Ese igituba cyawe cyabyimbye? Reka twige ku bijyanye na scrotal lymphedema!

Ese wigeze wumva ufite ikibyimba kidasanzwe mu gituba cyawe, cyangwa ahantu hagikikije? Ibi bishobora kugorana kubivugaho, ariko ni ingingo y'ingenzi cyane. Iki kintu twita lymphedema y'igituba. Ntugahangayike, iki si ikintu ufite gusa. Reka tubiganireho mu buryo bworoshye buri wese ashobora gusobanukirwa.

Lymphedema ya Scrotal ni iki?

Mu magambo make, `(Scrotal Lymphedema)` ni indwara aho ingingo zoroshye zo mu gituba cyawe, cyane cyane amazi yitwa lymph, zibyimba. Uku kubyimba gushobora kugira ingaruka ku gituba gusa ahubwo no ku bice bigikikije, nk'igitsina gabo. Nkuko mubizi, igituba ni agafuka k'uruhu kari munsi y'igitsina gabo n'inyuma yacyo, kandi niho udusabo tw'intanga dusanzwe duherereye.

Mu by’ukuri iyi ni indwara idakira yitwa `(Lymphedema). Iyi ndwara ibaho iyo sisitemu y’imitsi mu mubiri wacu yangiritse cyangwa ifunze. Sisitemu yacu y’imitsi ni igice cy’ingenzi cy’ubudahangarwa bw’umubiri. Ifasha gukura imyanda n’uburozi mu mubiri no kubungabunga uburinganire bw’amazi mu mubiri. Akenshi, iyi sisitemu y’imitsi ishobora kwangirika bitewe n’ubuvuzi bwa kanseri, kubagwa, indwara yitwa lymphatic filariasis , cyangwa ubumuga bumwe na bumwe mu buryo bw’inkari bubaho igihe umuntu avuka.

Nubwo iyi ndwara igaragara mu bihugu nka Sri Lanka bitewe n'indwara ya Barawa, mu bihugu nka Amerika, ``Scrotal Lymphedema`` ni indwara idakunze kugaragara. Ariko, biragoye ku baganga n'abashakashatsi kuvuga neza umubare w'abantu barwaye iyi ndwara.

Ni ibihe bice by'urusobe rw'amaraso rugira uruhare muri ibi?

Hari ingingo nyinshi zitandukanye mu buryo bwa limfu zacu, ariko ibi ni byo bigize uruhare runini mu ndwara ya Scrotal Lymphedema:

• Lymph: Iyi ni amazi asobanutse neza kandi asukuye. Ni yo anyura mu miyoboro ya lymphatic. Irimo uturemangingo tw'amaraso twera, cyane cyane lymphocytes . Ifasha gukura imyanda, bagiteri, na poroteyine zirenze urugero mu turemangingo.
• Imiyoboro y'amaraso ya lymph: Kimwe n'imiyoboro mito, iyi ni yo itwara amazi ya lymph mu mubiri wose.
• Uduce twa limfu: Utu duce tubika uturemangingo tw’amaraso twera kandi tugashungura amazi ya limfu. Hariho utwo duce twa limfu ku mibiri yacu yose. Abantu benshi bafite utwo duce twa limfu tugera ku icumi mu gice cy’inyuma (inguinal lymph nodes) .

Ni ibihe bimenyetso bya `(Scrotal Lymphedema)`?

Ikimenyetso cy'ingenzi kandi kigaragara cyane cy'iyi ndwara ni ukubyimba kw'intanga.. Amasaya ashobora kuba manini inshuro nyinshi kuruta ibisanzwe. Tekereza, kuri bamwe uku kubyimba gushobora kuba gukomeye cyane, nk'icunga rinini, rimwe na rimwe kungana n'umupira w'amaguru. Abaganga bita ubu bwoko bw'uku kubyimba `(giant scrotal lymphedema)`.

Hashobora kandi kuba hari ibindi bimenyetso:

• Mu ntangiriro, agasabo k'inkari n'inyama zikikije bishobora kumva byoroshye, nk'ifu, bitewe n'amazi yirundanyije. Uko igihe kigenda gihita, uko inkovu zigenda zivuka (fibrosis) , zishobora gukomera kurushaho.
• Hashobora kubaho ububabare bw'igihe kirekire mu bice byafashwe.
• Gusubiramo kwandura bishobora kubaho.
• Kugorwa no kugenda , rimwe na rimwe ndetse no kutabasha kugenda na gato.
• Kugorwa no kunyara (kwihagarika) .
• Ingorane mu mibonano mpuzabitsina .

