Ingaba isifuba sakho sivakala ngathi sigcwele amanzi? Isenokuba yi-chylothorax!

Ngaba ngamanye amaxesha ukhe ufumane kunzima ukuphefumla ngequbuliso? Okanye uziva into enzima okanye eqinileyo esifubeni sakho? Kusenokuba kukho isizathu soku ongakhange usicinge nokucinga ngaso. Namhlanje siza kuthetha ngemeko yezonyango engaqhelekanga kodwa ebaluleke kakhulu ekufuneka uyiqaphele. Le yiChylothorax . Igama lisenokuvakala lingaqhelekanga, kodwa ungakhathazeki, masithethe ngayo ngokulula.

Yintoni i-chylothorax? Masiyiqonde ngokulula.

Ngamafutshane, i-chylothorax kukuvuza kolwelo olukhethekileyo oluvela kwinkqubo yethu ye-lymphatic , olubizwa ngokuba yi-chyle , luye kwindawo engenanto ejikeleze imiphunga yethu. Ngoku usenokuba uzibuza, yintoni le nkqubo ye-lymphatic, yintoni le chyle?

Khawucinge nje, umzimba wethu unenethiwekhi yemithambo yegazi, kunye nenye inkqubo yemijelo emincinci. Yiloo nto siyibiza ngokuba yinkqubo ye-lymphatic. Le nkqubo isusa ulwelo olugqithisileyo oluqokelelana kwizicubu zomzimba wethu. Kwakhona, kukho amajoni afana neeseli zegazi ezimhlophe kule lymph. Akhangela aze atshabalalise iintsholongwane, ezifana neebhaktheriya kunye neentsholongwane, ezingena emizimbeni yethu.

Ngoku, i-chyle luhlobo olukhethekileyo lwe-lymph. Yenziwe kwindlela yethu yokugaya ukutya . Yenziwe ngeeseli ezimhlophe zegazi kunye namafutha avela ekutyeni esikutyayo, ngoko ke inombala wobisi. Le chyle ihamba emizimbeni yethu ngetyhubhu ekhethekileyo ebizwa ngokuba yi-thoracic duct . Ifana netyhubhu. Le tyhubhu isuka esiswini sethu, inyuke ngesifuba sethu, ize ibuyele egazini lethu entanyeni.

Kodwa, ukuba le ndlela yokuhambisa isifuba yonakele ngandlela thile, olu lwelo lwe-chyle luqala ukuvuza. Kwaye xa luphuma ngolo hlobo luze luqokelele kwindawo ejikeleze imiphunga yethu, yiloo nto siyibiza ngokuba yi-chylothorax. Uyifumene?

Ziziphi iintlobo eziphambili zale meko?

I-Chylothorax inokwahlulwa ibe ziintlobo ezintathu eziphambili:

1. I-traumatic chylothorax: Oku kwenzeka xa imithambo ye-lymphatic esiswini okanye esifubeni yonakele, nokuba yingozi okanye utyando. Cinga ngayo emva kotyando olukhulu esifubeni.

2. I-chylothorax engeyongozi/ezenzekelayo: Oku kwenzeka ngenxa yokuvaleka kwemithambo yethu ye-lymphatic, ubuthathaka beendonga zayo, okanye ukuqokelelwa kakhulu kolwelo lwe-chyle kunye nokuqhekeka kwemithambo. Ngamanye amaxesha, le meko inokwenzeka kubantu abazalwa beneengxaki ezithile esifubeni. Oku kubizwa ngokuba yi-chylothorax yokuzalwa . Kwakhona, inokukhula nokuba kwiintsuku ezimbalwa emva kokuzalwa.

3. I-Idiopathic chylothorax:Kwimeko enjalo, oogqirha abakwazi ukufumana unobangela ochanekileyo wale meko.

Uyazi njani ukuba unayo le nto? Zithini iimpawu zayo?

Uphawu oluphambili lwale meko kukuphefumla kancinci . Ungaziva ngathi uyafuthaniseka kwaye awukwazi ukuphefumla. Ngaphandle koko, kunokubakho nezinye iimpawu ezininzi:

• Ukuziva uxinezelekile, ukuqina, okanye ubunzima esifubeni .
• Ndihlala ndiziva ndidiniwe kakhulu .
• Ukunciphisa umzimba ngengozi .

Ukuba uneempawu ezinjalo, kungcono ukufuna uncedo lwezonyango.

Kutheni i-chylothorax isenzeka? Zithini izizathu eziphambili?

