Lymphedema imadziwika ndi kuwonjezeka kosalekeza kwa kukula kwa mwendo, komwe kumalumikizidwa ndi kuchuluka kwa madzimadzi am'madzi. Kutupa kumachitika pamene zotengera zamitsempha salinso kukhetsa zamitsempha bwino mokwanira, amene kenako amaunjikana mu zimakhala pansi pa khungu. Lymphedema imatha kuyambitsa matenda opatsirana, otupa komanso a rheumatic. Palibe mankhwala a lymphedema, koma decongestant physiotherapy imatha kuchedwetsa kukula kwake. Kukula kwa lymphedema akuganiziridwa kukhala kwakukulu kuposa anthu 100 pa 100. (000)

Kukula ndi malo a lymphedema zimasiyanasiyana. Imazindikiridwa ndichipatala pamene gawo la gawo lomwe lakhudzidwalo ndi lalikulu kuposa 2 cm kuposa lomwe lathanzi. Nthawi zambiri zimachitika pa mkono kapena mwendo, koma kutupa kumakhudza mbali zina za thupi: nkhope, khosi, thunthu, maliseche. Zimayambitsa kumverera kwa kulemera ndi kupsinjika maganizo, nthawi zina komanso kupweteka. Lymphedema imayambitsa kukhuthala ndi fibrosis pakhungu, zomwe zimawonekera pachizindikiro cha Stemmer, kulephera kukwinya khungu la chala chachiwiri.

Zifukwa ziwiri zodziwika bwino zomwe zimayambitsa mawonetseredwe a lymphedema:

Pamene malformation wa lymphatic dongosolo la chibadwa chiyambi ndi chifukwa, amatchedwa primary lymphedema. Kusintha kwa ma genetic nthawi zambiri kumachitika modzidzimutsa koma, nthawi zambiri, lymphedema ndi yobadwa nayo ndipo imakhudza anthu angapo a banja limodzi. Primary lymphedema imakhudza munthu mmodzi mwa 1 ndipo imapezeka nthawi zambiri pa nthawi ya kutha msinkhu. (10)

Sekondale lymphedema ndi kusintha komwe kumachitika mu lymphatic system. Zitha kuchitika pambuyo pa opaleshoni (kuchotsedwa kwa mitsempha ya varicose kapena ma lymph nodes, mwachitsanzo), chithandizo cha chotupa (monga chithandizo cha radiation kuchiza khansa ya m'mawere), ngozi, kapena matenda.

Lymphedema imasiyanitsidwa bwino ndi edema ya miyendo. Yoyamba imayambitsa kusungitsa mu minofu ya mapuloteni omwe lymph yake imakhala yolemera, zomwe zimayambitsa kutupa komanso kuchulukitsa kwa minofu (zolumikizana ndi adipose), pomwe chachiwiri chimakhala ndi madzi.

Primary lymphedema (ya chibadwa) imapezeka kawirikawiri mwa amayi. Ndithu, tikuona M’menemo chiwerengero chapamwamba cha kutha msinkhu. Kumbali inayi, mgwirizano umakhazikitsidwa pakati pa kunenepa kwambiri ndi kuchuluka kwa zochitika za lymphedema yachiwiri.

Mpaka pano, palibe chithandizo chamankhwala cha lymphedema. Ngati kuyambika, physiotherapy ya decongestant imathandiza kuchepetsa kuchuluka kwake ndikuchepetsa zizindikiro, koma imakhala yoletsa kwambiri. Zimapangidwa ndi kuphatikiza zinthu zotsatirazi:

• Lymphatic drainage kudzera pamanja kutikita minofu yochitidwa ndi physiotherapist wophunzitsidwa mwapadera. Imathandizira mitsempha ya lymphatic ndipo imathandizira kuchotsa kutupa;
• Zovala kapena ma bandeji oponderezedwa amagwiritsidwa ntchito kuwonjezera pa kusisita;
• Pambuyo kuchepetsa lymphedema ndi kutikita minofu ndi psinjika, ntchito zotanuka compression amalepheretsa zamitsempha kuwunjikana kachiwiri;
• Zochita zolimbitsa thupi zenizeni zimalimbikitsidwanso ndi physiotherapist.

Akapanda kuthandizidwa, lymphedema imakula kwambiri ndipo imatha kuyambitsa zovuta monga matenda a pakhungu. Zingathe kusintha kwambiri moyo wa munthu amene akukhudzidwa ndi kupweteka, kulemala komanso kukhala ndi zotsatira za maganizo.