

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
Ko te lymphedema te pupuhi e puta mai ana ina kore e taea e tō pūnaha lymphatic te whakaheke pai i te wai mai i ō kiko. Whakaarohia tō pūnaha lymphatic hei whatunga whakaheke wai o tō tinana – ina aukatitia, ina ranei pakaru, ka nui te wai ka pupuhi, te nuinga i ō ringa, i ō waewae rānei.
Ko tēnei āhuatanga e pā ana ki te miriona o te iwi puta noa te ao, ā, ka puta i tetahi wā o te ora. Ahakoa he āhuatanga roa tēnei e hiahia ana ki te whakahaere tonu, ko te mōhiotanga ki te aha kei te puta i roto i tō tinana, me te mōhiotanga ki ō kōwhiringa maimoatanga ka āhei te awhina i a koe ki te noho mārie me te pupuri i tō kounga ora.
Ko te tohu matua o te lymphedema ko te pupuhi mau e kore e ngaro ina whakaarahia te wāhi e pā ana. Ko te pupuhi tēnei e tīmata ana i te iti, ā, ka puta mai, ka ngaro pea i te tīmatanga i mua i te noho tonu atu.
Ko ēnei ngā tohu tino noa ka kitea e koe:
Ka pāwera pea koe ki ētahi tohu iti ake, engari he mea nui. Ka puta pea te ahua poka o tō kiri ina pehia (e kiia ana ko te pitting), ka kī rānei, ka tōngia. Ka kite pea etahi i te nui ake o te ngawari o to ratou kiri ki ngā huringa pāmahana, ka rerekē rānei te āhua.
I etahi wā, ka puta pea ngā tohu nui ake i te lymphedema. Ka puta pea ngā kopiko hohonu o te kiri i te wāhi e pā ana, ngā whara roa e whakaora ana i te iti, i te kore rānei e taea te nekehanga. Ko te mea tino onge, ka arahi pea te lymphedema roa ki te momo mate pukupuku e kiia ana ko te lymphangiosarcoma, ahakoa ka puta tenei i raro i te 1% o ngā keehi.
E rua ngā momo lymphedema matua, ā, ko te mōhiotanga ki tehea momo kei a koe ka āhei te aratohu i tō huarahi maimoatanga. Ko te take te mea e whakatau ana i te momo, ā, he rerekē ngā āhuatanga me ngā rautaki whakahaere o ia momo.
Ka puta te lymphedema matua ina whānau koe me ngā rerekētanga o te pūnaha lymphatic. Ko tēnei momo iti ake te noa, ā, ka puta pea i te tamarikitanga, i te taitamarikitanga, i te tīmatanga o te pakeketanga rānei. Ka ngaro pea ō ngā oko lymph, ka iti rawa te maha, kāore rānei e mahi tika mai i te whānautanga.
Ka puta te lymphedema tuarua ina pakaru, ina ranei aukati tetahi mea i tō pūnaha lymphatic noa i mua. Ko tēnei te momo noa ake, te nuinga o te wā ka puta mai i ngā maimoatanga mate pukupuku, ngā mate pāwera, i ngā whara rānei e pā ana ki ō ngā pūtau lymph me ō oko.
He iti ngā momo iti e tika ana kia mōhiotia. Ka puta te lymphedema whānau i te whānautanga, ka puta pea te lymphedema praecox i te wā o te whānautanga. Ko te lymphedema tarda he mea tino onge, te nuinga o te wā ka puta i muri i te 35 tau. Ko ēnei momo matua he maha ngā āhuatanga ira, ā, ka rere pea i roto i ngā whānau.
Ka puta te lymphedema ina kore e taea e tō pūnaha lymphatic te neke pai i te wai puta noa i tō tinana. Ko tēnei pūnaha whakaheke wai e kohikohi ana i te wai nui, ngā pūmua, me ngā paru mai i ō kiko, ka whakahoki anō ki tō toto.
Ko ēnei ngā take tino noa o te lymphedema tuarua:
He take ira ngā take o te lymphedema matua e pā ana ki te whanaketanga o tō pūnaha lymphatic. Ka arahi pea ngā rerekētanga ira motuhake ki te hanganga, ki te mahi rānei o te oko lymph. Kaore pea ēnei āhuatanga ira e puta mai ngā tohu tae noa ki muri i te ora, ahakoa i te whānautanga te raruraru.
