I-lymphedema: yintoni, indlela yokuchonga kunye nokunyanga

Umxholo

• Indlela yokuchonga
• Kutheni kwenzeka i-lymphedema
• Ngaba i-lymphedema iyanyangeka?
• Unyango lwenziwa njani

I-lymphedema ingqamana nokuqokelelwa kolwelo kwindawo ethile yomzimba, ekhokelela ekudumbeni. Le meko inokwenzeka emva kotyando, kwaye iyaqheleka nasemva kokususwa kwee-lymph node ezichaphazeleke ziiseli ezinobungozi, ngenxa yomhlaza, umzekelo.

Nangona kunqabile, i-lymphedema inokuba nokuzalwa kwaye ibonakalise emntwaneni, kodwa ixhaphake kakhulu kubantu abadala ngenxa yosulelo okanye iingxaki zomhlaza. Unyango lwe-lymphedema lwenziwa nge-physiotherapy kwiiveki ezimbalwa okanye kwiinyanga, ukwenzela ukuphelisa ulwelo oluninzi kunye nokuququzelela ukuhamba kommandla womzimba ochaphazelekayo.

Indlela yokuchonga

I-lymphedema ibonwa ngokulula ngeliso lenyama kwaye ngexesha lokucofa, kwaye akukho mfuneko yokwenza naluphi na uvavanyo kuvavanyo lwayo, kodwa kunokuba luncedo ukujonga ububanzi belungu elichaphazelekayo ngetape measure.

Iqwalaselwa njenge-lymphedema xa kukho i-2 cm yokunyuka kwesangqa esichaphazelekayo, xa kuthelekiswa nemilinganiselo yengalo engachaphazelekanga, umzekelo. Lo mlinganiselo kufuneka wenziwe kwilungu ngalinye elichaphazelekayo qho emva kwe-5-10 cm, kwaye isebenza njengeparameter ukukhangela iziphumo zonyango. Kwiindawo ezinjenge-trunk, indawo yesini okanye xa omabini amalungu achaphazelekayo, isisombululo esifanelekileyo sinokuba kukufota ukuvavanya iziphumo ngaphambili nasemva.

Ukongeza ukudumba kwengingqi, umntu unokufumana ubunzima, uxinzelelo, ubunzima ekushukumiseni ilungu elichaphazelekayo.

Kutheni kwenzeka i-lymphedema

I-Lymphedema kukuqokelelwa kwe-lymph, engamanzi kunye neeproteni ezingaphandle kwegazi kunye nokujikeleza kwe-lymphatic, kwisithuba esiphakathi kweeseli. I-lymphedema inokuhlelwa njenge:

• I-lymphedema yaseprayimari: nangona kunqabile kakhulu, kuxa kubangelwa lutshintsho kuphuhliso lwenkqubo ye-lymphatic, kwaye umntwana uzalwa enale meko kwaye ukudumba kuhlala kubomi bonke, nangona kunganyangwa
• I-lymphedema yesibini:xa isenzeka ngenxa yothintelo okanye utshintsho kwinkqubo ye-lymphatic ngenxa yesifo esosulelayo, njenge-elephantiasis, isithintelo esibangelwa ngumhlaza okanye sisiphumo sonyango lwayo, ngenxa yotyando, ukwenzakala okwenzakalisayo okanye isifo sokudumba, kule meko kuhlala kukho ukudumba izicubu ezibandakanyekayo kunye nomngcipheko we-fibrosis.

I-Lymphedema ixhaphake kakhulu emva komhlaza wamabele, xa ii-lymph node zisuswe kuqhaqho ekususeni ithumba, ngenxa yokuba ujikelezo lwe-lymphatic lukhubazekile, kwaye ngenxa yomxhuzulane, ulwelo olugqithisileyo luqokelelwa engalweni. Funda ngakumbi malunga nonyango lomzimba emva komhlaza webele.

Ngaba i-lymphedema iyanyangeka?

