Wakambonzwa here kuti ganda rako repazamu rinotanga kuzvimba kamwe kamwe? Kana kuti ganda riri munzvimbo iyoyo rinokora uye rinonzwa zvakasiyana paunoribata? Kunyangwe iyi iri nyaya inonyadzisa uye inonyadzisa kutaura nezvayo, zvakakosha kuziva nezvechirwere ichi. Nekuti kana ukaregeredza, chinogona kukonzera matambudziko akakomba. Nhasi tiri kutaura nezvechirwere chinogona kukonzera zviratidzo zvakaita seizvi, chinozivikanwa seScrotal Lymphedema .
Chii chinonzi Scrotal Lymphedema?
Zvichitaurwa zviri nyore, Scrotal Lymphedema chirwere apo mhando yemvura inonzi lymph inoungana mukati menyama dzakapfava dzemazamu ako, zvichikonzera kuzvimba. Dzimwe nguva, kuzvimba uku kunogona kupararira kunhengo yemurume nenzvimbo dzakapoteredza.
Zvino ungave uchishamisika kuti, "Chii chinonzi lymph fluid iyi?" Fungidzira, muviri wedu une system inobvisa tsvina nehupfu , senge system yekurasa marara muguta. Tinoidaidza kuti lymphatic system . System iyi chikamu chakakosha che immune system yedu. Lymph fluid mvura yakajeka inofamba nesystem iyi uye inobatsira kubvisa zvinhu zvakaita setsvina nemabhakitiriya .
Saka, kana nekuda kwechimwe chikonzero midziyo yelymph kana ma lymph nodes ari mu lymphatic system iyi, kunyanya munzvimbo ye groin, akakuvara kana kuvharika, lymph fluid iyi haigone kufamba zvakanaka. Ndipo apo mvura iyoyo inoungana munzvimbo dzakadai se scrotum yotanga kuzvimba.
Ndezvipi zviratidzo zvechirwere ichi?
Chiratidzo chikuru uye chinonyanya kuoneka chechirwere ichi kuzvimba kwepazamu. Mune zvimwe zviitiko zvakakomba, kuzvimba uku kunogona kuwedzera kanoverengeka saizi yakwo yenguva dzose, zvichiita saizi yeorenji, basketball, kana kutokura. Vanachiremba vanodana izvi kuti 'Giant Scrotal Lymphedema'.
Ngationei zvimwe zviratidzo.
| Chiratidzo | Tsananguro |
|---|---|
| Kuzvimba kwetsvimbo | Kukura kwehukuru. Pakutanga yakapfava kana yabatwa, nekufamba kwenguva inogona kuoma nekuda kwekukora kwenyama (fibrosis). |
| Kurwadziwa kwenguva refu | Kurwadziwa kunogara kwenguva refu kana kusagadzikana munzvimbo yakazvimba uye yakakomberedza. |
| Utachiona hunoramba huchidzokororwa | Zvirwere zveganda zvinokonzerwa nemabhakitiriya (sekunge cellulitis) zvinowanzoonekwa. Zviratidzo zvinogona kusanganisira kutsvuka uye kudziya kweganda. |
| Kukanganisa mabasa ezuva nezuva | Kutadza kufamba kana kutadza kufamba. Kutadza kuita weti. |
| Matambudziko epabonde | Kuomerwa nekuita zvepabonde. |
| Nhengo yemurume yakavigwa | Dambudziko rekuti nhengo yemurume inenge yakafukidzwa nenyama yemudumbu nekuda kwekuzvimba kwakanyanya, zvichiita kuti isaonekwe. |
Ndezvipi zvikonzero zve scrotal lymphedema?
Kune zvikonzero zvakawanda zvikuru zvechirwere ichi. Kunyanya munyika dzakadai seSri Lanka, chikonzero chikuru cheizvi iLymphatic Filariasis . Ichi chirwere chinoparadzirwa neumhutu. Zvipembenene izvi zvinokanganisa sisitimu yedu yelymphatic.
