Ingabe imilenze yengane yakho iyavuvukala? Lokhu kungaba yisifo sikaMilroy!

Wake waphawula ukuthi imilenze yengane yakho, ikakhulukazi ngaphansi kwamadolo, ivuvukele nje? Ngezinye izikhathi lokhu kungabonakala ngokushesha ngemva kokuzalwa. Noma kungabonakala ngemva kwezinsuku ezimbalwa. Kuvamile ukuthi abazali abaningi bakhathazeke kancane ngalokhu. Esinye sezizathu zalolu hlobo lokuvuvukala emilenzeni sibizwa ngokuthi isifo sikaMilroy. Namuhla, sizoxoxa ngalokhu ngokuningiliziwe, kalula.

Iyini Isifo SikaMilroy?

Kalula nje, isifo sikaMilroy siyisimo esiseqenjini lezimo ezibizwa ngokuthi i-primary lymphedema . Igama elithi "Primary" lisho ukuthi asibangelwa esinye isifo, ukuthi sizenzekela sodwa. Yisimo sokuzalwa , okusho ukuthi lesi simo singaba khona lapho umuntu ezalwa. Yisimo sofuzo , okusho ukuthi sizuzwe njengefa.

Umzimba wethu unesistimu ebizwa ngokuthi uhlelo lwe-lymphatic. Lokhu kufana nohlelo lokukhipha amanzi olususa imfucuza emzimbeni wethu. Uma iziteshi ze-lymphatic kanye nama-lymph node kulesi simiso se-lymphatic engathuthuki kahle, awakwazi ukusebenza kahle. Ngemuva kwalokho, uketshezi lwe-lymph aluhambi kahle futhi luhlala endaweni eyodwa. Lena yindlela uketshezi lwe-lymph oluqoqana ngayo futhi lubangele ukuvuvukala emilenzeni yezingane, ikakhulukazi emilenzeni nasezinyaweni ezingezansi. Cabanga ngento efana nalapho ipayipi lamanzi livalekile, amanzi agcwala endaweni eyodwa.

Elinye igama lesifo sikaMilroy yi- lymphedema yofuzo uhlobo I.

Ukuxilonga lesi simo kungaba nzima ngezinye izikhathi, ngoba odokotela abavamile ukubona iziguli ezinje. Kodwa uma ubona ukuvuvukala emilenzeni yengane yakho, kubaluleke kakhulu ukubuza udokotela wakho ngakho. Ngoba uma usheshe uxilonga lesi simo, kulapho ungaqala khona ukwelashwa ngokushesha. Kubalulekile futhi ukungesabi.

Isifo sikaMilroy singavamile kangakanani?

Empeleni lesi yisimo esingavamile . Sithinta cishe ingane eyodwa kwezingu-6,000 ezizalwayo. Sivame kakhulu emantombazaneni kunabafana. Kuthiwa kumfana ngamunye onalesi simo, okungenani kunamantombazane amabili.

Ziyini izimpawu zesifo sikaMilroy?

Ingane yakho ingaba nalezi zimpawu kusukela ekuzalweni. Ngezinye izikhathi zingase zivele kamuva. Hlola ukuthi ingane yakho inazo yini lezi zimpawu:

• Ukuvuvukala emilenzeni engezansi (i-edema): Lokhu kuvuvukala kuvame ukubonakala ngaphansi kwamadolo. Ngezinye izikhathi kungenzeka emlenzeni owodwa kuphela, kodwa kaningi kwenzeka kokubili.
• Imithambo evuvukele emilenzeni engezansi: Ngezinye izikhathi, lapho kuvuvuka, imithambo ibonakala ngokucacile.
• Ukuvuvukala kwama-testicles (hydrocele): Ama-testicles abafana angavuvukala futhi agcwale uketshezi. Lokhu kungaba yinto eyesabekayo kubazali, kodwa futhi kungaba uphawu lwesifo esithile.
• Izinzipho zezinyawo ezigobile phezulu:Isimo sezinzipho singashintsha futhi sibonakale sengathi sibheke phezulu.
• Amaqhubu amancane esikhumba (i-papillomatosis): Lezi akuzona izimo zomdlavuza, kodwa zingabonakala njengamaqhubu amancane esikhumbeni, ngezinye izikhathi zifane ne-cauliflower encane.
• Izinkinga zesisu: Ezinye izingane zingase zibe nokuphazamiseka kwesisu, ukuhlanza, kanye nesifo sohudo. Lokhu akwenzeki kuwo wonke umuntu, kodwa kungenzeka.

Ziyini izimbangela zeSifo SikaMilroy?

