Izimbangela, Izimpawu, Ukwelapha, Nokuvimbela Nokuphathwa Kwe-Lymphedema
Yini okudingeka ukwazi nge-lymphedema uma unomdlavuza webele? Iyini imbangela, yiziphi ezinye izinkinga, ziphathwa kanjani, futhi kukhona yini ongayenza ukuze uyivimbele ukuthi ingenzeki?
Sibutsetelo
I-Lymphedema ukuvuvukala okwenzeka ngenxa yokuqoqwa kwamanzi kagesi lymphatic (ebizwa nangokuthi i-lymph) engalweni, noma ngezinye izikhathi umlenze. I-lymph yisisetshenziswa samanzi esinikezwa ngamaseli.
Ngaphansi kwezimo ezivamile, lihamba ngomzimba ngokusebenzisa uhlelo lwezitsha ezihambisana nemithambo yegazi.
I-lymphatic system ihlanganisa namagciwane e-lymph okusiza ukuhlunga i-lymph nokususa imfucuza, emva kwalokho i-lymph ingena egazini. Uma i-lymph nodes noma izitsha zonakalisiwe, uketshezi lwe-lymphatic lungase luqoqe ezinhlotsheni ezizungezile, okuholela ekukhukhuleni nasekukhungeni.
Izimbangela
Ngokuvamile, ukuphazamiseka okuzuze njengefa lapho i-lymph nodes kanye nemikhumbi ingahlali khona noma isebenza ngendlela evamile kungabangela i-lymphedema, noma ngabe amacala aphakama ngale ndlela ajwayelekile. Ngokuvamile, kungenye isimo, ukutheleleka, ukulimala noma inqubo yezokwelapha evimbela noma elimaza amantombazane noma izitsha. Izifo ziyimbangela ehamba phambili ye-lymphedema yesibili (amacala abangelwa enye into) emhlabeni jikelele; Kodwa-ke, e-United States, imbangela enkulu yalesi simo ukuhlinzwa noma ukwelapha imisebe yomdlavuza webele.
Umdlavuza wesibeletho ungabangela i-lymphedema yesibili uma:
- Ama-lymph nodes asuswe emgqeni we-biopsy nge-biopsy ye-sentinel noma i-lysphry node dissection.
- Ukuhlinzwa kulimaza noma kunciphisa izitsha ze-lymph noma izindwangu ebhodini lesifuba kanye ne-armpit.
- Izicubu zomzimba ezivela ekuhlinzekeni zivimbela ukugeleza kwe-lymph ngokusebenzisa izitsha zethempeli.
- I-radiation ibangela ukuphazamiseka okuvimbela noma okulimaza i-lymph nodes kanye nezitsha.
- Amaseli e-Cancer athuthela ema-lymph nodes, okwenza ukuba bandise futhi baphazamise amandla abo okusebenza.
- Ama-tumors cindezela ama-lymph nodes noma izitsha bese uvimba ukugeleza kwe-lymph.
Isikhathi sokubukeka
I-Lymphedema ingenzeka nganoma yisiphi isikhathi ngesikhathi noma ngemuva kokwelashwa umdlavuza webele. Ngezinye izikhathi i-lymphedema yesikhashana, eyenzeka emva nje kokuhlinzwa noma emva kokulimala engalweni. Kwezinye izimo, kuyimpilo engapheliyo yama-wax futhi ihamba phezu kokuphila komuntu.
I-Lymphedema ingase isenze amashumi eminyaka ngemva kokuhlinzwa ngenxa yomdlavuza wesifuba, ngakho-ke kubalulekile ukuqhubeka ufunda mayelana nezinto ezikhona zokuvimbela ongakwenza ukuze unciphise ingozi.
Ukuvama
Kunzima ukusho ukuthi kaningi kangakanani i-lymphedema eyenzeka ngomdlavuza webele. Kukhona ukungaqiniseki okuncane okuhilelekile ekutholeni ukuxilongwa, kodwa bakholelwa ukuthi phakathi kuka-7 no-56% weziguli zomdlavuza webele zithinteka, kuye ngokucwaninga. Futhi, i-lymphedema ijwayele ukwamukela izincazelo ezehlukene kuye ngokuthi ngabe ucela isiguli ukuthi sibike esimweni sakhe noma sicele udokotela ukuba enze ukuhlolwa okuhloswe kokukhona kwayo.
