Yu skrotum dɔn swel? Lɛ wi lan bɔt skrotal limfadima!

Yu dɔn ɛva fil wan swɛlin we nɔ kɔmɔn na yu skrotum, ɔ di say we de rawnd am? Dis kin bi smɔl awkward fɔ tɔk bɔt, bɔt na tɔpik we rili impɔtant. Wi kin kɔl dis skrotal limfadima. Nɔ wɔri, dis nɔto jɔs sɔntin we yu gɛt. Lɛ wi tɔk bɔt am simpul wan we ɔlman go ɔndastand.

Wetin na Skrotal Limfɛdima?

fכ simpul wan, `(Scrotal Lymphedema)` na wan kכndyushכn we di sכft tisu dεm na yu skrotum, spεshal wan wata we dεn k כl limf, de swel. Dis swel nɔ kin afɛkt di skrotum nɔmɔ bɔt i kin afɛkt di say dɛn we de rawnd am, lɛk di penis. as yu no, di skrotum na wan paus fכ skin we de dכn εn bihayn di penis, εn na de di tεstikul dεm nכmal fכ de.

Dis na rili wan kayn krεse sik we dεn kכl `(Lymphedema). Dis kכndyushכn kin apin we di limfatik sistεm na wi bכdi dεn dכn pwεl כ blok. wi limfatik sistεm na imכtant pat pan di imyun sistεm. I de ɛp fɔ pul dɔti ɛn pɔyzin na di bɔdi ɛn mek di wata we de na di bɔdi balans. Bɔku tɛm, dis limfatik sistɛm kin pwɛl bikɔs ɔf di tritmɛnt we dɛn kin gi am kansa, ɔpreshɔn, wan sik we dɛn kɔl limfatik filariasis , ɔ sɔm tin dɛn we nɔ kin apin na di urinary system we kin de we dɛn bɔn am.

Pan ɔl we dɛn kin si dis sik na kɔntri dɛn lɛk Sri Lanka bikɔs ɔf Barawa sik, na kɔntri dɛn lɛk Amɛrika, ``Scrotal Lymphedema`` na sɔm kayn sik we nɔ kin apin so ɔltɛm. Bɔt i nɔ kin izi fɔ mek dɔktɔ ɛn pipul dɛn we de stɔdi bɔt dis sik, tɔk klia wan ɔmɔs pipul dɛn de sɔfa wit dis sik.

Us pat dεm na di limfatik sistεm de involv insay dis?

bכku difrεn כgan dεm de na wi limf sistεm, bכt dεn pat dεm ya de mεntal involv fכ di kכndishכn fכ Skrotal Limfεdima:

• Limf: Dis na wata we klia ɛn klin. na wetin de travul tru di limf sistεm. I gɛt wayt blɔd sɛl dɛn, mɔ di limfosayt dɛn . I de ɛp fɔ pul dɔti tin dɛn, baktri dɛn, ɛn di prɔtin dɛn we pasmak na di tisu dɛn.
• di limf vεsεl dεm: lεk sכm sכm tכb dεm, na dεn wan ya de kכri limf wata כlsay na di bכdi.
• di limf no dεm: dεn ya de stכr di wayt bכdi sεl dεm εn filta di limf fכluid. Limf node dɛn de ɔlsay na wi bɔdi. כl di pipul dεm gεt lεk tεn limf no dεm na di groin εria (inguinal lymph nodes) .

Wetin na di sayn dɛm fɔ `(Scrotal Lymphedema)`?

di men εn di mכst klia sayn fכ dis kכndyushכn na di tεstikul swel.. di tεstikul kin big bכku tεm pas aw i nכmal. Imajin, fɔ sɔm pipul dɛn dis swɛlin kin so big, lɛk big ɔrɛnj, sɔntɛnde i kin big lɛk baskɛtbɔl. dכkta dεn kכl dis kayn swεla `(jayant skrotal lymphedema)`.

Ɔda sayn dɛn kin de bak:

• fכs, di skrotum εn di tisu dεm we de rawnd kin fil sכft, lεk dכti, bikoz fכ di wata we de kכmכt. As tɛm de go, as di ska tisu dɛn de fɔm (fibrosis) , dɛn tin ya kin at mɔ ɛn mɔ.
• I kin gɛt pen fɔ lɔng tɛm na di say dɛn we di sik dɔn afɛkt.
• Infɛkshɔn kin apin bɔku tɛm.
• I nɔ kin izi fɔ waka , sɔntɛnde i kin ivin nɔ ebul fɔ waka atɔl.
• I nɔ izi fɔ pis (fɔ pis) .
• I nɔ izi fɔ du mami ɛn dadi biznɛs .

