Wakamboona weti yako ichiita kunge ine makore kana kuti ine mukaka here? Pamwe wakamboona mvura chena yakaita semukaka ichipfuura neweti yako? Zvingori zvechisikigo kuti unzwe kunetseka kana ukaona izvi. Nhasi, paNirogi Lanka , tiri kukurukura nezvechirwere chisingawanzoitiki asi chakakosha chinokonzera kuchinja kweruvara rweweti, inozivikanwa seChyluria .
Chii chinonzi Chyluria?
Zvichitaurwa zviri nyore, Chyluria chirwere apo weti yako ine chinhu chinonzi 'chyle.' Ungave uchishamisika kuti, chii chinonzi chyle? Imvura chena yakaita semukaka inoyerera kubva mu lymphatic system yako. Inoita semukaka nekuti ine mafuta anotorwa kubva muura hwako.
Kazhinji, mvura iyi ye lymphatic nemafuta zvinofamba nemumitsipa ye lymph yako zvichienda muropa rako, uko zvinotakurwa mumuviri wako wese. Zvisinei, kana mitsipa ye lymph yako isiri kushanda zvakanaka, chyle iyi haipinde muropa sezvainofanira. Pane kudaro, inodonhera mune dzimwe nzvimbo dzemuviri wako. Kana mvura iyi ichidonhera muitsvo dzako, inozopedzisira yabuda neweti yako, zvichiita kuti iite semukaka.
Sei weti ichitaridzika semukaka?
Kana weti yakoInotaridzika kunge mukaka, zvinoratidza kuti chyle yataurwa pamusoro apa yabuda muitsvo dzako. Kana yasanganiswa neweti yako, inobuda mumuviri wako panguva yekuzviitira weti.
Ndiani anogona kuwana Chyluria?
Kunyange hazvo munhu wese achigona kuwana Chyluria, inowanikwa zvakanyanya munzvimbo dzine zvimwe zvipembenene, zvakaita sedzimwe nzvimbo dzeSouth America, sub-Saharan Africa, uye Southeast Asia (kunyanya India). Kana wakambogara munzvimbo idzi kana kushanyira, unogona kunge uri panjodzi huru yekubatwa nechirwere chechyluria.
Dambudziko iri rinowanzoonekwa muvanhu vane makore ari pakati pe20 ne40. Zvisinei, zvakakosha kuziva kuti nyaya dzacho dzakataurwa muvana vane makore mashanu zvichikonzerwa nehutachiona hwezvipembenene.
Izvi zvakajairika zvakadii?
Chyluria inoonekwa sechirwere chisingawanzoitiki. Kunyangwe munzvimbo dzayakanyanya kuwanda, vanhu vashoma pane zana vanowanzoonekwa gore rega rega. Haisi chirwere chinowanzoitika.
Chyluria inokanganisa sei muviri wangu?
Kushaya simba mumuviri kunogona kukonzera kushaya chikafu uye kushomeka kwemavhitamini . Izvi zvinoitika nekuti chyle inodonhera muweti yako ine mafuta anokosha uye mavhitamini anonyungudika mafuta ayo muviri wako unofanirwa kunge uchitora, pane kuaburitsa.
Ndezvipi zviratidzo zveChyluria?
Chiratidzo chikuru cheChyluria weti chena yakaita semukaka . Zvisinei, kune zvimwe zviratidzo zvaunofanira kuziva:
- Kuda kuita weti kakawanda.
- Marwadzo panguva yekuzviitira weti (anozivikanwa se dysuria).
- Ropa muweti (inozivikanwa se hematuria).
- Kurwadziwa kwepazasi pedumbu kana kumashure.
- Kuderedza uremu zvisina kurongerwa.
- Kukundikana kukura zvakanaka (kunyanya kuvana).
- Kuneta kunogara kwenguva refu.
- Kutonhora.
- Kuzvimba mumakumbo (peripheral edema).
Chii chinokonzera Chyluria?
Kune mhando mbiri huru dzezvikonzero zvinokonzera Chyluria: parasitic uye non-parasitic .
