Ke ʻike nei anei kou wahi genital i ka pehu ʻano ʻē? He Genital Lymphedema anei? E kamaʻilio kākou!

I kekahi manawa, e ʻike paha ʻoe i kahi pehu ʻē a kaumaha paha ma kou ʻōpū haʻahaʻa, ʻo ia hoʻi, a puni kou mau ʻōpū. He mea ʻoluʻolu ʻole iki, ʻeā? He hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo Genital Lymphedema. Mai hopohopo, ke ʻike pono ʻoe i kēia, e maopopo nā mea he nui.

He aha ka Genital Lymphedema?

I ka ʻōlelo maʻalahi, ʻo Genital Lymphedema kahi kūlana kahi e pehu ai nā ʻiʻo palupalu o kou wahi genital ma muli o ka hōʻiliʻili ʻana o ka wai lymph . He maʻi mau kēia.

He ʻōnaehana ko ko kākou kino i kapa ʻia ʻo ka ʻōnaehana lymphatic . Ua like ia me ka ʻōnaehana pale o ko kākou kino. ʻO kēia ka mea e kōkua ai i ka mālama ʻana i ke kaulike o nā wai o ko kākou kino a me ke kaua ʻana i nā germs. No laila, inā he ālai a hōʻino paha i kēia ʻōnaehana lymphatic, e paʻa ana kēlā wai lymph ma kahi hoʻokahi a ulu ka Lymphedema. Inā hana kēia ma ka ʻāpana genital, kapa mākou iā ia he Genital Lymphedema.

Hoʻopilikia kēia i ka emi ma mua o 1% o ka poʻe me Lymphedema ma ka honua holoʻokoʻa. ʻO ia hoʻi, he maʻi kakaikahi ia, akā hiki i kekahi ke loaʻa iā ia.

He aha nā ʻāpana o ka ʻōnaehana lymphatic e pili ana i kēia?

E nānā kākou i nā mea i loko o kēia ʻōnaehana lymphatic a pehea e pili ai i ka Genital Lymphedema.

• Lymph: He wai moakaka kēia, i kekahi manawa he melemele iki. Lawe ia i nā pūnaewele o kā mākou ʻōnaehana pale, ʻo ia hoʻi nā pūnaewele koko keʻokeʻo, i ke koko. Hoʻopau pū ia i nā huahana ʻōpala, nā bacteria, a me nā protein i makemake ʻole ʻia mai ko mākou mau ʻiʻo a hoʻihoʻi iā lākou i ke koko. Ke ʻai mākou, lawe pū ia i nā ʻāpana momona i omo ʻia mai nā ʻōpū i loko o ke koko.
• Nā kīʻaha lymph: Ua like kēia me nā ʻōmole lahilahi e lawe ana i ka wai lymph ma ke kino a pau a laila kahe i loko o kahi kīʻaha koko nui kokoke i ko kākou puʻuwai.
• Nā kiko Lymph: He mau puʻupuʻu liʻiliʻi kēia e like me ka pīni e mālama ana i nā hunaola koko keʻokeʻo a kānana i ka wai lymph. Loaʻa kēia mau kiko lymph ma nā wahi he nui, me lalo o ko mākou mau armpits, ma ko mākou groin, ma ko mākou ʻāʻī, a ma loko o ko mākou ʻōpū.

He aha nā ʻano nui o ka Genital Lymphedema?

ʻElua mau ʻano nui o ka Genital Lymphedema.

ʻO ka Lymphedema Genital Mua

Hana ʻia kēia ma muli o kekahi ʻano ʻē i ka ulu ʻana o kā mākou ʻōnaehana lymphatic. ʻO ia hoʻi, he mea ia i loaʻa i ka wā hānau . I kekahi manawa ʻike ʻia nā hōʻailona i ka wā hānau, a i ʻole e ʻike ʻia paha i nā makahiki ma hope. E noʻonoʻo iā ia he hewa liʻiliʻi i ke kūkulu ʻana i kahi ʻōnaehana paipu.