He iti ngā take e tika ana kia whakahuahia. Ka taea pea e te kore rawa o te toto te whakapau i te kaha o tō pūnaha lymphatic. Ka taea pea e etahi rongoā, inā te nuinga o ngā rongoā toto teitei, te whakauru ki te pupuhi o te wai. Ko te mea tino onge, ka taea e ngā pukupuku te aukati i te whakaheke lymphatic, ā, ka taea pea e etahi āhuatanga autoimmune te pā ki te mahi lymphatic.
Me whakapiri atu koe ki tō kaiwhakarato hauora mena ka kite koe i te pupuhi mau i ō ringa, waewae, ringa, i ō waewae rānei e kore e pai ake me te whakaara, te okioki rānei. Ka taea e te taumata me te maimoatanga wawe te āhei te aukati i te kino o te āhuatanga, me te whakaiti i tō tūponotanga ki ngā raruraru.
Rapua te tiaki hauora i te wa poto mena ka pāwera koe ki te pupuhi ohorere, inā te nuinga ina haere tahi me te mamae, te whero, te mahana rānei i te wāhi e pā ana. Ka taea e ēnei tohu te tohu i te mate pāwera e kiia ana ko te cellulitis, e hiahia ana ki te maimoatanga wawe.
Me kite hoki koe i tō taote mena ka nui ake te kino o te pupuhi o mua, mena ka puta mai ngā huringa kiri penei i te mātotoru, te pakari rānei, mena ka kite koe i ngā mate pāwera e puta ana i te wāhi pupuhi. Kaua e tatari mena kei te raruraru koe ki ngā mahi o ia rā na te pupuhi, mena kei te pāwera koe i te pouri na ngā huringa i roto i tō tinana.
Whakaarohia he mea nui mena ka puta te kirika me te pupuhi nui ake, te whero rānei o tō kiri, mena ka tino mamae, ka wera rānei te wāhi e pā ana ki te pa. Ka tohu ēnei tohu i te mate pāwera nui e hiahia ana ki te tiaki hauora wawe.
He maha ngā take ka taea te whakanui i tō tūponotanga ki te whanake i te lymphedema, ā, ko te mōhiotanga ki ēnei ka taea te āhei te awhina i a koe ki te tango i ngā kaupae aukati ina taea. Ko tō taumata tūponotanga e whakawhirinaki ana ki ngā take e kore e taea e koe te whakahaere me ētahi e taea ana e koe te whakauru.
Ko ēnei ngā take tūponotanga kaha:
Ka taea pea e ētahi atu take te whakauru ki tō tūponotanga. Ka taea e te kore mahi tinana te whakaheke i te rere lymphatic, ka taea pea e ētahi mahi e hiahia ana ki ngā nekehanga e puta ana, ki te tū roa rānei te whakauru. Ka taea hoki e te haere ki ngā wāhi he mate pāwera noa te whakanui i te tūponotanga.
Ko ngā take tūponotanga onge ko ētahi mate ira, ngā mate autoimmune e pā ana ki te kiko hono, me ētahi rongoā e puta ana te pupuhi o te wai. Ka nui ake pea te tūponotanga o ngā wāhine na ngā huringa homoni i te wā hapu, i te menopause rānei, ahakoa kāore i tino mōhiotia tēnei hononga.
Ahakoa ehara te lymphedema i te mea mate kino, ka taea te arahi ki ngā raruraru maha mena kaore i te whakahaere tika. Ko te mōhiotanga ki ēnei take pea ka āhei te awhina i a koe ki te mohio ki ngā tohu whakatūpato, ki te rapu rānei i te tiaki tika ina hiahiatia.
Ko ēnei ngā raruraru tino noa ka pāwera koe:
He mea nui kia aro ki ngā mate pāwera na te mea ka tere te kino. Ina kore e mahi pai tō pūnaha lymphatic, ka raruraru tō tinana ki te whawhai ki ngā huakita e tomo ana mā ngā tapahi iti, i ngā wahi pakaru rānei o tō kiri. Ka tere te hora o ēnei mate pāwera, ā, ka hiahia pea ki te noho whare hauora i ngā keehi nui.
Ka puta pea ngā raruraru iti ake, engari nui ake te kino, me te lymphedema roa, kore maimoatanga. Ka puta pea ngā kopiko hohonu o te kiri i ngā whara roa e whakaora ana i te iti. Ko te mea tino onge, ka puta pea te momo mate pukupuku e kiia ana ko te lymphangiosarcoma i roto i te kiko e pā ana, ahakoa ka puta tenei i raro i te 1% o te iwi he lymphedema roa.
