Kutupa kwa miyendo sikwachibadwa: Tiyeni tidziwe za Lymphedema!

Kodi mwadzidzidzi mwamva ngati mkono, mwendo, kapena gawo lina la thupi lanu latupa komanso lolemera? Kodi zovala zomwe mumavala, mphete, ndi zibangili zomwe mumavala zikuyamba kulimba? Imeneyi ikhoza kukhala matenda otchedwa Lymphedema , omwe nthawi zina sitimalankhula zambiri, koma angakhudze anthu ambiri. Musadandaule. Tiyeni tikambirane za izi m'njira yosavuta komanso yomveka bwino lero.

Mwachidule, kodi Lymphedema ndi chiyani?

Kuwonjezera pa mitsempha yamagazi , thupi lathu lili ndi njira ina ya mitsempha yamagazi yabwino. Timaitcha kuti lymphatic system . Monga momwe madzi amatulutsira m'mzinda mwathu, njira iyi imasonkhanitsa madzi (omwe timawatcha lymph fluid ) omwe ali ndi zinyalala, mabakiteriya , ndi mavairasi omwe amasonkhana m'malo osiyanasiyana a thupi, ndikuzisefa ndikuyeretsa. Njira yoseferayi imachitika m'malo a lymph m'thupi lathu.

Tangoganizirani, chimachitika ndi chiyani ngati njira yotulutsira madzi iyi yatsekedwa kapena kuwonongeka kwinakwake? Madzi onyansa amadzaza pamalo amodzi, ndipo malo amenewo amauma, sichoncho? Umu ndi momwe Lymphedema imakhalira. Chinthu chikawonongeka mu dongosolo la lymphatic, madzi a lymph samayenda bwino ndipo amasonkhana pamalo amodzi, zomwe zimapangitsa kutupa. Izi nthawi zambiri zimakhudza manja ndi miyendo, koma zimatha kuchitika kulikonse m'thupi.

Kodi ndi zifukwa ziti za Lymphedema?

Lymphedema si vuto limodzi, koma lingayambitsidwe ndi zinthu zingapo. Nthawi zina limatha kuchitika popanda chifukwa chomveka, kapena lingayambitsidwe ndi vuto la majini lomwe limapezeka pobadwa. Komabe, nthawi zambiri limawoneka ngati vuto lina lachipatala kapena kuvulala kumakhudza dongosolo la lymphatic.

Nazi zina mwa zifukwa zazikulu:

• Mankhwala a khansa ndi khansa : Ichi ndiye chifukwa chachikulu cha lymphedema. Chotupa chingatseke mitsempha ya lymph. Komanso, chithandizo cha radiation cha khansa kapena opaleshoni yochotsa ma lymph nodes kuti muwone ngati khansa yafalikira kungawononge dongosolo la lymphatic. Lymphedema imachitika makamaka pambuyo pa chithandizo cha zinthu monga khansa ya m'mawere ndi khansa ya m'malo oberekera. Nthawi zina, kutupa kumeneku kungachitike miyezi ingapo kapena zaka pambuyo pa chithandizo.
• Matenda:Matenda ena a bakiteriya kapena tizilombo toyambitsa matenda amatha kuwononga mitsempha ya lymph ndikupangitsa kutupa.
• Kuvulala: Kuwonongeka kwa mitsempha ya lymphatic chifukwa cha ngozi kapena kuvulala.
• Kunenepa Kwambiri: Pamene thupi likulemera, kupanikizika kwina kumayikidwa pa ma lymph nodes ndi mitsempha yamagazi, zomwe zingalepheretse kuyenda kwa ma lymph.
• Matenda ena: Matenda a mtima, matenda a impso, ndi matenda a mitsempha yamagazi zingayambitsenso kutupa.
• Zipsera pambuyo pa opaleshoni: Minofu yokhuthala ya zipsera zomwe zimapangidwa pambuyo pa opaleshoni ingayambitse mitsempha ya lymph kutsekeka.

Pali mitundu iwiri ikuluikulu ya lymphedema:

Lymphedema ingagawidwe m'magulu awiri akuluakulu.

