Limfostazom - izo ... limfostazom: Zoyambitsa, Zizindikiro, Matendawa ndi Chithandizo

Lymphedema (komanso lymphostasis) - chotupa kapena kutupa kwa nthambi (mkono kapena mwendo). Nthawi zina, matendawa amakhudza miyendo onse chapamwamba ndipo m'munsi.

Nthawi zambiri, lymphedema kumachitika chifukwa kuchotsa kapena choipa kwa mwanabele mankhwalawa khansa. Mwamsanga chifukwa - mapangidwe blockages mu dongosolo lymphatic, chomwe ndi mbali ya chitetezo cha m'thupi. Zotsatira Occlusion mu kudzikundikira lymph, choncho - kuti chotupa cha.

Mwatsoka, sikutheka kuti apambane lymphostasis. Chithandizo cha mankhwala, komanso njira zina polimbana ndi lymphedema, umalimbana yekha pa kuchepetsa kutupa ndi ululu. Bwino mankhwala zimadalira matenda yake ndi kuwasamalira bwino kuti nthambi akhudzidwa.

zizindikiro

Zizindikiro ndi zizindikiro lymphostasis zidzachitika dzanja kapena mwendo, ndi monga zinthu zotsatirazi:

• Full kapena tsankho kutupa kwa manja ndi mapazi, kuphatikizapo zala.
• Kulemera kapena stiffness.
• Limited osiyanasiyana apaulendo.
• Ululu kapena kusamva.
• matenda kobwereza.
• Thickening ndi kuwuma kwa khungu (fibrosis).

Kutupa chifukwa cha lymphedema, zingakhale pafupifupi imperceptible, kapena M'malo mwake, ndi kwakuti ntchito dzanja kapena mwendo amakhala ovuta kwambiri. Ngati chifukwa cha matenda anali matenda a khansa, m'makona lymphostasis zingachitike m'miyezi yochepa kapena zaka pambuyo pa mapeto a mankhwala.

Ngati inu mungazindikire kuti mwendo kutupa kapena mkono alibe pochitika, onetsetsani kuti nthawi yokumana ndi dokotala.

zifukwa

Dongosolo lymphatic n'chofunika kwambiri kukhala umoyo wa chamoyo wonse. Ndi udindo kufalitsa ndi lymph mapuloteni kulemera thupi lonse, kwa mndandanda wa tizilombo toyambitsa matenda, poizoni. Kachitidwe amanyamula lymph kwa zinthu zimenezi zoipa m'zotengera yopita ku mwanabele. Mabakiteriya ndi poizoni ndiye osasankhidwa ntchito lymphocytes - maselo moyo mu mwanabele ndi cholinga kulimbana ndi matenda, ndipo kenako excreted.

manja Limfostazom kapena mapazi kumachitika pamene mitsempha kulephera yake mupewe lymph. chikhalidwe ichi ndi chachikulu kapena yachiwiri, ndiyo kukhala chawo (lymphedema chachikulu) kapena chifukwa cha matenda ena (sekondale lymphedema). Mtundu yamasika zambiri wamba.

Zimayambitsa lymphedema yachiwiri

matenda ena aliwonse kapena ndondomeko kuwononga mwanabele kapena ziwiya, angachititse lymphostasis. zifukwa zotsatirazi:

• Opaleshoni. Kuchotsa kapena kuwonongeka ziwiya ndi lymph mfundo (mwachitsanzo, pamene poona digiri kuchulukana Mitsempha kapena khansa mogwirizana dongosolo zokhudza) ndi zambiri kumayambitsa zikamera wa lymphedema.
• khansa radiotherapy. Ndinakumana ndi cheza zingachititse amamuyambitsa timabala ndi kutukusira kwa mfundo ndi lymph kapena ziwiya.
• Cancer. Chifukwa kawirikawiri lymphedema - ndi blockage wa maselo ziwiya lymph khansa. Mwachitsanzo, chotupa kukula pafupi ndi mfundo lymph, akhoza ziwonjezeke kuti otaya lymph adzakhala oletsedwa.
• Infection. Infection kwa mwanabele chindiletsa outflow wabwinobwino wa lymph. Lymphedema chifukwa cha matenda opatsirana, ambiri amangoti opezeka kumadera otentha ndi mayiko komanso m'mayiko osauka.

