Yu dɔn ɛva fil lɛk se yu skrotɔm bigin fɔ swel wantɛm wantɛm? Ɔ di skin we de na da say de kin tik ɛn fil difrɛn we yu tɔch am? Pan ɔl we dis na tɔpik we nɔ kin izi fɔ tɔk bɔt ɛn we kin mek pɔsin shem, i rili impɔtant fɔ no bɔt dis sik. Bikɔs if dɛn nɔ pe atɛnshɔn to am, i kin mek pɔsin gɛt siriɔs prɔblɛm. Tide wi de tɔk bɔt wan sik wae kin mek pɔrsin gɛt sɔm kayn sik lɛk dis, wae dɛn kɔl am Scrotal Lymphedema .
Wetin rili na Skrotal Limfɛdima?
Fɔ tɔk am simpul wan, Skrotal Limfɛdima na wan kayn wata we dɛn kɔl limf kin gɛda insay di sɔft tisu dɛn na yu skrotum, we kin mek yu swel. Sɔntɛnde, dis swɛlin kin go na di penis ɛn di say dɛn we de rawnd am.
Naw yu kin de wɔnda, "Wetin na dis limf fluid?" Imajin, wi bɔdi gɛt wan tin we de pul dɔti ɛn pɔyzin , lɛk di we aw dɛn de trowe dɔti na siti. Wi kin kɔl dis di limfatik sistɛm . Dis sistɛm na impɔtant pat pan wi imyun sistɛm. Limf wata na klia wata we de travul tru dis sistεm εn i de εp fכ pul tin dεm lεk west εn baktri dεm .
so, if fכ sכm rizin di limf vεsεl dεm כ di limf no dεm na dis limf sistεm, spεshal wan na di groin εria, dεn dכn pwεl כ blכk, dis limf fכluid nכ kin fכ fכlכ fayn fayn wan. na we da wata de kכlekt na ples dεm lεk di skrotum εn bigin fכ swel.
Wetin na di sayn dɛm fɔ dis sik?
Di men ɛn klia sayn fɔ dis sik na we di skrotum de swel. Sɔntɛnde, dis swel kin bɔku pas di nɔmal saiz, ɛn i kin bi lɛk ɔrɛnj, baskɛtbɔl, ɔ ivin big. Dɔktɔ dɛn kin kɔl dis ‘Giant Scrotal Lymphedema’.
Lɛ wi si wetin na di ɔda sayn dɛm.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Di tɛstikul we de swel | Enlargement in saiz. fכs i sכft we yu tכch, as tεm i kin at bikoz fכ di tisu tik (fibrosis). |
| Pen we kin de fɔ lɔng tɛm | Pen ɔ nɔr kin fil fayn ɔltɛm na ɛn rawnd di say we yu dɔn swel. |
| Infεkshכn dεm we de kam bak | Baktri infεkshכn dεm na di skin (lεk sεlyulayt) kin kכmכn. Di sayn dɛm kin bi we di skin kin rɛd ɛn wam. |
| Intafɛreshɔn wit di tin dɛn we pɔsin kin du ɛvride | I nɔ izi fɔ waka ɔ nɔ ebul fɔ waka. I nɔ kin izi fɔ yu fɔ pis. |
| I nɔ izi fɔ du mami ɛn dadi biznɛs | I nɔ izi fɔ du mami ɛn dadi biznɛs. |
| Penis we dɛn bɛr | wan kכndishכn we di penis de kכba wit di skrotal tisu bikoz fכ sכm bad bad wan, we de mek i nכ de si am. |
Wetin na di tin dɛm wae kin mek pɔrsin gɛt skrotal lymphedema?
Bɔku men rizin dɛn de fɔ dis sik. Ɛspɛshali na kɔntri dɛn lɛk Sri Lanka, di men tin we kin mek dis sik na Limfatik Filariasis . Dis na parasayt infεkshכn we mכskito dεn kin transmit. Dɛn parasayt ya kin pwɛl wi limfatik sistɛm.
