I scrotum chu a lo hring tawh em? Scrotal lymphedema chungchang hi i zir dawn nia!

I scrotum-ah emaw, a chhehvel hmunah emaw, a hring danglam bik i nei tawh em? Hei hi sawi a harsa deuh mai thei, mahse thupui pawimawh tak a ni. Hei hi scrotal lymphedema kan ti a. Ngaihtuah buai suh, hei hi i neih mai mai a ni lo. Mi zawng zawngin kan hriatthiam theih tur khawpin a awlsam zawngin sawi ila.

Scrotal Lymphedema hi eng nge ni?

A awlsam zawngin, `(Scrotal Lymphedema)` hi i scrotum chhunga tissue nem tak tak, a bik takin lymph an tih fluid te chu a lo hring chhuak thin a ni. He hliam hian scrotum chauh ni lovin a chhehvel, penis ang chi te pawh a nghawng thei a ni. I hriat angin scrotum hi vun pouch pakhat, penis hnuai leh hnung lama awm a ni a, chu chu a tlangpuiin testicles awmna hmun a ni.

Hei hi a takah chuan `(Lymphedema) an tih, chronic condition chi khat a ni. Hetiang dinhmun hi kan taksaa lymphatic system a chhiat emaw, a block emaw a nih chuan a lo awm thin. Kan lymphatic system hi immune system atana thil pawimawh tak a ni. Taksa atanga bawlhhlawh leh toxins te paih chhuakin taksa chhunga tui awm zat balance a vawng reng thei a ni. Vawi tam tak chu, he lymphatic system hi cancer enkawlna te, operation te, natna pakhat lymphatic filariasis , emaw, pian tirh laia urinary system dik lo thenkhat a awm avangin a chhe thei a ni.

Hetiang dinhmun hi Barawa natna vangin Sri Lanka ang ramah hmuh ni mah se, America ang ramah chuan ``Scrotal Lymphedema`` hi a tlem deuh hlek a ni. Mahse, he natna vei mi engzat nge awm tih chiang taka sawi chu doctor leh zirchiangtute tan chuan a harsa hle.

Hemi kawngah hian lymphatic system peng engte nge inrawlh?

Kan lymphatic system-ah hian taksa peng hrang hrang a awm a, mahse hengte hi Scrotal Lymphedema dinhmunah hian a inrawlh ber a ni:

• Lymph: Hei hi tui thianghlim, thianghlim tak a ni. Lymphatic system zawng zawnga kal kualtu a ni. Thisen var, a bik takin lymphocyte . Tissue atanga bawlhhlawh, bacteria leh protein tam lutuk te chu a paih chhuak thei a ni.
• Lymph vessels: Tube te te ang bawkin hengte hi taksa pum puiah lymph fluid phurtu an ni.
• Lymph nodes: Hei hian thisen var a khawlkhawm a, lymph fluid a filter bawk. Kan taksa pum puiah hian lymph node a awm a. Mi tam zawk chuan an groin area-ah lymph node sawm vel an nei (inguinal lymph nodes) .

`(Scrotal Lymphedema)` natna lan chhuah dan chu engte nge ni?

Hetiang natna lan chhuahna ber leh langsar ber chu testicular swelling a ni.. Testicle hi a tlangpui aia a let tam takin a lian thei a ni. Ngaihtuah teh, mi thenkhat tan chuan he hliam hi a lian zawk thei a, orange lian tak ang mai, a chang chuan basketball ang maia lian pawh a ni thei. Hetiang chi hring hi Doctor-te chuan `(giant scrotal lymphedema)` an ti a.

Symptom dang pawh a awm thei bawk:

• A tirah chuan scrotum leh a chhehvel tissue te chu tui a awm khawm avangin dough ang maiin a nem thei. Hun a kal zel a, scar tissue a lo awm (fibrosis) , hengte hi a khauh zual thei a ni.
• A natna hmunah hian hun rei tak chhung natna a awm thei bawk.
• Infection nawn fo pawh a awm thei.
• Difficulty walking , a chang chuan kal theih lohna pawh.
• Zun harsatna (peeing) .
• Mipat hmeichhiatna hman harsatna .

