He uaua ki te manawa ohorere ētahi wā? Kāore rānei, kei te rongo koe i te taumaha ohorere, i te kikī rānei o tō uma? Tērā pea he take kāore anō kia whakaarohia e koe. I tēnei rā, ka kōrero tātou mō tētahi mate, ahakoa he onge, he mea nui kia mōhio koe ki— Chylothorax . Tērā pea he ingoa tauhou, engari kaua e mataku; i Nirogi Lanka, kei konei mātou ki te whakamārama atu ki a koe i roto i ngā kupu māmā, mārama hoki.
He aha te Chylothorax? Me whakamārama ngāwari.
I te whakarapopototanga, ka puta te Chylothorax ina turuturu te wai motuhake mai i tō pūnaha lymphatic , e kiia nei ko te chyle , ki roto i te wāhi e karapoti ana i ō pukahukahu. Tērā pea kei te whakaaro koe: he aha rawa te pūnaha lymphatic, ā, he aha te chyle?
Whakaarohia pēnei: pērā i tō whatunga o ngā uaua toto, he pūnaha uaua, he pūnaha ngāwari hoki tōu o ngā awaawa e kiia nei ko te pūnaha lymphatic. Ko tana mahi matua he kohikohi i te wai nui mai i ngā kiko o tō tinana, ka whakahoki atu ki te rere o te toto. He mea nui, kei roto hoki i tēnei wai lymph ngā pūtau toto mā — ko ngā kaiwawao o mua o tō tinana e tautuhi ana, e whakangaro ana hoki i ngā mate urutā pēnei i te huakita me te huaketo.
Nā, he momo wai lymph ahurei te chyle e ahu mai ana i roto i tō ara nakunaku . Nā te mea he nui ngā toto toto mā me ngā ngako mai i te kai e kainga ana e koe, he āhua miraka tōna. Ka haere tēnei chyle puta noa i tō tinana mā roto i tētahi oko nui e kiia nei ko te thoracic duct . Whakaarohia tēnei oko hei paipa pokapū e kawe ana i te wai mai i tō puku, ki runga mā tō uma, ā, ka hoki anō ki roto i tō toto e tata ana ki tō kaki.
Mena ka whara, ka āraia rānei tēnei awaawa uma, ka tīmata te turuturu o te chyle. Ina kohia taua wai ki te wāhi e karapoti ana i ō pukahukahu (te kōhao pleural), ka mōhiotia te mate e puta mai ana ko Chylothorax. He āwhina tēnā ki te whakamārama?
He aha ngā momo matua o Chylothorax?
E toru ngā momo o te Chylothorax:
1. Chylothorax whara: Ka puta tēnei nā te whara o waho, he maha ake rānei ngā wā, hei raruraru o te pokanga e pā ana ki te puku, ki te uma rānei.
2. Chylothorax kore-whara (ātaahua): Ka puta pea tēnei ina aukatia ngā oko toto lymphatic, ka ngoikore ō rātou pakitara, ka pakaru rānei te pēhanga wai. Ka whānau mai ētahi tāngata me ngā rerekētanga hanganga o ō rātou uma e whakararu ana i a rātou ki tēnei—e mōhiotia ana ko te chylothorax whānau —ka puta pea i roto i ngā pēpi hou.
3. Chylothorax idiopathic: Ka whakamahia tēnei kupu ina kore e taea e ngā tohunga hauora te tautuhi i tētahi tino take mō te turuturu wai.
Me pēhea koe e mōhio ai mēnā kei a koe tēnei mate? He aha ngā tohu?
Ko te tohu matua o Chylothorax ko te poto o te manawa . Tērā pea ka rite koe ki te kore e taea e koe te manawa katoa, ki te pēhia rānei tō uma. Ko ētahi atu tohu pea ko:
- He kare ā-roto o te kikī, te taimaha, te pēhanga rānei i roto i tō uma .
- Te ngenge tonu .
