mimi | Ka kahe ʻana o ka mimi, ka ʻeha i ka wā e mimi ai (dysuria). |
| Nā maʻi pinepine | Hiki ke loaʻa pinepine nā maʻi ʻili bacteria ma kahi pehu. |
| Ka mānoanoa a paʻakikī paha o ka ʻili | I ka hala ʻana o ka manawa, e mānoanoa paha ka ʻili ma kahi pehu a paʻa paha ke hoʻopā ʻia. |
| Nā pilikia moekolohe | ʻO ka ʻeha i ka wā o ka moekolohe (dyspareunia), nā pilikia me ke kūkulu ʻana, a me ka hopena o ka pilikia noʻonoʻo e hiki ke alakaʻi i ka libido haʻahaʻa. |
| Ke emi nei ke kūlana o ka nohona | ʻO ka ʻeha, ka paʻakikī o ka mimi ʻana, a me ka paʻakikī me nā hana o kēlā me kēia lā e hiki ke alakaʻi i ka hoʻonāukiuki me ke ola. |
| Nā hōʻailona kūikawā i nā wahine | |
| ʻEha a me ka pehu ʻana ma ka labia (nā ʻili ʻili) ma ka ʻāpana pelvic a ma nā ʻaoʻao ʻelua o ka puka o ka vaginal. I kekahi manawa aia paha ka pehu ʻana ma nā wāwae. | |
| Nā hōʻailona kūikawā i nā kāne | |
| Ka pehu a me ka ʻeha i loko o ka penis, ka scrotum, a i ʻole nā mea ʻelua. I kekahi manawa aia paha ka pehu ma nā wāwae. | |
ʻO ka mea nui loa, ʻaʻole kēia he maʻi lele. ʻAʻole lele ka Genital Lymphedema mai kekahi kanaka a i kekahi. ʻAʻole hoʻi ia he maʻi i laha ma ke ʻano moekolohe (STI). No laila, mai makaʻu pono ʻole iā ia.
He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?
Inā ʻaʻole mālama pono ʻia kēia maʻi, hiki ke ulu aʻe kekahi mau pilikia i ka hala ʻana o ka manawa.
- ʻO ka Cellulitis Hoʻi Hou: He maʻi bacteria kēia o nā ʻiʻo ma lalo o ka ʻili. Hiki iā ia ke hana i ka ʻeha a me ka nalowale o ka elasticity o ka ʻili.
- ʻElepani: ʻO kēia ke ʻano koʻikoʻi loa. Lilo ka ʻili i mea nui loa, mānoanoa, a paʻakikī, e like me ka ʻili o kahi ʻelepani. Hiki ke ʻike ʻia kēia ʻano ma nā hihia koʻikoʻi o ka maʻi Barawa.
- ʻErysipelas: He maʻi ʻili bacteria kēia, e like me ka cellulitis. Hiki iā ia ke laha koke a hoʻoulu i ke kuni, ka ʻeha, a me ke kala ʻili (ʻulaʻula, poni, ʻeleʻele, ʻeleʻele).
- Nā hopena noʻonoʻo: ʻOiai he kūlana lōʻihi kēia a hoʻopilikia i ke ʻano o ke kino, hiki i ke kanaka ke ʻike i nā mea e like me ka haʻahaʻa o ka manaʻo ponoʻī, ka hopohopo, ke kaumaha, a me ke kaumaha . He mea maʻamau kēia. Mai hilahila e kamaʻilio me kāu kauka e pili ana i ia mea.
Pehea e ʻike ai ke kauka i kēia?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike i ke kauka kūpono. E nīnau mua ʻo ia iā ʻoe e pili ana i kou mōʻaukala olakino a hana i kahi hoʻokolokolo kino. A laila, hiki iā lākou ke holo i kekahi mau hoʻokolohua hou aʻe e hōʻoia inā he Genital Lymphedema kēia.
- ʻO ka Lymphoscintigraphy:ʻO kēia ke komo ʻana i kahi liʻiliʻi loa o kahi mea radioactive (radiotracer) i loko o ke kino a me ka hoʻohana ʻana i kahi scanner kūikawā e nānā i kona neʻe ʻana ma o ka ʻōnaehana lymphatic. Hiki i kēia ke kuhikuhi i nā wahi i ālai ʻia i loko o ka ʻōnaehana lymphatic.
