Kua kite koe i tētahi wai mā e turuturu ana mai i tētahi wāhi pokanga, i tētahi whara rānei, i tētahi pupuhi rānei i taua wāhi i muri i tētahi tikanga, i tētahi whara rānei? Kia marino—tērā pea he mate tēnei e mōhiotia ana ko te Chyle Leak , e kōrerohia ana e tātou i Nirogi Lanka i tēnei rā. Ahakoa me aro nui ki te hauora tēnei mate, ka taea te rongoā ina whakahaerea tika. Tukua mātou kia whakamārama i te tikanga o tēnei ki a koe i roto i ngā kupu māmā, mārama hoki.
He aha te turuturu o Chyle? He Aratohu Māmā
Me tīmata mā te mārama he aha te turuturu o te chyle. Kei roto i tō tinana he pūnaha lymphatic — he whatunga uaua o ngā oko toto e mahi ana pērā i te huarahi ā-roto. He mahi nui tā tēnei pūnaha hei tautoko i tō pūnaha ārai mate me te tātari i ngā hua para.
Ina kai koe i te kai, inā koa ngā ngako, ka wahia e ō whekau ka mimiti i ngā matūkai. Ko te wai mā, he rite ki te miraka, he nui ngā ngako me ngā matūkai nui, e mōhiotia ana ko te chyle . Ka haere tēnei wai mā roto i ō oko toto lymphatic ki te wāhi e tino hiahiatia ana e tō tinana.
Mena ka pakaru ēnei oko toto—i te wā pokanga pea, i te whara kino rānei—ka puta te chyle, ka "tātari" rānei ki roto i ngā kiko e karapoti ana. Ina kohia tēnei wai, ka pupuhi, ka puta hoki ētahi atu raruraru. E mōhiotia ana tēnei āhuatanga ko te chyle leak , ā, i ētahi wā ka kiia ko te chylous leak , ko te chylous fistula rānei.
I te nuinga o te wā, he raruraru onge engari he kino tēneiwhai muri i te pokanga. I Nirogi Lanka, ka whakahaerehia e ā mātou tīma hauora tēnei āhuatanga mā te whakarerekētanga kai motuhake, te okiokinga, me te rongoā kua tohua ina hiahiatia.
He pēhea te auau o ngā turuturu o te chyle?
He tino onge te turuturu o te chyle, ehara hoki i te mate noa. Ka kitea nuitia i roto i ngā horopaki pokanga. Hei tauira:
- Whai muri i te tango i te repe tairoiti (thyroidectomy), iti iho i te 1% o ngā take ka kitea he pēnei.
- I ētahi atu pokanga o te mahunga me te kaki, ka tata ki te 8% te auau.
Hei tāpiritanga, ka puta pea ngā turuturu o te chyle i muri i ngā pokanga o te puku, te uma, te whatukuhu rānei pērā i te nephrectomy .
He pēhea te kino o te turuturu wai chyle?
Ehara te turuturu o te waikura i te mea hei mea māmā noa iho . He mate kino tēnei ka arahi pea ki ētahi raruraru hauora, tae atu ki:
- Matewai: He ngaronga nui o ngā wai o te tinana.
- Te Tauritekore o te Irahiko: Te whakararuraru i ngā kohuke nui o roto i tō toto.
- Te pehi i te pūnaha ārai mate: He ngoikore te kaha o tō tinana ki te whawhai ki ngā mate pāwera.
- Te Kai Kino: Ka ngaro ngā matūkai nui i mua i te whakamahinga a te tinana.
Whakaarohia tēnei he rite ki te ngaronga o te wai matūkai nui o tō tinana. Koia te mea nui kia aro wawe atu ki tēnei āhuatanga.
I roto i ngā take tino onge me te kino, ka puta pea te mate penei:
- Chylothorax: Ka puta tēnei ina kohia te chyle ki te wāhi pleural (te rohe i waenganui i ō pukahukahu me te pakitara o te uma). He maha ngā wā ka kitea tuatahitia hei pleural effusion.
- Ngā Ascites Chylous: Ka puta tēnei ina kohia te chyle ki roto i te kōhao puku.
He aha te take o te turuturu o te chyle?
Ahakoa ka puta mai tēnei āhuatanga i te whara o te puku, te uma, te kaki rānei, ko te tino take ko te pakaru ohorere i te wā o te pokanga . E ai ki te kōrero, he raruraru pokanga onge tēnei, inā koa i roto i ngā tikanga o te upoko me te kaki, e pā ana ki te pakaru o te awaawa thoracic — te oko toto lymphatic matua o te tinana.
