Menene Chylothorax kuma menene babban sanadin

Wadatacce

• Menene sababi
• Yadda ake yin maganin
• Yadda ake ganewa

Chylothorax yana tasowa lokacin da akwai tarin lymph tsakanin matakan da ke layin huhu, wanda ake kira pleurae. Lymph yawanci yakan taru a wannan yankin saboda rauni a cikin jijiyoyin kirji na kirji, wanda ka iya faruwa saboda dalilai irin su rauni, ƙari, kamuwa da cuta ko kuma saboda canjin yanayin haihuwa a cikin jikin jikin jariri.

Chylothorax na iya haifar da alamomi da alamomi irin su rashin numfashi, ciwon kirji ko tari, kuma ana yin maganin ne ta hanyar likitan huhu ko likitan thoracic, wanda zai iya hada da azumi ko amfani da magunguna don rage samar da ruwa a cikin jijiyoyin kwayar cutar, a ƙari ga magudanar ruwa. na ruwan yankin da tiyata don gyara musababbinsa.

Haɗin kowane abu tsakanin pleura ana kiransa ɓarna, kuma chylothorax shine mafi ƙarancin nau'in wannan matsalar, wanda kuma zai iya faruwa saboda tarin ruwaye, jini, kumburi ko iska, misali. Fahimci mafi kyau menene sassaucin murya da yadda yake faruwa.

Menene sababi

Gabaɗaya, chylothorax yakan taso ne saboda toshewa ko wahala tare da kwararar lymph a cikin jijiyoyin lymphatic, kazalika da raunuka a cikin waɗannan tasoshin ko nakasawar rashin lafiyar jikin ta. Babban dalilan sun hada da:

• Raunin kirji, saboda haɗari, faɗuwa, raunin makami ko tiyata;
• Abubuwan da ke haifar da haihuwa, kamar atresia na bututun kirji, ƙwanƙwanƙwan ciki na bututun kirji, nakasawa a cikin jijiyoyin lymph ko ma buguwa yayin haihuwar jariri;
• Ciwan mara kyau ko mugu. Bincika yadda ake gano kansar lymphatic;
• Ciwon mara;
• Cututtukan da ke shafar hanyoyin lymphatic, kamar filariasis, tarin fuka lymphadenitis ko lymphangitis. Fahimci yadda filariasis ke faruwa, kamuwa da cuta wanda aka fi sani da elephantiasis;
• Ciwon mara;
• Cututtukan da ke haifar da tarawar kyallen takarda kamar amyloidosis ko sarcoidosis,

Sauran dalilan sun hada da cutar sankara, hanta cirrhosis ko wasu cututtukan da ke kawo cikas ga jini ko yaduwar kwayar cutar.

Sunan chylothorax ya samo asali ne daga yanayin madara wanda ruwan magudanan ruwa ke da shi, wanda ya kasance sakamakon yawan kitse da aka gabatar a jikin sa, tunda tasoshin lymphatic suna karbar wani bangare na kitsen daga abincin cikin hanji.

Jirgin ruwa na Lymphatic yana da mahimman ayyuka a cikin jiki, wanda ya faro daga shan ruwa mai yawa daga ƙwayoyin jiki, sa hannun mai ba da amsa da jigilar mai. Babban kuma manyan tasoshin wannan nau'in sune bututun kirji, wanda yake a gefen hagu da kuma wanda yake a gefen kirji. Learnara koyo game da yadda yake aiki da mahimmancin tsarin kwayar halitta.

Yadda ake yin maganin

Maganin chylothorax ana nuna shi ne daga likitan huhu kuma ya hada da hanyoyin rage samar da ruwa a cikin tasoshin lymfat, kamar ta hanyar cin abinci mara mai mai yawa, azumi, ciyarwa kawai ta hanyar catheters a cikin jijiyoyin ko amfani da magunguna kamar Somatostatin ko Octreotide, wanda ke aiki rage narkewar narkewar abinci.

Chemotherapy ko radiation na iya nunawa don magance ciwace-ciwacen ƙwayoyi ko nodules waɗanda ke toshe kwararar jiragen ruwa na lymphatic. Yin aikin tiyata da aka yi tare da magudanar ruwa ko kuma yin gyara ga canje-canje a cikin bututun ƙwayoyin cuta na iya zama dole a cikin yanayin inda maganin asibiti bai isa ba.

Yadda ake ganewa

Kwayar cututtukan cututtukan da za su iya tashi saboda cutar pneumothorax sun hada da:

• Ofarancin numfashi;
• Ciwon kirji;
• Saurin numfashi;
• Tari;
• Saurin bugun zuciya;
• Sauke cikin karfin jini.

X-ray na kirji na iya nuna yankin tarin ruwa, duk da haka, ana tabbatar da chylothorax ne kawai bayan samfurin wannan ruwan ya shanye, a tsarin aikin likita da ake kira thoracentesis, wanda ke nuna ruwan madara kuma za a bincika shi a cikin dakin gwaje-gwaje.

Sauran gwaje-gwajen da za a iya yi don taimakawa ganewar asali sun haɗa da duban duban dan tayi, MRI, ko kuma thoracic duct lymphography, alal misali, wanda ke taimakawa wajen gano cutar da kuma banbanta shi da sauran dalilan.