Yala i delila k’i yɛrɛ ɲininka an farikolo kɔnɔ fɛn nɔgɔlenw ni fɛn minnu man ɲi, olu bɛ bɔ cogo min tigitigi wa? I n’a fɔ ji nɔgɔlen bɛ tɛmɛ pibilikiw fɛ so kɔnɔ cogo min na, an farikolo fana bɛ ni o super system kelen ye. An b’o Weele ko lymphatic system. O la bi an bɛna kuma kanal belebele, belebeleba ani nafamaba kan nin sigida in kɔnɔ. O ye barajuru-yɔrɔ ye. N’a sɔrɔ i ma o tɔgɔ mɛn fɔlɔ. Nka nin ye mɔgɔ ye min bɛ baara belebele kɛ an farikolo la a makuntɔ.
N’an y’a fɔ cogo nɔgɔman na, barajuru ye mun ye?
N’an y’a fɔ cogo nɔgɔman na, Thoracic Duct ye farikolojidɛsɛbanakisɛ belebeleba ye . O ye fɛn jan ye min bɛ i n’a fɔ tubabufura, o bɛ daminɛ i kɔnɔbara la, ka boli ka taa sanfɛ ka tɛmɛ i disi fɛ, ka laban i kɔ kɛrɛfɛ.
Aw k’a miiri i n’a fɔ siraba min kɛrɛfɛ siraw bɛ fara ɲɔgɔn kan, ji min bɛ wele ko ``nɔgɔsɔgɔninjɛ`` min bɛ lajɛ ka bɔ ɲɛgɛnɛsira misɛnninw na an farikolo fan bɛɛ la, o bɛ fara nin siraba belebele in kan. O kɔfɛ, nin barajuru in bɛ siri joli siraba dɔ la ``vein`` la kɔ kɛrɛfɛ, ka o nɔgɔji bɔ ka segin an ka joli-sira-funu-yɔrɔ la. Ka Bɔ yen, a bɛ Taa farikolo fan bɛɛ la tuguni.
Fɛɛrɛba fila bɛ yen minnu bɛ kɛ sababu ye ka ɲɛgɛnɛsiralabanaw segin joli la an fari la.
1. Barajuru sira
2. Linfaki kiniyanfan fɛ
Nɔgɔ kiniyanfan fɛ bɛ nɔgɔ lajɛ ka bɔ i kininbolo la, i kun kinin fɛ ani i kɔ kinin fɛ, ani i disi kinin fɛ ka a segin i joli la. Nka, barajuru bɛ nɔgɔw lajɛ ka bɔ i farikolo yɔrɔ tɔw bɛɛ la .
| Kanal tɔgɔ | Yɔrɔ minnu na nɔgɔji bɛ ɲɔgɔn sɔrɔ |
|---|---|
| Barajuru sira | Kungolo, kɔ ani disi kinin fɛ Kɔnɔbara yɔrɔ (kɔnɔna) . Sen fila bɛɛ |
| Duct Lymphatique kinin fɛ | Kungolo, kɔ ani disi kinin fɛ Bolo kinin fɛ |
Nin tubabukan in baara ye mun ye?
Barajuru baara kunba ye ka ɲɛgɛnɛsiraw lajɛ ka bɔ ɲɛgɛnɛsira misɛnninw na farikolo yɔrɔ caman na ka na n’a ye an ka joli-sira-funu-yɔrɔ la. O bɛ dɛmɛ ka ji kɛnɛman hakɛ to an farikolo la ani ka fɛnɲɛnamafagalanw sama.
An k’a lajɛ nin wale in bɛ baara kɛ cogo min na senfɛ-senfɛ:
1. Lajɛ : Fɔlɔ, ɲɛgɛnɛsiraji bɛ lajɛ ka bɔ ɲɛgɛnɛsira misɛnninw na minnu bɛ jɛnsɛn farikolo fan bɛɛ la ka don ɲɛgɛnɛsiraw la minnu ka bon dɔɔni.
2. Nali siraba kan : I n’a fɔ kɛrɛfɛsira misɛnninw bɛ ɲɔgɔn sɔrɔ cogo min na ka kɛ siraba belebeleba ye, nin ɲɛgɛnɛsira belebelebaw bɛɛ bɛ fara ɲɔgɔn kan ka don barajuru la. Siraba min bɛ yen o ye barajuru-yɔrɔ ye.
