Uzizwa ukuvuvukala okungajwayelekile, ukusinda, noma ukuqina kwesikhumba endaweni yakho yangasese, okungukuthi, indawo ezungeze izitho zakho zangasese? Kuyihlazo futhi kuyahlazisa ukukhuluma ngento efana nale nanoma ubani, akunjalo? Kodwa lokhu kungaba yinkinga ebaluleke kakhulu ehlobene nempilo yakho. Ngakho-ke namuhla sikhuluma nge-'Genital Lymphedema ', isimo abantu abaningi abangafuni ukukhuluma ngaso, kodwa kubalulekile ukuqaphela. Ungakhathazeki, ngemva kokufunda lesi sihloko, uzoba nokuqonda okucacile ngalokhu.
Kalula nje, iyini i-Genital Lymphedema?
I-Genital Lymphedema ukuvuvukala okubangelwa ukunqwabelana koketshezi lwe-lymph ezicutshini ezithambile ezizungeze indawo yakho yokuzala. Kalula nje, kuyisimo lapho uhlobo oluthile loketshezi emizimbeni yethu lubhajwa kule ndawo bese luvuvukala. Lesi akusona isimo esiyenzeka kanye kuphela, kodwa ngokuvamile kuyisimo esingamahlalakhona .
Lokhu kuthinta ngaphansi kwe-1% yazo zonke izimo ze-lymphedema emhlabeni jikelele. Lokhu kusho ukuthi kuyisimo esingavamile . Kodwa-ke, singathinta noma ubani, kokubili abesifazane nabesilisa, kanye nabantu banoma yimuphi ubudala.
Ake sifunde kancane 'ngeSistimu yethu yeLymphatic' ehlobene nalokhu.
Ukuze siqonde lesi sifo kahle, ake siqale sibe nomqondo omncane mayelana ' nohlelo lwe-lymphatic ' emzimbeni wethu. Cabanga ukuthi imizimba yethu iyidolobha elikhulu. Kuleli dolobha, ukudla okunomsoco nomoya -mpilo kuhamba yonke indawo ngemithambo yegazi , futhi kumele kube nohlelo lokususa imfucuza ukuze kugcinwe idolobha lihlanzekile. Yileyo ndlela uhlelo lwe-lymphatic oluyiyo.
Lokhu kuyingxenye ebalulekile yesimiso sethu somzimba sokuzivikela . Imisebenzi yaso eyinhloko ukugcina ibhalansi yoketshezi emzimbeni , ukulwa nezifo, nokususa imfucuza ezicutshini.
Kunezingxenye ezintathu eziyinhloko zalolu hlelo:
- I-lymph: Lolu uketshezi olucacile, oluphuzi kancane. Luthwala amangqamuzana omzimba (amangqamuzana amhlophe egazi ) luye egazini. Luphinde lususe imfucuza namagciwane ezicutshini bese luwabuyisela egazini.
- Imithambo ye-lymph: Lezi yizakhiwo ezincane ezifana ne-tube ezithwala uketshezi lwe-lymph emzimbeni wonke, njengemithambo yegazi yethu.
- Ama-lymph node : Lawa 'ama-filter'. Lawa maqhubu amancane, anomumo wobhontshisi agcina amangqamuzana amhlophe egazi. Njengoba uketshezi lwe-lymph ludlula kuwo, luhlunga amagciwane kanye nemikhiqizo engcolile. Lawa ma-lymph node atholakala ngamaqoqo ezindaweni ezifana namakhwapha ethu, i-groin, intamo, kanye nesisu.
Ngakho-ke, ku-Genital Lymphedema, kwenzeka okuthile ohlelweni lwe-lymphatic oluzungeze indawo yokuzala, okubangela ukuthi uketshezi lwe-lymph luqoqeke endaweni eyodwa ngenxa yokuvaleka noma umonakalo othile. Njengalapho ipayipi lamanzi livaleka, ligcwala amanzi bese ligcwala.
Kunezinhlobo ezimbili eziyinhloko ze-genital lymphedema:
Lesi simo singahlukaniswa sibe izinhlobo ezimbili eziyinhloko kuye ngokuthi senzeka kanjani.
| Uhlobo | Incazelo |
|---|---|
| I-Primary Genital Lymphedema | Lokhu kubangelwa ukukhubazeka kokuzalwa ekuthuthukisweni kwesistimu ye-lymphatic. Ngezinye izikhathi izimpawu ziyabonakala ekuzalweni. Kwabanye, izimpawu zibonakala eminyakeni eminingi kamuva, ngezinye izikhathi ebuntwaneni. |
| I-Lymphedema Yesibili Yesitho Sangasese | Lolu uhlobo oluvame kakhulu. Okwenzekayo lapha ukuthi uhlelo lwe-lymphatic olunempilo lonakaliswa yimbangela ethile yangaphandle. |
Yiziphi izimbangela ze-lymphedema yesibili yokuzala?
