Koj puas xav tias koj daim tawv nqaij nyob rau hauv koj qhov chaw mos, uas yog thaj chaw ib puag ncig koj lub qhov chaw mos o tuaj, lossis tuab zuj zus? Nws yog ib qho txawv txawv thiab txaj muag me ntsis thaum tham txog ib yam dab tsi zoo li no nrog leej twg, puas yog? Tab sis qhov no tuaj yeem yog ib qho teeb meem tseem ceeb heev uas cuam tshuam nrog koj txoj kev noj qab haus huv . Yog li hnub no peb tab tom tham txog 'Genital Lymphedema ', ib qho mob uas ntau tus neeg tsis xav tham txog, tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog. Tsis txhob txhawj, tom qab nyeem tsab xov xwm no, koj yuav nkag siab meej txog qhov no.
Hais yooj yim xwb, Genital Lymphedema yog dab tsi?
Kab mob qog nqaij hlav ntawm qhov chaw mos yog qhov o uas tshwm sim los ntawm kev sib sau ua ke ntawm cov kua dej lymph hauv cov nqaij mos mos nyob ib puag ncig koj qhov chaw mos. Hais yooj yim xwb, nws yog ib qho mob uas ib hom kua dej hauv peb lub cev raug kaw hauv thaj chaw no thiab o. Qhov no tsis yog ib qho mob ib zaug xwb, tab sis feem ntau yog ib qho mob ntev .
Qhov no cuam tshuam tsawg dua 1% ntawm tag nrho cov mob lymphedema thoob ntiaj teb. Qhov no txhais tau tias nws yog ib qho mob tsis tshua muaj . Txawm li cas los xij, nws tuaj yeem cuam tshuam rau txhua tus neeg, ob leeg poj niam thiab txiv neej, thiab cov neeg txhua lub hnub nyoog.
Cia peb kawm me ntsis txog peb lub 'Lymphatic System' uas cuam tshuam txog qhov no.
Yuav kom nkag siab txog tus kab mob no kom zoo, cia peb xub muaj lub tswv yim me ntsis txog ' lymphatic system ' hauv peb lub cev. Xav txog tias peb lub cev yog ib lub nroog loj. Hauv lub nroog no, kev noj haus thiab cov pa oxygen mus txhua qhov chaw los ntawm cov hlab ntsha , thiab yuav tsum muaj ib lub tshuab los tshem tawm cov khib nyiab kom lub nroog huv si. Yog li ntawd lub lymphatic system yog li cas.
Qhov no yog ib feem tseem ceeb ntawm peb lub cev tiv thaiv kab mob . Nws lub luag haujlwm tseem ceeb yog tswj cov kua dej hauv lub cev , tiv thaiv kab mob, thiab tshem tawm cov khoom pov tseg ntawm cov nqaij.
Muaj peb qhov tseem ceeb rau lub kaw lus no:
- Lymph: Qhov no yog cov kua ntshiab, me ntsis daj. Nws nqa cov qe ntshav dawb (cov qe ntshav dawb ) mus rau hauv cov ntshav. Nws kuj tshem tawm cov khoom pov tseg thiab cov kab mob ntawm cov nqaij thiab xa rov qab mus rau hauv cov ntshav.
- Cov hlab ntsha Lymph: Cov no yog cov qauv zoo li lub raj nyias uas nqa cov kua lymph thoob plaws lub cev, ib yam li peb cov hlab ntsha.
- Cov qog ntshav: Cov no yog cov 'lim'. Cov qog me me, zoo li taum no khaws cov qe ntshav dawb. Thaum cov kua qaub ntshav hla dhau lawv, nws lim cov kab mob thiab cov khoom pov tseg tawm. Cov qog ntshav no nyob ua pawg hauv cov chaw xws li peb lub qhov tso quav, qhov chaw mos, caj dab, thiab lub plab.
