Lymphedema

Lymphedema yog dab tsi?

Harvard Health Publishing

Lymphedema yog tsim cov kua dej hu ua lymph nyob rau hauv cov ntaub so ntswg hauv qab koj cov tawv nqaij thaum ib yam dab tsi thaiv nws li qub. Qhov no ua rau o, feem ntau ntawm caj npab lossis ceg.



Lymph feem ntau ua haujlwm tseem ceeb rau koj lub cev. Nws nqa cov khoom txawv teb chaws thiab cov kab mob mus deb ntawm koj cov tawv nqaij thiab cov ntaub so ntswg ntawm lub cev, thiab nws ncig cov kab mob sib ntaus sib tua uas yog ib feem ntawm koj lub cev tiv thaiv kab mob.



Lymph ntws maj mam los ntawm lub network ntawm cov hlab ntsha hu ua koj lub lymphatic system. Lymph ntws nres ntawm cov ntsiab lus raws txoj kev kom tau lim los ntawm cov qog ntshav qab zib. Lymph nodes yog cov taum me me uas yog ib feem ntawm koj lub cev tiv thaiv kab mob.

Lymph yog tsim los ntawm cov kua dej uas nyob ib puag ncig cov hlwb hauv lub cev. Nws ua rau nws txoj kev mus rau hauv cov hlab ntsha me me heev. Tom qab taug kev los ntawm cov hlab ntsha me me no, cov qog ntshav mus rau hauv qhov tob, dav dua cov qog ntshav uas khiav hauv lub cev. Thaum kawg, cov kua qaub ncaug rov qab mus rau cov ntshav.



Lymphedema

Lymphedema tshwm sim thaum muaj cov kua dej tsis txaus los ntawm lub cev, feem ntau los ntawm kev txhaws hauv cov qog ntshav. Lymphatic kua tsim nyob rau hauv qab ntawm daim tawv nqaij thiab ua o. Feem ntau cov lymphedema cuam tshuam rau caj npab lossis ob txhais ceg.

o los ntawm lymphedema tuaj yeem zoo ib yam li cov edema uas tshwm sim los ntawm cov hlab ntsha me me hauv qab ntawm daim tawv nqaij.



Feem ntau ntawm lymphedema, lub lymphatic system tau raug mob kom cov dej ntws ntawm cov qog ntshav txhaws ib ntus lossis mus tas li. Qhov no hu ua Secondary lymphedema. Feem ntau ua rau muaj xws li:

    Kev puas tsuaj- Kev phais thiab tshem tawm cov qog nqaij hlav tuaj yeem cuam tshuam cov qog ntshav qab zib. Qee zaum, lymphedema tshwm sim tam sim tom qab phais thiab ploj mus sai. Hauv lwm qhov xwm txheej, lymphedema tshwm sim los ntawm ib hlis mus rau 15 xyoo tom qab kev phais. Lymphedema tshwm sim ntau zaus hauv cov poj niam uas tau muaj ntau cov qog nqaij hlav tawm thaum phais mob cancer mis. Ib qho kab mob uas muaj cov hlab ntsha lymphatic- Cov kab mob uas cuam tshuam nrog cov hlab ntsha lymphatic tuaj yeem ua rau mob qog nqaij hlav. Hauv thaj chaw ntawm thaj chaw sov thiab thaj tsam subtropics, xws li South American, Caribbean, Africa, Asia thiab South Pacific, kab mob parasites yog ib qho ua rau lymphedema. Filariasis, kab mob cab kab mob, thaiv cov qog ntshav thiab ua rau o thiab thickening hauv qab ntawm daim tawv nqaij, feem ntau hauv ob txhais ceg. Mob qog noj ntshav- Lymphoma, mob qog noj ntshav uas pib hauv cov qog ntshav qog ntshav, lossis lwm yam mob qog noj ntshav uas kis mus rau cov qog nqaij hlav tuaj yeem thaiv cov hlab ntsha. Radiation kho mob cancer- Qhov kev kho no tuaj yeem ua rau cov nqaij caws pliav tsim thiab thaiv cov hlab ntsha lymphatic.

Thaum lymphedema tshwm sim yam tsis muaj kev raug mob lossis kis kab mob, nws hu ua thawj lymphedema. Cov kws kho mob kuaj peb hom thawj lymphedema raws li thaum cov tsos mob tshwm sim thawj zaug:

    Thaum yug- Kuj tseem hu ua congenital lymphedema. Kev pheej hmoo siab dua rau cov poj niam yug tshiab. Ob txhais ceg raug cuam tshuam ntau dua li ntawm caj npab. Feem ntau ob txhais ceg yog o. Tom qab yug me nyuam tab sis ua ntej hnub nyoog 36- Feem ntau, nws yog thawj zaug sau tseg thaum cov tub ntxhais hluas thaum ntxov. Qhov no yog hom kab mob tseem ceeb tshaj plaws ntawm lymphedema. Hnub nyoog 36 thiab tshaj saud- Qhov no yog yam tsawg tshaj plaws ntawm thawj lymphedema.

