Kodi thumba lanu la m'mimba latupa? Tiyeni tiphunzire za thumba la m'mimba la m'mimba!

Kodi mudamvapo kutupa kwachilendo m'thumba lanu la m'mimba, kapena malo ozungulira? Izi zingakhale zovuta kuzikambirana, koma ndi nkhani yofunika kwambiri. Timatcha izi scrotal lymphedema. Musadandaule, izi sizinthu zomwe muli nazo zokha. Tiyeni tikambirane za izi m'njira yosavuta yomwe aliyense angamvetse.

Kodi Scrotal Lymphedema ndi chiyani?

Mwachidule, `(Scrotal Lymphedema)` ndi vuto lomwe minofu yofewa yomwe ili mu scrotum yanu, makamaka madzi otchedwa lymph, imatupa. Kutupa kumeneku sikukhudza scrotum yokha komanso madera ozungulira, monga mbolo. Monga mukudziwa, scrotum ndi thumba la khungu lomwe lili pansi ndi kumbuyo kwa mbolo, ndipo ndi komwe machende nthawi zambiri amakhala.

Imeneyi ndi mtundu wa matenda osatha otchedwa `(Lymphedema). Matendawa amapezeka pamene dongosolo la lymphatic m'thupi mwathu lawonongeka kapena kutsekedwa. Dongosolo lathu la lymphatic ndi gawo lofunika kwambiri la chitetezo chamthupi. Limathandiza kuchotsa zinyalala ndi poizoni m'thupi ndikusunga madzi m'thupi. Nthawi zambiri, dongosolo la lymphatic limeneli limatha kuwonongeka chifukwa cha mankhwala a khansa, opaleshoni, matenda otchedwa lymphatic filariasis , kapena zolakwika zina za dongosolo la mkodzo zomwe zimapezeka pobadwa.

Ngakhale kuti vutoli limapezeka m'maiko ngati Sri Lanka chifukwa cha matenda a Barawa, m'maiko ngati America, ``Scrotal Lymphedema`` ndi vuto losowa kwambiri. Komabe, n'zovuta kwa madokotala ndi ofufuza kunena ndendende kuchuluka kwa anthu omwe akudwala matendawa.

Ndi mbali ziti za dongosolo la lymphatic zomwe zikuphatikizidwa mu izi?

Pali ziwalo zosiyanasiyana m'thupi lathu la lymphatic, koma izi ndi ziwalo zomwe zimakhudza kwambiri matenda a Scrotal Lymphedema:

• Lymph: Ichi ndi madzi oyera komanso omveka bwino. Ndi omwe amayenda m'thupi lonse la lymphatic. Muli maselo oyera a magazi, makamaka ma lymphocytes . Amathandiza kuchotsa zinyalala, mabakiteriya, ndi mapuloteni ochulukirapo m'thupi.
• Mitsempha ya lymph: Monga machubu ang'onoang'ono, izi ndi zomwe zimanyamula madzi a lymph m'thupi lonse.
• Ma lymph nodes: Izi zimasunga maselo oyera amagazi ndikusefa madzi am'thupi. Pali ma lymph nodes m'thupi lathu lonse. Anthu ambiri ali ndi ma lymph nodes pafupifupi khumi m'malo olumikizirana mafupa (inguinal lymph nodes) .

Kodi zizindikiro za `(Scrotal Lymphedema)` ndi ziti?

Chizindikiro chachikulu komanso chodziwika bwino cha vutoli ndi kutupa kwa ma testicular.. Chidendene chimatha kukula kangapo kuposa masiku onse. Tangoganizirani, kwa anthu ena kutupa kumeneku kungakhale kwakukulu kwambiri, ngati lalanje lalikulu, nthawi zina lalikulu ngati mpira wa basketball. Madokotala amatcha kutupa kwamtunduwu `(giant scrotal lymphedema)`.

Pakhoza kukhalanso zizindikiro zina:

• Poyamba, thumba la makanda ndi minofu yozungulira imatha kumveka yofewa, ngati mtanda, chifukwa cha madzimadzi omwe amasonkhana. Pakapita nthawi, pamene minofu ya zipsera imapanga (fibrosis) , izi zimatha kukhala zovuta kwambiri.
• Pakhoza kukhala ululu wa nthawi yayitali m'madera okhudzidwa.
• Matenda obwerezabwereza amatha kuchitika.
• Kuvuta kuyenda , nthawi zina ngakhale kusatha kuyenda konse.
• Kuvuta kukodza (kukodza) .
• Kuvuta kuchita zinthu zogonana .

