Unonzwa kuzvimba, kurema, kana kukora kweganda munzvimbo yako yekuvanda here, kureva nzvimbo yakatenderedza nhengo dzako dzesikarudzi? Zvinonyadzisa uye zvinonyadzisa kutaura nezvenyaya yakadai nemumwe munhu, handiti? Asi iyi inogona kuva nyaya yakakosha ine chekuita nehutano hwako. Saka nhasi tiri kutaura nezve 'Genital Lymphedema ', chirwere icho vanhu vazhinji vasingade kutaura nezvacho, asi chakakosha kuziva. Usazvidya moyo, mushure mekuverenga chinyorwa chino, uchava nekunzwisisa kwakajeka kweizvi.
Zvichitaurwa zviri nyore, chii chinonzi Genital Lymphedema?
Genital Lymphedema kuzvimba kunokonzerwa nekuunganidzwa kwe lymph fluid munyama dzakapfava dzakatenderedza nzvimbo yako yekubereka. Zvichitaurwa zviri nyore, idambudziko apo mhando yemvura mumiviri yedu inobatwa munzvimbo iyi yozvimba. Ichi hachisi chirwere chenguva imwe chete, asi kazhinji chirwere chisingaperi .
Izvi zvinokanganisa vanhu vari pasi pe1% yezvirwere zve lymphedema pasi rose. Izvi zvinoreva kuti chirwere ichi hachiwanzoitiki . Zvisinei, chinogona kukanganisa chero munhu, vakadzi nevarume, uye vanhu vezera ripi zvaro.
Ngatidzidzei zvishoma nezve 'Lymphatic System' yedu ine chekuita neizvi.
Kuti tinzwisise chirwere ichi nemazvo, ngatitangei nepfungwa diki nezve ' lymphatic system ' mumuviri wedu. Fungidzira kuti muviri wedu iguta guru. Muguta rino, zvinovaka muviri neokisijeni zvinopinda kwese kwese kuburikidza netsinga dzeropa , uye panofanira kunge paine nzira yekubvisa tsvina kuti guta rirambe rakachena. Ndizvo zvakaita lymphatic system.
Ichi chikamu chakakosha chemuviri wedu wekudzivirira zvirwere . Mabasa ayo makuru ndeekuchengetedza mvura mumuviri , kurwisa hutachiona, uye kubvisa tsvina kubva munyama.
Kune zvikamu zvikuru zvitatu zvehurongwa uhu:
- Lymph: Iyi mvura inoyerera, yakatsvuka zvishoma. Inotakura masero ekudzivirira muviri (masero machena eropa ) kuenda kuropa. Inobvisawo tsvina nemabhakitiriya kubva munyama uye inoadzosera kuropa.
- Mitsipa yeropa: Idzi ndidzo tsinga dzakatetepa dzakaita sechubhu dzinotakura mvura yeropa mumuviri wese, kungofanana netsinga dzedu dzeropa.
- Ma-lymph nodes : Aya ndiwo 'mafirita'. Mapundu madiki aya, akaita sebhinzi anochengeta masero machena eropa. Mvura ye-lymph painopfuura nepakati pawo, inosefa utachiona nezvinhu zvakaraswa. Ma-lymph nodes aya anowanikwa mumapoka munzvimbo dzakadai semuhapwa, muhudyu, mumutsipa, nemudumbu.
Saka, muGenital Lymphedema, chimwe chinhu chinoitika mu lymphatic system yakatenderedza nzvimbo yesikarudzi, zvichiita kuti lymph fluid iungane panzvimbo imwe nekuda kwekuvharika kana kukuvara. Sezvinoita kana pombi yemvura yavharika, inozadzwa nemvura yozadzwa.
Kune mhando mbiri huru dzeGenital Lymphedema:
Dambudziko iri rinogona kukamurwa kuita mhando mbiri huru zvichienderana nekuti rinoitika sei.
| Rudzi | Tsananguro |
|---|---|
| Lymphedema Yekutanga Yepabonde | Izvi zvinokonzerwa nekusakwana kwemuviri pakukura kwe lymphatic system. Dzimwe nguva zviratidzo zvinoonekwa pakuzvarwa. Kune vamwe, zviratidzo zvinoonekwa makore akawanda gare gare, dzimwe nguva pazera rekuyaruka. |
| Lymphedema Yechipiri Yepabonde | Rudzi urwu ndirwo rwakajairika. Chinoitika pano ndechekuti sisitimu yelymphatic ine hutano inokuvadzwa nezvimwe zvikonzero zvekunze. |
Ndezvipi zvikonzero zve secondary genital lymphedema?
