Pāpaʻi Lymphatic

ʻO ka pale Lymphatic kahi paʻa o nā kīʻaha lymph e hoʻokahe i ka wai mai nā pūnaewele i loko o ke kino a ʻae i nā pūnaewele pale e hele ma kahi e pono ai. Hiki i ka lympatic obstruction ke kumu i ka lymphedema, ʻo ia hoʻi ka pehu ma muli o ka paʻa o nā lymph.

ʻO ke kumu maʻamau no ka pale ʻana i ka lymphatic ka wehe ʻana a hoʻonui ʻana paha o nā lymph node.

ʻO nā kumu ʻē aʻe o ka pale ʻana i ka lymphatic me:

• Nā maʻi āpau me nā parasites, e like me filariasis
• ʻEhaʻeha
• Lapaʻau hoʻomākala
• Nā maʻi ʻili, e like me cellulitis (ʻoi aku ka maʻamau o ka poʻe momona)
• ʻOki kino
• Nā Tumors

ʻO kahi kumu maʻamau o ka lymphedema ka hoʻoneʻe ʻana i ka umauma (mastectomy) a me nā ʻopa lymph underarm no ka mālama ʻana i ka maʻi ʻaʻai umauma. ʻO kēia ke kumu o ka lymphedema o ka lima i kekahi mau kānaka, no ka mea, ke hele ka wai lymphatic o ka lima ma waena o ka armpit (axilla).

ʻO nā ʻano laulā o ka lymphedema e kū nei mai ka hānau ʻana (congenital) e hopena ʻia mai nā pilikia i ka ulu ʻana o nā kīʻaha lymphatic.

ʻO ka ʻōuli nui ka hoʻomau mau (mau) ʻōhū, ka maʻa mau o ka lima a me ka wāwae.

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu moʻolelo olakino. E hoʻopili kēia i nā nīnau e pili ana i ka hoʻomaikaʻi ʻana o ka pehu me ke kiʻekiʻe a me ke ʻano paʻa o nā aʻa.

E hana ʻia paha kēia mau hoʻāʻo:

• CT a me MRI scanner
• Nā hoʻokolohua kiʻi e nānā i nā lymph node a me ka hoʻoliʻiliʻi lymph (lymphangiography a me lymphoscintigraphy)

Iapaau ana no ka lymphedema nā:

• Kaomi (maʻamau me ka wahī ʻana i nā bandages a i ʻole nā ​​stockings)
• Kahe ʻana o ka lymph manual (MLD)
• Laulā o ka neʻe a i ʻole nā ​​hoʻoikaika kūʻē

ʻO ke kahe ʻana o ka lymph manual ʻo kahi ʻano hoʻomaʻamaʻa massage massage. I ka wā o ka lomilomi, hoʻoneʻe ʻia ka ʻili i kekahi mau ʻaoʻao e pili ana i ke ʻano o ka ʻōnaehana lymphatic. Kōkua kēia i ke kahe o ka wai lymph ma loko o nā kahawai kūpono.

Hoʻopili pū ka mālama ʻana i ka mālama ʻana i ka ʻili e pale ai i nā hōʻeha, nā maʻi, a me nā ʻāpana ʻili. Kauoha ʻia hoʻi nā papa hana māmā a me nā neʻe ʻana. ʻO ke kau ʻana i nā lole compression ma ka wahi i hoʻopilikia ʻia a i ʻole ka hoʻohana ʻana i ka pauma compressive pneumatic hiki ke kōkua. E hoʻoholo kāu mea hoʻolako a me kāu mea hoʻoponopono kino i nā ʻano hana compression i ʻoi aku ka maikaʻi.

Hoʻohana ʻia ke ʻoki kino ma kekahi mau hihia, akā ua kaupalena ʻia ka kūleʻa. Pono ka kaukōkō e loaʻa i ka ʻike he nui me kēia ʻano hana. Pono ʻoe i ka hoʻōla kino ma hope o ke kahakaha ʻana e hoʻemi i ka lymphedema.

Nā ʻano o ke ʻoki pū:

• Liposuction
• Ka hemo ʻana o nā aʻa lymphatic ʻino
• Ke kanu ʻana o nāʻaʻa lymphatic maʻamau i nā wahi me ka hoʻokahe lymphatic maʻamau (ʻoi aku ka maʻamau)

I nā hihia maʻamau, hoʻopau ʻia ke ʻōpala e kāpae i nā kiko lymph abnormal me ka hoʻohana ʻana i nā grafter vein. ʻOi aku ka maikaʻi o kēia mau kaʻina hana no ka lymphedema mua a pono e hoʻokō ʻia e kahi kauka lōkōʻike.

ʻO Lymphedema kahi maʻi maʻi e koi mau i ka mālama ola ʻana. I kekahi mau hihia, hoʻomaikaʻi ka lymphedema me ka manawa. Kū mau kekahi ʻōhū.

Ma waho aʻe o ka pehu ʻana, ʻo nā pilikia maʻamau ka:

• ʻO nā ʻeha a me nā ulcer
• Uha ʻili
• Kanesa o ka lymphʻaʻaʻa (pohihihi)

E ʻike i kāu mea hāʻawi inā loaʻa ka pehu o kou mau lima, nā wāwae, a i ʻole nā ​​lymph node e pane ʻole i ka lāʻau a hele aku paha.

Hoʻohana ka hapa nui o nā kauka lapaʻau i kahi ʻenehana i kapa ʻia ʻo ka sentinel lymph node sampling e hoʻoliʻiliʻi i kou makaʻi no ka lymphedema ma hope o ke kahakaha ʻana o ka maʻi ʻaʻai umauma. Eia naʻe, ʻaʻole kūpono a kūpono paha kēia ʻano.

ʻO Lymphedema

• ʻŌnaehana Lymphatic
• Pā kui kui melemele

Feldman JL, Jackson KA, Armer JM. Lymphedema hoʻoliʻiliʻi pilikia a me ka hoʻokele. I: Cheng MH, Chang DW, Patel KM, hua. Nā Kumumanaʻo a me nā Hana o ka ʻoki lāʻau Lymphedema. Piladelapia, PA: Elsevier; 2016: chap 9.

ʻO Rockson SG. Lymphedema: ka loiloi a me ka hoʻoholo ʻana. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 168.