Nthawi zina zoopsa kwambiri, scrotal lymphedema ingayambitse vuto lotchedwa mbolo yobisika . Apa ndi pamene mbolo imaphimbidwa ndi minofu ya scrotum chifukwa cha kutupa kwambiri (edema). Mbolo imatha kuoneka yobisika kapena yosowa.

Kodi n’chiyani chimayambitsa izi?

M'mayiko ngati Sri Lanka, chomwe chimayambitsa matenda a scrotal lymphedema ndi matenda opatsirana otchedwa lymphatic filariasis , omwe amafalitsidwa ndi udzudzu.

Koma m'maiko ngati America, vutoli nthawi zambiri limayamba chifukwa cha kutsekeka kapena kusweka kwa dongosolo la lymphatic m'dera la maliseche. Kenako, madzi a lymph satuluka bwino m'dera la maliseche. Mankhwala a khansa (makamaka chithandizo cha radiation), opaleshoni, ndi zina zotero angayambitse izi.

Kodi `(Scrotal Lymphedema)` iyi ndi yopatsirana?

Ayi, `(Scrotal Lymphedema)` si matenda opatsirana. Si matenda opatsirana pogonana `(STI)`. Choncho musachite mantha.

Ndani ali pachiwopsezo chachikulu chotenga izi?

Mungakhale pachiwopsezo chachikulu chotenga matendawa ngati:

• Ngati mwalandira chithandizo chochiritsira khansa, kutanthauza kuti, mwalandira chithandizo cha radiation kapena opaleshoni .
• Ngati BMI yanu ili ndi chiwerengero cha kulemera kwa thupi (BMI) choposa 30, zikutanthauza kuti ndinu wonenepa kwambiri.

Kodi mavuto omwe angakhalepo chifukwa cha `(Scrotal Lymphedema)` ndi ati?

Pali mavuto angapo omwe angabwere chifukwa cha vutoli, ndipo ndi bwino kudziwa izi:

• Kubwerezabwereza kwa vuto lotchedwa `cellulitis` . Uku ndi kutupa kwa minofu yofewa yomwe ili pansi pa khungu. Izi zingayambitse khungu kutaya kulimba kwake.
• Matenda a Elephantiasis (matenda ofanana ndi matenda a elephantiasis): Pa vutoli, khungu limakula, limakhuthala, komanso limalimba.
• `erysipelas`:Uwu ndi matenda omwe amakhudza zigawo zapamwamba za khungu. Angayambitse malungo mwadzidzidzi, kusintha mtundu wa khungu (lofiira, lofiirira, lakuda), komanso kutupa.
• Kuchira kwa bala mochedwa: Mabala ozungulira malo oberekera angatenge nthawi yayitali kuti achire.
• Zotsatira zamaganizo: Scrotal Lymphedema ndi matenda omwe amatha kufooketsa thupi, kukhudza mawonekedwe ake komanso kupangitsa kuti kuyenda kukhale kovuta. Zingayambitse kudziona ngati wosafunika , nkhawa yosalamulirika , kuvutika maganizo komanso kupsinjika maganizo . Izi ndi zachilendo, choncho tiyeneranso kuda nkhawa ndi izi.

Kodi madokotala amazindikira bwanji izi?

Kuti adziwe matenda a scrotal lymphedema, dokotala ayamba kaye wachita mayeso akuthupi ndikufunsa za mbiri yanu yachipatala . Kuphatikiza apo, mayeso ena ojambulira zithunzi angachitike. Izi zingathandize kudziwa kukula kwa kutsekeka kwa dongosolo la lymphatic. Zingathandizenso kuchotsa matenda ena omwe angayambitse kutupa m'thumba la scrotum. Mayesowa nthawi zambiri amachitidwa kuti:

• Lymphoscintigraphy: Mu mayeso awa, dokotala amakulowetsani mankhwala ochepa a radioactive (radiotracer). Kenako, scanner imagwiritsidwa ntchito kutsatira zinthuzo pamene zikuyenda m'thupi lanu. Ngati pali chotseka m'thupi lanu, zinthu za radioactive sizingadutse pamalo amenewo, ndipo malo enieni omwe atsekedwawo angapezeke.
• Kujambula Magnetic Resonance (MRI): Iyi ndi njira yoyesera yomwe imatenga zithunzi. Imathandiza kudziwa ngati pali kutsekeka kwa mitsempha ya lymphatic. Imagwiritsa ntchito maginito akuluakulu, mafunde a wailesi, ndi kompyuta kujambula zithunzi zatsatanetsatane za minofu yofewa ya malo oberekera.
• Kujambula kwa Computed Tomography (CT): Kujambula kwa CT kumagwiritsa ntchito X-rays zingapo kuti zijambule zithunzi za m'dera loberekera ndipo zingathandize kuzindikira komwe malo olumikizirana mafupa a m'mimba atsekedwa.

