I private area, chu chu i genital chhehvela vun chu mak tak maiin a hring, a rit emaw, a thim emaw tih i hria em? Hetiang thil hi tu nen pawh sawi dun hi a awkward leh zahthlak deuh a ni lawm ni? Mahse hei hi i hriselna nena inzawm thil pawimawh tak a ni thei . Chuvangin vawiinah hian ‘Genital Lymphedema ’ kan sawi dawn a, chu chu mi tam takin sawi an hreh hle a, mahse hriat chian a pawimawh hle. Ngaihtuah buai suh, he thuziak hi i chhiar zawh chuan he thu hi chiang takin i hrethiam tawh ang.
A awlsam zawngin, Genital Lymphedema chu eng nge ni?
Genital Lymphedema hi i genital area chhehvela soft tissue-a lymph fluid a punkhawm avanga lo hring chhuak a ni. A awlsam zawngin kan taksaa tui chi khat chu he hmunah hian a tang a, a lo hring chhuak thin. Hei hi vawi khata awm thin a ni lo va, mahse a tam zawkah chuan chronic condition a ni .
Hei hian khawvel puma lymphedema vei zawng zawng zinga 1% aia tlem a nghawng a ni. Hei hian a awmzia chu a tlem hle tihna a ni . Amaherawhchu, tu pawh, hmeichhia leh mipa, kum eng pawha nghawng thei a ni.
Hemi nena inzawm kan 'Lymphatic System' chungchang tlem han zir ila.
He natna hi dik taka hrethiam tur chuan kan taksaa ' lymphatic system ' chungchang hi tlem han ngaihtuah hmasa ila. Kan taksa hi khawpui lian tak niin han ngaihtuah teh. He khawpuiah hian nutrition leh oxygen hi thisen kalna kawngah hmun tinah a kal a , khawpui thianghlimna tur bawlhhlawh paih dan tur system a awm a ngai a ni. Chutiang chu lymphatic system chu a ni.
Hei hi kan immune system pawimawh tak a ni . A hnathawh ber chu taksaa fluid balance vawng reng , infection do, leh tissue atanga bawlhhlawh paih chhuah a ni.
He system-ah hian thil pawimawh pathum a awm a, chungte chu:
- Lymph: Hei hi tui thianghlim, sen deuh deuh a ni. Thisenah hian immune cells ( thisen var cells) a phur a. Tin, tissue atanga bawlhhlawh leh bacteria te a paih chhuak a, thisenah a thawn kir leh bawk.
- Lymph vessels: Hei hi kan thisen kalna kawng ang bawka taksa pum puia lymph fluid phurtu, tube ang chi te tak te te an ni.
- Lymph nodes : Hengte hi ‘filter’ te an ni. Heng hnah te tak te, bean ang maia lian hian thisen var (white blood cells) a khawlkhawm thin. Lymph fluid a kal pelh chuan natna hrik leh bawlhhlawh te a filter chhuak thin. Heng lymph node te hi kan armpit, groin, neck, leh abdomen ang chi hmunah te cluster-in an awm a.
Chuvangin, Genital Lymphedema-ah hian genital area vel lymphatic system-ah thil engemaw a thleng a, chu chuan lymph fluid chu hmun khatah a awm khawm a, chu chu eng emaw blockage emaw damage emaw a awm vang a ni. Tui pipe a khar chuan tui a khat a, a luang chhuak ang bawkin.
Genital Lymphedema hi chi hnih a awm a, chungte chu:
He dinhmun hi a lo awm dan azirin chi hnih lian takah then theih a ni.
| Lampang | Hrilhfiahna |
|---|---|
| Primary Genital Lymphedema natna a ni | Hei hi lymphatic system hmasawnna lama pianpui chhiatna avanga lo awm a ni. A châng chuan nau piangah symptoms hmuh theih a ni. Mi dangte tan chuan natna lan chhuahna chu kum tam tak hnuah a lang a, a châng chuan tleirawl laiah a lang bawk. |
| Secondary Genital Lymphedema a awm thei lo | Hei hi a tam ber chi a ni. Heta thil thleng hi chu lymphatic system hrisel tak chu pawn lam thil engemaw avanga tihchhiat a ni. |
Secondary genital lymphedema hi engte nge ni?
