Omanyi ku tube eno empanvu eri munda mu kifuba kyaffe? (Thoracic Duct) - Ka tuyige ebikwata ku nsonga eno!

Leero tugenda kwogera ku kakutu akatono mu mubiri gwaffe ke tutayogerako nnyo, naye nga kakola kinene nnyo. Kiringa ekkubo ery’ekyama munda mu mubiri gwaffe, nga likola omulimu gwalyo mu kasirise. Wali owuliddeko erinnya lino `(Thoracic Duct)`? Oboolyawo si bwe kiri. Naye ojja kwewuunya okumanya nti kikulu nnyo eri omubiri gwaffe!

Omukutu gw’omu kifuba kye ki?

Mu ngeri ennyangu, Thoracic Duct yo ye musuwa ogusinga obunene mu mubiri gwo . Kilowoozeeko ng’ekizimbe ekiwanvu ekiringa ttanka ekiva mu lubuto okutuuka waggulu nga kiyita mu kifuba kyo. Okufaananako n’omulyango oguyingira ku luguudo olukulu, Thoracic Duct eno eyungibwa ku misuwa eminene mu bulago bwo. Kino kye kisobozesa amazzi agayitibwa lymph okudda mu musaayi gwaffe ne gatambula mu mubiri gwaffe gwonna.

Waliwo amakubo abiri amakulu agayamba okuzza amazzi g’omusaayi mu musaayi. Ekimu kye kiyitibwa Thoracic Duct. Endala ye Right Lymphatic Duct . Amazzi g’amazzi agava mu mukono gwo ogwa ddyo, ku ludda olwa ddyo olw’ensingo yo, ku ludda olwa ddyo olw’omutwe gwo, n’oludda olwa ddyo olw’ekifuba kyo gadda mu musaayi nga gayita mu Right Lymphatic Duct. Okuva awalala wonna, kwe kugamba:

• Ku ludda olwa kkono olw’omutwe gwo, ensingo yo n’ekifuba
• Okuva mu kitundu kyo kyonna eky’olubuto
• Nga olina amagulu gombi

Amazzi g’ennywanto agakung’aanyiziddwa gatwalibwa `(Thoracic Duct)` eno. Laba ekitundu ekinene omukutu guno bwe gubikka!

Kiki ekituuka ku mudumu guno ogw’omu kifuba?

Omukutu gwo ogw’omu kifuba gukung’aanya amazzi g’amazzi okuva mu mikutu mingi emitonotono egy’omusaayi mu mubiri gwo gwonna. Olwo n’etuusa amazzi gano agakung’aanyiziddwa mu nkola yo ey’okutambula kw’omusaayi. Kino kiyamba okukuuma amazzi amalungi mu mubiri gwo ate era kiyamba okusengejja kasasiro.

Engeri Lymph Gy’etambulamu

Teebereza engeri kino gye kibaawo.

1. Ekisooka, lymph ekulukuta okuva mu `lymphatic capillaries` entono ennyo ne ziyingira mu misuwa eminene katono.

2. Emisuwa gino eminene egy'amazzi - oluusi egiyitibwa ``tributaries'' - gyegatta mu ``Thoracic Duct'' yo. Kiba ng’olunyiriri lw’amakubo amatonotono agakwataganye ne gakola oluguudo olunene. ``Thoracic Duct'' yo ye luguudo olwo olukulu.

3. Ekiddako, Thoracic Duct etwala amazzi gano aga lymph waggulu okutuusa lwe gatuuka mu kifo ekiyitibwa Lymphovenous Junction (LVJ) . Wano Thoracic Duct w’ekwatagana n’omusuwa oba emisuwa ku ludda olwa kkono olw’ensingo yo.

4. Okufaananako n’oluguudo olukulu, lymph ekulukuta okuva mu Thoracic Duct n’eyingira mu misuwa. Okuva awo, etambula mu mubiri gwo gwonna ng’ekitundu kya Plasma yo .