Apat frɔm dat, ɔda rizin dɛn de:
- Tritmɛnt fɔ kansa: Rɛdieshɔn tɛrapi ɔ ɔpreshɔn, mɔ to di say we di bɔdi de, kin pwɛl di limfatik sistɛm.
- Ɔpreshɔn: Ɔda ɔpreshɔn dɛn we dɛn kin du na di groin eria ɔ bɛlɛ kin mek bak di limf vesel dɛn pwɛl.
- Fɔ fat: Dis risk kin pasmak fɔ pipul dɛm wae gɛt bɔdi mas indeks (BMI) we pas 30.
- Prɔblɛm dɛn we dɛn kin bɔn wit: Sɔm pipul dɛn kin bɔn wit sɔm wikɛd tin dɛn na di limfatik sistɛm.
Di tin we impɔtant pas ɔl na dat dis nɔto sik we pɔsin kin gɛt ɔ we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs wit ɔda pɔsin (STI), so nɔ fɔ fred am we nɔ nid fɔ apin.
Us prɔblɛm dɛn dis kin mek?
If dɛn nɔ trit dis sik fayn, difrɛn prɔblɛm dɛn kin kam as tɛm de go.
- Infεkshכn na di skin (Sεlulaytis): Infεkshכn na di tisu dεm we de dכn di skin kin apin bכku tεm.
- Elephantiasis (Elephant-like skin): Dis na di kayn we we kin rili bad fɔ ‘barawa’. Di skin kin rili tik, big, ɛn rɔf.
- Di wund we de te fɔ wɛl: If wund apin na di say we di uman in bɛlɛ, i go tek lɔng tɛm pas aw i kin tek fɔ wɛl.
- Di tin dɛn we kin apin to pɔsin in maynd: Dis sik kin mek i chenj di we aw pɔsin de luk, i nɔ kin izi fɔ waka, ɛn i kin mek i nɔ gɛt bɛtɛ rɛspɛkt fɔ insɛf, ɛn i kin mek i wɔri, strɛs, ɛn pwɛl at . Dis na tin wae kin rili mɛk yu fil bad, so chans de fɔ mek yu gɛt pwɛl hat.
Aw dɔktɔ kin no bɔt dis?
We yu go to dɔktɔ wit dɛn sik ya, dɛn go fɔs chɛk yu bɔdi ɛn aks yu bɔt yu mɛdikal histri. Dɛn kin se bak fɔ du sɔm tɛst fɔ no ɔda tin dɛn we kin mek yu swel ɛn fɔ no usay di blɔk de na yu limfatik sistɛm.
- Lymphoscintigraphy: na tεst we dεn injεkt sכm sכm rεdyuaktiv mεtirial insay di limfatik sistεm εn dεn de yuz skan fכ mכnitor aw i de muv. Dis kin sho di rayt say we di blɔk de.
- MRI scan (Magnetic Resonance Imaging): Na tɛst we dɛn kin yuz magnɛtik fil ɛn redio wev fɔ tek ditayli pikchɔ dɛn bɔt di tisu dɛn.
- CT scan (Computed Tomography): Na tɛst we dɛn kin yuz sɔm ɛkstrem rayt fɔ tek ditayli pikchɔ dɛn ɛn fɔ no di say dɛn we dɔn blok.
Wetin na di tritmɛnt dɛm fɔ dis?
Dis nɔto sik we pɔsin kin mɛn ɔl dis tɛm, bikɔs di damej we di limfatik sistɛm dɔn pwɛl nɔ kin ebul fɔ rivɛns. Bɔt , tritmɛnt dɛn de we kin rili ebul fɔ kɔntrol di sik dɛn, fɔ ridyus di swɛlin, ɛn alaw yu fɔ liv nɔmal layf.
Tritmɛnt we nɔ gɛt ɔspitul (Kɔmpleks Dikɔnjɛstiv Tɛrapi - CDT) .
Dis na di praymar tritmɛnt we dɛn kin advays. I kin ebul fɔ kɔntrol di swɛlin we nɔ kin smɔl to di swɛlin fayn fayn wan, mɔ we i bigin fɔ swel.
- Fɔ kip di skin klin: Kip di skin klin bay we yu yuz spɛshal antibakterial sop fɔ mek yu nɔ gɛt di sik.
- Manual Limfatik Drenage:Dis na saful saful masaj we wan spɛshal trenin we de mɛn pipul dɛn kin du. i de wok bay we i de muv di stagnant limf fכluid to di aktif limf no dεm, we de ridyus di swεl.
- We yu wɛr spɛshal kɔmpreshɔn klos: Di prɛshɔn we dɛn klos ya kin mek kin mek di wata nɔ bɔku ɛn i kin kɔntrol di swɛlin.
- Ɛksesaiz: If yu fala wan patikyula ɛksesaiz program we pɔsin we de mɛn yu dɔn mek fɔ yu, dat go ɛp fɔ mek di limfatik blɔd go fayn.
Ɔpreshɔn
If i sik bad bad wan we nɔ de du di tritmɛnt dɛn we wi dɔn tɔk bɔt, dɛn kin se dɛn fɔ du ɔpreshɔn. dis involv fכ pul di εkstra tisu εn skin we dεn kכlכm εn kכba di εria wit hεlty skin (skin graft) we dεn tek frכm כda pat na di bכdi (bכku tεm na di tכŋ). Na wan dɔktɔ we de mɛn yu urolɔg ɛn wan dɔktɔ we de du plastic sajin kin du dis togɛda.
| Ustɛm yu fɔ go na di ETU (Imejɛnsi Tritmɛnt Yunit) wantɛm wantɛm? | |
|---|---|
| If yu gɛt Skrotal Limfɛdima, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sayn ya we de sho se yu gɛt di sik : | |
| - Fiva pas 38 digri sɛlshiɔs (100.4 Fahrenheit). | - Di pen we de go ɔp. |
| - Wam we yu tɔch di say we dɔn swel. | - Di kɔlɔ we di skin kin chenj (rɛd, pepul, brawn) ɔ di we aw i kin tan lɛk se i gɛt strɛch. |
Wetin na sɔm tin dɛn we yusɛf kin du?
Apat frɔm tritmɛnt, smɔl chenj na yu layf kin ɛp fɔ kɔntrol dis sik.
- Tek kia ɔf yu skin: Fɔ mek yu nɔ gɛt infɛkshɔn na di tin we impɔtant pas ɔl. Klin di say fayn fayn wan ɛvride ɛn put mɔstizayza.
- Gud abit fɔ it: Nɔ it sɔl. Sɔl de mek di wata we de na di bɔdi gɛt mɔ wata. Bifo dat, yuz tin dɛn lɛk galik, dray chili paoda, ɛn ɔrigano fɔ mek yu it flawa.
- Drink bɔku wata:Tray fɔ drink at le 8 glas wata ɛvride.
- Nɔ wɛr tayt klos: Nɔ wɛr tayt ɔndawea ɔ pant we de mek yu nɔ ebul fɔ muv.
- Nɔ wam pasmak: Nɔ tek ples fɔ was ɛn sawna we wam pasmak.
- Mek yu gɛt wɛl bɔdi wet: Tɔk to yu dɔktɔ ɛn mek yu gɛt wɛl bɔdi we go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Skrotal Limfεdima na swεla we de kכz we di limf fכluid de kכmכt na di skrotum. I nɔto kansa.
- Filariasis, we na wan sik we mɔskito kin kam wit na kɔntri dɛn lɛk Sri Lanka, na di men tin we kin mek pɔsin gɛt dis sik.
- Dis nɔto sik we pɔsin kin pas, ɛn nɔto mami ɛn dadi biznɛs kin pas am.
- If yu notis ɛni ɔda kayn swel, tik, ɔ pen na yu tɛstikul , nɔ shem ɔ delay, bɔt go to dɔktɔ.
- If yu no am kwik kwik wan ɛn trit yu, dat kin mek yu nɔ gɛt siriɔs prɔblɛm ɛn mek yu gɛt bɛtɛ layf.
- Fɔ kip di skin klin ɛn wet na impɔtant tin fɔ mek yu nɔ gɛt infɛkshɔn.
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