3. Yɛlɛn: O kɔfɛ, nin nɔgɔ in bɛ taa sanfɛ barajuru sira fɛ. O taama in bɛ Tɛmɛ fo ka Se a kɔ la.
4. A ɲagamini joli la : Ni aw sera yɔrɔ kɛrɛnkɛrɛnnen dɔ la (joli-sira-funu - LVJ) kɔ kinin fɛ, barajuru bɛ siri jolisira belebele dɔ la yen. I n’a fɔ mobili bɛ don siraba kan cogo min na, nɔgɔji bɛ don joli sira fɛ o siraba in fɛ. Ka bɔ yen, a bɛ yaala farikolo fan bɛɛ la i n’a fɔ an ka joli-sira-funu yɔrɔ dɔ.
Don o don, an bɛ ji litiri 3 ɲɔgɔn fara an ka joli-sira-funu-yɔrɔ kan barajuru dɔrɔn fɛ. Yala nin tɛ kabako ye tiɲɛ na wa?
Nɔgɔji suguya kɛrɛnkɛrɛnnen dɔ bɛ yen. A bɛ fɔ a ma ko ‘chyle’ . Nin ye ji ye min bɛ bɔ an ka dumunikɛminɛnw na, wa tulumafɛnw ka ca a la. Nin ‘chyle’ ji in tɛ i n’a fɔ nɔgɔji tɔw, a finman bɛ i n’a fɔ nɔnɔ.
Barajuru sira bɛ min?
A bɛ sɔrɔ i disi cɛmancɛ la . A bɛ an ka aorte, esophagus ani kɔkolo kɛrɛfɛ.
A bɛ daminɛ kɔ duguma, kɔkolo la. Mɔgɔ fanba la, a bɛ daminɛ T12 ni L2 kɔkolo cɛ. A bɛ daminɛ ni sɔgɔsɔgɔninjɛ sira damadɔ minnu bɛ bɔ an senw ni an banakɔtaa la, olu farala ɲɔgɔn kan. Tuma dɔw la, fɛn dɔ bɛ Kɛ i n’a fɔ bɔrɔ, o siraw bɛ Jὲ yɔrɔ min na. A bɛ fɔ a ma ko ‘cisterna chyli’ .
Ka Bɔ yen, o sira in bɛ Taa ka Taa san fɛ ka Tɛmɛ disi fɛ (bara la). Sira kan, a bɛ fara ɲɔgɔn kan ni ɲɛgɛnɛsira wɛrɛw ye. Ni a sera kɔ la, a bɛ kuru ka kɛ jiribolo ye kɔkolo sanfɛ dɔrɔn, ka sɔrɔ ka jigin tugun ka jolisira dɔ fara ɲɔgɔn kan disi sanfɛla la.
O bɛ tali kɛ min tigitigi?
O jɛɲɔgɔnya in sigiyɔrɔ bɛ se ka ɲɔgɔn ta dɔɔni mɔgɔ ni mɔgɔ cɛ. A ka ca a la, a bɛ kɛ yɔrɔ ye min na, numanbolo subclavian vein ni numanbolo kɔnɔna jugula vein bɛ fara ɲɔgɔn kan. Mɔgɔ dɔw la, a bɛ se ka siri o jolisira dɔ la kelen na a danma.
Aw man kan ka nin tɔgɔ ninnu dɔn tigitigi, nka a nafa ka bon operelikɛlaw ka o fɛnw faamuya ka ɲɛ, kɛrɛnkɛrɛnnenya la ni u bɛ disi walima kɔ opereli kɛ.
Barajuru dawolo jɔcogo ye mun ye?
A cogoya bɛ i n’a fɔ tubabukan. A bɛ siri tubabufura misɛnnin wɛrɛw la, u bɛ wele ko ɲɛgɛnɛsiraw. Barajuru kogo bɛ kɛ ni fɛn saba ye. U bɛ Weele ko intima, media ani adventitia. Farikolo nɔgɔlen min bɛ cɛmancɛ la (media) bɛ to ka sɔgɔsɔgɔ. O bɛ to ka ɲɛgɛnɛsira ji lamaga sira kelen fɛ, o kɔrɔ ye ko sanfɛ.
Ani fana, bɔgɔdaga dɔw bɛ yen minnu bɛ sɔrɔ o tubabukan in bɛɛ kɔnɔ. O dawolo bɛ da wuli ni ɲɛgɛnɛsiraji bɛ ka wuli, ka da tugu ni a b’a fɛ ka jigin tuguni. O bɛ ɲɛgɛnɛsiralabanaw bali ka woyo kɔfɛ.
a ka ca a la , barajuru janya bɛ kɛ santimɛtɛrɛ 38 ni 45 cɛ . A cɛmancɛ bɛ ɲɔgɔn ta yɔrɔ ni yɔrɔ, a bɛ daminɛ santimɛtɛrɛ 2 la ka se santimɛtɛrɛ 5 ma .
Bana jumɛnw bɛ se ka nin kanal in minɛ?
Bana damadɔ bɛ yen minnu bɛ se ka barajuru baara bali. Ninnu tɛ banaw ye minnu ka teli ka ye, aw bɛ minnu ye don o don, nka u nafa ka bon ka aw janto u la.
| Dɔgɔtɔrɔso cogoya | Ɲɛfɔli nɔgɔman |
|---|---|
| Chyle ka bɔgɔbɔgɔ | Fasaji min bɛ wele ko ‘chyle’, o bɛ bɔ barajuru la ka taa a lamini yɔrɔw la. Tuma caman na, o bɛ se ka kɛ opereli walima joginda gɛlɛya ye. |
| Kilotorokisi | Nin fana ye ‘chilles’ bɔgɔbɔli ye. Nka yan, kilisi bɛ woyo ka don fogonfogon lamini yɔrɔ la. Nin ye bana sugu dɔ ye min bɛ wele ko pleural effusion. O bɛ se ka taamasiɲɛw bila mɔgɔ la i n’a fɔ ninakilidegun, disi gɛlɛya, ani sɛgɛn. |
| Blockage congénital (Blockage congénital) ye | Barajuru sira tɛ dilan ka dafa a bange waati. Kanal bɛ se ka datugu walima ka datugu ka sɔrɔ a ma siri jolisira dɔ la. A ka ca a la o bɛ ye denw na minnu dusukunnabana jugumanba bɛ u bangenen fɛ. |
O furakɛcogo ye mun ye?
Furakɛli suganditaw bɛ bɔ bana in de la. Aw ka dɔgɔtɔrɔ bɛna fura ɲuman latigɛ aw ye. Furakɛli minnu ka teli ka kɛ, olu dɔw ye:
- Yɛlɛma donna dumuni na waati dɔɔni kɔnɔ: kɛrɛnkɛrɛnnenya la, ka wuli ka taa dumuni tuluma na.
- Fura: Dɔgɔtɔrɔ ye fura minnu fɔ, aw bɛ olu di.
- Fɛɛrɛ min bɛ kɛ ka ji bɔ : Ni ji dalajɛra fogonfogon yɔrɔ la, aw bɛ tubabufura don a kɔnɔ walasa ka ji bɔ (thoracentesis).
- Opereli fɛ ka kanal siri : Aw bɛ kanal siri walasa ka ji bɔli dabila (thoracic duct ligation).
- Fɛɛrɛ min bɛ kɛ ka jibolisira bali ni laɲini ye : Fɛɛrɛ min bɛ kɛ ka jibolisira bali ni fɛn kɛrɛnkɛrɛnnen dɔ ye (thoracic duct embolization).
Ni aw bɛna opereli kɛ aw disi walima aw kɔnɔbara la, aw ka dɔgɔtɔrɔ bɛna a ɲɛfɔ aw ye ni farati fitinin walima faratiba bɛ barajuru tiɲɛni na, ani taamasiɲɛ minnu bɛ se ka sɔrɔ aw la ni aw ye o kɛ.
Min nafa ka bon kosɛbɛ, o ye ko ni ninakili gɛlɛyara, ni disi bɛ gɛlɛya, walima ni sɛgɛn min tɛ deli ka kɛ opereli in ɲɔgɔn kɔfɛ, a nafa ka bon ka dɔgɔtɔrɔ ladɔnniya joona .
A laban na, barajuru ye fɛn nafamaba ye min bɛ an dɛmɛ ka to kɛnɛya la don o don, ni dususuma ye, a kɔfɛ. O ye tubabu jan ye min bɛ Bɔ an kɔnɔbara la ka Tɛmɛ an disi fɛ ka Taa an kɔ la. Hali n’i bɛ se k’a miiri ko o taama jan in don, tiɲɛ yɛrɛ la, a man teli kosɛbɛ k’a tiɲɛ. Wa n’a kɛra, dɔgɔtɔrɔw labɛnnen don k’a furakɛ.
Take-Home cikan
- Barajuru ye sɔgɔsɔgɔninjɛ ye min ka bon ani min nafa ka bon an farikolo la.
- Nin tubabufura in bɛ ji lajɛ farikolo fanba la (senw, kɔnɔbara, disi, ani kungolo numan fɛ) ka segin joli la.
- O nafa ka bon walasa ka ji hakɛ sabati farikolo la ani ka fɛnɲɛnamafagalanw bɔ.
- O tiɲɛni man ca kosɛbɛ, nka gɛlɛyaw bɛ se ka sɔrɔ disi walima kɔnɔbara opereli kɔfɛ walima kasaara sababu fɛ.
- Ni bana taamasiɲɛw bɛ aw la i n’a fɔ ninakili gɛlɛya disi opereli kɔfɛ, aw bɛ taa dɔgɔtɔrɔso la joona.











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