ʻO ka Lymphedema Genital Lua

Hana ʻia kēia ke hōʻino ʻia ka ʻōnaehana lymphatic ma muli o kekahi kumu o waho . E nānā kākou i kēlā mau kumu:

• Ma ka ʻāpana genital, ʻo ia hoʻi, ka prostate , ka mimi ʻōpū , nā testicles , ka penis , ka cervix , nā ovariesLapaʻau no nā puʻupuʻu ʻino ma nā wahi e like me ka vulva a i ʻole ka rectum, e like me ke ʻoki kino a i ʻole ka radiation therapy .
• Wehe ʻana i nā kiko lymph ma ke ʻoki kino. Kapa mākou ia he lymphadenectomy .
• ʻO nā maʻi lōʻihi o nā lymph nodes a me nā kīʻaha lymphatic i hoʻokumu ʻia e ka bacteria, nā virus, nā fungi, a i ʻole nā ​​​​ilo (e.g., Filariasis ).
• Nā ʻeha.
• I kekahi manawa pinepine ʻole, hiki ke hana ʻia e nā maʻi i laha ma ke moekolohe (STIs) .

Mea nui: ʻOiai hiki ke hana ʻia kēia ʻano e nā lāʻau lapaʻau maʻi kanesa, he mea nui loa ia e haʻi i ke kauka inā he pehu ʻē kou ma hope o ka lāʻau lapaʻau.

Aia kekahi mau kumu i ʻike pinepine ʻole ʻia:

• ʻO ka mumū a me ka pehu ʻana i loko o nā ʻōpū, no ka laʻana (ka maʻi o Crohn) .
• ʻO kahi kūlana e hoʻoulu ai i nā lesions i loko o nā lymph nodes (sarcoidosis) .
• Ka mumū ʻana o nā kīʻaha koko (vasculitis) .
• ʻO kahi maʻi ʻili mumū lōʻihi (rosacea) .
• ʻO ka mumū o nā kōpili lymph i loko o ka ʻōpū (mesenteric lymphadenitis) .

He aha nā hōʻailona o kēia? Pehea ʻoe e ʻike ai?

Hiki ke ʻokoʻa iki nā hōʻailona o ka Genital Lymphedema mai kēlā me kēia kanaka. E nānā kākou i kekahi o nā hōʻailona maʻamau:

• Paʻakikī ke mimi. ʻO ke ʻano kēia o ka kulu ʻana o ka mimi, a i ʻole ka ʻeha i ka wā e mimi ai (dysuria) .
• Nā maʻi pinepine.
• Ka mānoanoa a me ka hoʻopaʻa ʻana o ka ʻili ma ka ʻāpana genital.
• Paʻakikī me ka hana moekolohe. No ka laʻana, ʻeha i ka wā o ka moekolohe (dyspareunia) , nā pilikia me ke kūkulu ʻana, a i ʻole ka emi ʻana o ka makemake moekolohe (libido haʻahaʻa) ma muli o kēia mau pilikia.
• ʻO ka paʻakikī i ka mimi, ka ʻeha a me ka ʻoluʻolu ʻole i ka hele wāwae ʻana i kēlā me kēia lā, a me ka moekolohe e alakaʻi ai i ka hōʻemi ʻana i ka maikaʻi o ke ola .

Hiki i nā wāhine ke loaʻa nā hōʻailona e like me:

• ʻEha a me ka pehu ʻana ma nā ʻili o ka ʻili (labia) ma nā ʻaoʻao ʻelua o ka ʻāpana pelvic a me ka puka o ka vaginal.
• ʻO ka lymphedema laulā ma nā wāwae ʻelua.

I nā kāne, hiki i kēia ke hana:

• ʻO ka pehu a me ka ʻeha i loko o ka penis, ka scrotum, a i ʻole nā ​​​​mea ʻelua.
• ʻO ka lymphedema ākea ma nā wāwae ʻelua.

