Weti yako inoita kunge yemukaka here? Iyi ndiyo Chyluria here? Ngationei!

Wakamboona here kuti weti yako, kana kuti weti , ine mukaka zvishoma? Kana kuti pamwe uri kunwa mvura chena yakaita semukaka neweti yako ? Ungangove uchinetseka zvishoma. Nhasi tichataura nezvechirwere chinokonzera kuti weti ibude neruvara urwu rusinganzwisisike, asi haruwanzoitiki. Tinoti iyi Chyluria.

Chii chinonzi Chyluria?

Zvichitaurwa zviri nyore, Chyluria kuvapo kwechinhu chinonzi 'chyle' muweti yako, kureva weti . Zvino unofanira kunge uchishamisika kuti 'chyle' iyi chii, handiti? Imvura ine mukaka zvishoma inobva kuma lymph nodes edu. Sei yakaita semukaka? Nekuti mafuta anotorwa kubva mudumbu redu anobatana nemvura iyi kuti agadzire ruvara urwu.

Kazhinji, mvura iyi yelymph nemafuta zvinopinda muropa kuburikidza nemidziyo yedu yelymph. Zvadaro, ropa rinozvitakura kuenda kunzvimbo dzakasiyana dzemuviri. Asi, fungidzira kuti chii chinoitika kana midziyo iyi yelymph ikasashanda zvakanaka? Ipapo mvura iyi inonzi 'chyle' inobuda mumuviri ichibva kune imwe nzvimbo panzvimbo pekubatana neropa. Kana ikadonha ichipinda muitsvo, ndipo painobuda weti .

Sei weti yakaita semukaka ?

Saka, chikonzero chinoita kuti weti yako iite semukaka ndechekuti mvura iyoyo ye'chyle' yandambotaura kare yakadonhera muitsvo dzako. Inobva yasangana neweti yako yobuda kana waenda kuchimbuzi.

Ndiani anogona kuwana Chyluria?

Kutaura zvazviri, chero munhu anogona kuva nechirwere ichi chinonzi Chyluria. Zvisinei, kana uchigara munyika dzakadai seSouth America, sub-Saharan Africa, kana Southeast Asia, kunyanya India, kana kuti wakambogara munzvimbo dzakadaro, une mukana wekuva nechirwere cheparasitic chyluria. Izvi zvinodaro nekuti tupukanana tunokonzera chirwere ichi twakawanda munzvimbo idzodzo.

Dambudziko iri rinowanzo bata vanhu vane makore ari pakati pe20 ne40. Zvisinei, musashamisika, vanachiremba vakataura kuti vana vane makore mashanu ekuberekwa vakatotangawo kuva nechirwere cheparasite chyluria nekuda kwezvipembenene izvi.

Dambudziko iri rakajairika zvakadii?

Kutaura chokwadi, Chyluria chirwere chisingawanzoitiki. Kunyangwe munzvimbo dzaanowanzoonekwa, vanhu vashoma pane zana vanobatwa nechirwere ichi pagore. Saka, hazviwanzoitiki.

Chyluria inokanganisa sei muviri wangu?

Chirwere ichi cheChyluria chinogona kukonzera kushaya chikafu mumuviri. Chinogonawo kukonzera kushomeka kwemavhitamini . Izvi zvinokonzerwa nekuti, pamwe chete ne'chyle', mafuta nemavhitamini anonyungudika anodiwa nemuviri anoburitswawo muweti .

Ndezvipi zviratidzo zveChyluria?

Chiratidzo chikuru cheChyluria weti chena yakaita semukaka kana mukaka . Asi kwete izvi chete, panogona kunge paine zvimwe zviratidzo zvakawanda. Ngationei kuti chii?

• Kuda kuita weti nguva nenguva.
• Kunzwa kurwadziwa paunenge uchiita weti (tinoti izvi `(dysuria)`).
• Ropa muweti (izvi zvinonzi `(hematuria)`).
• Dumbu repazasi, kureva kurwadziwa kwemusana wepazasi.
• Kuderedza uremu.
• Kunonoka kukura (kunyanya kuvana).
• Kunzwa kuneta nguva dzese.
• Kunzwa sekunge uri kutonhorwa (kutonhora).
• Kuzvimba mumakumbo (peripheral edema)

Ndezvipi zvikonzero zveChyluria?

Kune mhando mbiri huru dzezvikonzero zveChyluria. Chimwe chikonzero cheparasite uye chimwe chikonzero chisiri cheparasite .

