So wunim saa afiri tenten a ɛwɔ yɛn moma so yi ho asɛm? (Thoracic Duct) - Momma yensua nsɛm no mu nsɛm!

Ɛnnɛ yɛrebɛka duct ketewa bi a ɛwɔ yɛn nipadua mu a yɛnka ho asɛm pii ho asɛm, nanso ɛdi dwuma titire paa. Ɛte sɛ kokoam kwan bi a ɛwɔ yɛn nipadua mu, a ɛreyɛ n’adwuma komm. So woate saa din yi `(Thoracic Duct)` pɛn? Ebia ɛnte saa. Nanso ɛbɛyɛ wo nwonwa sɛ wubehu sɛnea ɛho hia ma yɛn nipadua no!

Dɛn ne Thoracic Duct no?

Sɛ yɛbɛka no tiawa a, wo Thoracic Duct ne ntini a ɛsõ sen biara a ɛma mogya tu wɔ wo nipadua mu . Fa no sɛ ade tenten bi a ɛte sɛ afiri a efi wo yafunu mu kɔ soro fa wo moma so. Te sɛ ɔkwan kɛse a wɔfa so kɔ mu no, saa Thoracic Duct yi ne ntini akɛse a ɛwɔ wo kɔn mu no di nkitaho. Eyi na ɛma lymph, nsu bi a wɔfrɛ no lymph, san kɔ yɛn mogya mu na etu kwan fa yɛn nipadua nyinaa mu.

Akwan atitiriw abien na ɛboa ma nsu a ɛma mogya tu no san kɔ mogya no mu. Biako ne Thoracic Duct. Ɔfoforo no ne Right Lymphatic Duct . Nsu a efi wo nsa nifa, wo kɔn nifa, wo ti nifa, ne wo koko nifa mu no san kɔ mogya no mu fa Right Lymphatic Duct no mu. Efi baabiara, kyerɛ sɛ:

• Wɔ wo ti, wo kɔn, ne wo moma so benkum so
• Efi wo yafunu mu nyinaa
• Fa wo nan abien no nyinaa

Nsuo a wɔaboaboa ano no, saa `(Thoracic Duct)` yi na ɛkɔ. Hwɛ sɛnea saa duct yi kata beae kɛse!

Dɛn na ɛto saa ahurututu mu ntini yi?

Wo Thoracic Duct boaboa nsu a ɛma mogya tu fi ntini nketenkete pii mu wɔ wo nipadua nyinaa mu. Afei ɛde saa nsu a ɛma mogya tu a wɔaboaboa ano yi kɔ wo mogya a ɛkɔ wo mogya mu no mu. Eyi boa ma nsu a ɛfata kɔ wo nipadua mu na ɛboa nso ma woyi nneɛma a wɔsɛe no fi mu.

Sɛnea Lymph Tu Kwan

Wo de susuw sɛnea eyi ba no ho hwɛ.

1. Nea edi kan no, lymph sen fi `lymphatic capillaries` nketewa paa mu kɔ lymph ntini akɛse kakra mu.

2. Saa ntini akɛseɛ yi - ɛtɔ da bi a wɔfrɛ no ``tributaries'' - ka bom wɔ wo ``Thoracic Duct'' mu. Ɛte sɛ akwan nketewa a ɛwɔ akyirikyiri a ɛtoatoa so a ɛka bom yɛ ɔkwan kɛse. Wo ``Thoracic Duct'' no ne saa ɔkwan kɛse no.

3. Afei, Thoracic Duct no de saa nsu a ɛma mogya tu yi kɔ soro kosi sɛ ebedu baabi a wɔfrɛ no Lymphovenous Junction (LVJ) . Eyi ne baabi a Thoracic Duct no ne ntini anaa ntini bi a ɛwɔ wo kɔn benkum so no di nkitaho.

4. Te sɛ ɔkwan kɛse bi no, nsu a ɛma mogya tu fi Thoracic Duct no mu kɔ ntini no mu. Efi hɔ no, ɛnam wo nipadua nyinaa mu sɛ wo Plasma no fã .

So wunim sɛ da biara, wɔde nsu a ɛma mogya tu bɛyɛ lita 3 ka mogya a ɛkɔ nipadua no mu no ho denam wo `(Thoracic Duct)` so. Eyi nso wɔ lymph soronko bi a wɔfrɛ no `(Chyle) .` Saa `(Chyle)` yi yɛ srade (lipids).Ntini a ɛma mogya tu a aduannuru pii wom. Efi wo aduan mu nhyehyɛe mu. Bere a lymph nsu a ɛwɔ nipadua no afã afoforo no taa mu da hɔ no, saa `(Chyle)` yi yɛ fitaa te sɛ nufusu.

Ɛhe na ahurututu mu ntini no wɔ?

Wo Thoracic Duct no wɔ wo moma so mfinimfini. Ɛbɛn wo Aorta , Esophagus , ne Spine . Efi ase wɔ w’akyi berɛmo no atifi (wɔ T12 ne L2 akyi berɛmo ntam wɔ nnipa dodow no ara mu). Ɛhɔ na ntini pii a ɛde nsu a efi wo nan ne wo dwensɔtwaa mu kɔ ka ho no bom. Ɛtɔ mmere bi a, saa nsu kwan yi bom yɛ ade a ɛte sɛ kotoku a wɔfrɛ no cisterna chyli .

Efi hɔ no, Thoracic Duct no tu kwan kɔ soro. Bere a ɛnam wo moma so (thorax) no, ɛfa ɔkwan a ɛte saa ara so kɔ akyi berɛmo no mu. Wɔ kwan so no, ntini afoforo a ɛma mogya tu ka ho. Bere a ɛbɛn wo kɔn no, ɛbɔ na ɛyɛ ahinanan a ɛkɔ wo kɔn mu dompe no atifi pɛɛ . Afei ɛsan kɔ fam na ɛka ntini anaa ntini bi a ɛwɔ wo moma so atifi no bom.

Ɛhe na ahurututu mu ntini no to mu na ɛboaboa ano?

Beae pɔtee a saa nsu a ɛma mogya tu yi wɔ no betumi ayɛ soronko wɔ onipa biara ho. Ebia wo Thoracic Duct no bɛka wo Benkum Subclavian Vein ne Left Internal Jugular Vein no nhyiam no ho . Anaasɛ, ebetumi abata ntini yi biako ho kɛse, baabi a wohyia no. Ɛtɔ mmere bi a, ebetumi ne Benkum Abɔnten Jugular Vein no abɔ .

Wɔ nnipa dodow no ara mu no, Thoracic Duct no ne ntini bi di nkitaho tẽẽ. Nanso, ɛsono emu biara. Thoracic Duct no tumi nkorabata na ɛsan ba bom ma ɛyɛ duct biako a ɛba awiei. Anaasɛ, ebetumi apaapae ayɛ no ntini abien a ebue kɔ wo ntini mu wɔ ɔkwan soronko so.

Ebia ɛho renhia sɛ wuhu `(Thoracic Duct)` ho nsɛm nketenkete biara. Nanso, akwahosan ho adwumayɛfo, kyerɛ sɛ, nnuruyɛfo, dwen eyi ho bere a wɔreyɛ aduruyɛ ne oprehyɛn ahorow bi no.

Ɔkwan bɛn so na wɔhyehyɛ ahurututu mu ntini no?

Wo Thoracic Duct no nsɛso te sɛ afiri a wɔde fa nsu mu. Ɛwɔ ntini nketenkete pii a ɛka ho. Thoracic Duct no afasu no yɛ ntoatoaso abiɛsa. Wɔfrɛ eyinom Intima , Media, ne Adventitia . Mfinimfini fã (nsɛm ho amanneɛbɔ) no wɔ ntini a ɛyɛ mmerɛw a ɛtwetwe wɔ ɔkwan a wɔahyɛ so . Eyi ne nea ɛma ntini no kɔ so kɔ ɔkwan pa so.

Bere a ntini no sen fa saa kwan yi mu no, ehyia ntini ahorow wɔ mmeae ahorow. Saa ntini ahorow yi a wobue na wɔto mu no boa bio sɛ ​​ntini a ɛma mogya no kɔ ne kwan so.

Fa no sɛ paipu a ɛma nsu sen kɔ baabi biako pɛ. Valve no to mu na ɛmma nsu no ntumi nkɔ akyi.

Wo Thoracic Duct no tenten yɛ sɛntimita 38 kosi 45. Ne ntwemu, anaa nsukorabea no trɛw gu ahorow fi sɛntimita 2 kosi 5 wɔ ne tenten mu.

Nyarewa bɛn na ebetumi aka ahurututu mu ntini no?

Tebea horow bi wɔ hɔ a ebetumi ama wo Thoracic Duct no anyɛ adwuma yiye. Eyinom bi ne:

• Chyle Leak: Eyi ne bere a srade a ɛma mogya tu (Chyle) fi Thoracic Duct no mu kɔ ntini a atwa ho ahyia no mu. Saa nsu a ɛtwetwe yi betumi aba sɛ oprehyɛn mu ɔhaw anaasɛ nea efi ahodwiriw mu ba .
• Chylothorax: Eyi yɛ nsu a ɛtwetwe pɔtee bi. Eyi ne baabi a nsu (chyle) hyɛn ahunmu a atwa w’ahurututu ho ahyia no mu. Eyi yɛ tebea bi a wɔfrɛ no pleural effusion . Eyi betumi ama ne home ayɛ tiaa, ne koko ayɛ den, na wabrɛ.
• Congenital Blockage: Ɛtɔ mmere bi a, ebia Thoracic Duct no rennyin yiye wɔ awo mu. Ebia ntini no bɛto mu ntɛm anaasɛ ɛremmue nkɔ ntini bi mu. Eyi siw mogya a ɛsen no kwan. Wɔtaa hu saa tebea yi wɔ nkokoaa a wɔwɔ komayare a emu yɛ den a wɔde awo wɔn no mu.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ayaresa no gyina tebea no so, nanso ebia nea ɛka ho ne:

• Nsakrae a wobɛyɛ wɔ nnuan a wudi mu bere tiaa bi.
• Nnuru a wɔde yɛ nnuru.
• Adeyɛ a wɔde yi nsu fi mu (sɛ nhwɛso no , thoracentesis ).
• Thoracic Duct Ligation (DLL) oprehyɛn a wɔyɛ no.
• Adeyɛ a wɔde hyɛ da siw ntini no ano (Thoracic Duct Embolization) .

Wo duruyɛfo no bɛgyina wo tebea no so akyerɛ wo nea ɛsɛ sɛ wohwɛ kwan.

Sɛ wɔreyɛ wo koko anaa wo yafunu oprehyɛn a, wo duruyɛfo bɛka akyerɛ wo sɛ hokwan wɔ hɔ sɛ wo thoracic duct betumi asɛe anaa. Wɔbɛkyerɛkyerɛ sɛnkyerɛnne ahorow a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wo ho retɔ wo no nso mu.

Ade a ɛho hia sen biara a ɛsɛ sɛ yesua fi eyi mu

Wo Thoracic Duct yɛ wo nipadua no afã horow pii a ɛyɛ adwuma komm wɔ akyi, na ɛboa ma wo nipadua no yɛ adwuma da biara da no mu biako pɛ. Sɛ wopɛ sɛ wokyerɛ wo Thoracic Duct a, anka ɛsɛ sɛ wotwe nsensanee bi fi wo yafunu mu kɔ wo moma so atifi. Ɛte sɛ afiri tenten bi, nanso edi dwuma titiriw wɔ wo ntini a ɛma mogya tu no mu.

Esiane sɛ ɛtu kwan tenten saa nti, ebia ɛbɛyɛ te sɛ nea hokwan kɛse wɔ hɔ sɛ ɛbɛsɛe `(Thoracic Duct)`, nanso nokwarem no, ɔsɛe a ɛte saa no ntaa mma saa. Sɛ biribi a ɛte saa si a, wo nnuruyɛfo asiesie wɔn ho sɛ wɔbɛsa.

Enti, sɛ wuhu saa afiri ketewaa a ɛwɔ tumi kɛse yi a, ɛbɛboa wo ma woate yɛn nipadua no dwumadi a ɛyɛ nwonwa no fã foforo ase!

` Ntini a ɛma mogya tu, thoracic duct, nipadua nhyehyɛe, gills, lymphatic vessels, mogya a ɛkɔ nipadua no mu, lymph nodes