Kodi Scrotal Lymphedema ingachiritsidwe kwathunthu?

Kunena zoona, pakadali pano palibe mankhwala a Scrotal Lymphedema. Koma musadandaule. Pali mankhwala omwe angathandize kuchepetsa zizindikiro zanu ndikuletsa kutupa kuti kusakhale koipa kwambiri.

Kodi izi zimachiritsidwa bwanji?

Kawirikawiri madokotala nthawi zambiri amalangiza chithandizo chotchedwa complex decongestive therapy (CDT) cha scrotal lymphedema. Izi zimathandiza kuchepetsa kutupa pang'ono mpaka pang'ono, makamaka kumayambiriro kwa matendawa. Chithandizochi chimaphatikizapo:

• Kusunga khungu loyera: Tsukani khungu bwino pogwiritsa ntchito sopo wopha tizilombo toyambitsa matenda, madzi ofunda, ndi chotsukira khungu (monga ayodini kapena isopropyl alcohol).
• Kutulutsa madzi a m'thupi pogwiritsa ntchito manja: Izi zimachitika ndi katswiri wodziwa bwino ntchito ya lymphedema . Iye adzapukuta malowo pang'onopang'ono komanso pang'onopang'ono, kuchotsa madzi a m'thupi m'malo otupawo ndikulunjika ku malo otupa omwe akugwira ntchito bwino.
• Kuvala zovala zapadera zopanikiza: Zovala izi zimachepetsa kuchulukana kwa madzimadzi ndipo zimathandiza kutsogoza madzimadzi a lymph ku malo olumikizirana mafupa kumene akugwira ntchito.
• Kuchita Maseŵera Olimbitsa Thupi: Katswiri wothandiza anthu odwala matenda a lymphedema adzapanga dongosolo lochita maseŵera olimbitsa thupi lomwe ndi loyenera kwa inu. Maseŵera amenewa amathandiza madzi a lymph kuyenda m'mitsempha ya lymphedema.

Ngati pali vuto lalikulu la scrotal lymphedema lomwe silikugwirizana bwino ndi chithandizo chovuta chochepetsa kutsekeka kwa msana, dokotala angakulangizeni opaleshoni . Opaleshoniyi imaphatikizapo kuchotsa minofu yowuma ndi yomwe yakhudzidwa ndikuyika khungu labwino (khungu losanjikiza) . Gulu la opaleshoni nthawi zambiri limaphatikizapo dokotala wa urologist ndi dokotala wa opaleshoni yokongoletsa . Pa opaleshoni, gulu lachipatala nthawi zambiri limachita izi:

• Mudzapatsidwa mankhwala oletsa ululu . Mukatero simudzamva ululu uliwonse panthawi ya opaleshoni, mudzakhala mukugona.
• Chubu chapulasitiki chopyapyala komanso chofewa (catheter) chimayikidwa mu urethra yanu. Izi zimateteza urethra panthawi ya opaleshoni komanso zimathandiza kuti mbolo ikhale yolimba.
• Mbolo imalekanitsidwa ndi minofu ya machende yolimba (fibrotic), ndipo khungu ndi minofu yowonongeka (lymphematous) imachotsedwa.
• Ngati pakufunika, `liposuction` imachitidwa. Izi zikutanthauza kuti mabala ang'onoang'ono amapangidwa m'malo oberekera ndipo maselo amafuta amachotsedwa pogwiritsa ntchito chipangizo chochitira opaleshoni.
• Ngati pakufunika kutero, `panniculectomy` imachitidwa. Izi zimachotsa khungu lochulukirapo ndi minofu yamafuta `pannus` yozungulira malo oberekera.
• Ngati kuli kofunikira, opaleshoni ya `escutcheonectomy` imachitidwa. Izi zimachotsa mafuta omwe ali pamwamba pa fupa la pubic (malo a pubic).
• Khungu lowonongeka limalowetsedwa m'malo ndi khungu labwino lomwe limatengedwa kuchokera mbali ina ya thupi (nthawi zambiri ntchafu).

Kodi ndi mavuto kapena zotsatirapo ziti zomwe zingachitike mutachita opaleshoni?