Ko te rongo pai ko te maimoatanga tika me te tiaki whaiaro ka taea te aukati i te nuinga o ngā raruraru. Ko te tirotiro tonu, te tiaki kiri pai, me te whai i tō mahere maimoatanga ka whakaiti nui i ēnei tūponotanga.
Ahakoa kaore e taea e koe te aukati i te lymphedema matua na te mea he take ira, ka taea e koe te tango i ngā kaupae whai hua ki te whakaiti i tō tūponotanga ki te lymphedema tuarua, ki te aukati rānei i te kino o te lymphedema o mua. Ko te aukati e aro ana ki te tiaki i tō pūnaha lymphatic me te pupuri i te rere pai.
Mena kei te tūpono koe na te maimoatanga mate pukupuku, ka taea e ēnei rautaki te āhei te awhina:
Tāruahia te aro ki tō mahi tiaki kiri. Pupuri i tō kiri kia ma, kia makuku pai hoki kia kore ai e pakaru ngā huakita. Whakamahia te sunscreen kia kore ai e tahuna, ā, kakahuria ngā karapu ina māra, ina mahi rānei i te whare kia kore ai e tapahi, e kī rānei.
He mea nui te whakakori tinana ki te aukati. Ka āhei te nekehanga ngawari, tonu ki te whakaheke pai i tō pūnaha lymphatic. Ko te kauhoe, te hikoi, me ngā whakakori lymphedema motuhake ka taea te whai hua. Ka taea e tō kaiwhakarato hauora, i tetahi kaiwhakaora lymphedema rānei te tūtohutia ngā mahi pai mō tō āhuatanga.
Ko te whakatau i te lymphedema e tīmata ana i tō taote e tirotiro ana i te wāhi e pā ana, e arotake ana rānei i tō hītori hauora. Ka titiro rātou ki ngā tohu pupuhi, ka uiui rātou ki ō tohu, ki ngā maimoatanga mate pukupuku kua whiwhi koe, ki tō hītori whānau rānei.
Ka mahi pea tō taote i tetahi whakamātautau tinana e whakauru ana ki te ine i te whānuitanga o tō waewae e pā ana i ngā pito maha. Ka whakatauritea e rātou ngā ine i waenganui i ō taha e pā ana, me ngā taha kāore i pā, ka titiro rātou ki ngā huringa kiri, ki te poka ina pehia, ki ngā whakaiti i te nekehanga rānei.
Ka taea pea te whakamahi i ngā whakamātautau maha hei whakau i te whakatau, hei whakakore rānei i ētahi atu take o te pupuhi. Ko te lymphoscintigraphy te whakamātautau paerewa koura – e whakauru ana ki te whakangau i te iti o te mea rongoā, ki te whai i te nekehanga puta noa i tō pūnaha lymphatic mā te whakamahi i ngā whakaahua motuhake.
Ko ētahi atu taputapu whakatau ko te ultrasound hei tirotiro i ō oko lymph me te whakakore i ngā toto toto, ngā CT, i ngā whakaahua MRI rānei hei tiki i ngā whakaahua taipitopito o tō pūnaha lymphatic, me te bioimpedance spectroscopy hei ine i ngā taumata wai i roto i ō kiko.
I etahi wā, ka tūtohu pea tō taote i te whakamātautau ira, inā te nuinga ina whakapaehia te lymphedema matua, mena he hītori whānau koe o te āhuatanga. Ka taea hoki te mahi i ngā whakamātautau toto hei whakakore i ētahi atu take o te pupuhi penei i ngā raruraru ngakau, whatukuhu, ate rānei.
Ko te maimoatanga lymphedema e aro ana ki te whakaiti i te pupuhi, ki te aukati i ngā raruraru, ki te āhei te awhina i a koe ki te pupuri i tō kounga ora. Ahakoa kāore he rongoā mō te lymphedema, ka taea e ngā maimoatanga whai hua te whakapai nui i ō tohu, me te aukati i te kino o te āhuatanga.
Ko te pūtake o te maimoatanga lymphedema ko te Complete Decongestive Therapy (CDT), e whakauru ana ki:
Ko te maimoatanga komiri te nuinga o te wā ko te maimoatanga roa te mea nui. Ka kakahuria e koe ngā kakahu komiri e rite ana i te rā hei āhei te neke i te wai lymph, hei aukati rānei i te hokinga mai o te pupuhi. Me rite te rahi o ēnei kakahu, me whakarereke tonu hoki kia mau tonu te whai hua.
Mō ngā keehi nui ake, ka tūtohu pea tō taote i ngā maimoatanga atu. Ka taea e ngā taputapu komiri pneumatic te whakarato i te pehanga waatea hei āhei te neke i te wai. Ka whai hua pea etahi ki ngā kōwhiringa pokanga penei i ngā whakawhiti pūtau lymph, ngā mahi whakawhiti lymphatic, i te liposuction rānei hei tango i te kiko ngako nui.
He iti te whakamahinga o ngā rongoā ki te maimoatanga lymphedema, engari he mea nui ngā rongoā antibiotic hei whakaora i ngā mate pāwera. Ka whai hua pea etahi ki ngā diuretics i etahi wā, ahakoa ehara ēnei i te huarahi maimoatanga matua.
He mea nui te whakahaere kāinga hei whakahaere i ngā tohu lymphedema, hei aukati rānei i ngā raruraru. Ka taea e ngā mahi tiaki whaiaro o ia rā te whakarereke nui i tō ahua me tō mahi me tēnei āhuatanga.
Me whakauru ki tō mahi o ia rā:
He mea nui kia aro ki te tiaki kiri i roto i tō mahi kāinga. Horomia ngāwari tō kiri me te hopi ngawari, ka tapatapahia kia maroke. Whakamahia te whakamakuku i te wā kei te iti te makuku o tō kiri hei āhei te pupuri i te makuku. Tirohia i waenganui i ō maihao me ō matihao mō ngā tohu mate huhu, he mea noa ake me te lymphedema.
He wāhanga nui te whakakori tinana o te whakahaere kāinga, engari me ngawari, me rite ki tō āhuatanga. Ka taea e ngā whakakori manawa hohonu te whakatairanga i te rere lymph, ka taea hoki e te whakatete ngawari me te hikoi te whakatairanga i te rere. Kakahuria tonu ō kakahu komiri i te wā whakakori, ki te kore e tūtohu ke tō kaiwhakaora.
Aro atu ki tō kai me tō wai inu. Ko te pupuri i te wai inu pai ka āhei te awhina i tō pūnaha lymphatic ki te mahi pai ake, ahakoa te pupuhi. Whakaitihia te tote hei whakaiti i te pupuhi o te wai, ā, pupuri i te taumaha hauora hei whakaiti i te kaha ki tō pūnaha lymphatic.
Ko te whakarite mō tō hui ka āhei te whakarite kia whiwhi koe i te nuinga mai i tō wā me tō kaiwhakarato hauora. Ko te whakarite pai ka arahi ki te whakatau tika ake me te mahere maimoatanga pai ake.
I mua i tō haerenga, tuhia ō tohu mā te tango i ngā whakaahua o te wāhi e pā ana, me te tuhi i te wā e kino rawa ana, e pai rawa ana rānei te pupuhi. Inehia ō waewae i ngā wāhi kotahi i ia rā mena ka taea, ā, pupuri i te puka tohu tae atu ki ngā taumata mamae, ngā huringa kiri, me te āhua o ngā tohu ki ō mahi o ia rā.
Kohikohia ō rēkōta hauora, inā te nuinga o ngā korero mō ngā maimoatanga mate pukupuku, ngā pokanga, i te rongoā radiation rānei kua whiwhi koe. Hangaia he rārangi o ngā rongoā katoa e inu ana koe, tae atu ki ngā taapiri me ngā rongoā kore-tuku. Tuhia tetahi hītori whānau o te lymphedema, i ngā āhuatanga e pā ana rānei.
Whakaritea ngā pātai ki te ui ki tō taote. Whakaarohia te uiui mō ngā kōwhiringa maimoatanga, te aha e tatari ana i te roa, me pēhea te aukati i ngā raruraru, me te wā hei rapu i te tiaki mate.
Kawea mai tētahi hoa, whānau rānei mena ka taea. Ka taea e rātou te āhei te awhina i a koe ki te mahara ki ngā korero, ki te whakarato rānei i te tautoko ngākau. Ka taea hoki e te noho mai o tētahi atu te āhei te awhina i a koe ki te ngāwari ake te kōrero i ngā kaupapa ngākau nui e pā ana ki te āhua o te lymphedema ki tō oranga.
