Kei te kī tonu tō uma i te wai? He chylothorax pea!

He uaua ki a koe te manawa i ētahi wā? He mea taumaha, he mea piri rānei kei roto i tō uma? Tērā pea he take mō tēnei kāore koe e whakaaro. I tēnei rā ka kōrero tātou mō tētahi mate hauora onge engari he tino nui me mōhio koe. Ko Chylothorax tēnā. Tērā pea he ahua rerekē te ingoa, engari kaua e manukanuka, me kōrero noa iho.

He aha te chylothorax? Kia mārama noa iho.

He whakarāpopototanga noa iho, ko te chylothorax he turuturu o tētahi wai motuhake mai i tō tātou pūnaha lymphatic , e kiia nei ko te chyle , ki roto i te wāhi takoto kau e karapoti ana i ō tātou pukahukahu. Tērā pea kei te whakaaro koe, he aha tēnei pūnaha lymphatic, he aha tēnei chyle?

Whakaarohia, he whatunga oko toto kei roto i tō tātou tinana, me tētahi atu pūnaha o ngā awaawa pai. Koinei te mea e kīia nei e tātou ko te pūnaha lymphatic. Ka tangohia e tēnei pūnaha te wai nui e kohia ana i roto i ngā kiko o tō tātou tinana. Waihoki, he hōia kei roto i tēnei lymph, pērā i ngā pūtau toto mā . Ka rapu rātou, ka whakangaro hoki i ngā iroriki, pērā i te huakita me ngā huaketo, e uru mai ana ki roto i tō tātou tinana.

He momo lymph motuhake te chyle . Ka hangaia i roto i tō tātou ara nakunaku . He mea hanga mai i ngā toto mā me ngā ngako mai i ngā kai e kainga ana e tātou, nō reira he rite ki te miraka te tae. Ka haere tēnei chyle puta noa i ō tātou tinana mā roto i tētahi ngongo motuhake e kiia nei ko te thoracic duct . He rite ki te ngongo. Ka haere tēnei ngongo mai i tō tātou puku, ka piki ake mā roto i tō tātou uma, ka hoki ki roto i ō tātou toto i te kaki.

Engari, ki te pakaru tēnei awaawa uma i tētahi ara, ka tīmata te turuturu o tēnei wai chyle. Ā, ina turuturu pērā, ka kohia ki te wāhi huri noa i ō tātou pukahukahu, koinā te mea e kiia nei e tātou he chylothorax. Kei te mārama koe?

He aha ngā momo matua o tēnei āhuatanga?

E toru ngā momo matua o te Chylothorax:

1. Te chylothorax whara: Ka puta tēnei ina pakaru ngā oko toto lymphatic i roto i tō tātou puku, i tō tātou uma rānei, nā te aituā, nā te pokanga rānei. Whakaarohia pērā i muri i te pokanga nui o te uma.

2. Chylothorax kore-whara/ātaahua: Ka puta tēnei nā te aukati o ō tātou oko toto lymphatic, te ngoikore o ō rātou pakitara, te nui rawa rānei o te wai chyle me te pakaru o ngā oko toto. I ētahi wā, ka puta tēnei āhuatanga i roto i te hunga i whānau mai me ētahi āhuatanga rerekē o te uma. Ka kiia tēnei ko te chylothorax whānau . Waihoki, ka taea te whanake ahakoa i roto i ngā rā torutoru o te whānautanga.

3. Chylothorax koretake:I tēnei āhuatanga, kāore e taea e ngā tākuta te kimi i te tino take o tēnei mate.

Me pēhea koe e mōhio ai mēnā kei a koe tēnei? He aha ngā tohu?

Ko te tohu matua o tēnei mate ko te poto o te manawa . Tērā pea ka rite koe ki te mea kei te hemo koe, ā, kāore e taea e koe te manawa. Haunga tēnā, tera pea ētahi atu tohu:

• Te pēhanga, te kikī, te taimaha rānei i roto i te uma .
• Te tino ngenge tonu.
• Te whakahekenga taumaha koretake .

Mena kei a koe ēnei tohu, he mea tika kia rapu tohutohu hauora.

He aha te take e puta ai te chylothorax? He aha ngā tino take?

