Kutsekeka kwamitsempha

Kutsekeka kwa mitsempha yotchinga ndimitsempha yamitsempha yomwe imatulutsa timadzi m'thupi lonse ndikulola maselo amthupi kuti apite komwe amafunikira. Kutsekeka kwa ma lymphatic kumatha kuyambitsa lymphedema, zomwe zikutanthauza kutupa chifukwa cha kutsekeka kwa ma lymph.

Chifukwa chofala kwambiri cha kutsekeka kwa mitsempha ya mitsempha ndi kuchotsa kapena kukulitsa ma lymph node.

Zina mwazomwe zimalepheretsa kutulutsa magazi m'mimba ndi monga:

• Matenda omwe ali ndi tiziromboti, monga filariasis
• Kuvulala
• Thandizo la radiation
• Matenda a khungu, monga cellulitis (ofala kwambiri kwa anthu onenepa kwambiri)
• Opaleshoni
• Zotupa

Chifukwa chofala cha lymphedema ndikuchotsa mawere (mastectomy) ndi zida zam'mimba zamankhwala zochizira khansa ya m'mawere. Izi zimayambitsa lymphedema ya mkono mwa anthu ena, chifukwa ngalande yamphongo ya mkono imadutsa mchikhomo (axilla).

Mitundu yodziwika bwino ya lymphedema yomwe imakhalapo kuchokera pakubadwa (kobadwa nayo) imatha kubwera chifukwa cha zovuta pakukula kwa ziwiya zam'mimba.

Chizindikiro chachikulu ndikutupa kosalekeza (kwanthawi yayitali), nthawi zambiri kwa mkono kapena mwendo.

Wothandizira zaumoyo adzakuyesani ndikufunsani za mbiri yanu yamankhwala. Izi ziphatikiza mafunso okhudzana ndi kuchuluka kwa kutupako ndikutuluka komanso momwe matendawo alili olimba.

Mayesero otsatirawa akhoza kuchitika:

• Kujambula kwa CT kapena MRI
• Kujambula mayeso kuti muwone ma lymph node ndi lymph drainage (lymphangiography ndi lymphoscintigraphy)

Chithandizo cha lymphedema chimaphatikizapo:

• Kupanikizika (nthawi zambiri ndikukulunga mu bandeji kapena masokosi)
• Buku lanyumba yamadzimadzi (MLD)
• Mtundu wa zoyenda kapena zolimbana

Buku lothandizira ma lymph ndi njira yopewera kutikita minofu. Pakutikita, khungu limasunthidwa mbali zina kutengera kapangidwe ka mitsempha yodutsitsa madzi. Izi zimathandiza kuti madzi amadzimadzi akwere kudzera munjira zoyenera.

Chithandizo chimaphatikizaponso chisamaliro cha khungu popewa kuvulala, matenda, komanso kuwonongeka kwa khungu. Masewera olimbitsa thupi mopepuka komanso mayendedwe angathenso kulamulidwa. Kuvala zovala zodzikakamiza kudera lomwe lakhudzidwa kapena kugwiritsa ntchito mpope wopumira wa pneumatic zitha kukhala zothandiza. Omwe amakupatsani komanso othandizira azisankha njira zoponderezera zomwe zili zabwino kwambiri.

Opaleshoni imagwiritsidwa ntchito nthawi zina, koma imachita bwino pang'ono. Dokotalayo ayenera kukhala ndi chidziwitso chambiri ndi njirayi. Mudzafunikirabe chithandizo chamankhwala mutachitidwa opaleshoni kuti muchepetse lymphedema.

Mitundu ya opaleshoni ndi monga:

• Liposuction
• Kuchotsa minofu yachilendo yamitsempha yamagazi
• Kuika matupi abwinobwino am'magazi kupita kumadera okhala ndi ma lymphatic drainage achilendo (ocheperako)

Nthawi zambiri, opaleshoni kuti idutse minofu yachilendo yogwiritsa ntchito mitsempha yachitidwa imachitika. Njirazi ndizothandiza kwambiri kwa lymphedema yoyambirira ndipo ziyenera kuchitidwa ndi dokotala wodziwa bwino ntchito.

Lymphedema ndi matenda osachiritsika omwe nthawi zambiri amafunikira kuwongolera moyo wanu wonse. Nthawi zina, lymphedema imapita patsogolo pakapita nthawi. Ena kutupa nthawi zambiri amakhala okhazikika.

Kuphatikiza pa kutupa, zovuta zomwe zimafala kwambiri ndi monga:

• Mabala aakulu ndi zilonda
• Kuwonongeka kwa khungu
• Khansa yamatenda am'mimba (osowa)

Onani omwe amakupatsani ngati mwatupa mikono, miyendo, kapena ma lymph node omwe samvera chithandizo kapena kuchokapo.

Madokotala ambiri opaleshoni tsopano amagwiritsa ntchito njira yotchedwa sentinel lymph node sampling kuti muchepetse chiopsezo cha lymphedema mutatha kuchitidwa khansa ya m'mawere. Komabe, njirayi siikhala yoyenera nthawi zonse kapena yothandiza.

Lymphedema

• Makina amitsempha
• Matenda achikasu achikasu

Feldman JL, Jackson KA, Wankhondo JM. Kuchepetsa chiwopsezo cha Lymphedema. Mu: Cheng MH, Chang DW, Patel KM, olemba., Eds. Mfundo ndi Zochita za Opaleshoni ya Lymphedema. Philadelphia, PA: Elsevier; 2016: chap 9.

[Adasankhidwa] Rockson SG. Lymphedema: kuwunika komanso kupanga zisankho. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chap 168.