Ingabe indawo yakho yesitho sangasese ivuvukala ngendlela engavamile? Ingabe i-Genital Lymphedema? Ake sixoxe!

Ngezinye izikhathi ungase uzizwe ukuvuvukala noma isisindo esingajwayelekile esiswini sakho esingezansi, okungukuthi, eduze kwezitho zakho zangasese. Akukhululekile kancane, akunjalo? Lokhu kungaba uphawu lwesimo esibizwa ngokuthi i-Genital Lymphedema. Ungakhathazeki, uma usuwazi kahle ukuthi kuyini lokhu, izinto eziningi zizocaca.

Kuyini i-Genital Lymphedema?

Kalula nje, i-Genital Lymphedema yisimo lapho izicubu ezithambile zendawo yakho yokuzala zivuvukala ngenxa yokunqwabelana koketshezi lwe-lymph . Lesi yisimo esingamahlalakhona .

Umzimba wethu unesistimu ebizwa ngokuthi uhlelo lwe-lymphatic . Kufana nohlelo lokuzivikela lomzimba wethu. Yilokhu okusiza ukugcina uketshezi lomzimba wethu lulinganisela futhi lulwa namagciwane. Ngakho-ke, uma kukhona ukuvaleka noma ukulimala kwalolu hlelo lwe-lymphatic, lolo ketshezi lwe-lymph lubhajwa endaweni eyodwa bese kuvela i-Lymphedema. Uma lokhu kwenzeka endaweni yesitho sangasese sowesifazane, sikubiza ngokuthi i-Genital Lymphedema.

Lokhu kuthinta abantu abangaphansi kwe-1% abane-Lymphedema emhlabeni jikelele. Lokho kusho ukuthi kuyisimo esingavamile, kodwa noma ubani angasithola.

Yiziphi izingxenye zesistimu ye-lymphatic ezihilelekile kulokhu?

Ake sibheke ukuthi yini ekulesi simiso se-lymphatic nokuthi sihlobene kanjani ne-Genital Lymphedema.

• I-lymph: Lolu uketshezi olucacile, ngezinye izikhathi oluphuzi kancane. Luthwala amangqamuzana esimiso sethu somzimba sokuzivikela, okungukuthi amangqamuzana amhlophe egazi, luwayise egazini. Luphinde lususe imfucuza, amagciwane, namaprotheni angafuneki ezicutshini zethu bese luwabuyisela egazini. Uma sidla, luthwala nezinhlayiya zamafutha ezimuncwa emathunjini ziye egazini.
• Imithambo ye-lymph: Lezi zifana namapayipi amancane athwala uketshezi lwe-lymph emzimbeni wonke futhi ekugcineni athululela emthanjeni wegazi omkhulu eduze kwenhliziyo yethu.
• Ama-lymph node: Lawa amaqhubu amancane anomumo webhontshisi agcina amangqamuzana amhlophe egazi futhi ahluze uketshezi lwe-lymph. Lawa ma-lymph node atholakala ezindaweni eziningi, kufaka phakathi ngaphansi kwamakhwapha ethu, ezimbotsheni zethu, entanyeni yethu, nangaphakathi kwesisu sethu.

Yiziphi izinhlobo eziyinhloko ze-Genital Lymphedema?

Kunezinhlobo ezimbili eziyinhloko ze-Genital Lymphedema.

I-Primary Genital Lymphedema

Lokhu kwenzeka ngenxa yokungajwayelekile okuthile ekuthuthukisweni kwesistimu yethu ye-lymphatic. Okusho ukuthi, kuyinto ekhona lapho kuzalwa . Ngezinye izikhathi izimpawu zingase zibonakale lapho kuzalwa, noma zingase zivele eminyakeni eminingi kamuva. Cabanga ngakho njengephutha elincane lapho wakha uhlelo lwamapayipi.