Anthu ambiri amayankha bwino opaleshoni ya Scrotal Lymphedema. Komabe, nthawi zina mavuto amatha kuchitika, monga:

• Kutupa
• Ululu
• Kuchepa kwa chidwi m'mimba, mbolo, kapena madera ozungulira
• Kulephera kwa graft ya khungu

Kodi ndidzamva bwino msanga bwanji nditalandira chithandizo?

Zimatengera kuopsa kwa vuto lanu la `(Scrotal Lymphedema)` ndi chithandizo chomwe mukulangizidwa. Ndi `Complex decogestive therapy`, kutupa kungayambe kuchepa pakatha pafupifupi sabata imodzi kapena ziwiri. Ngati muchitidwa opaleshoni, muyenera kuchira pakatha pafupifupi milungu isanu ndi umodzi.

Kutengera ndi vuto lanu, dokotala wanu adzakuuzani za nthawi yomwe mungayembekezere kuchira.

Kodi pali zinthu zomwe ndingachite kuti ndizimve bwino?

Kutsatira zakudya zabwino kungathandize kuchepetsa matenda a scrotal lymphedema. Mukadya zipatso zambiri, ndiwo zamasamba, mapuloteni opanda mafuta ambiri, ndi tirigu wonse, dongosolo lanu la lymphatic lidzagwira ntchito bwino kwambiri. Ndibwinonso kuti:

• Chepetsani kumwa mchere. Mchere ukhoza kuwonjezera kuchuluka kwa madzi m'thupi. Mutha kugwiritsa ntchito zitsamba zatsopano, adyo, oregano, ufa wa chili, ndi ufa wa mpiru kuti mukometse chakudya chanu.
• Imwani madzi ambiri. Kusunga thupi lanu lili ndi madzi okwanira kumathandiza kuti magazi aziyenda bwino. Kungathandizenso kuti magazi aziyenda bwino m'thupi. Yesani kumwa magalasi 8 a madzi (pafupifupi 2,000 ml) patsiku.
• Lankhulani ndi dokotala. Mankhwala a khansa nthawi zambiri angayambitse `(Scrotal Lymphedema)`. Chifukwa chake, ngati mukulandira chithandizo cha khansa, funsani dokotala wanu wa khansa za kuthekera kwa `(Scrotal Lymphedema)` chifukwa cha chithandizocho.

Scrotal Lymphedema ndi matenda omwe angakhudzenso thanzi lanu la maganizo. Ndibwino kukambirana za momwe mukumvera ndi abale ndi abwenzi odalirika. Mutha kufunsa dokotala wanu ngati angakulangizeni katswiri wa zamaganizo kapena gulu lothandizira anthu omwe ali ndi Scrotal Lymphedema.

Ngati ndili ndi `(Scrotal Lymphedema)`, ndiyenera kuyembekezera chiyani?

Pakadali pano palibe njira yobwezeretsera kuwonongeka kwa dongosolo la lymphatic komwe kumayambitsa Scrotal Lymphedema. Izi zikutanthauza kuti Scrotal Lymphedema ndi matenda a nthawi yayitali. Koma musadandaule. Ndi chithandizo choyenera, mutha kuchepetsa zizindikiro zanu, kukonza moyo wanu, ndikusungabe.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro za `(Scrotal Lymphedema)` makamaka ngati mukulandira chithandizo cha khansa, ndikofunikira kuonana ndi dokotala. Ngati simulandira chithandizo, vutoli likhoza kukulirakulira ndikubweretsa mavuto ena.

Mukapita kwa dokotala, mukhoza kufunsa mafunso awa:

• Kodi mukudziwa bwanji kuti ndili ndi `(Scrotal Lymphedema)`?
• Ngati ndilibe `(Scrotal Lymphedema)`, ndi matenda ena ati omwe ndingakhale nawo?
• Kodi vuto langa la `(Scrotal Lymphedema)` ndi lalikulu bwanji?
• Kodi mumalimbikitsa chithandizo chanji?
• Ndi kusintha kotani kwa moyo komwe ndiyenera kusintha?
• Kodi mungandipangire dokotala wa matenda amisala, gulu lothandizira, katswiri wa zakudya, kapena katswiri wothandiza odwala matenda a lymphedema?

Kodi ndiyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Ngati muli ndi Scrotal Lymphedema, pitani kuchipatala chapafupi ngati muli ndi zizindikiro izi:

• Ngati malungo ali pamwamba pa madigiri 38 Celsius (madigiri 100.4 Fahrenheit).
• Ngati ululu ukuwonjezeka.
• Ngati malo amenewo ndi otentha.
• Mtundu wa khungu wasintha, makamaka ngati ukuoneka ngati mizere yotambasuka kuchokera pamalopo.

