Kua whakaaro kē koe me pēhea te tango atu i ngā para me ngā mea kāore e hiahiatia ana i roto i ō tātou tinana? Pērā i te wai paru e haere ana i roto i ngā paipa i roto i te whare, he rite tonu te pūnaha nui o ō tātou tinana. Ka kiia tēnei ko te pūnaha lymphatic. Nō reira, i tēnei rā ka kōrero tātou mō te awa matua, te awa nui rawa atu, me te awa tino nui o tēnei pūnaha. Ko te awa thoracic tēnā. Kāore pea koe i rongo i tēnei ingoa i mua. Engari he tangata tēnei e mahi puku ana i tētahi mahi nui ki ō tātou tinana.
He aha te awaawa o te uma?
Ki te kī māmā noa, ko te Uma o te Uma te oko toto nui rawa atu o tō tinana . He hanganga roa, he rite ki te ngongo, e tīmata ana i roto i tō puku, ka rere ki roto i tō uma, ā, ka mutu ki te taha o tō kaki.
Whakaarohia he rite ki tētahi huarahi nui me ngā rori taha e hono ana tetahi ki tetahi, ko te wai e kiia nei ko te "lymph" e kohia ana mai i ngā awaawa lymph iti puta noa i ō tātou tinana ka hono atu ki tēnei awaawa nui. Kātahi ka hono atu tēnei awaawa thoracic ki tētahi oko toto nui "uaua" e tata ana ki te kaki, ka tukuna taua wai lymph ki roto i tō tātou pūnaha tohanga toto. Mai i reira, ka haere anō puta noa i te tinana.
E rua ngā huarahi matua e whakahokia ai te wai lymph ki roto i te toto o te tinana.
1. Te awaawa o te uma
2. Te awaawa lymphatic matau
Ka kohia e te awa lymphatic matau te lymph mai i tō ringa matau, te taha matau o tō upoko me tō kaki, me te taha matau o tō uma, ā, ka whakahokia ki roto i tō toto. Heoi, ka kohia e te awa thoracic te lymph mai i te nuinga o ngā wāhanga o tō tinana .
| Ingoa hongere | Ngā wāhi e kohia ai te wai lymph |
|---|---|
| Puku Uma | Te taha maui o te upoko, te kaki, me te uma Te wāhi puku (puku) Ngā waewae e rua |
| Puku Lymphatic Matau | Te taha matau o te upoko, te kaki, me te uma Ringa matau |
He aha te mahi a tēnei ngongo?
Ko te mahi matua o te awaawa uma he kohikohi i te wai lymph mai i ngā awaawa lymph iti i ngā wāhanga rerekē o te tinana, ka kawe mai ki tō tātou pūnaha tohanga toto. Ka āwhina tēnei ki te pupuri i ngā taumata wai hauora i roto i tō tātou tinana, me te tātari i ngā para.
Kia titiro tātou me pēhea te mahi a tēnei tukanga i ia taahiraa:
1. Kohikohinga: Tuatahi, ka kohia te wai lymph mai i ngā uaua lymph iti rawa e horapa ana puta noa i te tinana, ka uru ki ngā oko lymphatic nui ake.
2. Te taenga mai ki te huarahi matua: Pērā i ngā rori taha iti e huihui ana hei hanga i tētahi huarahi matua nui, ka huihui katoa ēnei oko toto lymphatic nui ka hono atu ki te awaawa uma. Ko te huarahi matua i konei ko te awaawa uma.
3. Te piki: Kātahi ka haere tēnei ngongo waikura ki runga i te awaawa o te uma. Ka haere tonu tēnei haerenga kia tae rā anō ki te kaki.
4. Te whakaranu ki te toto: I muri i te taenga ki tētahi hononga motuhake (hononga lymphovenous - LVJ) i te taha maui o te kaki, ka hono te awaawa thoracic ki tētahi uaua nui i reira. Pērā i te motuka e tomo ana ki te huarahi tere, ka uru te wai lymph ki te uaua mā tēnei awaawa. Mai i reira, ka rere puta noa i te tinana hei wāhanga o te plasma toto.
Ia rā, e toru rita wai e tāpirihia ana e tātou ki roto i tō tātou pūnaha tohanga toto mā roto i te awaawa uma anake. He mea whakamiharo tēnei?
Tērā tētahi momo wai lymph motuhake. Ko te ingoa ko 'chyle' . He wai tēnei e puta mai ana i tā tātou pūnaha nakunaku, ā, he nui ngā ngako i roto. He rerekē tēnei wai 'chyle' ki ētahi atu wai lymph, he mā te miraka.
Kei hea te awaawa uma?
Kei waenganui o tō uma . Kei te taha o tō tātou aorta, te esophagus, me te tuaiwi.
Ka tīmata i te tuara o raro, i te tuaiwi hope. Mō te nuinga o te tangata, ka tīmata i waenganui i ngā tuaiwi T12 me L2. Ka tīmata ina honoa ētahi awa lymph mai i ō tātou waewae me ngā whekau. I ētahi wā, ka hangaia he hanganga rite ki te pēke ki te wāhi e honoa ai ēnei awa. Ka kiia ko te 'cisterna chyli' .
Mai i reira, ka haere tika atu tēnei awaawa mā roto i te uma (thorax). I taua ara, ka honoa atu ki roto e ētahi atu oko toto lymphatic. Ina tae ki te kaki, ka piko hei āwhata i runga ake i te wheua kara, kātahi ka heke iho anō ki raro hei hono atu ki tētahi uaua i te uma o runga.
