Zimayambitsa, Zizindikiro, Chithandizo, ndi Kuteteza ndi Kulamulira kwa Lymphedema
Kodi muyenera kudziwa chiyani za lymphedema mukakhala ndi khansa ya m'mawere? Nchiyani chimayambitsa izo, ndi zina zotani zovuta, zomwe zimachiritsidwa bwanji, ndipo kodi pali chilichonse chimene mungachite kuti chizichitika?
Mwachidule
Lymphedema ndi kutukuka komwe kumachitika chifukwa cha kuwonjezeka kwa mitsempha yotchedwa lymphatic fluid (yomwe imatchedwanso lymph) m'dzanja, kapena mwendo wina. Lymph ndi mankhwala amadzi operekedwa ndi maselo.
Zomwe zimakhala bwino, zimayenda mthupi kudzera mu zombo zomwe zimafanana ndi mitsempha ya mwazi.
Mankhwala am'mimba amakhalanso ndi mitsempha yambiri yomwe imayambitsa fyuluta ndi kuchotsa zinyalala, kenako chimfine chimalowa m'magazi. Ngati minofu kapena zitsulo zowonongeka, madzi amadzimadzi amatha kudziunjikira m'magulu ozungulira, zomwe zimapangitsa kuti kutupa ndi kusokonezeka.
Zimayambitsa
Kawirikawiri, matenda omwe anabadwa nawo omwe maselo ndi mitsempha sizimayambitsa bwino kapena zimachita mwachibadwa zimayambitsa lymphedema, ngakhale kuti mavoti omwe amadza mwa njirayi ndi osowa. Kaŵirikaŵiri, ndi vuto linalake, matenda, kuvulala kapena kuchipatala komwe kumateteza kapena kuwononga maselo kapena ziwiya. Matendawa ndiwo omwe amachititsa kuti likhale lachiwiri lymphedema (milandu yomwe imayambitsidwa ndi china chake) padziko lonse lapansi; Komabe, ku United States, chifukwa chachikulu cha matendawa ndi opaleshoni kapena mankhwala opatsirana ndi khansa ya m'mawere.
Khansara ya m'mimba ikhoza kubweretsa lymphedema yachiwiri pamene:
- Mankhwala amtunduwu amachotsedwa pamphuno ya biopsy pogwiritsa ntchito mankhwala osokoneza bongo omwe amachititsa kuti magazi asagwiritsidwe ntchito.
- Kuchita opaleshoni kumapweteka kapena kudula zida zam'mimba kapena zitsulo mu khoma la chifuwa ndi chifuwa.
- Minofu yowopsya kuchokera ku opaleshoni imaletsa kutuluka kwa maselo amphona kudzera m'zombo zam'kati.
- Maizoni amachititsa kuti munthu asamawonongeke kapena kuti asokoneze maselo ndi ziwiya.
- Maselo a khansa amasamukira ku ma lymph nodes, kuwapangitsa kukulitsa ndi kusokoneza mphamvu yawo yogwira ntchito.
- Ziphuphu zimagwiritsanso ntchito ma lymph nodes kapena zitsulo ndikuletsa kutaya maselo.
Nthawi Yowonekera
Lymphedema ikhoza kuchitika nthawi ina iliyonse pakatha khansa ya m'mawere kapena pambuyo. Nthaŵi zina lymphedema ndi yaifupi, imachitika kokha pambuyo pa opaleshoni kapena pambuyo povulazidwa mkono. Nthawi zina, ndizovuta zomwe zimakhala zovuta kwambiri ndipo zimayenda pa moyo wanu.
Lymphedema ikhoza kuchitika patapita zaka zambiri opaleshoni ya khansa ya m'mawere, kotero ndikofunika kuti mupitirize kuwerenga zokhudzana ndi zotheka zomwe mungadzichititse kuti muchepetse chiopsezo.
