Ua ʻike anei ʻoe i kou mimi e ʻike ʻia ana he ao a he waiū paha? Ua ʻike paha ʻoe i kahi wai keʻokeʻo e like me ka waiū e holo pū ana me kou mimi? He mea maoli loa ia ke hopohopo inā ʻike ʻoe i kēia. I kēia lā, ma Nirogi Lanka , ke kūkākūkā nei mākou i kahi maʻi lapaʻau kakaʻikahi akā koʻikoʻi e hoʻoulu ai i kēia ʻano hoʻololi ʻano ʻē o ka mimi, i ʻike ʻia ʻo Chyluria .
He aha ʻo Chyluria?
I ka ʻōlelo maʻalahi, ʻo Chyluria kahi kūlana kahi i loaʻa ai i loko o kāu mimi kahi mea i kapa ʻia ʻo 'chyle.' Ke noʻonoʻo nei paha ʻoe, he aha ka chyle? He wai keʻokeʻo waiū ia e kahe ana mai kāu ʻōnaehana lymphatic. Me he mea lā he waiū ia no ka mea aia nā ʻāpana momona i omo ʻia mai kou ʻōpū.
ʻO ka maʻamau, hele kēia wai lymphatic a me ka momona ma o kou mau kīʻaha lymph i loko o kou koko, kahi e lawe ʻia ai lākou ma loko o kou kino. Eia naʻe, inā ʻaʻole hana pono kāu mau kīʻaha lymph, ʻaʻole komo kēia chyle i ke kahe koko e like me ka mea e pono ai. Akā, e kahe ana ia i nā wahi ʻē aʻe o kou kino. Inā e kahe ana kēia wai i loko o kou mau puʻupaʻa, e hoʻopau ʻia me kāu mimi , e hāʻawi ana iā ia i kēlā ʻano waiū.
No ke aha i like ai ka mimi me ka waiū?
Inā ʻo kou mimihe waiū ke nānā aku, hōʻike ia ua kahe ka chyle i ʻōlelo ʻia ma luna nei i loko o kou mau puʻupaʻa. Ke hui pū ʻia me kou mimi, puka ia i waho o kou kino i ka wā e mimi ai.
ʻO wai ka mea hiki ke hoʻomohala iā Chyluria?
ʻOiai hiki i kekahi ke loaʻa iā Chyluria, ʻoi aku ka maʻamau ma nā wahi kahi i loaʻa ai kekahi mau parasites, e like me nā ʻāpana o ʻAmelika Hema, ʻApelika sub-Saharan, a me Asia Hikina Hema (ʻoi aku hoʻi ʻo India). Inā ua noho ʻoe a i ʻole i kipa aku i kēia mau wahi, aia paha ʻoe i kahi pilikia kiʻekiʻe no ka parasitic chyluria.
ʻIke pinepine ʻia kēia maʻi i nā kānaka ma waena o 20 a me 40 mau makahiki. Eia nō naʻe, he mea nui e hoʻomaopopo ua hōʻike ʻia nā hihia i nā keiki ʻōpio he ʻelima ma muli o nā maʻi parasitic.
Pehea ka maʻamau o kēia?
Ua manaʻo ʻia ʻo Chyluria he maʻi lapaʻau kakaʻikahi loa. ʻOiai ma nā wahi i ʻoi aku ka nui o kona laha ʻana, ʻaʻole i hiki i ka 100 mau hihia i hōʻike pinepine ʻia i kēlā me kēia makahiki. ʻAʻole ia he maʻi maʻamau.
Pehea ka hopena o Chyluria i koʻu kino?
Hiki i ka Chyluria ke alakaʻi i ka ʻai ʻole a me ka nele i nā wikamina . Hiki kēia no ka mea ʻo ka chyle e kahe ana i loko o kou mimi he mau momona koʻikoʻi a me nā wikamina momona-soluble e pono ai kou kino e omo, ma mua o ka hoʻokuʻu ʻana.
He aha nā hōʻailona o Chyluria?
ʻO ka hōʻailona nui o Chyluria ka mimi keʻokeʻo waiū . Eia nō naʻe, aia kekahi mau hōʻailona ʻē aʻe e pono ai ʻoe e makaʻala:
- Ka makemake pinepine e mimi.
