Ukuthintelwa kweLymphatic

Ukuthintelwa kwe-lymphatic kukuvaleka kwemithambo ye-lymph ekhupha ulwelo kwizicwili kuwo wonke umzimba kwaye ivumele iiseli zomzimba ukuba zihambe apho zifuneka khona. Ukuvinjelwa kwe-lymphatic kunokubangela i-lymphedema, oku kuthetha ukuvuvukala ngenxa yokuvalwa kweendinyana ze-lymph.

Esona sizathu siqhelekileyo sokuthintelwa kwe-lymphatic kukususa okanye ukwandisa i-lymph node.

Ezinye izizathu zokuthintela i-lymphatic zibandakanya:

• Usulelo lwee-parasites, ezifana ne-filariasis
• Ukwenzakala
• Unyango ngemitha
• Ukusuleleka kolusu, njenge-cellulitis (exhaphake kakhulu kubantu abatyebe kakhulu)
• Ugqirha
• Amathumba

Unobangela oqhelekileyo we-lymphedema kukususwa kwebele (mastectomy) kunye nezicubu ze-lymph ezingaphantsi kwonyango lomhlaza wamabele. Oku kubangela i-lymphedema yengalo kwabanye abantu, kuba i-lymphatic drainage yengalo idlula kwi-armpit (axilla).

Iifom eziqhelekileyo ze-lymphedema ezikhoyo ekuzalweni (ukuzalwa) zingabangela iingxaki ekuphuhlisweni kweenqanawa ze-lymphatic.

Olona phawu luphambili kukungagungqi (okungapheliyo) ukudumba, ihlala ingalo okanye umlenze.

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga nembali yakho yezonyango. Oku kuyakubandakanya imibuzo malunga nokuba kungakanani ukudumba okuphucula kunye nokuphakama kunye nokuba zomelele kangakanani izicwili.

Olu vavanyo lulandelayo lunokwenziwa:

• Ukuskena i-CT okanye iMRI
• Ukujonga iimvavanyo ukujonga i-lymph node kunye ne-lymph drainage (i-lymphangiography kunye ne-lymphoscintigraphy)

Unyango lwe-lymphedema lubandakanya:

• Ukucinezelwa (ngesiqhelo kusongelwa ngebhanti okanye isitokhwe)
• I-lymph drainage yesikhokelo (MLD)
• Uluhlu lokuhamba okanye lokuxhathisa

I-lymph drainage yesandla yindlela yokunyanga elula. Ngexesha lokuthanjiswa, isikhumba sihanjiswa kwicala elithile ngokusekwe kubume benkqubo ye-lymphatic. Oku kunceda ukukhutshwa kwe-lymph fluid ngeendlela ezifanelekileyo.

Unyango lukwabandakanya ukhathalelo lolusu ukunqanda ukonzakala, usulelo kunye nokonakala kolusu. Ukusetyenziswa kancinci kunye neenkqubo zokuhamba nazo zinokumiselwa. Ukunxiba iimpahla zoxinzelelo kwindawo echaphazelekayo okanye ukusebenzisa impompo yokucinezela yomoya kunokuba luncedo. Umboneleli wakho kunye nengcali yonyango iya kuthatha isigqibo sokuba zeziphi iindlela zoxinzelelo ezifanelekileyo.

Utyando luyasetyenziswa kwezinye iimeko, kodwa alunampumelelo. Ugqirha kufuneka abe namava amaninzi ngolu hlobo lwenkqubo. Uya kudinga unyango ngokwasemzimbeni emva kotyando ukunciphisa i-lymphedema.

Iindidi zotyando zibandakanya:

• Ukufakelwa kwemiphunga
• Ukususwa kwezicubu ze-lymphatic ezingaqhelekanga
• Ukutshintshwa kwezicubu ze-lymphatic eziqhelekileyo kwiindawo ezine-lymphatic drainage engaqhelekanga (engaqhelekanga)

Kwiimeko ezinqabileyo, utyando lokudlula kwimithambo ye-lymph engaqhelekanga kusetyenziswa i-vein graft yenziwe. Ezi nkqubo zisebenza ngokufanelekileyo kwi-lymphedema yokuqala kwaye kufuneka zenziwe ngugqirha onamava.

I-Lymphedema sisifo esinganyangekiyo esidla ngokufuna ulawulo lobomi bonke. Ngamanye amaxesha, i-lymphedema iphucula ngokuhamba kwexesha. Olunye udumba ludla ngokusisigxina.

Ukongeza kokudumba, ezona ngxaki zixhaphakileyo zibandakanya:

• Amanxeba angapheliyo kunye nezilonda
• Ukonakala kolusu
• Umhlaza wamathambo e-lymph (anqabile)

Jonga umboneleli wakho ukuba unokudumba kweengalo zakho, imilenze, okanye ii-lymph node ezingaphenduliyo kunyango okanye ekuhambeni.

Uninzi loogqirha ngoku basebenzisa ubuchule obubizwa ngokuba yi-sentinel lymph node sampling ukunciphisa umngcipheko we-lymphedema emva kotyando lomhlaza wamabele. Nangona kunjalo, obu buchule akusoloko kufanelekile okanye busebenza.

I-lymphedema

• Inkqubo yeLymphatic
• I-nail syndrome

UFeldman JL, uJackson KA, uMkhosi JM. Ukunciphisa umngcipheko we-lymphedema kunye nolawulo. Ku: Cheng MH, Chang DW, Patel KM, ii-eds. Imigaqo kunye nokuSebenza koNyango lweLymphedema. IPhiladelphia, PA: Elsevier; 2016: isahluko 9.

I-Rockson SG. I-Lymphedema: uvavanyo kunye nokwenza izigqibo. Ku: Sidawy AN, Perler BA, ii-eds. Utshintsho lukaRutherford lweeVascular and Therapy ze-Endovascular Therapy. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2019: isahluko 168.