Chipfuko chako chakazvimba here? Ngatidzidzei nezve scrotal lymphedema!

Wakambonzwa kuzvimba kusingawanzoitiki mudumbu rako, kana nzvimbo yakaripoteredza here? Izvi zvingava zvinonetsa kutaura nezvazvo, asi inyaya inokosha zvikuru. Tinoti izvi inyaya ye scrotal lymphedema. Usazvidya mwoyo, izvi hazvisi zvinhu zvaunazvo chete. Ngatitaure nezvazvo nenzira iri nyore iyo munhu wese anogona kunzwisisa.

Chii chinonzi Scrotal Lymphedema?

Zvichitaurwa zviri nyore, `(Scrotal Lymphedema)` chirwere apo nyama dzakapfava dziri musuru yako, kunyanya mvura inonzi lymph, dzinozvimba. Kuzvimba uku kunogona kukanganisa kwete scrutum chete asiwo nzvimbo dzakapoteredza, dzakadai senhengo yemurume. Sezvaunoziva, scrutum ibhegi reganda riri pasi nepashure penhengo yemurume, uye ndipo panowanzova nemachende.

Iyi imhando yechirwere chisingaperi chinonzi `(Lymphedema). Chirwere ichi chinoitika kana sisitimu yelymphatic mumuviri wedu ikakuvara kana kuvharika. Sisitimu yedu yelymphatic chikamu chakakosha chesisitimu yekudzivirira muviri. Inobatsira kubvisa tsvina nehupfu mumuviri uye kuchengetedza kuenzana kwemvura mumuviri. Kazhinji, sisitimu iyi yelymphatic inogona kukuvara nekuda kwekurapwa nekenza, kuvhiyiwa, chirwere chinonzi lymphatic filariasis , kana zvimwe zvirwere zvesisitimu yeweti zviripo pakuzvarwa.

Kunyangwe chirwere ichi chichionekwa munyika dzakadai seSri Lanka nekuda kwechirwere cheBarawa, munyika dzakadai seAmerica, "Scrotal Lymphedema" chirwere chisingawanzoitiki. Zvisinei, zvakaoma kuti vanachiremba nevaongorori vataure kuti vangani chaizvo vanotambura nechirwere ichi.

Ndezvipi zvikamu zve lymphatic system zvinobatanidzwa mune izvi?

Kune nhengo dzakasiyana-siyana mu lymphatic system yedu, asi idzi ndidzo nhengo dzinonyanya kubatwa neScrotal Lymphedema:

• Lymph: Ichi chinhu chakachena uye chinoyerera. Ndicho chinofamba mu lymphatic system yese. Chine masero machena eropa, kunyanya lymphocytes . Chinobatsira kubvisa tsvina, mabhakitiriya, uye mapuroteni akawandisa kubva munyama.
• Mitsipa yelymph: Kufanana nemachubhu madiki, aya ndiwo anotakura mvura yelymph mumuviri wese.
• Ma-lymph nodes: Aya anochengeta masero machena eropa uye anosefa mvura ye-lymph. Kune ma-lymph nodes mumuviri wedu wese. Vanhu vazhinji vane ma-lymph nodes angangoita gumi munzvimbo yehudyu (inguinal lymph nodes) .

Ndezvipi zviratidzo zve `(Scrotal Lymphedema)`?

Chiratidzo chikuru uye chinonyanya kuoneka chechirwere ichi kuzvimba kwemachende.. Tende rinogona kukura zvakapetwa kakawanda kupfuura zvakajairwa. Fungidzira, kune vamwe vanhu kuzvimba uku kunogona kukura zvakanyanya, seorenji hombe, dzimwe nguva kukura sebhasiketi. Vanachiremba vanodana rudzi urwu rwekuzvimba kuti `(giant scrotal lymphedema)`.

Panogonawo kuva nezvimwe zviratidzo:

• Pakutanga, ganda remazamu nenyama dzakapoteredza zvinogona kunzwa zvakapfava, semukanyiwa, nekuda kwekuungana kwemvura. Nekufamba kwenguva, sezvo mavanga anoumbwa (fibrosis) , izvi zvinogona kuwedzera kuoma.
• Panogona kuva nekurwadziwa kwenguva refu munzvimbo dzakakanganiswa.
• Kurwara kunodzokororwa kunogona kuitika.
• Kuomerwa nekufamba , dzimwe nguva kutotadza kufamba zvachose.
• Kuomerwa nekuita weti (weeing) .
• Kuoma kwekuita zvepabonde .

