I rilru chu tuiin a khat ang maiin i hria em? Chylothorax a ni thei!

A châng chuan thawk harsa i ti thut em? A nih loh leh i rilru chhungah thil rit emaw, tight emaw i nei em? Hei hi i ngaihtuah ngai loh chhan pawh a awm mai thei. Vawiin hian damdawi lama harsatna awm lo mahse pawimawh tak, i hriat tur kan sawi dawn a ni. Chu chu Chylothorax a ni . A hming hi a mak deuh mai thei, mahse lungngai suh, awlsam takin sawi ila.

Chylothorax chu eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin, chylothorax chu kan lymphatic system , chyle an tih atanga tui bik, kan lung chhehvel hmun ruak chhunga a luang chhuak a ni. Tunah chuan i ngaihtuah mai thei, he lymphatic system hi eng nge ni, he chyle hi eng nge ni?

Ngaihtuah teh, kan taksa hian thisen kalna kawng network a nei a, chubakah fine channel system dang a nei bawk. Chu chu lymphatic system kan tih chu a ni. He system hian kan taksa tissue-a tui tam lutuk awmkhawm chu a paih chhuak thin. Tin, he lymph-ah hian thisen var ang chi sipai an awm bawk. Kan taksaa lut natna hrik, bacteria leh virus ang chi te chu an zawng a, an tichhia a ni.

Tunah chuan chyle hi lymph chi khat bik a ni ta. Kan chaw ei kawngah siam a ni . Kan ei leh in atanga thisen var leh thau atanga siam a nih avangin a rawng chu bawnghnute ang mai a ni. He chyle hian kan taksa pum puiah hian tube bik thoracic duct an tih hmangin a kal kual a . Tube ang mai a ni. He tube hi kan pum atang hian a kal a, kan rilruah a chho a, kan thisenah kan kawr chhungah a lut leh thin.

Mahse, he thoracic duct hi eng emaw ti taka a chhiat chuan he chyle fluid hi a leak chhuak tan thin. Tin, chutianga a leak chhuak a, kan lung chhehvel hmun zau takah a inzawm khawm chuan chu chu chylothorax kan tih chu a ni. Hrethiam e?

Hetiang dinhmun hi eng chi hrang hrang nge ni ber?

Chylothorax hi chi thum ah then theih a ni a, chungte chu:

1. Traumatic chylothorax: Hei hi kan pum emaw kan rilru chhunga lymphatic vessels te a chhiat chuan a thleng thin a, accident emaw surgery emaw a ni. Chest operation lian tak hnuah ang maiin han ngaihtuah teh.

2. Non-traumatic/spontaneous chylothorax: Hei hi kan lymphatic vessels block vang te, an wall chak lo vang te, chyle fluid a tam lutuk vang leh vessels rupture vang te a ni. A châng chuan, he natna hi pianpui rilruah thil danglam ṭhenkhat neiah a awm thei bawk. Hei hi congenital chylothorax an ti a . Tin, a pian atanga ni rei lo te chhung pawhin a lo thang lian thei bawk.

3. Idiopathic chylothorax hmanga natna hrik awm chu:Hetiang a nih chuan doctor-te chuan he natna hi a chhan dik tak an hmu thei lo.

Engtin nge hetiang hi i nei tih i hriat theih ang? Eng nge a lan chhuah dan?

Hetiang dinhmun chhinchhiahna ber chu thawk hah lutuk hi a ni . I thawk chhuak thei lo ang maiin i inhria mai thei. Chu bakah chuan symptom dang engemaw zat a awm thei bawk:

• A rilruah pressure, tightness, emaw, a rit emaw tih hriatna .
• Chau lutuk tih hriat reng reng .
• Tum loh vanga taksa rihna tihtlem .

Hetiang symptoms i neih chuan doctor thurawn lak ngei a tha ber.

