Ngaba uziva ukudumba okungaqhelekanga, ubunzima, okanye ukuqina kolusu kwindawo yakho yangasese, oko kukuthi, indawo ejikeleze isini sakho? Kunzima kwaye kuyahlazisa ukuthetha ngento efana nale nomntu, akunjalo? Kodwa le inokuba yingxaki ebaluleke kakhulu enxulumene nempilo yakho. Ngoko ke namhlanje sithetha nge-'Genital Lymphedema ', imeko abantu abaninzi abangafuniyo ukuthetha ngayo, kodwa kubalulekile ukuba uyiqaphele. Ungakhathazeki, emva kokufunda eli nqaku, uya kuba nokuqonda okucacileyo.
Ngamafutshane, yintoni i-Genital Lymphedema?
I-Genital Lymphedema kukudumba okubangelwa kukuqokelelana kolwelo lwe-lymph kwizicubu ezithambileyo ezijikeleze indawo yakho yesini. Ngamafutshane, yimeko apho uhlobo lolwelo emizimbeni yethu lubanjwa kule ndawo luze ludumbe. Esi asisosimo sexesha elinye, kodwa sihlala sisifo esinganyangekiyo .
Oku kuchaphazela ngaphantsi kwe-1% yazo zonke iimeko ze-lymphedema kwihlabathi liphela. Oku kuthetha ukuba yimeko engaqhelekanga . Nangona kunjalo, inokuchaphazela nabani na, bobabini abafazi namadoda, kunye nabantu bayo nayiphi na iminyaka.
Masifunde kancinci malunga 'neNkqubo yethu yeLymphatic' enxulumene noku.
Ukuze siqonde esi sifo kakuhle, masiqale sibe nombono omncinci malunga ' nenkqubo ye-lymphatic ' emizimbeni yethu. Khawuthelekelele ukuba imizimba yethu sisixeko esikhulu. Kule dolophu, izondlo kunye neoksijini zingena kuyo yonke indawo ngemithambo yegazi , kwaye kufuneka kubekho inkqubo yokususa inkunkuma ukuze isixeko sicoceke. Le yindlela inkqubo ye-lymphatic ehlala ngayo.
Le yinxalenye ebalulekileyo yenkqubo yethu yokuzikhusela komzimba . Imisebenzi yayo ephambili kukugcina ulungelelwano lolwelo emzimbeni , ukulwa nezifo, kunye nokususa inkunkuma kwizicwili.
Kukho iinxalenye ezintathu eziphambili zale nkqubo:
- I-lymph: Olu lulwelo olucacileyo nolumthubi kancinci. Luthwala iiseli zomzimba (iiseli ezimhlophe zegazi ) luzise egazini. Lukwasusa inkunkuma kunye neebhaktheriya kwizicubu kwaye luzibuyisele egazini.
- Imithambo ye-lymph: Ezi zizakhiwo ezibhityileyo ezifana netyhubhu ezithwala ulwelo lwe-lymph emzimbeni wonke, njengemithambo yegazi yethu.
- Ama-lymph nodes : La 'zii-filters'. La maqhuqhuva amancinci, anomfanekiso wembotyi agcina iiseli ezimhlophe zegazi. Njengoko ulwelo lwe-lymph ludlula kuwo, luhluza iintsholongwane kunye nemveliso engcolileyo. La maqhuqhuva e-lymph afumaneka ngamaqoqo kwiindawo ezifana namakhwapha ethu, i-groin, intamo, kunye nesisu.
Ngoko ke, kwi-Genital Lymphedema, kwenzeka into ethile kwinkqubo ye-lymphatic ejikeleze indawo yesini, nto leyo ebangela ukuba ulwelo lwe-lymph luqokelele kwindawo enye ngenxa yokuvaleka okanye umonakalo othile. Njengaxa umbhobho wamanzi uvalekile, uzaliswa ngamanzi aze agcwale.
Kukho iintlobo ezimbini eziphambili ze-Genital Lymphedema:
Le meko inokwahlulwa ibe ziintlobo ezimbini eziphambili kuxhomekeke kwindlela eyenzeka ngayo.
| Uhlobo | Inkcazo |
|---|---|
| I-Primary Genital Lymphedema | Oku kubangelwa sisiphene sokuzalwa ekuphuhlisweni kwenkqubo ye-lymphatic. Ngamanye amaxesha iimpawu ziyabonakala ekuzalweni. Kwabanye, iimpawu zibonakala emva kweminyaka, ngamanye amaxesha xa besebancinci. |
| I-Lymphedema yesini yesibini | Olu lolona hlobo luxhaphakileyo. Okwenzekayo apha kukuba inkqubo ye-lymphatic esempilweni yonakaliswe yimbangela ethile yangaphandle. |
Zithini izizathu ze-lymphedema yesibini yesini?
