Wakamboona here kuti ganda remazamu ako dzimwe nguva rinotaridzika zvakasiyana, seganda reorenji rine maburi madiki uye chitarisiko chisina kunaka? Mukurapa, tinoridaidza kuti 'Peau D'Orange' (peau-d'orenji). MuchiFrench, izvi zvinoreva "ganda reorenji". Chinhu chakakosha ndechekuti ichi hachisi chirwere. Zvisinei, chinogona kuva chiratidzo chechimwe chirwere chiripo mumuviri. Saka, zvakakosha kuziva izvi uye kusazvitya.
Know your body mass index (BMI) and weight classification
Chii chinonyanya kukonzera ganda reorenji iri (Peau D'Orange)?
Zvichitaurwa zviri nyore, chikonzero chikuru cheizvi kuzvimba kunokonzerwa nekuungana kwemvura pasi peganda. Vanachiremba vanodanawo izvi kuti (Edema). Fungidzira, kana mvura yaungana pasi peganda, chikamu chepamusoro cheganda (tinochidana kuti epidermis) chinotanga kutambanudza kuti pave nenzvimbo. Asi maburi ari muganda redu anobvumira ziya kubuda anobatwa panzvimbo neganda, semabhatani ari papillow. Ndipo apo pamusoro peganda panoita semadiki kana mapundu .
Dambudziko iri rinogona kuperekedzwa nekurwadziwa , kurema, uye kuzvimba kwezamu. Dzimwe nguva, rinogona kunzwa sekunge rakaomarara uye gobvu, seganda, kana rabatwa.
Ko iyi kenza inogara iripo here? Ndinofanira kunetseka here?
Kwete. Ichi ndicho chinhu chekutanga chaunofanira kunzwisisa. Pane zvikonzero zvakawanda zvinoita kuti nyama dzezamu dzizvimbe, dzitsvuke, dziome, kana kuti dzirwadze. Semuenzaniso, zvinogona kuitika panguva yekuzvitakura, kuyamwisa, panguva yekuenda kumwedzi , kana kunyangwe nekuda kwezvinetso zveganda zvakajairika. Zvisinei, chitarisiko chaicho chinonzi Peau D'Orange, kureva kuti, chitarisiko cheganda reorenji, chinoitika kana paine kuungana kwemvura pasi.
Zvisinei, chikonzero chakakomba chatinofanira kunetseka nacho zvikuru chirwere chinonzi Inflammatory Breast Cancer (IBC) .
Iyi imhando yegomarara isingawanzoitiki asi inopararira nekukurumidza, saka zvakakosha kuti uizive.
Ngwarira nezveKenza yeMazamu Inoputika (IBC)
Kunyangwe rudzi urwu rwekenza rwuri pasi pe5% yekenza dzese dzemazamu dzinoonekwa muSri Lanka, hunhu hwayo hunoda kurapwa nekukasika .
MuIBC, masero egomarara anovhara tsinga dzeropa dziri paganda rezamu. Izvi zvinodzivirira mvura yeropa kuti isafambe zvakanaka kubva muma lymph nodes ari pasi pehapwa kana pamusoro pe collarbone, zvichiita kuti iungane mukati mezamu. Kuungana kwemvura uku ndiko kunoita kuti chitarisiko che 'peau d'orange' chioneke.
Ramba uchichenjerera zviratidzo izvi, izvo zvinowanzoonekwa nekukurumidza muzamu rimwe chete.
| Zvimwe Zviratidzo zveIBC |
|---|
| * Marwadzo, kusanzwa, uye kuvaviwa. |
| * Kukura kwemazamu kana kunzwa kurema. |
| * Kunzwa kudziya muzamu. |
| * Kuzvimba kuri pachena. |
| * Kutsvuka kwezamu kunopfuura chikamu chimwe muzvitatu. |
| * Mazamu akatetepa kana akapinduka. |
Nzira dzekurapa IBC dzinosarudzwa nachiremba zvichienderana nemamiriro emurwere. Dzinogona kusanganisira:
- Kurapwa nemakemikari
- Kuvhiyiwa - Kazhinji zamu rose rinofanira kubviswa.