Zvikonzero zvinokonzerwa nezvipembenene

Zvinenge 95% zvezvirwere zveChyluria zvinokonzerwa nezvipembenene zvinokonzerwa nehonye inonzi Wuchereria bancrofti . Chirwere chinokonzerwa neizvi chinonziwo filariasis . Ungave wakambonzwa nezvacho se'filariasis' , ndizvo zvazviri. Honye iyi inovhara tsinga dzeropa.

Zvimwe zvipembenene zvinogona kunge zvichisanganisira 5% yasara ndeizvi:

• Taenia echinococcus `(Taenia echinococcus)`
• Taenia nana (Idzi ihonye dzemudumbu)
• Ankylostomiasis ( chirwere chehookworm)
• Trichinosis
• Marariya

Zvimwe zvikonzero zvisiri tupukanana

Chyluria inogonawo kuitika nekuda kwezvimwe zvikonzero zvisiri tupukanana. Semuenzaniso:

• Kukuvara mudumbu . Fungidzira kana ukarohwa zvakanyanya mudumbu, sepamune tsaona.
• Kuvhiyiwa , kunyanya kuvhiyiwa kwechikamu che nephrectomy kana kuvhiyiwa kwe scoliosis.
• Zvirwere zvakasiyana-siyana .
• Kuwedzera kwema lymph node emudumbu .
• Mhando dzemamota , kureva, mamota ane kenza kana kuti asiri ekenza.
• Kurapa nemwaranzi .
• Matumbu .
• Lymphangiomas mabundu emudumbu anowanikwa mudundira kana muitsvo.
• Kutetepa (stenosis) kwemugero mukuru welymphatic uri mugomba rechipfuva .
• Kubata pamuviri . Dzimwe nguva chirwere ichi chinogonawo kuitika panguva yekuzvitakura.

Chyluria inotapukira here?

Kwete, Chyluria haitapukiri . Haugone kuibata nekubata kana kuva pedyo nemumwe munhu. Zvisinei, kana ikakonzerwa nechirwere, chirwere ichocho chinogona kutapurirwa kune mumwe munhu (semuenzaniso, kubva kumumhutu). Zvisinei, chyluria haitapukiri zvakananga.

Chyluria inoonekwa sei?

Chiremba anogona kukuudza chokwadi kana uine Chyluria kana kuti kwete. Achakubvunza nezvezviratidzo zvako uye achakuraira kuti uongororwe zvishoma.

Chyluria inoonekwa sei?

Kuongororwa kwakaitwa nachiremba kunogona kusimbisa kana aine Chyluria uye kuona kuti mvura inonzi 'chyle' inopinda sei muweti .

Miedzo iyi inogona kusanganisira:

• Kuongororwa kweweti : Muenzaniso weweti yako unotorwa woongororwa ruvara, chitarisiko, nezvimwewo. Wobva watumirwa kurabhoritari kuti uongororwe kana uine chyle.
• Miedzo yekufungidzira : Izvi zvinogona kusanganisira CT scan , lymphangiogram ( imo munopinzwa mvura yakakosha mumidziyo yelymph uye X-ray inotorwa), MRI , X-ray , kana ultrasound . Izvi zvinotarisa kana paine kuvharika kana kubuda kwemvura mu lymphatic system.
• Kuongororwa kweTriglycerides : Munhu wese ane Chyluria ane triglycerides, rudzi rwemafuta, muweti yavo. Dzimwe nguva, kana Chyluria isina kunyanyisa, weti yacho ingasaita semukaka. Zvisinei, kana triglycerides idzi dziripo, zvinogona kusimbisa Chyluria.
• Laparoscopy : Uku kuvhiyiwa kudiki. Kuchekwa kudiki kunogadzirwa mudumbu uye chubhu diki ine kamera (laparoscope) inoiswa kuti ibatsire kuwana kwakabva kubuda kwemvura yelymph. Zvisinei, izvi zvinoitwa chete kana mimwe miedzo isingakwanise kuiwana.

Chyluria inorapwa sei?

Kana ukaonekwa uine Chyluria, chiremba wako anogona kukupa nzira dzakasiyana-siyana dzekurapa. Izvi zvinogona kusanganisira kurapwa kwakarongeka , kurapwa kusingapindi zvakanyanya , kana kurapwa kwakabatana kwakadai sekuvhiyiwa .

Kurapa kwekuchengetedza

Mashoko akanaka ndeekuti vanopfuura 70% vevarwere veChyluria vanopindura zvakanaka kurapwa uku kuri nyore.

Kutanga, chiremba achakuudzaVanokuudza kuti uzorore, unwe mvura yakawanda, uye uteedzere kudya kwakanyatsorongeka. Kana ukaderedza huwandu hwemafuta mukudya kwako, huwandu hwe'chyle' hunogadzirwa nemuviri wako hunoderera. Izvi zvinoderedza huwandu hunobuda muitsvo dzako.

