Ukuvinjelwa kwe-lymphatic

Ukuvinjelwa kweLymphatic ukuvinjelwa kwemikhumbi ye-lymph ekhipha uketshezi ezicutshini emzimbeni wonke futhi ivumele amaseli omzimba ukuthi ahambe lapho adingeka khona. Ukuvinjelwa kwe-lymphatic kungadala i-lymphedema, okusho ukuvuvukala ngenxa yokuvinjelwa kwamavesi e-lymph.

Isizathu esivame kakhulu sokuvinjelwa kwe-lymphatic ukususwa noma ukukhuliswa kwama-lymph node.

Ezinye izimbangela zokuvinjelwa kwe-lymphatic zifaka:

• Ukutheleleka ngama-parasites, njenge-filariasis
• Ukulimala
• Ukwelashwa ngemisebe
• Ukutheleleka kwesikhumba, njenge-cellulitis (okuvame kakhulu kubantu abakhuluphele)
• Ukuhlinzwa
• Izimila

Isizathu esivamile se-lymphedema ukususwa kwesifuba (i-mastectomy) nezicubu ze-lymph ezingaphansi kwekhanda zokwelashwa komdlavuza webele. Lokhu kubangela i-lymphedema yengalo kwabanye abantu, ngoba i-lymphatic drainage yengalo idlula ekhwapheni (i-axilla).

Izinhlobo ezingavamile ze-lymphedema ezikhona kusukela ekuzalweni (ukuzalwa) zingabangelwa izinkinga ekukhuleni kwemikhumbi ye-lymphatic.

Uphawu oluyinhloko ukuvuvukala okuphikelelayo (okungapheli), imvamisa kwengalo noma umlenze.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa ngokomzimba abuze ngomlando wakho wezokwelapha. Lokhu kuzofaka phakathi imibuzo yokuthi kungakanani ukuvuvukala okuthuthuka ngokukhuphuka nokuthi izicubu ziqine kangakanani.

Ukuhlolwa okulandelayo kungenziwa:

• Iskena se-CT noma se-MRI
• Ukulingisa ukuhlola ukuhlola ama-lymph node ne-lymph drainage (i-lymphangiography ne-lymphoscintigraphy)

Ukwelashwa kwe-lymphedema kuhlanganisa:

• Ukuminyanisa (imvamisa ngokusonga amabhandeshi noma amasokisi amnyama)
• I-Manual lymph drainage (MLD)
• Ububanzi bokunyakaza noma ukuvivinya umzimba

I-Manual lymph drainage iyindlela yokwelashwa elula yokuhlikihla. Ngesikhathi sokubhucungwa, isikhumba sihanjiswa ezinkomba ezithile ngokuya ngesakhiwo sohlelo lwe-lymphatic. Lokhu kusiza ukukhipha i-lymph fluid ngemigudu efanele.

Ukwelashwa kufaka phakathi ukunakekelwa kwesikhumba ukuvimbela ukulimala, ukutheleleka nokonakala kwesikhumba. Ukuzivocavoca okulula nezinhlelo zokunyakaza nakho kungabekwa. Ukugqoka izingubo zokucindezelwa endaweni ethintekile noma ukusebenzisa ipompo lokucinana kwomoya kungaba wusizo. Umhlinzeki wakho nomhlinzeki womzimba uzonquma ukuthi iziphi izindlela zokucindezela ezihamba phambili.

Ukuhlinzwa kuyasetshenziswa kwezinye izimo, kepha kunempumelelo elinganiselwe. Udokotela ohlinzayo kufanele abe nolwazi oluningi ngalolu hlobo lwenqubo. Usazodinga ukwelashwa ngokomzimba ngemuva kokuhlinzwa ukuze unciphise i-lymphedema.

Izinhlobo zokuhlinzwa zifaka:

• I-Liposuction
• Ukususwa kwezicubu ze-lymphatic ezingavamile
• Ukufakelwa kwezicubu ezivamile ze-lymphatic ezindaweni ezinamanzi angavamile we-lymphatic (okungajwayelekile kakhulu)

Ezimweni ezingavamile, ukuhlinzeka ngokudlula izicubu ze-lymph ezingajwayelekile kusetshenziswa ukufakwa kwe-vein kwenziwa. Lezi zinqubo zisebenza kakhulu kwi-lymphedema yokuqala futhi kufanele zenziwe ngudokotela ohlinzayo onolwazi.

ILymphedema yisifo esingelapheki esivame ukudinga ukuphathwa impilo yonke. Kwezinye izimo, i-lymphedema iyathuthuka ngokuhamba kwesikhathi. Ukuvuvukala okuthile kuvame ukuhlala unomphela.

Ngaphezu kokuvuvukala, izinkinga ezivame kakhulu zifaka:

• Amanxeba angapheli nezilonda
• Ukuwohloka kwesikhumba
• Umdlavuza wezicubu zomzimba (akuvamile)

Bona umhlinzeki wakho uma uvuvukale izingalo, imilenze, noma ama-lymph node angaphenduli ekwelashweni noma ekuhambeni.

Odokotela abaningi abahlinzayo sebesebenzisa inqubo ebizwa nge-sentinel lymph node sampling ukunciphisa ubungozi be-lymphedema ngemuva kokuhlinzwa komdlavuza webele. Noma kunjalo, le ndlela ayihlali ifanele noma isebenza ngaso sonke isikhathi.

I-Lymphedema

• Uhlelo lweLymphatic
• I-nail syndrome ephuzi

UFeldman JL, uJackson KA, u-Armer JM. Ukuncishiswa nokuphathwa kwengozi yeLymphedema. Ku: Cheng MH, Chang DW, Patel KM, eds. Izimiso Nemikhuba Yokuhlinzwa KweLymphedema. IPhiladelphia, PA: Elsevier; 2016: isahluko 9.

I-Rockson SG. ILymphedema: ukuhlola nokwenza izinqumo. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 168.