Mu bihe bimwe na bimwe bikomeye, lymphedema y'umusatsi ishobora gutera indwara yitwa igitsina cyahishwe . Ibi ni igihe igitsina gitwikiriwe n'ingingo z'umusatsi bitewe no kubyimba cyane (edema). Imboro ishobora kugaragara nk'aho ihishe cyangwa ibuze.

Ni iki gitera ibi?

Mu bihugu nka Sri Lanka, impamvu nyamukuru itera lymphedema y'umusemburo ni indwara iterwa n'udukoko twitwa lymphatic filariasis , yandurira mu mibu.

Ariko mu bihugu nka Amerika, iyi ndwara ikunze guterwa no kuziba cyangwa kwangirika kw'uturemangingo tw'amaraso mu gice cy'imibonano mpuzabitsina. Hanyuma, amazi y'amaraso ntava neza mu gice cy'imibonano mpuzabitsina. Uburyo bwo kuvura kanseri (cyane cyane ubuvuzi bushingiye ku mirasire), kubagwa, nibindi bishobora gutera ibi.

Ese iyi `(Scrotal Lymphedema)` yandura?

Oya, `(Scrotal Lymphedema)` si indwara yandura. Si indwara yandurira mu mibonano mpuzabitsina `(STI)`. Rero ntukayitinye.

Ni nde uri mu kaga gakomeye ko kugira ibi?

Ushobora kuba uri mu kaga gakomeye ko kurwara iyi ndwara niba:

• Niba warahawe ubuvuzi bwo gukiza kanseri, ni ukuvuga niba warakorewe ubuvuzi bw'imirasire cyangwa wabazwe .
• Niba igipimo cy'ubunini bw'umubiri wawe (BMI) kirenze 30, bivuze ko ufite umubyibuho ukabije.

Ni izihe ngorane zishobora guterwa na `(Scrotal Lymphedema)`?

Hari ingorane nyinshi zishobora guterwa n'iyi ndwara, kandi ni byiza kumenya:

• Indwara yitwa `cellulitis` igaruka kenshi. Iyi ni indwara ifata ibice byoroshye biri munsi y'uruhu. Ibi bishobora gutuma uruhu rutakaza ubushobozi bwarwo bwo kwihuta.
• Indwara y'impyiko (indwara isa na inzovu): Muri iyi ndwara, uruhu rurakura, rukabyimba, kandi rugakomera.
• `erysipelas`:Iyi ni indwara ifata ibice byo hejuru by'uruhu. Ishobora gutera umuriro utunguranye, ibara ry'uruhu rihinduka (umutuku, umuhengeri, umukara, umukara), no kubyimba.
• Gutinda gukira: Ibikomere biri hafi y'igitsina bishobora gufata igihe kirekire kugira ngo bikire.
• Ingaruka zo mu mutwe: Scrotal Lymphedema ni indwara y’igihe kirekire ishobora gutuma umuntu acika intege, ikagira ingaruka ku isura ye no kugorana kugenda. Ishobora gutuma umuntu atiha agaciro , ahangayika cyane , yiheba ndetse anahangayika . Ibi ni ibisanzwe, bityo natwe twagombye kugira impungenge kuri ibi.

Abaganga bapima iki kibazo gute?

Kugira ngo umuganga amenye indwara ya scrotal lymphedema, abanza gukora isuzuma ry’umubiri akabaza amateka y’ubuzima bwawe. Byongeye kandi, hari ibizamini bimwe na bimwe bishobora gukorwa. Ibi bishobora gufasha kumenya urwego rw’imitsi ya lymphatic. Bishobora kandi gufasha kumenya izindi ndwara zishobora gutera kubyimba mu gituza. Ibi bizamini bikunze gukorwa kugira ngo:

• Lymphoscintigraphy: Muri iki kizamini, umuganga agutera ingano nto y'ibikoresho bikoresha imirasire (radiotracer). Hanyuma, hakoreshwa scanner kugira ngo ikurikirane ibikoresho uko bigenda mu mirasire yawe. Iyo hari ikibazo mu mirasire ya lymphatic, ibikoresho bikoresha imirasire ntibizarenga iyo ngingo, kandi aho byazimiye hashobora kuboneka neza.
• Isuzuma rya Magnetic Resonance (MRI): Iki ni ikizamini gifata amafoto. Gifasha kumenya niba hari aho imiyoboro ya lymphatic ifunganye. Gikoresha magneti nini, radiyo, na mudasobwa kugira ngo gifate amafoto arambuye y’uturemangingo tworoshye tw’agace k’imibonano mpuzabitsina.
• Isuzuma rya CT (CT scan) rikoresha urukurikirane rwa X-rays kugira ngo rifate amashusho arambuye y'agace k'igitsina kandi rishobora gufasha kumenya aho utudomo tw'amaraso twazibye.

