Koj puas tau muaj ib zaug xav tias koj lub noob qes pib o? Los yog daim tawv nqaij ntawm thaj chaw ntawd puas tuab thiab txawv thaum koj kov nws? Txawm hais tias qhov no yog ib qho teeb meem txawv txawv thiab txaj muag me ntsis los tham txog, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov mob no. Vim tias yog tias tsis quav ntsej, nws tuaj yeem ua rau muaj mob hnyav. Niaj hnub no peb tab tom tham txog ib qho mob uas tuaj yeem ua rau muaj cov tsos mob zoo li no, hu ua Scrotal Lymphedema .
Scrotal Lymphedema yog dab tsi tiag?
Hais yooj yim xwb, Scrotal Lymphedema yog ib yam mob uas ib hom kua hu ua lymph sib sau ua ke hauv cov nqaij mos ntawm koj lub qhov quav, ua rau o. Qee zaum, qhov o no tuaj yeem kis mus rau qhov chaw mos thiab thaj chaw ib puag ncig.
Tam sim no tej zaum koj yuav xav paub tias, "Cov kua qaub no yog dab tsi?" Xav txog, peb lub cev muaj ib lub cev uas tshem tawm cov khib nyiab thiab cov tshuaj lom , zoo li lub nroog cov khib nyiab pov tseg. Peb hu qhov no ua lub cev lymphatic . Lub cev no yog ib feem tseem ceeb ntawm peb lub cev tiv thaiv kab mob. Cov kua qaub yog cov kua ntshiab uas taug kev hla lub cev no thiab pab tshem tawm cov khoom xws li cov khib nyiab thiab cov kab mob .
Yog li ntawd, yog tias muaj qee qhov laj thawj uas cov hlab ntsha lymph lossis cov qog ntshav hauv lub cev lymphatic no, tshwj xeeb tshaj yog nyob rau hauv thaj chaw groin, raug puas tsuaj lossis thaiv, cov kua dej lymph no tsis tuaj yeem ntws tau zoo. Thaum ntawd cov kua dej ntawd sib sau ua ke rau hauv qhov chaw xws li lub scrotum thiab pib o.
Cov tsos mob ntawm tus mob no yog dab tsi?
Cov tsos mob tseem ceeb thiab pom tseeb tshaj plaws ntawm tus kab mob no yog o ntawm lub noob qes. Qee zaum mob hnyav, qhov o no tuaj yeem loj hlob ntau npaug ntawm nws qhov loj ib txwm, ua rau loj li txiv kab ntxwv, pob tawb, lossis loj dua. Cov kws kho mob hu qhov no ua 'Giant Scrotal Lymphedema'.
Cia peb saib seb lwm cov tsos mob yog dab tsi.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Kev o ntawm lub noob qes | Loj zuj zus. Thaum xub thawj mos mos rau kov, dhau sij hawm nws tuaj yeem tawv vim yog cov nqaij tuab zuj zus (fibrosis). |
| Mob ntev | Mob tas li los yog tsis xis nyob hauv thiab ib puag ncig qhov o. |
| Cov kab mob rov tshwm sim | Cov kab mob ntawm daim tawv nqaij (xws li cellulitis) feem ntau tshwm sim. Cov tsos mob yuav muaj xws li liab thiab sov ntawm daim tawv nqaij. |
| Kev cuam tshuam nrog cov dej num txhua hnub | Nyuaj siab taug kev lossis tsis muaj peev xwm taug kev. Nyuaj siab tso zis. |
| Teeb meem kev sib deev | Muaj teeb meem sib deev. |
| Qhov chaw mos faus | Ib qho mob uas tus qau raug npog los ntawm cov nqaij ntawm lub scrotal vim yog o heev, ua rau nws tsis pom. |
Dab tsi yog cov ua rau mob lymphedema hauv scrotal?
Muaj ntau yam ua rau muaj tus mob no. Tshwj xeeb tshaj yog nyob rau hauv cov tebchaws zoo li Sri Lanka, qhov ua rau muaj tus mob no yog Lymphatic Filariasis . Qhov no yog tus kab mob parasitic uas kis los ntawm yoov tshaj cum. Cov kab mob no ua rau peb lub cev lymphatic puas tsuaj.
Tsis tas li ntawd xwb, muaj lwm yam laj thawj:
- Kev Kho Mob Cancer: Kev kho mob hluav taws xob lossis phais, tshwj xeeb tshaj yog rau thaj tsam ntawm lub duav, tuaj yeem ua rau lub cev lymphatic puas tsuaj.
