I tēnei rā ka kōrero tātou mō tētahi awa iti i roto i tō tātou tinana, kāore e tino kōrerotia ana, engari he tino mahi nui tāna. He rite ki tētahi ara huna i roto i tō tātou tinana, e mahi puku ana i tana mahi. Kua rongo kē koe i tēnei ingoa (Awa Thoracic)? Kāore pea. Engari ka miharo koe ki te mōhio ki tōna hiranga ki tō tātou tinana!
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He aha te awaawa o te uma?
Ki te kī māmā noa iho, ko tō awaawa uma te oko toto nui rawa atu o tō tinana . Whakaarohia he hanganga roa, he rite ki te ngongo, e rere ana mai i tō puku ki runga i tō uma. Pērā i te tomokanga huarahi, ka hono tēnei awaawa uma ki ngā uaua nui o tō kaki. Koinei te mea e āhei ai te wai toto, he wai e kiia nei ko te wai toto, ki te hoki ki roto i ō tātou toto, ka haere puta noa i te tinana.
E rua ngā ara matua e āwhina ana ki te whakahoki mai i te wai lymph ki roto i te toto. Ko tētahi ko te Uma. Ko tētahi ko te Matau Lymphatic Duct . Ko te wai lymph mai i tō ringa matau, te taha matau o tō kaki, te taha matau o tō upoko, me te taha matau o tō uma ka hoki ki roto i te toto mā te Matau Lymphatic Duct. Mai i ngā wāhi katoa, arā:
- I te taha maui o tō upoko, kaki, me tō uma
- Mai i tō puku katoa
- Me ō waewae e rua
Ka haria atu te wai lymph kua kohia e tēnei (Thoracic Duct). Tirohia te rahi o te wāhi e taupokina ana e tēnei duct!
Ka ahatia tēnei awaawa uma?
Ka kohia e tō awaawa uma te wai lymph mai i ngā awaawa lymph iti maha puta noa i tō tinana. Kātahi ka tukuna atu tēnei wai lymph kua kohia ki tō pūnaha tohanga toto. Ka āwhina tēnei ki te pupuri i ngā taumata wai hauora i roto i tō tinana, ā, ka āwhina hoki ki te tātari i ngā para.
Te Nekehanga o te Lymph
Whakaarohia te āhua o tēnei.
1. Tuatahi, ka rere te wai lymph mai i ngā 'waikawa lymphatic' tino iti ki roto i ngā oko wai lymph nui ake.
2. Ka honoa ēnei oko toto nui – e kiia ana i ētahi wā ko ngā "awaawa" – ki roto i tō "Awaawa Uma". He rite ki tētahi raupapa o ngā ara iti e honoa ana hei hanga i tētahi huarahi nui. Ko tō "Awaawa Uma" taua huarahi.
3. Muri iho, ka haria e te Huarahi Uma te wai lymph ki runga kia tae rā anō ki tētahi wāhi e kiia nei ko te Hononga Lymphovenous (LVJ) . Koinei te wāhi e hono ai te Huarahi Uma ki tētahi uaua, ki ētahi atu uaua rānei kei te taha maui o tō kaki.
4. Pērā i te huarahi nui, ka rere te wai lymph mai i te awaawa o te uma ki roto i ngā uaua. Mai i reira, ka haere puta noa i tō tinana hei wāhanga o tō toto toto .
I mōhio koe, i ia rā, tata ki te 3 rita o te wai lymph e tāpirihia ana ki te pūnaha tohanga toto mā roto i tō (Thoracic Duct). He momo lymph motuhake anō hoki kei roto ko (Chyle) . He mea hanga tēnei (Chyle) i ngā ngako (lipids).He momo wai lymph e nui ana ngā matūkai. I ahu mai i tō pūnaha nakunaku. Ahakoa he mārama te wai lymph i ētahi atu wāhanga o te tinana, he mā te miraka tēnei (Chyle).
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Check Availability →Kei hea te awaawa uma?
Kei waenganui o tō uma tō Puku Uma. Kei te taha o tō Aorta , Esophagus , me te Tuaiwi . Ka tīmata i te tihi o tō tuaiwi hope (i waenganui i ngā tuaiwi T12 me L2 i te nuinga o te tangata). Koinei te wāhi e hono ai ētahi awa lymph, tae atu ki ērā e kawe ana i te lymph mai i ō waewae me ō whekau. I ētahi wā ka hono ēnei awa ki te hanga i tētahi hanganga rite ki te pēke e kiia nei ko te cisterna chyli .
Mai i reira, ka piki ake te Huarahi Uma. I a ia e haere ana i roto i tō uma (thorax), ka whai i te ara rite ki te taurakira. I a ia e haere ana, ka honoa atu ki a ia ētahi atu awa lymphatic. I a ia e whakatata atu ana ki tō kaki, ka piko ka hanga he āwhata e haere ana i runga ake i tō wheua kara . Kātahi ka piko anō ki raro ka hono atu ki tētahi uaua, ki ētahi atu uaua rānei i roto i tō uma o runga.
Kei hea te awaawa uma e kati ai, e kohia ai hoki?
