Pakutanga kuona, lymphoma uye lymphedema mazwi anoratidza sekuti angave akabatanidzwa, asi anotaura nezvemamiriro ezvinhu akasiyana. Lymphoma ikenza yemasero machena eropa lymphocyte apo lymphedema iri kuunganidza mvura inonaya, kana kuti lymph, muzvinyama zviduku zvine kuvhara. Kazhinji munhu anowana lymphedema sechinhu chakabhururuka kana gumbo.
Lymphedema inowanzokonzerwa nekubvisa kana kukuvadza kumakumbo enyu sechikamu chekenza kurapwa. Nokuti kenza yemazamu inowanzoenderana nemamwe makondombera, masayendisiti ane mamwe mashoko pamusoro pe lymphedema mukenza yemazamu; zvisinei, lymphedema inogona kuitika kune vanopukunyuka kanzira dzemarudzi akasiyana-siyana, kusanganisira marudzi akasiyana-siyana e-lymphoma . Nhamba yevanhu vane lymphedema inotarisirwa kuwedzera zvakanyanya kudarika makore gumi kana anotevera nekuda kwekuvandudzwa kwehupenyu hunotevera kenza kurapa.
Zvinokonzera
I-lymphatic system yakafanana nehuwandu hwemhepo inotenderera mberi: inounganidza utsi muviri twomuviri uye inoiparadzanisa zvakare mumakumbo ako. Nzira yemigero, yakabatanidzwa pamwe nemakirini, ine nzvimbo dzakasiyana kana "masimba." Somuenzaniso, lymph nodes munzvimbo inogomera inosungirwa kubudisa uye kuchenesa mishonga yakasviba uye lymph kubva pamakumbo, apo iyo nhengo dzomukati dziri mumakumbo dzinobatsira drain uye fyuta lymph inouya kubva mumaoko.
Kana chimwe chinhu chichidzivirira kutenderera kwemuviri wechirini kana kuti chichidzivirira kuti chisaparidze zvakanaka, izvi zvinogona kutungamirira ku lymphedema mune imwe nzvimbo yomuviri. Munyaya yezvivako zve lymphatic mumugwagwa, somuenzaniso, kuvhara kunogona kukonzera kuvhara kweimwe kana yemakumbo maviri. Mune mazamu, mushure mekuvhiyiwa uye miviri yekenza yemazamu, pangava nekuora kana mabhanhire emagetsi anokonzera kudzivirira kutenderera kwemuviri, kana kuti lymphatic ivo pachavo vangave vasina kushanda mushure mekurapa.
Pane zvimwe zvinokonzera ruoko uye gumbo kukurira kwete nekuda kwe lymphedema, kuva nechokwadi, uye iri basa rechiremba wako mune izvi mamiriro ekutsanangurira dambudziko guru.
Zviratidzo uye Matambudziko
Kana kuunganidza kwechidimbu uye mapuroteni mumatumbu zvinoramba zvichiripo, izvi zvinogona kutungamirira kugumbuka kunopisa, nemafuta ekudzikisa uye kuora, uye kusingaperi, kunyoro-ku-kukuvadza kukuru kwezvikamu zvemuviri. Lymphedema inogona kuita zviratidzo zvinotyisa, zvakadai se:
- Ganda rakasimba
- Yakapera simba rekutamisa majoini
- Kusuruvara mumakumbo akabatwa
- Kusuruvara uye kurwadziwa
- Zvirwere zvekare.
Lymphedema uye Lymphoma
Kutevera chirwere chekenza, kuvhara kana kuparadzwa kwezvivako zve lymphatic kuburikidza nekuvhiyiwa uye kupiswa kwezuva kunogona kutungamirira ku lymphedema. Kanzira mishonga inosanganisira lymph nodes inogona kukanganisa nzira dzemaitiro emakirini, zvichiita kuti lymph fluid iwedzere mumakumbo akafanana uye munzvimbo dzomuviri.
Nepo zvisingawanzoburwi sechiratidzo chekuratidzira che lymphoma, lymphedema inogona kuguma kubva ku lymphoma , pachayo, kana kuti kudzoka kwayo. Lymphedema inosangana negumbo rimwe chete yakave yakataurwa sechinhu chisingawanzokutanga kujekesa lymphoma, kunyanya kuvakadzi, uye kazhinji ine kubvumira lymph nodes munzvimbo yekugomera kana kuipa mumimba. Lymphedema inokonzerwa ne lymphoma inogona kuitika pane dzimwe nzvimbo, zvakare, apo kuyerera kwemarimu kunodzivirirwa nehukuru hwakawanda, somuenzaniso.
Management
Lymphedema inonzi inogara isingaperi. Kunyange zvazvo inogona kutarisirwa, haisati yaonekwa semamiriro ezvinhu anogona kuporeswa zvakananga. Vatsvakurudzi vari kushanda kuti vagadzirise mamiriro acho, zvisinei.
