Koj tus menyuam ob txhais ceg puas o thiab? Qhov no tej zaum yuav yog kab mob Milroy!

Koj puas tau pom tias koj tus me nyuam ob txhais ceg, tshwj xeeb tshaj yog hauv qab lub hauv caug, tsuas yog o xwb? Qee zaum qhov no tuaj yeem pom tam sim ntawd tom qab yug los. Los yog nws tuaj yeem tshwm sim tom qab ob peb hnub. Nws yog ib qho ib txwm muaj rau ntau tus niam txiv yuav txhawj xeeb me ntsis txog qhov no. Ib qho laj thawj rau hom o ntawm ob txhais ceg no hu ua kab mob Milroy. Hnub no, peb yuav tham txog qhov no kom meej, yooj yim heev.

Kab mob Milroy yog dab tsi?

Hais yooj yim xwb, tus kab mob Milroy yog ib yam mob uas koom nrog ib pawg mob hu ua primary lymphedema . "Primary" txhais tau hais tias nws tsis yog los ntawm lwm yam kab mob, uas nws tshwm sim ntawm nws tus kheej. Nws yog ib yam mob uas muaj txij thaum yug los , txhais tau hais tias tus mob no tuaj yeem muaj thaum yug los. Nws yog ib yam mob caj ces , txhais tau hais tias nws tau txais los ntawm noob caj ces.

Peb lub cev muaj ib lub cev hu ua lub lymphatic system. Qhov no zoo li lub cev ntws dej uas tshem tawm cov khib nyiab ntawm peb lub cev. Thaum cov lymphatic channels thiab cov lymph nodes hauv lub lymphatic system no tsis tau tsim kom zoo, lawv yuav tsis ua haujlwm tau zoo. Tom qab ntawd, cov kua lymph tsis ntws zoo thiab nyob hauv ib qho chaw. Qhov no yog li cas cov kua lymph sib sau ua ke thiab ua rau cov menyuam mos ob txhais ceg o, tshwj xeeb tshaj yog ob txhais ceg qis thiab taw. Xav txog ib yam dab tsi zoo li thaum cov kav dej raug txhaws, dej puv rau hauv ib qho chaw.

Kab mob Milroy kuj hu ua kab mob lymphedema hom I uas yog los ntawm noob caj noob ces.

Kev kuaj mob no qee zaum yuav nyuaj me ntsis, vim tias cov kws kho mob tsis pom cov neeg mob zoo li no ntau zaus. Tab sis yog tias koj pom o ntawm koj tus menyuam ob txhais ceg, nws yog ib qho tseem ceeb heev uas yuav tsum nug koj tus kws kho mob txog nws. Vim tias qhov sai dua koj kuaj pom tus mob, qhov sai dua koj tuaj yeem pib kho mob. Nws tseem ceeb heev uas yuav tsum tsis txhob ntshai.

Kab mob Milroy tsis tshua muaj pes tsawg?

Qhov no yeej yog ib qho mob uas tsis tshua muaj . Nws cuam tshuam txog li ib tug ntawm txhua 6,000 tus menyuam mos uas yug los. Nws feem ntau tshwm sim rau cov ntxhais ntau dua li cov tub hluas. Lawv hais tias rau txhua tus tub hluas uas muaj tus mob no, muaj tsawg kawg yog ob tug ntxhais.

Cov tsos mob ntawm tus kab mob Milroy yog dab tsi?

