Kodi mukumva kutupa, kulemera, kapena kukhuthala kwa khungu lanu m'malo anu obisika, kutanthauza, malo ozungulira ziwalo zanu zoberekera? N'zovuta komanso zochititsa manyazi kukambirana za izi ndi wina aliyense, eti? Koma iyi ikhoza kukhala nkhani yofunika kwambiri yokhudzana ndi thanzi lanu. Lero tikulankhula za 'Genital Lymphedema ', vuto lomwe anthu ambiri safuna kulankhula za ilo, koma ndikofunikira kudziwa. Musadandaule, mukawerenga nkhaniyi, mudzamvetsa bwino izi.
Mwachidule, kodi Genital Lymphedema ndi chiyani?
Genital Lymphedema ndi kutupa komwe kumachitika chifukwa cha kuchuluka kwa madzi a m'thupi m'minofu yofewa yozungulira maliseche anu. Mwachidule, ndi vuto lomwe mtundu wina wa madzi m'thupi lathu umatsekeredwa m'derali ndikutupa. Izi si vuto lochitika kamodzi kokha, koma nthawi zambiri limakhala vuto losatha .
Izi zimakhudza anthu osakwana 1% mwa anthu onse omwe ali ndi matenda a lymphedema padziko lonse lapansi. Izi zikutanthauza kuti ndi vuto losowa kwambiri. Komabe, lingakhudze aliyense, akazi ndi amuna, komanso anthu azaka zilizonse.
Tiyeni tiphunzire pang'ono za 'Lymphatic System' yathu yokhudzana ndi izi.
Kuti timvetse bwino matendawa, choyamba tiyeni tidziwe pang'ono za ' lymphatic system ' m'thupi lathu. Tangoganizani kuti thupi lathu ndi mzinda waukulu. Mu mzindawu, zakudya ndi mpweya zimadutsa m'mitsempha yamagazi , ndipo payenera kukhala njira yochotsera zinyalala kuti mzindawu ukhale woyera. Umu ndi momwe lymphatic system ilili.
Ichi ndi gawo lofunika kwambiri la chitetezo chathu chamthupi . Ntchito zake zazikulu ndikusunga madzi m'thupi , kulimbana ndi matenda, komanso kuchotsa zinyalala m'maselo.
Pali magawo atatu akuluakulu a dongosololi:
- Lymph: Ichi ndi madzi owoneka bwino, achikasu pang'ono. Amanyamula maselo oteteza thupi (maselo oyera a magazi ) kupita nawo ku magazi. Amachotsanso zinyalala ndi mabakiteriya m'maselo ndikuzibwezera m'magazi.
- Mitsempha ya lymph: Izi ndi zinthu zopyapyala ngati chubu zomwe zimanyamula madzi a lymph m'thupi lonse, monga momwe zilili ndi mitsempha yathu yamagazi.
- Ma Lymph Node : Awa ndi 'ma filter'. Ma lymph node ang'onoang'ono awa, ofanana ndi nyemba, amasunga maselo oyera a magazi. Madzi a lymph akamadutsa m'magazi, amasefa majeremusi ndi zinyalala. Ma lymph node awa amapezeka m'magulu m'malo monga m'khwapa, m'mimba, pakhosi, ndi m'mimba.
Kotero, mu Genital Lymphedema, chinachake chimachitika mu dongosolo la lymphatic kuzungulira malo oberekera, zomwe zimapangitsa kuti madzi a lymph asonkhanitsidwe pamalo amodzi chifukwa cha kutsekeka kapena kuwonongeka kwina. Monga momwe payipi yamadzi imatsekeka, imadzaza ndi madzi ndikusefukira.
Pali mitundu iwiri ikuluikulu ya Genital Lymphedema:
Vutoli lingagawidwe m'magulu awiri akuluakulu kutengera momwe limachitikira.
| Mtundu | Kufotokozera |
|---|---|
| Lymphedema Yoyamba ya Chiberekero | Izi zimachitika chifukwa cha vuto lobadwa nalo pakukula kwa dongosolo la lymphatic. Nthawi zina zizindikiro zimaonekera pobadwa. Kwa ena, zizindikiro zimaonekera patapita zaka zambiri, nthawi zina ali achinyamata. |
| Lymphedema yachiwiri ya m'mimba | Uwu ndi mtundu wofala kwambiri. Chomwe chimachitika apa ndi chakuti dongosolo la lymphatic labwino limawonongeka ndi zinazake zakunja. |
Kodi ndi zifukwa ziti zomwe zimayambitsa lymphedema yachiwiri ya genital?