Sɔm kayn bad bad tin dɛn kin apin we di skrotal limfedema kin mek pɔsin gɛt wan sik we dɛn kɔl penis we dɛn bɛr . dis na we di penis de kכba di tisu dεm na di skrotum bikoz fכ swεla pasmak (εdima). Di penis kin tan lɛk se i ayd ɔ i nɔ de.

Wetin kin mek dis apin?

Insay kɔntri dɛn lɛk Sri Lanka, di men tin we kin mek pɔsin gɛt skrotal limfadima na wan parasayt infɛkshɔn we dɛn kɔl limfatik filariasis . Na mɔskito dɛn kin gi dis sik.

bכt na kכntri dεm lεk Amerika, dis kכndyushכn kin kכmכt bכku tεm we di limf sistεm na di jεnital εria blכk כ brok dכn. afta dat, di limf wata nכ de kכmכt fayn fayn wan frכm di jεnital εria. Kansa tritmɛnt (especially radiation therapy), ɔpreshɔn, ɛn ɔda tin dɛn kin mek dis apin.

Dis `(Scrotal Lymphedema)` kin pas?

Nɔ, `(Scrotal Lymphedema)` nɔto sik we pɔsin kin gɛt. I nɔto infekshɔn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs `(STI)` sɛf. So nɔ fred am.

Udat de pan big risk fɔ gɛt dis?

Yu kin gɛt bɔrku risk fɔ gɛt dis sik if:

• If yu dɔn gɛt tritmɛnt fɔ mɛn kansa, dat na if yu dɔn gɛt redyushɔn tɛrapi ɔ ɔpreshɔn .
• If yu Bɔdi Mas Indeks (BMI) pas 30, dat min se yu fat.

Wetin na di poshubul komplikashכn dεm fכ `(Scrotal Lymphedema)`?

Bɔrku prɔblɛm dɛn de wae kin kam wit dis sik, wae fayn fɔ no bɔt:

• wan kכndyushכn we dεn kכl `sεlulayt` kin apin bak bak. dis na inflameshn fכ di kכnektiv sכft tisu dεm we de dכn di skin. Dis kin mek di skin nɔ gɛt in elastik igen.
• Elephantiasis (na wan sik we fiba elephantiasis): Insay dis sik, di skin kin big, tik, ɛn at.
• `ɛrisipelas`: .Dis na infεkshכn we de afekt di tכp layεr dεm na di skin. I kin mek yu gɛt fiva wantɛm wantɛm, yu skin kin chenj (rɛd, pepul, brawn, blak), ɛn swel.
• Di wund we de te fɔ wɛl: Di wund dɛn we de rawnd di say we di uman in bɛlɛ kin tek lɔng tɛm fɔ wɛl.
• Saykolojik ifekt dεm: Skrotal Limfεdima na wan kכndyushכn we kin de fכ lכng tεm we kin mek yu wik, i kin afekt aw yu luk εn mek i at fכ waka. E kin mek yu nɔr gɛt bɛtɛ ɔnɔ fɔ yusɛf , yu nɔr kin ebul fɔ kɔntrol yu wɔri , yu gɛt pwɛl hat ɛn strɛs . Dis na nɔmal tin, so wi fɔ wɔri bɔt dis bak.

Aw dɔktɔ dɛn kin no bɔt dis?

Fɔ no if yu gɛt skrotal lymphedema, dɔktɔ go fɔs du yu bɔdi ɛgzam ɛn aks yu bɔt yu mɛdikal istri . Apat frɔm dat, dɛn kin du sɔm tɛst dɛn we dɛn kin du fɔ tek pikchɔ . dis kin εp fכ no aw di limfatik sistεm blכk. Dɛn kin ɛp bak fɔ pul ɔda tin dɛn we kin mek di skrotum swel. Dɛn kin du dɛn tɛst ya fɔ:

• Lymphoscintigraphy: Insay dis tɛst, dɔktɔ kin injɛkt smɔl redioaktiv matirial (radiotracer) insay yu. Dɔn, dɛn kin yuz skan fɔ trak di tin we i de travul na yu limfatik sistɛm. if blכk de na di limfatik sistεm, di redioaktiv mεtirial nכ go travul pas da pכynt de, εn dεn kin fכn di εksakכt lכkεshכn we di blכk de.
• Magnetic Resonance Imaging (MRI): Dis na tɛst bak we dɛn kin tek pikchɔ. I de ɛp fɔ no if blɔk de na di limfatik vessel dɛn. I de yuz big magnet, redio wev, ɛn kɔmpyuta fɔ tek ditayli pikchɔ dɛn bɔt di sɔft tisu dɛn na di say we di uman in bɔdi de.
• Computed Tomography (CT) scan: CT skan de yuz sɔm X-ray fɔ tek ditayli pikchɔ dɛn fɔ di say we di uman in bɛlɛ de ɛn i kin ɛp fɔ no usay di limf no dɛn dɔn blok.