I ētahi wā, ko ngā āhuatanga pēnei i te lymphoma (te matepukupuku o te pūnaha lymphatic) ka arahi pea ki te turuturu o te chyle.
He aha te awaawa o te uma?
Ko te awaawa uma te oko nui rawa atu, te oko tino nui rawa atu hoki o tō pūnaha lymphatic. Whakaarohia he paipa matua e toro atu ana i tō puku ki tō kaki. Koia te kawenga mō te kawe i te lymph me te chyle puta noa i te tinana. Mā te kino o tēnei hanganga tino nui ka nui ake te tūponotanga o te turuturu.
He aha ngā tohu o te turuturu o te chyle?
I te wā e pokanga ana, ka tirohia pea e tō taote pokanga te wai chyle mā-waikura i ētahi wā. I muri i te pokanga, inā koa ka hoki anō koe ki te kai noa, ka tirotirohia e ā mātou kaimahi hauora ngā rerenga pokanga mō te pikinga o te wai e puta mai ana, he tohu matua tēnei.
Ko ngā tohu ka puta i muri i te pokanga ko:
- Lymphedema: Te pupuhi o ngā waewae me ngā waewae nā te aukati i te rere o te lymph.
- Te whero o te kiri: Te mumura, te whero rānei i te taha o te wāhi i pokanga ai.
- Te pupuhi i runga ake i te clavicle (iwi kaki): He pupuhi e kitea ana i te kaki, he tohu noa tēnei o te pakaru o te awa thoracic.
Me pēhea te tautuhi i te turuturu o te chyle?
I te wā o te pokanga, ka tirotirohia e ā mātou taote pokanga kia kore ai he tohu o te chyle i mua i te kati i te tapahi. Heoi, nā te mea kāore e kitea tonutia ngā turuturu, ka whakaūhia te mate i te wā whakaora i muri i te pokanga.
Ngā Whakamātautau Tātaritanga
- I te wā pokanga: Hei whakarite kia kore he turuturu o te chyle i mua i te katinga o te tapahi, ka nekehia pea tō tinana e ngā taote pokanga i ētahi wā hei whakanui i te pēhanga ki roto i tō uma, i tō puku rānei.
- I muri i te Pokanga: I a koe e ora ake ana, ka whakahaerehia e tō tīma hauora he whakamātautau tinana hei tirotiro i ngā tohu o te turuturu o te chyle, ā, ka aroturukihia hoki te wai e maringi ana mai i ngā paipa pokanga.
- Whakamātautau Tauira Wai: Mena ka pupuhi koe, ka tangohia pea e ō tākuta he tauira o te wai hei tirotiro i te nui o te ngako, inā koa te taumata o ngā triglycerides . Ko te taumata tiketike o ngā triglycerides i roto i te wai he tohu haumanu o te turuturu chyle.
Me pēhea te rongoā i te Chyle Leak i Nirogi Lanka?
He maha ngā huarahi maimoatanga, e whakawhirinaki ana ki te wā i kitea ai te turuturu me tōna kaha whānui.
Te Maimoatanga i te Wā Pokanga
Mena ka kitea he turuturu o te chyle i te wā o tō pokanga, ka ngana tonu tō tīma pokanga ki te whakatika. Tērā pea ka whakamahia e rātou he topenga pokanga motuhake, he tuitui rānei hei hiri i te oko toto lymphatic kua pakaru.
Te Maimoatanga i Muri i te Pokanga
Mena ka kitea te turuturu i muri i te pokanga, ka whakatauhia te mahere maimoatanga e te nui o te turuturu (iti, taurite, nui rānei) me tō āhua haumanu whānui.
Ko te tikanga, ka tīmata tātou me ngā wawaotanga kore-pokanga, e mōhiotia ana ko te maimoatanga tiaki . Mena kāore e ea te turuturu i ēnei mahi, ka whakaarohia pea ētahi atu wawaotanga pokanga.
Ngā Maimoatanga Kore-Pokanga
Hei āwhina i te aukati i te turuturu o te chyle, ka tūtohu pea tō tākuta i ēnei e whai ake nei:
- Okiokinga ki te moenga: Ka tohutohuhia pea koe kia whakaitihia te korikori tinana hei whakaiti i te pēhanga ki te pūnaha lymphatic.
