Ingabe i-scrotum yakho izwakala ivuvukele kancane? Noma ingabe inkulu kunejwayelekile futhi yenza kube nzima ukuhamba? Nakuba lokhu kuyinto abantu abaningi abesabayo ukukhuluma ngayo noma abazizwa benamahloni ngayo, kubaluleke kakhulu ukuqaphela. Ngoba kungathinta impilo yakho kanye nenhlalakahle yakho yengqondo. Namuhla sikhuluma ngesimo esibizwa ngokuthi `(Scrotal Lymphedema)` esibangela ukungakhululeki okunjalo, kodwa esingaphathwa ngendlela efanele.
Kuyini i-Scrotal Lymphedema?
Kalula nje, i-"Scrotal Lymphedema" iwukuqongelela kohlobo loketshezi olubizwa ngokuthi i-lymph ngaphakathi nangaphandle kwezicubu esinqeni, isikhwama sesikhumba lapho kutholakala khona amasende akho. Lokhu ngezinye izikhathi kungasakazekela endaweni ezungeze ipipi lakho.
Cabanga ngalokhu: umzimba wethu unesimiso esisusa ukungcola nezinto ezingafuneki. Siwubiza ngokuthi uhlelo lwe-lymphatic . Lokhu kuyingxenye ebalulekile yesimiso sethu sokuzivikela komzimba. Uma kukhona ukuvaleka, ukuvaleka, noma umonakalo kulesi simiso, uketshezi lwe-lymph aluhambi kahle futhi luqoqana endaweni eyodwa. Uma uketshezi lwe-lymph luqoqana endaweni ezungeze amasende, siwubiza ngokuthi i-Scrotal Lymphedema.
Lokhu akusikho ukuqala okungazelelwe, kodwa kuvame ukuba yisimo esingamahlalakhona . ESri Lanka, imbangela eyinhloko yalokhu yisifo esithwalwa omiyane esibizwa ngokuthi i-filariasis. Ngaphezu kwalokho, ukuhlinzwa komdlavuza kanye nokwelashwa ngemisebe nakho kungabangela lokhu.
Yiziphi izingxenye zeSistimu ye-Lymphatic ezihilelekile kulokhu?
Ukuze siqonde le ndaba, sidinga ukwazi ngabalingiswa abathathu abayinhloko ohlelweni lwethu lokuhleba.
| Ingxenye yesistimu | Kalula nje... |
|---|---|
| I-lymph | Lolu uketshezi olucacile olugeleza emizimbeni yethu yonke. Luqukethe amangqamuzana amhlophe egazi (ikakhulukazi ama-lymphocyte). Lolu ketshezi olusiza ukugcina umzimba uhlanzekile ngokususa imfucuza namagciwane emzimbeni. |
| Imithambo ye-lymph | Kufana nohlelo lwamapayipi amancane emizimbeni yethu. Uketshezi lwe-lymph luthuthwa emzimbeni wonke ngala mapayipi. |
| Ama-lymph node | Lokhu kufana nezihlungi ezincane. Yilapho uketshezi lwe-lymph luhlungwa khona futhi luhlanzwa. Sinalezi zindlala ezincane emizimbeni yethu yonke, entanyeni, emakhwapheni, ngisho nasendaweni yezinsini (ama-lymph node e-inguinal) . |
Ziyini izimpawu ze-Scrotal Lymphedema?
Into eyinhloko ebonakala kulesi simo ukuvuvukala kwamasende. Kodwa kunezinto eziningi ngaphandle kwalokho.
Into ebaluleke kakhulu ukubona udokotela ngokushesha nje lapho ubona lezi zimpawu, ngaphandle kokuba namahloni noma ukwesaba. Uma uqala ukwelashwa ngokushesha, kuba lula ukulawula lesi simo.
Ungafunda kabanzi ngalezi zimpawu kuthebula elingezansi.
