Lymphedema - mhando, zvinokonzera, zviratidzo, kuongororwa, kurapwa

Proven content

Lymphedema chirwere chenguva refu umo mvura yakawandisa (lymph) inoungana mumatishu, zvichikonzera kuzvimba. Iyo lymphatic system chikamu chemuviri wemuviri uye yakakosha pakushanda kweiyo immune system. Mvura inonzi lymph inotenderera mu lymphatic system. Lymphedema inowanzokonzerwa nekuvharika muhurongwa uhu. Lymphedema inowanzobata imwe yemaoko kana makumbo. Mune zvimwe zviitiko, zvinogonawo kukanganisa maoko ose kana makumbo ose. Vamwe varwere vanogona kutozvimba musoro, sikarudzi kana chipfuva. Lymphedema hairapike asi inogona kudzorwa nekurapwa kwakafanira.

Lymphedema - maitiro uye marudzi

Lymphedema kuzvimba kwenhengo imwe kana kupfuura kunokonzerwa nekusafamba zvakanaka kwe lymphatic system.

Iyo lymphatic system inetiweki yemidziyo yakasarudzika (lymph midziyo) mumuviri wese kuti iunganidze yakawandisa lymph fluid pamwe nemapuroteni, lipids, uye tsvina kubva kumatishu. Mvura iyi inobva yaendeswa kune lymph nodes, iyo inosefa tsvina uye ine masero anorwisa utachiona anonzi lymphocytes.

Mvura yakawandisa mumidziyo ye lymph inopedzisira yadzokera muropa. Kana midziyo ye lymphatic yakavharwa kana kusakwanisa kudhonza lymph fluid kubva mumatishu, kuzvimba kwenzvimbo (lymphedema) kunoitika.

Lymphedema inowanzobata ruoko rumwe kana gumbo, asi haiwanzobata magumo ese ari maviri.

Primary lymphedema ndiwo mhedzisiro yeatomical abnormalities mumidziyo yelymphatic uye chirwere chisingawanzogarwa nhaka.

Secondary lymphedema imhaka yekukuvara kunoonekwa kana kuvharika kwemidziyo inowanzoshanda uye lymph nodes. Zvikonzero zvinowanzoitika zvechipiri lymphedema zvinosanganisira kukuvara kwemuchina, kuvhiyiwa, hutachiona uye fungal hutachiona, neoplastic tumors inodzvinyirira lymphatic midziyo, kuzvimba kweganda kana lymph nodes, kufutisa, filariosis, kusingaperi venous insufficiency, radiotherapy kana kunyange kushaya kwenguva refu. kurovedza muviri, kunokonzerwa eg . kukuvara.

Onawo: 10 nzira dzekurapa dzinodhura zvakanyanya

Lymphedema - zvikonzero

Pane zvikonzero zvakawanda zve lymphedema. Inogona kukonzerwa nekuremara kwekuzvarwa kana kuwanikwa. Nokudaro, lymphedema yakakamurwa kuva yekutanga uye yechipiri.

Zvikonzero zvekutanga lymphedema

Primary lymphedema is abnormality ye lymphatic system uye inowanzoitika pakuzvarwa, kunyange zvazvo zviratidzo zvingave zvisingaoneki kusvika gare gare muupenyu. Zvichienderana nezera iro zviratidzo zvinoonekwa, mafomu matatu ekutanga lymphedema anotsanangurwa. Yakawanda yekutanga lymphedema inoitika pasina nhoroondo yemhuri inozivikanwa yechirwere.

1. Congenital kuzvimba (congenital lymphedema) - inoonekwa mushure mekuzvarwa, inowanzoitika kuvakadzi uye inoverengera inosvika 10-25% yezvose zveprimary lymphedema kesi. Chikamu chevanhu vane congenital lymphedema vanogara nhaka yechirwere chinonzi Milroy's disease.
2. Kuzvimba kwekutanga (precocious lymphedema) - ndiyo inonyanya kuzivikanwa yeprimary lymphedema. Inotsanangurwa se lymphedema inoonekwa mushure mekuberekwa uye isati yasvika makore makumi matatu nemashanu, ine zviratidzo zvinowanzoonekwa mukuyaruka. Lymphedema praecox inowanikwa nekana muvakadzi kupfuura varume.
3. Kunonoka kuzvimba (late lymphedema) - lymphedema, inova pachena mushure memakore makumi matatu nemashanu, inozivikanwawo seMeige's disease. Iyo haina kuwanda kupfuura yenhaka lymphedema uye yekutanga lymphedema.

