Kodi mukudziwa za chubu chachitali ichi chomwe chili mkati mwa chifuwa chathu? (Chifuwa) - Tiyeni tiphunzire tsatanetsatane!

Lero tikambirana za kanjira kakang'ono m'thupi mwathu komwe sitikambirana zambiri, koma kamachita ntchito yofunika kwambiri. Kali ngati njira yobisika mkati mwa thupi lathu, kakugwira ntchito mwakachetechete. Kodi mudamvapo za dzina ili `(Thracic Duct)`? Mwina ayi. Koma mudzadabwa kudziwa kufunika kwake m'thupi lathu!

Kodi Thoracic Duct ndi chiyani?

Mwachidule, Thoracic Duct yanu ndiye chotengera chachikulu kwambiri cha lymphatic m'thupi lanu . Taganizirani izi ngati kapangidwe katali ngati chubu komwe kamayenda kuchokera m'mimba mwanu kupita pachifuwa. Monga khomo lolowera pamsewu waukulu, Thoracic Duct iyi imalumikizana ndi mitsempha yayikulu m'khosi mwanu. Izi ndi zomwe zimalola lymph, madzi otchedwa lymph, kubwerera m'magazi mwathu ndikuyenda m'thupi lonse.

Pali njira ziwiri zazikulu zomwe zimathandiza kubwezeretsa madzi a lymph m'magazi. Imodzi ndi Thoracic Duct. Inayo ndi Right Lymphatic Duct . Madzi a lymph ochokera ku dzanja lanu lamanja, mbali yakumanja ya khosi lanu, mbali yakumanja ya mutu wanu, ndi mbali yakumanja ya chifuwa chanu amabwerera m'magazi kudzera mu Right Lymphatic Duct. Kuchokera kwina kulikonse, ndiko kuti:

• Kumanzere kwa mutu wanu, khosi, ndi chifuwa
• Kuchokera m'mimba mwanu yonse
• Ndi miyendo yanu yonse iwiri

Madzi a lymph omwe asonkhanitsidwa amatengedwa ndi `(Thracic Duct)` iyi. Taonani kukula kwa malo omwe duct iyi imaphimba!

Kodi chimachitika ndi chiyani ndi njira iyi ya thoracic?

Mtsempha wanu wa m'chifuwa umasonkhanitsa madzi a m'thupi kuchokera ku njira zambiri zazing'ono za m'thupi m'thupi lanu. Kenako umatumiza madzi a m'thupi awa ku dongosolo lanu la magazi. Izi zimathandiza kusunga madzi okwanira m'thupi lanu komanso zimathandiza kusefa zinyalala.

Momwe Lymph Imayendera

Tangoganizirani momwe izi zimachitikira.

1. Choyamba, lymph imatuluka kuchokera ku `mitsempha yaying'ono kwambiri ya lymphatic` kupita ku mitsempha yayikulu pang'ono ya lymph.

2. Mitsempha ikuluikulu iyi ya lymph - nthawi zina imatchedwa "mitsinje" - imalumikizana pamodzi mu "Thracic Duct" yanu. Zili ngati mndandanda wa njira zing'onozing'ono zolumikizana pamodzi kuti zipange msewu waukulu. "Thracic Duct" yanu ndiyo msewu waukuluwo.

3. Kenako, Thoracic Duct imanyamula madzi a lymph awa kupita mmwamba mpaka akafika pamalo otchedwa Lymphovenous Junction (LVJ) . Apa ndi pomwe Thoracic Duct imalumikizana ndi mtsempha kapena mitsempha yomwe ili kumanzere kwa khosi lanu.

4. Monga msewu waukulu, lymph imatuluka mu Thoracic Duct kupita ku mitsempha. Kuchokera pamenepo, imayenda m'thupi lanu lonse ngati gawo la Plasma yanu.