- ʻEha i ka wā o ka mimi ʻana (i ʻike ʻia ʻo dysuria).
- ʻO ke koko i loko o ka mimi (i ʻike ʻia he hematuria).
- ʻEha o ka ʻōpū lalo a i ʻole ke kua lalo.
- Ka pohō kaumaha i manaʻo ʻole ʻia.
- Ka holomua ʻole (ʻoi aku hoʻi i nā keiki).
- Ka luhi mau.
- Nā anu.
- Ka pehu ʻana o nā lālā (peripheral edema).
He aha ke kumu o Chyluria?
ʻElua mau ʻano nui o nā kumu no Chyluria: parasitic a me non-parasitic .
Nā kumu parasitic
Ma kahi o 95% o nā hihia, hoʻokumu ʻia ka chyluria parasitic e ka roundworm Wuchereria bancrofti . ʻO kēia maʻi e alakaʻi ai i kahi kūlana i ʻike ʻia ʻo filariasis.Hoʻopili pono kēia parasite i nā kīʻaha lymph, e hana ana i ka leakage.
ʻO ke koena o 5% hiki ke hana ʻia e nā parasites ʻē aʻe, me:
- ʻO Taenia echinococcus
- Taenia nana
- ʻO ka maʻi ʻaʻai ( ankylostomiasis )
- ʻO ka maʻi Trichinosis
- Malaria
Nā kumu ʻaʻole Parasitic
Hiki ke loaʻa ʻo Chyluria me ka ʻole o nā parasites ma muli o kekahi mau kumu ʻē aʻe, e like me:
- ʻEha ʻōpū (e laʻa, mai kahi ʻeha).
- ʻO ke ʻoki kino , ʻoiai ke nephrectomy hapa (ʻoki puʻupaʻa) a i ʻole ke ʻoki scoliosis.
- Nā maʻi like ʻole.
- Ka hoʻonui ʻia ʻana o ka node lymph o ka ʻōpū.
- Nā puʻupuʻu (ʻelua ʻano maikaʻi a ʻelua ʻano ʻino).
- Hoʻōla radiation.
- Nā ʻōpū.
- ʻO Lymphangioma (nā malformations lymphatic i loko o ka ʻōpū ʻōpū a i ʻole ka puʻupaʻa).
- ʻO ka stenosis (ka hoʻohaiki ʻana) o ke aʻa thoracic.
- Ka hāpai ʻana (i kekahi mau hihia).
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻoluʻolu e kelepona iā Nirogi Lanka a i ʻole e ʻimi koke i ka mālama olakino ulia pōpilikia ma ke kelepona ʻana i 911 a i ʻole e kipa aku i ka haukapila kokoke loa iā ʻoe.
He maʻi laha anei ʻo Chyluria?
ʻAʻole, ʻaʻole he maʻi lele ʻo Chyluria. ʻAʻole hiki iā ʻoe ke hoʻoili i kēia maʻi i nā poʻe ʻē aʻe ma o ka hoʻopā kino a i ʻole ka pili kokoke. Eia nō naʻe, inā ua hoʻokumu ʻia kou maʻi e kahi maʻi parasitic, hiki ke hoʻoili ʻia kēlā parasite kikoʻī (no ka laʻana, ma o ka nahu ʻana o ka makika i kekahi kanaka ʻē aʻe). Eia naʻe, ʻaʻole i laha pololei ke ʻano o Chyluria mai ke kanaka a i ke kanaka.
Pehea e ʻike ʻia ai ʻo Chyluria?
ʻO kahi loea mālama ola wale nō ke hiki ke hoʻoholo pololei inā loaʻa iā ʻoe ʻo Chyluria. E nānā pono kāu kauka i kāu mau hōʻailona a kauoha i nā hoʻokolohua diagnostic kikoʻī e hiki ai i kahi hōʻoia.
Pehea e hōʻoia ʻia ai ʻo Chyluria?
E kōkua nā hoʻokolohua i kauoha ʻia e kāu kauka e hōʻoia i ke alo o Chyluria a ʻike i ke ʻano o ka 'chyle' (kahi wai lymphatic) e kahe ana i loko o kāu mimi .