Abacwaningi bavumelana ukuthi izifundo eziningi kudingeka ziqhutshwe ukuze ziqonde imvamisa ye-lymphedema kwabesifazane abaye banomdlavuza webele.
Izingozi Zezingozi
Noma ubani oye waba nomdlavuza wesifuba noma ukwelashwa kwemdlavuza webele angathuthukisa i-lymphedema. Ingozi iphakeme kakhulu kwabesifazane abahamba nge-axillary lymph node dissection (ukuhlinzwa okuningiliziwe lapho i-lymph nodes eminingi isuswe khona nge-biopsy) kune- sentinel node biopsy (ukuhlinzekwa okulinganiselwe lapho i-lymph nodes eyodwa kuphela noma amabili isuswe khona ukuhlolwa). Ingozi nayo iphinde ibe yilabo besifazane abaye bathola ukwelashwa kwemisebe noma i-chemotherapy, kanye nalabo abakhuluphele ngokweqile noma abakhuluphele kakhulu.
Izimpawu
Izimpawu eziyisixwayiso eziyinhloko ze-lymphedema yizi:
- Ukuvuvukala kwe-Arm
- Umzwelo wokudabuka noma ukugcwala kwengalo yakho ethintekile
- Ukuba isikhumba sengalo yakho sinomuzwa wokugcoba noma ukugcina umqondo uma ucindezelwe
- Ukuba nengalo yakho kube nzima ukuhambisa noma ukushintsha kancane
- Ukuba nezembatho zakho noma izindwangu zokuzizwa uzizwa unzima ngokungajwayelekile
- Ukuqaphela ukukhishwa kabusha kwesikhumba esandleni sakho
- Ubuthakathaka, ubuhlungu noma ukuguga engalweni yakho
Izinkinga
I-lymphedema engenakwenzeka ingaba nemiphumela emibi, kuhlanganise nezifo ezinzima, izilonda zesikhumba (izilonda ezivulekile ezingapheli,) nokuvuvukala nokuqina okukhulu kwesikhumba (elephantiasis). I-Lymphangiosarcoma, uhlobo lomdlavuza, kwaba nokukhathazeka ngokomlando kubantu ababenomdlavuza webele webele. Kodwa-ke, ngokuthuthukiswa kwezinqubo eziningi ze-mastectomy, lokhu kungacabangi namhlanje.
Ukuxilongwa
Ngokuvamile kulula ukuhlolisisa i-Lymphedema. Ukuvuvukala kuvame ukubonakala, futhi ukulinganisa kwezikhali ezithintekile nezingathinteki kungafaniswa. Ukuhlola ngokuvamile akukwenziwanga ukuhlolisisa i-lymphedema, nakuba kungase kubhekwe uma kukhona ukusola ukuthi enye inqubo iyaqhubeka, noma uma ukuvuvukala kungaphenduli emizamweni yokuqala yokuyilawula.
Ukuhlola ukuhlolwa - okufana ne-computed tomography (CT), i-ultrasound noma i-magnetic resonance imaging (i-MRI) - ikwazi ukuxazulula noma yimiphi imibuzo eqhubekayo mayelana nokuxilongwa. Isivivinyo esibizwa ngokuthi i- lymphatic scintigraphy singanikeza ulwazi oluthe xaxa mayelana nendawo yokuvimba. Lokhu kuhlolwa kuhilela umjovo wedayi omsakazo bese ubhala izithombe zedayi njengoba uhamba ngesistimu ye-lymphatic.
Ukwelapha
Ngeshwa, akukho ukwelashwa okuqondile kwe-lymphedema. Esikhundleni salokho, isimo siphethwe ngomzamo wokunciphisa imiphumela yayo ngokuzama ukunciphisa ukuvuvukala, ukulawula ukungahambi kahle noma ubuhlungu, futhi ugweme izinkinga.
Imithi ye-Lymphedema ihlanganisa:
- Ukuzivocavoca: Izinhlobo ezikhethekile zokuzivocavoca ezitholakalayo ngobumnene zingasiza ekwenzeni i-lymph fluid ngaphandle kwesigungu esithukuthele.