Zvikonzero zvechipiri lymphedema

Sekondari lymphoedema inokura apo inowanzoshanda lymphatic system yakavharwa kana kukuvara. Chikonzero chinowanzoitika kuvhiyiwa kenza yemazamu, kunyanya kana yasanganiswa neradiation therapy. Izvi zvinokonzeresa rimwe divi lymphedema muruwoko.

Chero rudzi rwekuvhiya runoda kubviswa kwema lymph nodes emunharaunda kana midziyo ye lymph ine simba rekukonzera lymphedema. Maitiro ekuvhiya ane chekuita nelymphedema anosanganisira kubvisa tsinga, lipectomy, kupisa vanga, uye peripheral vascular surgery.

Kukuvara kumalymph nodes uye lymphedema inotungamira kulymphoedema inogonawo kuitika kubva mukukuvadzwa, kutsva, mwaranzi, kutapukirwa, kudzvanywa, kuzvimba (semuenzaniso rheumatoid arthritis uye eczema), kana bundu kurwisa lymph nodes.

Zvisinei, pasi rose, filariasis ndiyo inonyanya kukonzera lymphedema. Filariasis chirwere chakananga che lymph nodes nechirwere cheWuchereria bancrofti. Chirwere ichi chinoparadzirwa pakati pevanhu neumhutu uye chinobata mamiriyoni evanhu munzvimbo dzinopisa uye dzinopisa dzeAsia, Africa, Western Pacific, uye dzimwe nzvimbo dzeCentral neSouth America.

Kupinda kweparasite kunokuvadza lymphatic system, zvichitungamira mukuzvimba kwemaoko, mazamu, makumbo uye, muvarume, nzvimbo yesikarudzi. Gumbo rose, ruoko kana nhengo yesikarudzi inogona kuzvimba zvakapetwa kakati wandei.

Mukuwedzera, kuzvimba uye kupera simba kwebasa re lymphatic system inoita kuti zvive zvakaoma kumuviri kurwisa utachiona. Lymphatic Filariasis ndiyo inonyanya kukonzera kuremara zvachose munyika.

Onawo: Maparasite uye isu

Lymphedema - zviratidzo

Lymphedema inowanzoitika mune imwe kana maoko maviri kana makumbo, zvichienderana nehukuru uye nzvimbo yechironda. Primary lymphedema inogonawo kuitika kune rimwe kana mativi maviri emuviri.

Lymphedema inogona kuoneka zvinyoro-nyoro kana kunetesa uye yakakomba, sezvakaita mufilariosis, umo gumbo rinogona kuzvimba kakawanda saizi yaro yenguva dzose. Kwenguva yekutanga, inogona kuonekwa nemunhu akabatwa seasymmetry pakati pemaoko kana makumbo, kana kuoma kwekugadzirisa muviri kune zvipfeko kana zvishongo. Kana kuzvimba kwacho kuchizotaurwa, kuneta kubva pakuremerwa pamwe chete nekunyara uye kufamba kushoma kunogona kuitika.

Kuwanda kwenguva refu kwemvura uye mapuroteni mumatishu kunotungamira mukuzvimba uye pakupedzisira mavanga ematishu, zvichitungamira mukuzvimba kwakanyanya, kwakasimba kusingaite pitting edema. Ganda riri munzvimbo ine ngozi rinoita gobvu uye rinogona kuita ganda rakaita bundu rinotsanangurwa se'peau d'orange' effect. Ganda rinorifukidza rinogonawo kuita scaly uye rakapwanyika, uye chechipiri bhakitiriya kana fungal chirwere cheganda chinogona kukura. Nzvimbo dzakakanganiswa dzinogona kunge dzakapfava uye dzichirwadza, uye panogona kunge paine kurasikirwa kwekufamba kana kuchinjika.

