Ingaba indawo yakho yesini idumbile ngendlela engaqhelekanga? Ngaba yiGenital Lymphedema? Masithethe!

Ngamanye amaxesha ungaziva ukudumba okungaqhelekanga okanye ubunzima esiswini sakho esisezantsi, oko kukuthi, kufutshane namalungu akho esini. Akukhululeki kancinci, akunjalo? Oku kungaba luphawu lwesifo esibizwa ngokuba yiGenital Lymphedema. Ungakhathazeki, wakuba uyazi kakuhle ukuba yintoni le, izinto ezininzi ziya kucaca.

Yintoni i-Genital Lymphedema?

Ngamafutshane, i-Genital Lymphedema yimeko apho izicubu ezithambileyo zesizalo sakho zidumba ngenxa yokuqokelelana kolwelo lwe-lymph . Le yimeko engapheliyo .

Umzimba wethu unenkqubo ebizwa ngokuba yi-lymphatic system . Ifana nenkqubo yokuzikhusela yomzimba wethu. Oku kunceda ukugcina ulwelo lomzimba wethu lulungelelene kwaye lulwa neentsholongwane. Ngoko ke, ukuba kukho naluphi na uthintelo okanye umonakalo kule nkqubo ye-lymphatic, olo lwelo lwe-lymph luhlala kwindawo enye kwaye i-Lymphedema ivele. Ukuba oku kwenzeka kwindawo yesini, siyibiza ngokuba yi-Genital Lymphedema.

Oku kuchaphazela abantu abangaphantsi kwe-1% abaneLymphedema kwihlabathi liphela. Oko kuthetha ukuba yimeko engaqhelekanga, kodwa nabani na angayihlakulela.

Zeziphi iindawo zenkqubo ye-lymphatic ezibandakanyekayo koku?

Makhe sijonge ukuba yintoni ekhoyo kule nkqubo ye-lymphatic kunye nendlela enxulumene ngayo ne-Genital Lymphedema.

• I-lymph: Olu lulwelo olucacileyo, ngamanye amaxesha olumthubi kancinci. Luthwala iiseli zenkqubo yethu yokuzikhusela, oko kukuthi iiseli ezimhlophe zegazi, ukuya egazini. Lukwasusa inkunkuma, iibhaktheriya kunye neeproteni ezingafunekiyo kwizicubu zethu kwaye luzibuyisele egazini. Xa sisitya, luthwala namanqatha afunxwa emathunjini aye egazini.
• Imithambo ye-lymph: Le mithambo ifana nemibhobho emincinci ethwala ulwelo lwe-lymph emzimbeni wonke ize ekugqibeleni ithululele kwimithambo yegazi emikhulu kufutshane nentliziyo yethu.
• Ama-lymph nodes: La ngamaqhuma amancinci amile okweembotyi agcina iiseli ezimhlophe zegazi kwaye ahluze ulwelo lwe-lymph. La maqhuma e-lymph afumaneka kwiindawo ezininzi, kuquka phantsi kwamakhwapha ethu, emathunjini ethu, entanyeni yethu, nangaphakathi esiswini sethu.

Ziziphi iintlobo eziphambili ze-Genital Lymphedema?

Kukho iintlobo ezimbini eziphambili ze-Genital Lymphedema.

I-Primary Genital Lymphedema

Oku kwenzeka ngenxa yokungaqheleki okuthile ekuphuhlisweni kwenkqubo yethu ye-lymphatic. Oko kukuthi, yinto ekhoyo ekuzalweni . Ngamanye amaxesha iimpawu zinokubonakala ekuzalweni, okanye zibonakale emva kweminyaka. Cinga ngayo njengempazamo encinci xa usakha inkqubo yepayipi.