Mune zvimwe zviitiko zvakakomba, scrotal lymphedema inogona kukonzera chirwere chinonzi buried penis . Apa ndipo apo penis inofukidzwa nenyama dzemapundu nekuda kwekuzvimba kwakanyanya (edema). Penis inogona kuoneka yakavanzika kana kuti isipo.

Chii chinokonzera izvi?

Munyika dzakadai seSri Lanka, chikonzero chikuru che scrotal lymphedema chirwere chinopararira chinonzi lymphatic filariasis , chinotapuriranwa neumhutu.

Asi munyika dzakadai seAmerica, chirwere ichi chinowanzo kukonzerwa nekuvharika kana kuputsika kwehurongwa hwe lymphatic munzvimbo yepabonde. Zvadaro, lymph fluid haibudi zvakanaka kubva munzvimbo yepabonde. Kurapwa kwegomarara (kunyanya kurapwa nemwaranzi), kuvhiyiwa, nezvimwewo zvinogona kukonzera izvi.

Izvi zvinotapurirana here? (Scrotal Lymphedema)

Kwete, `(Scrotal Lymphedema)` hachisi chirwere chinotapuriranwa. Hachisi chirwere chinotapuriranwa pabonde `(STI)` zvakare. Saka usatya nazvo.

Ndiani ari panjodzi huru yekuzviwana?

Unogona kunge uri panjodzi huru yekuva nechirwere ichi kana:

• Kana wakagamuchira kurapwa kwekurapa kenza, kureva kuti, kana wakamborapwa nemwaranzi kana kuvhiyiwa .
• Kana Body Mass Index (BMI) yako iri pamusoro pe30, zvinoreva kuti wakafuta.

Ndezvipi zvinetso zvinogona kuitika zve `(Scrotal Lymphedema)`?

Kune matambudziko akawanda anogona kukonzerwa nechirwere ichi, izvo zvakanaka kuziva:

• Kudzokorora kwechirwere chinonzi `cellulitis` . Uku kuzvimba kwenyama dzakapfava dziri pasi peganda. Izvi zvinogona kukonzera kuti ganda risanyanya kusimba.
• Kurwara kweElephantiasis (chirwere chakafanana nechirwere cheelephantiasis): Mumamiriro ezvinhu aya, ganda rinokura, rinokora, uye rinooma.
• `erysipelas`:Utachiona uhu hunokanganisa ganda pamusoro. Hunogona kukonzera fivha kamwe kamwe, kuchinja ruvara rweganda (tsvuku, pepuru, brown, dema), uye kuzvimba.
• Kunonoka kupora kweronda: Maronda akatenderedza nzvimbo yesikarudzi anogona kutora nguva yakareba kuti apore.
• Migumisiro yepfungwa: Scrotal Lymphedema chirwere chinogara kwenguva refu chinogona kukanganisa chitarisiko uye chinoita kuti zviome kufamba. Chinogona kukonzera kusazviremekedza , kuzvidya mwoyo kusingadzoreki , kuora mwoyo uye kushushikana . Izvi zvakajairika, saka tinofanirawo kunetseka nezvazvo.

Vanachiremba vanoongorora sei izvi?

Kuti chiremba aongorore chirwere che scrotal lymphedema, anotanga aita bvunzo yemuviri uye obvunza nezvenhoroondo yako yezvekurapa . Pamusoro pezvo, mimwe miedzo yekufungidzira inogona kuitwa. Izvi zvinogona kubatsira kuona kuti lymphatic system yakavharika zvakadii. Zvinogonawo kubatsira kubvisa zvimwe zvirwere zvinogona kukonzera kuzvimba mu scrotum. Miedzo iyi inowanzoitirwa:

• Lymphoscintigraphy: Mubvunzo uyu, chiremba anokuisai zvidimbu zvishoma zve radioactive (radiotracer). Zvadaro, scanner inoshandiswa kuteedzera zvinhu sezvazvinofamba nemu lymphatic system yenyu. Kana paine kuvharika mu lymphatic system, radioactive zvinhu hazvizofambi kupfuura ipapo, uye nzvimbo chaiyo yakavharwa inogona kuwanikwa.
• Kufungidzira Magnetic Resonance (MRI): Iyi bvunzo zvakare inotora mifananidzo. Inobatsira kuona kana paine kuvharika kwemidziyo ye lymphatic. Inoshandisa magineti hombe, mafungu eredhiyo, uye komputa kutora mifananidzo yakadzama yenyama dzakapfava dzenzvimbo yepabonde.
• Kuongororwa kweCT neComputed Tomography: Kuongororwa kweCT kunoshandisa X-rays dzakatevedzana kutora mifananidzo yakadzama yenzvimbo yesikarudzi uye kunogona kubatsira kuona kuti lymph nodes dzakavharika papi.

