Yu skrotum de fil se yu dɔn swel smɔl? Ɔ i big pas aw i kin bi ɛn i kin mek i nɔ izi fɔ waka? Pan ɔl we dis na sɔntin we bɔku pipul dɛn kin fred fɔ tɔk bɔt ɔ fil shem bɔt, i rili impɔtant fɔ no bɔt am. Na bikɔs i kin afɛkt yu wɛlbɔdi ɛn yu maynd fayn fayn wan. Tide wi de tɔk bɔt wan sik we dɛn kɔl `(Scrotal Lymphedema)` we de mek dis kayn diskɔmfɔt, bɔt dɛn kin ebul fɔ manej am fayn fayn wan.
Wetin na Skrotal Limfɛdima?
fכ simpul wan, ``Skrotal Limfεdema`` na di akyumyuleshכn fכ wan kayn wata we dεn kכl limf insay εn rawnd di tisu dεm na di skrotum, di sak na di skin usay yu tεstikul dεm de. dis kin spre sכmtεm to di εria we de rawnd yu penis.
Tink bɔt am lɛk dis: wi bɔdi gɛt wan sistɛm we de pul dɔti ɛn tin dɛn we wi nɔ want. Wi kin kɔl am di limfatik sistɛm . Dis na impɔtant pat pan wi imyun sistɛm. we dis sistεm blכk, blכk, כ damej, di limf fכluid nכ de fכlכ fayn fayn wan εn i de kכmכt na wan ples. we di limf fכluid de kכmכt na di εria we de rawnd di tεstikul dεm, wi kin kכl am Skrotal Limfεdima.
Dis nɔto tin we kin bigin wantɛm wantɛm, bɔt bɔku tɛm na sik we nɔ de mɛn . Insay Sri Lanka, di men tin we kin mek dis sik na wan sik we mɔskito kin kam wit we dɛn kɔl filariasis. Apat frɔm dat, ɔpreshɔn pan kansa ɛn redyushɔn tɛrapi kin mek bak dis apin.
Us pat dεm na di Limfatik Sistem de involv insay dis?
Fɔ ɔndastand dis stori, wi nid fɔ no bɔt tri men pipul dɛn we de insay wi sistɛm fɔ gɔsip.
| Pat pan di sistɛm | Fɔ tɔk am simpul wan... |
|---|---|
| Limf | Dis na klia wata we de flɔ ɔlsay na wi bɔdi. I gɛt wayt blɔd sɛl dɛn (espɛshali di limfosayt dɛn). Na dis wata we de ɛp fɔ mek di bɔdi klin bay we i de pul dɔti tin dɛn ɛn baktri dɛm na di bɔdi. |
| Limf vessel dɛn | I tan lɛk wan sistɛm we gɛt smɔl smɔl tiub dɛn na wi bɔdi. na tru dεn tכb dεm ya di limf fכluid de kכri כlsay na di bכdi. |
| Di limf no dɛm | Dɛn tin ya tan lɛk smɔl smɔl filta dɛn. Dɛn kin filta di limf wata ɛn klin am ya. Wi gɛt dɛn smɔl smɔl gland ya ɔlsay na wi bɔdi, na di nɛk, di an, ɛn ivin na di groin eria (inguinal lymph nodes) . |
Wetin na di sayn dɛm fɔ Skrotal Limfɛdima?
di men tin we dεn kin si pan dis kכndishכn na di tεstikul dεm we de swel. Bɔt bɔku ɔda tin dɛn de apat frɔm dat.
De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ jɔs lɛk aw yu notis dɛn sik ya, ɛn nɔr fɔ shem ɔr frayd. Di kwik we yu bigin fɔ tek tritmɛnt, na di mɔ i go izi fɔ kɔntrol di sik.
Yu kin lan mɔ bɔt dɛn sik ya frɔm di tebul we de dɔŋ ya.
