Ingabe uzwa ubuhlungu nokuqongelela kwamafutha emilenzeni nasezingalweni zakho? Ake sixoxe ngalokhu (Lipedema)!

Ingabe ngezinye izikhathi uzizwa sengathi ezinye izindawo zomzimba wakho, ikakhulukazi imilenze yakho, amathanga, nezinqe, zikhulu kunezinye? Mhlawumbe kuyabuhlungu ngisho nalapho ucindezela kukho. Ngisho noma uke wadla ukudla okunempilo futhi wavivinya umzimba, umzimba wakho ongaphezulu usunciphile, kodwa lezi zindawo zihlala zifana? Lokhu kungaba yinto ebaluleke kakhulu kuwe. Lesi simo sibizwa ngokuthi `(Lipedema)`.

Kuyini `(Lipedema)`? Ake sikuqonde kahle?

Kalula nje, i-`(Lipedema)` yisimo sesikhathi eside lapho amafutha eqongelela khona ngendlela engavamile emizimbeni yethu, ikakhulukazi engxenyeni engezansi - okungukuthi, ezindaweni ezifana nezinqe, amathanga, nezinqe . Cabanga ngakho njengamafutha aqongelela ezingxenyeni ezithile zomzimba kuphela. Kwabanye abantu, kungenzeka futhi endaweni yesinqe noma engxenyeni engenhla yezingalo. Kodwa-ke, kuthiwa akuthinti izintende noma amathe ezinyawo ezimweni eziningi.

Abantu abaningi bacabanga ukuthi lokhu kumane nje kuwukukhuluphala ngokweqile noma isifo esibizwa ngokuthi `(Lymphedema)` esibangela ukuvuvukala kwama-lymph node. Kodwa empeleni lezi yizimo ezintathu ezahlukene. Kodwa-ke, abantu abane-`(Lipedema)` banamathuba amaningi okuthuthukisa i-`(Lymphedema)` kamuva ekuphileni. Abantu abaningi abane-`(Lipedema)` bane-body mass index, okungukuthi, `(Body Mass Index - BMI)`, engaphezu kuka-35.

Into ebaluleke kakhulu ukuthi kungakhathaliseki ukuthi udla kangakanani futhi uvivinya umzimba kangakanani futhi wehlisa isisindo emzimbeni ongaphezulu, amafutha abekwe engxenyeni engezansi yomzimba (i-Lipedema) awanciphi kalula. Lena indaba eyenza abantu abaningi bangakhululeki.

Ingabe kunezinhlobo ezahlukene ze-`(Lipedema)`?

Yebo, kunezinhlobo ezahlukene ze-`(Lipedema)`. Ungase ube nezinhlobo ezingaphezu kweyodwa yalezi kuye ngokuthi unezimpawu kuphi. Ake sibone ukuthi ziyini:

• Uhlobo I: Kulolu hlobo, amafutha agcinwa phakathi kwezinqe zakho nezinqe.
• Uhlobo II: Lapha, amafutha aqoqana kusukela ethangeni kuya emadolweni.
• Uhlobo lwesithathu: Kulolu hlobo, amafutha angaba khona kusukela ethangeni kuya emaqakaleni.
• Uhlobo lwesine: Lokhu kuthinta izingalo zombili. Amafutha abekwa kusukela ehlombe kuya esihlakaleni.
• Uhlobo V: Kulolu hlobo, amafutha aqoqana kusukela emadolweni kuya emaqakaleni.

Sivame kangakanani lesi simo esibizwa ngokuthi `(Lipedema)`?

Kunzima ukunikeza izibalo eziqondile zokuthi i-lipedema ivame kangakanani. Ezinye izifundo zisikisela ukuthi ithinta cishe umuntu oyedwa kwabangu-72,000. Kodwa-ke, ochwepheshe bakholelwa ukuthi inani lingaba phezulu kakhulu. Lokhu kungenxa yokuthi lesi simo sivame ukudidaniswa nokukhuluphala noma i-lymphedema, ukuvuvukala kohlelo lwe-lymphatic. Esinye isilinganiso somhlaba wonke ukuthi cishe u-11% wabesifazane bahlushwa i-lipedema . Akuvamile kakhulu kwabesilisa.