Ko Scrotal Lymphedema inogona kurapwa zvizere here?

Kutaura chokwadi, parizvino hapana mushonga weScrotal Lymphedema. Asi usazvidya moyo. Kune mishonga inogona kubatsira kuderedza zviratidzo zvako uye kudzivirira kuzvimba kuti kusanyanya kuipa.

Izvi zvinorapwa sei?

Vanachiremba vanowanzo kurudzira mushonga unonzi complex decongestive therapy (CDT) we scrotal lymphedema. Izvi zvinobatsira kuderedza kuzvimba kudiki kusvika pakati nepakati, kunyanya pakutanga kwechirwere. Kurapa uku kunosanganisira:

• Kuchengetedza ganda rakachena: Chenesa ganda zvakanaka uchishandisa sipo inouraya utachiona, mvura inodziya, uye mushonga wekuchenesa ganda (semuenzaniso, iodine kana isopropyl alcohol).
• Kubvisa lymph nemaoko: Izvi zvinoitwa nenyanzvi yekurapa lymphedema yakadzidziswa. Iye anokwiza nzvimbo yacho zvinyoro nyoro, achibvisa lymph fluid munzvimbo yakazvimba uye achiitungamirira kuma lymph nodes ari kushanda zvakanaka.
• Kupfeka mbatya dzakanyanya kudzvanywa: Mbatya idzi dzinoderedza kuungana kwemvura uye dzinobatsira kutungamira mvura yelymph kuma lymph nodes kwairi kushanda.
• Kurovedza muviri: Nyanzvi yekurapa lymphedema ichagadzira hurongwa hwekurovedza muviri hwakakunakira. Maekisesaizi aya anobatsira kuti lymph fluid ifambe nemutsinga dzeropa.

Kana paine chirwere chakakomba che scrotal lymphedema chisingapindure zvakanaka pakurapa kwakaomarara kwekusunungura mhango, chiremba anogona kukurudzira kuvhiyiwa . Kuvhiyiwa uku kunosanganisira kubvisa ganda rakakuvara uye nyama yakakanganiswa woisa ganda rine hutano (ganda rakaiswa) . Chikwata chekuvhiya chinowanzo sanganisira chiremba weurologist nachiremba wepurasitiki . Panguva yekuvhiyiwa, chikwata chekurapa chinowanzoita zvinotevera:

• Uchapihwa mushonga weanesthesia . Ipapo hauzonzwi kurwadziwa panguva yekuvhiyiwa, uchava wakarara.
• Chubhu yepurasitiki yakatetepa uye inochinjika (catheter) inoiswa muurethra yako. Izvi zvinodzivirira urethra panguva yekuvhiyiwa uye zvinobatsirawo kuchengetedza nhengo yemurume yakasimba.
• Nhengo yemurume inoparadzaniswa nenyama yematesticular yakaoma (fibrotic), uye ganda nenyama zvakakuvara (lymphematous) zvinobviswa.
• Kana zvichidikanwa, `liposuction` inoitwa. Izvi zvinoreva kuti kucheka kudiki kunoitwa munzvimbo yesikarudzi uye masero emafuta anobviswa uchishandisa mudziyo wekuvhiya.
• Kana zvichidikanwa, `panniculectomy` inoitwa. Izvi zvinobvisa ganda rakawandisa nemafuta `pannus` yakakomberedza nzvimbo yesikarudzi.
• Kana zvichidikanwa, `escutcheonectomy` inobviswa. Izvi zvinobvisa mafuta ari pamusoro pepfupa repubic (nzvimbo yepubic).
• Ganda rakakuvara rinotsiviwa neganda rine hutano rinotorwa kubva kune imwe nhengo yemuviri (kazhinji pachidya).

Ndezvipi zvinetso zvinogona kuitika kana kuti migumisiro yakaipa mushure mekuvhiyiwa?

Vanhu vazhinji vanopindura zvakanaka kana vakavhiyiwa neScrotal Lymphedema. Zvisinei, dzimwe nguva matambudziko anogona kuitika, akadai se:

• Kuzvimba
• Marwadzo
• Kuderera kwekunzwa mu scrotum, penis, kana nzvimbo dzakapoteredza
• Kukundikana kwekubatanidzwa kweganda

Ndichakurumidza sei kunzwa zviri nani mushure mekurapwa?

