Kodi thumba lanu la m'mimba limatupa pang'ono? Kapena ndi lalikulu kuposa masiku onse ndipo limakupangitsani kukhala kovuta kuyenda? Ngakhale kuti ichi ndi chinthu chomwe anthu ambiri amaopa kulankhula kapena kuchita manyazi nacho, ndikofunikira kwambiri kudziwa za icho. Chifukwa chingakhudze thanzi lanu komanso thanzi lanu la maganizo. Lero tikulankhula za vuto lotchedwa `(Scrotal Lymphedema)` lomwe limayambitsa kusasangalala kotere, koma lingathe kuthandizidwa bwino.
Kodi Scrotal Lymphedema ndi chiyani?
Mwachidule, ``Scrotal Lymphedema`` ndi kusonkhana kwa madzi otchedwa lymph mkati ndi mozungulira minofu ya scrotum, thumba la khungu komwe machende anu ali. Izi nthawi zina zimatha kufalikira kudera lozungulira mbolo yanu.
Taganizirani izi motere: thupi lathu lili ndi dongosolo lomwe limachotsa zinyalala ndi zinthu zosafunikira. Timatcha dongosolo la lymphatic . Ichi ndi gawo lofunika kwambiri la chitetezo chathu chamthupi. Pakakhala kutsekeka, kutsekeka, kapena kuwonongeka kwa dongosololi, madzi a lymph samayenda bwino ndipo amasonkhana pamalo amodzi. Madzi a lymph akasonkhana m'dera lozungulira machende, timatcha Scrotal Lymphedema.
Izi sizimayambitsa mwadzidzidzi, koma nthawi zambiri zimakhala matenda osatha . Ku Sri Lanka, chifukwa chachikulu cha izi ndi matenda ofalitsidwa ndi udzudzu otchedwa filariasis. Kuphatikiza apo, opaleshoni ya khansa ndi chithandizo cha radiation zingayambitsenso izi.
Ndi ziwalo ziti za Lymphatic System zomwe zimagwira ntchito pa izi?
Kuti timvetse nkhaniyi, tifunika kudziwa za anthu atatu akuluakulu omwe ali mu dongosolo lathu la miseche.
| Gawo la dongosololi | Mwachidule... |
|---|---|
| Mitsempha ya m'mimba | Ichi ndi madzi oyera omwe amayenda m'thupi lathu lonse. Ali ndi maselo oyera a m'magazi (makamaka ma lymphocyte). Ndi madzi amenewa omwe amathandiza thupi kukhala loyera pochotsa zinyalala ndi mabakiteriya m'thupi. |
| Mitsempha ya lymph | Zili ngati dongosolo la machubu ang'onoang'ono m'thupi lathu. Ndi kudzera m'machubu amenewa momwe madzi a lymph amayendera m'thupi lonse. |
| Ma lymph nodes | Izi zili ngati zosefera zazing'ono. Madzi a lymph amasefedwa ndikutsukidwa pano. Tili ndi tinthu tating'onoting'ono timeneti m'thupi lathu lonse, m'khosi, m'khwapa, komanso m'malo olumikizirana mafupa (inguinal lymph nodes) . |
Kodi zizindikiro za Scrotal Lymphedema ndi ziti?
Chizindikiro chachikulu cha vutoli ndi kutupa kwa machende. Koma pali zinthu zambiri zofunika kuziganizira.
Chofunika kwambiri ndikuonana ndi dokotala mwamsanga mukangoona zizindikirozi, popanda kuchita manyazi kapena mantha. Mukayamba chithandizo msanga, zimakhala zosavuta kuwongolera vutoli.
Mukhoza kuphunzira zambiri za zizindikiro izi kuchokera pa tebulo ili m'munsimu.