Kurapa kwakakwana kwe lymphedema ndiyo inozivikanwa sekuti decongestive treatment, iyo inosanganisira kuvevedza muviri, kupfekedza nguo yekunyanya kushandiswa, kucheneswa kweganda uye kushambadzira kwekunyora uye lymph drainage.
Kuvhiya dzimwe nguva kunodiwa mumatambudziko akaoma kana mumatambudziko asingagamuchirwi nehutachiona hwekurapa.
Mishonga
Pane zvikamu zviviri zvinokosha zvekuvhiya kwe lymphedema: chirwere chekubatsira / kubhadhara uye kushandiswa kwebasa / physiologic.
Ablative kana debulking maitiro ave achishandiswa kubva pakutanga kusvika pakati pezana remakore rechi20 . Aya maitiro anoderedza huwandu hwemakumbo ekubhururuka, asi anokwanisa kusvibiswa nekuvhara kukuru uye mamwe matambudziko. Liposuction inobvisa chidimbu chechidimbu chechidimbu chechidimbu chechidimbu kuti udzikise chimiro chemuviri, zvisinei, iwe unowanzoshandisa kurapa kwemazuva ose kuti uchengetedze.
Kuvhiya kunoshanda kana kuti physiologic kunosanganisira kushandiswa kwechirwere chechiremera (VLNT) pamwe chete neine lymphovenous overpass . Aya maitiro akauya kushandiswa munguva pfupi yapfuura, saka zviduku zvinonyatsozivikanwa nezvekuenzanisa nemigumisiro nemashoko pamusoro pehutano hwakakosha kuti kuwedzere migumisiro. Kunyange zvakadaro, mhinduro dzave dzichivimbisa kusvika kure, izvo zvakagadzira kushingaira. Nzira mbiri idzi dzinoedza kutamisazve mamwe emvura inoshandiswa kumashure. Zvose izvi zvinowanzoita kuvhima kwakaoma kuti inofungidzirwa microsurgeries, iyo michina yakawanda inoda kuitwa - uye lymphovenous inopfuurira kune imwe huru, ndicho chikonzero dzimwe nguva inotsanangurwa se "super" chirwere chechidiki.
- Mune lymphovenous bypass, kushandiswa kwemidziyo ye lymphatic inosanganiswa nemavhuvhu maduku - chirwere chakaoma kunzwisisa chinonyanya kuedza kugadzirisa zvakare kupinza.
- MuVLNT, vanachiremba vanokwereta lymph nodes kubva kune imwe nzvimbo yomuviri uye vanozviisa pamwe neropa uye mamwe mazamu akapoteredza munzvimbo yakakonzerwa ne lymphedema. Mukuvhiya uku, iwe uri chaizvoizvo kuisa.
Chimwe chezvinhu zvakasiyana-siyana maererano neVLNT ndeyekuti uri kutumira kushanda "immunological centre" munzvimbo inenge yakanganisa - kana kuburikidza nekuvhiyiwa, kupisa kwechimwe chinhu. Zvinofadza kuti zvese zvidzidzo zvekliniki kusvika ikozvino neVLNT zvakaratidza kuvandudzwa kwezvirwere zveganda - nemakirini emakirini akafanana neyerysipelas, lymphangitis, uye cellulitis - mushure mevascularized lymph node transfer.
Link to Cancer Risk
Hapana humwe uchapupu huripo, asi ndiwo mubvunzo unonakidza iye zvino kune vatsvakurudzi sezvavanoshanda kuti vanzwisise kusangana pakati pezvirwere zvemuviri nekenza.
Kune rumwe rutivi, lymph nodes dzinowanzobviswa mumhando dzakasiyana dzekenza. Mhando dzakawanda dzekenza pakutanga dzinopinda mishonga kana kupararira mukudhonza lymph nodes kuburikidza nemakirini emakirini asati apararira kune dzimwe nzvimbo mumuviri, saka nharaunda dzeruwa dzomukati varwere vanorwara vanowanzovhiyiwa.
Kune rumwe rutivi, vamwe vanotsvakurudza vanotaura kuti kusarudza lymph node dissection mu melanoma yemakumbo hazvibvumirwi sezvo zvisingasimudzi kupona. Mune zvimwe zviitiko uye kune mamwe makondombera, zvingave kuti kuderedza lymph nodes kunogona kuita sevatariri vemagedhi ezvokudzivirira zvirwere, zvichireva kuti kubviswa kwavo zvisina kufanira kunogona kukonzera kusagadzikana kusina kunaka.
Zvimwe zvinowanikwa muzvidzidzo zvemhuka zvinoratidza kuti kubuda kwemarimu kunobatanidzwa basa rinokosha mukuita zvirwere zvemuviri zvinokonzerwa nemaronda uye kuti kukanganisika kwemaitiro e-lymphatics kunogona kukurudzira kukura kwezviremera zvepamusoro. Kunyange zvakadaro, masayendisiti ari kungotanga kudzidza uye kunzwisisa zvinhu pamusoro pe "tumor microenvironment" uye tumor immunology, uye iyi inzvimbo inoshingaira yekutsvakurudza, ine mibvunzo yakawanda iripo.
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