Kua pupuhi tō kiriuhi? Me ako tātou mō te lymphedema o te kiriuhi!

Kua rongo koe i tētahi pupuhi rerekē i roto i tō kiriuhi, i te rohe rānei e karapoti ana? He ahua whakama pea tēnei ki te kōrero, engari he kaupapa tino nui. Ka kiia tēnei ko te scrotal lymphedema. Kaua e manukanuka, ehara tēnei i te mea kei a koe anake. Me kōrero tātou mō tēnei i roto i tētahi huarahi māmā e mārama ai te katoa.

He aha te Lymphedema o te kiriuhi?

He whakarāpopototanga noa iho, ko te `(Scrotal Lymphedema)` he āhua e pupuhi ai ngā kiko ngohengohe o tō kiriuhi, he wai e kiia nei ko te lymph . Ka pā tēnei pupuhi ki te kiriuhi, tae atu ki ngā wāhi e karapoti ana, pērā i te ure. E mōhio ana koe, ko te kiriuhi he putea kiri kei raro iho, kei muri hoki i te ure, ā, koinei te wāhi e noho ai ngā testicles.

He momo mate pūmau tēnei e kiia nei ko te `(Lymphedema). Ka puta tēnei mate ina pakaru, ina āraia rānei te pūnaha lymphatic i roto i tō tātou tinana. He wāhanga nui tō tātou pūnaha lymphatic o te pūnaha ārai mate. Ka āwhina i te tango i ngā para me ngā paitini mai i te tinana, me te pupuri i te taurite o ngā wai i roto i te tinana. He maha ngā wā, ka pakaru pea tēnei pūnaha lymphatic nā ngā maimoatanga mate pukupuku, te pokanga, te mate e kiia nei ko te lymphatic filariasis , ētahi āhuatanga rerekē rānei o te pūnaha mimi e kitea ana i te whānautanga.

Ahakoa e kitea ana tēnei āhuatanga i ngā whenua pērā i a Sri Lanka nā te mate Barawa, i ngā whenua pērā i a Amerika, he āhua onge te "Scrotal Lymphedema". Heoi, he uaua ki ngā tākuta me ngā kairangahau te kī tika i te tokomaha o te hunga e pāngia ana e tēnei mate.

He aha ngā wāhanga o te pūnaha lymphatic e whai wāhi ana ki tēnei?

He maha ngā momo okana o roto i te pūnaha lymphatic, engari koinei ngā wāhanga e tino pāngia ana e te mate pukupuku scrotal lymphedema:

• Lymph: He wai mārama, he wai ma tēnei. Koinei te mea e rere ana puta noa i te pūnaha lymphatic. Kei roto ngā toto mā, inā koa ko ngā lymphocytes . Ka āwhina i te tango i ngā para, ngā huakita, me ngā pūmua taikaha mai i ngā kiko.
• Ngā oko toto lymph: Pērā i ngā ngongo iti, koinei ngā mea e kawe ana i te wai lymph puta noa i te tinana.
• Ngā kōpū lymph: Ka rongoa ēnei i ngā toto mā, ka tātari hoki i te wai lymph. He nui ngā kōpū lymph puta noa i ō tātou tinana. He tekau pea ngā kōpū lymph o te nuinga o te tangata kei te rohe o te hope (ngā kōpū lymph inguinal) .

He aha ngā tohu o te `(Scrotal Lymphedema)`?

Ko te tohu matua me te tohu tino kitea o tēnei mate ko te pupuhi o te hope.Ka taea e te koromatua te nui haere i te mea noa. Whakaarohia, mō ētahi tāngata ka nui rawa atu tēnei pupuhi, pērā i te karaka nui, i ētahi wā ka rite te rahi ki te poitūkohu. Ka karangahia tēnei momo pupuhi e ngā tākuta ko te '(giant scrotal lymphedema)'.

Tērā pea ētahi atu tohu:

• I te tīmatanga, ka ngawari pea te kiriuhi me ngā kiko e karapoti ana, pērā i te paraoa pokepoke, nā te nui o te wai e kohia ana. I roto i te wā, i te puta o te kiko whara (fibrosis) , ka pakeke haere pea ēnei.
• Tērā pea ka mamae ngā wāhi kua pāngia mō te wā roa .
• Ka puta pea ngā mate urutā anō.
• Te uaua ki te hikoi , i ētahi wā kāore e taea te hikoi rawa.
• Te uaua ki te mimi (mimi) .
• Te uaua ki te moepuku .

