Ese inkari zawe ni umweru nk'amata? Ese byaba ari Chyluria? Reka tumenye byinshi kuri Nirogi Lanka!

Ese wigeze ubona inkari zawe zisa n'ibicu cyangwa amata? Wenda wigeze ubona amazi y'umweru asa n'amata anyura mu nkari zawe? Ni ibisanzwe kumva uhangayitse iyo ubibonye. Uyu munsi, muri Nirogi Lanka , turimo kuganira ku ndwara idasanzwe ariko ikomeye itera ibara ridasanzwe ry'inkari, izwi nka Chyluria .

Chyluria ni iki?

Muri make, Chyluria ni indwara aho inkari zawe zirimo ikintu cyitwa 'chyle.' Ushobora kwibaza uti, chyle ni iki? Ni amazi y'umweru asa n'amata ava mu mubiri wawe. Asa n'amata kuko arimo ibinure biva mu mara yawe.

Ubusanzwe, aya mazi n'ibinure bya lymphatic binyura mu miyoboro ya lymphatic yawe bikagera mu maraso yawe, aho bijyanwa mu mubiri wawe wose. Ariko, iyo imiyoboro ya lymphatic yawe idakora neza, iyi chyle ntijya mu miyoboro y'amaraso nk'uko bikwiye. Ahubwo, ijya mu bindi bice by'umubiri wawe. Iyo aya mazi yinjira mu mpyiko zawe, asohorwa n'inkari zawe, bigatuma zisa n'amata.

Kuki inkari zisa n'amata?

Niba inkari zaweisa n'amata, bigaragaza ko chyle yavuzwe haruguru yavuye mu mpyiko zawe. Iyo imaze kuvanga n'inkari zawe, isohoka mu mubiri wawe mugihe cyo kunyara.

Ni nde ushobora kurwara Chyluria?

Nubwo umuntu uwo ari we wese ashobora kurwara Chyluria, ikunze kugaragara cyane mu turere aho udukoko tumwe na tumwe twibasiwe cyane, nko mu bice bya Amerika y'Epfo, Afurika yo munsi y'ubutayu bwa Sahara, no muri Aziya y'Amajyepfo y'Uburasirazuba (cyane cyane Ubuhinde). Niba warabaye cyangwa warasuye utwo duce, ushobora kuba uri mu kaga ko kurwara Chyluria y'udukoko tumwe na tumwe.

Iyi ndwara ikunze kugaragara cyane ku bantu bari hagati y'imyaka 20 na 40. Ariko, ni ngombwa kumenya ko abana bafite imyaka itanu banduye iyi ndwara barwaye indwara ziterwa n'udukoko.

Ibi ni ibisanzwe gute?

Chyluria ifatwa nk'indwara idakunze kugaragara cyane. Ndetse no mu turere ikunze kugaragaramo, abantu batarenze 100 bakunze kugaragara buri mwaka. Si indwara isanzwe.

Ni gute Chyluria igira ingaruka ku mubiri wanjye?

Chyluria ishobora gutera imirire mibi no kubura vitamine . Ibi bibaho kuko chyle isohoka mu nkari yawe irimo ibinure by'ingenzi na vitamine zishonga mu mavuta umubiri wawe ugomba kuba winjije, aho gusohora.

Ni ibihe bimenyetso bya Chyluria?

Ikimenyetso cy'ibanze cya Chyluria ni inkari z'umweru zisa n'amata . Ariko hari ibindi bimenyetso ushobora kumenya:

• Gukunda kunyara kenshi.
• Kubabara mu gihe cyo kunyara (bizwi nka dysuria).
• Amaraso mu nkari (azwi nka hematuria).
• Kubabara mu nda yo hasi cyangwa mu mugongo wo hasi.
• Kugabanya ibiro utabiteganyije.
• Kunanirwa gutera imbere (cyane cyane ku bana).
• Umunaniro uhoraho.
• Ubukonje.
• Kubyimba mu maguru (edema yo mu gice cy'imbere).

Ni iki gitera Chyluria?

Hari ibyiciro bibiri by'ingenzi by'impamvu zitera Chyluria: parasite n'izitari parasite .

Impamvu zitera indwara z'udukoko

Mu bantu bagera kuri 95%, chyluria iterwa n'inzoka yitwa Wuchereria bancrofti . Iyi ndwara itera indwara izwi nka filariasis.Iyi parasite iziba neza imiyoboro y'amaraso ya lymph, bigatuma habaho gusohoka kw'amaraso.

