I-Lymphedema kanye ne-Cylous Complications

Ukuhlinzwa Kwe-Lymphedema e-Hyderabad, India

Kwenzeka lapho uketshezi lwe-lymph luqoqana ezicutshini ezithambile, ngokuvamile ezingalweni nasemilenzeni. Ezimweni ezijwayelekile, ama-node ohlelo lwe-lymphatic ahlunga uketshezi lwe-lymph, olucebile ngamaprotheni. I-lymph fluid iqoqana futhi ibangele ukuvuvukala lapho ama-node evimbekile, okukhawulela kakhulu amandla awo okuhlunga.

I-CARE Hospitals Department of Urology inikeza ukuhlolwa okuphelele, ukuxilonga, kanye nokwelashwa ezigulini ezihlushwa i-chylous, kungakhathaliseki ukuthi ngabantu abadala noma izingane.

Umgomo wethu uwukuba isibhedlela esihamba phambili sokuhlinza emhlabeni ngokuhlinzeka ngokuxilonga, ukwelashwa, ukuvimbela, kanye nezinsizakalo zohlu olubanzi lwe-urological and ukuphazamiseka kwezinso.

I-lymphedema iwuthinta kanjani umzimba wami?

I-Lymphedema ingabangela ukuvuvukala ezingxenyeni ezihlukahlukene zomzimba, okuhlanganisa izingalo, imilenze, nezinyawo, okuholela ekuphatheni kabi nobunzima bokwenza imisebenzi yansuku zonke. Abantu abane-lymphedema bavame ukuzwa ubuhlungu obungokomzimba futhi bangase bazizwe benamahloni ngenxa yoshintsho ekubukekeni kwabo okubangelwa yileso simo.

Izigaba ze-lymphedema

Izigaba ze-lymphedema zihlukaniswa ngokulandelayo:

• Isigaba 0: Isifunda esithintekile singase sibe nemizwa yokuvuvukala, ukucinana, kanye nobunzima, nakuba zingekho izimpawu ezibonakalayo zokuvuvukala ngaphandle.
• Isigaba I: Ukuvuvukala ngezikhathi ezithile kungase kwenzeke, okuvame ukuxazululeka lapho indawo ethintekile iphakanyisiwe.
• Isigaba II: Ukuvuvukala okungapheli kubonakala endaweni ethintekile, isikhumba sizizwa siqinile uma siqhathaniswa nezindawo eziseduze.
• Isigaba III: Kukhona ukuvuvukala okuphawulekayo, okuhambisana nezinguquko ezibonakalayo embala wesikhumba kanye nokuthungwa endaweni ethintekile.

Izimpawu

Ukuvuvukala, Ubunzima, Ukuqina & Ukuluma: Isitho esithintekile noma isitho somzimba singase sibe nokuvuvukala kanye nobunzima, kanye nokucinana nokuluma.

Ukuvuvukala Okuqhubekayo

• Kungase kube nokuvuvukala kancane kancane kwesitho esithintekile okunciphisa kakhulu ukuhamba.
• Izinkinga Zesikhumba: Izifo, Ukuqina & Ukuqina
• Njengoba i-lymphedema iqhubeka, ingaholela ekuthelelekeni kwesikhumba okuphindaphindiwe, ukuvuvukala kwezicubu ezithambile okungenakulungiseka, futhi, ekugcineni, ukuqina nokuqina kwesikhumba.

Izimbangela

I-lymphedema eyinhloko yenzeka lapho ama-lymph nodes kanye/noma imithambo yegazi ingakhuli kahle. Ikakhulukazi isimo sabesifazane. Izimpawu zivame ukuvela ngemva kokuzalwa, nakuba ukuntuleka kungase kube khona kakade ekuzalweni. Indawo ejwayeleke kakhulu ye-lymphedema isemilenzeni, kodwa ingathinta noma iyiphi ingxenye yomzimba.

