Kodi munayamba mwazindikirapo kuti mkodzo wanu, kapena mkodzo wanu , uli ngati mkaka pang'ono? Kapena mwina mukumwa madzi oyera ngati mkaka ndi mkodzo wanu ? Mwina mukuda nkhawa pang'ono. Lero tikambirana za vuto lomwe limayambitsa kutuluka kwa mkodzo mumtundu wachilendowu, koma si lofala kwambiri. Timatcha izi kuti Chyluria.

Kodi Chyluria ndi chiyani?

Mwachidule, Chyluria ndi kupezeka kwa chinthu chotchedwa 'chyle' mu mkodzo wanu, kutanthauza mkodzo . Tsopano muyenera kuti mukudabwa kuti 'chyle' iyi ndi chiyani, sichoncho? Ndi madzi owoneka ngati mkaka pang'ono omwe amachokera ku ma lymph nodes athu. Nchifukwa chiyani ali ngati mkaka? Chifukwa tinthu tamafuta tomwe timayamwa m'matumbo athu timasakanikirana ndi madzi awa kuti apange mtundu uwu.

Kawirikawiri, madzi a lymph ndi mafuta amenewa amapita m'thupi kudzera m'mitsempha yathu ya lymph. Kenako, magazi amawanyamula kupita nawo mbali zosiyanasiyana za thupi. Koma, taganizirani zomwe zimachitika ngati mitsempha ya lymph iyi sigwira ntchito bwino? Kenako madzi awa otchedwa 'chyle' amatuluka m'thupi kuchokera kwina m'malo molumikizana ndi magazi. Ngati atuluka m'impso, ndi pamene amatuluka ndi mkodzo .

N’chifukwa chiyani mkodzo uli ngati mkaka?

Chifukwa chake, chifukwa chomwe mkodzo wanu umaonekera ngati mkaka ndi chifukwa madzi a 'chyle' omwe ndatchula kale aja adalowa mu impso zanu. Kenako amasakanikirana ndi mkodzo wanu ndikutuluka mukapita kuchimbudzi.

Ndani angadwale matenda a Chyluria?

Kwenikweni, aliyense akhoza kudwala matendawa otchedwa Chyluria. Komabe, ngati mukukhala m'maiko monga South America, sub-Saharan Africa, kapena Southeast Asia, makamaka India, kapena mwakhala nthawi yayitali m'madera otere, muli ndi mwayi waukulu wodwala parasitic chyluria. Izi zili choncho chifukwa tizilombo toyambitsa matendawa ndi tofala m'madera amenewo.

Matendawa nthawi zambiri amakhudza anthu azaka zapakati pa 20 ndi 40. Komabe, musadabwe, madokotala anena kuti ana azaka zapakati pa 5 nawonso ali ndi matenda a parasitic chyluria chifukwa cha tizilomboti.

Kodi vutoli ndi lofala bwanji?

Kunena zoona, matenda a Chyluria ndi osowa kwambiri. Ngakhale m'madera omwe amapezeka kawirikawiri, anthu osakwana 100 amadwala matendawa chaka chilichonse. Choncho, si zachilendo.

Kodi Chyluria imakhudza bwanji thupi langa?

Matenda a Chyluria angayambitse kusowa kwa zakudya m'thupi. Angayambitsenso kusowa kwa mavitamini . Izi zili choncho chifukwa, pamodzi ndi 'chyle', mafuta ndi mavitamini osungunuka ndi mafuta omwe thupi limafunikira amatulutsidwanso mu mkodzo .

Kodi zizindikiro za Chyluria ndi ziti?

Chizindikiro chachikulu cha Chyluria ndi mkodzo woyera ngati mkaka kapena mkaka . Koma osati izi zokha, pakhoza kukhala zizindikiro zina zingapo. Tiyeni tiwone zomwe zili?