Koj tus menyuam tej zaum yuav muaj cov tsos mob no txij thaum yug los. Qee zaum lawv yuav tshwm sim tom qab me ntsis. Xyuas seb koj tus menyuam puas muaj cov tsos mob no:

• O ntawm ob txhais ceg qis (o): Qhov o no feem ntau pom hauv qab lub hauv caug. Qee zaum nws tuaj yeem tshwm sim rau ib ceg xwb, tab sis feem ntau nws yog rau ob txhais ceg.
• Cov leeg ntshav hauv cov ceg qis: Qee zaum, nrog rau o, cov leeg ntshav yuav pom tseeb.
• Qog ntawm cov noob qes (hydrocele): Cov tub hluas noob qes tuaj yeem o thiab puv nrog kua dej. Qhov no tuaj yeem ua rau cov niam txiv ntshai me ntsis, tab sis nws kuj tuaj yeem yog ib qho tsos mob ntawm tus mob.
• Cov rau tes uas khoov rau sab saud:Cov duab ntawm cov rau tes yuav hloov pauv thiab zoo li tig rau sab saud.
• Cov pob me me ntawm daim tawv nqaij (papillomatosis): Cov no tsis yog mob qog noj ntshav, tab sis lawv tuaj yeem tshwm sim ua cov pob me me ntawm daim tawv nqaij, qee zaum zoo li paj noob hlis me me.
• Teeb meem ntawm txoj hnyuv: Ib txhia menyuam mos yuav mob plab, ntuav, thiab raws plab. Qhov no tsis tshwm sim rau txhua tus, tab sis nws tuaj yeem tshwm sim.

Cov ua rau muaj tus kab mob Milroy yog dab tsi?

Qhov ua rau muaj kab mob Milroy yog kev hloov pauv (variant) hauv ib lub noob hu ua FLT4 . Cov noob zoo li ib pawg me me ntawm cov lus qhia uas tswj txhua yam hauv peb lub cev. Cov noob FLT4 no pab cov kab mob lymphatic tsim kom zoo. Yog li thaum muaj kev hloov pauv me me hauv cov noob no, uas yog, kev hloov pauv, cov kab mob lymphatic tsis tsim kom zoo.

Feem ntau, ib tug ntawm cov niam txiv ntawm cov menyuam uas muaj tus kab mob Milroy muaj tus kab mob no. Nws yog los ntawm kev yug los hauv tus qauv autosomal dominant . Qhov no txhais tau tias ib tug menyuam tuaj yeem muaj tus kab mob txawm tias tsuas yog ib tug niam txiv muaj tus gene rau tus kab mob no. Piv txwv li, yog tias ob leeg niam txiv muaj tus gene mutation, txhua tus menyuam muaj 50% feem pua ​​​​​​ntawm kev tau tus kab mob no. Txawm tias ntawm cov kwv tij neej tsa hauv tib tsev neeg, qhov hnyav ntawm cov tsos mob, lossis hnub nyoog uas cov tsos mob tshwm sim, tuaj yeem sib txawv. Ib tug menyuam yuav muaj ntau qhov o, thaum lwm tus yuav tsis muaj nws hnyav heev.

Cuaj ntawm 10 tus menyuam uas muaj kev hloov pauv ntawm FLT4 gene qhia cov tsos mob ntawm ceg o thaum muaj hnub nyoog 3 xyoos .

Yuav kuaj tus kab mob no li cas?

Tus kws kho mob yuav kuaj pom tus kab mob Milroy. Tus kws kho mob yuav saib ze rau ntawm tus menyuam ob txhais ceg kom paub seb puas muaj cov cim qhia tias nws o, hloov pauv ntawm daim tawv nqaij, thiab cov rau tes. Tsis tas li ntawd, cov kev kuaj hauv qab no yuav ua tau:

• Kev Siv Ultrasound: Qhov no yog kev tshuaj xyuas lub plab ntawm leej niam thaum cev xeeb tub uas qee zaum tuaj yeem qhia tau tias muaj o ntawm tus menyuam ob txhais ceg. Nws kuj tseem tuaj yeem ua rau ntawm ob txhais ceg tom qab tus menyuam yug los.
• Lymphoscintigraphy: Qhov no yog ib qho kev kuaj tshwj xeeb me ntsis. Hauv qhov kev kuaj no, ib qho me me ntawm cov khoom siv radioactive raug txhaj rau hauv qab daim tawv nqaij thiab siv lub koob yees duab los saib nws txav mus los ntawm lub cev lymphatic. Qhov no tuaj yeem qhia tau tias lub cev lymphatic ua haujlwm li cas thiab yog tias muaj kev thaiv.
• Kev kuaj noob caj noob ces: Qhov no pab kom paub tseeb tias puas muaj kev hloov pauv hauv FLT4 gene. Feem ntau qhov no yuav tsum tau coj cov ntshav mus kuaj.

