Ingabe umchamo wakho umhlophe njengobisi? Ingabe kungaba yiChyluria? Ake sithole okwengeziwe ngeNirogi Lanka!

Wake waphawula ukuthi umchamo wakho ubonakala unamafu noma ufana nobisi? Mhlawumbe wake wabona ngisho noketshezi olumhlophe, olufana nobisi ludlula nomchamo wakho? Kungokwemvelo ngokuphelele ukuzizwa ukhathazekile uma ubona lokhu. Namuhla, eNirogi Lanka , sixoxa ngesimo sezokwelapha esingavamile kodwa esibalulekile esibangela lokhu kushintsha kombala komchamo okungavamile, okwaziwa ngokuthi iChyluria .

Kuyini i-Chyluria?

Kalula nje, i-Chyluria yisimo lapho umchamo wakho uqukethe into ebizwa ngokuthi 'i-chyle.' Ungase uzibuze, iyini i-chyle? Uketshezi olumhlophe njengobisi oluphuma ohlelweni lwakho lwe-lymphatic. Lubonakala lufana nobisi ngoba luqukethe izinhlayiya zamafutha ezimuncwa emathunjini akho.

Ngokuvamile, lolu ketshezi lwe-lymphatic namafutha luhamba ngemithambo yakho ye-lymph luye egazini lakho, lapho luthuthwa khona emzimbeni wakho wonke. Kodwa-ke, uma imithambo yakho ye-lymph ingasebenzi kahle, lolu hlobo lwe-chyle alungeni emjikelezweni wegazi njengoba kufanele. Kunalokho, luvuza kwezinye izindawo zomzimba wakho. Uma lolu ketshezi luvuza lungena ezinso zakho, lugcina lukhishwa ngomchamo wakho, okuwunika ukubukeka okufana nobisi.

Kungani umchamo ubukeka njengobisi?

Uma umchamo wakhoibukeka njengobisi, ikhombisa ukuthi i-chyle okukhulunywe ngayo ngenhla ivuza ezinso zakho. Uma ixubene nomchamo wakho, iyaphuma emzimbeni wakho ngesikhathi sokuchama.

Ubani ongathuthukisa i-Chyluria?

Nakuba noma ubani engahlakulela i-Chyluria, ivame kakhulu ezindaweni lapho kutholakala khona ezinye izimuncagazi, njengezingxenye zaseNingizimu Melika, e-Afrika eseningizimu yeSahara, kanye naseNingizimu-mpumalanga ye-Asia (ikakhulukazi eNdiya). Uma uke wahlala noma wavakashela lezi zindawo, ungase ube sengozini enkulu yokuthola i-chyluria ebangelwa yi-parasitic.

Lesi simo sivame ukutholakala kubantu abaneminyaka ephakathi kuka-20 no-40 ubudala. Kodwa-ke, kubalulekile ukuqaphela ukuthi kuye kwabikwa amacala ezinganeni ezineminyaka emihlanu ubudala ngenxa yokutheleleka yizinambuzane.

Kuvamile kangakanani lokhu?

I-Chyluria ibhekwa njengesifo esingavamile kakhulu. Ngisho nasezindaweni lapho ivame khona kakhulu, amacala angaphansi kwe-100 avame ukubikwa minyaka yonke. Akusona isifo esivamile.

I-Chyluria ithinta kanjani umzimba wami?

I-Chyluria ingaholela ekungondleki kahle kanye nokuntuleka kwamavithamini . Lokhu kwenzeka ngoba i-chyle evuza emchameni wakho iqukethe amafutha abalulekile namavithamini ancibilikayo okufanele umzimba wakho umunce, kunokuba ikhiphe.

Ziyini izimpawu ze-Chyluria?

Uphawu oluyinhloko lwe-Chyluria umchamo omhlophe ofana nobisi . Kodwa-ke, kunezinye izimpawu ezingaba khona okufanele uziqaphele:

• Ukufisa njalo ukuchama.
• Ubuhlungu ngesikhathi sokuchama (okwaziwa ngokuthi i-dysuria).
• Igazi emchameni (okwaziwa ngokuthi i-hematuria).
• Ubuhlungu besisu noma umhlane ongezansi.
• Ukwehlisa isisindo okungahlosiwe.
• Ukwehluleka ukukhula (ikakhulukazi ezinganeni).
• Ukukhathala okuqhubekayo.
• Ukugodola.
• Ukuvuvukala kwamalunga (i-peripheral edema).

Yini ebangela i-Chyluria?

Kunezinhlobo ezimbili eziyinhloko zezimbangela ze-Chyluria: ezibangelwa yi-parasitic kanye nezingezona ezibangelwa yi-parasitic .

Izimbangela Zezimbungulu

Ezimweni ezingaba ngu-95%, i-chyluria ebangelwa yi-parasitic ibangelwa yi-roundworm i-Wuchereria bancrofti . Lokhu kutheleleka kuholela esimweni esaziwa ngokuthi i-filariasis.Lesi silwanyana sivimba ngempumelelo imithambo ye-lymph, okubangela ukuvuza.

Ama-5% asele angabangelwa ezinye izimuncagazi, okuhlanganisa:

• I-Taenia echinococcus
• I-Taenia nana (izinhlobo ze-tapeworm)
• I-Ankylostomiasis (ukutheleleka kwe-hookworm)
• I-Trichinosis
• Umalaleveva

Izimbangela Ezingezona Ezibangelwa Yizimuncagazi

I-Chyluria ingavela futhi ngaphandle kwezinambuzane ngenxa yezinye izici eziningana, njenge:

• Ukulimala kwesisu (isb., ngenxa yokulimala).
• Ukuhlinzwa , ikakhulukazi ukuhlinzwa kwe-nephrectomy okungaphelele (ukuhlinzwa kwezinso) noma ukuhlinzwa kwe-scoliosis.
• Izifo ezahlukahlukene.
• Ukwandiswa kwe-lymph node yesisu.
• Izimila (ezingenabungozi neziyingozi).
• Ukwelashwa ngemisebe.
• Amathumba.
• I-Lymphangioma (ukukhubazeka kwe-lymphatic kwesinye noma ezinso).
• I-stenosis (ukuncishiswa) komsele wesifuba.
• Ukukhulelwa (kwezinye izimo).

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, sicela uxhumane neNirogi Lanka noma ufune usizo lwezokwelapha oluphuthumayo ngokushesha ngokushayela u-911 noma uvakashele isibhedlela esiseduze nawe.

Ingabe i-Chyluria iyathelelana?

Cha, i-Chyluria ayisona isifo esithelelanayo . Awukwazi ukudlulisela lesi simo kwabanye ngokuthinta ngokomzimba noma ukuxhumana eduze. Kodwa-ke, uma isimo sakho sibangelwa ukutheleleka kwe-parasite, leso silwanyana esithile singadluliselwa (isibonelo, ngokulunywa umiyane komunye umuntu). Noma kunjalo, isimo se-Chyluria ngokwaso asisakazeki ngqo kusuka kumuntu kuya komunye umuntu.

I-Chyluria itholakala kanjani?

Uchwepheshe wezempilo kuphela onganquma ngokunembile ukuthi une-Chyluria. Udokotela wakho uzobuyekeza ngokucophelela izimpawu zakho futhi ahlele ukuhlolwa okuqondile kokuxilongwa ukuze kutholakale ukuxilongwa.

I-Chyluria iqinisekiswa kanjani?

Ukuhlolwa okuyalelwe udokotela wakho kuzosiza ukuqinisekisa ukuthi kukhona i-Chyluria futhi kutholakale ukuthi i-'chyle' (uketshezi lwe-lymphatic) luvuza kanjani emchameni wakho.

Lezi zivivinyo zingafaka:

• Ukuhlolwa komchamo : Udokotela wakho uzoqoqa isampula yomchamo ukuze ahlole umbala wawo kanye nokubukeka kwawo. Uzobe usuthunyelwa elabhorethri ukuze kutholakale ukuthi kukhona i-'chyle'.
• Ukuhlolwa kwezithombe : Lokhu kungafaka phakathi i -CT scan , i-lymphangiogram (lapho kufakwa khona idayi ekhethekile emithanjeni ye-lymphatic ngaphambi kwe-X-ray), i-MRI , i-X-ray , noma i-ultrasound . Lokhu kusiza ekuboneni noma yikuphi ukuvinjelwa noma ukuvuza ohlelweni lwakho lwe-lymphatic.
• Ukuhlolwa kwe-Triglycerides : Umchamo wabantu abane-Chyluria uvame ukuqukethe ama-triglyceride (uhlobo lwamafutha). Ngisho noma umchamo wakho ungabonakali umhlophe njengobisi, ukuba khona kwala ma-triglyceride kuqinisekisa ukuxilongwa.
• I-Laparoscopy : Lena inqubo yokuhlinzwa engangenisi kakhulu. Ngokwenza izimbobo ezincane esiswini, udokotela ohlinzayo usebenzisa ithubhu ekhethekile efakwe ikhamera (i-laparoscope) ukuthola indawo eqondile yokuvuza kwe-lymphatic. Lokhu kuvame ukugcinelwa izimo lapho ezinye izivivinyo zinganikezanga umphumela ocacile.

Iphathwa kanjani i-Chyluria?

Uma usuxilongiwe eNirogi Lanka, udokotela wakho uzoxoxa ngezinketho zokwelapha ezifanela izidingo zakho, kusukela ekuphathweni okulondolozayo kanye nezinqubo ezingangenisi kakhulu kuya ekuhlinzeni .

Ukwelashwa okulondolozayo

Izindaba ezinhle ukuthi iziguli ezingaphezu kuka-70% ezine-Chyluria zisabela kahle ekwelashweni okulondolozayo.

Ekuqaleni, udokotela wakho uzokweluleka ukuthi uphumule, wandise ukudla kwakho okusamanzi, futhi ulandele ukudla okulawulwa ngokuqinile . Ngokunciphisa amafutha ekudleni, unciphisa ukukhiqizwa kwe-'chyle' emzimbeni wakho, okunciphisa inani elivuzayo ezinso zakho.

Kwezinye izimo, udokotela wakho angase asikisele ukudla okunomsoco okusekelwe kubazali , lapho amakhalori abalulekile kanye nezakhamzimba kulethwa ngqo egazini lakho ngemithambo yegazi kunokuba kudliwe ngokudla ngomlomo.

Ngaphezu kwalokho, kunemithi ethile etholakalayo engasiza ekuphatheni lesi simo.

Ukwelashwa okungenangozi kangako

Uma isimo sakho singathuthuki ngezinyathelo zokulondoloza, inqubo engangenisi kakhulu eyaziwa ngokuthi i-sclerotherapy inganconywa.

Phakathi nale nqubo, udokotela ufaka isixazululo esikhethekile 'se-sclerosing' ethanjeni lezinso. Isidakamizwa esivame ukusetshenziswa kakhulu yi- silver nitrate , yize ezinye zifaka:

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

Lezi zixazululo zisebenza 'ekuvaleni' indawo lapho i-chyle ivuza khona.

Ukwelashwa okungemthetho

Uma izindlela zokulondoloza noma ezingangenisi kakhulu zihluleka ukunikeza impumuzo, ungase udinge ukungenelela kokuhlinzwa . Le nqubo ihilela ukuhlonza umthambo we-lymphatic owonakele nokwenza ukulungiswa kokuhlinzwa.

Yini okufanele uyidle uma une-Chyluria?

Uma kutholakale ukuthi une-Chyluria, udokotela wakho uzokweluleka kakhulu ukuthi udle ukudla okunamafutha amancane futhi okunamaphrotheni amaningi . Faka imifino eluhlaza enamaqabunga amaningi ekudleni kwakho. Kubalulekile futhi ukuqinisekisa ukuthi udla amavithamini A, D, E, kanye no-K ngokwanele.

Nazi ezinye izinketho ezinhle kakhulu zokudla okunamafutha aphansi, okunamaphrotheni amaningi:

• Izinhlanzi : Ikakhulukazi izinhlobo 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 (ubhontshisi, ubhontshisi wezinkomo, ubhontshisi we-mung, kanye nezinhlobo ezahlukene zobhontshisi).
• I-Tofu.
• Ubisi olunamafutha amancane kanye nemikhiqizo yobisi.
• Amantongomane nembewu (kudliwa ngokulinganisela).

Kufanele uhlose ukugcina ukudla kwakho kwansuku zonke kungaphansi kwamagremu angu-25 . Ezigulini eziningi eNirogi Lanka, lokhu kuguqulwa kokudla kuyadingeka amasonto ambalwa kuphela. Udokotela wakho uzokweluleka uma kuphephile ukuqala ukudla okuvamile.

Yimiphi imithi esetshenziswayo ye-Chyluria?

Kunemithi eminingana engasiza ekwelapheni i-Chyluria:

• I-Ezetimibe (Igama lomkhiqizo: Zetia®) : Lo muthi usebenza ngokuvimbela amathumbu akho ekumunceni i-cholesterol, okungasiza ekuphatheni lesi simo.
• Imithi yokulwa nezinambuzane : Uma i-Chyluria yakho ibangelwa ukutheleleka kwezinambuzane, udokotela wakho angase akunikeze imithi efana ne -Ivermectin (Igama lomkhiqizo: Stromectol®) , i-Diethylcarbamazine (Igama lomkhiqizo: Hetrazan®) , i-Albendazole (Igama lomkhiqizo: Albenza®) , noma i-Benzathine penicillin ukuze kuqedwe ukutheleleka.

Uzolulama ngokushesha kangakanani ngemva kokwelashwa?

Kuye ngohlelo lwakho lokwelashwa oluthile, iziguli eziningi ziqala ukuzizwa zikhululekile phakathi kwezinsuku ezimbalwa kuya emavikini ambalwa . Kodwa-ke, sicela ukhumbule ukuthi isikhathi sokululama sisonke siyahlukahluka kuye ngomuntu nomuntu.

Ungayinciphisa kanjani ingozi yokuthola i-Chyluria?

Njengoba imbangela enkulu ye-Chyluria iwukutheleleka yizinambuzane ezidluliselwa omiyane , isu elingcono kakhulu ukuzivikela ekulunyweni omiyane. Ungakwenza lokhu ngokuthi:

• Ugqoke amahembe anemikhono emide kanye namabhulukwe amade, aqinile.
• Ukulala ekamelweni elinomoya opholile noma ngaphansi kwenethi yomiyane.
• Ukufaka imithi yokuxosha omiyane evunyelwe yi-EPA esikhumbeni esiveziwe.
• Ukusebenzisa imithi yokuxosha izinja ezingutsheni zakho, ematendeni, noma emanethini omiyane.

Ngaphezu kwalokho, imithi yokuqeda izibungu ezincane inganikezwa njengendlela yokuvimbela (lokhu kumele kwenziwe ngaphansi kokuqashwa ngudokotela, ikakhulukazi uma uya ezindaweni lapho lezi zifo ezibangelwa amagciwane zisakazeke khona).

Yini okufanele uyilindele uma utholakale une-Chyluria?

Uma utholakale une-Chyluria, isibikezelo sokululama sihle kakhulu . Asikho isidingo sokukhungatheka.

Eqinisweni, cishe ama-50% amacala ayazixazulula ngokwawongaphandle kwesidingo sokungenelela kwezokwelapha okusebenzayo. Amacala angaphezu kuka-70% asabela kahle ekwelashweni okulula, kanti amacala ayinkimbinkimbi nakakhulu anezinga lempumelelo elifinyelela ku-95% ngokunakekelwa kochwepheshe. I-Nirogi Lanka ikukhumbuza ukuthi lesi yisimo esingelapheka kakhulu.

Kufanele ubonane nini nodokotela?

Uma ubona noma yiziphi izinguquko ezingavamile embala womchamo wakho —ikakhulukazi uma uzwa ukuchama njalo noma ubuhlungu ngesikhathi uchama —kufanele ubonane nodokotela ngokushesha . Sicela ungazinaki lezi zimpawu. Uma uhlangabezana nesimo esiphuthumayo, sicela uxhumane no-911 noma nezinsizakalo eziphuthumayo zasendaweni.

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Ngesikhathi sokubonisana kwakho, ungase ufune ukubuza le mibuzo:

• Kwaqinisekiswa kanjani ukuthi nginayo i-Chyluria?
• Uma kungeyona i-Chyluria, yiziphi ezinye izimo ezingachaza izimpawu zami?
• Ingabe ukwelashwa okusebenzayo kuyadingeka, noma kungenzeka ukuthi kuzoxazululeka ngokwako?
• Ingabe uncoma indlela yokwelapha elondolozayo, engangenisi kakhulu, noma yokuhlinzwa?
• Iyini ingozi yokuphinda kwenzeke lesi sifo?
• Ungangithumela kuchwepheshe wezokudla oqeqeshiwe ukuze akusekele ngokudla okunempilo?

Uyini umehluko phakathi kwe-Chyluria ne-Lymfuria?

Kuyasiza ukuqonda umehluko. I-'Lymphuria' isho ukuba khona koketshezi lwe-lymph emchameni wakho ngaphandle kokuqukethwe kwamafutha amaningi.

Nokho, i-'Chyluria' ihilela ukuba khona kwe-lymph kanye namafutha (okubizwa ngokuthi 'chyle') emchameni wakho, okuyikona okwenza ube nokubukeka okumhlophe njengobisi.

Siyaqonda ukuthi ukuqaphela umchamo ofana nobisi kungaba yinto eshaqisayo. Uma ubona noma yiziphi izinguquko ezingavamile, noma uma unezimpawu ezifana nokuchama okuvamile noma okubuhlungu, sicela ukhulume nomhlinzeki wakho wezempilo ngokushesha. Bangaqinisekisa ukuxilongwa futhi banqume uhlelo lokwelashwa olungcono kakhulu kuwe.

Umyalezo Wokugcina Wokuya Nasekhaya

Namuhla sesixoxe kabanzi nge-Chyluria. Nazi izinto ezibaluleke kakhulu okufanele uzikhumbule:

• Umchamo omhlophe ofana nobisi ungase ubonise i-Chyluria: Lokhu kwenzeka ngenxa yokuba khona kwe-'chyle,' uketshezi lwe-lymphatic olucebile ngamafutha, ngaphakathi komchamo wakho.
• Izimbangela ezahlukahlukene eziyisisekelo: Kungabangelwa izifo ezibangelwa amagciwane (ikakhulukazi i-Filariasis), ukulimala ngokomzimba, izinkinga zokuhlinzwa, noma ukukhula okungavamile.
• Akusona isimo esithathelwanayo: I-Chyluria ayidluliselwa ngokuqondile isuka komunye umuntu iye komunye.
• Ukuqaphela izimpawu: Ngaphezu komchamo onombala ofana nobisi, ungase uzwe ukuchama njalo, ubuhlungu ngesikhathi sokuchama, igazi emchameni, noma ukwehla kwesisindo ngendlela engachazeki.
• Ukubonisana nodokotela ochwepheshe kubalulekile: Uma ubona ushintsho oluqhubekayo embala womchamo wakho, sicela uxhumane nodokotela ngokushesha. Ungazami ukuzelapha.
• Izinketho zokwelapha ziyatholakala: Lesi simo singalawuleka futhi sivame ukwelashwa ngokudla okunamafutha amancane, imithi eqondiwe, noma, kwezinye izimo, ukuhlinzwa okuncane. Sicela ungakhathazeki.
• Ukuvimbela: Ukuze uzivikele ezifweni ezibangelwa yizinambuzane, thatha izinyathelo zokuvimbela ukulunywa omiyane.

Sithemba ukuthi lolu lwazi luzokusiza endleleni yakho eya empilweni enhle. Hlala uphilile neNirogi Lanka!

Amagama angukhiye: I-Chyluria, I-Chyle emchameni, Umchamo omhlophe ofana nobisi, Uhlelo lwe-lymphatic, Izifo ezibangelwa amagciwane, Izinso, i-Filariasis