Tag nrho peb hom thawj lymphedema tej zaum yuav cuam tshuam nrog kev loj hlob ntawm cov qog ntshav qog ua ntej yug. Qhov txawv yog thaum nyob rau hauv lub neej lawv thawj ua o ntawm ob txhais ceg los yog caj npab.

Cov tsos mob

Lymphedema ua rau o nrog kev xav hnyav, nruj los yog tag nrho, feem ntau ntawm caj npab lossis ceg. Feem ntau, tsuas yog ib sab caj npab lossis txhais ceg raug cuam tshuam. Kev o ntawm txhais ceg feem ntau pib ntawm ko taw, thiab tom qab ntawd txav mus yog tias nws hnyav zuj zus ntxiv nrog rau pob taws, pob taws thiab hauv caug. Cov tsos mob ntxiv tuaj yeem suav nrog:

  • Ib qho mob npub nyob rau hauv qhov cuam tshuam limb
  • Ib qho kev xav ntawm nruj ntawm daim tawv nqaij ntawm tus ceg ceg
  • Nyuaj txav ib ceg los yog khoov ntawm ib qho kev sib koom tes vim yog o thiab tawv nqaij nruj
  • Nkawm khau, rings lossis watches uas dheev hnov ​​​​zoo heev

Lymphedema tuaj yeem ua rau nws yooj yim dua los tsim kab mob ntawm daim tawv nqaij. Cov tsos mob ntawm tus kab mob muaj xws li kub taub hau, mob, kub cev thiab liab. Yog tias lymphedema ua mob ntev (ntev ntev), daim tawv nqaij hauv thaj tsam cuam tshuam feem ntau ua tuab thiab tawv.

lamotrigine cov kev mob tshwm sim ntev

Kev kuaj mob

Koj tus kws kho mob yuav nug koj seb koj puas tau muaj kev phais, kho hluav taws xob, lossis kis kab mob hauv cheeb tsam cuam tshuam. Tus kws kho mob yuav nug seb koj puas tau muaj ntshav txhaws. Yog tias tus menyuam muaj lymphedema, tus kws kho mob yuav nug seb puas muaj leej twg hauv koj tsev neeg tau mob ceg pib thaum tseem hluas. Qhov no tej zaum yuav qhia tau tias muaj teeb meem tshwm sim.

Koj tus kws kho mob yuav tshuaj xyuas thaj chaw o thiab nias rau ntawm daim tawv nqaij uas cuam tshuam los nrhiav qhov ntiv tes indentation (pitting). Daim tawv nqaij yuav indented nyob rau hauv cov neeg uas muaj ntau ntau hom edema tshwm sim los ntawm cov hlab ntsha leaky. Pitting tsis tshwm sim thaum koj nias ntawm daim tawv nqaij yog tias koj muaj lymphedema.

Koj tus kws kho mob tuaj yeem ntsuas qhov ncig ntawm caj npab lossis txhais ceg txhawm rau txiav txim siab seb nws o yog piv rau lwm qhov. Tus kws kho mob yuav saib xyuas cov tsos mob ntawm tus kab mob, xws li kub taub hau, liab, sov thiab rhiab.

Feem ntau, tsis muaj kev kuaj tshwj xeeb los kuaj xyuas lymphedema. Tab sis kev ntsuam xyuas yuav raug txiav txim yog tias qhov kev kuaj mob tsis meej lossis tsis muaj qhov ua rau koj tus mob:

    Cov ntshav suavtuaj yeem nrhiav cov qe dawb siab, uas txhais tau tias koj yuav muaj tus kab mob. Ib qho ultrasoundtuaj yeem nrhiav cov ntshav txhaws, uas tuaj yeem ua rau caj npab lossis ceg o. Kev suav tomography (CT)scan nrhiav ib qho loj lossis qog uas tuaj yeem thaiv cov hlab ntsha hauv cov hlab ntsha ntawm caj npab lossis ceg.

Lub sijhawm xav tau

Ntev npaum li cas lymphedema kav ntev npaum li cas nyob ntawm nws qhov ua rau. Yog tias lymphedema tshwm sim tam sim ntawd tom qab kev phais, nws tuaj yeem tshem tawm hauv ib lub lis piam raws li qhov o tuaj thiab txhais caj npab los yog txhais ceg tau nce siab kom tso dej kom zoo dua. Yog tias kev phais lossis kev kho hluav taws xob ua rau muaj kev puas tsuaj mus ntev rau cov kab mob lymphatic, lymphedema tuaj yeem ua teeb meem mus ntev lossis rov tshwm sim dua.

Kev tiv thaiv

Tom qab mob qog noj ntshav mis lossis phais mob qog noj ntshav, koj tus kws kho mob lossis tus kws kho mob lub cev tuaj yeem qhia koj tias koj ua cov kev tawm dag zog tshwj xeeb thaum koj tau rov zoo los ntawm kev phais. Siv koj cov leeg tuaj yeem txhawb nqa cov qog ntshav los ntawm cov kab me me.