• Kufunika kukodza pafupipafupi.
• Kumva kupweteka mukamakodza (tikutcha izi kuti `(dysuria)`).
• Magazi mu mkodzo (izi zimatchedwa `(hematuria)`).
• Mimba ya m'munsi, ndiko kuti, kupweteka m'munsi mwa msana.
• Kuchepetsa thupi.
• Kuchedwa kukula (makamaka kwa ana).
• Kumva kutopa nthawi zonse.
• Kumva ngati ukuzizira (kuzizira).
• Kutupa m'miyendo (peripheral edema)

Kodi ndi zifukwa ziti zomwe zimayambitsa matenda a Chyluria?

Pali mitundu iwiri ikuluikulu ya zomwe zimayambitsa matenda a Chyluria. Chimodzi ndi chifukwa cha matenda a parasitic ndipo china ndi chifukwa cha matenda osakhala a parasitic .

Zifukwa zomwe zimayambitsa matenda a parasitic

Pafupifupi 95% ya milandu ya Chyluria yomwe imayambitsidwa ndi tizilombo toyambitsa matenda imayamba chifukwa cha mphutsi yozungulira ya Wuchereria bancrofti . Matenda omwe amayambitsidwa ndi izi amatchedwanso filariasis . Mwina mudamvapo za 'filariasis' , ndicho chimene chili. Nyongolotsi iyi imatseka mitsempha ya lymphatic.

Majeremusi ena omwe angakhale 5% yotsala ndi awa:

• Taenia echinococcus `(Taenia echinococcus)`
• Taenia nana (Izi ndi mphutsi za m'mimba)
• Ankylostomiasis ( matenda a mphutsi za hookworm)
• Matenda a Trichinosis
• Malungo

Zifukwa zina zomwe si majeremusi

Chyluria ingathenso kuchitika pazifukwa zina osati tizilombo toyambitsa matenda. Mwachitsanzo:

• Kuvulala m'mimba . Tangoganizirani kumenyedwa mwamphamvu m'mimba, ngati kuti mwachita ngozi.
• Opaleshoni , makamaka opaleshoni ya nephrectomy kapena scoliosis.
• Matenda osiyanasiyana .
• Kukulitsa kwa ma lymph node m'mimba .
• Mitundu ya zotupa , ndiko kuti, zotupa za khansa kapena zosakhala khansa.
• Chithandizo cha radiation .
• Matumbo .
• Lymphangiomas ndi zotupa za dongosolo la lymphatic zomwe zimapangidwa mu chikhodzodzo kapena impso.
• Kuchepa (stenosis) kwa njira yayikulu ya lymphatic m'chifuwa .
• Mimba . Nthawi zina vutoli limathanso kuchitika panthawi ya mimba.

Kodi Chyluria imafalikira?

Ayi, Chyluria si yopatsirana . Simungaitenge pokhudza kapena kukhala pafupi ndi wina. Komabe, ngati yayambitsidwa ndi tizilombo toyambitsa matenda, tizilombo toyambitsa matenda timeneti tingapatsiridwe kwa wina (monga udzudzu). Komabe, chyluria si yopatsirana mwachindunji.

Kodi Chyluria imapezeka bwanji?

Dokotala angakuuzeni motsimikiza ngati muli ndi matenda a Chyluria kapena ayi. Iye adzakufunsani za zizindikiro zanu ndikulamula kuti muyesedwe kangapo.

Kodi Chyluria imapezeka bwanji?

Mayeso omwe dokotala amalamula angatsimikizire ngati ali ndi Chyluria ndikupeza momwe madzi otchedwa 'chyle' amalowera mu mkodzo .