I ētahi wā tino kino, ka puta he āhuatanga e kiia nei ko te ure huna i te kiriuhi o te kiriuhi o te ure. Koinei te wā ka kapi te ure i ngā kiko o te kiriuhi o te kiriuhi nā te pupuhi nui (edema). Tērā pea ka kitea te ure e huna ana, e ngaro ana rānei.

He aha te take o tēnei?

I ngā whenua pēnei i a Sri Lanka, ko te tino take o te lymphedema o te kiriuhi ira he mate pirinoa e kiia nei ko te lymphatic filariasis , ka tukuna e ngā waeroa.

Engari i ngā whenua pēnei i a Amerika, he maha ngā wā ka puta tēnei mate i te aukati, i te pakaru rānei o te pūnaha lymphatic i te rohe ira tangata. Kātahi ka kore e rere tika te wai lymph mai i te rohe ira tangata. Ka taea tēnei e ngā maimoatanga mate pukupuku (ina koa ko te radiotherapy), te pokanga, me ētahi atu.

He mate hopuhopu tēnei `(Scrotal Lymphedema)`?

Kāo, ehara te `(Scrotal Lymphedema)` i te mate hopuhopu. Ehara hoki i te mate tuku iho `(STI)`. Nō reira kaua e wehi.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei?

Tērā pea ka nui ake tō tūponotanga ki te whakawhanake i tēnei mate mēnā:

• Mena kua whiwhi koe i te maimoatanga hei whakaora i te mate pukupuku, arā, kua whiwhi koe i te rongoā irahiko , i te pokanga rānei.
• Mena he nui ake tō Taupū Papatipu Tinana (BMI) i te 30, ko te tikanga he momona rawa koe.

He aha ngā raruraru pea ka pā mai i te `(Scrotal Lymphedema)`?

He maha ngā raruraru ka puta mai i tēnei mate, he mea pai kia mōhiotia ēnei:

• Te putanga mai anō o te mate e kiia nei ko te 'cellulitis' . He mumura tēnei o ngā kiko ngohengohe honohono i raro i te kiri. Ka ngaro pea te ngāwari o te kiri i tēnei.
• Te mate pāwera (he āhua rite ki te mate pāwera): I tēnei āhua, ka nui haere te kiri, ka matotoru, ka mārō.
• `eripipera`:He mate tēnei e pā ana ki ngā paparanga o runga o te kiri. Ka puta he kirika ohorere, he rerekē te tae o te kiri (whero, papura, parauri, mangu), me te pupuhi.
• Te whakaroa i te whakaora o te patunga: Tērā pea ka roa ake te whakaora o ngā patunga huri noa i te wāhi ira tangata.
• Ngā pānga hinengaro: He mate roa te Lymphedema o te kiriuhi o te kiri, ka ngoikore ai, ka pā ki te āhua, ka uaua ai hoki te hikoi. Ka arahi pea ki te iti o te whakaaro ki a ia anō , te manukanuka kāore e taea te whakahaere , te pouri me te ahotea . He mea noa tēnei, nō reira me āwangawanga anō hoki tātou mō tēnei.

Me pēhea te tautuhi a ngā tākuta i tēnei?

Hei tātaritanga i te mate pukupuku kiriuhi o te ...

• Lymphoscintigraphy: I roto i tēnei whakamātautau, ka werohia e te tākuta he iti noa o te rauemi irahiko (radiotracer) ki roto i a koe. Kātahi ka whakamahia he matawai hei aroturuki i te rauemi i a ia e haere ana i roto i tō pūnaha lymphatic. Mena he aukati kei roto i te pūnaha lymphatic, e kore te rauemi irahiko e haere ki tua atu i taua wāhi, ā, ka kitea te wāhi tika o te aukati.
• Whakaahua Āhua Aukume (MRI): He whakamātautau anō hoki tēnei e tango pikitia ana. He āwhina ki te kimi mēnā he aukati kei roto i ngā oko toto lymphatic. Ka whakamahia he aukume nui, he ngaru reo irirangi, me te rorohiko hei tango pikitia taipitopito o ngā kiko ngohengohe o te wāhi ira tangata.
• Matawai Tomography Rorohiko (CT): Ka whakamahia e te matawai CT he raupapa hihi-X hei tango pikitia taipitopito o te wāhi ira tangata, ā, ka taea te āwhina ki te tautuhi i ngā wāhi e aukatihia ana ngā pona lymph.