Zvimwe zviratidzo zvinogona kuperekedza lymphedema zvinosanganisira:

1. kutsvuka kana kuvava;
2. kurira kana kupisa kurwadziwa;
3. kupisa uye kutonhora;
4. kuderera kwekubatana kushanduka;
5. kurwadziwa kwakadzikama uye kunzwa kwekuzara munzvimbo inobatanidzwa;
6. kuputika kweganda.

Basa remasoja edziviriro rinokanganisawo munzvimbo dzine mavanga uye dzakazvimba dzakakanganiswa nelymphedema, zvichitungamira kuhutachiona hwenguva dzose uye kunyangwe bundu rakashata remidziyo ye lymphatic inozivikanwa semalignant lymphangioma (Latin. lymphangiosarcoma).

Onawo: Nzira yekuziva sei allergic rash? Zvinokonzera, zviratidzo uye kurapwa kweganda allergies

Lymphoedema - kuongororwa

Nhoroondo yehutano yakakwana uye kuongororwa kwepanyama kunoitwa kuti ibvise zvimwe zvikonzero zvekuzvimba kwemakumbo, zvakadai se edema kubva kune congestive heart failure, itsvo kukundikana, kuvhara ropa, kana mamwe mamiriro ezvinhu. Kazhinji, nhoroondo yezvehutano yekuvhiyiwa kana mamwe mamiriro anosanganisira lymph nodes acharatidza chikonzero uye kubvumira kuongororwa kwe lymphedema kuti iitwe.

Kana chikonzero chekuzvimba chisina kujeka, zvimwe zviedzo zvinogona kuitwa kuti zvionekwe chikonzero chekuzvimba munhengo iri kutaurwa.

1. Lymphoscintigraphy, kureva kuongorora kusaenzana kweiyo lymphatic system mukuyerera kana chimiro cheiyo lymph. Murwere anobayiwa nejekiseni diki-diki remushonga wemwaranzi inonzi radiotracer inofamba munzvimbo iri kuongororwa. Kamera yakakosha nekombuta pamusoro pemurwere zvinogadzira mifananidzo mukati memuviri wake inoratidza chero matambudziko mu lymphatic system. Mushonga wacho haurwadzi (kunyangwe iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge wabayiwa) uye mhedzisiro ishoma. Radioactive zvinhu zvinoburitswa kubva mumuviri wako kuburikidza weti.
2. A Doppler ultrasound inoongorora kuyerera kweropa uye kudzvanywa nekuratidzira mafungu eruzha epamusoro (ultrasound) kubva kumasero matsvuku eropa. Inogona kubatsira kuwana zvipingamupinyi uye kutonga kunze kwezvimwe zvikonzero zvinokonzera kuzvimba, zvakadai sekuvhara ropa.
3. MRI (Magnetic Resonance Imaging) inoshandisa magineti, masaisai eredhiyo, uye kombiyuta kutora nhevedzano yemifananidzo ine mativi matatu mukati memuviri. Inogona kuratidza mufananidzo chaiwo wemvura yakawedzera mumatishu.
4. CT (computed tomography) inoshandisa X-rays kuratidza yakadzama, mifananidzo yakachinjika yezvimiro zvemuviri wedu. CT inoratidzawo kuvhara mu lymphatic systems. Zvose CT uye MRI zvinoratidza kukura uye nhamba ye lymph nodes, iyo inobatsira kuziva rudzi rwekutanga lymphoedema.
5. Spectroscopic bioimpedance bvunzo isiri-invasive inoyera huwandu hwese hwemvura mumuviri wemurwere, zvese zviri kunze uye intracellularly. Makiriniki mazhinji anoshandisa bvunzo iyi kune varwere vari panjodzi yelymphedema nekuita nguva dzose, ongororo yenguva dzose kutarisa chero shanduko muhuwandu. Yakaratidzwa kuti inokwanisa kuona lymphedema zvisati zvaitika zviratidzo zvekuzvimba.
6. Dye lymphography - muedzo wakaitwa nekushandiswa kweindocyanine green (ICG - indocyanine green). Dhayi inobayiwa pasi peganda uye inotorwa kuburikidza ne lymphatic system. Yakakosha infrared kamera inomepu iyo lymphatic basa. Lymphography inyanzvi yekufungidzira iyo inokutendera kuti utarise kuyerera kwe lymphatic.