Obadde okimanyi nti buli lunaku, liita nga 3 ez’amazzi g’omusaayi (lymph fluid) zigattibwa mu nkola y’okutambula kw’omusaayi nga ziyita mu `(Thoracic Duct)` yo. Kino nakyo kirina ekika ky’amazzi eky’enjawulo ekiyitibwa `(Chyle) .` Kino `(Chyle)` kikolebwa amasavu (lipids).Ekika ky’amazzi agayitibwa lymph ekirimu ebiriisa bingi. Kiva mu nkola yo ey’okugaaya emmere. Wadde ng’amazzi g’omusaayi mu bitundu by’omubiri ebirala gatera okuba amayonjo, `(Chyle)` gano geeru ng’amata.

Omukutu gw’ekifuba gusangibwa wa?

Thoracic Duct yo esangibwa wakati mu kifuba kyo. Kiri kumpi n'omusuwa gwo ogwa Aorta , Esophagus , ne Spine . Kitandikira waggulu ku mugongo gwo ogw’omugongo (wakati w’omugongo gwa T12 ne L2 mu bantu abasinga obungi). Wano emikutu gy’amazzi agawerako omuli n’egyo egitambuza amazzi okuva mu magulu go n’ebyenda byo gye gigatta wamu. Oluusi emikutu gino gyegatta ne gikola ekizimbe ekiringa ensawo ekiyitibwa cisterna chyli .

Okuva awo, Omukutu gw’Ekifuba gutambula waggulu. Nga bwe kiyita mu kifuba kyo (thorax), kigoberera ekkubo erifaananako bwe lityo erigenda mu mugongo. Mu kkubo, kyegattibwako emikutu emirala egy’amazzi. Bwe gusemberera ensingo yo, gukoona ne gukola ekisenge ekigenda waggulu ddala w’eggumba lyo ery’omu bulago . Olwo n’ekoona n’edda wansi n’egatta omusuwa oba emisuwa mu kifuba kyo ekya waggulu.

Omukutu gw’ekifuba guggalawo wa ne gukuŋŋaanyizibwa wa?

Ekifo ekituufu amazzi gano aga lymph we gali kiyinza okwawukana okusinziira ku muntu. Omusuwa gwo ogw'omu kifuba guyinza okuyungibwa ku nkulungo y'omusuwa gwo ogwa Left Subclavian Vein ne Left Internal Jugular Vein . Oba, kiyinza okuyungibwa ku gumu ku misuwa gino okumpi ennyo, gye gisisinkanira. Oluusi, kiyinza okuyungibwa ku Left External Jugular Vein .

Mu bantu abasinga obungi, Thoracic Duct eyungibwa butereevu ku musuwa. Kyokka, waliwo enjawulo. Omukutu gw’omu kifuba gusobola amatabi ne gudda wamu ne gukola omukutu gumu ogw’enkomerero. Oba, kiyinza okwawukana mu mifulejje ebiri egigguka mu misuwa gyo egyawukana.

Oyinza obuteetaaga kumanya buli kalonda akatono ku `(Thoracic Duct)`. Kyokka, abasawo, kwe kugamba, abasawo, kino bakyeraliikirira nga bakola emirimu egimu egy’obujjanjabi n’okulongoosa.

Omukutu gw’ekifuba gukolebwa gutya?

Thoracic Duct yo eringa ttanka. Kirina emikutu gy’amazzi emitonotono mingi egy’okuyungibwa ku kyo. Ebisenge by’omukutu gw’ekifuba bikolebwa layeri ssatu. Bino biyitibwa Intima , Media, ne Adventitia . Oluwuzi olwa wakati (emikutu gy’amawulire) lulina ebitundu by’ebinywa ebiseeneekerevu ebikonziba mu ngeri efugibwa . Kino kye kikuuma enseke ng’etambula mu kkubo ettuufu.

Ensigo bw’ekulukuta mu mukutu guno, esisinkana obuuma obuyitibwa valve mu bifo eby’enjawulo. Okugguka n’okuggalawo kwa vvaalu zino kyongera okuyamba enseke okutambula mu kkubo lyayo.