Kodi mukudziwa kuti tsiku lililonse, pafupifupi malita atatu a madzi am'mimba amawonjezeredwa ku dongosolo la magazi kudzera mu `(Thracic Duct)` yanu. Izi zilinso ndi mtundu wapadera wa lymph wotchedwa `(Chyle) .` `(Chyle)` iyi imapangidwa ndi mafuta (lipids).Mtundu wa lymph womwe uli ndi michere yambiri. Umachokera m'thupi lanu. Ngakhale kuti madzi a lymph m'zigawo zina za thupi nthawi zambiri amakhala oyera, `(Chyle)` iyi ndi yoyera ngati mkaka.

Kodi njira yolumikizira mafupa pachifuwa ili kuti?

Mtsempha wanu wa m'chifuwa uli pakati pa chifuwa chanu. Uli pafupi ndi Aorta , Esophagus , ndi Spine . Umayambira pamwamba pa msana wanu wam'chiuno (pakati pa T12 ndi L2 vertebrae mwa anthu ambiri). Ndi komwe njira zingapo za lymph, kuphatikizapo zomwe zimanyamula lymph kuchokera ku miyendo ndi matumbo anu, zimalumikizana. Nthawi zina njirazi zimalumikizana kuti zipange kapangidwe kofanana ndi thumba kotchedwa cisterna chyli .

Kuchokera pamenepo, Thoracic Duct imayenda mmwamba. Pamene ikuyenda pachifuwa chanu (chifuwa), imatsatira njira yofanana ndi ya msana. Panjira, imalumikizidwa ndi ma lymphatic ducts ena. Pamene ikuyandikira khosi lanu, imapindika ndikupanga arch yomwe imapita pamwamba pa khosi lanu. Kenako imapindikanso pansi ndikulumikizana ndi mtsempha kapena mitsempha yomwe ili pachifuwa chanu chapamwamba.

Kodi njira ya pakhosi imatseka ndi kusonkhana kuti?

Malo enieni a madzi a lymph awa amatha kusiyana malinga ndi munthu. Thoracic Duct yanu ingalumikizane ndi malo olumikizirana a Left Subclavian Vein yanu ndi Left Internal Jugular Vein yanu. Kapena, ingalumikizane ndi imodzi mwa mitsempha iyi pafupi kwambiri, komwe imakumana. Nthawi zina, ingalumikizane ndi Left External Jugular Vein .

Mwa anthu ambiri, Thoracic Duct imalumikizana mwachindunji ndi mtsempha. Komabe, pali kusiyana. Thoracic Duct imatha kufalikira ndikubwerera pamodzi ndikupanga terminal duct imodzi. Kapena, imatha kugawikana m'ma duct awiri omwe amatseguka m'mitsempha yanu padera.

Simungafunike kudziwa zonse zokhudza `(Thracic Duct)`. Komabe, ogwira ntchito zachipatala, kutanthauza madokotala, amada nkhawa ndi izi akamachita njira zina zachipatala ndi maopaleshoni.

Kodi njira ya thoracic duct imapangidwa bwanji?

Mtsempha wanu wa m'chifuwa uli ngati chubu. Uli ndi njira zambiri zazing'ono za lymph zolumikizidwa nazo. Makoma a Mtsempha wa m'chifuwa amapangidwa ndi zigawo zitatu. Izi zimatchedwa Intima , Media, ndi Adventitia . Mtsempha wapakati (media) uli ndi minofu yosalala yomwe imapindika molamulidwa . Izi ndi zomwe zimapangitsa kuti lymph iyende bwino.

Pamene lymph ikuyenda kudzera mu ngalande iyi, imakumana ndi ma valve pamalo osiyanasiyana. Kutseguka ndi kutsekedwa kwa ma valve awa kumathandizanso kuti lymph iyende bwino m'njira yake.

Taganizirani ngati chitoliro chomwe chimalola madzi kuyenda mbali imodzi yokha. Valavu imatseka ndikuletsa madziwo kuti asabwererenso.