Tom qab kev phais lub mis, koj yuav tsis tshua muaj lymphedema yog tias koj tuaj yeem zam tsis tau txhaj tshuaj, cov hlab ntsha (IV) kab, lossis cov ntshav kos rau ntawm caj npab ntawm sab ntawm kev phais. Tsis tas li, nco ntsoov tau txais kev kho mob sai yog tias koj xav tias koj yuav muaj kab mob ntawm daim tawv nqaij ntawm koj qhov kev phais.

Lwm txoj hauv kev los pab txo qis kev pheej hmoo ntawm lymphedema theem nrab suav nrog:

  • Tsis txhob nqa hnyav nrog txhais caj npab muaj kev pheej hmoo
  • Nqa koj txhais caj npab lossis txhais ceg
  • Tsis txhob siv lub tshuab cua sov rau ntawm caj npab lossis txhais ceg uas muaj kev pheej hmoo
  • Tsis txhob muaj kev txwv tsis pub, xws li lub tsho ntshav siab lossis cov khaub ncaws nruj
  • Hnav compression stocking

Kev kho mob

Cov kev kho mob yooj yim rau lymphedema suav nrog:

  • Elevating cov ceg ceg tawv
  • Ua qoj ib ce los pab txo qhov o
  • Khaws cov ceg tawv kom huv si thiab qhuav thiab ua ntu zus siv cov tshuaj pleev plhu

Yog tias lymphedema cuam tshuam rau koj ob txhais ceg, tsis txhob hnav thom khwm nrog cov hlua nruj hla saum. Tsis txhob sawv ntsug ntev. Yog tias koj ua haujlwm ntawm koj txhais taw lossis ntawm lub rooj txhua hnub, koj tus kws kho mob tuaj yeem sau ntawv tshwj xeeb compression stockings rau koj hnav txhua hnub. Koj tus kws kho mob yuav hais kom koj ua raws li kev noj zaub mov muaj protein ntau, ntsev tsawg.

Rau cov neeg uas muaj lymphedema hnyav dua, cov kws kho mob tau sau cov tes tsho uas tuaj yeem hnav ib ncig ntawm caj npab lossis ceg, hu ua pneumatic compression devices. Cov tes tsho no txuas nrog lub tshuab uas hloov pauv thiab deflates lawv nrog huab cua, thiab lawv tuaj yeem siv hauv tsev los pab txo qis qhov o. Ib qho kev xaiv rau lub tes tsho uas muaj cua puv yog qhwv lub caj dab nrog cov ntaub qhwv tsis-elastic, thiab kho cov ntaub qhwv txhua lub sij hawm qhov o tshwm sim.

Ib txoj kev kho mob uas muaj txiaj ntsig zoo yog hom kev kho zaws hu ua phau ntawv lymph kua dej. Kev zaws yuav tsum tsis txhob ua yog tias koj muaj mob qog noj ntshav hauv caj dab.

Kev phais yuav yog ib qho kev xaiv rau qee cov neeg uas muaj lymphedema. Muaj ob peb txheej txheem sib txawv. Qee lub hom phiaj los txhim kho lymphatic ncig. Hauv lwm qhov xwm txheej, lub hom phiaj yog tshem tawm cov roj ntau dhau uas tau muab tso rau hauv qhov tshwm sim ntawm lymphedema.

Cov neeg uas muaj lymphedema yog feem ntau yuav kis kab mob ntawm caj npab lossis ceg. Yog tias koj tus kws kho mob xav tias koj muaj tus kab mob, koj yuav tsum tau noj tshuaj tua kab mob los ntawm qhov ncauj los yog nkag mus rau hauv cov hlab ntsha (txhaj tshuaj).

Thaum Hu Rau Tus Kws Tshaj Lij

Teem sijhawm nrog koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm lymphedema hauv caj npab lossis ceg.

Koj yuav tsum hu rau koj tus kws kho mob tib hnub yog tias koj muaj cov tsos mob uas tuaj yeem yog los ntawm tus kab mob:

  • Ua npaws, liab, sov lossis mob ntxiv ntxiv rau qhov o
  • Qhib qhov txhab los yog qhov chaw ntawm daim tawv nqaij tawg

Kev kwv yees

Nws tsis yog ib txwm yooj yim los twv seb seb edema yuav kav ntev npaum li cas. Feem ntau, kev kho mob tuaj yeem txhim kho cov tsos mob lymphedema.

Cov peev txheej sab nraud

National Heart, Lung, and Blood Institute (NHLBI)
http://www.nhlbi.nih.gov/

National Cancer Institute (NCI)
http://www.nci.nih.gov/

max koob tshuaj ntawm viagra

National Lymphedema Network
http://www.lymphnet.org/

Chaw Ua Haujlwm Ntawm Cov Kab Mob Tsis tshua muaj
http://rarediseases.info.nih.gov/

Cov ntaub ntawv ntxiv

Nco ntsoov sab laj nrog koj tus kws kho mob kom paub tseeb tias cov ntaub ntawv uas tshwm sim hauv nplooj ntawv no siv tau rau koj tus kheej.