Thil na tak ṭhenkhatah chuan scrotal lymphedema hian buried penis tih ang chi natna a thlen thei a ni. Hei hi penis chu a hring lutuk (edema) avanga scrotum tissue-in a khuh hun a ni. Penis hi thup emaw, bo emaw angin a lang thei.

Eng thilin nge hei hi a thlen?

Sri Lanka ang ramah chuan scrotal lymphedema thlentu ber chu parasitic infection lymphatic filariasis , chu chu rulhut atanga kai a ni.

Mahse America ang ramah chuan he natna hi genital area-a lymphatic system blockage emaw breakdown emaw vang a ni fo thin. Tichuan, lymph fluid hi genital area atang hian a chhuak tha lo. Cancer enkawlna (a bik takin radiation therapy), surgery, etc. te hian hetiang hi a thlen thei a ni.

Hei hi `(Scrotal Lymphedema)` hi a kai thei em?

Ni lo, `(Scrotal Lymphedema)` hi natna hrik kai theih a ni lo. Mipat hmeichhiatna hmanga inkaichhawn `(STI)` a ni lo bawk. Chuvangin hlau suh.

Tute nge hetiang hi vei theihna hlauhawm zawk?

Hetiang natna hi i vei theihna chance a sang zawk thei a, chu chu:

• Cancer tihdamna tur enkawlna i dawng tawh a nih chuan, chu chu radiation therapy emaw, surgery emaw i neih tawh chuan .
• I Body Mass Index (BMI) 30 aia tam a nih chuan i thau tihna a ni.

`(Scrotal Lymphedema)` avanga harsatna awm thei te chu engte nge ni?

Hetiang dinhmun avang hian harsatna engemaw zat a awm thei a, chungte chu hriat a tha:

• `cellulitis` tih hming pu natna lo awm leh zel . Hei hi vun hnuaia connective soft tissue te inflammation a ni. Hei hian vun a elasticity a hloh thei a ni.
• Elephantiasis (elephantiasis nen a inang): Hetiang dinhmunah hian vun a lian a, a thim a, a khauh bawk.
• `erysipelas` tih hi a ni.Hei hi infection a ni a, vun chunglam layer te a nghawng a ni. Khawsik thut, vun rawng danglam (red, purple, brown, black), leh vun hring a thlen thei.
• Hliam dam tlai: Mipat hmeichhiatna hmun vel a hliam hi a dam rei thei hle.
• Psychological effects: Scrotal Lymphedema hi hun rei tak chhunga natna a ni a, a tichak lo thei a, hmel a tichhe thei a, kal a ti harsa thei bawk. Mahni inngaihsakna hniam , thunun theih loh lungkhamna , lungngaihna leh lungkhamna a thlen thei a ni. Hei hi thil pangngai a ni a, chuvangin hei pawh hi kan ngaihtuah tur a ni.

Engtin nge doctor-te hian hei hi an hriat chian?

Scrotal lymphedema hriat theih nan doctor chuan taksa enfiahna a nei hmasa ang a, i damdawi lam chanchin a zawt hmasa ang . Tin, imaging test thenkhat pawh tih theih a ni bawk. Hengte hian lymphatic system blockage nasat zia hriat theih nan a pui thei a ni. Tin, scrotum-a hliam thlen thei thil dang pawh paih chhuah nan an pui thei bawk. Heng test te hi a tlangpuiin:

• Lymphoscintigraphy: He test-ah hian doctor chuan radioactive material (radiotracer) tlemte a inject che a. Tichuan, scanner hmangin i lymphatic system chhunga thil awm chu a kal zel a, chu chu a zui zel a ni. Lymphatic system-ah blockage a awm chuan radioactive material chu chu point aia hlaah a kal dawn lo va, blockage awmna hmun dik tak chu hriat theih a ni.
• Magnetic Resonance Imaging (MRI): Hei pawh hi thlalak lakna test a ni. Lymphatic vessels-ah blockage a awm leh awm loh hriat nan a pui hle. Magnet lian tak, radio wave leh computer hmangin mipat hmeichhiatna hmuna tissue nem tak takte chipchiar takin thlalak a la a ni.
• Computed Tomography (CT) scan: CT scan hian X-ray hrang hrang hmangin genital area chipchiar takin a la a, lymph node block awmna hmun hriat theih nan a pui thei bawk.

