I scrotum chu a hring deuh niin i hria em? A nih loh leh a pangngai aia lian leh kal a harsat em em? Hei hi mi tam takin sawi hlauh emaw, mualphona emaw ni mah se, fimkhur a pawimawh hle. A chhan chu i hriselna leh rilru hahdamna a nghawng thei a ni. Vawiin hian `(Scrotal Lymphedema)` tih ang chi natna thlentu, mahse uluk taka enkawl theih tur kan sawi dawn a ni.
Scrotal Lymphedema hi eng nge ni?
A awlsam zawngin ``Scrotal Lymphedema`` chu i testicles awmna vun bawm, scrotum chhunga tissue leh a chhehvela tui chi khat lymph an tihkhawmna a ni. Hei hi a chang chuan i zang chhehvelah a darh thei bawk.
Hetiang hian han ngaihtuah teh: kan taksa hian bawlhhlawh leh thil duh loh zawng zawng paih chhuaktu system a nei a. Lymphatic system kan ti a . Hei hi kan immune system-a thil pawimawh tak a ni. He system hi blockage, obstruction, damage a awm chuan lymph fluid chu a luang tha lo va, hmun khatah a awm khawm thin. Testicles chhehvela lymph fluid a awm khawm chuan Scrotal Lymphedema kan ti thin.
Hei hi thil lo awm nghal mai a ni lo va, mahse , natna rei tak a ni fo . Sri Lanka-ah chuan hei hi a chhan ber chu thosi kai natna, filariasis an tih hi a ni. Hei bakah hian cancer surgery leh radiation therapy te pawhin hetiang hi a thlen thei bawk.
Hemi kawngah hian Lymphatic System peng engte nge inrawlh?
He thawnthu hi hriatthiam theih nan kan system of gossip-a mi pawimawh pathum kan hriat a ngai a ni.
| System atanga a then a ni | A awlsam zawngin... |
|---|---|
| Lymph tih hi a ni | Hei hi kan taksa pum puia luang chhuak chiang tak a ni. Thisen var (a bik takin lymphocyte) a pai a ni. He tui hian taksa atanga bawlhhlawh leh bacteria te paih chhuakin taksa a thianghlim theih nan a pui a ni. |
| Lymph vessels te hi a awm a | Kan taksa chhunga tube te tak te system ang mai a ni. Heng tube hmang hian lymph fluid hi taksa pum puiah a kal chhuak thin. |
| Lymph nodes a awm thin | Hengte hi filter te tak te ang mai an ni. Hei hi lymph fluid filter leh tihfai na hmun a ni. Kan taksa pum puiah te, kan kawr, kan kekawrte, leh kan groin area (inguinal lymph nodes) thlengin heng gland te te hi kan nei a ni . |
Scrotal Lymphedema natna lan chhuah dan chu engte nge ni?
Hetiang dinhmunah hian a langsar ber chu testicles a hring (swelling of the testicles) hi a ni. Mahse chumi piah lamah chuan thil dang tam tak a awm.
A pawimawh ber chu heng symptoms te hi i hriat veleh Doctor pan nghal mai tur a ni a, zak leh hlauhna awm lovin. Enkawl i tan hma poh leh i dinhmun control a awlsam zawk.
Heng symptoms te hi a hnuaia table atang hian i hre belh thei ang.
| Symptom a ni | Hei hi eng nge thleng? |
|---|---|
| Testicular tihpun a ni | Hei hi a feature ber a ni. Mi thenkhatah chuan a tlangpui aia a let eng emaw zat a lian thei bawk. A nasat chuan orange emaw basketball emaw ang maia lian a ni thei. |
| Vun a inthlak danglam thin | A tirah chuan a hringna hmun chu khawih chuan a nem a, doughy ang maiin a lang thei. Hun a kal zel a, chu hmun chu fibrous tissue (fibrosis) a lo awm avangin a khauh a, a dense thei bawk . |
| Hun rei tak chhung natna | A hringna hmunah hian natna emaw, nuam lo emaw reng reng i nei thei. |
| Infection lo awm leh thin | Bacterial infection hi vun leh vun chhungah a awm fo thei. A lan chhuah dan chu vun sen leh lumna te a ni thei. |
| Kal harsat | A hring zual zel chuan ke a inzawm tlat avangin kal a harsa thei hle. Thil na tak ṭhenkhatah chuan kea kal theih loh pawh a ni thei. |
| Zun harsatna | Swelling hian zun kawng a tikhauh thei a, zun a ti harsa thei hle. |
| Sexual function lama harsatna awm thei | Mipat hmeichhiatna hman laiin a hring leh na hian harsatna a thlen thei a ni. |
| Penis phum a ni | Swelling na tak takah chuan penis chu scrotal tissue-in a khuh a, a thun angin a lang thei. |
Hei hi natna hrik kai theih a ni em?
Hei hi mi tam takin harsatna an neih a ni. Ni lo, `(Scrotal Lymphedema)` hi natna hrik kai theih a ni lo. Tin, mipat hmeichhiatna hmanga kai `(STI)` pawh a ni lo. Chuvangin i nupui emaw, i kawppui emaw hnena hlan chhawn tur ngaihtuah buai a ngai lo.
Hei hian eng harsatna dang nge a thlen theih?
He natna hi uluk taka enkawl a nih loh chuan hun kal zelah harsatna tam zawk a lo awm thei a ni.
- Recurrent cellulitis: Hei hi vun hnuaia tissue te infection a ni. Hei hian vun a elasticity a hloh thei a ni.
- Elephantiasis: Hei hi vun a thim a, a khauh a, sakeibaknei vun ang maia lang a ni. Hetiang dinhmun hi Barawa natna avanga lo awm kan hmu tawh a.
