He mā te mimi o tō mimi? He Chyluria pea? Kia mōhio tātou ki Nirogi Lanka!

Kua kite koe i tō mimi e ahua pōuri ana, e ahua miraka ana rānei? Kua kite pea koe i tētahi wai mā, he rite ki te miraka e rere ana i roto i tō mimi? He mea tino noa te āwangawanga mēnā ka kite koe i tēnei. I tēnei rā, i Nirogi Lanka , kei te kōrero mātou mō tētahi āhuatanga hauora onge engari he nui e puta ai tēnei rerekētanga o te mimi, e mōhiotia ana ko Chyluria .

He aha te Chyluria?

He māmā noa iho, ko te Chyluria he āhua kei roto i tō mimi tētahi matū e kiia nei ko te 'chyle.' Tērā pea kei te whakaaro koe, he aha te chyle? He wai mā-waikura e rere ana mai i tō pūnaha lymphatic. He āhua miraka te āhua nā te mea kei roto ngā matūriki ngako e mimitihia ana mai i ō whekau.

I te nuinga o te wā, ka haere tēnei wai lymphatic me te ngako mā roto i ō oko lymph ki roto i tō toto, ka haria puta noa i tō tinana. Heoi, ki te kore ō oko lymph e mahi tika, kāore tēnei chyle e uru ki te tohanga toto e tika ana. Engari, ka turuturu ki ētahi atu wāhi o tō tinana. Ki te turuturu tēnei wai ki roto i ō whatukuhu, ka puta atu me tō mimi , ka puta he āhua miraka.

He aha te āhua o te mimi he rite ki te miraka?

Mena tō mimihe rite ki te miraka te āhua, he tohu tēnei kua turuturu te chyle kua whakahuatia ake nei ki roto i ō whatukuhu. Kia konatunatua ki tō mimi, ka puta atu i tō tinana i a koe e mimi ana.

Ko wai ka pāngia e te Chyluria?

Ahakoa ka taea e te tangata katoa te pāngia e te Chyluria, he nui ake te kitea i ngā rohe kei reira ētahi pirinoa, pērā i ētahi wāhanga o Amerika ki te Tonga, o Awherika ki te tonga o te Sahara, me Āhia ki te Tonga-mā-rāwhiti (ina koa ko Īnia). Mena kua noho koe ki ēnei rohe, kua toro atu rānei koe, tera pea ka nui ake tō tūponotanga ki te pāngia e te chyluria pirinoa.

Ko te nuinga o te wā ka kitea tēnei mate i roto i ngā tāngata i waenga i te 20 me te 40 tau te pakeke. Heoi, he mea nui kia mōhio kua pūrongohia ngā kēhi i roto i ngā tamariki e rima tau te pakeke nā ngā mate pirinoa.

He pēhea te noa o tēnei?

He tino onge te mate Chyluria. Ahakoa i ngā rohe e kitea nuitia ana, he iti iho i te 100 ngā mate e pūrongohia ana i ia tau. Ehara i te mate noa.

He aha ngā pānga o te Chyluria ki tōku tinana?

Ka taea e te chyluria te arahi ki te kore kai pai me te kore huaora . Ka puta tēnei nā te mea kei roto i te chyle e turuturu ana ki roto i tō mimi ngā ngako nui me ngā huaora wairewa-ngako e tika ana kia mimitihia e tō tinana, kaua e tukuna ki waho.

He aha ngā tohu o te Chyluria?

Ko te tohu matua o te Chyluria he mimi mā-wairakau . Heoi anō, tera atu anō ētahi atu tohu me mōhio koe ki:

• Te hiahia tonu ki te mimi.
• Te mamae i te wā e mimi ana (e mōhiotia ana ko te dysuria).
• Te toto i roto i te mimi (e mōhiotia ana ko te hematuria).
• Mamae o te puku o raro, o te tuara o raro rānei.
• Te whakahekenga taumaha kāore i te whakaarohia.
• Te korenga e tupu pai (ina koa i roto i ngā tamariki).
• Te ngenge tonu.
• Ngā makariri.
• Te pupuhi i ngā peka (te edema peripheral).