Kusenokuba nezizathu ezahlukeneyo zoku.
- Unyango lomhlaza: Utyando okanye unyango lwemitha yeyona nto ibangela umhlaza kwindawo yamalungu esini (umzekelo, iprostate, isinyi, amasende, ipenis, umlomo wesibeleko, ama-ovari, i-vulva, okanye i-rectum). Oku kungenxa yokuba olu nyango luyonakalisa okanye lususa ama-lymph nodes kwindawo (i-lymphadenectomy). Oku kuvala indlela yokuhamba kolwelo lwe-lymph.
- Izifo: Usulelo lwexesha elide lwemithambo ye-lymphatic kunye ne-lymph nodes olubangelwa ziibhaktheriya ezithile, iintsholongwane, ifungi okanye iintshulube. Umzekelo omhle woku yi -filariasis, eyaziwa ngokuba yi-'Barawa' kwilizwe lethu.
- Ukulimala:Iingozi ezinkulu okanye ukwenzakala kwindawo yesini.
- Izifo ezidluliselwa ngesondo (ii-STI): Akuqhelekanga ukuba le meko ibangelwe zezinye izifo ezidluliselwa ngesondo.
- Ezinye iimeko zonyango: Oku kunokubangelwa nazezinye iimeko zonyango, ezifana nesifo sikaCrohn (ukudumba kwamathumbu), iSarcoidosis, kunye neVasculitis (ukudumba kwemithambo yegazi), kunqabile kakhulu.
Zithini iimpawu zale meko?
Iimpawu ze-genital lymphedema zinokwahluka kancinci kumntu nomntu kwaye kuxhomekeke kwisini. Makhe sijonge ezinye zeempawu eziqhelekileyo.
| Iimpawu ze-Genital Lymphedema | |
|---|---|
| Iimpawu eziqhelekileyo (kubasetyhini nakumadoda) | |
| Ubunzima bokuchama | Ukuvuza komchamo, iintlungu xa uchama (i-dysuria). |
| Usulelo oluqhelekileyo | Usulelo lwesikhumba olubangelwa ziintsholongwane lunokwenzeka rhoqo kwindawo evuvukileyo. |
| Ukuqina okanye ukuqina kolusu | Ekuhambeni kwexesha, ulusu kwindawo evuvukileyo lunokuqina kwaye luvakale luqinile xa luchukunyiswa. |
| Iingxaki zesondo | Intlungu ngexesha lokwabelana ngesondo (i-dyspareunia), iingxaki zokuma, kunye noxinzelelo lwengqondo olubangelwa yiyo lunokubangela ukuba umntu angabi namdla wokwabelana ngesondo. |
| Ukwehla komgangatho wokuphila | Intlungu, ubunzima bokuchama, kunye nobunzima kwimisebenzi yemihla ngemihla kunokubangela ukuphoxeka ebomini. |
| Iimpawu ezithile kubafazi | |
| Intlungu kunye nokudumba kwi-labia (iindawo ezigobileyo zesikhumba) kwindawo ye-pelvic nasemacaleni omabini omnyango we-vaginal. Ngamanye amaxesha kunokubakho ukudumba ezinyaweni. | |
| Iimpawu ezithile kumadoda | |
| Ukudumba kunye nentlungu kwilungu lobudoda, kwi-scrotum, okanye kuzo zombini. Ngamanye amaxesha kunokubakho ukudumba ezinyaweni. | |
Eyona nto ibalulekileyo kukuba esi ayisosifo sisulelayo. I-Genital Lymphedema ayisuleli ukusuka komnye umntu ukuya komnye. Ayisosifo esidluliselwa ngesondo (STI). Ngoko ke musa ukusoyika ngokungeyomfuneko.
Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?
Ukuba le meko ayinyangwanga kakuhle, ezinye iingxaki zinokuvela ngokuhamba kwexesha.
- I-Recurring Cellulitis: Olu luhlobo losulelo lwebhaktiriya oluvela kwizicubu ezingaphantsi kolusu. Lunokubangela amanxeba kunye nokulahleka kokuqina kolusu.
