Ngaba wakha waziva ngathi isinqe sakho siqala ukudumba ngequbuliso? Okanye ngaba ulusu olukuloo ndawo luyaqina luze luvakale ngenye indlela xa usichukumisa? Nangona le yingongoma engathandekiyo nehlazisayo ukuthetha ngayo, kubaluleke kakhulu ukuqaphela le meko. Kuba ukuba ayihoywa, inokukhokelela kwiimeko ezinzulu. Namhlanje sithetha ngemeko enokubangela iimpawu ezifana nezi, eyaziwa ngokwezonyango njengeScrotal Lymphedema .
Yintoni kanye kanye iScrotal Lymphedema?
Ngamafutshane, iScrotal Lymphedema yimeko apho uhlobo oluthile lolwelo olubizwa ngokuba yi-lymph luqokelelana ngaphakathi kwizicubu ezithambileyo zesinqe sakho, nto leyo ebangela ukudumba. Ngamanye amaxesha, oku kudumba kunokusasazeka kwilungu lobudoda nakwiindawo ezingqongileyo.
Ngoku usenokuba uzibuza, "Yintoni le lymph fluid?" Khawuthelekelele, umzimba wethu unenkqubo esusa inkunkuma kunye neetyhefu , njengenkqubo yokulahla inkunkuma yesixeko. Oku sikubiza ngokuba yinkqubo ye-lymphatic . Le nkqubo yinxalenye ebalulekileyo yenkqubo yethu yokuzikhusela. I-lymph fluid lulwelo olucacileyo oluhamba kule nkqubo kwaye lunceda ukususa izinto ezifana nenkunkuma kunye neebhaktheriya .
Ngoko ke, ukuba ngesizathu esithile imithambo ye-lymph okanye ii-lymph nodes kule nkqubo ye-lymphatic, ingakumbi kwindawo ye-groin, zonakele okanye zivalekile, olu lwelo lwe-lymph alukwazi ukuhamba kakuhle. Kulapho olo lwelo luqokelelana kwiindawo ezifana ne-scrotum luze luqale ukudumba.
Zithini iimpawu zale meko?
Uphawu oluphambili nolucacileyo lwesi sifo kukudumba kwesinqe. Kwezinye iimeko ezinzima, oku kudumba kunokunyuka ngokuphindwe kaninzi kubukhulu obuqhelekileyo, kube bukhulu berenji, ibhola yomnyazi, okanye bukhulu ngakumbi. Oogqirha bakubiza oku ngokuthi 'yiGiant Scrotal Lymphedema'.
Makhe sibone ukuba zeziphi ezinye iimpawu.
| Uphawu | Inkcazo |
|---|---|
| Ukudumba kwe-testicle | Ubukhulu bayo bukhulu. Ekuqaleni ithambile xa uyichukumisa, kodwa ekuhambeni kwexesha inokuba nzima ngenxa yokuqina kwezicubu (i-fibrosis). |
| Intlungu ehlala ixesha elide | Intlungu engapheliyo okanye ukungakhululeki kwindawo evuvukileyo neyijikelezeyo. |
| Usulelo oluphindaphindayo | Iintsholongwane zesikhumba (ezifana ne-cellulitis) zixhaphakile. Iimpawu zingabandakanya ukubomvu kunye nokufudumala kolusu. |
| Ukuphazamiseka kwimisebenzi yemihla ngemihla | Ubunzima bokuhamba okanye ukungakwazi ukuhamba. Ubunzima bokuchama. |
| Iingxaki zesondo | Ubunzima bokwabelana ngesondo. |
| Ipenisi Engcwatywe | Imeko apho ipenisi igqunywe zizicwili zescrotal ngenxa yokudumba okukhulu, okwenza ingabonakali. |
Zithini izizathu ze-scrotal lymphedema?
Kukho izizathu ezininzi eziphambili zale meko. Ingakumbi kumazwe afana neSri Lanka, imbangela ephambili yale meko yiLymphatic Filariasis . Olu lusulelo olubangelwa ziingcongconi. Ezi ngcongconi zonakalisa inkqubo yethu ye-lymphatic.