E noʻonoʻo, ma hope o ka mālama ʻia ʻana o Nalini no ka maʻi kanesa, ua hoʻomaka kona labia e pehu. I ka wā mua, ua manaʻo ʻo ia he mea maʻamau ia, akā ua piʻi aʻe ka pehu i kēlā me kēia lā, e paʻakikī ai ka hele ʻana. I kēlā manawa ua ʻike ʻo ia i ke kauka a ua aʻo e pili ana i ka Genital Lymphedema. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he mea nui loa ia e ʻimi koke i ka ʻōlelo aʻo lapaʻau.

No ke aha e kū mai ai ka Genital Lymphedema? He mea laha anei ia?

Ke hana pono nei kā mākou ʻōnaehana lymphatic, hele ka wai lymph ma o nā kīʻaha koko o ke kino a hoʻi i ke koko. Eia nō naʻe, inā he poloka a haki paha i loko o ka ʻōnaehana lymphatic ma kou wahi genital, hōʻiliʻili kēlā wai lymph i loko o nā ʻiʻo palupalu ma laila, e hoʻoulu ai i ka pehu. E like me ka wā e paʻa ai kahi paipu wai, piha ka wai ma kahi hoʻokahi.

ʻAʻole, ʻaʻole he maʻi lele ka Genital Lymphedema. Eia kekahi, ʻaʻole ia he maʻi i laha ma ke ʻano moekolohe (STI). ʻAʻole hiki iā ʻoe ke hoʻolaha iā ia i kekahi kanaka. No laila, mai hopohopo no ia mea.

Hiki i kēia ke hana i nā pilikia ʻē aʻe?

ʻAe, inā ʻaʻole mālama pono ʻia ka Genital Lymphedema, hiki mai paha kekahi mau pilikia.

• ʻO ka cellulitis hou. ʻO ka cellulitis kahi mumū o nā ʻiʻo palupalu pili ma lalo o ka ʻili. Hiki i kēia ke hana i ka ʻeha a me ka nalowale o ka elasticity o ka ʻili.
• ʻElepani . He ʻano kēia e hoʻonui nui ʻia ai ka ʻili, mānoanoa, a paʻakikī paha. ʻIke pinepine ʻia kēia ʻano ke koʻikoʻi ka Genital Lymphedema.
• ʻErysipelas . E like me ka cellulitis, he maʻi ʻili kēia i hoʻokumu ʻia e ka bacteria. Hiki iā ia ke ulu koke a hoʻoulu i ke kuni, ka ʻeha, a me ka hoʻololi ʻana o ka ʻili (ʻulaʻula, poni, ʻeleʻele, ʻeleʻele).
• Nā hopena noʻonoʻo. No ka mea, he maʻi lōʻihi ka lymphedema genital a hiki ke hoʻopilikia i kou helehelena, hiki iā ʻoe ke ʻike i ka haʻahaʻa o ka manaʻo ponoʻī, ka hopohopo , ke kaumaha, a me ke kaumaha . He mea nui e kamaʻilio me kahi mea aloha a ʻimi i ke aʻo ʻana inā pono.

Pehea e ʻike pono ai nā kauka inā loaʻa iā ʻoe kēia?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua lākou e pili ana i kou mōʻaukala olakino a hana i kahi hoʻokolokolo kino. Inā manaʻo lākou he Genital Lymphedema kou, e hana paha lākou i kekahi mau hoʻokolohua hou aʻe e hōʻoia iā ia.

He aha nā hoʻokolohua e hana ʻia nei?