Hei hi chhan hrang hrang a awm thei.
- Cancer enkawl dan: Surgery emaw radiation therapy emaw hi mipat hmeichhiatna hmun (entir nan, prostate, bladder, testicles, penis, cervix, ovaries, vulva, or rectum)-a cancer thlentu lian ber a ni. Hei hi a chhan chu heng enkawlnate hian a hmuna lymph nodes (lymphadenectomy) te a tihchhiat emaw, a tihbo emaw vang a ni. Hei hian lymph fluid luang chhuak tur kawng a tikhawlo a ni.
- Infection: Bacteria thenkhat, virus, fungi emaw worm thenkhat avanga lymphatic vessels leh lymph nodes-a hun rei tak infection awm thin. Chumi entirnan tha tak chu filariasis hi a ni a, kan ramah ‘Barawa’ tia hriat a ni.
- Hliam tuar: 1.1.Accident na tak emaw, mipat hmeichhiatna hmuna hliam emaw a awm.
- Sexually transmitted diseases (STIs): A tlem hle a, he natna hi STI thenkhat vang pawh a ni thei.
- Damdawi lam thil dang: Hei hi damdawi lam thil dang, Crohn natna (intestines inflammation), Sarcoidosis, leh Vasculitis (thisen kalna kawng na) te vang pawh a ni thei a, a tlem hle.
Hetiang natna lan chhuah dan hi engte nge ni?
Genital lymphedema symptoms hi mi hrang hrangah leh mipa leh hmeichhia a zirin a inang lo deuh thei a ni. A lan chhuah dan tlangpui thenkhat han thlir ila.
| Genital Lymphedema natna lan chhuah dan | |
|---|---|
| A lan chhuah dan tlangpui (hmeichhia leh mipa tan) . | |
| Zun harsatna | Zun dribbling, zun laiin natna (dysuria). |
| Hri kai fo thin | Bacterial skin infection hi a hringna hmunah a awm fo thei. |
| Vun thicking emaw hardening emaw | Hun a kal zel a, a hringna hmuna vun chu a thim thei a, khawih chuan a khauh hle bawk. |
| Mipat hmeichhiatna lama harsatna a awm | Inpawl laia natna (dyspareunia), mipat hmeichhiatna lama harsatna, leh chuta chhuak rilru lama harsatna awmte chuan libido a tlahniam thei a ni. |
| Nunphung tlahniam zel | Natna te, zun harsa te, leh nitin thil tih harsat te hian nun lama lungawi lohna a thlen thei a ni. |
| Hmeichhia tan bik symptoms | |
| Pelvic area leh vaginal opening sir lehlamah labia (skin folds) natna leh hring. A châng chuan keah pawh a hring chhuak thei bawk. | |
| Mipa tan bik symptoms | |
| Penis, scrotum emaw a pahnih emaw a hring leh na. A châng chuan keah a hring a awm thei bawk. | |
A pawimawh ber chu hei hi natna hrik kai theih a ni lo tih hi a ni. Genital Lymphedema hi mi pakhat atanga mi dang kai theih a ni lo. Tin, mipat hmeichhiatna hmanga kai theih natna (STI) a ni lo bawk. Chuvangin tul lovah hlau suh.
Enkawl loh chuan eng harsatna nge thleng thei?
He natna hi enkawl tha a nih loh chuan hun kal zelah harsatna thenkhat a awm thei a ni.
- Recurring Cellulitis: Hei hi vun hnuaia tissue awmte bacteria infection a ni. Scarring a thlen thei a, vun elasticity a hloh thei bawk.