Ukongeza, kukho ezinye izizathu:
- Unyango lomhlaza: Unyango ngemitha okanye utyando, ingakumbi kwindawo ye-pelvic, lunokonakalisa inkqubo ye-lymphatic.
- Utyando: Olunye utyando olwenziwe kwindawo yempumlo okanye esiswini lunokubangela umonakalo kwimithambo ye-lymphatic.
- Ukutyeba kakhulu: Lo mngcipheko uphezulu kubantu abane-body mass index (BMI) engaphezulu kwama-30.
- Iingxaki zokuzalwa: Abanye abantu banokuzalwa benobuthathaka obuthile kwinkqubo ye-lymphatic.
Eyona nto ibalulekileyo kukuba esi ayisosifo esosulelayo okanye isifo esidluliselwa ngesondo (STI), ngoko ke musa ukusoyika ngokungeyomfuneko.
Zeziphi iingxaki ezinokubangela oku?
Ukuba le meko ayinyangwanga kakuhle, iingxaki ezahlukeneyo zinokuvela ngokuhamba kwexesha.
- Iintsholongwane Zesikhumba (i-Cellulitis): Iintsholongwane zezicubu ezingaphantsi kwesikhumba zinokwenzeka rhoqo.
- I-Elephantiasis (Ulusu olufana nendlovu): Olu lolona hlobo lubi kakhulu lwe-'barawa'. Ulusu luba lukhuni kakhulu, lube lukhulu, kwaye lube rhabaxa.
- Ukuphola kwenxeba okulibazisekileyo: Ukuba inxeba livela kwindawo yesini, kuya kuthatha ixesha elide kunesiqhelo ukuphola.
- Iziphumo zengqondo: Le meko inokubangela utshintsho kwinkangeleko, ubunzima bokuhamba, kunye nokungazithembi, kunye nexhala, uxinzelelo, kunye nokudakumba . Le yingxaki ebucayi kakhulu, ngoko ke kukho amathuba aphezulu okudakumba.
Ugqirha uyixilonga njani le nto?
Xa ubona ugqirha onezi mpawu, baya kuqala bakuhlole ngokwasemzimbeni baze bakubuze ngembali yakho yezonyango. Banokucebisa novavanyo oluthile ukuze bafumanise ezinye izizathu zokudumba kunye nokuchonga indawo echanekileyo yokuvaleka kwenkqubo yakho ye-lymphatic.
- I-Lymphoscintigraphy: Uvavanyo apho kufakwa khona inani elincinci lezinto ezinemisebe kwinkqubo ye-lymphatic kwaye kusetyenziswa iskena ukujonga intshukumo yayo. Oku kunokubonisa indawo echanekileyo yokuvaleka kwayo.
- Iskeni se-MRI (iMagnetic Resonance Imaging): Uvavanyo olusebenzisa intsimi yemagnethi kunye namaza erediyo ukuthatha imifanekiso eneenkcukacha zezicubu.
- I-CT scan (i-Computed Tomography): Uvavanyo olusebenzisa uthotho lwee-X-rays ukuthatha imifanekiso eneenkcukacha kunye nokuchonga imiqobo.
Zithini iindlela zonyango zoku?
Esi asisosifo sinyangekayo ngokupheleleyo okwangoku, njengoko umonakalo kwinkqubo ye-lymphatic awunakuguqulwa. Nangona kunjalo , kukho unyango olunokulawula ngempumelelo iimpawu, lunciphise ukudumba, kwaye lukuvumele ukuba uphile ubomi obuqhelekileyo.
Unyango olungelulo utyando (i-Complex Decongesstive Therapy - CDT)
Olu lolona nyango luphambili olucetyiswayo. Lunokulawula ngempumelelo ukudumba okuncinci ukuya kokuphakathi, ingakumbi kumanqanaba okuqala.
- Ukugcina ulusu lucocekile: Gcina ulusu lucocekile ngokusebenzisa isepha ekhethekileyo yokubulala iintsholongwane ukuthintela usulelo.