Kungase kube nezizathu eziningana zalokhu.
- Ukwelashwa komdlavuza: Ukuhlinzwa noma ukwelashwa ngemisebe kuyimbangela enkulu yomdlavuza endaweni yezitho zangasese (isibonelo, i-prostate, isinye, amasende, ipenisi, umlomo wesibeletho, ama-ovari, i-vulva, noma i-rectum). Lokhu kungenxa yokuthi lokhu kwelashwa kulimaza noma kususa ama-lymph node endaweni (i-lymphadenectomy). Lokhu kuvimbela indlela yokugeleza koketshezi lwe-lymph.
- Ukutheleleka: Ukutheleleka kwesikhathi eside kwemithambo ye-lymphatic kanye nama-lymph node okubangelwa amagciwane athile, amagciwane, isikhunta noma izibungu. Isibonelo esihle salokhu yi -filariasis, eyaziwa ngokuthi 'iBarawa' ezweni lakithi.
- Ukulimala:Izingozi ezinkulu noma ukulimala endaweni yesitho sangasese.
- Izifo Ezithathelwana Ngocansi (ama-STI): Akuvamile kakhulu, lesi simo singabangelwa ezinye izifo ezithathelwana ngocansi.
- Ezinye izimo zezokwelapha: Lokhu kungabangelwa nezinye izimo zezokwelapha, njengesifo sikaCrohn (ukuvuvukala kwamathumbu), iSarcoidosis, kanye neVasculitis (ukuvuvukala kwemithambo yegazi), okungajwayelekile kakhulu.
Ziyini izimpawu zalesi simo?
Izimpawu ze-genital lymphedema zingahluka kancane kumuntu nomuntu futhi kuye ngobulili. Ake sibheke ezinye zezimpawu ezivamile.
| Izimpawu ze-Genital Lymphedema | |
|---|---|
| Izimpawu ezivamile (kwabesifazane nabesilisa) | |
| Ubunzima bokuchama | Ukuvuza komchamo, ubuhlungu lapho uchama (i-dysuria). |
| Ukutheleleka okuvamile | Ukutheleleka kwesikhumba okubangelwa amagciwane kungavela kaningi endaweni evuvukele. |
| Ukuqina noma ukuqina kwesikhumba | Ngokuhamba kwesikhathi, isikhumba endaweni evuvukele singase siqine futhi sizwakale siqinile uma sithintekile. |
| Izinkinga zocansi | Ubuhlungu ngesikhathi socansi (i-dyspareunia), izinkinga zokuma, kanye nokucindezeleka kwengqondo okubangelwa yilokhu kungaholela ekulahlekelweni yisifiso sobulili. |
| Izinga lokuphila elinciphayo | Ubuhlungu, ubunzima bokuchama, kanye nobunzima ngemisebenzi yansuku zonke kungaholela ekukhungathekeni ngempilo. |
| Izimpawu eziqondene nabesifazane | |
| Ubuhlungu nokuvuvukala emaqakaleni esikhumba endaweni ye-pelvic kanye nakuzo zombili izinhlangothi zomnyango wesitho sangasese sowesifazane. Ngezinye izikhathi kungase kube nokuvuvukala ezinyaweni. | |
| Izimpawu ezithile kumadoda | |
| Ukuvuvukala nobuhlungu epenis, emasendeni, noma kokubili. Ngezinye izikhathi kungase kube nokuvuvukala ezinyaweni. | |
Into ebaluleke kakhulu ukuthi lesi akusona isifo esithelelanayo. I-Genital Lymphedema ayitheleli kusuka komunye umuntu iye komunye. Akusona futhi isifo esithathelwana ngocansi (STI). Ngakho-ke ungasesabi ngokungadingekile.
Yiziphi izinkinga ezingaba khona uma zingelashwa?
Uma lesi simo singelashwa kahle, ezinye izinkinga zingase zivele ngokuhamba kwesikhathi.
- I-Cellulitis Ephindaphindayo: Lokhu ukutheleleka ngamagciwane kwezicubu ezingaphansi kwesikhumba. Kungabangela izibazi kanye nokulahlekelwa ukuqina kwesikhumba.