Koj tus menyuam tus kws kho mob kuj tseem yuav xa koj mus rau tus kws kho mob lymphedema uas tau ntawv pov thawj rau menyuam yaus, uas tshwj xeeb hauv kev kho cov mob no.

Yuav kho tus kab mob Milroy li cas?

Muaj kev kho mob hauv tsev rau qhov o uas ua rau muaj tus kab mob no. Cov kev kho mob no yog los tswj qhov o, txo cov teeb meem, thiab txhim kho tus menyuam lub neej zoo. Kev kho mob rau tus kab mob Milroy rau ob txhais ceg o muaj xws li:

• Kev Kho Mob Nrog Kev Nias: Siv cov thom khwm tshwj xeeb lossis cov ntaub qhwv. Cov no nias maj mam rau ntawm ob txhais ceg kom txo qhov o thiab pab cov kua lymph ntws rov qab rau hauv lub cev.
• Daim kab xev Kinesiology (KT daim kab xev): Qhov no yog daim kab xev nplaum tshwj xeeb uas cov neeg ncaws pob siv. Nws kuj tseem tuaj yeem pab txo qhov o los ntawm kev txhawb kom kho.
• Khau uas txhawb nqa: Nws yog ib qho tseem ceeb uas yuav tsum hnav khau uas haum zoo, txhawb nqa, thiab tsis nruj.

Feem ntau, cov kev kho mob yooj yim no yuav muab cov txiaj ntsig zoo rau koj. Yog tias lawv tsis ua haujlwm, koj tuaj yeem sim zaws lymphatic drainage . Qhov no yog ib txoj kev zaws maj mam ua los ntawm tus kws kho mob tshwj xeeb. Nws pab tshem tawm cov kua lymph ntawm cov chaw uas raug thaiv thiab cia nws ntws kom zoo. Tus kws kho mob tuaj yeem ua qhov no, lossis koj tuaj yeem kawm paub yuav ua li cas ua nws hauv tsev.

Yog tias cov kev kho mob no tsis ua haujlwm, koj tus kws kho mob yuav pom zoo kom phais kom pab koj tus menyuam lub cev lymphatic ua haujlwm zoo dua. Txawm li cas los xij, qhov no feem ntau suav tias yog qhov kawg. Qhov no yuav suav nrog:

• Tshem tawm cov ntaub so ntswg uas raug cuam tshuam.
• Siv cov txheej txheem bypass los hloov cov kua dej lymph mus rau thaj chaw zoo dua: Nws zoo li tsim ib txoj kev tshiab ncig txoj kev uas raug thaiv.
• Hloov cov qog ntshav uas noj qab nyob zoo los ntawm lwm qhov chaw hauv lub cev ntawm tus menyuam mus rau hauv ob txhais ceg. Qhov no hu ua kev hloov cov qog ntshav uas muaj vascularized .

Yog tias kuv tus menyuam muaj tus mob no, kuv yuav tsum xav li cas?

Vim tias tus kab mob Milroy yog ib yam mob uas tsis tshua muaj, tej zaum koj yuav tau piav qhia rau koj tus menyuam cov xib fwb lossis lwm tus neeg hauv koj tus menyuam lub neej. Piv txwv li, yog tias koj tus menyuam muaj pob ntawm lawv txhais taw hauv tsev kawm ntawv, nws yuav hnyav dua li nws yuav yog rau lwm tus menyuam, thiab muaj feem ntau dua ntawm kev kis kab mob. Kev tham txog qhov no tuaj yeem pab tus xib fwb nkag siab tias vim li cas koj tus menyuam siv sijhawm ntev dua los hloov khaub ncaws hauv chav kawm gym, lossis vim li cas nws thiaj li txaus ntshai rau kev tsis hnav khau (vim muaj kev pheej hmoo ntawm kev raug mob thiab kev kis kab mob). Tab sis tsis txhob txhawj, koj tus menyuam tuaj yeem ua tau feem ntau ntawm cov khoom uas lwm tus menyuam hauv nws chav kawm ua.

