Izizathu, iimpawu, unyango, nokukhusela kunye nokulawulwa kweLymphedema
Yintoni okufuneka uyayiyazi malunga ne-lymphedema xa unomdlavuza wesibeleko? Yintoni ebangela ukuba, yiziphi ezinye iingxaki, uphathwa ngayo, kwaye kukho nantoni na ongayenza ukukhusela ukuba kwenzeke?
Sibanzi
I-Lymphedema ikhukhulayo eyenzeka ngenxa yokuqokelela kwe-lymph fluid (ebizwa ngokuba yi-lymph) kwisandla, okanye ngamanye amaxesha umlenze. I-lymph yintsimbi yamanzi inikwe iiseli.
Kwiimeko eziqhelekileyo, uhamba ngomzimba ngokusebenzisa inkqubo yeempahla ezihambisa imida yegazi.
Inkqubo ye-lymphatic iquka i- lymph nodes ezenza ukucoca i-lymph kwaye isuse inkunkuma, emva koko i-lymph ingena kwigazi. Ukuba i-lymph nodes okanye iinqanawa zonakaliswe, i-lymphatic fluid inokuqokelela kwiimfucu ezijikelezayo, ezibangelwa ukuvuvukala nokukhathazeka.
Izizathu
Ngokuqhelekileyo, iziphazamiso ezizuze ilifa apho i-lymph nodes kunye neempahla aziyikuhlakulela okanye isebenze ngokuqhelekileyo zingabangela i-lymphedema, nangona iimeko ezivakalayo ngale ndlela ziqabile. Ngokuqhelekileyo, yinto enye imeko, ukusulelwa, ukulimala okanye inkqubo yonyango ekhusela okanye eyonakalisa i-lymph nodes okanye neempahla. Izifo ziyiyo ebangela i-lymphedema yesibini (iimeko ezibangelwa enye into) emhlabeni jikelele; Nangona kunjalo, eUnited States, imbangela ebalulekileyo yeso sifo yindlela yokuhlinzwa okanye unyango lwe- radiation yomhlaza wesifuba.
Umhlaza wesifuba ungabangela i-lymphedema yesibini xa:
- I-lymph nodes zisuswe kwi-armpit ye-biopsy ngokusebenzisa i-nodeal node biopsy okanye i-lymph node dissection.
- Ugqirha unobungozi okanye utywala izitya ze-lymph okanye iisalathisi eludongeni lwesifuba kunye ne-armpit.
- Isisindo somzimba esivela kwindlela yokuhlinzwa sithintela ukuhamba kwe-lymph kwiinqanawa zelymph.
- I-radiation ibangela ukuba inqabana ibhloko okanye idale i-lymph nodes kunye neempahla.
- Iiseli ze-Cancer zifudukela kwi-lymph nodes, zibangela ukuba zikhulise kwaye ziphazamise amandla abo okusebenza.
- Iifomfini cinezela kwi-lymph nodes okanye iinqanawa kwaye ungavimbela ukuhamba kwe-lymph.
Ixesha lokuBonakala
I-Lymphedema inokwenzeka nanini nayiphi na ixesha ngexesha okanye emva kwonyango lomhlaza wesifuba. Ngamanye amaxesha i-lymphedema yesikhashana, ivele emva kokuhlinzwa okanye emva kokulimala kwingalo. Kwamanye amaxesha, yimeko engapheliyo yokukhutshwa kwemida kwaye ihlaselwa kwixesha lobomi bomntu.
I-Lymphedema inokuvela emva kweminyaka emininzi emva kokuhlinzwa ngenxa yomhlaza wesifuba, ngoko kubalulekile ukuqhubeka nokufunda malunga nezinto ezinokuthintela ezinokuzenza ukuze unciphise umngcipheko.
Ukuphindaphinda
Kunzima ukuthetha ukuba kaninzi kangakanani i-lymphedema eyenziwa ngumhlaza wesibele. Kukho ukungaqiniseki ngokukodwa okubandakanyekayo ekuvezeni ukuxilongwa, kodwa kukholwa ukuba phakathi kwe-7 no-56% yezigulane zomhlaza zesisu zithinteka, kuxhomekeke kuphando. Kwakhona, i-lymphedema ijwayele ukufumana iintlobo ezahlukeneyo zeenkcazo kuxhomekeke ekubeni ucela isigulane ukuba sibizele imeko yakhe okanye ucele ugqirha ukuba enze uvavanyo olujoliswe kuyo.