Ka taea te whakaora katoa i te Lymphedema o te kiriuhi?

Ki te pono, kāore anō kia kitea he rongoā mō te Scrotal Lymphedema i tēnei wā. Kaua e manukanuka. He maimoatanga kei reira hei āwhina i te whakaiti i ō tohu me te ārai i te pupuhi kei kino haere.

Me pēhea te rongoā mō tēnei?

Ko te tikanga, ka tūtohu tuatahi ngā tākuta i tētahi maimoatanga e kīia nei ko te complex decongestive therapy (CDT) mō te scrotal lymphedema. Ka āwhina tēnei ki te whakaiti i te pupuhi ngawari ki te pupuhi pakupaku, inā koa i ngā wāhanga tōmua o te mate. Kei roto i tēnei maimoatanga:

• Te pupuri i te kiri kia ma: Horoia pai te kiri mā te whakamahi i te hopi paturopi, te wai mahana, me te horoi kiri (hei tauira, te waipiro iodine, te waipiro isopropyl rānei).
• Te tango wai lymph ā-ringa: Ka mahia tēnei e te kaiwhakaora lymphedema kua whakangungua motuhake. Ka mirimiri mārietia e ia te wāhi, ka tangohia te wai lymph mai i te wāhi pupuhi ka anga atu ki ngā pona lymph e mahi tika ana.
• Te mau i ngā kākahu pēhi motuhake: Ka whakaitihia e ēnei kākahu te kohikohinga wai, ā, ka āwhina i te tuku i te wai lymph ki ngā kōpū lymph e mahi ana.
• Whakakorikori Tinana: Ka hangaia e te kaiwhakaora lymphedema he mahere whakakorikori tinana e tika ana māu. Ka āwhina ēnei whakakorikori tinana i te wai lymph kia neke mā roto i ngā oko lymph.

Mēnā he nui te lymphedema o te scrotum kāore e pai te urupare ki te rongoā whakangāwari uaua, ka tūtohu pea te tākuta kia pokanga . Ko tēnei pokanga he tango i te puranga me te kiko kua pāngia, ka whakakapia ki te kiri hauora (tāpiri kiri) . Ko te nuinga o te wā kei roto i te tīma pokanga he tākuta mimi me he taote pokanga kirihou . I te wā o te pokanga, ko te tikanga ka mahia e te tīma hauora ēnei e whai ake nei:

• Ka tukuna he rongoā whakamoe whānui ki a koe. Kātahi ka kore koe e mamae i te wā e pokangahia ana, ka moe koe.
• Ka whakauruhia he ngongo kirihou angiangi, ngāwari (catheter) ki roto i tō urethra. Mā tēnei ka tiakina te urethra i te wā o te mahi, ā, ka āwhina hoki ki te pupuri i te pumau o te ure.
• Ka wehea te ure i te kiko testicular kua mārō (pūpū), ā, ka tangohia te kiri me te kiko kua pakaru (lymphedematous).
• Mena e tika ana, ka mahia te 'liposuction' . Ko te tikanga ka mahia he tapahi iti ki te rohe taihemahema, ā, ka momihia ngā pūtau ngako ki waho mā te whakamahi i tētahi taputapu pokanga.
• Ki te tika, ka mahia he 'panniculectomy' . Ka tangohia te kiri taikaha me te kiko ngako 'pannus' huri noa i te wāhi ira tangata.
• Ki te tika, ka mahia he `escutcheonectomy` . Ka tangohia te paparanga ngako i runga ake i te wheua tūpāpaku (te rohe tūpāpaku).
• Ka whakakapia te kiri kua pakaru ki te kiri hauora i tangohia mai i tētahi atu wāhanga o te tinana (ko te huha te nuinga).

He aha ngā raruraru pea, ngā pānga taha rānei i muri i te pokanga?

He pai te urupare a te nuinga o te tangata ki te pokanga Scrotal Lymphedema. Heoi, i ētahi wā ka puta he raruraru, pēnei i:

• Pupuhi
• Mamae
• Te iti o te aro ki te kiriuhi, te ure, ngā wāhi e karapoti ana rānei
• Te korenga o te hononga kiri

Kia pēhea te tere o taku pai ake i muri i te maimoatanga?

Kei runga i te kaha o tō mate `(Scrotal Lymphedema)` me te maimoatanga kua tūtohutia. Mā te `Complex decongestive therapy`, ka tīmata pea te pupuhi ki te heke i roto i te wiki, i ngā wiki e rua rānei. Mēnā ka pokangahia koe, tērā pea ka taea e koe te ora ake i roto i te ono wiki pea.

