Kua rongo koe i te pupuhi ohorere o tō kiriuhi ? Kāore rānei, kua matotoru te kiri o taua wāhi, ā, kua rerekē te āhua ina pā atu koe? Ahakoa he kaupapa whakama, he kaupapa whakama hoki tēnei hei kōrero, he mea nui kia mōhio koe ki tēnei āhuatanga. Nā te mea ki te kore e arohia, ka arahi pea ki ngā āhuatanga kino. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga ka puta ai ngā tohu pēnei, e mōhiotia whānuitia ana ko te Scrotal Lymphedema .
He aha rawa te Lymphedema o te Hukapapa?
He whakarāpopototanga noa iho, ko te Scrotal Lymphedema he āhuatanga e kohikohi ai tētahi momo wai e kiia nei ko te lymph i roto i ngā kiko ngohengohe o tō scrotum, ka pupuhi ai. I ētahi wā, ka horapa tēnei pupuhi ki te ure me ngā wāhi e karapoti ana.
Tērā pea kei te whakaaro koe, "He aha tēnei wai lymph?" Whakaarohia, he pūnaha tō tātou tinana e tango ana i ngā para me ngā paitini , pērā i te pūnaha whakakore para o te tāone. Ka kiia tēnei ko te pūnaha lymphatic . He wāhanga nui tēnei pūnaha o tō tātou pūnaha ārai mate. He wai mārama te wai lymph e haere ana i roto i tēnei pūnaha, ā, ka āwhina ki te tango i ngā mea pērā i te para me ngā huakita .
Nō reira, ki te pakaru, ki te ārai rānei ngā oko toto waikura, ngā kōpuku waikura rānei o tēnei pūnaha waikura, inā koa i te rohe o te hope, kāore e taea e tēnei wai waikura te rere tika. Ko te wā tēnā ka kohia taua wai ki ngā wāhi pēnei i te kiriuhi ka tīmata te pupuhi.
He aha ngā tohu o tēnei mate?
Ko te tohu matua, ko te tohu tino kitea o tēnei mate ko te pupuhi o te kiriuhi. I ētahi wā kino rawa, ka taea e tēnei pupuhi te piki ake i ngā wā maha o tōna rahi noa, ka rite ki te rahi o te karaka, o te pōro, o te mea nui ake rānei. Ka kiia tēnei e ngā tākuta ko te 'Giant Scrotal Lymphedema'.
Kia titiro tātou he aha ngā tohu kē atu.
| Tohu | Whakaahuatanga |
|---|---|
| Te pupuhi o te testicle | Te rahi haere. He ngawari ki te pā i te tīmatanga, engari i roto i te wā ka pakeke haere nā te matotoru o te kiko (fibrosis). |
| Mamae roa | Te mamae tonu, te kore whakamarie rānei i roto, i te taha rānei o te wāhi pupuhi. |
| Ngā mate urutā e hokihoki mai ana | He mea noa ngā mate kiri kitakita (pērā i te cellulitis). Ko ngā tohu pea ko te whero me te mahana o te kiri. |
| Te whakararuraru i ngā mahi o ia rā | Te uaua ki te hikoi, te kore rānei e taea te hikoi. Te uaua ki te mimi. |
| Ngā uauatanga ā-ira tangata | Te uaua ki te moe tāne. |
| Ure i tanumia | He āhuatanga e kapi ana te ure i te kiko o te kiriuhi na te pupuhi nui, ā, kāore e kitea. |
He aha ngā take o te lymphedema o te scrotum?
He maha ngā take matua mō tēnei mate. Ina koa i ngā whenua pēnei i a Sri Lanka, ko te Lymphatic Filariasis te tino take o tēnei. He mate pirinoa tēnei e tukuna ana e ngā waeroa. Ka kino ēnei pirinoa i tō tātou pūnaha lymphatic.
