Ingaba isinqe sakho sidumbile? Masifunde nge-scrotal lymphedema!

Ngaba wakha waziva ukudumba okungaqhelekanga kwisinqe sakho, okanye kwindawo ejikeleze sona? Oku kusenokuba nzima ukuthetha ngako, kodwa sisihloko esibaluleke kakhulu. Sibiza oku ngokuba yi-scrotal lymphedema. Ungakhathazeki, oku akuyonto nje onayo. Masithethe ngayo ngendlela elula enokuqondwa ngumntu wonke.

Yintoni iScrotal Lymphedema?

Ngamafutshane, `(Scrotal Lymphedema)` yimeko apho izicubu ezithambileyo kwiscrotum yakho, ingakumbi ulwelo olubizwa ngokuba yi-lymph, zidumba khona. Oku kudumba kunokuchaphazela kungekuphela nje iscrotum kodwa neendawo ezingqongileyo, njengepenis. Njengoko usazi, iscrotum sisingxobo sesikhumba esisezantsi nangasemva kwepenis, kwaye kulapho ahlala khona amasende.

Olu luhlobo lwesifo esingapheliyo esibizwa ngokuba yi-`(Lymphedema). Le meko yenzeka xa inkqubo ye-lymphatic emzimbeni wethu yonakele okanye ivaliwe. Inkqubo yethu ye-lymphatic yinxalenye ebalulekileyo yenkqubo yokuzikhusela komzimba. Inceda ukususa inkunkuma kunye neetyhefu emzimbeni kwaye igcine ulungelelwano lolwelo emzimbeni. Rhoqo, le nkqubo ye-lymphatic inokonakala ngenxa yonyango lomhlaza, utyando, isifo esibizwa ngokuba yi-lymphatic filariasis , okanye ezinye iingxaki zenkqubo yomchamo ezikhoyo ekuzalweni.

Nangona le meko ibonwa kumazwe afana neSri Lanka ngenxa yesifo saseBarawa, kumazwe afana neMelika, "iScrotal Lymphedema" yimeko engaqhelekanga. Nangona kunjalo, kunzima koogqirha nabaphandi ukuxela ngokuthe ngqo ukuba bangaphi abantu abaphethwe sesi sifo.

Zeziphi iindawo zenkqubo ye-lymphatic ezibandakanyekayo koku?

Kukho amalungu amaninzi ahlukeneyo kwinkqubo yethu ye-lymphatic, kodwa la malungu abandakanyeka kakhulu kwimeko yeScrotal Lymphedema:

• I-lymph: Olu lulwelo olucacileyo nolucocekileyo. Lulo oluhamba kuyo yonke inkqubo ye-lymphatic. Luqulathe iiseli ezimhlophe zegazi, ingakumbi ii-lymphocytes . Lunceda ukususa inkunkuma, iibhaktheriya kunye neeproteni ezigqithisileyo kwizicubu.
• Imithambo ye-lymph: Njengeetyhubhu ezincinci, ezi zithwala ulwelo lwe-lymph emzimbeni wonke.
• Ama-lymph nodes: La ma-lymph nodes agcina iiseli ezimhlophe zegazi kwaye ahluze ulwelo lwe-lymph. Kukho ama-lymph nodes kuwo wonke umzimba wethu. Uninzi lwabantu lunama-lymph nodes amalunga neshumi kwindawo ye-groin (inguinal lymph nodes) .

Zithini iimpawu ze-`(Scrotal Lymphedema)`?

Uphawu oluphambili nolucacileyo lwale meko kukudumba kwamasende.. I-testicle inokuba nkulu ngokuphindwe kaninzi kunesiqhelo. Khawucinge nje, kwabanye abantu oku kudumba kunokuba mkhulu kakhulu, njengeorenji enkulu, ngamanye amaxesha kube nkulu njengebhola yomnyazi. Oogqirha babiza olu hlobo lokudumba ngokuthi `(giant scrotal lymphedema)`.

Kusenokubakho nezinye iimpawu:

• Ekuqaleni, i-scrotum kunye nezicubu ezingqongileyo zinokuvakala zithambile, njengentlama, ngenxa yokuqokelelana kolwelo. Ekuhambeni kwexesha, njengoko izicubu zesilonda zisenzeka (i-fibrosis) , ezi zinokuba nzima nangakumbi.
• Kusenokubakho iintlungu ezihlala ixesha elide kwiindawo ezichaphazelekayo.
• Usulelo oluphindaphindeneyo lunokwenzeka.
• Ubunzima bokuhamba , ngamanye amaxesha nokungakwazi ukuhamba konke konke.
• Ubunzima bokuchama (ukuchama) .
• Ubunzima kwizenzo zesondo .