| Chizindikiro | Kodi chimachitika ndi chiyani ndi izi? |
|---|---|
| Kukula kwa ma testicular | Ichi ndiye chizindikiro chachikulu. Kwa anthu ena, imatha kukula kangapo kuposa masiku onse. Pa milandu yovuta kwambiri, imatha kukula ngati lalanje kapena mpira wa basketball. |
| Kusintha kwa khungu | Poyamba, malo otupawo amatha kuoneka ofewa komanso ofewa akakhudza. Pakapita nthawi, malowo amatha kukhala olimba komanso okhuthala chifukwa cha kukula kwa minofu ya ulusi (fibrosis) . |
| Ululu wokhalitsa | Mungakhale ndi ululu wosatha kapena kusasangalala m'dera lotupa. |
| Matenda obwerezabwereza | Matenda a bakiteriya amatha kuchitika pafupipafupi pakhungu ndi mkati mwake. Zizindikiro zake zingakhale kufiira ndi kutentha kwa khungu. |
| Kuyenda movutikira | Pamene kutupa kukukulirakulira, zimakhala zovuta kuyenda chifukwa miyendo imakhala yolumikizana. Nthawi zina zimakhala zovuta kuyenda. |
| Kuvuta kukodza | Kutupa kungayambitse kuti urethra ikhale yolimba, zomwe zimapangitsa kuti zikhale zovuta kukodza. |
| Mavuto okhudzana ndi kugonana | Kutupa ndi ululu zingayambitse mavuto panthawi yogonana. |
| Mbolo Yokwiriridwa | Pa milandu yotupa kwambiri, mbolo ingaoneke ngati yaphimbidwa ndi kumizidwa ndi minofu ya m'mimba. |
Kodi iyi ndi matenda opatsirana?
Ili ndi vuto lomwe anthu ambiri ali nalo. Ayi. `(Scrotal Lymphedema)` si matenda opatsirana. Ndipo si matenda opatsirana pogonana `(STI)`. Choncho simuyenera kuda nkhawa kuti muwapatsire mkazi kapena mnzanu.
Ndi mavuto ena ati omwe angayambitse izi?
Ngati vutoli silinachiritsidwe bwino, mavuto ena angabuke pakapita nthawi.
- Matenda a cellulitis obwerezabwereza: Ichi ndi matenda omwe amapezeka m'kati mwa khungu. Izi zingayambitse khungu kutaya kulimba kwake.
- Matenda a Elephantiasis: Uwu ndi matenda omwe khungu limakhala lolimba, lolimba, ndipo limaoneka ngati khungu la njovu. Tawona matendawa omwe amayamba chifukwa cha matenda a Barawa.
- Kuchira kwa bala mochedwa: Ngati bala lachitika mozungulira malo oberekera, zingatenge nthawi yayitali kuposa masiku onse kuti lichiritsidwe.
- Zotsatira za maganizo: Ichi ndi chomwe anthu ambiri salankhula, koma ndicho chofunikira kwambiri. Chifukwa chakuti vutoli limatenga nthawi yayitali, limakhudza zinthu monga kuyenda, komanso limakhudza mawonekedwe anu, limatha kukhala ndi zotsatira zambiri zamaganizo.Kudziona kuti ndi wosafunika, nkhawa, kuvutika maganizo, komanso kupsinjika maganizo kungachitike. Izi ndi zachilendo, choncho musaope kulankhula za izi.
Kodi dokotala amazindikira bwanji izi?
Mukapita kwa dokotala, chinthu choyamba chimene angachite ndikumvetsera mosamala zizindikiro zanu ndikuyesa thupi lanu. Kenako, adzakulangizani kuti mudziwe chomwe chimayambitsa kutupa ndikuwona komwe kutsekekako kuli.
- Lymphoscintigraphy: Izi zimaphatikizapo kubaya pang'ono zinthu zotulutsa ma radiation ndikuzisanthula kuti muwone momwe zimayendera m'thupi lanu. Izi zitha kuwonetsa bwino kutsekeka kulikonse.
- Kujambula kwa MRI ndi CT: Mitundu iyi ya kujambulidwa imatha kujambula zithunzi za minofu yofewa yomwe ili m'malo anu oberekera ndikuwonetsa komwe kwatsekeka.
Kodi mankhwala omwe alipo ndi ati?
Kunena zoona, pakadali pano palibe mankhwala a Scrotal Lymphedema. Koma musadandaule. Pali mankhwala ambiri othandiza omwe angathandize kuchepetsa zizindikiro, kuletsa kutupa kuti kusakhale koipa, ndikupangitsa moyo wanu kukhala wosavuta. Mankhwalawa akhoza kugawidwa m'magulu awiri akuluakulu.
1. Chithandizo chosagwiritsa ntchito opaleshoni
Izi zimatchedwa Complex Decongesstive Therapy (CDT) . Ndi zothandiza kwambiri pa kutupa pang'ono mpaka pang'ono kumayambiriro.
- Kusunga khungu loyera: Tsukani bwino malowo ndi sopo wopha tizilombo toyambitsa matenda ndi madzi ofunda.