Lymphedema - kurapwa

Hapana mushonga we lymphedema. Mishonga ine chinangwa chekudzikisa kuzvimba uye kudzora kusagadzikana uye zvimwe zviratidzo.

Mishonga yekumanikidza inogona kubatsira kuderedza kuzvimba uye kudzivirira mavanga uye mamwe matambudziko. Mienzaniso yekurapa kwekumanikidza ndeye:

1. elastic sleeves kana masokisi: dzinofanira kukwana zvakanaka uye dzinopa kudzvinyirirwa zvishoma nezvishoma kubva kumucheto kwegumbo kuenda kuhunde.
2. mabhandeji: mabhandeji akasimba kumucheto kwegumbo uye akaputirwa zvakasununguka akananga kumuviri kuitira kukurudzira lymph drainage kubva kunhengo yakananga pakati pemuviri.
3. pneumatic compression zvishandiso: aya maSleeve kana masokisi akabatana nepombi inopa kudzvanya kwakatevedzana kubva kumucheto kwenhengo kuenda kumuviri. Inogona kushandiswa mukiriniki kana kumba uye inobatsira mukudzivirira mavanga kwenguva refu, asi haigone kushandiswa mumunhu wese, seaya ane congestive heart failure, deep vein thrombosis, kana zvimwe zvirwere.
4. masaja: masaja maitiro, anozivikanwa semanual lymphatic drainage, anogona kubatsira kune vamwe vanhu vane lymphedema, masaja anogona kuitwa nekuisa Propolia BeeYes BIO gel pamavanga uye mavanga, ane zvakare anti-edema maitiro, unogona zvakare kushandisa dombo rakaita semoyo. yekukwiza masaja Tadé Pays du Levant marble kana slate,
5. maekisesaizi: chiremba wako kana murapi wepanyama anogona kukuraira maekisesaizi anoomesa zvishoma uye kukurudzira tsandanyama mumaoko ako kana makumbo kuti akurudzire lymph flow.

Lymph, musanganiswa wemishonga inowanikwa paMedonet Market, ichabatsira kubvisa zviratidzo zve lymphedema. Izvo zvakakoshawo kuita kinesiotaping. Iwe unogona kuzviita iwe pachako kana iwe ukatenga iyo Cure Tape Kinesiotaping Starter Kit.

Kuvhiya kunoonekwa kana mamwe marapirwo asiri ekuvhiya asiri kushanda. Haasi munhu wese anoda kuvhiyiwa, asi zvimwe zviratidzo zvinogona kudzikiswa nekuvhiyiwa.

1. Lymphatic bypass nzira (Lymphatic bypass process): Mitsipa yeLymphatic uye tsinga zvakabatanidzwa uye zvinodzoserwa pazvipingamupinyi, zvichibvumira iyo lymphatic fluid kuyerera yakananga mutsinga yemuviri. Kufambira mberi kwemaitiro ekuvhiya iko zvino kuri kuderedza njodzi uye kugadzira nzira shoma shoma.
2. Kutamiswa kwemalymph nodes: Lymph nodes kubva kune dzimwe nhengo dzomuviri dzinoiswa munzvimbo dzine lymphatic system yakakuvadzwa. Iyi nzira inobatsira kudzorera hutano hwe lymphatic system munharaunda ino.
3. liposuction: Liposuction inzira iyo mafuta uye mamwe matishu anobviswa kuburikidza nekuchekwa kudiki mumuviri.
4. Debulking: Izvi zvinosanganisira kubvisa ganda rose, mafuta, uye matishu kubva munzvimbo yakakanganisika, uyezve kuisa ganda rekubatanidza pamusoro penzvimbo iyoyo. Inoshandiswa chete mumatambudziko akanyanya, akaoma.

Zvirwere zveganda uye zvinyama zvinosangana ne lymphedema zvinofanira kurapwa nokukurumidza uye zvinobudirira nemishonga inorwisa mabhakitiriya kuti irege kupararira muropa (sepsis). Varwere vanobatwa ne lymphedema vanofanira kugara vachicherechedza utachiona hwenzvimbo yakakanganiswa. Munzvimbo dzakakanganisika dzepasirese, diethylcarbamazine inoshandiswa kurapa filariasis.