Hiki i kēia mau hoʻokolohua ke komo pū me:
- ʻIke mimi : E hōʻiliʻili kāu kauka i kahi hāpana mimi e loiloi i kona kala a me kona helehelena. A laila e hoʻouna ʻia i kahi keʻena hoʻokolohua e ʻike i ke alo o 'chyle'.
- Nā hoʻāʻo kiʻi : Hiki i kēia ke komo pū me kahi CT scan , lymphangiogram (kahi e hoʻokomo ʻia ai kahi kala kūikawā i loko o nā kīʻaha lymphatic ma mua o kahi X-ray), MRI , X-ray , a i ʻole ultrasound . Kōkua kēia i ka ʻike ʻana i kekahi mau ālai a i ʻole nā leaka i loko o kāu ʻōnaehana lymphatic.
- Hoʻāʻo Triglycerides : Loaʻa pinepine nā triglycerides (kahi ʻano momona) i loko o ka mimi o ka poʻe me Chyluria. ʻOiai inā ʻaʻole ʻike ʻia kou mimi he keʻokeʻo waiū, ʻo ka loaʻa ʻana o kēia mau triglycerides e hōʻoia i ka maʻi.
- Laparoscopy : He hana ʻoki kino liʻiliʻi kēia. Ma ka hana ʻana i nā ʻoki liʻiliʻi i loko o ka ʻōpū, hoʻohana ke kauka lapaʻau i kahi ʻōmole kūikawā me ke kāmela (laparoscope) e ʻimi ai i kahi kikoʻī o ka lymphatic leak. Mālama pinepine ʻia kēia no nā hihia kahi i hāʻawi ʻole ai nā hoʻokolohua ʻē aʻe i kahi hopena maopopo.
Pehea e mālama ʻia ai ʻo Chyluria?
Ke hōʻoia ʻia kou olakino ma Nirogi Lanka, e kūkākūkā kāu kauka i nā koho lapaʻau i kūpono i kāu mau pono, mai ka hoʻokele conservative a me nā kaʻina hana minimally invasive a hiki i nā hana ʻoki kino .
Lapaʻau mālama
ʻO ka nūhou maikaʻi, ʻoi aku ma mua o 70% o nā maʻi me Chyluria e pane maikaʻi i ka lāʻau lapaʻau conservative.
I ka wā mua, e aʻo aku kāu kauka iā ʻoe e hoʻomaha, e hoʻonui i kāu lawe ʻana i ka wai, a e hahai i kahi papaʻai i kāohi pono ʻia . Ma ka hoʻēmi ʻana i nā momona o ka meaʻai, hoʻemi ʻoe i ka hana ʻana o 'chyle' i loko o kou kino, kahi e hoʻemi ai i ka nui o ke kahe ʻana i loko o kou mau puʻupaʻa.
I kekahi mau hihia, hiki i kāu kauka ke kuhikuhi i ka meaʻai parenteral , kahi e hoʻouna pololei ʻia ai nā calorie koʻikoʻi a me nā meaʻai i loko o kou koko ma o ka intravenous ma mua o ka ʻai ʻana i ka waha.
Eia kekahi, aia nā lāʻau lapaʻau kūikawā e hiki ke kōkua i ka mālama ʻana i ke kūlana.
Lapaʻau invasive liʻiliʻi
Inā ʻaʻole hoʻomaikaʻi kou kūlana me nā hana conservative, hiki ke ʻōlelo ʻia kahi kaʻina hana minimally invasive i ʻike ʻia ʻo sclerotherapy .
I loko o kēia kaʻina hana, hoʻokomo ke kauka i kahi hopena 'sclerosing' kūikawā i loko o ka pelvis renal. ʻO ka mea hana maʻamau i hoʻohana ʻia ʻo ia ka nitrate kālā , ʻoiai ʻo nā mea ʻē aʻe:
- ʻO ka povidone iodine
- ʻO ka sodium iodide
- Potasiuma bromide
- Dextrose
- Hoʻonā hypertonic
Hana kēia mau hoʻonā e 'sila' i kahi e liki ai ka chyle.