• Lymphoscintigraphy: Ma kēia hoʻokolohua, hoʻokomo kāu kauka iā ʻoe me kahi liʻiliʻi o kahi mea radioactive (radiotracer) . A laila, me ka hoʻohana ʻana i kahi scanner , nānā lākou i ke ʻano o ka neʻe ʻana o ka mea ma o kāu ʻōnaehana lymphatic. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he mau ālai i loko o kāu ʻōnaehana lymphatic a inā paha e hana maʻamau ana.
• ʻIke Hoʻohālikelike Magnetic (MRI): ʻO ka MRI kahi hoʻāʻo kiʻi e hoʻohana ana i kahi magnet nui, nā nalu lekiō, a me kahi kamepiula e hana i nā kiʻi kikoʻī o nā ʻiʻo palupalu o kou wahi genital.

Hiki ke ho'ōla loa ʻia ka Genital Lymphedema? He aha nā lāʻau lapaʻau?

ʻO kaʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau piha no ka Genital Lymphedema i kēia manawa. Akā, mai hopohopo! Aia nā lāʻau lapaʻau maikaʻi e loaʻa ana e kōkua i ka hoʻokele ʻana i nā hōʻailona.

He aha kaʻu e hana ai me nā ʻōpuʻu lymph i pehu ʻia ma ka ʻāpana groin?

ʻO ka lāʻau lapaʻau mua e hāʻawi pinepine ʻia ʻo ia ka Complex Decongestive Therapy (CDT) . He mau ʻanuʻu kēia:

• Ka hoʻomaʻemaʻe piha ʻana i ka ʻili: E hoʻomaʻemaʻe ke kauka a i ʻole ka loea i aʻo ʻia i ka ʻāpana me ka hoʻohana ʻana i ke kopa antibacterial, ka wai mehana, a me kahi mea hoʻomaʻemaʻe ʻili (e.g., iodine, isopropyl alcohol).
• Hoʻokahe Lymph Manual (MLD): Hana ʻia kēia e kahi mea lapaʻau lymphedema i aʻo ʻia e hōʻemi i ka pehu ʻana o ka lymphedema. Pili kēia i ka lomilomi mālie a me ke kīkēkē ʻana i ka wahi pehu e hoʻoneʻe i ka wai lymph i kahi me nā kīʻaha lymph olakino. E hōʻike pū kāu mea lapaʻau iā ʻoe pehea e hana ai i kēia ʻano lomilomi ma luna ou iho. Eia nō naʻe, ʻaʻole ia e ʻōlelo ʻia inā he mau ʻeha hāmama kou, nā palapū, nā ʻūpā koko, a i ʻole ua loaʻa koke iā ʻoe ka radiation therapy.
• Nā lole hoʻopili kūikawā a me nā pamu: ʻO kēia nā lole hoʻopili a me nā pamu e hoʻopū a ʻūlū i nā manawa kikoʻī. Kōkua lākou i ka hoʻoneʻe ʻana i ka wai lymph ma o nā lymph nodes a pale i ka hōʻiliʻili ʻana o ka wai.
• Hoʻoikaika kino: E kuhikuhi ka mea lapaʻau lymphedema i nā hoʻomaʻamaʻa kikoʻī e kūpono iā ʻoe a e kōkua i ka hoʻomaikaʻi ʻana i ke kahe ʻana o ka lymph.

I kekahi manawa, hiki i ka Genital Lymphedema ke lilo i mea koʻikoʻi ʻoiai me ka Complex Decongestive Therapy. I kēlā mau hihia, hiki i kāu kauka ke ʻōlelo i ke ʻoki kino, ʻoiai inā:

• Inā e hoʻomau ka ʻino o kou Genital Lymphedema.
• Inā loaʻa iā ʻoe nā maʻi pinepine.
• Inā ua ʻano ʻino ka ʻili ma ka ʻāpana genital me ka ʻeha.
• Inā he hopena nui ka Genital Lymphedema i kou ola maikaʻi.