Pakhoza kukhala zifukwa zingapo za izi.
- Chithandizo cha khansa: Opaleshoni kapena chithandizo cha radiation ndi chomwe chimayambitsa khansa m'malo oberekera (monga prostate, chikhodzodzo, machende, mbolo, khomo lachiberekero, mazira, vulva, kapena rectum). Izi zili choncho chifukwa mankhwalawa amawononga kapena kuchotsa ma lymph nodes m'malo mwake (lymphadenectomy). Izi zimatseka njira yoti madzi a lymph ayende.
- Matenda: Matenda a nthawi yayitali a mitsempha ya lymphatic ndi ma lymph nodes omwe amayamba chifukwa cha mabakiteriya ena, mavairasi, bowa kapena nyongolotsi. Chitsanzo chabwino cha izi ndi filariasis, yomwe imadziwika kuti 'Barawa' m'dziko lathu.
- Kuvulala:Ngozi zazikulu kapena kuvulala kwambiri m'dera loberekera.
- Matenda opatsirana pogonana (STIs): Kawirikawiri, vutoli limathanso kuyambitsidwa ndi matenda ena opatsirana pogonana.
- Matenda ena: Izi zitha kuyambitsidwanso ndi matenda ena, monga matenda a Crohn (kutupa kwa matumbo), Sarcoidosis, ndi Vasculitis (kutupa kwa mitsempha yamagazi), kawirikawiri.
Kodi zizindikiro za vutoli ndi ziti?
Zizindikiro za matenda a genital lymphedema zimatha kusiyana pang'ono malinga ndi munthu komanso malinga ndi jenda. Tiyeni tiwone zina mwa zizindikiro zomwe zimapezeka kawirikawiri.
| Zizindikiro za Genital Lymphedema | |
|---|---|
| Zizindikiro zodziwika bwino (kwa akazi ndi amuna) | |
| Kuvuta kukodza | Kutuluka kwa mkodzo m'madzi, kupweteka pokodza (dysuria). |
| Matenda opatsirana pafupipafupi | Matenda a pakhungu la bakiteriya amatha kuchitika pafupipafupi pamalo otupa. |
| Kukhuthala kapena kuuma kwa khungu | Pakapita nthawi, khungu lomwe lili pamalo otupa limatha kukhuthala ndikumva lolimba likakhudzidwa. |
| Mavuto okhudzana ndi kugonana | Ululu panthawi yogonana (dyspareunia), mavuto okhudzana ndi kukhwima, komanso kuvutika maganizo komwe kumachitika chifukwa cha izi kungayambitse kuchepa kwa chilakolako cha kugonana. |
| Kutsika kwa moyo wa anthu | Ululu, kuvutika kukodza, komanso kuvutika kuchita zinthu za tsiku ndi tsiku kungayambitse kukhumudwa ndi moyo. |
| Zizindikiro zenizeni kwa akazi | |
| Ululu ndi kutupa m'makope a khungu m'chiuno ndi mbali zonse ziwiri za nyini. Nthawi zina pamapazi pangakhalenso kutupa. | |
| Zizindikiro zenizeni kwa amuna | |
| Kutupa ndi kupweteka mbolo, m'makodzo, kapena zonse ziwiri. Nthawi zina mapazi amatha kutupa. | |
Chofunika kwambiri ndichakuti iyi si matenda opatsirana. Genital Lymphedema si matenda opatsirana kuchokera kwa munthu wina kupita kwa wina. Komanso si matenda opatsirana pogonana (STI). Choncho musachite mantha ndi matendawa mopanda chifukwa.
Ndi mavuto otani omwe angachitike ngati sanachiritsidwe?
Ngati vutoli silinachiritsidwe bwino, mavuto ena angabuke pakapita nthawi.
- Kubwerezabwereza kwa Cellulitis: Iyi ndi matenda a bakiteriya omwe amakhudza minofu yomwe ili pansi pa khungu. Ingayambitse zipsera ndi kutayika kwa kulimba kwa khungu.
