Lipedema: chithandizo cha zomangira

Tanthauzo la lipedema:

Lipedema, yomwe imatchedwanso poleg leg disease, ndi matenda obadwa nawo a mafuta omwe amakhudza miyendo ndi mikono.

Nthawi zambiri miyendo inayi imakhudzidwa, pomwe timawona kuchuluka kwamafuta omwe sanagwirizane ndi morphology ya amayi kapena abambo.

Mu minofu ya adipose iyi, pali kuphwanya kwa mapangidwe a lymph ndi kutuluka kwake. Kupanga ma lymph ndi mopambanitsa poyerekeza ndi zomwe zingathe kuthetsedwa. Izi zimapangitsa kuchedwa kwa lymph ndi kuwonjezeka kwa kuthamanga kwa minofu. Izi zimawonetsedwa ndi ululu ukakhudzidwa.

Komabe, chizindikiro chochititsa chidwi kwambiri cha lipedema ndi chakuti mafuta m’miyendo ndi m’manja sangachotsedwe mwa kuwonda.

Minofu ya adipose iyi, yomwe ili pamiyendo, siyigwirizana ndi mafuta omwe tidapeza pakulemera. Awa ndi mafuta amtundu wina.

Azimayi ambiri ayesa zakudya zambirimbiri koma osapambana. Amabisa miyendo yawo, ndipo nthawi zina amakumana ndi chitonzo kuchokera kwa ena. Ndiye amasangalala kwambiri akakumana ndi dokotala yemwe amaona kuti lipedema ndi matenda.

lipedema m'manja

Nthawi zambiri zimanenedwa m'mabuku azachipatala kuti manja amakhudzidwanso ndi 30% kapena 60% ya odwala omwe ali ndi lipedema. Ndipotu, manja amakhudzidwanso nthawi zambiri. Koma popeza kuti akazi amapita ku chithandizo chamankhwala makamaka chifukwa cha ululu wa m’miyendo ndiyeno kaŵirikaŵiri amapimidwa kaamba ka nthenda ya mitsempha yothekera, manja samalingaliridwa. Kugawidwa kwamafuta m'manja nthawi zambiri kumakhala kofanana ndi lipedema m'miyendo.

Lipolymphedema, lipolymphedema kapena lymphedema?

Lymphedema amayamba chifukwa cha kuphwanya ndimeyi mu lymphatic dongosolo. Nsaluyo imakhala ndi zinthu monga madzi ndi mapuloteni omwe sangathe kuchotsedwa bwino chifukwa cha matope. Izi zimabweretsa kutupa kosalekeza kosalekeza komanso kuwonongeka kwanthawi yayitali kwa minofu yolumikizana. Pali ma lymphedema oyambirira ndi lymphedema yachiwiri.

• Primary lymphedema ndi congenital underdevelopment of lymphatic and vascular system. Zizindikiro nthawi zambiri zimawonekera asanakwanitse zaka 35. 
• Lymphedema yachiwiri imayamba chifukwa cha zochitika zakunja monga kuvulala, kuyaka, kapena kutupa. Lymphedema imathanso kukula pambuyo pa opaleshoni.

Dokotala wodziwa bwino amatha kudziwa ngati ndi lipedema kapena lymphedema. Kusiyana kwake ndikosavuta kuzindikira kwa iye:

• Pankhani ya lymphedema, miyendo imakhudzidwa komanso kutsogolo. Khungu ndi losalala komanso zotanuka, palibe peel lalanje. Palpation imawonetsa edema ndi kutupa pang'ono, ndikusiya zizindikiro. The makulidwe a khola khungu kuposa awiri centimita. Wodwala nthawi zambiri samamva ululu.
• Kumbali inayi, pa nkhani ya lipedema, kutsogolo sikukhudzidwa. Khungu ndi lofewa, lopindika komanso lopindika. Khungu la peel lalanje nthawi zambiri limawonekera. Pa palpation, madera okhudzidwa ndi mafuta. Makulidwe a makutu a khungu ndi abwinobwino. Odwala amamva ululu, makamaka ululu akamapanikizika.
• Chotsatira chodalirika chamagulu ndi chomwe chimatchedwa chizindikiro cha Stemmer. Apa dokotala akuyesera kukweza khola la khungu pa chala chachiwiri kapena chachitatu. Ngati izi sizikutheka, ndiye kuti ndi lymphedema. Komano, pankhani ya lipedema, khola la khungu limatha kugwira popanda zovuta.

Chifukwa chiyani kusagwirizana koteroko mu minofu ya adipose, kodi ma hematomas amachokera kuti ndipo chifukwa chiyani odwala amamva ululu?

Lipedema ndi vuto la kugawika kwamafuta kosadziwika komwe kumachitika mwa amayi molingana ndi ntchafu, matako ndi miyendo yonse, komanso pamikono.