5% bisigaye bishobora guterwa n'izindi parasites, harimo:

• Taenia echinococcus
• Taenia nana (ubwoko bwa tapeworm)
• Ankylostomiasis (ubwandu bw'inzoka zo mu nda)
• Trichinose
• Malariya

Impamvu zitari iz'udukoko

Chyluria ishobora kandi kubaho nta mikorobe bitewe n'izindi mpamvu nyinshi, nko:

• Ihungabana ryo mu nda (urugero, riturutse ku gikomere).
• Kubagwa , cyane cyane kubagwa igice cy'imitsi y'impyiko (kubagwa impyiko) cyangwa kubagwa scoliosis.
• Indwara zitandukanye.
• Ubwiyongere bw'uturemangingo tw'inda.
• Ibibyimba (byombi bitangiza indwara n'ibitera indwara mbi).
• Ubuvuzi bushingiye ku mirasire.
• Ibisebe.
• Lymphangioma (ubumuga bw'imitsi mu ruhago cyangwa mu mpyiko).
• Stenose (gufungana) k'umuyoboro w'igifu.
• Gutwita (hari ubwo).

Niba ubonye kimwe muri ibi bimenyetso, nyamuneka hamagara Nirogi Lanka cyangwa ushake ubuvuzi bwihutirwa vuba uhamagara 911 cyangwa usure ibitaro bikwegereye.

Ese Chyluria yandura?

Oya, Chyluria si indwara yandura . Ntushobora kwanduza abandi iyi ndwara binyuze mu gukorakoraho cyangwa gukoranaho hafi. Ariko, niba indwara yawe iterwa n'ubwandu bw'udukoko, iyo parasite ishobora kwanduzanya (urugero, binyuze mu kurumwa n'umubu ku wundi muntu). Nyamara, indwara ya Chyluria ubwayo ntabwo yanduzanya mu buryo butaziguye iva ku muntu ijya ku wundi.

Ni gute Chyluria ipimwa?

Umuganga ni we wenyine ushobora kumenya neza niba ufite Chyluria. Muganga wawe azasuzuma neza ibimenyetso byawe kandi agategeka ko hakorwa ibizamini byihariye byo gusuzuma indwara kugira ngo amenyekane.

Ni gute Chyluria yemezwa?

Ibizamini byategetswe na muganga bizagufasha kwemeza ko Chyluria ihari no kumenya uburyo 'chyle' (amazi y'imitsi) yinjira mu nkari zawe.

Ibi bizamini bishobora kuba birimo:

• Isesengura ry'inkari : Muganga wawe azakusanya icyitegererezo cy'inkari kugira ngo apime ibara ryazo n'uko zisa. Hanyuma bizoherezwa muri laboratwari kugira ngo hamenyekane niba hari 'chyle'.
• Ibizamini byo gupima : Ibi bishobora kuba birimo gupimwa na CT scan , lymphangiogram (aho irangi ryihariye rishyirwa mu miyoboro ya lymphatic mbere yo gupimwa na X-ray), MRI , X-ray , cyangwa ultrasound . Ibi bifasha kumenya aho imiyoboro ya lymphatic ifunga cyangwa iva mu maraso yawe.
• Ikizamini cya Triglycerides : Inkari z'abantu barwaye Chyluria zikunze kuba zirimo triglycerides (ubwoko bw'ibinure). Nubwo inkari zawe zitagaragara nk'iz'umweru, kuba zihari muri izi triglycerides byemeza ko ari byo bizivura.
• Laparoscopy : Ubu ni uburyo bwo kubaga budakoresha uburyo bwinshi cyane. Mu gukata uduce duto mu nda, umuganga ubaga akoresha umuyoboro wabugenewe ufite kamera (laparoscope) kugira ngo amenye neza aho amazi yavuye mu mara. Ibi akenshi biba bihari mu gihe ibindi bizamini bitatanze igisubizo gisobanutse neza.

Chyluria ivurwa ite?

Iyo umuganga wawe amaze gupimwa muri Nirogi Lanka, azakubwira uburyo bwo kuvura bujyanye n'ibyo ukeneye, kuva ku buvuzi busanzwe no ku buryo budakunze kugaragara kugeza ku kubagwa .

Ubuvuzi bw'abadakoresha uburyo bwa kera

Inkuru nziza ni uko abarwayi barenga 70% ba Chyluria bakira neza ubuvuzi bw’igihe gito.

Mu ntangiriro, muganga wawe azakugira inama yo kuruhuka, kongera amazi unywa, no gukurikiza indyo igenzurwa neza . Mu kugabanya ibinure mu mirire, ugabanya umusaruro wa 'chyle' mu mubiri wawe, ibi bikaba bigabanya ingano y'amazi yinjira mu mpyiko zawe.

Mu bihe bimwe na bimwe, muganga wawe ashobora kukugira inama yo gukoresha indyo yuzuye , aho karori n'intungamubiri by'ingenzi bishyirwa mu maraso yawe mu mitsi aho kubirya mu kanwa.