I-Lymphedema Yesibili Yesitho Sangasese

Lokhu kwenzeka uma uhlelo lwe-lymphatic lonakele ngenxa yesizathu esithile sangaphandle . Ake sibone ukuthi yiziphi lezo zimbangela:

• Endaweni yezitho zangasese, okungukuthi, i -prostate , isinyi , amasende , ipipi , umlomo wesibeletho , ama-ovariUkwelashwa kwezimila ezinobungozi ezindaweni ezifana ne-vulva noma i-rectum, njengokuhlinzwa noma ukwelashwa ngemisebe .
• Ukususwa kwama-lymph node ngokuhlinzwa. Sikubiza ngokuthi i-lymphadenectomy .
• Ukutheleleka kwesikhathi eside kwama-lymph node kanye nemithambo ye-lymphatic okubangelwa amagciwane, amagciwane, isikhunta, noma izibungu (isb., i-Filariasis ).
• Ukulimala.
• Akuvamile ukuthi kubangelwe izifo ezithathelwana ngocansi (STIs) .

Okubalulekile: Njengoba lesi simo singabangelwa ukwelashwa komdlavuza, kubaluleke kakhulu ukutshela udokotela uma unokuvuvukala okungavamile ngemva kokwelashwa.

Kukhona nezizathu ezingabonwa kaningi:

• Ukuvuvukala nokuvuvukala emathunjini, isibonelo (isifo sikaCrohn) .
• Isimo esibangela izilonda kuma-lymph node (i-sarcoidosis) .
• Ukuvuvukala kwemithambo yegazi (i-vasculitis) .
• Isimo sesikhumba esivuvukala isikhathi eside (i-rosacea) .
• Ukuvuvukala kwama-lymph node esiswini (i-mesenteric lymphadenitis) .

Ziyini izimpawu zalokhu? Ukubona kanjani?

Izimpawu ze-Genital Lymphedema zingahluka kancane kumuntu nomuntu. Nazi ezinye zezimpawu ezivamile:

• Ubunzima bokuchama. Lokhu kusho ukuconsa umchamo, noma ukuzwa ubuhlungu lapho uchama (i-dysuria) .
• Ukutheleleka okuvamile.
• Ukuqina nokuqina kwesikhumba endaweni yesitho sangasese sowesifazane.
• Ubunzima bokwenza ucansi. Isibonelo, ubuhlungu ngesikhathi socansi (i-dyspareunia) , izinkinga zokuma, noma ukwehla kwesifiso socansi (i-libido ephansi) ngenxa yalezi zinkinga.
• Ubunzima bokuchama, ubuhlungu nokungakhululeki ngesikhathi sokuhamba nsuku zonke, kanye nocansi kuholela ekuwohlokeni kwekhwalithi yokuphila .

Abesifazane bangase babe nezimpawu ezifana nalezi:

• Ubuhlungu nokuvuvukala emagobolondweni esikhumba (i-labia) kuzo zombili izinhlangothi ze-pelvic kanye nokuvulwa kwesitho sangasese sowesifazane.
• I-lymphedema ejwayelekile emilenzeni yomibili.

Kwabesilisa, lokhu kungenzeka:

• Ukuvuvukala nobuhlungu epenis, emasendeni, noma kokubili.
• I-lymphedema esakazeke kakhulu emilenzeni yomibili.

Cabanga nje, ngemva kokuba uNalini elashwe umdlavuza, i-labia yakhe yaqala ukuvuvukala. Ekuqaleni, wayecabanga ukuthi kuyinto evamile, kodwa ukuvuvukala kwanda usuku nosuku, okwenza kwaba nzima ukuhamba. Kungaleso sikhathi lapho abonana nodokotela futhi wafunda nge-Genital Lymphedema. Ngakho-ke uma unalezi zimpawu, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngaphandle kokulibala.

Kungani kwenzeka i-Genital Lymphedema? Ingabe iyathelelana?

Uma uhlelo lwethu lwe-lymphatic lusebenza kahle, uketshezi lwe-lymph luhamba ngemithambo yegazi yomzimba bese lubuyela egazini. Kodwa-ke, uma kukhona ukuvaleka noma ukuphuka kohlelo lwe-lymphatic endaweni yakho yokuzala, lolo ketshezi lwe-lymph luqoqana ezicutshini ezithambile lapho, okubangela ukuvuvukala. Njengalapho ipayipi lamanzi livaleka, amanzi agcwala endaweni eyodwa.