Mukuwedzera, kune zvimwe zvikonzero:
- Kurapa Gomarara: Kurapa nemwaranzi kana kuvhiyiwa, kunyanya munzvimbo yechiuno, kunogona kukuvadza lymphatic system.
- Kuvhiyiwa: Kumwe kuvhiyiwa kunoitwa panzvimbo yehudyu kana mudumbu kunogonawo kukonzera kukuvara kwetsinga dzeropa.
- Kufuta: Njodzi iyi yakakura kune vanhu vane body mass index (BMI) inodarika 30.
- Matambudziko ekuzvarwa nawo: Vamwe vanhu vanogona kuzvarwa vaine kusasimba kwakati wandei mu lymphatic system.
Chinhu chinonyanya kukosha ndechekuti ichi hachisi chirwere chinotapuriranwa kana chirwere chepabonde (STI), saka usazvitya zvisina kufanira.
Ndezvipi zvinetso zvinogona kukonzera izvi?
Kana chirwere ichi chikasarapwa zvakanaka, matambudziko akasiyana-siyana anogona kuitika nekufamba kwenguva.
- Zvirwere zveganda (Cellulitis): Zvirwere zvenyama dziri pasi peganda zvinogona kuitika kakawanda.
- Elephantiasis (Ganda rakaita serenzou): Iyi ndiyo mhando yakanyanya kuipa ye 'barawa'. Ganda rinova gobvu, rakakura, uye rakakombama.
- Kunonoka kupora kweronda: Kana ronda rikaitika munzvimbo yesikarudzi, zvinotora nguva yakareba kupfuura yakajairika kuti rizopora.
- Migumisiro yepfungwa: Chirwere ichi chinogona kukonzera shanduko muchitarisiko, kuoma kufamba, uye kusazviremekedza, pamwe nekuzvidya mwoyo, kushushikana, uye kuora mwoyo . Iyi inyaya inonetsa zvikuru, saka pane mukana mukuru wekuora mwoyo.
Chiremba anoongorora sei izvi?
Kana ukaona chiremba ane zviratidzo izvi, vanotanga vakuongorora muviri wako vobvunza nezvenhoroondo yako yehutano. Vanogonawo kukurudzira mimwe miedzo kuti vaone zvimwe zvinokonzera kuzvimba uye kuti vaone nzvimbo chaiyo yakavharika mu lymphatic system yako.
- Lymphoscintigraphy: Kuongororwa uko huwandu hushoma hwezvinhu zvine mwaranzi hunopinzwa mu lymphatic system uye scanner inoshandiswa kutarisa kufamba kwayo. Izvi zvinogona kuratidza nzvimbo chaiyo yakavharika.
- Kuongororwa kweMRI (Magnetic Resonance Imaging): Kuongororwa kunoshandisa simba remagineti nemafungu eredhiyo kutora mifananidzo yakadzama yematishu.
- CT scan (Computed Tomography): Kuongororwa kunoshandisa X-rays dzakatevedzana kutora mifananidzo yakadzama uye kuona zvivhariso.
Ndezvipi zvinorapwa izvi?
Ichi chirwere hachigone kurapika zvachose panguva ino, sezvo kukuvara kwe lymphatic system kusingadzoreki. Zvisinei , kune marapirwo anogona kudzora zviratidzo zvinobudirira, kuderedza kuzvimba, uye kukubvumira kurarama hupenyu hwakajairika.
Kurapa kusingashandisirwe kuvhiyiwa (Complex Decongesstive Therapy - CDT)
Uku ndiko kurapwa kukuru kunokurudzirwa. Kunogona kudzora kuzvimba kudiki kusvika pakati nepakati, kunyanya pakutanga.
- Kuchengetedza ganda rakachena: Chengeta ganda rakachena nekushandisa sipo chaiyo inorwisa mabhakitiriya kudzivirira hutachiona.
