Ingabe umchamo wakho ubukeka njengobisi? Ingabe lokhu kuyi-Chyluria? Ake sithole!

Wake waphawula ukuthi umchamo wakho, noma umchamo , ufana nobisi kancane? Noma mhlawumbe udlulisela uketshezi olumhlophe olufana nobisi nomchamo wakho ? Ungase ukhathazeke kancane. Namuhla sizokhuluma ngesimo esibangela ukuba umchamo uphume ngalo mbala ongajwayelekile, kodwa akuvamile kakhulu. Lokhu sikubiza ngokuthi i-Chyluria.

Kuyini i-Chyluria?

Kalula nje, i-Chyluria ukuba khona kwento ebizwa ngokuthi 'chyle' emchameni wakho, okungukuthi, umchamo . Manje kumelwe ukuthi uyazibuza ukuthi iyini le 'chyle', akunjalo? Iwuketshezi olufana nobisi oluvela kuma-lymph node ethu. Kungani lufana nobisi? Ngoba izinhlayiya zamafutha ezimuncwa emathunjini ethu zihlangana nalolu ketshezi ukuze zakhe lo mbala.

Ngokuvamile, lolu ketshezi lwe-lymph namafutha kungena ohlelweni lokujikeleza kwegazi ngemithambo yethu ye-lymph. Bese, igazi liwayisa ezingxenyeni ezahlukene zomzimba. Kodwa, cabanga ukuthi kwenzekani uma le mithambo ye-lymph ingasebenzi kahle? Khona-ke lolu ketshezi olubizwa ngokuthi 'chyle' luvuza emzimbeni luvela kwenye indawo esikhundleni sokujoyina igazi. Uma luvuza ezinso, yilapho luphuma khona nomchamo .

Kungani umchamo ufana nobisi?

Ngakho-ke, isizathu sokuthi umchamo wakho ubonakale ufana nobisi yingoba lolo ketshezi 'lwe-chyle' engikhulume ngalo ekuqaleni luvuza ngandlela thile ezinso zakho. Lube seluxubana nomchamo wakho bese luphuma uma uya endlini yangasese.

Ubani ongathuthukisa i-Chyluria?

Empeleni, noma ubani angaba nalesi simo esibizwa ngokuthi i-Chyluria. Kodwa-ke, uma uhlala emazweni anjengeNingizimu Melika, i-Afrika eseningizimu yeSahara, noma iNingizimu-mpumalanga ye-Asia, ikakhulukazi i-India, noma uke wachitha isikhathi ezindaweni ezinjalo, kungenzeka kakhulu ukuthi ube ne-chyluria ebangelwa yi-parasitic. Lokhu kungenxa yokuthi i-parasites eyibangela ivame kulezo zindawo.

Lesi simo sivame ukuthinta abantu abaneminyaka ephakathi kuka-20 no-40. Kodwa-ke, ungamangali, odokotela babike ukuthi izingane ezineminyaka engu-5 ubudala nazo ziye zathola i-chyluria ebangelwa yi-parasite ngenxa yalezi zinambuzane.

Sivame kangakanani lesi simo?

Uma ngikhuluma iqiniso, i-Chyluria iyisimo esingavamile kakhulu. Ngisho nasezindaweni lapho ivame ukubonakala khona, kubikwa amacala angaphansi kwe-100 ngonyaka. Ngakho-ke, akuvamile kangako.

I-Chyluria ithinta kanjani umzimba wami?

Lesi simo se-Chyluria singabangela ukungondleki kahle emzimbeni wakho. Singabangela nokuntuleka kwamavithamini . Lokhu kungenxa yokuthi, kanye ne-'chyle', amafutha namavithamini ancibilikayo adingekayo emzimbeni nawo akhishwa emchameni .

Ziyini izimpawu ze-Chyluria?

Uphawu oluyinhloko lwe-Chyluria umchamo omhlophe ofana nobisi noma ubisi . Kodwa hhayi lokhu kuphela, kungase kube nezinye izimpawu eziningana. Ake sibone ukuthi ziyini?