Ziyini izimpawu ze-`(Lipedema)`? Bheka ukuthi unazo yini lezi

Kulungile, manje ake sibone ukuthi yiziphi izimpawu eziyinhloko ze-`(Lipedema)`. Kubaluleke kakhulu ukuzazi lezi.

• Ukuqongelela kwamafutha kuzo zombili izinhlangothi zomzimba: Uneqoqo lamafutha elilinganayo kuzo zombili izinhlangothi zomzimba wakho, ezindaweni ezifana nezinqe zakho, amathanga, izinqe, futhi ngezinye izikhathi ezingalweni ezingaphezulu.
• Amaqhubu ngaphansi kwesikhumba: Kulezi zindawo lapho amafutha ehlala khona, amaqhubu ento ethile, njengamatshe amancane, angazwakala ngaphansi kwesikhumba.
• Ubuhlungu: Lokhu kungenye yezimpawu eziyinhloko ze-`(Lipedema)`. Kwabanye, lobu buhlungu bungaba ubuhlungu obuncane obuvela kuphela uma ubucindezela. Kwabanye, kungaba ubuhlungu obungapheli, obungabekezeleleki.
• Ubunzima emilenzeni: Umuzwa wokuthi imilenze isinda kakhulu futhi iyahudula.
• Ukuvuvukala: Izindawo ezithintekile zingase zivuvuke.
• Kuphuka kalula: Isikhumba sibucayi kakhulu, ngakho-ke ngisho neqhubu elincane lingaphuka kalula noma liphenduke libe luhlaza okwesibhakabhaka.
• Ukukhathala okuqhubekayo: Ukuzizwa ukhathele kakhulu futhi ukhathele kunokujwayelekile.

Yiziphi izimbangela ze-`(Lipedema)`?

Uma ngikhuluma iqiniso, odokotela abakakwazi ukuthola imbangela eqondile ye-Lipedema. Kodwa-ke, kunezici eziningana okucatshangwa ukuthi zinegalelo kulokhu:

• Izici zofuzo: Ngokuvamile kucatshangwa ukuthi lokhu kungase kwenzeke emindenini. Ucwaningo lukhombisile ukuthi phakathi kuka-20% no-60% wamacala adluliselwa ngofuzo. Lokhu kusho ukuthi uma umama noma ugogo wakho enalesi simo, nawe unamathuba amaningi okuba naso.
• Ithonya Lama-Hormonal: Njengoba lesi simo sivame kakhulu kwabesifazane, kusolwa ukuthi sihlobene nama-hormone. I-Lipedema ingaqala noma ibe yimbi kakhulu ngezikhathi ezilandelayo:
• Ukuthomba yisikhathi sokuthomba.
• Ngesikhathi sokukhulelwa.
• Ngesikhathi sokunqamuka kokuya esikhathini.
• Uma uthatha amaphilisi okuvimbela inzalo aqukethe ama-hormone.
• Ukukhuluphala kanye ne-Lipedema: Ukukhuluphala akukubangeli i-Lipedema. Kodwa-ke, abantu abangaphezu kwengxenye abane-Lipedema bane-body mass index (BMI) engaphezu kuka-35. Lokhu kusikisela ukuthi kungase kube nokuxhumana phakathi kwalezi zimo ezimbili.

Ubani osengozini enkulu yokuthola i-`(Lipedema)`?

Usengozini enkulu kancane yokuthola i-"Lipedema" uma unalezi zici:

• Ukuba ngowesifazane: Njengoba kushiwo ngaphambili, lokhu kuvame kakhulu phakathi kwabesifazane.
• Umlando womndeni: Uma kukhona emndenini wakho one-`(Lipedema)`.
• Ukuba nenani eliphezulu le-`(BMI)`: Uma inkomba yesisindo somzimba `(BMI)` ingaphezu kuka-35.