Imbangela eyinhloko yesifo sikaMilroy ukuguqulwa kwezakhi zofuzo (i-variant) ku-gene ebizwa ngokuthi i-FLT4 . Izakhi zofuzo zifana nesethi encane yemiyalelo elawula konke emzimbeni wethu. Le gene ye-FLT4 isiza uhlelo lwe-lymphatic ukuthi lwakheke kahle. Ngakho-ke uma kukhona ushintsho oluncane kulesi sakhi sofuzo, okungukuthi, ukuguqulwa kwezakhi zofuzo, uhlelo lwe-lymphatic alwakheki kahle.

Ezimweni eziningi, omunye wabazali bezingane ezinesifo sikaMilroy unalesi sifo. Sizuzwe njengefa ngendlela elawulwa yi-autosomal . Lokhu kusho ukuthi ingane ingahlakulela lesi sifo noma ngabe umzali oyedwa kuphela one-gene yalesi sifo. Isibonelo, uma bobabili abazali benokuguqulwa kwezakhi zofuzo, ingane ngayinye inethuba elingu-50% lokuthola lesi sifo njengefa. Ngisho naphakathi kwabafowabo nodadewabo emndenini ofanayo, ubukhali bezimpawu, noma ubudala lapho izimpawu zivela khona, bungahluka. Ingane eyodwa ingaba nokuvuvukala okukhulu, kanti enye ingase ingabi nakho ukuvuvukala okukhulu.

Izingane eziyisishiyagalolunye kweziyi-10 ezine-FLT4 gene mutation zibonisa izimpawu zokuvuvukala kwemilenze lapho zineminyaka emi-3 .

Lesi sifo sitholakala kanjani?

Isifo sikaMilroy sitholakala ngokuhlolwa ngokomzimba ngudokotela . Udokotela uzobheka imilenze yengane ngokucophelela ukuze athole izimpawu zokuvuvukala, izinguquko zesikhumba, kanye nokuma kwezinzipho. Ngaphezu kwalokho, kungenziwa lezi zivivinyo ezilandelayo:

• I-Ultrasound: Lokhu ukuskena kwesisu sikamama ngesikhathi sokukhulelwa okungase kubonise ngezinye izikhathi ukuthi kukhona ukuvuvukala emilenzeni yengane. Kungenziwa nasemilenzeni ngemva kokuzalwa kwengane.
• I-Lymphoscintigraphy: Lolu uhlobo lokuhlolwa olukhethekile kancane. Kulolu vivinyo, kufakwa inani elincane lezinto ezinemisebe ngaphansi kwesikhumba bese kusetshenziswa ikhamera ukuze ibuke ukuthi idlula ohlelweni lwe-lymphatic. Lokhu kungabonisa ukuthi uhlelo lwe-lymphatic lusebenza kanjani nokuthi kukhona yini ukuvaleka.
• Ukuhlolwa kofuzo: Lokhu kusiza ukuqinisekisa ukuthi kukhona yini ukuguquka kofuzo lwe-FLT4. Lokhu kuvame ukuhilela ukuthatha isampula yegazi.

Udokotela wengane yakho angakudlulisela kudokotela wezifo ze-lymphedema oqinisekisiwe yizingane, ochwepheshe ekwelapheni lezi zimo.

Isifo sikaMilroy siphathwa kanjani?

Kunezindlela zokwelapha ukuvuvukala okubangelwa yilesi sifo ekhaya. Lezi zindlela zokwelapha zihloselwe ukulawula ukuvuvukala, ukunciphisa izinkinga, nokuthuthukisa ikhwalithi yempilo yengane. Izindlela zokwelapha isifo sikaMilroy semilenze evuvukile zifaka:

• Ukwelashwa ngokucindezela: Ukusebenzisa amasokisi noma amabhandeji akhethekile okucindezela. Lokhu kucindezela kancane emilenzeni ukunciphisa ukuvuvukala nokusiza uketshezi lwe-lymph ukuthi lubuyele emzimbeni.
• Itheyiphu ye-Kinesiology (itheyiphu ye-KT): Lena itheyiphu ekhethekile yokunamathela esetshenziswa abadlali. Ingasiza futhi ngezinye izikhathi ekunciphiseni ukuvuvukala ngokuvuselela ukuphulukiswa.
• Izicathulo ezisekelayo: Kubalulekile ukugqoka izicathulo ezilingana kahle, ezisekelayo, futhi ezingabambi kakhulu.