Mtsempha wanu wa m'chifuwa uli ndi kutalika kwa masentimita 38 mpaka 45. M'lifupi mwake, kapena m'lifupi mwa mtsempha, umasiyana pakati pa masentimita awiri ndi asanu kutalika kwake.

Ndi matenda ati omwe angakhudze njira ya thoracic duct?

Pali zinthu zina zomwe zingayambitse kuti njira yanu ya thoracic isamagwire bwino ntchito. Izi zikuphatikizapo:

• Kutuluka kwa Chyle: Apa ndi pamene madzi a m'thupi (Chyle) amatuluka mu thoracic Duct ndikulowa m'minofu yozungulira. Kutuluka kwamtunduwu kumatha kuchitika chifukwa cha opaleshoni kapena chifukwa cha kuvulala .
• Chylothorax: Uwu ndi mtundu winawake wa kutuluka kwa madzi m'thupi. Apa ndi pomwe madzi (chyle) amalowa m'malo ozungulira mapapu anu. Uwu ndi mtundu wa vuto lotchedwa pleural effusion . Izi zingayambitse kupuma movutikira, kulimba pachifuwa, komanso kutopa.
• Kutsekeka kwa Chifuwa: Nthawi zina njira ya chifuwa singakule bwino pobadwa. Njirayi imatha kutseka msanga kapena kusatseguka mumtsempha. Izi zimaletsa kuyenda kwa magazi. Vutoli nthawi zambiri limapezeka mwa makanda omwe ali ndi matenda aakulu a mtima obadwa nawo.

Kodi mankhwala ochizira izi ndi otani?

Chithandizo chimadalira matenda, koma chingaphatikizepo:

• Kusintha kwakanthawi zakudya zomwe mumadya.
• Mankhwala.
• Njira yochotsera madzi (monga thoracentesis ).
• Opaleshoni ya Thoracic Duct Ligation (DLL) .
• Njira yotsekereza dala duct (Thoracic Duct Embolization) .

Dokotala wanu adzakuuzani zambiri za zomwe mungayembekezere kutengera vuto lanu.

Ngati mukuchitidwa opaleshoni pachifuwa kapena pamimba, dokotala wanu adzakuuzani ngati pali mwayi woti njira yanu yolumikizira chifuwa ingawonongeke. Adzakufotokozeraninso zizindikiro zomwe muyenera kusamala nazo mukachira.

Chinthu chofunika kwambiri chomwe tiyenera kuphunzira kuchokera pa izi ndi

Mtsempha wanu wa m'chifuwa ndi chimodzi mwa ziwalo zambiri za thupi lanu zomwe zimagwira ntchito mwakachetechete kuseri kwa zochitika, zomwe zimathandiza thupi lanu kugwira ntchito tsiku ndi tsiku. Ngati mukufuna kuwonetsa Mtsempha wanu wa m'chifuwa, muyenera kulemba mzere kuchokera m'mimba mwanu kupita pachifuwa chanu chapamwamba. Umaoneka ngati chubu chachitali, koma umagwira ntchito yofunika kwambiri mu dongosolo lanu la lymphatic.

Chifukwa chakuti imayenda mtunda wautali chonchi, zingawoneke ngati pali mwayi waukulu woti `(Thracic Duct)` iwonongeke, koma kuwonongeka kotereku sikofala kwenikweni. Ngati chinthu chonga chimenecho chichitika, madokotala anu ali okonzeka kuchichiza.

Choncho, kudziwa za chubu chaching'onochi, koma champhamvu kwambiri kudzakuthandizani kumvetsetsa mbali ina ya ntchito yodabwitsa ya thupi lathu!

Dongosolo la mitsempha ya m'magazi , njira ya m'chifuwa, kapangidwe ka thupi, ma gills, mitsempha ya mitsempha ya m'magazi, kuyenda kwa magazi, ma lymph nodes