Ezinye izinkinga ezingase zivele ngenxa ye-`(Lipedema)`

Uma lesi simo singaphathwa kahle, singaholela kwezinye izinkinga zempilo. Ngakho-ke, kubaluleke kakhulu ukunakekela lokhu.

• Ubunzima bokuhamba:Ukuqongelela kwamafutha emilenzeni kungenza kube nzima ukuhamba nokwenza imisebenzi yansuku zonke.
• Imiphumela yengqondo: Izimo zengqondo ezifana namahloni, ukukhathazeka, kanye nokucindezeleka ngokubukeka komuntu zingase zibe khona.
• I-Secondary Lymphedema: Lokhu kubizwa nangokuthi i-Lipo-lymphedema. Lokhu kwenzeka lapho izindlela ze-lymphatic zivinjiwe, okubangela ukuthi i-lymph iqoqeke futhi ibangele ukuvuvukala.
• Isifo semithambo yegazi: Izinkinga ngemithambo yegazi emilenzeni zingavela.
• Izinyawo ezisicaba .
• Izinkinga zamalunga: Ubuhlungu nokuqina kwamalunga njengamadolo namaqakala kungase kube khona.
• Amadolo ashayisanayo: Isimo lapho amadolo eshayisana khona lapho emi nemilenze ihlukene.

Wazi kanjani ukuthi une-`(Lipedema)`?

Uma unalezi zimpawu, into engcono kakhulu ongayenza ukubonana nodokotela. Ngakho-ke udokotela uhlonza kanjani lokhu ngokuthi `(Lipedema)`?

Lokhu kuvame ukunqunywa udokotela ngemuva kokuhlolwa ngokomzimba kanye nomlando wezokwelapha. Into eyinhloko ukuthi amafutha agcinwe ku-`(Lipedema)` abuhlungu ukuwacindezela. Amafutha ajwayelekile awabuhlungu uma ecindezelwa. Lowo umehluko omkhulu.

Futhi, kubantu abane-`(Lipedema)`, kunomehluko ocacile ngobukhulu phakathi kwezinyawo ezingathintekile kanye nemilenze ethintekile. Kunjengokungathi umlenze uvuvukile, kodwa i-sole ijwayelekile ngobukhulu.

Yiziphi izivivinyo ezingenziwa?

Okwamanje akukho ukuhlolwa okuqondile okuqinisekisayo ukuthi lokhu kuyi-`(Lipedema)`. Kodwa-ke, odokotela bangenza ukuhlolwa okuthile ukuze banqume ezinye izimo (isibonelo, `(Lymphedema)` noma ukukhuluphala ngokweqile) kanye nokubheka ezinye izimo ezingaba khona ne-`(Lipedema)`. Lokhu kufaka phakathi:

• Ukuskena nge-ultrasound: Ukuhlolwa okusebenzisa amaza omsindo.
• I-DEXA scan: Ukuhlolwa okusebenzisa ama-X-ray ukukala ubuningi bamathambo.
• I-Magnetic Resonance Imaging (MRI): Iskeni esisebenzisa insimu yamagnetic namagagasi omsakazo.
• I-Computed Tomography (CT) Scan: I-scan esebenzisa i-X-ray kanye nekhompyutha.
• Ukuthwebula izithombe ngemithi yenuzi: Ukuskena okwenziwa ngokufaka into ekhipha imisebe emzimbeni.

Izigaba ze-Lipedema

Kwabaningi, lesi simo (i-Lipedema) siba sibi kakhulu ngokuhamba kwesikhathi. Kwabanye, siba sibi kancane kancane, kanti kwabanye, singaba sibi kakhulu ngokushesha. Ake sibheke izigaba eziyinhloko zalokhu:

• Isigaba 1: Kulesi sigaba, isikhumba sakho singase sibukeke sijwayelekile, kodwa ungase ukwazi ukuzwa amatshe amancane ngaphansi kwesikhumba sakho. Ungase futhi uzwe ubuhlungu kanye nokushayeka kulesi sigaba.
• Isigaba 2: Kuleli qophelo, ubuso besikhumba abulingani. Bungase bubukeke njengobuso bomatilasi, noma njengesikhumba se-walnut, noma njengoshizi we-cottage, obunama-dimpling.
• Isigaba 3: Kulesi sigaba, imilenze ingase ibukeke njengamabhaluni asikwele agcwele umoya. Kuvela imigoqo emikhulu yesikhumba namafutha. Amafutha emilenzeni angase avele, okwenza kube nzima ukuhamba.
• Isigaba 4: Lesi yisigaba esinzima kakhulu. Lapha une-`(Lipedema)` kanye ne-`(Lymphedema)` (ebizwa nangokuthi i-`Lipo-Lymphedema`).