| Isibonakaliso | Kwenzekani ngalokhu? |
|---|---|
| Ukwandiswa kwamasende | Lesi yisici esiyinhloko. Kwabanye abantu, singaba sikhulu ngokuphindwe kaningana kunokujwayelekile. Ezimweni ezimbi kakhulu, singaba sikhulu njenge-orenji noma ngisho ne-basketball. |
| Izinguquko zesikhumba | Ekuqaleni, indawo evuvukele ingase izwakale ithambile futhi ifana nenhlama uma uyithinta. Ngokuhamba kwesikhathi, indawo ingaba lukhuni futhi ibe nkulu ngenxa yokukhula kwezicubu ezine-fibrous (fibrosis) . |
| Ubuhlungu obuhlala isikhathi eside | Ungase ube nobuhlungu obungapheli noma ukungakhululeki endaweni evuvukele. |
| Ukutheleleka okuphindaphindiwe | Ukutheleleka ngamagciwane kungavela njalo esikhumbeni nangaphakathi kwaso. Izimpawu zingase zihlanganise ukubomvu nokufudumala kwesikhumba. |
| Ubunzima bokuhamba | Njengoba ukuvuvukala kukhula, kungaba nzima ukuhamba ngoba imilenze inamathele ndawonye. Kwezinye izimo ezinzima, kungaba nzima nokuhamba nhlobo. |
| Ubunzima bokuchama | Ukuvuvukala kungabangela ukuthi i-urethra iqine, okwenza kube nzima ukuchama. |
| Izinkinga zokusebenza kocansi | Ukuvuvukala nobuhlungu kungabangela ubunzima ngesikhathi socansi. |
| Ipenisi Engcwatshwe | Ezimweni ezinzima kakhulu zokuvuvukala, ipenisi ingase ibonakale imbozwe futhi imbozwe yizicubu ze-scrotal. |
Ingabe lesi yisifo esithathelwanayo?
Lena inkinga abantu abaningi abanayo. Cha. `(Scrotal Lymphedema)` akusona isifo esithelelanayo. Futhi akusona isifo esithathelwana ngocansi `(STI)`. Ngakho-ke akudingeki ukhathazeke ngokusidlulisela kumkakho noma kumlingani wakho.
Yiziphi ezinye izinkinga ezingabangelwa yilokhu?
Uma lesi simo singelashwa kahle, izinkinga eziningi zingavela ngokuhamba kwesikhathi.
- I-cellulitis ephindaphindayo: Lokhu ukutheleleka kwezicubu ezingaphansi kwesikhumba. Lokhu kungabangela ukuthi isikhumba silahlekelwe ukuqina kwaso.
- I-Elephantiasis: Lesi yisimo lapho isikhumba siba sikhulu, siqine, futhi sibukeke njengesikhumba sendlovu. Sibonile lesi simo sibangelwa yisifo seBarawa.
- Ukuphola kwenxeba okulibazisekile: Uma inxeba livela endaweni yesitho sangasese sowesifazane, kungathatha isikhathi eside kunokujwayelekile ukuphola.
- Imiphumela yengqondo: Lena yileyo abantu abaningi abangakhulumi ngayo, kodwa iyona ebaluleke kakhulu. Ngenxa yokuthi lesi simo sihlala isikhathi eside, sithinta izinto ezifana nokuhamba, futhi sithinta ukubukeka kwakho, singaba nemiphumela eminingi yengqondo.. Ukuzethemba okuphansi, ukukhathazeka, ukucindezeleka, kanye nokucindezeleka konke kungenzeka. Lokhu kuyinto evamile, ngakho ungesabi ukukhuluma ngakho.
Udokotela uhlonza kanjani lokhu?
Uma uya kudokotela, into yokuqala azokwenza ukulalela ngokucophelela izimpawu zakho bese ehlola umzimba. Ngemuva kwalokho, bazoncoma ezinye izivivinyo ukuze bathole imbangela eqondile yokuvuvukala nokubona ukuthi ukuvaleka kukuphi.
- I-Lymphoscintigraphy: Lokhu kuhilela ukufaka inani elincane lezinto ezinemisebe bese uyiskena ukuze ubone ukuthi ihamba kanjani ohlelweni lwakho lwe-lymphatic. Lokhu kungabonisa ngokucacile noma yikuphi ukuvinjelwa.
- Ukuskena kwe-MRI kanye ne-CT: Lezi zinhlobo zokuskena zingathatha izithombe ezinemininingwane zezicubu ezithambile endaweni yakho yokuzala futhi zikhombe indawo eqondile yokuvaleka.
Yiziphi izindlela zokwelapha ezitholakalayo?
Uma ngikhuluma iqiniso, okwamanje alikho ikhambi le-Scrotal Lymphedema. Kodwa ungakhathazeki. Kunezindlela eziningi zokwelapha ezisebenzayo ezingasiza ekulawuleni izimpawu, ukuvimba ukuvuvukala ukuthi kungabi kubi kakhulu, futhi kwenze impilo yakho ibe lula. Ukwelashwa kungahlukaniswa ngezigaba ezimbili eziyinhloko.
1. Ukwelashwa Okungahlinzwa
Lokhu kubizwa ngokuthi i-Complex Decongesstive Therapy (CDT) . Kusebenza kahle kakhulu ekuvuvukeni okuncane kuya kokuphakathi ezigabeni zokuqala.