Zimayambitsa lymphedema chachikulu

lymphostasis chachikulu - ichi ndi chosowa kwambiri tinatengera matenda kumachitika chifukwa chisokonezo chitukuko ziwiya lymphatic. zifukwa zapadera monga:

• matenda Milroy a (chachikulu kobadwa nako elephantiasis) - akufotokozera miyezi choyamba cha moyo ndipo amachititsa nthenda chitukuko cha zida lymphatic.
• Meiji matenda (chachikulu zaumbanda elephantiasis) - kumachitika nthawi yotha msinkhu kapena pa mimba.
• Pulayimale lymphedema kenako - ochepa chabe nkhani ya matenda. Akuwonetseredwa mu odwala wamkulu kuposa zaka 35.

Zina mwa zifukwa

Zinthu zimene angathe kuonjezera kudwala matenda a mankhwala khansa ndi pakutchulidwa zifukwa zina sekondale monga:

• Achikulire zaka.
• Kukhala onenepa kwambiri.
• Rheumatoid kapena psoriatic nyamakazi.

zosokonezeka

Limfostazom - ndi matenda zimene zingachititse mavuto otsatirawa:

• Infection. Chifukwa lymphedema zambiri chaukali matenda a pakhungu (cellulitis) matenda kapena ziwiya lymph (lymphangitis). The kuwonongeka pang'ono kuti manja kapena mapazi usiye mu malo a kulowa mu thupi la mabakiteriya kapena mavairasi.
• Lymphangiosarcoma. Mawonekedwe osowa khansa minofu zofewa akufotokozera mu milandu kwambiri akuthamanga lymphostasis. Zizindikiro zotheka khansa amaonedwa kukhala buluu wofiira ndi zofiirira mawanga pa khungu.

Kodi mukufuna kukambirana ndi dokotala wanu?

Konzani ndandanda angapo pamaso pa ulendo katswiri wa. Muyenera mfundo izi:

• zizindikiro zanu, kuphatikizapo amene amaoneka ngati zifukwa kuti chifukwa cha maulendo dokotala.
• Kiyi zambiri zanu, kuphatikizapo matenda aakulu, mankhwala khansa kapena kusintha kwambiri moyo wanu, komanso mfundo zomwe zili mwachindunji choikidwa matenda a: Kodi muli kuyeretsa mankhwala lymph wowerengeka, kaya zotsatira noticeable.
• mankhwala ntchito, mavitamini ndi zowonjezera zakudya.
• Mafunso Kumufunsa katswiri.

Pankhaniyi, mndandanda wa mafunso ofunika ndi dokotala angalenge Chinsinsi ndi:

• ndi zambiri chifukwa cha kutupa chiyani?
• Osati ngati zina chifukwa kutupa?
• Kodi kafukufuku chofunika pochitika? Kodi ndifunika kukonzera?
• Mwina kutupa posachedwapa kuchepa? Ngati ayi, kodi n'zotheka kuti kuneneratu?
• mankhwalawa lymphedema wa malekezero a m'munsi ndi chiyani?
• Kodi pali njira zina mfundo inu?
• Kodi pali mankhwala amene angathe kuchepetsa chotupa?
• Ndili ndi matenda ena. Kodi n'zotheka kuwachitira mu zovuta ndi lymphedema?
• Kodi ndiyenera kusunga zakudya zinazake kapena chepetsani zolimbitsa thupi? Kodi zimenezi zimakhudza lymphostasis mikono kapena miyendo?
• Kodi muli ndi timabuku kapena mabuku amene akhoza anatola ndi inu? Kodi malo mukupangira chiyani?

Kodi funsani mafunso ena.

adzatero zomwe adokotala?

The katswiri zikuoneka kuti chidwi ndi izi:

• Pamene kutupa anayamba?
• Kodi pali zizindikiro wina aliyense kapena zizindikiro?
• Kutupa anachedwa kubwera pansi kapena limapezeka nthawi?
• Kodi chirichonse mu chikhalidwe cha kutupa ndi zizindikiro? Ndithu kapena zoipa?