I-Lymphedema yesibili ekwelapheni ngemisebe, ukususwa kwamanodi e-lymph, ukulimala kwemithambo yegazi noma ukucekelwa phansi njenge umphumela wokwelashwa ngemisebe, noma i-lymphatic filariasis (i-elephantiasis) iyisizathu esivame kakhulu se-lymphedema yesibili. Ukwengeza, kungase kubangelwe ukugcwala okungapheli kwesimiso se-lymphatic okubangelwa izifo zesikhumba eziphindaphindiwe, izinkinga zemithambo yegazi, noma ukukhuluphala. Ku-lymphedema yesibili, ama-lymph nodes awekho noma alimele engxenyeni yomzimba ngokuvuvukala.

Sifo

Ezimweni lapho ukuvuvukala kwenzeka ngaphandle kobuhlungu ngemva kokukhipha ama-lymph nodes noma lapho ama-lymph nodes owonakele esuswa, lokhu kungase kubonise i-lymphedema. Ukuhlolwa komzimba kwesitho esithintekile noma ingxenye yomzimba ngezinye izikhathi kwanele ukuze kuqinisekiswe ukuxilongwa.

Ukuhlolwa Kungase Kudingeke 

Izinketho zokwelapha ngezinye izikhathi zingabonakala nge-lymphoscintigraphy, indlela yokuthwebula ye-lymphatic system.

Ukwelashwa

Ukuthatha ukwelashwa okufanele kwe-lymphedema kungavimbela izinkinga zesikhathi esizayo ezifana nokutheleleka kwemithambo ye-lymph (i-lymphangitis), izifo ezibangelwa amagciwane esikhumbeni (i-cellulitis), kanye nohlobo lomdlavuza wezicubu ezithambile okuthiwa i-lymphangiosarcoma.

Ukuze welaphe izimpawu ze-lymphedema, ukwelashwa kokucindezela kufakazelwa ukuthi kuyindlela ethembekile nephumelelayo. Ngokucindezela imilenze nezinyawo ezingezansi, amasokisi/amasokisi okucindezela akhuthaza ukujikeleza kwegazi okunempilo. Phakathi neseshini yokucindezela okukhulu, izinyawo ezivuvukalayo ziyancishiswa, i-lymph iyashukunyiswa, futhi izibazi nokuluma kwesikhumba nakho kuyavinjelwa.

Nazi ezinye izindlela ezilula zokunciphisa ingozi ye-lymphedema:

• Gcina wakho isisindo somzimba ezingeni elinempilo.

• Ungagqoki izingubo ezimpintshayo.

• Vikela izingalo nemilenze yakho ekulimaleni.

• Gcwalisa isikhumba sakho nsuku zonke ukuze uvimbele izifo.

• Ngemuva kokwelashwa komdlavuza, qiniseka ukuthi uzivocavoca njalo ukuze wakhe amandla nokuvumelana nezimo.

• Qiniseka ukuthi ugqoka amasokisi okucindezela aqediwe.

• I-Lymphedema iyinkimbinkimbi uma inganakwa ezigabeni zokuqala.

Izinkinga

I-Lymphedema eyenzeka ngokuphindaphindiwe noma engelashwa ingase ibangele ezinye izinkinga. Ezinye zazo zihlanganisa:

Nge-lymphedema, kuvamile ukuhlushwa iziqephu eziphindaphindiwe ze-cellulitis. I-Cellulitis ibangelwa amagciwane asezingqimbeni ezijulile zesikhumba nasezicutshini ezithambile ezingaphansi kwesikhumba.

I-Lymphangitis ukuvuvukala kwemikhumbi ye-lymph okubangelwa ukutheleleka kwebhaktheriya okubangelwa i-Streptococcus. Amagciwane egazini angabangela i-bacteraemia uma isakazeka esikhumbeni nasezicutshini ezithambile eziseduze. Uma ingelashwa, ingabangela i-cellulite.