- Te whakahekenga taumaha kāore i te whakamāramatia .
Mena kei te pāngia koe e ēnei tohu, me rapu wawe koe i tētahi aromatawai hauora ngaio i te hōhipera.
He aha i puta ai te Chylothorax? He aha ngā tino take?
I ngā wā maha, ko te pokanga te tino take, inā koa ko te chylothorax i muri i te pokanga. Ko te tikanga, ko te pakaru o te awaawa thoracic e aukati ana i te rere noa o te chyle ka taea te turuturu ki roto i te uma. Ko ētahi atu take nui ko:
- Whara o te uma, o te tuara rānei: Ka rerekē pea tēnei mai i ngā whara āwhata ki ngā patunga wero (pēnei i te whara āwhata koi).
- Ngā āhuatanga whānau: Ka whānau mai ētahi tāngata me ngā āhuatanga e pā ana ki te hanganga lymphatic, ka puta ai te chylothorax i muri tata i te whānautanga.
- Ngā Mate Pukupuku (Pūkahu): Ka taea e ngā momo mate pukupuku te aukati, te kino rānei i ngā hanganga uma. Hei tauira, ko te lymphoma , te leukemia lymphocytic mau tonu , te mate pukupuku pūkahukahu , te mate pukupuku esophageal , me te sarcoma Kaposi .
- Ngā Mate Pukupuku: Ka taea e ngā mate pūmau te kino i ngā awaawa, ko te mate kohi hei tauira nui.
- Ngā Ārai: Ko tētahi āhuatanga e pēhi ana, e aukati ana rānei i te awaawa o te uma—pērā i te sarcoidosis , te toto totoka , te goiter nui rānei—ka arahi pea ki tēnei āhuatanga.
Ko wai kei te mōrearea nui ake ki te pāngia e te Chylothorax?
I Nirogi Lanka , ka tūtohu mātou he nui ake pea tō tūponotanga ki te pāngia e Chylothorax i raro i ēnei āhuatanga e whai ake nei:
- Mena kua oti kē te pokanga i tō uma, i tō kaki, i tō puku rānei , inā koa ngā tikanga e pā ana ki ngā pukahukahu, te ngākau, ngā oko toto rānei (pokanga manawa).
- Mena kua whara koe i tō uma, i tō tuara rānei .
- Mena kei a koe tētahi āhuatanga hauora pēnei i te mate pukupuku e aukati ana i te uma, e hua ake ana rānei he wai i roto i te pūnaha lymphatic.
Me pēhea te tautuhi a ngā tākuta i tēnei mate?
I muri i te arotake i ō tohu me tō hītori hauora, ka whakaū tō tākuta i te tautuhi mate o Chylothorax mā te whakamahi i ngā whakamātautau whakaahua motuhake me te tātari i tētahi tauira o te wai mai i tō uma.
Ko ngā tikanga tātaritanga noa ko:
- Whakaahua: Hei whakatau mēnā he nui rawa te wai i roto i tō uma i puta ai ō tohu, me tirotiro e tō tākuta te roto o tō uma mā te whakamahi i te hihi-X , te ultrasound , te CT scan rānei.
- Te tango i te toto i roto i te uma: I tēnei tikanga, ka tangohia e te tākuta he wai iti mai i tō uma hei tuku ki te taiwhanga. Mā tēnei ka āwhina i te tautuhi i te āhua o te wai me te pūtake o te turuturu.
- Lymphangiography, Lymphoscintigraphy rānei: He whakamātautau whakaahua motuhake ēnei e whakamahia ana hei mahere me te tirotiro i tō pūnaha lymphatic.
He aha ngā huarahi maimoatanga, ā, ka taea te rongoā?