- Kev Phais Mob: Lwm yam kev phais mob uas ua rau thaj tsam ntawm lub puab tais lossis lub plab kuj tuaj yeem ua rau cov hlab ntsha lymphatic puas tsuaj.
- Kev Rog Phem: Qhov kev pheej hmoo no siab dua rau cov neeg uas muaj lub cev hnyav (BMI) ntau dua 30.
- Teeb Meem Txij Thaum Yug Los: Ib txhia neeg yuav yug los nrog qee qhov tsis muaj zog hauv lub cev lymphatic.
Qhov tseem ceeb tshaj plaws yog tias qhov no tsis yog kab mob sib kis lossis kab mob sib kis los ntawm kev sib deev (STI), yog li ntawd tsis txhob ntshai nws yam tsis tsim nyog.
Qhov no ua rau muaj teeb meem dab tsi?
Yog tias tus mob no tsis raug kho kom zoo, ntau yam teeb meem tuaj yeem tshwm sim raws sijhawm.
- Kab mob ntawm daim tawv nqaij (Cellulitis): Kab mob ntawm cov nqaij hauv qab daim tawv nqaij feem ntau tshwm sim.
- Kab mob ntxhw (Tawv nqaij zoo li ntxhw): Qhov no yog hom kab mob 'barawa' hnyav tshaj plaws. Cov tawv nqaij yuav tuab heev, loj, thiab ntxhib.
- Kev kho qhov txhab qeeb: Yog tias qhov txhab tshwm sim hauv thaj chaw ntawm lub cev, nws yuav siv sijhawm ntev dua li niaj zaus kom kho.
- Cov teebmeem ntawm lub hlwb: Qhov mob no tuaj yeem ua rau muaj kev hloov pauv ntawm qhov tsos, kev nyuaj siab, thiab kev tsis ntseeg tus kheej, nrog rau kev ntxhov siab, kev ntxhov siab, thiab kev nyuaj siab . Qhov no yog ib qho teeb meem rhiab heev, yog li muaj feem ntau ntawm kev nyuaj siab.
Tus kws kho mob kuaj mob li cas?
Thaum koj mus ntsib kws kho mob uas muaj cov tsos mob no, lawv yuav xub kuaj koj lub cev thiab nug txog koj keeb kwm kev kho mob. Lawv kuj tseem yuav pom zoo kom kuaj qee yam kom paub tseeb tias yog vim li cas lwm yam ua rau o thiab kom paub qhov chaw tseeb ntawm qhov txhaws hauv koj lub cev lymphatic.
- Lymphoscintigraphy: Ib qho kev kuaj uas siv cov khoom siv radioactive me me txhaj rau hauv lub cev lymphatic thiab siv lub scanner los saib xyuas nws txoj kev txav mus los. Qhov no tuaj yeem qhia qhov chaw tseeb ntawm qhov kev thaiv.
- Kev Ntsuas MRI (Magnetic Resonance Imaging): Ib qho kev kuaj uas siv lub zog sib nqus thiab cov nthwv dej xov tooj cua los thaij cov duab ntxaws ntxaws ntawm cov nqaij.
- CT scan (Computed Tomography): Ib qho kev kuaj uas siv ntau cov duab X-rays los thaij cov duab kom ntxaws thiab txheeb xyuas cov kev thaiv.
Cov kev kho mob rau qhov no yog dab tsi?
Qhov no tsis yog ib yam kab mob uas kho tau tag nrho tam sim no, vim tias qhov kev puas tsuaj rau lub cev lymphatic tsis tuaj yeem rov qab tau. Txawm li cas los xij , muaj kev kho mob uas tuaj yeem tswj tau cov tsos mob, txo qhov o, thiab cia koj ua neej nyob li qub.
Kev kho mob tsis yog phais (Complex Decongestive Therapy - CDT)
Qhov no yog txoj kev kho mob tseem ceeb uas pom zoo. Nws tuaj yeem tswj tau qhov o me me mus rau qhov nruab nrab, tshwj xeeb tshaj yog thaum ntxov.
- Ua kom daim tawv nqaij huv si: Ua kom daim tawv nqaij huv si los ntawm kev siv cov xab npum tua kab mob tshwj xeeb kom tiv thaiv kev kis kab mob.
