Lymphedema: ndichiyani, momwe mungadziwire ndi chithandizo

Zamkati

• Momwe mungadziwire
• Chifukwa lymphedema zimachitika
• Kodi lymphedema imachiritsidwa?
• Momwe mankhwalawa amachitikira

Lymphedema imafanana ndi kudzikundikira kwamadzi m'dera lina la thupi, komwe kumabweretsa kutupa. Izi zitha kuchitika atachitidwa opareshoni, ndipo zimakhalanso zofala atachotsa ma lymph node omwe amakhudzidwa ndimaselo owopsa, mwachitsanzo khansa.

Ngakhale ndizosowa, lymphedema imatha kukhalanso wobadwa ndikuwonekera mwa mwana, koma imafala kwambiri kwa akulu chifukwa cha matenda kapena zovuta za khansa. Mankhwala a lymphedema amachitika ndi physiotherapy kwa milungu ingapo kapena miyezi ingapo, kuti athetse madzimadzi owonjezera ndikuwongolera kuyenda kwa dera lomwe lakhudzidwa.

Momwe mungadziwire

Lymphedema imawonedwa mosavuta ndi maso komanso panthawi yopuma, ndipo sikofunikira kuchita mayeso aliwonse kuti adziwe, koma zitha kukhala zofunikira kuwunika m'mimba mwa chiwalo chomwe chakhudzidwa ndi tepi.

Amawerengedwa kuti ndi lymphedema pakakhala kuwonjezeka kwa masentimita awiri mu mkono womwe wakhudzidwa, poyerekeza ndi miyeso ya mkono wosakhudzidwa, mwachitsanzo. Kuyeza kumeneku kuyenera kupangidwa pamiyendo iliyonse yomwe yakhudzidwa ndi 5-10 masentimita aliwonse, ndipo imakhala ngati gawo lowunika momwe mankhwalawo aliri. M'madera monga thunthu, maliseche kapena pamene miyendo yonse ikukhudzidwa, yankho labwino lingakhale kutenga zithunzi kuti muwone zotsatira zake zisanachitike kapena zitatha.

Kuphatikiza pa kutupa kwanuko, munthuyo amatha kumva kulemera, kupsinjika, kuvuta kusuntha chiwalo chomwe chakhudzidwa.

Chifukwa lymphedema zimachitika

Lymphedema ndiko kudzikundikira kwa ma lymph, omwe ndi madzi ndi mapuloteni kunja kwa magazi ndi ma lymphatic circulation, pakati pamaselo. Lymphedema imatha kudziwika ngati:

• Lymphedema pulayimale: ngakhale ndizosowa kwambiri, ndipamene zimayambitsidwa chifukwa cha kusintha kwa mitsempha yamagazi, ndipo mwana amabadwa ndi vutoli ndipo kutupa kumakhalabe moyo wonse, ngakhale atha kuchiritsidwa
• Lymphedema yachiwiri:zikachitika chifukwa cha kutsekeka kwina kapena kusintha kwa mitsempha yam'mimba chifukwa cha matenda opatsirana, monga elephantiasis, kutsekeka komwe kumayambitsidwa ndi khansa kapena zotsatira zake, chifukwa cha opareshoni, kuvulala koopsa kapena matenda otupa, pamenepa pali kutukusira kwanthawi zonse ziphuphu zomwe zimakhudzidwa ndikuopsa kwa fibrosis.

Lymphedema imadziwika kwambiri pambuyo pa khansa ya m'mawere, pomwe ma lymph node amachotsedwa mu opaleshoni yochotsa chotupa, chifukwa kufalikira kwa mitsempha kumakhala kovuta, ndipo chifukwa cha mphamvu yokoka, madzimadzi owonjezera amasonkhanitsidwa m'manja. Dziwani zambiri zamankhwala atatha khansa ya m'mawere.

Kodi lymphedema imachiritsidwa?

