Ingaba umchamo wakho ubonakala ngathi lubisi? Ingaba yiChyluria le? Masifumanise!

Ngaba wakha waphawula ukuba umchamo wakho, okanye umchamo , ufana nobisi? Okanye mhlawumbi udlulisela ulwelo olumhlophe olufana nobisi kumchamo wakho ? Usenokuba ukhathazekile kancinci. Namhlanje siza kuthetha ngemeko ebangela ukuba umchamo uphume ngolu mbala ungaqhelekanga, kodwa ayiqhelekanga kangako. Le yiChyluria.

Yintoni iChyluria?

Ngamafutshane, iChyluria kukubakho kwento ebizwa ngokuba yi-'chyle' kumchamo wakho, oko kukuthi, umchamo . Ngoku umele ukuba uyazibuza ukuba yintoni le 'chyle', akunjalo? Lulwelo olufana nobisi oluvela kwii-lymph nodes zethu. Kutheni lufana nobisi? Kuba amasuntswana amafutha afunxwa emathunjini ethu adibana nolu lwelo ukwenza lo mbala.

Ngokwesiqhelo, olu lwelo lwe-lymph kunye namafutha angena kwinkqubo yokujikeleza kwegazi ngemithambo yethu ye-lymph. Emva koko, igazi liwathwala aye kwiindawo ezahlukeneyo zomzimba. Kodwa, khawucinge ukuba kwenzeka ntoni ukuba le mithambo ye-lymph ayisebenzi kakuhle? Emva koko olu lwelo olubizwa ngokuba yi-'chyle' luvuza emzimbeni luvela kwenye indawo endaweni yokudibana negazi. Ukuba luvuza lungena kwizintso, kulapho luphuma khona nomchamo .

Kutheni umchamo ufana nobisi?

Ngoko ke, isizathu sokuba umchamo wakho ubonakale ngathi ulubisi kukuba olo lwelo 'lwe-chyle' endilukhankanyileyo ngaphambili luvuza ngandlela ithile lwangena kwizintso zakho. Luxubana nomchamo wakho luze luphume xa usiya kwindlu yangasese.

Ngubani onokuhlakulela iChyluria?

Enyanisweni, nabani na angafumana le meko ibizwa ngokuba yiChyluria. Nangona kunjalo, ukuba uhlala kumazwe afana noMzantsi Melika, i-Afrika esemazantsi eSahara, okanye uMzantsi-mpuma weAsia, ingakumbi iIndiya, okanye uchithe ixesha kwiindawo ezinjalo, unamathuba amaninzi okufumana i-chyluria ebangelwa yiparasite. Oku kungenxa yokuba iiparasite ezibangela le ngxaki zixhaphakile kwezo ndawo.

Le meko idla ngokuchaphazela abantu abaphakathi kweminyaka engama-20 ukuya kwengama-40. Nangona kunjalo, ungamangaliswa kukuba, oogqirha baxele ukuba abantwana abaneminyaka emi-5 ubudala nabo baye banesifo se-parasitic chyluria ngenxa yezi zifo.

Ixhaphake kangakanani le meko?

Inyaniso kukuba, iChyluria yimeko engaqhelekanga kakhulu. Kwanakwiindawo apho ixhaphake khona, kuxelwa amatyala angaphantsi kwe-100 ngonyaka. Ngoko ke, ayixhaphakanga kangako.

I-Chyluria iyichaphazela njani umzimba wam?

Le meko yeChyluria inokubangela ukungondleki emzimbeni wakho. Inokubangela nokungabikho kweevithamini emzimbeni . Oku kungenxa yokuba, kunye ne-'chyle', amafutha kunye neevithamini ezinyibilikayo emzimbeni nazo zikhutshwa emchameni .

Ziziphi iimpawu zeChyluria?

Uphawu oluphambili lweChyluria ngumchamo omhlophe ofana nobisi okanye ubisi . Kodwa akupheleli apho, kunokubakho nezinye iimpawu ezininzi. Masibone ukuba zithini?

