Created at:1/16/2025
Question on this topic? Get an instant answer from August.
Lymphedema ni kubyimbagira bibaho iyo sisitemu yawe y’impyiko itabasha gukura amazi neza mu mubiri wawe. Tekereza kuri sisitemu yawe y’impyiko nk’umuyoboro w’amazi mu mubiri wawe - iyo ikingiwe cyangwa yangiritse, amazi arahaguma akaba ari yo ntandaro yo kubyimbagira, akenshi mu biganza cyangwa mu birenge.
Iyi ndwara iratwara abantu benshi ku isi kandi ishobora kugaragara mu kiciro icyo ari cyo cyose cy’ubuzima. Nubwo ari indwara idakira isaba kwitabwaho buri gihe, gusobanukirwa ibiri kuba mu mubiri wawe no kumenya uburyo bwo kuvura bishobora kugufasha kubaho neza kandi ukagumana ubuzima bwiza.
Ikimenyetso nyamukuru cya Lymphedema ni kubyimbagira bidashira iyo uhagaritse agace kabimbagira. Iyi mpyiko isanzwe itangira buhoro buhoro kandi ishobora kuza igaceceka mbere yo kuba ihoraho.
Dore ibimenyetso bisanzwe ushobora kubona:
Ushobora kandi kugira ibimenyetso bike ariko by’ingenzi. Uruhu rwawe rushobora kugira imiterere y’iminkanyari iyo rukanuwe (bita pitting), cyangwa rushobora kumva rukomeye kandi rwaragutse. Bamwe babona uruhu rwabo ruhinduka rushobora kumva ubushyuhe cyangwa rugahindura imiterere.
Mu bihe bidasanzwe, Lymphedema ishobora gutera ibimenyetso bikomeye. Agice kabimbagira gashobora kugira iminkanyari y’uruhu, ibikomere bidakira vuba, cyangwa kudakora neza kw’ingingo. Gake cyane, Lymphedema imaze igihe kinini ishobora gutera kanseri yitwa lymphangiosarcoma, nubwo ibi bibaho mu kigero kiri munsi ya 1% by’ababimbagira.
Lymphedema ifite ubwoko bubiri nyamukuru, kandi gusobanukirwa ubwoko ufite bigufasha kuyobora uburyo bwo kuvura. Intandaro ni yo igena ubwoko, kandi buri bwoko bufite imico n’uburyo bwo kuvura bitandukanye.
Lymphedema y’ibanze ibaho iyo wavutse ufite ubumuga bwa sisitemu y’impyiko. Ubu bwoko ni buke kandi busanzwe bugaragarira mu bwana, mu gihe cy’ubwangavu, cyangwa mu myaka ya mbere y’ubukure. Imikaya yawe y’impyiko ishobora kuba ibura, ari mike, cyangwa idakora neza kuva wavutse.
Lymphedema y’uburyo bwa kabiri iterwa n’ibyangiza cyangwa bikabuza sisitemu yawe y’impyiko yari isanzwe ikora neza. Ni bwoko busanzwe, akenshi buterwa no kuvura kanseri, indwara, cyangwa imvune zigira ingaruka ku mitsi y’impyiko n’imikaya.
Hariho kandi ubwoko buke bwa Lymphedema bukwiye kumenyekana. Lymphedema ivuka ibaho kuva umuntu avuka, naho Lymphedema praecox isanzwe igaragara mu gihe cy’ubwangavu. Lymphedema tarda ni nke cyane, isanzwe igaragara nyuma y’imyaka 35. Ibi bwoko by’ibanze bikunze kugira ibintu by’umurage kandi bishobora kuba mu miryango.
Lymphedema iterwa n’uko sisitemu yawe y’impyiko itabasha kwambutsa amazi mu mubiri wawe neza. Uyu muyoboro w’amazi usanzwe ukusanya amazi y’umurengera, poroteyine, n’ibintu byanduye mu mubiri wawe ukabisubiza mu maraso.
Intandaro zisanzwe za Lymphedema y’uburyo bwa kabiri harimo:
Lymphedema y’ibanze ifite intandaro z’umurage zigira ingaruka ku iterambere rya sisitemu y’impyiko. Impinduka runaka mu gene zishobora gutera imiterere cyangwa imikorere idasanzwe y’imikaya y’impyiko. Ibi bintu by’umurage bishobora kutaza gutera ibimenyetso kugeza mu myaka mike, nubwo ikibazo cyari gihari kuva umuntu avuka.