Abaphandi bayavuma ukuba uphando olongezelelweyo lufuneka luqhutywe ukuze kuqondwe ubukhulu be-lymphedema kubasetyhini abanomdlavuza webele.
Izinto zobungozi
Nabani na obenomdlavuza wesisu okanye unyango lomhlaza webele unokuphuhlisa i-lymphedema. Umngcipheko uphezulu kwabasetyhini abahamba nge-lymph node dissection (ukuhlinzwa ngokubanzi apho i-lymph node ezininzi zisuswe kwi-biopsy) kunokugqithiswa kwe- node biopsy (utyando olungagqibekanga apho kuphela enye okanye i-lymph nodes enye isuswe ukuvavanya). Umngcipheko uphakamileyo nakwabaseTyhini abaye bafumana unyango lwe-radiation okanye i-chemotherapy, kunye nalabo abagqithisileyo okanye abagqithisileyo.
Iimpawu
Iimpawu ezinkulu kunye nezibonakaliso ze-lymphedema zi:
- Ukuvuvukala kwesondo
- Uvakalelo obuthathaka okanye ukuzaliseka kwisalathisi sakho
- Ukuba isikhumba sengalo yakho sivakalelwa okanye sigcine ingqalelo xa sicinezelekile
- Ukuba nengalo yakho nzima ukuba uhambe okanye uguquguquke
- Ukuba izambatho okanye iingubo zivakale ngokungaqhelekanga
- Ukuqaphela ukubuyiswa kwesikhumba kwisandla sakho
- Ubuthathaka, intlungu okanye ukuguga ngengalo yakho
Iingxaki
I-lymphedema engabonakaliyo ingaba nemiphumo emibi, kubandakanya izifo ezinzulu, izilonda zesikhumba (izilonda ezivulekileyo ezingaphilanga,) kunye nokuvuvukala okukhulu kunye nokuqina kwesikhumba (elephantiasis). I-Lymphangiosarcoma, uhlobo lomdlavuza, lwalugxininise imbali ngabantu ababenomdlavuza webele. Nangona kunjalo, ngokuphuhliswa kweenkqubo ezininzi ze-mastectomy, le nto ingacatshulwa namhlanje.
Ukuxilongwa
I-Lymphedema ngokuqhelekileyo kulula ukuyifumanisa. Ukuvuvukala kubonakala kubonakala, kwaye ukulinganiswa kweengalo ezichaphazelekayo nezingenakuchaphazeleka kunokuthelekiswa. Ukuvavanya akukwenziwanga ukuxilonga i-lymphedema, nangona ingaqwalaselwa ukuba kukho ukukrokra ukuba enye inqubo iyaqhubeka, okanye ukuba ukuvuvukala akuphenduli kwimizamo yokuqala yokuyilawula.
Ukuhlola iimvavanyo - ezifana ne-computed tomography (CT), i-ultrasound okanye i-imagination magnontic resonance (MRI) - iyakwazi ukusombulula nayiphi na imibuzo eqhubekayo malunga nokuxilongwa. Uvavanyo olubizwa ngokuba yi- lymphatic scintigraphy lunokunika ulwazi olungakumbi malunga nommandla wokucinywa. Olu vavanyo lubandakanya ukujova kwedayi e-radioactive kwaye urekhode imifanekiso yedayi njengoko ihamba nge-lymphatic system.
Unyango
Ngelishwa, akukho nonyango ngqo ye-lymphedema. Kunoko, le meko ilawulwa ngomgudu wokunciphisa imiphumo yayo ngokuzama ukunciphisa ukuvuvukala, ukulawula ukuphazamiseka okanye intlungu, kwaye ugweme iingxaki.
Iyeza zonyango zibandakanya:
- Ukuzivocavoca: Iintlobo ezikhethekileyo zokuzivocavoca ezinokuthotyelwa ngentsholongwane zincinci zingancedisa ukupompa i-lymph fluid ngaphandle kwesigxina esivuyiweyo.
