Cov hlab ntsha yog tsim los ntawm cov hlab ntsha thiab cov hlab ntsha lymphatic, uas cuam tshuam nrog ib leeg los ua haujlwm ntau. Thaum cov hlab ntsha tau raug tshawb fawb thoob plaws hauv keeb kwm, kev tshawb fawb txog cov kab mob lymphatic tau ib txwm poob qab. Txawm li cas los xij, muaj ntau yam kab mob uas cuam tshuam rau lymphatic system ntawm dev thiab lwm yam tsiaj, ib qho ntawm lawv yog lymphedema.
Yog koj xav paub ntau ntxiv txog lymphedema hauv dev, nws ua thiab kho, koom nrog peb hauv tsab xov xwm tom ntej ntawm peb qhov chaw, ntawm qhov uas peb piav qhia qhov tseem ceeb tshaj plaws ntawm cov kab mob no.
Lymphedema hauv dev yog dab tsi?
Canine lymphedema txhais tau tias yog cov kua dej nyob rau hauv qhov chaw interstitial , tshwj xeeb tshaj yog nyob rau theem ntawm cov ntaub so ntswg subcutaneous, vim lub cev tsis ua haujlwm.
Cov kab mob lymphatic muaj lub network ntawm cov hlab ntsha, lymphatic hlab ntsha, thiab cov qog nqaij hlav hauv nruab nrog cev (xws li thymus, spleen, lossis pob txha pob txha) uas ua haujlwm ua ke los sau thiab thauj cov qog ntshav los ntawm cov ntaub so ntswg mus rau cov ntshav.. Thaum cov qog thiab / lossis cov hlab ntsha lymphatic ntawm lub cev tsis ua haujlwm zoo, muaj cov kua dej lymphatic nyob rau hauv cov ntaub so ntswg subcutaneous, uas ua rau o ntawm cov ntaub so ntswg cuam tshuam
Canine breeds predisposed to lymphedema
Nyob hauv cov dev, qhov chaw uas muaj kev cuam tshuam ntau tshaj plaws yog cov ceg tawv. Pom tau tias tsis muaj kev sib deev predilection rau cov tsos mob ntawm tus kab mob, tab sis muaj ib tug predilection rau haiv neeg. Ntawm cov breeds feem ntau cuam tshuam los ntawm qhov kev hloov pauv pathological no yog bulldog, German Shepherd, labrador retriever, the German Bulldog and the dachshund
Type of lymphedema in dogs
Canine lymphedema tuaj yeem faib ua ob pawg:
- Primary: thaum nws tshwm sim los ntawm qhov tsis xws luag hauv cov lymphatic system nws tus kheej, tshwj xeeb hauv cov hlab ntsha thiab / lossis cov hlab ntsha lymphatic.
- Secondary: thaum nws tshwm sim rau lwm cov txheej txheem pathological lossis kev phais.
Ua rau mob qog nqaij hlav hauv dev
Thaum peb paub ob hom canine lymphedema uas muaj nyob, peb yuav piav qhia tias vim li cas txhua tus yog:
- Primary lymphedema: yog los ntawm congenital anomalies. Tshwj xeeb, thawj hom lymphedema hauv dev tuaj yeem tshwm sim los ntawm lymphatic hypoplasia lossis los ntawm lymphatic hyperplasia thiab dilation.
- Secondary Lymphedema: Secondary lymphedema hauv dev tuaj yeem tshwm sim los ntawm pathological txheej txheemxws li neoplasms (primary lossis metastatic), inflammations , traumatisms,repeated kab mob, kab mob cab lossis kab mob tiv thaiv kab mob. Nws kuj tuaj yeem tshwm sim los ntawm kev phais.
Symptoms of lymphedema in dogs
Cov cim qhia tseem ceeb cuam tshuam nrog canine lymphedema yog o ntawm thaj chaw cuam tshuamRaws li peb tau piav qhia, lymphedema hauv dev yog ntau zaus hauv cov extremities, tshwj xeeb tshaj yog nyob rau hauv lub posterior sawv daws yuav. Txawm li cas los xij, lub forelimbs, plab, qhov chaw mos thiab pob ntseg tuaj yeem cuam tshuam. Tsis tas li ntawd, nws tuaj yeem ua tsis tau yog tias tsuas yog ib sab ntawm lub cev raug cuam tshuam, lossis ob sab yog tias ob tog raug cuam tshuam ib txhij.
hauv qab, peb sau qee qhov ntawm
- Thaum nws cuam tshuam rau cov extremities, qhov o feem ntau pib nyob rau hauv lub distal cheeb tsam ntawm qhov kawg (uas yog, nyob rau hauv lub cheeb tsam deb tshaj ntawm lub cev ntawm tus tsiaj) thiab, raws li nws loj hlob, nws kis tau. mus rau qhov chaw ze (qhov chaw ze tshaj plaws rau lub cev ntawm tus tsiaj).
- NOJ NIAM TUAGSinking(lub npe hu ua pitting) uas txuas ntxiv rau ob peb feeb tom qab tus ntiv tes raug tshem tawm.
- Cov tawv nqaij ntawm thaj chaw cuam tshuam feem ntau yog nyias thiab nrog spongy tsos.
- Feem ntau tsis mob tshwj tsis yog tias muaj qhov o loj lossis nrog cellulitis.
- Thaj chaw feem ntau tsis kub lossis txias dua li qub.
- Cov qog ntshav hauv cheeb tsam tej zaum yuav tsis palpable.
- Tus neeg mob tej zaum yuav yog tsawg zog dua li ib txwm, vim qhov hnyav ntxiv ntawm tus ceg.
Qee yam ntawm cov tsos mob no feem ntau nrog edema tshwm sim los ntawm kev txawv txav ntawm lub venous system (xws li venous stasis), plawv tsis ua hauj lwm, raum tsis ua haujlwm, cirrhosis lossis hypoproteinemia, yog li nws yuav yog qhov tseem ceeb rau kev sib txawv ntawm ob qho kev hloov pauv thaum lub sijhawm kuaj mob.
Diagnosis of lymphedema in dogs
Kev kuaj mob ntawm canine lymphedema yog nyob ntawm cov ntsiab lus hauv qab no:
- ::Lawv yog ib qho tsim nyog, ntawm ib sab, kom sib txawv ntawm edema thiab lymphedema, thiab ntawm qhov tod tes, sim txheeb xyuas qhov ua rau mob lymphedema thib ob.
- Skin biopsy thiab histopathology: tso cai pom cov kab mob me me cuam tshuam nrog lymphedema. Tsis tas li ntawd, nyob rau hauv cov ntaub ntawv ntawm thawj lymphedema, nws yuav tso cai rau kev tshawb pom ntawm tej yam congenital hloov pauv (hypoplasia los yog hyperplasia) uas ua rau lymphedema. Kev sib txawv ntawm cov dermal lossis subdermal edema feem ntau pom, nrog cov hlab ntsha los yog cov hlab ntsha hyperplastic. Hauv cov mob ntev, nws tuaj yeem nrog cov ntaub so ntswg fibrosis.
- Direct lymphangiography: muaj qhov sib txawv X-ray ntawm cov qog ntshav qog thiab cov hlab ntsha. Yuav kom tau txais cov duab hluav taws xob, qhov nruab nrab ntawm qhov sib piv ntawm cov dej yuav tsum tau txhaj rau hauv cov hlab ntsha lymphatic.
- Magnetic Resonance: nws tuaj yeem ua tau raws li kev kuaj pom zoo, vim nws tso cai rau peb txaus siab rau cov qauv kev hloov pauv los ntawm lymphedema thiab muab cov ntaub ntawv ntsig txog qhov muaj, architecture thiab qhov loj ntawm cov qog nqaij hlav.
Tshuaj mob qog nqaij hlav hauv dev
Txoj kev vam meej ntawm kev kho mob ntawm canine lymphedema nyob ntawm, mus rau qhov zoo, ntawm nws lub sijhawm ntev. Cov theem thaum ntxov yog feem ntau thim rov qab thiab daws nws tus kheej los yog nrog kev kho mob. Txawm li cas los xij, thaum tus txheej txheem ua mob ntev, cov ntaub so ntswg fibrosis feem ntau tshwm sim, uas nyuaj rau kev kho mob.
Ua ntej ntawm tag nrho cov, peb yuav tsum hais tias Ua ntej tshaj plaws, peb yuav tsum hais kom meej tiasTxawm li cas los xij, muaj ntau yam kev kho mob, ob qho tib si kho mob thiab phais, uas, txawm tias tsis tas yuav ua tiav, tuaj yeem pab tswj cov txheej txheem. Hauv qab no, peb sau lub ntsiabkho mob lwm txoj rau canine lymphedema:
- Robert Jones hom compression bandage: nws yog ib qho tseem ceeb tshwj xeeb tshaj yog nyob rau theem pib ntawm lymphedema, vim nws pab txo qhov o thiab muab kev pab rau lub cev. neeg mob.
- ::
- Pharmacological treatment: Txawm hais tias muaj ob peb txoj kev tshawb fawb txog qhov no, tocopherol nicotinate thiab sodium sulfonate hydrate zoo li muaj txiaj ntsig zoo hauv kev tswj cov tsos mob.. Kev kho mob mus sij hawm ntev nrog diuretics (xws li furosemide) yog contraindicated.
- Surgeal treatment: Thaum kev kho mob tsis zoo, kev kho phais yog tsim nyog. Cov kev xaiv muaj xws li tshem tawm cov ntaub so ntswg edematous, reconstructive phais, thiab, nyob rau hauv cov mob hnyav heev, amputation ntawm lub caj pas cuam tshuam.
Tsis tas li ntawd, nyob rau hauv cov xwm txheej thib ob lymphedema uas tus kab mob thawj zaug ua rau nws paub, nws kuj tseem tsim nyog los tsim kom muaj ib qho kev kho mob tshwj xeeb rau thawj qhov laj thawj.
Vim tag nrho cov saum toj no, nws yog ib qho tseem ceeb mus rau ib tug kws kho tsiaj chaw zov me nyuam thaum pom thawj cov tsos mob, vim hais tias nws yog ib qho tseem ceeb kom nrhiav tau tus mob lymphedema.