I-Lymphedema yesini yesibini

Oku kwenzeka xa inkqubo ye-lymphatic yonakele ngenxa yesizathu esithile sangaphandle . Makhe sibone ukuba zeziphi ezo zizathu:

• Kwindawo yesini, oko kukuthi, iprostate , isinyi , amasende , ipenis , umlomo wesibeleko , ama-ovariUnyango lwee -tumor ezinobungozi kwiindawo ezifana ne-vulva okanye i-rectum, njengotyando okanye unyango lwe-radiation .
• Ukususwa kwee-lymph nodes ngotyando. Siyibiza ngokuba yi -lymphadenectomy .
• Usulelo lwexesha elide lwe-lymph nodes kunye nemithambo ye-lymphatic olubangelwa yibhaktheriya, iintsholongwane, ifungi, okanye iintshulube (umz., iFilariasis ).
• Ukwenzakala.
• Amaxesha amaninzi, inokubangelwa zizifo ezidluliselwa ngesondo (ii-STI) .

Kubalulekile: Ekubeni le meko inokubangelwa kunyango lomhlaza, kubaluleke kakhulu ukuxelela ugqirha ukuba unokudumba okungaqhelekanga emva konyango.

Kukwakho nezizathu ezingabonakali rhoqo:

• Ukudumba nokudumba kwamathumbu, umzekelo (isifo sikaCrohn) .
• Imeko ebangela izilonda kwi-lymph nodes (i-sarcoidosis) .
• Ukudumba kwemithambo yegazi (i-vasculitis) .
• Ingxaki yolusu ehlala ixesha elide (i-rosacea) .
• Ukudumba kwee-lymph nodes esiswini (i-mesenteric lymphadenitis) .

Zithini iimpawu zoku? Uzibona njani?

Iimpawu zeGenital Lymphedema zinokwahluka kancinci kumntu nomntu. Nazi ezinye zeempawu eziqhelekileyo:

• Ubunzima bokuchama. Oku kuthetha ukuvuza komchamo, okanye ukuziva iintlungu xa uchama (dysuria) .
• Usulelo oluqhelekileyo.
• Ukuqina nokuqina kolusu kwindawo yesini.
• Ubunzima bokwenza izinto zesondo. Umzekelo, iintlungu ngexesha lokwabelana ngesondo (i-dyspareunia) , iingxaki zokuma, okanye ukuncipha komnqweno wesondo (i-libido ephantsi) ngenxa yezi ngxaki.
• Ubunzima bokuchama, iintlungu kunye nokungonwabi xa uhamba imihla ngemihla, kunye neentlobano zesini zikhokelela ekuwohlokeni komgangatho wobomi .

Abafazi banokubona iimpawu ezifana nezi:

• Intlungu kunye nokudumba kwimiphetho yesikhumba (i-labia) kumacala omabini e-pelvic kunye nomnyango we-vaginal.
• I-lymphedema eqhelekileyo kwimilenze yomibini.

Kumadoda, oku kunokwenzeka:

• Ukudumba kunye nentlungu kwilungu lobudoda, kwi-scrotum, okanye kuzo zombini.
• I-lymphedema exhaphakileyo kwimilenze yomibini.

Khawucinge nje, emva kokuba uNalini enyangelwe umhlaza, i-labia yakhe yaqala ukudumba. Ekuqaleni, wayecinga ukuba yinto eqhelekileyo, kodwa ukudumba kwanda imihla ngemihla, okwenza kube nzima ukuhamba. Kulapho ke wabona ugqirha waza wafunda nge-Genital Lymphedema. Ngoko ke ukuba unezi mpawu, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngaphandle kokulibazisa.

Kutheni i-Genital Lymphedema isenzeka? Ngaba iyasulela?

Xa inkqubo yethu ye-lymphatic isebenza kakuhle, ulwelo lwe-lymph luhamba ngemithambo yomzimba luze lubuyele egazini. Nangona kunjalo, ukuba kukho ukuvaleka okanye ukuqhekeka kwenkqubo ye-lymphatic kwindawo yakho yesini, olo lwelo lwe-lymph luqokelelana kwizicubu ezithambileyo apho, nto leyo ebangela ukudumba. Njengaxa umbhobho wamanzi uvalekile, amanzi azaliswa kwindawo enye.

