Uke wahlinzwa noma welashwa umdlavuza webele? Uke waqaphela ukuvuvukala noma ukusinda ezingalweni zakho, ezandleni, noma esifubeni ngemva kwalokho? Uma ubona into efana nale, ungacabangi nje ukuthi kuyinto evamile. Kubalulekile ukukhuluma nodokotela wakho ngayo. Lokhu kungaba uphawu lwe-lymphedema, isimo esingaba khona kwabesifazane ngemva kokwelashwa umdlavuza webele.
Iyini ngempela i-Lymphedema?
Kalula nje, uhlelo lwe-lymphatic emzimbeni wethu lufana nohlelo lokulahla udoti. Luqukethe uketshezi olubizwa ngokuthi i-lymph fluid olusiza ukugcina imizimba yethu ihlanzekile ngokususa imfucuza namagciwane emzimbeni wethu. Lolu ketshezi luhamba ngenethiwekhi encane kakhulu ebizwa ngokuthi imithambo ye-lymph kanye nama-lymph node .
Ake ucabange nje, ngesikhathi sokuhlinzwa komdlavuza webele, amanye ama-lymph node, ikakhulukazi lawo asemakhwapheni, kufanele asuswe. Ngezinye izikhathi, ukwelashwa ngemisebe nakho kungalimaza la ma-lymph node. Uma lokho kwenzeka, uketshezi lwe-lymph alunandlela yokugeleza kahle futhi lubhajwe endaweni eyodwa. Yilokho esikubiza ngokuthi i-lymphedema, okubangela ukuvuvukala ezingalweni, eminweni, esifubeni, noma emilenzeni engavamile.
Kunezinhlobo ezimbili eziyinhloko zalokhu:
1. I-Primary Lymphedema: Lokhu akuvamile kakhulu. Kusho ukuthi uzalwa unesici ohlelweni lwe-lymphatic.
2. I-Secondary Lymphedema: Lolu uhlobo oluvame kakhulu. Luvela lapho uhlelo lwe-lymphatic luphazamiseka ngenxa yesizathu esinjengokuhlinzwa, ukutheleleka, ukwelashwa ngemisebe, ukulimala, noma ngisho nokuqhekeka kwegazi emthanjeni (i-deep vein thrombosis).
Ubani osengozini enkulu?
Uma kukhulunywa ngomdlavuza webele, abantu abaye bahlinzwa noma baphathwa ngalezi zindlela ezilandelayo basengozini enkulu yokuthuthukisa i-lymphedema:
- Ukususwa kwe-mastectomy okulula ngokususwa kwe-lymph node ye-axillary.
- Ukususa isimila esinomdlavuza kuphela nokususa ama-lymph node ekhwapheni (i-Lumpectomy ngokususwa kwama-lymph node e-axillary).
- Ukususwa kwebele kanye nenani elikhulu lezicubu ezizungezile kanye nama-lymph node e-axillary (i-Modified radical mastectomy).
- Ukuthola ukwelashwa ngemisebe endaweni enama-lymph node, njengentamo, ikhwapha, noma imbobo, kanye nokuhlinzwa komdlavuza.
Into ebalulekile ukuthi lokhu kuvuvukala kungenzeka ezinsukwini ezimbalwa ngemuva kokuhlinzwa. Kungavela futhi ezinyangeni, noma ngisho neminyaka, ngemva kokuhlinzwa. Ngakho ungakushayi indiva ngoba nje sekuyisikhathi eside kusukela ekwelashweni kwakho.
Ziyini izimpawu zalokhu?
Kujwayelekile ukuba nokuvuvukala okuthile emavikini okuqala angu-4-6 ngemuva kokuhlinzwa. Kodwa-ke, uma ubona noma yiziphi izimpawu ezilandelayo, ungazinaki futhi utshele udokotela wakho ngokushesha. Uma uqala ukwelashwa ngokushesha, kuba lula ukulawula lesi simo.
| Isibonakaliso | Kusho ukuthini lokhu? |
|---|---|
| Ukuvuvukala esandleni, iminwe, ihlombe, isifuba, noma umlenze | Uphawu olucacile lokuthi uketshezi lwe-lymph luyanqwabelana endaweni eyodwa. |
| Umuzwa wokusinda, njengokuthi "ugcwele" engalweni noma emlenzeni | Kungaba esinye sezimpawu zokuqala ezizwakalayo ngaphambi kokuba kuqale ukuvuvukala. |
| Ukuqina kwesikhumba, ukulahlekelwa ukunwebeka | Ukuqina kwesikhumba kwehla ngenxa yokuqongelela koketshezi ngaphansi kwesikhumba. |
| Ukuncipha kokuguquguquka kwesandla noma iqakala | Ukuvuvukala okuzungeze amalunga kungenza kube nzima ukunyakaza. |
| Izingubo zinamathela ohlangothini olulodwa lomzimba kuphela | Isibonelo, ukuzizwa sengathi ingalo eyodwa kuphela inamathele ebhulawuzini. |
| Ukubhajwa ebhandeni, ewashini, noma endandatho obuyigqokile | Lokhu kungenxa yokwanda kobukhulu besandla noma iminwe ngenxa yokuvuvukala. |
Yini esingayenza ukuze sivimbele i-Lymphedema?
