I rilruah tui a khat ang maiin i hria em? Chylothorax a ni thei! | Nirogi Lanka chuan a rawn ti a

A chang chuan thawk harsa nghal mai i nei em? A nih loh leh, i rilruah beisei loh takin a rit emaw, a tight emaw i nei mai thei em? Hei hi i ngaihtuah ngai loh chhan pawh a awm mai thei. Vawiin hian, natna pakhat, a tlem hle chung pawhin, i hriat tur pawimawh tak— Chylothorax . A hming chu hriat loh angin a lang thei a, mahse khawngaihin hlau suh; Nirogi Lanka-ah chuan, thumal awlsam leh chiang tak hmanga in tan kan rawn share dawn a ni.

Chylothorax chu eng nge ni? A awlsam zawngin i ti chhe vek ang u.

A awlsam zawngin, Chylothorax hi i lymphatic system atanga tui bik, chyle tia koh, i lung chhehvel hmuna a luang lut hian a thleng thin. I ngaihtuah mai thei: lymphatic system hi eng nge ni tak tak a, chyle chu eng nge ni?

Hetiang hian han ngaihtuah teh: thisen kalna kawng network i neih ang bawkin, lymphatic system an tih channel system complex, nalh tak i nei bawk. A hna ber chu i taksa tissue atanga tui tam lutuk lakkhawm a, circulation-a phurh kir leh hi a ni. A pawimawh ber chu, he lymph fluid hian thisen var —i taksa hmatawng defender, bacteria leh virus ang chi natna hrik rawn lutte hriatchhuah leh tichhe thei —te pawh a dah tel bawk.

Tunah chuan chyle hi lymph fluid chi danglam tak a ni a, i chaw ei kawng atanga lo chhuak a ni . Thisen var (white blood cells) leh i eitur atanga thau lo chhuak te a tam avangin hnute ang maia lang a nei fo thin. He chyle hian i taksa pum puiah hian vessel lian tak thoracic duct an tih hmangin a kal kual a . He duct hi central pipeline angin ngaihtuah la, chu chuan i pum atanga tui a phur a, i rilru kaltlangin a chho a, a tawpah chuan i kawr bula i thisenah a lut leh thin.

He thoracic duct hi a hliam emaw, a tihbuai emaw chuan chyle chu a leak tan thei a ni. Chu tui chu i lung chhehvel hmun (pleural cavity)-ah a lo awm khawm chuan, a lo chhuak chu Chylothorax tia hriat a ni. Chu chuan a tichiang thei em?

Chylothorax chi hrang hrangte chu engte nge ni?

Chylothorax hi a tlangpuiin chi thum ah then a ni a:

1. Traumatic chylothorax: Hei hi pawn lam hliam vang emaw, a tam zawkah chuan, pum emaw, rilru lam emawa surgery avanga harsatna awm angin a thleng thin.

2. Non-traumatic (spontaneous) chylothorax: Hei hi lymphatic vessels a inkhar a, an bang a chak lo a, a nih loh leh fluid pressure avanga rupture a awm chuan a thleng thei. Mimal ṭhenkhat chu an rilruah an pianphung inang lo tak tak neiin an piang a, chu chuan hetiang— congenital chylothorax tia hriat—nausen piang thartea lo lang thei hi an nei thei a ni.

3. Idiopathic chylothorax: He thumal hi medical professional-te’n fluid leak chhan bulpui bik an hriat theih loh hunah hman a ni.

Engtin nge i neih leh neih loh i hriat theih ang? Eng nge a lan chhuah dan?

Chylothorax natna lan chhuahna bulpui ber chu thawk hah a ni . Thâwk la chhuak thei lo ang maiin emaw, i rilru a hrual emaw ang maiin i inhria thei a ni. A lan chhuah dan dangte chu:

• I rilruah a tight, a rit, a nih loh leh pressure a awm tih hriatna .
• Chauhna awm reng .
• Sawifiah loh takin taksa rihna tihtlem .

Heng symptoms te hi i neih chuan damdawi inah professional medical evaluation zawng hi dah pawimawh hmasa phawt ang che.

Engvangin nge Chylothorax hi a lo awm? A chhan berte chu engte nge ni?