- Ukuhambisa amanzi nge-lymphatic ngesandla:Olu luhlikihla oluthambileyo olwenziwa yingcali yezonyango eqeqeshwe ngokukodwa. Lusebenza ngokushukumisa ulwelo lwe-lymph olungasebenziyo luye kwiindawo ze-lymph ezisebenzayo, lunciphisa ukudumba.
- Ukunxiba iimpahla ezikhethekileyo zokucinezela: Uxinzelelo oludalwa zezi mpahla lunciphisa ukuqokelelana kolwelo kwaye lulawula ukudumba.
- Ukuzilolonga: Ukulandela inkqubo ethile yokuzilolonga eyenzelwe wena ngqo ngugqirha kuya kunceda ukuphucula ukujikeleza kwegazi emzimbeni.
Utyando
Kwiimeko ezinzima ezingaphenduliyo kunyango olungentla, utyando lunokucetyiswa. Oku kubandakanya ukususa izicwili ezingaphezulu kunye nolusu oluqokeleleneyo kunye nokugubungela indawo ngesikhumba esisempilweni (i-skin graft) ethathwe kwenye inxalenye yomzimba (ngokuqhelekileyo ithanga). Oku kwenziwa yingcali ye-urologist kunye nogqirha we-plastic surgeon kunye.
| Ufanele uye nini kwi-ETU (iYunithi yoNyango oluNgxamisekileyo) ngoko nangoko? | |
|---|---|
| Ukuba uneScrotal Lymphedema, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko ukuba ufumanisa naziphi na ezi mpawu zilandelayo zosulelo : | |
| - Umkhuhlane ongaphezulu kwama-38 degrees Celsius (100.4 Fahrenheit). | - Ukwanda kwentlungu. |
| - Ukufudumala xa uchukumisa indawo evuvukileyo. | - Ukutshintsha kombala wolusu (obomvu, omfusa, omdaka) okanye ukubonakala kwemigca. |
Zeziphi ezinye izinto onokuzenza ngokwakho?
Kunye nonyango, utshintsho oluncinci kwindlela ophila ngayo lunokunceda kakhulu ekulawuleni le meko.
- Lumka ulusu lwakho: Ukuthintela usulelo yeyona nto ibalulekileyo. Coca indawo yonke imihla uze ufake i-moisturizer.
- Imikhwa emihle yokutya: Nciphisa ukutya ityuwa. Ityuwa inyusa ukugcinwa kolwelo emzimbeni. Endaweni yoko, sebenzisa izinto ezifana negalikhi, umgubo wetshili owomileyo, kunye ne-oregano ukuze unike incasa yokutya kwakho.
- Sela amanzi amaninzi:Zama ukusela ubuncinane iiglasi ezisi-8 zamanzi ngosuku.
- Kuphephe ukunxiba impahla eqinileyo: Kuphephe ukunxiba impahla yangaphantsi eqinileyo okanye iibhulukhwe ezithintela intshukumo.
- Kuphephe ubushushu obugqithisileyo: Kuphephe izinto ezifana nokuhlamba ngamanzi ashushu kakhulu nokusebenzisa ii-sauna.
- Gcina ubunzima obusempilweni: Thetha nogqirha wakho kwaye ugcine ubunzima obusempilweni obufanela wena.
Umyalezo Wokuya Ekhaya
- I-Scrotal Lymphedema kukudumba okubangelwa kukuqokelelana kolwelo lwe-lymph kwi-scrotum. Ayingomhlaza.
- I-Filariasis, isifo esithwalwa ziingcongconi kumazwe afana neSri Lanka, sesona sibangela esi sifo.
- Esi asisosifo esosulelayo, kwaye asidluliselwa ngesondo.
- Ukuba ubona nakuphi na ukudumba okungaqhelekanga, ukuqina, okanye intlungu emasendeni akho , musa ukuba neentloni okanye ulibazise, kodwa bona ugqirha.
- Ukufunyanwa kwangoko kunye nonyango kunokuthintela iingxaki ezinkulu kwaye kukhokelela kubomi obungcono.
- Ukugcina ulusu lucocekile kwaye lufumile kubalulekile ukuthintela usulelo.
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