- Kai Kua Whakarerekētia:He mea nui tēnei; ka matapakihia e mātou tēnei i raro nei.
- Ngā Rongoā hei Whakaiti i te Ngongo Ngako: Ka taea te tohu i ētahi rongoā hei whakaiti i te nui o te ngako ka ngongohia e te tinana mai i te kai.
- Ngā Whakangawari Tūtae: Ka whakaratohia ēnei hei ārai i te totoro i te wā e neke ana te puku, i te mea ka nui ake te pēhanga o te puku i te totoro, ā, ka nui ake pea te turuturu.
He aha te kai motuhake e taunakitia ana mō te Chyle Leak?
He mea nui te whakarerekē i te kai hei whakaora i a koe. Tērā pea ka tohutohu tō tākuta i a koe kia whai i tētahi kai iti-ngako, kore-ngako rānei mō tētahi wā. He mea nui kia piri tonu koe ki ēnei aratohu kai kia ora rā anō te turuturu.
Kia maumahara, he wai te chyle he mea hanga nui mai i ngā ngako. Mā te whakaiti i te ngako i roto i tō kai, ka iti ake te chyle e whakaputaina ana e tō tinana, ka whakaitihia te nui o te turuturu, ā, ka hoatu he whai wāhi ki te oko toto lymphatic ki te whakaora.
Tērā pea kei roto i tētahi kai iti-ngako:
- Te nuinga o ngā hua hou (he iti te ngako i roto i te taiao).
- He taro kore-ngako, he witi, me ngā hua miraka kore-ngako.
- Ngā mīti kikokore pērā i te heihei, te ika rānei kāhore he kiri.
- Huawhenua kohuatia (kua takaia me te kore hinu).
Ngā Kai hei Ārai mā te Chyle Leak
Ka tohutohu tō tākuta kia karohia e koe ngā kai momona, ngā inu, me ngā mea huka . I ētahi wā, hei pupuri i te wai me te oranga kai, ka whiwhi pea koe i ngā wai me ngā kai totika i roto i te uaua (IV) .
He aha ngā rongoā e whakamahia ana mō te Chyle Leak?
Tērā pea ka tohua e tō tākuta ētahi rongoā motuhake e tukuna ana mā te raina uaua (IV), pēnei i:
- Somatostatin
- Octreotide
Ko te mahi a ēnei rongoā mā te whakaiti i te hanga o te chyle me te whakaroa i tōna rere mā roto i ngā oko lymphatic.
I ētahi wā, ka pania pea ngā rongoā ki te wāhi i turuturu ai te toto, i te wā e pokanga ana, i muri rānei i te pokanga, hei āwhina i te hiri i te oko toto.
Kia pēhea te roa o te tukanga whakaora i muri i te maimoatanga mō Chyle Leak?
I te nuinga o te wā, ka memeha pea te turuturu iti o te wai i roto i te wiki pea, mena ka āta whai i ngā tikanga kai me te whakaiti i te rerenga wai. Heoi, ki te mau tonu te turuturu, me mahi pea he pokanga anō hei whakatika.
Ka taea te ārai i te turuturu o Chyle?
Hei tūroro, kāore he mahi motuhake ka taea e koe te mahi hei ārai i te turuturu o te chyle . Ka puta ēnei ina pakaru ngā oko toto lymphatic, i te nuinga o te wā i te wā pokanga, i te whara tūpono rānei. Ka mahi tā mātou tīma pokanga i Nirogi Lanka i ngā mahi katoa hei whakaiti i te mōrearea o aua kino i te wā o tō pokanga.
He aha ngā mea ka tumanakohia e koe mēnā he Chyle Leak tōu?
Mā tō tākuta koe e hoatu ki a koe ngā tohutohu taipitopito e pā ana ki tō kai me ngā here o te korikori tinana . He mea nui kia whai tika koe i ēnei tohutohu. Hei tāpiri, kia kore koe e ngaro i tētahi o ō wā tirotiro whai muri kua whakaritea.
"Mā te piripono ki ngā tohutohu a tō tīma hauora, ka tere ake tō ora mai i tēnei mate. Ko te whai i ngā tohutohu a tō tākuta te taahiraa nui rawa atu i roto i tō tukanga whakaora."
I te nuinga o te wā, ka pai ake tēnei āhua i roto i te wiki pea mā te whakatikatika i te momo noho me te kai e tika ana.
He pānga anō kei te Chyle Leak?