Hariho intandaro nke zikwiye kuvugaho. Kudakora neza kw’imitsi y’amaraso bishobora rimwe na rimwe kurenga ubushobozi bwa sisitemu y’impyiko. Imiti imwe, cyane cyane imiti igabanya umuvuduko w’amaraso, ishobora gutera kubika amazi. Gake cyane, udukoko dushobora kubuza amazi kuva, kandi zimwe mu ndwara zifata umubiri wose zishobora kugira ingaruka ku mikorere y’impyiko.
Ukwiye kuvugana n’abaganga bawe niba ubona kubyimbagira bidashira mu biganza, mu birenge, mu ntoki, cyangwa mu birenge bidakira iyo uhagaritse cyangwa uburuhukira. Kumenya hakiri kare no kuvura bigufasha kubuza iyi ndwara kuba mbi kandi bigabanya ibyago byo kugira ingaruka.
Shaka ubufasha bw’abaganga vuba niba ubona kubyimbagira gutangira k’umugayo, cyane cyane niba bifatanije n’ububabare, ubuhumyi, cyangwa ubushyuhe mu gice kibimbagira. Ibi bimenyetso bishobora kugaragaza indwara yitwa cellulitis, isaba kuvurwa vuba.
Ukwiye kandi kujya kwa muganga niba kubyimbagira bisanzwe kuba bibi cyane, niba ugira impinduka z’uruhu nko kubyimbagira cyangwa gukomera, cyangwa niba ubona indwara zikunze kugaruka mu gice kibimbagira. Ntugatege amatwi niba ugira ibibazo mu bikorwa bya buri munsi kubera kubyimbagira cyangwa niba ugira agahinda kubera impinduka mu mubiri wawe.
Fata nk’ibyihutirwa niba ugira umuriro hamwe no kubyimbagira kwiyongera, imirongo itukura ku ruhu rwawe, cyangwa niba agace kabimbagira kababara cyane kandi kakaba kashyuha. Ibi bimenyetso bigaragaza indwara ikomeye isaba ubufasha bw’abaganga vuba.
Ibintu byinshi bishobora kongera ibyago byo kurwara Lymphedema, kandi kubimenya bigufasha gufata ingamba zo kwirinda iyo bishoboka. Urwego rw’ibyago byawe biterwa n’ibintu udashobora kuyobora n’ibyo ushobora kugiraho ingaruka.
Ibintu byongera ibyago bikomeye harimo:
Ibintu bimwe na bimwe bishobora kandi kugira uruhare mu byago byawe. Kudakora imyitozo ngororamubiri bishobora kugabanya imikorere y’impyiko, mu gihe imirimo imwe isaba gukora ibintu byinshi cyangwa guhagarara igihe kirekire ishobora kugira uruhare. Kugenda mu turere indwara ziterwa n’udukoko zikunze kugaragaraho bishobora kandi kongera ibyago.
Ibyago bike harimo ibibazo bimwe by’umurage, indwara zifata umubiri wose zigira ingaruka ku mitsi, n’imiti imwe itera kubika amazi. Abagore bashobora kugira ibyago bike kubera impinduka z’imisemburo mu gihe cyo gutwita cyangwa mu gihe cy’ubukure, nubwo iyi mibanire itarasobanuka neza.
Nubwo Lymphedema ubwayo atari indwara yica, ishobora gutera ingaruka nyinshi niba idakurikiranwa neza. Gusobanukirwa izi ngaruka bishobora kugufasha kumenya ibimenyetso by’uburwayi no gushaka ubufasha bw’abaganga igihe bikenewe.
Ingaruka zisanzwe ushobora guhura nazo harimo:
Indwara zikwiye kwitabwaho cyane kuko zishobora kuba zikomeye vuba. Iyo sisitemu yawe y’impyiko idakora neza, umubiri wawe uba ufite ibibazo mu kurwanya udukoko twinjira mu bibikomere bito cyangwa mu bibikomere by’uruhu. Izi ndwara zishobora gukwirakwira vuba kandi zishobora gusaba kujya mu bitaro mu bihe bikomeye.
Ingaruka nke ariko zikomeye zishobora kubaho iyo Lymphedema imaze igihe kinini idakurikiranwa. Iminkanyari y’uruhu ishobora gutera ibikomere bidakira vuba. Gake cyane, kanseri yitwa lymphangiosarcoma ishobora kuba mu mubiri wabimbagira cyane, nubwo ibi bibaho mu kigero kiri munsi ya 1% cy’abantu bafite Lymphedema ikomeye.