- Elephantiasis: Hei hi a na ber a ni. A vun chu a lian hle a, a thim hle a, a khauh hle bawk a, sakeibaknei vun ang mai a ni. Hetiang dinhmun hi Barawa natna khirh tak takah pawh hmuh theih a ni.
- Erysipelas: Hei hi bacterial skin infection a ni a, cellulitis nen a inang. A darh thuai thei a, khawsik, natna, leh vun rawng (red, purple, brown, black) a thlen thei bawk.
- Psychological effects: Hei hi hun rei tak chhunga awm a nih avangin taksa pianphung a nghawng avangin mi pakhat chuan mahni inngaihsak lohna, lungkhamna, lungngaihna, leh lungkhamna te ang chi thil a tawng thei a ni Hei hi thil pangngai a ni. Hemi chungchang hi i doctor hnenah sawi zak suh.
Engtin nge doctor hian hei hi a hriat chian?
Heng symptoms te hi i neih chuan i tih hmasak ber tur chu doctor thiam tak i pan a ni. I medical history a zawt hmasa ang che a, taksa enfiahna a nei ang. Tichuan, hei hi Genital Lymphedema a nih leh nih loh finfiah nan test tlemte an nei leh mai thei.
- Lymphoscintigraphy hmanga thil tih dan: 1.1.Hei hian taksaah radioactive substance (radiotracer) tlemte chauh inject a, scanner bik hmanga lymphatic system kaltlangin a kal dan enfiah a huam a ni. Hei hian lymphatic system-a blockage awmna hmunte a finfiah thei a ni.
- MRI (Magnetic Resonance Imaging) scan: Hei hian genital area-a soft tissue te chipchiar taka three-dimensional image a la thei a, a hring chhan leh a awm dan uluk takin a enfiah thei bawk.
Hei hi eng enkawlna nge ni? A dam kim thei ang em?
Vanduaithlak takin Genital Lymphedema hi damdawi a la awm lo . Mahse, lungngai suh. Tuna enkawlna hman mek hmang hian i natna lan chhuah dan i thunun thei a, harsatna i veng thei a, nun pangngaiin i nung thei bawk.
Enkawl dan ber chu ‘Complex Decongestive Therapy’ (CDT) a ni. Hei hi enkawlna kawng hrang hrang a awm a ni.
1. Vun hi uluk taka silfai: Infection laka inven nan a pawimawh hle. Chuvangin, antibacterial sahbawn leh tui lum hmangin a hringna hmun chu a fai reng tur a ni.
2. Manual Lymph Drainage: Hei hi massage pangngai a ni lo. Lymphedema therapist bik training neiin a ti thin. Hetah hian lymph fluid hnim hring awmna hmuna tang chu zawi zawiin leh a bik takin lymph vessel hnathawk tha tak awmna hmunah an sawn a ni. Hei hi nangmah chauha i tih hmain mi trained hnen atanga zir chhuah a pawimawh hle.
3. Special compression garments leh pumps: A hring a reh hnuah chuan tui a lo awm leh tawh loh nan special compression garment emaw bandage emaw hman thin a ni. A chang chuan special pump, hun kal zelah inflate leh deflate thin pawh an hmang thin.
4. Taksa exercise: Tin, therapist-in a rawt exercise bik, lymph fluid chetna tichaktu tih hi a pawimawh hle bawk.
A tam zawkah chuan he CDT enkawlna hi nitin kar engemaw zat chhung tih a ngai mai thei. Chumi hnuah chuan heng thilte hi nangmah ngeiin in lama ti turin training i nei ang.
Engtikah nge operation tih a ngai?
Heng CDT enkawlna hmanga control theih loh khawpa na a nih chuan, natna hrik a awm fo chuan, vun a chhe nasa hle a, a na a, nitin nun a tibuai vek a nih chuan, doctor chuan operation neih a rawt thei a ni. Surgery-ah chuan tissue chhia chu lakchhuah a, chu hmun chu vun hrisel (skin graft) hmanga khuh a ni.
Engtin nge he dinhmun hi ka nunpui theih ang?
Hei hi hun rei tak chhunga awm thei a nih avangin enkawlna i neih laiin i nunphungah inthlak danglamna tenau te siam a pawimawh hle.
- I ei leh in hi uluk takin enkawl rawh:
- Control salt: Chi hian taksaa tui awm zat a tipung a. Chuvangin chi chi tamna (pickles, dried fish, sauce, fast food) ei hi a theih ang anga tihtlem tur a ni. I chaw ei tur thlum nan chi aiah thil rimtui (garlic, oregano, dry chili powder) hmang la.
- Tui in tam: Ni khatah tui glass 8 tal in thin ang che. Tui in hian taksa atanga tui tul lo chu a paih chhuak thei a ni.
- Thlai thar, thei, protein tha lo, leh buhfai chi hrang hrang awmna ei leh in inthlau tak ei rawh.
- I vun hi a bik takin enkawl rawh:
- I vun chu engtik lai pawhin thianghlim leh moisturized takin vawng reng ang che. Hei hian hri kai venna kawngah a pui thei a ni.
- Infection chhinchhiahna, sen, natna, lum, a nih loh leh khawsik ang chi i hmuh chuan i doctor hnenah hriattir nghal rawh .
- Thawmhnaw chungchang hi han ngaihtuah teh:
- Underwear emaw pants emaw tight tak tak bun loh tur. Chungte chuan circulation a tikhawlo thei a, a tikhawlo thei bawk.
- Hmun khatah rei tak awm suh. I thut a nih chuan i ke kha cross suh. Minute 30 danah tal position thlak thin ang che.
- Khua lum lutuk loh tur: Inbual lum lutuk leh sauna hman ang chi thilte chu pumpelh tur a ni. Khua lum hian a hring (swelling) a tipung thei.
- I taksa rihna hrisel tak vawng reng rawh: I thau chhoh chuan i lymphatic system pawhin phurrit a nei nasa zawk tih i hria. Chuvangin taksa rihna hrisel tak vawn reng hi a pawimawh hle.
Engtikah nge emergency treatment i zawn ang?
A hnuaia hri kai chhinchhiahnate hi i neih chuan, i enkawl lai pawhin, i hnai ber damdawi in Emergency Department (ETU)-ah kal nghal rawh .
- Khawsik chu 38 degree Celsius (100.4 Fahrenheit) aia sang a ni.
- A hringna hmuna natna leh lumna a tipung.
- Vun sen, purple emaw brown emaw, vun hnuaia red streaks lo lang.
Hetiang symptoms hian taksa chhungah natna hrik a darh thei tih a tilang a ni. Enkawlna zawng vat a pawimawh.
Take-Home Thuchah a ni
- Genital Lymphedema hi mipat hmeichhiatna hmuna lymph fluid a pungkhawm avanga lo hring chhuak a ni. Hun rei tak chhunga awm thei a ni.
- Hei hi natna hrik kai theih emaw, mipat hmeichhiatna hmanga kai theih natna emaw a ni lo .
- He natna hi tihdam kim theih ni lo mah se, a control tha hle a, CDT enkawlna leh nunphung thlak danglam hmangin nun pangngai a awm thei bawk.
- I private area-ah hian thil danglam tak, natna, vun inthlak danglamna i hmuh chuan zak suh la , doctor pan nghal rawh . Enkawl i tan hma poh leh a rah a tha zawk.
- Vun fai taka vawn reng a pawimawh hle a, natna kai chhinchhiahna a awm leh awm loh enfiah a pawimawh hle.
- He natna hian rilru hriselna lama harsatna a thlen theih dan tur chu i doctor emaw, i hnaih ber emaw nen sawiho rawh. Rilru hriselna hi taksa hriselna ang bawkin a pawimawh a ni.











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