Kusinthasintha
N'zovuta kunena kuti nthawi zambiri lymphedema imapezeka ndi khansa ya m'mawere. Pali zovuta zambiri zomwe zimaphatikizapo kupanga matendawa, koma amakhulupirira kuti pakati pa 7 ndi 56% a odwala khansa ya m'mawere amakhudzidwa, malinga ndi kafukufuku. Komanso, lymphedema imayamba kutenga matanthauzo osiyanasiyana malinga ndi kuti mukupempha wodwala kuti afotokoze za vuto lake kapena kufunsa dokotala kuti ayese kufufuza mozama za kukhalapo kwake.
Ochita kafukufuku amavomereza kuti maphunziro ambiri amafunika kuchitidwa kuti amvetse nthawi zambiri ya lymphedema kwa amayi omwe ali ndi khansa ya m'mawere.
Zowopsa
Aliyense amene wakhala ndi khansa ya m'mawere kapena khansa ya m'mawere akhoza kukhala ndi lymphedema. Mavutowa ndi apamwamba kwambiri kwa amayi omwe amapita ku machulukidwe a lymph node (opaleshoni yowonjezereka yomwe amachititsa kuti maselo ambiri asachoke) chifukwa cha opaleshoni yochepa yomwe imachotsedwa kuti iyesedwe. Ngozi imakhalanso yowonjezereka kwa amayi omwe athandizidwa ndi ma radiation kapena chemotherapy, komanso omwe ali olemera kwambiri kapena olemera kwambiri.
Zizindikiro
Zizindikiro zowopsa za lymphedema ndi:
- Kutupa kwa Arm
- Kumverera kolemetsa kapena kukhuta mu mkono wanu wokhudzidwa
- Khalani ndi khungu la dzanja lanu kumverera kapena kusunga maganizo pamene mukulimbikitsidwa
- Kukhala ndi mkono wanu kukhala wovuta kusunthira kapena osasinthasintha
- Kukhala ndi zovala zanu kapena zodzikongoletsera kumverera mwachilendo kwambiri
- Kuzindikira kubwezeretsa kwa khungu pa mkono wanu
- Kufooka, kupweteka kapena kupweteka mmanja mwanu
Mavuto
Mankhwala osakanizidwa a lymphedema akhoza kukhala ndi zotsatira zoyipa, kuphatikizapo matenda aakulu, zilonda za khungu (zilonda zotseguka zomwe sizimachiritsa,) ndi kutupa kwambiri kwa khungu (elephantiasis). Lymphangiosarcoma, mtundu wa khansara, unali wovuta kwambiri kwa anthu omwe anali ndi opaleshoni ya khansa ya m'mawere. Komabe, pokhala ndi njira zowonjezereka zowonongeka, izi sizikumveka lero.
Kudziwa
Lymphedema kawirikawiri zimakhala zosavuta kupeza. Kutupa kumawonekera, ndipo chiwerengero cha zida zomwe zakhudzidwa ndi zosakhudzidwa zingathe kufanana. Kuyezetsa sikunayambe kafukufuku wa lymphedema, ngakhale kungakhale kuganiziridwa ngati pali kukayikira kuti ntchito ina ikuchitika, kapena ngati kutupa sikukuyankhira zoyesayesa zoyamba kuzilamulira.
Mayesero ojambula - monga computed tomography (CT), kujambulidwa kwa ultrasound kapena magnetic resonance imaging (MRI) - akhoza kuthetsa mafunso aliwonse okhudzana ndi matendawa. Chiyeso chotchedwa lymphatic scintigraphy chingapereke zambiri zokhudzana ndi malo otseka. Chiyesochi chimaphatikizapo jekeseni wa dyovu yoyera ndiyeno kujambula zithunzi za utoto pamene ukuyenda kudzera mu mafilimu.
Chithandizo
Tsoka ilo, palibe mankhwala enieni a lymphedema. M'malo mwake, vutoli limayesedwa pofuna kuyesa kuchepetsa kupweteka kwa thupi, kuchepetsa kupweteka kapena kupweteka, ndikupewa mavuto.
Mankhwala a Lymphedema ndi awa:
- Kuchita masewera olimbitsa thupi: Zochita zapadera zomwe zimagwira ntchito minofu modzichepetsa zitha kuthandizira kupopera mpweya wotuluka m'mimba.
