Ukukhula Kwamathambo

ILymphedema ibhekisela ekukhuleni kwamaseli okubangelwa ukubuthana kwelaphu eliphezulu kwamaprotheni, elihlanjululwa ngokuvamile yi-lymphatic system yomzimba. Ngokuvamile ithinta izandla noma imilenze, kodwa ingase futhi ibonakale ohlangothini lwesifuba, esiswini, entanyeni nakwizitho zangasese. Ama-lymph nodes ingxenye ebalulekile yesistimu yakho ye-lymphatic. I-Lymphedema ingabangelwa ukwelashwa komdlavuza okususa noma okonakalisa ama-lymph nodes akho. Noma iyiphi inkinga evinelayo ukugeleza kwelaphu le-lymph ingabangela i-lymphedema. Izimo ezinzima ze-lymphedema zingathinta ikhono lokunyakaza ilungu elithintekile, zikhulise ubungozi bokutheleleka kwesikhumba ne-sepsis, futhi zingabangela ukushintsha kwesikhumba nokuwohloka. Ukwelashwa kungafaka i-bandages ecindezelayo, ukumomotheka, izokisi ecindezelayo, ukupompa okuqhubekayo kwe-pneumatic, ukunakekelwa kwesikhumba ngokucophelela, futhi, ngokungavamile, ukuhlinzwa ukususa insimbi ebukhulu noma ukudala izindlela ezintsha zokuphuma.

I-sistimu ye-lymphatic iyinxalenye yesistimu yomzimba yokukhusela, evikela ekuthelelekeni nasezifweni. I-sistimu ye-lymphatic ihlanganisa i-spleen, i-thymus, ama-lymph nodes nama-lymph channels, kanye nama-tonsils nama-adenoids.

ILymphedema ukukhuphuka kokukhula kwesandla noma olunye uhlangothi. Kwizimo ezingavamile, kuthinta womabili ama-arms noma womabili imilenze. Kungathinta futhi udonga lwesifuba kanye nesisu.

Amaphawu nezibonakaliso ze-Lymphedema afaka:

• Ukukhula kwengxenye noma yonke ingalo noma umlenze, kuhlanganise iminwe noma iithumba
• Ukuzwa okunzima noma okubopha
• Ukulinganiselwa kokunyakaza
• Ukutheleleka okuphindaphindayo
• Ukukhula nokuqina kwesikhumba (i-fibrosis)

Amaphawu nezibonakaliso angaba ukusuka kokulinganiselwe kuya kokukhulu. I-Lymphedema ebangelwa ukwelashwa komdlavuza ingase ingabonakali kuze kube ngenyanga noma eminyakeni eminingi ngemuva kokwelashwa.

Yenza i-aphoyintimenti nodokotela wakho uma ubona ukukhula okuqhubekayo esandleni sakho noma emilenzeni. Uma usuvele uthola ukuxilongwa kwe-lymphedema, bona udokotela wakho uma kukhona ukwanda okukhulu ngokungazelelwe ubukhulu belungo elihilelekile.

Uhlelo lwe-lymphatic yilona nethiwekhi yezinsimbi eziyisa i-lymph fluid ecebile ngamaprotheni kulo lonke umzimba. Yingxenye yesistimu yakho yokukhulula. Ama-lymph nodes asebenza njengezifilthi futhi aqukethe amakhemikhali alwa nokutheleleka nomdlavuza. I-lymph fluid isunduzwa ngezinsimbi ze-lymph ngokucindezeleka kwemisipha njengoba uqhubeka nemisebenzi yosuku lwakho kanye nama-pump amancane odongeni lwezinsimbi ze-lymph. I-Lymphedema ivela lapho izinsimbi ze-lymph zingakwazi ukuphuma kahle i-lymph fluid, ngokuvamile esandleni noma emilenzeni. Izimbangela ezivame kakhulu ze-lymphedema zihlanganisa: Umdlavuza. Uma amaseli omdlavuza evala izinsimbi ze-lymph, i-lymphedema ingase ibe yimphumela. Ngokwesibonelo, i-tumor ekhula eduze kwe-lymph node noma i-lymph vessel ingakhula ngokwanele ukuvimba ukugeleza kwe-lymph fluid. Ukwelashwa ngomgogodla womdlavuza. Umgogodla ungabangela ukwenzakala nokutheleleka kwama-lymph nodes noma izinsimbi ze-lymph. Ukuhlinzwa. Ekukheleni komdlavuza, ama-lymph nodes avame ukususwa ukuze kubonwe ukuthi isifo sisakaze. Noma kunjalo, lokhu akuholeli njalo e-lymphedema. Izilokazane. Emazweni asathuthuka ase-tropics, imbangela evamile kakhulu ye-lymphedema yikutheleleka ngezinambuzane ezifana nezintambo ezivimba ama-lymph nodes. Ngokungavamile, i-lymphedema ivela ezimweni ezidluliselwa ezizukulwaneni lapho uhlelo lwe-lymphatic lungathuthuki kahle.