| Di sayn we de sho se di sik de | Wetin kin apin wit dis? |
|---|---|
| di tεstikul dεm we de mek di tεstikul big | Dis na di men tin we dɛn de du. Na sɔm pipul dɛn, i kin big pas aw i kin bi bɔku tɛm. If i bad, i kin big lɛk ɔrɛnj ɔ ivin baskɛtbɔl. |
| Skin kin chenj | Fɔs, di say we dɔn swel kin fil saf ɛn i kin tan lɛk dɔti we yu tɔch am. as tεm de go, di εria kin at εn dense bikoz fכ di divεlכpmεnt fכ di fayv tisu (fibrosis) . |
| Pen we kin de fɔ lɔng tɛm | Yu kin gɛt pen ɔltɛm ɔ yu nɔ kin fil fayn na di say we yu dɔn swel. |
| Infεkshכn dεm we de kam bak | Baktri infεkshכn kin apin bכku tεm pan εn insay di skin. Di sayn dɛm kin bi we di skin kin rɛd ɛn wam. |
| I nɔ izi fɔ waka | As di swɛlin de swel, i kin at fɔ waka bikɔs di leg dɛn kin stɔp togɛda. Sɔntɛnde, i kin ivin nɔ pɔsibul fɔ waka atɔl. |
| I nɔ kin izi fɔ yu fɔ pis | If yu swel, i kin mek di yurethra tayt, ɛn dis kin mek i nɔ izi fɔ pis. |
| Prɔblɛm dɛn we kin apin we pɔsin de du mami ɛn dadi biznɛs | If yu swel ɛn fil pen, i kin mek i nɔ izi fɔ du mami ɛn dadi biznɛs. |
| Penis we dɛn bɛr | we di penis swel rili siriכs, i kin lεk se di penis kכba εn skrotal tisu de sכbmεr am. |
Dis na sik we pɔsin kin pas?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. Nɔ. `(Scrotal Lymphedema)` nɔto sik we pɔsin kin gɛt. Ɛn i nɔto infekshɔn we pɔsin kin gɛt we i du mami ɛn dadi biznɛs `(STI)` sɛf. So yu nɔ nid fɔ wɔri fɔ pas am to yu wɛf ɔ yu patna.
Us ɔda prɔblɛm dɛn dis kin mek pɔsin gɛt?
If dɛn nɔ trit dis sik fayn, mɔ prɔblɛm kin kam as tɛm de go.
- Sεlulayt we de kam bak bak: Dis na infεkshכn na di tisu dεm we de dכn di skin. Dis kin mek di skin nɔ gɛt in elastik igen.
- Ɛlifantiasis: Dis na wan sik we di skin kin tik, at, ɛn i kin tan lɛk ɛlifant in skin. Wi dɔn si dis kɔndishɔn we Barawa sik kin kam wit.
- Di wund we de te fɔ wɛl: If wund apin rawnd di say we di uman in bɛlɛ de, i kin tek lɔng tɛm pas aw i kin tek fɔ wɛl.
- Saikɔlɔjik ifɛkt: Dis na de wan wae bɔrku pipul nɔr kin tɔk bɔt, bɔt na in impɔtant pas ɔl. Bikɔs dis sik kin teik lɔng tɛm, i kin afɛkt tin dɛm lɛk fɔ waka, ɛn kin afɛkt aw yu luk, e kin gɛt bɔrku saykilɔjik ifɛkt.. Nɔr kin gɛt bɛtɛ ɔnɔ fɔ yusɛf, wɔri, pwɛl hat, ɛn strɛs ɔl kin apin. Dis na nɔmal tin, so nɔ fred fɔ tɔk bɔt am.
Aw dɔktɔ kin no bɔt dis?
We yu go to dɔktɔ, di fɔs tin we i go du na fɔ tek tɛm lisin to yu sayn dɛn ɛn du ɛgzam fɔ yu bɔdi. Dɔn, dɛn go se dɛn fɔ du sɔm tɛst fɔ no di rayt tin we mek di swel ɛn fɔ si ustɛm di swɛlin de.
- Lymphoscintigraphy: Dis na fɔ injekt smɔl smɔl redioaktiv tin ɛn skan am fɔ si aw i de muv tru yu limfatik sistɛm. Dis kin sho klia wan se ɛni blɔk de.
- MRI ɛn CT skan: Dɛn kayn skan ya kin tek ditayla pikchɔ dɛn fɔ di sɔft tisu dɛn na yu jɛnɛral eria ɛn sho di rayt say we di blɔk de.
Wetin na di tritmɛnt dɛn we dɛn kin gɛt?
Fɔ tɔk tru, naw, no mɛrɛsin nɔ de fɔ Skrotal Limfɛdima. Bɔt nɔ wɔri. Bɔrku tritmɛnt de wae kin ɛp fɔ kɔntrol de sik, stɔp de swel nɔr de wɔs, ɛn mek yu layf izi. Dɛn kin sheb di tritmɛnt dɛn to tu men kategori.
1. Tritmɛnt we nɔ gɛt ɔpreshɔn
Dɛn kɔl dis Kɔmpleks Dikɔnjɛstiv Tɛrapi (CDT) . I kin rili wok fɔ mek yu swel smɔl to smɔl smɔl we yu bigin.