- I-Elephantiasis: Le yeyona ntlobo inzima kakhulu. Ulusu luyakhula kakhulu, lube lukhuni, lufane nolusu lwendlovu. Le meko inokubonwa nakwiimeko ezinzima zesifo saseBarawa.
- I-Erysipelas: Olu luhlobo losulelo lwesikhumba olubangelwa yintsholongwane, olufana ne-cellulitis. Lunokusasazeka ngokukhawuleza luze lubangele umkhuhlane, iintlungu, kunye nokutshintsha kombala wolusu (obomvu, omfusa, omdaka, omnyama).
- Iziphumo zengqondo: Ekubeni le yimeko ehlala ixesha elide kwaye ichaphazela inkangeleko yomzimba, umntu unokufumana izinto ezifana nokungazithembi, ixhala, ukudakumba, kunye noxinzelelo . Oku kuqhelekile. Musa ukuba namahloni okuthetha nogqirha wakho ngayo.
Ugqirha uyixilonga njani le nto?
Ukuba unale mpawu, into yokuqala omawuyenze kukubona ugqirha ofanelekileyo. Uza kuqala akubuze ngembali yakho yezonyango aze enze uvavanyo lomzimba. Emva koko, banokwenza ezinye iimvavanyo ukuqinisekisa ukuba le yi-Genital Lymphedema.
- I-Lymphoscintigraphy:Oku kuquka ukufaka isixa esincinci kakhulu sento enemisebe (i-radiotracer) emzimbeni kunye nokusebenzisa iskena esikhethekileyo ukujonga intshukumo yayo kwinkqubo ye-lymphatic. Oku kunokuchonga iindawo ezivalekileyo kwinkqubo ye-lymphatic.
- Iskeni ye-MRI (Magnetic Resonance Imaging): Oku kungathatha imifanekiso eneenkcukacha ezithathu zezicubu ezithambileyo zelungu lesini kwaye kuhlolwe kakuhle unobangela kunye nemeko yokudumba.
Zithini iindlela zokunyanga oku? Ngaba kunokunyangwa ngokupheleleyo?
Ngelishwa, akukho nyango lwe-Genital Lymphedema okwangoku . Kodwa ungakhathazeki. Ngonyango lwangoku, unokulawula iimpawu zakho, uthintele iingxaki, kwaye uphile ubomi obuqhelekileyo.
Indlela ephambili yonyango yi -'Complex Decongesstive Therapy' (CDT) . Le yindlela yonyango enamanyathelo aliqela.
1. Coca ulusu kakuhle: Kubaluleke kakhulu ukuthintela usulelo. Ngoko ke, kufuneka uhlale ugcina indawo evuvukileyo icocekile usebenzisa isepha yokubulala iintsholongwane namanzi afudumeleyo.
2. Ukutsalwa kweMitha yeLymph ngesandla: Oku akusiyo i-massage eqhelekileyo. Yenziwa yingcali ye-lymphedema eqeqeshwe ngokukodwa. Apha, ulwelo lwe-lymph olubanjwe kwindawo evuvukileyo lufuduselwa kancinci nangakumbi kwindawo enemithambo ye-lymph esebenza kakuhle. Kubalulekile ukufunda kumntu oqeqeshiweyo ngaphambi kokuba ukwenze oku wedwa.
3. Iimpahla zokucinezela ezikhethekileyo kunye neempompo: Nje ukuba ukudumba kuphele, kusetyenziswa iimpahla zokucinezela ezikhethekileyo okanye iibhandishi ukuthintela ulwelo ukuba lungaphinde luqokelelane. Ngamanye amaxesha kusetyenziswa neempompo ezikhethekileyo ezivuthelayo nezikhupha umoya ngokuhamba kwexesha.
4. Ukuzilolonga: Kubaluleke kakhulu ukuzibandakanya kwiimvavanyo ezikhethekileyo ezicetyiswa yingcali yezonyango ezikhuthaza intshukumo yolwelo lwe-lymph.
Kwiimeko ezininzi, olu nyango lwe-CDT lunokufuneka lwenziwe yonke imihla kangangeeveki ezininzi. Emva koko, uya kuqeqeshwa ukuzenza ezi zinto ekhaya.
Kunini apho kufuneka khona utyando?
Ukuba imeko iba mandundu kakhulu ukuba ingalawulwa ngezi ndlela zonyango ze-CDT, ukuba usulelo luvela rhoqo, ukuba ulusu lukhubazekile kakhulu kwaye lubuhlungu, kwaye ukuba luphazamisa ubomi bemihla ngemihla, ugqirha unokucebisa utyando. Utyando lubandakanya ukususa izicwili ezonakeleyo kunye nokugubungela indawo ngesikhumba esisempilweni (i-skin graft).