Cha, i-Genital Lymphedema ayisona isifo esithelelanayo. Futhi, akusona isifo esithathelwana ngocansi (STI). Awukwazi ukusidlulisela komunye umuntu. Ngakho ungakhathazeki ngaso.

Ingabe lokhu kungabangela ezinye izinkinga?

Yebo, uma i-Genital Lymphedema ingelashwa kahle, kungase kube nezinkinga ezithile.

• I-cellulitis ephindaphindayo. I-cellulitis ukuvuvukala kwezicubu ezithambile ezixhumene ngaphansi kwesikhumba. Lokhu kungabangela izibazi kanye nokulahlekelwa ukuqina kwesikhumba.
• I-Elephantiasis . Lesi yisimo lapho isikhumba siba sikhulu kakhulu, sibe sikhulu, noma sibe nzima. Lesi simo sivame ukwenzeka lapho i-Genital Lymphedema iba nzima.
• I-Erysipelas . Njenge-cellulitis, lokhu kuyisifo sesikhumba esibangelwa amagciwane. Singakhula ngokushesha futhi sibangele umkhuhlane, ubuhlungu, kanye nokushintsha kombala wesikhumba (obomvu, onsomi, onsundu, omnyama).
• Imiphumela yengqondo. Ngenxa yokuthi i-lymphedema yezitho zangasese iyisimo sesikhathi eside futhi ingathinta ukubukeka kwakho, ungase uzizwe ungazethembi , ukhathazekile , ucindezelekile kanye nokucindezeleka . Kubalulekile ukukhuluma nomuntu omthandayo futhi ufune iseluleko uma kudingeka.

Odokotela bazi kanjani ukuthi unalokhu?

Uma uya kudokotela, bazoqala bakubuze ngomlando wakho wezokwelapha bese benza ukuhlolwa ngokomzimba. Uma besola ukuthi une-Genital Lymphedema, bangase benze ezinye izivivinyo ukuze baqinisekise lokho.

Yiziphi izivivinyo ezenziwayo?

• I-Lymphoscintigraphy: Kulolu vivinyo, udokotela wakho ukujova ngenani elincane le-radioactive substance (radiotracer) . Bese, besebenzisa isithwebuli , babheka ukuthi i-substance ihamba kanjani ohlelweni lwakho lwe-lymphatic. Lokhu kungasiza ekunqumeni ukuthi kukhona yini ukuvinjelwa ohlelweni lwakho lwe-lymphatic nokuthi lusebenza kahle yini.
• I-Magnetic Resonance Imaging (MRI): I-MRI iyisivivinyo sokuthwebula izithombe esisebenzisa i-magnet enkulu, amaza omsakazo, kanye nekhompyutha ukudala izithombe ezinemininingwane zezicubu ezithambile zendawo yakho yokuzala.

Ingabe i-Genital Lymphedema ingelapheka ngokuphelele? Yiziphi izindlela zokwelapha?

Uma ngikhuluma iqiniso, okwamanje alikho ikhambi le-Genital Lymphedema. Kodwa ungakhathazeki! Kunezindlela zokwelapha ezisebenzayo zokusiza ukulawula izimpawu.

Yini okufanele uyenze ngama-lymph node avuvukele endaweni ye-groin?

Ukwelashwa kokuqala okuvame ukunikezwa yi- Complex Decongesstive Therapy (CDT) . Lokhu kunezinyathelo eziningana:

• Ukuhlanza isikhumba ngokuphelele: Udokotela noma uchwepheshe oqeqeshiwe uzohlanza indawo esebenzisa insipho elwa namagciwane, amanzi afudumele, kanye nesihlanzi sesikhumba (isib. i-iodine, i-isopropyl alcohol).
• Ukuchelela Amanzi Ngesandla (i-MLD): Lokhu kwenziwa ngumelaphi we-lymphedema oqeqeshwe ukunciphisa ukuvuvukala kwe-lymphedema. Lokhu kuhilela ukuhlikihla kancane nokuthinta indawo evuvukele ukuze kuthuthwe uketshezi lwe-lymph endaweni enemithambo ye-lymph enempilo. Umelaphi wakho uzokukhombisa nokuthi ungalwenza kanjani lolu hlobo lokuhlikihla. Kodwa-ke, akukhuthazwa uma unezilonda ezivulekile, imivimbo, amahlule egazi, noma usanda kwelashwa ngemisebe.
• Izingubo ezikhethekile zokucindezela kanye namaphampu: Lezi yizingubo zokucindezela kanye namaphampu avuvukalayo futhi anciphe ngezikhathi ezithile. Asiza ukuhambisa uketshezi lwe-lymph ngokusebenzisa ama-lymph node futhi avimbele ukwakheka koketshezi.
• Ukuvivinya umzimba: Uchwepheshe we-lymphedema uzokunikeza izivivinyo ezithile ezifanele wena futhi ezizosiza ekuthuthukiseni ukujikeleza kwegazi kwe-lymph.

Ngezinye izikhathi, i-Genital Lymphedema ingaba nzima kakhulu ngisho nange-Complex Decongesstive Therapy. Ezimweni ezinjalo, udokotela wakho angase akuncome ukuhlinzwa, ikakhulukazi uma:

• Uma isimo sakho se-Genital Lymphedema siqhubeka siba sibi kakhulu.
• Uma unezifo ezithathelwanayo njalo.
• Uma isikhumba endaweni yesitho sangasese sigugile kakhulu ngenxa yobuhlungu.
• Uma i-Genital Lymphedema inomthelela omkhulu ezingeni lempilo yakho.

Umgomo oyinhloko wokuhlinzwa ukunciphisa ubuhlungu nokubuyisela ukusebenza okuvamile. Lokhu kuhilela ukususa zonke izicubu ezithintekile nokumboza indawo ngesikhumba esinempilo (i-skin graft) .

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Uma uqala i-Complex Decongestive Therapy, kungadingeka ukuthi uthathe ukwelashwa kwansuku zonke cishe amasonto ayisithupha. Ngemva kwalokho, ungaziphathela wena ukwelashwa njengoba kuqondiswe udokotela wakho, ngokuvakashela udokotela wakho ngezikhathi ezithile.

Uma uhlinzwa i-genital lymphedema, ngokuvamile kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili. Iningi labantu liyalulama zingakapheli amasonto ayisithupha. Kodwa-ke, udokotela wakho uzokunikeza isikhathi esiqondile ngokusekelwe esimweni sakho.

Ungayiphatha kanjani i-lymphedema yobulili futhi uyivimbele ukuthi ingaqhubeki iba yimbi kakhulu?

Akunakwenzeka ukunciphisa zonke izingozi zokuthola i-lymphedema, futhi odokotela abakwazi ukulungisa ngokuphelele umonakalo ohlelweni lwe-lymphatic. Kodwa-ke, ngokwelashwa okufanele, ungalawula ukuvuvukala futhi unciphise ingozi yezinkinga. Amathiphu alandelayo angakusiza ukuphatha isimo sakho se-Genital Lymphedema:

• Naka umzimba wakho: Bonana nodokotela ngokushesha nje lapho ubona izimpawu zokuqala ze-genital lymphedema. Ukuyishiya ingelashwa, noma ukuqala ukwelashwa sekwephuzile, kungaholela ezinkingeni ezinkulu ezingenakuxazululwa kamuva.
• Nakekela isikhumba sakho: Gcina isikhumba sakho sihlanzekile futhi simanzi ukuze uvimbele ukutheleleka. Lapho uketshezi lwe-lymph luqoqana, amabhaktheriya angakhula kalula. Bonana nodokotela ngokushesha nje lapho ubona izimpawu zokutheleleka (isib. isikhumba esibomvu/esinsomi/esinsundu, ubuhlungu, ukuvuvukala, umkhuhlane, imicu eshintsha umbala ngaphansi kwesikhumba).
• Vumela uketshezi lomzimba wakho luhambe kalula: Ungaweqi imilenze yakho uma uhleli. Shintsha ukuma kwakho okungenani njalo ngemizuzu engama-30. Gwema izingubo eziqinile kanye namabhandeji anwebekayo.
• Nciphisa ukuchayeka endaweni yakho yesitho sangasese sobulili ekushiseni: Gwema ukugeza okushisayo nama -sauna . Ukushisa okukhulu kungandisa ingozi ye-lymphedema yesitho sangasese sobulili.
• Zivocavoce kancane futhi ulawuleke: Landela uhlelo lokuzivocavoca oluzokwenziwa ngudokotela we-Lymphedema.
• Gcina isisindo esinempilo esikufanele: Funa usizo kudokotela noma kuchwepheshe wezokudla ukuze wakhe uhlelo lokudla okunempilo.