Kwezinye iimeko ezinzima, i-scrotal lymphedema inokubangela imeko ebizwa ngokuba yi-buryed penis . Oku kuxa i-penis igqunywa zizicubu ze-scrotum ngenxa yokudumba kakhulu (i-edema). I-penis isenokubonakala ifihliwe okanye ingekho.

Yintoni ebangela oku?

Kumazwe afana neSri Lanka, unobangela oyintloko we-scrotal lymphedema lusulelo olubangelwa zizinambuzane olubizwa ngokuba yi-lymphatic filariasis , oludluliselwa ziingcongconi.

Kodwa kumazwe afana neMelika, le meko idla ngokubangelwa kukuvaleka okanye ukuqhekeka kwenkqubo ye-lymphatic kwindawo yesini. Emva koko, ulwelo lwe-lymph aluphumi kakuhle kwindawo yesini. Unyango lomhlaza (ingakumbi unyango lwe-radiation), utyando, njl.njl. lunokubangela oku.

Ingaba le `(Scrotal Lymphedema)` iyasulela?

Hayi, `(Scrotal Lymphedema)` ayisosifo esosulelayo. Ayisosifo esidluliselwa ngesondo `(STI)`. Ngoko ke musa ukuyoyika.

Ngubani osengozini enkulu yokuphuhlisa oku?

Usenokuba sengozini enkulu yokuhlaselwa yile meko ukuba:

• Ukuba ufumene unyango lokunyanga umhlaza, oko kukuthi, ukuba ukhe wanyangwa ngemitha okanye watyandwa .
• Ukuba i-Body Mass Index (BMI) yakho ingaphezulu kwama-30, oko kuthetha ukuba utyebile kakhulu.

Ziziphi iingxaki ezinokubakho ze-`(Scrotal Lymphedema)`?

Kukho iingxaki ezininzi ezinokuvela ngenxa yale meko, nto leyo elungileyo ukuyiqonda:

• Ukwenzeka rhoqo kwemeko ebizwa ngokuba yi -'cellulitis' . Oku kukudumba kwezicubu ezithambileyo ezingaphantsi kolusu. Oku kunokubangela ukuba ulusu luphulukane nokuqina kwalo.
• I-Elephantiasis (imeko efana ne-elephantiasis): Kule meko, ulusu luyakhula, lube lukhuni, kwaye luqine.
• `erysipelas`:Olu luhlobo losulelo oluchaphazela iileya eziphezulu zolusu. Lunokubangela umkhuhlane ngequbuliso, utshintsho lolusu (obomvu, omfusa, omdaka, omnyama), kunye nokudumba.
• Ukuphola kwenxeba okulibazisekileyo: Amanxeba ajikeleze indawo yangasese angathatha ixesha elide ukuphola.
• Iziphumo zengqondo: I-Scrotal Lymphedema yimeko ehlala ixesha elide enokuba yingozi, ichaphazele inkangeleko kwaye yenze kube nzima ukuhamba. Ingakhokelela ekuzithembeni okuphantsi , ixhala elingalawulekiyo , ukudakumba kunye noxinzelelo . Oku kuqhelekile, ngoko ke kufuneka sikhathazeke nangale nto.

Oogqirha bayixilonga njani le nto?

Ukuze kufunyaniswe i-scrotal lymphedema, ugqirha uya kuqala enze uvavanyo lomzimba aze abuze ngembali yakho yezonyango . Ukongeza, ezinye iimvavanyo zomfanekiso zinokwenziwa. Ezi zinokunceda ekufumaneni ubungakanani bokuvaleka kwenkqubo ye-lymphatic. Zinokunceda nasekuthinteleni ezinye iimeko ezinokubangela ukudumba kwi-scrotum. Ezi vavanyo zihlala zenziwa ukuze:

• I-Lymphoscintigraphy: Kolu vavanyo, ugqirha ufaka inani elincinci lezinto ezine-radioactive (radiotracer). Emva koko, kusetyenziswa iskena ukulandelela izinto njengoko zihamba kwinkqubo yakho ye-lymphatic. Ukuba kukho ukuvaleka kwenkqubo ye-lymphatic, izinto ezine-radioactive aziyi kuhamba ngaphaya kwelo nqanaba, kwaye indawo echanekileyo yokuvaleka inokufumaneka.
• I-Magnetic Resonance Imaging (MRI): Olu luvavanyo oluthatha imifanekiso. Lunceda ekufumaniseni ukuba kukho ukuvaleka kwemithambo ye-lymphatic. Lusebenzisa imagnethi enkulu, amaza erediyo, kunye nekhompyutha ukuthatha imifanekiso eneenkcukacha zezicubu ezithambileyo zendawo yesini.
• I-CT scan esebenzisa i-Computed Tomography: I-CT scan isebenzisa uthotho lwee-X-rays ukuthatha imifanekiso eneenkcukacha zendawo yesini kwaye inokunceda ekuchongeni apho ii-lymph nodes zivalekileyo khona.