Ka rerekē pea te tūnga tuturu o tēnei wai lymph i ia tangata, i ia tangata. Tērā pea ka hono tō Puku Uma ki te hononga o tō Uaua Subclavian Mauī me tō Uaua Jugular Ā-roto Mauī . Tērā pea ka hono tata atu ki tētahi o ēnei uaua, te wāhi e tūtaki ai rāua. I ētahi wā, ka hono atu ki te Uaua Jugular Ā-waho Mauī .
Mō te nuinga o te tangata, ka hono tika te awaawa o te uma ki te uaua. Heoi, he rerekētanga anō kei reira. Ka taea e te awaawa o te uma te peka, ka hoki tahi mai hei hanga i te awaawa kotahi. Ka taea rānei te wehe kia rua ngā awaawa ka tuwhera motuhake ki roto i ō uaua.
Kāore pea koe e hiahia ki te mōhio ki ngā kōrero katoa mō te (Thoracic Duct). Heoi, e āwangawanga ana ngā kaiwhakarato hauora, arā, ngā tākuta, mō tēnei mea i te wā e mahi ana i ētahi tikanga hauora me ngā pokanga.
Me pēhea te hanganga o te awaawa thoracic?
He rite te āhua o tō awaawa uma ki te ngongo. He maha ngā awaawa iti e hono ana ki a ia. E toru ngā paparanga o ngā pakitara o te awaawa uma. Ko ēnei ko te Intima , Media, me Adventitia . Kei te paparanga waenga (te media) he kiko uaua maeneene e whakawhāiti ana i runga i te āhua whakahaere . Koinei te mea e pupuri ana i te neke o te waipū ki te huarahi tika.
I te rere o te wai lymph i roto i tēnei awaawa, ka tūtaki ia ki ngā takirere i ngā wāhi rerekē. Mā te whakatuwheratanga me te katinga o ēnei takirere ka āwhina i te rere o te wai lymph i tōna ara.
Whakaarohia he paipa e tuku ana i te wai kia rere i te taha kotahi anake. Mā te takirere e kati, ā, ka ārai i te wai kia rere whakamuri.
Kei waenganui i te 38 me te 45 henimita te roa o te awaawa o tō uma. Ko tōna whānui, ko te whānui rānei o te awaawa, kei waenganui i te 2 me te 5 henimita te roa.
He aha ngā mate ka pā ki te awaawa thoracic?
Tērā ētahi āhuatanga ka kore ai e mahi tika tō Uma. Ko ētahi o ēnei:
- Te turuturu Chyle: Koinei te wā e turuturu ai te wai lymph momona (Chyle) i te awaawa o te uma ki roto i ngā kiko e karapoti ana. Ka puta pea tēnei momo turuturu hei raruraru o te pokanga, hei hua rānei o te whara .
- Chylothorax: He momo turuturu motuhake tēnei. Koinei te wāhi e uru ai te wai (chyle) ki te wāhi e karapoti ana i ō pukahukahu. He momo āhuatanga tēnei e kiia nei ko te pleural effusion . Ka taea e tēnei te whakapoto i te manawa, te kikī o te uma, me te ngenge.
- Āraitanga o te Whānautanga: I ētahi wā, kāore pea te awaawa uma e whanake tika i te whānautanga. Tērā pea ka kati wawe te awaawa, kāore rānei e tuwhera ki roto i te uaua. Ka ārai tēnei i te rere o te toto. Ka kitea tēnei āhuatanga i roto i ngā pēpi he mate manawa kino tō te whānautanga.
He aha ngā maimoatanga mō tēnei?
Ka whakawhirinaki te maimoatanga ki te āhua o te mate, engari ka uru pea ki:
- Te hanga i ngā huringa rangitahi ki ngā kai e kainga ana e koe.
- Ngā rongoā.
- He tikanga hei tango i te wai (hei tauira , te thoracentesis ).
- Te Herenga o ngā Puku Uma (DLL)
- He tikanga hei aukati ā-tauira i te awaawa (Thoracic Duct Embolization) .
Mā tō tākuta koe e kōrero atu mō ngā mea hei tumanako atu māu i runga i tō āhua.
Mena kei te pokangahia tō uma, tō puku rānei, ka kōrero atu tō tākuta ki a koe mēnā he tūponotanga kua pakaru tō awaawa uma. Ka whakamāramahia hoki e rātou ngā tohu hei tūpato māu i a koe e ora ana.
Ko te mea nui rawa atu me ako e tātou i tēnei
Ko tō awaawa uma tētahi o ngā wāhanga maha o tō tinana e mahi puku ana i muri i ngā tirohanga, e āwhina ana i tō tinana kia mahi i ia rā. Ki te hiahia koe ki te whakaatu i tō awaawa uma, me tuhi e koe he rārangi mai i tō puku ki tō uma o runga. He rite ki te ngongo roa, engari he tino mahi nui tāna i roto i tō pūnaha lymphatic.
Nā te mea he roa rawa te haere, tera pea te āhua nei he nui te tūponotanga ka pakaru te (Thoracic Duct), engari ehara i te mea noa tēnei momo pakaru. Mēnā ka puta he mea pēnei, kua rite ō tākuta ki te rongoā.
Nō reira, mā te mōhio ki tēnei ngongo iti, engari he tino kaha, ka āwhina i a koe ki te mārama ki tētahi atu āhuatanga o te mahi whakamiharo a tō tātou tinana!
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