Panogona kunge paine zvikonzero zvakati wandei zveizvi.
- Kurapa Gomarara: Kuvhiyiwa kana kurapwa nemwaranzi ndicho chikonzero chikuru chegomarara munzvimbo yesikarudzi (semuenzaniso, prostate, dundira, machende, nhengo yemurume, cervix, ovaries, vulva, kana rectum). Izvi zvinokonzerwa nekuti kurapwa uku kunokuvadza kana kubvisa ma lymph nodes munzvimbo iyi (lymphadenectomy). Izvi zvinovhara nzira yekuti lymph fluid ifambe.
- Utachiona: Utachiona hwenguva refu hwemidziyo yelymphatic uye lymph nodes hunokonzerwa nemamwe mabhakitiriya, mavhairasi, fungi kana honye. Muenzaniso wakanaka weizvi ifilariasis, inozivikanwa se'Barawa' munyika medu.
- Kukuvara:Njodzi dzakakomba kana kukuvara panzvimbo yesikarudzi.
- Zvirwere zvepabonde (STIs): Kashoma, chirwere ichi chinogonawo kukonzerwa nezvimwe zvirwere zvepabonde.
- Mamwe matambudziko ehutano: Izvi zvinogonawo kukonzerwa nemamwe matambudziko ehutano, akadai sechirwere cheCrohn (kuzvimba kweura), Sarcoidosis, uye Vasculitis (kuzvimba kwetsinga dzeropa), kashoma.
Ndezvipi zviratidzo zvechirwere ichi?
Zviratidzo zve genital lymphedema zvinogona kusiyana zvishoma kubva pamunhu kuenda kune mumwe uye zvichienderana nekuti murume kana mukadzi. Ngatitarisei zvimwe zvezviratidzo zvinowanzoonekwa.
| Zviratidzo zveGenital Lymphedema | |
|---|---|
| Zviratidzo zvakajairika (kuvakadzi nevarume) | |
| Kuoma kwekuita weti | Kudonhedza weti, kurwadziwa panguva yekuita weti (dysuria). |
| Kutapukirwa kakawanda | Utachiona hweganda hunogona kuitika kakawanda munzvimbo yakazvimba. |
| Kukora kana kuoma kweganda | Nekufamba kwenguva, ganda riri munzvimbo yakazvimba rinogona kukora uye kunzwa kuomarara kana rikabatwa. |
| Matambudziko epabonde | Marwadzo panguva yebonde (dyspareunia), matambudziko ekusimbisa nhengo yemurume, uye kushungurudzika kwepfungwa zvinogona kukonzera kushomeka kwerudo rwepabonde. |
| Kuderera kwemararamiro | Marwadzo, kuoma kuita weti, uye kuoma kuita mabasa ezuva nezuva zvinogona kukonzera kusafara nehupenyu. |
| Zviratidzo zvakanangana nevakadzi | |
| Kurwadziwa nekuzvimba mumazino (mapepa eganda) munzvimbo yechiuno uye kumativi ese epaburi remukadzi. Dzimwe nguva panogonawo kuzvimba mutsoka. | |
| Zviratidzo zvakanangana nevarume | |
| Kuzvimba uye kurwadziwa munhengo yemurume, padumbu, kana zvese zviri zviviri. Dzimwe nguva tsoka dzinogona kuzvimba. | |
Chinhu chinonyanya kukosha ndechekuti chirwere ichi hachisi chinotapuriranwa. Genital Lymphedema haitapurire kubva kune mumwe munhu kuenda kune mumwe. Haisiwo chirwere chinotapuriranwa pabonde (STI). Saka usazvitya zvisina kufanira.
Ndezvipi zvinetso zvinogona kuitika kana zvikasarapwa?
Kana chirwere ichi chikasarapwa zvakanaka, mamwe matambudziko anogona kuitika nekufamba kwenguva.
- Kudzokorora kwemasero eganda: Uku hutachiona hwebhakitiriya hunoitika munyama dziri pasi peganda. Hunogona kukonzera mavanga uye kurasikirwa nekusimba kweganda.
