Kua kite koe i tētahi wai rerekē, he rite ki te miraka e turuturu ana i tētahi whara i tō tinana, i muri i tētahi pokanga, i muri rānei i tētahi aituā nui? He pupuhi rānei kei taua wāhi? Kaua e manukanuka, he mate pea tēnei e kiia nei ko Chyle Leak, ka kōrerohia e tātou i tēnei rā. He mea tēnei e hiahia ana kia arohia, engari ki te mārama koe, ā, ki te rongoā tika, ka taea te whakaora. Me kōrero noa tātou mō tēnei, i roto i tētahi huarahi e mārama ai koe.
He aha a Chyle Leak? Kia mārama noa iho tātou.
Āe, tuatahi, me titiro tātou ki te aha tēnei turuturu chyle. He pūnaha tō tātou tinana e kiia nei ko te pūnaha lymphatic . He rite tēnei ki tētahi pūnaha o ngā rori iti i roto i tō tātou tinana. Koinei te mea e āwhina ana i te pūnaha ārai mate o tō tātou tinana, e tango ana hoki i ngā mea kāore e tika ana.
Ināianei, ina kai tātou, inā koa ngā kai momona, ka nakunakuhia, ka mimitia hoki e ō tātou whekau. Ko te ngako me ētahi atu matūkai ka mimitia e kiia ana ko te chyle , he wai mā te miraka. Ka haria hoki tēnei chyle ki ngā wāhanga e tika ana o te tinana mā roto i ō tātou oko toto lymphatic.
Nō reira, i tētahi ara, whakaarohia mēnā ka pakaru ēnei oko toto lymphatic, ahakoa i te wā pokanga, i tētahi aituā nui rānei, ka tīmata te turuturu o te wai chyle i te wāhi kua pakaru. Koinei te wā ka kohia te wai chyle ki roto i ngā kiko e karapoti ana, ka puta ai ngā tohu pēnei i te pupuhi. Koinei te mea e kiia nei e tātou he turuturu chyle , i ētahi wā ka kiia he turuturu chylous , he fistula chylous rānei.
He pānga taha onge tēnei o te pokanga engari he kino . I te nuinga o te wā ka rongoāhia tēnei e ngā tākuta mā te kai motuhake, te okiokinga, ā, mēnā e tika ana, me te rongoā.
He pēhea te auau o te turuturu o te chyle?
He tino onge te turuturu o Kyle. Kāore e pā ki te katoa. He mea noa i roto i te pokanga. Hei tauira:
- E kitea ana tēnei āhuatanga i roto i raro iho i te 1% o ngā pokanga tango tairoi.
- I ētahi atu pokanga o te mahunga me te kaki, tata ki te 8% pea.
Waihoki, ka puta pea tēnei momo turuturu chyle i muri i te pokanga puku, te pokanga uma, te pokanga tango whatukuhu rānei (nephrectomy).
He pēhea te kino o te turuturu wai?
Ehara a Chyle Leak i te mea hei mea māmā noa iho, he mate kino rawa atu . Nā te mea ka taea e ia te whakararu i ngā momo raruraru o roto i tō tātou tinana. Hei tauira:
- Te matewai: Ka heke pea te nui o te wai i roto i te tinana.
- Te kore taurite o ngā irahiko hiko: Ka taea te whakararuraru i te taurite o ngā irahiko hiko nui i roto i te tinana.
- Te pehi i te pūnaha ārai mate:Ka heke pea te kaha ki te whawhai ki te mate.
- Te kai koretake: Tērā pea kāore te tinana e whiwhi i ngā matūkai e hiahiatia ana.
Whakaarohia, ko te mea e tupu ana i roto i tēnei mea he rite ki te wai matūkai nui e turuturu noa ana i roto i tō tātou tinana. Koia te take he mea kino rawa atu tēnei.
He tino onge te wā ka kino haere tēnei āhuatanga. Mēnā ka puta tēnei:
- Chylothorax: Koinei te kohikohinga o te wai chyle i roto i te wāhi pleural, te wāhi i waenganui i ngā pukahukahu me te pakitara o te uma. I ētahi wā ka tautuhia tuatahitia hei āhuatanga e kiia nei ko te pleural effusion.
- Te ascites chylous: Koinei te wā e kohia ai te wai chyle i roto i te kōhao puku. Ko te ascites he āhuatanga e kī ana te puku i te wai.
He aha te take o te turuturu o te chyle?