Akunakwenzeka ukunyanga i-lymphedema kuba isiphumo sonyango asiqinisekanga kwaye kukho imfuneko yelinye ixesha lonyango. Nangona kunjalo, unyango lunokunciphisa ngokubonakalayo ukudumba, kwaye unyango lweklinikhi kunye nokomzimba kuyacetyiswa malunga neenyanga ezi-3 ukuya kwezi-6.

Kwi-physiotherapy kuyacetyiswa ukuba wenze iiseshoni ezi-5 ngeveki kwisigaba sokuqala, kude kube ngumzuzu xa kukho ukuzinza kokudumba. Emva kwelo xesha kuyacetyiswa ukuba wenze enye iiveki ezisibhozo ukuya kwezili-10 zonyango, kodwa eli xesha liyahluka ukusuka komnye umntu ukuya komnye kunye nokhathalelo olugcinayo kwimihla ngemihla.

Unyango lwenziwa njani

Unyango lwe-lymphedema kufuneka lukhokelwe ngugqirha kunye nomzimba kwaye lunokwenziwa nge:

• Amayeza: njenge-benzopyron okanye i-gamma flavonoids, phantsi konyango nokubekwa kweliso;
• Umzimba wonyango: kubonisiwe ukwenza i-lymphatic drainage yesandla elungiselelwe ubunyani bomzimba womntu. Umsele weLymphatic emva kokususwa kwe-lymph node yahluke kancinci kunesiqhelo, kuba kubalulekile ukuhambisa i-lymph kwiindawo ezifanelekileyo. Ngaphandle koko, ukuhambisa amanzi kunokuba yingozi kubangele iintlungu kunye nokungonwabi okungakumbi;
• Ibhandeji ebhetyebhetye: Olu luhlobo lwebhanti engaxinekanga kakhulu, ethi xa ibekwe kakuhle incedise ukuqhuba i-lymph ngokufanelekileyo, isuse ukudumba. Umkhono we-elastic kufuneka usetyenziswe, ngokwesindululo sikagqirha kunye / okanye i-physiotherapist, ngoxinzelelo lwe-30 ukuya kwi-60 mmHg emini, kwaye nangexesha lokusebenza kwemithambo;
• Ukurhangqa: Ibhendi yokuqina kufuneka ibekwe kwiindawo ezigqagqeneyo emva kokutsala kwiintsuku ezisi-7 zokuqala, emva koko kathathu ngeveki, ukunceda ukuphelisa i-edema. Umkhono unconyelwa i-lymphedema engalweni kunye ne-elastic compression stocking yemilenze edumbileyo;
• Ukuzivocavoca: kubalulekile ukwenza umthambo phantsi kweliso le-physiotherapist, enokuthi yenziwe ngentonga, umzekelo, kodwa imithambo ye-aerobic ikwabonakalisiwe;
• Ukhathalelo lolusu: ulusu kufuneka lugcinwe lucocekile kwaye lunamanzi, kuthintelwe ukunxiba iimpahla ezixineneyo okanye amaqhosha anokulimaza ulusu, ukuququzelela ukungena kwamagciwane. Ke, kukhethwa ukuba kusetyenziswe ilaphu lomqhaphu nge-velcro okanye igwebu;
• Utyando: Ingabonakaliswa kwimeko ye-lymphedema kwingingqi yesini, nakwi-lymphedema yemilenze kunye neenyawo zezona zizathu eziphambili.

Kwimeko yobunzima obugqithisileyo kubalulekile ukunciphisa umzimba kwaye kuyacetyiswa ukuba kuncitshiswe ukusetyenziswa kwetyuwa kunye nokutya okunyusa ukugcinwa kwamanzi, njengakwimizi-mveliso kunye ne-sodium eninzi, oku akuyi kuphelisa ulwelo oluninzi olunxulumene ne-lymphedema, kodwa iyanceda ukukhupha umzimba, uwonke.

Xa umntu ene-edema ixesha elide, ubukho be-fibrosis, esisicwili esiqinileyo kummandla, bunokuvela njengengxaki, kwimeko apho unyango oluthile lokuphelisa i-fibrosis kufuneka lwenziwe, ngeendlela zobuchule.