Yog li, hauv Genital Lymphedema, muaj qee yam tshwm sim hauv lub cev lymphatic nyob ib puag ncig thaj chaw ntawm lub cev, ua rau cov kua lymph sib sau ua ke hauv ib qho chaw vim muaj qee qhov kev thaiv lossis kev puas tsuaj. Ib yam li thaum cov yeeb nkab dej raug txhaws, nws puv nrog dej thiab ntws tawm.
Muaj ob hom kab mob Genital Lymphedema tseem ceeb:
Tus mob no muaj ob hom loj nyob ntawm seb nws tshwm sim li cas.
| Hom | Kev piav qhia |
|---|---|
| Kab mob qog nqaij hlav thawj zaug | Qhov no yog tshwm sim los ntawm qhov tsis zoo ntawm lub cev lymphatic uas yug los. Qee zaum cov tsos mob pom tau thaum yug los. Rau lwm tus, cov tsos mob tshwm sim ntau xyoo tom qab, qee zaum thaum hluas. |
| Qhov Chaw Mos Lymphedema Thib Ob | Qhov no yog hom mob uas feem ntau tshwm sim. Qhov uas tshwm sim ntawm no yog tias lub cev lymphatic noj qab haus huv raug puas tsuaj los ntawm qee yam ua rau sab nraud. |
Dab tsi yog cov ua rau muaj mob qog ntshav hauv qhov chaw mos thib ob?
Tej zaum yuav muaj ntau yam ua rau qhov no.
- Kev Kho Mob Cancer: Kev phais lossis kev kho mob hluav taws xob yog ib qho ua rau muaj mob cancer hauv thaj chaw ntawm lub cev (piv txwv li, prostate, zais zis, noob qes, qaus, cervix, zes qe menyuam, vulva, lossis rectum). Qhov no yog vim tias cov kev kho mob no ua rau puas tsuaj lossis tshem tawm cov qog ntshav hauv thaj chaw ntawd (lymphadenectomy). Qhov no thaiv txoj kev rau cov kua ntshav ntws.
- Kev kis kab mob: Kev kis kab mob mus sij hawm ntev ntawm cov hlab ntsha lymphatic thiab cov qog ntshav uas tshwm sim los ntawm qee cov kab mob bacteria, viruses, fungi lossis worms. Ib qho piv txwv zoo ntawm qhov no yog filariasis, uas hu ua 'Barawa' hauv peb lub tebchaws.
- Kev raug mob:Kev raug mob hnyav lossis raug mob rau thaj chaw ntawm lub cev.
- Cov kab mob sib kis los ntawm kev sib deev (STIs): Tsis tshua muaj, qhov mob no kuj tuaj yeem tshwm sim los ntawm qee cov kab mob STIs.
- Lwm yam mob: Qhov no kuj tuaj yeem tshwm sim los ntawm lwm yam mob, xws li Crohn's disease (mob o ntawm txoj hnyuv), Sarcoidosis, thiab Vasculitis (mob o ntawm cov hlab ntsha), tsis tshua muaj.
Cov tsos mob ntawm tus mob no yog dab tsi?
Cov tsos mob ntawm qhov chaw mos lymphedema yuav txawv me ntsis ntawm ib tus neeg mus rau ib tus neeg thiab nyob ntawm poj niam txiv neej. Cia peb saib qee cov tsos mob uas pom ntau.