- Ukuzibulala: Abahlinzeki abaqeqeshiwe ngokucophelela emzimbeni noma abahlakulayo bangahlinzeka ngamanzi emithombo yamanzi lymphine, uchungechunge lwezandla zomzimba ezithintekayo ezigqugquzela i-lymph ukuphuma emlenzeni othintekile. Kodwa-ke, abantu abanomdlavuza osebenzayo, izifo, ama-blood clots noma ukwehluleka kwenhliziyo ye-congestive akumele bangene kuleli fomu yokwelapha.
- Ukucindezeleka: Ukucindezela kungakhuthaza nokugeleza kwe-lymph engxenyeni ethintekile. Ukucindezela kungenziwa ngezindlela eziningi, kufaka phakathi ukubopha okunamathiselwe, umshini wokucindezela okhethekile noma ukubeka impahla , noma ukusetshenziswa kwempompo eqhutshwa emoyeni (pneumatic).
Ukuvimbela Nokuphathwa
Kubalulekile ukugwema noma yini engase ibe nomkhawulo noma ilimaze ingalo ethintekile ngoba lokhu kungandisa kakhulu ingozi yokutheleleka. Zama ukwenza lokhu okulandelayo:
- Ukufeza nokugcina isisindo esivamile, njengoba kunconywa udokotela wakho.
- Qhubeka ukusebenzisa ingalo yakho ngendlela evamile ngangokunokwenzeka, njengoba iziphazamiso zomzimba zisisiza ukupompa uketshezi ngaphandle kwengalo yakho.
- Gcina ingalo kanye nesandla sakho sihlanzekile futhi siphuculwe kahle, ukugwema ukuqhekeka kusuka omile.
- Ngenkathi ufunda, ubukele i-TV noma ngokunye ukuphumula, gcina ingalo yakho iphakeme ngaphezu kwenhliziyo yakho.
- Gwema ukuvezwa kokushisa (isibonelo, ungasebenzisi ama-tubs ashisa noma ama-saunas,)
- Sebenzisa nsuku zonke kwesikrini futhi ucabange ukugqoke izingubo zokuvikela ilangeni.
- Gqoka amagilavu ngenkathi ungadini, indlu ehlanzekile noma umsebenzi wendawo.
- Qaphela kakhulu uma usebenzisa izinto ezibukhali ekhishini noma ngenkathi wenza amaphrojekthi.
- Gwema ukuhlobisa okunamandla noma izingubo zokugqoka, ngaphandle kwezingubo zokucindezela ezinqunyiwe.
- Gwema ukudonsa igazi, ukudubula noma ukufaka ama-intravenous (IV) engxenyeni ethintekile.
- Cela ukuthi ingcindezi yakho yegazi ithathwe engxenyeni yakho engathintekile.
- Thatha isikhwama sakho esikhwameni sakho esingathinteki.
- Gwema ukuphakamisa izinto ezinzima, kuhlanganise nezingane.
- Gqoka imikhono emide ngaphandle - bese ucabangela ukusebenzisa i-bug spray - ukugwema ukulunywa kwezinambuzane.
- Ngisho noma udokotela wakho engakanconyanga ukuthi ugqoke umshini wokucindezela, cela ukuthi kufanele wenze kanjalo lapho uhamba ngezindiza. Ukushintsha kwengcindezi yegabini kungadala i-lymphedema.
Kubalulekile ukubona udokotela wakho uma ucabanga ukuthi uthuthukisa i-lymphedema. Udokotela wakho angase akubhekise kumhlengikazi womzimba ogcizelele ekuphatheni lesi simo.
Imithombo
U-Ezzo, J., Manheimer, E., McNeely, M. et al. Amanzi lymphatic amanzi for lymphedema ukulandela ukwelashwa umdlavuza webele. I-Cochrane Database yezibuyekezo ezihleliwe . 2015. 5: CD003475.
I-National Cancer Institute. I-PDQ ye-Cancer Summaries Information. I-Lymphedema (PDQ): I-Health Professional Version.
Singh, B., Disipio, T., Peake, J., noS S. Hayes. Ukubuyekezwa okuhlelekile kanye nokuhlaziywa kwe-Meta-Ukuhlaziywa kwemiphumela yokuzivocavoca kulabo abane-Lymphedema ehlobene neCans. Archives of Medicine Physical and Rehabilitation . 2015 Okthoba 9.