• Isidingo sokuchama njalo.
• Ukuzwa ubuhlungu lapho uchama (lokhu sikubiza ngokuthi `(dysuria)`).
• Igazi emchameni (lokhu kubizwa ngokuthi `(hematuria)`).
• Isisu esingezansi, okungukuthi, ubuhlungu emhlane ongezansi.
• Ukwehlisa isisindo.
• Ukukhubazeka kokukhula (ikakhulukazi ezinganeni).
• Ukuzizwa ukhathele ngaso sonke isikhathi.
• Ukuzizwa sengathi uzobanda (ukubanda).
• Ukuvuvukala kwamalungu (i-peripheral edema)

Yiziphi izimbangela zeChyluria?

Kunezinhlobo ezimbili eziyinhloko zezimbangela ze-Chyluria. Esinye siyizimbangela ze-parasitic kanti esinye siyizimbangela ezingezona eze-parasitic .

Izimbangela ezibangelwa yizinambuzane

Cishe ama-95% amacala e-Chyluria abangelwa yizinambuzane abangelwa yi-roundworm i-Wuchereria bancrofti . Isifo esibangelwa yilokhu sibizwa nangokuthi i-filariasis . Kungenzeka ukuthi uke wezwa ngayo ngokuthi 'i-filariasis' , yilokho okuyikho. Lesi sibungu sivimba imithambo ye-lymphatic.

Ezinye izimuncagazi ezingabalelwa ku-5% osele yilezi:

• I-Taenia echinococcus `(Taenia echinococcus)`
• I-Taenia nana (Lezi ziyizimpethu)
• I-Ankylostomiasis ( isifo se-hookworm)
• I-Trichinosis
• Umalaleveva

Ezinye izimbangela ezingezona izimuncagazi

I-Chyluria ingavela nangenxa yezizathu ezingezona izimuncagazi. Isibonelo:

• Ukulimala kwesisu . Cabanga ngokushaywa kanzima esiswini, njengokungathi kwenzeka engozini.
• Ukuhlinzwa , ikakhulukazi ukuhlinzwa kwe-nephrectomy noma i-scoliosis.
• Izifo ezahlukahlukene .
• Ukwandiswa kwe-lymph node yesisu .
• Izinhlobo zezimila , okungukuthi, izimila ezinomdlavuza noma ezingezona umdlavuza.
• Ukwelashwa ngemisebe .
• Amathumba .
• Ama-lymphangiomas yizimila zesistimu ye-lymphatic ezakheka esinyeni noma ezinso.
• Ukuncishiswa (i-stenosis) komsele oyinhloko we-lymphatic emgodini wesifuba .
• Ukukhulelwa . Ngezinye izikhathi lesi simo singase senzeke ngesikhathi sokukhulelwa.

Ingabe i-Chyluria iyathelelana?

Cha, i-Chyluria ayithelelani . Awukwazi ukuyithola ngokuthinta noma ukusondela komunye umuntu. Kodwa-ke, uma ibangelwa yi-parasite, leyo parasite ingadluliselwa komunye umuntu (isibonelo, kusuka kumiyane). Kodwa-ke, i-chyluria ayithelelani ngokuqondile.

I-Chyluria itholakala kanjani?

Udokotela angakutshela ngokuqinisekile ukuthi une-Chyluria noma cha. Uzokubuza ngezimpawu zakho bese eyalela ukuhlolwa okumbalwa.

I-Chyluria itholakala kanjani?

Ukuhlolwa udokotela akuyalayo kungaqinisekisa ukuthi une-Chyluria futhi kutholakale ukuthi uketshezi olubizwa ngokuthi 'chyle' lungena kanjani emchameni .