Yiziphi izindlela zokwelapha `(Lipedema)`?

Ngeshwa, ayikho ikhambi lalesi simo, "i-Lipedema". Kodwa ungakhathazeki! Kunezindlela eziningi zokwelapha ezingasiza ekunciphiseni ubuhlungu, ukulawula ukuvuvukala, nokuthuthukisa ikhwalithi yempilo yakho. Lezi zindlela zokwelapha zingakusiza ukuthola impumuzo.

Ukwelashwa okulula

Okokuqala, ungaqala ngokwelashwa okulula okungadingi ukucindezeleka okukhulu emzimbeni.

• Ukuzivocavoca: Ukuzivocavoca kubaluleke kakhulu. Izinto ezifana nokubhukuda, ukugibela ibhayisikili nokuhamba kusiza ekunyakaziseni umzimba wakho futhi kunciphise ukuvuvukala. Ukuzivocavoca echibini kuhle kakhulu ngoba kunciphisa ingcindezi emalungeni akho.
• Ukudla: Ukudla ukudla okulwa nokuvuvukala kanye nokudla okunempilo kwenhliziyo nakho kungasiza ekulawuleni ukuwohloka kwe-lipedema. Lokhu kubaluleke kakhulu uma ukubamba kusenesikhathi. Kodwa-ke, khumbula ukuthi i-lipedema ayinakuncishiswa ngokudla kuphela, njengoba kunjalo nangamafutha ajwayelekile emzimbeni.
• Amasokisi okucindezela: Ukugqoka lawa kusiza ekunciphiseni ukuvuvukala nokuthuthukisa ukujikeleza kwegazi.
• Isithambisi sesikhumba: Kungumqondo omuhle ukusebenzisa isithambisi sesikhumba esihle ukuvimbela ukoma kwesikhumba futhi sihlale siphilile.
• Imithi kanye nezithasiselo: Udokotela wakho angase ancome imithi ethile noma izithako zokusiza ngezinto ezifana nobuhlungu nokuvuvukala. Isibonelo, eminye imithi yobuhlungu kanye nemithi yokulwa nokuvuvukala (njenge-Amphetamines, i-Phentermine, i-Metformin, i-Resveratrol, i-Diosmin, kanye ne-Selenium) ingacatshangelwa udokotela wakho. Lokhu kufanele kusetshenziswe njalo njengoba kuqondiswe udokotela wakho.
• Amakhambi alwa ne-oxidant: Amanye amakhambi anezakhiwo ze-antioxidant angasiza ngezinye izikhathi, kodwa lawa kufanele futhi athathwe ngeseluleko sezokwelapha.

Ukwelashwa okungahlaseli

Okulandelayo, kunezindlela eziningana zokwelapha ezingahlaseli ezingabangeli umonakalo omkhulu emzimbeni:

• Ukubhucungwa kokukhipha amanzi nge-lymphatic:Lena indlela yokuhlikihla emnene kakhulu esiza ukukhuthaza ukugeleza kwe-lymph nokunciphisa ukuvuvukala.
• Ukwelashwa okuyinkimbinkimbi kokukhulula ukuminyana kwegazi (i-CDT): Lokhu kuhilela ukubhucungwa okulandelwa ukufakwa kwe-compression wrap ekhethekile.
• Amadivayisi okucindezela umoya: Lawa amadivayisi agqokwa emilenzeni. Afaka ingcindezi kancane kancane emilenzeni ukuze kuncishiswe ukuvuvukala.

