Ese inkari zawe zisa n'amata? Iyi ni Chyluria? Reka tubimenye!

Ese wigeze ubona inkari zawe, cyangwa inkari zawe , zimeze nk'amata? Cyangwa se ufite amazi y'umweru asa n'amata asohoka mu nkari zawe ? Wenda ufite impungenge nke. Uyu munsi tugiye kuvuga ku ndwara ituma inkari zisohoka muri iri bara ridasanzwe, ariko ntabwo ari kenshi. Iyi yitwa Chyluria.

Chyluria ni iki?

Mu magambo make, Chyluria ni ukuba hari ikintu cyitwa 'chyle' mu nkari zawe, ni ukuvuga inkari . Noneho ugomba kuba wibaza icyo iyi 'chyle' ari cyo, sibyo? Ni amazi asa n'amata aturuka mu tunyangingo tw'imitsi. Kuki asa n'amata? Kubera ko utuntu tw'ibinure twinjizwa mu mara yacu twivanga n'aya mazi kugira ngo tugire iri bara.

Ubusanzwe, aya mazi y’imitsi n’ibinure bijya mu miyoboro y’amaraso binyuze mu mitsi yacu y’imitsi. Hanyuma, amaraso abishyira mu bice bitandukanye by’umubiri. Ariko se, tekereza uko bigenda iyo iyi mitsi y’imitsi idakora neza? Hanyuma aya mazi yitwa 'chyle' yinjira mu mubiri avuye ahandi aho kwinjira mu maraso. Iyo asohotse mu mpyiko, ni bwo ava mu nkari .

Kuki inkari zisa n'amata?

Impamvu inkari zawe zisa n'amata ni uko ayo mazi ya 'chyle' navuze mbere yavuye mu mpyiko zawe. Hanyuma yivanga n'inkari zawe hanyuma akaza gusohoka iyo ugiye mu musarani.

Ni nde ushobora kurwara Chyluria?

Mu by’ukuri, umuntu uwo ari we wese ashobora kurwara iyi ndwara yitwa Chyluria. Ariko, niba utuye mu bihugu nka Amerika y’Epfo, Afurika yo munsi y’ubutayu bwa Sahara, cyangwa muri Aziya y’Amajyepfo y’Uburasirazuba, cyane cyane mu Buhinde, cyangwa wamaze igihe muri utwo duce, ushobora kurwara Chyluria iterwa n’udukoko. Ibi biterwa nuko udukoko tuyitera dukunze kugaragara muri utwo duce.

Iyi ndwara ikunze kwibasira abantu bari hagati y’imyaka 20 na 40. Ariko, ntugatangare, abaganga bavuze ko abana bafite imyaka 5 nabo barwaye chyluria iterwa n’izi ndwara.

Iyi ndwara ikunze kugaragara gute?

Mu by’ukuri, Chyluria ni indwara idakunze kugaragara cyane. Ndetse no mu duce ikunze kugaragaramo, abantu bari munsi ya 100 bandura buri mwaka. Rero, ntabwo ikunze kugaragara cyane.

Ni gute Chyluria igira ingaruka ku mubiri wanjye?

Iyi ndwara ya Chyluria ishobora gutera imirire mibi mu mubiri wawe. Ishobora kandi gutera kubura vitamine . Ibi biterwa nuko, hamwe na 'chyle', ibinure na vitamine zishongesha ibinure zikenewe n'umubiri nazo zisohoka mu nkari .

Ni ibihe bimenyetso bya Chyluria?

Ikimenyetso nyamukuru cya Chyluria ni inkari z'umweru zisa n'amata cyangwa amata . Ariko si ibi gusa, hashobora kuba hari n'ibindi bimenyetso byinshi. Reka turebe ibyo ari byo?

• Gukenera kunyara kenshi.
• Kumva ububabare iyo uri kunyara (ibi tubyita `(dysuria)`).
• Amaraso mu nkari (ibi byitwa `(hematuria)`).
• Mu nda yo hasi, ni ukuvuga kubabara mu mugongo wo hasi.
• Kugabanya ibiro.
• Kudindira mu mikurire (cyane cyane ku bana).
• Kumva unaniwe igihe cyose.
• Kumva ugiye gukonja (ubukonje).
• Kubyimba mu maguru (edema yo mu gice cy'imbere)

Ni izihe mpamvu zitera Chyluria?

Hari ibyiciro bibiri by'ingenzi by'impamvu zitera Chyluria. Kimwe ni impamvu ziterwa na parasites ikindi ni impamvu zitari parasites .