Kab mob Milroy yog ib yam kab mob ntev, uas txhais tau tias nws yog ib qho mob ntev. Qhov o ntawm ob txhais ceg yuav maj mam nce ntxiv rau qee tus neeg, thiab txo qis me ntsis rau lwm tus. Yog tias tsis kho, qhov o no tuaj yeem ua rau thaj chaw raug mob tawv thiab tawv zoo li pob zeb. Tsis tas li ntawd, cov neeg uas muaj tus mob no tuaj yeem kis tus kab mob ntawm daim tawv nqaij hu ua cellulitis . Qhov no yog ib qho mob uas ua rau daim tawv nqaij liab, kub, thiab mob. Qhov no yog ib qho mob txaus ntshai uas qee zaum tuaj yeem kis mus rau cov ntshav. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum qhia rau kws kho mob txawm tias koj pom qhov hloov pauv me me hauv koj daim tawv nqaij.

Kuv yuav saib xyuas kuv tus menyuam li cas?

Nov yog qee yam koj ua tau los saib xyuas koj tus menyuam uas muaj tus kab mob Milroy:

• Saib xyuas koj tus menyuam daim tawv nqaij kom zoo. Khaws daim tawv nqaij ntawm ob txhais ceg kom huv si txhua hnub, ziab kom qhuav, thiab pleev tshuaj pleev kom noo noo. Kho cov qhov txiav me me, khawb, kab tom, lossis kab mob sai li sai tau. Qhov no tuaj yeem pab txo qhov kev pheej hmoo ntawm kev mob xws li cellulitis.
• Sim tsis txhob ua rau koj ob txhais taw raug mob. Hnav khaub ncaws uas npog koj ob txhais taw thaum ua si, khiav, lossis dhia. Tsis txhob cia lawv taug kev sab nraum zoov yam tsis muaj khau. Cov menyuam yaus uas muaj tus kab mob Milroy muaj feem kis tau kab mob ntau dua li lwm tus.
• Tsis txhob cia koj tus menyuam ob txhais ceg nyob ib qho chaw, txav lawv ntau zaus. Kev tawm dag zog me me thiab tsa thiab txo ob txhais ceg tuaj yeem pab txo qhov o.
• Txhawb kom koj lub cev ua ub ua no, tshwj xeeb yog ua luam dej. Lub zog ntawm dej pab txo qhov o. Tsis tas li ntawd, kev tawm dag zog uas tsis ua rau cov pob qij txha, xws li kev taug kev thiab kev caij tsheb kauj vab, yog qhov zoo.
• Nug koj tus kws kho mob ua ntej muab tshuaj rau koj tus menyuam. Qee cov tshuaj, piv txwv li, qee cov tshuaj tua kab mob, tuaj yeem ua rau o.
• Txo cov ntsev hauv koj cov zaub mov. Cov ntsev ua rau lub cev khaws cov dej ntau ntxiv, uas kuj tseem tuaj yeem ua rau o.
• Pub koj tus menyuam noj zaub mov zoo. Kev noj zaub mov kom zoo uas muaj zaub, txiv hmab txiv ntoo, thiab cov protein uas tsis muaj roj ntau yuav pab kom koj tus menyuam tau txais cov as-ham uas lawv xav tau.

Thaum twg kuv tus menyuam yuav tsum mus ntsib kws kho mob?