- Kutulutsa madzi a m'mitsempha ya m'magazi ndi manja: Uku ndi kusisita kofatsa komwe kumachitika ndi katswiri wodziwa bwino ntchito yake. Izi zimathandiza kusuntha madzi a m'mitsempha kuchokera pamalo otupa kupita ku mitsempha ya m'mitsempha yomwe ikugwira ntchito bwino.
- Zovala Zothina: Izi ndi zovala zapadera zothina zomwe zimathandiza kuchepetsa kusunga madzi m'thupi komanso kusintha kayendedwe ka magazi.
- Kuchita Maseŵero Olimbitsa Thupi: Kuchita maseŵero osiyanasiyana opangidwa ndi katswiri wa zamaganizo, okonzedwa mogwirizana ndi vuto lanu.
2. Opaleshoni
Kwa anthu omwe ali ndi kutupa kwambiri omwe sanayankhe chithandizo china, dokotala wanu angakulangizeni opaleshoni. Opaleshoni iyi nthawi zambiri imakhala ndi:
- Kuchotsa khungu ndi minofu yoonongeka.
- Ngati kuli kofunikira, kuchotsa mafuta ochulukirapo pogwiritsa ntchito njira monga `(liposuction)`.
- Kuika khungu m'malo mwa khungu ndi njira yomwe khungu labwino kuchokera mbali ina ya thupi (nthawi zambiri ntchafu) limatengedwa kuti lilowe m'malo mwa khungu lochotsedwa.
Dokotala wa urologist ndi dokotala wa opaleshoni yokongoletsa ziwalo amagwira ntchito limodzi kuti achite opaleshoniyi.
Kodi ndingatani kuti ndikhale ndi thanzi labwino?
Kuwonjezera pa chithandizo, kusintha pang'ono moyo wanu kungakuthandizeni kwambiri kuthana ndi vutoli.
- Lamulirani mchere: Mchere umawonjezera kusunga madzi m'thupi. Choncho chepetsani mchere muzakudya zanu. M'malo mwake, gwiritsani ntchito zonunkhira, adyo, oregano, ndi zina zotero.
- Imwani madzi ambiri: Yesetsani kumwa magalasi osachepera 8 a madzi patsiku. Izi zimathandiza kuti magazi aziyenda bwino komanso kuti magazi aziyenda bwino.
- Samalani khungu lanu: Sungani malo oyera komanso onyowa nthawi zonse. Izi zingathandize kupewa matenda.
- Pewani zovala zothina: Pewani kuvala zovala zothina kapena zovala zokhala ndi elastic zomwe zimalimbitsa m'mimba ndi m'mimba.
- Pewani kutentha kwambiri: Kutentha kwambiri, monga kusamba ndi ma sauna, kungapangitse kutupa.
- Khalani ndi kulemera kwabwino: Ndikofunikira kwambiri kusunga kulemera kwabwino malinga ndi kutalika kwanu. Mutha kupempha upangiri kwa dokotala kapena katswiri wa zakudya pankhaniyi.
Kodi muyenera kupita ku Emergency Treatment Unit (ETU) liti?
Ngati muli ndi Scrotal Lymphedema ndipo mukupeza zizindikiro zotsatirazi za matenda , pitani ku Dipatimenti Yodzidzimutsa yapafupi (ETU) nthawi yomweyo.
- Malungo opitirira madigiri 38 Celsius (100.4 Fahrenheit).
- Kuwonjezeka mwadzidzidzi kwa ululu.
- Kutentha kwambiri kumamveka mukakhudza malo otupa.
- Khungu lofiira, lofiirira, kapena lofiirira, kapena mizere yofiira pakhungu.
Uthenga Wopita Nawo Kunyumba
- Scrotal Lymphedema ndi kuchuluka kwa madzi a lymph m'thumba la mabere. Si khansa.
- Matendawa si opatsirana ndipo si matenda opatsirana pogonana.
- Ngati muli ndi zizindikiro monga kutupa kwa ma testicular, musachite manyazi ndipo pitani kwa dokotala mwamsanga.
- Ngakhale kuti sichingathe kuchiritsidwa kwathunthu, zizindikiro zake zimatha kuthetsedwa ndipo moyo wabwinobwino ukhoza kukhazikika mwa kulandira chithandizo ndi kusintha moyo.
- Ngati mukumva kuvutika maganizo ndi vutoli, lankhulani ndi munthu amene mumamukhulupirira kapena mlangizi za vutoli. Simuli nokha.
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