Ezimweni eziningi, lokhu kwelashwa okulula kuzokunikeza imiphumela emihle. Uma kungasebenzi, ungazama ukubhucungwa kwe-lymphatic drainage massage . Lena yindlela yokubhucungwa emnene eyenziwa ngumelaphi oqeqeshwe ngokukhethekile. Kuyasiza ukususa uketshezi lwe-lymph ezindaweni ezivinjiwe futhi kuvumele ukuthi luphume kahle. Udokotela angakwenza lokhu, noma ungafundiswa ukuthi ukwenze kanjani ekhaya.

Uma lezi zindlela zingasebenzi, udokotela wakho angase ancome ukuhlinzwa ukuze kusize uhlelo lwe-lymphatic lwengane yakho lusebenze kangcono. Kodwa-ke, lokhu kuvame ukubhekwa njengendlela yokugcina yokwelapha. Lokhu kungafaka:

• Ukususa izicubu ezithintekile.
• Ukusebenzisa inqubo yokudlula ukuze uqondise kabusha ukugeleza koketshezi lwe-lymph ezindaweni ezingcono: Kufana nokudala indlela entsha ezungeze umgwaqo ovinjiwe.
• Ukufakelwa ama-lymph node aphilile avela kwenye indawo emzimbeni wengane aye emilenzeni. Lokhu kubizwa ngokuthi ukudluliselwa kwama-lymph node afakwe imithambo yegazi .

Uma ingane yami inalesi simo, yini okufanele ngiyilindele?

Ngenxa yokuthi isifo sikaMilroy siyisifo esingavamile, kungadingeka usichazele othisha bengane yakho noma abanye abantu empilweni yengane yakho. Isibonelo, uma ingane yakho iqhuma onyaweni esikoleni, kungaba kubi kakhulu kunalokho obekungaba yikho komunye umntwana, futhi kunethuba elikhulu lokutheleleka. Ukukhuluma ngalokhu kungasiza uthisha ukuthi aqonde ukuthi kungani ingane yakho ithatha isikhathi eside ukushintsha izingubo ekilasini lokuzivocavoca, noma ukuthi kungani kuyingozi ukungabi nezicathulo (ngenxa yengozi yokulimala nokutheleleka). Kodwa ungakhathazeki, ingane yakho ingenza iningi lezinto ezenziwa abanye abantwana ekilasini layo.

Isifo sikaMilroy sisifo esingamahlalakhona, okusho ukuthi kuyisimo sesikhathi eside. Ukuvuvukala emilenzeni kunganda kancane kancane kwabanye abantu, futhi kunciphe kancane kwabanye. Uma kungelashwa, lokhu kuvuvukala kungabangela indawo ethintekile ukuba iqine njengedwala. Futhi, abantu abanalesi simo bangaba nesifo sesikhumba esibizwa ngokuthi i-cellulitis . Lesi yisimo esibangela ukuba isikhumba sibe bomvu, sishise, futhi sibe buhlungu. Lesi yisimo esiyingozi esingasakazekela egazini ngezinye izikhathi. Ngakho-ke, kubalulekile ukutshela udokotela noma ngabe ubona ushintsho oluncane esikhumbeni sakho.

Ngingayinakekela kanjani ingane yami?

Nazi ezinye izinto ongazenza ukuze unakekele ingane yakho enesifo sikaMilroy:

• Nakekela isikhumba sengane yakho kahle. Gcina isikhumba semilenze sihlanzekile nsuku zonke, somise kahle, bese ufaka umswakama. Yelapha noma yikuphi ukusikeka okuncane, imihuzuko, ukulunywa yizinambuzane, noma izifo ngokushesha okukhulu. Lokhu kungasiza ekunciphiseni ingozi yokukhula kwezifo ezifana ne-cellulitis.
• Zama ukugwema ukulimaza izinyawo zakho. Gqoka izingubo ezimboza izinyawo zakho lapho udlala, ugijima, noma ugxuma. Ungabavumeli bahambe ngaphandle bengenazicathulo. Izingane ezinesifo i-Milroy zisengozini enkulu yokutheleleka kunezinye.
• Ungavumeli imilenze yengane yakho ihlale endaweni eyodwa, yihambise njalo. Ukuzivocavoca okulula nokuphakamisa nokwehlisa imilenze kungasiza ekunciphiseni ukuvuvukala.
• Khuthaza umsebenzi womzimba, ikakhulukazi ukubhukuda. Ukucindezela kwamanzi kusiza ekuvuvukeni. Futhi, ukuzivocavoca okuthambile emalungeni, njengokuhamba nokuhamba ngebhayisikili, kuhle.
• Buza udokotela wakho ngaphambi kokunikeza ingane yakho noma yimuphi umuthi. Eminye imithi, isibonelo, eminye imithi yokubulala izinhlungu, ingandisa ukuvuvukala.
• Nciphisa inani likasawoti ekudleni kwakho. Usawoti wandisa ukugcinwa kwamanzi emzimbeni, okungandisa nokuvuvukala.
• Yondla ingane yakho ukudla okunomsoco. Ukudla okunomsoco okunemifino, izithelo, kanye namaprotheni angenawo amafutha kusiza ukuqinisekisa ukuthi ingane yakho ithola izakhamzimba ezidingayo.

