Ntchito Yophunzitsa Zochita mu Lymphedema Ndi Kusintha
Cholemetsa cha opaleshoni ya khansa ya m'mawere ndi / kapena kutentha kwa dzuwa ndikwanira-komabe akazi ena amakhalanso ndi lymphedema, kutupa kwa dzanja pambuyo poti opanga opaleshoni, kuchotsa mitsempha ya mitsempha, kapena kutuluka kwa dzuwa.
Nkhani yabwino ndi yakuti amai angathe kutenga mbali pochepetsa zizindikiro za lymphedema pogwiritsa ntchito masewera olimbitsa thupi komanso kukweza zolemera. Tiyeni tione zomwe lymphedema ziri, ndi sayansi kumbuyo komwe kukweza kulemera kumapangitsa kuti vuto likhale lovuta chifukwa cha vutoli.
Kumvetsa Lymphedema
Lymphedema imayamba chifukwa cha kuchotsedwa kwa mitsempha ya axillary panthawi ya opaleshoni ya khansa ya m'mawere, kapena kuwonongeka kwa nodes kapena zida zina za mitsempha pazitsulo za mankhwala . Mankhwala owonjezera amchere amatha kumanga m'madera omwe mitsempha yamakono ndi mitsempha ya mitsempha salinsopo kuti athe kunyamula chimbudzi kupita ku ziwalo zina za thupi.
Zizindikiro za Lymphedema zingaphatikizepo kutupa ndi kupweteka m'manja, chifuwa, ndi chifuwa. Zingaphatikizenso kusintha khungu ndi kapangidwe ka khungu, kudzimva kolemetsa, ndi zovuta kugwiritsa ntchito zala za tsiku ndi tsiku. Zizindikiro zimasiyana pakati pa munthu ndi munthu.
Kaŵirikaŵiri, lymphedema imayamba pang'onopang'ono posachedwa opaleshoni kapena mazira. Koma kwa anthu ena, izo zikhoza kuyamba ngakhale miyezi kapena zaka kenako. Madokotala ena opanga opaleshoni alemba lymphedema kuti akhalitse zaka 50 pambuyo pa vutoli.
Zofufuza pa Kulemera kwa Weight ndi Lymphedema
Kafukufuku wamakono akusonyeza kuti kukweza zolemera kumathandiza kuchepetsa kapena kupewa lymphedema.
Mwachitsanzo, kafukufuku wa 2009 wopangidwa ku Lund University ku Sweden ku Physiotherapy Theory and Practice anapeza kuti pamene anthu omwe ali ndi khansa ya m'mawere amakhala ndi pulogalamu yosavuta yaukhondo, zochita masewera olimbitsa thupi , komanso kuyenda pozungulira, adapeza mpumulo ku zizindikiro zawo. Nthaŵi zonse kukweza masentimita imodzi kunathandiza ndi minofu, mphamvu ya mkono, ndi kupuma kwa mafupa.
A 2014 akuyambiranso kugwiritsa ntchito pole poyesera zotsatira za mtima wa pulogalamu ya masabata 8. Kuwonjezera pa kuchepetsa kuchuluka kwa madzi m'maganizo okhudzidwa ndi mphamvu yowonjezereka, ophunzirawo anali ndi kuchepa kwakukulu m'mitima yawo.
Kuwonjezera apo, mu kafukufuku wina wa 2005 mu Lymphology, gulu laling'ono la amayi omwe ali ndi lymphedema adaphunzira kuphatikiza kupuma kwakukulu ndi ntchito ya manja kwa mphindi 10 m'mawa uliwonse ndi madzulo. Iwo anachita pulogalamuyi kwa mwezi umodzi ndipo anapeza kuti kutupa kwa dzanja lawo kunatsika. Kuonjezera apo, zizindikiro zawo za lymphedema zinali zovuta kwambiri kusiyana ndi kuyamba kuchita masewera olimbitsa thupi nthawi zonse. Akaziwa adanena kuti mikono yawo inakhala bwino kwa maola 24, sabata imodzi, komanso ngakhale mwezi umodzi kutha kwa phunzirolo.
Potsiriza, kafukufuku wina wa 2009 wofalitsidwa mu New England Journal of Medicine anafufuza anthu 141 omwe ali ndi khansa ya m'mawere yovuta ndi lymphedema omwe adatenga nawo mbali pulogalamu yochita masewero olimbitsa thupi. Ngakhale theka la anthu anali osamala kuti asagwiritse ntchito manja awo, theka lina linkagwira ntchito yowonjezera. Azimayi onse omwe anali mu phunziroli adataya mfupa, anali ndi thupi lolemera bwino, ndipo anali atataya khansa ya m'mawere kwa chaka chimodzi. Ovomerezeka odziwa lymphedema opaleshoni anawunika manja a akazi, ndipo akatswiri olimbitsa thupi akugwira ntchito ku YMCA anaphunzitsa makalasi opitirira 90 omwe anakumana kawiri pa sabata.