Khumbula: Lezi yizinto okuzodingeka uzilandele impilo yakho yonke. Kodwa-ke, zingenza impilo yakho ibe lula.

Ingabe ukudla neziphuzo kuyakuthinta lokhu?

Yebo, imikhuba yokudla enempilo ingasiza ekulawuleni ukuvuvukala kwe-Genital Lymphedema. Ukufaka izithelo eziningi, imifino, amaprotheni angenamafutha, kanye nokusanhlamvu okuphelele ekudleni kwakho kuzosiza uhlelo lwakho lwe-lymphatic ukuthi lusebenze kahle kakhulu. Nazi ezinye izinto okufanele uzicabangele:

• Nciphisa usawoti odliwayo: Usawoti ungandisa ukugcinwa koketshezi. Sebenzisa amaqabunga e-curry amasha, igalikhi, i-oregano, i-chili powder, kanye ne-mustard powder ukuze unambithe ukudla kwakho.
• Phuza amanzi amaningi: Ukuphuza amanzi kusiza ekukhipheni uketshezi oluningi emzimbeni wakho. Zama ukuphuza okungenani ama-ounces angu-64 (izingilazi ezivamile ezingu-8) ngosuku.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ze-Genital Lymphedema, qiniseka ukuthi ubona udokotela. Uma ingelashwa, lesi simo singaba sibi kakhulu futhi siholele kwezinye izinkinga.

Kungumqondo omuhle ukubuza le mibuzo uma ubona udokotela wakho:

• Wazi kanjani ukuthi ngine-Genital Lymphedema?
• Uma ngingenayo i-Genital Lymphedema, yisiphi esinye isimo engingaba naso?
• I-Genital Lymphedema yami inzima kangakanani?
• Yiziphi ezinye izinguquko zendlela yokuphila okudingeka ngizenze?
• Ungamncoma umeluleki wezempilo yengqondo , iqembu lokusekela, isazi sokudla okunempilo, noma uchwepheshe wezokwelapha nge-Lymphedema?

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma unezinye zalezi zimpawu zokutheleleka, iya ekamelweni eliphuthumayo eliseduze:

• Umkhuhlane ongaphezu kwama-degrees Celsius angu-38 (ama-degrees Celsius angu-100.4).
• Ubuhlungu obandayo.
• Ukufudumala kwendawo ethintekile.
• Izinguquko embala wesikhumba, ikakhulukazi uma zibukeka njengemicu ephuma endaweni ethintekile.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Genital Lymphedema yisimo esenzeka lapho uhlelo lwe-lymphatic endaweni yakho yokuzala lonakele noma luthintekile. Kungaba yisimo sesikhathi eside, futhi izimpawu zingaba ezicindezelayo kakhulu. Kodwa-ke, ngokwelashwa okufanele kanye nokushintsha kwendlela yokuphila, imiphumela ye-Genital Lymphedema ingancishiswa.

Uma unenkinga, ungesabi ukukhuluma nodokotela. Bazoncoma ukwelashwa okungcono kakhulu kuwe. Awuwedwa onalesi simo, futhi kunezindlela eziningi zokuthola usizo.

I- Genital Lymphedema, uhlelo lwe-lymphatic, ukuvuvukala kwendawo yesitho sangasese sowesifazane, uketshezi lwe-lymphatic, ama-lymph node, ukwelashwa, izimpawu, ukuvuvukala, i-cellulitis