Zizindikiro zoyamba za lipedema ndi kumverera kwamphamvu, kupweteka komanso kutopa m'miyendo. Amayamba mukamayima kapena kukhala kwa nthawi yayitali, onjezerani masana ndipo amatha kufika pamlingo wosalolera. Ululuwu umakhala wovuta kwambiri pa kutentha kwakukulu, komanso kutsika kwapakati pamlengalenga (kuyenda ndege). Kupweteka sikuchepa kwambiri ngakhale pamene miyendo ikukwera. Mwa amayi ena, amatchulidwa makamaka masiku angapo asanayambe kusamba.

Zizindikirozi sizili chifukwa cha kusowa kwa chilango kapena chifukwa chakuti anthu ena omwe ali ndi lipedema ya miyendo, otchedwa miyendo yamtengo wapatali, amadya mopanda malire, koma chifukwa chakuti ali ndi matenda. Kuti si vuto lawo. 

Nthawi zina zimakhala mpumulo kwa odwala akadziwa chomwe chiri ndipo amatha kuthandizidwa bwino.

Lipedema imakonda kukulirakulira. Komabe, "kupita patsogolo" kumeneku kumasiyana kwambiri pakati pa munthu ndi munthu ndipo sikudziwika bwino pazochitika zosiyanasiyana. Mwa amayi ena, kupita patsogolo kwa minofu ya adipose kumafika pamlingo wina ndipo kumakhalabe m'derali moyo wonse. Kwa ena, kumbali ina, lipedema imakula mofulumira kuyambira pachiyambi. Ndipo nthawi zina zimakhazikika kwa zaka zambiri zisanafike poipa. Ambiri a lipedema amapezeka pakati pa zaka 20 ndi 30.

Kutengera kuopsa kwake, pali magawo atatu a lipedema:

Gawo I: siteji I mwendo lipedema 

Chizoloŵezi cha mawonekedwe a "chishalo" chikuwoneka, khungu limakhala losalala komanso losalala, ngati mutakanikiza (ndi minofu ya subcutaneous!) ndi wandiweyani komanso wofewa. Nthawi zina (makamaka mkati mwa ntchafu ndi mawondo) mukhoza palpate mapangidwe omwe amawoneka ngati mipira.

Gawo II: Gawo II la mwendo wa lipedema 

Kutchulidwa "chishalo" mawonekedwe, osagwirizana pamwamba pa khungu ndi lalikulu tubercles ndi tokhala kukula kwa mtedza kapena apulo, subcutaneous minofu ndi thicker, koma zofewa.

Gawo III: Gawo III la mwendo wa lipedema 

kuchulukitsidwa kozungulira, kukhuthala kwambiri komanso kuphatikizika kwa minofu ya subcutaneous,

mafuta owunjika komanso opunduka (mapangidwe akhungu lalikulu) mkati mwa ntchafu ndi mfundo za mawondo (zilonda zam'mimba), mafuta odzigudubuza, akulendewera pang'ono pa akakolo.

Mfundo yofunika: kuopsa kwa zizindikiro, makamaka kupweteka, sikukhudzana kwenikweni ndi magulu a siteji!

Sekondale lymphedema, kusintha lipedema kukhala lipolymphedema, imatha kuchitika pazigawo zonse za lipoedema! Kunenepa kofananako kungapangitse kuti izi zichitike.

Chithandizo cha lipedema

Anthu omwe ali ndi matendawa ayenera kudziwa kuti pali njira ziwiri zochiritsira lipedema wa miyendo :

Anthu omwe ali ndi matendawa ayenera kudziwa kuti pali njira ziwiri zochiritsira: chithandizo chokhazikika komanso opaleshoni. Amasankha njira yowakomera. Pochiza lipedema, kuphimba kumadalira momwe alili komanso mtundu wa chithandizo.

Classic Conservative njira:

Njira imeneyi imathandiza kusuntha mitsempha yamagazi kupita pakati kupita kumtima. Pachifukwa ichi, dokotala amalangiza madzi a m'mitsempha.

Mankhwalawa cholinga chake ndi kulimbikitsa nthawi pakati pa kupanga kwa lymph ndi kutuluka. Ndiwothandizira kuchepetsa ululu, koma ndi chithandizo cha moyo wonse. Zikafika poipa, izi zikutanthauza 1 ola / 3 pa sabata. Ndipo ngati mukukana chithandizo, vutoli likuwonekeranso.

Kwa lipedema, chithandizo chachilengedwe chimakhala ndi zakudya zopatsa thanzi komanso kuchita masewera olimbitsa thupi nthawi zonse.