Pakati pa maphunzilo, amayiwa amatsatira nthawi ya masewera olimbitsa thupi, m'mimba komanso m'mbuyo, komanso machitidwe olimbitsa thupi. Ankawongolera zolemera ndi magulu akuluakulu a minofu, pang'onopang'ono akuwonjezera zolemera zomwe zinagwiritsidwa ntchito. Palibe malire apamwamba omwe anakhazikitsidwa kuti cholemera chichotsedwe, ndipo alangizi amagwira ntchito kuti ayang'anire chitetezo ndi chitonthozo cha ophunzira, komanso asamayang'ane zowopsa.
Ochita kafukufuku adadabwa kuona kuti gulu lomwe linasenza zolemera linali ndi zizindikiro zochepa zedi kusiyana ndi amayi omwe amateteza manja awo. Azimayi omwe ananyamula zolemera, mosadabwitsa, anali ndi mphamvu zambiri.
Pomalizira, kafukufuku wa kafukufuku wofalitsidwa mu 2016 adawona zotsatira za kuthamanga kwapamwamba kwambiri zolimbitsa thupi pa lymphedema. Zakhala zikudetsa nkhaŵa ndi kutsutsana pazochitika zamakono m'mbuyomo chifukwa zimawopseza kuti kukaniza kofunika kwambiri kuti pakhale mphamvu kungayambitse (kapena kuonjezera) lymphedema. Panopa pali umboni wokwanira wochotsa nkhawayi, ndipo zikuwoneka kuti kukana kupewera mphamvu kumakhala kosavuta kuchokera ku lingaliro lochititsa chidwi la lymphedema.
Udindo wa Kulemera Kwambiri pa Zisonyezo Zopangidwira za Lymphedema
Ochita kafukufuku amakhulupirira kuti kupweteka kwa minofu kumathandiza kuthamangitsa mitsempha m'mitsempha mumutu ndi m'khosi, choncho imayanjananso ndi magazi. Pamene mitsempha yam'madzi imabwerera m'mbuyo, minofu yanu iyenera kusintha.
Kuwonjezera pamenepo, kukweza modzichepetsa kumadzetsa kudzidalira kwanu, kukupatsani kudziletsa, kusintha minofu ndi kupuma kwa mafupa. Choncho yesetsani kulimbana ndi mkono lymphedema, kunyamula zolemera, ndikubwezeretsanso manja.
Momwe Mungayambire
Ngati muli ndi chidwi poyesera zochitika zina, njira zina zosavuta zowonjezera lymphedema ndi malo abwino kuyamba. Musanayambe kuchita masewera olimbitsa thupi, ndi bwino kulankhula ndi dokotala wanu. Mutha kukhala ndi zochepa pakatha opaleshoni ndi / kapena ma radiation, ndipo ndi bwino kutenga nthawiyi kuti muchiritse musanayambe kupanikizika ndi mitsempha yanu.
Malo ena a khansa ali ndi othandizira opatsirana omwe amayang'anira bwino anthu omwe ali ndi lymphedema. Ngakhale ngati mulibe zizindikiro zilizonse, onetsetsani kuti mungalankhule ndi dokotala wanu opaleshoni kapena oncologist. Osati kokha katswiri wathanzi angathandize kupanga pulogalamu yochita masewero olimbitsa thupi yomwe ingathandize lymphedema mosamala, koma angakuthandizeni kukuphunzitsani momwe mungapewe kukhala ndi lymphedema ngati n'kotheka ndikutsani miyeso yoyamba ya mzere wa mkono wanu.
Ndikofunika kuzindikira kuti ngati mutalankhula ndi anthu omwe ali ndi kansa ya m'mawere m'mbuyomo, akhoza kukhumudwitsa zochita masewera olimbitsa thupi. Kwa nthawi yayitali, ankaganiza kuti kuchita maseŵera olimbitsa thupi kungapangitse kwambiri kusiyana ndi kusintha zizindikiro za lymphedema. Mafunde akusintha, koma omwe amakumbukira zochitika zapitazo angakuchititseni kuda nkhawa ndi masewero olimbitsa thupi, koma sikuyenera kukuletsani kupeza mankhwala opatsirana a lymphedema kapena physician ndi kuchiritsa odwala kuti akuthandizeni kupanga pulogalamu. Malo ena a khansa tsopano ali otsimikiziridwa ndi nyenyezi chifukwa cha kukonzanso khansa, kutanthauza kuti akutsatira malangizo omwe athandizidwa kuti athandizidwe ndi khansa akhwima mwachibadwa komanso mwamaganizo.
> Zosowa
> Morris, C., ndi K. Wonders. Ndemanga ya Concise pa Chiopsezo Chochita Zozizwitsa za Lymphedema. World Journal of Clinical Oncology . 2015. 6 (4): 43-4.
> Nelson, N. Breast Cancer-Related Lymphedema ndi Resistance Exercise: Kusanthula Kwambiri. Journal of Strength and Conditioning Research . 2016. 30 (9): 2656-65.