Ngaba iScrotal Lymphedema inganyangeka ngokupheleleyo?

Inyaniso kukuba, okwangoku akukho nyango lweScrotal Lymphedema. Kodwa ungakhathazeki. Kukho unyango olunokunceda ukunciphisa iimpawu zakho nokuthintela ukudumba ukuba kuqhubeke.

Iphathwa njani le nto?

Oogqirha badla ngokucebisa unyango olubizwa ngokuba yi- complex decongestive therapy (CDT) kwi-scrotal lymphedema. Oku kunceda ekunciphiseni ukudumba okuncinci ukuya kokuphakathi, ingakumbi kwizigaba zokuqala zesifo. Olu nyango luquka:

• Ukugcina ulusu lucocekile: Coca ulusu kakuhle usebenzisa isepha yokubulala iintsholongwane, amanzi afudumeleyo, kunye nesicoci solusu (umz. i-iodine okanye i-isopropyl alcohol).
• Ukukhupha i-lymph drainage ngesandla: Oku kwenziwa yingcali ye-lymphedema eqeqeshwe ngokukodwa. Uza kuyihlikihla kancinci nangokucothayo loo ndawo, asuse ulwelo lwe-lymph kwindawo evuvukileyo aze aluqondise kwiindawo ze-lymph ezisebenza kakuhle.
• Ukunxiba iimpahla ezikhethekileyo zokucinezela: Ezi mpahla zinciphisa ukuqokelelana kolwelo kwaye zinceda ukuqondisa ulwelo lwe-lymph kwiindawo ze-lymph apho lusebenza khona.
• Umthambo: Ingcali ye-lymphedema iza kwenza isicwangciso somthambo esifanelekileyo kuwe. Ezi mthambo zinceda ulwelo lwe-lymph luhambe kwimithambo ye-lymph.

Kwimeko ye-scrotal lymphedema enzima engaphenduli kakuhle kunyango oluntsonkothileyo lokukhulula ukuxinana, ugqirha unokucebisa utyando . Olu tyando lubandakanya ukususa ubunzima kunye nezicubu ezichaphazelekayo kwaye endaweni yazo kufakwe ulusu oluphilileyo (i-skin graft) . Iqela lotyando lidla ngokuquka ugqirha we-urologist kunye nogqirha we-plastic surgeon . Ngexesha lotyando, iqela lezonyango lidla ngokwenza oku kulandelayo:

• Uza kunikwa i-anesthesia jikelele . Emva koko awuyi kuva ntlungu ngexesha lotyando, uza kube ulele.
• Kufakwa ityhubhu yeplastiki ebhityileyo neguquguqukayo (catheter) kwi-urethra yakho. Oku kukhusela i-urethra ngexesha lenkqubo kwaye kunceda ukugcina ipenis izinzile.
• Ipenisi yahlulwe kwizicubu zamasende eziqinileyo (ezinamaqhina), kwaye ulusu kunye nezicubu ezonakeleyo (ezinamaqhina eeseli) ziyasuswa.
• Ukuba kuyimfuneko, kwenziwa i-'liposuction' . Oku kuthetha ukuba kwenziwa imingxunya emincinci kwindawo yesini kwaye iiseli zamafutha ziyatsalwa kusetyenziswa isixhobo sotyando.
• Ukuba kuyimfuneko, kwenziwa i-`panniculectomy` . Oku kususa ulusu oluninzi kunye nezicubu ezinamafutha ``pannus`` ezijikeleze indawo yesini.
• Ukuba kuyimfuneko, kwenziwa i-`escutcheonectomy` . Oku kususa umaleko onamafutha ngaphezulu kwethambo le-pubic (indawo ye-pubic).
• Ulusu olonakeleyo luthathelwa indawo lulusu oluphilileyo oluthathwe kwenye indawo yomzimba (ngokuqhelekileyo ethangeni).

Ziziphi iingxaki okanye iziphumo ebezingalindelekanga emva kotyando?