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

Dik tak chuan surgery hi a ni ber a ni. Chu chu operation hnua chylothorax tihna a ni. Mahse, chyle fluid phur thoracic duct tichhe thei thil eng pawh hian a thlen thei a ni. Chu chu lymphatic system atanga chyle fluid chu rilru chhungah a luang lut a ni. A chhan dang thenkhat chu:

• Chest emaw back injuries: Hengte hi blunt trauma injuries emaw, vun hliam (knife stab wound ang chi) emaw a ni thei.
• Congenital conditions: Mi thenkhat chuan an pian tirh atangin he natna hi an nei thei a, chu chu taksa lama inthlak danglamna thenkhat emaw, damdawi lam thil emaw vang pawh a ni thei. Chu chu pian tirh (congenital) emaw, pian atanga ni engemaw zat chhung emaw tihna a ni.
• Cancer chi hrang hrang: Cancer chi hrang hrang hian rilru chhunga thil awmte chu a tikhawlo emaw, a tichhia emaw a, chu chuan chyle a ti luang chhuak thei a ni. Entirnan lymphoma , chronic lymphocytic leukemia , lung cancer , chaw kawng cancer leh Kaposi sarcoma te hi a ni .
• Infection: A chang chuan infection hian chyle phurtu duct te a tichhia thei a, chu chuan fluid chu a leak tir thin. Hei hi a chhan ber chu TB a ni .
• Blockage: Thoracic duct block thei condition eng pawh hian hetiang hi a thlen thei. Entirnan sarcoidosis , thisen zam, leh goiter te hi a ni.

Tute nge hetiang hi vei theihna hlauhawm zawk?

Chylothorax vei theihna i nei sang zawk thei a, chu chu:

• Tun hnaia i rilru, i kawr, a nih loh leh i pum surgery i neih chuan , a bik takin lung emaw, cardiovascular surgery emaw i nei tawh a nih chuan.
• A rilru emaw hnungzang emaw a hliam a awm chuan .
• Cancer emaw, damdawi lam thila i rilru a buai emaw, lymphatic system-a tui awm zat emaw i neih chuan.

Engtin nge doctor-te hian hei hi an hriat chian? (Diagnosis) tih a ni.

I natna lan chhuah dan leh i hriselna chanchin a ngaihthlak hnuah doctor chuan chylothorax i vei tih a nemnghet ang a, special imaging test a ti ang a, i rilru atanga tui sample a enfiah ang.

Chumi atana test tih thenkhat chu:

• Imaging: I natna lan chhuah dan hi i rilru chhunga tui tam lutuk vang a ni em tih hriat nan i doctor chuan i rilru chhung lam thlalak a lak a ngai ang. Hei hian X-ray , ultrasound , emaw CT scan te pawh a huam thei a ni.
• Thoracentesis: Hei hian i doctor chuan i rilru atanga tui tlem a lak a, lab-ah a thawn a, chu tui chu eng ang nge a nih tih leh engvangin nge a leak tih hriat belh a ni.
• Lymphangiography emaw lymphoscintigraphy: Hengte hi i lymphatic system enfiahna special imaging test a ni.

Hei hi eng enkawlna nge ni? Dam theih a ni em?

Chylothorax enkawl dan chu a chhan a zirin a ni. A hmasain, i doctor chuan ei tur bik a pe thei a, i rilru aṭanga tui chu a paih chhuak thei bawk. Hengte hian hna a thawk lo a nih chuan leak tihtawp nan operation (lymphangiogram leh embolization) emaw, fluid lo awm leh tur tihtawp nan procedure dang emaw i mamawh thei bawk. A chhan bulpui enkawl hi a lo thleng leh tawh loh nan a tha ber.

Chumi atana enkawlna bik thenkhat chu:

• Bowel rest: Chyle phurtu i lymphatic system hian a dam theih nan chawlh hahdamna engemaw chen a mamawh a ni. Chumi atan chuan i doctor chuan chaw pek che chu a titawp vek ang a, saline (`IV`) route hmangin ei tur mamawh chu a pe ang che. Hei hian i digestive system chu ei tur digestive turin a thawkrim lo zawk ang .
• Dietary changes: I taksain a ei tur thau a tih tlem theih nan dietitian chuan thau tlem hle emaw, modified-fat emaw diet a siam thei che a ni. Hei hi hun eng emaw chen chauh a ni. Hetianga thau hrisel tak tak te hi rei tak khap tlat hian ei leh in tha lo a thlen thei a ni.
• Tui chhuah: Doctor chuan i rilru atanga tui chu thoracentesis hmangin a la chhuak thei a ni. Hei hi vawi khatah tih theih a ni a, a nih loh leh chest tube chu hun rei lote chhung dah theih a ni bawk. Hei chauh hian chhiatna chu a tidam dawn lo nain, i taksa a dam laiin symptoms tihtlem nan a pui thei a ni.
• Somatostatin emaw octreotide emaw damdawi: Hengte hi IV hmanga pek thin damdawi a ni. I taksain thau leh ei tur tha a lakluh dan a thlak danglamin hna an thawk a ni. A châng chuan doctor-te chuan i taksa a dam thuai theih nân damdawi dang, ei leh in tihdanglam ang chite nên an hmang ṭhîn.
• Thoracic duct ligation emaw embolization: I thoracic duct a chhiat emaw, a thawk tha lo emaw a nih chuan doctor chuan surgery hmangin a khih thei (ligation) emaw, tumruh takin a block thei bawk (embolization). Hei hian chhiatna chu a siam tha thei a, a nih loh leh a leak loh nan fluid chu a redirect thei bawk.
• Pleurodesis: Pleurodesis hi surgical procedure a ni a, i lung chu i rilru bang lining-ah a inzawm tir a, i rilru chhunga tui awmkhawmna hmun chu a bo vek a ni.