Ko te maimoatanga mō te Chylothorax e whakawhirinaki ana ki te pūtake o te mate. I te tīmatanga, ka tūtohu pea tō tākuta i tētahi kai motuhake, ka mahi rānei i tētahi tikanga hei tango i te wai nui. Mena kāore i te rawaka ēnei tikanga, ka whai pea rātou i ngā mahi pokanga pēnei i te `lymphangiogram me te embolization`, i ētahi atu mahi rānei hei ārai i te kohikohinga wai anō. Ko te rongoā i te pūtake o te mate te huarahi tino whai hua hei ārai i te hokinga mai.
Ko ngā rautaki maimoatanga noa ko:
- Te okiokinga o te puku: Hei whakaora i ngā oko toto lymphatic (e kawe ana i te chyle), ka whakawhāiti pea tō tākuta i te kai ā-waha, ka tukuna he kai e tika ana mā te
IV. Ka whakaitihia tēnei i te mahi nakunaku o tō tinana. - Ngā panonitanga kai: Hei whakaiti i te taumahatanga o te nakunaku ngako, ka tohua pea e te tohunga kai he kai iti-ngako , he kai kua whakarerekētia rānei. He mahi rangitahi tēnei, nā te mea ko te whakawhāiti roa i ngā ngako hauora ka arahi pea ki te kore kai pai.
- Te tango wai: Ka taea e te tākuta te mahi i te thoracentesishei tango i te wai mai i tō uma. Ka taea tēnei te mahi kotahi, ka taea rānei te whakatakoto i tētahi ngongo uma mō te wā poto. Ahakoa ka whakahaeretia ngā tohumate, ka āwhina hoki i a koe kia pai ake te ahua i a koe e whakaora ana, kāore e whakatika i te kino o raro.
- Ngā rongoā Somatostatin, octreotide rānei: Ka tukuna ēnei rongoā mā te
IV, ā, ka āwhina i te whakarerekē i te mimiti o ngā ngako me ngā matūkai e tō tinana. He maha ngā wā ka whakamahia ēnei e ngā tākuta me ētahi atu maimoatanga, pērā i ngā whakarerekētanga kai, hei tere ake i tō whakaoranga. - Te herenga, te whakapūngao rānei i te awaawa o te uma: Mena kua pakaru, kua hē rānei te mahi a tō awaawa o te uma, ka herea pea e te taote pokanga (te herenga) ka āraia rānei (te whakapūngao). Ka taea e tēnei te whakatika i te kino, te huri rānei i te wai.
- Pleurodesis: Ko tēnei tikanga pokanga he whakapiri i tō pukahukahu ki te arai o roto o te pakitara o te uma, kia kore ai e puta he wāhi takoto kau ka kohia ai te wai.
He pēhea te kino o tēnei mate? Tērā pea ka mate pea koe?
Ki te kore e rongoatia, ka noho ko Chylothorax hei mate mōrearea . Hei tāpiri, nā te mea he maha ngā wā ka puta mai i ngā mate hauora nui, he mea nui kia noho tonu i raro i te tiaki tonu a ngā tohunga hauora hei whakatika i aua take matua.
Me tūpato ahau ki taku kai?
Āe. Mena kei a koe te mate Chylothorax, ka tohua pea e tō tākuta he kai motuhake e hiahia ana kia kai noa koe i ngā kai he iti rawa te ngako , i ngā momo ngako motuhake rānei.
I ētahi wā, ka tohutohuhia pea koe kia mutu te kai mō tētahi wā, ā, i taua wā ka whiwhi koe i te tautoko kai mā te werohanga IV hei whakaora i tō tinana. I te nuinga o te wā, ka taea e koe te tumanako ka hoki koe ki te kai noa i roto i te wiki, e rua rānei.
Āhea ahau me toro atu ki te tākuta?
Tena koa toro atu ki te taote mena ka pāngia koe e te poto o te manawa kāore i te whakamāramatia, ina koa mena kei a koe:
- He hītori o ngā pokanga tata nei.
- He whara tata nei ki tō uma, ki tō tuara rānei.