- Elephantiasis: Iyi ndi mtundu woopsa kwambiri. Khungu limakula kwambiri, limakhuthala, komanso limalimba, ngati khungu la njovu. Vutoli limathanso kuwoneka m'matenda oopsa a Barawa.
- Erysipelas: Ichi ndi matenda a pakhungu a bakiteriya, ofanana ndi cellulitis. Amatha kufalikira mwachangu ndikuyambitsa malungo, kupweteka, komanso kusintha mtundu wa khungu (lofiira, lofiirira, lakuda).
- Zotsatira za maganizo: Popeza vutoli ndi la nthawi yayitali ndipo limakhudza maonekedwe a thupi, munthu akhoza kukhala ndi zinthu monga kudziona ngati wosafunika, nkhawa, kuvutika maganizo, komanso kupsinjika maganizo . Izi ndi zachilendo. Musachite manyazi kulankhula ndi dokotala wanu za vutoli.
Kodi dokotala amazindikira bwanji izi?
Ngati muli ndi zizindikiro izi, chinthu choyamba chomwe muyenera kuchita ndikuonana ndi dokotala woyenerera. Iye adzakufunsani kaye za mbiri yanu yachipatala ndikukupimirani thupi. Kenako, angachite mayeso ena angapo kuti atsimikizire ngati iyi ndi Genital Lymphedema.
- Kujambula kwa Lymphoscintigraphy:Izi zimaphatikizapo kubaya mankhwala ochepa kwambiri a radioactive (radiotracer) m'thupi ndikugwiritsa ntchito scanner yapadera kuti iwunikire kayendedwe kake kudzera mu lymphatic system. Izi zitha kuzindikira madera omwe ali otsekeka mu lymphatic system.
- Kujambula kwa MRI (Magnetic Resonance Imaging): Izi zitha kutenga zithunzi zamitundu itatu za minofu yofewa ya malo oberekera ndikuwunika bwino chomwe chimayambitsa kutupa ndi momwe zinthu zilili.
Kodi mankhwala ake ndi otani? Kodi angathe kuchiritsidwa kwathunthu?
Mwatsoka, palibe mankhwala a Genital Lymphedema pakadali pano . Koma musadandaule. Ndi mankhwala omwe alipo pano, mutha kuwongolera zizindikiro zanu, kupewa zovuta, ndikukhala moyo wabwinobwino.
Njira yaikulu yochizira ndi 'Complex Decongesstive Therapy' (CDT) . Iyi ndi njira yochizira yomwe ili ndi masitepe angapo.
1. Tsukani khungu bwino: Ndikofunikira kwambiri kupewa matenda. Chifukwa chake, nthawi zonse muyenera kusunga malo otupawo ali oyera pogwiritsa ntchito sopo wopha mabakiteriya ndi madzi ofunda.
2. Kutulutsa Madzi a Lymph Pamanja: Uku si kusisita kwachizolowezi. Kumachitika ndi katswiri wodziwa bwino za lymphedema. Pano, madzi a lymph omwe ali m'dera lotupa amasamutsidwa pang'onopang'ono komanso makamaka kumalo omwe ali ndi mitsempha ya lymph yomwe ikugwira ntchito bwino. Ndikofunikira kuphunzira kuchokera kwa munthu wophunzitsidwa musanachite izi nokha.
3. Zovala zapadera zopondereza ndi mapampu: Kutupa kukachepa, zovala zapadera zopondereza kapena mabandeji amagwiritsidwa ntchito kuti madzi asabwererenso. Nthawi zina mapampu apadera omwe amafufuma ndi kutsika pakapita nthawi amagwiritsidwanso ntchito.
4. Maseŵero olimbitsa thupi: Ndikofunikanso kuchita maseŵero apadera omwe dokotala wa mano amalangiza kuti azilimbikitsa kuyenda kwa madzi am'thupi.
Nthawi zambiri, chithandizo cha CDT ichi chingafunike kuchitika tsiku lililonse kwa milungu ingapo. Pambuyo pake, mudzaphunzitsidwa kuchita izi nokha kunyumba.
Kodi opaleshoni imafunika liti?
Ngati vutoli lakula kwambiri moti silingathe kuthetsedwa ndi mankhwala a CDT awa, ngati matenda amapezeka pafupipafupi, ngati khungu lawonongeka kwambiri komanso lopweteka, ndipo ngati likusokoneza moyo watsiku ndi tsiku, dokotala angalimbikitse opaleshoni. Opaleshoni imaphatikizapo kuchotsa minofu yowonongeka ndikuphimba malowo ndi khungu labwino (khungu lopachikidwa).
Kodi ndingakhale bwanji bwino ndi vutoli?
Popeza vutoli ndi la nthawi yayitali, ndikofunikira kwambiri kusintha pang'ono moyo wanu pamene mukulandira chithandizo.
- Samalani zakudya zanu:
- Lamulirani mchere: Mchere umawonjezera kusunga madzi m'thupi. Choncho, chepetsani kudya zakudya zokhala ndi mchere wambiri (ma pickles, nsomba zouma, sauces, fast food) momwe mungathere. Gwiritsani ntchito zonunkhira (adyo, oregano, ufa wouma wa chili) m'malo mwa mchere kuti mukometse chakudya chanu.
- Imwani madzi ambiri: Imwani magalasi osachepera 8 a madzi patsiku. Kumwa madzi kumathandiza kutulutsa madzi osafunikira m'thupi.
- Idyani zakudya zoyenera zomwe zimaphatikizapo ndiwo zamasamba zatsopano, zipatso, mapuloteni opanda mafuta ambiri, ndi tirigu wonse.
- Samalani kwambiri khungu lanu:
- Sungani khungu lanu loyera komanso lonyowa nthawi zonse. Izi zingathandize kupewa matenda.
- Ngati muwona zizindikiro za matenda, monga kufiira, kupweteka, kutentha, kapena malungo, dziwitsani dokotala wanu nthawi yomweyo .
- Ganizirani za zovala:
- Pewani kuvala zovala zamkati zolimba kwambiri kapena mathalauza. Izi zitha kutsekereza ndikulepheretsa kuyenda kwa magazi m'thupi.
- Musakhale pamalo omwewo kwa nthawi yayitali. Ngati mutakhala, musapitirire miyendo yanu. Sinthani malo osachepera mphindi 30 zilizonse.
- Pewani kutentha kwambiri: Pewani zinthu monga kusamba m'madzi otentha kwambiri komanso kugwiritsa ntchito sauna. Kutentha kungapangitse kutupa.
- Khalani ndi kulemera kwabwino: Mukalemera, dongosolo lanu la lymphatic limakhala lovuta kwambiri. Chifukwa chake, kusunga kulemera kwabwino ndikofunikira kwambiri.
Kodi muyenera kupeza chithandizo chadzidzidzi liti?
Ngati mukupeza zizindikiro zotsatirazi za matenda, ngakhale mukulandira chithandizo, pitani ku Dipatimenti Yodzidzimutsa ya chipatala chapafupi (ETU) nthawi yomweyo .
- Malungo opitirira madigiri 38 Celsius (100.4 Fahrenheit).
- Kuwonjezeka kwa ululu ndi kutentha m'dera lotupa.
- Khungu limakhala lofiira, lofiirira kapena lofiirira, kapena mizere yofiira yomwe imawonekera pansi pa khungu.
Zizindikiro ngati izi zimasonyeza kuti matenda akufalikira m'thupi. Ndikofunikira kupeza chithandizo nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Matenda a genital Lymphedema ndi kutupa komwe kumachitika chifukwa cha kuchuluka kwa madzi am'mimba m'malo oberekera. Ndi vuto la nthawi yayitali.
- Iyi si matenda opatsirana kapena matenda opatsirana pogonana.
- Ngakhale kuti vutoli silingathe kuchiritsidwa kwathunthu, lingathe kulamuliridwa bwino kwambiri ndipo moyo wabwinobwino ukhoza kutsogozedwa ndi chithandizo cha CDT ndi kusintha moyo.
- Ngati muwona kutupa, kupweteka, kapena kusintha kwachilendo pakhungu lanu, musachite manyazi ndipo pitani kwa dokotala nthawi yomweyo . Mukayamba chithandizo mwachangu, zotsatira zake zimakhala zabwino.
- Ndikofunikira kwambiri kusunga khungu loyera ndikuyang'anira zizindikiro za matenda.
- Lankhulani ndi dokotala wanu kapena munthu wina wapafupi nanu za mavuto amisala omwe matendawa angayambitse. Thanzi la maganizo ndi lofunika kwambiri monga momwe thanzi la thupi limafunikira.
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