| Cov tsos mob ntawm qhov chaw mos Lymphedema | |
|---|---|
| Cov tsos mob tshwm sim (rau ob leeg poj niam thiab txiv neej) | |
| Nyuaj siab tso zis | Cov zis ntws los, mob thaum tso zis (dysuria). |
| Kev kis kab mob ntau zaus | Cov kab mob ntawm daim tawv nqaij tuaj yeem tshwm sim ntau zaus hauv thaj chaw o. |
| Ua kom daim tawv nqaij tuab lossis tawv | Raws li lub sijhawm dhau mus, daim tawv nqaij ntawm qhov chaw o tuaj yeem tuab thiab nruj thaum kov. |
| Teeb meem kev sib deev | Mob thaum sib deev (dyspareunia), teeb meem nrog erection, thiab kev puas siab puas ntsws tuaj yeem ua rau tsis muaj libido. |
| Kev ua neej nyob poob qis | Qhov mob, qhov nyuaj tso zis, thiab qhov nyuaj nrog cov dej num txhua hnub tuaj yeem ua rau ntxhov siab rau lub neej. |
| Cov tsos mob tshwj xeeb rau cov poj niam | |
| Mob thiab o ntawm daim tawv nqaij ntawm lub qhov chaw mos (labia) hauv thaj chaw ntawm lub duav thiab ob sab ntawm qhov chaw mos. Qee zaum kuj yuav muaj o ntawm ko taw. | |
| Cov tsos mob tshwj xeeb rau cov txiv neej | |
| O thiab mob rau ntawm tus qau, lub noob qes, lossis ob qho tib si. Qee zaum yuav muaj o rau ntawm ko taw. | |
Qhov tseem ceeb tshaj plaws yog qhov no tsis yog kab mob sib kis. Genital Lymphedema tsis yog kab mob sib kis ntawm ib tus neeg mus rau lwm tus. Nws kuj tsis yog kab mob sib kis los ntawm kev sib deev (STI). Yog li ntawd, tsis txhob ntshai nws yam tsis tsim nyog.
Yog tsis kho ces yuav muaj teeb meem dab tsi tshwm sim?
Yog tias tus mob no tsis raug kho kom zoo, qee qhov teeb meem yuav tshwm sim raws sijhawm.
- Mob Cellulitis Rov Qab Los: Qhov no yog kev kis kab mob ntawm cov nqaij hauv qab daim tawv nqaij. Nws tuaj yeem ua rau muaj qhov caws pliav thiab poob qhov elasticity ntawm daim tawv nqaij.
- Kab mob ntxhw: Qhov no yog hom mob hnyav tshaj plaws. Daim tawv nqaij yuav loj heev, tuab zuj zus, thiab tawv, zoo li daim tawv nqaij ntxhw. Tus mob no kuj tuaj yeem pom hauv cov mob hnyav ntawm tus kab mob Barawa.
- Erysipelas: Qhov no yog ib qho kab mob ntawm daim tawv nqaij uas kis los ntawm cov kab mob, zoo ib yam li cellulitis. Nws tuaj yeem kis tau sai thiab ua rau kub taub hau, mob, thiab tawv nqaij hloov xim (liab, ntshav, xim av, dub).
- Cov teebmeem ntawm lub hlwb: Vim tias qhov no yog ib qho mob uas yuav mob mus ntev thiab cuam tshuam rau lub cev zoo li cas, ib tug neeg yuav muaj tej yam xws li kev tsis ntseeg tus kheej, kev ntxhov siab, kev nyuaj siab, thiab kev ntxhov siab . Qhov no yog ib txwm muaj. Tsis txhob txaj muag tham nrog koj tus kws kho mob txog qhov no.
Tus kws kho mob kuaj mob li cas?
Yog koj muaj cov tsos mob no, thawj qhov koj yuav tsum ua yog mus ntsib kws kho mob uas tsim nyog. Nws yuav nug koj txog koj keeb kwm kev kho mob thiab kuaj lub cev. Tom qab ntawd, lawv yuav ua ob peb qhov kev kuaj ntxiv kom paub tseeb tias qhov no puas yog Genital Lymphedema.
- Kev kuaj mob Lymphoscintigraphy:Qhov no suav nrog kev txhaj tshuaj me me ntawm cov tshuaj radioactive (radiotracer) rau hauv lub cev thiab siv lub tshuab ntsuas tshwj xeeb los saib xyuas nws txoj kev txav mus los ntawm lub cev lymphatic. Qhov no tuaj yeem txheeb xyuas qhov chaw uas raug thaiv hauv lub cev lymphatic.
