Kodi mkono wanu ukutupa mutachita opaleshoni ya khansa ya m'mawere? Tiyeni tikambirane za Lymphedema!

Kodi munachitidwa opaleshoni kapena kulandira chithandizo cha khansa ya m'mawere? Kodi mwaona kutupa kapena kulemera m'manja mwanu, m'manja, kapena pachifuwa pambuyo pake? Ngati mwaona chinthu chonga ichi, musaganize kuti ndi chachibadwa. Ndikofunikira kulankhula ndi dokotala wanu za izi. Ichi chikhoza kukhala chizindikiro cha lymphedema, vuto lomwe lingachitike mwa akazi atalandira chithandizo cha khansa ya m'mawere.

Kodi Lymphedema ndi chiyani kwenikweni?

Mwachidule, dongosolo la lymphatic m'thupi lathu lili ngati dongosolo lotayira zinyalala. Lili ndi madzi otchedwa lymph fluid omwe amathandiza kuti thupi lathu likhale loyera pochotsa zinyalala ndi majeremusi m'thupi lathu. Madzi amenewa amayenda kudzera mu netiweki yaying'ono kwambiri yotchedwa lymph vessels ndi lymph nodes .

Tangoganizani, panthawi ya opaleshoni ya khansa ya m'mawere, ma lymph nodes ena, makamaka omwe ali m'khwapa, amafunika kuchotsedwa. Nthawi zina, chithandizo cha radiation chingawonongenso ma lymph nodes awa. Izi zikachitika, madzi a lymph sakhala ndi njira yoyendera bwino ndipo amamatira pamalo amodzi. Ndicho chimene timachitcha lymphedema, chomwe chimayambitsa kutupa m'manja, zala, pachifuwa, kapena miyendo nthawi zina.

Pali mitundu iwiri ikuluikulu ya izi:

1. Primary Lymphedema: Izi sizichitika kawirikawiri. Zimatanthauza kuti mumabadwa ndi vuto mu dongosolo la lymphatic.

2. Lymphedema Yachiwiri: Iyi ndi mtundu wofala kwambiri. Imachitika pamene dongosolo la lymphatic lasokonekera chifukwa cha chifukwa monga opaleshoni, matenda, chithandizo cha radiation, kuvulala, kapena ngakhale magazi kuundana m'mitsempha (deep vein thrombosis).

Ndani amene ali pachiwopsezo chachikulu?

Ponena za khansa ya m'mawere, anthu omwe adachitidwa opaleshoni kapena chithandizo chotsatirachi ali pachiwopsezo chachikulu chotenga lymphedema:

• Kuchotsa mastectomy kosavuta ndi kuchotsa ma lymph node a m'khwapa.
• Kuchotsa chotupa cha khansa chokha ndikuchotsa ma lymph nodes m'khwapa (Lumpectomy ndi kuchotsa ma lymph nodes a m'khwapa).
• Kuchotsa bere ndi minofu yambiri yozungulira pamodzi ndi ma lymph nodes a axillary (Modified radical mastectomy).
• Kulandira chithandizo cha radiation kudera lomwe lili ndi ma lymph nodes, monga khosi, kwapa, kapena m'chiuno, pamodzi ndi opaleshoni ya khansa.

Kodi zizindikiro za izi ndi ziti?

Ndizachilendo kukhala ndi kutupa pang'ono kwa milungu 4-6 yoyamba mutachita opaleshoni. Komabe, ngati muwona zizindikiro zotsatirazi, musazinyalanyaze ndipo uzani dokotala wanu nthawi yomweyo. Mukayamba chithandizo mwachangu, zimakhala zosavuta kuwongolera vutoli.

Kodi tingatani kuti tipewe matenda a Lymphedema?

Pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezo chanu chotenga matendawa. Ndikofunikira kuti izi zikhale chizolowezi.