Ko te tikanga, ka puta tēnei āhuatanga i te whara o te puku, te uma, te kaki rānei . Heoi, i roto i te nuinga o ngā wā, ko te tino take ko te kino i te wā e pokangahia ana . E ai ki te kōrero i mua ake nei, he pānga taha onge tēnei o te pokanga. He tino teitei tēnei mōrearea i roto i ngā pokanga o te upoko me te kaki. Ka puta tēnei nā te kino o ngā oko toto lymphatic, inā koa ko te oko toto lymphatic matua e kiia nei ko te thoracic duct .
I ētahi wā, ka puta te turuturu chyle hei raruraru o te lymphoma , he mate pukupuku o ngā kōpuku lymph.
He aha te awaawa o te uma?
Ko te awaawa uma, i kōrerotia e tātou, he ngongo nui, he mea tino nui i roto i tō tātou pūnaha lymphatic. He rite ki te ara matua. Ka rere mai i te puku ki te kaki. Koinei te ngongo e kawe ana i te lymph me te chyle i roto i ngā kiko o tō tātou tinana. Ka haere te lymph mai i te taha maui me te taha matau o raro o tō tātou tinana mā roto i tēnei ngongo. Nō reira, ki te pakaru, he nui te tūponotanga ka turuturu.
He aha ngā tohu o te turuturu o te chyle?
I te wā e pokanga ana, tera pea ka kite te taote pokanga i te chyle . Ko tētahi tohu tēnā. Waihoki, i muri i te pokanga, ina tīmata te tūroro ki te kai, inā koa ngā kai momona, ka mātakitaki ngā tākuta mō te pikinga o te nui o te wai e puta mai ana i ngā waikeri pokanga.
Ko ngā tohu ka puta pea i muri i te pokanga ko:
- Lymphedema: He pupuhi tēnei o ngā wāhi pēnei i ngā peka me ngā waewae nā te aukati o ngā oko toto lymph.
- Te whero o te kiri: Tērā pea ka whero te kiri e karapoti ana i te turuturu.
- Te pupuhi i runga ake i te clavicle: Ka kitea pea te pupuhi i te kaki, i runga ake i te wheua kara. He tohu tēnei ka kitea mēnā kua pakaru te awaawa uma.
Me pēhea te mōhio ki te turuturu o te chyle?
I te wā o te pokanga, ka tirohia e ngā taote pokanga te wāhi mō te chyle i mua i te katinga o te patunga. Heoi, kāore e kitea tonutia tēnei turuturu. I ētahi wā ka tirohia i muri i te pokanga anake, i te wā e ora ana te tūroro.
Ngā whakamātautau tātaritanga
- I te wā pokanga: I ētahi wā ka hurihia e ngā taote pokanga te tinana o te tūroro ki ētahi tūranga, ka pēhi i te uma, i te puku rānei hei tirotiro mēnā he turuturu wai. Ka mahia tēnei i mua i te katinga o te patunga.
- I muri i te pokanga: I te wā e ora ake ana te tūroro, ka whakahaerehia e ngā tākuta he whakamātautau tinana hei tirotiro i ngā tohu o te turuturu chyle. Ka tirohia hoki e rātou te wai e puta mai ana i ngā paipa pokanga.
- Te whakamātautau tauira wai: Mena he pupuhi, ka tangohia e ngā tākuta he tauira o te wai mai i te pupuhi ka whakamātautau mō te nui o te ngako, ngā triglycerides rānei, kei roto. Mena he tino teitei ngā taumata triglycerides i roto i te wai, ko te tikanga kei te turuturu te chyle.
Me pēhea te rongoā i te turuturu o te chyle?
He maha ngā kōwhiringa maimoatanga, i runga i te wā i kitea ai te turuturu me tōna kaha.
Te maimoatanga i te wā pokanga
Ki te kitea he turuturu o te chyle i te wā o te pokanga, ka ngana ngā taote pokanga ki te aukati i te turuturu i te wā e taea ai. Ka whakamahia e rātou he topenga motuhake, he tuitui rānei hei kati i te awa lymph kua pakaru.
Te tiaki i muri i te pokanga
Ki te kitea te turuturu i muri i te pokanga, ka whakawhirinaki te maimoatanga ki te rahi o te turuturu (ahakoa he ngawari, he āhua noa, he kino rānei) me te hauora whānui o te tūroro.
He maha ngā wā, ka whakamātauria tuatahitia ngā maimoatanga kore-pokanga. Ka kiia ēnei he maimoatanga tiaki-pūmau . Mēnā kāore e taea e ēnei te whakahaere i te turuturu, ka whakaarohia anō te pokanga.
