Wake wazizwa sengathi i-scrotum yakho iqala ukuvuvukala ngokuzumayo? Noma ingabe isikhumba esikuleyo ndawo siyaqina futhi sizizwe ngendlela ehlukile uma usithinta? Nakuba lokhu kuyindaba exakile futhi ehlazisayo ukukhuluma ngayo, kubaluleke kakhulu ukuqaphela lesi simo. Ngoba uma singanakwa, singaholela ezimweni ezibucayi. Namuhla sikhuluma ngesimo esingabangela izimpawu ezinjengalezi, esaziwa ngokwezokwelapha ngokuthi i-Scrotal Lymphedema .
Iyini ngempela iScrotal Lymphedema?
Kalula nje, i-Scrotal Lymphedema yisimo lapho uhlobo oluthile loketshezi olubizwa ngokuthi i-lymph luqongelela ngaphakathi kwezicubu ezithambile ze-scrotum yakho, okubangela ukuvuvukala. Ngezinye izikhathi, lokhu kuvuvukala kungasakazekela epenis nasezindaweni ezizungezile.
Manje ungase uzibuze, "Luyini lolu ketshezi lwe-lymph?" Cabanga nje, umzimba wethu unesistimu esusa imfucuza kanye nobuthi , njengohlelo lokulahla udoti edolobheni. Lokhu sikubiza ngokuthi uhlelo lwe-lymphatic . Lolu hlelo luyingxenye ebalulekile yesistimu yethu yokuzivikela. Uketshezi lwe-lymph luwuketshezi olucacile oluhamba kulolu hlelo futhi lusize ukususa izinto ezifana nodoti namagciwane .
Ngakho-ke, uma ngesizathu esithile imithambo ye-lymph noma ama-lymph node kulesi simiso se-lymphatic, ikakhulukazi endaweni ye-groin, onakele noma evalekile, lolu ketshezi lwe-lymph alukwazi ukugeleza kahle. Yilapho lolo ketshezi luqoqana ezindaweni ezifana ne-scrotum bese luqala ukuvuvukala.
Ziyini izimpawu zalesi simo?
Uphawu oluyinhloko nolusobala kakhulu lwalesi sifo ukuvuvukala kwe-scrotum. Kwezinye izimo ezinzima, lokhu kuvuvukala kunganda ngokuphindwe kaningana ngobukhulu bayo obujwayelekile, kube usayizi we-orenji, we-basketball, noma omkhulu nakakhulu. Odokotela bakubiza lokhu ngokuthi 'i-Giant Scrotal Lymphedema'.
Ake sibone ukuthi yiziphi ezinye izimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Ukuvuvukala kwe-testicle | Ukukhula ngosayizi. Ekuqaleni ithambile uma uyithinta, ngokuhamba kwesikhathi ingaba nzima ngenxa yokuqina kwezicubu (i-fibrosis). |
| Ubuhlungu obuhlala isikhathi eside | Ubuhlungu obungapheli noma ukungakhululeki endaweni evuvukele futhi ezungezile. |
| Ukutheleleka okuphindaphindiwe | Ukutheleleka kwesikhumba okubangelwa amagciwane (njenge-cellulitis) kuvamile. Izimpawu zingase zihlanganise ukubomvu nokufudumala kwesikhumba. |
| Ukuphazamiseka kwemisebenzi yansuku zonke | Ubunzima bokuhamba noma ukungakwazi ukuhamba. Ubunzima bokuchama. |
| Izinkinga zocansi | Ubunzima bokuya ocansini. |
| Ipenisi Engcwatshwe | Isimo lapho ipenisi imbozwe yizicubu ze-scrotal ngenxa yokuvuvukala okukhulu, okwenza ingabonakali. |
Yiziphi izimbangela ze-scrotal lymphedema?
Kunezizathu eziningana eziyinhloko zalesi simo. Ikakhulukazi emazweni afana neSri Lanka, imbangela eyinhloko yalokhu yi- Lymphatic Filariasis . Lokhu ukutheleleka okubangelwa yizinambuzane okudluliselwa omiyane. Lezi zinambuzane zilimaza uhlelo lwethu lwe-lymphatic.
