Poyamba, lymphoma ndi lymphedema ndi mawu omwe amawoneka kuti angakhale ofanana, koma amatanthauza zinthu zosiyana kwambiri. Lymphoma ndi khansa ya maselo oyera m'magazi oyera pamene lymphedema ndikumadzimadzimadzi, kapena maselo amphongo, m'matumbo ofewa omwe akuyenda ndi kutupa. Kawirikawiri munthu amakhala ndi lymphedema ngati mkono kapena mwendo wotupa.
Lymphedema amayamba chifukwa chochotsedwa kapena kuwonongeka kwa maselo amtundu wanu monga gawo la chithandizo cha khansa. Chifukwa khansa ya m'mawere imakhala yodziwika kwambiri ndi khansa zina, asayansi ali ndi deta zambiri zokhudza lymphedema mu khansa ya m'mawere; Komabe, lymphedema ikhoza kuchitika mwa opulumuka a khansa ya mitundu yonse, kuphatikizapo mitundu yosiyanasiyana ya lymphoma . Chiŵerengero cha anthu omwe ali ndi lymphedema chiyenera kuwonjezeka kwambiri pa zaka 10 zotsatira kapena ayi chifukwa cha kuchuluka kwa mankhwala opatsirana pogwiritsa ntchito khansa.
Zimayambitsa
Mmene thupi limagwirira ntchito lili ngati kayendetsedwe ka kayendedwe ka madzi: imasonkhanitsa madzimadzi m'matupi a thupi ndikuyendetsa m'mitsempha yanu. Mchitidwe wa ngalande, womwe umagwirizanitsidwa ndi mafupa am'mimba, uli ndi magawo osiyanasiyana kapena "maulamuliro." Mwachitsanzo, malo am'mimba am'derali amachititsa kukhetsa ndi kupaka minofu yamadzi ndi mitsempha miyendo, pamene mitsempha yamphongo imathandiza kukhetsa ndi kupyapyala maselo omwe amachokera m'manja.
Ngati chinachake chikulepheretsa kutuluka kwa mliri wamkati kapena kuchiteteza kuti chisamayende bwino, izi zingachititse lymphedema kudera linalake la thupi. Pankhani ya mitsempha yotchedwa lymphatic in the groin, mwachitsanzo, kutsekedwa kwa madzi kungachititse kutupa kwa miyendo yonse kapena miyendo yonse. M'kati mwa opaleshoni, pambuyo pochita ma opaleshoni ndi maizoni a khansa ya m'mawere, pakhoza kukhala zilonda kapena magulu a minofu omwe amalepheretsa kutuluka kwa mitsempha yotchedwa lymph, kapena maselo am'thupi omwe angakhale osagwira ntchito potsatira chithandizo.
Palinso zina zomwe zimayambitsa mkono ndi mwendo kutupa osati chifukwa cha lymphedema, kukhala wotsimikiza, ndipo ndi ntchito ya dokotala pazifukwa izi kuti mudziwe vutoli.
Zizindikiro ndi Mavuto
Ngati kusungunuka kwa madzi owonjezera ndi mapuloteni m'thupi kumapitirirabe, izi zingayambitse kutupa, kutayika mafuta ndi kupweteka, ndi kutupa kwamuyaya, kosalekeza kwambiri. Lymphedema ikhoza kubweretsa zizindikiro zovuta, monga:
- Khungu lolimba
- Kuchepetsa mphamvu yosuntha ziwalo
- Kulemera kwa miyendo yathanzi
- Kusokonezeka ndi kupweteka
- Matenda opatsirana.
Lymphedema ndi Lymphoma
Pambuyo pa chithandizo cha khansa, kutsekedwa kapena kuwonongeka kwa nyumba zamakono ndi opaleshoni ndi kutentha kwa dzuwa kungayambitse lymphedema. Mankhwala opatsirana khansa omwe amaphatikizapo ma lymph nodes angawononge njira zamakono zamadzimadzi, zomwe zimayambitsa mitsempha yam'mimba m'maganizo ndi m'mimba.
Ngakhale kuti kawirikawiri sikuti ndi chizindikiro chopereka cha lymphoma, lymphedema ikhoza kuchitika chifukwa cha lymphoma , yokha, kapena kubwereza kwake. Lymphedema yomwe imakhudza miyendo imodzi yodziwika kuti ndi yosawerengeka koyamba ya lymphoma, makamaka kwa amayi, ndipo kawirikawiri imakhala ndi ma lymph node yotupa m'mimba kapena mimba m'mimba. Lymphedema chifukwa cha lymphoma ikhoza kuchitika kumadera ena komanso, pamene kutuluka kwa khungu kumatsekedwa ndi misala yaikulu, mwachitsanzo.
Utsogoleri
Lymphedema imaonedwa ngati chinthu chosapitirira. Ngakhale kuti ikhoza kuyendetsedwa, siinadziwidwebe ngati chikhalidwe chimene chingachiritsidwe mosatsimikizika. Ochita kafukufuku akuyesetsa kuthetsa vutoli, komabe.