- He āhuatanga hauora e mōhiotia ana e ārai ana i tō uma, i tō kaki rānei.
- He āhuatanga e pā ana ki tō pūnaha lymphatic.
Āhea te wā e haere ai ki te Wāhi Mate Urutā:
Mena kei te uaua koe ki te manawa, inā koa mēnā kei te haere tahi koe me te mamae o te uma, haere tonu ki te tari whawhati tata . He tohu pea ēnei o tētahi āhuatanga whawhati tata hauora e morearea ana ki te ora.
Ngā Pātai Hira hei Pātai atu ki tō Tākuta
He tino āwhina te kōrero ki tō kaiwhakarato hauora mō ēnei mea e whai ake nei:
- He aha te tino take o tēnei āhuatanga?
- He aha ngā kōwhiringa maimoatanga e wātea ana ki ahau?
- He rerekētanga kai motuhake kei te hiahiatia kia whāia e au, kia karohia rānei?
- He ara kei reira hei ārai i tēnei kia kore ai e hoki anō?
- He aha te roanga wā e tumanakohia ana mō taku whakaoranga?
He aha te rerekētanga i waenga i te Chylothorax me te Pleural Effusion?
Ko te Pleural Effusion e pā ana ki te kohikohinga o te wai nui rawa i roto i te wāhi pleural, arā, te wāhi angiangi i waenganui i ō pukahukahu me te pakitara o tō uma. Ko te Chylothorax he momo motuhake o te pleural effusion e kiia ana ko te wai e turuturu ana ki tēnei wāhi ko te "chyle"—he wai miraka, he ngako.
Karere Tangohia ki te Kāinga
He mate onge engari he kino te Chylothorax e hiahia ana kia tere te aro atu ki te taote. Ahakoa he maha ngā wā he raruraru o te pokanga, ka taea e tetahi kino, he aukati rānei ki te awaawa thoracic te whakaoho. He maha ngā tūroro e ora pai ana mā te whakarerekētanga kai wā poto, te kai mā te uaua (IV), me te rongoā. I ētahi wā, me pokanga pea. Ka mahi tahi tō tākuta me koe ki te whakatau i te mahere maimoatanga pai rawa atu mō ō hiahia. Kia mau ki te whakaaro pai, kia piri ki ō tohutohu hauora, ā, kia tere te ora o Nirogi Lanka!
👩🏽⚕️ Ngā Pātai Auau (FAQs)
💬 He wai noa iho rānei i roto i ngā pukahukahu te Chylothorax?
He rerekē rawa tēnei i te wai e puta mai ana i te pleural effusion noa. Engari ko te wai wai, ka kohia he wai mā, he miraka, he ngako e kiia nei ko te "chyle". Ka puta tēnei ina pakaru, ina āraia rānei te awaawa thoracic—te oko toto e kawe ana i ngā ngako mai i tō pūnaha nakunaku—ka turuturu te wai ki roto i te kōhao o te uma.
💬 He aha te take e turuturu ai te awaawa o te uma?
Ko te tino take ko te pakaru ohorere o te awaawa i ngā pokanga nui o te uma, pērā i te pokanga ngākau. Heoi anō, ka taea hoki te puta mai i ngā aukati nā ngā āhuatanga pērā i te lymphoma, i ētahi wā nā te taumahatanga tinana nui pērā i te maremare nui.
💬 He aha ngā tohu o te pupūnga wai i roto i te uma?
I te mea ka kohia te wai, ka pēhia ō pukahukahu, ka pāngia pea koe e te poto o te manawa, te mamae o te uma, te taumaha rānei. Mēnā ka pāngia koe e ēnei tohu, rapua tonutia te āwhina whawhati tata, nā te mea ka hiahiatia pea he ngongo uma hei tango i te wai me te whakamama i te pēhanga.
Ngā Kupumatua: Chylothorax, wai pleural, wai lymphatic, poto o te manawa, pokanga, pukahukahu, awa thoracic