- I-Elephantiasis: Lolu uhlobo olubi kakhulu. Isikhumba siba sikhulu kakhulu, sibe lukhuni, sifane nesikhumba sendlovu. Lesi simo singabonakala nasezimweni ezinzima zesifo saseBarawa.
- I-Erysipelas: Lokhu ukutheleleka kwesikhumba okubangelwa amagciwane, okufana ne-cellulitis. Kungasakazeka ngokushesha futhi kubangele umkhuhlane, ubuhlungu, kanye nokushintsha kombala wesikhumba (obomvu, onsomi, onsundu, omnyama).
- Imiphumela yengqondo: Njengoba lesi kuyisimo sesikhathi eside futhi sithinta ukubukeka komzimba, umuntu angase abhekane nezinto ezifana nokuzethemba okuphansi, ukukhathazeka, ukucindezeleka kanye nokucindezeleka . Lokhu kuvamile. Ungabi namahloni okukhuluma nodokotela wakho ngakho.
Udokotela uhlonza kanjani lokhu?
Uma unalezi zimpawu, into yokuqala okufanele uyenze ukubona udokotela ofanelekayo. Uzoqala ngokukubuza ngomlando wakho wezokwelapha bese ekwenza ukuhlolwa ngokomzimba. Ngemuva kwalokho, bangase benze ezinye izivivinyo ezimbalwa ukuqinisekisa ukuthi lokhu kuyi-Genital Lymphedema.
- I-Lymphoscintigraphy:Lokhu kuhilela ukufaka inani elincane kakhulu le-radioactive substance (radiotracer) emzimbeni kanye nokusebenzisa isithwebuli esikhethekile ukuqapha ukunyakaza kwayo ohlelweni lwe-lymphatic. Lokhu kungakhomba izindawo lapho kuvimbeke khona ohlelweni lwe-lymphatic.
- Iskena se-MRI (Magnetic Resonance Imaging): Lokhu kungathatha izithombe ezinemininingwane ezintathu zezicubu ezithambile zendawo yokuzala futhi kuhlolwe kahle imbangela nesimo sokuvuvukala.
Yiziphi izindlela zokwelapha lokhu? Ingabe kungalapheka ngokuphelele?
Ngeshwa, alikho ikhambi le-Genital Lymphedema okwamanje . Kodwa ungakhathazeki. Ngezindlela zokwelapha zamanje, ungakwazi ukulawula izimpawu zakho, uvimbele izinkinga, futhi uphile impilo evamile.
Indlela eyinhloko yokwelapha 'i-Complex Decongesstive Therapy' (CDT) . Lena indlela yokwelapha equkethe izinyathelo eziningana.
1. Hlanza isikhumba kahle: Kubaluleke kakhulu ukuvimbela ukutheleleka. Ngakho-ke, kufanele uhlale ugcina indawo evuvukele ihlanzekile usebenzisa insipho elwa namagciwane namanzi afudumele.
2. Ukuhlikihla Ama-lymph Okwenziwa Ngesandla: Lokhu akuyona i-massage evamile. Kwenziwa ngumelaphi we-lymphedema oqeqeshwe ngokukhethekile. Lapha, uketshezi lwe-lymph olubanjwe endaweni evuvukele luthuthwa kancane nangokuqondile luye endaweni enemithambo ye-lymph esebenza kahle. Kubalulekile ukufunda kumuntu oqeqeshiwe ngaphambi kokwenza lokhu wedwa.
3. Izingubo ezikhethekile zokucindezela kanye namaphampu: Uma ukuvuvukala sekuphelile, kusetshenziswa izingubo ezikhethekile zokucindezela noma amabhandishi ukuvimbela uketshezi ukuthi lungaphinde luqongelelane. Ngezinye izikhathi kusetshenziswa namaphampu akhethekile avuvukalayo futhi anciphe ngokuhamba kwesikhathi.
4. Ukuzivocavoca umzimba: Kubaluleke kakhulu futhi ukuzibandakanya ekuzivocavoceni okukhethekile okunconywe ngumelaphi okhuthaza ukunyakaza koketshezi lwe-lymph.
Ezimweni eziningi, lokhu kwelashwa kwe-CDT kungadinga ukwenziwa nsuku zonke amasonto amaningana. Ngemva kwalokho, uzoqeqeshwa ukwenza lezi zinto ekhaya.
Kunini lapho kudingeka khona ukuhlinzwa?