Ib tug me nyuam uas muaj tus kab mob Milroy yuav tsum tau mus kuaj mob tsis tu ncua . Qhov no yuav ua rau tus kws kho mob pom tias tus me nyuam zoo li cas, qhov o, seb kev kho mob puas ua haujlwm, thiab seb qhov mob puas tseem zoo li qub lossis hnyav zuj zus. Yog tias koj xav tias kev kho mob tsis pab, yog tias qhov o ntawm koj tus me nyuam ceg nce ntxiv, yog tias nws liab, yog tias nws kub, lossis yog tias koj tus me nyuam kub taub hau, nco ntsoov tham nrog koj tus me nyuam tus kws kho mob. Qee zaum koj tus me nyuam yuav tsum tau mus ntsib tus kws kho mob kom pab lawv siv lawv txhais ceg tau yooj yim dua thiab ua cov haujlwm txhua hnub.

Kuv yuav tsum nug kuv tus menyuam tus kws kho mob li cas?

Nov yog qee cov lus nug uas koj tuaj yeem nug koj tus menyuam tus kws kho mob:

• Puas muaj leej twg hauv peb tsev neeg uas muaj feem yuav mob no? Peb puas yuav tsum tau mus nrhiav kev pab tswv yim txog noob caj noob ces?
• Koj puas paub cov pab pawg txhawb nqa rau cov neeg uas muaj tus kab mob Milroy? Puas muaj cov pab pawg zoo li no hauv Sri Lanka?
• Kuv yuav xaiv cov khaub ncaws nruj rau kuv tus menyuam li cas? Kuv yuav nrhiav tau lawv qhov twg?
• "Raws li koj qhov kev paub, cov kev kho mob yooj yim no ua tau zoo npaum li cas? Thaum twg peb yuav tsum xav txog kev phais?"
• "Muaj tej yam tshwj xeeb dab tsi uas koj yuav tsum ua kom tiv thaiv tau daim tawv nqaij ntawm koj tus menyuam ob txhais ceg?"

Muaj ib tug me nyuam uas muaj tus kab mob Milroy tsis zoo li muaj ib tug me nyuam uas muaj tus kab mob ib txwm muaj. Kauj ruam thawj zaug hauv kev saib xyuas koj tus me nyuam yog qhia koj tus kheej thiab lwm tus txog tus mob no. Kawm ntau li ntau tau txog nws, thiab tsis txhob ntshai nug koj tus me nyuam cov lus nug pab pawg kho mob. Koj tsis nyob ib leeg, thiab muaj ntau tus neeg uas tuaj yeem pab tau.

Tej yam tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li cia peb rov hais dua cov ntsiab lus tseem ceeb tshaj plaws los ntawm qhov peb tau tham txog:

• Kab mob Milroy yog ib yam mob uas muaj tau thaum yug los thiab yog los ntawm cov yam ntxwv caj ces uas ua rau lub cev lymphatic tsis ua haujlwm zoo, ua rau ob txhais ceg o.
• Qhov no tsis tshua muaj , tab sis nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob yog tias koj tus menyuam ob txhais ceg o. Kev kuaj mob thiab kev kho mob sai yog qhov tseem ceeb heev.
• Cov kev xaiv kho mob suav nrog cov thom khwm nias, cov ntaub nplaum tshwj xeeb, kev zaws cov kua lymphatic, thiab qee zaum phais.
• Vim qhov no yog ib qho mob ntev , nws yog ib qho tseem ceeb uas yuav tsum saib xyuas tus menyuam kom zoo, saib xyuas daim tawv nqaij, tiv thaiv nws kom tsis txhob muaj kab mob, thiab saib xyuas nws kom zoo.
• Tsis txhob txhawj. Los ntawm kev paub zoo txog qhov mob no thiab ua haujlwm nrog koj cov kws kho mob, koj tus menyuam tuaj yeem mus ntev rau kev ua neej nyob ib txwm.

Yog koj muaj lus nug ntxiv txog qhov no, nco ntsoov nrog koj tus kws kho mob hauv tsev neeg lossis kws kho menyuam yaus tham.

Kab mob Milroy, Lymphatic System, O ntawm ob txhais ceg rau cov menyuam yaus, Lymphedema, Cov kab mob txij thaum yug los, Cov kab mob caj ces, Kev kho mob