Lapaʻau komohewa
Inā ʻaʻole hiki i nā ʻano hana conservative a i ʻole minimally invasive ke hāʻawi i ka hōʻoluʻolu, pono paha ʻoe i ke komo ʻana o ke ʻoki kino . Pili kēia kaʻina hana i ka ʻike ʻana i ke kīʻaha lymphatic i hōʻino ʻia a me ka hana ʻana i kahi hoʻoponopono ʻoki kino.
He aha kāu e ʻai ai inā loaʻa iā ʻoe ʻo Chyluria?
Inā ua ʻike ʻia ʻoe me Chyluria, e ʻōlelo ikaika kāu kauka i ka ʻai haʻahaʻa momona a kiʻekiʻe i ka protein . E hoʻokomo i ka nui o nā lau ʻōmaʻomaʻo i kāu mau meaʻai. He mea nui hoʻi e hōʻoia i ka lawa ʻana o nā wikamina A, D, E, a me K.
Eia kekahi mau koho meaʻai haʻahaʻa momona a kiʻekiʻe i ka protein maikaʻi loa:
- Iʻa : ʻOi aku nā ʻano like ʻole e like me ke cod, haddock, halibut, a me tilapia.
- Moa ʻili ʻole a me ka pelehū (nā ʻāpana ʻiʻo keʻokeʻo).
- ʻŌpū pipi ʻole (pīpī sirloin).
- Nā lentil.
- Nā Legumes (chickpeas, cowpeas, mung beans, a me nā ʻano pī like ʻole).
- Tofu.
- Waiū momona haʻahaʻa a me nā huahana waiū.
- Nā nati a me nā hua (e ʻai ʻia me ka lawa).
Pono ʻoe e hoʻāʻo e mālama i kāu ʻai momona i kēlā me kēia lā ma lalo o 25 grams . No nā maʻi he nui ma Nirogi Lanka, pono wale kēia hoʻololi ʻana i ka meaʻai no kekahi mau pule. E aʻo aku kāu kauka iā ʻoe i ka wā e palekana ai ke hoʻi hou i kahi ʻai maʻamau.
He aha nā lāʻau lapaʻau i hoʻohana ʻia no Chyluria?
Aia kekahi mau lāʻau lapaʻau e hiki ke kōkua i ka mālama ʻana iā Chyluria:
- ʻEzetimibe (inoa inoa: Zetia®) : Hana kēia lāʻau lapaʻau ma ka pale ʻana i kou ʻōpū mai ke komo ʻana i ka cholesterol, hiki ke kōkua i ka mālama ʻana i ke kūlana.
- Nā lāʻau lapaʻau anti-parasitic : Inā loaʻa kāu Chyluria i kahi maʻi parasitic, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me Ivermectin (inoa inoa: Stromectol®) , Diethylcarbamazine (inoa inoa: Hetrazan®) , Albendazole (inoa inoa: Albenza®) , a i ʻole Benzathine penicillin e hoʻomaʻemaʻe i ka maʻi.
Pehea ka wikiwiki o kou ho'ōla ʻana ma hope o ka lāʻau lapaʻau?
Ma muli o kāu hoʻolālā lapaʻau kikoʻī, hoʻomaka ka nui o nā maʻi e ʻike i ka hōʻoluʻolu i loko o kekahi mau lā a i kekahi mau pule . Eia nō naʻe, e hoʻomanaʻo ʻoe he ʻokoʻa ka manawa hoʻōla holoʻokoʻa mai kēlā kanaka a kēia kanaka.
Pehea e hiki ai iā ʻoe ke hōʻemi i ka pilikia o ka hoʻomohala ʻana iā Chyluria?
ʻOiai ʻo ke kumu nui o Chyluria ka maʻi e nā parasites i lawe ʻia e nā makika , ʻo ke ala maikaʻi loa e pale aku iā ʻoe iho mai nā nahu makika. Hiki iā ʻoe ke hana i kēia ma o:
- Ke komo nei i nā pālule lima lōʻihi a me nā lole loloa a mānoanoa.
- Ke hiamoe nei i loko o kahi lumi me ke ea hoʻoluʻu a i ʻole ma lalo o kahi ʻupena makika.