Uninzi lwabantu lusabela kakuhle kutyando lweScrotal Lymphedema. Nangona kunjalo, ngamanye amaxesha iingxaki zinokubakho, ezinje:

• Ukudumba
• Intlungu
• Ukuncipha kovakalelo kwi-scrotum, ipenis, okanye kwiindawo ezingqongileyo
• Ukungaphumeleli kokufakelwa kwesikhumba

Ndiza kuziva ngcono ngokukhawuleza kangakanani emva konyango?

Kuxhomekeke kubukhali bemeko yakho ye-`(Scrotal Lymphedema)` kunye nonyango olucetyiswayo. Ngonyango lwe-`Complex decongestive therapy`, ukudumba kunokuqala ukuncipha malunga neveki okanye ezimbini. Ukuba utyando, kufuneka ukwazi ukuchacha malunga neeveki ezintandathu.

Ngokuxhomekeke kwimeko yakho, ugqirha wakho uza kukuxelela ngexesha lokuchacha onokulilindela.

Ngaba kukho izinto endinokuzenza ukuze ndizive ngcono?

Ukulandela ukutya okunempilo kunokunceda ukulawula i-scrotal lymphedema. Xa utya iziqhamo ezininzi, imifuno, iiproteni ezingenamafutha, kunye neenkozo ezipheleleyo, inkqubo yakho ye-lymphatic iya kusebenza kakuhle. Kwakhona licebo elihle uku:

• Nciphisa umlinganiselo wetyuwa oyisebenzisayo. Ityuwa inokunyusa ukugcinwa kolwelo emzimbeni. Ungasebenzisa iziqholo ezintsha, igalikhi, i-oregano, umgubo wetshili, kunye nomgubo wemustard ukuze unike incasa yokutya kwakho.
• Sela amanzi amaninzi. Ukugcina umzimba wakho unamanzi aneleyo kunceda ukugcina ukujikeleza kwegazi okunempilo. Kunokuphucula nokuhamba kwegazi emzimbeni. Zama ukusela iiglasi ezisi-8 zamanzi (malunga ne-2,000 ml) ngemini.
• Thetha nogqirha. Unyango lomhlaza lunokubangela `(Scrotal Lymphedema)`. Ngoko ke, ukuba unyangwa umhlaza, buza ugqirha wakho we-oncologist malunga nokuba `(Scrotal Lymphedema)` inokubangwa lolo nyango.

I-Scrotal Lymphedema yimeko enokuchaphazela nempilo yakho yengqondo. Kungcono ukuthetha ngeemvakalelo zakho nosapho nabahlobo abathembekileyo. Ungabuza ugqirha wakho ukuba angakucebisa na ingcali yezonyango okanye iqela lenkxaso kubantu abaneScrotal Lymphedema.

Ukuba ndine-`(Scrotal Lymphedema)`, ndimele ndilindele ntoni?

Okwangoku akukho ndlela yokulungisa umonakalo kwinkqubo ye-lymphatic obangela iScrotal Lymphedema. Oku kuthetha ukuba iScrotal Lymphedema yimeko yexesha elide. Kodwa ungakhathazeki. Ngonyango olufanelekileyo, unokunciphisa iimpawu zakho, uphucule umgangatho wobomi bakho, kwaye uhlale uphilile.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu ze-`(Scrotal Lymphedema)` ingakumbi ukuba unyangwa umhlaza, kubalulekile ukubona ugqirha. Ukuba ayinyangwa, imeko inokuba mandundu kwaye ikhokelele kwezinye iingxaki.

Xa ubona ugqirha, ungabuza le mibuzo:

• Uyazi njani ukuba ndine-`(Scrotal Lymphedema)`?
• Ukuba andinayo i-`(Scrotal Lymphedema)`, zeziphi ezinye izifo endinokuba nazo?
• Ingakanani imeko yam `(Scrotal Lymphedema)`?
• Ucebisa luphi unyango?
• Zeziphi iinguqu zendlela yokuphila ekufuneka ndizenze?
• Ungacebisa ugqirha wengqondo, iqela lenkxaso, ingcali yokutya, okanye ingcali ye-lymphedema?

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba uneScrotal Lymphedema, yiya kwigumbi likaxakeka elikufutshane ukuba ufumana naziphi na ezi mpawu zosulelo:

• Ukuba umkhuhlane ungaphezulu kwama-38 degrees Celsius (100.4 degrees Fahrenheit).
• Ukuba intlungu iyanda.
• Ukuba loo ndawo ishushu.
• Umbala wolusu utshintshile, ingakumbi ukuba ubonakala ngathi yimicu ephuma kuloo ndawo.