Kodi Scrotal Lymphedema ingapewedwe?

Matenda a Scrotal Lymphedema, omwe angayambitsidwe ndi chithandizo cha khansa, sangakhale opeweratu. Komabe, chithandizo choyenera chingathandize kuchepetsa kutupa ndikuchepetsa mavuto. Malangizo awa angathandize kuchepetsa chiopsezo chanu:

• Nthawi zonse dziwani za thupi lanu. Uzani dokotala mwamsanga mukangoona zizindikiro zoyamba za `(Scrotal Lymphedema)`. Kusalandira chithandizo, kapena kuyamba chithandizo mochedwa, kungayambitse mavuto aakulu omwe simungathe kuwathetsa.
• Samalirani bwino khungu lanu. Sungani khungu lanu loyera komanso lonyowa kuti mupewe matenda. Madzi akamachulukana, zimakhala zosavuta kuti mabakiteriya achuluke.
• Imbani dokotala ngati chizindikiro choyamba cha matenda. Zizindikiro zodziwika bwino za matendawa ndi monga kusintha kwa khungu (kofiira, kofiirira, kofiirira), kupweteka, kutupa, malungo, kapena kuoneka kwa mizere yosintha mtundu pansi pa khungu.
• Lolani madzi amthupi lanu ayende mosavuta. Pewani kukakamiza m'mimba mwanu ndi m'mimba mwanu. Izi zingakhudze kayendedwe ka madzi a m'thupi. Pewani kugwiritsa ntchito zovala zolimba, mabandeji otanuka, ndi zina zotero.
• Chepetsani kapena pewani kutentha kwambiri m'malo anu oberekera. Izi zikuphatikizapo zinthu monga malo osambira otentha ndi ma sauna. Kutentha kwambiri kumatha kuwonjezera chiopsezo cha scrotal lymphedema.
• Chitani masewera olimbitsa thupi pang'onopang'ono komanso mosamala. Tsatirani ndondomeko yochitira masewera olimbitsa thupi yomwe katswiri wa matenda a lymphedema amapangirani.
• Khalani ndi kulemera koyenera komwe kungakuyenerereni. Dokotala kapena katswiri wa zakudya angakuthandizeni kupanga dongosolo lodyera bwino.

Kumbukirani, Scrotal Lymphedema ikhoza kukhala yosasangalatsa pang'ono, komanso yochititsa manyazi, chifukwa imakhudza gawo lovuta la thupi. Koma, simuli nokha. Ndi chithandizo choyenera komanso kusintha kwa moyo, mutha kuthana ndi zizindikirozi ndikuchepetsa zotsatira zake pa moyo wanu.

Uthenga Wopita Nawo Kunyumba

Chabwino, tiyeni tikambiranenso zinthu zofunika kwambiri zomwe takambirana `(Scrotal Lymphedema):`

• Imeneyi ndi vuto limene madzi a m'thupi amasonkhana mkati ndi mozungulira machende ndipo limayambitsa kutupa.
• Izi zitha kuchitika pamene dongosolo la lymphatic lawonongeka ndi zinthu monga kunenepa kwambiri, chithandizo cha khansa, kapena opaleshoni.
• Iyi si matenda opatsirana.
• Chizindikiro chachikulu ndi kutupa kosazolowereka kwa machubu a m'mimba. Kuphatikiza apo, kupweteka, kuvutika kuyenda, komanso kuvutika kukodza kumatha kuchitikanso.
• Ngakhale kuti palibe mankhwala okwanira, chithandizo chingachepetse zizindikiro.`Complex Decongesstive Therapy (CDT)` ndipo, pazochitika zazikulu, opaleshoni ndiyo njira zazikulu zochizira.
• Mungathe kudzithandiza nokha mwa kudya zakudya zabwino, kumwa madzi ambiri, komanso kusunga khungu lanu loyera.
• Ndikofunikira kwambiri kufunafuna upangiri wa dokotala mwamsanga mukangoona zizindikiro zilizonse. Chithandizo chikayamba msanga, mavuto ochepa amatha kuchepa.
• Ngati mukumva kupsinjika maganizo chifukwa cha vutoli, musazengereze kukambirana za vutoli ndipo funani thandizo la akatswiri ngati pakufunika kutero.

Ngati muli ndi mafunso ena okhudza izi, musazengereze kulankhula ndi dokotala. Iye adzakupatsani chidziwitso chonse ndi chithandizo chomwe mukufuna.

` Scrotal Lymphedema, Scrotal Lymphedema, Scrotal Lymphedema, Lymphatic System, Thanzi la Amuna, Matenda a Scrotal