Sizingatheke kuchiza lymphedema chifukwa chotsatira cha mankhwalawa sichotsimikizika ndipo pakufunika chithandizo china. Komabe, chithandizo chitha kuchepetsa kwambiri kutupa, ndipo chithandizo chamankhwala ndi physiotherapeutic chimalimbikitsidwa kwa miyezi pafupifupi 3 mpaka 6.

Mu physiotherapy tikulimbikitsidwa kuchita magawo 5 pa sabata mgawo loyambirira, mpaka nthawi yokhazikika pakatupa. Pambuyo pa nthawi imeneyi tikulimbikitsidwa kuti tichite chithandizo china milungu 8 kapena 10, koma nthawi ino imasiyanasiyana malinga ndi munthu komanso chisamaliro chomwe mumakhala nacho tsiku ndi tsiku.

Momwe mankhwalawa amachitikira

Chithandizo cha lymphedema chiyenera kutsogozedwa ndi dokotala komanso physiotherapist ndipo mutha kuchita ndi:

• Mankhwala: monga benzopyron kapena gamma flavonoids, poyang'aniridwa ndi azachipatala;
• Physiotherapy: amawonetsedwa kuti amapanga ma lymphatic drainage omwe amasinthidwa kukhala enieni a thupi la munthu. Ngalande ya ma lymphatic itachotsa ma lymph node ndiyosiyana pang'ono ndi masiku onse, chifukwa ndikofunikira kutsogolera mwanayo ku ma lymph node olondola. Kupanda kutero, ngalande zovulaza zimatha kupweteketsa komanso kukhumudwitsa;
• Bandeji yosanjikiza: Uwu ndi mtundu wa bandeji wosakhwima kwambiri, womwe ukaikidwa bwino umathandiza kuyendetsa bwino mwanayo, kuthetsa kutupa. Manja otanuka ayenera kugwiritsidwa ntchito, malinga ndi malingaliro a dokotala ndi / kapena physiotherapist, wokhala ndi 30 mpaka 60 mmHg masana, komanso panthawi yochita masewera olimbitsa thupi;
• Kukutira: gulu lazomangika liyenera kuyikidwa muzolumikizana mutatha kukhetsa masiku asanu ndi awiri oyamba, kenako katatu pamlungu, kuti muthane ndi edema. Malayawa amalimbikitsidwa kuti lymphedema ili m'manja ndi kutanuka kosanjikiza kwamiyendo yotupa;
• Zochita: Ndikofunikanso kuchita masewera olimbitsa thupi moyang'aniridwa ndi physiotherapist, yomwe imatha kuchitidwa ndi ndodo, mwachitsanzo, koma zolimbitsa thupi zimawonetsedwanso;
• Chisamaliro chakhungu: khungu liyenera kukhala loyera komanso lothira madzi, kupewa kuvala zovala zolimba kapena mabatani omwe angavulaze khungu, ndikulowetsa tizilombo tating'onoting'ono. Chifukwa chake, ndibwino kugwiritsa ntchito nsalu ya thonje ndi velcro kapena thovu;
• Opaleshoni: Zitha kuwonetsedwa ngati lymphedema mdera loberekera, komanso lymphedema ya miyendo ndi mapazi oyambitsa.

Ngati mukulemera kwambiri ndikofunikira kuti muchepetse thupi ndikulimbikitsanso kuchepetsa kumwa kwa mchere ndi zakudya zomwe zimawonjezera kusungika kwamadzimadzi, monga kutukuka komanso kuchuluka kwa sodium, izi sizingathetse madzi amadzimadzi okhudzana ndi lymphedema, koma zimathandiza kusokoneza thupi, lonse.

Munthu atakhala ndi edema kwa nthawi yayitali, kupezeka kwa fibrosis, komwe ndi minofu yolimba m'derali, kumatha kuchitika ngati vuto, momwemo njira yothandizira kuti athetse fibrosis iyenera kuchitidwa, pogwiritsa ntchito maluso.