- Kuchulukitsa: Amaphunziro opanga opaleshoni kapena opaka misala omwe amaphunzitsidwa bwino angapereke mankhwala othandizira kuti azipaka minofu, yomwe imalimbikitsa kutuluka kwa mimba. Komabe, anthu omwe ali ndi khansa yogwira ntchito, matenda, matenda a magazi kapena mtima wosagwirizana ndi mtima sayenera kulandira mankhwalawa.
- Kupanikizika: Kupanikizika kungalimbikitsenso kutuluka kwa mphutsi kuchokera kumtunda wathanzi. Kupanikizika kungaperekedwe m'njira zingapo, kuphatikizapo kutsekemera, kutsekemera, kapangidwe , kapena kugwiritsa ntchito mpopu yothamanga mpweya.
Kupewa ndi Kuteteza
Ndikofunika kupewa chilichonse chomwe chingawononge kapena kuvulaza mkono wathanzi chifukwa izi zingathe kuwonjezera chiopsezo cha matenda. Yesani kuchita zotsatirazi:
- Pezani ndi kusunga kulemera kwake, monga momwe akulimbikitsira ndi dokotala wanu.
- Pitirizani kugwiritsira ntchito mkono wanu monga momwe mungathere, monga mitsempha yothandizira imathandiza kutulutsa madzi kuchokera m'manja mwanu.
- Sungani mkono wanu ndi dzanja lanu kuti likhale loyera komanso lopumidwa bwino, kuti mupewe kupukuta kuuma.
- Pamene mukuwerenga, kuonera TV kapena kupuma, sungani mkono wanu pamwamba pa mlingo wa mtima wanu.
- Pewani kutentha (mwachitsanzo, musagwiritse ntchito ma-tubs kapena saunas,)
- Gwiritsani ntchito mawindo a dzuwa tsiku ndi tsiku ndipo ganizirani kuvala zovala zoteteza dzuwa.
- Valani magolovesi mukamapanga munda, nyumba yoyera kapena ntchito ya bwalo.
- Samalani kwambiri mukamagwiritsira ntchito zipangizo zamakono mukhitchini kapena mukupanga ntchito zogwirira ntchito.
- Pewani zodzikongoletsera kapena zovala, kupatulapo zovala zolimbitsa thupi.
- Pewani magazi akukoka, kuwombera kapena kuika (IV) malo opangira.
- Afunseni kuti mutenge mphamvu yanu ya magazi mu dzanja lanu losakhudzidwa.
- Tengerani thumba lanu pa dzanja lanu losakhudzidwa.
- Pewani kukweza katundu wolemera, kuphatikizapo ana.
- Valani malaya akutali kunja - ndipo ganizirani kugwiritsa ntchito mankhwala osokoneza bongo - kupewa tizilombo toyambitsa matenda.
- Ngakhale dokotala wanu sanakulimbikitseni kuti muzivala chovala chamagetsi, funsani ngati mukuyenera kuchita zimenezo mukamayenda pa ndege. Kusintha kwa kabini kungasokoneze lymphedema.
Ndikofunika kuwona dokotala wanu ngati mukuganiza kuti mukukulitsa lymphedema. Dokotala wanu angathenso kukulozerani kwa wodwala wodwalayo yemwe amadziwika bwino kuti athetse vutoli.
Zotsatira
Ezzo, J., Manheimer, E., McKodi, M. et al. Mankhwala a lymphatic drainage for lymphedema akutsata khansa ya m'mawere. Dongosolo la Cochrane la Zosintha Zogwirizana . 2015. 5: CD003475.
National Cancer Institute. Mfundo zapakati pa khansa ya PDQ. Lymphedema (PDQ): Health Professional Version.
Singh, B., Disipio, T., Peake, J., ndi S. Hayes. Kukonzekera Mwatsatanetsatane ndi Kusanthula Meta-Zotsatira za Zotsatira za Kuchita Zochita kwa Anthu Amene Ali ndi Lymphedema Yokhudza Khansa. Archives of Physical Medicine ndi Kukonzanso . 2015 Oct 9.