- Ukugcina isikhumba sihlanzekile: Hlanza indawo kahle ngensipho yokubulala amagciwane namanzi afudumele.
- Ukuhlikihla Amanzi Ngesandla: Lokhu kuwukuhlikihla okuthambile okwenziwa ngumelaphi oqeqeshwe ngokukhethekile. Lokhu kusiza ukuhambisa uketshezi lwe-lymph kusuka endaweni evuvukele kuya emithanjeni ye-lymph esebenza kahle.
- Izingubo Zokucindezela: Lezi yizingubo ezikhethekile ezibambayo ezisiza ekunciphiseni ukugcinwa koketshezi nokuthuthukisa ukujikeleza kwegazi.
- Ukuzivocavoca: Ukuzibandakanya ochungechungeni lwezivivinyo eziklanywe nguchwepheshe wezokwelapha, ezilungiselelwe isimo sakho.
2. Ukuhlinzwa
Kubantu abanokuvuvukala okukhulu abangazange basabele kwezinye izindlela zokwelapha, udokotela wakho angase akuncome ukuhlinzwa. Lokhu kuhlinzwa kuvame ukuhilela:
- Ukususwa kwesikhumba nezicubu ezonakele.
- Uma kudingeka, ukususa amaseli amafutha amaningi ngezindlela ezifana ne-`(liposuction)`.
- Ukufakelwa kwesikhumba inqubo lapho kuthathwa khona isikhumba esinempilo esivela kwenye ingxenye yomzimba (ngokuvamile ithanga) ukuze kufakwe isikhumba esisusiwe.
Udokotela wezifo zomchamo kanye nodokotela ohlinzayo we-plastic basebenzisana ukwenza lokhu kuhlinzwa.
Yini engingayenza ukuze ngihlale ngiphilile?
Kanye nokwelashwa, ukwenza izinguquko ezincane endleleni yakho yokuphila kungasiza kakhulu ekuphatheni lesi simo.
- Lawula usawoti: Usawoti wandisa ukugcinwa koketshezi emzimbeni. Ngakho-ke yehlisa usawoti ekudleni kwakho. Esikhundleni salokho, sebenzisa izinongo, igalikhi, i-oregano, njll.
- Phuza amanzi amaningi: Zama ukuphuza okungenani izingilazi ezingu-8 zamanzi ngosuku. Lokhu kuthuthukisa ukujikeleza kwegazi kanye nokugeleza kwe-lymph.
- Nakekela isikhumba sakho: Gcina indawo ihlanzekile futhi inomswakama ngaso sonke isikhathi. Lokhu kungasiza ekuvimbeleni ukutheleleka.
- Gwema izingubo eziqinile: Gwema ukugqoka izingubo eziqinile noma izingubo ezine-elastic eziqinisa isisu kanye nendawo yezinqe.
- Gwema ukushisa okweqile: Ukushisa okweqile, njengezindawo zokugeza ezishisayo nama-sauna, kungandisa ukuvuvukala.
- Gcina isisindo esinempilo: Kubaluleke kakhulu ukugcina isisindo esinempilo ngobude bakho. Ungacela iseluleko kudokotela noma kuchwepheshe wezokudla ngalokhu.
Kufanele uye nini e-Emergency Treatment Unit (ETU)?
Uma une-Scrotal Lymphedema futhi uba nanoma yiziphi izimpawu ezilandelayo zokutheleleka , hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU).
- Umkhuhlane uphakeme ngaphezu kwama-degree Celsius angu-38 (100.4 Fahrenheit).
- Ukwanda okuzumayo kobuhlungu.
- Ukushisa okukhulu kuzwakala lapho kuthinta indawo evuvukele.
- Isikhumba esibomvu, esinsomi, noma esinsundu, noma imicu ebomvu esikhumbeni.
Umlayezo Wokuya Nawe Ekhaya
- I-Scrotal Lymphedema iwukunqwabelana koketshezi lwe-lymph esinqeni. Akuyona umdlavuza.
- Lesi simo asithelelani futhi asisona isifo esithathelwana ngocansi.
- Uma unezimpawu ezifana nokuvuvukala kwamasende, ungabi namahloni futhi ubone udokotela ngokushesha okukhulu.
- Nakuba kungelapheki ngokuphelele, izimpawu zingalawulwa futhi impilo evamile ingaphilwa ngokwelashwa kanye nokushintsha indlela yokuphila.
- Uma uzizwa ucindezelekile ngokomzwelo ngalesi simo, khuluma nomuntu omethembayo noma umeluleki ngaso. Awuwedwa.
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