Ese Scrotal Lymphedema ishobora gukira burundu?

Mu by'ukuri, nta muti uhari wa Scrotal Lymphedema. Ariko ntugahangayike. Hari uburyo bwo kuvura bushobora kugabanya ibimenyetso byawe no gukumira kubyimba kurushaho.

Ibi bivurwa bite?

Ubusanzwe abaganga babanza gutanga inama ku buryo bwo kuvura indwara ya scrotal lymphedema yitwa complex decongestive therapy (CDT) . Ibi bifasha kugabanya kubyimba guciriritse kugeza ku rugero, cyane cyane mu ntangiriro z'indwara. Ubu buryo bukubiyemo:

• Gukomeza kugira isuku y'uruhu: Sukura uruhu neza ukoresheje isabune yica udukoko, amazi ashyushye, n'umuti usukura uruhu (urugero: iyode cyangwa isopropyl alcohol).
• Gusukura imiyoboro y'amaraso hakoreshejwe intoki: Ibi bikorwa n'umuvuzi wabigize umwuga wa lymphedema . Azasukura buhoro buhoro kandi buhoro, akureho umuyoboro w'amaraso mu gace kabyimbye hanyuma awuyobore ku tunyangingo tw'amaraso turimo gukora neza.
• Kwambara imyenda yihariye yo gukanda: Iyi myenda igabanya kwirundanya kw'amazi kandi igafasha kuyobora amazi ya limfu mu tunyangingo tw'imitsi aho ikora.
• Imyitozo ngororamubiri: Umuganga w’indwara zo mu maraso azashyiraho gahunda y’imyitozo ikubereye. Iyi myitozo ifasha amazi y’umurabyo kwinjira mu miyoboro y’amaraso.

Mu gihe habayeho indwara ikomeye ya scrotal lymphedema idakira neza iyo habayeho uburyo bugoye bwo kuvura indwara yo kubyimba kw'umubiri, muganga ashobora gusaba kubagwa . Ubu buryo bwo kubaga burimo gukuraho ibinure n'ingingo zangiritse hanyuma hagasimbuzwa uruhu rwiza (skin graft) . Itsinda rishinzwe kubaga ubusanzwe rigizwe n'inzobere mu by'inkari n'umuganga uvura indwara zo mu mubiri . Mu gihe cyo kubaga, itsinda rishinzwe kubaga risanzwe rikora ibi bikurikira:

• Uzahabwa ikinya rusange . Hanyuma ntuzumva ububabare ubwo uzabagwa, uzaba usinziriye.
• Umuyoboro wa plastiki woroshye kandi woroshye (catheter) winjizwa mu muyoboro wawe w'inkari. Ibi birinda umuyoboro w'inkari mu gihe cyo kubagwa kandi binafasha igitsina kuguma gihamye.
• Imboro itandukanyijwe n'ingingo z'intanga zikomeye (fibrotic), hanyuma uruhu n'ingingo byangiritse (lymphematous) bikurwaho.
• Iyo bibaye ngombwa, hakorwa "liposuction" . Ibi bivuze ko hakorwa uduce duto mu gitsina kandi uturemangingo tw'ibinure tugakurwamo hakoreshejwe igikoresho cyo kubaga.
• Iyo bibaye ngombwa, hakorwa "panniculectomy" . Ibi bikuraho uruhu rwinshi n'ibinure `pannus` hafi y'imyanya ndangagitsina.
• Iyo bibaye ngombwa, hakorwa `escutcheonectomy` . Ibi bikuraho ibinure biri hejuru y'igufwa ry'inkari (agace k'inkari).
• Uruhu rwangiritse rusimburwa n'uruhu rwiza rwakuwe mu kindi gice cy'umubiri (akenshi mu itako).

Ni izihe ngorane cyangwa ingaruka mbi zishobora kubaho nyuma yo kubagwa?

Abantu benshi bakira neza iyo bakorewe kubagwa Scrotal Lymphedema. Ariko rimwe na rimwe, hari igihe hashobora kubaho ingorane, nko:

• Kubyimba
• Ububabare
• Kugabanuka k'ubuhanga mu gituba, mu gitsina cyangwa mu nkengero zacyo
• Kunanirwa k'urushinge rw'uruhu

Nzumva meze neza vuba gute nyuma yo kuvurwa?