Mayeso awa angaphatikizepo:

• Kusanthula mkodzo : Chitsanzo cha mkodzo wanu chimatengedwa ndikuyang'aniridwa ngati chili ndi mtundu, mawonekedwe, ndi zina zotero. Kenako chimatumizidwa ku labu kuti akayesedwe ngati chili ndi chyle.
• Mayeso ojambulira : Izi zitha kuphatikizapo CT scan , lymphangiogram ( momwe madzi apadera amalowetsedwa m'mitsempha ya lymphatic ndikutengedwa X-ray), MRI , X-ray , kapena ultrasound . Izi zimafufuza ngati pali zotsekeka kapena kutuluka kwa madzi m'thupi.
• Mayeso a Triglycerides : Aliyense amene ali ndi Chyluria amakhala ndi triglycerides, mtundu wa mafuta, mu mkodzo wawo. Nthawi zina, ngati Chyluria si yoopsa kwambiri, mkodzo sungawoneke ngati mkaka. Komabe, ngati triglycerides izi zilipo, zitha kutsimikizira Chyluria.
• Laparoscopy : Iyi ndi opaleshoni yaying'ono. Pamapangidwa kudula pang'ono m'mimba ndipo chubu chopyapyala chokhala ndi kamera (laparoscope) chimayikidwa kuti chithandize kupeza komwe madzi a m'thupi amatuluka. Komabe, izi zimachitika pokhapokha ngati mayeso ena sangapezeke.

Kodi Chyluria imachiritsidwa bwanji?

Ngati mwapezeka ndi matenda a Chyluria, dokotala wanu angakupatseni njira zingapo zochiritsira. Izi zingaphatikizepo mankhwala osasinthasintha , mankhwala osalowerera kwambiri , kapena mankhwala olowerera monga opaleshoni .

Chithandizo chachisamaliro

Nkhani yabwino ndi yakuti odwala a Chyluria oposa 70% amayankha bwino mankhwala osavuta awa.

Choyamba, dokotala adzakuuzaniAmakuuzani kuti mupumule, mumwe madzi ambiri, ndikutsatira zakudya zosamala kwambiri. Mukachepetsa kuchuluka kwa mafuta muzakudya zanu, kuchuluka kwa 'chyle' komwe kumapangidwa ndi thupi lanu kumachepa. Izi zimachepetsa kuchuluka kwa madzi omwe amalowa mu impso zanu.

Nthawi zina dokotala wanu angakupatseninso chithandizo chotchedwa 'parenteral nutrition' . Izi zimaphatikizapo kukupatsani ma calories ndi michere yomwe mukufuna kudzera mu saline solution kupita mumtsempha. Izi zikutanthauza kuti simukudyetsedwa ndi pakamwa, koma kudzera mumtsempha.

Komanso, pali mankhwala ena omwe angathandize kuchiza matenda a Chyluria.

Chithandizo chocheperako

Ngati vuto lanu silikuyenda bwino ndi mankhwala osavuta amenewo, pali mankhwala ena omwe salowa m'malo otchedwa 'sclerotherapy' .

Mu njira imeneyi, dokotala amabaya mankhwala apadera (otchedwa sclerosant) pakati pa impso yanu (renal pelvis). Mankhwala ofala kwambiri a sclerosant ndi silver nitrate . Komabe, palinso mankhwala ena monga:

• Iodine ya Povidone `(Iodine ya Povidone)`
• Sodium iyodi
• Potaziyamu bromide
• Dextrose
• Yankho la Hypertonic `(Yankho la Hypertonic)`

Yankho ili limagwira ntchito ngati mtundu wa 'seal' komwe 'chyle' imatuluka.

Chithandizo cholowa m'malo

Ngati vuto lanu silikuyenda bwino ndi mankhwala osavuta kapena mankhwala osapweteka kwambiri, dokotala wanu angafunike kuchita mankhwala owonjezera, monga opaleshoni, momwe lymph node yomwe ikutuluka imadziwikiratu ndikukonzedwa.

Kodi muyenera kudya chiyani ngati muli ndi Chyluria?