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

Chylothorax hi enkawl dik loh chuan nunna atana hlauhawm tak a ni thei . Damdawi lam natna khirh tak vang pawh a ni thei. Chuvangin, a hnuaia natna awm chu enkawl chhunzawm zel a ngai mai thei.

Ei leh in lamah fimkhur a ngai em?

Ni e, chylothorax i neih chuan i doctor chuan ei tur bik a pe thei che a ni. Hei hian ei tur thau tlem lutuk emaw thau chi hrang hrang nei ei tihna a ni .

Chaw ei kha bansan vek tura tih i ni mai thei. Chutiang a nih chuan IV hmangin i mamawh ei tur i dawng ang. Hei hian i taksa chu damna hun a pe ang. Mahse, kar khat emaw kar hnih emaw vel hnuah chuan a pangngaiin i ei leh thei tur a ni.

Doctor hmuh hun tha ber berte chu engte nge ni?

Sawifiahna awm lova thawk harsa i neih chuan Doctor pan rawh. A bik takin:

• Tun hnaia operation i neih tawh chuan.
• Tun hnaia i rilru emaw hnungzang emaw hliam i neih chuan.
• Damdawi lam harsatna i neih chuan i rilru emaw, i kawr emaw a tikhawlo thei a nih chuan.
• I lymphatic system tichhe thei medical condition i neih chuan.

Emergency Treatment Unit (ETU) -a kal hun tur :

Thâwk harsa i neih chuan, a bik takin i rilru a na a nih chuan, emergency room hnai ber pan nghal rawh . Hei hi nunna atana hlauhawm dinhmun chhinchhiahna a ni thei.

Doctor hnena zawh tur zawhna pawimawh thenkhat

I doctor hnenah heng zawhnate hi zawh hi a \angkai thei ang:

• Eng thilin nge ka tan he dinhmun hi a thlen?
• Eng enkawlna kawng nge ka neih?
• Eng ei leh in nge ka ei/ei loh?
• Hetiang thil hi a thlen leh tawh loh nan kawng a awm em?
• Eng chen nge ka dam leh theih nan a la ngai ang?

Chylothorax leh Pleural Effusion hi eng nge an danglamna?

Pleural effusion chu pleural space (lung leh rilru bang inkar hmun)-a tui awmkhawm eng pawh a ni. Chylothorax hi pleural effusion chi khat bik a ni. Chyle chu pleural space-a a leak chhuahna a ni.

Take-Home Thuchah hnuhnung ber

Chylothorax hi a awm lo hle a, mahse enkawl loh chuan nunna atana hlauhawm thei a ni. Surgery hi a chhan ber a ni. Mahse, thoracic duct tikhawlo emaw, tichhe thei emaw thil eng pawh avanga lo awm thei a ni. Mi tam zawk chuan he natna hi hun eng emaw chen atana ei leh in thlak danglam te, IV nutrition te, leh damdawi te hmangin hlawhtling takin an enkawl thei a ni. Mi thenkhat chuan surgery hmanga enkawl an ngai mai thei. I doctor chuan i tana tha ber tur enkawlna kawng hrang hrang a sawipui ang che. Chuvangin, hlauthawng suh la, i doctor thupek zawm rawh. Dam leh thuai turin duhsakna kan hlan e!

` Chylothorax, rilru chhunga tui, lymph fluid, thawk harsa, surgery, lung, thoracic duct