- Ke hoʻopili nei i nā mea pale makika i ʻāpono ʻia e ka EPA i ka ʻili i hōʻike ʻia.
- Ke hoʻohana nei i nā lāʻau hoʻopailua ma kou mau lole, nā halelewa, a i ʻole nā ʻupena makika.
Eia kekahi, hiki ke kuhikuhi ʻia nā lāʻau lapaʻau e hoʻopau i nā ilo microscopic ma ke ʻano he mea pale (pono e hana ʻia kēia ma lalo o ka nānā ʻana o ke kauka, ʻoiai inā ʻoe e hele ana i nā wahi kahi i laha ai kēia mau maʻi parasitic).
He aha kāu e manaʻo ai inā ua ʻike ʻia ʻoe me Chyluria?
Inā ua ʻike ʻia ʻoe me Chyluria, maikaʻi loa ka wānana no ka hoʻōla ʻana . ʻAʻohe pono e hopohopo nui.
ʻO kaʻoiaʻiʻo, ma kahi o 50% o nā hihia e hoʻoholo iā lākou ihome ka ʻole o ka pono no ke komo ʻana o ke kauka. Ma luna o 70% o nā hihia e pane maikaʻi i nā lāʻau lapaʻau maʻalahi, a ʻoi aku ka paʻakikī o nā hihia a hiki i ka 95% me ka mālama loea. Hoʻomanaʻo ʻo Nirogi Lanka iā ʻoe he maʻi hiki ke mālama ʻia kēia.
Āhea ʻoe e ʻike ai i ke kauka?
Inā ʻike ʻoe i kekahi mau loli ʻē i ke kala o kou mimi - ʻoiai inā ʻike ʻoe i ka mimi pinepine a i ʻole ka ʻeha i ka wā e mimi ai - pono ʻoe e nīnau koke i ke kauka . E ʻoluʻolu, mai hoʻowahāwahā i kēia mau hōʻailona. Inā loaʻa iā ʻoe kahi pilikia, e ʻoluʻolu e kelepona i ka 911 a i ʻole kāu mau lawelawe pilikia kūloko.
He aha nā nīnau āu e nīnau ai i kāu kauka?
I kāu kūkākūkā ʻana, makemake paha ʻoe e nīnau i kēia mau nīnau:
- Pehea i hōʻoia ʻia ai koʻu maʻi ʻo Chyluria?
- Inā ʻaʻole ʻo Chyluria, he aha nā kūlana ʻē aʻe e hiki ke wehewehe i kaʻu mau hōʻailona?
- He mea pono anei ka lāʻau lapaʻau ikaika, a i ʻole e hoʻoholo wale ʻia paha?
- Ke paipai nei ʻoe i kahi ala conservative, minimally invasive, a i ʻole ke ʻoki kino?
- He aha ka pilikia o ka hoʻi hou ʻana?
- Hiki iā ʻoe ke kuhikuhi mai iaʻu i kahi meaʻai loea no ke kākoʻo meaʻai?
He aha ka ʻokoʻa ma waena o Chyluria lāua ʻo Lymphuria?
He mea kōkua ke hoʻomaopopo i ka ʻokoʻa. Hōʻike ʻo 'Lymphuria' i ke alo o ka wai lymph i loko o kou mimi me ka ʻole o ka nui o ka momona.
Eia nō naʻe, pili ka 'Chyluria' i ke alo o ka lymph a me ka momona (i kapa ʻia ʻo 'chyle') i loko o kou mimi, ʻo ia ka mea e hāʻawi ai iā ia i kahi ʻano waiū a keʻokeʻo.
Maopopo iā mākou he mea hopohopo ka ʻike ʻana i ka mimi waiū. Inā ʻike ʻoe i kekahi mau loli ʻē, a inā he mau hōʻailona kou e like me ka mimi pinepine a ʻeha paha, e ʻoluʻolu e kamaʻilio koke me kāu mea mālama ola. Hiki iā lākou ke hōʻoia i ka maʻi a hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa nāu.
Leka Hoʻihoʻi Hope Loa
Ua uhi mākou i nā mea he nui e pili ana iā Chyluria i kēia lā. Eia nā mea nui e hoʻomanaʻo ai:
- Hiki i ka mimi keʻokeʻo waiū ke kuhikuhi iā Chyluria: Hana ʻia kēia ma muli o ke alo o ka 'chyle,' kahi wai lymphatic waiwai i ka lipid, i loko o kou mimi.
