Aia kekahi kahe wai ʻē ma hope o ke ʻoki ʻana? He chyle leak paha kēia!

Ua ʻike anei ʻoe i kahi wai waiū ʻē e kahe ana mai kahi ʻeha ma kou kino, ma hope o kahi ʻoki kino, a i ʻole ma hope o kahi ulia nui? A i ʻole ke kumu o ka pehu ʻana ma ia wahi? Mai hopohopo, he ʻano paha kēia i kapa ʻia ʻo Chyle Leak, a mākou e kamaʻilio ai i kēia lā. He mea kēia e pono ai ka nānā ʻana, akā inā ʻoe e hoʻomaopopo a mālama pono iā ia, hiki ke ho'ōla ʻia. E kamaʻilio maʻalahi kākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ʻo Chyle Leak? E hoʻomaopopo maʻalahi kākou.

ʻAe, e nānā mua kākou i ke ʻano o kēia chyle leak. Loaʻa i ko kākou kino kahi ʻōnaehana i kapa ʻia ʻo ka lymphatic system . Ua like kēia me kahi ʻōnaehana o nā alanui liʻiliʻi i loko o ko kākou kino. ʻO kēia ka mea e kōkua ai i ka ʻōnaehana pale o ko kākou kino a wehe i nā mea pono ʻole.

I kēia manawa, ke ʻai mākou, ʻoiai nā meaʻai momona, ua ʻeli ʻia a omo ʻia e ko mākou ʻōpū. ʻO kēia momona i omo ʻia a me nā meaola ʻē aʻe i kapa ʻia he chyle , he wai keʻokeʻo waiū. Lawe ʻia kēia chyle i nā ʻāpana e pono ai o ke kino ma o ko mākou mau kīʻaha lymphatic.

No laila, ma kekahi ʻano, e noʻonoʻo inā ua hōʻino ʻia kēia mau kīʻaha lymphatic, inā paha i ka wā o ke ʻoki kino a i ʻole i kahi ulia nui, hoʻomaka ka wai chyle e kahe mai ka wahi i hōʻino ʻia. ʻO kēia ka manawa e hōʻiliʻili ai ka wai chyle i loko o nā ʻiʻo a puni, kahi e hoʻoulu ai i nā hōʻailona e like me ka pehu. ʻO kēia ka mea a mākou e kapa ai he chyle leak , i kekahi manawa i kapa ʻia he chylous leak a i ʻole chylous fistula .

He hopena ʻaoʻao kakaikahi kēia akā he koʻikoʻi o ke ʻoki kino. Hoʻomaʻamaʻa pinepine nā kauka iā ia me kahi papaʻai kūikawā, hoʻomaha, a, inā pono, nā lāʻau lapaʻau.

Pehea ka maʻamau o ka chyle leak?

He maʻi laha ʻole ka leaka o Kyle. ʻAʻole ia e hiki i nā kānaka a pau. He mea maʻamau ia me ke ʻoki kino. Eia kekahi laʻana:

• Ua hōʻike ʻia kēia kūlana ma lalo o 1% o nā ʻoki thyroidectomy.
• I nā ʻoki poʻo a me ka ʻāʻī ʻē aʻe, aia paha ma kahi o 8%.

Eia kekahi, hiki ke hana ʻia kēia ʻano chyle leak ma hope o ke ʻoki ʻana o ka ʻōpū, ke ʻoki ʻana o ka umauma, a i ʻole ke ʻoki ʻana i ka puʻupaʻa (nephrectomy).

Pehea ke koʻikoʻi o ka chyle leak?

ʻAʻole he mea e lawe māmā ʻia ʻo Chyle Leak, he maʻi koʻikoʻi ia . No ka mea hiki iā ia ke hana i nā pilikia like ʻole i loko o ko mākou kino. Eia kekahi laʻana:

• Ka maloʻo ʻana: Hiki ke emi ka nui o ka wai i loko o ke kino.
• Ka nele o ke kaulike electrolyte: Hiki ke hoʻopilikia ʻia ke kaulike o nā electrolytes koʻikoʻi i loko o ke kino.
• Ka pale ʻana i ka maʻi pale:E emi ana paha ka hiki ke hakakā i nā maʻi.
• ʻAi ʻole: ʻAʻole paha i loaʻa i ke kino ka meaʻai kūpono e pono ai.

E noʻonoʻo, ʻo ka mea e hana ʻia ana i loko o kēia mea ua like ia me kahi wai momona waiwai nui mai ko mākou kino e kahe wale ana i waho. ʻO ia ke kumu he mea koʻikoʻi kēia.

I ka liʻiliʻi loa, hiki i kēia ʻano ke lilo i mea koʻikoʻi. Inā hana ʻia kēia:

• Chylothorax: ʻO kēia ka hōʻiliʻili ʻana o ka wai chyle i loko o ka hakahaka pleural, ka hakahaka ma waena o nā māmā a me ka paia umauma. I kekahi manawa ua ʻike mua ʻia he ʻano i kapa ʻia ʻo pleural effusion.
• ʻO ka ascites chylous: ʻO kēia ka wā e hōʻiliʻili ai ka wai chyle i loko o ka lua ʻōpū. ʻO ka ascites kahi kūlana kahi e piha ai ka ʻōpū me ka wai.

He aha ke kumu o ka chyle leak?

ʻO ka maʻamau, hoʻokumu ʻia kēia ʻano ma muli o kahi ʻeha ʻeha i ka ʻōpū, ka umauma, a i ʻole ka ʻāʻī . Eia nō naʻe, i nā manawa he nui, ʻo ke kumu nui ka hōʻino ʻia i ka wā o ke ʻoki kino . E like me ka mea i ʻōlelo ʻia ma mua, he hopena ʻaoʻao kakaikahi kēia o ke ʻoki kino. Kiʻekiʻe loa kēia pilikia i nā ʻoki kino poʻo a me ka ʻāʻī. Hana ʻia kēia ma muli o ka hōʻino ʻia ʻana o nā kīʻaha lymphatic, ʻoiai ko mākou kīʻaha lymphatic nui i kapa ʻia ʻo ka thoracic duct .

I kekahi manawa, hiki ke hana ʻia ka chyle leak ma ke ʻano he pilikia o ka lymphoma , kahi maʻi ʻaʻai o nā lymph nodes.

He aha ka ʻōnaehana Thoracic?

ʻO ke alaloa thoracic, a mākou i kamaʻilio ai, he paipu nui koʻikoʻi loa ia i loko o kā mākou ʻōnaehana lymphatic. Ua like ia me ke alanui nui. Holo ia mai ka ʻōpū a i ka ʻāʻī. ʻO ia ka paipu e lawe ana i ka lymph a me ka chyle ma o nā ʻiʻo o ko mākou kino. Hele ka lymph mai nā hapalua hema a me ka ʻākau o lalo o ko mākou kino ma o kēia paipu. No laila, inā hōʻino ʻia, nui ka manawa e liki ai.

He aha nā hōʻailona o ka chyle leak?

I ka wā o ke ʻoki ʻana, hiki paha i ke kauka lapaʻau ke ʻike i ka chyle . ʻO ia kekahi hōʻailona. Eia kekahi, ma hope o ke ʻoki ʻana, i ka wā e hoʻomaka ai ka mea maʻi e ʻai, ʻoi aku hoʻi nā meaʻai momona, e nānā nā kauka i ka piʻi ʻana o ka nui o ka wai e puka mai ana mai nā ʻauwai ʻoki.

ʻO nā hōʻailona e hiki ke kū mai ma hope o ke ʻoki ʻana:

• Lymphedema: ʻO kēia ka pehu ʻana o nā wahi e like me nā lālā ma muli o ke ālai ʻia ʻana o nā kīʻaha lymph.
• ʻUlaʻula o ka ʻili: Hiki ke lilo ka ʻili a puni ka mea i lī ʻia i ʻulaʻula.
• Pehu ma luna o ka clavicle: Hiki ke ʻike ʻia ka pehu ma ka ʻāʻī, ma luna o ka iwi ʻāʻī. He hōʻailona kēia i ʻike ʻia inā ua hōʻino ʻia ke ala thoracic.

Pehea ʻoe e ʻike ai i kahi chyle leak?

I ka wā o ke ʻoki ʻana, nānā nā kauka ʻoki i ka wahi no ka chyle ma mua o ka pani ʻana i ka ʻeha. Eia naʻe, ʻaʻole ʻike mau ʻia kēia leaka. I kekahi manawa nānā wale ʻia ma hope o ke ʻoki ʻana, i ka wā e hoʻōla ana ka mea maʻi.

Nā hoʻokolohua diagnostics

• I ka wā o ke ʻoki kino: Hoʻohuli nā kauka lapaʻau i ke kino o ka mea maʻi i kekahi mau kūlana a kau i ke kaomi i ka umauma a i ʻole ka ʻōpū e nānā i ka chyle leakage. Hana ʻia kēia ma mua o ka pani ʻana i ka ʻeha.
• Ma hope o ke ʻoki kino: Ke hoʻōla hou ka mea maʻi, e hana nā kauka i kahi hoʻokolokolo kino e nānā i nā hōʻailona o ka chyle leak. E nānā pū lākou i ke wai e puka mai ana mai nā ʻauwai ʻoki kino.
• Ka hoʻāʻo ʻana i ka hāpana wai: Inā he pehu, e lawe nā kauka i kahi hāpana o ka wai mai ka pehu a hoʻāʻo iā ia no ka nui o ka momona, a i ʻole triglycerides, i loko. Inā kiʻekiʻe loa nā pae triglyceride i loko o ka wai, ʻo ia hoʻi ke kahe nei ka chyle.

Pehea e mālama ʻia ai ka chyle leak?

Aia kekahi mau koho lapaʻau, ma muli o ka wā i ʻike ʻia ai ka liki a me ke koʻikoʻi o ia mea.

Lapaʻau i ka wā o ke ʻoki kino

Inā ʻike ʻia kahi chyle leak i ka wā o ke ʻoki ʻana, e hoʻāʻo nā kauka lapaʻau e hoʻōki i ka leak i ka hikiwawe loa. E hoʻohana lākou i nā ʻūmiʻi kūikawā a i ʻole nā ​​​​​​sutures e pani i ke ala lymph i hōʻino ʻia.

Mālama ma hope o ke ʻoki ʻana

Inā ʻike ʻia ka liki ma hope o ke ʻoki ʻana, e hilinaʻi ka lāʻau lapaʻau i ka nui o ka liki (inā he ʻoluʻolu, kaulike, a koʻikoʻi paha) a me ke olakino holoʻokoʻa o ka mea maʻi.

I ka manawa pinepine, hoʻāʻo mua ʻia nā lāʻau lapaʻau ʻaʻole ʻoki kino. Ua kapa ʻia kēia he mau lāʻau lapaʻau conservative . Inā ʻaʻole hiki i kēia mau mea ke kāohi i ka leaka e noʻonoʻo hou ʻia ke ʻoki kino.

Nā lāʻau lapaʻau ʻoki ʻole

No ka ho'ōki ʻana i ka chyle leakage, hiki i kāu kauka ke ʻōlelo i kēia mau mea:

• Moe moe: Hiki ke ʻōlelo ʻia iā ʻoe e hoʻōki loa i ka hana kino a hoʻomaha. E hōʻemi kēia i ke kaumaha ma ka ʻōnaehana lymphatic.
• ʻAi i hoʻololi ʻia: He mea nui loa kēia. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku.
• Nā lāʻau lapaʻau e pale ai i ka omo ʻana o ka momona: Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e hōʻemi ana i ka omo ʻana o ke kino i ka momona mai ka meaʻai.
• Nā mea palupalu noho: Hāʻawi ʻia kēia mau mea e pale aku ai i ke kaumaha i ka wā o ka neʻe ʻana o ka ʻōpū, no ka mea, hiki i ke kaumaha ke hoʻonui i ke kaomi i loko o ka ʻōpū a hoʻonui i ka leakage.

He aha ka papaʻai kūikawā no kekahi kanaka me ka chyle leak?

He ʻāpana koʻikoʻi loa kēia o ka lāʻau lapaʻau. E haʻi aku ke kauka iā ʻoeE aʻo ʻia ʻoe e hahai i kahi papaʻai haʻahaʻa momona a momona ʻole paha no kekahi manawa. He mea nui e hahai i kēia papaʻai e like me ke kuhikuhi a kāu kauka a hiki i ka ho'ōla ʻana o ka līki.

E hoʻomanaʻo, he wai ka chyle nona ka momona. No laila, ke hōʻemi mākou i ka momona i kā mākou meaʻai, e emi ana ka nui o ka chyle i hana ʻia. Hoʻemi kēia i ka nui o ka leakage, e hāʻawi ana i ka ʻōnaehana lymphatic i kahi manawa e ho'ōla ai.

Hiki i kahi papaʻai haʻahaʻa momona ke komo pū me:

• Kekahi mau ʻano huaʻai (haʻahaʻa ka momona o ka hapa nui o nā huaʻai).
• Berena momona ʻole, nā mea ʻai kakahiaka, a me nā huahana waiū momona ʻole.
• ʻO nā ʻiʻo momona e like me ka moa a me ka iʻa me ka ʻili ʻole.
• Nā mea kanu i hoʻolapalapa ʻia me ka ʻaila ʻole.

Nā mea ʻaʻole e ʻai a inu i ka wā e loaʻa ai iā ʻoe ka chyle leak

E haʻi aku kāu kauka iā ʻoe e pale i nā meaʻai a me nā mea inu i kiʻekiʻe i ka momona a me ke kō . Pono paha kekahi poʻe e hāʻawi ʻia i nā wai a me nā meaʻai ma o ke ala IV (intravenous) e pale aku i ka dehydration a hāʻawi i ka meaʻai.

He aha nā lāʻau lapaʻau no ka chyle leak?

Hiki i kāu kauka ke kuhikuhi i kekahi mau lāʻau lapaʻau e mālama ai i ka chyle leak. Hāʻawi ʻia kēia mau lāʻau lapaʻau ma o kahi catheter i kau ʻia i loko o kahi aʻa (IV). ʻO kēia mau lāʻau lapaʻau:

• ʻO Somatostatin
• ʻOktreotide

Hana kēia mau lāʻau lapaʻau ma ka hoʻemi ʻana i ka hana ʻana o ka chyle a me ke kahe ʻana ma o nā kīʻaha lymphatic.

I kekahi manawa, hiki ke hoʻopili ʻia nā lāʻau lapaʻau topical i kahi o ka leak, i ka wā a ma hope paha o ke ʻoki ʻana, e kōkua ai i ke sila ʻana i ka leak.

ʻEhia ka lōʻihi e hoʻōla ai ma hope o ka mālama ʻana iā Chyle Leak?

ʻO ka maʻamau, hiki i kahi chyle leak liʻiliʻi ke ho'ōla i loko o hoʻokahi pule a i ʻole , ʻoi aku hoʻi ma hope o ka hoʻokahe ʻana o ka chyle a me ka ʻai kūpono a me ka hoʻoikaika kino. Eia nō naʻe, ʻaʻole e ho'ōla kekahi mau leaks, a pono paha ke ʻoki hou ʻana e hoʻoponopono iā lākou.

Hiki ke pale ʻia ka chyle leak?

ʻAʻohe mea hiki iā ʻoe ke hana ma ke ʻano he mea maʻi e pale aku i ka chyle leak. ʻO kēia no ka mea e hana ʻia ia i ka wā e hōʻino ʻia ai nā kīʻaha lymphatic. Hiki ke hana ʻia i ka wā o ke ʻoki kino a i ʻole i kahi ulia. Hoʻāʻo nā kauka lapaʻau i kā lākou mea maikaʻi loa e hōʻemi i kēia ʻano hōʻino i ka wā e hana ai i ke ʻoki kino.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe kahi chyle leak?

E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ke kāohi ʻana i kāu ʻai a me ka palena ʻana i kāu hana kino . He mea nui loa ia e hahai pololei i kēia mau ʻōlelo kuhikuhi. Eia kekahi, e hōʻoia e mālama ʻoe i kāu mau manawa hoʻopaʻa.

"Inā ʻoe e hahai pono i nā kuhikuhi a ke kauka, hiki iā ʻoe ke ho'ōla koke mai kēia maʻi. No laila, ʻo ka mea nui loa, ʻo ia ka hoʻolohe ʻana i ka ʻōlelo a ke kauka."

ʻO ka hapa nui o ka manawa, hoʻoholo ʻia kēia kūlana i loko o hoʻokahi pule a i ʻole me nā loli o ke ʻano o ka nohona a me ka meaʻai.

Aia kekahi mau hopena ʻē aʻe o ka chyle leak?

ʻAe, hiki i ka chyle leak ke hoʻolohi i ke kaʻina hana ho'ōla ʻeha o kou kino . ʻO kēia no ka mea ke hōʻiliʻili ka chyle keu i loko o nā ʻiʻo kokoke i kahi ʻeha, hiki i kēlā ʻiʻo ke pehu . Hiki i kēia pehu ke hoʻolohi i ka ho'ōla ʻana o ka ʻeha a hoʻonui i ka pilikia o ka maʻi.

He aha ke kūlana inā loaʻa iā ʻoe kahi chyle leak?

Inā ho'ōla pono ka chyle leak, hiki iā ʻoe ke hoʻi i kāu papaʻai maʻamau . Eia kekahi, e hana maʻamau ke kaʻina hana ho'ōla ʻeha ma hope o ka ho'ōla ʻana o ka leak. Ho'ōla ka hapa nui o nā chyle leaks ma kahi o hoʻokahi pule me ka mālama ʻana.

Hiki ke hana ʻia kahi chyle leak ma mua o hoʻokahi manawa?

ʻAe, ʻoiai he mea kakaikahi, hiki nō i ka chyle leak ke hana hou ʻia ma mua o hoʻokahi manawa, ʻoiai inā pono e hana hou ʻia ke ʻoki kino i kahi mea i loaʻa mua ka chyle leak.

Pehea e mālama ai iaʻu iho i ka wā e loaʻa ai iaʻu kahi chyle leak?

ʻO ka mea nui loa, ʻo ia ka hahai pololei i nā kuhikuhi a kāu kauka . E kōkua kēia iā ʻoe e ho'ōla koke i kou chyle leak a pale i nā pilikia. He mea nui ka ʻai ʻana, ka hoʻomaha, a me ka lawe pono ʻana i kāu mau lāʻau lapaʻau.

Hōʻuluʻulu Manaʻo: Nā mea e hoʻomanaʻo ai

He maʻi koʻikoʻi ka chyle leak e hiki ke hana ma hope o ke ʻoki kino a i ʻole kahi ulia ma muli o ka hōʻino ʻia o ka ʻōnaehana lymphatic. I kēia hihia, kahe kahi wai momona i kapa ʻia ʻo chyle i loko o nā ʻiʻo a puni o ke kino. Hiki i kēia ke hana i nā pilikia e like me ka dehydration a me nā hemahema meaʻai.

Kuhikuhi nā kauka i kahi papaʻai kūikawā (haʻahaʻa i ka momona), ka palena o ka hana kino (hoʻomaha), a me ka lāʻau lapaʻau inā pono. Ma ka hahai pono ʻana i nā kuhikuhi a ke kauka, hiki ke ho'ōla pinepine ʻia kēia maʻi i loko o hoʻokahi pule wale nō. No laila, he mea nui e makaʻala i kēia a hahai i nā mea a ke kauka e ʻōlelo ai.

` chyle leak, lymphatic duct, nā pilikia postoperative, thoracic duct, chylothorax, ʻai haʻahaʻa momona