Wakambozvibvunza here kuti tsvina nezvinhu zvisingadiwe zviri mumiviri yedu zvinobviswa sei? Sezvinongoita mvura yakasviba inopinda nemumapaipi mumba, miviri yedu inewo super system yakafanana. Tinoidaidza kuti lymphatic system. Saka nhasi tichataura nezve duct huru, yakakura uye inonyanya kukosha musystem iyi. Ndiyo duct yepachipfuva. Ungave usati wambonzwa nezvezita iri kare. Asi uyu munhu anoita basa guru mumiviri yedu chinyararire.
Zvichitaurwa zviri nyore, chii chinonzi Thoracic Duct?
Zvichitaurwa zviri nyore, Thoracic Duct ndiyo tsinga huru yelymphatic mumuviri wako . Iro chivakwa chakareba chakaita sechubhu chinotanga mudumbu mako, chinokwira nepachipfuva chako, uye chinopera pedyo nemutsipa wako.
Funga nezvazvo semugwagwa mukuru une migwagwa yemumativi inobatanidzana, mvura inonzi "lymph" inoungana kubva mumigero midiki yelymph mumiviri yedu inosangana nemugero uyu mukuru. Zvadaro mugero uyu wechipfuva unobatanidza netsinga huru yeropa "tsinga" iri pedyo nemutsipa, uye unoburitsa mvura yelymph iyoyo muhurongwa hwedu hweropa. Kubva ipapo, inofamba mumuviri wese zvakare.
Kune nzira mbiri huru dzinodzoserwa nadzo mvura yelymph muropa mumuviri wedu.
1. Mugero wechipfuva
2. Mugero weLymphatic weKurudyi
Mugero we lymphatic duct wekurudyi unounganidza lymph kubva paruoko rwako rwerudyi, kurutivi rwerudyi rwemusoro wako nemutsipa, uye kurutivi rwerudyi rwechipfuva chako woidzosera muropa rako. Zvisinei, mugero wechipfuva unounganidza lymph kubva kune dzimwe nhengo dzese dzemuviri wako .
| Zita rechiteshi | Nzvimbo dzinoungana mvura yelymph |
|---|---|
| Mugero wechipfuva | Rutivi rwekuruboshwe rwemusoro, mutsipa, nechipfuva Dumbu (dumbu) Makumbo ese ari maviri |
| Mugero weLymphatic weKurudyi | Rutivi rwerudyi rwemusoro, mutsipa, uye chipfuva Ruoko rwerudyi |
Basa rechubhu iyi nderei?
Basa guru remugero wechipfuva nderekuunganidza lymph kubva mumigero midiki yelymph munzvimbo dzakasiyana dzemuviri uye kuiunza kuropa redu. Izvi zvinobatsira kuchengetedza huwandu hwakanaka hwemvura mumuviri wedu uye kuchenesa tsvina.
Ngationei kuti maitiro aya anoshanda sei nhanho nhanho:
1. Kuunganidzwa: Kutanga, mvura yelymph inoungana kubva mumasero madiki elymphatic akapararira mumuviri wese uye inopinda mutsinga dzelymphatic dzakakura zvishoma.
2. Kusvika kumugwagwa mukuru: Kungofanana nemigwagwa midiki yemumativi inoungana kuti igadzire mugwagwa mukuru mukuru, tsinga dzese idzi huru dze lymphatic dzinosangana pamwe chete uye dzinobatana nechubhu yechipfuva. Mugwagwa mukuru pano ndiwo chubhu yechipfuva.
3. Kukwira: Rudzi urwu rwelymph runobva rwafamba rwuchikwira nemugero wechipfuva. Rwendo urwu runoenderera mberi kusvika rwasvika pamutsipa.
4. Kusanganiswa neropa: Mushure mekusvika panosangana masero (lymphovenous junction - LVJ) kuruboshwe rwemutsipa, duct yechipfuva inobatanidza tsinga huru ipapo. Sezvinongoita mota inopinda mumugwagwa mukuru, lymph fluid inopinda mutsinga iyi kuburikidza neiyi duct. Kubva ipapo, inotenderera mumuviri wese sechikamu cheplasma yeropa redu.
Zuva rega rega, tinowedzera marita matatu emvura muropa redu kuburikidza nemutsinga wechipfuva chete. Izvi hazvishamisi here?
Kune rudzi rwakakosha rwe lymph fluid. Runonzi 'chyle' . Iri imvura inobva mudumbu redu uye ine mafuta akawanda. Kusiyana nemamwe ma lymph fluids, mvura iyi ye 'chyle' yakachena semukaka.
Mugero wechipfuva uri kupi?
Iri pakati pechipfuva chako . Iri pedyo neaorta yedu, gumbo, uye musana.
Inotangira kumusana wezasi, mumusana we lumbar. Muvanhu vazhinji, inotangira pakati pe vertebrae ye T12 ne L2. Inotangira kana nzira dzakawanda dze lymph kubva kumakumbo edu nedumbu dzakabatana. Dzimwe nguva, chimiro chakaita se sac chinoumba apo nzira idzi dzinobatana. Inonzi 'cisterna chyli' .
Kubva ipapo, nzira iyi inofamba yakananga nepachipfuva (chipfuva). Munzira, inobatanidzwa nedzimwe tsinga dzeropa. Painosvika pamutsipa, inokombama kuita arch iri pamusoro pebhonzo, yozodzika zvakare kuti ibatanidze tsinga iri pamusoro pechipfuva.
Izvi zvine chekuita papi chaizvo?