He aha te take o te Chyluria?

E rua ngā momo matua o ngā take o Chyluria: he pirinoa me te kore-pirinoa .

Ngā Take Parasitic

I roto i te 95% o ngā take, ko te kutukutu porowhita Wuchereria bancrofti te pūtake o te chyluria pirinoa. Ka hua ake tēnei mate i tētahi mate e mōhiotia ana ko te filariasis.Ka āraia e tēnei pirinoa ngā oko toto waikura, ka puta ai te turuturu.

Ko te toenga 5% ka puta mai i ētahi atu pirinoa, tae atu ki:

• Taenia echinococcus
• Taenia nana (momo tapeworm)
• Ankylostomiasis (mate kutukutu)
• Trichinosis
• Malaria

Ngā Take Kore-Parasitic

Ka puta pea te Chyluria me te kore he pirinoa nā ētahi atu āhuatanga, pēnei i:

• Te whara o te puku (hei tauira, nā te whara).
• Te pokanga , inā koa te tango hapa i te nephrectomy (te pokanga whatukuhu) te pokanga scoliosis rānei.
• Ngā momo mate urutā.
• Te whakanui ake i te kōpuku lymph o te puku.
• Ngā pukupuku (he pai, he kino hoki).
• Te rongoā irahiko.
• Ngā whewhe.
• Lymphangioma (ngā āhua lymphatic o te pūkahukahu, o te whatukuhu rānei).
• Te whaiti (te whakawhāiti) o te awaawa uma.
• Te haputanga (i ētahi wā).

Mena ka pāngia koe e tētahi o ēnei tohu, whakapā atu ki Nirogi Lanka, waea atu rānei ki te 911, toro atu rānei ki te hōhipera tata ki a koe, rapua he awhina hauora ohorere tonu.

He mate hopuhopu te Chyluria?

Kāo, ehara a Chyluria i te mate hopuhopu . Kāore e taea te tuku i tēnei mate ki ētahi atu mā te pā atu ki te tinana, mā te pā tata rānei. Heoi, ki te mea he mate pirinoa tō mate, tera pea ka tukuna taua pirinoa motuhake (hei tauira, mā te ngau a te waeroa ki tētahi atu tangata). Heoi anō, kāore te mate o Chyluria e horapa tika mai i te tangata ki te tangata.

Me pēhea te tautuhi i te Chyluria?

Ko te tohunga hauora anake ka taea te whakatau tika mēnā kei a koe te Chyluria. Ka arotakehia e tō tākuta ō tohumate, ā, ka whakahau i ngā whakamātautau tātaritanga motuhake hei whakatau i te mate.

Me pēhea te whakaū i a Chyluria?

Mā ngā whakamātautau i tonoa e tō tākuta e āwhina ki te whakaū i te aroaro o te Chyluria me te tautuhi me pēhea te turuturu o te 'chyle' (he wai lymphatic) ki roto i tō mimi .

Kei roto pea i ēnei whakamātautau:

• Te tātaritanga mimi : Ka kohia e tō tākuta he tauira mimi hei aromatawai i tōna tae me tōna āhua. Kātahi ka tukuna ki te taiwhanga hei kimi i te aroaro o te 'chyle'.
• Ngā whakamātautau whakaahua : Kei roto pea i ēnei he matawai CT , he lymphangiogram (te wāhi e werohia ai he tae motuhake ki roto i ngā oko toto lymphatic i mua i te hihi-X), MRI , hihi-X , te ultrasound rānei. Ka āwhina ēnei ki te kite i ngā aukati, i ngā turuturu rānei i roto i tō pūnaha lymphatic.
• Whakamātautau Triglycerides : Kei roto i te mimi o te hunga whai Chyluria ngā triglycerides (he momo ngako). Ahakoa kāore tō mimi e ahua mā, mā te kitea o ēnei triglycerides e whakaū te mate.
• Laparoscopy : He tikanga pokanga iti rawa te whakaekenga. Mā te tapahi i ngā wahi iti ki te puku, ka whakamahia e te taote pokanga he ngongo motuhake kei roto i te kāmera (laparoscope) hei kimi i te wāhi tika o te turuturu lymphatic. Ko te tikanga ka whakamahia tēnei mō ngā take kāore anō kia puta he hua mārama i roto i ētahi atu whakamātautau.