Ina hoki, ko te pokanga te tino take o tēnei. Arā, ko te chylothorax i muri i te pokanga. Heoi, ko tetahi mea ka kino ki te awaawa thoracic, e kawe ana i te wai chyle, ka taea te take. Koinei te wā ka turuturu te wai chyle mai i te pūnaha lymphatic ki roto i te uma. Ko ētahi atu take ko:

• Ngā whara o te uma, o te tuara rānei: He whara tuturu ēnei, he whara rānei e pā ana ki te kiri (pēnei i te patunga i te maripi).
• Ngā āhuatanga whānau: Tērā pea ka pāngia ētahi tāngata e tēnei āhuatanga i te whānautanga mai, nā ētahi huringa tinana, nā ētahi āhuatanga hauora rānei. Arā, i te whānautanga mai (whanau mai) i roto rānei i ētahi rā i muri i te whānautanga.
• Ngā momo mate pukupuku: He maha ngā momo mate pukupuku ka ārai, ka pakaru rānei ngā hanganga o te uma, ka turuturu ai te chyle. Hei tauira, ko te lymphoma , te leukemia lymphocytic mau tonu , te mate pukupuku pūkahukahu , te mate pukupuku esophageal , me te Kaposi sarcoma .
• Ngā Mate Pukupuku: I ētahi wā ka pakaru ngā awaawa e kawe ana i te chyle i ngā mate, ka turuturu te wai. Ko te mate kohi te tino take o tēnei.
• Ārai: Ka taea tēnei e tetahi āhuatanga ka ārai i te awaawa uma. Hei tauira, ko te sarcoidosis , te toto totoka, me te goiter .

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei?

Tērā pea ka nui ake tō tūponotanga ki te pāngia koe e te chylothorax mēnā:

• Mena kua oti kē te pokanga i tō uma, i tō kaki, i tō puku rānei i ngā wā tata nei, inā koa ko te pokanga o te pukahukahu, o te ngākau rānei.
• Mena he whara kei te uma, kei te tuara rānei .
• Mena he mate pukupuku tōu , he mate rānei e puta ai te kikī o te uma, te pupū wai rānei i roto i te pūnaha lymphatic.

Me pēhea te tautuhi a ngā tākuta i tēnei mate? (Tautuhinga)

I muri i te whakarongo ki ō tohu me tō hītori hauora, ka whakaū te tākuta i te tautuhi mate o te chylothorax mā te whakahaere i ngā whakamātautau whakaahua motuhake me te tirotiro i tētahi tauira wai mai i tō uma.

Ko ētahi o ngā whakamātautau i mahia mō tēnei ko:

• Whakaahua: Hei whakatau mēnā he nui rawa te wai i roto i tō uma i puta ai ō tohumate, me tango pikitia e tō tākuta te roto o tō uma. Kei roto pea i tēnei ko ngā hihi-X , ngā ultrasound , ngā matawai CT rānei.
• Thoracentesis: Ko tā te tākuta he tango i tētahi wai iti mai i tō uma, ka tukuna ki tētahi taiwhanga hei ako atu mō te āhua o te wai me te take e turuturu ana.
• Lymphangiography, lymphoscintigraphy rānei: He whakamātautau whakaahua motuhake ēnei e tirotiro ana i tō pūnaha lymphatic.

He aha ngā rongoā mō tēnei? Ka taea te whakaora?

Ko te maimoatanga mō te chylothorax kei runga i te take. Tuatahi, ka tohua pea e tō tākuta he kai motuhake, ka tangohia rānei te wai mai i tō uma. Ki te kore ēnei e mahi, me pokanga pea koe hei whakamutu i te turuturu (he lymphangiogram me te embolization) me tētahi atu tikanga rānei hei aukati i te wai kei pupū ake anō. Ko te rongoā i te take taketake te huarahi pai hei ārai i te puta anō.

Ko ētahi o ngā maimoatanga motuhake mō tēnei ko:

• Te okiokinga o te puku: Me okioki tō pūnaha lymphatic, e kawe ana i te chyle, kia ora ai. Mō tēnei, ka mutu te whāngai katoa i a koe e tō tākuta, ka hoatu ki a koe te kai e tika ana mā te ara saline (`IV`). Mā tēnei ka taea e tō pūnaha nakunaku te mahi ngāwari ake ki te nakunaku kai.
• Ngā panonitanga kai: Hei whakaiti i te nui o te ngako me nakunaku e tō tinana, ka tūtohu pea te tohunga kai i a koe ki tētahi kai iti-ngako , ngako kua whakarerekētia rānei. He wā poto noa iho tēnei. Mā te whakawhāiti i ngā ngako hauora pēnei mō te wā roa rawa ka arahi pea ki te kore kai pai.
• Te tango wai: Ka taea e te tākuta te tango i te wai mai i tō uma mā te whakamahi i te thoracentesis . Ka taea tēnei te mahi i te wā kotahi, ka taea rānei te whakatakoto i tētahi ngongo uma mō te wā poto. Ahakoa kāore e taea e tēnei anake te whakaora i te kino, ka taea e ia te āwhina ki te whakaiti i ngā tohu i te wā e ora ana tō tinana.
• Ngā rongoā Somatostatin, octreotide rānei: He rongoā ēnei e hoatu ana mā te IV. Ka mahi mā te whakarerekē i te huarahi e mimiti ai tō tinana i te ngako me ngā matūkai. I ētahi wā ka whakamahia ēnei e ngā tākuta me ētahi atu maimoatanga, pērā i ngā whakarerekētanga kai, hei āwhina i tō tinana kia tere ake te ora.
• Te herenga, te whakapūngao rānei i te awaawa o te uma: Mena kua pakaru, kāore rānei e mahi tika tō awaawa o te uma, ka taea e te tākuta te herea mā te pokanga (te herenga) te aukati rānei (te whakapūngao). Ka taea e tēnei te whakatika i te kino, te huri rānei i te wai kia kore ai e turuturu.
• Pleurodesis: He pokanga te Pleurodesis e hono ana i ō pukahukahu ki te arai o te pakitara o te uma, kia kore ai he wāhi i roto i tō uma e kohia ai te wai.

