Ke leh ke ruh hring hi thil pangngai a ni lo: Lymphedema hi i fimkhur ang u!

I kut, ke emaw, i taksa peng dang emaw chu a hring leh rit ang maiin i inhriat nghal em? I thawmhnaw hak te, ring leh bracelet i bun te chu a tight tan tawh em? Hei hi Lymphedema tih natna a ni thei a, chu chu a chang chuan kan sawi tam lo hle a, mahse mi tam tak a nghawng thei a ni. Lungngai suh. Hemi chungchang hi vawiinah hian awlsam leh chiang takin sawi ila.

A awlsam zawngin Lymphedema chu eng nge ni?

Thisen kalna kawng , bakah hian kan taksa hian thisen kalna kawng (fine vessels) system dang a nei bawk. Hei hi lymphatic system kan ti a . Kan khawpui chhunga drainage system ang bawkin, he system hian taksa hmun hrang hranga bawlhhlawh, bacteria , leh virus awmkhawmna tui ( lymph fluid kan ti a) a khawlkhawm a, a filter a, a tifai thin. He filtering process hi kan taksa chhunga lymph node- ah a thleng thin.

Ngaihtuah teh, he drainage system hi khawi emaw laiah a block emaw, a chhiat emaw chuan eng nge thleng ang? Tui bawlhhlawh chu hmun khatah a khat a, chu hmun chu a ding reng a ni lawm ni? Chu chu Lymphedema hi a ni. Lymphatic system-a thil a chhiat chuan lymph fluid a luang tha lo va, hmun khatah a pungkhawm a, a hring chhuak thin. Hei hian kut leh ke a nghawng tam ber a, mahse taksa khawi hmunah pawh a thleng thei.

Lymphedema hi engte nge ni?

Lymphedema hi natna pakhat chauh a ni lo va, thil engemaw zat avanga lo awm thei a ni. A châng chuan chhan hriat lohvin a thleng thei a, a nih loh leh pian tirh laia awm genetic defect vang pawh a ni thei bawk. Mahse, damdawi lam thil dang emaw, hliam emaw avanga lymphatic system a nghawng hian a lang tam ber.

A chhan lian ber ber thenkhat chu hetiang hi a ni:

• Cancer leh cancer enkawl dan : Hei hi lymphedema thlentu ber a ni. Tumor hian lymph vessels a block thei a ni. Tin, cancer tan radiation therapy emaw, cancer a darh tawh em tih hriatna atana lymph node surgery hmanga lakchhuah emaw hian lymphatic system a tichhe thei bawk. Lymphedema hi a bik takin hnute cancer leh mipat hmeichhiatna hmuna cancer ang chi thil enkawl hnuah a awm duh hle. A châng chuan, he hliam hi enkawl a nih hnu thla tam tak emaw, kum tam tak emaw pawh a ni thei.
• Hri kai theihna: 1.1.Bacteria emaw parasitic infection thenkhat chuan lymph vessels a tichhia a, a hring thei bawk.
• Hliam: Accident emaw hliam emaw avanga lymphatic vessels a chhiat.
• Obesity: Taksa rihna a san chuan lymph node leh vessel-ah pressure dang dah belh a ni a, chu chuan lymph flow a tikhawlo thei a ni.
• Damdawi lam thil dang: Lung natna, kal natna, leh thisen kalna natna te pawh hian a hring thei bawk.
• Surgery hnua hliam: Operation hnua scar tissue thick tak lo awm hian lymph vessels a tikhawlo thei a ni.

Lymphedema hi chi hnih a awm a, chungte chu:

Lymphedema hi chi hnih ah then theih a ni.

1. Secondary Lymphedema: Hei hi a tam ber a ni. Lymphedema hi natna dang (cancer ang chi) emaw, enkawlna (sugery ang chi) avanga lymphatic system tihchhiat a nih chuan a awm thin.

2. Primary Lymphedema: Hei hi thil awm lo tak a ni. Lymph node emaw lymph vessel emaw a lo thang tha lo emaw, pian tirh atanga a awm loh emaw chuan a thleng thin. Nausen lai te, naupan lai te, tleirawl lai te, puitling lai pawhin a lan chhuah dan a lang thei.

Nang pawhin heng symptoms te hi i nei ve em?

Lymphedema chhinchhiahna ber leh langsar ber chu a hring (swelling) a ni. He hliam hian kut emaw ke emaw a nghawng thei a, a chang chuan kut zungtang thlengin a inzar pharh thei bawk. A tir lamah chuan he hliam hi a na lo thei , mahse hun kal zelah vun chu a thim thei a, a khauh thei bawk.

A lan chhuah dan dangte chu:

• Thawmhnaw, pheikhawk, ring, bracelet, etc. ang chi thilte chu a inzawm tlat ang maia hriatna .
• A hringna hmuna vun chu a sen a, a thim a, khawih pawh a harsa hle .
• Kut emaw ke pakhat emaw chu a dang aiin a lian zawkin a lang .
• Kut emaw ke emaw hring dup na , rit emaw, rilru hahna emaw hriatna.
• Joint stiffness leh che harsa .
• Kut emaw ke emawa vein hmuh theihna a tlahniam .
• Vun natna a awm fo thin .

Lymphedema stage hrang hrangte hriatchhuah

Doctor-te chuan lymphedema hi a nasat dan azirin stage hrang hrangah an ṭhen a. Hei hi i tan pawh i hriat a pawimawh.

Doctor, engtin nge Lymphedema hi dik takin i hriat theih ang?

