Ke pehu iki nei kou scrotum? A i ʻole ua nui aʻe ia ma mua o ka maʻamau a paʻakikī ke hele? ʻOiai he mea kēia a ka poʻe he nui e makaʻu ai e kamaʻilio e pili ana a hilahila paha, he mea nui loa ia e makaʻala. No ka mea hiki iā ia ke hoʻopilikia i kou olakino a me kou noʻonoʻo. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi kūlana i kapa ʻia ʻo `(Scrotal Lymphedema)` e hoʻoulu ai i kēlā ʻano ʻoluʻolu ʻole, akā hiki ke mālama pono ʻia.
He aha ka Lymphedema Scrotal?
I ka ʻōlelo maʻalahi, ʻo "Scrotal Lymphedema" ka hōʻiliʻili ʻana o kahi ʻano wai i kapa ʻia ʻo lymph i loko a puni nā ʻiʻo i loko o ka scrotum, ka ʻeke ʻili kahi i loaʻa ai kāu mau testicles. I kekahi manawa hiki i kēia ke laha i ka ʻāpana a puni kāu penis.
E noʻonoʻo penei: he ʻōnaehana ko ko kākou kino e wehe ana i nā ʻōpala a me nā mea pono ʻole. Kāhea mākou iā ia ʻo ka ʻōnaehana lymphatic . He ʻāpana koʻikoʻi kēia o kā mākou ʻōnaehana pale. Ke loaʻa kahi ālai, pale, a hōʻino paha i kēia ʻōnaehana, ʻaʻole holo pono ka wai lymph a hōʻiliʻili ma kahi hoʻokahi. Ke hōʻiliʻili ka wai lymph ma kahi a puni nā testicles, kapa mākou iā ia ʻo Scrotal Lymphedema.
ʻAʻole kēia he hoʻomaka koke, akā he maʻi mau pinepine ia. Ma Sri Lanka, ʻo ke kumu nui o kēia he maʻi lawe ʻia e ka makika i kapa ʻia ʻo filariasis. Eia kekahi, hiki i ke ʻoki ʻana i ka maʻi kanesa a me ka radiation therapy ke hana i kēia.
He aha nā ʻāpana o ka ʻōnaehana Lymphatic e pili ana i kēia?
I mea e hoʻomaopopo ai i kēia moʻolelo, pono kākou e ʻike e pili ana i ʻekolu mau huapalapala nui i kā kākou ʻōnaehana kamaʻilio ʻino.
| ʻĀpana o ka ʻōnaehana | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ka lymph | He wai moakāka kēia e kahe ana ma loko o ko kākou kino. Loaʻa iā ia nā hunaola koko keʻokeʻo (ʻoi aku hoʻi nā lymphocytes). ʻO kēia wai e kōkua ai i ka mālama ʻana i ke kino i ka maʻemaʻe ma ka wehe ʻana i nā ʻōpala a me nā bacteria mai ke kino. |
| Nā kīʻaha lymph | Ua like ia me kahi ʻōnaehana o nā ʻōmole liʻiliʻi i loko o ko kākou kino. Ma o kēia mau ʻōmole e lawe ʻia ai ke kahe lymph ma ke kino holoʻokoʻa. |
| Nā kikowaena lymph | Ua like kēia me nā kānana liʻiliʻi. Kānana ʻia a hoʻomaʻemaʻe ʻia ka wai lymph ma ʻaneʻi. Loaʻa iā mākou kēia mau glands liʻiliʻi ma ko mākou kino a pau, ma ka ʻāʻī, nā armpits, a ma ka ʻāpana groin (inguinal lymph nodes) . |
He aha nā hōʻailona o ka Lymphedema Scrotal?
ʻO ka mea nui i ʻike ʻia ma kēia kūlana, ʻo ia ka pehu ʻana o nā testicles. Akā, he nui aku nā mea ʻē aʻe ma waho aʻe o kēlā.
ʻO ka mea nui loa, ʻo ia ke ʻike koke i ke kauka ke ʻike ʻoe i kēia mau hōʻailona, me ka hilahila ʻole a me ka makaʻu ʻole. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻoi aku ka maʻalahi o ka kaohi ʻana i ke kūlana.
Hiki iā ʻoe ke aʻo hou aʻe e pili ana i kēia mau hōʻailona mai ka papa ma lalo nei.