Zvikonzero zveParasitic
Muzviitiko zvinosvika 95%, parasitic chyluria inokonzerwa nehonye inonzi Wuchereria bancrofti . Utachiona uhwu hunotungamira kuchirwere chinonzi filariasis.Chipembenene ichi chinovhara tsinga dzeropa zvinobudirira, zvichikonzera kubuda kwemvura.
5% yasara inogona kukonzerwa nezvimwe zvipembenene, zvinosanganisira:
- Taenia echinococcus
- Taenia nana (tapeworms)
- Ankylostomiasis (utachiona hwehookworm)
- Trichinosis
- Marariya
Zvikonzero Zvisiri Zvezvipembenene
Chyluria inogonawo kuitika pasina tupukanana nekuda kwezvimwe zvinhu zvakawanda, zvakaita se:
- Kukuvara kwemudumbu (semuenzaniso, kubva mukukuvara).
- Kuvhiyiwa , kunyanya kuvhiyiwa kwechikamu che nephrectomy (kuvhiyiwa kweitsvo) kana kuvhiyiwa kwe scoliosis.
- Zvirwere zvakasiyana-siyana.
- Kuwedzera kwe lymph node mudumbu.
- Mamota (ese asina njodzi uye akaipa).
- Kurapa nemwaranzi.
- Matumbu.
- Lymphangioma (kukanganisa kwemasero eropa mudundira kana itsvo).
- Stenosis (kutetepa) kwemugero wechipfuva.
- Kubata pamuviri (mune dzimwe nguva).
Kana ukaona chimwe chezviratidzo izvi, ndapota taura neNirogi Lanka kana kutsvaga rubatsiro rwekukurumidzira nekukasika nekufonera 911 kana kushanyira chipatara chiri pedyo newe.
Chyluria inotapukira here?
Kwete, Chyluria haisi chirwere chinotapuriranwa . Haugone kutapurira chirwere ichi kune vamwe kuburikidza nekubata muviri kana kubata pedyo. Zvisinei, kana chirwere chako chakakonzerwa nehutachiona hwehutachiona, hutachiona ihwohwo hunogona kutapuriranwa (semuenzaniso, kuburikidza nekurumwa neumhutu kune mumwe munhu). Kunyange zvakadaro, chirwere cheChyluria hachiparadzirwi zvakananga kubva kumunhu kuenda kune mumwe munhu.
Chyluria inoonekwa sei?
Nyanzvi yehutano chete ndiyo inogona kuona nemazvo kana uine Chyluria. Chiremba wako achanyatsoongorora zviratidzo zvako uye acharaira kuongororwa kwakanangana kuti awane chirwere.
Chyluria inosimbiswa sei?
Kuongororwa kwakaitwa nachiremba wako kuchabatsira kusimbisa kuvapo kweChyluria uye kuona kuti 'chyle' (mvura yelymphatic) iri kubuda sei muweti yako.
Miedzo iyi inogona kusanganisira:
- Kuongororwa kweweti : Chiremba wako achatora weti kuti aone ruvara rwayo uye chitarisiko chayo. Ichazotumirwa kurabhoritari kuti ionekwe kuti ine 'chyle'.
- Miedzo yekufungidzira : Izvi zvinogona kusanganisira CT scan , lymphangiogram (apo dhayi yakakosha inopinzwa mumidziyo ye lymphatic isati yatorwa X-ray), MRI , X-ray , kana ultrasound . Izvi zvinobatsira kuona chero kuvharika kana kubuda kwemvura mu lymphatic system yako.
- Kuongororwa kweTriglycerides : Weti yevanhu vane Chyluria inowanzova ne triglycerides (rudzi rwemafuta). Kunyangwe weti yako isingaratidzike seyemukaka, kuvapo kwe triglycerides idzi kunosimbisa chirwere ichi.
- Laparoscopy : Uku kuvhiya kusinganyanyi kupindira mumuviri. Nekucheka zvidimbu zvidiki mudumbu, chiremba anoshandisa chubhu yakagadzirwa nekamera (laparoscope) kuti aone nzvimbo chaiyo yakadonhedza lymphatic. Izvi zvinowanzoitirwa zviitiko apo mimwe miedzo isina kupa mhinduro yakajeka.
Chyluria inorapwa sei?
Kana chiremba wako angoonekwa kuti ane chirwere ichi kuNirogi Lanka, achakurukura nezvenzira dzekurapa dzakakodzera zvaunoda, kubva pakurapa kwakachengeteka uye nzira dzisinganyanyi kukuvadza kusvika pakuvhiyiwa .
Kurapa kwekuchengetedza
Mashoko akanaka ndeekuti varwere vanopfuura 70% vane Chyluria vanopindura zvakanaka kana vakarapwa nenzira inochengetedza hutano hwavo.
Pakutanga, chiremba wako achakukurudzira kuti uzorore, uwedzere mvura yaunonwa, uye utevedzere kudya kwakanyatsorongwa . Nekuderedza mafuta ekudya, unoderedza kugadzirwa kwe 'chyle' mumuviri wako, izvo zvinoderedza huwandu hwemvura inobuda muitsvo dzako.
Mune zvimwe zviitiko, chiremba wako anogona kukukurudzira kuti ushandise kudya kunovaka muviri , uko macalorie nezvinovaka muviri zvakakosha zvinopinzwa zvakananga muropa rako netsinga kwete nekudya nemuromo.
Uyezve, kune mishonga chaiyo iripo inogona kubatsira kugadzirisa chirwere chacho.
Kurapa kusinganyanyi kupindira mumuviri
Kana mamiriro ako asina kunaka nekushandisa nzira dzekuchengetedza, nzira yekurapa inonzi sclerotherapy inogona kukurudzirwa.
Munguva iyi, chiremba anobaya mushonga we'sclerosing' muchiuno cheitsvo. Chinhu chinonyanya kushandiswa isilver nitrate , kunyange zvazvo zvimwe zvinosanganisira:
- Iodine yePovidone
- Sodium iodide
- Potassium bromide
- Dextrose
- Mhinduro yeHypertonic
Mhinduro idzi dzinoshanda 'kuvhara' nzvimbo iri kudonhedza chyle.
Kurapwa kwezvipembenene
Kana nzira dzekuchengetedza kana dzisina kunyanya kupindira mumuviri dzikatadza kupa zororo, ungangoda kuvhiyiwa . Maitiro aya anosanganisira kuona tsinga yeropa yakakuvara uye kuita oparesheni yekugadzirisa.
Chii chaunofanira kudya kana uine Chyluria?
Kana ukaonekwa uine Chyluria, chiremba wako anokukurudzira zvakasimba kuti udye chikafu chine mafuta mashoma uye chine mapuroteni akawanda . Isa miriwo yakawanda yemashizha mukudya kwako. Zvakakoshawo kuve nechokwadi chekuti unowana mavitamini A, D, E, uye K zvakakwana.
Heano mamwe emhando yepamusoro yezvikafu zvine mafuta mashoma uye zvine mapuroteni akawanda:
- Hove : Kunyanya mhando dzakadai sehove dzemhando yeCod, Haddock, Halibut, uye Tilapia.
- Huku nekakuni zvisina ganda (zvikamu zvenyama chena).
- Nyama yemombe isina mafuta akawanda (sirloin steak).
- Nyemba.
- Nyemba (nyemba, nyemba, bhinzi dzemung, uye mhando dzakasiyana dzebhinzi).
- Tofu.
- Mukaka usina mafuta akawanda uye zvigadzirwa zvemukaka.
- Nzungu nembeu (zvinodyiwa zvine mwero).
Unofanira kuvavarira kuchengetedza mafuta ako ezuva nezuva ari pasi pe25 gramu . Kune varwere vazhinji vekuNirogi Lanka, shanduko iyi yekudya inodiwa kwemavhiki mashoma chete. Chiremba wako achakuudza kana zvakachengeteka kuti utangezve kudya kwakajairika.
Ndeipi mishonga inoshandiswa pakurapa Chyluria?
Kune mishonga yakati wandei inogona kubatsira kurapa Chyluria:
- Ezetimibe (Zita rechiratidzo: Zetia®) : Mushonga uyu unoshanda nekudzivirira matumbu ako kuti asatore cholesterol, izvo zvinogona kubatsira kudzora chirwere ichi.
- Mishonga yekudzivirira tupukanana : Kana Chyluria yako ichikonzerwa nehutachiona hwetupukanana, chiremba wako anogona kukupa mishonga yakaita seIvermectin (Zita reBrand: Stromectol®) , Diethylcarbamazine (Zita reBrand: Hetrazan®) , Albendazole (Zita reBrand: Albenza®) , kana Benzathine penicillin kuti ubvise tupukanana.
Uchakurumidza sei kupora mushure mekurapwa?
Zvichienderana nehurongwa hwekurapa hwawakaita, varwere vazhinji vanotanga kunzwa zororo mukati memazuva mashoma kusvika mavhiki mashoma . Zvisinei, ndapota yeuka kuti nguva yekupora inosiyana kubva pamunhu kusvika pamunhu.
Ungaderedza sei njodzi yekubatwa neChyluria?
Sezvo chikonzero chikuru cheChyluria chiri kutapukirwa nezvipembenene zvinoparadzirwa neumhutu , nzira yakanakisisa ndeyekuzvidzivirira kubva pakurumwa neumhutu. Unogona kuita izvi ne:
- Kupfeka hembe dzine maoko marefu nebhurugwa refu, gobvu.
- Kurara muimba ine mhepo inotonhorera kana pasi pemambure ekudzivirira umhutu.
- Kuisa mishonga inodzinga umhutu inotenderwa neEPA paganda rakashama.
- Kushandisa mishonga inodzinga zvipembenene pazvipfeko zvako, matende, kana mambure eumhutu.
Pamusoro pezvo, mishonga yekubvisa honye dzisingaonekwe nemaziso inogona kupihwa senzira yekudzivirira (izvi zvinofanirwa kuitwa pasi pekutarisirwa nachiremba, kunyanya kana uri kuenda kunzvimbo dzine zvirwere izvi zvinopararira).
Chii chaunofanira kutarisira kana ukaonekwa uine Chyluria?
Kana wakamboonekwa uine Chyluria, fungidziro yekuti uchapora yakanaka kwazvo . Hapana chikonzero chekunetseka.
Kutaura zvazviri, inenge 50% yenyaya dzinopera dzogapasina chikonzero chekupindira kwechiremba. Vanhu vanodarika 70% vanopindura zvakanaka pakurapwa kuri nyore, uye vanhu vakanyanya kuoma vanowana mukana wekubudirira kusvika ku95% kana vachirapwa nenyanzvi. Nirogi Lanka inokuyeuchidza kuti ichi chirwere chinorapika zvikuru.
Unofanira kuona chiremba rini?
Kana ukaona chero shanduko dzisinganzwisisike muruvara rweweti yako —kunyanya kana uchinzwa weti kakawanda kana kurwadziwa panguva yeweti —unofanira kubvunza chiremba nekukasika . Ndapota usaregeredza zviratidzo izvi. Kana ukasangana nedambudziko rekukurumidza, ndapota fonera 911 kana masevhisi ekukurumidzira emunharaunda yako.
Mibvunzo ipi yaunofanira kubvunza chiremba wako?
Munguva yekukurukurirana kwenyu, mungada kubvunza mibvunzo iyi:
- Kuongororwa kwangu kweChyluria kwakasimbiswa sei?
- Kana isiri Chyluria, ndeapi mamwe mamiriro ezvinhu angatsanangura zviratidzo zvangu?
- Kurapwa kwakasimba kunodiwa here, kana kuti kunogona kungopera kwega?
- Uri kukurudzira nzira yekuchengetedza, isingapindi zvakanyanya, kana yekuvhiya here?
- Ndeipi njodzi yekudzokazve kwechirwere ichi?
- Munganditumirewo kune nyanzvi yezvekudya kuti ndiwane rutsigiro rwezvekudya here?
Ndeupi musiyano uripo pakati peChyluria neLymfuria?
Zvinobatsira kunzwisisa musiyano wacho. 'Lymphuria' zvinoreva kuvapo kwemvura yelymph muweti yako isina mafuta akawanda.
Zvisinei, 'Chyluria' inosanganisira kuvapo kwe lymph nemafuta (anonzi 'chyle') muweti yako, izvo zvinoita kuti iite seyakakora, chena.
Tinonzwisisa kuti kuona weti yakaita semukaka kunogona kutyisa. Kana ukaona shanduko dzisinganzwisisike, kana uine zviratidzo zvakaita sekuita weti kakawanda kana kurwadziwa, ndapota taura nachiremba wako nekukasika. Vanogona kusimbisa chirwere ichi uye kusarudza nzira yakanakira yekurapa.
Mharidzo Yekupedzisira Yekuenda Kumba
Takurukura zvakawanda nezveChyluria nhasi. Heano zvinhu zvakakosha zvekurangarira:
- Weti chena yakaita semukaka inogona kuratidza Chyluria: Izvi zvinoitika nekuda kwekuvapo kwe'chyle,' mvura yelymphatic ine mafuta akawanda, muweti yako.
- Zvikonzero zvakasiyana-siyana: Zvinogona kukonzerwa nehutachiona hwezvipembenene (kunyanya Filariasis), kukuvara kwemuviri, matambudziko ekuvhiyiwa, kana kukura kusina kujairika.
- Haisi chirwere chinotapuriranwa: Chyluria haipfuuri zvakananga kubva kumunhu mumwe kuenda kune mumwe.
- Kuziva zviratidzo: Pamusoro peweti ine ruvara rwemukaka, unogona kuita weti kakawanda, kurwadziwa panguva yeweti, ropa muweti, kana kudzikira uremu zvisingatsananguriki.
- Kubvunzana nachiremba wenyanzvi kwakakosha: Kana ukaona kuchinja kweruvara rweweti yako, ndapota bvunza chiremba nekukasika. Usaedze kuzvirapa wega.
- Nzira dzekurapa dziripo: Dambudziko iri rinorapika uye rinowanzo rapa kuburikidza nekudya zvine mafuta mashoma, mishonga yakanangana naro, kana, mune dzimwe nguva, kuvhiyiwa kudiki. Ndapota musavhunduka.
- Dziviriro: Kuti uzvidzivirire kubva kuzvirwere zvinotapukira, tora matanho ekudzivirira kurumwa neumhutu.
Tinovimba kuti ruzivo urwu rwuchakubatsira munzira yako yekuenda kuhutano hwakanaka. Ramba uine hutano neNirogi Lanka!
👩🏽⚕️ Mibvunzo Inowanzo bvunzwa (Mibvunzo Inowanzo bvunzwa)
💬 Chyluria yakafanana here nekuva nematumbu muweti?
Kwete. Kunyange zvazvo hurwa huchiwanzoita kuti weti iite seyakakora, Chyluria inokonzera mvura yakachena, yakaita semukaka, yakafanana nemukaka mutsva. Izvi zvinoitika nekuda kwekuvharika kwetsinga dzeropa—idzo dzinoita kuti mafuta afambe—zvichikonzera kuti chyle idonhe zvakananga muweti.
💬 Sei tsinga idzi dze lymphatic dzichivharika uye dzichibvaruka?
Chinonyanya kukonzera chirwere ichi munzvimbo zhinji dzepasi rose, kusanganisira Asia, iFilariasis—chirwere chinotapuriranwa neumhutu. Zvipembenene izvi (Wuchereria bancrofti) zvinogona kuvharira tsinga dzeropa, zvichiita kuti pave nekumanikidzwa mukati memuviri izvo zvinozopedzisira zvaita kuti itsvo dziputsike.
💬 Weti yakaita semukaka idambudziko guru pahutano here?
Ehe. Mvura iyi ine mafuta akakosha, mapuroteni, uye mavhitamini anodiwa nemuviri wako. Kurasikirwa nezvinovaka muviri izvi nguva dzose kunogona kukonzera kushaya chikafu, kudzikira kwehuremu, uye kushaya simba kwemasoja emuviri. Kurapa kunotanga nekudya kwakaringana kusina mafuta akawanda, uye kana zviratidzo zvikaramba zviripo, kuvhiyiwa kungadiwa kuti kuvharwe kwemvura.
Mazwi akakosha: Chyluria, Chyle muweti, Weti chena ine mukaka, Lymphatic system, Zvirwere zveparasitiki, Itsvo, Filariasis