Kunezinto eziningana ongazenza ukuze unciphise ingozi yakho yokuthola lesi simo. Kubalulekile ukuzenza umkhuba lokhu.
Ukuthola ukudla okunempilo
- Nciphisa ukudla okunosawoti omningi namafutha amaningi.
- Zama ukudla okungenani izithelo ezimbili kanye nemifino emithathu ngosuku.
- Thola i-fiber esinkweni esiphelele, ilayisi, kanye nama-noodle.
- Phuza amanzi amaningi.
- Gcina isisindo somzimba wakho esifanele. Khuluma nodokotela wakho ngalokhu.
- Nciphisa ukusetshenziswa kotshwala.
Vivinya umzimba ngendlela efanele.
Qiniseka ukuthi ubuza udokotela wakho ngaphambi kokuqala noma yikuphi ukuvivinya umzimba. Uma usuthole imvume yakhe, ungaqala ngokuzivocavoca okulula njengokuhamba, ukubhukuda, noma ukugibela ibhayisikili. Hlosa ukuzivocavoca imizuzu engama-30 ngosuku, okungenani izinsuku ezi-5 ngesonto. Uma uzizwa ukhathele noma ubuhlungu engalweni yakho ehlinzwe ngenkathi uvivinya umzimba, yeka ukuvivinya umzimba bese uphumula ngokuphakamisa ingalo yakho.
Zivikele ezifweni
Ngisho nokusikeka okuncane noma inxeba esikhumbeni sengalo ohlangothini lapho kwenziwa khona ukuhlinzwa kungatheleleka futhi kubhebhethekise isimo se-lymphedema.
- Gqoka amagilavu uma usebenza engadini noma wenza imisebenzi yasekhaya.
- Qaphela ukuthi ungalimazi isikhumba lapho usika izinzipho zakho.
- Sebenzisa izinto zokuxosha izinambuzane ukuze uzivikele ezinambuzaneni.
- Kungcono ukusebenzisa i-razor kagesi ukususa izinwele.
- Gcina isikhumba sakho sihlanzekile futhi somile njalo. Faka i-lotion ukuze uvimbele ukoma kwesikhumba.
Amanye amaphuzu ambalwa abalulekile
- Ungagqoki izingubo eziqinile, izicathulo, noma ubucwebe. Ungagqoki amawashi noma amasongo esandleni esike sahlinzwa.
- Cela ukusebenzisa ingalo engazange ihlinzwe lapho uhlola umfutho wegazi, ufaka imijovo, noma uthatha igazi.
- Khuluma nodokotela wakho mayelana nokuphakamisa izinsimbi ngengalo ohlangothini lokuhlinzwa.
- Uma uhamba ngendiza, buza udokotela wakho ukuthi udinga yini ukugqoka isiketi/isokisi elikhethekile lokucindezela ingalo noma umlenze ohlinzwe.
Kuthiwani uma sengivele ngine-Lymphedema?
Uma usuvele unalesi simo, kubaluleke kakhulu ukulandela wonke amathiphu okuphepha okukhulunywe ngawo ngaphambili. Ngaphezu kwalokho, lezi zinto zizokusiza nawe.
- Gwema ukushintsha kwezinga lokushisa okukhulu. Lokho kusho ukuthi ukushisa okukhulu nokubanda okukhulu akukuhle. Ungasebenzisi izinto ezifana nama-hot tub nama-sauna.
- Sebenzisa amanzi afudumele esikhundleni samanzi ashisayo lapho ugeza futhi ugeza izitsha.
- Uma uphuma elangeni, qiniseka ukuthi usebenzisa isivikelo selanga (okungenani i-SPF 30).
- Uma ulele noma uphumule , gcina ingalo noma umlenze othintekile uphakeme kancane ngokuwubeka phezu komcamelo.
- Ungalali unesisindo sakho ohlangothini oluthintekile isikhathi eside kakhulu.
Udokotela wakho angakuthumela kuchwepheshe wezokwelapha noma wezokwelapha umzimba ogxile ekuphatheni i-lymphedema. Angase akuncomele ukuzivocavoca okuthile, ukubopha amabhandeshi, kanye nezingubo zokucindezela.
Khumbula, uma kungelashwa, lokhu kuvuvukala kunganda, izicubu zingaqina, futhi ukusebenza kwesandla kungancishiswa. Kungaholela nasekuthelelekeni okukhulu. Ngakho-ke uma unokungabaza ngezimpawu zakho, bona udokotela ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Qaphela noma yikuphi ukuvuvukala ezingalweni zakho, esifubeni, noma emilenzeni ngemva kokuhlinzwa komdlavuza webele noma ukwelashwa ngemisebe.
- Lokhu kuvuvukala kungaba yisimo esibizwa ngokuthi i-lymphedema, esibangelwa ukulimala kohlelo lwe-lymphatic ngenxa yokuhlinzwa noma ngemisebe.
- Yazisa udokotela wakho ngokushesha nje lapho ubona noma yiziphi izimpawu. Ukwelashwa okusheshayo kungasiza ekulawuleni lesi simo.
- Ukudla okunempilo, ukuvivinya umzimba njalo, ukugwema izifo, nokuvikela isikhumba kunganciphisa ingozi ye-Lymphedema.
- Uma usuvele une-lymphedema, landela imiyalelo kadokotela wakho kanye nodokotela we-physiotherapist ngqo.
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