| Hōʻailona | He aha ka mea e hana ʻia me kēia? |
|---|---|
| Hoʻonui ʻia ka testicle | ʻO kēia ke ʻano nui. I kekahi poʻe, hiki ke nui aʻe ia ma mua o ka maʻamau. I nā hihia koʻikoʻi, hiki ke nui e like me ka ʻalani a i ʻole ka kinipōpō hīnaʻi. |
| Nā loli ʻili | I ka wā mua, hiki i ka ʻāpana pehu ke palupalu a palupalu ke pā. I ka hala ʻana o ka manawa, hiki i ka ʻāpana ke lilo i paʻakikī a mānoanoa ma muli o ka ulu ʻana o nā ʻiʻo fibrous (fibrosis) . |
| ʻEha lōʻihi | Hiki iā ʻoe ke loaʻa i ka ʻeha mau a i ʻole ka ʻoluʻolu ʻole ma ka wahi pehu. |
| Nā maʻi hoʻi hou | Hiki ke loaʻa pinepine nā maʻi bacteria ma luna a ma loko o ka ʻili. Hiki i nā hōʻailona ke komo pū me ka ʻulaʻula a me ka mehana o ka ʻili. |
| Paʻakikī ka hele wāwae | I ka piʻi ʻana o ka pehu, hiki ke paʻakikī ke hele no ka mea ua paʻa nā wāwae. I kekahi mau hihia koʻikoʻi, hiki ke hiki ʻole ke hele. |
| Paʻakikī ke mimi | Hiki i ka pehu ke hoʻopaʻa i ka urethra, e paʻakikī ai ka mimi. |
| Nā pilikia hana moekolohe | Hiki i ka pehu a me ka ʻeha ke hoʻopilikia i ka wā o ka moekolohe. |
| Penis i kanu ʻia | I nā hihia koʻikoʻi o ka pehu ʻana, ʻike ʻia paha ka peni ua uhi ʻia a ua piholo ʻia e ka ʻiʻo scrotal. |
He maʻi lele anei kēia?
He pilikia kēia i loaʻa i nā poʻe he nui. ʻAʻole. ʻAʻole he maʻi lele ka `(Scrotal Lymphedema)`. ʻAʻole hoʻi ia he maʻi i laha ma ke ʻano moekolohe `(STI)`. No laila, ʻaʻole pono ʻoe e hopohopo e pili ana i ka hoʻoili ʻana i kāu wahine a hoa paha.
He aha nā pilikia ʻē aʻe e hiki ai i kēia ke hana?
Inā ʻaʻole mālama pono ʻia kēia maʻi, hiki i nā pilikia hou aʻe ke ulu aʻe i ka hala ʻana o ka manawa.
- ʻO ka cellulitis hou: He maʻi kēia o nā ʻiʻo ma lalo o ka ʻili. Hiki i kēia ke lilo i ka elasticity o ka ʻili.
- ʻElepani: He ʻano kēia e mānoanoa ai ka ʻili, paʻakikī, a like me ka ʻili o ka ʻelepani. Ua ʻike mākou i kēia ʻano i hoʻokumu ʻia e ka maʻi Barawa.
- Ka lohi o ka ho'ōla ʻana o ka ʻeha: Inā loaʻa kahi ʻeha a puni ka ʻāpana genital, hiki ke lōʻihi ka manawa e ho'ōla ai ma mua o ka maʻamau.
- Nā hopena noʻonoʻo: ʻO kēia ka mea a ka hapa nui o ka poʻe e kamaʻilio ʻole ai, akā ʻo ia ka mea nui loa. No ka mea he lōʻihi kēia kūlana, hoʻopilikia i nā mea e like me ka hele wāwae, a hoʻopilikia i kou helehelena, hiki iā ia ke loaʻa nā hopena noʻonoʻo he nui.Hiki ke loaʻa ka manaʻo haʻahaʻa iā ʻoe iho, ka hopohopo, ke kaumaha, a me ke kaumaha. He mea maʻamau kēia, no laila mai makaʻu e kamaʻilio e pili ana.
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, ʻo ka mea mua āna e hana ai, ʻo ia ka hoʻolohe pono i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. A laila, e paipai lākou i kekahi mau hoʻokolohua e ʻike ai i ke kumu pololei o ka pehu ʻana a e ʻike pono i kahi o ka paʻa.
- Lymphoscintigraphy: ʻO kēia ke komo ʻana i kahi liʻiliʻi o ka mea radioactive a me ke scan ʻana iā ia e ʻike pehea e neʻe ai ma o kāu ʻōnaehana lymphatic. Hiki i kēia ke hōʻike maopopo i nā mea āpau e ālai ʻia ana.
- Nā scan MRI a me CT: Hiki i kēia mau ʻano scan ke kiʻi i nā kiʻi kikoʻī o nā ʻiʻo palupalu i kou wahi genital a kuhikuhi i kahi kikoʻī o ka blockage.
He aha nā lāʻau lapaʻau i loaʻa?
ʻO kaʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau no ka Scrotal Lymphedema i kēia manawa. Akā, mai hopohopo. Nui nā lāʻau lapaʻau kūpono e hiki ke kōkua i ka hoʻomalu ʻana i nā hōʻailona, e hoʻōki i ka pehu ʻana mai ka ʻino ʻana, a e maʻalahi ai kou ola. Hiki ke hoʻokaʻawale ʻia nā lāʻau lapaʻau i ʻelua mau ʻāpana nui.
1. Lapaʻau ʻoki ʻole
Ua kapa ʻia kēia ʻo Complex Decongestive Therapy (CDT) . He mea kūpono loa ia no ka pehu ʻana o ka ʻōpū i nā pae mua.