Hei tāpiritanga, kei reira ētahi atu take:
- Ngā maimoatanga matepukupuku: Ka taea e te rongoā irahiko , te pokanga rānei, inā koa ki te rohe hope, te kino i te pūnaha lymphatic.
- Pokanga: Ka taea hoki e ētahi atu pokanga e mahia ana ki te rohe o te hope, ki te puku rānei te whakakino i ngā oko toto lymphatic.
- Momona: He nui ake tēnei mōrearea mō te hunga he nui ake i te 30 te taupū papatipu tinana (BMI).
- Ngā raruraru whānau: Tērā pea ka whānau mai ētahi tāngata me ētahi ngoikoretanga o te pūnaha lymphatic.
Ko te mea nui , ehara tēnei i te mate hopuhopu, i te mate tuku iho rānei (STI), nō reira kaua e mataku noa.
He aha ngā raruraru ka pā mai i tēnei?
Ki te kore tēnei mate e rongoatia tika, ka puta ake ngā momo raruraru i roto i te wā.
- Ngā Mate Kiri (Cellulitis): He maha ngā wā ka pā mai ngā mate ki ngā kiko i raro i te kiri.
- Te mate arewhana (kiri rite ki te arewhana): Koinei te momo 'barawa' tino kino. Ka tino matotoru, ka nui, ka taratara te kiri.
- Te whakaroa i te whakaora o te patunga: Mena ka puta he patunga ki te wāhi ira tangata, ka roa ake te ora i te tikanga.
- Ngā pānga hinengaro: Ka taea e tēnei āhuatanga te whakaputa i ngā panonitanga o te āhua, te uaua ki te hikoi, me te iti o te whakaaro ki a ia anō, tae atu ki te manukanuka, te ahotea, me te pouri . He take tino tairongo tēnei, nō reira he nui te tūponotanga ka pāngia koe e te pouri.
Me pēhea te tātaritanga a te tākuta i tēnei?
Ina kite koe i tētahi tākuta me ēnei tohu, ka tirohia tō tinana, ka pātai atu mō tō hītori hauora. Tērā pea ka tūtohu rātou i ētahi whakamātautau hei whakakore i ētahi atu take o te pupuhi, hei tautuhi hoki i te wāhi tuturu o te aukati i roto i tō pūnaha lymphatic.
- Lymphoscintigraphy: He whakamātautau e werohia ai he iti noa o te rauemi irahiko ki roto i te pūnaha lymphatic, ā, ka whakamahia he matawai hei aroturuki i tōna nekehanga. Mā tēnei ka taea te tautuhi i te wāhi tika o te aukati.
- Matawai MRI (Whakaahua Āhua Aukume): He whakamātautau e whakamahi ana i te papa aukume me ngā ngaru reo irirangi hei tango pikitia taipitopito o ngā kiko.
- Matawai CT (Tomography Rorohiko): He whakamātautau e whakamahi ana i tētahi raupapa hihi-X hei tango pikitia taipitopito me te tautuhi i ngā ārai.
He aha ngā maimoatanga mō tēnei?
Kāore tēnei mate e taea te rongoā katoa i tēnei wā, nā te mea kāore e taea te whakakore i te kino o te pūnaha lymphatic. Heoi anō , kei reira ngā maimoatanga ka taea te whakahaere angitu i ngā tohu, te whakaiti i te pupuhi, me te tuku i a koe ki te noho noa.
Maimoatanga kore-pokanga (Whakaora Whakaiti Ihu Matatini - CDT)
Koinei te maimoatanga matua e taunakitia ana. Ka taea e ia te whakahaere i te pupuhi ngawari ki te pupuhi pakupaku, inā koa i ngā wāhanga tōmua.
- Te pupuri i te kiri kia ma: Kia ma te kiri mā te whakamahi i ngā hopi paturopi motuhake hei ārai i ngā mate.