Ngā maimoatanga kore-pokanga
Hei aukati i te turuturu o te chyle, ka tūtohu pea tō tākuta i ēnei e whai ake nei:
- Moenga: Ka taea te kī atu ki a koe kia mutu rawa te mahi ā-tinana, ā, kia okioki. Mā tēnei ka whakaitihia te taumahatanga ki te pūnaha lymphatic.
- Te kai kua whakarerekētia: He mea tino nui tēnei. Me kōrero tātou mō tēnei me ētahi atu taipitopito.
- Ngā rongoā hei aukati i te mimiti ngako: Ka taea te hoatu rongoā hei whakaiti i te mimiti ngako e te tinana mai i te kai.
- Ngā mea whakangawari tūtae: Ka hoatu ēnei hei ārai i te totoro i te wā e neke ana te puku, nā te mea ka taea e te totoro te whakanui ake i te pēhanga i roto i te puku me te whakapiki ake i te turuturu.
He aha te kai motuhake mā te tangata he chyle leak?
He wāhanga tino nui tēnei o te maimoatanga. Mā te tākuta koe e kōreroKa tohutohuhia koe kia whai i tētahi kai iti-ngako, kore-ngako rānei mō tētahi wā. He mea nui kia whai i tēnei kai e ai ki ngā tohutohu a tō tākuta kia ora rā anō te rīki.
Kia maumahara, he wai te kire, he nui te ngako kei roto. Nō reira, ina whakaitihia te ngako i roto i ā tātou kai, ka heke hoki te nui o te kire e puta ana. Ka whakaitihia te nui o te turuturu, ka hoatu he whai wāhi ki te pūnaha lymphatic ki te whakaora.
Tērā pea kei roto i tētahi kai iti-ngako:
- Ētahi momo hua (he iti te ngako o te nuinga o ngā hua).
- Taro kore-ngako, pata parakuihi, me ngā hua miraka kore-ngako.
- Ngā mīti kikokore pērā i te heihei me te ika kāhore he kiri.
- Huawhenua kohuatia me te kore hinu.
Ngā mea kāore e tika ana kia kainga, kia inuhia hoki ina pāngia koe e te turuturu o te toto
Ka kī atu tō tākuta kia karohia ngā kai me ngā inu he nui te ngako me te huka . Tērā pea me hoatu he wai me ngā matūkai ki ētahi tāngata mā te ara IV (i roto i te uaua) hei ārai i te matewai me te whakarato kai.
He aha ngā rongoā mō te chyle leak?
Tērā pea ka tohua e tō tākuta ētahi rongoā hei rongoā i te turuturu o te chyle. Ka hoatu ēnei rongoā mā te catheter e whakanohoia ana ki roto i te uaua (IV). Kei roto i ēnei rongoā:
- Somatostatin
- Octreotide
Ko te mahi a ēnei rongoā mā te whakaiti i te hanga o te chyle me te rere o te wai mā roto i ngā oko toto lymphatic.
I ētahi wā, ka taea te tāpiri rongoā ki te wāhi e turuturu ana, i te wā e pokanga ana, i muri rānei i te pokanga, hei āwhina i te hiri i te turuturu.
Kia pēhea te roa o te wā e ora ai i muri i te maimoatanga mō Chyle Leak?
I te nuinga o te wā, ka taea e te turuturu iti o te waikura te ora i roto i te wiki , inā koa i muri i te mimiti o te waikura me te kai tika me te whakakori tinana. Heoi, kāore ētahi turuturu e ora, ā, me mahi pokanga anō hei whakatika.
Ka taea te ārai i te turuturu o te chyle?
Kāore rawa he mea e taea e koe hei tūroro hei ārai i te turuturu o te chyle. Nā te mea ka puta tēnei ina pakaru ngā oko toto lymphatic. Ka taea tēnei te puta i te wā pokanga, i te wā rānei o tētahi aituā. Ka whakapau kaha ngā taote pokanga ki te whakaiti i tēnei momo kino i te wā e mahi pokanga ana.
He aha ngā mea ka taea e koe te tumanako mēnā he turuturu tōu ihu?
Ka hoatu e tō tākuta he tohutohu taipitopito mō te whakahaere i tō kai me te whakawhāiti i tō korikori tinana . He mea tino nui kia whai tika koe i ēnei tohutohu. Me whakarite hoki kia mau tonu ō wā tirotiro.
"Ki te whai tika koe i ngā tohutohu a te tākuta, ka taea e koe te ora wawe i tēnei mate. Nō reira, ko te mea nui ko te whakarongo ki ngā kōrero a te tākuta."
