Njengoba i-lymphedema engatholakalanga iqhubeka, ingadlulisela ekuthuthukisweni kwelomdlavuza we-lymphangiosarcoma – umdlavuza oqondene nolymph wezifo ezingcolile ezingenza ukuthi isikhathi sokuphila somuntu siphinde sithuthuke kusuka eminyangeni emibili. I-lymphedema engatholakalanga noma engaphathekile kahle ingaholela kwi-sepsis, ukutheleleka okwesabisa, okungenzeka kube nokuphela okusheshayo okusabalala emzimbeni wonke.
Ingabe i-lymphedema iyabaxhumanisa ubude bokuphila?
Yini ubude bokuphila kumuntu onomdlavuza we-lymphedema? I-lymphedema yilomdlavuza ophila ngawo, kodwa eziningi izikhathi, ayikho into yokuphila noma kuphela uma ungenza izinyathelo ezifanele zokwelashwa. Xoxa nodokotela wakho ukuze uqonde izindlela zokwelashwa ezinhle kakhulu kuwe.
Yini inqubo yokugcina ye-lymphedema?
Inqubo yama-4: I-Elephantiasis (isithende esikhulu esiphathisiwe), ukugqoka kwesikhumba nokuqhubeka kwesikhumba esinjengomuntu.
Yini inqubo yokuphila kwelymphedema?
Inqubo yokuphila yama-5 ngonyaka yelymphangiosarcoma ingaphansi kwama-10%, ngenkathi ukuphila okujwayelekile ngemva kokufakwa kufinyelela kuma-19 inyanga.
Ingabe i-lymphedema iqhubeka kanjani ngokushesha?
Uhlobo oluncane lwe-lymphedema lungavuma ngemva kwezinsuku ezimbalwa ngemva kokusika futhi kuvame kube isikhathi esifushane. I-lymphedema ingavuma ngemva kwezinsuku ezi-4 kuya ku-6 ngemva kokusika noma ukukhanya kwezinkanyezi bese iyahamba ngokuhamba kwesikhathi. Uhlobo lwakudala lwe-lymphedema lungavuma ngokungabi nobuhlungu futhi lungavuma ngemva kwezinyanga ezi-18 kuya ku-24 noma ngaphezulu ngemva kokusika.
I-Lymphedema, Imbangela, Imininingwane Nokubonakala, Ukufakwa Nokwelashwa.
Nini inyanga ephakeme kakhulu yokulimala kwe-lymphedema?
Abantu abanezingxube zokugqoka eziningi ezisuswe noma isiphiwo sokwelapha kwezimbali zokugqoka ziyogcina ithuba elikhulu lokuthuthukiswa kwe-lymphedema. Kodwa ngalesi sikhathi ayikho indlela yokubona ukuthi ubani ozokwakhiwa. I-Lymphedema ingaba inkinga emva kwesiqinisekiso noma isiphiwo sokwelapha kwezimbali zokugqoka zibe yiluphi uhlobo lwesifo, kodwa kubonakala kakhulu ku: Ukugula kwezicubu.
Nini i-lymphedema ibalulekile?
Nini ukubona udokotela. Yenza isikhathi sokubona udokotela uma ubona ukuvuvukala okuqhubekayo kwengalo yakho noma uqweqwe. Uma usevele ukuhlolwa nge-lymphedema, bona udokotela uma kukhona ukukhula okungaphezulu kwezilinganiso kwengxube elibambayo.
Ingaba i-Stage 4 lymphedema ingaphiliswa?
Abahlinzeki bezempilo abanakho ukuphilisa i-lymphedema, kodwa banazo izindlela zokwelapha ukuze zingconywe ukuvuvukala kwe-lymphedema nokungapheleli. Kunezinto eziningi ongazenza ukuze ugcine uthinteke kakhulu ku-lymphedema emiphilweni yakho.
Yiziphi izinkinga zelymphedema?
I-Lymphedema engalawulwa ingenza:
imithwalo engapholi, nokuthi kunezimo ezikhulu zokulimala kwezicubu zokugqoka ezinenzwa ubuhlungu, ukubomvu, nokuvuvukala. ukugqoka okujulile noma ukugqoka kwezicubu zokugqoka. ukuzwakala okuqinile kwesikhumba; ukuqinisa kwendawo evuvukile ayoqinisa. ukulahlekelwa yizinwele.
Ingabe ukuvuvukala kwe-lymphedema kungaba cancer?
Yini esenza Lymphedema? I-lymphedema ingenza ngokudluliselwa kwamagciwane noma ngokwelashwa kwamagciwane. Ngezinye izikhathi, ukhula kwentumane eyindawo yokuhlala yamagciwane kungaba kugcwele inqubo yelymph. Ukususa amagciwane ngesikhulumi kungasho ukususa amaqembu amanzi noma ezinye izikebhe ezithwala amanzi amanzi.
