Zvinokonzera, Zviratidzo, Kurapa, uye Kudzivirira uye Kutungamirirwa kweLymphedema
Chii chaunoda kuziva pamusoro pe lymphedema kana une kenza yemazamu? Chii chinokonzera iyo, ndezvipi zvimwe zvinetso, zvinobatwa sei, uye kune chero chinhu chipi zvacho chaunogona kuita kuti chirege kuitika?
Overview
Lymphedema iri kukurira iyo inoitika nekuda kwekuunganidza kwe-lymphatic fluid (inonziwo lymph) mune ruoko, kana dzimwe nguva gumbo. Lymph isiri yemvura yakapiwa nemasero.
Pasi pemamiriro ehutano, inofamba nomumumuviri kuburikidza nehurongwa hwemidziyo yakafanana nemidziyo yeropa.
I-lymphatic system inosanganisira lymph nodes iyo inoshandisa kuisa lymph uye kubvisa tsvina, mushure mezvo iyo lymph inopinda muropa. Kana lymph nodes kana midziyo yakaipa, lymphatic fluid inogona kuwedzera mumatunhu akakomberedzwa, izvo zvinoguma nokuputika uye kusagadzikana.
Zvinokonzera
Kazhinji, matambudziko akaberekwa narwo umo lymph nodes nemidziyo haisi kukura kana kushanda zvakanaka zvinogona kukonzera lymphedema, kunyange zviitiko zvinomuka nenzira iyi hazvishamisi. Kazhinji, chimwe chiitiko, utachiona, kukuvara kana kurapwa kunovhara kana kukuvadza lymph nodes kana midziyo. Zvirwere zvinokonzera kukonzera kwechipiri lymphedema (mhaka dzinokonzerwa nechimwe chinhu) pasi pose; zvisinei, muUnited States, chikonzero chikuru chechiitiko chacho chirwere kana kurapwa kwemaawa kwekenza yemvere.
Chirwere chepabonde chinogona kukonzera yechipiri lymphedema apo:
- Lymph nodes dzinodzingwa kubva muchechi yebiopsy kuburikidza neyena node biopsy kana anxiillary lymph node dissection.
- Kuvhiya kunokanganisa kana kutema lymph midziyo kana nodes mumadziro echifu uye armpit.
- Nyaya dzisina kubuda kubva pakuberekwa dzinovhara kutenderera kwechiremera kuburikidza nemidziyo yemakirini.
- Mishonga inokonzera kuparara kunogadzirisa kana kuparadza lymph nodes nemidziyo.
- Kanzera dzemasere dzinotamira kune lymph nodes, zvichiita kuti dziwedzere uye dzipindire nekukwanisa kwavo kushanda.
- Tumhe inoshandiswa pane lymph nodes kana midziyo uye inodzivisa lymph kufamba.
Nguva Yokuonekwa
Lymphedema inogona kuitika chero ipi zvayo panguva kana kuti mushure mekurapa kwekenza yemvere. Dzimwe nguva lymphedema ndeyenguva pfupi, inoitika mushure mekuvhiyiwa kana mushure mekukuvara kune ruoko. Mune dzimwe mamiriro ezvinhu, chirwere chisingaperi chine mazai uye chinotarisana pamusoro pehupenyu hwehupenyu.
Lymphedema inogona kuitika makumi emakore mushure mekuvhiyiwa kwekenza yemazamu, saka zvakakosha kuti urambe uchiverenga nezvezvinhu zvinogona kudzivirira iwe unogona kuzviita iwe kuderedza dambudziko.
Frequency
Zvakaoma kutaura kuti kazhinji sei lymphedema inowanikwa nekenza yemazamu. Pane kunyanya kusava nechokwadi kunobatanidzwa nekuita kuongororwa, asi kunofungidzirwa kuti pakati pe7 ne 56% yevatachiona vepabonde vemazamu vanobatwa, zvichienderana nekutsvakurudza. Uyewo, lymphedema inotanga kuve nemhando dzakasiyana siyana dzeutsanangudzo zvichienderana nokuti urikumbira murwere kuti ataure nezvemamiriro ake ezvinhu kana kuti akumbire chiremba kuti aite chirongwa chinangwa chekuvapo kwacho.