Hayi, i-Genital Lymphedema ayisosifo esosulelayo. Kwakhona, ayisosifo esidluliselwa ngesondo (STI). Awunakusidlulisela komnye umntu. Ngoko ke ungakhathazeki ngaso.

Ngaba oku kungabangela ezinye iingxaki?

Ewe, ukuba i-Genital Lymphedema ayinyangwanga kakuhle, ezinye iingxaki zinokubakho.

• I-cellulitis ephindaphindayo. I-cellulitis kukudumba kwezicubu ezithambileyo ezingaphantsi kolusu. Oku kunokubangela amanxeba kunye nokulahleka kokuqina kolusu.
• I-Elephantiasis . Le yimeko apho ulusu lukhula kakhulu, lujiyile, okanye luqine. Le meko idla ngokuvela xa i-Genital Lymphedema inzima.
• I-Erysipelas . Njenge-cellulitis, olu luhlobo losulelo lolusu olubangelwa ziintsholongwane. Lunokukhula ngokukhawuleza luze lubangele umkhuhlane, iintlungu, kunye nokutshintsha kombala wolusu (obomvu, omfusa, omdaka, omnyama).
• Imiphumo yengqondo. Ngenxa yokuba i-lymphedema yesini yimeko ehlala ixesha elide kwaye inokuchaphazela inkangeleko yakho, ungazithembi , uxhalabe , uxinezeleko kunye noxinzelelo . Kubalulekile ukuthetha nomntu omthandayo kwaye ufune iingcebiso ukuba kuyimfuneko.

Oogqirha bazi njani ukuba unayo le nto?

Xa usiya kugqirha, baza kuqala bakubuze ngembali yakho yezonyango baze bakwenze uvavanyo lomzimba. Ukuba bacinga ukuba une-Genital Lymphedema, banokwenza olunye uvavanyo ukuqinisekisa oko.

Zeziphi iimvavanyo ezenziwayo?

• I-Lymphoscintigraphy: Kolu vavanyo, ugqirha wakho ukujova ngenaliti encinci ye-radioactive substance (radiotracer) . Emva koko, besebenzisa iskena , bajonga indlela le nto ehamba ngayo kwinkqubo yakho ye-lymphatic. Oku kunokunceda ekuqinisekiseni ukuba kukho naziphi na izithintelo kwinkqubo yakho ye-lymphatic kunye nokuba isebenza ngokuqhelekileyo na.
• I-Magnetic Resonance Imaging (MRI): I-MRI luvavanyo lomfanekiso olusebenzisa imagnethi enkulu, amaza erediyo, kunye nekhompyutha ukwenza imifanekiso eneenkcukacha zezicubu ezithambileyo zendawo yakho yesini.

Ngaba i-Genital Lymphedema inganyangeka ngokupheleleyo? Zithini iindlela zonyango?

Inyaniso kukuba, okwangoku akukho nyango lwe-Genital Lymphedema. Kodwa ungakhathazeki! Kukho unyango olusebenzayo lokunceda ukulawula iimpawu.

Yintoni onokuyenza malunga ne-lymph nodes ezivuvukileyo kwindawo ye-groin?

Unyango lokuqala oluhlala lunikwa yiComplex Decongesstive Therapy (CDT) . Olu nyango lunamanyathelo aliqela:

• Ukucoca ulusu ngokupheleleyo: Ugqirha okanye ingcali eqeqeshiweyo iza kucoca indawo esebenzisa isepha yokubulala iintsholongwane, amanzi afudumeleyo, kunye nesicoci solusu (umz. i-iodine, i-isopropyl alcohol).
• Ukutsalwa kweMitha yeLymph ngesandla (MLD): Oku kwenziwa yingcali ye-lymphedema eqeqeshwe ukunciphisa ukudumba kwe-lymphedema. Oku kubandakanya ukuhlikihla kancinci kunye nokucofa indawo evuvukileyo ukuhambisa ulwelo lwe-lymph kwindawo enemithambo ye-lymph ephilileyo. Ingcali yakho yezonyango iya kukubonisa nendlela yokwenza olu hlobo lokuhlikihla ngokwakho. Nangona kunjalo, akukhuthazwa ukuba unamanxeba avulekileyo, imivumbo, amahlwili egazi, okanye kutshanje uye wafumana unyango lwe-radiation.
• Iimpahla zokucinezela ezikhethekileyo kunye neempompo: Ezi ziimpahla zokucinezela kunye neempompo ezivuthelayo kwaye zinciphe ngamaxesha athile. Zinceda ukuhambisa ulwelo lwe-lymph kwii-lymph nodes kwaye zithintele ukuqokelelana kolwelo.
• Ukuzilolonga: Ingcali ye-lymphedema iza kukunika umthambo othile ofanelekileyo kuwe kwaye oya kunceda ukuphucula ukuhamba kwegazi kwi-lymph.