ʻO ka pahuhopu nui o ke ʻoki kino, ʻo ia ka hōʻemi ʻana i ka ʻeha a hoʻihoʻi i ka hana maʻamau. Pili kēia i ka wehe ʻana i nā ʻiʻo āpau i hoʻopilikia ʻia a me ka uhi ʻana i ka wahi me ka ʻili olakino (skin graft) .

Pehea ka wikiwiki o koʻu ʻoluʻolu ma hope o ka lāʻau lapaʻau?

I ka hoʻomaka ʻana i ka Complex Decongestive Therapy, pono paha ʻoe e lawe i nā lāʻau lapaʻau i kēlā me kēia lā no kahi o ʻeono pule. Ma hope o kēlā, hiki iā ʻoe ke lawelawe ponoʻī i ka lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka, me nā kipa ʻana i kāu kauka i kekahi manawa.

Inā loaʻa iā ʻoe ke ʻoki kino no ka lymphedema genital, pono ʻoe e noho ma ka haukapila no hoʻokahi a ʻelua paha lā. Hoʻōla ka hapa nui o ka poʻe i loko o ʻeono pule. Eia nō naʻe, e hāʻawi kāu kauka iā ʻoe i kahi manawa kikoʻī e pili ana i kou kūlana.

Pehea e mālama ai i ka lymphedema genital a pale iā ia mai ka lilo ʻana i mea ʻino?

He mea hiki ʻole ke hōʻemi i nā pilikia āpau o ka loaʻa ʻana o ka lymphedema, a ʻaʻole hiki i nā kauka ke hoʻoponopono piha i ka pōʻino i ka ʻōnaehana lymphatic. Eia nō naʻe, me ka mālama pono ʻana, hiki iā ʻoe ke kāohi i ka pehu a hōʻemi i ka pilikia o nā pilikia. Hiki i nā ʻōlelo aʻoaʻo ma lalo nei ke kōkua iā ʻoe e hoʻokele i kou kūlana Genital Lymphedema:

• E makaʻala i kou kino: E ʻike i ke kauka ke ʻike koke ʻoe i nā hōʻailona mua o ka lymphedema genital. ʻO ka waiho ʻole ʻia ʻana, a i ʻole ka hoʻomaka ʻana o ka lāʻau lapaʻau ma hope loa, hiki ke alakaʻi i nā pilikia koʻikoʻi hiki ʻole ke hoʻoponopono ʻia ma hope.
• E mālama i kou ʻili: E mālama i kou ʻili i maʻemaʻe a hoʻomaʻū ʻia e pale aku i ka maʻi. Ke hōʻiliʻili ka wai lymph, hiki ke ulu maʻalahi ka bacteria. E ʻike i ke kauka ke ʻike koke ʻoe i nā hōʻailona o ka maʻi (e laʻa, ʻili ʻulaʻula/poni/ʻeleʻele, ʻeha, pehu, kuni, nā kaha kala ʻole ma lalo o ka ʻili).
• E ʻae i kou mau wai kino e neʻe maʻalahi: Mai keʻa i kou mau wāwae i ka wā e noho ana. E hoʻololi i kou kūlana ma ka liʻiliʻi i kēlā me kēia 30 mau minuke. E pale i nā lole paʻa a me nā kāʻei elastic.
• E kaupalena i ka wela o kou wahi genital: E pale i ka ʻauʻau wela a me nā sauna . Hiki i ka wela nui ke hoʻonui i ka pilikia o ka lymphedema genital.
• E hoʻomaʻamaʻa lohi a kāohi ʻia: E hahai i kahi hoʻolālā hoʻoikaika kino a kahi mea lapaʻau Lymphedema e hoʻopilikino ai nou.
• E mālama i ke kaumaha olakino e kūpono iā ʻoe: E ʻimi i ke kōkua mai ke kauka a meaʻai meaʻai paha e hoʻomohala i kahi hoʻolālā ʻai olakino.

E hoʻomanaʻo: ʻO kēia nā mea āu e hahai ai no ke koena o kou ola. Eia naʻe, hiki iā lākou ke hoʻomaʻalahi i kou ola.

