Ua ʻike anei ʻoe e pili ana i kēia ʻōmole lōʻihi i loko o ko mākou umauma? (Thoracic Duct) - E aʻo kākou i nā kikoʻī!

I kēia lā, e kamaʻilio kākou e pili ana i kahi duct liʻiliʻi i loko o ko kākou kino a ʻaʻole kākou e kamaʻilio nui e pili ana, akā he kuleana koʻikoʻi loa ia. Ua like ia me kahi alahele huna i loko o ko kākou kino, e hana mālie ana i kāna hana. Ua lohe anei ʻoe i kēia inoa ʻo `(Thoracic Duct)`? ʻAʻole paha. Akā e kahaha ʻoe i ka ʻike ʻana i kona koʻikoʻi i ko kākou kino!

He aha ka ʻōnaehana Thoracic?

I ka ʻōlelo maʻalahi, ʻo kou Thoracic Duct ka moku lymphatic nui loa i loko o kou kino . E noʻonoʻo iā ia he ʻano paipu lōʻihi e like me ke ʻano e holo ana mai kou ʻōpū a hiki i kou umauma. E like me ke komo ʻana o ke alaloa, pili kēia Thoracic Duct i nā aa nui i loko o kou ʻāʻī. ʻO kēia ka mea e ʻae ai i ka lymph, kahi wai i kapa ʻia ʻo lymph, e hoʻi i ko mākou kahe koko a hele i loko o ko mākou kino.

ʻElua mau ala nui e kōkua ai i ka hoʻihoʻi ʻana i ka wai lymph i loko o ke kahe koko. ʻO kekahi ka Thoracic Duct. ʻO kekahi ka Right Lymphatic Duct . ʻO ka wai lymph mai kou lima ʻākau, ka ʻaoʻao ʻākau o kou ʻāʻī, ka ʻaoʻao ʻākau o kou poʻo, a me ka ʻaoʻao ʻākau o kou umauma e hoʻi i loko o ke kahe koko ma o ka Right Lymphatic Duct. Mai nā wahi ʻē aʻe a pau, ʻo ia hoʻi:

• Ma ka ʻaoʻao hema o kou poʻo, ʻāʻī, a me ka umauma
• Mai kou ʻōpū holoʻokoʻa
• Me kou mau wāwae ʻelua

ʻO ka wai lymph i hōʻiliʻili ʻia e lawe ʻia aku e kēia `(Thoracic Duct)`. E nānā i ka nui o ka wahi i uhi ʻia e kēia duct!

He aha ka mea e hana ʻia ana i kēia ʻauwai thoracic?

Hōʻiliʻili kāu Thoracic Duct i ka wai lymph mai nā kahawai lymph liʻiliʻi he nui ma kou kino. A laila hāʻawi ia i kēia wai lymph i hōʻiliʻili ʻia i kāu ʻōnaehana hoʻopololei koko. Kōkua kēia i ka mālama ʻana i nā pae wai olakino i loko o kou kino a kōkua pū kekahi i ka kānana ʻana i nā huahana ʻōpala.

Pehea e neʻe ai ʻo Lymph

E noʻonoʻo pehea e hana ai kēia.

1. ʻO ka mua, kahe ka lymph mai nā 'lymphatic capillaries' liʻiliʻi loa i loko o nā kīʻaha lymph nui iki.

2. Hoʻohui pū kēia mau kīʻaha lymph nui - i kekahi manawa i kapa ʻia ʻo "tributaries" - i loko o kāu "Thoracic Duct". Ua like ia me kahi moʻo o nā ala liʻiliʻi e hui pū ana e hana i kahi alaloa nui. ʻO kāu "Thoracic Duct" kēlā alaloa.

3. ʻO ka mea aʻe, lawe ka Thoracic Duct i kēia wai lymph i luna a hiki i kahi i kapa ʻia ʻo Lymphovenous Junction (LVJ) . ʻO kēia kahi e pili ai ka Thoracic Duct i kahi aa koko a i ʻole nā ​​aa koko ma ka ʻaoʻao hema o kou ʻāʻī.

4. E like me nā kaʻa e hui pū ana ma ke alaloa, kahe ka lymph mai ka Thoracic Duct i loko o nā aa koko. Mai laila mai, hele ia ma kou kino holoʻokoʻa ma ke ʻano he ʻāpana o kāu Plasma .

Ua ʻike anei ʻoe i kēlā me kēia lā, ma kahi o 3 lita o ka wai lymph e hoʻohui ʻia i ka ʻōnaehana hoʻohele koko ma o kāu `(Thoracic Duct)`. Loaʻa iā ia kahi ʻano lymph kūikawā i kapa ʻia ʻo `(Chyle) `. Hana ʻia kēia `(Chyle)` me nā momona (lipids).He ʻano lymph i waiwai i nā meaolaola. Loaʻa ia mai kāu ʻōnaehana hoʻoheheʻe. ʻOiai ʻo ka wai lymph ma nā wahi ʻē aʻe o ke kino he moakāka, ʻo kēia `(Chyle)` he keʻokeʻo waiū.

Aia ma hea ka ʻauwai thoracic?

Aia kou Thoracic Duct ma waenakonu o kou umauma. Aia ia ma kahi kokoke i kou Aorta , Esophagus , a me Spine . Hoʻomaka ia ma ka piko o kou spine lumbar (ma waena o nā vertebrae T12 a me L2 i ka hapa nui o nā kānaka). ʻO ia kahi e hui pū ai kekahi mau kahawai lymph, me nā mea e lawe ana i ka lymph mai kou mau wāwae a me nā ʻōpū. I kekahi manawa e hui pū kēia mau kahawai e hana i kahi ʻano like me ka ʻeke i kapa ʻia he cisterna chyli .

Mai laila mai, hele ka Thoracic Duct i luna. I kona hele ʻana ma kou umauma (thorax), hahai ia i kahi ala like me ke kaula spinal. Ma ke ala, hui pū ʻia me nā lymphatic ducts ʻē aʻe. I kona hoʻokokoke ʻana i kou ʻāʻī, piʻo ia a hana i kahi ʻāʻī e hele ana ma luna pono o kou iwi collarbone . A laila piʻo hou ia i lalo a hui pū me kahi aa a i ʻole nā ​​aa ma kou umauma luna.

Ma hea kahi e pani ai a hōʻiliʻili ai ke ala thoracic?

Hiki ke ʻokoʻa ke wahi kikoʻī o kēia wai lymph mai kēlā kanaka a kēia kanaka. Hiki i kou Thoracic Duct ke pili i ka hui ʻana o kou aʻa Subclavian Hema a me ka aʻa Jugular Kūloko Hema . A i ʻole, hiki ke pili pono i kekahi o kēia mau aʻa, kahi e hui ai lāua. I kekahi manawa, hiki ke pili i ka aʻa Jugular Kūwaho Hema .

I ka hapa nui o nā kānaka, pili pololei ka Thoracic Duct i kahi aa koko. Eia nō naʻe, aia nā ʻano like ʻole. Hiki i ka Thoracic Duct ke lālā a hoʻi hou mai e hana i hoʻokahi duct terminal. A i ʻole, hiki iā ia ke māhele i ʻelua mau duct e wehe ʻokoʻa i loko o kou mau aa koko.

ʻAʻole paha ʻoe e pono e ʻike i nā kikoʻī liʻiliʻi a pau e pili ana i ka `(Thoracic Duct)`. Eia nō naʻe, hopohopo nā mea lawelawe olakino, ʻo ia hoʻi nā kauka, e pili ana i kēia i ka wā e hana ai i kekahi mau kaʻina hana lapaʻau a me nā ʻoki kino.

Pehea i hana ʻia ai ke ala thoracic?

Ua like ke ʻano o kou Thoracic Duct me kahi paipu. He nui nā kahawai lymph liʻiliʻi i pili iā ia. Hana ʻia nā paia o ka Thoracic Duct i ʻekolu papa. Ua kapa ʻia kēia mau mea ʻo Intima , Media, a me Adventitia . Loaʻa i ka papa waena (ka media) nā ʻiʻo pahee e ʻaelike ana ma ke ʻano i kāohi ʻia . ʻO kēia ka mea e hoʻomau i ka neʻe ʻana o ka lymph i ke ala kūpono.

I ke kahe ʻana o ka lymph ma kēia kahawai, hālāwai ia me nā valves ma nā wahi like ʻole. ʻO ka wehe ʻana a me ka pani ʻana o kēia mau valves e kōkua hou aku i ke kahe ʻana o ka lymph ma kona ala.

E noʻonoʻo iā ia e like me ka paipu e ʻae wale i ka wai e kahe i hoʻokahi ʻaoʻao. Pani ka valve iā ia a pale i ke kahe ʻana o ka wai.

Aia kou Thoracic Duct ma waena o 38 a me 45 kenimika ka lōʻihi. ʻOkoʻa kona anawaena, a i ʻole ka laulā o ke duct, ma waena o 2 a me 5 kenimika ma kona lōʻihi.

He aha nā maʻi e hiki ke hoʻopilikia i ka ʻaʻa thoracic?

Aia kekahi mau kūlana e hiki ai ke hana pono ʻole kāu Thoracic Duc. ʻO kēia mau mea:

• Chyle Leak: ʻO kēia ka wā e kahe ai ka wai lymph momona (Chyle) mai loko mai o ka Thoracic Duct a i loko o nā ʻiʻo a puni. Hiki ke hana ʻia kēia ʻano leak ma ke ʻano he pilikia o ke ʻoki kino a i ʻole ma muli o ka trauma .
• Chylothorax: He ʻano leaka kūikawā kēia. ʻO kēia kahi e komo ai ke wai (chyle) i ka hakahaka a puni kou mau māmā. He ʻano kūlana kēia i kapa ʻia ʻo pleural effusion . Hiki i kēia ke hana i ka pōkole o ka hanu, ka paʻa o ka umauma, a me ka luhi.
• Ka Paʻa ʻana o ka Hānau: I kekahi manawa, ʻaʻole paha e ulu pono ka ʻAla Thoracic i ka wā hānau. Hiki i ka ʻala ke pani koke a ʻaʻole paha e wehe i loko o kahi aa koko. Ke ālai nei kēia i ke kahe o ke koko. ʻIke pinepine ʻia kēia ʻano i nā pēpē me ka maʻi puʻuwai hānau koʻikoʻi.

He aha nā lāʻau lapaʻau no kēia?

Pili ka lāʻau lapaʻau i ke kūlana, akā hiki ke komo pū me:

• Ke hana nei i nā hoʻololi manawa pōkole i nā meaʻai āu e ʻai ai.
• Nā lāʻau lapaʻau.
• He kaʻina hana e wehe ai i ka wai (no ka laʻana , thoracentesis ).
• ʻO ke ʻoki kino ʻana o ka Thoracic Duct Ligation (DLL) .
• He kaʻina hana e ālai ai i ke kahawai (Thoracic Duct Embolization) .

E haʻi aku kāu kauka iā ʻoe i nā mea hou aʻe e pili ana i ka mea e manaʻo ai ma muli o kou kūlana.

Inā ʻoe e hana ʻoki kino ana ma kou umauma a i ʻole kou ʻōpū, e haʻi aku kāu kauka iā ʻoe inā he manawa kūpono e hōʻino ʻia ai kou thoracic duct. E wehewehe pū lākou i nā hōʻailona e makaʻala ai i kou wā e hoʻōla ai.

ʻO ka mea nui loa e pono ai kākou e aʻo mai kēia

ʻO kou Thoracic Duct kekahi o nā ʻāpana he nui o kou kino e hana mālie ma hope o nā hiʻohiʻona, e kōkua ana i kou kino e hana i kēlā me kēia lā. Inā makemake ʻoe e hōʻike i kāu Thoracic Duct, pono ʻoe e kahakiʻi i kahi laina mai kou ʻōpū a i kou umauma luna. Me he ʻōmole lōʻihi lā, akā he kuleana koʻikoʻi kona i loko o kāu ʻōnaehana lymphatic.

Ma muli o kona hele ʻana i kahi mamao loa, me he mea lā he nui ka manawa e hōʻino ʻia ai ka `(Thoracic Duct)`, akā ʻaʻole maʻamau kēlā ʻano hōʻino. Inā loaʻa kekahi mea e like me ia, ua mākaukau kāu mau kauka e mālama iā ia.

No laila, ʻo ka ʻike ʻana i kēia ʻōmole liʻiliʻi akā ikaika loa e kōkua iā ʻoe e hoʻomaopopo i kahi ʻano ʻē aʻe o ka hana kupaianaha o ko mākou kino!

ʻŌnaehana lymphatic , ʻauwai thoracic, ʻano o ke kino, nā ʻūhā, nā kīʻaha lymphatic, ke kahe koko, nā kiko lymph