Ingabe i-scrotum yakho ivuvukele? Ake sifunde nge-scrotal lymphedema!

Wake wazizwa ukuvuvukala okungavamile esinqeni sakho, noma endaweni ezungezile? Lokhu kungase kube nzima ukukhuluma ngakho, kodwa kuyisihloko esibaluleke kakhulu. Lokhu sikubiza ngokuthi i-scrotal lymphedema. Ungakhathazeki, lokhu akuyona nje into onayo. Ake sixoxe ngakho ngendlela elula wonke umuntu angayiqonda.

Kuyini i-Scrotal Lymphedema?

Kalula nje, (Scrotal Lymphedema) yisimo lapho izicubu ezithambile esinqeni sakho se-scrotum, ikakhulukazi uketshezi olubizwa ngokuthi i-lymph, zivuvukala khona. Lokhu kuvuvukala kungathinta hhayi kuphela isinqe kodwa nezindawo ezizungezile, njengepenis. Njengoba wazi, isinqe se-scrotum siyisikhwama sesikhumba esitholakala ngezansi nangemuva kwesinqe, futhi yilapho kuvame ukutholakala khona amasende.

Empeleni lolu uhlobo lwesimo esingamahlalakhona esibizwa ngokuthi (i-Lymphedema). Lesi simo senzeka lapho uhlelo lwe-lymphatic emzimbeni wethu lonakele noma luvinjiwe. Uhlelo lwethu lwe-lymphatic luyingxenye ebalulekile yesistimu yomzimba yokuzivikela. Lusiza ukususa imfucuza kanye nobuthi emzimbeni futhi lugcine ibhalansi yoketshezi emzimbeni. Ngokuvamile, lolu hlelo lwe-lymphatic lungalimala ngenxa yokwelashwa komdlavuza, ukuhlinzwa, isifo esibizwa ngokuthi i-lymphatic filariasis , noma ezinye izinkinga zesistimu yomchamo ezikhona lapho kuzalwa.

Nakuba lesi simo sibonakala emazweni afana neSri Lanka ngenxa yesifo iBarawa, emazweni afana neMelika, i-"Scrotal Lymphedema" iyisimo esingavamile. Kodwa-ke, kunzima kodokotela nabacwaningi ukusho ukuthi bangaki abantu abaphethwe yilesi sifo.

Yiziphi izingxenye zesistimu ye-lymphatic ezihilelekile kulokhu?

Kunezinhlobo eziningi zezitho zomzimba ohlelweni lwethu lwe-lymphatic, kodwa lezi yizingxenye ezihileleke kakhulu esimweni se-Scrotal Lymphedema:

• I-lymph: Lolu uketshezi olucacile noluhlanzekile. Yilo oluhamba kulo lonke uhlelo lwe-lymphatic. Luqukethe amangqamuzana amhlophe egazi, ikakhulukazi ama-lymphocyte . Lusiza ekususeni imfucuza, amabhaktheriya, kanye namaprotheni asele ezicutshini.
• Imithambo ye-lymph: Njengemibhobho emincane, yilezi ezithwala uketshezi lwe-lymph emzimbeni wonke.
• Ama-lymph node: Lawa agcina amangqamuzana amhlophe egazi futhi ahluze uketshezi lwe-lymph. Kukhona ama-lymph node kuyo yonke imizimba yethu. Iningi labantu linama-lymph node angaba yishumi endaweni ye-groin (ama-lymph node angu-inguinal) .

Ziyini izimpawu ze-(Scrotal Lymphedema)?

Uphawu oluyinhloko nolusobala kakhulu lwalesi simo ukuvuvukala kwamasende.. Isende lingaba likhulu ngokuphindwe kaningana kunokujwayelekile. Cabanga nje, kwabanye abantu lokhu kuvuvukala kungaba mkhulu kakhulu, njenge-orenji enkulu, ngezinye izikhathi kube mkhulu njengebhasikidi. Odokotela babiza lolu hlobo lokuvuvukala ngokuthi (giant scrotal lymphedema).