Kilowoozeeko nga payipu eleka amazzi okukulukuta mu ludda lumu lwokka. Valiva eggalawo n’eziyiza amazzi okukulukuta okudda emabega.

Omukutu gwo ogw’omu kifuba guli wakati wa sentimita 38 ne 45 obuwanvu. Dyaamu yaayo oba obugazi bw’omukutu, bwawukana wakati wa sentimita 2 ne 5 okuyita mu buwanvu bwayo.

Endwadde ki eziyinza okukosa omukutu gw’ekifuba?

Waliwo embeera ezimu eziyinza okuvaako Thoracic Duct yo obutakola bulungi. Mu bino mulimu:

• Chyle Leak: Kino amazzi g’amasavu (Chyle) bwe gakulukuta okuva mu Thoracic Duct ne gayingira mu bitundu ebiriraanyewo. Ekika kino eky'okukulukuta kiyinza okubaawo ng'ekizibu ekiva mu kulongoosebwa oba nga kiva ku buvune .
• Chylothorax: Kino kika kya kukulukuta ekigere. Wano amazzi (chyle) we gayingira mu kifo ekyetoolodde amawuggwe go. Kino kika kya mbeera eyitibwa pleural effusion . Kino kiyinza okuvaako okussa obubi, okunyiga ekifuba n’okukoowa.
• Congenital Blockage: Oluusi Thoracic Duct eyinza obutakula bulungi ng’azaalibwa. Omukutu guno guyinza okuggalwa nga tegunnatuuka oba nga tegugguka mu musuwa. Kino kiziyiza omusaayi okutambula. Embeera eno etera okulabibwa mu balongo abalina obulwadde obw’amaanyi obw’omutima obuzaalibwa nabwo.

Bujjanjabi ki obukolebwa ku kino?

Obujjanjabi businziira ku mbeera, naye buyinza okuli:

• Okukola enkyukakyuka ez’akaseera obuseera mu mmere gy’olya.
• Eddagala.
• Enkola y’okuggyamu amazzi (okugeza , thoracentesis ).
• Okusiba emikutu gy’omu kifuba (DLL) .
• Enkola y’okuziyiza omukutu mu bugenderevu (Thoracic Duct Embolization) .

Omusawo ajja kukubuulira ebisingawo ku by’osuubira okusinziira ku mbeera gy’olimu.

Bw’oba ​​olongoosebwa ekifuba oba olubuto, omusawo ajja kukubuulira oba waliwo omukisa nti omukutu gwo ogw’omu kifuba guyinza okwonooneka. Era bajja kunnyonnyola obubonero bw’olina okwegendereza ng’owona.

Ekintu ekisinga obukulu kye twetaaga okuyigira ku kino

Omukutu gwo ogw’omu kifuba kye kimu ku bitundu by’omubiri gwo ebingi ebikola mu kasirise emabega w’empenda, nga biyamba omubiri gwo okukola buli lunaku. Bw’oba ​​oyagala okulaga Thoracic Duct yo, wandibadde olina okukuba layini okuva mu lubuto okutuuka ku kifuba kyo ekya waggulu. Kiringa ttanka empanvu naye kikola kinene nnyo mu nkola yo ey’amazzi.

Olw’okuba etambula olugendo oluwanvu bwe lityo, kiyinza okulabika ng’emikisa mingi egy’okwonooneka ku `(Thoracic Duct)`, naye okwonooneka ng’okwo mu butuufu si kwa bulijjo nnyo. Singa ekintu ng’ekyo kibaawo, abasawo bo baba beetegefu okukijjanjaba.

N’olwekyo, okubeera ng’omanyi ttanka eno entono, naye nga ya maanyi nnyo kijja kukuyamba okutegeera ekintu ekirala ekikwata ku ngeri omubiri gwaffe gye gukola mu ngeri eyeewuunyisa!

` Enkola y’amazzi, omukutu gw’ekifuba, ensengekera y’omubiri, gills, emisuwa gy’amazzi, entambula y’omusaayi, ennywanto z’amazzi