Me pēhea te rongoā mō te Chyluria?

Kia kitea tō mate i Nirogi Lanka, ka matapakihia e tō tākuta ngā kōwhiringa maimoatanga e hāngai ana ki ō hiahia, mai i te whakahaere ā-pūmau me ngā tikanga iti rawa te whakaekenga ki ngā pokanga .

Te maimoatanga tiaki

Ko te rongo pai, neke atu i te 70% o ngā tūroro e pāngia ana e te Chyluria ka urupare pai ki te maimoatanga ārai mate.

I te tīmatanga, ka tohutohu tō tākuta kia okioki koe, kia whakanuia te nui o te wai e inumia ana, ā, kia whai i tētahi kai tino āta whakahaeretia . Mā te whakawhāiti i ngā ngako kai, ka whakaitihia e koe te hanga o te 'chyle' i roto i tō tinana, ā, ka whakaitihia te nui o te turuturu ki roto i ō whatukuhu.

I ētahi wā, ka tūtohu pea tō tākuta i te kai whāngai parenteral , arā, ka tukuna tika atu ngā kaora me ngā matūkai nui ki roto i tō toto mā roto i te uaua, kaua mā te kai ā-waha.

Hei tāpiri, kei reira ngā rongoā motuhake hei āwhina i te whakahaere i te mate.

Maimoatanga iti rawa te whakaekenga

Mena kāore tō āhua e pai ake mā roto i ngā mahi tiaki, ka tūtohuhia pea he tikanga iti rawa te whakaekenga e mōhiotia ana ko te sclerotherapy .

I tēnei tikanga, ka werohia e te tākuta tētahi otinga 'whakapakari' motuhake ki roto i te pelvis whatukuhu. Ko te mea e whakamahia whānuitia ana ko te hiriwa nitrate , ahakoa ko ētahi atu ko:

• Povidone iodine
• konutai iodide
• Pūmua pāhare pākawa
• Teketorohi
• Otinga hypertonic

Ka 'hiritia' e ēnei otinga te wāhi e turuturu ana te chyle.

Te maimoatanga urutomo

Mena kāore e taea e ngā tikanga ārai mate, ngā tikanga iti rawa rānei te whakaeke i te mate te whakaora, me pokanga pea koe. Ko tēnei tikanga he tautuhi i te oko toto lymphatic kua pakaru, me te mahi pokanga anō hoki.

He aha ngā kai me kai koe mēnā kei a koe te Chyluria?

Mena kua tāpaetia koe kei te mate Chyluria, ka tino tohutohu tō tākuta kia kai koe i tētahi kai iti te ngako, nui te pūmua . Tāpirihia he nui ngā huawhenua rau matomato ki roto i ō kai. He mea nui anō hoki kia nui te huaora A, D, E, me te K e kainga ana.

Anei ētahi kōwhiringa kai tino pai, he iti te ngako, he nui te pūmua:

• Ika : Ina koa ko ngā momo ika pērā i te tara, te hātaka, te hāripa, me te tilapia.
• Heihei me te tāki kāhore he kiri (ngā wāhanga mīti mā).
• Tītēki mīti kau kikokore (pīkau kikokore).
• Ngā pīni.
• Ngā pīni huawhenua (pīni tītī, pīni kau, pīni mung, me ngā momo pīni rerekē).
• Tōfu.
• Miraka me ngā hua miraka iti-ngako.
• Ngā nati me ngā purapura (kainga i te rahinga iti).

