Yini iLymphocele, ibangelwa yini nokuthi ilashwa kanjani

-Delile

• Izimbangela eziyinhloko
• 1. Ukuhlinzwa
• 2. Ukulimala
• 3. Umdlavuza
• Izimpawu ezingavela
• Yelashwa kanjani

I-Lymphocele yinoma ikuphi ukuqongelelwa kwe-lymph esifundeni somzimba, imbangela evame kakhulu ukususwa noma ukulimala kwemikhumbi ethwala lolu ketshezi, ngemuva kokushaywa unhlangothi noma isisu, i-pelvic, i-thoracic, i-cervical noma inguinal, isibonelo. . Ukuvuza koketshezi lwe-lymph kunqwabelana ezicutshini eziseduze nesifunda esithintekile, okungadala ukuvuvukala, ukutheleleka noma ukwakheka kwe-cyst esizeni.

Uhlelo lwe-lymphatic luyisethi yezitho ze-lymphoid nemikhumbi esatshalaliswa kuwo wonke umzimba, nomsebenzi wokukhipha nokuhlunga uketshezi oluningi emzimbeni, uluqondise egazini, ngaphezu kokusebenza kumasosha omzimba ekuvikeleni umzimba. Thola ukuthi yini uhlelo lwe-lymphatic nokuthi lusebenza kanjani.

Ngokuvamile, uketshezi lwe-lymphatic oluku-lymphocele lubuyiselwa emzimbeni ngokwemvelo, futhi akukho ukwelashwa okudingekayo. Kodwa-ke, kwezinye izimo, lapho kunenqwaba yoketshezi noma lapho kubangela izimpawu, ezinjengobuhlungu, ukutheleleka noma ukuminyaniswa kwemithambo yegazi, kuyadingeka ukwenza izinqubo zokukhipha uketshezi nge-catheter futhi, kwezinye izimo, kungadingeka.I-sclerotherapy iyadingeka.

Izimbangela eziyinhloko

I-lymphocele ivela noma nini lapho i-lymph ephuma emithanjeni ye-lymphatic, futhi ingahle ibe nezicubu ezizungezile, ingaholela ekukhuleni kokuvuvukala kanye ne-capsule, okuholele ekwakhekeni kwe-cyst. Le nkinga ivame kakhulu ezimweni ezinjenge:

1. Ukuhlinzwa

Noma yikuphi ukuhlinzwa kungadala i-lymphocele, ikakhulukazi leyo lapho kusetshenziswa khona imithambo yegazi noma lapho kususwa khona ama-lymph node, futhi kungavela phakathi kwamasonto amabili kuya ezinyangeni eziyisithupha ngemuva kwenqubo yokuhlinzwa. Okunye ukuhlinzwa okuhlobene kakhulu nalolu hlobo lwenkinga yile:

• Isisu noma i-pelvic, njenge-hysterectomy, ukuhlinzwa kwamathumbu, ukuhlinzwa kwezinso noma ukufakelwa kwezinso;
• I-Thoracic, efana namaphaphu, i-aorta, isifuba noma isifunda sekhwapha, isibonelo;
• Umlomo wesibeletho kanye ne-thyroid;
• Imithambo yegazi, njengokukhipha ukuvinjelwa noma ukulungiswa kwesici, njenge-aneurysm.

Ngemuva kokuhlinzwa kwesisu, kujwayelekile ukuthi i-lymphocele igcinwe esikhaleni se-retroperitoneal, okuyisifunda esingemuva kakhulu komgogodla wesisu. Ngaphezu kwalokho, ukuhlinzwa komdlavuza okwenziwe ukususa noma ukwelapha umdlavuza yizimbangela ezibalulekile ze-lymphocele, njengoba kujwayelekile ukuthi kunesidingo sokususa izicubu ze-lymphatic ngesikhathi senqubo.

2. Ukulimala

Ukulimala noma ukuhlukumezeka okubangela ukuqhekeka kwemithambo yegazi noma ye-lymph kungadala i-lymphocele, engenzeka ngokushaywa noma ezingozini, isibonelo.

ILymphocele nayo ingavela esifundeni sangasese, ngesimo senhlamvu eqinile, ngemuva kokuxhumana okuseduze noma ukushaya indlwabu, futhi ingavela njengesigaxa ezindebeni ezinkulu noma epenisini, amahora nezinsuku ngemuva kwesenzo. Uma incane, ukwelashwa kungahle kungadingeki, kepha uma kukhulu, ukuhlinzwa kungadingeka.

Thola kabanzi mayelana nalezi nezinye izimbangela zesigaxa somthondo.

3. Umdlavuza

Ukukhula kwesimila noma umdlavuza kungadala ukulimala egazini noma emithanjeni ye-lymph, kuvuse i-lymph ukuthi ivuze ezifundeni eziseduze.

Izimpawu ezingavela

Lapho incane futhi ingenzima, i-lymphocele ayivame ukudala izimpawu. Kodwa-ke, uma inyuka ngevolumu, futhi ngokuya ngendawo ekuyo futhi uma ibangela ukucindezelwa kwezakhiwo eziseduze, kungadala izimpawu ezifana nokuthi:

• Ubuhlungu besisu;
• Isifiso esivamile noma ubunzima bokuchama;
• Ukuqunjelwa;
• Ukuvuvukala esifundeni sobulili noma emilenzeni engezansi;
• Umfutho wegazi ophezulu;
• I-venous thrombosis;
• Isigaxa esithambile esiswini noma esifundeni esithintekile.

Lapho i-lymphocele ibangela ukuvinjelwa komgudu wokuchama, njengama-ureters, kungenzeka kuphazamise ukusebenza kwezinso, okungaba nzima.

Ukuqinisekisa ubukhona be-lymphocele, udokotela anga-oda izivivinyo ezifana ne-ultrasound, i-computed tomography noma ukuhlaziywa kwamakhemikhali ketshezi.

Yelashwa kanjani

Lapho i-lymphocele incane, imvamisa ukubuyiselwa esimeni esisheshayo cishe ngeviki elilodwa, iphelezelwa kuphela ngudokotela ngezivivinyo, njenge-ultrasound.

Kodwa-ke, uma zingabuyeli emuva, zikhuphuke ngosayizi noma zibangele izinkinga ezifana nokuvuvukala, ukutheleleka, izimpawu zomchamo noma ingcindezi ye-lymphatic eyengeziwe, kuyadingeka ukwenza inqubo, okungaba ukubhoboza ukukhipha uketshezi noma ukuhlinzwa ukususa i-cyst .

Ukusetshenziswa kwama-antibiotic kungakhonjiswa ngudokotela lapho kusolwa ukutheleleka.