Yu tink se dɛn kin mɛn Skrotal Limfɛdima ɔltogɛda?

Fɔ tɔk tru, naw, no mɛrɛsin nɔ de fɔ Skrotal Limfɛdima. Bɔt nɔ wɔri. Tritmɛnt dɛn de we kin ɛp fɔ ridyus yu sik dɛn ɛn mek di swɛlin nɔ wɔs.

Aw dɛn kin trit dis?

Dɔktɔ dɛn kin fɔs tɛl yu fɔ tek wan tritmɛnt we dɛn kɔl kɔmpleks dikɔnjestiv tɛrapi (CDT) fɔ skrotal limfadima. Dis kin ɛp fɔ ridyus di smɔl to mɔdaret swɛlin, mɔ we di sik bigin. Dis tritmɛnt inklud:

• Fɔ kip di skin klin: Klin di skin fayn fayn wan yuz antiseptik sop, wam wata, ɛn tin we de klin di skin (e.g., ayodin ɔ isopropyl alcohol).
• Manual lymph drainage: Na wan spɛshal tren we de mɛn limfɛdima de du dis . I go masaj di say jisnɔ ɛn saful wan, pul di limf wata we de na di say we dɔn swel ɛn dayrɛkt am to di limf no dɛm we de wok fayn fayn wan.
• We yu wɛr spɛshal kɔmpreshɔn klos: Dɛn klos ya de ridyus di wata we de gɛda ɛn ɛp fɔ dayrɛkt limf wata to di limf no dɛm usay i de wok.
• Ɛksesaiz: Wan dɔktɔ we de mɛn limfɛdima go mek wan ɛksɛsayz plan we go fayn fɔ yu. dis εksεsayz dεm de εp di limf wata fכ muv tru di limf vεsεl dεm.

If yu gɛt siriɔs skrotal limfedema we nɔ de ansa fayn to kɔmpleks dikɔnjestiv tritmɛnt, dɔktɔ kin tɛl yu fɔ du ɔpreshɔn . Dis ɔpreshɔn kin min fɔ pul di mas ɛn di tisu we afɛkt ɛn put wɛlbɔdi skin (skin graft) . Di ɔspitul tim kin gɛt wan dɔktɔ we de mɛn yu urolɔg ɛn wan dɔktɔ we de du plastic ɔpreshɔn . We dɛn de du ɔpreshɔn, di mɛdikal tim kin du dɛn tin ya:

• Dɛn go gi yu jenɛral anestezi . Dɔn yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn, yu go de slip.
• Dɛn kin put wan tin we tan lɛk plastic tiub (kateta) insay yu urethra. dis de protεkt di urethra we dεn de du di prosidכs εn i de εp bak fכ kip di penis stebul.
• di penis de separet frכm di harden (fibrotic) testicular tissue, εn dεn de pul di damej (lymphedematous) skin εn tisu.
• if nid de, dεn de du `liposuction` . dis min se dεn de mek sכm sכm sכm pat dεm na di jεnital εria εn dεn de sok di fεt sεl dεm we dεn de yuz כpεrayshכn instrכmεnt.
• If nid de, dɛn kin du `panniculectomy` . dis de pul di εksyכs skin εn fεt tisu ``pannus`` we de rawnd di jεnital εria.
• If nid de, dɛn kin du `escutcheonectomy` . dis de pul di fεt layεr we de oba di pubic bon (pubic area).
• di skin we dεn dכn pwεl dεn kin riples am wit hεlth skin we dεn tek frכm כda pat na di bכdi (bכku tεm na di tכŋ).

Wetin na di prɔblɛm dɛn we kin apin ɔ di bad tin dɛn we kin apin afta dɛn dɔn du di ɔpreshɔn?

Bɔku pipul dɛn kin ansa fayn we dɛn du ɔpreshɔn pan Skrotal Limfɛdima. Bɔt sɔm tɛm dɛn kin gɛt prɔblɛm dɛn lɛk:

• De swɛl
• Pen
• di sεnsitiviti dεm we de dכn na di skrotum, penis, כ di εria dεm we de rawnd am
• Skin graft we nɔ de wok fayn

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

I dipen pan aw yu `(Scrotal Lymphedema)` kכndyushכn siriכs εn di tritmεnt we dεn rεkomεnd. wit `Kכmpleks dikonjestiv tεrapi`, di swel kin bigin dכn insay lεk wan כ tu wik. If dɛn du yu ɔpreshɔn, yu fɔ ebul fɔ wɛl insay lɛk siks wiks so.

