Kodi Chylothorax ndi ziti zomwe zimayambitsa

Zamkati

• Zomwe zimayambitsa
• Momwe mankhwalawa amachitikira
• Momwe mungadziwire

Chylothorax imachitika pakakhala kuchuluka kwa ma lymph pakati pazigawo zomwe zimayendetsa mapapu, otchedwa pleurae. Lymphic nthawi zambiri imasonkhana m'dera lino chifukwa chotupa m'mitsempha ya m'chifuwa, yomwe imatha kuchitika chifukwa cha zovuta monga zotupa, chotupa, matenda kapena chifukwa chobadwa kwa mwana wakhanda.

Chylothorax imatha kuyambitsa zizindikilo monga kupuma movutikira, kupweteka pachifuwa kapena chifuwa, ndipo mankhwalawa amachitidwa ndi pulmonologist kapena a thoracic surgeon, omwe atha kuphatikizira kusala kapena kugwiritsa ntchito mankhwala osokoneza bongo kuti achepetse kutulutsa kwamadzi m'mitsuko ya mitsempha, mu kuwonjezera pa ngalande. zam'madzi ndikuchitidwa opaleshoni m'derali kuti athetse zoyambitsa zake.

Kudzikundikira kwa chinthu chilichonse pakati pa pleura kumatchedwa pleural effusion, ndipo chylothorax ndiye vuto lodziwika bwino kwambiri, lomwe limatha kuchitika chifukwa cha kuchuluka kwa madzi, magazi, mafinya kapena mpweya, mwachitsanzo. Mvetsetsani bwino tanthauzo la kupembedzera kopembedzera komanso momwe zimachitikira.

Zomwe zimayambitsa

Nthawi zambiri, chylothorax imayamba chifukwa chakulepheretsa kapena kuvutikira kwamitsempha m'mitsempha yama lymphatic, komanso zotupa m'mitunduyi kapena kubadwa kwamatenda ake. Zomwe zimayambitsa ndi izi:

• Kupwetekedwa pachifuwa, chifukwa cha ngozi, kugwa, kuvulala kwa zida kapena opaleshoni;
• Zomwe zimayambitsa kubadwa, monga atresia of the thoracic ruct, congenital fistula of the thoracic ruct, kufooka kwa zotengera zam'mimba kapena ngakhale kuphulika panthawi yobereka mwana;
• Zotupa zowopsa kapena zoyipa. Onani momwe mungadziwire khansa yam'mimba;
• Venous thrombosis;
• Matenda omwe amakhudza njira zamitsempha, monga filariasis, tuberculous lymphadenitis kapena lymphangitis. Mvetsetsani momwe filariasis imachitikira, matenda omwe amadziwikanso kuti elephantiasis;
• Aneurysm kung'ambika;
• Matenda omwe amayambitsa kuchuluka kwa ziphuphu monga amyloidosis kapena sarcoidosis,

Zimayambitsa zina kapamba, chiwindi cirrhosis kapena ma syndromes ena omwe amasokoneza magazi kapena ma lymphatic circulation.

Dzinalo chylothorax limachokera kumtundu wamkaka womwe madzi am'madzi am'mimba amakhala nawo, zomwe zimadza chifukwa cha mafuta ochulukirapo omwe amapezeka, popeza zotengera zam'madzi zimatenga gawo lina lamafuta kuchokera pachakudya m'matumbo.

Zombo za mitsempha yamagazi zimakhala ndi ntchito zofunikira mthupi, kuyambira kuyamwa kwamadzimadzi owonjezera amthupi, kutenga nawo mbali chitetezo chamthupi komanso mayendedwe amafuta. Zombo zazikulu komanso zazikulu kwambiri zamtunduwu ndizolowera zamtundu wa thoracic, zomwe zili kumanzere ndi njira yolumikizira mitsempha yomwe ili kumanja kwa chifuwa. Phunzirani zambiri za momwe imagwirira ntchito komanso kufunika kwama lymphatic system.

Momwe mankhwalawa amachitikira

Chylothorax chithandizo amawonetsedwa ndi pulmonologist ndipo chimaphatikizapo njira zochepetsera kupanga madzi mumitsuko yama lymphatic, monga kudzera pamafuta ochepa, kusala kudya, kudyetsa kokha kudzera m'matumba am'mitsempha kapena kugwiritsa ntchito mankhwala monga Somatostatin kapena Octreotide, omwe amachita kuchepa kwamitsempha yam'mimba.

Chemotherapy kapena ma radiation angawonetsedwe kuti azichiza zotupa kapena ma nodule omwe amalepheretsa kuyenda kwa zotengera za mitsempha yamagazi. Kuchita maopareshoni pogwiritsa ntchito madzi amadzimadzi kapena kukonza m'mitsempha yama lymphatic kungakhale kofunikira ngati chithandizo chamankhwala sichinali chokwanira.

Momwe mungadziwire

Zizindikiro zomwe zimatha kuchitika chifukwa cha pneumothorax ndi monga:

• Kupuma pang'ono;
• Kupweteka pachifuwa;
• Kupuma mofulumira;
• Chifuwa;
• Fast kugunda kwa mtima;
• Kutaya magazi.

X-ray pachifuwa imatha kuwonetsa komwe madzi amadzikundikira, komabe, chylothorax imangotsimikizika pambuyo poti madzi amadzimadziwo adatsanulidwa, munjira yamankhwala yotchedwa thoracentesis, yomwe imawonetsa madzi amkaka ndipo adzawunikiridwa labotale.

Mayesero ena omwe angapangidwe kuti athandizidwe ndi monga chifuwa cha ultrasound, MRI, kapena thoracic duct lymphography, mwachitsanzo, zomwe zimathandiza kupeza chotupacho ndikusiyanitsa pazifukwa zina.