Nzvimbo yekubatana uku inogona kusiyana zvishoma kubva pamunhu nemunhu. Kazhinji, ndipo panosangana tsinga yeruboshwe ye subclavian netsinga yemukati yeruboshwe yejugular. Mune vamwe vanhu, inogona kubatana kune imwe yetsinga idzi zvakasiyana.
Hamufanirwe kuziva mazita aya chaizvo, asi zvakakosha kuti vanachiremba vanzwisise zvakanaka maumbirwo aya, kunyanya pavanenge vachiita maoparesheni echipfuva kana mutsipa.
Chii chinonzi chimiro chemugero wechipfuva?
Yakaumbwa sechubhu. Yakabatana nemamwe machubhu madiki, anonzi lymphatic ducts. Madziro echubhu yechipfuva akaumbwa nezvikamu zvitatu. Zvinonzi intima, media uye adventitia. Tsandanyama dzakatsetseka dziri pakati pechubhu (media) dzinogara dzichigumira. Izvi zvinoita kuti lymph fluid ifambe ichienda kune rimwe divi, kureva kumusoro.
Uyewo, kune mavharuvhu ari mukati mechubhu iyi. Mavharuvhu aya anovhurika kana mvura yelymph iri kufamba ichikwira, uye anovhara kana ichiedza kudzika zvakare. Izvi zvinodzivirira mvura yelymph kuti isayerere kumashure.
Mugero wechipfuva unowanzova pakati pemasendimita makumi matatu nemasere kusvika makumi mana nemashanu . Upamhi hwawo hunosiyana kubva panzvimbo kuenda kune imwe, huchibva pamasendimita maviri kusvika mashanu .
Ndezvipi zvirwere zvinogona kukanganisa duct iyi?
Kune zvirwere zvakasiyana-siyana zvinogona kukanganisa mashandiro emugero wechipfuva. Izvi hazvisi zvirwere zvakajairika zvaunoona zuva nezuva, asi zvakakosha kuziva nezvazvo.
| Dambudziko rehutano | Tsananguro iri nyore |
|---|---|
| Kubuda kweChyle | Mafuta elymph fluid, anonzi 'chyle', anobuda muchubhu chechipfuva achipinda munyama dzakapoteredza. Izvi zvinogona kuitika sedambudziko rekuvhiyiwa kana kukuvara. |
| Chylothorax | Ukuwo kudonha kwemvura kunokonzerwa ne "chilles". Asi pano kutonhora kunopinda munzvimbo yakatenderedza mapapu. Ichi chirwere chinonzi pleural effusion. Izvi zvinogona kukonzera zviratidzo zvakaita sekushaya mweya, kuomarara kwechipfuva, uye kuneta. |
| Kuvharika kwekuzvarwa nakwo | Mugero wechipfuva hausati wanyatsoumbwa pakuzvarwa. Mugero uyu unogona kuvharika kana kuvharika usina kubatana netsinga. Izvi zvinowanzoonekwa muvana vacheche vane chirwere chemwoyo chakakomba. |
Kurapwa kweizvi ndekupi?
Nzira dzekurapa dzinoenderana nemamiriro ezvinhu. Chiremba wako ndiye achasarudza nzira yakanakira iwe. Mamwe emishonga inowanzo shandiswa anosanganisira:
- Kuchinja kwechinguvana mukudya: kunyanya kuchinja kudya kusina mafuta akawanda.
- Mishonga: Kupa mishonga yakanyorwa nachiremba.
- Maitiro ekubvisa mvura: Kana mvura yaungana munzvimbo yemapapu, chubhu inoiswa kuti ibvise mvura (thoracentesis).
- Kusunga duct nekuvhiyiwa: Kusunga duct kuti umise kubuda kwemvura (thoracic duct ligation).
- Nzira yekuvhara duct nemaune: Nzira yekumisa kubuda kwemvura nekuvhara duct nechinhu chakakosha (thoracic duct embolization).
Kana uchizovhiyiwa pachipfuva chako kana mudumbu, chiremba wako achakutsanangurira kana paine njodzi diki kana yakakura yekukuvadzwa kwemugero wechipfuva, uye zviratidzo zvaunogona kuona kana ukadaro.
Chinhu chinonyanya kukosha ndechekuti kana ukasangana nematambudziko ekufema, kuoma kwechipfuva, kana kuneta kusingawanzoitiki mushure mekuvhiyiwa kwakadai, zvakakosha kuzivisa chiremba wako nekukasika .
Pakupedzisira, nzira yechipfuva ichinhu chakakosha chinyararire, chiri kuseri kwezviitiko, chinotibatsira kuti tirambe tiine hutano zuva nezuva. Ichubhu refu inoyerera kubva mudumbu medu ichipinda muchipfuva chedu ichienda kumutsipa. Kunyangwe ungafunga kuti rwendo rwakareba kudaro, hazviwanzoitiki kuti ikuvadzwe. Uye kana ikadaro, vanachiremba vakagadzirira kuirapa.
Mharidzo Yekuenda Nayo Kumba
- Mugero wechipfuva ndiwo mugero welymphatic wakakura uye unonyanya kukosha mumuviri wedu.
- Chubhu iyi inounganidza mvura kubva mumuviri wese (makumbo, dumbu, chipfuva, nerutivi rwekuruboshwe rwemusoro) yoidzosera muropa.
- Izvi zvakakosha pakuchengetedza kuenzana kwemvura mumuviri uye kubvisa tsvina.
- Kukuvara kweizvi hakuwanzoitiki, asi matambudziko anogona kuitika mushure mekuvhiyiwa kwechipfuva kana dumbu kana nekuda kwetsaona.
- Kana ukaona zviratidzo zvakaita sekuoma kufema mushure mekuvhiyiwa chipfuva, enda kuna chiremba wako nekukasika.
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