Impamvu ziterwa n'udukoko

Hafi 95% by'abantu barwaye Chyluria iterwa n'udukoko duto (parasite) baterwa n'inzoka yitwa Wuchereria bancrofti . Indwara iterwa n'iyi ndwara yitwa filariasis . Ushobora kuba warumvise ko ari 'filariasis' , ni ko bimeze. Iyi nzoka ifunga imiyoboro y'amaraso.

Izindi parasites zishobora kuba 5% bisigaye ni izi:

• Taenia echinococcus `(Taenia echinococcus)`
• Taenia nana (Izi ni inzoka zo mu bwoko bwa tapeworms)
• Indwara ya Ankylostomiasis ( indwara y’inzoka zo mu nda)
• Trichinose
• Malariya

Izindi mpamvu zitari udukoko

Chyluria ishobora no kubaho bitewe n'izindi mpamvu zitari udukoko. Urugero:

• Ihungabana ryo mu nda . Tekereza uramutse ukubiswe cyane mu nda, nk'uko byagenze mu mpanuka.
• Kubagwa , cyane cyane kubagwa igice cy'imitsi cyangwa kubagwa scoliosis.
• Indwara zitandukanye .
• Kwaguka kw'uturemangingo tw'inda .
• Ubwoko bw'ibibyimba , ni ukuvuga ibibyimba bya kanseri cyangwa ibitari kanseri.
• Ubuvuzi bushingiye ku mirasire .
• Ibisebe .
• Lymphangiomas ni ibibyimba byo mu ruhu rw'umuyoboro w'amaraso biba mu ruhago cyangwa mu mpyiko.
• Kugabanuka (stenosis) k'umuyoboro mukuru wa lymphatic mu gituza .
• Gutwita . Hari igihe iyi ndwara ishobora no kubaho mu gihe cyo gutwita.

Ese Chyluria yandura?

Oya, Chyluria ntabwo yandura . Ntushobora kuyirwara mu kuyikoraho cyangwa kuba hafi y'undi muntu. Ariko, iyo itewe n'udukoko, iyo ndwara ishobora kwanduzwa undi muntu (urugero, iturutse ku mubu). Ariko, Chyluria ntabwo yandura mu buryo butaziguye.

Ni gute Chyluria ipimwa?

Muganga ashobora kukubwira neza niba ufite Chyluria cyangwa utayirwaye. Azakubaza ibimenyetso byawe hanyuma aguhe ibizamini bike.

Ni gute Chyluria ipimwa?

Ibizamini muganga yategetse bishobora kwemeza niba afite Chyluria no kumenya uburyo amazi yitwa 'chyle' yinjira mu nkari .

Ibi bizamini bishobora kuba birimo:

• Isesengura ry'inkari : Icyitegererezo cy'inkari zawe kirafatwa kikagenzurwa niba nta ibara, imiterere, n'ibindi. Hanyuma cyoherezwa muri laboratwari kugira ngo gipimwe niba nta chyle iriho.
• Ibizamini byo gupima : Ibi bishobora kuba birimo CT scan , lymphangiogram ( aho amazi yihariye ashyirwa mu miyoboro y'amaraso hanyuma hagafatwa X-ray), MRI , X-ray , cyangwa ultrasound . Ibi bireba niba hari ibiziba cyangwa amazi yavuye mu miyoboro y'amaraso.
• Ikizamini cya Triglycerides : Umuntu wese urwaye Chyluria aba afite triglycerides, ubwoko bw'ibinure, mu nkari ze. Hari igihe, iyo Chyluria idakabije, inkari zishobora kugaragara nk'amata. Ariko, iyo izi triglycerides zihari, bishobora kwemeza Chyluria.
• Laparoscopy : Ubu ni ukubagwa gato. Baca agace gato mu nda, hanyuma bagashyiramo umuyoboro muto ufite kamera (laparoscope) kugira ngo bafashe kubona aho amazi y'imitsi ava. Ariko, ibi bikorwa gusa iyo ibindi bizamini bitabashije kubibona.

Chyluria ivurwa ite?

Niba urwaye Chyluria, muganga wawe ashobora kukugira inama y'uburyo butandukanye bwo kuvura. Ubu buryo bushobora kuba bukubiyemo uburyo bwo kuvura busanzwe , uburyo bwo kuvura butari busanzwe , cyangwa uburyo bwo kuvura butari busanzwe nko kubagwa .

Ubuvuzi bw'abadakoresha uburyo bwa kera

Inkuru nziza ni uko abarwayi ba Chyluria barenga 70% bakira neza ubwo buryo bworoshye bwo kuvura.