• Isidingo sokuchama rhoqo.
• Ukuziva iintlungu xa uchama (sikubiza oku ngokuthi `(dysuria)`).
• Igazi kumchamo (oku kubizwa ngokuba yi-`(hematuria)`).
• Isisu esisezantsi, oko kukuthi, intlungu emqolo ongezantsi.
• Ukunciphisa umzimba.
• Ukulibaziseka kokukhula (ingakumbi ebantwaneni).
• Ndiziva ndidiniwe ngalo lonke ixesha.
• Uziva ngathi uza kubanda (ukubanda).
• Ukudumba kwamalungu (i-peripheral edema)

Zithini izizathu zeChyluria?

Kukho iindidi ezimbini eziphambili zezizathu zeChyluria. Enye zizizathu ze-parasitic kwaye enye zizizathu ezingezizo ze-parasitic .

Izizathu ezibangelwa zi-parasites

Malunga ne-95% yamatyala eChyluria abangelwa zizinambuzane abangelwa yi-roundworm iWuchereria bancrofti . Isifo esibangelwa yile nto sikwabizwa ngokuba yi-filariasis . Usenokuba ukhe weva ngayo njenge -'filariasis' , yiyo loo nto. Le mbungu ivala imithambo ye-lymphatic.

Ezinye iiparasite ezinokubalelwa kwi-5% eseleyo zezi:

• I-Taenia echinococcus `(Taenia echinococcus)`
• I-Taenia nana (Ezi ziimpethu ezirhubuluzayo)
• I-Ankylostomiasis ( isifo se-hookworm)
• I-Trichinosis
• I-Malaria

Ezinye izizathu ezingezizo iiparasite

I-Chyluria inokubakho nangenxa yezizathu ezingezizo ii-parasites. Umzekelo:

• Ukonzakala kwesisu . Khawuthelekelele ukuba ubethwe kabuhlungu esiswini, njengakwingozi.
• Utyando , ingakumbi utyando lwe-nephrectomy okanye i-scoliosis.
• Iintsholongwane ezahlukeneyo .
• Ukwandiswa kwe-lymph node yesisu .
• Iintlobo zeethumba , oko kukuthi, iithumba ezinomhlaza okanye ezingezizo ezomhlaza.
• Unyango ngemitha .
• Amathumba .
• I-Lymphangiomas ziithumba zenkqubo ye-lymphatic ezakha kwisinyi okanye kwizintso.
• Ukuncitshiswa (i-stenosis) kombhobho oyintloko we-lymphatic kwindawo yesifuba .
• Ukukhulelwa . Ngamanye amaxesha le meko inokwenzeka nangexesha lokukhulelwa.

Ngaba iChyluria iyasulela?

Hayi, iChyluria ayosuleli . Awunakuyifumana ngokuyichukumisa okanye ukuba kufutshane nomnye umntu. Nangona kunjalo, ukuba ibangelwa yiparasite, loo parasite inokudluliselwa komnye umntu (umzekelo, isuka kwingcongconi). Nangona kunjalo, i-chyluria ayosuleli ngokuthe ngqo.

Ifunyanwa njani iChyluria?

Ugqirha angakuxelela ngokuqinisekileyo ukuba uneChyluria okanye awunayo. Uza kukubuza ngeempawu zakho aze akuyalele ukuba kwenziwe uvavanyo oluncinci.

Ifunyanwa njani iChyluria?

Uvavanyo oluyalelwa ngugqirha lunokuqinisekisa ukuba uneChyluria na kwaye lufumanise ukuba ulwelo olubizwa ngokuba yi-'chyle' lungena njani emchameni .

Olu vavanyo lungabandakanya:

• Uvavanyo lomchamo : Kuthathwa isampulu yomchamo wakho ize ihlolwe umbala, imbonakalo, njl. Emva koko ithunyelwa kwilabhoratri ukuze ivavanywe ukuba ikhona na i-chyle.
• Uvavanyo lokufota : Olu vavanyo lunokubandakanya i-CT scan , i-lymphangiogram ( apho kufakwa khona ulwelo olukhethekileyo kwimithambo ye-lymphatic kwaye kuthathwa i-X-ray), i-MRI , i-X-ray , okanye i-ultrasound . Olu vavanyo lujonga naziphi na izithintelo okanye ukuvuza kwinkqubo ye-lymphatic.
• Uvavanyo lwe-Triglycerides : Wonke umntu oneChyluria une-triglycerides, uhlobo oluthile lwamafutha, kumchamo wakhe. Ngamanye amaxesha, ukuba iChyluria ayinzima kangako, umchamo usenokungabonakali ngathi lubisi. Nangona kunjalo, ukuba ezi triglycerides zikhona, zinokuqinisekisa iChyluria.
• I-Laparoscopy : Olu lutyando oluncinci. Kwenziwa umngxuma omncinci esiswini kwaye kufakwa ityhubhu encinci enekhamera (i-laparoscope) ukunceda ekufumaneni umthombo wokuvuza kolwelo lwe-lymph. Nangona kunjalo, oku kwenziwa kuphela ukuba ezinye iimvavanyo azikwazi ukulufumana.

Iphathwa njani iChyluria?

Ukuba ufunyaniswe uneChyluria, ugqirha wakho unokucebisa iindlela ezahlukeneyo zonyango. Ezi zingabandakanya unyango oluhlala ixesha elide , unyango olungenalo utyando , okanye unyango olungenalo utyando olufana notyando .

Unyango olugcina indalo

Iindaba ezimnandi zezokuba ngaphezulu kwama-70% ezigulane zeChyluria ziyasabela kakuhle kwezi ndlela zonyango zilula.

Okokuqala, ugqirha uza kukuxelelaBakuxelela ukuba uphumle, usele ulwelo oluninzi, kwaye ulandele ukutya okunemithetho engqongqo. Xa unciphisa inani lamafutha ekutyeni kwakho, inani 'le-chyle' eliveliswa ngumzimba wakho liyancipha. Oku kunciphisa inani elivuzayo kwizintso zakho.

Ngamanye amaxesha ugqirha wakho angacebisa nonyango olubizwa ngokuba yi -'parenteral nutrition' . Oku kuquka ukukunika iikhalori kunye nezondlo ozifunayo ngesisombululo se-saline esingena emthanjeni. Oku kuthetha ukuba awunikwa ngomlomo, kodwa ngomthambo.

Kwakhona, kukho amayeza athile anokunceda ukunyanga imeko yeChyluria.

Unyango olungenabungozi kangako

Ukuba imeko yakho ayiphucuki ngonyango olulula, kukho unyango olungenabungozi kangako olubizwa ngokuba yi -'sclerotherapy' .

Kule nkqubo, ugqirha ufaka isisombululo esikhethekileyo (esibizwa ngokuba yi-sclerosant) kwindawo ephakathi yezintso zakho (i-renal pelvis). I-sclerosant esetyenziswa kakhulu yi -silver nitrate . Nangona kunjalo, kukho ezinye izisombululo, ezifana nezi:

• I-iodine yePovidone `(i-iodine yePovidone)`
• I-sodium iodide
• i-potassium bromide
• I-Dextrose
• Isisombululo seHypertonic `(Isisombululo seHypertonic)`

Esi sisombululo sisebenza njengohlobo 'lwesitywino' apho 'i-chyle' ivuza khona.

Unyango oluhlaselayo

Ukuba imeko yakho ayiphucuki ngonyango olulula okanye unyango olungenalo utyando, ugqirha wakho unokufuna ukwenza unyango olungenalo utyando, olufana notyando, apho i-lymph node evuzayo ichongwa kwaye ilungiswa.

Yintoni omele uyitye ukuba uneChyluria?

Ukuba uneChyluria, ugqirha wakho uya kukuxelela ukuba ulandele ukutya okungqongqo okunamafutha aphantsi kunye neeproteni eziphezulu . Kufuneka ufake imifuno eluhlaza emininzi ekutyeni kwakho. Kwakhona, ukutya okutyebileyo kwiivithamini A, D, E, kunye ne-K kubalulekile.

Cinga ngokutya okunamafutha aphantsi kunye neeproteni ezininzi:

• Iintlanzi : Ingakumbi iintlanzi ezifana ne-cod, i-haddock, i-halibut, kunye ne-tilapia.
• Inkukhu ne-turkey ezingenalusu (inxalenye yenyama emhlophe).
• Inyama yenkomo engenamafutha (inyama yenkomo engenamafutha).
• Iilentile.
• Iimbotyi ezifana neetships, ii-peas, iimbotyi eziluhlaza, kunye neembotyi.
• Tofu `(Tofu)` .
• Ubisi olunamafutha aphantsi kunye nokutya kobisi.
• Amandongomane kunye nembewu (ezi kufuneka zityiwe ngokulinganisela).

Utya amafutha angakanani ngosuku?Ufanele unciphise ukutya kwakho nge-25 grams . Uninzi lwabantu abaneChyluria kufuneka balandele olu hlobo lokutya olunamafutha aphantsi, oluneproteni eninzi kangangeeveki ezimbalwa. Ugqirha wakho uza kukuxelela ukuba ungaphinda utye nini ukutya okuqhelekileyo okunamafutha.

Ziziphi iipilisi ezisetyenziselwa iChyluria?

Kukho iintlobo ezahlukeneyo zamayeza anokunceda ukunyanga imeko yeChyluria:

• I-Ezetimibe (igama lophawu: Zetia®) : Eli yeza lisebenza ngokuthintela ukufunxwa kwe-cholesterol emathunjini akho.
• Amayeza okulwa neentsholongwane : Ukuba i-chyluria ibangelwa lusulelo olubangelwa ziintsholongwane, amayeza anjenge-ivermectin (igama lophawu: Stromectol®) , i-diethylcarbamazine (igama lophawu: Hetrazan®) , i-albendazole (igama lophawu: Albenza®) , kunye ne -benzathine penicillin asetyenziselwa ukunyanga usulelo.

Ndingaphila ngokukhawuleza kangakanani emva konyango?

Ngokuxhomekeke kunyango olufumanayo, uninzi lwabantu luqala ukuziva lungcono kwiintsuku okanye iiveki ezimbalwa . Nangona kunjalo, ixesha elithathwayo ukuze umntu aphile ngokupheleleyo linokwahluka kumntu nomntu.

Ungayinciphisa njani ingozi yokuphuhlisa iChyluria?

Iintsholongwane, ezizezona zibangela iChyluria, zidluliselwa ziingcongconi . Ngoko ke, eyona nto ingcono onokuyenza kukuzigcina kude neengcongconi. Ungenza oku kulandelayo:

• Nxiba ibhulukhwe ende, etyebileyo kunye nempahla enemikhono emide.
• Lala kwigumbi elinomoya opholileyo, okanye ulale phantsi kwenethi yokuthintela iingcongconi.
• Faka izinto zokugxotha iingcongconi kwiindawo zomzimba ezingabonakaliyo.
• Futha isibulali-zingcongconi kwiimpahla zakho, kwiitente, nakwiinethi zeengcongconi.

Kwakhona, ungathatha amayeza okubulala iintshulube ezincinci (oku yinto ekufuneka yenziwe ngengcebiso kagqirha, ingakumbi ukuba uhamba kwiindawo apho izifo ezibangelwa zizinambuzane zixhaphake khona).

Yintoni onokuyilindela ukuba uneChyluria?

Ukuba uneChyluria, amathuba okuchacha mahle kakhulu . Musa ukukhathazeka.

Enyanisweni, malunga nama-50% eemeko ziyaziphelela ngokwazo , ngaphandle konyango. Ngaphezulu kwama-70% eemeko ziyaziphelela ngonyango olulula. Izinga lempumelelo kwezo nyango zinamandla lifikelela kuma-95%. Ngoko ke, esi sisifo esinokunyangeka.

Ndifanele ndimbone nini ugqirha?

Ukuba ubona naluphi na utshintsho olungaqhelekanga kumbala womchamo wakho, ingakumbi ukuba udinga ukuchama rhoqo, okanye ukuba uva iintlungu xa uchama , qiniseka ukuba ubona ugqirha ngoko nangoko.Akulunganga ukuba neempawu ezinjalo.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, kungcono ukubuza imibuzo efana nale:

• Uqinisekile njani ukuba ndineChyluria?
• Ukuba andinayo iChyluria, ingaba yeyiphi enye imeko?
• Ngaba ndifuna unyango, okanye ucinga ukuba oku kuza kuphola ngokwako ?
• Ungandicebisa indlela elula, engangeni kakhulu, okanye engenelelayo yonyango kum?
• Ngaba iChyluria ingaphinda ivele?
• Ungandicebisa ingcali yokutya elungileyo?

Yintoni umahluko phakathi kweChyluria kunye ne-lymphuria?

Oku kulungile ukwazi. Igama elithi 'Lymphuria' lithetha ukuba umchamo wakho une-lymph, kodwa awunamafutha.

I-Chyluria iyenzeka xa umchamo wakho unamafutha kunye nolwelo lwe-lymphatic (olubizwa ngokuba yi-chyle). Yile nto ebangela ukuba umchamo wakho ube nombala ofana nobisi.

Ukuba umchamo wakho ngequbuliso ujika ube lubisi, kunokuba yinto ekhathazayo. Ngoko ke, ukuba ubona naluphi na utshintsho olungaqhelekanga kumbala womchamo wakho, ingakumbi ukuba uchama rhoqo okanye ukuba uva iintlungu ngelixa uchama , thetha nogqirha wakho ngoko nangoko. Usenokukufumanisa uneChyluria aze akunike unyango olufanelekileyo.

Umyalezo Wokugqibela Wokuya Ekhaya

Kulungile, ngoko ke sithethe kakhulu ngeChyluria. Nazi ezinye zezinto ezibalulekileyo ekufuneka uzikhumbule:

• Umchamo ofana nobisi usenokuba yiChyluria: Oku kubangelwa kukubakho kolwelo olunamafutha lwe-lymphatic olubizwa ngokuba yi-'chyle' kumchamo .
• Izizathu zahlukile: izifo ezibangelwa zizinambuzane (ingakumbi i-filariasis), iingozi, utyando, iithumba, njl.
• Ayisosifo esosulelayo: I-Chyluria ayidluliselwa ngqo ukusuka komnye umntu ukuya komnye.
• Qaphela iimpawu: Ukongeza kumchamo ofana nobisi, iimpawu zingabandakanya ukuchama rhoqo, iintlungu ngexesha lokuchama , igazi kumchamo, kunye nokunciphisa umzimba.
• Ingcebiso kagqirha ibalulekile: Ukuba ubona utshintsho kumbala womchamo wakho , bonana nogqirha ngoko nangoko. Musa ukuzinyanga.
• Kukho unyango kunye nokunyanga: ukutya okunamafutha aphantsi, amayeza, kwaye ngamanye amaxesha utyando oluncinci lunokuyiphucula kakhulu le meko. Akukho nto inokubangela ixhala ngayo.
• Zikhusele: Kubalulekile ukuzikhusela kwiingcongconi ukuze uphephe iintsholongwane.

Ngoko ke, ndiyathemba ukuba olu lwazi luluncedo kuwe. Hlala usempilweni!

I- Chyluria, i-chyle kumchamo, umchamo omhlophe ofana nobisi, inkqubo ye-lymphatic, izifo ezibangelwa zizinambuzane, izintso, i-filariasis