Uma isimo siba sibi kakhulu ukuba singalawulwa ngalezi zindlela zokwelapha ze-CDT, uma ukutheleleka kwenzeka njalo, uma isikhumba sikhubazekile kakhulu futhi sibuhlungu, futhi uma kuphazamisa ngokuphelele impilo yansuku zonke, udokotela angase atuse ukuhlinzwa. Ukuhlinzwa kuhilela ukususa izicubu ezonakele bese umboza indawo ngesikhumba esinempilo (i-skin graft).
Ngingaphila kanjani kahle nalesi simo?
Njengoba lesi kuyisimo sesikhathi eside, kubaluleke kakhulu ukwenza izinguquko ezincane endleleni yakho yokuphila ngenkathi uphathwa.
- Nakekela ukudla kwakho:
- Lawula usawoti: Usawoti wandisa ukugcinwa koketshezi emzimbeni. Ngakho-ke, nciphisa ukudla okunosawoti omningi (ama-pickle, izinhlanzi ezomisiwe, amasoso, ukudla okusheshayo) ngangokunokwenzeka. Sebenzisa izinongo (ugalikhi, i-oregano, impuphu ye-chili eyomile) esikhundleni sosawoti ukuze unambithe ukudla kwakho.
- Phuza amanzi amaningi: Phuza okungenani izingilazi zamanzi ezingu-8 ngosuku. Ukuphuza amanzi kusiza ekukhipheni uketshezi olungadingekile emzimbeni.
- Yidla ukudla okulinganiselayo okuhlanganisa imifino emisha, izithelo, amaprotheni angenamafutha, kanye nokusanhlamvu okuphelele.
- Nakekela isikhumba sakho ngokukhethekile:
- Gcina isikhumba sakho sihlanzekile futhi simanzi ngaso sonke isikhathi. Lokhu kungasiza ekuvimbeleni izifo.
- Uma ubona izimpawu zokutheleleka, njengokubomvu, ubuhlungu, ukufudumala, noma umkhuhlane, yazisa udokotela wakho ngokushesha .
- Cabanga ngezingubo:
- Gwema ukugqoka izingubo zangaphansi noma amabhulukwe aqinile kakhulu. Lokhu kungavimba futhi kuvimbele ukujikeleza kwegazi.
- Ungahlali endaweni efanayo isikhathi eside kakhulu. Uma uhleli, ungaphambanisi imilenze yakho. Shintsha izikhundla okungenani njalo ngemizuzu engama-30.
- Gwema ukushisa ngokweqile: Gwema izinto ezinjengokugeza ngamanzi ashisayo kakhulu nokusebenzisa ama-sauna. Ukushisa kungandisa ukuvuvukala.
- Gcina isisindo esinempilo: Uma ukhuluphala, uhlelo lwakho lwe-lymphatic nalo luzizwa lunomthwalo omkhulu. Ngakho-ke, ukugcina isisindo esinempilo kubaluleke kakhulu.
Kufanele ufune nini ukwelashwa okuphuthumayo?
Uma uthola noma yiziphi izimpawu zokutheleleka ezilandelayo, ngisho nalapho welashwa, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) .
- Umkhuhlane ongaphezu kwama-degree Celsius angu-38 (100.4 Fahrenheit).
- Ukwanda kobuhlungu nokufudumala endaweni evuvukele.
- Isikhumba siphenduka sibe bomvu, sibe nsomi noma sibe nsundu, noma imicu ebomvu ebonakala ngaphansi kwesikhumba.
Izimpawu ezinjengalezi zibonisa ukuthi ukutheleleka kungase kusakazeke emzimbeni. Kubalulekile ukufuna ukwelashwa ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Genital Lymphedema ukuvuvukala okubangelwa ukunqwabelana koketshezi lwe-lymph endaweni yesitho sangasese sowesifazane. Kuyisimo sesikhathi eside.
- Lesi akusona isifo esithelelanayo noma isifo esidluliselwa ngocansi.
- Nakuba lesi simo singelapheki ngokuphelele, singalawulwa kahle kakhulu futhi impilo evamile ingaholwa ngokwelashwa kwe-CDT kanye nokushintsha indlela yokuphila.
- Uma ubona noma yikuphi ukuvuvukala okungajwayelekile, ubuhlungu, noma izinguquko zesikhumba endaweni yakho yangasese, ungabi namahloni futhi ubone udokotela ngokushesha . Uma uqala ukwelashwa ngokushesha, imiphumela iba mihle.
- Kubaluleke kakhulu ukugcina isikhumba sihlanzekile futhi uqaphele izimpawu zokutheleleka.
- Khuluma nodokotela wakho noma othile oseduze nawe ngezinkinga zempilo yengqondo ezingabangelwa yilesi simo. Impilo yengqondo ibaluleke njengempilo yomzimba.
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