Swelling hi thil dang tam tak symptom a nih theih avangin i doctor chuan i symptoms leh medical history te uluk takin a en hmasa ang. Tichuan, hei hi lymphedema a nih leh nih loh finfiah nan special test engemaw zat an nei thei bawk.

• Lymphoscintigraphy: Radioactive substance tlemte chauh inject a ni a, scanner hmangin lymphatic system kal tlanga a kal dan a enfiah thin.
• ICG lymphography: Dye bik inject a, lymphatic system kal tlanga a kal dan enfiah a ni.
• CT scan leh MRI scan: Hengte hian taksa chhung lam chu three-dimensional image a la thei a, lymphatic system-a blockage awm emaw, natna dang, tumor ang chi emaw a awm chuan a hmuchhuak thei a ni.
• Ultrasound scan: Hei hian lymphatic system emaw thisen kalna kawng emawa blockage awmte hriat theihna a siam a ni.

Lymphedema hi eng enkawlna nge ni?

Lymphedema hi tihdam kim theih ni lo mah se, natna hrik thunun thei, natna tiziaawm thei, nun pangngaia nunpui thei tur enkawlna tha tak tak a awm. Heng enkawlnate hi i dinhmun nasat dan a zirin i doctor-in a ruat ang.

Hei hian Lymphedema enkawl dan tur special training nei physiotherapist puihna a ngai fo thin.

• Compression garments: Hengte hi tight-fitting , sock ang chi thawmhnaw a ni a, kut emaw ke emaw hring hring vel a in fit tha hle. An pressure siam hian lymph fluid chu pooling awm lovin a kal thei a ni.
• Bandaging Techniques bik: Bandage dik tak hian lymph fluid chu taksa chunglam thlengin a nawr thei a ni.
• Lymphedema massage: Hei hi i massage pangngai a ni lo. He massage technique nem tak (manual lymph drainage) hian tui chu a hring atanga lymph node hrisel takah a hruai thei a ni. He technique hi nangmah ngeiin i tih dan tur pawh i zir thei bawk.
• Exercise: Physics therapist-in a tih angin exercise light hian taksa ruh a tichak a, lymph circulation a tichak bawk.
• Surgery: Lymphedema natna khirh tak tak, enkawlna dang a hlawhtlin loh chuan operation tih ngaihtuah theih a ni. Hei hi lymphatic bypass surgery, lymph vessels blocked bypass theihna tur kawng thar siam emaw, lymph node transplant, lymph node hrisel tak takte transplant emaw a ni thei.

Enkawl loh chuan harsatna awm thei

Lymphedema hi uluk taka enkawl a nih loh chuan hun kal zelah harsatna lian tham a thlen thei a ni. Chuvangin, eng persistent swelling pawh doctor hnenah hrilh a pawimawh hle.

• Cellulitis: He vun natna hi lymphedema natna hlauhawm ber pakhat a ni. Bacteria hi awlsam takin lymph fluid a khawlkhawmah hian a thang lian thei a ni. A vun hi a hring avangin a inzawm khawm a, a hring bawk a, a hring hring pawh awlsam takin natna hrik a lut thei a ni.
• Sepsis: Cellulitis hi enkawl vat a nih loh chuan thisenah a darh thei a, nunna atana hlauhawm tak a ni thei a, chu chuan natna khirh tak ``Sepsis'' tih a thlen thei a ni.Hei hi medical emergency a ni. Chutiang hunah chuan damdawi in Emergency Treatment Unit (ETU) ah i kal nghal tur a ni.
• Vun inthlak danglam: Lymphedema na tak hian vun a ti thim a, a tikhauh thei a, che thei lo khawpin a inthlak thei bawk.
• Ngawt:A tlem hle a, enkawl loh lymphedema na tak chu soft tissue cancer lymphangiosarcoma an tihah a lo chang thei a ni.

Lymphedema natna vei huna ngaihtuah tur thil

Heng tips te hian i dinhmun a enkawl tha ang a, harsatna i pumpelh ang a, nuam takin i khawsa ang.

• Hliam lakah inveng rawh: Hliam tlemte pawh hian natna hrik a thlen thei. Chuvangin yard hna leh inchhung hna i thawh hian kutkawr vuah thin ang che. Razor ai chuan electric shaver hmang zawk rawh. Insect seh loh tur.
• Hliam enkawl vat rawh: A te te a nih pawhin sahbawn leh tuiin uluk takin silfai la, antiseptic cream hnawih la, fai takin vawng rawh.
• Kut/ke hring hring chu chawi sangin dah rawh: A theih phawt chuan a chungah pillow dah la, i thinlung level aia sangah dah rawh.
• I taksa rihna hrisel tak vawng reng rawh: I taksa rihna a san chuan a hring (swelling) pawh a pung bawk. Chuvangin, ei leh in inthlau tak leh exercise hmanga taksa rihna hrisel neih hi a pawimawh hle.
• Thawmhnaw leh jewelry tight tak tak inbel loh tur: A hringna hmunah chuan thawmhnaw tight, pheikhawk, ring, bracelets bun loh tur. Bag rit tak tak chu lymphedema nei kut hmangin chawi suh. Chu kut hmang chuan thisen sang teh suh.
• I vun fai leh hnim vawng reng rawh: Nitin i vun tifai la, i doctor-in a rawt moisturizer hmang bawk ang che.
• Ni êng direct leh lum lutuk loh tur: Khua lum hian a hring a tipung thei.

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