Ubwa mbere, muganga azakubwiraBakubwira kuruhuka, kunywa ibinyobwa byinshi, no gukurikiza indyo igenzurwa neza. Iyo ugabanyije ingano y'ibinure mu mirire yawe, ingano ya 'chyle' ikorwa n'umubiri wawe iragabanuka. Ibi bigabanya ingano y'ibice biva mu mpyiko zawe.

Hari igihe muganga wawe ashobora no kukugira inama yo kuvura yitwa 'parenteral nutrition' . Ibi bikubiyemo kuguha karori n'intungamubiri ukeneye binyuze mu muti wa saline ujya mu mitsi. Ibi bivuze ko udahabwa n'umunwa, ahubwo ugaburirwa n'imitsi.

Nanone, hari imiti imwe n'imwe ishobora gufasha kuvura indwara ya Chyluria.

Uburyo bwo kuvura butari busanzwe

Iyo indwara yawe idakira neza ukoresheje ubwo buryo bworoshye bwo kuvura, hari uburyo bwo kuvura budakunze kugaragara bwitwa 'sclerotherapy' .

Muri ubu buryo, muganga atera umuti wihariye (witwa sclerosant) mu gice cyo hagati cy'impyiko zawe (impyiko). Umuti ukunze gukoreshwa cyane ni silver nitrate . Ariko hari n'indi miti, nka:

• Iyode ya Povidone `(iyode ya Povidone)`
• Iyode ya sodiyumu
• Potasiyumu bromide
• Dextrose
• Umuti wo mu bwoko bwa Hypertonic `(Umuti wo mu bwoko bwa Hypertonic)`

Iki gisubizo gikora nk'ubwoko bwa 'seal' aho 'chyle' iva.

Uburyo bwo kuvura indwara ziterwa n'ubwandu

Niba indwara yawe idakira neza ukoresheje uburyo bworoshye bwo kuvura cyangwa uburyo budakunze kuvura, muganga wawe ashobora gukenera kugufasha kurushaho kuvura indwara zitandukanye, nko kubaga, aho agace k'imitsi kavamo kakavurwa kagakira.

Ugomba kurya iki niba ufite Chyluria?

Niba urwaye Chyluria, muganga wawe azakubwira gukurikiza indyo yuzuye ibinure bike kandi irimo poroteyine nyinshi . Ugomba gushyiramo imboga nyinshi z’icyatsi kibisi mu ndyo yawe. Nanone, ibiryo bikungahaye kuri vitamine A, D, E, na K ni ingenzi.

Tekereza ku biribwa bifite ibinure bike na poroteyine nyinshi:

• Ifi : Cyane cyane amafi 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 nk'ibishyimbo, amashaza, ibishyimbo bibisi n'ibishyimbo.
• Tofu `(Tofu)` .
• Amata n'ibiryo by'amata bidafite ibinure byinshi.
• Imbuto n'imbuto (ibi bigomba kuribwa mu rugero).

Urya ibinure bingana iki ku munsi?Ugomba kugabanya ibyo urya ku rugero rutarenze garama 25. Abantu benshi barwaye Chyluria bakeneye gukurikiza iyi ndyo irimo ibinure bike kandi irimo poroteyine nyinshi mu gihe cy'ibyumweru bike. Muganga wawe azakubwira igihe ushobora kongera kurya ibiryo bisanzwe birimo ibinure.

Ni iyihe miti ikoreshwa kuri Chyluria?

Hari ubwoko butandukanye bw'imiti ishobora gufasha kuvura indwara ya Chyluria:

• Ezetimibe (izina ry'ikirango: Zetia®) : Uyu muti ukora mu guhagarika kwinjiza cholesterol mu mara yawe.
• Imiti irwanya udukoko : Niba chyluria iterwa n'ubwandu bw'udukoko, imiti nka ivermectin (izina ry'ikirango: Stromectol®) , diethylcarbamazine (izina ry'ikirango: Hetrazan®) , albendazole (izina ry'ikirango: Albenza®) , na benzathine penicilline ikoreshwa mu kuvura ubwandu.

Nzakira vuba gute nyuma yo kuvurwa?

Bitewe n'ubuvuzi uhabwa, abantu benshi batangira kumva bameze neza mu minsi mike cyangwa ibyumweru bike . Ariko, igihe bifata kugira ngo umuntu akire neza gishobora gutandukana bitewe n'umuntu ku giti cye.

Ni gute wagabanya ibyago byo kurwara Chyluria?