Kungase kube nezinye izimpawu:

• Ekuqaleni, i-scrotum kanye nezicubu ezizungezile zingase zizizwe zithambile, njengenhlama, ngenxa yokuqongelela koketshezi. Ngokuhamba kwesikhathi, njengoba kwakheka izicubu zesibazi (fibrosis) , lezi zingase zibe nzima nakakhulu.
• Kungase kube nobuhlungu besikhathi eside ezindaweni ezithintekile.
• Ukutheleleka okuphindaphindiwe kungenzeka.
• Ubunzima bokuhamba , ngezinye izikhathi ngisho nokungakwazi ukuhamba nhlobo.
• Ubunzima bokuchama (ukuchama) .
• Ubunzima emsebenzini wocansi .

Kwezinye izimo ezinzima, i-scrotal lymphedema ingabangela isimo esibizwa ngokuthi i-exhibited penis . Lokhu kwenzeka lapho i-penis imbozwa yizicubu ze-scrotum ngenxa yokuvuvukala ngokweqile (i-edema). I-penis ingase ibonakale ifihliwe noma ingekho.

Yini ebangela lokhu?

Emazweni afana neSri Lanka, imbangela eyinhloko ye-scrotal lymphedema ukutheleleka okubangelwa yizinambuzane okubizwa ngokuthi i-lymphatic filariasis , okusabalala ngomiyane.

Kodwa emazweni afana neMelika, lesi simo sivame ukubangelwa ukuvaleka noma ukuwohloka kwesistimu ye-lymphatic endaweni yezitho zangasese. Ngemuva kwalokho, uketshezi lwe-lymph aluphumi kahle endaweni yezitho zangasese. Ukwelashwa komdlavuza (ikakhulukazi ukwelashwa ngemisebe), ukuhlinzwa, njll. kungabangela lokhu.

Ingabe lokhu (Scrotal Lymphedema) kuyathelelana?

Cha, (Scrotal Lymphedema) akusona isifo esithelelanayo. Akusona isifo esithathelwana ngocansi (STI) futhi. Ngakho-ke ungasesabi.

Ubani osengozini enkulu yokuthuthukisa lokhu?

Ungase ube sengozini enkulu yokuthola lesi simo uma:

• Uma uthole ukwelashwa kokwelapha umdlavuza, okungukuthi, uma uke welashwa ngemisebe noma wahlinzwa .
• Uma i-Body Mass Index (BMI) yakho ingaphezu kuka-30, kusho ukuthi ukhuluphele kakhulu.

Yiziphi izinkinga ezingaba khona ze-(Scrotal Lymphedema)?

Kunezinkinga eziningana ezingavela ngenxa yalesi simo, okuyinto enhle ukuqaphela:

• Ukwenzeka okuphindaphindiwe kwesimo esibizwa ngokuthi 'i-cellulitis' . Lokhu ukuvuvukala kwezicubu ezithambile ezixhumene ngaphansi kwesikhumba. Lokhu kungabangela ukuba isikhumba silahlekelwe ukuqina kwaso.
• I-Elephantiasis (isimo esifana ne-elephantiasis): Kulesi simo, isikhumba siyakhula, sibe sikhulu, futhi siqine.
• erysipelas:Lokhu ukutheleleka okuthinta izingqimba eziphezulu zesikhumba. Kungabangela umkhuhlane ongazelelwe, ukushintsha kombala wesikhumba (obomvu, onsomi, onsundu, omnyama), kanye nokuvuvukala.
• Ukuphola kwenxeba okulibazisekile: Amanxeba azungeze indawo yokuzala angathatha isikhathi eside ukuphola.
• Imiphumela Yengqondo: I-Scrotal Lymphedema yisimo sesikhathi eside esingaba buthakathaka, sithinte ukubukeka futhi senze kube nzima ukuhamba. Kungaholela ekuzethembeni okuphansi , ukukhathazeka okungalawuleki , ukucindezeleka kanye nokucindezeleka . Lokhu kuvamile, ngakho-ke kufanele sikhathazeke ngalokhu futhi.