Zvinoenderana nekuoma kwechirwere chako che`(Scrotal Lymphedema)` uye kurapwa kunokurudzirwa. Ne`Complex decogestive therapy`, kuzvimba kunogona kutanga kudzikira mukati mevhiki imwe chete kana maviri. Kana ukavhiyiwa, unofanirwa kukwanisa kupora mukati memavhiki matanhatu.

Zvichienderana nemamiriro ako ezvinhu, chiremba wako achakuudza nezvenguva yekupora yaungatarisira.

Pane zvandingaita here kuti ndinzwe zviri nani?

Kutevera kudya kwakanaka kunogona kubatsira kudzora scrotal lymphedema. Kana ukadya michero yakawanda, miriwo, mapuroteni asina mafuta akawanda, uye zviyo zvakakwana, lymphatic system yako ichashanda zvakanaka. Ipfungwa yakanakawo yekuti:

• Deredza munyu waunodya. Munyu unogona kuwedzera kuchengetwa kwemvura mumuviri. Unogona kushandisa miriwo mitsva, gariki, oregano, chili powder, uye mustard powder kuti unakidze chikafu chako.
• Inwa mvura yakawanda. Kuchengetedza muviri wako uine mvura yakakwana kunobatsira kuchengetedza kutenderera kweropa kwakanaka. Zvinogonawo kuvandudza kufamba kweropa mumuviri. Edza kunwa magirazi masere emvura (anenge 2,000 ml) pazuva.
• Taura nachiremba. Kurapwa kwegomarara kunogona kukonzera `(Scrotal Lymphedema)`. Saka, kana uri kurapwa gomarara, bvunza chiremba wako wegomarara nezve mukana wekuti `(Scrotal Lymphedema)` ukonzereswe nekurapwa ikoko.

Scrotal Lymphedema chirwere chinogonawo kukanganisa hutano hwepfungwa dzako. Zvakanaka kutaura nezvemanzwiro ako nemhuri neshamwari dzaunovimba nadzo. Unogona kubvunza chiremba wako kana vachigona kukurudzira chiremba kana boka rekutsigira vanhu vane Scrotal Lymphedema.

Kana ndine `(Scrotal Lymphedema)`, chii chandinofanira kutarisira?

Parizvino hapana nzira yekugadzirisa kukuvara kwe lymphatic system kunokonzera Scrotal Lymphedema. Izvi zvinoreva kuti Scrotal Lymphedema chirwere chinogara kwenguva refu. Asi usazvidya mwoyo. Nekurapwa kwakakodzera, unogona kuderedza zviratidzo zvako, kuvandudza hupenyu hwako, uye kuramba uchiita zvakanaka.

Ndinofanira kuona chiremba rini?

Kana uine zviratidzo zve `(Scrotal Lymphedema)` kunyanya kana uri kurapwa kenza, zvakakosha kuona chiremba. Kana zvikasarapwa, chirwere ichi chinogona kuipa uye kukonzera mamwe matambudziko.

Kana ukaenda kuna chiremba, unogona kubvunza mibvunzo iyi:

• Unoziva sei kuti ndine `(Scrotal Lymphedema)`?
• Kana ndisina `(Scrotal Lymphedema)`, ndechipi chimwe chirwere chandingawana?
• Dambudziko rangu re `(Scrotal Lymphedema)` rakakomba zvakadini?
• Munokurudzira kurapwa kupi?
• Ndezvipi zvinhu zvandinofanira kuchinja pamararamiro angu?
• Unogona kukurudzira chiremba wepfungwa, boka rekutsigira, nyanzvi yezvekudya, kana nyanzvi yekurapa lymphedema here?

Ndinofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana uine Scrotal Lymphedema, enda kuchipatara chiri pedyo kana ukaona zviratidzo zvehutachiona:

• Kana fivha iri pamusoro pe38 degrees Celsius (100.4 degrees Fahrenheit).
• Kana kurwadziwa kukawedzera.
• Kana nzvimbo iyoyo ichipisa.
• Ruvara rweganda rwakachinja, kunyanya kana richitaridzika semitsetse iri kubva panzvimbo iyoyo.

Ko Scrotal Lymphedema inogona kudzivirirwa here?