Ngaba iScrotal Lymphedema ingathintelwa?

I-Scrotal Lymphedema, enokubangelwa lunyango lomhlaza, isenokungathintelwa ngokupheleleyo. Nangona kunjalo, unyango olufanelekileyo lunokunceda ekunciphiseni ukudumba nokunciphisa iingxaki. Ezi ngcebiso zinokukunceda ukunciphisa umngcipheko wakho:

• Hlala ulumkele umzimba wakho. Xelela ugqirha kwangoko wakubona iimpawu zokuqala ze-`(Scrotal Lymphedema)`. Ukungafumani unyango, okanye ukuqala unyango emva kwexesha, kunokukhokelela kwiingxaki ezinkulu ezingaphaya kwamandla akho.
• Lukhathalele kakuhle ulusu lwakho. Gcina ulusu lwakho lucocekile kwaye lufumile ukuze kuthintelwe usulelo. Xa umswakama uqokelelana, kulula ukuba iintsholongwane zikhule.
• Fowunela ugqirha xa uphawula okokuqala ukuba unentsholongwane. Iimpawu eziqhelekileyo zosulelo ziquka ukutshintsha kombala wesikhumba (obomvu, omfusa, omdaka), iintlungu, ukudumba, umkhuhlane, okanye ukubonakala kwemigca eguqulwe umbala phantsi kwesikhumba.
• Vumela ulwelo lomzimba wakho luhambe ngokulula. Kuphephe ukubeka uxinzelelo kwisisu sakho esisezantsi kunye nendawo yemiqolo. Oku kunokuchaphazela ukuhamba kwegazi emzimbeni. Kuphephe ukusebenzisa impahla eqinileyo, iibhandishi ezithambileyo, njl.
• Nciphisa okanye uphephe ukuveza indawo yakho yesini kubushushu obugqithisileyo. Oku kuquka izinto ezifana neebhafu ezishushu kunye nee-sauna. Ubushushu obugqithisileyo bunokunyusa umngcipheko we-scrotal lymphedema.
• Ziqhelise kancinci, ulawule ngononophelo. Landela isicwangciso somthambo esenziwe yingcali ye-lymphedema.
• Gcina ubunzima obusempilweni obukufaneleyo. Ugqirha okanye ingcali yokutya ingakunceda wenze isicwangciso sokutya esinempilo.

Khumbula, iScrotal Lymphedema inokuba yinto engathandekiyo, kwaye ide ibangele iintloni, kuba ichaphazela indawo ebuthathaka yomzimba. Kodwa, awuwedwa. Ngonyango olufanelekileyo kunye notshintsho kwindlela yokuphila, ungazilawula ezi mpawu kwaye unciphise impembelelo ezinayo ebomini bakho.

Umyalezo Wokuya Ekhaya

Kulungile, masiphinde sichaze ezona zinto zibalulekileyo esithethe ngazo `(Scrotal Lymphedema):`

• Le yimeko apho ulwelo lwe-lymph luqokelelana ngaphakathi nangaphandle kwamasende kwaye lubangele ukudumba.
• Oku kunokwenzeka xa inkqubo ye-lymphatic yonakaliswa zizinto ezifana nokutyeba kakhulu, unyango lomhlaza, okanye utyando.
• Esi asisosifo esosulelayo.
• Uphawu oluphambili kukudumba okungaqhelekanga kwesinqe. Ukongeza, intlungu, ubunzima bokuhamba, kunye nobunzima bokuchama nako kunokubakho.
• Nangona kungekho nyango lupheleleyo, unyango lunokulawula iimpawu.`Unyango Oluntsonkothileyo Lokuthomalalisa Utyando (CDT)` kwaye, kwiimeko ezinzima, utyando zezona ndlela ziphambili zonyango.
• Ungazinceda ngokutya ukutya okunempilo, ukusela amanzi amaninzi, nokugcina ulusu lwakho lucocekile.
• Kubaluleke kakhulu ukufuna iingcebiso zonyango ngokukhawuleza xa ubona naziphi na iimpawu. Ukuba unyango luqalwa ngokukhawuleza, iingxaki ziya kuncipha.
• Ukuba uziva uxinezelekile engqondweni ngenxa yale meko, ungathandabuzi ukuthetha ngayo kwaye ucele uncedo lweengcali ukuba kuyimfuneko.

Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukuthetha nogqirha. Uza kukunika lonke ulwazi kunye nenkxaso oyifunayo.

I- Scrotal Lymphedema, iScrotal Lymphedema, iScrotal Lymphedema, iLymphatic System, Impilo yamadoda, Isifo seScrotal