Ngamanye amaxesha, i-Genital Lymphedema inokuba nzima ngakumbi nangona usebenzisa i-Complex Decongesstive Therapy. Kwimeko ezinjalo, ugqirha wakho unokucebisa utyando, ingakumbi ukuba:

• Ukuba imeko yakho ye-Genital Lymphedema iyaqhubeka nokuba mandundu.
• Ukuba unezifo ezixhaphakileyo.
• Ukuba ulusu kwindawo yesini luphazamisekile kakhulu ngenxa yentlungu.
• Ukuba i-Genital Lymphedema inefuthe elikhulu kumgangatho wobomi bakho.

Eyona njongo iphambili yotyando kukunciphisa iintlungu nokubuyisela ukusebenza okuqhelekileyo. Oku kuquka ukususa zonke izicwili ezichaphazelekayo nokugubungela indawo ngesikhumba esisempilweni (i-skin graft) .

Ndiza kuziva ngcono ngokukhawuleza kangakanani emva konyango?

Xa uqala unyango oluyinkimbinkimbi lokuthomalalisa amathumbu, unokufuna unyango lwemihla ngemihla kangangeeveki ezintandathu. Emva koko, ungazinika ngokwakho unyango njengoko ugqirha wakho ekuyalele, kunye nokutyelela ugqirha wakho ngamanye amaxesha.

Ukuba utyando lwe-genital lymphedema, kuya kufuneka uhlale esibhedlele usuku olunye okanye ezimbini. Uninzi lwabantu luyaphola kwiiveki ezintandathu. Nangona kunjalo, ugqirha wakho uya kukunika ixesha elichanekileyo ngokusekelwe kwimeko yakho.

Ungayilawula njani i-lymphedema yesini kwaye uyithintele ukuba ingabi mbi kakhulu?

Akunakwenzeka ukunciphisa zonke iingozi zokuba ne-lymphedema, kwaye oogqirha abanakukwazi ukulungisa ngokupheleleyo umonakalo kwinkqubo ye-lymphatic. Nangona kunjalo, ngonyango olufanelekileyo, unokulawula ukudumba kwaye unciphise umngcipheko weengxaki. Ezi ngcebiso zilandelayo zinokukunceda ulawule imeko yakho ye-Genital Lymphedema:

• Nika ingqalelo emzimbeni wakho: Bona ugqirha kwangoko nje ukuba uqaphela iimpawu zokuqala ze-genital lymphedema. Ukungayinyangi, okanye ukuqala unyango emva kwexesha, kunokukhokelela kwiingxaki ezinkulu ezingenakulungiswa kamva.
• Lumka ulusu lwakho: Gcina ulusu lwakho lucocekile kwaye lufumile ukuze kuthintelwe usulelo. Xa ulwelo lwe-lymph luqokelelana, iintsholongwane zinokukhula ngokulula. Bonana nogqirha kwangoko nje ukuba uqaphela iimpawu zosulelo (umz., ulusu olubomvu/omfusa/omdaka, iintlungu, ukudumba, umkhuhlane, imicu enombala phantsi kolusu).
• Vumela ulwelo lomzimba wakho luhambe lula: Musa ukunqumla imilenze yakho xa uhleli. Tshintsha indawo yakho ubuncinci rhoqo emva kwemizuzu engama-30. Kuphephe ukunxiba impahla eqinileyo kunye neebhandishi ezithambileyo.
• Nciphisa ubushushu kwindawo yakho yesini: Ziphephe iibhafu ezishushu kunye nee-sauna . Ubushushu obugqithisileyo bunokunyusa umngcipheko we-lymphedema yesini.
• Zibandakanye nomthambo ocothayo nolawulwayo: Landela isicwangciso somthambo esiza kulungiselelwa ngugqirha we-Lymphedema.
• Gcina ubunzima obusempilweni obukufaneleyo: Funa uncedo kugqirha okanye kwingcali yesondlo ukuze wenze isicwangciso sokutya esinempilo.