1. Lymphedema Yachiwiri: Iyi ndi mtundu wofala kwambiri. Lymphedema imachitika pamene dongosolo la lymphatic lawonongeka ndi matenda ena (monga khansa) kapena chithandizo (monga opaleshoni).

2. Matenda a Lymphedema Oyamba: Matendawa ndi osowa kwambiri. Amayamba pamene ma lymph nodes kapena mitsempha ya lymph sinakule bwino kapena palibe pobadwa. Zizindikiro zimatha kuwonekera ali mwana, ali mwana, ali wachinyamata, kapena ngakhale achikulire.

Kodi inunso muli ndi zizindikiro izi?

Chizindikiro chachikulu komanso chodziwika bwino cha lymphedema ndi kutupa. Kutupa kumeneku kungakhudze manja kapena miyendo, nthawi zina kumafika mpaka ku zala. Poyamba, kutupa kumeneku kungakhale kofatsa , koma pakapita nthawi, khungu limatha kukhuthala ndikulimba.

Zizindikiro zina ndi izi:

• Kumva ngati zinthu monga zovala, nsapato, mphete, zibangili, ndi zina zotero zakhazikika .
• Khungu lomwe lili pamalo otupa limakhala lofiira, lokhuthala, ndipo limakhala lovuta kulikhudza .
• Dzanja kapena mwendo umodzi umaoneka waukulu kuposa wina.
• Kumva kupweteka, kulemera, kapena dzanzi m'dzanja kapena mwendo wotupa.
• Kuuma kwa mafupa ndi kuvutika kusuntha .
• Kuchepa kwa kuwoneka kwa mitsempha m'manja kapena m'miyendo.
• Matenda a pakhungu obwerezabwereza.

Dziwani magawo a lymphedema

Madokotala amagawa lymphedema m'magawo angapo kutengera kuopsa kwake. Ndikofunikira kuti inunso mudziwe izi.

Dokotala, kodi mumazindikira bwanji matenda a Lymphedema molondola?

Popeza kutupa kungakhale chizindikiro cha matenda ena ambiri, dokotala wanu choyamba adzayang'ana bwino zizindikiro zanu ndi mbiri yanu yachipatala. Kenako, angachite mayeso apadera kuti atsimikizire ngati izi ndi lymphedema.

• Lymphoscintigraphy: Mankhwala ochepa kwambiri a radioactive amabayidwa ndipo scanner imayang'anira momwe imayendera kudzera mu lymphatic system.
• ICG lymphography: Utoto wapadera umabayidwa ndipo umawonedwa pamene ukuyenda m'thupi la lymphatic.
• Kujambula kwa CT ndi MRI: Izi zimatha kujambula zithunzi za mkati mwa thupi ndikupeza zotsekeka zilizonse mu dongosolo la lymphatic kapena matenda ena, monga zotupa.
• Kujambula kwa Ultrasound: Izi zimathandiza kuzindikira kutsekeka kwa dongosolo la lymphatic kapena mitsempha yamagazi.

Kodi chithandizo cha lymphedema ndi chiyani?

Ngakhale kuti lymphedema singathe kuchiritsidwa kwathunthu, pali mankhwala othandiza kwambiri omwe angachepetse kutupa, kuchepetsa ululu, komanso kukuthandizani kukhala ndi moyo wabwinobwino. Mankhwalawa adzatsimikiziridwa ndi dokotala wanu kutengera kuopsa kwa vuto lanu.

Izi nthawi zambiri zimafuna thandizo la katswiri wa zamaganizo amene waphunzitsidwa mwapadera pa kasamalidwe ka matenda a Lymphedema.