Inkuru nziza ni uko kuvura neza no kwita ku mubiri bishobora kubuza ingaruka nyinshi. Gukurikirana buri gihe, kwita neza ku ruhu, no gukurikiza gahunda yawe yo kuvura bigabanya cyane ibyo byago.
Nubwo udashobora kwirinda Lymphedema y’ibanze kuko iterwa n’ibintu by’umurage, ushobora gufata ingamba zifatika kugira ngo ugabanye ibyago bya Lymphedema y’uburyo bwa kabiri cyangwa ubuze Lymphedema isanzwe kuba mbi. Kwiringira kwirinda kwibanda ku kurinda sisitemu yawe y’impyiko no kugumana imikorere myiza.
Niba uri mu kaga kubera kuvurwa kanseri, izi ngamba zishobora kugufasha:
Witondere cyane uburyo bwawe bwo kwita ku ruhu. Komeza uruhu rwawe rukeye kandi rumeze neza kugira ngo wirinde iminkanyari aho udukoko dushobora kwinjira. Koresha amavuta yo kwirinda izuba kugira ngo wirinde inkongi, kandi wambare uturango iyo uhindagura cyangwa ukora imirimo yo mu rugo kugira ngo wirinde ibikomere.
Imyitozo ngororamubiri igira uruhare rukomeye mu kwirinda. Imikorere yoroheje kandi ya buri gihe ifasha sisitemu yawe y’impyiko gukora neza. Koga, kugenda, n’imyitozo ngororamubiri ya Lymphedema byose bishobora kugira akamaro. Abaganga bawe cyangwa umuvuzi wa Lymphedema bashobora kugutegurira imyitozo ikubereye.
Kumenya Lymphedema bisanzwe bitangira muganga akurikirana agace kabimbagira kandi agasesengura amateka yawe y’ubuzima. Azareba ibimenyetso by’ubyimbagira kandi azakubaza ibimenyetso, uburyo bwo kuvura kanseri wabaye ufite, n’amateka y’umuryango wawe.
Muganga wawe ashobora gukora isuzuma ry’umubiri harimo gupima ingano y’ukuboko kwawe kabimbagira mu bice bitandukanye. Azagereranya ingano hagati y’uruhande rwabimbagira n’uruhande rutari bimbagira kandi arebe impinduka z’uruhu, iminkanyari iyo rukanuwe, no kudakora neza kw’ingingo.
Ibizamini bitandukanye bishobora gukoreshwa kugira ngo hamenyekane indwara kandi hagamijwe guhakana izindi ntandaro zo kubyimbagira. Lymphoscintigraphy ifatwa nk’ikizamini cyiza cyane - kigizwe no gukoresha igice gito cy’ibintu byanduye no gukurikirana uko byagenda mu sisitemu yawe y’impyiko hifashishijwe amashusho yihariye.
Ibindi bikoresho byo gupima harimo ultrasound yo gusuzuma imikaya yawe y’impyiko no guhakana amaraso akomeye, CT cyangwa MRI kugira ngo ubone amashusho arambuye ya sisitemu yawe y’impyiko, na bioimpedance spectroscopy yo gupima amazi mu mubiri wawe.
Mu bihe bimwe, muganga wawe ashobora kugutegurira ikizamini cy’umurage, cyane cyane niba Lymphedema y’ibanze ikekwana cyangwa niba ufite amateka y’umuryango w’iyi ndwara. Ibizamini by’amaraso bishobora kandi gukorwa kugira ngo hamenyekane izindi ntandaro zo kubyimbagira nko mu mutima, impyiko, cyangwa umwijima.
Kuvura Lymphedema kwibanda ku kugabanya kubyimbagira, kwirinda ingaruka, no kugufasha kugumana ubuzima bwiza. Nubwo nta muti wa Lymphedema, kuvura bikora neza bishobora kunoza cyane ibimenyetso byawe no kubuza iyi ndwara kuba mbi.
Ipfundo ryo kuvura Lymphedema ni Complete Decongestive Therapy (CDT), irimo:
Koresha ibintu bikomeye akenshi ni bwo buryo bwiza bwo kuvura igihe kirekire. Uzambara imyenda ikomeye ikurikiranye mu gihe cy’umunsi kugira ngo ufashe imikorere y’impyiko no kubuza kubyimbagira kugaruka. Iyi myenda igomba gupimwa neza kandi ihindurwe buri gihe kugira ngo ikomeze gukora neza.