Biterwa n'uburemere bw'indwara yawe ya '(Scrotal Lymphedema)' n'uburyo wabwiwe. Ukoresheje 'Complex decongestive therapy', kubyimba bishobora gutangira kugabanuka mu cyumweru kimwe cyangwa bibiri. Niba ubaye, ugomba kuba ushobora gukira mu byumweru bitandatu.

Bitewe n'uko indwara yawe imeze, muganga wawe azakubwira igihe cyo gukira ushobora kwitega.

Ese hari ibintu nakora kugira ngo numve meze neza?

Gukurikiza indyo yuzuye bishobora gufasha mu kurwanya indwara ya scrotal lymphedema. Iyo uriye imbuto nyinshi, imboga, poroteyine zidafite ibinure, n'ibinyampeke byuzuye, sisitemu yawe ya lymphatic izakora neza kurushaho. Ni byiza kandi:

• Gabanya umunyu urya. Umunyu ushobora kongera amazi mu mubiri. Ushobora gukoresha ibimera bishya, tungurusumu, oregano, ifu ya chili, n'ifu ya sinapi kugira ngo uryohe ibiryo byawe.
• Nywa amazi menshi. Gukomeza kugira amazi meza mu mubiri bifasha mu kubungabunga urujya n'uruza rw'amaraso. Bishobora kandi gutuma amaraso atembera neza mu mubiri. Gerageza kunywa ibirahuri 8 by'amazi (hafi mililitiro 2.000) ku munsi.
• Vugana na muganga. Ubuvuzi bwa kanseri bushobora gutera `(Scrotal Lymphedema)`. Kubwibyo, niba uri kuvurwa kanseri, baza umuganga wawe wa kanseri niba bishoboka ko `(Scrotal Lymphedema)` ishobora guterwa n'ubwo buvuzi.

Scrotal Lymphedema ni indwara ishobora no kugira ingaruka ku buzima bwawe bwo mu mutwe. Ni byiza kuganira ku byiyumvo byawe n'umuryango wawe n'inshuti wizeye. Ushobora kubaza muganga wawe niba bashobora kukugira inama yo kuvura indwara cyangwa itsinda rishinzwe gufasha abantu barwaye Scrotal Lymphedema.

Niba mfite `(Scrotal Lymphedema)`, ni iki nkwiye kwitega?

Ubu nta buryo bwo gusubiza inyuma ibyangiritse ku buryo bwa lymphatic system bitera Scrotal Lymphedema. Ibi bivuze ko Scrotal Lymphedema ari indwara y'igihe kirekire. Ariko ntugahangayike. Iyo uvuwe neza, ushobora kugabanya ibimenyetso byawe, ukarushaho kugira ubuzima bwiza, kandi ukabukomeza.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ibimenyetso bya `(Scrotal Lymphedema)` cyane cyane niba uri kuvurwa kanseri, ni ngombwa kujya kwa muganga. Iyo itavuwe, iyi ndwara ishobora gukomera ndetse ikakuviramo izindi ngorane.

Iyo ugiye kwa muganga, ushobora kubaza ibi bibazo:

• Wamenya ute ko mfite `(Scrotal Lymphedema)`?
• Niba ntarwaye `(Scrotal Lymphedema)`, ni iyihe ndwara yindi narwara?
• Indwara yanjye ya `(Scrotal Lymphedema)` imeze ite?
• Ni ubuhe buryo bwo kuvura usaba?
• Ni izihe mpinduka mu mibereho ngomba kugira?
• Ese ushobora kugisha inama umuganga w’indwara zo mu mutwe, itsinda rishinzwe ubufasha, inzobere mu mirire, cyangwa umuvuzi w’indwara zo mu bwonko?

Ni ryari nkwiye kujya mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) ?

Niba urwaye Scrotal Lymphedema, jya mu cyumba cy’ubutabazi cya hafi yawe niba ugaragaje kimwe muri ibi bimenyetso by’ubwandu:

• Iyo umuriro uri hejuru ya dogere selisiyusi 38 (dogere selisiyusi 100.4).
• Niba ububabare bwiyongera.
• Niba ako gace gashyushye.
• Ibara ry'uruhu ryarahindutse, cyane cyane iyo bisa n'imirongo iri kure y'aho hantu.

Ese Scrotal Lymphedema ishobora kwirindwa?