Izici ezingase zikhulise ingozi yokuthuthukisa i-lymphedema zihlanganisa:

• Ubudala obukhulu
• Isisindo esiningi noma ukukhuluphala
• I-rheumatoid noma i-psoriatic arthritis

Izinkinga ze-Lymphedema zingafaka:

• Ukutheleleka kwesikhumba (i-cellulitis). Amanzi abambekiwe anikeza indawo enhle yebhaktheriya, futhi ukulimala okuncane engalweni noma emilenzeni kungaba yindawo yokungena kokutheleleka. Isikhumba esithintekayo sibonakala siqabukile futhi sibomvu futhi ngokuvamile sibuhlungu futhi sishisa uma usilithinta. Udokotela wakho angakunikeza ama-antibiotics ukuze uwabeke eduze ukuze uqale ukuwasebenzisa ngokushesha.
• I-sepsis. I-cellulitis engaphathwe ingasakazeka egazini futhi ibeka i-sepsis — isimo esingaba yingozi ebomini esiqala lapho impendulo yomzimba ekuthelelekeni yonakalisa izicubu zayo. I-sepsis idinga ukwelashwa ngokuphazamisekile kwezokwelapha.
• Ukubaleka ngesikhumba. Ngokuqabuka okukhulu, amanzi e-lymph angaphuma ngokuqhekeka okuncane esikhumbeni noma abangele amabhubhu.
• Ukushintsha kwesikhumba. Kubantu abane-lymphedema enzima kakhulu, isikhumba somalunga othontekile singaqina futhi siqine kangangokuba sifana nesikhumba senqama.
• Umgwala. Uhlobo oluyimfihlo lomdlavuza wezicubu ezithambile lungabangelwa amacala anzima kakhulu e-lymphedema engaphathwe.

Uma ukhona engozini yokuba ne-lymphedema — umzekelo, uma usanda kwenza ukuhlinzwa komdlavuza okuhilela ama-lymph nodes — udokotela wakho angase aqonde i-lymphedema ngokusekelwe ezimpawu zakho nasezinkingeni. Uma imbangela ye-lymphedema yakho ingabonakali, udokotela wakho angase ayalele ukuhlolwa kwezithombe ukuze abone uhlelo lwakho lwe-lymph. Ukuhlolwa kungafaka: - I-MRI scan. Usebenzisa insimu yamagnethi namaza omsakazo, i-MRI yenza izithombe ze-3D, eziphezulu ze-resolution ze-tissue ehilelekile. - I-CT scan. Lobu buchwepheshe be-X-ray buveza izithombe eziningi, eziqhelelene zezakhiwo zomzimba. I-CT scans ingabonisa ukuphahlazeka ohlelweni lwe-lymphatic. - I-Ultrasound. Lo mviwo usebenzisa amaza omsindo ukuveza izithombe zezakhiwo zangaphakathi. Kungasiza ukufumana izithiyo ohlelweni lwe-lymphatic nasesistimu ye-vascular. - I-Lymphoscintigraphy. Phakathi nalesi sivivinyo, umuntu uthunyelwa umbala onomsebenzi omkhulu bese eskenwa yomshini. Izithombe eziphumayo zibonisa umbala uhamba ngezitsha ze-lymph, kubonisa ukuphahlazeka.