Me whai koe kia kaua e neke atu i te 25 karamu te nui o te ngako e kainga ana e koe i ia rā. Mō te nuinga o ngā tūroro i Nirogi Lanka, he torutoru wiki noa iho te roa o tēnei whakarerekētanga kai. Mā tō tākuta koe e tohutohu āhea te wā haumaru ki te hoki anō ki te kai noa.

He aha ngā rongoā e whakamahia ana mō te Chyluria?

He maha ngā rongoā hei āwhina i te rongoā i te Chyluria:

• Ezetimibe (Ingoa waitohu: Zetia®) : Ko te mahi a tēnei rongoā mā te aukati i ō whekau ki te mimiti i te cholesterol, ka āwhina i te whakahaere i te mate.
• Ngā rongoā ārai-parasitika : Mena he mate parasitika te take o tō Chyluria, ka tohua pea e tō tākuta he rongoā pēnei i te Ivermectin (Ingoa waitohu: Stromectol®) , Diethylcarbamazine (Ingoa waitohu: Hetrazan®) , Albendazole (Ingoa waitohu: Albenza®) , Benzathine penicillin rānei hei whakakore i te mate.

Kia pēhea te tere o tō whakaoranga i muri i te maimoatanga?

I runga i tāu mahere maimoatanga, ka tīmata te nuinga o ngā tūroro ki te rongo i te whakamarie i roto i ētahi rā ki ētahi wiki . Heoi, kia maumahara he rerekē te roa o te whakaoranga i ia tangata, i ia tangata.

Me pēhea te whakaiti i te mōrearea o te whakawhanake i te Chyluria?

I te mea ko tētahi o ngā tino take o te Chyluria ko te mate mai i ngā pirinoa e tukuna ana e ngā waeroa , ko te rautaki pai ko te tiaki i a koe mai i ngā ngau a te waeroa. Ka taea e koe tēnei mā te:

• Te mau i ngā hāte ringaringa roa me ngā tarau roa, matotoru.
• Te moe i roto i tētahi rūma hauhautanga, i raro rānei i tētahi kupenga namu.
• Te whakamahi i ngā ārai namu kua whakaaetia e te EPA ki te kiri e kitea ana.
• Te whakamahi i ngā rongoā ārai pepeke ki ō kākahu, ki ō tēneti, ki ō kupenga waeroa rānei.

Hei tāpiritanga, ka taea te tohu rongoā hei whakakore i ngā kutukutu moroiti hei ārai (me mahi tēnei i raro i te tirotiro a te rata, inā koa kei te haere koe ki ngā rohe e horapa ana ēnei mate pirinoa).

He aha ngā mea ka tumanakohia e koe mēnā kua tāpaetia koe kei te pāngia e te Chyluria?

Mena kua tāpaetia koe kei te mate koe i te Chyluria, he tino pai te tūponotanga ka ora koe . Kāore he take e mataku ai koe.

Ina hoki, tata ki te 50% o ngā take ka ea i a rātou anōme te kore e hiahiatia he wawaotanga hauora kaha. Neke atu i te 70% o ngā keehi ka pai te urupare ki ngā maimoatanga ngāwari, ā, tae atu ki te 95% te angitu o ngā keehi uaua ake me te tiaki ngaio. E whakamahara ana a Nirogi Lanka ki a koe he mate tino taea te rongoā.

Āhea koe me toro atu ki te tākuta?

Ki te kite koe i ētahi panonitanga rerekē o te tae o tō mimi — ina koa mēnā ka mimi pinepine koe, ka mamae rānei i a koe e mimi ana — me toro atu koe ki te tākuta tonu . Kaua e warewarehia ēnei tohu. Ki te pā mai he āhuatanga ohorere, whakapā atu ki te 911, ki ō ratonga ohorere ā-rohe rānei.

