Yintoni iChylothorax kwaye zeziphi izizathu eziphambili

Umxholo

• Zintoni izizathu
• Unyango lwenziwa njani
• Indlela yokuchonga

I-Chylothorax ivela xa kukho ukuqokelela kwe-lymph phakathi kweziqendu ezihamba nemiphunga, ebizwa ngokuba yi-pleurae. I-lymph ihlala iqokelela kulo mmandla ngenxa yesilonda kwimithambo ye-lymphatic yesifuba, enokuthi yenzeke ngenxa yezizathu ezinje ngengozi, ithumba, usulelo okanye ngenxa yotshintsho lokuzalwa komzimba ku-anatomy wosana.

I-Chylothorax inokubangela iimpawu kunye neempawu ezinje ngokuphefumla kancinci, iintlungu zesifuba okanye ukukhwehlela, kwaye unyango lwenziwa ngugulmonologist okanye ugqirha we-thoracic, onokuthi ubandakanye ukuzila ukutya okanye ukusetyenziswa kweziyobisi ukunciphisa imveliso yolwelo kwimithambo ye-lymphatic, in Ukongeza kulwelo lwengingqi kunye notyando ukulungisa unobangela.

Ukuqokelelwa kwayo nayiphi na into phakathi kwe-pleura kubizwa ngokuba yi-pleural effusion, kwaye i-chylothorax lolona hlobo luqhelekileyo kule ngxaki, olunokuthi lwenzeke ngenxa yokuqokelela ulwelo, igazi, ubofu okanye umoya, umzekelo. Qonda ngcono ukuba yintoni intsingiselo yencwina kunye nendlela eyenzeka ngayo.

Zintoni izizathu

Ngokubanzi, i-chylothorax ivela ngenxa yokuthintelwa okanye ubunzima bokuhamba kwe-lymph kwimikhumbi ye-lymphatic, kunye nezilonda ezikule mithambo okanye ukungazalwa kakuhle komzimba. Izizathu eziphambili zibandakanya:

• Ukuxhwaleka esifubeni, ngenxa yeengozi, ukuwa, ukonzakala kwezixhobo okanye uqhaqho;
• Izizathu zokuzalwa, ezinjenge-atresia ye-thoracic duct, i-fistula yokuzalwa yendlela ye-thoracic, ukukhubazeka kwimithambo ye-lymph okanye ukubetha ngexesha lokuhanjiswa komntwana;
• Iimpawu ezinobungozi okanye ezinobungozi. Jonga ukuba ungawuchonga njani umhlaza we-lymphatic;
• Isifo semithambo;
• Usulelo oluchaphazela iindlela ze-lymphatic, ezinjenge-filariasis, i-tuberculous lymphadenitis okanye i-lymphangitis. Qonda indlela eyenzeka ngayo i-filariasis, usulelo olwaziwa ngokuba yi-elephantiasis;
• IAortic aneurysm;
• Izifo ezibangela ukuqokelelwa kwezicubu ezinje nge-amyloidosis okanye i-sarcoidosis,

Ezinye izizathu zibandakanya i-pancreatitis, i-cirrhosis yesibindi okanye ezinye ii-syndromes eziphazamisa igazi okanye ukujikeleza kwe-lymphatic.

Igama chylothorax lisuselwa kwimbonakalo yobisi enamanzi emithambo ye-lymphatic, esisiphumo samanqatha agqithisileyo akhoyo ekubunjweni kwawo, kuba iimpahla ze-lymphatic zifunxa inxenye yamafutha kukutya okusemathunjini.

Imikhumbi yeLymphatic inemisebenzi ebalulekileyo emzimbeni, ukusukela ekufunxweni kolwelo olungaphezulu kwizicwili zomzimba, ukuthatha inxaxheba kwempendulo yomzimba wokulwa kunye nokuhanjiswa kwamafutha. Ezona nqanawa ziphambili nezona zikhulu zolu hlobo yimisele yeethora, ebekwe ngasekhohlo kunye nakwindlela ye-lymphatic esekunene kwesifuba. Funda ngakumbi malunga nokuba isebenza njani kunye nokubaluleka kwenkqubo ye-lymphatic.

Unyango lwenziwa njani

Unyango lweChylothorax luboniswa yi-pulmonologist kwaye lubandakanya iindlela zokunciphisa ukuveliswa kolwelo kwimithambo ye-lymphatic, njengokutya okunamafutha asezantsi, ukuzila ukutya, ukondla kuphela ngokusebenzisa i-catheters emithanjeni okanye ukusebenzisa amayeza anjengeSomatostatin okanye iOctreotide, esebenza ukunciphisa ukunciphisa ukutya.

I-Chemotherapy okanye unyango ngemitha kungabonakaliswa ukunyanga izicubu okanye amaqhuqhuva athintela ukuhamba kweenqanawa ze-lymphatic. Utyando olwenziwe nge-fluid drainage okanye ngokulungiswa kutshintsho kwimibhobho ye-lymphatic lunokuba yimfuneko kwiimeko apho unyango lweklinikhi lwalungonelanga.

Indlela yokuchonga

Iimpawu ezinokuvela ngenxa ye-pneumothorax zibandakanya:

• Ukuphefumla okufutshane;
• Iintlungu zesifuba;
• Ukuphefumla ngokukhawuleza;
• Khohlela;
• Ukubetha kwentliziyo okukhawulezayo;
• Yehla kuxinzelelo lwegazi.

Isifuba X-reyi singabonisa indawo yokuqokelelwa kolwelo, nangona kunjalo, i-chylothorax iqinisekiswa kuphela emva kokuba isampulu yolwelo ikhutshiwe, kwinkqubo yezonyango ebizwa ngokuba yi-thoracentesis, ebonisa ulwelo olunobisi kwaye luya kuhlaziywa elebhu.

Olunye uvavanyo olunokuthi lwenziwe ukunceda ukuxilonga lubandakanya isifuba se-ultrasound, iMRI, okanye i-thoracic duct lymphography, umzekelo, enceda ekufumaneni isilonda kwaye yahlule kwezinye izizathu.