Ngati muli ndi matenda a Chyluria, dokotala wanu adzakuuzani kuti muzitsatira zakudya zochepa mafuta komanso mapuloteni ambiri . Muyenera kuphatikiza ndiwo zamasamba zambiri zobiriwira muzakudya zanu. Komanso, zakudya zomwe zili ndi mavitamini A, D, E, ndi K ndizofunikira.

Ganizirani zakudya zomwe zili ndi mafuta ochepa komanso mapuloteni ambiri:

• Nsomba : Makamaka nsomba monga cod, haddock, halibut, ndi tilapia.
• Nkhuku ndi Turkey (zigawo za nyama yoyera) zopanda khungu.
• Nyama ya ng'ombe yopanda mafuta (Sirloin steak).
• Nyemba.
• Nyemba monga nandolo, nyemba zobiriwira, ndi nyemba.
• Tofu `(Tofu)` .
• Mkaka wopanda mafuta ambiri ndi zakudya za mkaka.
• Mtedza ndi mbewu (izi ziyenera kudyedwa pang'ono).

Kodi mumadya mafuta angati patsiku?Muyenera kuchepetsa kudya kwanu ndi magalamu osapitirira 25. Anthu ambiri omwe ali ndi Chyluria amangofunika kutsatira zakudya zochepa mafuta komanso zamapuloteni ambiri kwa milungu ingapo. Dokotala wanu adzakuuzani nthawi yomwe mungadyenso zakudya zamafuta wamba.

Kodi ndi mankhwala ati omwe amagwiritsidwa ntchito pochiza Chyluria?

Pali mitundu ingapo ya mankhwala omwe angathandize kuchiza matenda a Chyluria:

• Ezetimibe (dzina lodziwika bwino: Zetia®) : Mankhwalawa amagwira ntchito poletsa kuyamwa kwa cholesterol m'matumbo anu.
• Mankhwala oletsa matenda opatsirana : Ngati chyluria imayamba chifukwa cha matenda opatsirana, mankhwala monga ivermectin (dzina lodziwika bwino: Stromectol®) , diethylcarbamazine (dzina lodziwika bwino: Hetrazan®) , albendazole (dzina lodziwika bwino: Albenza®) , ndi benzathine penicillin amagwiritsidwa ntchito pochiza matendawa.

Kodi ndidzachira msanga bwanji nditalandira chithandizo?

Kutengera ndi chithandizo chomwe mumalandira, anthu ambiri amayamba kumva bwino pakatha masiku kapena milungu ingapo . Komabe, nthawi yomwe imatenga kuti munthu achire mokwanira imatha kusiyana malinga ndi munthu.

Kodi mungachepetse bwanji chiopsezo cha matenda a Chyluria?

Tizilombo toyambitsa matenda, zomwe ndi zomwe zimayambitsa matenda a Chyluria, timafalikira ndi udzudzu . Choncho, chinthu chabwino kwambiri chomwe mungachite ndi kupewa udzudzu. Mutha kuchita izi:

• Valani mathalauza aatali komanso okhuthala komanso zovala za manja aatali.
• Gonani m'chipinda chozizira mpweya, kapena gonani pansi pa ukonde woteteza udzudzu.
• Pakani mankhwala othamangitsa udzudzu m'malo omwe ali pafupi ndi thupi.
• Thirani mankhwala ophera udzudzu pa zovala zanu, mahema, ndi maukonde anu.

Komanso, mutha kumwa mankhwala ophera nyongolotsi zazing'ono (izi ndi zinthu zomwe ziyenera kuchitika mutalandira upangiri wa dokotala, makamaka ngati mukupita kumadera komwe matenda opatsirana ndi tizilombo ndi ofala).

Kodi mungayembekezere chiyani ngati muli ndi Chyluria?

Ngati muli ndi matenda a Chyluria, mwayi wochira ndi wabwino kwambiri . Musadandaule.