- Te whakahekenga wai lymphatic ā-ringa:He mirimiri ngawari tēnei e mahia ana e tētahi kaiwhakaora hinengaro kua whakangungua motuhake. Mā te neke i te wai lymph e noho pūmau ana ki ngā kōpū lymph e kaha ana, ka whakaiti i te pupuhi.
- Te mau i ngā kākahu pēhi motuhake: Ka whakaitihia te kohi wai e te pēhanga e hangaia ana e ēnei kākahu, ā, ka whakahaere hoki i te pupuhi.
- Whakakorikori Tinana: Mā te whai i tētahi kaupapa whakakorikori tinana motuhake i hangaia mōu e te kaiwhakaora hinengaro ka āwhina i te whakapai ake i te tohanga toto lymphatic.
Pokanga
Mēnā he nui ngā āhuatanga kino kāore e pai ki ngā maimoatanga o runga ake nei, ka tūtohutia pea te pokanga. Ko te tango i te kiko me te kiri tāpiri kua kohia, ka hipokina te wāhi ki te kiri hauora (te whakapiri kiri) i tangohia mai i tētahi atu wāhanga o te tinana (te huha i te nuinga o te wā). Ka mahia tēnei e te tākuta mimi me te taote kirihou ngātahi.
| Āhea koe me haere tonu ki te ETU (Emergency Treatment Unit)? | |
|---|---|
| Mena kei a koe te Scrotal Lymphedema, haere tonu ki te Tari Whawhati Tata (ETU) mēnā ka puta mai tētahi o ngā tohu mate e whai ake nei: | |
| - Te kirika i runga ake i te 38 nekehanga Celsius (100.4 Fahrenheit). | - Te mamae nui ake. |
| - Te mahana ina pā atu ki te wāhi pupuhi. | - Te rerekētanga o te tae o te kiri (whero, papura, parauri) te āhua rānei o ngā iraira. |
He aha ētahi mea ka taea e koe te mahi māu ake?
Haunga te maimoatanga, mā ngā huringa iti o tō momo noho ka āwhina nui ki te whakahaere i tēnei mate.
- Tiakina tō kiri: Ko te ārai i ngā mate te mea nui rawa atu. Horoia pai te wāhi i ia rā, ka pania he hinu whakamākū.
- Ngā tikanga kai pai: Whakaitihia te kai tote. Ka whakanui te tote i te pupuri wai i roto i te tinana. Engari, whakamahia ngā mea pēnei i te kāriki, te paura tiri maroke, me te oregano hei kakara mō tāu kai.
- Inumia he nui te wai:Ngāna kia inu i te iti rawa i te 8 karāhe wai i te rā.
- Āta karohia ngā kākahu piripono: Āta karohia te mau i ngā kākahu o roto piripono, i ngā tarau poto rānei e aukati ana i te nekehanga.
- Āraia te wera nui: Āraia ngā mahi pēnei i te kaukau tino wera me te whakamahi i te sauna.
- Kia mau tonu te taumaha hauora: Kōrero ki tō tākuta, kia mau tonu te taumaha hauora e pai ana ki a koe.
Karere Tangohia ki te Kāinga
- Ko te Lymphedema o te kiriuhi o te kiriuhi he pupuhi i puta mai i te kohikohinga o te wai lymph i roto i te kiriuhi o te kiriuhi. Ehara i te mate pukupuku.
- Ko te filariasis, he mate kawe namu i ngā whenua pēnei i a Sri Lanka, tētahi o ngā tino take o tēnei mate.
- Ehara tēnei i te mate hopuhopu, ehara hoki i te mate tuku iho.
- Ki te kite koe i tētahi pupuhi, he matotoru, he mamae rerekē rānei i roto i ō rae , kaua e whakama, kaua hoki e whakaroa, engari me toro atu ki tētahi tākuta.
- Mā te kitenga me te maimoatanga wawe ka ārai i ngā raruraru nui, ā, ka pai ake te oranga.
- He mea nui te pupuri i te kiri kia ma, kia makuku hoki hei ārai i ngā mate urutā.
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