He aha ngā pātai me pātai atu koe ki tō tākuta?

I a koe e kōrero ana, ka hiahia pea koe ki te pātai i ēnei pātai:

• I pēhea te whakaū i taku mate Chyluria?
• Mena ehara i te Chyluria, he aha atu ngā āhuatanga ka taea te whakamārama i aku tohumate?
• He mea tika kia whakamahia he maimoatanga hohe, kāore rānei, tera pea ka memeha haere?
• Kei te tūtohu koe i tētahi huarahi ārai mate, he huarahi iti rawa te whakaekenga, he huarahi pokanga rānei?
• He aha te mōrearea o te hokinga mai?
• Ka taea e koe te tuku i ahau ki tētahi tohunga kai whai tohu mō te tautoko kai?

He aha te rerekētanga i waenga i te Chyluria me te Lymphuria?

He mea āwhina kia mārama ki te rerekētanga. Ko te 'Lymphuria' e tohu ana i te noho o te wai lymph i roto i tō mimi, engari kāore he nui o te ngako.

Heoi, ko te 'Chyluria' te noho o te lymph me te ngako (e kiia nei ko te 'chyle') i roto i tō mimi, ā, koinei te take e āhua mā ai, he rite ki te miraka.

E mārama ana mātou he mea whakamataku te kitenga i te mimi miraka. Mēnā ka kite koe i ētahi huringa rerekē, mēnā rānei he tohu pēnei i te mimi auau, te mimi mamae rānei, tena koa kōrero wawe ki tō kaiwhakarato hauora. Ka taea e rātou te whakaū i te mate me te whakatau i te mahere maimoatanga pai rawa atu māu.

Karere Whakamutunga mō te Tango ki te Kāinga

He nui ngā kōrero kua kōrerohia e mātou mō Chyluria i tēnei rā. Anei ngā kōrero tino nui hei maumahara māu:

• Tērā pea he tohu te mimi mā, he Chyluria: Ka puta tēnei nā te noho mai o te 'chyle,' he wai lymphatic whai ngako nui, i roto i tō mimi.
• Ngā take matua: Ka puta mai pea i ngā mate pirinoa (inā koa ko te Filariasis), ngā whara tinana, ngā raruraru pokanga, ngā tipu rerekē rānei.
• Ehara i te mate hopuhopu: Kāore te Chyluria e horapa tika mai i tētahi tangata ki tētahi atu.
• Te mōhio ki ngā tohu: Haunga te mimi tae miraka, tera pea ka pāngia koe e te mimi pinepine, te mamae i te wā e mimi ana, te toto i roto i te mimi, te ngaronga taumaha rānei kāore i te whakamāramatia.
• He mea nui te kōrero ki te taote ngaio: Ki te kite koe i tētahi panonitanga tonu o te tae o tō mimi, me toro atu ki te taote i taua wā tonu. Kaua e whakamātau ki te rongoā i a koe anō.
• Kei te wātea ngā kōwhiringa maimoatanga: Ka taea te whakahaere i tēnei mate, ā, he maha ngā wā ka taea te rongoā mā te kai iti-ngako, ngā rongoā kua tohua, i ētahi wā rānei, he pokanga iti noa iho. Kaua e mataku.
• Ārai: Hei tiaki i a koe mai i ngā mate pirinoa, me mahi i ngā mahi ārai hei ārai i ngā ngau a te waeroa.

Ko te tumanako ka āwhina ēnei mōhiohio i a koe i tō ara ki te oranga tinana. Kia ora tonu koe me Nirogi Lanka!

Ngā Kupumatua: Chyluria, Chyle i roto i te mimi, Mimi mā, Pūnaha Lymphatic, Ngā mate pirinoa, Ngā whatukuhu, Filariasis