I runga i tō āhua, ka kōrero atu tō tākuta ki a koe mō te roa o te wā whakaora ka taea e koe te tumanako.

He aha ngā mea ka taea e au te mahi hei whakapai ake i a au anō?

Mā te whai i tētahi kai hauora ka āwhina i te whakahaere i te lymphedema scrotal. Ina kai koe i ngā hua rākau, huawhenua, pūmua kikokore, me ngā witi katoa, ka pai ake te mahi a tō pūnaha lymphatic. He mea pai hoki kia:

• Whakawhāitihia te kai tote. Ka taea e te tote te whakanui ake i te pupuri wai i roto i te tinana. Ka taea e koe te whakamahi i ngā otaota hou, te kāriki, te oregano, te paura tiri, me te paura māti hei kakara i tō kai.
• Inumia he nui te wai. Mā te pupuri i te makuku o tō tinana ka āwhina i te pupuri i te rere o te toto kia ora. Ka taea hoki e ia te whakapai ake i te rere o te lymphatic. Whakamātauria te inu i te 8 karāhe wai (tata ki te 2,000 ml) i te rā.
• Kōrero ki tētahi tākuta. He maha ngā wā ka puta te `(Scrotal Lymphedema)` i roto i ngā maimoatanga matepukupuku. Nō reira, ki te mea kei te rongoatia koe ki te matepukupuku, pātai atu ki tō tākuta matepukupuku mō te tūponotanga o te `(Scrotal Lymphedema)` i puta mai i taua maimoatanga.

He āhuatanga te Scrotal Lymphedema ka pā ki tō hauora hinengaro. He mea pai kia kōrerohia ō kare ā-roto ki te whānau me ngā hoa pono. Ka taea e koe te pātai ki tō tākuta mēnā ka taea e rātou te tūtohu i tētahi kaiwhakaora hinengaro, i tētahi rōpū tautoko rānei mō te hunga e pāngia ana e te Scrotal Lymphedema.

Mena kei a au te `(Scrotal Lymphedema)`, he aha taku e tumanako ai?

Kāore he huarahi i tēnei wā hei whakakore i te kino o te pūnaha lymphatic e hua ai te Scrotal Lymphedema. Ko te tikanga he mate roa te Scrotal Lymphedema. Kaua e manukanuka. Mā te maimoatanga tika, ka taea e koe te whakaiti i ō tohu, te whakapai ake i tō kounga o te oranga, me te pupuri tonu.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe ngā tohu o te `(Scrotal Lymphedema),` ina koa kei te rongoatia koe ki te mate pukupuku, he mea nui kia toro atu koe ki te tākuta. Ki te kore e rongoatia, ka kino haere te āhua, ā, ka arahi atu ki ētahi atu raruraru.

Ina kite koe i tētahi tākuta, ka taea e koe te pātai i ēnei pātai:

• Me pēhea koe i mōhio ai kei a au te `(Scrotal Lymphedema)`?
• Mena kāore he `(Scrotal Lymphedema)` i roto i ahau, he aha atu anō ngā mate hauora ka pā mai ki ahau?
• Kia pēhea te kaha o taku mate `(Scrotal Lymphedema)`?
• He aha te maimoatanga e taunaki ana koe?
• He aha ngā huringa āhua noho me mahi e au?
• Ka taea e koe te tūtohu i tētahi tohunga hinengaro, i tētahi rōpū tautoko, i tētahi tohunga kai, i tētahi kaiwhakaora lymphedema rānei?

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Mena kei a koe te Scrotal Lymphedema, haere ki te rūma whawhati tata mena ka puta mai tetahi o ēnei tohu o te mate:

• Mena he nui ake te kirika i te 38 nekehanga Celsius (100.4 nekehanga Fahrenheit).
• Mena ka piki ake te mamae.
• Mena he wera taua rohe.
• Kua rerekē te tae o te kiri, ina koa mēnā he rite ki ngā ira e toro atu ana i taua wāhi.

Ka taea te ārai i te Lymphedema o te kiriuhi?

