Lymphatic rhuav txhua

Lymphatic ob leeg yog qhov txhaws ntawm cov qog ua dej ntws tawm ntawm cov nqaij hauv thoob plaws lub cev thiab tso cai rau cov kabmob tiv thaiv kab mob mus ncig rau qhov chaw uas lawv xav tau. Lymphatic ob ការរ tej zaum yuav ua rau mob lymphedema, uas txhais tau tias o vim qhov txhaws cov lymph ntawm cov lymph.

Cov laj thawj feem ntau rau cov lymphatic ob leeg yog tshem tawm lossis ua rau cov qog ntshav tawm.

Lwm yam ua rau cov lymphatic rhuav txhua:

• Kev sib kis nrog cov cab, xws li filariasis
• Raug Mob
• Kev siv hluav taws xob
• Cov kab mob ntawm daim tawv nqaij, xws li mob cellulitis (feem ntau tshwm sim ntawm cov neeg rog)
• Kev phais mob
• Lub pob hlav

Ib qho ua ke ntawm lymphedema yog tshem tawm lub mis (mastectomy) thiab underarm lymph nqaij rau kev kho mob cancer mis. Qhov no ua rau lymphedema ntawm caj npab hauv qee tus neeg, vim hais tias lymphatic kua ntawm caj npab kis los ntawm qhov tsos (axilla).

Cov ntaub ntawv tsis muaj tsawg ntawm cov lymphedema uas tam sim no los ntawm kev yug los (yug los ntawm lub cev) yuav tshwm sim los ntawm cov teeb meem hauv kev txhim kho cov hlab ntsha lymphatic.

Cov tsos mob tseem ceeb yog pheej o (mob ntev) o, feem ntau ntawm caj npab lossis txhais ceg.

Tus kws kho mob yuav kuaj ib ce thiab nug txog koj li keeb kwm kho mob. Qhov no yuav suav nrog cov lus nug txog seb qhov o ntau npaum li cas ntxiv nrog nce siab thiab seb daim ntaub khov kho li cas.

Cov kev xeem hauv qab no tuaj yeem ua:

• CT lossis MRI scan
• Kev ntsuam xyuas cov duab saib lub qog thiab cov qog ua kua (lymphangiography thiab lymphoscintigraphy)

Kev kho mob rau cov mob lymphedema suav nrog:

• Compression (feem ntau nrog qhwv hauv cov ntaub qhwv lossis cov thom khwm)
• Los ntawm txhais tes lymph kua (MLD)
• Ntau yam ntawm cov lus tsa suab lossis tawm tsam kev tawm tsam

Kev tuav lub qog ntshav yog qhov ua kom lub teeb zaws ntxaws. Thaum lub sij hawm zaws, daim tawv nqaij tau txav mus rau hauv qee qhov kev qhia raws li cov qauv ntawm lymphatic system. Qhov no pab kom cov lymph kua dej ntws mus raws cov kev cai raug.

Txoj kev kho kuj suav nrog kev tu tawv nqaij kom tiv thaiv kev raug mob, kis mob thiab ua kom tawv nqaij. Kev tawm dag zog lub teeb thiab kev tawm dag zog kuj tseem yuav raug kho. Hnav cov ris tsho compression rau ntawm thaj chaw muaj qhov cuam tshuam lossis siv lub tshuab pneumatic nyem yuav pab tau. Koj tus kws kho mob thiab kws kho mob lub cev yuav txiav txim seb txoj kev twg yog qhov zoo dua.

Kev phais mob siv nyob rau qee kis, tab sis nws muaj qhov tsis muaj kev vam meej. Tus kws phais yuav tsum muaj kev paub ntau nrog hom kev ua no. Koj tseem yuav tsum tau kho lub cev tom qab kev phais mob txhawm rau txo mob lymphedema.

Hom kev phais mob suav nrog:

• Kev Pluag
• Kev tshem tawm ntawm cov nqaij mos lymphatic tsis zoo
• Kev hloov cov lymphatic cov ntaub so ntswg mus rau thaj chaw uas muaj qhov qog lymphatic kua (tsawg dua)

Muaj qee zaus, phais mob los dhau ntawm cov leeg cov nqaij uas siv cov leeg ntshav ntawm lub qhov txhab. Cov txheej txheem no ua tau zoo tshaj rau kev ua haujlwm rau lymphedema thaum ntxov thiab yuav tsum tau ua los ntawm tus kws phais neeg paub txog.

Lymphedema yog ib tus mob uas feem ntau xav tau kev tswj kav lub neej. Hauv qee kis, lymphedema txhim kho nrog lub sijhawm. Qee qhov o yog feem ntau tas mus li.

Ntxiv nrog rau kev o, qhov tshwm sim feem ntau muaj xws li:

• Mob hnyuv thiab mob txhab
• Daim tawv nqaij tawg
• Mob qog ua qog ua ntshav (tsawg)

Mus ntsib koj tus kws kho mob yog tias koj muaj caj dab o koj txhais caj npab, ceg, lossis tej qog ntshav uas tsis teb kho lossis ploj mus.

Cov neeg phais feem ntau tam sim no siv tus txheej txheem hu ua sentinel lymph node sampling kom txo koj txoj kev pheej hmoo rau lymphedema tom qab phais mob cancer mis. Txawm li cas los xij, cov txheej txheem no tsis yog ib txwm tsim nyog lossis siv tau zoo.

Lymphedema

• Lymphatic system
• Tus ntsia thawv daj

Feldman JL, Jackson KA, Armer JM. Lymphedema pheej hmoo txo ​​thiab kev tswj hwm. Hauv: Cheng MH, Tseej DW, Patel KM, eds. Cov Ntsiab Cai thiab Kev Ua ntawm Lymphedema Kev Kho MobCov. Philadelphia, PA: Elsevier; 2016: chap 9.

Rockson SG. Lymphedema: ntsuas thiab txiav txim siab. Hauv: Siavy AN, Perler BA, eds. Rutherford's Kev Kho Mob Ntshav Qab Zib thiab Kev Kho Mob EndovascularCov. 9le ed. Philadelphia, PA: Elsevier; 2019: chap 168.