- Chirwere cheElephantiasis: Ichi ndicho chirwere chakanyanya kuoma. Ganda rinokura zvakanyanya, rinokora, uye rinoomarara, richifanana neganda renzou. Chirwere ichi chinogona kuonekwawo muzvirwere zvakakomba zveBarawa.
- Erysipelas: Urwu utachiona hweganda hunokonzerwa nemabhakitiriya, hwakafanana ne cellulitis. Hunogona kupararira nekukurumidza uye kukonzera fivha, kurwadziwa, uye ganda kuchinja ruvara (tsvuku, pepuru, brown, dema).
- Migumisiro yepfungwa: Sezvo ichi chiri chirwere chenguva refu uye chinokanganisa chitarisiko chemuviri, munhu anogona kusangana nezvinhu zvakaita sekusazviremekedza , kuzvidya mwoyo, kuora mwoyo, uye kushushikana . Izvi zvakajairika. Usanyara kutaura nachiremba wako nezvazvo.
Chiremba anoongorora sei izvi?
Kana uine zviratidzo izvi, chinhu chekutanga chaunofanira kuita kuona chiremba ane hunyanzvi. Iye achatanga nekukubvunza nezvenhoroondo yako yehutano uye oita ongororo yemuviri. Zvadaro, vanogona kuita mimwe miedzo kuti vaone kana iri Genital Lymphedema.
- Kuongororwa kweLymphoscintigraphy:Izvi zvinosanganisira kubaya chinhu chidiki kwazvo chine radioactive (radiotracer) mumuviri uye kushandisa scanner chaiyo kuti iongorore kufamba kwayo kuburikidza ne lymphatic system. Izvi zvinogona kuona nzvimbo dzakavharika mu lymphatic system.
- MRI (Magnetic Resonance Imaging) scan: Izvi zvinogona kutora mifananidzo yakadzama yezvikamu zvitatu zvenyama dzakapfava dzenzvimbo yesikarudzi uye kuongorora zvakakwana chikonzero nemamiriro ekuzvimba.
Mishonga yeizvi ndeipi? Inogona kurapwa zvachose here?
Zvinosuwisa kuti hapana mushonga weGenital Lymphedema parizvino . Asi musazvidya mwoyo. Nekurapwa kuri kuitwa pari zvino, munogona kudzora zviratidzo zvenyu, kudzivirira matambudziko, uye kurarama hupenyu hwakajairika.
Nzira huru yekurapa ndeye 'Complex Decongesstive Therapy' (CDT) . Iyi inzira yekurapa ine matanho akati wandei.
1. Chenesa ganda zvakanaka: Zvakakosha kudzivirira hutachiona. Saka, unofanira kugara wakachena panzvimbo yakazvimba uchishandisa sipo inorwisa mabhakitiriya nemvura inodziya.
2. Kudhonza Mvura Nemaoko: Uku hakusi kukwiza muviri nguva dzose. Kunoitwa nenyanzvi yekurapa lymphedema yakadzidziswa. Pano, mvura yelymph yakavharirwa munzvimbo yakazvimba inofambiswa zvinyoro-nyoro uye zvakananga kunzvimbo ine midziyo yelymph inoshanda zvakanaka. Zvakakosha kudzidza kubva kumunhu akadzidziswa usati wazviita wega.
3. Zvipfeko zvekumanikidza zvine hungwaru uye mapombi: Kana kuzvimba kwadzikira, zvipfeko zvekumanikidza zvine hungwaru kana mabhandeji zvinoshandiswa kudzivirira mvura kuti isaungane zvakare. Dzimwe nguva mapombi akakosha anoputira uye anodzima nekufamba kwenguva anoshandiswawo.
4. Kurovedza muviri: Zvakakoshawo kuita maekisesaizi anokurudzirwa nenyanzvi yekurapa anokurudzira kufamba kwemvura yelymph.
Kazhinji, kurapwa kweCDT uku kungada kuitwa zuva nezuva kwemavhiki akati wandei. Mushure meizvozvo, uchadzidziswa kuita zvinhu izvi wega kumba.
Kuvhiyiwa kunodiwa rini?
Kana chirwere chacho chikanyanya kuoma zvekuti hachigone kudzorwa nemishonga iyi yeCDT, kana hutachiona huchiitika kakawanda, kana ganda rakakanganisika zvakanyanya uye richirwadza, uye kana zvikakanganisa hupenyu hwezuva nezuva, chiremba anogona kukurudzira kuvhiyiwa. Kuvhiyiwa kunosanganisira kubvisa nyama yakakuvara uye kufukidza nzvimbo yacho neganda rine hutano (ganda rakaiswa).