- Kudhonza Mvura Nemaoko:Uku kukwiza zvinyoro nyoro kunoitwa nenyanzvi yekurapa yakadzidziswa. Kunoshanda nekufambisa mvura yelymph isingamire kuenda kuma lymph nodes anoshanda, zvichideredza kuzvimba.
- Kupfeka mbatya dzakanyanya kudzvanywa: Kumanikidzwa kunokonzerwa nembatya idzi kunoderedza kuungana kwemvura uye kunodzora kuzvimba.
- Kurovedza Muviri: Kutevedzera chirongwa chekurovedza muviri chakagadzirirwa iwe nenyanzvi yekurapa kunobatsira kuvandudza kufamba kweropa mumuviri.
Kuvhiya
Muzviitiko zvakakomba zvisingapindure kurapwa kwataurwa pamusoro apa, kuvhiyiwa kunogona kukurudzirwa. Izvi zvinosanganisira kubvisa nyama yakawedzerwa neganda zvakaungana uye kufukidza nzvimbo yacho neganda rine hutano (ganda rakabatanidzwa) rakatorwa kubva kune imwe nhengo yemuviri (kazhinji pachidya). Izvi zvinoitwa nachiremba wezvedundira pamwe chete nachiremba wezvedundira.
| Unofanira kuenda kuETU (Emergency Treatment Unit) riini nekukasika? | |
|---|---|
| Kana uine Scrotal Lymphedema, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika kana ukaona chimwe chezviratidzo zvinotevera zvehutachiona : | |
| - Fivha iri pamusoro pe38 degrees Celsius (100.4 Fahrenheit). | - Kuwedzera kwekurwadziwa. |
| - Kudziya kana uchibata nzvimbo yakazvimba. | - Kuchinja ruvara rweganda (tsvuku, pepuru, brown) kana kutaridzika kwemitsetse. |
Ndezvipi zvimwe zvinhu zvaunogona kuita wega?
Pamwe chete nekurapwa, shanduko diki mumararamiro ako dzinogona kubatsira zvikuru mukuderedza dambudziko iri.
- Chengetedza ganda rako: Kudzivirira hutachiona ndicho chinhu chakakosha. Chenesa nzvimbo yacho zvakanaka zuva nezuva wozora moisturizer.
- Maitiro akanaka ekudya: Deredza munyu. Munyu unowedzera kuchengetedza mvura mumuviri. Pane kudaro, shandisa zvinhu zvakaita segariki, upfu hwechili hwakaomeswa, uye oregano kuti unakidze chikafu chako.
- Inwa mvura yakawanda:Edza kunwa magirazi emvura anosvika masere pazuva.
- Dzivisa kupfeka mbatya dzakasimba: Dzivisa kupfeka zvipfeko zvemukati zvakasimba kana mabhurugwa anodzivisa kufamba.
- Dzivisa kupisa kwakanyanya: Dzivisa zvinhu zvakaita sekugeza nemvura inopisa uye kushandisa sauna.
- Ramba uine huremu hwakanaka: Taura nachiremba wako uye ramba uine huremu hwakanaka hunokunakira.
Mharidzo Yekuenda Nayo Kumba
- Scrotal Lymphedema kuzvimba kunokonzerwa nekuungana kwemvura yelymph muscrotum. Haisi kenza.
- Filariasis, chirwere chinotakurwa neumhutu munyika dzakadai seSri Lanka, ndicho chinokonzera chirwere ichi.
- Ichi hachisi chirwere chinotapuriranwa, uye hachitapuriranwe pabonde.
- Kana ukaona kuzvimba, kukora, kana kurwadziwa kusingawanzoitika mumachende ako , usanyara kana kunonoka, asi enda kuna chiremba.
- Kuonekwa nekupiwa kurapwa nekukurumidza kunogona kudzivirira matambudziko akakomba uye kutungamira kuhupenyu huri nani.
- Kuchengetedza ganda rakachena uye rakanyorova kwakakosha kudzivirira hutachiona.
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