Chii chinonzi Chylothorax uye ndezvipi zvikonzero zvikuru zvinoita

Zvemukati

• Ndezvipi zvikonzero
• Kurapwa kunoitwa sei
• Ungaziva sei

Chylothorax inomuka kana paine kuunganidzwa kwema lymph pakati pezvikamu zvinoteedzera mapapu, anonzi pleurae. Iyo lymph inowanzo kuunganidzwa mudunhu rino nekuda kwechironda mumidziyo yeLymphatic yechipfuva, izvo zvinogona kuitika nekuda kwezvikonzero zvakadai sekushungurudzika, bundu, hutachiona kana nekuda kwekuchinja kwepamuviri mune maitiro emwana achangozvarwa.

Chylothorax inogona kukonzera zviratidzo nezviratidzo sekufema kwekufema, kurwadziwa pachipfuva kana kukosora, uye kurapwa kunoitwa nachiremba wemapapu kana chiremba wechiremba, izvo zvinogona kusanganisira kutsanya kana kushandiswa kwemishonga kudzikisa kugadzirwa kwemvura mumidziyo yeLymphatic, mu Kuwedzera kune drainage. yemudunhu remvura uye kuvhiyiwa kugadzirisa kwayo chikonzero.

Kuunganidzwa kwechinhu chero chipi zvacho pakati pe pleura kunonzi pleural effusion, uye chylothorax ndiyo irwo rudzi rwusina kujairika rwechinetso ichi, izvo zvinogona zvakare kuitika nekuda kwekuunganidzwa kwemvura, ropa, pus kana mweya, semuenzaniso. Nzwisisa zvirinani kuti chii chinonzi pleural effusion uye kuti zvinoitika sei.

Ndezvipi zvikonzero

Kazhinji, chylothorax inomuka nekuda kwekuvhiringidzika kana kunetsekana nekuyerera kweLymph mumidziyo yeLymphatic, pamwe nemaronda ari mumidziyo iyi kana kuberekwa kwakashata kwemaatomu ayo. Izvo zvikonzero zvikuru zvinosanganisira:

• Kushungurudzika kuchifuva, nekuda kwetsaona, kudonha, kukuvara kwezvombo kana kuvhiyiwa;
• Zvikonzero zvekuzvarwa nazvo, zvakadai seatresia yeiyo thoracic duct, congenital fistula yeiyo thoracic duct, kuremara mumidziyo yema lymph kana kunyange kurohwa panguva yekusununguka kwemwana;
• Benign kana yakaipa tumota. Tarisa uone maitiro ekenza yeremphatic;
• Chirwere chinotyisa;
• Zvirwere zvinokanganisa nzira dzeiyo lymphatic, senge filariasis, tuberculous lymphadenitis kana lymphangitis. Nzwisisa kuti filariasis inoitika sei, chirwere chinonziwo elephantiasis;
• Aortic aneurysm;
• Zvirwere zvinokonzeresa kuwanda kwemasuru akadai seamyloidosis kana sarcoidosis,

Zvimwe zvikonzero zvinosanganisira pancreatitis, chiropa cirrhosis kana mamwe syndromes anovhiringidza ropa kana lymphatic kutenderera.

Zita rekuti chylothorax rinotorwa kubva kune mukaka wakawanda une mvura yemidziyo yeLymphatic, chinova chikonzero chemafuta akawandisa aripo mukuumbwa kwawo, sezvo midziyo yeLymphatic inotora chikamu chemafuta kubva pane chikafu chiri mumatumbu.

Midziyo yeLymphatic ine mabasa akakosha mumuviri, kubva pakunwa kwemvura yakawandisa kubva munyama dzomuviri, kutora chikamu kwekudzivirira immune uye kutakura kwemafuta. Midziyo mikuru uye mikuru yerudzi urwu ndeyeti dhayeti, iri kuruboshwe uye mutserendende uri kurudyi rwechipfuva. Dzidza zvakawanda nezve mashandiro ayo uye kukosha kweiyo lymphatic system.

Kurapwa kunoitwa sei

Chylothorax kurapwa kunoratidzwa nepulmonologist uye kunosanganisira nzira dzekudzikisa kugadzirwa kwemvura mumidziyo yeLymphatic, senge kuburikidza nekudya kwakaderera-mafuta, kutsanya, kufudza chete kuburikidza nechetheters mutsinga kana kushandisa mishonga yakadai seSomatostatin kana Octreotide, iyo inoita kudzikira kwekuvhara kwekudya.

Chemotherapy kana radiation radiation inogona kuratidzwa kurapa mamota kana maqhubu ari kutadzisa kuyerera kwemidziyo yeLymphatic. Kuvhiya kunoitwa nemvura inoyerera kana pamwe nekugadziriswa kune shanduko mune ma lymphatic ducts kunogona kudikanwa mune zviitiko apo kurapwa kwekurapa kwanga kusingakwani.

Ungaziva sei

Zviratidzo zvinogona kumuka nekuda kwepneumothorax zvinosanganisira:

• Kufema kwekufema;
• Kurwadziwa pachifuva;
• Kukurumidza kufema;
• Kukosora;
• Kukurumidza kurova kwemoyo;
• Kudonha BP.

X-ray yechipfuva inogona kuratidza nzvimbo yekuunganidzwa kwemvura, zvisinei, iyo chylothorax inongosimbiswa mushure mekunge sampuro yemvura iyi yadirwa, mune yekurapa inonzi thoracentesis, inoratidza mvura ine mukaka uye ichaongororwa murabhoritari.

Mimwe miedzo inogona kuitwa kubatsira kuongororwa inosanganisira chest ultrasound, MRI, kana thoracic duct lymphography, semuenzaniso, iyo inobatsira kuwana icho chironda uye kuchisiyanisa icho kubva kune zvimwe zvikonzero.