Dipen pan yu kɔndishɔn, yu dɔktɔ go tɛl yu bɔt di tɛm we yu tink se yu go wɛl.

Tin dɛn de we a go du fɔ mek a fil fayn?

Fɔ fala wɛl bɔdi it kin ɛp fɔ kɔntrol di skrotal limfadima. We yu it mɔ frut, vɛjitebul, slim prɔtin, ɛn ɔl gren, yu limf sistɛm go wok fayn fayn wan. I fayn bak fɔ:

• Limit di sɔl we yu de it. Sɔl kin mek di wata we de na di bɔdi gɛt mɔ. Yu kin yuz fresh ɛvbɔdi, galik, ɔrigano, chili paoda, ɛn mɔstad paoda fɔ mek yu it flawa.
• Drink bɔku wata. If yu gɛt wata fayn fayn wan, dat kin ɛp fɔ mek yu blɔd go fayn fayn wan. I kin mek bak di limfatik flɔ fayn. Tray fɔ drink 8 glas wata (we na lɛk 2,000 ml) ɛvride.
• Tɔk to dɔktɔ. Bɔku tɛm di tritmɛnt fɔ kansa kin mek yu gɛt `(Scrotal Lymphedema)`. So, if yu de du kansa tritmɛnt, aks yu ɔnkɔlɔjis bɔt di pɔsibiliti fɔ mek `(Scrotal Lymphedema)` gɛt da tritmɛnt de.

Skrotal Limfɛdima na wan sik wae kin afɛkt yu maynd wɛl bɔdi bak. I fayn fɔ tɔk bɔt aw yu de fil wit yu fambul ɛn padi dɛn we yu kin abop pan. Yu kin aks yu dɔktɔ if dɛn kin rɛkɔmɛnd wan tritmɛnt ɔr sɔpɔt grup fɔ pipul dɛm wae gɛt Skrotal Limfɛdima.

If a gɛt `(Scrotal Lymphedema)`, wetin a fɔ ɛkspɛkt?

Naw, no we nɔ de fɔ rivɛns di damej we di limfatik sistɛm we de mek pɔsin gɛt Skrotal Limfɛdima. Dis min se Skrotal Limfɛdima na wan sik we kin de fɔ lɔng tɛm. Bɔt nɔ wɔri. If yu trit yu fayn fayn wan, yu kin ridyus yu sik, yu kin gɛt bɛtɛ layf, ɛn kɔntinyu fɔ gɛt am.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn dɛm fɔ `(Scrotal Lymphedema),` mɔ if yu de gɛt kansa tritmɛnt, i impɔtant fɔ go to dɔktɔ. If dɛn nɔ trit di sik, i kin wɔs ɛn i kin mek i gɛt ɔda prɔblɛm dɛn.

We yu go to dɔktɔ, yu kin aks dɛn kwɛstyɔn ya:

• Aw yu no se a gɛt `(Scrotal Lymphedema)`?
• If a nɔ gɛt `(Scrotal Lymphedema)`, us ɔda mɛrɛsin a kin gɛt?
• Aw siriɔs mi `(Scrotal Lymphedema)` kɔndishɔn de?
• Us tritmɛnt yu kin advays?
• Us chenj dɛn we a nid fɔ chenj mi layf?
• Yu kin rεkomεnd wan saykayatrist, sɔpɔt grup, dietist, ɔr lymphedema thεrapist?

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt Skrotal Limfɛdima, go na di imejensi rum we de nia yu if yu gɛt ɛni wan pan dɛn sayn ya fɔ sho se yu gɛt di sik:

• If di fiva pas 38 digri sɛlshiɔs (100.4 digri Fahrenheit).
• If di pen de bɔku.
• If da eria de hot.
• Di kɔlɔ we di skin gɛt dɔn chenj, mɔ if i tan lɛk strek dɛn we de go fa frɔm da say de.

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt Skrotal Limfɛdima?