Onawo: Zvishoma zvinonakidza chokwadi nezve transplantology

Lymphedema - matambudziko

Matambudziko akajairika e-lymphoedema kuzvimba kweganda uye anobatanidza tishu (cellulitis) uye lymphangitis (Latin. lymphangitis) Deep vein thrombosis (kuumbwa kweropa rekuvhara mutsinga dzakadzika) idambudziko rinozivikanwa re lymphedema. Mamwe matambudziko e-lymphoedema anosanganisira kusashanda zvakanaka munzvimbo yakakanganisika uye nyaya dzekuzora.

Vanhu vane chisingaperi, kwenguva refu lymphoedema kwemakore anopfuura gumi vane 10% mukana wekuita kenza ye lymphatic midziyo, inozivikanwa semalignant lymphangioma (Latin. lymphangiosarcoma) Gomarara rinotanga sebundu rakatsvuka kana kuti purplish rinoonekwa paganda ropararira nekukasika. Ibundu rine hukasha rinorapwa nekudimburwa gumbo rine chirwere. Kunyangwe nekurapa, kufungidzira kwakashata - pasi pe10% yevarwere vanorarama mushure memakore mashanu.

Zvakakosha kuziva kuti lymphedema inogona kukanganisa kuonekwa, uye izvi zvinogona kuva nemafungiro epfungwa, kunyanya kune vanhu vanorarama nekenza. Lymphedema inowedzera njodzi yekukura nekuora mwoyo.

Onawo: Acute lymphangitis

Lymphedema - kurovedza muviri

Vanhu vane lymphedema vanokurudzirwa kutungamira mararamiro ane hutano, kusanganisira nguva dzose kurovedza muviri uye kurovedza muviri. Nekudaro, mune zvimwe zviitiko, ungangoda rubatsiro rwenyanzvi kuti ikubatsire iwe kurovedza muviri zvisina njodzi uye zvinobudirira.

Zvidzidzo zvakaratidza kuti vakadzi vari panjodzi ye lymphedema mushure mekuvhiyiwa kenza yemazamu havazove panjodzi huru ye lymphedema mumaoko avo kana vakaita zvinyoro zvekusimudza maekisesaizi. Kurovedza muviri kwakadaro, vatsvakurudzi vanoti, kunogona kuderedza ngozi ye lymphedema.

Mhando dzemaekisesaizi dzinogona kubatsira dzinosanganisira idzo:

1. kuwedzera kushanduka;
2. vanodzidzira kutambanudza;
3. vanovaka simba.

Aerobic exercise inokurudzirwawo, iyo inotarisa pamusoro pemuviri wepamusoro, inobatsira kuderedza uremu, uye inokurudzira kufema kwakadzika.

Kana paine huremu kana shanduko yechimiro, magadzirirwo, kana kumwe kuchinjwa kwenhengo, inofanirwa kucherechedzwa. Izvi zvinogona kureva kuti nhanho yako yekurovedza muviri yakawandisa.

Nyanzvi dzinotenda kuti mhasuru dzinoita sepombi panguva yekurovedza muviri, kupomba lymph kunzvimbo dzinodiwa.

Nekudaro, hapana humbowo hwakakwana huchiri kutsigira chero rudzi rwekuita maekisesaizi kune lymphedema. Vakadzi vakavhiyiwa kenza yemazamu vanorayirwa kuti vatsvage rubatsiro rwenyanzvi dzemuviri kana imwe nyanzvi yezvehutano kuti ivabatsire kuwedzera zvishoma nezvishoma kuita kwavo.

Lymphedema - kudya kwakakodzera

Lymphedema inodzorwa zviri nani nemaitiro akanaka ekudya. Yedu lymphatic system inoshanda zvakanyanya nekutenda kune zvirinani zvinovaka muviri kubva zvishoma zvakagadziriswa, zvechisikigo chikafu (michero, miriwo, yakazara zviyo). Kudya zvine hutano kunotiswededza pedyo nehuremu hwedu hwakakodzera, icho chinhu chakakosha mukuderedza zviratidzo zvechirwere. Zvinoita kuti tinzwe zviri nani zvachose.

Kudya zvine utano kune lymphedema kunosanganisira mitemo inotevera.