Kubagira bafite iyi ndwara ikomeye, muganga wawe ashobora kugutegurira ubundi buryo bwo kuvura. Ibikoresho bya pneumatic compression bishobora gutanga umuvuduko uhindagurika kugira ngo bifashe kwambutsa amazi. Bamwe bagira akamaro mu buryo bwo kubaga nko kwimura imikaya y’impyiko, kubaga imikaya y’impyiko, cyangwa liposuction yo gukuraho umunyu mwinshi.
Imiti igira uruhare ruke mu kuvura Lymphedema, ariko antibiotike ni ingenzi mu kuvura indwara. Bamwe bashobora kugira akamaro mu miti igabanya amazi mu mubiri, nubwo atari bwo buryo nyamukuru bwo kuvura.
Kwita ku mubiri mu rugo ni ingenzi mu kugenzura ibimenyetso bya Lymphedema no kwirinda ingaruka. Ibikorwa bya buri munsi byo kwita ku mubiri bishobora kugira uruhare rukomeye mu buryo wumva kandi ukora ufite iyi ndwara.
Ibikorwa byawe bya buri munsi bigomba kuba birimo:
Kwita ku ruhu bikwiye kwitabwaho cyane mu bikorwa byawe byo mu rugo. Kwoza uruhu rwawe neza ukoresheje isabune yoroheje kandi ukamwumisha neza. Koresha amavuta mu gihe uruhu rwawe rukiri rutose kugira ngo urukingire. Suzuma hagati y’intoki zawe n’intoki kugira ngo urebe ibimenyetso by’indwara ziterwa n’ibinyampeke, zikunze kugaragara kuri Lymphedema.
Imyitozo ngororamubiri ni igice cy’ingenzi cyo kwita ku mubiri mu rugo, ariko igomba kuba yoroheje kandi ikubereye. Imyitozo yo guhumeka bishobora gufasha gukangurira imikorere y’impyiko, mu gihe imyitozo yoroheje yo kwerekana no kugenda itezimbere imikorere y’amaraso. Buri gihe wambare imyenda ikomeye mu gihe ukora imyitozo ngororamubiri keretse umuvuzi wawe akubwiye ibinyuranye.
Witondere imirire yawe n’amazi. Kuguma ufite amazi ahagije mu mubiri byafasha sisitemu yawe y’impyiko gukora neza, nubwo kubyimbagira. Gabanya umunyu kugira ngo ugabanye kubika amazi, kandi ugumane ubuzima bwiza kugira ngo ugabanye umuvuduko ku mpyiko zawe.
Gutegura uruzinduko rwawe bifasha guhamya ko uboneye igihe cyawe cyane n’abaganga bawe. Gutegura neza bigatuma hamenyekana indwara neza kandi kuvura bigapangwa neza.
Mbere y’uruzinduko rwawe, andika ibimenyetso byawe ufatanye amafoto y’agace kabimbagira kandi utondeke igihe kubyimbagira kuba kibi cyangwa cyiza. Pima ingingo zawe mu bice bimwe buri munsi niba bishoboka, kandi usige ibitabo by’ibimenyetso harimo ubukana bw’ububabare, impinduka z’uruhu, n’uburyo ibimenyetso bigira ingaruka ku bikorwa byawe bya buri munsi.
Kora dosiye y’amateka yawe y’ubuzima, cyane cyane amakuru yerekeye kuvurwa kanseri, kubaga, cyangwa imirasire wabaye ufite. Andika imiti yose ufata, harimo inyongeramusaruro n’imiti yo mu maduka. Andika amateka y’umuryango wa Lymphedema cyangwa indwara zifitanye isano.
Tegura ibibazo uzabaza muganga wawe. Tekereza kubaza ibyerekeye uburyo bwo kuvura, icyo witeze igihe kirekire, uburyo bwo kwirinda ingaruka, n’igihe ukwiye gushaka ubufasha bw’ibyihutirwa. Ntugatinye kubaza ibyerekeye ibikoresho byo gukoresha imyenda ikomeye, abavuzi ba Lymphedema mu karere kawe, cyangwa amatsinda y’ubufasha.
Zana inshuti cyangwa umuryango niba bishoboka. Bashobora kugufasha kwibuka amakuru no kugufasha mu byiyumvo. Kugira undi muntu uri aho bishobora kandi kugufasha kumva utekanye uganira ku ngingo zikomeye zerekeye uburyo Lymphedema igira ingaruka ku buzima bwawe.