- Kurapa nemwaranzi
- Kurapa kwakanangana
- Kurapa kwemahormone
Ndezvipi zvimwe zvinokonzera kunze kwekenza?
Sezvatakambokurukura, chikonzero chikuru chekuonekwa kwe'Peau D'Orange' kuunganidzwa kwemvura pasi peganda ('Edema'). Dambudziko iri re'Edema' rinogona kuitika nekuda kwezvikonzero zvakawanda, kwete kenza chete.
Muenzaniso wechirwere chinonzi Lymphedema . Izvi zvinoitika kana mvura yelymph isingabudi zvakanaka uye ichiungana panzvimbo imwe chete. Dambudziko iri rinogonawo kuitika mushure mekurapwa kenza yemazamu (kuvhiyiwa, kurapwa nemwaranzi). Rinogonawo kuitika nekuda kwezvimwe zvikonzero.
| Zvimwe zvirwere zvisiri zvegomarara zvinogona kukonzera kuoneka kwePeau D'Orange |
|---|
| * Kuvharika kana kutapukira kwenzira dzemukaka (Mastitis) |
| * Zvirwere zve connective tishu (zvakadai se Scleroderma, Sarcoidosis) |
| * Zvimwe zvirwere zvemazamu (Infection) |
| * Kutadza kwemoyo |
| * Chirwere chethyroid |
| * Kubatwa nemishonga inoderedza marwadzo kana yeBP |
| * Kurwara kwemuviri |
| * Kugwamba kweropa |
| * Pamuviri |
| * Mamwe mabundu asiri ekenza (Tumors) kunze kweIBC |
Kana kuzvimba kukaitika nekuda kwechikonzero chakadai, pamusoro pekuzvimba, unogona zvakare kuona zviratidzo zvakaita sekuoma, kuoma kweganda, uye kukora kweganda . Muchiitiko chakadaro, chiremba wako achatanga aedza kurapa chikonzero chacho.
Pamusoro pezvo, shanduko dzekudya , kurovedza muviri , kuderedza uremu , uye, kana zvichidikanwa , mapiritsi emvura kana emvura anogona kunyorerwa.
Unofanira kuitei kana ukaona chiratidzo chakadai?
Ichi ndicho chinhu chinonyanya kukosha. Kana ukaona madonhwe, kuzvimba, kutsvuka, kurwadziwa, kana chero shanduko dzisinganzwisisike paganda rezamu rako, ndapota usavhunduke. Asi usazviregeredzawo.
Chinhu chekutanga uye chinonyanya kukosha chaunofanira kuita ndechekuona chiremba wako nekukurumidza uye kuendeswa kunoongororwa.
Pane kutsvaga ruzivo paindaneti wobva watya, mhinduro yakanakisisa ndeyekuona chiremba ane hunyanzvi. Chiremba wako achakuongorora uye, kana zvichidikanwa, achakutumira kuti uongororwe senge ultrasound scan, mammogram, kana biopsy kuti uzive chikonzero chaicho. Yeuka, kuonekwa nekukurumidza kunowedzera mikana yekurapwa kunobudirira kwechero chirwere.
Mharidzo Yekuenda Nayo Kumba
- Peau D'Orange (ganda reorenji) hachisi chirwere, asi chiratidzo chechirwere chiripo.
- Kunyangwe chikonzero chikuru cheizvi chiri Inflammatory Breast Cancer (IBC), panogona kunge paine zvimwe zvikonzero zvakawanda zvisiri zvekenza, zvinosanganisira hutachiona, pamuviri, nezvimwewo.
- Kana ukaona chero shanduko dziri kuitika paganda rezamu rako, dzakadai sekuzvimba, kutsvuka, kana kurwadziwa , usanonoka uye tsvaga rubatsiro rwechiremba nekukasika.
- Pane kutya nekutsvaga ruzivo paindaneti, kuchenjera kuona chiremba kuti uwane chikonzero chaicho.
- Kuonekwa kwechirwere nekukurumidza kunowedzera mikana yekurapa chero chirwere.
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