Izindlela zokwelapha ezihlaselayo njengokuhlinzwa

Kwezinye izimo ezinzima, kungadingeka usebenzise izinto ezifana nokuhlinzwa:

• Ukususwa Kwamafutha: Ukususwa Kwamafutha kuyindlela yokuhlinzwa esusa amafutha amaningi, enciphisa ubuhlungu futhi ithuthukise ukuhamba. Odokotela bavame ukuncoma amasu akhethekile okususwa kwamafutha, njengokususwa kwamafutha okusizwa nge-wet-jet, okunciphisa umonakalo emithanjeni ye-lymph.
• Ukuhlinzwa kwe-Bariatric: Uma une-lipedema kanye ne-body mass index (BMI) engaphezu kuka-35 (okungukuthi, ukukhuluphala ngokweqile), udokotela wakho angase akuncome ukuhlinzwa kwe-bariatric.

Masiqaphele nemiphumela emibi yokwelashwa.

Noma yimuphi umuthi noma isithasiselo samakhambi singadala imiphumela emibi kwabanye abantu. Uma ubhekene nanoma yikuphi ukungakhululeki, kungcono ukukhuluma nodokotela wakho ngakho.

Ezinye izinkinga zingavela ngisho nangemva kokuhlinzwa kwe-`(Liposuction)` noma `(Bariatric surgery). Isibonelo:

• Ukuvuvukala
• Ukopha
• Izifo
• Amahlule egazi

Yingakho kubalulekile ukuxoxa nganoma yikuphi ukwelashwa kahle nodokotela wakho futhi uqonde izinzuzo nezingozi ngaphambi kokukuqala.

Kuthatha isikhathi esingakanani ukululama ngemva kokwelashwa?

Ngokuvamile kuthatha cishe amasonto amane kuya kwayisithupha ukululama ngokuphelele ngemva kokuhlinzwa kwe-liposuction. Kuthatha futhi amasonto amaningana ukululama ngemva kokuhlinzwa kwe-bariatric. Odokotela bayeluleka ukugwema imisebenzi enzima nokuphakamisa izinto ezisindayo cishe amasonto ayisithupha ngemva kokuhlinzwa okunje.

Ingabe ikhona indlela yokuvimbela `(i-Lipedema)`?

Njengoba imbangela eqondile ye-lipedema ingaziwa, kunzima ukuyivimbela ngokuphelele. Kodwa-ke, uma unomlando womndeni we-lipedema, noma uma ungowesifazane, kungumqondo omuhle ukuzama ukugcina isisindo esinempilo. Khuluma nodokotela wakho mayelana nokudla okunempilo kanye nohlelo lokuzivocavoca ukuze kukusize ulawule isisindo sakho.

Liyini ikusasa lomuntu one-`(Lipedema)`?

Kwabanye abantu, i-"Lipedema" ingase ibe yimbi kakhulu ngokuhamba kwesikhathi (kwabanye, ngokushesha). Kodwa-ke, kwabanye, izimpawu zingase zingabi zimbi kangako, noma zingase zihlale ezingeni elifanayo ngaphandle kokwanda.

Ukutholwa kusenesikhathi kanye nokwelashwa kusenesikhathi kungasiza kakhulu ekuvimbeleni izinkinga.Ukuzivocavoca nokugqoka amasokisi okucindezela kungasiza. Abanye abantu bangathola impumuzo enkulu ngokwelashwa okufana ne-liposuction.

Uma unezinye izimo zempilo, njengokucindezeleka, ukukhuluphala ngokweqile, noma i-lymphedema, i-lipedema yakho ingase ibe yimbi kakhulu. Ngakho-ke, kubalulekile ukuthi lezo zimo zelashwe ngendlela efanele. Uma kudingeka, udokotela wakho angakuthumela ekwelulekweni, ekwelashweni ngokomzimba, noma ekulawulweni kobuhlungu.

Uzinakekela kanjani?

Uma uhlala ne-Lipedema, kubaluleke kakhulu ukuthi uzinakekele.