- Kev kuaj MRI (Magnetic Resonance Imaging): Qhov no tuaj yeem thaij duab peb-seem ntawm cov nqaij mos ntawm thaj chaw mos thiab tshuaj xyuas qhov ua rau thiab qhov mob ntawm qhov o.
Yuav kho qhov no li cas? Puas kho tau tag nrho?
Tu siab kawg li, tseem tsis tau muaj tshuaj kho tau Genital Lymphedema . Tiam sis tsis txhob txhawj. Nrog rau kev kho mob tam sim no, koj tuaj yeem tswj koj cov tsos mob, tiv thaiv cov teeb meem, thiab ua neej nyob li qub.
Txoj kev kho mob tseem ceeb yog 'Complex Decongestive Therapy' (CDT) . Qhov no yog ib txoj kev kho mob uas muaj ntau kauj ruam.
1. Ntxuav daim tawv nqaij kom huv si: Nws yog ib qho tseem ceeb heev kom tiv thaiv kev kis kab mob. Yog li ntawd, koj yuav tsum ib txwm ua kom qhov chaw o tuaj huv si siv cov xab npum tua kab mob thiab dej sov.
2. Kev Nqus Cov Lymph Los Ntawm Tes: Qhov no tsis yog kev zaws ib txwm. Nws yog ua los ntawm tus kws kho mob lymphedema uas tau kawm tshwj xeeb. Ntawm no, cov kua lymph uas nyob hauv thaj chaw o yuav raug txav mus rau thaj chaw uas muaj cov hlab ntsha lymph ua haujlwm zoo. Nws yog ib qho tseem ceeb uas yuav tsum kawm los ntawm tus neeg uas tau kawm ua ntej ua qhov no ntawm koj tus kheej.
3. Cov khaub ncaws thiab cov twj tso kua mis tshwj xeeb: Thaum qhov o ploj mus lawm, cov khaub ncaws lossis cov ntaub qhwv tshwj xeeb yuav raug siv los tiv thaiv cov kua dej kom tsis txhob rov qab los. Qee zaum cov twj tso kua mis tshwj xeeb uas ua rau lub cev nce thiab nqis raws sijhawm kuj raug siv.
4. Kev tawm dag zog lub cev: Nws tseem ceeb heev rau kev koom nrog kev tawm dag zog tshwj xeeb uas tus kws kho mob pom zoo kom ua rau cov kua dej lymph txav mus los.
Feem ntau, kev kho mob CDT no yuav tsum tau ua txhua hnub rau ob peb lub lis piam. Tom qab ntawd, koj yuav raug cob qhia kom ua cov no koj tus kheej hauv tsev.
Thaum twg yuav tsum tau phais?
Yog tias qhov mob hnyav dhau los tswj tsis tau nrog cov kev kho mob CDT no, yog tias muaj kev kis kab mob ntau zaus, yog tias daim tawv nqaij puas tsuaj thiab mob heev, thiab yog tias nws cuam tshuam rau lub neej txhua hnub, tus kws kho mob yuav pom zoo kom phais. Kev phais yuav tsum tshem tawm cov nqaij uas puas lawm thiab npog thaj chaw ntawd nrog daim tawv nqaij noj qab haus huv (tawv nqaij graft).
Kuv yuav ua li cas thiaj li nyob tau zoo nrog qhov xwm txheej no?
Vim qhov no yog ib qho mob ntev, nws yog ib qho tseem ceeb heev uas yuav tsum hloov me ntsis rau koj txoj kev ua neej thaum koj tab tom kho mob.
- Saib xyuas koj cov zaub mov noj:
- Tswj ntsev: Ntshav ua rau lub cev khaws cov kua dej ntau ntxiv. Yog li ntawd, txo cov khoom noj uas muaj ntsev ntau (txiv lws suav, ntses qhuav, kua ntses, khoom noj ceev ceev) kom ntau li ntau tau. Siv cov txuj lom (qej, oregano, hmoov kua txob qhuav) es tsis txhob siv ntsev los ua kom koj cov khoom noj qab dua.