Vanotsvakurudza vanobvumirana kuti zvimwe zvidzidzo zvinoda kuitwa kuti zvinzwisise kuwandisa kwe lymphedema kune vakadzi vakambove nekenza yemazamu.
Risk Factors
Ani zvake ane chirwere chepachifu kana kuti kenza yemukati anokwanisa kuwedzera lymphedema. Mungozi yakakwirira kune vakadzi vanoenda kune axillary lymph node dissection (chirwere chakawedzera mune izvo zvinowanzoita kuti lymph node iswe nokuda kwechiopsy) kupfuura kutumira nodhi biopsy (chirwere chinopfurikidza umo mune imwe chete kana maviri lymph node yakabviswa kuti iongorwe). Nengozi inowedzerawo kuvakadzi vane chirwere chemaawa kana chemotherapy, pamwe chete nevaya vanopisa simba kana kupfuura.
Zviratidzo
Icho chikuru chenyevero zviratidzo nezviratidzo zve lymphedema ndezvekuti:
- Arm kurira
- Kunzwa kusuruvara kana kuzara mune ruoko rwako rwakagadzirirwa
- Kuva neganda roruoko rwako kunzwa kunetseka kana kuchengeta pfungwa kana iwe uchidzvinyirirwa
- Kuva neruoko rwako kuva rakaoma kutama kana kuti kusanyanya kuchinja
- Kuva nezvipfeko zvako kana zvishongo zvisinganzwisisi zvakaoma
- Kuziva kuburitswa kweganda paruoko rwako
- Kushaya simba, kurwadziwa kana kupera mukoko rwako
Matambudziko
Kusarudzwa kwe lymphedema kunogona kuva nemigumisiro yakakomba, kusanganisira zvirwere zvakakomba, zvipembenene zveganda (maronda akazaruka asingaporese,) nekunyanyisa kukuru uye kuoma kweganda (elephantiasis). Lymphangiosarcoma, chimiro chekenza, yaiva nhoroondo yekushungurudzika kwevanhu vaive nekuvhiyiwa kwekenza yemazamu. Zvisinei, nekuvandudzwa kwemaitiro akawandisa ekugadzirisa mastectomy, izvi zvinenge zvisinganzwisisiki nhasi.
Kuziva
Lymphedema inowanzova nyore kunzwisisa. Kuvhiringidzika kunowanzoonekwa, uye chiyero chemaoko akasvibiswa uye asingabatsiri anogona kuenzaniswa. Kuedza kunowanzosati kwaitwa kuti uongorore lymphedema, kunyange zvingave zvichifungidzirwa kana pane chikonzero chokuti imwe nzira iri kuitika, kana kana kuvhara kusingapinduri pakuedza kuedza kuitonga.
Kuenzanisa miedzo - yakafanana nekambani tomography (CT), ultrasound kana magnetic resonance imaging (MRI) inoongorora - inogona kugadzirisa chero mibvunzo inogara ichitaura nezvekutsvaga. Muedzo unonzi lymphatic scintigraphy unogona kupa ruzivo rwakawedzerwa pamusoro penzvimbo yekuvhara. Uyu muedzo unosanganisira kujowa kwekadhi ye-radioactive uye zvakare kunyoresa mifananidzo yedhayi sezvo inofamba nenzira ye lymphatic system.
Kurapa
Zvinosuruvarisa, hapana chirwere chakakwana che lymphedema. Pane kudaro, chirwere chacho chinotarisirwa mukuedza kuderedza migumisiro yaro nekutsvaga kuderedza kuputika, kudzora kusuruvara kana kurwadziwa, uye kudzivisa zvinetso.
Lymphedema mishonga inosanganisira:
- Kurovedza muviri: Mhando dzakasiyana dzedzidzo dzinobvumirana zvinyoronyoro zvinogona kubatsira pakuputira lymph fluid kunze kwechigunha chinoputika.