Scrotal Lymphedema hi a dam kim thei em?

Dik tak chuan tunah hian Scrotal Lymphedema hi damdawi a la awm lo. Mahse, lungngai suh. I natna lanchhuahna tihziaawmna tur leh i natna zual zel tur venna tur enkawlna a awm.

Hei hi engtin nge enkawl a nih?

Doctor-te chuan scrotal lymphedema hi complex decongestive therapy (CDT) tih damdawi an rawt hmasa ber ṭhin. Hei hian a bik takin natna bul tan tirh lamah chuan hliam na lo leh hring (moderate swelling) a tihziaawm thei a ni. He enkawlnaah hian:

• Vun thianghlim taka vawn dan: Vun hi antiseptic soap, tui lum, leh vun tifaitu (e.g., iodine emaw isopropyl alcohol) hmangin uluk takin silfai thin ang che.
• Manual lymph drainage: Hei hi lymphedema therapist zirtirna bik neiin a ti thin . A hmun chu zawi zawiin leh zawi zawiin a massage ang a, a hringna hmun atanga lymph fluid chu la chhuakin, lymph node tha taka thawk lam hawiin a hruai ang.
• Special compression garments bun: Heng thawmhnaw hian tui awmkhawm a ti tlem a, lymph fluid chu a hnathawhna lymph node-ah a hruai lut thei bawk.
• Exercise: Lymphedema therapist chuan i tana tha tur exercise plan a siam ang. Heng exercise te hian lymph fluid chu lymph vessels kaltlangin a kal tir thin.

Complex decongestive therapy-a chhanna ṭha lo scrotal lymphedema na tak a awm chuan doctor chuan operation neih a rawt thei a ni . He surgery hian a mass leh a nghawng tissue te chu lakchhuah a, vun hrisel (skin graft) hmanga thlak a ni. Surgical team ah hian urologist leh plastic surgeon te an tel tlangpui . Surgery neih chhung hian medical team hian a hnuaia mi ang hian an ti tlangpui thin:

• General anesthesia pek i ni ang . Tichuan operation neih chhungin natna engmah i hre lovang, i muhil tawh ang.
• Plastic tube (catheter) te tak te, flexible tak chu i urethra-ah dah a ni. Hei hian procedure neih chhung hian urethra a venghim a, penis pawh a stable reng bawk.
• Penis chu hardened (fibrotic) testicular tissue atanga then a ni a, a chhia (lymphedematous) vun leh tissue te chu lakchhuah a ni.
• A tul chuan `liposuction` tih a ni. Hei hian a awmzia chu, mipat hmeichhiatna hmunah hian incision te te siamin, surgical instrument hmangin fat cells te chu sucked out a ni tihna a ni.
• A tul chuan `panniculectomy` tih a ni. Hei hian vun leh thau tam lutuk ``pannus`` genital area vel a paih chhuak thin.
• A tul chuan `escutcheonectomy` tih a ni. Hei hian pubic bone (pubic area) chunga thau layer chu a paih chhuak thin.
• Vun chhia chu taksa peng dang (a tlangpuiin kekawr atanga lak) vun hrisel tak hmanga thlak a ni.

Operation hnua harsatna emaw, side effect emaw awm thei te chu engte nge ni?