Lymphedema ni indwara idakira ishobora kuvurwa ibaho iyo sisitemu yawe y’impyiko itabasha gukura amazi neza mu mubiri wawe. Nubwo isaba kwitabwaho no kwitabwaho buri gihe, abantu benshi bafite Lymphedema babaho ubuzima buzuye, bukora neza bafite kuvurwa neza no kwita ku mubiri.
Ikintu cy’ingenzi cyo kwibuka ni uko kumenya hakiri kare no kuvura bigira uruhare rukomeye mu musaruro. Niba ubona kubyimbagira bidashira bidakira iyo uburuhukira cyangwa uhagaritse, ntutegereze gushaka ubufasha bw’abaganga. Uko utangiye kuvurwa vuba, ni ko ugenzura ibimenyetso neza kandi ukirinda ingaruka.
Ibikorwa byawe bya buri munsi byo kwita ku mubiri bizaba igikoresho cyawe gikomeye cyo gucunga Lymphedema. Kwambara imyenda ikomeye, kwita neza ku ruhu, kuguma ukora imyitozo ikubereye, no gukurikiza gahunda yawe yo kuvura bishobora kugufasha kugumana ubuzima bwiza n’ubwigenge.
Wibuke ko Lymphedema igira ingaruka kuri buri wese mu buryo butandukanye, kandi icyakubereye cyiza bishobora gutwara igihe kugira ngo ubisobanukirwe. Jya wihangana uko ubigira uko ugenzura iyi ndwara, kandi ntutinye kuvugana n’itsinda ryawe ry’abaganga igihe ufite ibibazo cyangwa impungenge.
Lymphedema isanzwe ari indwara idakira idakira idafite kuvurwa. Ariko, hamwe no kuyobora neza harimo gukoresha imyenda ikomeye, imyitozo ngororamubiri, no kwita ku ruhu, ushobora kugabanya kubyimbagira no kubuza iyi ndwara kuba mbi. Kuvura hakiri kare akenshi bigatanga umusaruro mwiza igihe kirekire, bityo ni ingenzi kutazategereza kwiringira ko bizakira byonyine.
Lymphedema ishobora gutera kutumva neza, ariko kubabara cyane si byo bisanzwe. Abantu benshi bavuga ko bumva ibintu biremereye, bikomeye, cyangwa bibabaza mu gice kibimbagira aho kuba ububabare bukomeye. Niba ugira ububabare bukomeye, cyane cyane hamwe n’ubuhumyi cyangwa ubushyuhe, ibi bishobora kugaragaza indwara kandi bisaba ubufasha bw’abaganga vuba. Kuvura neza bisanzwe bifasha kugabanya ibibazo byose urimo guhura na byo.
Yego, imyitozo ngororamubiri ifitiye akamaro Lymphedema kandi ni igice cy’ingenzi cyo kuvura. Ibikorwa byoroheje nko kugenda, koga, n’imyitozo ngororamubiri ya Lymphedema bifasha guteza imbere imikorere y’impyiko kandi bishobora kugabanya kubyimbagira. Buri gihe wambare imyenda ikomeye mu gihe ukora imyitozo ngororamubiri kandi utangire buhoro buhoro ukurikije inama z’abaganga bawe. Kwirinda ibikorwa bishobora gukomeretsa agace kabimbagira cyangwa gutera umuvuduko mwinshi.
Abantu benshi bafite Lymphedema bagomba kwambara imyenda ikomeye igihe kirekire kugira ngo bagumane umusaruro wabo kandi babuze kubyimbagira kugaruka. Nubwo ibi bishobora kugaragara nk’ibikomeye mu ntangiriro, abantu benshi basanga imyenda ikomeye iba igice gisanzwe cy’ibikorwa byabo bya buri munsi, nko gukoresha iminwa. Itsinda ryawe ry’abaganga bazakorana nawe kugira ngo ubone imyenda ikurikiranye, ikubereye neza kandi ikubereye ubuzima bwawe.
Lymphedema ubwayo isanzwe idagira ingaruka ku gihe cy’ubuzima bwawe, kandi abantu benshi bafite iyi ndwara babaho ubuzima busanzwe, buzira. Ikintu cy’ingenzi ni ukwirinda ingaruka binyuze mu kuyobora neza no kuvura. Ingaruka zikomeye ni nke iyo Lymphedema igenzurwa neza, ariko Lymphedema idakurikiranwa ishobora gutera indwara zikunze kugaruka cyangwa ibindi bibazo bishobora kugira ingaruka ku buzima bwawe muri rusange. Gukurikiza gahunda yawe yo kuvura ni bwo buryo bwiza bwo kwirinda ibibazo.