Odokotela bakuthola kanjani lokhu?

Ukuze kutholakale i-scrotal lymphedema, udokotela uzoqala enze ukuhlolwa ngokomzimba bese ebuza ngomlando wakho wezokwelapha . Ngaphezu kwalokho, ezinye izivivinyo zesithombe zingenziwa. Lokhu kungasiza ekunqumeni izinga lokuvaleka kwesistimu ye-lymphatic. Kungasiza futhi ekususeni ezinye izimo ezingabangela ukuvuvukala kwe-scrotum. Lezi zivivinyo zivame ukwenziwa ukuze:

• I-Lymphoscintigraphy: Kulolu vivinyo, udokotela ufaka inani elincane lezinto ezinemisebe (i-radiotracer). Ngemuva kwalokho, kusetshenziswa isithwebuli ukulandelela izinto njengoba zihamba ohlelweni lwakho lwe-lymphatic. Uma kukhona ukuvaleka ohlelweni lwe-lymphatic, izinto ezinemisebe ngeke zidlule kulelo phuzu, futhi indawo eqondile yokuvaleka ingatholakala.
• I-Magnetic Resonance Imaging (MRI): Lokhu futhi kuyindlela yokuhlola ethatha izithombe. Kuyasiza ukuthola ukuthi kukhona yini ukuvaleka kwemithambo ye-lymphatic. Isebenzisa i-magnet enkulu, amaza omsakazo, kanye nekhompyutha ukuthatha izithombe ezinemininingwane zezicubu ezithambile zendawo yokuzala.
• I-Computed Tomography (CT) scan: I-CT scan isebenzisa uchungechunge lwe-X-rays ukuthatha izithombe ezinemininingwane yendawo yokuzala futhi ingasiza ekuboneni ukuthi ama-lymph node avinjiwe kuphi.

Ingabe i-Scrotal Lymphedema ingelapheka ngokuphelele?

Uma ngikhuluma iqiniso, okwamanje alikho ikhambi le-Scrotal Lymphedema. Kodwa ungakhathazeki. Kunezindlela zokwelapha ezingasiza ekunciphiseni izimpawu zakho futhi zivimbele ukuvuvukala ukuthi kungabi kubi kakhulu.

Kuphathwa kanjani lokhu?

Odokotela bavame ukuncoma kuqala ukwelashwa okubizwa ngokuthi i-complex decongestive therapy (CDT) ye-scrotal lymphedema. Lokhu kusiza ekunciphiseni ukuvuvukala okuncane kuya kokuphakathi, ikakhulukazi ezigabeni zokuqala zesifo. Lokhu kwelashwa kuhlanganisa:

• Ukugcina isikhumba sihlanzekile: Hlanza isikhumba kahle usebenzisa insipho yokubulala amagciwane, amanzi afudumele, kanye nesihlanzi sesikhumba (isib. i-iodine noma i-isopropyl alcohol).
• Ukukhipha amanzi emzimbeni ngesandla: Lokhu kwenziwa ngumelaphi we-lymphedema oqeqeshwe ngokukhethekile. Uzohlikihla indawo ngobumnene nangobumnene, asuse uketshezi lwe-lymph endaweni evuvukele bese eluqondisa kuma-lymph node asebenza kahle.
• Ukugqoka izingubo ezikhethekile zokucindezela: Lezi zingubo zinciphisa ukunqwabelana koketshezi futhi zisiza ukuqondisa uketshezi lwe-lymph kuma-lymph node lapho lusebenza khona.
• Ukuzivocavoca: Uchwepheshe we-lymphedema uzokwakha uhlelo lokuzivocavoca olufanele wena. Lokhu kuzivocavoca kusiza uketshezi lwe-lymph ukuthi luhambe emithanjeni ye-lymph.