- Fɔ kip di skin klin: Klin di say fayn fayn wan wit antiseptik sop ɛn wam wata.
- Manual Lymphatic Drainage: Dis na saful masaj we spɛshal trenin we de mɛn pipul dɛn kin du. dis de εp fכ muv di limf fכluid frכm di εria we swεla to di limf vεsεl dεm we de wok fayn fayn wan.
- Kɔmpreshɔn Gam: Dis na spɛshal klos dɛn we tayt ɛn we de ɛp fɔ ridyus di wata we de kɔntinyu fɔ de ɛn fɔ mek di blɔd go fayn.
- Ɛksesaiz: Fɔ du sɔm ɛgzampul dɛn we spɛshal dɔktɔ dɔn mek, we dɛn mek fɔ yu kɔndishɔn.
2. Ɔpreshɔn
Fɔ pipul dɛm wae gɛt siriɔs swɛlin wae nɔr dɔn du ɔda tritmɛnt, yu dɔktɔ kin se dɛn fɔ du ɔpreshɔn. Dis ɔpreshɔn kin gɛt fɔ du wit:
- Fɔ pul di skin ɛn tisu we dɔn pwɛl.
- if nid de, fכ pul di εksyכs fεt sεl dεm tru mεtכd dεm lεk `(liposuction)`.
- Skin graft na we dɛn kin tek wɛlbɔdi skin frɔm ɔda pat na di bɔdi (bɔku tɛm na di shɔl) fɔ tek di skin we dɛn pul.
Wan dɔktɔ we de mɛn yu urolɔg ɛn wan dɔktɔ we de du plastic ɔpreshɔn kin wok togɛda fɔ du dis ɔpreshɔn.
Wetin a go du fɔ mek a gɛt wɛlbɔdi?
Apat frɔm tritmɛnt, fɔ mek smɔl chenj na yu layf kin ɛp yu fɔ mɛn dis sik.
- Kɔntrol sɔl: Sɔl de mek di wata we de na di bɔdi kɔntinyu fɔ de. So ridyus di sɔl we de na yu it. Bifo dat, yuz spays, galik, ɔrigano, ɛn ɔda tin dɛn.
- Drink bɔku wata: Tray fɔ drink at le 8 glas wata ɛvride. Dis kin mek di blɔd go fayn ɛn i kin mek di limf flɔ fayn bak.
- Tek kia ɔf yu skin: Kip di say klin ɛn wet ɔltɛm. Dis kin ɛp fɔ mek yu nɔ gɛt di sik.
- Nɔ wɛr tayt klos: Nɔ wɛr tayt klos ɔ klos we gɛt ɛlastik we de tayt di ɔnda bɛlɛ ɛn di groin eria.
- Nɔ wam pasmak: If yu wam pasmak, lɛk fɔ was ɛn sawna, dat kin mek yu swel mɔ.
- Mek yu gɛt wɛl bɔdi wet: I rili impɔtant fɔ mek yu gɛt wɛl bɔdi fɔ yu ayt. Yu kin aks fɔ advays frɔm dɔktɔ ɔ pɔsin we sabi bɔt it fɔ dis.
Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU)?
If yu gɛt Skrotal Limfɛdima ɛn yu gɛt ɛni wan pan dɛn sik ya we de sho se yu gɛt infekshɔn , go to di Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm.
- Fiva we pas 38 digri sɛlshiɔs (100.4 Fahrenheit).
- Di pen we de go ɔp wantɛm wantɛm.
- Ɔt pasmak we yu de fil we yu tɔch di say we dɔn swel.
- Rɛd, pepul, ɔ brawn skin, ɔ rɛd strek dɛn na di skin.
Mɛsej we dɛn kin kɛr go na os
- Skrotal Limfεdima na we di limf wata we de kכmכt na di skrotum. I nɔto kansa.
- Dis sik nɔr kin pas ɛn nɔto sik wae pɔrsin kin gɛt frɔm mami ɛn dadi biznɛs.
- If yu gɛt sɔm sayn dɛm lɛk fɔ swel na yu tɛstikul, nɔ shem ɛn go to dɔktɔ kwik kwik wan.
- Pan ɔl we dɛn nɔ kin ebul fɔ mɛn am ɔl, dɛn kin kɔntrol di sik dɛn ɛn liv nɔmal layf tru tritmɛnt ɛn chenj dɛn layf.
- If dis kayn tin de mek yu fil bad, tɔk to pɔsin we yu biliv ɔ pɔsin we de advays yu bɔt dis. Nɔto yu wan de.
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