Yiyiphi indima yelymphedema engabuyiselwa emuva?
Indima 2 (i-lymphedema engabuyiselwa emuva): I-Fibrosis – ukunemba kwezicubu zokugcina ezincane, ezihlanganisiwe – kwenzeka. Ngaphandle kokufinyelela, akunandaba ukuthi umuntu ukhuphuke kangakanani noma ukucindezeleka kwezitho zomzimba, ngeke abuyele emuva esakhiweni sokuqala nembali.
Ingabe i-lymphedema ingaqediwa?
Akukho ukwelapha kwe-lymphedema. Ukulashwa kuyalungiswa ekunciphiseni ukuvuvukala nokuvikela izinkinga.
Yini engeke kwenzeke uma i-lymphedema ingapheli?
Isimiso esisodwa sokuvuvukala kwezandla noma izinyawo, kodwa uma kungabhekwa, i-lymphedema ingaholela ekungabikho komusa nokuthi izifo zimpilo zingaphila. Ukuvuvukala okuhlobene nalesifo kuzalwa ukuthi inqubo yelymphatic ayisebenzi, eyingxenye elingaziwa kahle yensimbi yomzimba.
Ingabe i-lymphedema kuyisifo esibalulekile?
Kubalulekile ukwazi ukuthi i-lymphedema ngezinye izikhathi ingaba yisifo esibalulekile futhi sizinze izinkinga ezinzima, futhi ngokuvamile yisimo eside noma esijwayelekile. Lokhu kungani ukuphathwa okuqala nokucophelela kuyadingeka ukusiza ekunciphiseni izimpawu nokuvimba ukuthi kungabi nzima.
Izitho ziphi ezibhekene nolymphedema?
Ukuvela kwe-lymphedema kwenziwa uma isistimu ye-lymph iqotho noma ivimbele. Imanzi iqotho emithambo yezicubu zomzimba futhi kudale ukuvuvukala. Ibulili elijwayelekile elingenza ngokwelapha kwezifo nokwelashwa kwazo. Ulymphedema ngokuvamile uchaza isandla noma ithanga, kodwa ungachaza nezinye izitho zomzimba.
Iziphi izinhlobo zokudla ezingadingwa abantu abane-lymphedema?
Ukungadingi izinhlobo zokudla eziningi zesalti kanye nesalti efakwe ngokwengeziwe kuyalungiswa emhlabeni. Ukugcina izinhlobo zokudla ezilungisiwe kubalulekile ukuze fikelele kanye nokugcina ubunzima bemzimba obuphakeme. Izifundo ezimbalwa zibonile ukuthi ukuguqula umthamo womafutha ekudleni kunganceda ukuvuvukala kwe-lymphedema.
Yini imvume yokwelapha elihle kakhulu yelymphedema?
Ukuncoma okuqondile kokwelapha kwelymphedema kuyindlela yokuqeda ukuvuvukala kwemithambo yamanzi (DLT). I-DLT ayilapho ekuhlolweni kwelymphedema, kodwa inganceda ukulawula izimpawu. Nakuba kunesikhathi nokuzama, imvume yokwelapha ingasetshenziswa ukulawula ilymphedema.
Yini ukudla okuhle kwe-lymphedema?
Ukwakheka kweqanda kubalulekile ukuze kugcine umzimba wakho uphila nokusebenza ngokugcwele. Uma ungekho ukudla amaprotheni akwanele, amanzi angaphuma emithambo yakho yegazi ukuze afike ezicubu zakho zomzimba, futhi kwenze ilymphedema ibe mbi kakhulu. Ngalesi sizathu, kufanele ukusebenzise amaprotheni amahle kusuka embelezi, izinhlamvu, amaqanda, izitshalo, inhlanzi, izinyoni ne-tofu ekudleni kwakho kwemihla ngemihla.
Ingabe i-lymphedema iyaphunyuka?
Amalonda nawo ayebalulekile kakhulu nge-lymphedema. Ungaphuma ngophunga oluncane oluzophunyuka bese kwasha umlondolo ovulekile.
Umuntu owayengaziwa ngubani onelaymfedema?
Lapho umlingisi ogunyaziweyo watholwa enelaymfedema emva kokuphumelela kokulashwa kwesifo senhliziyo, wamukela lomsebenzi othi uwona omkhulu kakhulu—ukuphakamisa abantu abahlupheka ngezifo zezilimfiso. Ngo-68, uKathy Bates ungumlingisi osebenzayo kakhulu.