Ndipotu, pafupifupi 50% ya milandu imatha yokha , popanda chithandizo chilichonse. Oposa 70% ya milandu imatha ndi mankhwala osavuta. Chiwopsezo cha kupambana kwa mankhwala amphamvu amenewo ndi chokwera kufika pa 95%. Chifukwa chake, uwu ndi matenda ochiritsika.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muwona kusintha kulikonse kwachilendo mu mtundu wa mkodzo wanu, makamaka ngati mukufuna kukodza pafupipafupi, kapena ngati mukumva kupweteka mukamakodza , onetsetsani kuti mwawonana ndi dokotala nthawi yomweyo.Si bwino kukhala ndi makhalidwe otere.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukapita kwa dokotala, ndi bwino kufunsa mafunso monga awa:

• Kodi mungadziwe bwanji kuti ndili ndi matenda a Chyluria?
• Ngati ndilibe Chyluria, kodi vuto lina lingakhale liti?
• Kodi ndikufunika chithandizo, kapena mukuganiza kuti izi zitha kukhala bwino zokha ?
• Kodi mungandipatse njira yosavuta, yosavulaza kwambiri, kapena yowononga kwambiri?
• Kodi Chyluria ikhoza kubwereranso?
• Kodi mungandipangire katswiri wabwino wa zakudya?

Kodi pali kusiyana kotani pakati pa Chyluria ndi lymphuria?

Izi ndi zabwino kudziwa. 'Lymphuria' zikutanthauza kuti mkodzo wanu uli ndi lymph, koma mulibe mafuta.

Chyluria ndi pamene mkodzo wanu uli ndi mafuta ndi madzi am'thupi (otchedwa chyle). Izi ndi zomwe zimapangitsa kuti mkodzo wanu ukhale ndi mtundu ngati mkaka.

Ngati mkodzo wanu wasanduka mkaka mwadzidzidzi, zingakhale zodetsa nkhawa pang'ono. Chifukwa chake, ngati muwona kusintha kulikonse kwachilendo mu mtundu wa mkodzo wanu, makamaka ngati mukukodza pafupipafupi kapena ngati mukumva kupweteka mukamakodza , lankhulani ndi dokotala nthawi yomweyo. Iye akhoza kukudziwitsani kuti muli ndi Chyluria ndikukupatsani chithandizo choyenera.

Uthenga Womaliza Wopita Nawo Kunyumba

Chabwino, takambirana zambiri za matenda a Chyluria. Nazi zina mwa zinthu zofunika kwambiri zomwe muyenera kukumbukira:

• Mkodzo wonga mkaka ukhoza kukhala Chyluria: Izi zimachitika chifukwa cha kukhalapo kwa madzi a lymphatic onenepa otchedwa 'chyle' mu mkodzo .
• Zifukwa zake ndi zosiyanasiyana: matenda a parasitic (makamaka filariasis), ngozi, opaleshoni, zotupa, ndi zina zotero.
• Si matenda opatsirana: Matenda a chyuria safalikira mwachindunji kuchokera kwa munthu mmodzi kupita kwa wina.
• Dziwani zizindikiro: Kuwonjezera pa mkodzo wonga mkaka, zizindikirozo zingaphatikizepo kukodza pafupipafupi, kupweteka pakukodza , magazi mu mkodzo, komanso kuchepa thupi.
• Uphungu wa dokotala ndi wofunikira: Ngati muwona kusintha kwa mtundu wa mkodzo wanu , pitani kwa dokotala nthawi yomweyo. Musadzipatse mankhwala.
• Pali mankhwala ndi machiritso: zakudya zopanda mafuta ambiri, mankhwala, komanso nthawi zina opaleshoni yaying'ono zingathandize kwambiri vutoli. Palibe chodetsa nkhawa.
• Dzitetezeni: Ndikofunikira kudziteteza ku udzudzu kuti mupewe tizilombo toyambitsa matenda.

Kotero, ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

Chyluria , chyle mu mkodzo, mkodzo woyera ngati mkaka, dongosolo la lymphatic, matenda a parasitic, impso, filariasis