Kudya zakudya zabwino

• Chepetsani zakudya zokhala ndi mchere wambiri ndi mafuta ambiri.
• Yesetsani kudya zipatso zosachepera ziwiri ndi ndiwo zamasamba zitatu patsiku.
• Pezani ulusi wochokera ku buledi wa tirigu wonse, mpunga, ndi Zakudyazi.
• Imwani madzi ambiri.
• Sungani kulemera kwanu koyenera. Lankhulani ndi dokotala wanu za izi.
• Chepetsani kumwa mowa.

Kuchita masewera olimbitsa thupi moyenera.

Onetsetsani kuti mwafunsa dokotala wanu musanayambe kuchita masewera olimbitsa thupi. Mukangovomereza, mutha kuyamba ndi masewera olimbitsa thupi osavuta monga kuyenda, kusambira, kapena kukwera njinga. Yesetsani kuchita masewera olimbitsa thupi kwa mphindi 30 patsiku, masiku osachepera 5 pa sabata. Ngati mukumva kutopa kapena kupweteka mu mkono wanu wochitidwa opaleshoni pamene mukuchita masewera olimbitsa thupi, siyani kuchita masewera olimbitsa thupiwo ndipo mupumule pokweza mkono wanu.

Dzitetezeni ku matenda

Ngakhale kudula pang'ono kapena bala pakhungu la mkono womwe unali m'mbali mwa opaleshoniyo kungathe kutenga kachilomboka ndikuwonjezera vuto la lymphedema.

• Valani magolovesi mukamagwira ntchito m'munda kapena mukugwira ntchito zapakhomo.
• Samalani kuti musavulaze khungu mukadula misomali yanu.
• Gwiritsani ntchito mankhwala othamangitsa tizilombo kuti mudziteteze ku tizilombo.
• Ndi bwino kugwiritsa ntchito lumo lamagetsi pochotsa tsitsi.
• Nthawi zonse sungani khungu lanu loyera komanso louma. Pakani mafuta odzola kuti khungu lisaume.

Mfundo zina zofunika

• Musamavale zovala zolimba, nsapato, kapena zodzikongoletsera. Musamavale mawotchi kapena zibangili pa dzanja lomwe lachitidwa opaleshoni.
• Pemphani kuti mugwiritse ntchito mkono umene sunachite opaleshoni poyesa kuthamanga kwa magazi, kupereka jakisoni, kapena kutenga magazi.
• Lankhulani ndi dokotala wanu za kunyamula zolemera ndi mkono womwe uli pambali pa opaleshoni.
• Mukayenda pandege, funsani dokotala wanu ngati mukufuna kuvala chovala chapadera chopondereza mkono kapena mwendo chomwe mudachitidwa opaleshoni.

Nanga bwanji ngati ndili kale ndi Lymphedema?

Ngati muli kale ndi vutoli, ndikofunikira kwambiri kutsatira malangizo onse otetezeka omwe atchulidwa kale. Kuphatikiza apo, zinthuzi zidzakuthandizaninso.

• Pewani kusintha kwakukulu kwa kutentha. Izi zikutanthauza kuti kutentha kwambiri ndi kuzizira kwambiri si zabwino. Musagwiritse ntchito zinthu monga ma hot bath ndi ma sauna.
• Gwiritsani ntchito madzi ofunda m'malo mwa madzi otentha mukamasamba ndi kutsuka mbale.
• Mukapita padzuwa, onetsetsani kuti mwagwiritsa ntchito chitetezo cha dzuwa (osachepera SPF 30).
• Mukagona kapena kupuma , sungani mkono kapena mwendo womwe wakhudzidwawo mmwamba pang'ono pouyika pa pilo.
• Musagone ndi kulemera kwanu kumbali yokhudzidwa kwa nthawi yayitali.

Dokotala wanu angakutumizireni kwa katswiri wa zamaganizo kapena katswiri wa zamaganizo yemwe ndi katswiri wothandiza anthu odwala matenda a lymphedema. Iye angakulimbikitseni kuchita masewera olimbitsa thupi, kumanga bandeji, ndi zovala zolimbitsa thupi.