Ezimweni ze-scrotal lymphedema enzima engasabeli kahle ekwelashweni okuyinkimbinkimbi kokukhulula ukuminyana, udokotela angase ancome ukuhlinzwa . Lokhu kuhlinzwa kuhilela ukususa inqwaba kanye nezicubu ezithintekile bese kufakwa isikhumba esinempilo esikhundleni saso (i-skin graft) . Ithimba lokuhlinzwa livame ukufaka udokotela wezifo zomchamo kanye nodokotela ohlinzayo we-plastic . Ngesikhathi sokuhlinzwa, ithimba lezokwelapha livame ukwenza okulandelayo:

• Uzonikezwa i-anesthesia ejwayelekile . Ngemuva kwalokho ngeke uzizwe ubuhlungu ngesikhathi sokuhlinzwa, uzobe ulele.
• Kufakwa ipayipi lepulasitiki elincane neliguquguqukayo (i-catheter) e-urethra yakho. Lokhu kuvikela i-urethra ngesikhathi senqubo futhi kusiza ukugcina ipenisi izinzile.
• Ipenisi ihlukaniswe nezicubu zamasende eziqinile (ezinama-fibrotic), bese kususwa isikhumba nezicubu ezonakele (ezinama-lymphatic).
• Uma kudingeka, kwenziwa i-'liposuction' . Lokhu kusho ukuthi kwenziwa imicu emincane endaweni yesitho sangasese bese kukhishwa ama-fat cells kusetshenziswa ithuluzi lokuhlinza.
• Uma kudingeka, kwenziwa i-'panniculectomy' . Lokhu kususa isikhumba esiningi kanye nezicubu ezinamafutha 'pannus' ezungeze indawo yesitho sangasese sowesifazane.
• Uma kudingeka, kwenziwa i-escutcheonectomy . Lokhu kususa ungqimba olunamafutha ngaphezu kwethambo le-pubic (indawo ye-pubic).
• Isikhumba esonakele sithathelwa indawo yisikhumba esinempilo esithathwe kwenye ingxenye yomzimba (ngokuvamile ithanga).

Yiziphi izinkinga noma imiphumela emibi engaba khona ngemva kokuhlinzwa?

Iningi labantu lisabela kahle ekuhlinzweni kwe-Scrotal Lymphedema. Kodwa-ke, ngezinye izikhathi kungaba nezinkinga, ezifana nalezi:

• Ukuvuvukala
• Ubuhlungu
• Ukwehla kokuzwela esikhumbeni, epenis, noma ezindaweni ezizungezile
• Ukwehluleka kokufakelwa kwesikhumba

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Kuncike ebunzimeni besimo sakho (i-Scrotal Lymphedema) kanye nokwelashwa okunconywayo. Ngokwelashwa okuyinkimbinkimbi kokukhulula ukuminyana kwegazi, ukuvuvukala kungase kuqale ukwehla cishe ngesonto elilodwa noma amabili. Uma uhlinzwa, kufanele ukwazi ukululama cishe emavikini ayisithupha.

Kuye ngesimo sakho, udokotela wakho uzokutshela ngesikhathi sokululama ongasilindela.

Ingabe kukhona izinto engingazenza ukuze ngizizwe ngingcono?