Ke hoʻopilikia nei anei ka meaʻai a me ka mea inu i kēia?

ʻAe, hiki i nā ʻano ʻai olakino ke kōkua i ka kaohi ʻana i ka pehu ʻana o ka Genital Lymphedema. ʻO ka hoʻokomo ʻana i ka nui o nā huaʻai, nā mea kanu, nā protein lean, a me nā palaoa piha i kāu meaʻai e kōkua i kāu ʻōnaehana lymphatic e hana maikaʻi aʻe. Eia kekahi mau mea ʻē aʻe e noʻonoʻo ai:

• E kaupalena i ka ʻai ʻana i ka paʻakai: Hiki i ka paʻakai ke hoʻonui i ka paʻa ʻana o ka wai. E hoʻohana i nā lau curry hou, ke kālika, ka oregano, ka pauka chili, a me ka pauka sinapi e hoʻāʻo i kāu meaʻai.
• E inu i ka wai nui: Kōkua ka inu wai i ka hoʻokahe ʻana i nā wai keu mai kou kino. E ho'āʻo e inu ma ka liʻiliʻi he 64 auneke (8 mau kīʻaha maʻamau) i ka lā.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka Genital Lymphedema, e ʻike pono i ke kauka. Inā ʻaʻole mālama ʻia, hiki i ke kūlana ke ʻoi aku ka ʻino a alakaʻi i nā pilikia ʻē aʻe.

He manaʻo maikaʻi e nīnau i kēia mau nīnau ke ʻike ʻoe i kāu kauka:

• Pehea ʻoe e ʻike ai inā loaʻa iaʻu ka Genital Lymphedema?
• Inā ʻaʻohe oʻu Genital Lymphedema, he aha nā maʻi ʻē aʻe e loaʻa iaʻu?
• Pehea ke koʻikoʻi o koʻu Genital Lymphedema?
• He aha nā hoʻololi ʻē aʻe e pono ai iaʻu e hana i ke ʻano o ka nohona?
• Hiki iā ʻoe ke ʻōlelo aku i kahi kākāʻōlelo olakino noʻonoʻo , hui kākoʻo, meaʻai meaʻai, a i ʻole ka mea lapaʻau Lymphedema?

Āhea wau e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona o ka maʻi, e hele i ka lumi pilikia kokoke loa:

• He kuni ma luna o 100.4 degere Fahrenheit (38 degere Celsius).
• Hoʻonui i ka ʻeha.
• Ka hoʻomehana ʻana o ka ʻāpana i hoʻopilikia ʻia.
• Nā loli i ke kala o ka ʻili, ʻoiai inā like lākou me nā kaha e neʻe ana mai ka wahi i hoʻopilikia ʻia.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO ka Genital Lymphedema kahi maʻi e kū mai ana i ka wā e hōʻino ʻia ai a hoʻopilikia ʻia paha ka ʻōnaehana lymphatic i loko o kou wahi genital. Hiki ke lilo i maʻi lōʻihi, a hiki ke hoʻoluhi nui ʻia nā hōʻailona. Eia nō naʻe, me ka mālama kūpono a me nā loli o ke ʻano o ka nohona, hiki ke hoʻemi ʻia nā hopena o ka Genital Lymphedema.

Inā he mau hopohopo kāu, mai makaʻu e kamaʻilio me ke kauka. E ʻōlelo lākou i ka lāʻau lapaʻau maikaʻi loa nāu. ʻAʻole ʻoe hoʻokahi me kēia maʻi, a he nui nā ala e loaʻa ai ke kōkua.

ʻO ka Lymphedema Genital, ʻōnaehana lymphatic, pehu ʻana o ka ʻāpana genital, wai lymph, nā lymph nodes, lāʻau lapaʻau, nā hōʻailona, ​​pehu ʻana, cellulitis