- Nā kumu kumu like ʻole: Hiki ke hoʻoulu ʻia e nā maʻi parasitic (ʻo Filariasis hoʻi), nā ʻeha kino, nā pilikia ʻoki kino, a i ʻole nā ulu ʻano ʻē.
- ʻAʻole ia he maʻi lele: ʻAʻole laha pololei ʻo Chyluria mai kekahi kanaka a i kekahi kanaka.
- Ke ʻike ʻana i nā hōʻailona: Ma waho aʻe o ka mimi waiū, hiki iā ʻoe ke loaʻa i ka mimi pinepine, ka ʻeha i ka wā o ka mimi ʻana, ke koko i loko o ka mimi, a i ʻole ka pohō kaumaha i wehewehe ʻole ʻia.
- He mea nui ke kūkākūkā lapaʻau loea: Inā ʻike ʻoe i kahi loli mau o ke kala o kou mimi, e ʻoluʻolu e nīnau koke i ke kauka. Mai ho'āʻo e lāʻau ponoʻī.
- Loaʻa nā koho lapaʻau: Hiki ke mālama ʻia kēia maʻi a hiki ke mālama pinepine ʻia ma o ka ʻai haʻahaʻa momona, nā lāʻau lapaʻau i kuhikuhi ʻia, a i ʻole, i kekahi mau hihia, ke komo ʻoki liʻiliʻi. E ʻoluʻolu, mai hopohopo.
- Kāohi: No ka pale ʻana iā ʻoe iho mai nā maʻi parasitic, e hana i nā hana proactive e pale aku ai i nā nahu makika.
Lana ko mākou manaʻo e kōkua kēia ʻike iā ʻoe ma kou ala i ke olakino maikaʻi. E noho olakino me Nirogi Lanka!
👩🏽⚕️ Nā Nīnau i Nīnau Pinepine ʻia (FAQs)
💬 Ua like anei ʻo Chyluria me ka loaʻa ʻana o ka pus i loko o ka mimi?
ʻAʻole. ʻOiai ʻo ka pus e hoʻolilo pinepine i ka mimi i mea ʻōlinolino, ʻo Chyluria ka hopena o kahi wai keʻokeʻo waiū ʻokoʻa, e like me ka waiū hou. Hana ʻia kēia ma muli o kahi ālai ʻana i loko o nā kīʻaha lymphatic—nāna e kuleana no ka lawe ʻana i nā momona—e hoʻoulu ai i ka chyle e kahe pololei i loko o ke ala mimi.
💬 No ke aha e ālai ʻia ai kēia mau kīʻaha lymphatic a haki?
ʻO ke kumu maʻamau ma nā wahi he nui o ka honua, me ʻAsia hoʻi, ʻo Filariasis—he maʻi parasitic i laha ʻia e nā makika. Hiki i nā parasites (Wuchereria bancrofti) ke ālai i nā kīʻaha lymphatic, e hana ana i ke kaomi kūloko e alakaʻi hope ai i ka haki ʻana i loko o ka ʻōnaehana renal.
💬 He pilikia koʻikoʻi anei ke olakino ka mimi waiū?
ʻAe. Waiwai kēia wai i nā momona koʻikoʻi, nā protein, a me nā huaora e pono ai kou kino. ʻO ka nalowale mau ʻana o kēia mau meaolaola e alakaʻi i ka ʻai ʻole, ka pohō kaumaha, a me ka nāwaliwali o ka ʻōnaehana pale. Hoʻomaka ka lāʻau lapaʻau me kahi papaʻai haʻahaʻa momona kikoʻī, a inā hoʻomau nā hōʻailona, pono paha ke komo ʻana o ke ʻoki kino e hoʻopaʻa i ka leaka.
Nā huaʻōlelo: Chyluria, Chyle i loko o ka mimi, Mimi keʻokeʻo waiū, ʻŌnaehana Lymphatic, Nā maʻi Parasitic, Nā puʻupaʻa, Filariasis