1. Deredza kudyiwa kwezvokudya zvine munyu nemafuta akawanda.
2. Sanganisira inokwana 2 kusvika 4 masevhisi emuchero uye 3 kune 5 masevhisi emiriwo muurongwa hwekudya hwezuva nezuva.
3. Kudya zvakasiyana-siyana zvekudya kuti uwane kudya kwese kwaunoda.
4. Shandisa ruzivo rwemapepa ekurongedza kuita sarudzo yakanaka yehupenyu hune hutano.
5. Kudya chikafu chine fiber chakawanda sechingwa chegorosi, zviyo, pasta, mupunga, michero mitsva nemiriwo.
6. Kunwa mvura yakawanda - Magirazi masere e240 ml emvura pazuva anokurudzirwa.
7. Kuchengeta uremu hwemuviri hwakakodzera. Nyanzvi yezvekudya yakanyoreswa kana chiremba anogona kukubatsira kuverenga uremu hwemuviri wako wakakodzera mamiriro aya uye tinogona kuyera BMI yako.
8. Kudzivisa zvinwiwa zvinodhaka.

Onawo: Kukanganisa data. Tinodya nyama nezviwitsi zvakawandisa uye hove nemuriwo hazvikwani

Lymphedema - kudzivirira

Primary lymphedema haigoni kudziviswa, asi matanho anogona kutorwa kuderedza dambudziko rekuita lymphedema kana pane ngozi yechipiri lymphedema, semuenzaniso mushure mekuvhiyiwa kwekenza kana kurapwa kwemwaranzi.

Matanho anotevera anogona kubatsira kuderedza njodzi yekuvandudza lymphedema kune vanhu vari pangozi yechipiri lymphedema.

1. Chengetedza ruoko kana gumbo rako. Dzivisa kukuvadza nhengo inenge yabatwa. Maronda, kukwarwa nekutsva zvinogona kukonzera utachiona. Zvidzivirire kubva kuzvinhu zvinopinza. Somuenzaniso, shaura nebadza remagetsi, pfeka magirovhosi paunenge uchishanda mugadheni kana kuti uchibika, uye shandisa thimble pakusona. Kana zvichiita, dzivisa nzira dzokurapa dzakadai sokutorwa ropa uye kubaisa majekiseni enhengo inenge yabatwa.
2. Rega mitezo yako izorore. Mushure mekurapa kenza, kurovedza muviri uye kutambanudza zvinokurudzirwa. Nekudaro, dzivirira kuita zvinonetsa kudzamara wapora kubva pakuvhiyiwa kana radiation.
3. Dzivisa kunzwa kunodziya paruoko kana gumbo. Usaise ice kana ma compresses anodziya kunhengo yakabatwa. Uyewo chengetedza nhengo inorwara kubva pakutonhora kwakanyanya.
4. Simudza ruoko rwako kana gumbo. Kana zvichiita, simudza nhengo yakabatwa pamusoro pemwoyo.
5. Gara pasi zvakanaka. Kuti uchengetedze makumbo ako achiyerera, edza kudzidzira kumira zvakanaka nekuchengetedza tsoka dzako pasi uye kudzivisa kuyambuka makumbo ako. Edza kusagara kweanopfuura maminetsi makumi matatu.
6. Dzivisa zvipfeko zvinobata. Dzivisa chero chinhu chinogona kupinza ruoko rwako kana gumbo, sehembe dzinokupinza uye, kana iri yekumusoro ruoko, macuffs eBP. Kumbira kuyera BP kune rumwe ruoko.
7. Chengeta ruoko rwako kana gumbo rakachena. Ita kuti ganda uye mbambo kutarisira kuve kwekutanga. Tarisa ganda reruoko kana gumbo zuva rega rega kuitira shanduko kana kuputika kweganda kunogona kutungamirira kuhutachiona. Usaenda usina shangu. Gara uchizora sunscreen (SPF 30 kana kupfuura) paunenge uchibuda panze. Chengeta ganda rako rakachena. Nyatsoomesa ganda (kusanganisira pakati peminwe nezvigunwe). Isa mafuta kune ganda rakapoteredza, asi kwete pakati peminwe yako. Geza maoko ako nguva nenguva nesipo nemvura inodziya, kunyanya usati wagadzirira kudya, uye wapedza kushandisa imba yekugezera kana kubata machira emubhedha ane tsvina kana mbatya.