Kei hea tonu te hononga o tēnei?
Ka rerekē pea te wāhi o tēnei hononga i ia tangata, i ia tangata. Ko te tikanga, koinei te wāhi e hono ai te uaua subclavian maui me te uaua jugular o roto maui. I ētahi tāngata, ka hono motuhake pea ki tētahi o ēnei uaua.
Kāore e hiahiatia kia tino mōhio koe ki ēnei ingoa, engari he mea nui kia mārama pai ngā taote pokanga ki ēnei hanganga, inā koa i te wā e mahi ana i ngā pokanga uma, i te kaki rānei.
He aha te hanganga o te awaawa thoracic?
He rite tōna āhua ki te ngongo. He hononga ki ētahi atu ngongo iti ake, e kiia nei ko ngā awa lymphatic. E toru ngā paparanga o te pakitara o te awa thoracic. E kiia ana ko te intima, te media me te adventitia. Ka whakawhāiti tonu te uaua maeneene i te paparanga waenga (media). Mā tēnei ka neke te wai lymph ki te taha kotahi, arā, ki runga.
Kei roto anō hoki i tēnei ngongo ngā takirere. Ka tuwhera ēnei takirere ina piki ake te wai lymph, ā, ka kati ina ngana anō ki te heke iho. Mā tēnei ka ārai i te rere whakamuri o te wai lymph.
Ko te roa o te awaawa uma i te nuinga o te wā kei waenga i te 38 me te 45 henimita . Ka rerekē tōna whānui i ia wāhi, mai i te 2 ki te 5 henimita .
He aha ngā mate ka pā ki tēnei awaawa?
He maha ngā āhuatanga ka pā kino ki te mahi a te awaawa uma. Ehara ēnei i te āhuatanga noa e kitea ana i ia rā, engari he mea nui kia mōhio koe ki ēnei.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Chyle Leak | Ka turuturu te wai lymph ngako, e kiia nei ko te 'chyle', mai i te awaawa thoracic ki roto i ngā kiko e karapoti ana. He maha ngā wā ka puta tēnei hei raruraru o te pokanga, o te whara rānei. |
| Chylothorax | He turuturu 'makariri' anō hoki tēnei. Engari i konei ka turuturu te makariri ki roto i te wāhi huri noa i ngā pukahukahu. He momo mate tēnei e kiia nei ko te pleural effusion. Ka puta pea ngā tohu pēnei i te poto o te manawa, te kikī o te uma, me te ngenge. |
| Āraitanga whānau | Kāore anō kia tino hangaia te awaawa o te uma i te whānautanga. Tērā pea ka āraia te awaawa, ka āraia rānei, kāore e hono atu ki tētahi uaua. He mea noa tēnei e kitea ana i roto i ngā pēpi he mate manawa kino tō rātou whānautanga. |
He aha te rongoā mō tēnei?
Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki te āhua o te mate. Mā tō tākuta e whakatau te maimoatanga pai rawa atu māu. Ko ētahi o ngā maimoatanga tino noa ko:
- Ngā huringa rangitahi o te kai: inā koa te huri ki te kai iti-ngako.
- Rongoā: Te hoatu i ngā rongoā kua whakaritea e te tākuta.
- He tikanga hei tango i te wai: Mena kua kohia te wai ki te wāhi o te pukahukahu, ka whakauruhia he ngongo hei tango i te wai (thoracentesis).
- Te here i te awaawa mā te pokanga: Te here i te awaawa hei aukati i te turuturu (te here i te awaawa o te uma).
- He tikanga hei aukati i te awaawa: He tikanga hei aukati i te turuturu mā te aukati i te awaawa ki tētahi matū motuhake (te whakapūngao i te awaawa o te uma).
Ki te mea ka pokaina tō uma, tō puku rānei, ka whakamārama atu tō tākuta ki a koe mēnā he iti, he nui rānei te mōrearea o te kino ki te awaawa thoracic, me ngā tohu ka pā ki a koe mēnā ka pērā koe.
Ko te mea nui, ki te mea ka uaua te manawa, ka kikī te uma, ka ngenge rerekē rānei i muri i tētahi pokanga pēnei, me whakamōhio tonu atu koe ki tō tākuta .
Hei whakamutunga, he hanganga nui te awaawa uma e āwhina ana i a tātou kia ora tonu i ia rā, i ia rā, i ia rā. He ngongo roa e rere ana mai i te puku mā roto i te uma ki te kaki. Ahakoa e whakaaro ana koe he roa rawa te haerenga, he tino onge te pakaru. Ā, ki te pakaru, kua rite ngā tākuta ki te rongoā.
Karere Tangohia ki te Kāinga
- Ko te awaawa uma te awaawa lymphatic nui rawa atu, me te mea nui rawa atu hoki o tō tātou tinana.
- Ka kohia e tēnei ngongo te wai mai i te nuinga o te tinana (ngā waewae, te puku, te uma, me te taha maui o te upoko) ka whakahokia ki te toto.
- He mea nui tēnei hei pupuri i te taurite wai i roto i te tinana me te tango i ngā hua para.
- He tino onge te pakaru o tēnei, engari ka puta pea ngā raruraru i muri i te pokanga o te uma, o te puku rānei, nā ngā aituā rānei.
- Ki te puta he tohu pēnei i te uaua ki te manawa i muri i te pokanga o te uma, me toro atu ki tō tākuta tonu.
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