Lezi zivivinyo zingafaka:

• Ukuhlolwa komchamo : Kuthathwa isampula yomchamo wakho bese kuhlolwa umbala, ukubukeka, njll. Bese ithunyelwa elabhorethri ukuze ihlolwe ukuthi ikhona yini i-chyle.
• Ukuhlolwa kwezithombe : Lokhu kungafaka phakathi i-CT scan , i-lymphangiogram ( lapho kufakwa khona uketshezi olukhethekile emithanjeni ye-lymph bese kuthathwa i-X-ray), i-MRI , i-X-ray , noma i-ultrasound . Lokhu kuhlola noma yikuphi ukuvinjelwa noma ukuvuza ohlelweni lwe-lymphatic.
• Ukuhlolwa kwe-Triglycerides : Wonke umuntu one-Chyluria une-triglycerides, uhlobo oluthile lwamafutha, emchameni wakhe. Ngezinye izikhathi, uma i-Chyluria ingekho kakhulu, umchamo ungase ungabonakali njengobisi. Kodwa-ke, uma lawa ma-triglycerides ekhona, kungaqinisekisa i-Chyluria.
• I-Laparoscopy : Lokhu ukuhlinzwa okuncane. Kwenziwa ukusika okuncane esiswini bese kufakwa ipayipi elincane elinekhamera (i-laparoscope) ukusiza ekutholeni umthombo wokuvuza koketshezi lwe-lymph. Kodwa-ke, lokhu kwenziwa kuphela uma ezinye izivivinyo zingakutholi.

Iphathwa kanjani i-Chyluria?

Uma kutholakale ukuthi une-Chyluria, udokotela wakho angase asikisele izindlela eziningana zokwelapha. Lokhu kungafaka phakathi ukwelashwa okulondolozayo , ukwelashwa okungangeni kakhulu , noma ukwelashwa okungenela njengokuhlinzwa .

Ukwelashwa okulondolozayo

Izindaba ezinhle ukuthi iziguli ezingaphezu kuka-70% zeChyluria zisabela kahle kulezi zindlela zokwelapha ezilula.

Okokuqala, udokotela uzokutshelaBakutshela ukuthi uphumule, uphuze uketshezi oluningi, futhi ulandele ukudla okulawulwa ngokuqinile. Uma unciphisa inani lamafutha ekudleni kwakho, inani 'le-chyle' elikhiqizwa ngumzimba wakho liyancipha. Lokhu kunciphisa inani elivuza ezinso zakho.

Ngezinye izikhathi udokotela wakho angase asikisele nokwelashwa okubizwa ngokuthi 'i-parenteral nutrition' . Lokhu kuhilela ukukunikeza amakhalori nezakhamzimba ozidingayo ngesisombululo sikasawoti esingena emthanjeni. Lokhu kusho ukuthi awunikwa ukudla ngomlomo, kodwa ngomthambo.

Futhi, kunemithi ethile engasiza ekwelapheni isimo se-Chyluria.

Ukwelashwa okungenangozi kangako

Uma isimo sakho singathuthuki ngalezo zindlela zokwelapha ezilula, kukhona ukwelashwa okungangenisi kakhulu okubizwa ngokuthi 'i-sclerotherapy' .

Kule nqubo, udokotela ufaka ikhambi elikhethekile (elibizwa ngokuthi i-sclerosant) engxenyeni ephakathi yezinso zakho (i-renal pelvis). I-sclerosant esetshenziswa kakhulu yi -silver nitrate . Kodwa-ke, kunezinye izixazululo, njenge:

• I-Povidone iodine `(i-Povidone iodine)`
• I-iodide ye-sodium
• i-potassium bromide
• I-Dextrose
• Isixazululo se-Hypertonic `(Isixazululo se-Hypertonic)`

Lesi sixazululo sisebenza njengohlobo 'lophawu' lapho 'i-chyle' ivuza khona.

Ukwelashwa okungemthetho

Uma isimo sakho singathuthuki ngokwelashwa okulula noma ukwelashwa okungangeni kakhulu, udokotela wakho kungadingeka enze ukwelashwa okungekuhle kakhulu, njengokuhlinzwa, lapho kutholakala khona i-lymph node evuzayo futhi ilungiswa.

Yini okufanele uyidle uma une-Chyluria?

Uma une-Chyluria, udokotela wakho uzokutshela ukuthi ulandele ukudla okuqinile okunamafutha aphansi, okunamaprotheni amaningi . Kufanele ufake imifino eminingi eluhlaza ekudleni kwakho. Futhi, ukudla okucebile ngamavithamini A, D, E, kanye no-K kubalulekile.

Cabanga ngokuthi yikuphi ukudla okunamafutha aphansi kanye namaprotheni amaningi:

• Izinhlanzi : Ikakhulukazi izinhlanzi ezifana ne-cod, i-haddock, i-halibut, ne-tilapia.
• Inkukhu ne-turkey ezingenasikhumba (izingxenye zenyama emhlophe).
• Inyama yenkomo engenamafutha (i-sirloin steak).
• Ama-lentile.
• Imifino efana nobhontshisi, ubhontshisi, ubhontshisi oluhlaza kanye nobhontshisi.
• Tofu `(Tofu)` .
• Ubisi olunamafutha amancane kanye nokudla kobisi.
• Amantongomane nembewu (lokhu kufanele kudliwe ngokulinganisela).

Udla amafutha angakanani ngosuku?Kufanele wehlise ukudla kwakho kungabi ngaphezu kwamagremu angu-25 . Iningi labantu abane-Chyluria lidinga ukulandela lokhu kudla okunamafutha aphansi, okunamaprotheni amaningi amasonto ambalwa. Udokotela wakho uzokutshela ukuthi ungakudla nini ukudla okunamafutha okuvamile futhi.

Yimiphi imithi esetshenziswayo ye-Chyluria?

Kunezinhlobo eziningana zemithi engasiza ekwelapheni isimo se-Chyluria:

• I-Ezetimibe (igama lomkhiqizo: i-Zetia®) : Lo muthi usebenza ngokuvimbela ukumuncwa kwe-cholesterol emathunjini akho.
• Imithi yokulwa nezinambuzane : Uma i-chyluria ibangelwa ukutheleleka kwezinambuzane, imithi efana ne-ivermectin (igama lomkhiqizo: Stromectol®) , i-diethylcarbamazine (igama lomkhiqizo: Hetrazan®) , i-albendazole (igama lomkhiqizo: Albenza®) , kanye ne-benzathine penicillin isetshenziselwa ukwelapha ukutheleleka.

Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?

Kuye ngokwelashwa okutholayo, abantu abaningi baqala ukuzizwa bengcono ezinsukwini noma emavikini ambalwa . Kodwa-ke, isikhathi esithathwayo ukuze ululame ngokugcwele singahluka kuye ngomuntu nomuntu.

Unganciphisa kanjani ingozi yokuthola i-Chyluria?

Ama-parasite, okuyimbangela eyinhloko ye-Chyluria, adluliselwa omiyane . Ngakho-ke, into engcono kakhulu ongayenza ukuziqhelelanisa nomiyane. Ungenza okulandelayo:

• Gqoka amabhulukwe amade, aqinile kanye nezingubo ezinemikhono emide.
• Lala ekamelweni elinomoya opholile, noma ulale ngaphansi kwenethi yomiyane.
• Faka izinto zokuxosha omiyane ezingxenyeni zomzimba eziveziwe.
• Futha isibulala-miyane ezingutsheni zakho, ematendeni, nasemanetheni omiyane.

Futhi, ungathatha imithi yokubulala izibungu ezincane (lokhu kuyinto okufanele yenziwe ngeseluleko sikadokotela, ikakhulukazi uma uya ezindaweni lapho izifo ezibangelwa amagciwane zivame khona).

Yini ongayilindela uma une-Chyluria?

Uma une-Chyluria, amathuba okululama mahle kakhulu . Ungakhathazeki.

Eqinisweni, cishe amaphesenti angama-50 ezimo azixazulula ngokwawo , ngaphandle kokwelashwa. Amaphesenti angaphezu kwama-70 ezimo azixazulula ngokwelashwa okulula. Izinga lempumelelo lalezo zindlela zokwelapha ezinolaka lifinyelela kuma-95%. Ngakho-ke, lesi yisifo esingelapheka.

Kufanele ngimbone nini udokotela?

Uma ubona noma yiziphi izinguquko ezingavamile embala womchamo wakho, ikakhulukazi uma udinga ukuchama njalo, noma uma uzwa ubuhlungu lapho uchama , qiniseka ukuthi ubona udokotela ngokushesha.Akukuhle ukuba nezici ezinjalo.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukubuza imibuzo efana nale:

• Wazi kanjani ukuthi ngine-Chyluria?
• Uma ngingenayo i-Chyluria, kungaba yisiphi esinye isimo?
• Ingabe ngidinga ukwelashwa, noma ucabanga ukuthi lokhu kuzolulama ngokwakho ?
• Ungangipha indlela elula yokwelapha, engangihlaseli kakhulu, noma engangihlaseli?
• Ingabe i-Chyluria ingaphinde ivele?
• Ungangincoma isazi sokudla esihle?

Uyini umehluko phakathi kwe-Chyluria ne-lymphuria?

Lokhu kuhle futhi ukwazi. Igama elithi 'lymphuria' lisho ukuthi umchamo wakho uqukethe i-lymph, kodwa awunawo amafutha.

I-Chyluria yilapho umchamo wakho uqukethe kokubili amafutha kanye noketshezi lwe-lymphatic (olubizwa ngokuthi i-chyle). Yilokhu okwenza umchamo wakho ube nombala ofana nobisi.

Uma umchamo wakho uphenduka ubisi ngokuzumayo, kungaba yinto ekhathazayo kancane. Ngakho-ke, uma ubona noma yiziphi izinguquko ezingavamile embala womchamo wakho, ikakhulukazi uma uchama njalo noma uzwa ubuhlungu lapho uchama , khuluma nodokotela ngokushesha. Angakuthola ukuthi une-Chyluria futhi akunikeze ukwelashwa okufanele kakhulu.

Umyalezo Wokugcina Wokuya Nasekhaya

Kulungile, ngakho-ke sesikhulume kakhulu nge-Chyluria. Nazi ezinye zezinto ezibaluleke kakhulu okufanele uzikhumbule:

• Umchamo ofana nobisi ungase ube yi-Chyluria: Lokhu kubangelwa ukuba khona koketshezi olunamafutha olubizwa ngokuthi 'chyle' emchameni .
• Izimbangela ziyahlukahluka: izifo ezibangelwa amagciwane (ikakhulukazi i-filariasis), izingozi, ukuhlinzwa, izimila, njll.
• Akusona isifo esithathelwanayo: I-Chyluria ayidluliselwa ngqo kusuka komunye umuntu iye komunye.
• Qaphela izimpawu: Ngaphezu komchamo ofana nobisi, izimpawu zingase zihlanganise ukuchama njalo, ubuhlungu ngesikhathi sokuchama , igazi emchameni, kanye nokwehla kwesisindo.
• Iseluleko sezokwelapha sibalulekile: Uma ubona ushintsho embala womchamo wakho , bona udokotela ngokushesha. Ungaziphilisi.
• Kukhona ukwelashwa kanye nokwelashwa: ukudla okunamafutha amancane, imithi, kanye nokuhlinzwa okuncane ngezinye izikhathi kungasithuthukisa kakhulu lesi simo. Akukho okufanele ukhathazeke ngakho.
• Zivikele: Kubalulekile ukuzivikela komiyane ukuze ugweme izilokazane.

Ngakho-ke, ngithemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

I- Chyluria, i-chyle emchameni, umchamo omhlophe ofana nobisi, uhlelo lwe-lymphatic, izifo ezibangelwa yizinambuzane, izinso, i-filariasis