Mukudikira kuti uchitike tsiku malangizo kapena matenda, mukhoza pamanja kutenga zinthu zina kusintha chikhalidwe chawo. Nthawi zambiri kusunga dzanja kutupa kapena mwendo anamuukitsa, kuteteza khungu lanu zisaonongeke pa izo. Lymphedema m'munsi miyendo akhoza kuchepetsa ululu pa bala kapena kuwotcha, kotero gawo kutupa simungakhoze kuyika thupi otentha. Kumbukirani kuti muyenera tsiku lililonse moisturize khungu.

diagnostics

Ngati muli pa chiopsezo (mwachitsanzo, chifukwa opaleshoni posachedwapa kakusintha, kuphatikizapo mpheto kwa mwanabele), adokotala akhoza oterewa lymphedema zochokera Zizindikiro.

Ngati chifukwa cha matenda ndi sangaone, katswiri adzamuika maphunziro kulingalira kuti aone mkhalidwe wa dongosolo wanu lymphatic. Diagnostics zikuphatikizapo njira kudziwa matenda, monga:

• Maginito kumveka kulingalira. Ntchito maginito ndi wailesi mafunde, ndi Kujambula umabala 3D-zithunzi kusamvana mkulu.
• Yopangidwa tomography. Njira imeneyi radiographic limakupatsani kulenga zithunzi zambiri za nyumba kusiana bza m'thupi la munthu mu odulidwa. Pamaziko a CT zingasonyeze mfundo za wosindikiza ziwiya ndi kuyan'anila za ntchito yaikulu ya dongosolo lymphatic.
• Dopplerosonografiya. kusintha Izi lolunjika pa mwambo otaya ultrasound m'magazi ndi kuthamanga ndi kutsutsa mkulu-pafupipafupi phokoso mafunde (ultrasound) maselo ofiira a magazi. The ultrasound amalimbikitsa kudziwika mavuto ndi outflow lymph.
• Scintigraphy a dongosolo lymphatic. Pa phunziroli, wodwalayo wopanga jekeseni wa utoto nyukiliya kenako younikira kayendedwe ka zinthu m'thupi mothandizidwa ndi zipangizo zina zapadera. Chifukwa zithunzi kusonyeza utoto kuyenda mwa ziwiya, kusonyeza malo occlusion.

chithandizo

Limfostazom - matenda osachiritsika. chikoka Medical ndi kupita ku kuchepetsa kutupa ndi kuchepetsa ululu kwambiri. Kuti zimenezi zitheke, tisonyezeni:

• Olimbitsa thupi. Easy adzapereke, kuphatikizapo nthambi akhudzidwa amatha kusintha pang'ono madzi outflow ndi kulola mtima kuchita ntchito yosavuta tsiku ndi tsiku, monga kuvala kugula ku sitolo. Chitani alibe Usatong'olere ndi kuyambitsa kutopa - M'malo mwake, ayenera kuganizira wofatsa minofu chidule mu dzanja kapena mwendo. Zochita amenewa - ichi ndi chilengedwe yoyeretsera lymph ndi kukulimbikitsani nokha.
• Kuvala bandeji pa nthambi akhudzidwa. Zokometsera utali wonse wa manja anu kapena miyendo chingathandize lymph otaya kwa mzinda wa thunthu. Ambiri zigawo zolimba zachipatala bandeji umagwiritsidwa ntchito zala, ndiyeno pang'onopang'ono kufooketsa mavuto a nkhani ngati limayenda mpaka nthambi.
• Kutikita. njira Special kutikita chingathandize outflow wa madzimadzi ku dzanja kapena mwendo, koma ayenera kulandira chithandizo kwa akatswiri kwenikweni woyenera ndi udindo. njira ya chithandizo cha matenda si woyenera onse. Inu contraindicated kutikita, ngati muli ndi matenda khungu matenda, kukula khansa, magazi kuundana kapena congestive kulephera mtima.
• A psinjika chovala. zazitali manja kapena masitonkeni ndi zotsatira umathandizanso amalola madzimadzi mwa nthambi akhudzidwa. Izi makamaka zothandiza kuvala kabudula pa thupi. Mwina muyenera kupanga dongosolo.

Mu dokotala aakulu lymphostasis mwina mankhwala opaleshoni kuti achotse minofu muyeso mu dzanja lanu kapena mwendo kuchepetsa kutupa.