Mi tam zawk chuan Scrotal Lymphedema surgery an tih hian an chhang tha hle. Mahse, a châng chuan harsatna a awm thei a, chu chu:

• Vung
• Na
• Scrotum, penis emaw a chhehvela sensitivity tlahniam
• Skin graft a hlawhchham

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

I `(Scrotal Lymphedema)` natna nasat dan leh enkawl dan tur ruahman danah a innghat. `Complex decongestive therapy` hmang hian kar khat emaw kar hnih emaw vel hnuah a hring hi a tlahniam tan thei a ni. Surgery i neih chuan kar ruk vel chhungin i dam leh thei tur a ni.

I dinhmun azirin i doctor chuan i dam hun tur i beisei theih dan tur a hrilh ang che.

Ka rilru hahdamna tur thil ka tih theih a awm em?

Ei leh in hrisel zawm hian scrotal lymphedema control nan a pui thei a ni. Thlai, thlai, protein tha lo, leh buh chi i ei tam chuan i lymphatic system hian hna a thawk tha zawk ang. Tin, a tha hle bawk:

• Salt i ei tam lutuk kha tihtlem rawh. Salt hian taksaa tui awm zat a tipung thei a ni. I ei tur thlum nan hian thlai thar, garlic, oregano, chili powder, leh mustard powder te i hmang thei bawk.
• Tui tam tak in thin ang che. I taksa hydrated tha taka vawn hian thisen kal dan hrisel tak a vawng reng thei a ni. Lymphatic flow a titha thei bawk. Ni khatah tui glass 8 (2,000 ml vel) in tum ang che.
• Doctor nen inbia ang che. Cancer enkawlna hian `(Scrotal Lymphedema)` a thlen fo thin. Chuvangin, cancer enkawl mek i nih chuan, chu enkawlna avanga `(Scrotal Lymphedema)` a awm theih dan tur chu i oncologist hnenah zawt la.

Scrotal Lymphedema hi i rilru hriselna pawh a nghawng thei a ni. Chhungte leh thiante rintlak tak takte nen i rilru put hmang sawipui a tha. I doctor hnenah Scrotal Lymphedema vei te tan therapist emaw support group emaw an recommend thei em tih i zawt thei ang.

`(Scrotal Lymphedema)` ka neih chuan eng nge ka beisei ang?

Tunah hian Scrotal Lymphedema thlentu lymphatic system chhiatna hi tihdanglam theih a la ni lo. Chumi awmzia chu Scrotal Lymphedema hi hun rei tak chhunga natna a ni tihna a ni. Mahse, lungngai suh. Enkawlna dik tak i neih chuan i natna lan chhuah dan i tihtlem thei a, i nunphung i ti tha thei a, i vawng reng thei bawk.

Engtikah nge Doctor ka hmuh ang?

`(Scrotal Lymphedema),` symptoms i neih chuan a bik takin cancer enkawl mek i nih chuan Doctor pan a pawimawh. Enkawl loh chuan a natna a zual thei a, harsatna dang a thlen thei bawk.

Doctor i hmuh hian heng zawhnate hi i zawt thei ang:

• Engtin nge `(Scrotal Lymphedema)` ka vei tih i hriat?
• `(Scrotal Lymphedema)` ka neih loh chuan eng damdawi dang nge ka neih theih ang?
• Ka `(Scrotal Lymphedema)` natna hi engtiang chiahin nge a nasat?
• Eng enkawlna nge i rawt?
• Eng nunphung tihdanglamna nge ka neih?
• Psychiatrist, support group, dietitian, emaw lymphedema therapist emaw i rawt thei ang em?

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

Scrotal Lymphedema i vei chuan heng natna lanchhuahna te hi i neih chuan emergency room hnai berah kal rawh:

• Khawsik hi 38 degree Celsius (100.4 degree Fahrenheit) aia sang a nih chuan.
• Natna a zual chuan.
• Chu hmun chu a lum a nih chuan.
• Vun rawng a danglam tawh a, a bik takin chu hmun atanga hla taka streak inzar pharh ang maia lang a nih chuan.

Scrotal Lymphedema hi ven theih a ni em?