Dzimwe nguva chiremba wako anogonawo kukupa mushonga unonzi 'parenteral nutrition' . Izvi zvinosanganisira kukupa macalorie nezvinovaka muviri zvaunoda kuburikidza nesaline solution kupinda mutsinga. Izvi zvinoreva kuti hausi kupiwa chikafu nemuromo, asi netsinga.

Uyewo, kune mimwe mishonga inogona kubatsira kurapa chirwere cheChyluria.

Kurapa kusinganyanyi kupindira mumuviri

Kana mamiriro ako asina kunaka nekurapwa kuri nyore ikoko, kune mushonga usinganyanyi kukuvadza unonzi 'sclerotherapy' .

Mukuita uku, chiremba anobaya mushonga wakakosha (unonzi sclerosant) pakati peitsvo yako (renal pelvis). Sclerosant inonyanya kushandiswa isilver nitrate . Zvisinei, kune mimwe mishonga, yakaita se:

• Iodine yePovidone `(Iodine yePovidone)`
• Sodium iodide
• Potassium bromide
• Dextrose
• Mhinduro yeHypertonic `(Mhinduro yeHypertonic)`

Mhinduro iyi inoshanda semhando ye'seal' apo 'chyle' inodonhedza mvura.

Kurapwa kwezvipembenene

Kana mamiriro ako ezvinhu asingavandudzike nekurapwa kuri nyore kana kurapwa kusinganyanyi kupindira, chiremba wako angangoda kuita mamwe marapirwo anopinda mumuviri, akadai sekuvhiyiwa, uko lymph node iri kubuda inoonekwa uye inogadziriswa.

Chii chaunofanira kudya kana uine Chyluria?

Kana uine Chyluria, chiremba wako achakuudza kuti utevedzere kudya kwakasimba kusina mafuta akawanda uye kune mapuroteni akawanda . Unofanira kusanganisira miriwo yakawanda yegirini mukudya kwako. Zvakare, chikafu chine mavhitamini A, D, E, uye K chakakosha.

Funga nezvezvikafu zvine mafuta mashoma uye mapuroteni akawanda:

• Hove : Kunyanya hove dzakadai sehove dzemhando yeCod, Haddock, Halibut, uye Tilapia.
• Huku nekakuni zvisina ganda (zvikamu zvenyama chena).
• Nyama yemombe isina mafuta akawanda (sirloin steak).
• Nyemba.
• Nyemba dzakadai sechizi, pizi, bhinzi dzegirini, nebhinzi.
• Tofu `(Tofu)` .
• Mukaka usina mafuta akawanda uye chikafu chemukaka.
• Nzungu nembeu (izvi zvinofanira kudyiwa zvine mwero).

Unodya mafuta akawanda sei pazuva?Unofanira kuderedza kudya kwako nekusapfuura magiramu makumi maviri nemashanu . Vanhu vazhinji vane Chyluria vanongoda kutevera kudya uku kusina mafuta akawanda uye kune mapuroteni akawanda kwemavhiki mashoma. Chiremba wako achakuudza kuti ungadya riini chikafu chine mafuta akajairwa zvakare.

Ndeipi mishonga inoshandiswa pakurapa Chyluria?

Kune mhando dzakasiyana dzemishonga dzinogona kubatsira kurapa chirwere cheChyluria:

• Ezetimibe (zita rechiratidzo: Zetia®) : Mushonga uyu unoshanda nekumisa kupinza kwecholesterol mudumbu mako.
• Mishonga yekudzivirira tupukanana : Kana chyluria ichikonzerwa nehutachiona hwetupukanana, mishonga yakaita seivermectin (zita rechiratidzo: Stromectol®) , diethylcarbamazine (zita rechiratidzo: Hetrazan®) , albendazole (zita rechiratidzo: Albenza®) , uye benzathine penicillin inoshandiswa kurapa hutachiona.

Ndichakurumidza sei kupora mushure mekurapwa?

Zvichienderana nekurapwa kwaunowana, vanhu vazhinji vanotanga kunzwa zviri nani mukati memazuva mashoma kana mavhiki . Zvisinei, nguva inotora kuti munhu apore zvakakwana inogona kusiyana kubva pamunhu kusvika pamunhu.

Nzira yekuderedza njodzi yekukudziridza Chyluria?

