Kuvhiringidzika kweLymphatic

Kuvhiringidzwa kweLymphatic kuvhara kwemidziyo yeLymph iyo inoburitsa mvura kubva munyama mumuviri wese uye inobvumira maseru ekudzivirira kufamba kwaanodiwa. Kuvharika kweLymphatic kunogona kukonzera lymphedema, zvinoreva kuzvimba nekuda kwekuvharika kwenzvimbo dzema lymph.

Chikonzero chakajairika chekuvharirwa kweLymphatic ndiko kubviswa kana kuwedzera kwema lymph node.

Zvimwe zvikonzero zvekudzivirira lymphatic zvinosanganisira:

• Zvirwere nezvipembenene, zvakadai se filariasis
• Kukuvadza
• Radiation kurapa
• Zvirwere zveganda, senge cellulitis (zvinowanzoitika kune vanhu vakafutisa)
• Kuvhiya
• Mamota

Chikonzero chinowanzoitika che lymphedema kubvisa zamu (mastectomy) uye underarm lymph tishu yekurapa kenza yemazamu. Izvi zvinokonzeresa lymphedema yeruoko mune vamwe vanhu, nekuti iyo lymphatic drainage yeruoko inopfuura nepanhengo (axilla).

Kazhinji mafomu e-lymphedema aripo kubva pakuberekwa (kuberekwa) anogona kukonzerwa nezvinetso mukuvandudzwa kwemidziyo yeLymphatic.

Chiratidzo chikuru chinoramba (chisingaperi) kuzvimba, kazhinji kweruoko kana gumbo.

Anopa hutano anoita bvunzo dzepanyama uye obvunza nezve nhoroondo yako yekurapa. Izvi zvinosanganisira mibvunzo nezve kuti kuwanda kunovandudzika sei nekukwirisa uye kuti matukisi akasimba sei.

Iyi bvunzo inotevera inogona kuitwa:

• CT kana MRI scan
• Kufungidzira bvunzo kutarisa lymph node uye lymph drainage (lymphangiography uye lymphoscintigraphy)

Kurapa kweLymphedema kunosanganisira:

• Kumanikidza (kazhinji nekuputira mumabhandeji kana masokisi)
• Chinyorwa lymph drainage (MLD)
• Range rekufamba kana kuramba maitiro

Manual lymph drainage inzira yakajeka yekurapa maitiro. Munguva yekukwiza muviri, ganda rinofambiswa mune mamwe maratidziro anoenderana neyakaumbwa lymphatic system. Izvi zvinobatsira iyo lymph fluid kubuda kuburikidza nenzira dzakakodzera.

Kurapa zvakare kunosanganisira kutarisirwa kweganda kudzivirira kukuvara, hutachiona, uye kuparara kweganda. Chiedza chechiedza uye zvirongwa zvekufamba zvinogona zvakare kunyorerwa. Kupfeka zvipfeko zvekumanikidza munzvimbo yakakanganiswa kana kushandisa pneumatic compression pombi kunogona kubatsira. Wako mupi uye wepanyama murapi achasarudza kuti ndedzipi nzira dzekumanikidza dzakanakisa.

Kuvhiya kunoshandiswa mune dzimwe nguva, asi kune kubudirira kushoma. Chiremba anovhiya anofanirwa kuve neruzivo rwakawanda nemhando iyi maitiro. Iwe unenge uchiri kuda kurapwa kwemuviri mushure mekuvhiyiwa kuti uderedze lymphedema.

Mhando dzekuvhiya dzinosanganisira:

• Liposuction
• Kubviswa kweasina kujairika lymphatic tishu
• Kuisirwa kweakajairwa lymphatic tishu kuenda kunzvimbo dzine isina kujairika lymphatic drainage (zvisingawanzoitika)

Muzviitiko zvisingawanzoitika, kuvhiyiwa kwekupfuura zvisina kujairika lymph matissue uchishandisa vein grafts kunoitwa. Maitiro aya anonyanya kushanda kune yekutanga lymphedema uye anofanirwa kuitwa nachiremba ane ruzivo.

Lymphedema chirwere chisingaperi chinowanzoda manejimendi kweupenyu hwese. Mune zvimwe zviitiko, lymphedema inovandudzika nenguva. Kumwe kuzvimba kunowanzo gara.

Mukuwedzera pakuzvimba, matambudziko akajairika anosanganisira:

• Maronda asingagumi uye maronda
• Kuparara kweganda
• Kenza yeiyo lymph tishu (isingawanzoitika)

Ona mupi wako kana iwe uine kuzvimba kwemaoko ako, makumbo, kana ma lymph node asingapindure kurapwa kana kuenda.

Vazhinji vanovhiya izvozvi vanoshandisa nzira inonzi sentinel lymph node sampling kuti uderedze njodzi yako yeLymphedema mushure mekuvhiyiwa nekenza yemazamu. Zvisinei, iyi nzira haisi nguva dzose yakakodzera kana inoshanda.

Lymphedema

• Lymphatic maitiro
• Yera nzwara chirwere

Feldman JL, Jackson KA, Armer JM. Lymphedema kuderedzwa kwenjodzi uye manejimendi. Mune: Cheng MH, Chang DW, Patel KM, eds. Nheyo uye Maitiro eLymphedema Kuvhiya. Philadelphia, PA: Elsevier; 2016: chits. 9.

Rockson SG. Lymphedema: kuongorora uye kuita sarudzo. Mune: Sidawy AN, Perler BA, eds. Rutherford Kuvhiya kweVascular uye Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chap 168.