He pēhea te kino o tēnei mate? He mea mōrearea ki te ora?

Ka taea e te Chylothorax te whakararu i te ora mēnā kāore e rongoatia tika . Ka taea hoki e ngā mate hauora nui te puta. Nō reira, me haere tonu te maimoatanga mō te mate taketake.

Me tūpato koe ki te kai me te inu?

Āe, ki te mea he chylothorax tōu, ka tohua pea e tō tākuta he kai motuhake. Ko te tikanga me kai koe i ngā kai he iti rawa te ngako , he momo ngako motuhake rānei kei roto.

Tērā pea ka tonoa koe kia mutu te kai. Mēnā ka tupu tēnā, ka whiwhi koe i te kai e hiahiatia ana e koe mā te werohanga IV. Mā tēnei ka whai wā tō tinana ki te whakaora. Heoi anō, me taea e koe te kai anō i te āhua noa i roto i te wiki, i ngā wiki e rua rānei.

He aha ngā wā pai rawa atu hei toro atu ki te tākuta?

Mena he poto te manawa kāore i te whakamāramatia, me toro atu ki te tākuta. Ina koa mēnā:

• Mena kua oti koe te pokanga tata nei.
• Mena kua whara tō uma, tō tuara rānei i ngā wā tata nei.
• Mena kei a koe tētahi āhuatanga hauora e ārai ana i te uma, i te kaki rānei.
• Mena he mate hauora tōu e pā ana ki tō pūnaha lymphatic.

Āhea te wā e haere ai ki te Wāhanga Maimoatanga Ohotata (ETU) :

Ki te uaua tō manawa, inā koa mēnā he mamae tō uma, haere tonu ki te rūma whawhati tata . He tohu pea tēnei mō tētahi mate e morearea ana ki te ora.

Ētahi pātai nui hei pātai atu ki te tākuta

He pai pea te pātai atu ki tō tākuta i ēnei pātai:

• He aha te take o tēnei āhuatanga mōku?
• He aha ngā kōwhiringa maimoatanga kei a au?
• He aha ngā kai me ngā inu me kai, me kore rānei e kai?
• He ara kei reira hei ārai i tēnei mea kei puta anō?
• Kia pēhea te roa ka ora ake ahau?

He aha te rerekētanga i waenga i te Chylothorax me te Pleural Effusion?

Ko te rerenga wai i roto i te pleural he kohikohinga wai i roto i te wāhi pleural (te wāhi i waenganui i ngā pukahukahu me te pakitara o te uma). Ko te Chylothorax he momo motuhake o te rerenga wai i roto i te pleural. Ko te turuturu o te chyle ki roto i te wāhi pleural.

Karere Whakamutunga mō te Tango ki te Kāinga

He mate onge te Chylothorax, engari he mate morearea pea mēnā kāore e rongoatia. Ko te pokanga te tino take. Heoi, ka taea te puta mai i tetahi mea e aukati ana, e kino ana rānei i te awaawa thoracic. Ka taea e te nuinga o te tangata te rongoā angitu i tēnei mate mā te whakarerekē i te kai mō te wā poto, te kai IV, me ngā rongoā. Tērā pea ka hiahia ētahi ki te rongoā pokanga. Ka kōrero tō tākuta ki a koe mō ngā kōwhiringa maimoatanga e pai ana mōu. Nō reira, kaua e mataku, ā, whai i ngā tohutohu a tō tākuta. Kia tere tō ora!

Chylothorax , wai i roto i te uma, wai lymph, uaua ki te manawa, pokanga, pukahukahu, awa uma