Ko te lymphedema he āhuatanga roa e taea te whakahaere e puta ana ina kore e taea e tō pūnaha lymphatic te whakaheke pai i te wai mai i ō kiko. Ahakoa e hiahia ana ki te aro me te tiaki tonu, he maha ngā tāngata he lymphedema e ora ana i ngā oranga tino whānuitia, mahi tonu me te maimoatanga tika me te whakahaere whaiaro.
Ko te mea nui kia mahara ko te taumata me te maimoatanga wawe ka whakarereke nui i ngā hua. Mena ka kite koe i te pupuhi mau e kore e pai ake me te okioki, te whakaara rānei, kaua e tatari ki te rapu i te tiaki hauora. Ko te tere o tō tīmatanga maimoatanga, ko te pai ake o tō whakahaere i ngā tohu me te aukati i ngā raruraru.
Ka waiho tō mahi tiaki whaiaro o ia rā hei taputapu kaha mō te whakahaere i te lymphedema. Ko te kakahu i ngā kakahu komiri, te mahi i te tiaki kiri pai, te noho mahi tonu me ngā whakakori e rite ana, me te whai i tō mahere maimoatanga ka taea te āhei te awhina i a koe ki te pupuri i tō kounga ora me tō mana motuhake.
Kia mahara ka pā rerekē te lymphedema ki te katoa, ā, ko te mea pai mōu ka roa pea te whakatau. Kia manawanui ki a koe ano i a koe e ako ana ki te whakahaere i tēnei āhuatanga, ā, kaua e whakaroa ki te whakapiri atu ki tō rōpū hauora ina he pātai, he awangawanga rānei kei a koe.
Ko te lymphedema te nuinga o te wā he āhuatanga roa e kore e ngaro me te kore maimoatanga. Heoi, me te whakahaere tika tae atu ki te maimoatanga komiri, te whakakori tinana, me te tiaki kiri, ka taea e koe te whakaiti nui i te pupuhi me te aukati i te kino o te āhuatanga. Ko te maimoatanga wawe te nuinga o te wā ka arahi ki ngā hua pai ake i te roa, no reira he mea nui kia kaua e tatari me te tumanako ka pai ake.
Ka taea e te lymphedema te puta i te ngoikore, engari ehara te mamae nui i te mea noa. Ko te nuinga o te iwi e whakaatu ana i ngā āhua taimaha, kī, mamae rānei i te wāhi e pā ana, kāore i te mamae koi. Mena ka pāwera koe ki te mamae nui, inā te nuinga me te whero, te mahana rānei, ka taea e tēnei te tohu i te mate pāwera, ā, e hiahia ana ki te tiaki hauora wawe. Ko te maimoatanga tika te nuinga o te wā ka āhei te awhina i te whakaiti i tetahi ngoikore e pāwera ana koe.
Ae, he mea whai hua te whakakori tinana mō te lymphedema, ā, he wāhanga nui tēnei o te maimoatanga. Ko ngā mahi ngawari penei i te hikoi, te kauhoe, me ngā whakakori lymphedema motuhake ka āhei te awhina i te whakaheke lymph, ka taea te whakaiti i te pupuhi. Kakahuria tonu ō kakahu komiri i te wā whakakori, ā, tīmata ngāwari me te aratohu a tō taote. Kaua e mahi i ngā mahi ka taea te whara i tō waewae e pā ana, ka puta rānei te kaha nui.
Ko te nuinga o te iwi he lymphedema e hiahia ana ki te kakahu i ngā kakahu komiri i te roa hei pupuri i ō hua, hei aukati rānei i te hokinga mai o te pupuhi. Ahakoa ka ahua nui tenei i te tīmatanga, he maha ngā tāngata e kite ana ko ngā kakahu komiri ka waiho hei wāhanga noa o ō rā mahi, penei i te horoi niho. Ka mahi tahi tō rōpū hauora ki a koe ki te kimi i ngā kakahu pai, e rite ana ki tō oranga.
Ko te lymphedema anō kāore te nuinga o te wā e pā ana ki tō oranga, ā, he maha ngā tāngata he āhuatanga tēnei e ora ana i ngā oranga noa, hauora. Ko te mea nui ko te aukati i ngā raruraru mā te whakahaere me te maimoatanga tika. He mea onge ngā raruraru nui ina pai te whakahaere i te lymphedema, engari ka taea e te lymphedema kore maimoatanga te arahi ki ngā mate pāwera e puta ana, ki ētahi atu take rānei ka pā pea ki tō hauora whānui. Ko te whai i tō mahere maimoatanga te huarahi pai ki te aukati i ngā raruraru.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.