Thil tam takah chuan operation hi a chhan ber a ni a, a bik takin postoperative chylothorax hi a ni. A bul berah chuan chyle kal dan pangngai tikhawlo thei thoracic duct chhiatna eng pawh hian rilru chhungah a luang lut thei a ni. A chhan langsar dangte chu:

• Chest or back trauma: Hei hi blunt force injuries atanga penetrating wounds (sharp force trauma ang chi) thlengin a awm thei.
• Congenital conditions: Mi thenkhat chu lymphatic anatomy tichhe thei condition neiin an piang a, chu chuan an pian hnu rei vak lovah chylothorax a thlen thin.
• Malignancies (Cancers): Cancer hrang hrang hian thoracic structures a tikhawlo thei a, a tichhe thei bawk. Entirnan lymphoma , chronic lymphocytic leukemia , lung cancer , chaw kawng cancer leh Kaposi sarcoma te hi a ni .
• Infection: Chronic infection hian ducts a tichhe thei a, TB natna hi entirnan langsar tak a ni.
• Blockages: Thoracic duct-a pressure pe emaw, block emaw— sarcoidosis , thisen zam , a nih loh leh goiter lian tak ang chi natna eng pawh hian he natna hi a thlen thei a ni.

Chylothorax vei theihna chance sang zawk chu tute nge ni?

Nirogi Lanka -ah chuan a hnuaia thil awm danah hian Chylothorax vei theihna risk sang zawk i nei thei tih kan fuih a ni:

• Tun hnaia i rilru, i kawr, a nih loh leh i pum surgery i neih chuan , a bik takin lung, thinlung, a nih loh leh thisen kalna kawng (cardiovascular surgery) hmanga operation i neih chuan.
• I rilru emaw i hnungzang emaw hliam i neih chuan .
• Cancer ang chi damdawi lam natna i neih chuan i rilruah harsatna a siam emaw, lymphatic system-ah tui a awm khawm emaw a nih chuan.

Engtin nge doctor-te hian he natna hi an hriat theih?

I symptoms leh health history a enfiah hnuah i doctor chuan specialized imaging test hmangin Chylothorax i vei tih a nemnghet ang a, i rilru atanga tui sample lak chu a zirchiang ang.

Diagnostic procedure hman tlanglawn tak takte chu:

• Imaging: I natna lan chhuahna chu i rilru chhunga tui tam lutuk avanga lo awm a nih leh nih loh hriat theih nan, i doctor chuan i rilru chhung lam chu X-ray , ultrasound , emaw CT scan hmangin a mitthla a ngai ang.
• Thoracentesis: Hetiang tih danah hian doctor chuan i rilru atang hian tui tlemte a la chhuak a, laboratory-ah a thawn thin. Hei hian fluid awm dan leh a leak chhan bulpui hriat theihna a siam a ni.
• Lymphangiography emaw Lymphoscintigraphy: Hengte hi i lymphatic system map leh enfiahna atana hman tur specialized imaging test a ni.

Enkawl dan tur engte nge ni a, tihdam theih a ni em?

Chylothorax enkawl dan hi a chhan bulpuiah a innghat a ni. A tirah chuan i doctor chuan specialized diet a rawt thei a, a nih loh leh a tui tam lutuk chhuah chhuahna tur procedure a ti thei bawk. Heng hmanrua te hi a tling tawk lo a nih chuan `lymphangiogram leh embolization` ang chi surgical intervention emaw, fluid a pun belh zel loh nan hmalakna dang emaw an zawm thei bawk. A bulpui enkawl hi a lo lang leh tur venna kawng tha ber a ni.

Enkawl dan tlangpui chu:

• Bowel rest: Lymphatic vessels (chyle kengtu) te chu a dam theih nan i doctor chuan oral intake a khap thei a, chu ai chuan IV hmangin nutrition tul tak a pe zawk thei a ni. Hei hian i taksaa digestive workload a tihtlem phah a ni.
• Dietary changes: Thau ei chhuahna phurrit tihziaawm nan dietitian chuan thau tlem tak emaw, thau siam danglam emaw ei tur a pe thei a ni. Hei hi hun eng emaw chen atana tih tur a ni a, hun rei tak chhunga thau hrisel tihkhawtlai hian ei leh in lama harsatna a thlen thei a ni.
• Tui chhuah: Doctor chuan thoracentesis a ti theii rilru atanga tui chhuahna tur. Hei hi vawi khat tih theih a ni a, hun rei lote chhung chu chest tube dah a ni thei bawk. Hei hian symptoms a enkawl a, dam laiin i rilru a hahdam thei a, mahse a hnuaia chhiatna awm chu a siam tha lo.
• Somatostatin emaw octreotide damdawi: Heng damdawi te hi IV hmanga pek a ni a, i taksain thau leh ei tur tha a lakluh dan a thlak danglam thei a ni. Doctor-te chuan hengte hi enkawlna dang, ei leh in siamrem ang chite nen an hmang fo va, chu chuan i dam chakna a tikhawtlai a ni.
• Thoracic duct ligation emaw embolization: I thoracic duct a chhiat emaw, a thawk tha lo emaw a nih chuan surgeon chuan a khih thei (ligation) emaw, tumruh takin a block thei (embolization). Hei hian chhiatna chu a siam tha thei a, fluid chu a redirect thei bawk.
• Pleurodesis: He surgical procedure hian i lung chu i rilru bang chhung lam lining-ah a nghet tlat a, chu chuan tui a awm theihna hmun ruak chu a ti bo thei a ni.