- Kuchengetedza: Kunyanya kudzidziswa mumuviri kana kuuraya marapa anogona kupa manyorerwo lymph drainage, runyoro rwemhando dzakanaka dzekusimudza hunosimudzira lymph kubuda kubva pachigunha chakavhiringidzika. Zvisinei, vanhu vane kenza yakaoma, zvirwere, ropa clots kana congestive moyo kusagadzikana hazvifaniri kuve nenzira iyi yekurapa.
- Kugadzirisa: Kuomesa kunogonawo kukurudzira kubuda kwechiremera kubva muruoko rwakabata. Kugadziriswa kunogona kupiwa nenzira dzakasiyana-siyana, kusanganisira kutengesa mabhande, sleeve yakakosha kana kusungira , kana kushandiswa kwemhepo inotungidzirwa nemhepo (pneumatic).
Kudzivirira uye Kutarisira
Zvakakosha kudzivisa chero chinhu chinogona kukanganisa kana kukuvadza ruoko rwakagadzirirwa nokuti izvi zvinogona kuwedzera zvikuru mungozi yehutachiona. Edza kuita zvinotevera:
- Ita uye uchengetedze uremu hunokosha, sezvaunokurudzirwa nachiremba wako.
- Ramba uchishandisa ruoko rwako seanowanzoita, sezvinoita muscle contractions inobatsira kuputira mvura inobva muruoko rwako.
- Chengeta ruoko rwako noruoko zvakachena uye zvakanyoroveswa, kuti urege kuputika kubva pakuoma.
- Paunenge uchiverenga, kutarisa TV kana kuti pane imwe nzvimbo, chengeta ruoko rwako rwakakwirira kumusoro kwepamwoyo wemoyo wako.
- Dzivisa kutarisana nekupisa (somuenzaniso, usashandise moto unopisa kana saunas,)
- Shandisa zuva rekudzivirira zuva nezuva uye funga nezvekupfekedza zvipfeko zvezuva.
- Pfeka magasi kana iwe gindu, imba yakachena kana basa rejari.
- Iva wakanyatsoteerera paunoshandisa midziyo yakakosha mukicheni kana paunenge uchishanda mishonga.
- Dzivisa zvishongo zvakajeka kana zvipfeko, kunze kwezvakatemerwa kuomesera nguo.
- Dzivisa ropa rinodhonza, shots kana intravenous (IV) kuiswa munzvimbo yakabata.
- Kumbira kuti ropa rako riitwe mukati mako.
- Takura bhegi rako pane yako isina kubata.
- Dzivisa kusimudza zvinhu zvakakomba, kusanganisira vana.
- Kupfeka mazai akareba kunze - uye funga kushandisa chirwere chepiritsi - kuti usadzivirire zvipembenene.
- Kunyangwe kana chiremba wako asina kukurudzira kuti iwe upfeke sleeve compress, bvunza kana iwe uchifanira kudaro paunofamba nendege. Kabhini kushanduka kuchinja kunogona kukuvadza lymphedema.
Zvakakosha kuona chiremba wako kana iwe uchifunga kuti uri kuwedzera lymphedema. Chiremba wako anogonawo kukuendesa kune chiremba chaiwo anonyanya kugadzirisa chirwere ichi.
Sources
Ezzo, J., Manheimer, E., McNeely, M. et al. Manual lymphatic drainage ye lymphedema inotevera kurapwa kwekenza yemazamu. Cochrane Database yekuongorora kwakarongeka . 2015. 5: CD003475.
National Cancer Institute. PDQ Cancer Information Summaries. Lymphedema (PDQ): Health Professional Version.
Singh, B., Disipio, T., Peake, J., uye S. Hayes. Kuongorora kwakarongeka uye Meta-Kuongororwa kweMigumisiro Yokudzidzira Kuita Kune Vaya Vanonzi Cancer-Related Lymphedema. Archives of Physical Medicine uye Kuvandudza . 2015 Nhasi 9.