Kulabo abaye baphila nomdlavuza, i-lymphedema ingathinta ukubukeka kwabo, okungaba nomthelela ongokwengqondo. Kungase kuholele ngisho namazinga aphezulu okucindezeleka. 

Yiziphi i-Cylous Ascites?

I-chyle iqukethe i-lymph namaconsi amancane amafutha. Ithwala amafutha namaprotheni, isiza umzimba ukulwa namagciwane, futhi igcine izinga loketshezi emzimbeni.

I-Cyle ithuthelwa emgudwini wegazi ngemithambo ye-lymph. Igazi libe selithwala i-lymph namafutha liye lapho liya khona.

Endabeni ye-lymphatics eyonakele noma engasebenzi, lokhu kugeleza okuvamile akukwazi ukwenzeka. U-Chyle akakwazi ukungena emgudwini wegazi futhi avuzele kwezinye izindawo esikhundleni salokho. Ama-ascites asuka ku-chylous ascites avuzela esiswini.

Izimpawu Nezimpawu Ze-Cylous Ascites

Naphezu koketshezi oluncane esiswini, i-chylous ascites ingase ingabangeli izimpawu. Uketshezi lungakheka futhi lubangele:

• isisu esikhulu esiyindilinga

• ukuvuvukala noma iqhubu kunkinobho yesisu (umbilical hernia)

• ukulahlekelwa ukudla

• isigaxa esisodwa noma ngaphezulu ku-groin (kusuka ku-hernia noma ama-lymph nodes avuvukele)

• ukuvuvukala kwezitho zangasese noma imilenze

• ukukhathazeka ukuphefumula

• oluhlanzayo

Ibangela i-Chylous Ascites

Lesi simo ngokuvamile sithinta izingane ngoba:

• Ingane izalwa inenkinga ohlelweni lwe-lymphatic.

• Ukuhlukumezeka okulimaza imikhumbi ye-lymph

Ukuxilongwa kweCylous Ascites

Ama-ultrasound angaphambi kokubeletha abonisa uketshezi esiswini somntwana angase asikisele ama-chylous ascites ngaphambi kokuba ingane izalwe. Ukuhlolwa okwengeziwe kuzokwenziwa ukuze kuqinisekiswe lokhu kuxilongwa.

Ezinganeni nasezinsaneni, odokotela bazohlola uketshezi olusesiswini. Amasampula aqoqwa ngenaliti, bese ethunyelwa elebhu ukuze ahlaziywe. Ama-X-ray, ama-ultrasounds, ama-CT scan, noma ama-MRIs angenziwa ukuze kutholakale ukuthi uketshezi lungene kanjani esiswini nokuthi uketshezi lune-chyle yini.

Ukuhlinzwa kwe-laparoscopic kungasetshenziswa uma odokotela bedinga ulwazi olwengeziwe. Ukuze bathole izinkinga, benza ukusikeka okuncane esiswini futhi basebenzise ikhamera nezinsimbi ezincane.

Ukwelashwa kwe-Cylous Ascites

Odokotela bazoqapha ngokucophelela ukukhulelwa kukamama uma umbungu une-chylous ascites. Uma esebelethile, ingane iyonakekelwa eNICU.

Ukwelashwa kuncike ekutheni yini edala isimo. I-cystic ascites ebangelwa ukuvuza ohlelweni lwe-lymphatic ingase iphole ngokwayo.

Uma kudingekile, ukwelashwa kungase kuhlanganise:

• Inalithi isetshenziswa ukukhipha uketshezi esiswini.

• Imisele ifakwa ngaphansi kwesisu ukuze uketshezi luphume.

• Ukudla okunamafutha aphansi, umuthi, noma ukudla okunomsoco we-IV (ingqikithi yokudla okunomsoco, noma i-TPN) kungase kunciphise ukukhiqizwa komzimba kwe-chyle.

• Isazi se-radiologist esingenele singalungisa isitsha se-lymph.