• Zovala zothina: Izi ndi zovala zothina , zofanana ndi masokisi zomwe zimakwanira bwino mozungulira mkono kapena mwendo wotupa. Kupanikizika komwe amapanga kumathandiza kuti madzi am'mimba azitha kuyenda popanda kusonkhana pamodzi.
• Njira Zapadera Zomangira Mabandeji: Kumanga bwino bandeji kungathandize kukankhira madzi a m'thupi kumtunda kwa thupi.
• Kusisita kwa Lymphedema: Uku si kusisita wamba. Njira yofatsa iyi (kusisita kwa ma lymph drainage) ingathandize kusuntha madzi kuchokera ku malo otupa kupita ku ma lymph node athanzi. Muthanso kuphunzira momwe mungachitire njirayi nokha.
• Kuchita Maseŵera Olimbitsa Thupi: Maseŵera opepuka, monga momwe dokotala wa mano amalangizira, amathandiza kuyambitsa minofu ndikuwongolera kuyenda kwa magazi m'thupi.
• Opaleshoni: Opaleshoni ingaganizidwe pa milandu yoopsa ya lymphedema pomwe njira zina sizinayende bwino. Izi zingaphatikizepo opaleshoni ya lymphatic bypass, yomwe imapanga njira zatsopano zodutsa mitsempha ya lymph yotsekedwa, kapena kuyika lymph node, yomwe imayika lymph node yathanzi.

Mavuto omwe angachitike ngati sanalandire chithandizo

Ngati lymphedema sichitha kuchiritsidwa bwino, ingayambitse mavuto aakulu pakapita nthawi. Ndicho chifukwa chake ndikofunikira kuuza dokotala za kutupa kulikonse komwe kukuchitika.

• Cellulitis: Matenda a pakhungu awa ndi amodzi mwa mavuto akuluakulu a lymphedema. Mabakiteriya amatha kukula mosavuta m'madzimadzi a lymph omwe asonkhana. Chifukwa khungu limatambasuka komanso lopyapyala chifukwa cha kutupa, matendawa amatha kulowa mosavuta ngakhale pang'ono.
• Sepsis: Ngati cellulitis sichitha kuchiritsidwa mwachangu, imatha kufalikira m'magazi ndikukhala pachiwopsezo chachikulu, zomwe zimapangitsa kuti munthu akhale ndi vuto lalikulu lotchedwa "Sepsis." Imeneyi ndi nkhani yadzidzidzi. Pazochitika zotere, muyenera kupita ku chipatala nthawi yomweyo ku Emergency Treatment Unit (ETU) .
• Kusintha kwa khungu: Kutupa kwa lymphedema kwambiri kungayambitse khungu kukhala lolimba, lolimba, komanso losasinthika mpaka kufika poti silingathe kusuntha.
• Khansa:Kawirikawiri, lymphedema yoopsa yomwe singathe kuchiritsidwa imatha kukhala khansa yofewa yotchedwa lymphangiosarcoma.

Zinthu Zofunika Kuziganizira Mukakhala ndi Lymphedema

Malangizo awa adzakuthandizani kuthana ndi vuto lanu, kupewa mavuto, komanso kukhala ndi moyo wabwino.

• Dzitetezeni ku kuvulala: Ngakhale kukanda pang'ono kungayambitse matenda. Choncho valani magolovesi mukamagwira ntchito zapakhomo komanso zapakhomo. Gwiritsani ntchito chometera chamagetsi m'malo mwa lezala. Pewani kulumidwa ndi tizilombo.
• Chiritsani mabala mwachangu: Ngakhale atakhala ang'onoang'ono, asambitseni bwino ndi sopo ndi madzi, pakani kirimu wopha tizilombo toyambitsa matenda, ndipo muwasunge oyera.
• Sungani mkono/mwendo wotupa m'mwamba: Ngati n'kotheka, ikani pilo pamwamba pake ndipo muisunge pamwamba pa mtima wanu.
• Khalani ndi kulemera kwabwino: Pamene kulemera kukuchulukirachulukira, kutupa kumawonjezekanso. Chifukwa chake, ndikofunikira kwambiri kusunga kulemera kwabwino kudzera mu zakudya zoyenera komanso masewera olimbitsa thupi.
• Pewani zovala zothina ndi zodzikongoletsera: Musamavale zovala zothina, nsapato, mphete, kapena zibangili pamalo otupa. Musanyamule matumba olemera okhala ndi mkono womwe uli ndi lymphedema. Musayese kuthamanga kwa magazi ndi mkono umenewo.
• Sungani khungu lanu loyera komanso lonyowa: Tsukani khungu lanu tsiku lililonse ndikugwiritsa ntchito mafuta odzola omwe dokotala wanu wakupatsani.
• Pewani kuwala kwa dzuwa mwachindunji ndi kutentha kwambiri: Kutentha kungapangitse kutupa.

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