Ngaphezu kwalokho, kunezinye izizathu:
- Ukwelashwa komdlavuza: Ukwelashwa ngemisebe noma ukuhlinzwa, ikakhulukazi endaweni ye-pelvic, kungalimaza uhlelo lwe-lymphatic.
- Ukuhlinzwa: Okunye ukuhlinzwa okwenziwa endaweni yembobo noma esiswini nakho kungabangela umonakalo emithanjeni ye-lymphatic.
- Ukukhuluphala ngokweqile: Le ngozi iphezulu kubantu abane-body mass index (BMI) engaphezu kuka-30.
- Izinkinga zokuzalwa: Abanye abantu bangazalwa benobuthakathaka obuthile ohlelweni lwe-lymphatic.
Into ebaluleke kakhulu ukuthi lesi akusona isifo esithelelanayo noma isifo esithathelwana ngocansi (STI), ngakho-ke ungasesabi ngokungadingekile.
Yiziphi izinkinga ezingabangelwa yilokhu?
Uma lesi simo singelashwa kahle, izinkinga ezahlukahlukene zingavela ngokuhamba kwesikhathi.
- Izifo Zesikhumba (i-Cellulitis): Izifo zezicubu ezingaphansi kwesikhumba zivame ukwenzeka.
- I-Elephantiasis (Isikhumba esifana nesendlovu): Lolu uhlobo olubi kakhulu lwe-'barawa'. Isikhumba siba sikhulu kakhulu, sibe sikhulu, futhi sibe lukhuni.
- Ukuphola kwenxeba okulibazisekile: Uma inxeba livela endaweni yesitho sangasese, kuzothatha isikhathi eside kunokujwayelekile ukuphola.
- Imiphumela yengqondo: Lesi simo singabangela izinguquko ekubukekeni, ubunzima bokuhamba, kanye nokuzethemba okuphansi, kanye nokukhathazeka, ukucindezeleka, kanye nokucindezeleka . Lena inkinga ebucayi kakhulu, ngakho-ke kunethuba elikhulu lokucindezeleka.
Udokotela uhlonza kanjani lokhu?
Uma ubona udokotela onalezi zimpawu, bazokuhlola ngokomzimba kuqala bese bebuza ngomlando wakho wezokwelapha. Bangase batuse nokuhlolwa okuthile ukuze banqume ezinye izimbangela zokuvuvukala nokuthola indawo eqondile yokuvaleka kwesistimu yakho ye-lymphatic.
- I-Lymphoscintigraphy: Ukuhlolwa lapho kufakwa khona inani elincane lezinto ezinemisebe ohlelweni lwe-lymphatic bese kusetshenziswa isithwebuli ukuqapha ukunyakaza kwalo. Lokhu kungakhomba indawo eqondile yokuvaleka.
- Ukuskena kwe-MRI (I-Magnetic Resonance Imaging): Ukuhlolwa okusebenzisa insimu yamagnetic namagagasi omsakazo ukuthatha izithombe ezinemininingwane zezicubu.
- I-CT scan (i-Computed Tomography): Ukuhlolwa okusebenzisa uchungechunge lwe-X-rays ukuthatha izithombe ezinemininingwane nokubona ukuvinjelwa.
Yiziphi izindlela zokwelapha lokhu?
Lesi akusona isifo esingelapheki ngokuphelele okwamanje, njengoba umonakalo ohlelweni lwe-lymphatic ungeke uguqulwe. Kodwa-ke , kunezindlela zokwelapha ezingalawula ngempumelelo izimpawu, zinciphise ukuvuvukala, futhi zikuvumele ukuthi uphile impilo evamile.
Ukwelashwa okungadingi ukuhlinzwa (Ukwelashwa Okuyinkimbinkimbi Kokukhumula Isisu - CDT)
Lokhu ukwelashwa okuyinhloko okunconywayo. Kungalawula ngempumelelo ukuvuvukala okuncane kuya kokuphakathi, ikakhulukazi ezigabeni zokuqala.
- Ukugcina isikhumba sihlanzekile: Gcina isikhumba sihlanzekile ngokusebenzisa insipho ekhethekile yokulwa namagciwane ukuvimbela ukutheleleka.