Ukulandela ukudla okunempilo kungasiza ekulawuleni i-scrotal lymphedema. Uma udla izithelo eziningi, imifino, amaprotheni angenamafutha, kanye nokusanhlamvu okuphelele, uhlelo lwakho lwe-lymphatic luzosebenza kahle kakhulu. Kungumqondo omuhle futhi ukuthi:

• Nciphisa usawoti owudlayo. Usawoti ungandisa ukugcinwa koketshezi emzimbeni. Ungasebenzisa amakhambi amasha, igalikhi, i-oregano, i-chili powder, kanye ne-mustard powder ukuze unambithe ukudla kwakho.
• Phuza amanzi amaningi. Ukugcina umzimba wakho unamanzi anele kusiza ukugcina ukujikeleza kwegazi okunempilo. Kungathuthukisa nokugeleza kwegazi emzimbeni. Zama ukuphuza izingilazi zamanzi ezingu-8 (cishe ama-2,000 ml) ngosuku.
• Khuluma nodokotela. Ukwelashwa komdlavuza kuvame ukubangela (Scrotal Lymphedema). Ngakho-ke, uma welashwa umdlavuza, buza udokotela wakho wezifo zomdlavuza mayelana nokuthi kungenzeka yini ukuthi (Scrotal Lymphedema) ibangelwe yilolo hlobo lokwelashwa.

I-Scrotal Lymphedema yisimo esingathinta nempilo yakho yengqondo. Kungumqondo omuhle ukukhuluma ngemizwa yakho nomndeni nabangane othembekile. Ungabuza udokotela wakho ukuthi angancoma yini uchwepheshe wezokwelapha noma iqembu lokusekela abantu abane-Scrotal Lymphedema.

Uma ngine-(Scrotal Lymphedema), yini okufanele ngiyilindele?

Okwamanje ayikho indlela yokulungisa umonakalo ohlelweni lwe-lymphatic olubangela i-Scrotal Lymphedema. Lokhu kusho ukuthi i-Scrotal Lymphedema iyisimo sesikhathi eside. Kodwa ungakhathazeki. Ngokwelashwa okufanele, unganciphisa izimpawu zakho, uthuthukise ikhwalithi yempilo yakho, futhi uyilondoloze.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ze-(Scrotal Lymphedema) ikakhulukazi uma welashwa umdlavuza, kubalulekile ukubona udokotela. Uma ungelashwa, lesi simo singaba sibi kakhulu futhi siholele kwezinye izinkinga.

Uma ubona udokotela, ungabuza le mibuzo:

• Wazi kanjani ukuthi ngine-(Scrotal Lymphedema)?
• Uma ngingenayo i-(Scrotal Lymphedema), yisiphi esinye isimo sezokwelapha engingaba naso?
• Sibi kangakanani isimo sami '(Scrotal Lymphedema)'?
• Yikuphi ukwelashwa okuncomayo?
• Yiziphi izinguquko zendlela yokuphila okudingeka ngizenze?
• Ungamncoma yini udokotela wezifo zengqondo, iqembu lokusekela, isazi sokudla, noma umelaphi wezifo ze-lymphedema?

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

Uma une-Scrotal Lymphedema, iya ekamelweni eliphuthumayo eliseduze uma uthola noma yiziphi zalezi zimpawu zokutheleleka:

• Uma umkhuhlane ungaphezu kwama-degree Celsius angu-38 (ama-degree Fahrenheit angu-100.4).
• Uma ubuhlungu bukhula.
• Uma leyo ndawo ishisa.
• Umbala wesikhumba ushintshile, ikakhulukazi uma ubukeka sengathi imicu isuka kuleyo ndawo.

Ingabe i-Scrotal Lymphedema ingavinjelwa?

I-Scrotal Lymphedema, engabangelwa ukwelashwa komdlavuza, ingase ingavinjelwa ngokuphelele. Kodwa-ke, ukwelashwa okufanele kungasiza ekunciphiseni ukuvuvukala nokunciphisa izinkinga. Lawa macebiso angasiza ekunciphiseni ingozi yakho:

• Hlala uqaphele umzimba wakho. Tshela udokotela ngokushesha nje lapho ubona izimpawu zokuqala ze-(Scrotal Lymphedema). Ukungatholi ukwelashwa, noma ukuqala ukwelashwa sekwephuzile, kungaholela ezinkingeni ezinkulu ongenakuzilawula.
• Nakekela isikhumba sakho kahle. Gcina isikhumba sakho sihlanzekile futhi simanzi ukuze uvimbele izifo. Uma umswakama uqongelela, kulula ukuthi amagciwane akhule.
• Shayela udokotela uma kuvela izimpawu zokuqala zokutheleleka. Izimpawu ezivamile zokutheleleka zifaka phakathi ukushintsha kombala wesikhumba (obomvu, onsomi, onsundu), ubuhlungu, ukuvuvukala, umkhuhlane, noma ukubonakala kwemigqa eshintsha umbala ngaphansi kwesikhumba.
• Vumela uketshezi lomzimba wakho luhambe kalula. Gwema ukucindezela isisu sakho esingezansi kanye nendawo yemibundu. Lokhu kungathinta ukuhamba kwegazi. Gwema ukusebenzisa izingubo eziqinile, amabhandeji anwebekayo, njll.
• Nciphisa noma ugweme ukubeka indawo yakho yangasese ekushiseni okweqile. Lokhu kufaka phakathi izinto ezifana namabhati ashisayo nama-sauna. Ukushisa okweqile kungandisa ingozi ye-scrotal lymphedema.
• Zivocavoce kancane, ngokulawulwa ngokucophelela. Landela uhlelo lokuzivocavoca oludalwe ngudokotela wezifo ze-lymphedema.
• Gcina isisindo esinempilo esikufanele. Udokotela noma isazi sokudla angakusiza ukuthi wakhe uhlelo lokudla olunempilo.

Khumbula, i-Scrotal Lymphedema ingaba yinto engakhululeki, futhi ihlazeke ngisho, ngoba ithinta indawo ebucayi yomzimba. Kodwa, awuwedwa. Ngokwelashwa okufanele kanye nokushintsha kwendlela yokuphila, ungalawula lezi zimpawu futhi unciphise umthelela ezinawo empilweni yakho.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ake siphinde sixoxe ngezinto ezibaluleke kakhulu esikhulume ngazo (Scrotal Lymphedema):

• Lesi yisimo lapho uketshezi lwe-lymph luqoqana khona ngaphakathi naseduze kwamasende futhi lubangele ukuvuvukala.
• Lokhu kungenzeka uma uhlelo lwe-lymphatic lonakaliswa yizinto ezifana nokukhuluphala ngokweqile, ukwelashwa komdlavuza, noma ukuhlinzwa.
• Lesi akusona isifo esithathelwanayo.
• Uphawu oluyinhloko ukuvuvukala okungavamile kwe-scrotum. Ngaphezu kwalokho, ubuhlungu, ubunzima bokuhamba, kanye nobunzima bokuchama nakho kungase kwenzeke.
• Nakuba kungekho ukwelashwa okuphelele, ukwelashwa kungalawula izimpawu.Ukwelashwa Okuyinkimbinkimbi Kokuhlunguphaza (i-CDT) futhi, ezimweni ezimbi kakhulu, ukuhlinzwa kuyizindlela eziyinhloko zokwelapha.
• Ungazisiza ngokudla ukudla okunempilo, ukuphuza amanzi amaningi, nokugcina isikhumba sakho sihlanzekile.
• Kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha nje lapho ubona noma yiziphi izimpawu. Uma ukwelashwa kuqalwa ngokushesha, izinkinga zingancipha kancane.
• Uma uzizwa ucindezelekile engqondweni ngenxa yalesi simo, ungangabazi ukukhuluma ngakho futhi ufune usizo lochwepheshe uma kudingeka.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukukhuluma nodokotela. Uzokunikeza lonke ulwazi kanye nokusekelwa okudingayo.

I-Scrotal Lymphedema, Ukuvuvukala Kwe-Scrotal, I-Lymphedema, Uhlelo Lwe-Lymphatic, Impilo Yabesilisa, Isifo Se-Scrotal