Ae, ka taea e te turuturu o te chyle te whakaroa i te tukanga whakaora patunga o tō tinana . Ina kohia te chyle ki roto i ngā kiko e tata ana ki te wāhi pokanga, ka puta te mumura . Ka whakaroa pea tēnei mumura i te whakaora patunga, ā, ka piki ake te tūponotanga o te mate.
He aha te tirohanga mēnā he Chyle Leak tōku?
Kia oti te rongoā i te turuturu o te chyle, ka taea e koe te hoki ki tō kai noa . Hei tāpiri, kia ora te turuturu, ka hoki anō te tukanga whakaora o tō patunga ki te āhua noa. Ko te nuinga o ngā turuturu o te chyle ka memeha i roto i te wiki pea me te rongoā tika i Nirogi Lanka.
Ka taea te puta he turuturu Chyle neke atu i te kotahi?
Āe, ahakoa he onge, tera pea ka hoki mai anō te turuturu o te chyle. He nui ake te mōrearea mena ka hiahia koe ki tētahi atu pokanga i muri i te putanga mai o te turuturu tuatahi.
Me pēhea taku whakahaere i a au anō i a au e pāngia ana e te Chyle Leak?
Ko te mea nui ko te whai i ngā tohutohu a tō tākuta . Mā te mahi pera ka tere ai te whakaora i te turuturu me te ārai i ngā raruraru. Ko te piri ki tāu kai kua tohua, te okioki e ai ki ngā tohutohu, me te tango i ngā rongoā katoa e ai ki ngā tohutohu he mahi nui ēnei mō tō oranga.
Whakarāpopototanga: Ngā Kaupapa Matua hei Mahara
He mate kino te turuturu o te chyle ka puta ina pakaru ngā oko toto lymphatic nā te pokanga, nā te whara rānei. Ka puta te turuturu o te chyle—he wai miraka he nui ngā ngako—ki roto i ngā kiko o te tinana e karapoti ana. Ki te kore e whakahaerea, ka arahi pea tēnei ki ngā raruraru pēnei i te maroke me te kore kai.
Mā te kai iti-ngako, te okiokinga tinana, me te rongoā anō hoki e rongoā ai ngā tohunga hauora. Mēnā ka piri pono ki ngā tohutohu hauora, ka tere te whakatau i te nuinga o ngā take i roto i te wā poto, tata ki te wiki. Ko te whai i ngā tohutohu a tō tākuta te huarahi pai ki mua.
👩🏽⚕️ Ngā Pātai Auau (FAQs)
💬 He rite te Chyle Leak ki tētahi paipa e pakaru ana i roto i te tinana?
He tino ōrite! Haunga ngā oko toto, he 'pūnaha lymphatic' tō tō tinana. Ka haria ngā ngako mai i ō whekau mā roto i ngā oko lymphatic hei wai miraka e kiia nei ko te chyle. Mēnā ka pokaia tētahi oko nui (te awa thoracic) i te wā pokanga, i te wā whara rānei, ka turuturu tēnei wai miraka ki roto i te uma, ki te puku rānei, ka puta he turuturu chyle.
💬 He nui te kino o tēnei turuturu wai?
Āe, ka taea te kino. Mēnā ka kohia he nui o tēnei wai ki roto i ngā pukahukahu (chylothorax), ka taea te arahi ki te poto o te manawa. Hei tāpiri, nā te mea kei roto i tēnei wai ngā pūmua nui, ngā lymphocytes (ngā pūtau ārai mate), me ngā huaora, ka taea e te turuturu nui te arahi wawe ki te kore kai me te whakararu i tō pūnaha ārai mate, ka piki ake te mōrearea o ngā mate kino. Mēnā ka pāngia koe e te uaua ki te manawa, rapua tonutia he awhina hauora ohorere (911).
💬 Me pēhea te whakamutu i tēnei turuturu?
Ko te huarahi tuatahi ko te whakamutu i te kai ngako ā-waha, me te whakarato i te kai motuhake mā te uaua (TPN) hei whakangā i te pūnaha lymphatic, kia ora ai te turuturu. Mena kāore i te rawaka, ka taea te whakauru i tētahi ngongo rerenga wai hei tango i te wai. Mena ka kore e angitu te whakahaere ā-pūmau, me whai pokanga pea (pēnei i te here, te embolization rānei) hei kati i te turuturu.
Ngā Kupumatua: Te turuturu o te chyle, te pūnaha lymphatic, ngā raruraru i muri i te mahi, te awaawa thoracic, te chylothorax, te kai iti-ngako