Cancer enkawlna avanga lo awm thei Scrotal Lymphedema hi ven theih a ni lo mai thei. Mahse, enkawlna dik tak chuan a hring (swelling) a tiziaawm thei a, harsatna a awm lo thei bawk. Heng tips te hian i risk tihziaawmna turin a pui thei a ni:

• I taksa hi fimkhur reng ang che. `(Scrotal Lymphedema)` chhinchhiahna hmasa ber i hmuh veleh doctor hnenah hrilh nghal rawh. Enkawlna i hmuh loh emaw, enkawl tan tlai lutuk emaw hian harsatna lian tak, i thunun theih loh a thlen thei a ni.
• I vun hi uluk takin enkawl rawh. Infection laka inven nan i vun fai leh moisturized takin vawng reng ang che. Moisture a awm khawm chuan bacteria tan a awlsam zawk.
• Infection chhinchhiahna hmasa berah doctor ko rawh. Infection chhinchhiahna langsar tak chu vun rawng danglam (red, purple, brown), natna, hring, khawsik, emaw vun hnuaia rawng danglam tak tak lo lang te hi a ni.
• I taksa tui te chu awlsam taka kal tir rawh. I pum hnuai lam leh i groin area-ah pressure dah loh tur. Hei hian lymph flow a nghawng thei a ni. Thawmhnaw tight, elastic bandage, etc. hman loh tur.
• I genital area chu lum lutuk lakah tihtlem emaw pumpelh emaw. Hei hian hot bath leh sauna ang chi thilte a huam a ni. Khua lum lutuk hian scrotal lymphedema a thlen theihna a tipung thei a ni.
• Exercise zawi zawiin, uluk taka thunun theihah inhmang rawh. Lymphedema therapist-in i tan exercise plan a siam chu zawm rawh.
• I taksa rihna hrisel tak, i duh ang angin vawng reng ang che. Doctor emaw dietitian emaw chuan ei leh in hrisel dan tur ruahmanna siam turin a pui thei che a ni.

Scrotal Lymphedema hi a nuam lo deuh thei tih hre reng ang che, a zahthlak pawh a ni thei, a chhan chu taksa hmun sensitive tak a nghawng avangin. Mahse, nangmah chauh i ni lo. Enkawlna dik leh nunphung thlak danglam chuan heng natna lanchhuahna te hi i enkawl thei a, i nunah nghawng a neih pawh i tihtlem thei bawk.

Take-Home Thuchah a ni

Okay, chuvangin `(Scrotal Lymphedema):` chungchanga kan sawi tawh pawimawh ber berte kha han sawi nawn leh ila

• Hei hi lymph fluid testicles chhung leh a chhehvelah a awm khawm a, a hring chhuak thin.
• Hei hi thau lutuk, cancer enkawlna emaw, surgery emaw ang chi thilin lymphatic system a tihchhiat hian a thleng thei a ni.
• Hei hi natna hrik kai theih a ni lo.
• A lan chhuah dan ber chu scrotum a hring chhuak pangngai lo a ni. Chu bâkah, natna, kea kal harsa, zun harsatna te pawh a awm thei bawk.
• Damdawi famkim awm lo mah se, enkawlna hian natna lan chhuah dan a thunun thei a ni.`Complex Decongestive Therapy (CDT)` leh, natna khirh takah chuan zai hi enkawl dan ber a ni.
• Ei leh in hrisel ei te, tui in tam te, vun thianghlim taka vawn te hmangin i in tanpui thei a ni.
• I hriat chian veleh damdawi lam thurawn lak a pawimawh hle. Enkawlna tan hma chuan harsatna a tlem phah thei a ni.
• Hetiang dinhmun avanga rilru lama harsatna i neih chuan sawi hreh suh la, a tul chuan professional tanpuina zawng rawh.

Hemi chungchanga zawhna dang i neih chuan doctor biak hreh suh. I mamawh thu leh puihna zawng zawng a pe ang che.

` Scrotal Lymphedema, Scrotal Lymphedema, Scrotal Lymphedema, Lymphatic System, Mipa hriselna, Scrotal Disease