- Ukugeleza Kwe-Lymphatic Ngesandla:Lokhu kuwukuhlikihla okuthambile okwenziwa ngumelaphi oqeqeshwe ngokukhethekile. Kusebenza ngokuhambisa uketshezi lwe-lymph olungasebenzi luye kuma-lymph node asebenzayo, kunciphisa ukuvuvukala.
- Ukugqoka izingubo ezikhethekile zokucindezela: Ukucindezela okudalwa yilezi zingubo kunciphisa ukunqwabelana koketshezi futhi kulawula ukuvuvukala.
- Ukuzivocavoca: Ukulandela uhlelo oluthile lokuzivocavoca olwenzelwe wena ngqo ngudokotela wezokwelapha kuzosiza ekuthuthukiseni ukujikeleza kwegazi kwe-lymphatic.
Ukuhlinzwa
Ezimweni ezimbi kakhulu ezingaphenduli ekwelashweni okungenhla, kunganconywa ukuhlinzwa. Lokhu kuhilela ukususa izicubu ezengeziwe kanye nesikhumba esiqongelelekile bese simboza indawo ngesikhumba esinempilo (isikhumba esifakwe) esithathwe kwenye ingxenye yomzimba (ngokuvamile ithanga). Lokhu kwenziwa udokotela wezifo zomchamo kanye nodokotela ohlinzayo we-plastic ndawonye.
| Kufanele uye nini e-ETU (Emergency Treatment Unit) ngokushesha? | |
|---|---|
| Uma une-Scrotal Lymphedema, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha uma uthola noma yiziphi izimpawu zokutheleleka ezilandelayo: | |
| - Umkhuhlane ongaphezu kwama-degree Celsius angu-38 (100.4 Fahrenheit). | - Ubuhlungu obandayo. |
| - Ukufudumala lapho uthinta indawo evuvukele. | - Ukushintsha kombala wesikhumba (obomvu, onsomi, onsundu) noma ukubonakala kwemigqa. |
Yiziphi ezinye izinto ongazenza wena ngokwakho?
Kanye nokwelashwa, izinguquko ezincane endleleni yakho yokuphila zingasiza kakhulu ekulawuleni lesi simo.
- Nakekela isikhumba sakho: Ukuvimbela ukutheleleka yinto ebaluleke kakhulu. Hlanza indawo kahle nsuku zonke bese ufaka umswakama.
- Imikhuba emihle yokudla: Nciphisa ukudla usawoti. Usawoti wandisa ukugcinwa koketshezi emzimbeni. Esikhundleni salokho, sebenzisa izinto ezifana negalikhi, i-chili powder eyomisiwe, ne-oregano ukuze unambithe ukudla kwakho.
- Phuza amanzi amaningi:Zama ukuphuza okungenani izingilazi zamanzi ezingu-8 ngosuku.
- Gwema izingubo eziqinile: Gwema ukugqoka izingubo zangaphansi eziqinile noma amabhulukwe avimbela ukunyakaza.
- Gwema ukushisa ngokweqile: Gwema izinto ezinjengokugeza ngamanzi ashisayo kakhulu nokusebenzisa ama-sauna.
- Gcina isisindo esinempilo: Khuluma nodokotela wakho futhi ugcine isisindo esinempilo esikufanele.
Umlayezo Wokuya Nawe Ekhaya
- I-Scrotal Lymphedema ukuvuvukala okubangelwa ukunqwabelana koketshezi lwe-lymph esinqeni. Akuyona umdlavuza.
- I-Filariasis, isifo esithwalwa omiyane emazweni afana neSri Lanka, iyimbangela enkulu yalesi simo.
- Lesi akusona isifo esithelelanayo, futhi asidluliselwa ngocansi.
- Uma ubona noma yikuphi ukuvuvukala okungajwayelekile, ukuqina, noma ubuhlungu emasendeni akho , ungabi namahloni noma ulibale, kodwa bona udokotela.
- Ukutholwa kusenesikhathi kanye nokwelashwa kungavimbela izinkinga ezinkulu futhi kuholele empilweni engcono.
- Ukugcina isikhumba sihlanzekile futhi sinomswakama kubalulekile ukuvimbela izifo.
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