Ingane yami kufanele ibone nini udokotela?

Ingane enesifo sikaMilroy izohlolwa njalo . Lokhu kuvumela udokotela ukuthi abone ukuthi ingane injani, ukuthi ukuvuvukala kunjani, ukuthi ukwelashwa kusebenza kahle yini, nokuthi isimo sihlala sinjalo noma siya siba sibi kakhulu. Uma unomuzwa wokuthi ukwelashwa akusizi, uma ukuvuvukala emlenzeni wengane yakho kuyanda, uma kubomvu, uma kushisa, noma uma ingane yakho inomkhuhlane, qiniseka ukuthi ukhuluma nodokotela wengane yakho. Ngezinye izikhathi ingane yakho ingadinga ukubona udokotela wezokwelapha ukuze ayisize isebenzise izitho zayo kalula futhi yenze imisebenzi yansuku zonke.

Yimiphi imibuzo okufanele ngiyibuze udokotela wengane yami?

Nansi eminye imibuzo ongayibuza udokotela wengane yakho:

• "Ingabe ukhona omunye emndenini wethu osengozini yokuthola lesi sifo? Ingabe kufanele sithole ukwelulekwa ngofuzo?"
• "Uyazi amaqembu okusekela abantu abanesifo sikaMilroy? Ingabe akhona amaqembu anjalo eSri Lanka?"
• "Ngingazikhetha kanjani izingubo zokucindezela ezifanele ingane yami? Ngingazitholaphi?"
• "Ngokwakho, lezi zindlela zokwelapha ezilula ziphumelela kangakanani? Kunini lapho kufanele sicabangele khona ukuhlinzwa?"
• "Yiziphi izinto ezikhethekile okudingeka uzenze ukuze uvikele isikhumba emilenzeni yengane yakho?"

Ukuba nengane enesifo sikaMilroy akufani nokuba nengane enesifo esivamile. Isinyathelo sokuqala ekunakekeleni ingane yakho ukuzifundisa wena nabanye ngalesi simo. Funda okuningi ngangokunokwenzeka ngaso, futhi ungesabi ukubuza imibuzo yeqembu lezokwelapha lengane yakho. Awuwedwa, futhi baningi abantu abangasiza.

Izinto ezibaluleke kakhulu okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ake siphinde sixoxe ngamaphuzu abaluleke kakhulu kulokho esikhulume ngakho:

• Isifo sikaMilroy yisimo esingaba khona lapho umuntu ezalwa futhi sibangelwa izici zofuzo eziphazamisa ukusebenza kohlelo lwe-lymphatic, okuholela ekuvuvukeni kwemilenze.
• Lokhu akuvamile , kodwa kubalulekile ukufuna iseluleko sezokwelapha uma imilenze yengane yakho ivuvukele. Ukuxilongwa nokwelashwa ngokushesha kubaluleke kakhulu.
• Izindlela zokwelapha zifaka phakathi amasokisi okucindezela, amatheyiphu akhethekile, ukubhucungwa kokukhipha amanzi emzimbeni, kanye nokuhlinzwa ngezinye izikhathi.
• Njengoba lesi kuyisifo esingamahlalakhona , kubalulekile ukunakekela ingane kahle, ukunakekela isikhumba, ukuyivikela ezifweni, nokuyigcina ngaphansi kokuqashwa okufanele kwezokwelapha.
• Ungakhathazeki. Ngokuba nolwazi oluphelele ngalesi simo kanye nokusebenzisana nodokotela bakho, ingane yakho ingenza lukhulu ekuphileni impilo evamile.

Uma uneminye imibuzo mayelana nalokhu, qiniseka ukuthi ukhuluma nodokotela womndeni wakho noma udokotela wezingane.

Isifo SikaMilroy , Uhlelo Lwe-Lymphatic, Ukuvuvukala Kwemilenze Ezinganeni, I-Lymphedema, Izifo Zokuzalwa, Izifo Zofuzo, Ukwelashwa