Udukoko, ari na two dutera Chyluria, twanduzwa n'imibu . Rero, ikintu cyiza cyo gukora ni ukwirinda imibu. Ushobora gukora ibi bikurikira:

• Ambara ipantaro ndende kandi nini n'imyenda y'amaboko maremare.
• Kurara mu cyumba gifite icyuma gikonjesha, cyangwa kurara munsi y'umuyoboro w'imibu.
• Siga imiti yica imibu ku bice by'umubiri bigaragara.
• Siga umuti wica imibu ku myenda yawe, mu mahema yawe no mu nzitiramibu.

Nanone, ushobora gufata imiti yo kwica inzoka ntoya (iki ni ikintu cyagakwiye gukorwa ku nama za muganga, cyane cyane niba ugiye mu turere tugaragaramo indwara zandurira mu mitsi).

Ni iki wakwitega niba ufite Chyluria?

Niba ufite Chyluria, amahirwe yo gukira ni meza cyane . Ntugahangayike.

Mu by’ukuri, hafi 50% by’abarwayi bakira ubwabo , nta muti uwo ari wo wose bavurwa. Abarenga 70% by’abarwayi bakira hakoreshejwe uburyo bworoshye bwo kuvura. Igipimo cy’uko ubwo buryo buvura buteye imbere ni 95%. Rero, iyi ni indwara ikira.

Ni ryari ngomba kujya kwa muganga?

Niba ubonye impinduka zidasanzwe mu ibara ry'inkari zawe, cyane cyane niba ukeneye kunyara kenshi, cyangwa niba ubabara iyo uri kunyara , menya neza ko wabonye muganga ako kanya.Si byiza kugira bene ibi bintu.

Ni ibihe bibazo ugomba kubaza muganga?

Iyo ugiye kwa muganga, ni byiza kubaza ibibazo nk'ibi:

• Wamenya ute ko mfite Chyluria?
• Niba ntarwaye Chyluria, ni iyihe ndwara yindi ishobora kuba?
• Ese nkeneye kuvurwa, cyangwa utekereza ko ibi bizagenda neza ubwabyo ?
• Wansaba uburyo bworoshye bwo kuvura, butari busanzwe cyangwa butari busanzwe?
• Ese Chyluria ishobora kongera kugaruka?
• Ushobora kungira inama inzobere mu mirire myiza?

Ni irihe tandukaniro riri hagati ya Chyluria na lymphuria?

Ibi kandi ni byiza kubimenya. 'Lymphuria' bivuze ko inkari zawe zirimo limfu, ariko nta binure bifite.

Chyluria ni igihe inkari zawe zirimo ibinure n'amazi y'urumuri (cyle). Ibi nibyo bituma inkari zawe zisa n'amata.

Iyo inkari zawe zihindutse amata mu buryo butunguranye, bishobora gutera impungenge. Rero, niba ubonye impinduka zidasanzwe mu ibara ry'inkari zawe, cyane cyane niba ukunda kunyara cyangwa ubabara iyo uri kunyara , vugana na muganga ako kanya. Ashobora kugusuzuma indwara ya Chyluria akaguha ubuvuzi bukwiye.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Sawa, twavuze byinshi kuri Chyluria. Dore bimwe mu bintu by'ingenzi ugomba kwibuka:

• Inkari z'amata zishobora kuba Chyluria: Ibi biterwa no kuba hari amazi y'ibinure yitwa 'chyle' mu nkari .
• Impamvu ziratandukanye: indwara ziterwa n'udukoko (cyane cyane filariasis), impanuka, kubagwa, ibibyimba, n'ibindi.
• Si indwara yandura: Chyluria ntabwo yandurira mu buryo butaziguye iva ku muntu umwe ijya ku wundi.
• Menya ibimenyetso: Uretse inkari zisa n'amata, ibimenyetso bishobora kuba birimo kunyara kenshi, kubabara mu gihe cyo kunyara , amaraso mu nkari, no kugabanya ibiro.
• Inama z'abaganga ni ngombwa: Nubona impinduka mu ibara ry'inkari zawe , hita ubonana na muganga. Ntukivure.
• Hari uburyo bwo kuvura no kuvura: indyo irimo ibinure bike, imiti, ndetse rimwe na rimwe no kubagwa byoroheje bishobora gutuma iyi ndwara irushaho kuba nziza. Nta kintu cyo guhangayikishwa nacyo.
• Irinde: Ni ngombwa kwirinda imibu kugira ngo wirinde udukoko.

Rero, ndizera ko aya makuru azakugirira akamaro. Komeza ugire ubuzima bwiza!

` Chyluria, chyle mu nkari, inkari z'umweru zisa n'amata, sisitemu y'imitsi, indwara za parasites, impyiko, filariasis