Indwara ya Scrotal Lymphedema, ishobora guterwa no kuvura kanseri, ishobora kudashoboka kuyirinda burundu. Ariko, ubuvuzi bukwiye bushobora kugabanya kubyimba no kugabanya ingorane. Izi nama zishobora kugufasha kugabanya ibyago byo kubyimba:

• Buri gihe ujye witondera umubiri wawe. Bibwire muganga ako kanya ubonye ibimenyetso bya mbere bya `(Scrotal Lymphedema)`. Kutabona ubuvuzi, cyangwa gutangira kuvurwa utinze, bishobora gutera ibibazo bikomeye udashobora kugira icyo ukoraho.
• Wite ku ruhu rwawe neza. Komeza uruhu rwawe rusukuye kandi rugire ubushyuhe kugira ngo wirinde kwandura. Iyo ubushuhe bwiyongera, biroroha ko bagiteri zikura.
• Hamagara muganga igihe ubonye ikimenyetso cya mbere cy'ubwandu. Ibimenyetso bikunze kugaragara by'ubwandu birimo guhindura ibara ry'uruhu (umutuku, umuhengeri, umukara), ububabare, kubyimba, umuriro, cyangwa kugaragara kw'imirongo y'amabara munsi y'uruhu.
• Reka amazi yo mu mubiri wawe agende byoroshye. Irinde gushyira igitutu ku nda yawe yo hasi no mu kibuno. Ibi bishobora kugira ingaruka ku miterere y'uturemangingo tw'amaraso. Irinde kwambara imyenda igufashe, ibipfuko bya elegitoroniki, nibindi.
• Gabanya cyangwa wirinde gushyira mu myanya ndangagitsina yawe ubushyuhe bwinshi. Ibi birimo nko koga bishyushye na sauna. Ubushyuhe bwinshi bushobora kongera ibyago byo kurwara scrotal lymphedema.
• Kora imyitozo ngororamubiri buhoro buhoro kandi witonze. Kurikiza gahunda y'imyitozo ngororamubiri umuganga w'indwara zo mu maraso agukorera.
• Komeza kugira ibiro bizima bikubereye. Muganga cyangwa inzobere mu mirire bashobora kugufasha gutegura gahunda yo kurya neza.

Wibuke ko Scrotal Lymphedema ishobora kubabaza gato, ndetse ikanatera isoni, kuko igira ingaruka ku gice cy'umubiri cyoroshye. Ariko, ntabwo uri wenyine. Iyo uvuwe neza kandi ugahindura imibereho yawe, ushobora guhangana n'ibi bimenyetso no kugabanya ingaruka bigira ku buzima bwawe.

Ubutumwa bwo kujyana mu rugo

Sawa, reka dusubiremo ibintu by'ingenzi twavuzeho `(Scrotal Lymphedema):`

• Iyi ni indwara aho amazi y'imitsi yirundanya mu mabya no mu nkengero zayo bigatuma habaho kubyimba.
• Ibi bishobora kubaho iyo sisitemu y'imitsi yangiritse bitewe n'ibintu nk'umubyibuho ukabije, kuvura kanseri, cyangwa kubagwa.
• Iyi si indwara yandura.
• Ikimenyetso nyamukuru ni ukubyimba kudasanzwe kw'amasaro. Byongeye kandi, ububabare, kugenda bigoranye, no kunanirwa kwihagarika nabyo bishobora kubaho.
• Nubwo nta muti wuzuye uhari, kuvurwa bishobora kugenzura ibimenyetso.`Ubuvuzi Bukomeye bwo Kugabanya Indwara (CDT)` kandi, mu bihe bikomeye, kubagwa ni bwo buryo bw'ingenzi bwo kuvura.
• Ushobora kwifasha urya indyo yuzuye, unywa amazi menshi, kandi ugasukura uruhu rwawe.
• Ni ngombwa cyane gushaka inama kwa muganga ukimara kubona ibimenyetso. Uko ubuvuzi butangira vuba, niko ingorane zishobora kugabanuka.
• Niba ufite ikibazo cyo mu mutwe giterwa n'iki kibazo, ntutindiganye kukivugaho kandi usabe ubufasha bw'inzobere nibiba ngombwa.

Niba ufite ibindi bibazo kuri ibi, ntutindiganye kuvugana na muganga. Azaguha amakuru yose n'ubufasha ukeneye.

` Scrotal Lymphedema, Scrotal Lymphedema, Scrotal Lymphedema, Lymphatic System, Ubuzima bw'abagabo, Indwara ya Scrotal