• Landela imiyalelo kadokotela wakho: Thatha ukwelashwa kanye nemithi udokotela wakho ayinikezayo ngesikhathi esifanele. Uma unokungabaza ngezinto ezifana nokuthi kufanele uthathe nini imithi yakho noma ukuthi kufanele ugqoke amasokisi acindezelwe isikhathi esingakanani, ungabi namahloni okubuza udokotela wakho.
• Hamba uyohlolwa okuhleliwe: Ngokubona udokotela wakho ngezinsuku ezihleliwe, angaqapha izinguquko esimweni sakho kanye nempumelelo yokwelashwa kwakho.
• Nakekela isikhumba sakho: Gcina isikhumba sakho sihlanzekile futhi simanzi. Gwema ukusikeka nokuklwebheka.
• Indlela yokuphila enempilo: Yidla ukudla okunempilo ngangokunokwenzeka, phuza amanzi amaningi, futhi ulale ngokwanele.

Uzobona nini udokotela

Udokotela wakho kungadingeka akubone kanye ngenyanga noma njalo ezinyangeni ezimbalwa ukuze aqaphe ukwelashwa kwakho. Futhi, khuluma nodokotela wakho uma:

• Uma unezinkinga noma imiphumela emibi evela ekwelashweni.
• Uma ukwelashwa kungakhombisi imiphumela ngaphakathi kwesikhathi esixoxwe ngaso.
• Uma izimpawu ziba zimbi ngokuzumayo.

Amacala okwelashwa okuphuthumayo (i-ETU)

Uma unezinye zalezi zimpawu, iya ekamelweni eliphuthumayo ngokushesha:

• Uma imilenze yakho iba bomvu ngokuzumayo, ibe buhlungu, ivuvuke futhi ifudumale.
• Uma unezimpawu ezifana nomkhuhlane (umkhuhlane, ukubanda, kanye nobuhlungu bomzimba).

Lokhu kungaba ukutheleleka okukhulu kwesikhumba (i-cellulitis), okudinga ukwelashwa ngokushesha.

Imibuzo okufanele uyibuze udokotela

Uma uya kudokotela wakho, ukubuza imibuzo efana nale kungakusiza ukuthi uqonde kangcono isimo sakho:

• Uhlobo luni lwe-`(Lipedema)` enginalo? Ngikusiphi isigaba?
• Iyiphi indlela yokwelapha engcono kakhulu kimi?
• Lokhu kwelashwa kube nempumelelo engakanani kwabanye abane-`(Lipedema)`?
• Kufanele ngibuye kangaki ukuze ngithole ama-aphoyintimenti okulandelela?
• Yini engingayenza ekhaya ukulawula lesi simo?

Ekugcineni, yilokhu engikushoyo kini (Umyalezo Wokuya Ekhaya)

Ukuphila ne-lipedema – ukunqwabelana kwamafutha okungajwayelekile emzimbeni wakho ongezansi, ngezinye izikhathi ezingalweni nasemilenzeni – ngezinye izikhathi kungaba yinselele yengqondo neyomzimba, njengoba kunganciphisa ikhono lakho lokuhambahamba futhi kubangele ubuhlungu.

Kodwa khumbula, awuwedwa. Kunabanye abantu abaningi abadlula kulokhu. Ukukhuluma nabanye - ngisho naseqenjini lokusekelana eliku-inthanethi - kungaba umthombo omkhulu wamandla. Bona, kanye nodokotela wakho, bazoqonda ukuthi i-lipedema yisimo esihlukile kumafutha omzimba ajwayelekile futhi esidinga ukunakwa okukhethekile.

Ungakhathazeki, ungalilahli ithemba. Ngeseluleko esifanele sezokwelapha, ukwelashwa okufanele, kanye nokuzinikela kwakho, ungasiphatha lesi simo, unciphise ubuhlungu, futhi uphile impilo ekhululekile.

I- Lipedema, i-lipedema, ukugcwala kwamafutha, ukuvuvukala kwemilenze, izifo zabesifazane, ama-hormone, amafutha abuhlungu, uhlelo lwe-lymphatic, i-Lymphedema, i-lymphedema, i-body mass index, i-BMI