Ndingararama sei zvakanaka nemamiriro ezvinhu aya?
Sezvo chirwere ichi chiri chenguva refu, zvakakosha zvikuru kuchinja mararamiro ako paunenge uchirapwa.
- Chengeta kudya kwako:
- Dzora munyu: Munyu unowedzera kuchengetedza mvura mumuviri. Saka, deredza kudya zvekudya zvine munyu wakawanda (mapickle, hove dzakaomeswa, masosi, chikafu chinokurumidza) zvakanyanya sezvinobvira. Shandisa zvinonhuwira (gariki, oregano, upfu hwechili hwakaoma) panzvimbo pemunyu kuti unakidze chikafu chako.
- Inwa mvura yakawanda: Inwa magirazi masere emvura pazuva. Kunwa mvura kunobatsira kubvisa mvura isina kufanira mumuviri.
- Idya chikafu chakakwana chinosanganisira miriwo mitsva, michero, mapuroteni asina mafuta akawanda, uye zviyo zvakakwana.
- Chengetedza ganda rako zvakanyanya:
- Ganda rako ngarigare rakachena uye rakanyorova nguva dzese. Izvi zvinogona kubatsira kudzivirira hutachiona.
- Kana ukaona zviratidzo zvehutachiona, zvakaita sekutsvuka, kurwadziwa, kudziya, kana fivha, zivisa chiremba wako nekukasika .
- Funga nezvezvipfeko:
- Dzivisa kupfeka zvipfeko zvemukati zvakasimba kana mabhurugwa. Izvi zvinogona kuvharira uye kukanganisa kufamba kweropa mumuviri.
- Usagara panzvimbo imwe chete kwenguva yakareba. Kana wakagara, usapesanise makumbo ako. Chinja nzvimbo kanenge maminetsi makumi matatu ega ega.
- Dzivisa kupisa kwakanyanya: Dzivisa zvinhu zvakaita sekugeza nemvura inopisa uye kushandisa sauna. Kupisa kunogona kuwedzera kuzvimba.
- Ramba uine huremu hwakanaka: Paunowedzera huremu, lymphatic system yako inonzwawo ichirema. Saka, kuchengetedza huremu hwakanaka kwakakosha zvikuru.
Unofanira kutsvaga rubatsiro rwekukurumidzira riini?
Kana ukaona chimwe chezviratidzo zvinotevera zvehutachiona, kunyangwe uri kurapwa, enda kuEmergency Department (ETU) yechipatara chiri pedyo nekukasika .
- Fivha inodarika madhigirii Celsius 38 (100.4 Fahrenheit).
- Kuwedzera kwekurwadziwa nekudziya munzvimbo yakazvimba.
- Ganda rinoshanduka kuva dzvuku, tsvuku kana kuti shava, kana kuti mitsetse mitsvuku inoonekwa pasi peganda.
Zviratidzo zvakaita seizvi zvinoratidza kuti hutachiona hunogona kupararira mumuviri. Zvakakosha kutsvaga kurapwa nekukasika.
Mharidzo Yekuenda Nayo Kumba
- Genital Lymphedema kuzvimba kunokonzerwa nekuunganidzwa kwemvura yelymph munzvimbo yesikarudzi. Idambudziko rinotora nguva refu.
- Ichi hachisi chirwere chinotapuriranwa kana chirwere chinotapuriranwa pabonde.
- Kunyange hazvo chirwere ichi chisingarapiki zvachose, chinogona kudzorwa zvakanaka uye hupenyu hwakajairika hunogona kutungamirirwa nekurapwa kweCDT nekuchinja mararamiro.
- Kana ukaona kuzvimba, kurwadziwa, kana shanduko dzeganda dzisingawanzoitika munzvimbo yako yepachivande, usanyara uye enda kuna chiremba nekukasika . Kana ukakurumidza kutanga kurapwa, mhedzisiro yacho inova nani.
- Zvakakosha kuchengetedza ganda rakachena uye kutarisa zviratidzo zvehutachiona.
- Taura nachiremba wako kana mumwe munhu ari pedyo newe nezvematambudziko ehutano hwepfungwa anokonzerwa nechirwere ichi. Hutano hwepfungwa hwakakosha sehutano hwemuviri.
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