I te nuinga o te wā, ka ea tēnei āhuatanga i roto i te wiki, neke atu rānei, mā te whakarerekē i te āhua noho me te kai.
He pānga anō kei te turuturu o te wai chyle?
Ae, ka taea e te turuturu o te chyle te whakaroa i te tukanga whakaora patunga o tō tinana . Nā te mea ka nui ake te chyle i roto i ngā kiko e tata ana ki te patunga, ka mumura taua kiko. Ka taea e tēnei mumura te whakaroa i te whakaora patunga me te whakanui ake i te tūponotanga o te mate.
He aha te tirohanga mēnā he turuturu chyle tōu?
Ki te ora pai te turuturu o te chyle, ka taea e koe te hoki ki tō kai noa . Waihoki, ka puta te tukanga whakaora patunga i muri i te ora o te turuturu. Ko te nuinga o ngā turuturu chyle ka ora i roto i te wiki pea mā te maimoatanga.
Ka taea te puta he turuturu waikura neke atu i te kotahi?
Āe, ahakoa he onge, ka taea tonu te turuturu o te chyle kia maha atu i te kotahi, inā koa mēnā me pokanga anō te tangata kua turuturu i mua.
Me pēhea taku tiaki i ahau anō ina pāngia ahau e te turuturu chyle?
Ko te mea nui ko te whai i ngā tohutohu a tō tākuta kia tika . Mā tēnei ka tere te whakaora i tō turuturu toto, ā, ka ārai i ngā raruraru. He mea nui te kai, te okioki, me te tango tika i ō rongoā.
Whakarāpopototanga: Ngā mea hei maumahara
He mate kino te turuturu o te chyle ka puta i muri i te pokanga, i te aituā rānei nā te kino o te pūnaha lymphatic. I tēnei wā, ka turuturu te wai kei roto te ngako e kiia nei ko te chyle ki roto i ngā kiko e karapoti ana i te tinana. Ka pā mai pea ngā raruraru pēnei i te maroke me te kore kai.
Ka tohua e ngā tākuta he kai motuhake (he iti te ngako), he whakawhāiti i te korikori tinana (he okiokinga), me te rongoā mēnā e tika ana. Mā te whai i ngā tohutohu a te tākuta, ka taea te whakaora i tēnei mate i roto i te wiki kotahi noa iho. Nō reira, he mea nui kia mōhio ki tēnei me te whai i ngā kōrero a te tākuta.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He rite te Chyle Leak ki tētahi paipa wai pakaru i roto i te tinana?
Āe! Haunga ngā oko toto i roto i tō tātou tinana, he pūnaha 'oko toto lymphatic' tō tātou. Ka mimitihia ngā ngako me ngā kai e kainga ana e tātou mai i ngā whekau, ka haria puta noa i te tinana mā roto i ēnei oko toto lymphatic hei wai miraka (e kiia nei ko te chyle). Ina pokaia tētahi o ēnei paipa matua (ngā awa thoracic) i te wā pokanga, i tētahi aituā nui rānei (trauma), ka kiia tēnei ko te 'rerenga' o taua wai miraka (chyle) huri noa i ngā pukahukahu, ki roto rānei i te puku.
💬 Ka pā kino tēnei wai ki te tinana mēnā ka turuturu?
Ae, he tino morearea tēnei. Ina kī te wai huri noa i ngā pukahukahu ki te maha rita (Chylothorax), ka uaua te manawa (Shortness of breath). Ehara i te mea koinā anake, engari nā te mea he nui te pūmua, ngā pūtau ārai mate (Lymphocytes) me ngā huaora kei roto i tēnei wai e turuturu ana, ka heke ohorere te ārai mate o te tūroro ki te kore (Malnutrition), ka puta he mate nui, ā, ka mate pea.
💬 Me pēhea te aukati i tēnei turuturu?
Ko te mea tuatahi me mahi ko te mutu rawa te kai (ngako) engari me hoatu he wai tote motuhake (TPN) mā roto i te uaua. Kātahi ka mutu te mimiti o te kai, ka heke te wai e turuturu ana, ā, ka kati aunoa te kōhao. Ki te kore e mahi, ka whakauruhia he ngongo hei tango i te wai (Drainage), ā, hei huarahi whakamutunga, ka tino kati te kōhao mā te pokanga (Ligation/Embolization).
te turuturu o te chyle, te awa lymphatic, ngā raruraru i muri i te pokanga, te awa uma, te chylothorax, te kai iti te ngako
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