Yankho la 2: lymphological liposculpture:

Njirayi idagwiritsidwa ntchito koyamba mu 1997 pambuyo pa zaka zambiri za kafukufuku.

Njira yokhayo yothetsera nthawi yayitali lipedema wa miyendo imakhala ndi kuchotsa minofu ya adipose opaleshoni, ndithudi kupeŵa kuwonongeka kwa mitsempha ya mitsempha ndipo motero kuwongolera kusagwirizana pakati pa kupanga mitsempha yamagazi mu minofu ya adipose ndi kutuluka kwake ndi ziwiya ndikubwezeretsanso ku chikhalidwe chake.

Komabe, si wamba, monga mu . Ziyenera kudziwika kuti cholinga cha opaleshoniyi sikugwirizana ndi silhouette, koma mwachiwonekere dokotalayo ayenera kuganizira za kukongola pamene akugwira ntchito, koma chinthu chofunika kwambiri ndi chithandizo cha lymphological cha matenda.

Ichi ndichifukwa chake kuchotsa mafuta a lipedema kumatha kuchitidwa ndi katswiri pankhani ya lymphology.

Kuzindikira kwa lipedema kumapangidwa makamaka potengera mbiri yakale, kufufuza ndi palpation.

Magawo a opaleshoni ya lipedema

Opaleshoni mankhwala ikuchitika mu magawo angapo. 

Pa opaleshoni yoyamba, dokotala wa opaleshoni amachotsa minofu ya mafuta kunja kwa miyendo. Nthawi yachiwiri pa mikono ndi yachitatu mkati mwa miyendo. 

Izi zikuyenera kuchitika pakadutsa milungu inayi.

Chifukwa chiyani lipedema iyenera kuthandizidwa mu magawo angapo?

Ngati tikuganiza kuti pa opaleshoni dokotala amachotsa mpaka 5 malita a minofu kwambiri, ndiye kuti ndi buku lalikulu mbisoweka, kutanthauza kuti thupi liyenera kuzolowera izo. Iyi ndi ntchito yaikulu, koma chinsinsi cha kupambana chilinso mu chisamaliro cha postoperative.

Chithandizo cha lipedema pambuyo pa opaleshoni

Mu postoperative mankhwala, wodwalayo amapatsidwa Buku mitsempha yodutsitsa madzi ngalande pambuyo opaleshoni. Kuchokera pa tebulo la opaleshoni, imapita molunjika m'manja mwa physiotherapist. Izi lymphatic ngalande umalimbana kuchotsa jekeseni madzimadzi, komanso kukonzekera zotengera zamitsempha yamagazi ziwiya ntchito yachibadwa, kenako bandeji yolimba ntchito. Wodwalayo amasamutsidwa ku chipatala, kumene amagona usiku, kuti atsimikizire kulamulira pambuyo pa opaleshoni, chifukwa ichi ndi chithandizo chachikulu. 

Kenako wodwala amene abwerera kunyumba ayenera kuvala akabudula psinjika kwa sabata, usana ndi usiku, ndi lotsatira masabata 3 kwa maola 12 pa tsiku. Kuponderezana kumeneku ndikofunikira kwambiri pambuyo pa opaleshoni kuonetsetsa kuti khungu limalimba.

Patatha milungu inayi opaleshoniyo, zotsatira zake zonse zimachepa, ndipo khungu, lotambasulidwa ndi minofu yamafuta ochulukirapo, limabwereranso kukula kwake mkati mwa miyezi isanu ndi umodzi yoyambirira. 

Nthawi zambiri, dokotala amafunikira kuchotsa khungu lochulukirapo. Ndipo izi sizofunikira, chifukwa ndi njira yopangira opaleshoniyi, dokotalayo amapita kumtundu wina wa kutambasula koyambirira ndi kufufuma ndi madzi. Ndiyeno ndi mtundu wa zotanuka anachita kuti abwezeretse mawonekedwe ake.

Pambuyo pa miyezi isanu ndi umodzi kapena chaka, wodwalayo ayenera kupita kwa dokotala wake kuti akamupime komaliza.

Pakuyezetsa komaliza kumeneku, dokotala wochita opaleshoni amasankha ngati chilumba cha mafuta a lipedemic chikhalabe pano kapena apo, zomwe zingayambitse kupweteka komweko. Ndipo ngati ndi choncho, ndiye kuti amachichotsa momveka bwino.

Ndipo tsopano odwala amatha kuyika mutu wa lipedema. 

Matenda a Lipedema ndi ochiritsika. Inde, pali kuthekera kwa ndiwofatsa mankhwala. Koma ngati mukufuna kuchira, muyenera kuchita opareshoni. Sizibwereranso chifukwa ndi chibadwa.

Lipedema imachotsedwa, matendawa amachiritsidwa ndipo chithandizo chimatha.

Werenganinso: