Ke nānā aku nei kou mimi me ka waiū? ʻO Chyluria anei kēia? E ʻike kākou!

Ua ʻike anei ʻoe he ʻano waiū iki kou mimi, a i ʻole ka mimi ? A i ʻole ke kahe nei ʻoe i kahi wai keʻokeʻo waiū me kāu mimi ? E hopohopo iki paha ʻoe. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana e puka mai ai ka mimi i kēia kala ʻē, akā ʻaʻole ia he mea maʻamau. Kāhea mākou i kēia he Chyluria.

He aha ʻo Chyluria?

I ka ʻōlelo maʻalahi, ʻo Chyluria ka loaʻa ʻana o kahi mea i kapa ʻia ʻo 'chyle' i loko o kou mimi, ʻo ia hoʻi, ka mimi . I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia 'chyle', ʻeā? He wai waiū iki ia e puka mai ana mai ko mākou mau lymph node. No ke aha he waiū? No ka mea, ʻo nā ʻāpana momona i omo ʻia mai ko mākou ʻōpū e hui pū me kēia wai e hana i kēia kala.

ʻO ka maʻamau, hele kēia wai lymph a me ka momona i loko o ka ʻōnaehana kahe koko ma o kā mākou mau kīʻaha lymph. A laila, lawe ke koko iā lākou i nā ʻāpana like ʻole o ke kino. Akā, e noʻonoʻo i ka mea e hana ai inā ʻaʻole hana pono kēia mau kīʻaha lymph? A laila kahe kēia wai i kapa ʻia ʻo 'chyle' i loko o ke kino mai kahi ʻē aʻe ma kahi o ka hui pū ʻana me ke koko. Inā kahe ia i loko o nā puʻupaʻa, ʻo ia ka manawa e puka mai ai me ka mimi .

No ke aha he waiū ka mimi?

No laila, ʻo ke kumu o kou mimi e like me ka waiū, no ka mea, ua komo kēlā wai 'chyle' aʻu i ʻōlelo ai ma mua i loko o kou mau puʻupaʻa. A laila hui pū ia me kou mimi a puka mai i waho ke hele ʻoe i ka lua.

ʻO wai ka mea hiki ke hoʻomohala iā Chyluria?

ʻOiaʻiʻo, hiki i kekahi ke loaʻa i kēia maʻi i kapa ʻia ʻo Chyluria. Eia nō naʻe, inā ʻoe e noho ana ma nā ʻāina e like me ʻAmelika Hema, ʻApelika ma lalo o ka Sahara, a i ʻole ʻAsia Hikina Hema, ʻoiai ʻo India, a i ʻole ua noho manawa ma ia mau wahi, ʻoi aku ka nui o kou loaʻa ʻana i ka chyluria parasitic. ʻO kēia no ka mea he mea maʻamau nā parasites e hoʻoulu ai i ia mau wahi.

Hoʻopilikia pinepine kēia maʻi i nā kānaka ma waena o 20 a me 40 mau makahiki. Eia naʻe, mai kahaha, ua hōʻike nā kauka ua loaʻa i nā keiki ʻōpio he 5 mau makahiki ka chyluria parasitic ma muli o kēia mau parasites.

Pehea ka maʻamau o kēia ʻano?

ʻO kaʻoiaʻiʻo, he maʻi laha ʻole ʻo Chyluria. ʻOiai ma nā wahi i ʻike pinepine ʻia ai, ʻaʻole i hōʻike ʻia ma mua o 100 mau hihia i kēlā me kēia makahiki. No laila, ʻaʻole ia he mea maʻamau.

Pehea ka hopena o Chyluria i koʻu kino?

Hiki i kēia kūlana o Chyluria ke hoʻoulu i ka ʻai ʻole i loko o kou kino. Hiki iā ia ke alakaʻi i nā hemahema o nā huaora . ʻO kēia no ka mea, me ka 'chyle', ua hoʻokuʻu ʻia nā huaora momona a me nā huaora momona-soluble e pono ai ke kino i loko o ka mimi .

He aha nā hōʻailona o Chyluria?

ʻO ka hōʻailona nui o Chyluria he mimi waiū a keʻokeʻo paha . Akā, ʻaʻole kēia wale nō, aia paha kekahi mau hōʻailona ʻē aʻe. E nānā kākou he aha lākou?

• ʻO ka pono e mimi pinepine.
• ʻEha ka manaʻo i ka wā e mimi ai (kapa mākou i kēia `(dysuria)`).
• Ke koko i loko o ka mimi (ua kapa ʻia kēia he `(hematuria)`).
• ʻŌpū lalo, ʻo ia hoʻi, ʻeha ma ke kua lalo.
• Ke emi nei ke kaumaha.
• Ka lohi o ka ulu ʻana (ʻoi aku hoʻi i nā keiki).
• Manaʻo luhi mau.
• Manaʻo e like me ʻoe e anu ana.
• ʻO ka pehu ʻana i nā lālā (peripheral edema)

He aha nā kumu o Chyluria?

ʻElua mau ʻano nui o nā kumu no Chyluria. ʻO kekahi he mau kumu parasitic a ʻo kekahi he mau kumu non-parasitic .

Nā kumu i hoʻoulu ʻia e nā parasites

Ma kahi o 95% o nā hihia o Chyluria i hoʻokumu ʻia e nā parasites i hoʻokumu ʻia e ka roundworm Wuchereria bancrofti . ʻO ka maʻi i hoʻokumu ʻia e kēia ua kapa ʻia hoʻi ʻo filariasis . Ua lohe paha ʻoe iā ia he 'filariasis' , ʻo ia nō ia. Ke ālai nei kēia ilo i nā kīʻaha lymphatic.

ʻO nā parasites ʻē aʻe e hiki ke helu no ke koena 5% penei:

• ʻO Taenia echinococcus `(Taenia echinococcus)`
• ʻO Taenia nana (He mau ilo lipine kēia)
• ʻO ka maʻi ʻeha hookworm (Ankylostomiasis )
• ʻO ka maʻi Trichinosis
• Malaria

Nā kumu ʻē aʻe ʻaʻole he parasites

Hiki ke loaʻa pū ʻo Chyluria no nā kumu ʻē aʻe ma mua o nā parasites. Eia kekahi laʻana:

• ʻEha ʻōpū . E noʻonoʻo i kahi hahau ikaika i ka ʻōpū, me he mea lā i loko o kahi ulia.
• ʻO ke ʻoki kino , ʻoiai ke ʻoki ʻana i ka nephrectomy hapa a i ʻole ke ʻoki ʻana i ka scoliosis.
• Nā maʻi like ʻole .
• Ka hoʻonui ʻia ʻana o ka node lymph o ka ʻōpū .
• Nā ʻano puʻupuʻu , ʻo ia hoʻi, nā puʻupuʻu maʻi ʻaʻai a i ʻole nā ​​​​​​puʻupuʻu ʻaʻole maʻi ʻaʻai.
• Hoʻōla radiation .
• Nā ʻōpū .
• ʻO nā Lymphangiomas he mau puʻupuʻu o ka ʻōnaehana lymphatic e kū ana i loko o ka ʻōpū mimi a i ʻole nā ​​​​puʻupaʻa.
• Ka hāiki ʻana (stenosis) o ke kahawai lymphatic nui i loko o ka lua o ka umauma .
• Hāpai keiki . I kekahi manawa hiki ke loaʻa kēia ʻano i ka wā hāpai keiki.

He maʻi laha anei ʻo Chyluria?

ʻAʻole, ʻaʻole laha ka maʻi Chyluria. ʻAʻole hiki iā ʻoe ke loaʻa iā ia mai ka hoʻopā ʻana a i ʻole ke kokoke ʻana i kekahi. Eia nō naʻe, inā i hoʻokumu ʻia e kahi parasite, hiki ke hoʻoili ʻia kēlā parasite i kekahi (no ka laʻana, mai kahi makika). Eia naʻe, ʻaʻole laha pololei ka chyluria.

Pehea e ʻike ʻia ai ʻo Chyluria?

Hiki i ke kauka ke haʻi maopopo iā ʻoe inā he Chyluria kou a i ʻole. E nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a kauoha i kekahi mau hoʻokolohua.

Pehea e ʻike ʻia ai ʻo Chyluria?

Hiki i nā hoʻokolohua a ke kauka e kauoha ai ke hōʻoia inā he Chyluria kāna a ʻike pehea e komo ai ka wai i kapa ʻia ʻo 'chyle' i loko o ka mimi .

Hiki i kēia mau hoʻokolohua ke komo pū me:

• Urinalysis : Lawe ʻia kahi hāpana o kāu mimi a nānā ʻia no ke kala, ke ʻano, a me nā mea ʻē aʻe. A laila hoʻouna ʻia i kahi lab e hoʻāʻo ʻia no ke alo o ka chyle.
• Nā hoʻāʻo kiʻi : Hiki i kēia ke komo pū me kahi CT scan , lymphangiogram ( kahi e hoʻokomo ʻia ai kahi wai kūikawā i loko o nā kīʻaha lymph a lawe ʻia kahi X-ray), MRI , X-ray , a i ʻole ultrasound . Nānā kēia mau mea no kekahi mau ālai a i ʻole nā ​​​​leaka i loko o ka ʻōnaehana lymphatic.
• Hoʻāʻo Triglycerides : Loaʻa i nā kānaka a pau me Chyluria nā triglycerides, kahi ʻano momona, i loko o ko lākou mimi. I kekahi manawa, inā ʻaʻole koʻikoʻi ka Chyluria, ʻaʻole paha e like ka mimi me ka waiū. Eia nō naʻe, inā loaʻa kēia mau triglycerides, hiki iā ia ke hōʻoia iā Chyluria.
• Laparoscopy : He ʻoki liʻiliʻi kēia. Hana ʻia kahi ʻoki liʻiliʻi ma ka ʻōpū a hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela (laparoscope) e kōkua i ka ʻike ʻana i ke kumu o ka wai lymph e kahe ana. Eia nō naʻe, hana ʻia kēia inā ʻaʻole hiki i nā hoʻokolohua ʻē aʻe ke loaʻa.

Pehea e mālama ʻia ai ʻo Chyluria?

Inā ua ʻike ʻia ʻoe me Chyluria, hiki i kāu kauka ke kuhikuhi i kekahi mau koho lapaʻau. Hiki i kēia ke komo pū me nā lāʻau lapaʻau conservative , nā lāʻau lapaʻau minimally invasive , a i ʻole nā ​​​​lāʻau lapaʻau invasive e like me ke ʻoki kino .

Lapaʻau mālama

ʻO ka nūhou maikaʻi, ʻoi aku ma mua o 70% o nā maʻi Chyluria e pane maikaʻi ana i kēia mau lāʻau lapaʻau maʻalahi.

ʻO ka mea mua, e haʻi aku ke kauka iā ʻoeKe haʻi aku nei lākou iā ʻoe e hoʻomaha, e inu i ka nui o nā wai, a e hahai i kahi papaʻai i kāohi pono ʻia. Ke kaupalena ʻoe i ka nui o ka momona i kāu papaʻai, e emi ana ka nui o ka 'chyle' i hana ʻia e kou kino. Hoʻemi kēia i ka nui e kahe ana i loko o kou mau puʻupaʻa.

I kekahi manawa, e kuhikuhi paha kāu kauka i kahi lāʻau i kapa ʻia ʻo 'parenteral nutrition' . Pili kēia i ka hāʻawi ʻana iā ʻoe i nā calorie a me nā meaola e pono ai ʻoe ma o kahi wai saline i loko o kahi aa. ʻO ke ʻano kēia, ʻaʻole ʻoe e hānai ʻia ma ka waha, akā ma o kahi aa.

Eia kekahi, aia kekahi mau lāʻau lapaʻau e hiki ke kōkua i ka mālama ʻana i ke kūlana o Chyluria.

Lapaʻau invasive liʻiliʻi

Inā ʻaʻole hoʻomaikaʻi kou kūlana me kēlā mau lāʻau maʻalahi, aia kahi lāʻau lapaʻau minimally invasive i kapa ʻia ʻo sclerotherapy .

Ma kēia kaʻina hana, hoʻokomo ke kauka i kahi hopena kūikawā (i kapa ʻia he sclerosant) i loko o ka ʻāpana waena o kou puʻupaʻa (renal pelvis). ʻO ka sclerosant i hoʻohana pinepine ʻia ʻo ia ka silver nitrate . Eia nō naʻe, aia kekahi mau hopena ʻē aʻe, e like me:

• ʻO Povidone iodine `(Povidone iodine)`
• ʻO ka sodium iodide
• Potasiuma bromide
• Dextrose
• Hoʻonā Hypertonic `(Hoʻonā Hypertonic)`

Hana kēia hopena ma ke ʻano he ʻano 'sila' kahi e liki ai ka 'chyle'.

Lapaʻau komohewa

Inā ʻaʻole e hoʻomaikaʻi kou kūlana me nā lāʻau lapaʻau maʻalahi a i ʻole nā ​​​​lāʻau lapaʻau minimally invasive, pono paha kāu kauka e hana i nā lāʻau lapaʻau invasive hou aʻe, e like me ke ʻoki ʻana, kahi e ʻike ʻia ai a hoʻoponopono ʻia ai ka lymph node leaking.

He aha kāu e ʻai ai inā loaʻa iā ʻoe ʻo Chyluria?

Inā loaʻa iā ʻoe ʻo Chyluria, e haʻi aku kāu kauka iā ʻoe e hahai i kahi papaʻai haʻahaʻa momona a kiʻekiʻe i ka protein . Pono ʻoe e hoʻokomo i ka nui o nā mea kanu ʻōmaʻomaʻo i kāu papaʻai. Eia kekahi, he mea nui nā meaʻai i waiwai i nā wikamina A, D, E, a me K.

E noʻonoʻo i nā meaʻai haʻahaʻa i ka momona a kiʻekiʻe i ka protein:

• Iʻa : ʻOi aku ka iʻa e like me ke cod, haddock, halibut, a me ka tilapia.
• Moa ʻili ʻole a me ka pelehū (nā ʻāpana ʻiʻo keʻokeʻo).
• ʻŌpū pipi ʻole (pīpī sirloin).
• Nā lentil.
• Nā legumes e like me ka chickpeas, ka pi, nā pīni ʻōmaʻomaʻo, a me nā pī.
• Tofu `(Tofu)` .
• Waiū momona haʻahaʻa a me nā meaʻai waiū.
• Nā nati a me nā hua (pono e hoʻopau ʻia kēia mau mea me ka liʻiliʻi).

ʻEhia ka momona āu e ʻai ai i kēlā me kēia lā?ʻAʻole pono ʻoe e hōʻemi i kāu ʻai ʻana ma mua o 25 grams . ʻO ka hapa nui o ka poʻe me Chyluria pono wale nō e hahai i kēia papaʻai haʻahaʻa momona a kiʻekiʻe i ka protein no kekahi mau pule. E haʻi aku kāu kauka iā ʻoe i ka wā e hiki ai iā ʻoe ke ʻai hou i nā meaʻai momona maʻamau.

He aha nā lāʻau lapaʻau i hoʻohana ʻia no Chyluria?

Aia kekahi mau ʻano lāʻau lapaʻau e hiki ke kōkua i ka mālama ʻana i ke kūlana o Chyluria:

• ʻEzetimibe (inoa inoa: Zetia®) : Hana kēia lāʻau lapaʻau ma ka hoʻōki ʻana i ka omo ʻana o ka cholesterol mai kou ʻōpū.
• Nā lāʻau lapaʻau anti-parasitic : Inā hoʻokumu ʻia ka chyluria e kahi maʻi parasitic, hoʻohana ʻia nā lāʻau lapaʻau e like me ivermectin (inoa inoa: Stromectol®) , diethylcarbamazine (inoa inoa: Hetrazan®) , albendazole (inoa inoa: Albenza®) , a me benzathine penicillin e mālama i ka maʻi.

Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?

Ma muli o ka lāʻau lapaʻau āu e loaʻa ai, hoʻomaka ka hapa nui o ka poʻe e ʻoluʻolu i loko o kekahi mau lā a i ʻole mau pule . Eia nō naʻe, ʻokoʻa ka manawa e hoʻōla piha ai mai kēlā kanaka a kēia kanaka.

Pehea e hōʻemi ai i ka pilikia o ka hoʻomohala ʻana o Chyluria?

ʻO nā parasites, ʻo ia ke kumu nui o Chyluria, e laha ʻia e nā makika . No laila, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke noho mamao aku mai nā makika. Hiki iā ʻoe ke hana i kēia mau mea:

• E ʻaʻahu i nā lole loloa a mānoanoa hoʻi, a me nā lole lima lōʻihi.
• E hiamoe i loko o kahi lumi me ke ea hoʻoluʻu, a i ʻole e hiamoe ma lalo o kahi ʻupena makika.
• E hoʻopili i nā mea pale makika ma nā ʻāpana o ke kino i hōʻike ʻia.
• E pīpī i ka mea pale makika ma luna o kou mau lole, nā halelewa, a me nā ʻupena makika.

Eia kekahi, hiki iā ʻoe ke lawe i nā lāʻau lapaʻau e pepehi i nā ilo microscopic (he mea kēia e hana ʻia ma ke aʻo ʻana a ke kauka, ʻoiai inā ʻoe e hele ana i nā wahi i ʻike pinepine ʻia ai nā maʻi parasitic).

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ʻo Chyluria?

Inā loaʻa iā ʻoe ʻo Chyluria, maikaʻi loa ka manawa e ho'ōla ai . Mai hopohopo.

ʻO ka ʻoiaʻiʻo, ma kahi o 50% o nā hihia e hoʻopau iā lākou iho , me ka ʻole o kekahi lāʻau lapaʻau. ʻOi aku ma mua o 70% o nā hihia e hoʻopau me nā lāʻau lapaʻau maʻalahi. ʻO ka nui o ka holomua o kēlā mau lāʻau lapaʻau ikaika he 95%. No laila, he maʻi hiki ke ho'ōla ʻia kēia.

Āhea wau e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi mau loli ʻē i ke kala o kou mimi , ʻoiai inā he pinepine kou makemake e mimi , a inā ʻeha ʻoe i ka wā e mimi ai , e ʻike koke i ke kauka.ʻAʻole maikaʻi ka loaʻa ʻana o kēia ʻano ʻano.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau i kekahi mau nīnau e like me kēia:

• Pehea ʻoe e ʻike pono ai he Chyluria koʻu?
• Inā ʻaʻohe oʻu Chyluria, he aha ke ʻano ʻē aʻe?
• Pono anei au i ka lāʻau lapaʻau, a i ʻole ke manaʻo nei ʻoe e hoʻomaikaʻi kēia ma kāna iho ?
• Manaʻo paha ʻoe i kahi ʻano lapaʻau maʻalahi, minimally invasive, a i ʻole invasive noʻu?
• Hiki iā Chyluria ke hoʻi hou mai?
• Hiki iā ʻoe ke kuhikuhi mai i kahi meaʻai loea maikaʻi noʻu?

He aha ka ʻokoʻa ma waena o Chyluria a me lymphuria?

He mea maikaʻi nō hoʻi kēia e ʻike. ʻO ke ʻano o 'Lymphuria' aia ka lymph i loko o kāu mimi , akā ʻaʻohe momona.

ʻO Chyluria ka wā e loaʻa ai i loko o kāu mimi ka momona a me ka wai lymphatic (i kapa ʻia he chyle). ʻO kēia ke kumu e like ai ke kala o kou mimi me ka waiū.

Inā lilo koke kou mimi i waiū, hiki ke hopohopo iki. No laila, inā ʻike ʻoe i kekahi mau loli ʻē i ke kala o kou mimi , ʻoiai inā ʻoe e mimi pinepine ana a inā ʻoe e ʻeha ana i ka wā e mimi ana , e kamaʻilio koke me kāu kauka. Hiki iā ia ke nānā iā ʻoe me Chyluria a hāʻawi iā ʻoe i ka lāʻau kūpono loa.

Leka Hoʻihoʻi Hope Loa

ʻAe, ua kamaʻilio nui mākou e pili ana iā Chyluria. Eia kekahi o nā mea nui e hoʻomanaʻo:

• ʻO Chyluria paha ka mimi waiū: Hana ʻia kēia e ke alo o kahi wai momona i kapa ʻia ʻo 'chyle' i loko o ka mimi .
• He ʻokoʻa nā kumu: nā maʻi parasitic (ʻoi aku ka filariasis), nā ulia pōpilikia, nā ʻoki kino, nā puʻupuʻu, a pēlā aku.
• ʻAʻole he maʻi lele: ʻAʻole laha pololei ʻo Chyluria mai kekahi kanaka a i kekahi kanaka.
• E hoʻomaopopo i nā hōʻailona: Ma waho aʻe o ka mimi waiū, hiki i nā hōʻailona ke komo pū me ka mimi pinepine, ka ʻeha i ka wā e mimi ai , ke koko i loko o ka mimi, a me ka pohō kaumaha.
• He mea nui ka ʻōlelo aʻoaʻo lapaʻau: Inā ʻike ʻoe i kahi loli i ke kala o kou mimi , e ʻike koke i ke kauka. Mai lāʻau ponoʻī.
• Aia nā lāʻau lapaʻau a me nā ho'ōla: ʻo ka ʻai haʻahaʻa momona, ka lāʻau lapaʻau, a i kekahi manawa hiki i ke ʻoki liʻiliʻi ke hoʻomaikaʻi nui i kēia kūlana. ʻAʻohe mea e hopohopo ai.
• E pale iā ʻoe iho: He mea nui e pale iā ʻoe iho mai nā makika e pale aku i nā parasites.

No laila, ke lana nei koʻu manaʻo he mea pono kēia ʻike iā ʻoe. E noho olakino!

ʻO Chyluria, chyle i loko o ka mimi, mimi keʻokeʻo waiū, ʻōnaehana lymphatic, nā maʻi parasitic, nā puʻupaʻa, filariasis