Enyanisweni, utyando lolona bangela luqhelekileyo loku. Oko kukuthi, i-chylothorax emva kotyando. Nangona kunjalo, nantoni na enokonakalisa umbhobho wesifuba, othwala ulwelo lwe-chyle, inokubangela oko. Kulapho ulwelo lwe-chyle luvuza khona lusuka kwinkqubo ye-lymphatic luye esifubeni. Ezinye izizathu zezi:

• Ukulimala esifubeni okanye emqolo: Oku kungaba kukwenzakala okukhawulezileyo, okanye ukwenzakala okuquka inxeba lesikhumba (njengenxeba lokuhlatywa ngemela).
• Iimeko zokuzalwa: Abanye abantu banokuba nale meko xa bezalwa, mhlawumbi ngenxa yotshintsho oluthile lomzimba okanye iimeko zonyango. Oko kukuthi, nokuba kukuzalwa (ukuzalwa) okanye kwiintsuku ezimbalwa emva kokuzalwa.
• Iintlobo ngeentlobo zemihlaza: Iintlobo ezininzi zemihlaza zinokubangela ukuvaleka okanye umonakalo kwizakhiwo esifubeni, nto leyo enokubangela ukuba i-chyle ivuze. Imizekelo ibandakanya i-lymphoma , i-chronic lymphocytic leukemia , umhlaza wemiphunga , umhlaza womqala , kunye ne-Kaposi sarcoma .
• Iintsholongwane: Ngamanye amaxesha iintsholongwane zingonakalisa imibhobho ethwala i-chyle, nto leyo ebangela ukuba ulwelo luvuze. Eyona nto ibangela oku sisifo sephepha .
• Ukuvaleka: Nasiphi na isimo esinokuvala umbhobho wesifuba sinokubangela oku. Imizekelo ibandakanya i-sarcoidosis , amahlwili egazi, kunye ne-goiter .

Ngubani osengozini enkulu yokuphuhlisa oku?

Usenokuba sengozini enkulu yokuphuhlisa i-chylothorax ukuba:

• Ukuba usandul’ utyando esifubeni, entanyeni, okanye esiswini , ingakumbi utyando lwemiphunga okanye lwentliziyo.
• Ukuba kukho ukwenzakala esifubeni okanye emqolo .
• Ukuba unomhlaza okanye imeko yempilo ebangela ukuxinana kwesifuba okanye ukwakheka kolwelo kwinkqubo ye-lymphatic.

Oogqirha bayixilonga njani le nto? (Ukuxilongwa)

Emva kokumamela iimpawu zakho kunye nembali yempilo, ugqirha uza kuqinisekisa ukuxilongwa kwe-chylothorax ngokwenza uvavanyo olukhethekileyo lwemifanekiso kunye nokuvavanya isampuli yolwelo oluvela esifubeni sakho.

Ezinye zeemvavanyo ezenziweyo zoku zezi:

• Ukufota: Ukuze kuqinisekiswe ukuba iimpawu zakho zibangelwa lulwelo olugqithisileyo esifubeni sakho, ugqirha wakho kuya kufuneka athathe imifanekiso yangaphakathi esifubeni sakho. Oku kungabandakanya ii-X-ray , ii-ultrasound , okanye ii-CT scans .
• I-Thoracentesis: Oku kubandakanya ugqirha wakho ukuba athathe ulwelo oluncinci esifubeni sakho aze aluthumele kwilebhu ukuze afunde ngakumbi malunga nokuba ulwelo lubonakala njani kwaye kutheni luvuza.
• I-Lymphangiography okanye i-lymphoscintigraphy: Ezi ziimvavanyo ezikhethekileyo zokujonga imifanekiso ezijonga inkqubo yakho ye-lymphatic.

Zithini iindlela zokunyanga oku? Ngaba kunokunyangwa?

Unyango lwe-chylothorax luxhomekeke kwisizathu. Okokuqala, ugqirha wakho unokukunika ukutya okukhethekileyo okanye akhuphe ulwelo esifubeni sakho. Ukuba ezi zinto azisebenzi, unokufuna utyando lokuthintela ukuvuza (i-lymphangiogram kunye ne-embolization) okanye enye inkqubo yokuthintela ulwelo ukuba lungaphinde luqokelelane. Ukunyanga unobangela oyintloko yeyona ndlela ilungileyo yokuthintela ukuba luphinde lwenzeke.

Ezinye zeendlela ezikhethekileyo zonyango loku zezi:

• Ukuphumla kwamathumbu: Inkqubo yakho ye-lymphatic, ethwala i-chyle, ifuna ukuphumla ukuze iphiliswe. Ngenxa yesi sizathu, ugqirha wakho uya kuyeka ukukondla ngokupheleleyo aze akunike izondlo ezifunekayo ngendlela ye-saline (`IV`). Oku kuya kuvumela inkqubo yakho yokugaya ukutya ukuba isebenze nzima kakhulu ekugayeni ukutya.
• Utshintsho kwindlela yokutya: Ukuze kuncitshiswe inani lamafutha emzimbeni wakho ekufuneka acolwe, ingcali yokutya ingakubeka ekutyeni okunamafutha aphantsi kakhulu okanye okunamafutha aguquliweyo . Oku kungokwexeshana nje. Ukunciphisa amafutha asempilweni ngale ndlela ixesha elide kunokukhokelela ekungondlekini kakuhle.
• Ukukhupha ulwelo: Ugqirha angalususa ulwelo esifubeni sakho esebenzisa i-thoracentesis . Oku kungenziwa ngaxeshanye, okanye ityhubhu yesifuba ingafakwa ixesha elifutshane. Nangona oku kukodwa kungayi kuyinyanga loo monakalo, kunokunceda ukunciphisa iimpawu ngelixa umzimba wakho uphola.
• Amayeza eSomatostatin okanye e-octreotide: La ngamayeza anikwa nge-IV. Asebenza ngokutshintsha indlela umzimba wakho ofunxa ngayo amafutha kunye nezondlo. Ngamanye amaxesha oogqirha bayawasebenzisa kunye nezinye iindlela zonyango, ezifana nokutshintsha indlela yokutya, ukunceda umzimba wakho uphilise ngokukhawuleza.
• Ukubotshwa okanye ukuvalelwa kwemithambo yesifuba: Ukuba imithambo yesifuba sakho yonakele okanye ayisebenzi kakuhle, ugqirha angayibopha ngotyando (ukuvalelwa) okanye ayivale ngabom (ukuvalelwa). Oku kunokulungisa umonakalo okanye kuthumele ulwelo endaweni yalo ukuze lungavuzi.
• I-Pleurodesis: I-Pleurodesis yinkqubo yotyando edibanisa imiphunga yakho nodonga lwesifuba, isusa indawo esifubeni sakho apho ulwelo luqokelelana khona.

Ingaba le meko imbi kangakanani? Ingaba ibeka ubomi esichengeni?

I-Chylothorax inokuba yingozi ebomini ukuba ayinyangwa ngokufanelekileyo . Inokubangelwa naziimeko zempilo ezinzulu. Ke ngoko, unyango oluqhubekayo lwesi sifo esingundoqo lunokufuneka.

Ngaba kufuneka ulumke ngokutya nokusela?

Ewe, ukuba une-chylothorax, ugqirha wakho angakunika ukutya okukhethekileyo. Oku kuthetha ukutya ukutya okunamafutha aphantsi kakhulu okanye okuqulethe iintlobo ezithile zamafutha .

Ungacelwa ukuba uyeke ukutya ngokupheleleyo. Ukuba oko kuyenzeka, uya kufumana isondlo osifunayo nge-IV. Oku kuya kunika umzimba wakho ixesha lokuphiliswa. Nangona kunjalo, kufuneka ukwazi ukutya ngokuqhelekileyo kwakhona malunga neveki okanye ezimbini.

Ngawaphi amaxesha afanelekileyo okubonana nogqirha?

Ukuba uphelelwa ngumphefumlo ngendlela engachazekiyo, bona ugqirha. Ingakumbi ukuba:

• Ukuba usandul' utyando.
• Ukuba usandul’ ukwenzakala esifubeni okanye emqolo.
• Ukuba unemeko yempilo ebangela ukuvaleka kwesifuba okanye intamo.
• Ukuba unesifo esichaphazela inkqubo yakho ye-lymphatic.

Ixesha lokuya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) :

Ukuba unengxaki yokuphefumla, ingakumbi ukuba uneentlungu esifubeni, yiya kwigumbi likaxakeka elikufutshane ngoko nangoko . Oku kungaba luphawu lwemeko esongela ubomi.

Imibuzo ebalulekileyo yokubuza ugqirha

Kunganceda ukubuza ugqirha wakho le mibuzo:

• Yintoni ebangela le meko kum?
• Ziziphi iindlela zonyango endinazo?
• Zeziphi ukutya neziselo endifanele ndizitye/ndingazityi?
• Ngaba ikho indlela yokuthintela oku ukuba kungenzeki kwakhona?
• Kuza kuthatha ixesha elingakanani ukuba ndiphile?

Yintoni umahluko phakathi kweChylothorax kunye nePleural Effusion?

I-Pleural effusion yiyo nayiphi na ingqokelela yolwelo kwindawo ye-pleural (indawo ephakathi kwemiphunga nodonga lwesifuba). I-Chylothorax luhlobo olukhethekileyo lwe-pleural effusion. Kukuvuza kwe-chyle kwindawo ye-pleural.

Umyalezo Wokugqibela Wokuya Ekhaya

I-Chylothorax yimeko engaqhelekanga kodwa enokuba yingozi ebomini ukuba ayinyangwa. Utyando yeyona nto ixhaphakileyo. Nangona kunjalo, inokubangelwa yinto evala okanye yonakalise umbhobho wesifuba. Uninzi lwabantu lunokuyinyanga ngempumelelo le meko ngokutshintsha ukutya okwethutyana, isondlo se-IV, kunye namayeza. Abanye abantu banokufuna unyango lotyando. Ugqirha wakho uza kuthetha nawe malunga neendlela zonyango ezikulungeleyo. Ngoko ke, ungoyiki, kwaye ulandele imiyalelo kagqirha wakho. Ndikunqwenelela ukuchacha ngokukhawuleza!

I- Chylothorax, amanzi esifubeni, ulwelo lwe-lymph, ubunzima bokuphefumla, utyando, imiphunga, umbhobho wesifuba