- ʻO ke kiʻi MRI (Magnetic Resonance Imaging): Hiki i kēia ke lawe i nā kiʻi kikoʻī ʻekolu-dimensional o nā ʻiʻo palupalu o ka ʻāpana genital a nānā pono i ke kumu a me ke kūlana o ka pehu.
He aha nā lāʻau lapaʻau no kēia? Hiki ke ho'ōla loa ʻia?
ʻO ka mea pōʻino, ʻaʻohe lāʻau lapaʻau no ka Genital Lymphedema . Akā, mai hopohopo. Me nā lāʻau lapaʻau o kēia manawa, hiki iā ʻoe ke kāohi i kāu mau hōʻailona, pale i nā pilikia, a ola i kahi ola maʻamau.
ʻO ke ʻano lapaʻau nui ʻo 'Complex Decongestive Therapy' (CDT) . He ʻano lapaʻau kēia i loaʻa i kekahi mau ʻanuʻu.
1. E hoʻomaʻemaʻe pono i ka ʻili: He mea nui loa ia e pale aku i ka maʻi. No laila, pono ʻoe e mālama mau i ka ʻāpana pehu me ka hoʻohana ʻana i nā kopa antibacterial a me ka wai mahana.
2. Hoʻokahe Lymph Manual: ʻAʻole kēia he lomilomi maʻamau. Hana ʻia e kahi mea lapaʻau lymphedema i aʻo kūikawā ʻia. Maanei, ua neʻe mālie ʻia ka wai lymph i paʻa i ka wahi pehu i ka wahi me nā kīʻaha lymph e hana pono ana. He mea nui e aʻo mai kahi kanaka i aʻo ʻia ma mua o ka hana ʻana i kēia ma kāu iho.
3. Nā lole hoʻopili kūikawā a me nā pamu: Ke pau ka pehu ʻana, hoʻohana ʻia nā lole hoʻopili kūikawā a i ʻole nā kāʻei e pale ai i ka hōʻiliʻili hou ʻana o ka wai. I kekahi manawa hoʻohana ʻia nā pamu kūikawā e hoʻopiha a hoʻēmi i ka hala ʻana o ka manawa.
4. Nā hoʻoikaika kino: He mea nui loa hoʻi ke komo ʻana i nā hoʻoikaika kino kūikawā i ʻōlelo ʻia e kahi mea lapaʻau e hoʻoulu ai i ka neʻe ʻana o ka wai lymph.
I ka hapanui o nā hihia, pono paha e hana ʻia kēia lāʻau CDT i kēlā me kēia lā no kekahi mau pule. Ma hope o kēlā, e aʻo ʻia ʻoe e hana i kēia mau mea iā ʻoe iho ma ka home.
Āhea e pono ai ke ʻoki kino?
Inā lilo ke kūlana i mea koʻikoʻi loa e hiki ʻole ke kāohi ʻia me kēia mau lāʻau CDT, inā loaʻa pinepine nā maʻi, inā he ʻino loa ka ʻili a ʻeha, a inā hoʻopilikia loa ia i ke ola o kēlā me kēia lā, hiki i ke kauka ke ʻōlelo aku i ke ʻoki kino. ʻO ke ʻoki kino e pili ana i ka wehe ʻana i nā ʻiʻo i hōʻino ʻia a me ka uhi ʻana i ka wahi me ka ʻili olakino (skin graft).
Pehea lā e hiki ai iaʻu ke ola me ka maikaʻi me kēia kūlana?
ʻOiai he maʻi lōʻihi kēia, he mea nui loa e hana i nā hoʻololi liʻiliʻi i kou nohona i ka wā e mālama ʻia ai.
- E mālama i kāu meaʻai:
- Kāohi i ka paʻakai: Hoʻonui ka paʻakai i ka paʻa ʻana o ka wai i loko o ke kino. No laila, e hōʻemi i ka ʻai ʻana i nā meaʻai kiʻekiʻe i ka paʻakai (nā pickles, nā iʻa maloʻo, nā mea ʻono, nā meaʻai wikiwiki) i ka hiki. E hoʻohana i nā mea ʻala (kālika, oregano, pauka chili maloʻo) ma kahi o ka paʻakai e hoʻāla i ka ʻono o kāu meaʻai.