- Ukuhlawula: Ukuqeqeshwa ngokusemgangathweni komzimba okanye ukuhlambalaza i-massage i-lymph drainage, i-series ye-massage ehamba phambili ekhuthaza ukuqhuma kwe-lymph kwinqwelwe elichaphazelekayo. Nangona kunjalo, abantu abanomdlavuza okhuselekileyo, izifo, izigulane zegazi okanye ukuhluleka kwentliziyo ye-congestive ayifanele ukuba bangene kule ndlela yonyango.
- Ukunyanzeliswa: Ukunyanzeliswa kunokukhuthaza kwakhona ukuhamba kwe-lymph ngaphandle kwengalo echaphazelekayo. Ukunyanzeliswa kunokubonelelwa ngeendlela ezininzi, kubandakanywa ukubhinqa kwe-elastic, umtya othile wokuxinwa okanye ukugcinwa kwempahla , okanye ukusetyenziswa kompu oqhutywe ngomoya (pneumatic).
Uthintelo noLawulo
Kubalulekile ukukhusela nayiphi na into enokumisela okanye yokulimaza ingalo echaphazelekayo kuba oku kunokwandisa kakhulu umngcipheko wosulelo. Zama ukwenza oku kulandelayo:
- Ukufezekisa nokugcina isisindo esifanelekileyo, njengoko kucetyiswa ngugqirha wakho.
- Qhubeka usebenzisa ingalo yakho ngokuqhelekileyo njengoko kunokwenzeka, njengoko ukuhlukana kwemisipha kunceda ukupompoza umkhuhlane ngaphandle kwengalo yakho.
- Gcina ingalo kunye nesandla sakho sihlambulukile kwaye sihlanjululwe kakuhle, ukuphepha ukukhahlela kwi-dryness.
- Ngexa ufunda, ubukela iTV okanye mhlawumbi ukuphumla, gcina ingalo yakho ephakamileyo ngaphezu kwentliziyo yakho.
- Gwema ukuvezwa kobushushu (umzekelo, ungasebenzisi ama-tubs ashushu okanye i-saunas,)
- Sebenzisa i-sunscreen yemihla ngemihla uze ucinge ngeengubo zokukhusela kwelanga.
- Gqoka iglavu xa ugadi, indlu ecocekileyo okanye umsebenzi wendawo.
- Qaphela kakhulu xa usebenzisa izixhobo ezibukhali ekhitshini okanye ngelixa uqhuba iiprojekthi zobugcisa.
- Gwema iingubo ezinxibileyo okanye iimpahla, ngaphandle kweengubo zokunyanzela ezimiselweyo.
- Gwema igazi, litshitshi okanye lifake i-intravenous (IV) kwiindawo ezithintekileyo.
- Cela ukuba i-blood pressure yakho ithathwe kwingalo yakho engathintekanga.
- Yithwala isikhwama sakho kwintonga yakho engathintekanga.
- Gwema ukuphakamisa izinto ezinzima, kuquka nabantwana.
- Gqoka ii-handslee ezinde ngaphandle-kwaye cinga ukusebenzisa i-bug spray-ukukhusela izilwanyana.
- Nangona ugqirha wakho engakunconyanga ukuba ugqoke i-sleeve ye-compression, cela ukuba ufanele wenze njalo xa uhamba nge-moya. Ingcinezelo yecabin inguquko ingadala i-lymphedema.
Kubalulekile ukubona ugqirha wakho ukuba ucinga ukuba uphuhliso lwe-lymphedema. Ugqirha wakho unokubuye akubhekiselele kwiphilisi yomzimba ogqirha ngokuphatha le meko.
Imithombo
Ezzo, J., Manheimer, E., McNeely, M. et al. I-lymphatic drainage yomlambo ye-lymphedema elandela unyango lomhlaza webele. I-Cochrane Database yeeNkqubo eziPhezulu . 2015. 5: CD003475.
National Cancer Institute. I-PDQ yengxelo yeCcercer Information Summaries. I-Lymphedema (PDQ): i-Health Professional Version.
Singh, B., Disipio, T., Peake, J., no-S. Hayes. UkuHlola okuHloloweyo kunye ne-Meta-Uhlalutyo lweeMiphumo yokuzivocavoca kwalabo abane-Lymphedema ene-Cancer-Related. IiNqoloba zoLwazi lweMpilo kunye nokuHlaziya . 2015 Oktobha 9.