- Hliam dam tlai: Mipat hmeichhiatna hmun vel a hliam a awm chuan a dam theih nan a hma aia rei a ngai thei.
- Psychological effects: Hei hi mi tam zawkin an sawi ngai loh, mahse a pawimawh ber a ni. He natna hi hun rei tak a awm avangin, kea kal ang chi thil a nghawng a, i hmel lan dan a nghawng avangin rilru lamah nghawng tam tak a nei thei a ni.. Mahni inngaihhlutna hniam te, lungkhamna te, lungngaihna te, leh lungkhamna te hi a thleng thei vek a ni. Hei hi thil pangngai a ni a, chuvangin sawi hlau suh.
Engtin nge doctor hian hei hi a hriat chian?
Doctor i pan dawnin a tih hmasak ber tur chu i natna lan chhuah dan ngun taka ngaithla a, taksa enfiahna a ni. Tichuan, a hring chhan dik tak hriat theih nan leh a blockage awmna hmun dik tak hriat theih nan test thenkhat an rawt ang.
- Lymphoscintigraphy: Hei hian radioactive material tlemte inject a, i lymphatic system kal tlanga a kal dan tur scan a ni. Hei hian blockage eng pawh chiang takin a lantir thei.
- MRI leh CT scan: Heng scan chi hrang hrangte hian i genital area-a soft tissue te chipchiar takin a la thei a, blockage awmna hmun dik tak chu a finfiah thei bawk.
Eng enkawlna nge awm?
Dik tak chuan tunah hian Scrotal Lymphedema hi damdawi a la awm lo. Mahse, lungngai suh. Damdawi tha tak tak a awm a, chu chuan natna lan chhuah dan a thunun thei a, a vun na zual zel tur a titawp thei a, i nun a ti awlsam thei bawk. Enkawlna hi chi hnihah then theih a ni.
1. Surgery hmanga enkawl loh
Hei hi Complex Decongestive Therapy (CDT) tih a ni. A tir lamah chuan mild to moderate swelling tan a tangkai hle.
- Vun thianghlim taka vawn: A hmun chu antiseptic soap leh tui lum hmangin uluk takin silfai ang che.
- Manual Lymphatic Drainage: Hei hi a bik taka trained therapist ten massage nem tak a tih a ni. Hei hian lymph fluid chu a hringna hmun atanga lymph vessel hnathawk tha lam pan turin a pui thin.
- Compression Garments: Hengte hi tight-fitting garments bik an ni a, fluid retention tihziaawmna leh circulation tihchangtlunna tura puitu an ni.
- Exercise: I dinhmun ang zela siam, specialised therapist-in exercise hrang hrang a tih.
2. Surgery tih a ni
Damdawi dang dawng lo, hliam na tak nei tan chuan i doctor chuan operation neih a rawt thei ang. He surgery-ah hian a tlangpuiin:
- Vun leh tissue chhia tihbo.
- A tul chuan `(liposuction)` tih ang chi hmanga thau cell tam lutuk paih chhuah.
- Skin graft chu taksa peng dang (a tlangpuiin thigh) atanga vun hrisel tak lak a, vun lakchhuah tawh thlakna tur a ni.
Urologist leh plastic surgeon te chuan he surgery hi an ti dun a ni.
Hrisel taka awm theih nan eng nge ka tih theih ang?
Enkawlna bakah hian i nunphungah inthlak danglamna tenau te siam hian he natna hi i enkawl theih nan kawng thui tak a zawh thei a ni.
- Control salt: Chi hian taksaa tui awm zat a tipung a. Chuvangin i chaw eiah chi (salt) tihtlem rawh. Chu ai chuan thil rimtui, garlic, oregano, etc. hmang zawk ang che.
- Tui in tam: Ni khatah tui glass 8 tal in tum ang che. Hei hian thisen kal dan a tichak bakah lymph flow a ti tha bawk.
- I vun enkawl rawh: A hmun chu engtik lai pawhin fai leh hnim takin vawng reng ang che. Hei hian hri kai venna kawngah a pui thei a ni.
- Tight tight inbel loh tur: Tight tight emaw, elastic hmanga pum hnuai lam leh groin area tighten thei thawmhnaw inbel loh tur.
- Khua lum lutuk pumpelh tur: Khua lum lutuk, inbualna lum leh sauna te hian a hring a tipung thei a ni.
- I taksa rihna hrisel tak vawng reng rawh: I san zawng a zirin taksa rihna hrisel neih hi a pawimawh hle. Hemi atan hian doctor emaw nutritionist emaw hnen atangin thurawn i la thei ang.
Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang?
Scrotal Lymphedema i vei a, a hnuaia infection symptoms te hi i neih chuan , i hnai ber Emergency Department (ETU) ah kal nghal rawh.
- Khawsik chu 38 degree Celsius (100.4 Fahrenheit) aia sang a ni.
- Natna a pung nghal zung zung.
- A hringna hmun khawih hian lum lutuk hriat a ni.
- Vun sen, sen emaw, sen emaw, vunah sen hring emaw a awm.
Take-Home Thuchah a ni
- Scrotal Lymphedema hi scrotum chhunga lymph fluid awmkhawm a ni. Cancer a ni lo.
- He natna hi kai theih a ni lo va, mipat hmeichhiatna hmanga kai theih natna a ni lo.
- Testicular swelling ang chi symptom i neih chuan zak lo la, a rang thei ang bera doctor pan rawh.
- Dam vek theih ni lo mah se, a natna lan chhuah dan chu thunun theih a ni a, enkawlna leh nunphung tihdanglamna hmangin nun pangngaia nun theih a ni.
- Hetiang dinhmun avang hian rilru lama harsatna i neih chuan i rintlak emaw, counselor emaw hnenah he thil chungchang hi sawipui rawh. Nangmah chauh i ni lo.
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