Byongeye kandi, hari imiti yihariye iboneka ishobora gufasha mu kuvura iyo ndwara.

Uburyo bwo kuvura butari busanzwe

Niba indwara yawe idakira neza ukoresheje ingamba zo kwirinda kwangirika, ushobora guhabwa uburyo bwo kuvura indwara bwa “sclerotherapy” butari busanzwe.

Muri ubu buryo, umuganga atera umuti wihariye wa 'sclerosing' mu kibuno cy'impyiko. Umuti ukoreshwa cyane ni silver nitrate , nubwo hari indi irimo:

• Iyode ya Povidone
• Iyode ya sodiyumu
• Potasiyumu bromide
• Dextrose
• Umuti wo mu bwoko bwa Hypertonic

Ibi bisubizo bikora mu 'gufunga' aho chyle iva.

Uburyo bwo kuvura indwara ziterwa n'ubwandu

Niba uburyo bwo kwirinda cyangwa butari busanzwe butuma umuntu arwara bunaniwe gutanga ubutabazi, ushobora gusaba kubagwa . Ubu buryo burimo kumenya umuyoboro wa lymphatic wangiritse no gukora ubutabazi bwo kubaga.

Ugomba kurya iki niba ufite Chyluria?

Niba urwaye Chyluria, muganga wawe azakugira inama ikomeye yo kurya indyo irimo ibinure bike kandi irimo poroteyine nyinshi . Shyiramo imboga nyinshi z'icyatsi kibisi mu mafunguro yawe. Ni ngombwa kandi gufata vitamine A, D, E, na K bihagije.

Dore amahitamo meza y'ibiribwa bifite ibinure bike kandi birimo poroteyine nyinshi:

• Amafi : Cyane cyane ubwoko nka cod, haddock, halibut, na tilapia.
• Inkoko n'inkoko bidafite uruhu (ibice by'inyama z'umweru).
• Inyama y'inka y'ubururu (inyama z'inka zidafite uruhu).
• Ibishyimbo.
• Ibinyamisogwe (amashaza, amashaza y'inka, ibishyimbo bya mung, n'ubwoko butandukanye bw'ibishyimbo).
• Tofu.
• Amata n'ibikomoka ku mata bidafite ibinure byinshi.
• Imbuto n'imbuto (ziribwa mu rugero).

Ugomba kwihatira kugabanya ibinure urya buri munsi biri munsi ya garama 25. Ku barwayi benshi bo muri Nirogi Lanka, iyi mpinduka mu mirire ni ngombwa mu byumweru bike gusa. Muganga wawe azakubwira igihe byaba byiza wongeye kurya indyo isanzwe.

Ni iyihe miti ikoreshwa kuri Chyluria?

Hari imiti myinshi ishobora gufasha kuvura Chyluria:

• Ezetimibe (izina ry'ikirango: Zetia®) : Uyu muti ufasha mu kubuza amara yawe kwinjiza cholesterol, bishobora gufasha mu gucunga iyo ndwara.
• Imiti irwanya udukoko : Niba Chyluria yawe iterwa n'indwara ziterwa n'udukoko, muganga wawe ashobora kukwandikira imiti nka Ivermectin (izina ry'ikirango: Stromectol®) , Diethylcarbamazine (izina ry'ikirango: Hetrazan®) , Albendazole (izina ry'ikirango: Albenza®) , cyangwa Benzathine penicilline kugira ngo ikureho ubwandu.

Uzakira vuba gute nyuma yo kuvurwa?

Bitewe na gahunda yawe yihariye yo kuvura, abarwayi benshi batangira kumva baruhutse mu minsi mike cyangwa ibyumweru bike . Ariko, wibuke ko igihe cyose cyo gukira gitandukanye bitewe n'umuntu ku giti cye.

Ni gute wagabanya ibyago byo kurwara Chyluria?

Kubera ko impamvu nyamukuru ya Chyluria ari ukwandura udukoko twanduzwa n'imibu , ingamba nziza ni ukwirinda kurumwa n'imibu. Ushobora kubikora ukoresheje:

• Kwambara amashati y'amaboko maremare n'ipantaro ndende kandi nini.
• Kuryama mu cyumba gifite icyuma gikonjesha cyangwa munsi y'umuyoboro w'imibu.
• Gushyira imiti yica imibu yemewe na EPA ku ruhu ruriho akajagari.
• Gukoresha imiti yo kwirukana ku myenda yawe, mu mahema, cyangwa mu nzitiramibu.

Byongeye kandi, imiti yo kurwanya inzoka ntoya ishobora gutangwa nk'ingamba zo kwirinda (ibi bigomba gukorwa uyobowe na muganga, cyane cyane niba ugiye mu turere izi ndwara zanduriramo).