- Kev Siv Tshuaj Lymphatic Drainage:Qhov no yog kev zaws maj mam uas tus kws kho mob tau kawm tshwj xeeb ua. Nws ua haujlwm los ntawm kev txav cov kua qaub ncaug uas tsis txav mus rau cov qog ntshav uas tseem ua haujlwm, txo qhov o.
- Hnav cov khaub ncaws tshwj xeeb uas nias: Qhov siab uas cov khaub ncaws no tsim tawm txo cov kua dej sib sau ua ke thiab tswj qhov o.
- Kev Ua Si: Ua raws li qhov kev pab cuam kev tawm dag zog tshwj xeeb uas tsim tshwj xeeb rau koj los ntawm tus kws kho mob yuav pab txhim kho kev ncig ntshav.
Kev phais mob
Yog tias muaj mob hnyav uas tsis zoo rau cov kev kho mob saum toj no, tej zaum yuav pom zoo kom phais. Qhov no suav nrog kev tshem tawm cov nqaij thiab daim tawv nqaij uas tau sib sau ua ke thiab npog thaj chaw ntawd nrog daim tawv nqaij noj qab haus huv (tawv nqaij graft) uas tau coj los ntawm lwm qhov ntawm lub cev (feem ntau yog lub duav). Qhov no yog ua los ntawm tus kws kho mob urologist thiab tus kws phais yas ua ke.
| Thaum twg koj yuav tsum mus rau ETU (Emergency Treatment Unit) tam sim ntawd? | |
|---|---|
| Yog tias koj muaj Scrotal Lymphedema, mus rau lub tsev kho mob ze tshaj plaws Chav Kho Mob Ceev (ETU) tam sim ntawd yog tias koj muaj ib qho ntawm cov cim qhia ntawm kev kis kab mob hauv qab no: | |
| - Kub taub hau siab tshaj 38 degrees Celsius (100.4 Fahrenheit). | - Mob ntxiv. |
| - Sov thaum kov qhov chaw o. | - Tawv nqaij tsis zoo nkauj (liab, ntshav, xim av) lossis pom muaj kab txaij. |
Muaj tej yam dab tsi uas koj ua tau koj tus kheej?
Nrog rau kev kho mob, kev hloov me me hauv koj txoj kev ua neej tuaj yeem pab tau ntau yam hauv kev tswj tus mob no.
- Saib xyuas koj daim tawv nqaij: Kev tiv thaiv kev kis kab mob yog qhov tseem ceeb tshaj plaws. Ntxuav qhov chaw ntawd kom huv si txhua hnub thiab siv tshuaj pleev kom noo noo.
- Kev noj zaub mov zoo: Txo kev noj ntsev. Ntshav ua rau lub cev khaws cov kua dej ntau ntxiv. Hloov chaw, siv cov khoom xws li qej, hmoov kua txob qhuav, thiab oregano los ua kom koj cov zaub mov qab.
- Haus dej ntau ntau:Sim haus tsawg kawg yog 8 khob dej ib hnub.
- Tsis txhob hnav khaub ncaws nruj: Tsis txhob hnav khaub ncaws hauv qab lossis ris tsho nruj uas txwv tsis pub txav mus los.
- Tsis txhob kub dhau: Tsis txhob da dej kub heev thiab saunas.
- Tswj koj qhov hnyav kom noj qab nyob zoo: Tham nrog koj tus kws kho mob thiab tswj koj qhov hnyav kom noj qab nyob zoo uas haum rau koj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob qog nqaij hlav hauv lub qhov zis yog qhov o uas tshwm sim los ntawm cov kua dej lymph sib sau ua ke hauv lub qhov zis. Nws tsis yog mob qog nqaij hlav.
- Kab mob Filariasis, uas yog ib hom kab mob kis los ntawm yoov tshaj cum hauv cov tebchaws zoo li Sri Lanka, yog ib qho ua rau muaj tus mob no.
- Qhov no tsis yog kab mob sib kis tau, thiab nws kuj tsis yog kab mob sib kis los ntawm kev sib deev.
- Yog tias koj pom muaj qhov o, tuab, lossis mob hauv koj lub noob qes , tsis txhob txaj muag lossis ncua sijhawm, tab sis mus ntsib kws kho mob.
- Kev kuaj pom thiab kho mob thaum ntxov tuaj yeem tiv thaiv cov teeb meem loj thiab ua rau muaj lub neej zoo dua.
- Kev ua kom daim tawv nqaij huv thiab noo noo yog qhov tseem ceeb kom tiv thaiv kev kis kab mob.
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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