Ua noʻonoʻo paha ʻoe pehea e wehe ʻia ai nā ʻōpala a me nā mea pono ʻole i loko o ko kākou kino? E like me ka wai lepo e hele ana ma o nā paipu i loko o ka hale, loaʻa i ko kākou kino kahi ʻōnaehana super like. Kāhea mākou i kēia ʻōnaehana lymphatic. No laila i kēia lā e kamaʻilio mākou e pili ana i ke kahawai nui, nui loa a koʻikoʻi loa i loko o kēia ʻōnaehana. ʻO ia ka thoracic duct. ʻAʻole paha ʻoe i lohe i kēia inoa ma mua. Akā, he kanaka kēia e hana mālie ana i kahi lawelawe nui i ko kākou kino.
I ka ʻōlelo maʻalahi, he aha ka Thoracic Duct?
I ka ʻōlelo maʻalahi, ʻo ka Thoracic Duct ka moku lymphatic nui loa i loko o kou kino . He ʻano paipu lōʻihi ia e hoʻomaka ana ma kou ʻōpū, holo i luna ma kou umauma, a hoʻopau kokoke i kou ʻāʻī.
E noʻonoʻo iā ia e like me ke alaloa me nā alanui ʻaoʻao e hui pū ana, ʻo ke wai i kapa ʻia ʻo "lymph" e hōʻiliʻili ana mai nā kahawai lymph liʻiliʻi ma o ko mākou kino e hui pū me kēia duct nui. A laila pili kēia duct thoracic i kahi kīʻaha koko nui "vein" kokoke i ka ʻāʻī, a hoʻokuʻu i kēlā wai lymph i loko o kā mākou ʻōnaehana hoʻopuni koko. Mai laila mai, hele hou ia ma ke kino.
ʻElua ala nui e hoʻihoʻi ʻia ai ka wai lymph i ke koko i loko o ko mākou kino.
1. ʻAuwaha ʻōpū
2. ʻAuwaha Lymphatic ʻĀkau
ʻO ka ʻāpana lymphatic ʻākau e hōʻiliʻili i ka lymph mai kou lima ʻākau, ka ʻaoʻao ʻākau o kou poʻo a me kou ʻāʻī, a me ka ʻaoʻao ʻākau o kou umauma a hoʻihoʻi iā ia i kou kahe koko. Eia nō naʻe, ʻo ka ʻāpana thoracic e hōʻiliʻili i ka lymph mai aneane nā ʻāpana ʻē aʻe o kou kino .
| Inoa o ke kahawai | Nā wahi e hōʻiliʻili ai ka wai lymph |
|---|---|
| ʻAuwaha ʻōpū | ʻAoʻao hema o ke poʻo, ka ʻāʻī, a me ka umauma ʻĀpana ʻōpū (ʻōpū) Nā wāwae ʻelua |
| ʻAuwaha Lymphatic ʻĀkau | ʻAoʻao ʻākau o ke poʻo, ka ʻāʻī, a me ka umauma Lima ʻākau |
He aha ka hana a kēia paipu?
ʻO ka hana nui o ke ala thoracic, ʻo ia ka hōʻiliʻili ʻana i ka lymph mai nā kahawai lymph liʻiliʻi ma nā wahi like ʻole o ke kino a lawe mai i kā mākou ʻōnaehana hoʻopololei koko. Kōkua kēia i ka mālama ʻana i nā pae wai olakino i loko o ko mākou kino a kānana i nā huahana ʻōpala.
E nānā kākou pehea e hana ai kēia kaʻina hana i kēlā me kēia ʻanuʻu:
1. Hōʻiliʻili: ʻO ka mea mua, hōʻiliʻili ka wai lymph mai nā capillaries lymphatic liʻiliʻi loa i hohola ʻia ma ke kino a komo i loko o nā kīʻaha lymphatic nui iki.
2. Ke hele mai nei i ke alanui nui: E like me ka hui pū ʻana o nā alanui ʻaoʻao liʻiliʻi e hana i alanui nui, hui pū kēia mau kīʻaha lymphatic nui a pili i ka thoracic duct. ʻO ke alanui nui ma ʻaneʻi ʻo ia ka thoracic duct.
3. Piʻi ʻana: A laila hele kēia lymph i luna ma ke ala thoracic. Hoʻomau kēia huakaʻi a hiki i ka ʻāʻī.
4. Ke kāwili ʻana me ke koko: Ma hope o ka hiki ʻana i kahi hui kūikawā (lymphovenous junction - LVJ) ma ka ʻaoʻao hema o ka ʻāʻī, pili ka thoracic duct i kahi aʻa nui ma laila. E like me ke kaʻa e komo ana i ke alaloa, komo ka wai lymph i loko o ka aʻa ma o kēia duct. Mai laila mai, kaʻapuni ia ma ke kino holoʻokoʻa ma ke ʻano he ʻāpana o ko kākou plasma koko.
I kēlā me kēia lā, hoʻohui mākou ma kahi o 3 lita o ka wai i kā mākou ʻōnaehana hoʻopololei ma o ke ala thoracic wale nō. ʻAʻole anei kēia he mea kupaianaha maoli?
Aia kekahi ʻano kūikawā o ka wai lymph. Ua kapa ʻia ʻo 'chyle' . He wai kēia e puka mai ana mai kā mākou ʻōnaehana hoʻoheheʻe a kiʻekiʻe i nā lipids. ʻAʻole e like me nā wai lymph ʻē aʻe, he keʻokeʻo waiū kēia wai 'chyle'.
Aia ma hea ka ʻauwai thoracic?
Aia ia ma waenakonu o kou umauma . Aia ia ma kahi kokoke i ko kākou aorta, esophagus, a me ka iwi kuamoʻo.
Hoʻomaka ia ma ke kua haʻahaʻa, ma ka iwi kuamoʻo lumbar. I ka hapa nui o nā kānaka, hoʻomaka ia ma waena o nā iwi kuamoʻo T12 a me L2. Hoʻomaka ia i ka wā e hui pū ai kekahi mau kahawai lymph mai ko mākou mau wāwae a me nā ʻōpū. I kekahi manawa, hana ʻia kahi ʻano like me ka ʻeke ma kahi e hui ai kēia mau kahawai. Ua kapa ʻia ʻo ia he 'cisterna chyli' .
Mai laila mai, hele pololei kēia duct i luna ma o ka umauma (thorax). Ma ke ala, hui pū ʻia me nā kīʻaha lymphatic ʻē aʻe. Ke hiki i ka ʻāʻī, piʻo ia i loko o kahi ʻāʻī ma luna pono o ka iwi collar, a laila iho hou e hui me kahi aa ma ka umauma luna.
Ma hea e pili pono ai kēia?
Hiki ke ʻokoʻa iki ke wahi o kēia pilina mai kēlā kanaka a kēia kanaka. ʻO ka maʻamau, ʻo ia kahi e hui ai ka aʻa subclavian hema a me ka aʻa jugular kūloko hema. I kekahi poʻe, hiki ke pili pū i kekahi o kēia mau aʻa ma ke kaʻawale.
ʻAʻole pono ʻoe e ʻike pololei i kēia mau inoa, akā he mea nui i nā kauka hana ke hoʻomaopopo maikaʻi i kēia mau hale, ʻoiai ke hana nei i nā ʻoki umauma a ʻāʻī paha.
He aha ke ʻano o ke ala thoracic?
Ua like kona ʻano me kahi paipu. Hoʻopili ʻia ia me nā paipu liʻiliʻi ʻē aʻe, i kapa ʻia ʻo nā lymphatic ducts. Hana ʻia ka paia o ke thoracic duct i ʻekolu papa. Ua kapa ʻia lākou ʻo intima, media a me adventitia. Hoʻopaʻa mau ka ʻiʻo laumania ma ka papa waena (media). Mālama kēia i ka neʻe ʻana o ka wai lymph i hoʻokahi ʻaoʻao, ʻo ia hoʻi, i luna.
Eia kekahi, aia nā kiwikā i loko o kēia paipu. Wehe kēia mau kiwikā i ka wā e neʻe ana ka wai lymph i luna, a pani i ka wā e hoʻāʻo ana e iho hou i lalo. Pale kēia i ka wai lymph mai ke kahe ʻana i hope.
ʻO ka maʻamau, ʻo ke ala thoracic ma waena o 38 a me 45 kenimika ka lōʻihi . ʻOkoʻa kona anawaena mai kēlā wahi a i kēia wahi, mai 2 a 5 kenimika .
He aha nā maʻi e hiki ke hoʻopilikia i kēia duct?
Aia kekahi mau kūlana e hiki ke hoʻopilikia i ka hana o ke ala thoracic. ʻAʻole kēia nā kūlana maʻamau āu e ʻike ai i kēlā me kēia lā, akā he mea nui e makaʻala.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| ʻO Chyle Leak | Hoʻokahe ka wai lymph momona, i kapa ʻia ʻo 'chyle', mai loko mai o ke kahawai thoracic i loko o nā ʻiʻo a puni. Hiki ke hana pinepine ʻia kēia ma ke ʻano he pilikia o ke ʻoki ʻana a i ʻole ka trauma. |
| ʻO Chylothorax | He leaka 'chills' nō hoʻi kēia. Akā ma ʻaneʻi, lele nā chills i loko o ka hakahaka a puni nā māmā. He ʻano kūlana kēia i kapa ʻia ʻo pleural effusion. Hiki i kēia ke hana i nā hōʻailona e like me ka pōkole o ka hanu, ka paʻa o ka umauma, a me ka luhi. |
| Ka Pale ʻana o ka Hānau | ʻAʻole i hoʻokumu piha ʻia ke kahawai thoracic i ka wā hānau. Hiki ke ālai ʻia a ālai ʻia paha ke kahawai me ka ʻole o ka pili ʻana i kahi aa koko. ʻIke pinepine ʻia kēia i nā pēpē me ka maʻi puʻuwai hānau koʻikoʻi. |
He aha ka lāʻau lapaʻau no kēia?
Aia nā koho lapaʻau i ke kūlana. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu. ʻO kekahi o nā lāʻau lapaʻau maʻamau:
- Nā loli pōkole i ka ʻai: ʻoi aku ka hoʻololi ʻana i ka ʻai haʻahaʻa momona.
- Lāʻau lapaʻau: Ke hāʻawi ʻana i nā lāʻau lapaʻau i kauoha ʻia e ke kauka.
- He kaʻina hana e wehe ai i ka wai: Inā ua hōʻiliʻili ʻia ka wai i loko o ka hakahaka o ka māmā, hoʻokomo ʻia kahi ʻōmole e wehe ai i ka wai (thoracentesis).
- Ke nakinaki ʻana i ke kahawai ma ke ʻoki kino: Ke nakinaki ʻana i ke kahawai e hoʻōki i ka liki (thoracic duct ligation).
- He ʻano hana no ke ālai ʻana i ke kahawai: He ʻano hana no ke kāohi ʻana i ka liki ʻana ma ke ālai ʻana i ke kahawai me kahi mea kūikawā (thoracic duct embolization).
Inā e hana ʻia ʻoe i ke ʻoki kino ma kou umauma a i ʻole kou ʻōpū, e wehewehe kāu kauka iā ʻoe inā he liʻiliʻi a koʻikoʻi paha ka pilikia o ka hōʻino ʻana i ke ala thoracic, a me nā hōʻailona āu e ʻike ai inā hana ʻoe.
ʻO ka mea nui loa, inā pilikia ʻoe i ka hanu ʻana, ka paʻa o ka umauma, a i ʻole ka luhi maʻamau ma hope o ke ʻoki kino e like me kēia, he mea nui e hoʻomaopopo koke i kāu kauka .
ʻO ka mea hope loa, ʻo ke alaloa thoracic kahi ʻano koʻikoʻi e kōkua mālie ana iā mākou e noho olakino i kēlā me kēia lā. He ʻōmole lōʻihi ia e holo ana mai ko mākou ʻōpū ma o ko mākou umauma a i ko mākou ʻāʻī. ʻOiai paha ʻoe e manaʻo he huakaʻi lōʻihi loa ia, he mea kakaikahi loa ia e hōʻino ʻia. A inā hana ia, ua mākaukau nā kauka e mālama iā ia.
Leka Lawe-Home
- ʻO ka Thoracic Duct ka duct lymphatic nui loa a koʻikoʻi loa i loko o ko mākou kino.
- Hoʻiliʻili kēia ʻōmole i ka wai mai ka hapa nui o ke kino (nā wāwae, ka ʻōpū, ka umauma, a me ka ʻaoʻao hema o ke poʻo) a hoʻihoʻi i ke kahe koko.
- He mea nui kēia no ka mālama ʻana i ke kaulike wai i loko o ke kino a me ka wehe ʻana i nā huahana ʻino.
- He mea kākaʻikahi loa ka hōʻino ʻana i kēia, akā hiki ke loaʻa nā pilikia ma hope o ke ʻoki ʻana o ka umauma a i ʻole ka ʻōpū a i ʻole ma muli o nā ulia.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka paʻakikī o ka hanu ʻana ma hope o ke ʻoki umauma, e ʻike koke i kāu kauka.
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