Ni iki wakwitega mu gihe usanzwe urwaye Chyluria?

Niba warasanzwe urwaye Chyluria, birashoboka cyane ko uzakira . Nta mpamvu yo kurengerwa.

Mu by’ukuri, hafi 50% by’imanza zikemura ubwazohatabayeho ubufasha bw'abaganga. Abarenga 70% by'abarwayi bakira neza ubuvuzi bworoshye, kandi abarwaye indwara zikomeye cyane bagira igipimo cyo gutsinda kigera kuri 95% iyo bivuwe n'inzobere. Nirogi Lanka ikwibutsa ko iyi ari indwara ivurwa neza.

Ni ryari ukwiye kujya kwa muganga?

Niba ubonye impinduka zidasanzwe mu ibara ry'inkari zawe —cyane cyane niba ukunda kwihagarika cyangwa kubabara mu gihe cyo kwihagarika —ugomba guhita ugana kwa muganga . Nyamuneka ntukirengagize ibi bimenyetso. Niba uhuye n'ikibazo cyihutirwa, nyamuneka hamagara 911 cyangwa serivisi zihutirwa zo mu gace utuyemo.

Ni ibihe bibazo ugomba kubaza muganga wawe?

Mu gihe cyo kugisha inama, ushobora kubaza ibi bibazo:

• Ni gute namenye ko narwaye Chyluria?
• Niba atari Chyluria, ni izihe ndwara zindi zishobora gusobanura ibimenyetso byanjye?
• Ese ni ngombwa kuvurwa mu buryo bufatika, cyangwa birashoboka ko bizakemuka ubwabyo?
• Ese urimo gutanga inama yo gukoresha uburyo bwo kwirinda indwara, bugabanya ubukana bw'indwara, cyangwa bwo kubaga?
• Ni izihe ngaruka zo kongera kugaragara kwa virusi?
• Ushobora kunyandikira inzobere mu mirire kugira ngo agufashe mu mirire?

Ni irihe tandukaniro riri hagati ya Chyluria na Lymfuria?

Birafasha gusobanukirwa itandukaniro. 'Lymphuria' igaragaza ko hari amazi y'imitsi mu nkari zawe adafite ibinure byinshi.

Icyakora, 'Chyluria' ikubiyemo kuba hari lymph n'ibinure (byitwa 'chyle') mu nkari zawe, ari nabyo bituma zisa n'amata kandi z'umweru.

Turumva ko kubona inkari zimeze nk'amata bishobora gutera ubwoba. Niba ubonye impinduka zidasanzwe, cyangwa niba ufite ibimenyetso nko kunyara kenshi cyangwa kubabara, nyamuneka vugana n'umuganga wawe vuba. Bashobora kwemeza ko indwara yanduye kandi bakagufatira gahunda nziza yo kuvura.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Uyu munsi twavuze byinshi kuri Chyluria. Dore ingingo z'ingenzi zo kwibuka:

• Inkari z'umweru zisa n'amata zishobora kugaragaza Chyluria: Ibi bibaho bitewe n'uko mu nkari haba harimo 'chyle', amazi akungahaye kuri lipide, mu nkari zawe.
• Impamvu zitandukanye: Ishobora guterwa n'indwara zandurira mu mitsi (cyane cyane Filariasis), ibikomere by'umubiri, ibibazo byo kubagwa, cyangwa gukura ku buryo budasanzwe.
• Ntabwo ari indwara yandura: Chyluria ntabwo yandurira mu buryo butaziguye iva ku muntu umwe ijya ku wundi.
• Kumenya ibimenyetso: Uretse inkari zisa n'amata, ushobora kunyara kenshi, kubabara mu gihe cyo kunyara, amaraso mu nkari, cyangwa kugabanya ibiro mu buryo butari bwo.
• Kugisha inama abaganga b'inzobere ni ngombwa: Niba ubonye impinduka zidashira mu ibara ry'inkari zawe, nyamuneka gisha inama muganga vuba. Ntugerageze kwivura.
• Uburyo bwo kuvura burahari: Iyi ndwara irashobora gukemuka kandi akenshi ivurwa binyuze mu mirire idafite ibinure byinshi, imiti yihariye, cyangwa, mu bihe bimwe na bimwe, kubagwa gato. Ntugire ubwoba.
• Kwirinda: Kugira ngo wirinde indwara ziterwa n'udukoko, fata ingamba zo kwirinda kurumwa n'umubu.

Turizera ko aya makuru agufasha mu nzira yawe yo kugira ubuzima bwiza. Komeza ugire ubuzima bwiza hamwe na Nirogi Lanka!

Amagambo ahinnye: Chyluria, Chyle mu nkari, inkari z'umweru nk'amata, Udukoko twa Lymphatic, Indwara za parasitike, Impyiko, Filariasis