- Haus dej ntau: Haus tsawg kawg yog 8 khob dej ib hnub. Kev haus dej pab tshem tawm cov kua dej tsis tsim nyog ntawm lub cev.
- Noj cov khoom noj kom sib npaug uas muaj cov zaub tshiab, txiv hmab txiv ntoo, cov protein uas tsis muaj roj ntau, thiab cov nplej tag nrho.
- Saib xyuas koj daim tawv nqaij tshwj xeeb:
- Khaws koj daim tawv nqaij kom huv thiab noo noo txhua lub sijhawm. Qhov no tuaj yeem pab tiv thaiv kev kis kab mob.
- Yog koj pom cov cim qhia tias muaj kev kis kab mob, xws li liab, mob, sov so, lossis kub taub hau, qhia rau koj tus kws kho mob tam sim ntawd .
- Xav txog khaub ncaws:
- Tsis txhob hnav ris tsho hauv qab lossis ris tsho nruj heev. Cov no tuaj yeem txhaws thiab cuam tshuam kev ntshav.
- Tsis txhob nyob tib qho chaw ntev dhau. Yog tias koj zaum, tsis txhob khoov koj ob txhais ceg. Hloov chaw tsawg kawg txhua 30 feeb.
- Tsis txhob kub dhau: Tsis txhob ua tej yam xws li da dej kub heev thiab siv chav sauna. Kub tuaj yeem ua rau o.
- Tswj koj qhov hnyav kom noj qab nyob zoo: Thaum koj rog zuj zus, koj lub cev lymphatic kuj yuav muaj kev nyuaj siab ntau dua. Yog li ntawd, tswj koj qhov hnyav kom noj qab nyob zoo yog qhov tseem ceeb heev.
Thaum twg koj yuav tsum nrhiav kev kho mob thaum muaj xwm txheej ceev?
Yog tias koj muaj ib qho ntawm cov tsos mob ntawm kev kis kab mob hauv qab no, txawm tias thaum koj tab tom kho mob, mus rau chav kho mob ceev (ETU) ze tshaj plaws tam sim ntawd .
- Kub taub hau ntau tshaj 38 degrees Celsius (100.4 Fahrenheit).
- Mob thiab sov ntxiv rau thaj chaw o.
- Tawv nqaij tig liab, ntshav los yog xim av, los yog muaj cov kab liab tshwm sim hauv qab tawv nqaij.
Cov tsos mob zoo li no qhia tau tias tej zaum yuav muaj kab mob kis mus rau hauv lub cev. Nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob qog nqaij hlav ntawm qhov chaw mos yog qhov o uas tshwm sim los ntawm cov kua dej lymph sib sau ua ke hauv thaj chaw ntawm qhov chaw mos. Nws yog ib qho mob uas yuav mob mus ntev.
- Qhov no tsis yog kab mob sib kis los yog kab mob sib kis los ntawm kev sib deev.
- Txawm hais tias tus mob no tsis tuaj yeem kho tau tag nrho los xij, nws tuaj yeem tswj tau zoo heev thiab lub neej ib txwm muaj peev xwm ua tau los ntawm kev kho mob CDT thiab kev hloov pauv hauv lub neej.
- Yog koj pom muaj kev o, mob, lossis tawv nqaij hloov pauv txawv txawv hauv koj qhov chaw mos, tsis txhob txaj muag thiab mus ntsib kws kho mob tam sim ntawd . Thaum koj pib kho mob sai npaum li cas, qhov tshwm sim yuav zoo dua.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua kom daim tawv nqaij huv si thiab saib xyuas seb puas muaj cov cim qhia tias muaj kab mob.
- Tham nrog koj tus kws kho mob lossis ib tus neeg ze koj txog cov teeb meem kev noj qab haus huv ntawm lub hlwb uas yuav ua rau muaj tus mob no. Kev noj qab haus huv ntawm lub hlwb tseem ceeb ib yam li kev noj qab haus huv ntawm lub cev.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus