Sɔntɛnde, i nɔ kin izi fɔ yu fɔ blo wantɛm wantɛm? Ɔ yu kin fil sɔntin we ebi ɔ tayt insay yu chɛst? Sɔntɛm rizin de fɔ dis we yu nɔ kin ivin tink bɔt. Tide wi go tɔk bɔt wan sik we nɔ kin bɔku bɔt we rili impɔtant we yu fɔ no bɔt. Dat na di sik we dɛn kɔl Chylothorax . Di nem kin tan lɛk se i strenj smɔl, bɔt nɔ wɔri, lɛ wi tɔk bɔt am simpul wan.
Wetin na chylothorax? Lɛ wi ɔndastand am simpul wan.
Fɔ tɔk am simpul wan, chylothorax na we wan spɛshal wata we de kɔmɔt na wi limfatik sistɛm , we dɛn kɔl chyle , de lik insay di ɛmti ples we de rawnd wi lɔng. Naw yu kin de wɔnda, wetin na dis limfatik sistɛm, wetin na dis chyle?
Jɔs tink bɔt dat, wi bɔdi gɛt wan nɛtwɔk we gɛt blɔd vesel dɛn, ɛn ɔda sistɛm we gɛt fayn fayn chanɛl dɛn. Na dat wi kin kɔl di limfatik sistɛm. dis sistεm de pul di wata we pasmak we de kכmכt na wi bכdi in tisu dεm. Dɔn bak, sojaman dɛn de lɛk wayt blɔd sɛl dɛn na dis limf. Dɛn kin luk fɔ ɛn pwɛl di jem dɛn, lɛk baktri ɛn vayrɔs, we kin kam insay wi bɔdi.
Naw, chyle na spɛshal kayn limf. Dɛn mek am na wi dijestiv trakt . I mek wit wayt blɔd sɛl ɛn fat we de kɔmɔt na di it we wi de it, so i gɛt milk in kɔlɔ. Dis chyle de travul ɔlsay na wi bɔdi tru wan spɛshal tiub we dɛn kɔl di thoracic duct . I tan lɛk tyub. Dis tiub de kɔmɔt na wi bɛlɛ, go ɔp tru wi chɛst, ɛn go bak insay wi blɔd na di nɛk.
bכt, if dis tכraks dakt dεm dכn pwεl insay sכm we, dis chyle fluid de stat fכ lik kכmכt. εn we i lik aut lεk dat εn kכlekt na di spεs we de rawnd wi lכng, na dat wi kin kכl chylothorax. Dɔn gɛt am?
Wae na de men kayn dis sik?
Dɛn kin sheb di chylothorax to tri men kayn dɛn:
1. Traumatik chylothorax: Dis kin apin we di limfatik vessel dεm na wi bεlε כ chεst dεn dכn pwεl, i kin bi bay aksidεnt כ כpεrayshכn. Tink bɔt am lɛk afta dɛn dɔn du big ɔpreshɔn pan yu chɛst.
. Sɔmtɛm, dis sik kin apun pan pipul dɛm wae dɛn bɔn wit sɔm abnɔmal tin dɛm na dɛn chɛst. Dɛn kɔl dis kɔngenital chylothorax . Dɔn bak, i kin kam ivin insay sɔm dez afta dɛn bɔn am.
3. Idiopatik kaylɔtɔraks: .If na so i bi, dɔktɔ dɛn nɔ kin ebul fɔ fɛn di rayt tin we kin mek pɔsin gɛt dis sik.
Aw yu go no if yu gɛt dis? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
Di men sayn fɔ dis sik na we yu nɔ de blo fayn . Yu kin fil lɛk se yu de swɛla ɛn yu nɔ ebul fɔ blo. Apat frɔm dat, sɔm ɔda sayn dɛn kin de:
- Fɔ fil se yu de prɛs, yu tayt, ɔ yu gɛt ebi ebi .
- Ɔltɛm a kin fil bad bad wan .
- Fɔ lɔs yu wet we yu nɔ bin want fɔ du .
If yu gɛt sayn dɛn lɛk dis, i go fayn fɔ mek yu go to dɔktɔ fɔ advays.
Wetin mek chylothorax kin apin? Wetin na di men tin dɛn we kin mek pɔsin gɛt dis sik?
Infakt, ɔpreshɔn na di tin we kin mek dɛn du dis pas ɔl. Dat min se, di chylothorax we dɛn dɔn du afta dɛn dɔn ɔpreshɔn. Bɔt ɛnitin we kin pwɛl di tɔraks dakt we kin kɛr chyle fluid kin mek i apin. na we di chyle fluid de lik frכm di limfatik sistεm insay di chεst. Sɔm ɔda tin dɛn we kin mek pɔsin gɛt dis sik na:
- Injury na yu chɛst ɔ bak: Dɛn kin bi blunt trauma injury, ɔ injury wae gɛt fɔ du wit wund na yu skin (lɛk we yu chuk yu wit nɛf).
- Di tin dɛn we dɛn kin bɔn wit: Sɔm pipul dɛn kin gɛt dis sik we dɛn bɔn dɛn, bikɔs ɔf sɔm chenj dɛn na dɛn bɔdi ɔ dɛn kin gɛt dis sik. Dat min se, ɔ we dɛn bɔn am (we dɛn bɔn am) ɔ insay sɔm dez afta dɛn bɔn am.
- Difrɛn kayn kansa: Bɔrku kayn kansa kin mek di strɔkchɔ dɛn na di chɛst blok ɔ pwɛl, we kin mek di chyle lik. Sɔm ɛgzampul dɛn na limfoma , kronik limfosaytik lukimiya , lɔng kansa , ɛsophageal kansa , ɛn Kaposi sarkoma .
- Infεkshכn: sכmtεm infεkshכn kin pwεl di dakt dεm we de kכri chyle, we kin mek di wata lik. Di men tin we kin mek dis apin na TB .
- Blɔk: Ɛni kɔndishɔn we kin blok di tɔraks dakt kin mek dis. Sɔm ɛgzampul dɛn na sarcoidosis , blɔd we de klɔt, ɛn goiter .
Udat de pan big risk fɔ gɛt dis?
Yu kin gɛt ay risk fɔ gɛt chylothorax if yu:
- If dɛn jɔs dɔn du ɔpreshɔn pan yu chɛst, nɛk, ɔ bɛlɛ , mɔ ɔpreshɔn pan yu lɔng ɔ yu at ɛn blɔd.
- If injuri de na di chɛst ɔ bak .
- If yu gɛt kansa ɔr mɛdikal kɔndishɔn we de mek yu chɛst kɔnjɛshɔn ɔ wata de bɔku na di limfatik sistɛm.
Aw dɔktɔ dɛn kin no bɔt dis? (Diagnosis) .
Afta yu dɔn lisin to yu simptom ɛn wɛl bɔdi histri, dɔktɔ go kɔnfirm se yu gɛt chylothorax bay we i go du spɛshal imej tɛst ɛn chɛk wan sampul wata we kɔmɔt na yu chɛst.
Sɔm pan di tɛst dɛn we dɛn kin du fɔ dis na:
- Imajin: Fɔ no if di wata we pasmak na yu chɛst de mek yu gɛt di sik, yu dɔktɔ go nid fɔ tek pikchɔ fɔ di insay pat na yu chɛst. Dis kin inklud ɛkstrem rayt , ɔltra saund , ɔ CT skan .
- Thoracentesis: Dis kin min se yu dɔktɔ tek smɔl wata na yu chɛst ɛn sɛn am to lab fɔ no mɔ bɔt aw di wata tan ɛn wetin mek i de lik.
- Limfangiografi ɔ limfosintigrafi: Dis na spɛshal imej tɛst dɛn we de luk yu limfatik sistɛm.
Wetin na di tritmɛnt dɛm fɔ dis? Yu tink se dɛn kin mɛn am?
Di tritmɛnt fɔ chylothorax dipen pan di kɔz. Fɔs, yu dɔktɔ kin gi yu spɛshal it ɔ pul di wata we de na yu chɛst. If dɛn tin ya nɔ wok, yu kin nid ɔpreshɔn fɔ stɔp di lik (limphangiogram ɛn embolization) ɔ ɔda we fɔ stɔp di wata fɔ mek i nɔ bɔku bak. Fɔ trit di ɔndalayn kɔz na di bɛst we fɔ mek i nɔ apin igen.
Sɔm pan di spɛshal tritmɛnt dɛn fɔ dis na:
- Bowel rεst: Yu limf sistεm we de kכri di chyle nid sכm rεst fכ hεl. Fɔ dis, yu dɔktɔ go stɔp fɔ gi yu it ɔl ɛn gi yu di it we yu nid tru wan salin (`IV`) rod. Dis go mek yu dijestiv sistɛm nɔ wok tranga wan fɔ digest it.
- Di chenj we yu de it: Fɔ ridyus di fat we yu bɔdi gɛt fɔ dayjɛst, pɔsin we sabi bɔt it kin put yu pan it we nɔ gɛt bɔku fat ɔ we gɛt modifyed fat . Dis na fɔ shɔt tɛm nɔmɔ. If yu stɔp fɔ it fayn fayn fat dɛn dis we fɔ lɔng tɛm, dat kin mek yu nɔ gɛt bɛtɛ it.
- Fɔ pul wata we de kɔmɔt na yu chɛst: Dɔktɔ kin pul wata na yu chɛst bay we i de yuz thoracentesis . Dɛn kin du dis wan tɛm, ɔ dɛn kin put chɛst tyub fɔ shɔt tɛm. Pan ɔl we dis nɔmɔ nɔ go mɛn di damej, i kin ɛp fɔ ridyus di sayn dɛm we yu bɔdi de wɛl.
- Somatostatin ɔ octreotide mɛrɛsin: Dɛn mɛrɛsin ya we dɛn kin gi tru IV. Dɛn kin wok bay we dɛn de chenj di we aw yu bɔdi de tek fat ɛn tin dɛn we de mek yu bɔdi fayn. Sɔntɛnde, dɔktɔ dɛn kin yuz dɛn wit ɔda tritmɛnt dɛn lɛk fɔ chenj di it we yu de it fɔ ɛp yu bɔdi fɔ wɛl kwik kwik wan.
- Thoracic duct ligation ɔ embolization: If yu thoracic duct dɔn pwɛl ɔ i nɔ de wok fayn, dɔktɔ kin ɔpreshɔn fɔ tay am (ligation) ɔ blok am bay wilful (embolization). Dis kin mek di damej ɔ ridayrɛkt di wata so dat i nɔ go lik.
- Pleurodesis: Pleurodesis na ɔspitul we de atak yu lכng dεm to di layn na di chεst wכl, we de mek di spεs na yu chεst usay wata de kכlekt.
Aw siriɔs dis sik? Yu tink se i de mek pɔsin in layf de pan denja?
Chylothorax kin mek pɔsin in layf de pan denja if dɛn nɔ trit am fayn . I kin kam bak bikɔs ɔf siriɔs mɛrɛsin. So, i kin nid fɔ kɔntinyu fɔ gɛt tritmɛnt fɔ di ɔndalayn kɔndishɔn.
Yu nid fɔ tek tɛm wit it ɛn drink?
Yɛs, if yu gɛt chylothorax, yu dɔktɔ kin gi yu spɛshal it. Dis min se yu fɔ it tin dɛn we nɔ gɛt bɔku fat ɔ we gɛt patikyula kayn fat .
Sɔntɛm dɛn go aks yu fɔ lɛf fɔ it ɔltogɛda. If dat apin, yu go gɛt di it we yu nid tru wan IV. Dis go gi yu bɔdi tɛm fɔ wɛl. Bɔt yu fɔ ebul fɔ it nɔmal wan bak insay lɛk wan ɔ tu wiks.
Wetin na di bɛst tɛm fɔ go to dɔktɔ?
If yu gɛt shɔt briz we yu nɔ ɛksplen, go to dɔktɔ. Ɛspɛshali if:
- If dɛn jɔs dɔn du ɔpreshɔn pan yu.
- If yu jɔs dɔn gɛt injuri na yu chɛst ɔ yu bak.
- If yu gɛt ɛni mɛrɛsin we de mek yu chɛst ɔ yu nɛk nɔ ebul fɔ waka.
- If yu gɛt wan sik we de afɛkt yu limfatik sistɛm.
Ustɛm fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) :
If i nɔ izi fɔ yu fɔ blo, mɔ if yu gɛt pen na yu chɛst, go na di imejensi rum we de nia yu wantɛm wantɛm . Dis kin bi sayn fɔ wan sik we de mek pɔsin in layf de pan denja.
Sɔm impɔtant kwɛstyɔn dɛn fɔ aks di dɔktɔ
I go fayn fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:
- Wetin de mek dis tin apin to mi?
- Us tritmɛnt opshɔn dɛn a gɛt?
- Us it ɛn drink dɛn a fɔ it/nɔ fɔ it?
- Yu tink se we de fɔ mek dis nɔ apin igen?
- Aw lɔng i go tek fɔ mek a wɛl?
Wetin na di difrɛns bitwin Chylothorax ɛn Pleural Effusion?
di pleura efyushכ n na eni akyumyuleshכn fכ wata na di pleura spεs (di spεs bitwin di lכng dεm εn di chεst wכl). Chylothorax na spɛshal kayn pleura effusion. na di lik we di chyle de lik insay di pleura spεs.
Faynal Mɛsej fɔ Tek-Hom
Chylothorax na wan sik we nɔ kin apin so ɔltɛm bɔt i kin mek pɔsin in layf de pan denja if dɛn nɔ trit am. Na di ɔpreshɔn we dɛn kin du pas ɔl. Bɔt i kin bi bikɔs ɔf ɛnitin we de blok ɔ pwɛl di tɔraks dakt. Bɔrku pipul kin trit dis sik fayn fayn wan wit chenj na dɛn it fɔ sɔm tɛm, it IV it, ɛn mɛrɛsin. Sɔm pipul dɛn kin nid fɔ gɛt ɔpreshɔn. Yu dɔktɔ go tɔk to yu bɔt di tritmɛnt dɛn we go fayn fɔ yu. So, nɔ panik, ɛn fala wetin yu dɔktɔ tɛl yu fɔ du. Wi de wish yu fɔ wɛl kwik kwik wan!
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Na chylothorax na di rizulyt we di lכng de ful wit wata?
Dis nɔ tan lɛk nɔmal pleura effusion! wetin de kכlekt ya nכto wata, bכt na milky (wayt) tik likwid we dεn kכl ‘Chyle’. chylothorax na we di oil εn fεt we de kכmכt frכm wi intestכn dεm de kכri כp tru wan limfatik dakt (Toracic duct), εn da dakt de bכst כ rupchכ εn lik insay di chεst (arawnd di lכng dεm).
💬 Ustɛm dis limf node kin bɔs?
כltεm, dis kin apin we dεn aksidεntli kכt di dakt we dεn de du big כpεrayshכn na di chεst (e.g., baypas/at כpεrayshכn). Ɔ, bikɔs ɔf wan kansa we de divɛlɔp na di chɛst (lymphoma), di dakt kin blok ɛn bɔs. Ivin if yu gɛt bad kol, dis dakt kin bɔs.
💬 Us diskɔmfɔt di pɔsin kin fil we in chɛst ful-ɔp wit dis wata we tan lɛk milk?
We dis wata gɛda ɛn kɔmprɛs di lɔng dɛn, di pɔsin kin gɛt shɔt briz we i nɔ go ebul fɔ bia. Di chɛst kin fil tayt ɛn lɛk se sɔntin de prɛs pan di chɛst. Fɔ dis, yu fɔ go na ɔspitul wantɛm wantɛm ɛn mek dɛn put wan chɛst tiub insay di chɛst fɔ mek di wata we tan lɛk milk kɔmɔt.
` Chylothorax, wata na di chεst, limf fכluid, i at fכ brith, כpεrayshכn, lכng, tכraks dakt
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