Zvipembenene, izvo zvinonyanya kukonzera Chyluria, zvinotapuriranwa neumhutu . Saka, chinhu chakanakisa chekuita ndechekugara kure neumhutu. Unogona kuita zvinotevera:

• Pfeka mabhurugwa marefu, akakora uye mbatya dzine maoko marefu.
• Rara muimba ine mhepo inotonhorera, kana kuti rara pasi pemambure ekudzivirira umhutu.
• Isa mishonga inodzinga umhutu panzvimbo dzinenge dzisina kuvhurika mumuviri.
• Pfafadzai mushonga unodzinga umhutu pahembe dzenyu, matende, uye mambure eumhutu.

Uyewo, unogona kutora mishonga yekuuraya honye dzisingaoneki (izvi zvinofanira kuitwa nekubatsirwa nachiremba, kunyanya kana uri kuenda kunzvimbo dzine zvirwere zvezvipembenene zvakajairika).

Chii chaunotarisira kana uine Chyluria?

Kana uine Chyluria, mikana yekupora yakanaka kwazvo . Usazvidya moyo.

Kutaura zvazviri, vanhu vanosvika 50% vanopera vega , vasina kurapwa. Vanhu vanodarika 70% vanopera nekurapwa kuri nyore. Kubudirira kwekurapwa uku kwakasimba kunosvika 95%. Saka, ichi chirwere chinorapika.

Ndinofanira kuona chiremba rini?

Kana ukaona shanduko dzisinganzwisisike muruvara rweweti yako, kunyanya kana uchida weti kakawanda, kana kuti uchinzwa kurwadziwa paunenge uchiita weti , iva nechokwadi chekuona chiremba nekukasika.Hazvina kunaka kuva nehunhu hwakadai.

Mibvunzo ipi yaunofanira kubvunza chiremba?

Paunoenda kunoona chiremba, zvakanaka kubvunza mibvunzo yakaita seiyi:

• Unoziva sei kuti ndine Chyluria?
• Kana ndisina Chyluria, ingava imwe dambudziko ripi?
• Ndinoda kurapwa here, kana kuti unofunga kuti izvi zvichapora zvega ?
• Mungandipa zano here rekurapa riri nyore, risingapindi zvakanyanya, kana kuti risingapindi zvakanyanya?
• Ko Chyluria inogona kudzokazve here?
• Mungandikurudzira here nyanzvi yezvekudya yakanaka?

Ndeupi musiyano uripo pakati peChyluria neLymfuria?

Izvi zvakanakawo kuziva. 'Lymphuria' zvinoreva kuti weti yako ine lymph, asi isina mafuta.

Chyluria inguva apo weti yako ine mafuta ne lymphatic fluid (inonzi chyle). Izvi ndizvo zvinoita kuti weti yako ive neruvara rwakaita semukaka.

Kana weti yako ikangoerekana yava nemukaka, zvinogona kunetsa zvishoma. Saka, kana ukaona shanduko dzisinganzwisisike muruvara rweweti yako, kunyanya kana uchigara uchiita weti kana kuti uri kurwadziwa paunenge uchiita weti , taura nachiremba wako nekukasika. Iye anogona kukuongorora kuti une Chyluria uye kukupa mushonga wakakodzera.

Mharidzo Yekupedzisira Yekuenda Kumba

Zvakanaka, saka tataura zvakawanda nezveChyluria. Heano mamwe ematambudziko akakosha ekurangarira:

• Weti yakaita semukaka inogona kunge iri Chyluria: Izvi zvinokonzerwa nekuvapo kwemvura ine mafuta inonzi 'chyle' muweti .
• Zvikonzero zvacho zvakasiyana-siyana: zvirwere zvezvipembenene (kunyanya filariasis), tsaona, kuvhiyiwa, bundu, nezvimwewo.
• Haisi chirwere chinotapuriranwa: Chyluria haipfuuri zvakananga kubva kumunhu mumwe kuenda kune mumwe.
• Ziva zviratidzo: Pamusoro pewati yakaita semukaka, zviratidzo zvinogona kusanganisira kuita weti kakawanda, kurwadziwa panguva yekuita weti , ropa muweti, uye kudzikira kwehuremu.
• Mazano ekurapa akakosha: Kana ukaona shanduko muruvara rweweti yako , enda kuna chiremba nekukasika. Usazvirape wega.
• Kune mishonga nekurapa: kudya kusina mafuta akawanda, mishonga, uye dzimwe nguva kuvhiyiwa kudiki kunogona kuvandudza chirwere ichi zvikuru. Hapana chekunetseka nacho.
• Zvidzivirire: Zvakakosha kuzvidzivirira kubva kumhutu kuti usabatwa nezvipembenene.

Saka, ndinovimba ruzivo urwu ruchakubatsira. Ramba uine hutano hwakanaka!

Kuora kwemuviri, chyle muweti, weti chena yakaita semukaka, lymphatic system, zvirwere zvezvipembenene, itsvo, filariasis