- E inu i ka wai nui: E inu ma ka liʻiliʻi he 8 mau aniani wai i ka lā. Kōkua ka inu wai i ka hoʻokahe ʻana i nā wai pono ʻole mai ke kino.
- E ʻai i ka meaʻai kaulike e komo pū ana me nā mea kanu hou, nā huaʻai, nā protein lean, a me nā palaoa holoʻokoʻa.
- E mālama pono i kou ʻili:
- E mālama i kou ʻili i ka maʻemaʻe a me ka pulu i nā manawa a pau. Hiki i kēia ke kōkua i ka pale ʻana i nā maʻi.
- Inā ʻike ʻoe i nā hōʻailona o ka maʻi, e like me ka ʻulaʻula, ka ʻeha, ka mehana, a i ʻole ke kuni, e hoʻomaopopo koke i kāu kauka .
- E noʻonoʻo e pili ana i nā lole:
- E pale i ke komo ʻana i nā lole komo a i ʻole nā lole paʻa loa. Hiki i kēia ke pani a hoʻopilikia i ke kahe ʻana o ke koko.
- Mai noho ma ke kūlana hoʻokahi no ka lōʻihi loa. Inā ʻoe e noho ana, mai keʻa i kou mau wāwae. E hoʻololi i nā kūlana ma ka liʻiliʻi i kēlā me kēia 30 mau minuke.
- E pale i ka wela nui: E pale i nā mea e like me ka ʻauʻau ʻana i ka wela loa a me ka hoʻohana ʻana i nā sauna. Hiki i ka wela ke hoʻonui i ka pehu.
- E mālama i ke kaumaha olakino: Ke piʻi kou kaumaha, ʻoi aku ke kaumaha o kāu ʻōnaehana lymphatic. No laila, he mea nui loa ka mālama ʻana i ke kaumaha olakino.
Āhea ʻoe e ʻimi ai i ka mālama ulia pōpilikia?
Inā loaʻa iā ʻoe kekahi o nā hōʻailona o ka maʻi ma lalo nei, ʻoiai ʻoe e mālama ʻia nei, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa .
- He kuni ma luna o 38 kekelē Celsius (100.4 Fahrenheit).
- Hoʻonui ʻia ka ʻeha a me ka mehana ma kahi i pehu ʻia.
- Ke ʻulaʻula nei ka ʻili, poni a ʻeleʻele paha, a i ʻole e ʻike ʻia nā kaha ʻulaʻula ma lalo o ka ʻili.
Hōʻike nā hōʻailona e like me kēia e laha ana paha kahi maʻi i loko o ke kino. He mea nui e ʻimi koke i ka lāʻau lapaʻau.
Leka Lawe-Home
- ʻO ka Genital Lymphedema kahi pehu i hoʻokumu ʻia e ka hōʻiliʻili ʻana o ka wai lymph i loko o ka ʻāpana genital. He maʻi lōʻihi ia.
- ʻAʻole kēia he maʻi lele a i ʻole he maʻi i laha ma ke ʻano moekolohe.
- ʻOiai ʻaʻole hiki ke ho'ōla loa ʻia kēia maʻi, hiki ke kaohi maikaʻi ʻia a hiki ke alakaʻi ʻia i kahi ola maʻamau me nā lāʻau CDT a me nā loli o ke ʻano o ka nohona.
- Inā ʻike ʻoe i kekahi pehu ʻokoʻa, ʻeha, a i ʻole nā loli ʻili i kou wahi pilikino, mai hilahila a e ʻike koke i ke kauka . ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o nā hopena.
- He mea nui loa ka mālama ʻana i ka ʻili i ka maʻemaʻe a me ka nānā ʻana i nā hōʻailona o ka maʻi.
- E kamaʻilio me kāu kauka a i ʻole kekahi mea kokoke iā ʻoe e pili ana i nā pilikia olakino noʻonoʻo e hoʻoulu ai i kēia maʻi. He mea nui like ke olakino noʻonoʻo me ke olakino kino.
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