Ndingaphila njani kakuhle nale meko?
Ekubeni esi sisifo esihlala ixesha elide, kubaluleke kakhulu ukwenza utshintsho oluncinci kwindlela ophila ngayo ngelixa usenza unyango.
- Lumka ukutya kwakho:
- Lawula ityuwa: Ityuwa inyusa ukugcinwa kolwelo emzimbeni. Ngoko ke, nciphisa ukutya okunetyuwa eninzi (ii-pickles, iintlanzi ezomisiweyo, iisosi, ukutya okukhawulezayo) kangangoko unako. Sebenzisa iziqholo (igalikhi, i-oregano, umgubo wetshili owomileyo) endaweni yetyuwa ukuze unike incasa yokutya kwakho.
- Sela amanzi amaninzi: Sela ubuncinane iiglasi ezisi-8 zamanzi ngosuku. Ukusela amanzi kunceda ekukhupheni ulwelo olungafunekiyo emzimbeni.
- Yitya ukutya okunesondlo okuquka imifuno emitsha, iziqhamo, iiproteni ezingenamafutha, kunye neenkozo ezipheleleyo.
- Lumka kakhulu ulusu lwakho:
- Gcina ulusu lwakho lucocekile kwaye lufumile ngamaxesha onke. Oku kunokunceda ukuthintela usulelo.
- Ukuba ubona iimpawu zosulelo, ezinje ngokuba bomvu, iintlungu, ubushushu, okanye umkhuhlane, yazisa ugqirha wakho ngoko nangoko .
- Cinga ngeempahla:
- Kuphephe ukunxiba impahla yangaphantsi okanye ibhulukhwe eqinileyo kakhulu. Ezi zinto zinokuvala kwaye zithintele ukuhamba kwegazi emzimbeni.
- Musa ukuhlala kwindawo efanayo ixesha elide. Ukuba uhleli, musa ukunqumla imilenze yakho. Tshintsha iindawo ubuncinci rhoqo emva kwemizuzu engama-30.
- Kuphephe ubushushu obugqithisileyo: Kuphephe izinto ezifana nokuhlanjwa ngamanzi ashushu kakhulu nokusebenzisa ii-sauna. Ubushushu bunokunyusa ukudumba.
- Gcina ubunzima obusempilweni: Xa utyeba, inkqubo yakho ye-lymphatic ivakalelwa kukuba inzima ngakumbi. Ke ngoko, ukugcina ubunzima obusempilweni kubaluleke kakhulu.
Ufanele ufune nini unyango olungxamisekileyo?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo zokosuleleka, nangona unyangwa, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko .
- Umkhuhlane ongaphezulu kwama-38 degrees Celsius (100.4 Fahrenheit).
- Ukwanda kwentlungu nobushushu kwindawo evuvukileyo.
- Ulusu lujika lube bomvu, mfusa okanye lube mdaka, okanye lubomvu lubonakala phantsi kolusu.
Iimpawu ezinje ngezi zibonisa ukuba usulelo lunokusasazeka emzimbeni. Kubalulekile ukufuna unyango ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Genital Lymphedema kukudumba okubangelwa kukuqokelelana kolwelo lwe-lymph kwindawo yesini. Yimeko ehlala ixesha elide.
- Esi asisosifo esosulelayo okanye isifo esidluliselwa ngesondo.
- Nangona le meko ingenakunyangwa ngokupheleleyo, inokulawulwa kakuhle kwaye ubomi obuqhelekileyo bunokukhokelwa ngonyango lwe-CDT kunye notshintsho kwindlela yokuphila.
- Ukuba ubona naluphi na ukuvuvukala okungaqhelekanga, iintlungu, okanye utshintsho lolusu kwindawo yakho yangasese, ungabi nantloni kwaye ubone ugqirha ngoko nangoko . Okukhona uqala unyango ngokukhawuleza, kokukhona iziphumo zingcono.
- Kubaluleke kakhulu ukugcina ulusu lucocekile kwaye uqaphele iimpawu zosulelo.
- Thetha nogqirha wakho okanye umntu osondeleyo kuwe malunga neengxaki zempilo yengqondo ezibangelwa yile meko. Impilo yengqondo ibaluleke njengempilo yomzimba.











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