Ko te Lymphedema o te kiriuhi, e puta mai ana i te maimoatanga mate pukupuku, kāore pea e taea te ārai katoa. Heoi, mā te maimoatanga tika ka āwhina i te whakaiti i te pupuhi me te whakaiti i ngā raruraru. Mā ēnei tohutohu ka āwhina i te whakaiti i tō mōrearea:

• Kia tūpato tonu ki tō tinana. Me kōrero ki te tākuta ina kite koe i ngā tohu tuatahi o te `(Scrotal Lymphedema)`. Mēnā kāore koe e whiwhi maimoatanga, mēnā rānei ka tīmata tōmuri rawa te maimoatanga, ka ara ake pea he raruraru nui kāore e taea e koe te whakahaere.
• Kia tiakina tō kiri. Kia ma, kia makuku hoki tō kiri hei ārai i ngā mate. Ina nui te makuku, ka māmā ake te tipu o ngā huakita.
• Waea atu ki te tākuta i te wā tuatahi o te tohu o te mate. Ko ngā tohu noa o te mate ko te hurihanga o te kiri (whero, papura, parauri), te mamae, te pupuhi, te kirika, te putanga mai rānei o ngā ira kua huri te tae i raro i te kiri.
• Tukua kia ngāwari te neke o ngā wai o tō tinana. Kaua e pēhi i tō puku o raro me tō hope. Ka pā pea tēnei ki te rere o te waipū. Kaua e whakamahi i ngā kākahu piri, i ngā takai rapa, me ētahi atu.
• Kaua e tukua tō ira tangata ki te wera nui, ki te kore rānei e tukua kia wera rawa. Kei roto i tēnei ko ngā mea pēnei i te kaukau wera me te sauna. Ka taea e te wera nui te whakanui ake i te mōrearea o te scrotal lymphedema.
• Whakakorikori tinana āta haere, āta whakahaeretia. Whāia te mahere whakakorikori tinana kua whakawhanakehia e te kaiwhakaora lymphedema māu.
• Kia mau ki te taumaha hauora e pai ana ki a koe. Ka taea e te tākuta, e te tohunga kai rānei te āwhina i a koe ki te whakawhanake i tētahi mahere kai hauora.

Kia maumahara, ka pāngia pea te tinana e te mate pukupuku o te kiri, ā, ka whakama hoki, nā te mea ka pā ki tētahi wāhanga tairongo o te tinana. Engari, ehara i te mea ko koe anake. Mā te maimoatanga tika me ngā huringa āhua noho, ka taea e koe te whakahaere i ēnei tohu me te whakaiti i te pānga ki tō oranga.

Karere Tangohia ki te Kāinga

Āe, me whakarāpopoto tātou i ngā mea tino nui kua kōrerohia e tātou mō te `(Scrotal Lymphedema):`

• He āhuatanga tēnei e kohia ai te wai lymph ki roto, ki te taha hoki o ngā rakuraku, ā, ka pupuhi.
• Ka puta pea tēnei ina pakaru te pūnaha lymphatic i ngā mea pēnei i te momona, te maimoatanga mate pukupuku, te pokanga rānei.
• Ehara tēnei i te mate hopuhopu.
• Ko te tohu matua ko te pupuhi rerekē o te kiriuhi. Hei tāpiri, ka pā mai pea te mamae, te uaua ki te hikoi, me te uaua ki te mimi.
• Ahakoa kāore he rongoā katoa, ka taea e te maimoatanga te whakahaere i ngā tohumate.Ko te 'Whakaora Whakaiti Pūngāwerewere Matatini (CDT)', ā, i ngā wā tino kino, ko te pokanga ngā tikanga maimoatanga matua.
• Ka taea e koe te āwhina i a koe anō mā te kai i tētahi kai hauora, te inu i te nui o te wai, me te pupuri i tō kiri kia ma.
• He mea tino nui kia rapu tohutohu hauora i te wā tonu ka kitea e koe tētahi tohu. Mā te tere o te tīmatanga o te maimoatanga, ka iti ake ngā raruraru ka taea te whakaiti.
• Mena kei te pāngia koe e te pēhanga hinengaro nā tēnei āhuatanga, kaua e mangere ki te kōrero mō tēnei mea, me te rapu āwhina ngaio mēnā e tika ana.

Mena he pātai anō āu mō tēnei, kaua e mangere ki te kōrero ki tētahi tākuta. Māna koe e whakarato ki ngā mōhiotanga me ngā tautoko katoa e hiahiatia ana e koe.

` Te Mate Pukupuku o te Hukapapa, Te Mate Pukupuku o te Hukapapa, Te Mate Pukupuku o te Hukapapa, Pūnaha Pūpū, Hauora o ngā Tāne, Mate Pukupuku