He dinhmun hi engtiang chiahin nge a nasat? Nunna atana hlauhawm a ni thei ang em?

Enkawl loh chuan Chylothorax hi nunna atana hlauhawm tak a ni thei . Chu bâkah, damdawi lam dinhmun khirh tak tak aṭanga lo chhuak a nih fo avângin, chutiang bulpui berte chu chinfel nân damdawi lam thiamte enkawlna hnuaia awm reng chu a pawimawh hle.

Ka ei leh in lamah ka fimkhur tur em ni?

Awle. Chylothorax i neih chuan i doctor chuan ei tur bik a pe thei a, chu chuan ei tur thau tlem tak tak emaw, thau chi hrang hrang emaw chauh ei a ngai a ni .

A then phei chuan hun engemaw chen chu ei zawng zawng chawlhsan turin an hrilh thei che a, chutih chhung chuan i taksa a dam theih nan IV hmangin nutritional support i dawng ang. A tlangpuiin kar khat emaw kar hnih emaw chhungin ei leh in pangngaiah i kir leh theih i beisei thei.

Engtikah nge Doctor ka hmuh ang?

Khawngaihin sawifiah theih loha thawk harsa i neih chuan doctor rawn la, a bik takin:

• Tun hnaia operation neih tawhna chanchin.
• Tun hnaia i rilru emaw i hnungzang emaw a hliam.
• I rilru emaw, i kawr emaw a tikhawlo thei damdawi lam dinhmun hriat lar tak.
• I lymphatic system tichhe thei dinhmun.

Emergency Room-a kal hun tur chu:

Thâwk lak harsa i tih chuan, a bîk takin i rilru natna a awm chuan, emergency department hnai ber pan nghâl rawh . Chungte chu nunna atana hlauhawm medical emergency chhinchhiahna a ni thei.

I Doctor Zawh tur Zawhna Pawimawh

I healthcare provider nen a hnuaia mite hi sawiho ila a \angkai hle thei ang:

• Hetiang dinhmun hi eng nge a chhan bulpui ber?
• Ka enkawlna tur awmte chu engte nge ni?
• Ka zawm tur emaw, ka pumpelh tur emaw, ei leh in lama inthlak danglamna bik a awm em?
• Hei hi a lo thleng leh tawh loh nan kawng a awm em?
• Ka dam lehna tur hun bituk chu eng nge ni?

Chylothorax leh Pleural Effusion hi eng nge an danglamna?

Pleural Effusion tih hian pleural space-a tui tam lutuk awmkhawmna a kawk a, chu chu i lung leh i rilru bang inkar hmun te tak te a ni. Chylothorax hi pleural effusion chi khat bik a ni a, he hmuna tui luang chhuak chu "chyle" an ti a—chu chu milky, fatty fluid a ni.

Take-Home Thuchah a ni

Chylothorax hi natna awm lo mahse na tak a ni a, damdawi lam pan vat a ngai a ni. Surgery avanga harsatna a awm fo laiin, thoracic duct tihchhiat emaw, a block emaw chuan a tichhuak thei a ni. Damlo tam tak chu hun eng emaw chen atana ei leh in siam danglam te, thisen kalna (IV) ei leh in te, leh damdawi te hmangin an dam tha hle. A then phei chuan surgical intervention neih a ngai thei bawk. I doctor chuan i mamawh bik atana enkawlna tur ruahmanna tha ber tur chu a ruatpui ang che. Positive takin awm la, i damdawi lam thurawn chu ngun takin zawm la, Nirogi Lanka chuan dam thuai turin duhsakna a hlan a che!

Thupui pawimawh: Chylothorax, pleural fluid, lymphatic fluid, thawk hah, operation, lung, thoracic duct