Chithandizo choyenera cha lymphedema ndi chimene chimadziwika kuti decongestive treatment, chomwe chimaphatikizapo kuchita masewero olimbitsa thupi, kuvala chovala chokakamizika, kusamalira khungu ndi kusamba minofu ndi madzi amchere.
Nthaŵi zina opaleshoni amafunika kudwala milandu yambiri kapena nthawi zina zomwe zimagonjetsedwa ndi mankhwala osokoneza bongo.
Kuchiza
Pali mitundu iwiri yambiri ya opaleshoni ya lymphedema: opaleshoni ya ablative / debulking ndi opaleshoni yogwira ntchito.
Njira zowonongeka kapena zowonongeka zakhala zikugwiritsidwa ntchito kuyambira kumayambiriro kwa zaka za m'ma 2000 . Njirazi zimachepetsa kuchuluka kwa miyendo yotupa, koma zimatha kufotokoza ndi zovuta zambiri komanso mavuto ena. Liposuction imachotsa tizilombo toyambitsa matenda kuti tipewe kukula kwa thupi, komabe, nthawi zambiri mumagwiritsa ntchito mankhwala osokoneza bongo kuti mukhalebe.
Opaleshoni yogwira ntchito kapena physiologic imaphatikizapo kupatsirana kwa mitsempha yambiri (VLNT) komanso matenda opatsirana . Njirazi zakhala zikugwiritsidwa ntchito posachedwapa, zocheperako zimadziwika pa zotsatira zowonetsera ndi zina zokhudza njira zabwino zowonjezera zotsatira. Komabe, zotsatira zakhala zikudalira mpaka pano, zomwe zachititsa chidwi. Njira ziwirizi zimayesa kutumizira ena mwa madzi omwe amasungidwa kumalo othawa. Onsewa ndi opaleshoni yovuta kwambiri chifukwa amalingaliridwa kuti ndi microsurgeries, momwe zimagwirizanitsa zing'onozing'ono - ndipo minofu imadutsa kwambiri, chifukwa chake nthawi zina imatchulidwa kuti "opambana" opaleshoni yaying'ono.
- Maseŵera ochepa kwambiri, ogwira ntchito zamagetsi zimagwirizana ndi tizilombo tating'onoting'onoting'ono - opaleshoni yovuta kwambiri yomwe imayesayesa kubwezeretsanso.
- Mu VLNT, madokotalawa amapereka lymph nodes kuchokera kumbali ina ya thupi ndikuwapatsira magazi ndi mafuta ena ozungulira kumadera omwe amapezeka ndi lymphedema. Mu opaleshoni iyi, mukuwombera.
Chimodzi mwa zinthu zosiyanitsa za VLNT ndi chakuti mukusunthira ntchito "immunological center" kudera lomwe lawonongeka - kaya mwa opaleshoni, mazira ena a chinthu china. Chochititsa chidwi, kuti maphunziro onse a zachipatala mpaka pano ndi VLNT asonyeza kuti matendawa amakula bwino - ndi mayina a kliniki monga erysipelas, lymphangitis, ndi cellulitis - pambuyo pa kutuluka kwa mitsempha yamatenda.
Gwirizanitsani ndi ngozi ya khansa
Palibe umboni woterewu, koma ndi funso losangalatsa lomwe pakali pano ochita kafukufuku akugwira ntchito kuti athe kumvetsetsa pakati pa chitetezo cha mthupi ndi khansa.
Mbali imodzi, maselo am'mimba amachotsedwa kawirikawiri m'magulu osiyanasiyana a kansa. Mitundu yambiri ya khansara poyamba imafafaniza kapena imafalikira mu kukhetsa maselo a mitsempha kudzera m'misewu yamadzimadzi asanayambe kufalikira kumalo ena a thupi, amithenga a m'madera omwe ali ndi khansa nthawi zambiri amachotsedwa.
Komabe, ofufuza ena amanena kuti kupuma kwa ma lymph node dissection mu melanoma ya miyendo sikovomerezeka chifukwa sikumapulumuka. Nthawi zina ndi khansa zina, mwina kutaya maselo a mitsempha kungakhale ngati osunga chipatala, kutanthauza kuti kuchotsedwa kwawo kosafunikira kungachititse kuti munthu asatengeke.
Zomwe zinafukufuku pa maphunziro a zinyama zimasonyeza kuti kutuluka kwa ma lymph kumathandiza kwambiri popanga mayankho a chitetezo cha chitetezo cha mthupi komanso kuti matenda oopsa a amthemphasi angapangitse kukula kwa ziwalo zoyambirira. Komabe, asayansi akuyamba kuphunzira ndi kumvetsa zinthu zokhudza "tumimba microenvironment" ndi matenda a immunology, ndipo ili ndi gawo lolimbikira kwambiri lafukufuku, ndi mafunso ambiri otsalira.
Zotsatira
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