Skrotal Limfɛdima, we kin kam bikɔs ɔf kansa tritmɛnt, nɔ kin ebul fɔ avɔyd am ɔl. Bɔt di rayt tritmɛnt kin ɛp fɔ ridyus di swɛlin ɛn fɔ mek di prɔblɛm dɛn nɔ bɔku. Dɛn advays ya kin ɛp fɔ ridyus yu risk:

• Yu fɔ no yu bɔdi ɔltɛm. Tɛl dɔktɔ jɔs lɛk aw yu notis di fɔs sayn dɛm fɔ `(Scrotal Lymphedema)`. If yu nɔr gɛt tritmɛnt, ɔr bigin tritmɛnt tu let, dat kin mek yu gɛt siriɔs prɔblɛm dɛn we yu nɔ go ebul fɔ kɔntrol.
• Tek kia gud wan fɔ yu skin. Kip yu skin klin ɛn wet fɔ mek yu nɔ gɛt infɛkshɔn. We di wata gɛda, i kin izi fɔ mek baktri dɛn gro.
• Kɔl dɔktɔ we yu si di fɔs sayn fɔ se yu gɛt di sik. Di sayn dɛm we kin sho se yu gɛt di sik na we yu skin kin chenj (rɛd, pepul, brawn), pen, swel, fiva, ɔ we yu kin tan lɛk se yu gɛt difrɛn kɔlɔ ɔnda di skin.
• Alaw di wata we de na yu bɔdi fɔ muv izi wan. Nɔ put prɛshɔn pan yu bɛlɛ we de dɔŋ ɛn di say we yu de gro. Dis kin afɛkt di limf flɔ. Nɔ yuz tayt klos, ɛlastik bandej, ɛn ɔda tin dɛn.
• Limit ɔ avɔyd fɔ put yu jɛnɛral eria pan ɔt pasmak. Dis inklud tin dɛn lɛk ɔt bat ɛn sawna. If yu wam pasmak, dat kin mek yu gɛt mɔ skrotal limfadima.
• Tek ɛksesaiz sloslo ɛn tek tɛm kɔntrol. Fɔ fala di ɛksɛsayz plan we wan lymphedema thɛrapist mek fɔ yu.
• Mek yu gɛt wɛlbɔdi wet we go fayn fɔ yu. Dɔktɔ ɔ pɔsin we sabi bɔt it kin ɛp yu fɔ mek plan fɔ it fayn fayn wan.

Mɛmba se, Skrotal Limfɛdima kin mek yu nɔ fil fayn smɔl, ɛn ivin shem, bikɔs i kin afɛkt wan sɛnsitiv eria na di bɔdi. Bɔt, nɔto yu wan de. If yu gɛt di rayt tritmɛnt ɛn chenj yu layf, yu kin ebul fɔ kɔntrol dɛn sik ya ɛn ridyus di impak we dɛn kin gɛt pan yu layf.

Mɛsej we dɛn kin kɛr go na os

Okay, so lɛ wi rikap di impɔtant tin dɛm we wi dɔn tɔk bɔt `(Scrotal Lymphedema):`

• dis na di kכndyushכn we di limf fכluid de kכmכt insay εn rawnd di tεstikul dεm εn mek i swel.
• Dis kin apin we di limfatik sistɛm dɔn pwɛl bikɔs ɔf tin dɛn lɛk fɔ fat, fɔ trit kansa, ɔ ɔpreshɔn.
• Dis nɔto sik we pɔsin kin pas.
• di men sayn na we di skrotum de swel we nכ nכmal. Apat frɔm dat, pen, i nɔ kin izi fɔ waka, ɛn i kin at fɔ pis bak.
• Pan ɔl we dɛn nɔ gɛt kɔmplit mɛrɛsin, tritmɛnt kin kɔntrol di sayn dɛm.`Kɔmpleks Dikɔnjɛstiv Tɛrapi (CDT)` ɛn, if i siriɔs, ɔpreshɔn na di men tritmɛnt we dɛn kin yuz.
• Yu kin ɛp yusɛf bay we yu it fayn it, drink bɔku wata, ɛn kip yu skin klin.
• I rili impɔtant fɔ go to dɔktɔ jɔs lɛk aw yu notis ɛni sayn. Di kwik we dɛn bigin fɔ trit, na di mɔ di prɔblɛm dɛn we kin apin kin ridyus.
• If yu de fil ɛni mental prɛshɔn bikɔs ɔf dis sityueshɔn, nɔr shem fɔ tɔk bɔt am ɛn go to pɔrsin wae sabi du in wok if nid de.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to dɔktɔ. I go gi yu ɔl di infɔmeshɔn ɛn sɔpɔt we yu nid.

` Skrotal Limfεdima, Skrotal Limfεdima, Skrotal Limfεdima, Limfatik Sistem, Man in Wεlth, Skrotal Sik