Khumbula: Ezi zizinto ekuza kufuneka uzilandele ubomi bakho bonke. Nangona kunjalo, zinokwenza ubomi bakho bube lula.

Ngaba ukutya neziselo kuyayichaphazela le nto?

Ewe, imikhwa yokutya okunempilo inokunceda ukulawula ukudumba kwe-Genital Lymphedema. Ukubandakanya iziqhamo ezininzi, imifuno, iiproteni ezingenamafutha, kunye neenkozo ezipheleleyo ekutyeni kwakho kuya kunceda inkqubo yakho ye-lymphatic isebenze kakuhle. Nazi ezinye izinto ekufuneka uziqwalasele:

• Nciphisa umlinganiselo wetyuwa: Ityuwa inokunyusa ukugcinwa kolwelo. Sebenzisa amagqabi ekhari amatsha, igalikhi, i-oregano, umgubo wetshili, kunye nomgubo wemustard ukuze unike incasa yokutya kwakho.
• Sela amanzi amaninzi: Ukusela amanzi kunceda ekukhupheni ulwelo olugqithisileyo emzimbeni wakho. Zama ukusela ubuncinane ii-ounces ezingama-64 (iiglasi ezi-8 eziqhelekileyo) ngosuku.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu ze-Genital Lymphedema, qiniseka ukuba ubona ugqirha. Ukuba ayinyangwa, imeko inokuba mandundu kwaye ikhokelele kwezinye iingxaki.

Kungcono ukubuza le mibuzo xa ubona ugqirha wakho:

• Uyazi njani ukuba ndine-Genital Lymphedema?
• Ukuba andinayo i-Genital Lymphedema, yeyiphi enye imeko endinokuba nayo?
• Ingakanani i-Genital Lymphedema yam?
• Zeziphi ezinye iinguqu endimele ndizenze kwindlela yam yokuphila?
• Ungacebisa umcebisi wezempilo yengqondo , iqela lenkxaso, ingcali yesondlo, okanye ingcali ye-Lymphedema?

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba unayo nayiphi na kwezi mpawu zosulelo, yiya kwigumbi likaxakeka elikufutshane:

• Umkhuhlane ongaphezulu kwe-100.4 degrees Fahrenheit (38 degrees Celsius).
• Iintlungu ezikhulayo.
• Ukufudumala kwendawo echaphazelekayo.
• Utshintsho kumbala wolusu, ingakumbi ukuba lubonakala ngathi yimicu esuka kwindawo echaphazelekayo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Genital Lymphedema yimeko eyenzeka xa inkqubo ye-lymphatic kwindawo yakho yesini yonakele okanye ichaphazeleka. Inokuba yimeko yexesha elide, kwaye iimpawu zinokuba buhlungu kakhulu. Nangona kunjalo, ngonyango olufanelekileyo kunye notshintsho lwendlela yokuphila, iziphumo ze-Genital Lymphedema zinokuncitshiswa.

Ukuba uneengxaki, ungoyiki ukuthetha nogqirha. Baza kukucebisa unyango olungcono kuwe. Awuwedwa onale meko, kwaye zininzi iindlela zokufumana uncedo.

I- Genital Lymphedema, inkqubo ye-lymphatic, ukudumba kwendawo ye-genital, ulwelo lwe-lymph, ii-lymph nodes, unyango, iimpawu, ukudumba, i-cellulitis