- Ka mālama ʻana i ka ʻili maʻemaʻe: E hoʻomaʻemaʻe pono i ka ʻili me ke kopa antiseptic a me ka wai mahana.
- Hoʻokahe Lymphatic Manual: He lomilomi mālie kēia i hana ʻia e kahi mea lapaʻau i aʻo kūikawā ʻia. Kōkua kēia i ka hoʻoneʻe ʻana i ka wai lymph mai ka wahi pehu i nā kīʻaha lymph e hana maikaʻi ana.
- Nā lole hoʻopili: He mau lole paʻa kūikawā kēia e kōkua ai i ka hōʻemi ʻana i ka paʻa ʻana o ka wai a hoʻomaikaʻi i ke kahe ʻana o ke koko.
- Hoʻomaʻamaʻa: Ke komo ʻana i kahi moʻo o nā hoʻomaʻamaʻa i hoʻolālā ʻia e kahi mea lapaʻau kūikawā, i hoʻopilikino ʻia i kou kūlana.
2. ʻOki kino
No nā poʻe me ka pehu nui i pane ʻole i nā lāʻau ʻē aʻe, hiki i kāu kauka ke ʻōlelo i ke ʻoki kino. ʻO ka maʻamau, pili kēia ʻoki kino i:
- Ka wehe ʻana i ka ʻili a me nā ʻiʻo i hōʻino ʻia.
- Inā pono, e wehe i nā hunaola momona keu ma o nā ʻano hana e like me ka `(liposuction)`.
- ʻO ke kāpili ʻili kahi hana e lawe ʻia ai ka ʻili olakino mai kahi ʻāpana ʻē aʻe o ke kino (ʻo ka ʻūhā maʻamau) e pani i ka ʻili i wehe ʻia.
Hana pū kekahi urologist a me ke kauka ʻoki plastik e hana i kēia ʻoki.
He aha kaʻu e hana ai e noho olakino ai?
Me ka mālama ʻana, hiki i ka hana ʻana i nā hoʻololi liʻiliʻi i kou nohona ke kōkua nui iā ʻoe e hoʻokele i kēia kūlana.
- 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 paʻakai i kāu meaʻai. Akā, e hoʻohana i nā mea ʻala, ke kālika, ka oregano, a pēlā aku.
- E inu i ka wai nui: E ho'āʻo e inu ma ka liʻiliʻi he 8 mau aniani wai i ka lā. Hoʻomaikaʻi kēia i ke kahe koko a me ke kahe ʻana o ka lymph.
- E mālama i kou ʻili: E mālama i ka ʻili i maʻemaʻe a hoʻomaʻū mau ʻia. Hiki i kēia ke kōkua i ka pale ʻana i nā maʻi.
- E pale i nā lole paʻa: E pale i ke komo ʻana i nā lole paʻa a i ʻole nā lole me ka elastic e hoʻopaʻa ai i ka ʻōpū haʻahaʻa a me ka ʻāpana groin.
- E hōʻalo i ka wela nui: ʻO ka wela nui, e like me ka ʻauʻau wela a me nā sauna, hiki ke hoʻonui i ka pehu.
- E mālama i ke kaumaha olakino: He mea nui loa ia e mālama i ke kaumaha olakino no kou kiʻekiʻe. Hiki iā ʻoe ke ʻimi i ka ʻōlelo aʻo mai ke kauka a meaʻai meaʻai paha no kēia.
Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU)?
Inā loaʻa iā ʻoe ka Scrotal Lymphedema a loaʻa iā ʻoe kekahi o nā hōʻailona o kahi maʻi , e hele koke i ka ʻOihana Pilikia kokoke loa (ETU).
- Ke kuni i ʻoi aku ma mua o 38 kekelē Celsius (100.4 Fahrenheit).
- Hoʻonui koke ʻia ka ʻeha.
- Ua ʻike ʻia ka wela nui i ka wā e hoʻopā ai i ka wahi pehu.
- ʻIli ʻulaʻula, poni, a ʻeleʻele paha, a i ʻole nā kaha ʻulaʻula ma ka ʻili.
Leka Lawe-Home
- ʻO ka Lymphedema Scrotal kahi hōʻiliʻili ʻana o ka wai lymph i loko o ka scrotum. ʻAʻole ia he maʻi ʻaʻai.
- ʻAʻole laha kēia maʻi a ʻaʻole hoʻi he maʻi i laha ma ke ʻano moekolohe.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka pehu ʻana o nā testicle, mai hilahila a e ʻike koke i ke kauka.
- ʻOiai ʻaʻole hiki ke ho'ōla loa ʻia, hiki ke kaohi ʻia nā hōʻailona a hiki ke ola i ke ola maʻamau ma o ka mālama ʻana a me nā hoʻololi ʻana i ke ʻano o ka nohona.
- Inā ʻoe e kaumaha nei i ka naʻau ma muli o kēia kūlana, e kamaʻilio me kekahi āu e hilinaʻi ai a i ʻole kekahi kākāʻōlelo e pili ana i ia mea. ʻAʻole ʻoe hoʻokahi.
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