Scrotal Lymphedema, iyo inogona kukonzerwa nekurapwa kwegomarara, ingasave nyore kudzivirirwa zvachose. Zvisinei, kurapwa kwakakodzera kunogona kubatsira kuderedza kuzvimba uye kuderedza matambudziko. Aya mazano anogona kubatsira kuderedza njodzi yako:

• Gara uchiziva nezvemuviri wako. Udza chiremba nekukurumidza paunoona zviratidzo zvekutanga zve `(Scrotal Lymphedema)`. Kusawana kurapwa, kana kutanga kurapwa kunonoka, zvinogona kukonzera matambudziko akakomba ausingagoni kudzora.
• Chengetedza ganda rako zvakanaka. Chengeta ganda rako rakachena uye rakanyoroveswa kudzivirira hutachiona. Kana hunyoro hukaungana, zviri nyore kuti mabhakitiriya akure.
• Fonera chiremba kana wangoona chiratidzo chekutanga chechirwere. Zviratidzo zvinowanzoonekwa zvechirwere zvinosanganisira kuchinja kweruvara rweganda (tsvuku, pepuru, brown), kurwadziwa, kuzvimba, fivha, kana kuoneka kwemavara asina kuoneka pasi peganda.
• Rega mvura yemuviri wako ifambe zviri nyore. Dzivisa kumanikidza pasi pedumbu rako nenzvimbo yegumbo. Izvi zvinogona kukanganisa kufamba kweropa. Dzivisa kushandisa mbatya dzakasimba, mabhandeji epurasitiki, nezvimwewo.
• Deredza kana kuti usaisa nhengo yako yepabonde pakupisa kwakanyanya. Izvi zvinosanganisira zvinhu zvakaita sekugeza nemvura inopisa uye sauna. Kupisa kwakanyanya kunogona kuwedzera njodzi ye scrotal lymphedema.
• Ita maekisesaizi anononoka uye anodzorwa zvakanaka. Tevedzera hurongwa hwemaekisesaizi hwaunopiwa nachiremba we lymphedema.
• Ramba uine huremu hwakanaka hunokunakira. Chiremba kana nyanzvi yezvekudya anogona kukubatsira kugadzira hurongwa hwekudya hune hutano.

Yeuka, Scrotal Lymphedema inogona kushungurudza zvishoma, uye inotonyadzisa, nekuti inokanganisa nzvimbo yemuviri inonzwisisika. Asi, hausi wega. Nekurapwa kwakakodzera uye shanduko dzemararamiro, unogona kudzora zviratidzo izvi uye kuderedza kukanganisa kwazvinoita muhupenyu hwako.

Mharidzo Yekuenda Nayo Kumba

Zvakanaka, saka ngatidzokororei zvinhu zvakakosha zvatataura nezvazvo `(Scrotal Lymphedema):`

• Ichi chirwere apo lymph fluid inoungana mukati nekunze kwemachende zvichikonzera kuzvimba.
• Izvi zvinogona kuitika kana lymphatic system ikakuvadzwa nezvinhu zvakaita sekufuta, kurapwa kwekenza, kana kuvhiyiwa.
• Ichi hachisi chirwere chinotapuriranwa.
• Chiratidzo chikuru kuzvimba kwemachubhu emudumbu zvisina kujairika. Pamusoro pezvo, kurwadziwa, kuoma kufamba, uye kuoma kuita weti zvinogonawo kuitika.
• Kunyange zvazvo pasina mushonga wakakwana, kurapwa kunogona kudzora zviratidzo.`Complex Decongesstive Therapy (CDT)` uye, muzviitiko zvakakomba, kuvhiyiwa ndiyo nzira huru yekurapa.
• Unogona kuzvibatsira nekudya chikafu chine hutano, kunwa mvura yakawanda, uye kuchengetedza ganda rako rakachena.
• Zvakakosha kutsvaga rubatsiro rwechiremba kana wangoona zviratidzo. Kana kurapwa kukatanga nekukurumidza, matambudziko anogona kuderera.
• Kana uri kunzwa kumanikidzwa kwepfungwa nekuda kwemamiriro ezvinhu aya, usazeza kutaura nezvazvo uye tsvaga rubatsiro rwenyanzvi kana zvichidikanwa.

Kana muine mimwe mibvunzo nezvenyaya iyi, musazeza kutaura nachiremba. Iye achakupai ruzivo rwese nerutsigiro rwamunoda.

` Scrotal Lymphedema, Scrotal Lymphedema, Scrotal Lymphedema, Lymphatic System, Hutano hweVarume, Chirwere cheScrotal